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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 9 T.4 day of "M L , 20 7-0 <br />Subscribed and sworn to before me this <br />My Commission Expires <br />County of Residence <br />Kuepn- Cowme-k- wc, <br />Contractor/Bidder (Firm) <br />9.,% * Alt <br />Signature of Contractor/Bidder or Its Agent <br />-1114 MILLER — V14CE PKE5,D'F4v--cif --5—AW.S <br />Printed Name and Title <br />day of 1\'�AA 20 <br />Notary Publit, <br />DAVID M. KOWALSKI <br />Notary <br />Public, State of Indiana <br />p h County <br />S�. Joseph County <br />St Joseph . u TY <br />-Z�r <br />�;s <br />Comrniss�on # <br />'M r n # 666745 <br />�onx P,f <br />My CGnimiss�on Expires <br />Mr r <br />ctober 01,2022 <br />0 Cto e f 010 <br />Version 01/29/2020 Contractor's Bid for Public Works - 6 <br />