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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 />r <br />Dated this day of 20 :, l <br />Subscribed and sworn to before me this <br />My Commission Expires \` -I t '?,03 <br />Contract /BiddV(F'in) <br />�� " / � �' -'i vim• <br />Signature of C ntractor/Bidder o is Agent <br />- CFI,• �- ///�i�t"� f, 'd- <br />Printed Name and Title <br />II day of G�% 20 <br />&ary Public <br />County of Residence <br />C-1 <-lno► r�- <br />JAMES BRAATZ <br />Notary Public - Seal <br />Elkhart County - State of Indiana <br />Commission Number NP0752954 <br />My Commission Expires Nod 21, 2031 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />