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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 21st day of March , 20 22 <br />K -Tech Specialty Coatings <br />C actor/Bidder {Fir <br />J1 J,4 <br />72� <br />Signature of Contractor/Bidder or Its Agent <br />_Denver Preston, Sales Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 21st day of , 20_2.2_ <br />My Commission Expires Nov 1, 2024 <br />N tary Public imberly Srnith <br />County of ResidenceNMIY Pi blic- State 01 Indiana <br />Dekalb limberly Smith <br />SEAL (p ail <br />County of DeKalb <br />My Commission Expires: <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />