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Prescribed by State Board of Accounts General Form No. 99P (Rev. 2009A) <br />Governmental Unit To ...,........„..,„ ........... ..„.......... <br />THIENEMAN CONSTRUCTION, INC. South Bend Tribune <br />506 W. South St., Suite 210 <br />............................................County, Indiana South Bend, Indiana 46601 <br />Tax ID#83-2810977 <br />PUBLISHER'S CLAIM <br />LINE COUNT Ad #: 788050 <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 ,,„„.„,.»»,.„... M ... ........ <br />Total number of lines in notice <br />27 <br />COMPUTATION OF CHARGES <br />27 lines, 1 columns wide equals 27 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 $45.36 <br />DATA FOR COMPUTING COST <br />Width of single column in picas 9.4ems <br />Number of Insertions <br />Size of 8 point <br />1 <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 />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: Sot r`' U <br />01 /03/20. <br />CHERYL JUNE MOREY <br />Notary Public - Seal <br />St Joseph County - State of Indiana <br />Commission Number 693302 <br />I M Commission Expires Dec 21, 2024 _.� <br />Publisher Cheryl unelory, Net t I <br />Resident of St. ,Joseph County , <br />Commission Number. 693302. <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 />506 W. South St., Ste. 210 South Bend, IN 46601 correct <br />ON ACCT OF APPROPRIATION FOR <br />$45.36 That it is apparently <br />Appropriation No. Tax ID# 83-2810977 incorrect <br />ALLOWED I certify that the within claim is true and correct; that <br />IN THE SUM OF $45.36 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 , <br />