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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 � �,,, day of <br />Contractor/Bidder (Firm) <br />gu - ritr�iet ;I,Birld t or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this � � day ofFrVm a. K A .20 <br />My Commission Expires <br />Notary ,public <br />County of Residence ' l) <br />r'Y SHANNON MILLER, <br />°' Notary Public <br />• SEAL A Resident of St. Joseph County, IN <br />Commission Number 650497 <br />My Commission Expires 03/19/2022 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />