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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 />Dated this UaWU( day of _, M257 <br />Contractor/ i ) <br />Signature of Contractor/Bidder or Its Agent <br />•Tn n (\ tr L lei b© v I •f z- <br />Printed Name and Title <br />Subscribed and sworn to before me this day of. t� , 20A5 <br />My Commission Expires C' <br />Notary Public <br />vv�nn ty of Residence <br />Debra A Urbanski <br />Jalary Public Seal State of Inniav,r <br />St. Joseph County <br />? <br />7Commission # NP0732273 <br />Duty Commission Expires 03/09/M0 <br />)-0 <br />Version 5/20/2024 Contractor's Bid for Public Works - 6 <br />