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UO'I <br /> <br />iPARTIAL PAYMENT NOTICE: <br /> <br /> STATE OF MINNESOTA <br /> DEPARTMENT OF TRANSPORTATION <br /> OFFICE'OF FINANCIAL ADMINISTRATION <br /> <br />STATE AID PARTIAL PAYMENT NOTICE AND REQUEST FOR DEP6SlT <br /> <br /> Pay to [] City <br /> <br />I YEAR AUTHORIZED 19~;3 <br />PROJECT APPROVAL NO. : ~_~ A <br />STATE AID PROJECT NO. ].'.'3-] O7-[)1 <br /> <br />PROJECT NO, <br /> <br />FUNDS RELEASED FROM: <br />ACCOUNT NO. <br />FUNDNO. <br /> AMOUNT <br /> <br />SAP <br />FEDERAL PROJECT <br />FORCE ACCOUNT <br />OTHER <br /> <br />IONTRACT <br /> <br />AMOUNT <br /> <br />STATE AID OBLIGATION <br /> <br />90% CONTRACT OBLIGATION <br /> <br />PRELIMINARY ENGINEERING ' <br /> <br />70'./.I ! <br /> <br />ENCUMBERED $ 3.~;2C~ '~ <br /> <br />· ~,6.n99.97 : . <br /> <br />'4,562~57 <br /> <br />I % RIGHT OF WAY - <br /> <br />TOTALPAYMEN'T $ <br /> <br />Q~~UE~T FOR REDEPOSIT(TO AGENCY FUND) MAKE CHECKS PAYABLE TO COMMISSIONER OF TRANSPORTATION IN ACCORDANCE WITH <br /> <br /> THE CURRENT RULES AND REGULATIONS PERTAINING TO COUNTY, CITY, AND FEDERAL AID PROJECTS. YOU ARE REQUESTED TO <br /> <br />  EDEPOSIT THE SUM OF $ FOR USE IN PAYING THE COUNTY OR CITY SHARE OF PARTIAL ESTIMATES, AND FOR <br />__~DVANCING THE FEDERAL SHARE OF SUCH ESTIMATE PAYMENTS. <br /> <br />FED. PROJ..NO. STATE PROJ NO. <br /> <br />COUNTY OBLIGATION REC'D FROM COUNTY AMT. DUE FROM CO. <br /> <br />FOR STATE TRANSPORTATION U~;E ONLY <br /> <br /> II111011 ..... III SEND <br /> /79000I_37.L { _/ <br /> /// <br /> <br />APPROVAL FOR ALL ABOVE TRANSACTIONS: <br /> <br /> AUTHORIZED SIGNATURE <br /> <br />I <br />I <br /> <br />TRANSACTION <br /> <br />DATE <br /> <br />ISEQ. '~) ISEQ. :~ <br /> <br />~REEN COPY -- <br /> COPY . -- <br /> <br /> COPY -- <br /> <br />v'~. L Ow COPIES -- <br /> <br />DEP~,OF FINANCE <br /> <br />CiTY/COUNTY ENGINEER <br /> <br />CITY£LE RI~/CO. AUDITOR <br /> <br />T~ANSPORTATION FINANCE <br /> <br />T RANSPO~TATION FINANCE <br /> <br />ENC. PRESENT BALANCE <br />AMOUNT OF INC. OR (DEC) "~ '~": ..... .' · <br />NEW BAL. & AMT. 0F ENTRY. i '~ <br /> <br />OATE STATE AID ACCOUNTANT <br /> <br /> <br />