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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 22nd day of November 20 22 <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />gnature of C rac idder or Its Agent <br />Jacob K. Kwilasz, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 22nd day of November , 20 22 <br />My Commission Expires 03/27/2030 Q 4,A—, <br />N tary Public <br />County of Residence St. Joseph County, Indiana <br />, KRISTIN A BROOKS <br />=o <<% N6iarY public' <br />= State of Intii;ana <br />3E�L St. Jo xeph CounfY <br />,Conxzuask)n oNumber MUM <br />'���'•;NDIANP."°� My CotYrt Lsslnn Eb p res <br />O 27/2030 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />