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, �� �����D <br /> Illinois Departmen Municipal Maintenance <br /> of Transportation ��� � � 200� Expenditure Statement �, <br /> (DOT - DS�TRICT�c ion Number: 05-00000 -00-GM li <br /> Municipality: City of Decatur ' <br /> I hereby certify that the maintenance operations shown below were completed in accordance with the items of work listed on <br /> the Municipal Estimate of Maintenance Costs, Form BLR 14231 approved on 3/21/05 , and revised or supplemental <br /> Municipal Estimate of Maintenance Costs, Form BLR 14231, approved on , and that the expenditure of <br /> motor fuel tax funds, for that work, during the period from 1/1/05 thru 12/31/05 <br /> is as shown and that receipted bills are on file and available for audit. <br /> Maintenance Operation Costs <br /> Maintenance Operation Completed Group For Grou I II or III <br /> For details see a roved BLR 14231 i,u,iii,iv Labor Materials E ui ment Totals <br /> Traffic Si nal Maintenance Throu hout 145,687.33 230,543.94 49,197.00 425,428.27 <br /> The Cit of Decatur <br /> Total Maintenance Cost: 425,428.27 <br /> Less Other Contributions and/or Refunds: 55,428.27 <br /> Net Cost of Maintenance: 370,000.00 ' <br /> Net Cost of En ineerin : <br /> "sa�rtenarce E� i�ee�in <br /> 1. Total Motor Fuel Tax Funds authorized 370,000.00 <br /> 2. Net cost to date 370,000.00 <br /> 3. Unex ended balance <br /> 4. Outstandin bills <br /> 5. Credit to unobli ated balance line 3 or line 3 minus line 4 <br /> Remarks: <br /> Submitted: 3 `8 — c�6 Approved: �a- B b <br /> Date ate <br /> By: r� -S- v� T- �. ' <br /> Municipal Official Title Regional Engineer <br /> Submit Four(4)Copies to Regional Engineer <br /> Page 1 of 1 BLR 14310(Rev. 12/05) <br /> Printed on 3/8/2006 11:29:11 AM <br />