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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 Anril , 2023 <br />R. Yoder Construction Inc. <br />Contracto 'dder (Firm) <br />a <br />Signature4f Contra orBidder or Its Agent <br />Jason Yoder President <br />Printed Name and Title <br />Subscribed and sworn to before me this 25th day of April 20//23 <br />My Commission Expires March 30, 2024 /. l Za <br />Otary PU t V &I Shelly J. Brigham <br />CounTyofResidence Kosciusko <br />,o"""'�o SHELLY J BRIGHAM <br />Moo a�e� NOTARY PUBLIC <br />^i' STATE OF INDIANA <br />•SEAL;^� KOSCIUSKO COUNTY <br />;'' ' �� COMM.0682724 <br />�Nti' COMM. EXPIRES 03.30-2024 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />