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may result in forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 26th �y of October . 20 21 <br />Subscribed and sworn to before me this 26th <br />My Commission Expires June 18, 2023 <br />County of Residence <br />TGB Unlimited, Inc. (dba) SIT Bancroft Electric <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Gene Mann. Vice President of Operations <br />Printed Name and Title <br />.day of O <br />2021 <br />Notary Publ <br />LaPorte <br />LYNN SARTI <br />lea <br />�,��P.... <br />'r Notary <br />Public, State of Indiana <br />SEAL; = <br />LaPorte County <br />*'• *F <br />My Commission Expires <br />n��r�` <br />June 18, 2023 <br />Version 08/25/2021 Contractor's Bid for Public Works - 6 <br />