Laserfiche WebLink
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 D3 day ot'A PA v,., 20 <br />Contractor/Bidder I"irm) <br />Signature of Contractor/Bidder or Its Agent <br />S�- <br />Printed Name and Title <br />Subscribed and sworn to before me thi� day of 120 <br />My Commission Expires 0 ')-1;>- <br />otary Public <br />1�ia =1 �t— <br />County of Residence <br />F -UCIA MARIE GANNON <br />St. Joseph County <br />?v)y Commission Expires <br />