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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 22nd day of Oct . , 2019 <br />R&R Excavating, Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder Its or � or Its Agent <br />Will.iam Loudin President <br />Printed Name and Title <br />Subscribed and swornto before me this 22nd day of October , 20 19 <br />My Commission Expires 9/28/2024 _ ,,� �, <br />Notary Public Rebecca S. Blackston <br />County of Residence ____,St-. Jose h <br />w�o,409000" REBECCA S. BLACKSTONI <br />" � t ...... Notary Pubhlc, State of Indiana <br />„SAl. St..losephCounty <br />"� m Commission Expires <br />September 28, 2024 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />