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❑ray result in forfeiture of contractual payments. <br />xx+ <br />I hereby affiim 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 12th day of J6nuar1z023 <br />R. Yoder Construction, Inc. <br />Contractor/Bidder (Firm) <br />Signature 6�feontractorffiidder or Its Agent <br />Brad Yoder, VP of Operations <br />Printed Name and Title <br />Subscribed and sworn to before me this ,4� day of? c _5 20A�wL <br />My Commission Expires I e111 �i+ 49 <br />'` ary Pub c <br />County of Residence <br />.oa'y''p�,� SMELLY J BRIGHAM <br />.�44••• •.be . NOTARY PUBLIC <br />may* STATE OF INDIANA <br />*SEAL: KOSCIUSKO COUNTY <br />COMM.'•. *: <br />��'�ry No�pdPPp .EXPIR S03-3 <br />682724 <br />COMM. EXPIRES 03.30-2024 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />