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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 24th day of March 12023 <br />Bit -Mat Products of Indiana <br />Contractor/Bidder (Firm) <br />i` nature of Contractor/Bidd or Its Agent <br />John Baumgartner, General Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 24th day of March , 20 23 <br />My Commission Expires 11/1/2024 <br />otary Public Kimberly Smith <br />County of Residence Dekalb <br />IGrnberly Smith <br />Notary Public, State of Indiana <br />CountyEoff DeKalbcb i 1 <br />My Commission Emires: <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />