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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 Dec. , 2023 <br />aic to``St <br />p • •`�R40RAjF•••: s a <br />= :: ALL <br />Subscribed and sworn to before me this 12th <br />My Commission Expires <br />6/5/2030 <br />County of Residence <br />MilestoP6 Cdntractors North, Inc. <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary, Director of Estimati <br />Printed Name and Title <br />,day of December , 2023 <br />Notary ublic Alisha K ger <br />LaPorte <br />o�Y..... <br />ALISHAKRUEGER <br />My Commission Expires <br />*' SEAL :* <br />Junes, 2030 <br />Commission Number NP0653544 <br />La Porte County <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />