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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 day of %r %��� , 20nj <br />Signature of ContractorBiddeIts Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this c� day of J 20,a�4 <br />My Commission Expires <br />Notary Public <br />Colony of Residence <br />p����ii ROXANNE LAURENE ALFORD <br />o?.• •.�e�' Notary Public, State of Indiana <br />=Z;SEAL,"= St. Joseph County <br />+ • . -Commission Number NP0741524 <br />IA1 My Commission <br />31 2030pires <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />