Laserfiche WebLink
Prescribed by State Board of Accounts <br />Governmental Unit <br />IDEM <br />........................:...................County, Indiana <br />AUG 12 2019 <br />General Form No. 99P (Rev. 2009A) <br />To.__ ...... . ......... ...... .....,, Dr. <br />South Bend Tribune <br />225 West Colfax Ave <br />South Bend, Indiana 46626 <br />Tax ID# #83-2810977 <br />PUBLISHER'S CLAIM <br />LINE COUNT Ad #: 714858 <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 />HeadNumber of lines ......• I ............ &........... <br />Body-- Number of lines ....... ............................ <br />Body-- Number, of lines ., ............. I .... — ... •••••1••• <br />Total number of lines in notice <br />29 <br />COMPUTATION OF CHARGES <br />29 lines, 1 columns wide equals 29 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) ...........0 00 .............. <br />TOTAL AMOUNT OF CLAIM $97.44 <br />DATA FOR COMPUTING COST <br />Width of single column in picas 9.4ems Size of 8 point <br />Number of Insertions 2 <br />Pursuant to the provisions and penalties of IC 5-11-10-1, I 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 2 time(s). The dates of publication being as follows: So h ehad rilaauua, <br />08/02/19, 08/05/19. CHERYL JUNE MOREY <br />Notary Public - Seal <br />St Joseph County - State of Indiana <br />Commission Number 693302 <br />M, Commission Expires Dec 21, 2024 <br />Publisher Cheryl une Morey, Nota <br />Resident of St. Joseou y ph <br />Commission Number: 6980' <br />My Commission expires December 21, 2024 <br />That it is duly authenticated as required by law. <br />South Bend Tribune that it is based upon statutory authority. <br />225 W. Colfax Ave. South Bend, IN 46626 <br />ON ACCT OF APPROPRIATION FOR <br />$97.44 - <br />Appropriation No. Tax ID# 83-2810917 <br />ALLOWED <br />IN THE SUM OF $97.44 <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 />Attest 0 <br />