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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 Al h day of _D C , 20Cki <br />PREMIUM CONCRETE SERUhCES <br />Cgt�k�a r/Bicjder (Fi )� � n <br />Signature of/Conlraot�•/Bidder or�ts Agent ,j <br />tee-JL4 L Vi'1 eL -/ f IKSI PE41-I' <br />PrinteWine and Title/ <br />Subscribed and sworn to before me this 1 day of <br />My Commission Expires �� a e4�0 �� < 0. $� _� •�l�s7Yu�s <br />Notliry Public <br />County of Residence �t�C(� A <br />JANEE M TOWNER <br />NOTARY PUBLIC <br />SEAL <br />ELKHART COUNTY, STATE OF 1r, tl-h v <br />MY COMMISSION EXPIRES FEBRUr <br />COMMISSION NO.71'Xie <br />JANEE M TOWNER <br />NOTARY PUBLIC <br />SEAL <br />ELKHART COUNTY, STATE OF INDIANA <br />MY COMMISSION EXPIRES FEBRUARY 12,1 <br />COMMISSION NO.710399 <br />Version 09/29/2024 Contractor's Bid for Public Works - 6 <br />