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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 day of MaktK 20_L� <br />C CD <br />0 <br />Co4ntracto idler (Firm) <br />'rm <br />e '01 /B Its agent <br />Signatur ol`Contr�acr/Bidderot <br />hen <br />Printed Name and T"it11 <br />C <br />Subscribed and sworn to before me this <br />Gt,day of _. _ <br />My Commission Expires ic'e, <br />Notary Public <br />County of Residence <br />Notary Public - W410 of Indiana <br />St Joseph County <br />GoMMjsslO!_ExPIrOS Sep S, 2024 <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />