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<br />Certification of <br />County Highway Superintendent <br />For Determining Incentive Payment <br /> <br />January 1,2004 to December 31, 2004 <br /> <br />rrliis certifies that <br /> <br />DANIEL BOSTLER <br /> <br />(Wame of Luen:'ielf Superintendent) <br /> <br />lias serfJea as tne County :Jfifjli'Way Superintenaent of BALL <br /> <br />(County Wame) <br /> <br />from <br /> <br />JANUARY 1 <br />'Montn <br /> <br />} 2004 to <br /> <br />DECEMBER 31 <br /> <br />,2004. <br /> <br />I[)ate <br /> <br />'Momn <br /> <br />I[)ate <br /> <br />jl ttest: <br /> <br />Q .yY <br />.~, fl1ifJA7A~ <br /> <br />~1- <br />. County Cferf(. <br /> <br />aQd ~ ~ aQd aQd <br /> <br />If you employed more than one licensed County Highway Superintendent during the <br />year, list the name and dates of service of each Superintendent. <br /> <br />aQd aQd ~ aQd ~ <br /> <br />Reference 39-2501 through 39-2505 Neb. Rev. Stat. <br /> <br /> <br />J:lI" <br />. /' <br /> <br />Return the completed notification to: <br />Highway Local Liaison Coordinator <br />Government Affairs Division <br />Nebraska Department of Roads <br />PO Box 94759 <br />Lincoln NE 68509-4759 <br />