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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 23rd day of August, 20 22 <br />Mi sto e Cqpftractors_Noft, Inc. <br />`t��tttitrrt����i Co rac Bid (Fi <br />%,%k% reactors Aim <br />+. <br />RATE •:�s _ ature of Contractor/Bidder or Its Agent <br />SAS:` Dustin P. Hilary, Director of Estimating <br />Printed Name and Title <br />�J!ltttt�� <br />Subscribed and sworn to before me this 23rd day of August , 20 22 <br />My Commission Expires 6/5/2030 <br />Notary ublic Ata Krueger <br />County of Residence <br />LaPorte <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />Comr*sbn Expires*= <br />ESEALAu"'IRUE�G,,E,,yR,,� <br />June b, 2030 <br />Numb+er..NP06535A4 <br />• <br />Conxnisslon <br />La Pate Count/ <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />