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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 day o, 12() <br />Conliactor/Bidder (Firm) <br />........ - ---- S ignat Lirc o f Contractor/B idder or Its Agcrit <br />ChristinaM,hilbrogno -;O(I�mef'dc',A Support Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this Cc) day of .. .. .. .. .. . 20 <br />My Commission Expires <br />Notal'y Public <br />County of Residence <br />—:L, � J, Jem".— .. ........... ............. ........... <br />Marsha K Copeland <br />Notary Public State of Ka <br />My Apt Expires 4�49� <br />