Laserfiche WebLink
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 `J day of SePT- , 20 aS <br />Subscribed and sworn to before me this SW <br />My Commission Expires a - Q--? - -,;L� <br />County of Residence <br />Dr-mou-noty (!bgTmtmas, 1,J e- . <br />Contractor/Bidder (Firm) <br />r� <br />Signatu a of Contract Bidder or Its Agent <br />57vve,,,! P ;5c# PQEs10ov-r- <br />Printed Name and Title <br />day of .SFPr , 20,QS- <br />4 V-0, L�� �J <br />n <br />Notary Public <br />EN <br />Version 5/20/2024 Contractor's Sid for Public Works - 6 <br />