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a,: e neraal lTorm No. °bT.'i..aq. <br />Pxescrub d by the State 1Board of <br />Accounts of Indiana. Revised 1.949. <br />Standard Questionnaires and <br />Financial Statement idders <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 of South Bend, Indiana <br />By, ... Walsh & Ke11yInc. β€” β€” <br />Address _β€ž_24358 SR 23 South Bend, IN 46614 <br />Date submitted ........................................ β€”At ril 14w 2020---------.-.....--------------------------_--- __--- _ <br />Filed <br />A.E. BOYCE CO., MUNCIE, IND. <br />{A Corporation <br />1 <br />