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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 A317do _ day of 20 IS <br />idder (Firm) <br />Print d Name and Title <br />or Its Agent <br />Subscribed and sworn to before me this " day of „ 20I_S <br />My Commission Expires <br />County of Residence <br />Notary Public <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />PATRICIA KNIGHT <br />Notary Public <br />St. JOOO County, State of Indlene <br />FXPM Sept. 5, 2024 <br />