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The name of the partnership firm under which the above partners are operating is......................................... <br />........................................................................................................................................... <br />Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other <br />business for the partnership, the signatures of whom are legally binding. <br />... .................. .... ... ... <br />........................................................................................................................................... <br />The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership of <br />corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is <br />submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such <br />party with any information necessary to verify this statement. <br />..... <br />NOTE: A co -partnership must give firm name and signatures of all partners. Brian T. Larson. President <br />A corporation must give full corporate name, signature of official and affix corporate Larson -Danielson Constru.,tn m i':, . 1-re. <br />Seal. <br />STATE OF .................... <br />isi <br />COUNTY OF .............................. <br />Affidavit for Individual <br />.................................................................................... being duly sworn, deposes and says that the foregoing financial <br />statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this ....... • ... I ................. . ..... . .......... . . . ....... . . . . <br />(Applicant must sign here) <br />....................day of ............................ 20 ...... <br />.............. ....................................... I ........ <br />...... <br />Notary Public <br />Affidavit for Co -Partnership <br />STATE OF ...................................... <br />SS: <br />COUNTY OF .............. <br />being duly sworn, deposes and says that that he is a member of the firm <br />of...............................................................................: that he is familiar with the books of the said firm showing its financial <br />condition; that the foregoing financial statement, taken from the books of the said firm, is a true and accurate statement of his financial <br />condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this .................................... • ..................... • • <br />(Member of firm must sign here) <br />....................day of ............................ 20 ...... <br />............................................. I ........ I'll .......... <br />Notary Public <br />Affidavit for Corporation <br />STATE OF.........INDIANA................. <br />SS: <br />COUNTY OF ......LA PORTE............ <br />............Brian T. Larson ........ being duly sworn, deposes and says that that he is a member of the firm of ...... President..........; of the <br />.............Larson -Danielson Construction Co., Inc.............., the corporation described in and which executed the foregoing statement; that <br />he is familiar with the books of the said corporation showing its financial condition; that the foregoing financial tatement, taken from the <br />books of the said firm, is a true and accurate statement of the financial condition of the ' corperaV of date thereof and that the <br />answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this .... • ....(�..................... <br />(Officer must sign here) <br />l2th...... day of ... September, 2023 ........ z<a1E._oT <br />....... Brian T. Larson, President �,�.,e.. CARBON-DANIELSON <br />CONSTRUCTION CO., INC. <br />.............................................................................. <br />Michele C. Dzielinski, LaPorte County Resident My Commission Expires: September 8, 2031 <br />MICHELE CECILIA DZIELINSKI <br />La Porte County <br />. My Commission Expires 1 C <br />gg, September 8, 2023 <br />