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may result in forfeiture of contractual payments. <br />I hereby affiim 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 <br />Subscribed and sworn to before me this 23rd <br />- <br />My Commission Expires <br />County of Residence <br />Precision Wall Systems, Inc. <br />Contractor/Bidder (Firm) <br />S , x e77)T, Conti°actor/!Riw"er gar Its Agent <br />Jason Christy - Vice President <br />Printed Name and Title <br />day of October 20 18 <br />&V& A" <br />Notary Public <br />SHANNON MILLER, <br />Notary'Public <br />A'Resident of St. Joseph County, IN <br />Commission Number 650497 <br />My Commission Expires 03/19/2022 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />