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may result in forfeiture of contractual payments. <br />ti♦ <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 day of Vt'n 20ay <br />�6 tractor/Bidder (Firm <br />Stgnatu of Contractor er or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this oy_� dlQ'f�20�a U <br />My CommissionExpires �'io'a©��P tL(ltnt� e <br />NotaJryPublic /- <br />County of Residence i/U11 CIP P�71. <br />::w,-.., DONNA C. MARTIN <br />e SEAL Resident of Vanderburgh County, N <br />•' Commission Expires: June 6, 2026 <br />Commission 4 714151 <br />Version 03/15/2024 Contractor's Bid for Public Works • 6 <br />