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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 12th day ofJud2022 <br />Subscribed and sworn to before me this 12th <br />My Commission Expires 7/14/2029 <br />County of Residence <br />Rieth-Riley Construction Co., Inc. <br />Contr r/Bidder ) <br />Signature of Contractor/Bidder or Its Agent <br />Ruben Alvarado, Sales Manager <br />Printed Name and Title <br />_ d of July 20 2 <br />otary Publicl Dawn E. Armstrong <br />Kosciusko <br />DAWN E. ARMSTRONG <br />..... .P Notary Public, State of Indiana <br />2'"SEAL' Kosciusko County <br />Commission Number NP0734858 <br />I�Nr``� My Commission Expires <br />July 14, 2029 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />