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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 8th day of Nov. , 2022 <br />`,l tr alc tor1 ", <br />INN'�ii <br />J s,L ie. <br />• F <br />Jz <br />0.- `oPPORgTF S <br />y SEAAt <br />hI <br />rail <br />or Its Agent <br />Dustin P. Hilary., Director of Estimating <br />Printed Name and Title <br />Subscribed and sworn to before me this 8th day of N v mber , 2022 <br />My Commission Expires 6/5/2030 In <br />Notary PutifiC Alish rueger <br />County of Residence LaPorte <br />��gY pVB <br />;11;7 KRUEGER <br />.�Q� •••. 1, <br />rt,7 <br />14 Mt EiI�$ <br />_* SEAL :*` <br />June 5,2030 <br />Commission Number NP0653544 <br />La Porle couna <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />