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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 11th day of February 2025 <br />Subscribed and sworn to before me this 1 1 th <br />My Commission Expires 3-27-2030 <br />County of Residence <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder {Firm} <br />nature of Contract id is Agent <br />Jacob K Kwilasz, Area Manager <br />Printed Name and Title <br />day of February , 20 25 <br />C 6 <br />Nat ry Public Kristie A Brooks <br />Fulton County, Indiana <br />nr J�Asta K Brook'a <br />µOWY PuNio, ftta of indW'a <br />s 4L �€ F Cantyy <br />hsmaher N16 0M <br />y. +� yC rjr&eeon E4*t;B <br />