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I hereby affirm under the penalties of perjury that the facts and infonrnation contained in the foregoing bid <br />for public works are true and correct. <br />Dated this I day of MA) , 20 Db <br />llxtmi�tal 6,qC1)ck 71C <br />Contractgr/Biddet (Firm) <br />Signature lo-f Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this i D 4A day of MA� , 20 J-6 <br />My Commission Expires 01 0 � �— }t?- ..�, F) I L <br />b <br />N ary Public <br />County of Residence`s <br />JANEE MTOWNER <br />NOTARY PUBLIC <br />SEAL <br />ELKHART COUNTY, STATE OF INDIANA <br />W MMISSION EXPIRES FEBRUARY 12, 2026 <br />COMMISSION NO.710399 <br />Version 01/29/2020 Contractor's Bid for Public Works - 6 <br />