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CITY OF BATESVILLE,ARICANSAS NON-KICKBACK AFFIDAVrr I, Taylor Meharg , an authorized agent forC&S Contracting LLC dba fj&A Jones concerning a bid, proposal or contract with the City of Batesville, Arkansas, for Batesville Public Works Facility , and being of lawful age,being first duly sworn, on my oath, swear that this Affidavit is true and correct. Further, I swear that the work, services or materials as described by this invoice or other billing claim, have been delivered, completed or supplied in accordance with the plans, specifications, orders, requests or contract furnished or executed by the affiant. I further swear that no payment, promise of payment or other valuable consideration, directly or indirectly, has or will be made to any elected official, officer or employee of the awarding agency to obtain payment of this claim, or to procure the contract or purchase order pursuant to which this claim is submitted. Authorized Agent Signature Subscribed and sworn before me this 18 day of August •2022 A 1# AA No Public Laura F McKim � 19 My commission expires: 11--5-2024 � CTgR}• PUBLIC #12401210 ;