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BIG HORN COUNTY P.O. BOX908 HARDIN, MT 59034-0908 PHONE (406)665-9822, FAX (406)665-9706 WARRANT CLAJMNO _ All claims must be submitted before the z5th day of each month or will not be allowed in that months business. CLAIMANT ADDRESS DO NOT FILL IN THE SHADED AREA CITY, ST, ZIP * ACCOUNTING USE ONLY * I QAIE I ~J;;~~BJfTIQN I A~QLWII AMOUNT TOTAL I certify that this claim is correct and just in all respects and that payment or credit has not been received. Claimant Date Department Head Approval Date FILED ALLOWED AMOUNT$ COUNTY CLERK DEPUTY APPROVED DISALLOWED AMOUNT$ CHAIRMAN