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0� � <br /> INnoks==nt Affidavit ofIllinois Business Office <br /> Print Fon Reset Form <br /> local Public County 8tmo NamoRoadNomo Section Number <br /> |. or <br /> being first duly sworn upon oath,state as follows: <br /> \ <br /> 1.That|wnthe w,c,7�t of <br /> N� u.That|have personal knowledge mthe facts herein stated. <br /> 3.That,�oo�cmdundm�opmpoxu|dom�bodabove, .wi||maimainabunmmmo�noin�� <br /> State u/Illinois,which will bolocated in Illinois <br /> County <br /> 4.That this business office will serve as the primary place of em;:)1oyment for any persons employed in the construction contemplated by <br /> 0� <br /> this proposal. <br /> 5.That this Affidavit is given as a requirement of state law as provided in Section 30-22(8)of the Illinois Procurement Code. <br /> N� <br /> Signature Date <br /> Print Name mAffiant <br /> Notary Public <br /> U� <br /> State of 4"r- <br /> County <br /> Signed(or subscribed o,attested)before moon by <br /> 0� \ <br /> .authorized ogonVo)of <br /> (name/s of person/s) <br /> Bidder <br /> Signature of Notary Public <br /> t"T St <br /> (SEAL) Mycommission expires <br />