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General Form No. 9r�a. <br />Prescribed by the State <br />Board of Accounts of In- <br />diana Revised 1949. <br />Standard Questionnaires and <br />Financial Statement for Bidders <br />Prescribed by <br />THE STATE BOARD OF ACCOUNTS OF INDIANA <br />For use . in investigating and determining the qualifications of bidders on <br />public construction when the aggregate cost of any such work or improvement <br />will be Five Thousand Dollars or more. <br />These statements to be submitted under oath by each bidder with and as <br />a part of his hid, as provided by Chapter 306, page 1248, Acts of 19.17 <br />Submitted <br />SLATILE ROOFING AND SHEET METAL COMPANY, INC. A Corporation <br />By-- --------- -------------------------- ----------- -----------_---------------- -Co Hers p <br />1703 SOUTH IRONWOOD DRI LIndividual <br />Address- -- - --- -------------------------- --------- ---- -- --------------- ------------------------- <br />SOUTH BEND, INDIANA 46613 <br />Datesubmitted-- .............. _................................................................................... <br />Filed- ----........... ............ _.............................. -..... <br />