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Get IN Form 52414 / Form 96 2005

_______ ___________________________________ ___________________________________ ___________________________________ PART II (For projects of $100,000 or more – IC 36-1-12-4) Governmental Unit: __________________________________________________ Bidder (Firm) __________________________________________________ Date: __________________________________________________ These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each s.

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