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<br />~ 20020220 <br /> <br />MAIL ~ <br /> <br />March 15.2002 <br /> <br />HALL COUNTY VENDOR CLAIM FORM <br /> <br />LINE ITEM# 218.02 $846.00 <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM # <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br />LINE ITEM# <br /> $846.00 <br /> <br />DATE DEsctxJ1.noN <br /> <br />,~ <br /> <br />AMOUNT <br /> <br />Diesel Tax <br /> <br />$846.00 <br /> <br />$846.00 <br /> <br />----~---.._--------...-----_.._...-.._---.._- <br /> <br />I do < '1nly swear that the above account is just and true <br />and, ..either the same nor any part thereofhas been paid. <br /> <br />HIGHWAY <br />DEPARTMENT <br /> <br />) PAYABLE TO: <br />\ <br /> <br />APPROVED BY <br /> <br />-------...--------------------...--...-...-...--------...-...------ <br /> <br /> <br />By.------------ <br /> <br />~.._._-- <br /> <br />WARRANT & CLAIM NO. <br /> <br />PAYABLE TO: <br /> <br />Motor Fuels Division <br /> <br />P.O. Box 98904 <br /> <br />Lincoln, NE 68509-8904 <br /> <br />AMOUNT $ $846.00 <br /> <br />AGAINST HALL COUNTY <br /> <br />FOR: Diesel Tax <br /> <br />\ <br />, <br />\ <br /> <br />~5 <br /> <br />Audited and aJlowed by the County board, with the Clerk ordered <br />to issue a warrant in payment of this claim on the <br /> <br />ROAD <br /> <br />FUND <br /> <br />PAID ON WARRANT NO. <br />