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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 25th day of March , 2024 <br />Green Demolition Contractors, Inc. <br />Co 1 de Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Michael Brough, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 25th day of March , 2024 <br />My Commission Expires 1118ha <br />No ary Publi <br />County of Residence LaPorte <br />,spa"r'P�B�, <br />Kimberly Martin <br />Notary Public, State of Indiana <br />= <br />SEAL <br />LaPorte county <br />Commission Number NP0470193 <br />MyCon uri,slonF_xpires <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />