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may result in forfeiture of contractual payments. <br />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 23rd day of July , 2019 <br />Subscribed and sworn to before me this 23rd <br />My Commission Expires 6/5/22 <br />County of Residence <br />Walsh <br />ContractorsB U <br />or Its Agent <br />/Dustin Hilary, VP of South Bend Area <br />rated Name and Title <br />. day of Jul .......... , 20 19 <br />Notary is _.._. Alish rueger <br />St. Joseph <br />4 �� � K� <br />` «� % <br />AL ISHA KRUF..GER <br />M1Iotrtry Public. State of Inddud�� <br />St, Joseph County <br />my commission Fapires <br />+ <br />June 05w 2022 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />