HomeMy WebLinkAboutResolution #4081 - IDOT t°J(�( i.0 7 CJ°v � �� �
Iilino' t /
IS ��m�l'tt Request for Expenditure/Authorization
af Transportarhon of Motor Fuei Tax Funds
For District Use Only
Transaction Number Munici alit
P Y _ Citv of Canton
CountV Fulton
Date Rd. District
Checked by
Section 14-00106-88-TL
I hereby request authorization to expend Motor Fuel Tax Funds as indicated beiow.
Purpose
Amount
ContractConstruction ............................................................................................................................... 1,734.00
DayLabor Construction ..........................................................................................................
......
Right-of-Way(Itemized On Reverse Side).................................................................................
.....
Engineering.............................................................. -.. . . .. ....................................................... 26Q.Q0
Maintenance Engineering ...................................
......................................................................................
Engineering Investigations.........................
...............................................................................................
OtherCategory.......................................................................................................
...................................
Obligation Retirement.......................................
........................................................................................
Maintenance................................................................
..............................................................................
Co. Eng./Supt. Salary& Expenses (Period from to )
IMRFor Social Security...............................................................................................................
.......
Interest
Tota I $ 1,994.00
Comments Local share of D-4 Misc Signal Work 2015
��.,
Date � Approved
Se te ber-16 , °201
Signed by � Date
City Clerk Department of Transportation
Tit�e of Official
Re ional En ineer
Printed 9/11/2014 Page 1 of 2 BLR 09150(Rev. 11/06)
itemization of Right-of-Way Request
Location of Pro ert Acres Cost of Cost of Damaoe
Street Between Rnd Name of Owner Right- Land to Land Total
(Street) (Street) of-Way Taken Not Taken
Total $
Printed 9/11/2014 Page 2 of 2 BLR 09150(Rev. 11/06)