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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 22nd day of October, 2024 <br />MICHUDA-CRUZ Indiana JV LLC <br />Contractor/Bidder (Firm) <br />C�� M;A---�- <br />Signature C tra orBidder or Its Agent <br />S <br />Printed Name and Title <br />Subscribed and sworn to before me this 22nd day of October <br />My Commission Expires <br />06-03-2025 <br />pgn A Ou <br />5t�n A 5chue*,e County of Residence <br />Notary Public State at 111inrns <br />r�iy Commission Expires p61U3►Zp25 <br />Notary Public <br />Will <br />Version 03/15/2024 Contractor's Bid for Public Works - 6 <br />. 2024 <br />