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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 13th day of December 2022 <br />Subscribed and sworn to before me this day of A, 20C�O, <br />My Commission Expires <br />Notary Pub is <br />County of Residence <br />La AnZL <br />Version 09/29/2021 Contractors Bid for Public Works - 6 <br />Ap.Y P$yry <br />KELLYA LANG <br />Notary Public, State of In <br />LaPorte <br />SEAL = <br />County <br />Commission plumber 659743 <br />MdtA p`�r <br />My Commission Expires <br />October 26, 2030 <br />Version 09/29/2021 Contractors Bid for Public Works - 6 <br />