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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 />Subscribed and sworn to before me this 25th <br />My Commission Expires / 11 R1400?B <br />County of Residence <br />Green Demolition Contractors. Inc <br />Contract Bidder (Firm) <br />ignature of Contractor Pent <br />Michael Brough, President <br />Printed Name and Title <br />day of March )2024 <br />N ary Public <br />LaPorte <br />,P�`�"m- <br />Kimberly Martin <br />;'�-%— „: <br />Notary PukiYc, State of Indiana <br />'_' <br />SEAL = <br />LaPorte County <br />CGMMLn lion Number NP0470193 <br />�;i Commission Expires <br />y P <br />31/18/2 028 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />