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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 9th day of August, 20.18 <br />CO <br />:< <br />of Contractor/Bidder or Its Agent <br />tin Hilary, VP of South Bend Area <br />Printed Name and Title <br />Subscribed and sworn to before me this 9th day of Au st .2018 <br />My Commission Expires 615122 / <br />Notary Pu c"L� Alisha ueger <br />County of Residence St. Jose <br />y> , ` <br />gL1SliA K19UEGER <br />l Q�Y•PVA`+; <br />iyptary Public, State of Indiana <br />° ' n <br />;- :SEAi <br />SI. Soseph county <br />f ^+iilP� i <br />MY Commission Expiras <br />jur)8i7�7,2o2 <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />