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<br />• <br />DOH FORM N0. 606 <br />Prev. O.F. 59 <br />Rev. 7-14-70 <br />STATE OF COLORADO ) <br />COUNTY OF MESA ) <br />~~ <br />PROJECT N0. BRF 050-1(7) <br />NORTHWEST OF DELTA <br />LOCATION DELTA COUNTY <br />A F F I D A V I T <br />The undersigned, of lawful age, being first duly sworn, deposes and says: <br />That as a condition precedent to the award to me or us of Division of <br />Highways, State of Colorado contract for the construction of the above listed <br />project, I, as the (~J(~J~d(-YrX~`'uX~X~d'tX~`t~}~`k (officer * Q~XXX~.~'(XrYaK+X=~:XrXXX <br />Xb(v Larry W. Corn. President of CORN CONSTRUCTION CO. to sign <br />(Officer) (Firm) <br />X$11(~X;Y~2(~XrXd(J(i~~*, do solemnly swear that neither I, nor, to the best of wy <br />knowledge, none of the members of my firm or company have either d:.rectly or <br />indirectly entered into any agreement, participated in any collusion or other- <br />wise taken any action in restraint of free competitive bidding in connection <br />with this contract. <br />* * * * * * <br />CORN CONSTRUCTION CO. <br />(Contractor~)Y <br />Title) <br />Larry Corn, President <br />****,~* <br />Subscribed and sworn to before me this 9th day of February <br />A. D. 19 ~~ <br />f _ <br />'~ ~ No ary Public <br />My Commission Expires June Z, 1977 <br />*Circle Applicable Phrase. <br /> <br />