ࡱ> WYV bbjbj "Tjjl(((((((<8,<Q"6vD!!!!!!!$E# e%d!](!(( "((!!Nd((d <^hdd$!"0Q"d%%d<<((((Certification to BOARD OF PUBLIC ROADS CLASSIFICATIONS AND STANDARDS In compliance with the provisions of the State of Nebraska Statutes requiring annual reporting to the Board of Public Roads Classifications and Standards, the Village of FORMTEXT      ,City of FORMTEXT      , County of FORMTEXT      orthe Department of Roads hereby certifies that the minimum standards of design, construction, andmaintenance of roads, streets, and highways under their authority have been met; and all tax revenues,including State, County, and Municipal tax revenues, as well as highway-user revenue allocations forroads, streets, and highways, has been expended in accordance with approved plans and standardsand the rules and regulations of the Board of Public Roads Classifications and Standards for the period beginning FORMTEXT      , 20 FORMTEXT   , and ending FORMTEXT      , 20 FORMTEXT   . Documentation in support of this certificate is on file in the office of the appropriate official andthis information is available to the Board upon written request and is located at FORMTEXT       FORMTEXT      .(Address)On this FORMTEXT      day of FORMTEXT      , 20 FORMTEXT   .ATTEST: FORMTEXT      (Name of Political Subdivision)SEAL(Signature of County Highway or City Street Superintendent) FORMTEXT      (Title)On this FORMTEXT      day of FORMTEXT      , 20 FORMTEXT   .ATTEST:(Signature Chairman of County Board / Mayor / President / Chief Executive Officer / City Council)NBCS Form 6, Apr 78 E  $&:<>HJfh|~Z\{|? 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