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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 Au ust , 2019 <br />Midland <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />MichaelW. Fratin C1111residie /(',F'0�'FO <br />Printed Name and Title <br />Subscribed and sworn to before me this 13th day of August 12019 <br />My Commission Expires 6/27/27 _._........... _mm _ kcky S. ArcherIT wwwwwww <br />Notar�TT)ti c <br />County of Residence St. oseph <br />Version 4/2/2019 Contractor's Bid for Public Works - 7 <br />