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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 r of December 20 23 <br />11 --- -.- -1- . 1 11.1-- -- - -- , — <br />Subscribed and sworn to before me this 12th <br />My Commission Expires November 19, 2031 <br />.......... .." I <br />County of Residence <br />DANISHA L . MARABLE <br />Notary Public - Seal <br />St Joseph County - State of Indiana <br />Commission Number NP0752902 0 <br />My Commission Expires Nov 19,1] 2031 <br />LaPorte Construction Co.,_Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Lori Schrad, President <br />Printed Name and Title <br />December 20 2.13 <br />Notary Public <br />St. Jo <br />Version 07119/2023 Contractor's Bid for Public Works - 6 <br />