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Form CS-6 (Rev. Z-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 <br />(2) Expended to date <br />(3) Funds committed for other maintenance <br />(4) Available for expenditure <br />(5) Funds anticipated for use on <br />$ -- o -- <br />$ ~; ~ JCS- Od <br />$ --- o -- <br /> <br />Route No. project.* $ ~~~ <br />~?- ~qNE ~EcSLliE~~iy'C'i/1/~ <br />*Not less than (4) above. Pie06~i'3/!7 O~ c5~, d•%v1. <br />IN WITNESS WHEREOF, I have hereunto set my hand and official seal as <br />fiscal officer this ~ day of ~~~~~ ~'-~ 19 ~~ <br />Dan M. Patrick II, Finance Director <br />(Fiscal Officer°s Seal) Fiscal Officer of ~~/ ~~E~ G/G «G~Ohio. <br />