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may result in forfeiture of contractual payments. <br />1 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 23rd day of November, 20 21 <br />Subscribed and sworn to before me this 23rd <br />My Commission Expires <br />03/06/2024 <br />County of Residence <br />HRP CONSTRUCTION INC. <br />act r Ir <br />Signature of Contractor 1 er Its Agent <br />Matthew D. Cain, President <br />Printed Name and Title <br />day of November 20 21 <br />N ry Public Cynthia L. Vanheste <br />St. Joseph <br />Y`p"o, CYNTHIA L. VANHESTE <br />X...... om% Notary Public, State of Indiana <br />z°; • <br />.0s St. Joseph County <br />SEAL; <br />* rte? Commission Number 6at273 <br />pies <br />Commission Expires <br />,4March 08202 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />