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(ix) Written statement of any federal, state or local tax liens or tax delinquencies owed <br />/ to any federal, state or local taxing body in the preceding three years. <br />(i) / List of projects of similar size and scope of work performed in all areas, including <br />the State of Indiana, within three (3) years prior to the date on which the bid is due. <br />Date: /? ,eo z 2— <br />(Sign <br />(Print Name Here) <br />(Name of Company) <br />- r/Z /`arilOA)/, 57` <br />(Address of Company) <br />Ec-K #/1 A i <br />j_ ni 0-r/1 nJ 14 <br />(Telephone Number) <br />