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RETURNWITHBID State of))SS. County of) AFFIDAVIT (nameofaffiant), of, beingfirstdulyswornuponoath, statesasfollows: 1. ThatIamthe (officerorposition)of (bidder)andhavepersonalknowledgeofthefacts he

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This form is used for reporting environmental information for a specific project in Illinois.

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