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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 12th day of Nov. 20 24 <br />Subscribed and sworn to before me this 12th <br />My Commission Expires <br />6/5/2030 <br />County of Residence <br />Milesto <br />Contractor/Bidder or Its Agent <br />Dustin P. Hilary., Director of Estimating, Griffith -South Bend <br />Printed Name and Title <br />.day of November 2024 <br />J,�Jaa._� A4 g2a.A!:::� <br />Notary P-Utilic AntsnaRAeger <br />Porte <br />ALISHA KRUEGER <br />�Y PCB <br />�; : zo •%. <br />My Commission Expires <br />June 5, 2030 <br />Commission Number NP0653544 <br />La Porte County <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />