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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 OS`0 day of Jut46 , 20Z <br />n Engineering Corporation <br />Co ractor/ idder (Firm) <br />Signs of Contractor/Bidder or Its Agent <br />Doug Stout, Estimating Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this os"' day of TvN& , 20A5 <br />My Commission Expires OGTDU-9- V7, -26'Aa LAVRA C—AWC— f�" <br />Notary Public <br />County of Residence <br />Marion <br />.%01 i""'// LAURA ELAINE DABNEY <br />`1PPY Vd'$ Notary Public, State of Indiana <br />Marion County <br />` Commission Number NP0759420 <br />My <br />YOctober 17,r2032r83 <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />