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to me known and known to me to be the same person in and who executed the foregoing instrument, and knowledged to me that

poses therein mentioned.

described
he ac

he executed the same for the pur

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known and known to me to be a member of the firm of......

and the person described in and who executed the foregoing instrument in behalf of said firm, and he acknowledged to me that he executed the same in behalf of, and as the act of said firm for the purposes therein mentioned.

Title

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to me personally known and known to me to be the.

of

1911, before

the corporation described in and which executed the foregoing

instrument, and

to me personally known and known to me to be the......

....of said corporation, who being by me severally duly sworn did say, each for himself, as follows:

The said

resides at

and is such..

and the said.....

resides at

and is such...

I know the corporate seal of said corporation; the seal affixed to the foregoing instrument is such corporate seal and it was so affixed by order of the Board of Directors of said corporation, and by the like order I signed thereto my name and official designation.

Title

of Contractor

interested.

The party hereinbefore named as Contractor declares that Certificate the only person or persons interested as principal or principals as to parties in the bid or proposal submitted by the Contractor for this: contract are named therein, and that no other person than therein named has any interest in the above-mentioned proposal or in the securing of the award, and that this contract has been secured without any connection with any person or persons other than those named, and that the proposal is in all respects fair and was prepared and the contract was secured without collusion or fraud, and that no member of the Board of Water Supply or the Board of Aldermen, no head of a department, no chief of a bureau, deputy thereof or clerk therein, no other officer of The City of New York nor any person in the employ of the Board of Water Supply is, or shall be, interested in the performance of the contract or in the supplies, work or business to which it relates or in any portion of the profits thereof.

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to me known and known to me to be the same person described in and who executed the foregoing instrument, and

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known and known to me to be a member of the firm of......

and the person described in and who executed the foregoing instrument in behalf of said firm, and he acknowledged to me that he executed the same in behalf of, and as the act of said firm for the purposes therein mentioned.

Title

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to me personally known and known to me to be the......

of

the corporation described in and which executed the foregoing

instrument, and.

to me personally known and known to me to be the........

.....of said corporation, who being by me severally duly sworn did say, each for himself, as follows:

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I know the corporate seal of said corporation; the seal affixed to the foregoing instrument is such corporate seal and it was so affixed by order of the Board of Directors of said corporation, and by the like order I signed thereto my name and official designation.

Title

Certificate of acknowledgment of Contractor, if a corporation.

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