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HALL COUNTY SALARY CLAIM FORM DATE: ,' ? '� CLAIM NO. <br /> DATE HOURS & RATE AMOUNT LINE ITEM#'S PAYABLE TO <br /> 3/26/18 LODGING TAX $24,345.88 # 2-9100 HALL COUNTY CONVENTION AND VISITORS <br /> BUREAU <br /> 2424 SOUTH LOCUST STREET, SUITE C <br /> VISITORS PROMOTION LB499 # EMPLOYEE IDENTIFICATION# <br /> GRAND ISLAND, NE. 68801 <br /> # SOCIAL SECURITY# <br /> AMOUNT: $ ?Iz,145_RR <br /> AGAINST HALL COUNTY <br /> FOR: LODGING TAX <br /> Hi_ED IN COUNTY CLERK'S OFFICE <br /> HA Li_ COUNTY, NEORA.SKA <br /> r�l �RL.A J. CON..n, COUNTY CLERK <br /> # MAR 2 6 2018 <br /> I ' <br /> 1 do solemnly swear that the above account is just and true and that , <br /> neither the some nor any part thereof has been paid If'''� <br /> PAYABLE TO: HALL COUNTY INVENTION AND VISITORS BUREAU <br /> Audited and allowed by the County Board, with the Clerk <br /> ordered to issue a warrant in payment of this claim on the <br /> VISITORS PROMOTION VISITORS PROMOTION FUND <br /> DEPARTMENT <br /> APPROVED BY <br /> PLEASE STAPLE ALL INVOICES ON THE BACK, <br /> FACE SIDE UP / WARRANT NO. <br /> DIRECTLY BELOW THE PUNCHED HOLES D OR APPOINTED OFFICIAL'S SIGNATURE <br />