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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 25th day of April , 2023 <br />CO......... <br />'• 2p �i <br />C�RP0RA;,e S <br />SEAL..: <br />Subscribed and sworn to before me this 25th <br />My Commission Expires 6/5/2030 <br />County of Residence <br />of Contractor/Bidder or Its Agent <br />/'Dustin P. Hilary. Director of Estimating <br />Printed Name and Title <br />day of AP01 92023 <br />Notary Pu lic AlishaI6ueger <br />LaPorte <br />Y pu <br />ALISHAKRUEGER <br />20`. Bl% <br />My Comntission Expires <br />* SEAL <br />June 5, 2030 <br />'FUF <br />Commission Number NP06M4 <br />i °•' <br />La Porte County <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />