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may result in forfeiture of contractual payments. <br />�a* <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 . Zlt,h day ofnecember, 20 is <br />Subscribed and sworn to before me this 11th <br />My Commission Expires June 8, 2020 <br />County of Residence <br />vPw_uw i .rr e i .es of i h q n, Inc. <br />ronsta �4-�C��n ,�r�ra ��a of Miaha, a.w_... <br />Comrac Bidder ( i. <br />Signature o _ � <br />ig <br />f t �oattraaet ri idaler or Its Agent <br />Robert T. Mazur, President <br />Printed Name and Title <br />day* Decembe.r........ 20 18 <br />Notary Publ <br />ic <br />BRENDA S. JAYNES <br />NOTARY PUBLIC, STATE OF MI <br />COUNTY OF WAYNE <br />MY COMMISSION EXPIRES Jun 8, 2020 <br />ACTING IN COUNTY OF q <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />