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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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HALL COUNTY SALARY CLAIM FORM DATE:_ 34 _18__ _ _ CLAIM NO. <br /> I DATE HOURS & RATE AMOUNT LINE ITEM fRS PAYABLE TO <br /> . . <br /> a i <br /> Al IVO if i2? —/101 <br /> et* • <br /> . A ' iti.. ;: `• • Or <br /> Illi . <br /> _.4 iM _Otti:L <br /> EMPLOYEE WENTIFICATIAW# <br /> i <br /> C 1 • <br /> it 6 ireo3CIAL.SECURITY T:1- 0 <br /> AMOUNT: S OVO C° <br /> AGAINST HALL COUNTY <br /> • <br /> # . <br /> FOR: -11 ..r., : 0 <br /> V <br /> ft <br /> .....__ <br /> . . <br /> # <br /> FILEIJ IN COUNTY CLERK'S OFFICE <br /> HALL COUNTY; NEBRASKA <br /> it <br /> — — MARLA J. CONLEX COIiNTY CLERK <br /> MAR 1 9z01 <br /> . it <br /> rdn:Okoirik PITO!'d ab <br /> uff thf ore are00f 0 k in TIMEs;an true and Ay <br /> ,trilher the mow ne.r nuv pew,therraf has been paid <br /> eg441601.6 <br /> PAYABLE TO:, / 1 A . -Li • - --A -- ' . <br /> 11Y- —.— Audited and 0110tred by the County Board,with the Cfe4 <br /> ordered in Wile 0+ram fit in payment cif this •blot c,tt the <br /> 14 <br /> ,I 'A a FUND <br /> ______CILL__ ______ <br /> DEPARTMENT , <br /> ; i = (NEU BY <br /> PLEASE STAPLE ALL INVOICES ON THE BACK. i ...ilk <br /> i <br /> FACE SIDE UP i 4 - I , 4 WARRANT NO.._ _ <br /> DI RFCTIN BELOW THE PUNCHED HOLES ELECTED OR APPOINTED OFFICIAL'S SIGNATURE <br />
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