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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 day of SP BOA , 20 a-5 <br />P-)& 166 <br />Contractor/Bi der (Firm) <br />of CWactgn1'dder or Its Agent <br />Printed Name <br />ro(e <br />Subscribed and sworn to before me this D -' " <br />day of Swle4 , 20—�/— <br />My Commission Expires <br />of ry Public <br />QS <br />County of Residence <br />6.r, <br />_ <br />.�'gSATHgF.. WOODCRIIN,�G„," <br />�Y <br />My <br />.' NOTARY '. �" My COmmis M Expires <br />May 14, 2031 <br />Puei,ic . Counw of Muskegon <br />Acting In the Couary of <br />._,rye. <br />n <br />jy <br />L , <br />�1 <br />rr r 'f0 ...c (I <br />�N�/!11'IflF11��` <br />Version 5/20/2024 Contractor's Bid for Public Works - 6 <br />