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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 27th day of Aril , 20_ <br />Subscribed and sworn to before me <br />this My Commission Expires 03/26/2033 <br />Green Demolition Contractors, Inc. <br />Contractor/Bidder (Firm) <br />Signa of Contract. — i der or Its Agent <br />Michael J. Brough, President <br />Printed Name and Title <br />27th day of April , 20 26 <br />County of Residence <br />O /// /. � / ��1.a " <br />r.q- n4a -1 W — — �_ <br />LaPorte <br />Kimberly Talbott <br />Notary Publio Seal State of Indiana <br />La Porte County <br />Commission NumberNP07e2467 <br />My Commission Expires 3/26i2033 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />