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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: <br />(Sign Here) <br />G�R1,�C m f4�VOtGUt <br />(Print Name Here) <br />��62�PN �Nr�UST124ESj1n1C.. <br />(Name of Company) <br />479 w>os-`u AL Oat. <br />(Address of Company) <br />14At21%asbrJ dW y563.6 <br />(City) <br />6V4re> <br />(State) <br />Sr3�2®2-9Zz=o e : 513-2b6-S?b114 <br />(Telephone Number) <br />