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W <br />TGeneral Form No. 96-a. <br />Prescribed by the State <br />Board of Accounts of <br />Indiana. 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 public <br />construction when the aggregate cost of any such work or improvement will be Five <br />Thousand Dollars or more. <br />These statements to be submitted under oath by each bidder with and as a part of his <br />bid, as provided by Chapter 306, page 1248, Acts of 1947. <br />Submitted to City of South Bend <br />A Corporation <br />By Larson -Danielson Construction Co. Inc. A Co -partnership <br />An Individual <br />Address 302 Tyler. Street <br />LaPorte, IN 46350 <br />Date submitted August 28 , 2018 <br />Filed <br />I-AFiling System\Offiee\Policies & Procedures\LD Company Procedure Manua1109 - Office Operations\Office Operation Forms196A Financial <br />Statement Revised 1949 132,doe 2114/18 <br />