HomeMy WebLinkAbout781184.tiff �-- VV'-�D COUNTY PUR kSE ORDER AND VOUCHER
¢PII*,7I ^* NOT TO'EXCEED 5100.00 i •.)
1 ft! If`II.�I 91510TIHSTREET 1.3807
F r 11 +i REFER TO THIS NUMBER
3f,( 1 P.U.BOX 759815
58 GREELEY.CO 80631
/I.b1;S. - at t ' PHONE 1303)356-4000 - ON INVOICES ANDIN COR-
` N' - - RESPONDENCE.
/ `Zl ALL TRANSPORTATION CHARGES MUST BE PREPAID
VENDOR NAME AND ADDRESS
NO. SHIP TO
. Union Pacific Railroad Company
1416Wodge Street
Omaha, Nebraska 60179
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DATE ARRANT NO. SHIP INSTRUCTIONS - DEPARTMENT
4-11-78 Road And Eridge
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.s•:! UINT17 W`"'r' ; y ' ,, ��!,,I ESC IPTI •N�' t UNIT PRICE c „spM(UN
• . For rental specified in lease A044516 .
LDM0032795 in Yield County, Colorado
for the period from Apr. 18, 1978 to
. Apr. 13, 1979 $5.00
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WELD COUNTY DEPARTMENT CERTIFICATION- .1 St '>Z'm #S' . t. `` B� ` $5.00
I, the undersigned, hereby certify that the above account is true and just,
I certify that the items and/or services listed above have that the services or supplies therein charged for have been actually fur-
nished, rendered to and for Weld County, and that the same have not
been received and that the condition was satisfactory. In- been paid, nor any part thereof.
voices for same are attached hereto,
' COMPANY
• DEPARTMENT HEAD BY
NOTICE
No bill will be paid unless itemized and attached to voucher with TITLE
original order- All vouchers must be passed upon by the Board of .
County Commissioners before warrants can be drawn.All vouchers
must be signed by the person in whose favor they are made. All
vouchers must have the Post Office address with Street or P.O. Box LONG [� �{ �9 Number. All vouchers must be filled in with typewriter or ink and • MAIL IN LOI�IG ENVELOPE
ELO PE
signed in ink.
This copy must be returned to Weld County Accounting
•Office with invoices attached for payment. - �' , , y-
- Approved by • 11632776 $5.00
❑ Authorized Signature • i ,
And so ordered by Board of Weld County Commissioners.
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CHAIRMAN INITIAL INITIAL
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ATTEST: COUNTY CLERK AND RECORDER
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• ACCOUNTING OFFICE - --7p
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UNIOI ?ACIFIC RAILROAD• CON, `'\NY
141ouQDGE ST., • OMAHA, NEBRASKA 6oui9 •
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4,47LEASE REMIT TO • •9A ON
M ' .
M e,!iGER—BANKING OPERATIONS •
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AT TTME ABOVE ADDRESS T92244
• BILL N0.
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APR 1978
_COUNTY OF WELD
MONTH'S ACCOUNT
C/0 COUNTY .CLERK
GREELEY, COLD 80631 •
DATE APR. 01, 1978
To Assure Proper Credit To Your Account, Please Detach Tap Portion and Include With Your RemitlancecI LE. EAST. DI ST
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FOR
RENTAL SPECIFIED IN LEASE AU44516 LDMOD32795 [-
IN - WELD COUNTY COLORADO- -
NW4 SECTION 03 TWP 03t4 RANGE 067W •
E2 SECTION 04 ' TWP 03N RANGE 067W •
FOR THE FOLLOWING PURPOSE i{
LAND FOR ENCROACH, PUBLIC ROAD, HWY CR CROSSING
Ft?R THE PERIOD APR. 18, 1978 TO APR. 18, ' 1979
. RENT • 5 00
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5 OD•
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PAY THIS AMOUNT ' 5 00
For further information address Manager-Ledgers& Financial Reporting,U.P.R.R.Co., 1416 Dodge St.,Omaha,Nebraska 68179 .
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UNION PACIFIC RAILROAD COMPANY
BILL No. T92244 DATE APR 1978
COUNTY OF WELD • •
5.00
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ICC SUB SUB-SUB
ACCT ACCT ACCT AMOUNT r
3. 510 '001 00005 ' 5. 00
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