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<br /> income taxes, advances, accrued salaries, and accrued payroll taxes,
<br /> e. Other liabilities, i.e., capital, capital stock, authorized and outstanding shares per values,
<br /> earned surplus, and retained earnings, and
<br /> f. Name of firm preparing financial statement and date thereof
<br /> 2. Bankruptcies:
<br /> a. Has the Contractor, or any of its parents or subsidiaries, ever had a Bankruptcy
<br /> Petition filed in its name, voluntarily or involuntarily? (If yes, specify date,
<br /> circumstances, and resolution).
<br /> N0
<br /> b. Has any Majority Shareholder ever had a Bankruptcy Petition filed in his/her
<br /> name, voluntarily or involuntarily? (If yes, specify date, circumstances, and
<br /> resolution). AA�
<br /> c. Loans: Is this Contractor in default on any loan agreement or financing
<br /> agreement with any bank, financial institution, or other entity? (If yes, specify
<br /> details, circumstances, and prospects for resolution).
<br /> NTh
<br /> H. Declaration
<br /> I declare under penalty of perjury that the foregoing information is true and correct.
<br /> Executed on q—+ $' '(date) (�
<br /> Authorized representative (print): M k C'-A ci j Par (�
<br /> Authorized representative (signature):7///(....-4
<br /> City of Sunny Isles Beach I ITB 18-03-03 Right-of-Ways and Facilities Landscape Maintenance Services 111
<br /> Lukes' Landscaping, Inc.
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