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I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for <br />public Yvorlcs are tr ae and <br />Ocorrect. <br />Dated this. "� day of 20t - //A���` <br />All <br />Contract r/Bi der —(Firm) <br />1Ye LORY L. Tier <br />�N1FRpY: ? MER Si tore of Contractor/Bidder or s gent <br />:._ St. Joseph County <br />MY Cornmission Expiros _ U(/�l !� / �! c j <br />Saptembor23, ?,a17 <br />Printed Name and Title <br />Subscribed and sworn to before rare this � day , 20 <br />t, <br />My Commission Pxpires f ' i1(��� "•«- <br />Notaj ublic <br />County of Residence <br />F Certification Iran Investment, I -Verify, Diversity duly2012,doc <br />