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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 Cl( day of I`-�4J , 20_25 <br />Contractor/Bidder (Firm) <br />Zt, & /I- Z(— - - <br />gn a of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and swom to before me this �_ day of o , 20-a <br />My Commission Expires C��S-, I 1 -7 a030 <br />Notary Public <br />County of Residence 14q-a I +n <br />Cristina T. Danford <br />Notary Public - Seal <br />State of Indiana <br />Hamilton County <br />My Commission Expires 08/17/2030 <br />Commission No. NP0743086 <br />