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I hereby affinn under the penalties of peg jury that the facts and information contained in the foregoing bid <br />for public works are true and correct. r <br />Dated this day of R, 20 ! <br />Contractor/Bidder (Firm) <br />f v�� <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn t before me this <br />My Commission Expires <br />County of Residence <br />Version 4/17/2015 Contractor's Bid for Public Works - 6 <br />