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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 l/ day of , 20 ;22 <br />:5 Jo -ix -5 chem t cats G <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />J 04(� W,, <br />Printed Name and Title TiI. <br />Subscribed and sworn to before me this // day of &/-IV , 20 -?-2— <br />My <br />?-Z <br />My Commission Expires I, I a/`Ch <br />Notary Public <br />County of Residence I NORMA F HUDSON <br />Notary Public <br />SEAL <br />Marlon County, State of inaiana <br />My Commission Irxplres March 15, 2025 <br />