Laserfiche WebLink
<br /> <br />erviICe <br /> <br />'E..iabfisfrd 18S7 <br /> <br />City of Centerville <br />1880 Main Street <br />CenterviIle, MN 55038 <br /> <br />Verl.fled Claim <br /> <br />Claim of: <br /> <br />City of Centerville <br /> <br />Amount: <br /> <br />$ 17,044.24 <br /> <br />Warrant No. <br /> <br />Vendor No. <br /> <br />Dated: <br /> <br />4/1212007 <br /> <br />Approved: <br /> <br />John W. Meyer Finance Director <br /> <br />I declare under the penalties of petjury that I am the claimant making the within <br />claim and that the same Is Just and true; that the money therein charged was <br />actually paid for the purposes therein stated; that the property therein charged <br />was actually delivered or used for the purposes therein stated, and was of the <br />value therein charged; that the services therein charged were actually rendered <br />and were of the value therein charged; that the fees therein charged are offlclal <br />and are such as are allowed by law; and that no part of said claim has been paid. <br /> <br />Signature of Claimant <br /> <br />Date: <br /> <br />Date Activity Distribution Amount Total Acct. No. <br />4/12/2007 Special Assessment 233122320002 $ 3,764.18 101-45202454 <br />4/12/2007 Special Assessment 233122320019 $ 1,180.55 101-45202-454 <br />4/12/2007 Special Assessment 233122230008 $ 12,099.51 101-42280-454 <br /> Totals $ 17,044.24 <br /> <br />/3~ <br />