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OFFICE OF FINANCIAL ADMINISTRATION
<br /> STATE AID PARTIAL. PAYMENT NOTICE AND REQUEST FOR DEPOSIT
<br />{TIAL PAYMENT NOTICE: Pay to [] City [] County of
<br />
<br />R AUTHORIZED -
<br />JECT APPROVAL NO.
<br />TE AID PROJECT NO.
<br />ERAL PROJECT NO.
<br />
<br /> Ur-l~nCor~to
<br />FUNDS RELEASED FROM:
<br />ACCOUNTN0.
<br />FUND NO. ' -
<br /> AMOUNT $ £~I'I~D'Z'(
<br />
<br />TRACT AMOUNT
<br />
<br />~' I. SAP ;..'?;~-[' "/"" -'
<br />( I FEDERAL PROJECT
<br />{ I- FORCE ACCOUNT
<br />I ) OTHER. '. :. ":;" ..
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<br />zzB, E1:-,..5o
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<br /> STATE AID ORLIGATION 118.81~-.~ '--'-' ' -
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<br /> . ' . .: -: ,-' .... : ..'.'-'i ' -.
<br />· . ...- . _ .': 5,940.72 .... . .......:..
<br />
<br /> .- ...... . TOTAL PAYMENT $ 1,1~3-27 -
<br />
<br /> ENCY FUN[~) MAKE CHECKS PAYABLE TO COMMISSIONER OF TRANSPORTATION IN ACCORDANCE WITH
<br />JEST FOR [REDEPOSiT(TO AG ....... EDERAL AID PROJECTS. YOU ARE REQUESTED TO.
<br />CURRENT RULES AND REGULATIONS PERTAINING TO COUNTY. CI ! 'f. ~.~.r~_ ~TV eu~oc ~ PARTIAL ESTIMATES, AND FOR ' -"
<br />FOR USE IN pAYING THE COUNI~r u~ ~-.-- ~n
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