Laserfiche WebLink
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 day of iCf1, 20d <br />Contractor/ ' d er <br />Signature of Contractor/Bi er or Its Agent <br />-i4-12K PXi 51PW-' <br />Printed Name and Title <br />Subscribed and sworn to before me this 210+h day of MGM'(—V-\ , 20 Z-Lk <br />My Commission Expires I \ - 2-1 - 20 31 <br />otary Public <br />County of Residence <br />EDAMES BRAATZ <br />Notary Public - Seal <br />rt County - State of Indianamission Number NP0752954mission Expires Nov 21, 2031 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />