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General Form No, +fit;; -a <br />Pwr:aawribW by IPwe State Board of <br />Accotwots of M'Minim Revised 1949. <br />Standard Questionnaires and <br />StatementFinancial ! <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 Thousand <br />Dollars or more. <br />These statements to be submitted under oath by each bidder with and as a part of his bid, as provided <br />by Chapter 306, page 1248, Acts of 1947 <br />Submitted to City of South Bend, Indiana <br />By Walsh & Kelly, Inc. <br />Address 24358 SR 23 South Becid IN 46614 <br />Date submitted November 26. 2019 <br />Filed <br />.A E, Iif.)YCE CO, It UNCIE, INN. <br />fA Corporation <br />0 <br />