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may result in forfeiture of contractual payments. <br />err <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 25th day of -222t. , 20 18 <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />§igna rtrzr6ntrs Mf or Its Agent <br />Josh qa wA.`M cCo,rm i ck, Sales Manager <br />Printed Nance and Title <br />d �y <br />Subscribed and sworn to before me this 25th d�yof, eptembar' 7 0 <br />My Commission Expires 4/18/23 <br />Notary Public (Dawn E. Armstrong <br />County of Residence LaPorte <br />mm <br />t,4 G <br />....... ... <br />.. . .... . ..... <br />9 6 <br />2 3 <br />Version 7120/2018 Contractors Bid for Public Works - 6 <br />