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I hereby affirm under the <br />penalties <br />of perjury that the facts and information contained in the foregoing bid <br />for public <br />works are true and correct. <br />Dated this 1 p'!�N day of �LQ3D , 206*`i <br />�C> 4 \-GYiLL P, Ymbi na �i CQSt S-C1C. <br />Comractor/Bidder (Firm) <br />Si 10lure of ontractorBidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this l r,y <br />% e G' <br />My Commission Expires of 1 a —�\ �--(t ha� It �. JC:4��2_�>l cif r <br />Notary Public <br />County of Residence <br />���pY P"7'i CAROL A. LASKOWSKI' <br />oP.•' �:e� ;Notary Public, State of Indiana <br />$ISEAI,•^= St. Joseph County <br />.� #� Commie Ion Number NP0747540 - <br />�NgpNppc My Commission Expires It <br />'aunm"" March 16, 2031 .,., <br />24 <br />