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may result in forfeiture of contractual payments. <br />sas <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 26th day of Nov. , 2p 19 <br />Rieth-Riley Construction Co. Inc. <br />Contractor/Bidder (Firm) <br />Signatu ° x ntrrac i lr rills Agent <br />Joshua A- ormick, Sales Manager <br />. s ._ .......... <br />Printed Name and Title <br />Subscribed and sworn to before me this 26th e 'of V tilber� <br />My Commission Expires 4/18/23 <br />Notary Public D wvvn E. Armstrong <br />County of ResidenceLaPorte <br />. <br />qxd bNlNldi <br />ku P Qd tW, CC"A 81I Y� <br />iuva� erry ry n o,� v as ��� w <br />Version 412/2019 Contractor's Bid for Public Works - 6 <br />