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Bidder(Firm): <br />Address: <br />City/State/Zip <br />Telephone Number: <br />Fax Number - <br />Walsh & Kelly, Inc. <br />24358 SR 23 <br />South Bend,IN 46614 <br />5288-4811 <br />74 <br />By: <br />I <br />(Signature) <br />Austin P. Hilary, VP of South Bend Area <br />(Printed Name of Person Signing) <br />`�R`1�tie�@Illlg/ <br />ELLY 1. <br />..�pORATF•.C> <br />°• do • ® •: <br />a <br />0 <br />/N D I <br />NDI <br />@@@@rye <br />