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The undersigned hereby declares that the foregoing is a true statement of the financial c dition of the individual, co -partnership <br />or corporation herein first named, as of the date herein first given; that this statement is for thx ess pu ose of inducing the party to <br />whom it is submitted to award the submittor a contract; and that any depository, vendor T th agency ein named is hereby authorized <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. ustin P. Hilarv, Director of Estimating. South Bend <br />Affidavit for Individual <br />STATE OF <br />2 r '• i <br />COUNTY OF ss: 0 :: `OR4 0 RA iE ; S <br />being duly sworn, d$s an 3�' t th� <br />foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition3s $Xh f.'and- <br />that the answers to the foregoing interrogatories are true. <br />(Applicant must sign here)�I�lll���` <br />Subscribed and sworn to before me this <br />day of 20 <br />Notary Public <br />Affidavit for Co -Partnership <br />STATE OF <br />COUNTY OF ss <br />being duly sworn, deposes and says that he is a <br />member of the firm of ; that he is familiar with the books of the said <br />firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , 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 />(Member of firm must sign here) <br />Subscribed and sworn to before me this <br />day of 20 <br />Notary Public <br />Affidavit for Corporation <br />STATE OF Indiana <br />COUNTY OF _Lake { ss <br />GrepOry A. Hoffman being duly sworn, deposes and says that he is Director of Estimating_of the Milestone <br />Contractors North, Inc. the corporation described in and which executed the foregoing statement; that he is familiar with the books <br />of the said corporation showing its financial condition; that the foregoing financials ent, from the books of the said corporation, <br />is a true and accurate statement of the financial condition of said corporation as o date rf and that the answers to the foregoing <br />interrogatories are true. <br />Subscribed and sworn to before me this <br />8u' daviof June 2021. <br />Alisha rueger, Notary Public <br />SR Y o <br />15 <br />must sigk5ere) Dustin P. Hilary, Director of Estimating, <br />South Bend <br />�%tracto s���i�i� <br />•o . <br />.. ; LO c" <br />CU �•� :3 <br />.,SEAL/-n <br />lllllll11 <br />ALISHA KRUEGER <br />NOT = <br />LaPorte County <br />My Commission Expires <br />oF'• <br />June 5, 2022 <br />15 <br />must sigk5ere) Dustin P. Hilary, Director of Estimating, <br />South Bend <br />�%tracto s���i�i� <br />•o . <br />.. ; LO c" <br />CU �•� :3 <br />.,SEAL/-n <br />lllllll11 <br />