Laserfiche WebLink
-s,'s t%.n pw* SGiev— xWg-4- AP/ <br />Prescribed by State Board of Accounts General Form No. 99P (Rev. 2009A) <br />GovernmentalUnit To.................................................................................... Dr. <br />THE ROBERT HENRY CORPORATION South Bend Tribune <br />635 S. Lafayette Blvd., Ste.138 <br />............................................County, Indiana South Bend, Indiana 46601 <br />Tax I D# #83-2810977 <br />PUBLISHER'S CLAIM <br />LINE COUNT Ad #i'9'55140 <br />Display Master (Must not exceed two actual lines, neither of which shall total more than foui.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 ...................... I ..... I...... <br />Total number of lines in notice 10 <br />COMPUTATION OF CHARGES <br />10 lines, 1 cplumris wide equals. 10 equivalent lines at 1.68 cants 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) .__...... $0 00............... <br />TOTAL AMOUNT OF CLAIM $16.80 <br />DATA FOR COMPUTING COST <br />Width of single column in picas 9.4ems Size of 8 point <br />Number of Insertions 1 <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 />I 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 1 time(s). The dates of publication being as follows: , <br />04108/21. Ji CHERYL JUNE MOREY <br />Notary Public - Seal <br />St Joseph County - State of Indiana <br />Commission Number 693302 <br />7 i !i¢y Commission Expires Dec 21, 2024 <br />Jane Morey. Notary Puyb� <br />-- Resident of St. Joseph Couni� <br />Alan Achkar, Executive Editor Commission Number: 693302 <br />My Commission expires December 21, 2024 <br />South Bend Tribune <br />635 S. Lafayette Blvd., Ste. 138 <br />South Bend, IN 46601 <br />ON ACCT OF APPROPRIATION FOR <br />$16.80 <br />Appropriation No. Tax ID# 83-2810977 <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 />ALLOWED I certify that the within claim is true and correct; that <br />IN THE SUM OF $16.80 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 />es I . - <br />