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I hereby affirm under the penalties of peijury that thcfkts and inforrnation contained in the foregoing bid <br />fo,r public works are true and correct. <br />Dated this-1-1-1-C: (Jay of 20 2, <br />Cork actor/Bidder <br />Pfinted Pqwnl�)'.,and Title <br />Subscribed and sworn to before nic Ihis ( ay (,) f 20c-�" <br />My Commission Expires <br />N y Public <br />(",ounty of <br />ma <br />R- <br />m „yam <br />NOTARY <br />Pus'LIC <br />SEAL <br />0 - <br />11/141,1111MWO <br />