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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 I }l_ day of 20_L6> <br />Subscribed and sworn to before me this 7 M <br />My Commission Expires <br />SANDhAYL DULAYence <br />Notary Public <br />In and for the State of Ohio <br />My Commission Expires <br />December18,2018 <br />Contractor/Bidder (Firm) / <br />Si at "re of Contractor/Bidder or Its Agent /, <br />Printed Name and Title <br />_ day <br />yofoOLk /I , 20 1(, <br />,�Ndtary Public (/ <br />Version 7/31/2015 Contractor's Bid for Public Works - 6 <br />