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L i i� ' ' <br />\' .'� <br /> ���I1101S ��C'tfYlE'Jlt Final Report, Notice of Completion and <br /> of Transporta�tion Acceptance of Improvement Constructed <br /> Under the Illinois Highway Code <br /> Municipality DECATUR The improvement was constructed in accordance with the plans approved by the <br /> Department on or as follows:(describe change) <br /> County MACON .Taniiar�� 1 � 1 99� tn 1�Pr-PmbPr "�1 � 1 9992 <br /> Road District 5 Length as built Cross Sedion as built <br /> Section 92-09226-00-TL Road Bed Width Surface Type <br /> Contractor Width Thickness <br /> Financial Statement <br /> Balance in Authorized <br /> Total Funds Received for Expended For <br /> TO BE <br /> Construction Credited to Credited �, <br /> Engineering Unobligated Unobligated , <br /> Source Amount R.O.W. Const. Engr. R.O.W. Balance Balance 'I <br /> MFT 14000.00 8762.52 - 5237.48 <br /> Totals 14000.00 8762.52 <br /> Use only one line for each source of funds,or purpose. Do not make a separate line for each receipt. <br /> Remarks <br /> Submitted /� "� — OZ_ ❑ County Engineer l7--��_---� <br /> Date �f Municipal Engineer <br /> Summary <br /> Final inspection of the wo�lc designated above was made on Item Cost <br /> and it was found to be completed substantially in accordance with all the require- Contract 14000.00 <br /> ments of the plans,specifications and contract. The financial statement is in Final Contract Cost' 8762.52 <br /> accordance with my records. <br /> _C- ,� <br /> District ngineer of Local Roads 8 Streets <br /> I recommend acceptance by the Department of Transportation. This improvement <br /> shall henceforth be maintained by the <br /> Total Const.Cost" 8762.52 <br /> Said improvement is hereby accepted by the Departrnent of Transportation. R.O.W. <br /> Engineering <br /> Approved Q '��f L <br /> at <br /> Total Cost 8762.52 <br /> C � � � <br /> Submit to Dist.?Engineer District En ineer ' For Day Labor sections use estimated costs here. <br /> 5 copies for Municipai work 9 •' Use actual construction cost regardless Contract <br /> 5 copies for County Work or Day Labor construction. <br /> 8 copies for Road District Work <br /> BLR 7201 (Rev. 12/98) <br />