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I hereby affirm under the penalties of perjury that the facts and information contained in the <br />foregoing bid for public works are true and correct. <br />Dated this l_ day of %, 20Z <br />r <br />Con <br />Signature of <br />Printed Name and Title <br />Subscribed and sworn to before me this lU <br />My Commission Expires <br />3-�-2G31 <br />County of Residence <br />L <br />t <br />idder or Its Agent <br />day of 1�/�V� U' l , 20�J <br />J VLI�f <br />Julia Anne Cundlff <br />Notary Public Seal State of Indiana <br />Shelby County <br />Commission NumberNa0747376 <br />Aty Commission Expires 3/8/2031 <br />