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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 �f ti day of At i L , 20 / 9 <br />Hardin s Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />M, Sales <br />Printed Name � � .�� ��• "�` and I �tle <br />Subscribed and sworn to before me this S2 day of <br />My Commission Expires _wwwwE3 /c) .2-0 <br />Notary Public <br />f3 ORGE N#KITARA 'oa � ty of Residence �.- <br />Notary Pnbtl - Sell <br />State of Indiana <br />M My OMMiSSIOn Exedras Fab t, 2 Ott <br />5 <br />20 / 9 <br />a <br />