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Kn - WARRANT&CLAIM NO. <br /> PAYABLE TO: <br /> Chemsearch <br /> Hall County Highway Department Vendor Claim Form <br /> 4/02/2018 23261 Network Place <br /> Chicago, IL. 60673-1232 <br /> Against Highway <br /> For: Mach.&Equipment Fuel <br /> DATE DESCRIPTION AMOUNT <br /> 410212018 Stores $839.80 <br /> LINE ITEM# 302.09 $839.80 <br /> 4/02/2018 j Stores $35.00 <br /> LINE ITEM# 304.01 $35.00 <br /> FILED IN COUNTY CLERK'S OFFICE <br /> HALL COUNTY NEBRASKA <br /> MAR. A .!. CON'_E ', COUNTY CLERK <br /> MAR 282018 <br /> TIME <br /> $874.80 $874.80 Amount $874.80 <br /> I do solemnly swear that the above account is lust and true <br /> and that neither the same nor any part thereof has been paidl. HIGHWAY <br /> Audited and allowed by the County board,with the Clerk ordered <br /> PAYABLE TO: APPROVED BY to issue a warrant in payment of this claim on the <br /> ____W --_----- ROAD FUND <br /> By: Ca '`-. 4_ PAID ON WARRANT NO. <br /> 01 crrcn naonnur0n ncciriei cinninrI ui o <br />