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The name of the partnership firm under which the above partners are operating is <br />Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct <br />other business for the partnership, the signatures of whom are legally binding. <br />The undersigned hereby declares that the foregoing is a true statement of the financial <br />or corporation herein first named, as of the date herein first given; that this statement is for the e: <br />whom it is submitted to award the submittor a contract; and that any depository, vender or other <br />to supply such party with any information necessary to verify this statement. <br />NOTE: A co -partnership must give firm name and signatures of all <br />partners. A corporation must give full corporate name, signature of official <br />and affix corporate seal. <br />the individual, co -partnership <br />3e o nducing the party to <br />- amed is hereby authorized <br />`�% ,liar s/1BE��� <br />Affidavit for Individual ,®It' µ ° '��� <br />STATE OF ®V O R/q , <br />ss: c <br />COUNTY OF ° <br />.......... <br />.......................... ... being duly sworn, deg ses <br />foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as the to thereof d <br />that the answers to the foregoing interrogatories are true. •°°°®® <br />°° <br />®� ® I 'N <br />(Applicant must sign here) <br />Subscribed and sworn to before me this <br />day of 21 <br />Notary Public <br />Affidavit fear Co -Partnership <br />STATE OF <br />SS <br />COLfN l`Y OF <br />_ m ... beini daily sworn„ deposals and gays that lie is a <br />inember of the firma of : that he is familiar with the books of the salliG.'R. <br />iinn .showing its financial condition, that the foregoing financial statenaent, talam,n from the books of the said. firnn , is a true and accurate <br />statement of the financial condition of the, said firm as of the date thereof and that the answers to the foregoing interrogatories are true, <br />Subscribed and sworn to before me this <br />........day of ....... .... ....... ........ _ 20. <br />Notary Public <br />STATE OF Indiana <br />(Ml:ernber offirm must sign here) <br />Affidavit liar t:;orporation <br />ss <br />t:lDasN� �lOF� St -Jq elu ..... <br />being duly sworn, deposes and says that lie is,. VP of South Bend Area,'.. -`the Wals�l. cll� lnc <br />e financial <br />,r 1 . ra . <br />tlae corporation described iiii and nrwh�irli �si,cuuta,d the �foregoing �tata,urierat;that. Pia, is laimbli~ i utt7 the boo��'nl ttac said corporation showing <br />its financiall condition, that the foregoing financial statement taken from the booker of the ;mid cofi:aort( n.., is a true and accurate statement <br />of the �hirnmcial condition ofsaid. corporation as of�the date thereof and �diaat the an i�x'io the forepr interrogatories are trmae. <br />Subscribed and sworn to before rrue this <br />14th <br />Alisha lilre'eger, Notary Public <br />KRUEGER <br />Notary <br />LISHA <br />Public, StatO of Indiana <br />r,L <br />St. Joseph COUnty <br />ati <br />hnY Commission Expires <br />?ir \ <br />JurleCi5, 2022 <br />�IXWIiiN G2F''�➢4wew IMPWII <br />,uKe^�.�' b�ayW% 9;. <br />�m'N �.A:�IDA <br />(t�lfilt l must sign here) Dustin 1-Iilairyr, VP of Sou jea <br />�K EC< <br />r �Qu1RP0�AT�C ®C`1 <br />15 ����tRtttttt�� <br />