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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 12th day of Sept. , 2023 <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />ature of Contractor Brie cv1 s` gent <br />Jacob K. Kwilasz, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 12th ay of e temb , 2 23 <br />My Commission Expires 7/14/2029 <br />Notary Publi , Dawn E. Armstro <br />County of Residence <br />Kosciusko <br />DAWN E. ARMSTRONG <br />Notary Public, State of Indiana <br />Kosciusko County <br />�* * Commission Number NP0734858 <br />'•,'N"'' * c My Commission Expires <br />ItnuN``d July 14, 2029 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />