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HomeMy WebLinkAboutResolution #1005~~ ~/ ~d~ STATE OF ILLINOIS City of Canton MUNICIPAL MAINTENANCE EXPENDITURE STATEMENT Munltlpolty I hereby certify that the maintenance operations shown below were completed in accordance with the items of work listed on the Municipal Estimate of Maintenance Coate, Form BLR 691, approved on Ju ~ 2 7 , 19-$x, and revised or supplemental 11~unicipal Estimate of Maintenance Costs, Form BLR 691, approved o~ ly../ A , 19 ,and that the expenditure of motor fuel tax funds, for that work, during the period from January 1, 19~.~, thru December 81, •19__$_2_, is ss shown and that receipted bills are on ftle and available for audit. MAINTENANCE OPERATION COSTS MAINT[NANC[ Or[RATION COM rL[T[D (-OA D[TAILt et[ A--tOV[D IOIIN tLll •etl gUANTITT LAt011 NATt111ALe tOUi-NtN7 11tNTAL tDTALt ___- _ T,L 9/0 9p' _ ti~ 2/ 730 ~ _7~ 3/¢L8 ~ Ze' -~~ t° s° -/~~ ~~ ---- -- - - _ c-- _ -- _ _ - _ -- - _ ~ ~ 3 i _ _ --- -~ ,. - --- ---_ ~3 _ - ---__ _ __ T0T/1L COST 8 3 /~ Ltie OTNtt GONTIII•UTIONt AND~Ot 11[1UNDe ---- -- NET COST [NGINtt111Nti - MAINT[NANC[ tN61Nt[RINO Total Motor Fuel Tax funds authorized ....... ............................. 1 /oa ooc~ °-° . 2. Net cost to date ......................... .............................. 8. Unexpended balance ..................................................... 7/ 83.._.,// 7 - /`~ SB2~ ...... Outstanding bills ............................................... .. 4 `~~~ . 6. Credit to unobligated balance (line 3 or line 3 minus line 4) .... //.' .9. ~3... 29 /~ 882 -- Remarks: Ca•~~/-a°-/- 1~~~~ f ~Q~v /3/4~~~,o Pa~u/ l~~ ~/i l~y~~~~r. C. rY Cc ~7PK G'/ry ~n/4iN~ Signpd.~i('~.r~v~ 7 19~a pproved_/~~ 9-83 19-- ^~~ , 7- Q~S7aZ/GT` Ity, Town, er Vilbpe Clerk Die}rict. En ineer SUBMIT FOUR 141 COPIES TO DISTRICT ENGINIER AT END -ERIOD Fwm BlR 3e4 Rev. (2-7Z)