Laserfiche WebLink
may result in Jivteiture 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 —LL day of be— 20 1-7 <br />NANCY R BROWN <br />Notary Public- Seal <br />State of Indiana <br />My Commission Expires May 23, 2021 <br />Contractor/Bidder (Firm) , <br />Signature of Contractor/[3idder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20 <br />My Commission Expires <br />Notary Public <br />County of Residence <br />Version 1011712016 Contractor's Bid for Public Works - 6 <br />