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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 (5 tk day of U U 20L1- <br />MA-!- L e> LC /i r zzo 0 <br />Printed Name and Title <br />Subscribed and sworn to before me this day of ll UM 0� <br />My Commission Expires t5 Zak `. <br />Nota ublic <br />County of Residence e <br />Version 7/31/2015 Contractor's Bid for Public Works - 6 <br />