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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 Dec. , 2o22 <br />Subscribed and sworn to before me this 13th <br />My Commission Expires 6/27/72 <br />Midland Engineering Company, Inc. <br />Contractor(Bidder irm) <br />Signature of Contractor/Bidder or Its Agent <br />Michael W. Frahn, CPA President/ CEO <br />Printed Name and Title <br />day of December , 2022 <br />aJ.t_" C4 � aC01 - <br />Notary Public Becky S. Archer <br />County of Residence St. Joseph <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />