Laserfiche WebLink
Prescribed by State Board of Accounts <br />Governmental Unit <br />ZIOLKOWSKI CONSTRUCTION, INC. <br />............................................County, Indiana <br />General Form No. 99P (Rev. 2009A) <br />To..................................................................................... Dr. <br />South Bend Tribune <br />635 S. Lafayette Blvd., Ste. 138 <br />South Bend, Indiana 46601 <br />Tax ID# #83-2810977 <br />PUBLISHER'S CLAIM <br />LINE COUNT Ad #: 906341 <br />Display Master (Must not exceed two actual lines, neither of which shall total more than four solid lines of type <br />in which the body of the advertisement is set) -- number of equivalent ................................... <br />Head -- Number of lines <br />Body -- Number of lines <br />Body -- Number of lines <br />Total number of lines in notice 14 <br />COMPUTATION OF CHARGES <br />14 lines, 1 columns wide equals 14 equivalent lines at 1.68 cents per line <br />Additional charges for notices containing rule or tabular work <br />(50 per cent of above amount) <br />Charge for extra proofs of publication <br />($1.00 for each proof in excess of two) <br />TOTAL AMOUNT OF CLAIM $70.56 <br />DATA FOR COMPUTING COST <br />Width of single column in picas 9.4ems Size of 8 point <br />Number of Insertions <br />................................... <br />........... 0.00 ............... <br />Pursuant to the provisions and penalties of IC 5-11-10-1, 1 hereby certify that the foregoing account is just <br />and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has <br />been paid. <br />also certify that the printed matter attached hereto is a true copy, of the same column width and type size, <br />which was duly published in said paper 3 time(-). The dates of publication being as follows: South Bend Tribune: <br />11/13/20, 11/14/20, 11/15/20. <br />CHERYL JUNE MOREY <br />Notary Public - Seal <br />5t Joseph County- State of Indiana <br />Commission Number 693302 <br />AV%VApWission Expires Dec 21, 2024 <br />Alan Achkar. Executive Editor <br />South Bend Tribune <br />635 S. Lafayette Blvd., Ste. 138 <br />South Bend, IN 46601 <br />ON ACCT OF APPROPRIATION FOR <br />$70.56 <br />Appropriation No. Tax ID# 83-2810977 <br />ALLOWED <br />IN THE SUM OF $70.56 <br />Chery! 4une Morey, N <br />Resident of St. Joseph ' u y <br />Commission Number: 69 02 <br />My Commission expires December 21, 2024 <br />That it is duly authenticated as required by law. <br />That it is based upon statutory authority. <br />That it is apparently <br />correct <br />incorrect <br />I certify that the within claim is true and correct; that <br />the services there in itemized and for which charge is <br />made were ordered by me and were necessary to the <br />public business <br />