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may result in forfeiture of contractual payments. <br />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 />i� <br />Dated this day of P lf, 2Q.1 <br />of Cont)Tctor/Bidder of Its Agent <br />"a eal <br />Printed Name and Title <br />Subscribed and sworn to before me this day of :� ,tt, 20� <br />My Commission Expires It " ?a ` 7-03% <br />County of Residence <br />�y Public <br />ElYy)0,(\- <br />J,AMES BRAATZ <br />Notary y , State of Indiana <br />Elkhart County <br />Commission Number NP0752954 <br />My Commission Expires Nov 21, 2031 <br />Version 5/20/2024 Contractor's Bid for Public Works - 6 <br />