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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 17-7t.?'N day of AAgl (, 201L <br />actor/Bidde (Firm) <br />Tataneshia M. Whlte, Notary Public lgnature of Contractor/Bidder or Its Agent <br />Comm. Expires Aug. 31, 2023 // <br />SEAL+ Resides in S. Joseph Co., IN /�'fIM1O/tXz%h /I `D� <br />Comm. Number672377 Printed Name and Title <br />Subscribed and sworn to before me this 4— IT" day ofMDf(k20 17� <br />My Commission Expires/ 1�, 2-D? <br />- <br />oary <br />County of Residence St ..) e)Sep}7s <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />