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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 „1,4TH day of MAY , 20 19 <br />EMILY S. NEED, Notary Public <br />County of Marshall, State of Indiana <br />My Commission Expires 05/15/2021 <br />JORDAN FORD <br />Contractor/Bidder (Firm) <br />'' <br />Signature of Contractor/Bidder or Its Agent <br />DEBRA STARKWEATHER <br />C.O111�1ER.G.FREE LSAzE �ER.._._._._......._ <br />Printed Name and Title <br />Subscribed and sworn to before me this 14TH day of MAY , 20 19 <br />My Commission Expires <br />-';- 1 <br />Notary Public <br />AA <br />County of Residence I I v <br />5 <br />