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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 /> pending PENDING PENDING 20 21 <br /> ' Subcontractor Open Road Paving <br /> Type of Work HMA Paving <br /> Subcontract Price 731,947 <br /> ' Amount Uncompleted 731,947 <br /> Subcontractor Midwest Track Bdlrs <br /> Type of Work Running Track Coating <br /> Subcontract Price 102,775 <br /> Amount Uncompleted 102,775 <br /> ' Subcontractor Line Striping Plus <br /> Type of Work Pvt Marking <br /> Subcontract Price 16,826 <br /> Amount Uncompleted 16,826 <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 /> Subcontractor <br /> ' Type of Work <br /> Subcontract Price <br /> ' Amount Uncompleted _ <br /> TOTAL UNCOMPLETED: 851,548 <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 /> '�(� � Signed By <br /> V John S, Blair,Chairman&CEO <br /> Notary Public <br /> ' FEUTZ CONTRACTORS, INC, <br /> My Commission expires 3 a�"�b P.O.BOX 130 <br /> PARIS, IL 61944 <br /> (Notary Seal) ...N..�N�N��������*�N <br /> ' 'OFFICIAL SEAL" <br /> DIANNA L. BENNETT <br /> Notary Public,State of Illinois <br /> My commission Exp.3-21.16 <br /> 440 ' f-i+ <br /> ' Primed 8/132013 Page 8 of 8 SC67(Rev.08117/10) <br />