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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 �_ day of�, 20 :9 �P <br />Subscribed and sworn to before me this j <br />My Commission Expires 06 I -1 20 2 <br />AM rr tca/7 `l Wrc,!� ®/ cede"``y—� <br />Contracto idder (Firm) <br />Xgnature of Contractor/Bidder or Its <br />AgKt <br />jc—�_s0/1 f)b,uno n— &M <br />Printed Name and Title <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />County of Residence <br />...... <br />a P... <br />IAN JOBES <br />o \\ ,%��' = <br />Notary Public, State of Ohio <br />*, * <br />-w �Q= <br />My Comm. Expires 06/17/2024 <br />Recorded in Stark County <br />.......... . <br />' <br />i4gf, <br />AM rr tca/7 `l Wrc,!� ®/ cede"``y—� <br />Contracto idder (Firm) <br />Xgnature of Contractor/Bidder or Its <br />AgKt <br />jc—�_s0/1 f)b,uno n— &M <br />Printed Name and Title <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />