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1.32 <br />TGeneral Form No. 96-a. <br />Prescribed by the State <br />Board of Accounts of <br />Indiana. Revised 1949. <br />Standard Questionnaires and <br />Financial Statement for Bidders <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 <br />Thousand Dollars or more. <br />These statements to be submitted under oath by each bidder with and as a part of his <br />bid, as provided by Chapter 306, page 1248, Acts of 1947. <br />Submitted to Citv of South Bend <br />"oWoration <br />By Larson -Danielson Construction Co. Inc. .... A Co -partnership <br />An Individual <br />Address 302 T ler Street <br />LaPorte, IN 46350 <br />Date submitted Aril 18 —, 2019J <br />Filed <br />L:\Filing System\Office\FORMS\Estimating Assistant Forms\Bid Forms\96 96A\96A Financial Statement Revised 1949 1_32 docx <br />2/14/18 <br />