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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 23rd day of May_, 2023 <br />tt atc torsz <br />or0RATC <br />,''bN V'O�```a`o. <br />Irl! <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary[. Director of Estimating <br />Printed Name and Title <br />Subscribed and sworn to before me this 23rd day of May , 20 23 <br />My Commission Expires 6/5/2030LQ <br />Notary Puble Alisha ueger <br />County of Residence LaPorte <br />ALISHA KRDb:3544 <br />$o�V;aZe�� ;emissi <br />c <br />N SEAL;P== <br />June 5, <br />ion Num'of,,, <br />�mm <br />la Porte <br />Version 4/2/2019 Contractor's Bid <br />for Public Works - 6 <br />