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General Form No. 96-a. <br />Prescribed by the State <br />Board of Accounts of In- <br />dians. Revised 1949. <br />Standard Questionnaires and <br />Financial Statement for Bidders <br />Prescribes 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 pert of his hid, as provided by Chapter 306, page 1248, Arts of 19•17 <br />Subtted toCity of South Bend <br />Slatile Roofing and Sheet Metal Co., Inc. JYVtratlon <br />oBy---...............................................................................................a ners p <br />1703 S. Ironwood Dr. An Individual <br />Address-- -- _....,........................ _..._ ._........... --...---•- - <br />South Bend, IN 46613 <br />05/21 /2018 <br />Datesubmitted .. ........................................ ..................... <br />............... <br />Filed-____.., <br />