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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 of 7 , 20 Z Q <br />L 211 <br />Con ctorBidder ( ) <br />Signa of tractor/Bidder or Its Agent /n0 �JC� <br />Lk �CK <br />Printed Na and Title <br />Subscribed and sworn to before me this y of �� !�, 20c�X) <br />My Commission Expires i ! <br />k, 14- <br />NoPublic <br />County of Residences <br />,,�\ GVRTIS <br />.�Q�P'••�cniaiio �;9 ��i <br />Q: NOTARY a :r <br />:; PUBLIC v= <br />z :9 �� SEAL a <br />cn��°s ��te Co���1�~ • <br />