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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 ofrwt, 20 6q <br />I Jr <br />C:otitractor/13' ' (1^ it <br />Sa�tt e°of :or�tr�tctcar'�. <br />� " „ /Bidder or Its Aget <br />GINA L. GREEN" <br />m Notary Public, state of Ohio <br />My Commission Expires <br />Januaryl2,2024 Printed Name and Title <br />Subscribed and sworn to before me this . _.. _ .:..�_....... 20Iq <br />My Commission Expires J <br />tary Ptibiic <br />County of Residence 1� <br />