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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� , 20 <br />Contractor/B cr (Firm) <br />Signature of Contractor/Bidder or Its i�g <br />...�........ .._....... � Cat (�' <br />Printed Name and Title <br />Subscribed and sworn to before me this day of ....� � 2011 <br />� <br />My Commission Expires ._....,_._. �'` 9aoasjL <br />.�_............... . <br />u <br />Notary P �i ��c <br />County of Residence <br />z .»' Nowy Pubhc, 'State, of hdiona <br />t d <br />La Port�azunty <br />COMM taadqua 070805 <br />my Con �fo6 n Expires <br />»!u'to i ,25 <br />