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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 4th day of August , 2022 <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />ignature of C adder or Its Agent <br />Jacob K. Kwilasz, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 4th dau ust , <br />My Commission Expires 7/14/2029 <br />Notary Public Dawn E. Armstrong <br />County of Residence Kosciusko <br />pi�� DAWN E. ARMSTRONG <br />.`�...... 0- Notary Public, State of Indiana <br />e-':SEAL Kosciusko County <br />tZ Commission Number NP0734858 <br />q'OIAaPO`� My Commission Expires <br />,,,,,,ir` July 14, 2029 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />