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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 A.�.�. , 20 <br />Contractor/Bidder (Firm) <br />r r a OFFICIALSEAL <br />A� �turc <br />trJESSICA AN SRANH tractor/Bidder or Its Agent <br />NOTARY PUBLIC - INDfANA <br />�Yu Comm.I`�. L; rl��,��, oa o3 Printed Name and .,_. <br />i <br />N <br />HENDRICKS COUNT <br />-2019 nted Title <br />Subscribed and sworn to before me this duty of,... 20A <br />My Commission Expires .L <br />Notary Pub is <br />County of Residence CLI I J'd 5 <br />