Laserfiche WebLink
errs <br />I hereby affirm under the <br />penalties <br />of perjury <br />that the facts and information contained in the foregoing <br />bid for public <br />works are true and correct. <br />Dated this Onj day of V ate. , 20AS <br />EEC@ `L Pltxl�ot �CViC.9SrSriC <br />Contractor/Bidde <br />Si ature of Contractor/Bidder or is gent <br />I�iy't 4 P Fcom� , C_ E • D . <br />Printed Name and Title <br />Subscribed and sworn to before me this day of <br />My Commission Expires <br />Notary Public <br />County of Residence a tt <br />P.mef s Nos ry�pu!W S e% oOf indlena <br />=x1gEp��n_ St, Joseph County <br />*••. ►? Commie Ian Number NP07475 O0 <br />�No11j%Jt My COmmlee(On Expires <br />March i5. 2031 <br />26 <br />