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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 />�I'T y Dated this dd;� a,l .:.�.� ...._, 2 #1 <br />Contractor/Bidder F mow.. <br />� Signature of Contractor/Bidder <br />� r/Bidder or Its Agent <br />-L E4E - A ke <br />Printed Name and Title <br />Subscribed and sworn to before me this _ lay of �`� 21 <' , 20 15 <br />My Commission Expires t— <br />o ary Public <br />County of Residence --- JM..� m ..... <br />-, <br />s -. <br />FELICIA MARlE (iANNo <br />.4 a 1AR� .: <br />St. Joseph County <br />seas �" <br />My Commission Expires <br />C�apterPnher 30, 2022 <br />