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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 1A1-1A day of, 20 '(,- <br />Printed Name anti Title <br />Subscribed and sworn to before me this % % *V% day of kMvT, �- , 20 25- <br />My Commission Expires It ' Zl " 7'S L <br />tary Public <br />County of Residence F Of <br />— <br />Notary <br />BRAAn <br />public . Seal <br />ntY • State of Indiana <br />NumbNo 7Z29z031 <br />54 <br />n Expires <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />