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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 <br />27th day Ofdovember2018 <br />............... <br />Martell Electric, LLC <br />Cot tractor/Bid r (Firin, <br />Si i inure oI : a. ntrac o� /bidder or Its Agent <br />ennifer Martell- President <br />Printed Name and Title <br />Subscribed and sworn to before me this 2 th day of NQyernber , 2018 <br />My Commission Expires March 19 2026 <br />Notary 1'rrt i c <br />County of Residence St. Jose h <br />AO W04 <br />v? A11MNJELA L REEVE <br />"Ory pUbRi,a, State <br />Of Indiana <br />$L Jmaslph Ou"t <br />'oNLwmlaaipn <br />*' <br />�rkA <br />M 711698 <br />Y comnralaaian xpNr <br />s <br />Version 7/20/2018 Contractor's Bid for Public Work - 6 <br />