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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 14th day of Dec. . 20 21 <br />Subscribed and sworn to before me this 14th <br />My Commission Expires Z,, <br />County of Residence <br />The Robert Henry Corporation <br />Contrac Bidder irm) <br />Signature of ContractorBid r or Its Agent <br />Brian S. Henry, President <br />Printed Name and Title <br />day of December 20 21 <br />Notary Public <br />6 <br />2�- P&CAROL B. DOYLE <br />Notary Public <br />SEAL * st. Joseph County, state of Indiana <br />�NoaANP Commission Expires March 18 2023 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />