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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 /'7 day of �/ , 20 /9 <br />Printed Name and Title <br />idder or Its Agent <br />Subscribed and sworn to before me this day of , 20g <br />My Commission Expires <br />County of Residence <br />rAl <br />CrICIAL <br />� <br />NOTARY. r <br />ILLINOIS <br />r r <br />