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General Form No. 96-a <br />Prescribed by the State Board of <br />Accounts of Indiana. Revised 1949. <br />Sitandard Questionnaires and <br />inancial Statement <br />• 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 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 _ City South Bend Indiana <br />._.........._. ._._._._...._._._. ._........._._._._._........ ....... ... <br />BY... ._.................... Wa1shIT&ITKelly� Inc. <br />.............. ..... �.�......_...._............... <br />Address ........ 24358 SR 23 South Bend, IN 4014 .._.. <br />Date submitted September 24 2019 <br />Filed <br />A,IE. nsOYCE CO., MUNM, IND. <br />IA Corporation <br />