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Date: <br />Within 15 days after final action on the contract or purchase, copies of this statement must be <br />filed with the State Board of Accounts, Indiana Government Center South, 302 West <br />Washington Street, Room E418, Indianapolis, Indiana, 46204-2765 and the Clerk of the Circuit <br />Court of the county in which the governmental entity executed the contract or purchase. A copy <br />of this disclosure will be forwarded to the Indiana State Ethics Commission. <br />- 13 - <br />