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may result in forfeiture of contractual payments. <br />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 28th day of MaY , 2024 <br />Subscribed and sworn to before me this 28th <br />My Commission Expires <br />March 30, 2032 <br />County of Residence <br />R. Yoder Construction, Inc. <br />Contractor/B�q (Firm) <br />Signature <br />Bidder or• Its Agent <br />Jason Yoder, President <br />Printed Name and Title <br />otary Publi <br />Kosciusko <br />elly J. B�ir�ham <br />,.�```PY'p'''�% SHELLY J BRIGHAM <br />;`oP•••••Ue�'% Notary Public, State of Indiana <br />z' : SEAL; � Kosciusko County <br />*'•, ; * Commission Number NP0682724 <br />�N' •''P��`� My Commission Expires <br />11111V,O\ March 30, 2032 <br />Version 03/15/2024 Contractor's Bid for Public Works - 6 <br />