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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 24th day of MaY , 20 22 <br />Subscribed and sworn to before me this 24th <br />My Commission Expires <br />10/26/2022 <br />of C&Ir-actorl8idder or Its Agent <br />-Michael Brough, President <br />Printed Name and Title <br />day of - ME —,20 22 <br />County of Residence LaPorte <br />C ;sre i•- - -..,9+, ,r. Ortnkhnr 26, ?n. <br />Version 01/13/2021 Contractors Bid for Public Works - 6 <br />