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I hereby affirm under the penalties of perjury that the facts and information contained in the <br />foregoing bid for public works are true and correct. <br />Dated this R day of II 20 <br />Y"aG'� AfVGFI.A ELDRIDGE <br />_°D�Os ►�rY ubk, State of Indiana <br />S <br />Yette Counttyy <br />ConxnissIon Humber NPD740904 <br />�o^nT MY Commission EVv" <br />Mav 02 2030 <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder 00ts Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of67V-i , 20� <br />My Commission Expires — 3 <br />Notary Nblic <br />Countv of Residence <br />12 <br />