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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 22nd day of March , 2022 <br />`���tilttlli��i <br />�pORATE.'� <br />�,1N-4\G <br />��! <br />Subscribed and sworn to before me this 22nd <br />My Commission Expires <br />6/5/2022 <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary. Director of Estimating <br />Printed Name and Title <br />day of March —2022 <br />Notary ublic Alta Krueger <br />County of Residence LaPorte <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />t HsP b`, <br />=''nounv <br />ALISHA KRUEGER <br />La Porte County <br />SEAL, ; <br />My Commission Expires <br />g_ <br />June 5, 2022 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />