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may result in forfeiture of contractual payments. <br />r*• <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 1� / day of _At4 20 c e'L <br />rC,A9 k5aA, lea, Ce woe l -.s <br />Contract rMidde ) <br />Signature of ContractorrRidder or Its Agent <br />) kav,,a5 <br />Printed Name and Title <br />Subscribed and sworn to before me this 5-1 day o'fA V\OJfC,q�0� <br />\ , 20 <br />My Commission Expires CJ l I a �I 7-q !/1.�22L�e�/ 1 <br />Notary Public <br />County of Residence <br />Ki <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />