Laserfiche WebLink
may result in forfeiture of contractual payments. <br />I hereby af5rm 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 Q+h day of JkflQIL 20L�3 <br />eMIUMCOMCKyescKJICE 5 Ti c. <br />Contractor/Bid (Firm) <br />Sigliature of Contractor/Bidder or Its Agent <br />f Y y CakEy .P. <br />Printed Name and Title <br />Subscribed and sworn to before me this try o <br />01 f I�P�IL 20 �3 <br />My Commission Expires w aC1 C e OL YU./l_ <br />N tary Public <br />County of Residence LKRAKT <br />JANEE M TOWNER <br />NOTARY PUBLIC <br />SEAL <br />ELKHART COUNTY, STATE OF INDIANA <br />COMMISSION EXPIRES FEBRUARY 12, 2026 <br />COMMISSION NO, 710399 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />