HomeMy WebLinkAboutResolution #3677• Illinois Department
of Transportation
For District Use Only
Transaction Number
Date
Checked by
~~3677
Request for Expenditure/Authorization
of Motor Fuel Tax Funds
Municipality Citv of Canton
County Fulton
Rd. District
Section 03-00000-00-GM
I hereby request authorization to expend Motor Fuel Tax Funds as indicated below.
Purpose Amount
Contract Construction ...............................................................................................................................
Day Labor Construction ...........................................................................................................................
Right-of-Way (Itemized On Reverse Side) ................................................................................................
Engineering ...............................................................................................................................................
Maintenance Engineering .........................................................................................................................
Engineering Investigations ........................................................................................................................
Other Category ..........................................................................................................................................
Obligation Retirement ...............................................................................................................................
Maintenance .............................................................................................................................................. $26,850.81
Co. Eng./Supt. Salary & Expenses (Period from to )
IMRF or Social Security ............................................................................................................................
Interest
Total $ 26,850.81
Comments
Date Janauxy 20th ~ 2004
Signed by
(Title of Official)
BLR 4201 (Rev. 6/2000)
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