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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 26th day of June , 2018 <br />Ke <br />of <br />or Its Agent <br />Dustin Hilary, VP of South Bend Area <br />Printed Name and Title <br />Subscribed and sworn to before me this 26th day of .tune , 20 18 <br />My Commission Expires 6/5/22 /lJ <br />Notary Public Alisha Krucaer <br />County of Residence St. Joseph <br />711HA KFtU'- <br />`t��p741Hp�� <br />'ti�wY pGet : Notary Public, Stato ofIndians <br />y v <br />st.Josep hC.untY <br />My Commission Expires <br />lam` '4'01 A�P��� <br />,�Illlsl,�.� <br />JuneD6,2422 <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />