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<br />
<br /> RTIAL
<br />
<br /> STATE OF MINNESOTA
<br />DEPARTMENT OF TRANSPORTATION
<br />OFFICE OF FINANCIAL ADMINISTRATION
<br />
<br />STATE AID PARTIAL PAYMENT NOTICE AND REQUEST FOR DEPOSIT
<br />
<br />PAYMENT NOTICE: Pay to ~] City
<br />
<br />[~ Cou.nty of
<br />
<br /> YEAR AUTHORIZED
<br /> tJECT APPROVAL NO.
<br /> TEAID PROJECT NO.
<br /> FEDERAL PROJECT N0.
<br />iTRACT AMOUNT
<br />
<br />FUNDS RELEASED FROM: '
<br />ACCOUNT NO.
<br />FUND NO.
<br /> AMOUNT
<br />
<br />SAP
<br />FEDERAL PROJECT
<br />FORCE ACCOUNT
<br />OTHER
<br />
<br />STATE AID OBLIGATION
<br />
<br />90% CONTRACT OBLIGATION
<br />
<br />ENCUMBEREO
<br />
<br />I PRELIMINARY ENGINEERING
<br /> % RIGHT OF WAY
<br />
<br />I, 6~ q. 50
<br />
<br />TOTALPAYMENT
<br />
<br />$1,60,9.50
<br />
<br />EQiEST FOR REDEPOSIT JTO AGENCY FUND) MAKE CHECKS PAYABLE TO COMMISSIONER OF TRANspOrTATION IN ACCORDANCE
<br />HE~URRENT RULES AND REGULATIONS PERTAINING TO COUNTY, CITY, AND FEDERAL AID PROJECTS. YOU ARE REQUESTED To':
<br />ED~ROSIT .THE SUM OF $ FOR USE IN PAYING '~HE COUNTY OR CiTY SHARE OF PARTIAL ESTIMATES, AND FOR '
<br />DVANCING THE FEDERAL SHARE OF SUCH ESTIMATE PAYMENTS.'.' '. ,.'...-:~. · ,~ . ,.-'.; :' -.- ;;:
<br />FE'iPROJ'NO' I STATE PROJ. NO. ~ COUNT~OBLIGATI~N.. [ REC'D FROM COUNTY :- ] AMT. :UE FROM CO. ' .-]
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<br />~:; -..: :...' --> :'~ ~'.. '.iT:;-_' ~' ~ ;' FOR STATE TRANSPORTATION USE ONLYS~-~2?.;'~?_'~;~:~:~?:.~'~'.::
<br />.'J--'.. -- . , . , . . ...... .~..v. ~ .~..~,~.~ .~ -,, .... - ~ ....
<br />.............. ..,:,- ..~ ~ ............. _- .... '..,-~.-'.'~" - ....... . ........ TRANSACTI0~
<br />
<br />.' . ,'_ '_1_IZod_'''_ ~112~2-~ j '2 '_ '2 ~ 2._lVlllllll_'~~:~HlOI)~'~lll
<br />
<br />~ _IV/.? "' C{tY State Aid Maint:..: ...... -;'~:'--;~;-~---';" ,7,0nnt-
<br />// ~/ ] 60~ ~ _'"- ':'' -..~ '/~14~ ~/111_ ~Q92-~_ _//L-:..,-~,~ ..... -' - .... ."
<br /> ~- ~' :';-'. '" .' . ]. · '-' ' ".-'r.. L... ".{, .. ;; ..-~,.?"<,/:.~.-:~[~;;,~.'~:5';-~'- APPROVAL FOR ALL ABOVE TRANSACTIONS~:~'-~-.J~' ~.-
<br /> .
<br /> ..'~:-- 't .<:'. · '.-': ....-'~-:': ::'..V'' '.';. ~-. '.:-. ~'.:-4' -~; :..-:',"-~t.~ ~:' o~Ez ....... '..~-- ~UT~OmZ~6S~G~TU~6 ......
<br />,..~..-'- '~ ,; ..... - :5 · : :" . · ~"~::.,,t-:::; .- .' :..::', ..' :~.~-:_, :S':'~_~ ~'-.. ;~;.;'~:~'~:;~'"_~
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<br /> ~: Z ~ ;,2'~' ~.~.' ~ t': ,,-,~ %'. : · ~' "r,', _:'~.t' : ;-',.'..'~ -.'::~L- t;-..~~'~, "t~t]~;',',~;';~
<br /> ..... _ ~:-:"' ..... ' "' '" .... '" ' - .... - .......... · ENC PRESE T BALANCE
<br />
<br /> C~ ',.'.~-'"" ~ CITYCLERK/CO AUDITOR - '-:'~'" ;/'f.' ...22~.-~,;,~f~ '~.~'C/-;~'- :'~;;.='~';;'~.~ .-~
<br /> ,COPY ~ .'J- ' :- ' -- TRANSPORTATION FINANCE '%%' --i'+ -- :/=;~<~--.~.~ [t:~2~-:,',~F ~:~'~'~.:~.~.'['2U,~'.'.']~,'t,:':.~.-
<br /> O~OPlE5 ': -- TRANSPORTATION FINANCE.~-~t'~r.~"~.~,~'~~~~'?'~.:~J '~]:;'""
<br /> ~: _j.,-_.'C~ ~, ,.. · - .~. · . .'',~r ;-, '.'"'~:~.':'''"'; ~ '.''~"~;'.¢~'' ~''%:''~'¥~'~';~:~J:~''~,':~'~--';~.;5¢':"2-~''%';'~'t¢~; ;:'-''t .' '.:~:~¢ ~;~'':¢~ ~ '
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