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Form CS-b (Rev. 2-1-73) <br />FISCAL OFFICER'S CERTIFICATE <br />Expenditures for State Highways within Municipal Corporations. <br />Note: This certificate shall be made with seal affixed, in duplicate and filed <br />with the District Deputy Director, Ohio Department of Transportation. <br />I hereby certify that 7 1/2~ funds received as set forth in Sec. 5735.28, <br />Ohio Revised Code are as follows: <br />(1) Available and anticipated in fiscal year $ ` 7 C~ ~ ,</ <br />(2) Expended to date $ ~. ~ a?~'y~~ <br />(3) Funds committed for other maintenance $ ` ~ <br />(4) Available for expenditure $ T al,,~ ~~ <br />(5) Funds anticipated for use on Resurfacing , <br /> Route No. SR-91 project.* $ % ~~~r ~~ <br />*Not less than (4) above. <br />IN WITNESS WHEREOF, I have hereunto set my hand and official seal as <br />fiscal officer thi s ~ ~ day of ~.i~l/.S 7 19 <br />(Fiscal Officer's Seal) Fiscal Officer of Mayfield Ohio. <br />