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(ix) _ Written state <br />ent of any federal, ; <br />owed to <br />any federal, <br />state or local to <br />(i) _ List of projects <br />of similar size and sc <br />the StatE <br />of Indiana, <br />within three (� <br />due. <br />Date: �'? J a O <br />(Sign Here) <br />(Print Name Here) <br />(Name of Company) <br />b-310 s H " ' <br />(Address of Company) <br />L Y 1 Cl c\ <o <br />(City) <br />r"\j <br />(State) <br />(Telephone Number) <br />state or local tax liens or tax delinquencies <br />fixing body in the preceding three years. <br />:ope of work performed in all areas, including <br />1) years prior to the date on which the bid is <br />