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Bidder: Gibson -Lewis, LLC <br />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 Jules, 20 23 <br />Gibson -Lewis, LLC <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert A. Lingenfelter, President, <br />Printed Name and Title <br />Subscribed and sworn to before me this 25th a f July 1 20 23 <br />My Commission Expires 08/05/2023 <br />Nota I <br />Public Juli Hodowaniec <br />County of Residence St. Joseph <br />,a■ti;'r"r"'++. <br />Jilll HODOWZ141EC <br />•' "' $ Notary Public. State of Indiana <br />*:�Kasur.�s <br />SI Joseph County <br />? SEAL,: ' <br />Commisslon a 611289 <br />f�ytio�RN pier <br />My Commission Expires <br />•,,,,,,,+ <br />August 05. 2023 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />