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Geneirall I.Torm No. 96 a <br />Pre-seTibed by the State Board of <br />Aircountj of Indtana. Revised 1949. <br />Standard, Questionnaires and <br />Financial Statement for Bidders <br />Prescribed by <br />THE STATE BOARD OF ACCOUNTS OF INDL4,NA <br />For use in investigating and determining the qualiflications 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 124 8,.Acts of 1947 <br />Submitted to,, .. ... ....... Q-10 of-S9,41h Bend,,,, Indiana I ............. ................. .. <br />By - — --------- — ----- Walsh-&Xelly., .......... - ------------------- <br />{A Corporation <br />Address 24358 SR 23. South Bend. IN 46614 <br />. . . . ........... . . . - . .... . - — ------------------------ - , ... ....... <br />Date submitted 'A,prit_141, 210129 <br />Filed <br />----- ----------------------------------- ------------- - ---------- -.1.1 ..... ...... 1.1-1-1- --------------------------------------------- - --- - - ---- - <br />A.E. BOYCE CO., MUNCIE, IND. <br />1 <br />