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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 1.127th _ _. day of NOV. � 20 18 <br />b f6 z W4 <br />%"� <br />tam° �� <br />Subscribed and sworn to before me this 27th <br />My Commission Expires „a1, ,, 2p2Qw___ <br />County of Residence <br />Ziolkowski Construction, Inc, <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder <br />g r or Its Agent <br />Bill .._. President <br />_. <br />Printed Name and TitleITITITm <br />day of November , 268 <br />__... _. <br />Notary Public Shannon Reidenbach <br />St Joseph <br />SHANNON REIDENBACH <br />Notary Public- Seal <br />State of Indiana <br />my Commission Expires Mar 1, 2020 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />