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���� <br /> �`.��, . . <br /> � <br /> Illinois Department Municipal Maintenance <br /> of Transportation Expenditure Statement <br /> Section Number: 03-00000-00-GM <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 8202 approved on 12/15/03 , and revised or supplemental <br /> Municipal Estimate of Maintenance Costs, Form BLR 8202, approved on , and that the expenditure of <br /> motor fuel tax funds,for that work, during the period from 01/01/03 , thru 12/31/03 , I <br /> is as shown and that receipted bills are on file and available for audit. I <br /> Maintenance Operation Costs <br /> Maintenance Operation Completed Group For Group I, II or III <br /> (For Details See Approved Form BLR 8202) �i,ii,iu,iv� Labor Materials E ui ment Totals <br /> General Maintenance for Traffic Si nals $274,971.39 <br /> Total Maintenance Cost: $274,971.39 <br /> Less Other Contributions and/or Refunds: <br /> Net Cost of Maintenance: $274,971.39 <br /> Net Cost of tngineering: <br /> Maintenance En ineerin <br /> 1. Total Motor Fuel Tax fund authorized $350,000.00 <br /> 2. Net cost to date $274,971.39 <br /> 3. Unexpended balance $75,028.61 <br /> 4. Outstanding bills <br /> 5. Credit to unobligated balance (line 3 or line 3 minus line 4) $75,028.61 <br /> Remarks: <br /> Submitt, • Approved: <br /> �� Date Date <br /> By�G�Ll/-�'�4�� <br /> Municipal Official Title is t Engineer <br /> Submit Four(4)Copies to District Engineer <br />