*Where an appointed standing committee exists,
that committee shall indicate by majority vote of its members that
the goods and/or services have been received and are approved for
payment by a township officers certification signature of its Chair
or Vice Chair on the township voucher/purchase order.
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I do solemnly declare and certify under the
penalties of the law that the within bill is correct in all its particulars;
that the articles have been furnished or services rendered as stated
therein; that no bonus has been given or resolved by any person or
persons within the knowledge of this claimant in connection with the
above claim; that the amount therein stated is justly due and owing;
and that the amount charged is a reasonable one.
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(Date)
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(Signature)
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(Official Position)
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I, having knowledge of the facts, certify that
the materials and supplies have been received or the services rendered;
said certification being based on signed delivery slips or other reasonable
procedures.
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(Signature)
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(Title)
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I certify there is adequate nonobligated funds
to cover this purchase.
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(Date)
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(Signature)
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(Date)
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(Signature)
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