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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 loth day of Dec. 20 24 <br />Subscribed and sworn to before me this loth <br />My Commission Expires 2 / 11 / 203 2 <br />County of Residence <br />Donald Ritschard, Jr., Vice President <br />Printed Name and Title <br />y of December , 20 24 <br />�U-vank, kta",�— <br />Notary Public <br />St. Joseph County Resident <br />11 � ... • •IK .. llllll <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />