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General Form No. 96-a <br />Prescribed by the State Board of <br />Accounts o1 Indiana. Revised 1949. <br />tandard Questionnaires <br />Prescribed by <br />THE STATE BOARD OF ACCOUNTS OF INDIANA <br />For use in investigating and determining the qualifications of bidders on public <br />construction when the aggregate cost of any such work or improvement will be Five Thousand <br />Dollars or more. <br />These statements to be submitted under oath by each bidder with and as a part of his bid, as provided <br />by Chapter 306, page 1248, Acts of 1947 <br />Submitted to Citv South Bend Indiana <br />By Walsh & Kelly, Inc. <br />{A Corporation <br />Address_,,,,,_,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24358 SR 23, South Bend IN,,,46614 <br />........__ WW.............. ........ <br />Date submitted March 26 2019 <br />Filed <br />