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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 27 day of'Qe m 0022 <br />Subscribed and sworn to before me this 27 <br />My Commission Expires 08/12/2025 <br />t fnlhn► �q .i�` <br />, 1V — <br />Corkractor/Bidder (Klrm) <br />Signa of c(torBidder �Itsgent <br />Printed Meme and Title 1-3 <br />-day of December . 20 22 <br />Notary Public <br />County of Residence La PorteSSIOn <br />rO If <br />%, s • <br />�0 <br />