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f <br />October 8, 2019 Mailing Address <br />P.Q. Box 929 <br />Plymouth, IN 46563 <br />City of South Bend, Board of Public Works <br />Muessel Grove Public Restroom <br />Project No. 118-099R <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />The financial responsibility of Michiana Contracting, Inc is approximately the same as reported by our <br />Public Accountant at December 31, 2018. There have not been any changes that materially or adversely <br />affect our financial condition. <br />SECTION III OATH AND AFFIRMATION <br />1 HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION <br />CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />Indiana <br />STATEOF................................................................................) <br />Marshall )ss <br />COUNTY OF <br />Scott Kirkpatrick <br />Before me, a NotaryPublic personally appeared the above -named _ and p y pl GENERAL CONSTRUCTION <br />swore that the statements contained in the foregoing document are true and correct. <br />8th October 2019 EQUIPMENT RENTAL <br />... .............. Y <br />Subscribed and sworn to me this day PLUMBING & HEATING of <br />ELECTRICAL <br />HIGHWAY/AIRPORT <br />' y t Z17 Notary Public <br />My Commission Expires: Q6 � ^'�^"I <br />County of Resident <br />An Equal OpporftOl £mplover <br />MiCIlIANA CONTRACTING, INC. Shipping Address: 7843 Lilac Road H PlYmottth, IN 46563 <br />Tel: (574) 936-8613 � Fax (574) 936-6201 - website: www,michianacontracting.com <br />