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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 13th day of June , 2023 <br />tr a c t <br />�f C-pRPORgrF s <br />`' SEAL <br />gnature 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 13th day of June , 2023 <br />My Commission Expires 6/5/2030 � 4jAa—� 0 Q'� <br />Notary Public Alisha eger <br />County of Residence LaPorte <br />'�, <br />ALISHAKRUEGER <br />My Commission Exp'res <br />In SEAL *: <br />June 5, 2030 <br />;`$�;pa# <br />Commission Number NP0653544 <br />La Porte County <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />