HomeMy WebLinkAboutResolutions - R-11-016 - 08/29/2011 - IDOT MFT 2005 21 301.57UVlliinois Department A-11 - 016
of Transportation
For District Use Only
Transaction Number
Date
Checked by
Request for Expenditure/Authorization
of Motor Fuel Tax Funds
Municipality McHenry
County McHenry
Rd. District
Section 05-00000-00-GM
I hereby request authorization to expend Motor Fuel Tax Funds as indicated below.
Purpose Amount
Contract Construction .................. ................
....:......
Day Labor Construction ........................................
Right -of -Way (Itemized On Reverse Side)............
Engineering............................................................
Maintenance Engineering .....................................
Engineering Investigations ....................................
OtherCategory ......................................................
Obligation Retirement ...........................................
Maintenance..........................................................
Co. Eng./Supt. Salary & Expenses (Period frorr
IMRF or Social Security .........................................
Interest
Comments
Date �� o
Signed by lee
of Off ci �--
...............................
...................................
Total $ 21 301.57
AP -
Department of Transportation
Pnnted 8/2/2011 Page 1 of 2 BLR 09150 (Rev. 11/06)