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04/03/2018
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04/03/2018
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5/3/2018 3:48:36 PM
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w .4 WARRANT&CAM NO. <br /> PAYABLE TO <br /> s .. �. Black Hills Energy <br /> Hall County Highway Department Vendor Claim Form <br /> 4102/2018 P.O.Box 6001 <br /> Rapid City,SD 57709-6001 <br /> Against Highway <br /> For: Heating Fuel <br /> DATE DESCRIPTION AMOUNT <br /> 4/02/2018 Cairo Shed $34.01 <br /> 4/02/2018 Doniphan Shed $34.01 <br /> tiNE ITEM# 205.03 $68,02 <br /> f a <br /> I <br /> HT ED Its COUNTY CLERK'S OFF{CE <br /> ALL COUNTY NEBRASKA <br /> MARLA LI. Mt;LL`s COUNTY CLERK <br /> MAR 2 8 2018 <br /> I <br /> $68.02 $68.02 Amount $58.02 <br /> I do solemnly swear that the above account is just and true <br /> and that neither the same nor any part thereof has been paidi. <br /> 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 /> ROAD FUND <br /> By: ee/ , ' 1 ,. PAID ON WARRANT NO. <br /> c erTCri, enranEiorrcn r+CC11,1a1 el(_^Ai A-n IOC <br />
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