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HdLL COUNTY CLAIM FORM DATE: 03128/18 WARRANT & CLAIM NO. <br /> DATE DESCRIPTION AMOUNT LINE ITEM# AMOUNT PAYABLE TO <br /> 03128/18 INSURANCE DEDUCTIBLE 2-0612 <br /> CLAIM#GCHALL031290 $8,708.75 $8,708.75 NIRMA <br /> PO BOX 82105 <br /> Street and/or P.O.Box <br /> LINCOLN, NE 68501-5210 <br /> City State Zip Code <br /> ' CJUNT CLEPs 3r-F!GE <br /> v <br /> -pt, <br /> MAR 2 8 2618 <br /> [NE <br /> TOTAL $8,708.75 <br /> I do solomiy swear that the above amount is Just and true and that AMOUNT $ $8,708.75 <br /> neither the same nor any part thereof has been paid. Against Hall County <br /> 1 <br /> PAYABLE TO: NIRMA For: INSURANCE DEDUCTIBLE <br /> BY <br /> MISCELLANEOUS GENERAL Audited and allowed by the County Board,with the <br /> DEPARTMENT Clerk ordered to issue a warrant in payment of this <br /> claim on the <br /> Fund GENERAL FUND <br /> APPROVED BY <br />