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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 13th day of August, 2019 <br />Subscribed and sworn to before me this 13th <br />My Commission Expires March 19, 2026 <br />County of Residence <br />Martell Electric, LLC <br />Conti- lor/Bidder .'Firm) <br />Sign turWof(:" iti actor/13 dder orIts WAgent <br />WWWWW <br />Jeri ifer Martell- President <br />Printed Name and Title <br />day of August , 2019 <br />No+ryaibli <br />St. Joseph <br />M75 L REEVES <br />,, <br />o Notary Public, State of Indiana <br />* SEAL' � <br />St. Joseph C*vnly+ <br />omrnission M 711599 <br />My Cornrnission Expires <br />r�xrrrrm�rr <br />March 19,2026 <br />Version 4/2/2019 Contractor's Bid for Public Works - 7 <br />