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' PART III:Work Subcontracted to Others <br /> For each contract described in Part I,list all the work you have subcontracted to others. <br /> 6 7 8 9 10 <br /> ' Subcontractor Asphalt Terre Haute, <br /> IKI <br /> Type of Work Bituminous Paving <br /> Subcontract Price 140,406 <br /> ' Amount Uncompleted 140,406 <br /> Subcontractor <br /> ' Type of Work Electrical(Signal) <br /> Subcontract Price 42,228 <br /> Amount Uncompleted 42,226 <br /> ' Subcontractor <br /> Type of Work Constr Engr <br /> ' Subcontract Price 5,500 <br /> Amount Uncompleted 5,500 <br /> Subcontractor <br /> ' Type of Work pvt mark/(raffic <br /> control <br /> Subcontract Price 32,604 <br /> ' Amount Uncompleted 32,604 <br /> Subcontractor <br /> ' Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> ' Subcontractor <br /> Type of Work <br /> ' Subcontract Price <br /> Amount Uncompleted <br /> Subcontractor <br /> Type of Work <br /> Subcontract Price <br /> ' Amount Uncompleted <br /> TOTAL UNCOMPLETED: 220,738 <br /> ' I,being duly sworn,do hereby declare that this affidavit is a true and correct statement relating to ALL uncompleted contracts of the <br /> undersigned for Federal,State,County,City and private work,including ALL subcontract work,ALL pending low bids not yet awarded <br /> or rejected and ALL estimated completion dates. <br /> Subscribed and sworn to before me <br /> this 05 day of Jun 2013 <br /> ' �v`� Signed By <br /> John S.Blair,Chairman&CEO <br /> Notary Public <br /> 3-a J _ tD FEUTZ CONTRACTORS,INC. <br /> My Commission expires P.O.BOX 130 <br /> PARIS,IL 61944 <br /> (Notary Seal) <br /> Wwe'H00���,►t•�t•�r�N��1i� <br /> 2 "OFFICIAL SEAL" <br /> DIANNA L. BENNEW <br /> Noaryry Public,State of Dlinolt <br /> My O ntniation lBap 3.21.16 <br /> •�N- r 00N0 <br /> Printed 8/13/2013 Page 4 of 8 BC57(Rev.08/17/10) <br />