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violations hereunder may result in forfeiture 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 12th day of June , 2018 <br />Subscribed and sworn to before nee this 12th <br />My Commission Expires <br />6/5/22 <br />Walsh & Kelly, Inc. <br />C or/Biddcr (Finn <br />Sig re of Contractor/Bidder or Its Agent <br />John M. Peisker. VP of Asohalt Operations <br />Printed Name and Title <br />CA" a <br />day of June 12018 <br />Notary lie allsha Krueger <br />County of Residence St. Joseph <br />ALISHA KRUEGEFi <br />�p�S Noiary Public, state o1 Indiana <br />�ySEAL ^ <br />at. Joseph county <br />*' *� <br />My commlasloc Expires <br />June 06, 2022 <br />u:nu+`� <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 <br />