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violations hereunder 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 10th day of Dec. , 2018 <br />Subscribed and sworn to before me this 10th <br />My Commission Expires March 30 2019 <br />County of Residence <br />idder <br />Signattife of Contactor/Bidder Its Agent <br />Boyd Hirt, Vice President <br />Printed Name and Title <br />day of December , 20 18 <br />/ Theresa H. Messer <br />Notary Public <br />St. Charles <br />�Ay Il �ll', Itdi' �IYG;lf•1 <br />I CI ,d, 30 20,19 <br />Version 7/20/2018 Contractor's Bid for Public Works - 7 <br />