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l 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 V -P20 /V.LC i r <br />Contracto Bidder (Fir <br />' �--- <br />f �a" <br />Signature of ContractorBidder or Its Agent <br />ELIZABETH R CONEY <br />Notary Public- Seal <br />State of Indiana <br />My Commission Expires Oct 14, 2020 <br />Subscribed and sworn to before me 'this <br />�'� My Commission Expires ( I `I � w <br />County of Residence <br />C'61e�--Ll)0---- <br />Printed Name and Title <br />day of J{ , 20 <br />Notary Pul5lic <br />