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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 25th day ofJanuary, 2022 <br />Milestone 06otfactors_North. Inc. <br />Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this 25th day of, 20 22 <br />"janii <br />My Commission Expires 6/5/22 , <br />N ublic AlishbKrueger <br />County of Residence LaPorte <br />•SAY P�-: <br />. <br />�0 .... <br />ALISHA KRUEGER <br />TAY'• =_ <br />La Porte County <br />•..s <br />My Commission Expires <br />June 5, 2022 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />