Year 2010 temporary budget to make available the ... - Jersey City

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Requisition # 0148639 Vendor RELIASTAR LIFE INSURANCE CO 20 WASHINGTON AVENUE SO. MINNEAPOLIS MN 55401 RE460350 CITY OF JERSEY CITY Requisition Dept. Bil To HEALTH BENEFITS CITY HALL 280 GROVE ST. ROOM 107 JERSEY CITY NJ 07302 Contact Info MICHALINE YURCIK 0000005515 Quantity UOM Description Account 1.00 1 STOP LOSS INSURANCE 0120123220802 CONTRACT FOR STOP LOSS INSURANCE FOR ACTIVE EMPLOYEES AND RETIREES AND THEIR ELIGIBLE DEPENDENTS JANUARY 1, <strong>2010</strong> TO DECEMBER 31, <strong>2010</strong> TOTAL CONTRACT AMOUNT: $1,780,000.00 AMOUNT TO BE ENCUMBERED: $446,000.00 Req. Date: 12/08/2009 Requested By: MICHALNE Buyer Id: Approved By: This Is Not A Purchase Order Unit Price .00 ¡ Dept. Ship To Assigned PO # Total .00 Requisition Total .00 J
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City Clerk File No. Agenda No. Appr
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Continuation of Resolution City Cle
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()- 00;1 EXHIBIT A JAN i 3 2010 BLO
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Block: 00763 Principal: 3,167.01 Ta
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N N N ~ -c N m 0 0 0 0 ;i 0 0 0 0 ;
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Memo to Brian O'Reiley, Business Ad
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Resolution of the City of Jersey Ci
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LEGISLATIVE FACT SHEET This summary
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of the Licensee or anyone employed
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14. Failure to adhere to the terms
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HOST CITY AGREEMENT THIS HOST CITY
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provided in writing by the Red Bull
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on the first business day following
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(1) Severabilty. If any provision o
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SCHEDULE A SERVICES The City shall
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.. November 16, 2009 Paragraph D -
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Aricle 26 November 16, 2009 Paragra
Page 41 and 42: Aricle 30 Insert New Paragraph H as
Page 43 and 44: Aricle 36 November 16,2009 Add new
Page 45 and 46: wil be $50 per 30-day supply, meani
Page 47 and 48: Continuation of Resolution City Cle
Page 49 and 50: CERTIFICATION OF BRIAN O'REILLY IN
Page 51 and 52: . AFTI ACTION COMPLIACE NOTICE N.J.
Page 53 and 54: EXITA N.J.s.A. 10:5-31 aDd N.J.AC.
Page 55 and 56: APPENIX A AMRICANS WI DISABIL ACT O
Page 57 and 58: " Taxpayer Identifcation# 221~896.1
Page 59 and 60: 0148637 CITY OF JERSEY CITY Requisi
Page 61 and 62: A summary of Aetna's proposal rates
Page 63 and 64: City of Jersey City Dental Program
Page 65 and 66: UL-\, .L C- C-UiiO .L-i- Jc: veL I
Page 69 and 70: CERTIFICATION OF BRIAN O'REILLY IN
Page 71 and 72: -,-~._'~_.,----_._.~.._--_.- -'-~--
Page 73 and 74: EXIT A N.J.s.A. 10:5-31 and N.J.AC.
Page 75 and 76: APPENDIX A AMRICANS WI DISABIL ACT
Page 77 and 78: -~_.._- ._----~_._-~.._----_._----~
Page 79 and 80: Reqúisition # 0148636 Vendor DELTA
Page 81 and 82: . A sumary of Aetna's proposal rate
Page 83 and 84: Total Annual: Total Monthly: $158,0
Page 85 and 86: VcL-l¿-¿~~~ IJ;J¿ DEL TA DENTAL
Page 89 and 90: EXTRAORDINARY UNSPECIFIABLE SERVICE
Page 94 and 95: N.J. DeparmentofTreasur - Division
Page 96 and 97: cour dens oftb Sta of Fed Co decsio
Page 98 and 99: Jeana Abuan - 'Resos for Reliastar
Page 100 and 101: City Clerk File No. Pg.#~ Agenda No
Page 102 and 103: Continuation of Resolution Pg. # 2
Page 104 and 105: : .. c: A.. I' c: w c: .. I' c: 'I'
Page 106 and 107: ,. . ! . " I' i ! .moüštr; , . Th
Page 108 and 109: Resolution of the City of Jersey Ci
Page 110 and 111: .... " STAll OF NEW JERSey 8USlHE~
Page 112 and 113: 12116/2809 17: 56 9732435549 I"I~/Y
Page 114 and 115: 12/16/2009 18: 41 9732435549 PAG 08
Page 116 and 117: 12/1612889 18: 41 9732435549 PAG 87
Page 118 and 119: 1.~~i.i~l~ElElS l!3: ~1. ... ~~~~ii
Page 120 and 121: '(I:W. .,...,,...."N/~.....,,.J..,.
Page 122 and 123: Continuation of Resolution Res. 10-
Page 124 and 125: )wI_ '--FR"'- .;;.; . Taxpayer Iden
Page 126 and 127: 02/25/2009 13:28 FAX. 2015351061 MI
Page 128 and 129: '. ,,# .. JOHN Me GRATH AcrlNG DIRC
Page 130 and 131: 12/16/20e9 18: 41 9732435549 PAGE 0
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. . ..) . '0 .. Taxr IdenURcaUon/#
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, . . EXIT A (Cont) orientation" ge
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" APPENDIX A AMRICANS WI DISABILITS
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.-. . P.L. 2004, c. 57 (N.J.S.A. 52
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!JCORDrN CERTIFICATE OF LIABILIT .
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City Clerk File No. Pg. #.! Agenda
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Agreement and the Contract Document
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ARTICLE VI Termination for Cause 1.
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ARTICLE XII Notice All notices or o
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APPENDIX A AMERICANS WITH DISABILIT
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Yonn AA302 Rev. 1/00 STATE OF NEW J
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N.J. uepaJtent ollfeasur - Division
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Contimiation of Resolution City Cle
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RESOLUTION FACT SHEET 1. Full Title
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3. The service is of such a special
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2. Such described services shall be
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expenses to which the City and its
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no services under this Agreement un
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, ! .' " .. Taxpayer Id4iUriCaUon,#
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, ~ , i .- i , l. r .. PUBLIC DIStL
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.J i. ': i ..~ -~ " t j. .: BUSINSS
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AMENDMENT TO LICENSE AGREEMENT BY A
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Continuation of Resolution Pg. # 2
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the preceding month. All statements
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complete or substantially complete
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12/11/2009 12: 22 2131-547-52313 LA
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AGREEMENT This Agreement dated the
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and noted on each in voice. The Cit
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pursuant to section 1 of P.L.2001,
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. secretaries' overtime, proofreadi
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These documents may be obtained fro
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12/1S12ÐB9 11: 52 09/2.r200e 11'31
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12/19/2B' 11:52 29-547~523a LAI OOT
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TAXPAYER NAME: MILLER & GALDIERI AD
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Special Counsel and biled with suff
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The contractor shall provide writte
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The City reserves the right to disc
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~1/04/2010 12: 113 2131-547-52313 L
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01/04/2010 12: 10 12/30/2009 18: 45
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01/04/2011l 12(3e/213119 12:10 1£7
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01/04/2010 12: 10 201-547-5230 12/a
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~1/~4/20i0 12: 10 12/3a/2Ð09 ie: 4
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City Clerk File No. Res. 10-028 Age
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approved in advance for any specifi
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equirements of either of those sect
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DETERMINATION OF VALUE CERTIFICATIO
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II. TIME AND PLACE OF WORK The Phys
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EXIDBITA MANDATORY EQUAL EMPLOYMENT
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MINORITYIWOMAN BUSINESS ENTERPRISE
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N.J. Departent of Treasur - Divisio
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Princeton Insurance Company COMMON
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C. 271 POLITICAL CONTRIBUTION DISCL
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CERTIFICATION OF COMPLIACE WITH THE
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City Clerk File No. Pg.#~ Agenda No
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DETERMNATION OF VALUE CERTIFICATION
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EXHIBIT A MANDATORY EQUAL EMPLOYMEN
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, ,N.J. Ueparent of Treasur - Divis
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Page_of Vendor Name: Continuation P
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BUSINESS ENTITY DISCLOSURE CERTIFIC
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CERTIFICATION OF COMPLIANCE WITH TH
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3. Compliance with Approved Program
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B) Subgrantees that receive at leas
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comply with such additional conditi
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20. Political Activity Prohibited N
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Jersey City Ordinance C-829 establi
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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List of Agencies with Elected Offic
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BUSINESS ENTITY DISCLOSUR CERTIFICA
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AGREEMENT THIS AGREEMENT entered in
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C) The City may send a representati
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12. Retention of Records Financial
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17. Labor Standards All laborers an
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..". , Requisition # 0148795 Vendor
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EEO/ AFFIRMATIVE ACTION ----_.- ---
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EXHBIT A (Cont.) The contractor or
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Elizabeth Castilo - FW: New Jersey
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Paul Paul Steffens, MA PRS Consulta
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Joanne ,Rosa - Re: NJCUBusiness Reg
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~.¡. li",: BUSINESS ENTITY DISCLOS
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AGREEMENT . THIS AGREEMENT entered
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6. Purchases C) The City may send a
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Requisition # 0148797 Vendor NATION
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, ., EEO/ AFFIRMATIVE ACTION REQUIR
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EXHIBIT A (Cont.) The contractor or
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~C; . .Certification 207 CERml:FtCA
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..1\.J. Deparment of Treasur - Divi
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Page of Vendor Name: o Check here i
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Requisition # 0148800 Vendor NATION
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F f 1 i l' I 1 ./ ! i ,--r: ':1,'!.
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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Page_of Vendor Name: . Continuation
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DETERMINATION OF VALUE CERTIFICATIO
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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AGREEMENT TIDS AGREEMENT entered in
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6. Purchases C) The City may send a
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City Clerk File No. . Agenda No. Ap
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RESOLUTION FACT SHEET This summary
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JON S. CORZ Goveror Dember 15, 2009
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Infras true ture o Bikeway o Bridge
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County to filter by: Hudson County
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txtScopeWork continued Scope Of Wor
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Construction Cost: $1,568,256.96 Gr
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51 URFACE APPUED DETEcrABlE WARNING
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4. Has the applicant demonstrated w
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Grant Application for State Aid to
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LICENSE AGREEMENT This AGREEMENT is
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City Clerk File No. Res. 10-040 Age
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MEMORADUM OF UNDERSTANING City of J
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BE IT FURTHER AGREED that the City,
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the Director finds the City has fai
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SHEET A CITY OF JERSEY CITY 280 GRO
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CJ :I m -l ~ ;i () 0 s: s: mz-l CJ
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SHEET 3 ....------..---..--..----..
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SHEET3B 2. A Summary by Functions o
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, Sheet 3b..2 Public Employees Reit
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~ SFY =STATEFISCAL YEAR (JULY 1, 20
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.._-_..__.._------_.._--_..-.._-_..
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SHEET9A Tobácco Age of Sale -_....
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. 1 1 I ..-..__.._-----_.._-_.._---
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................._._._.....\ 10.773
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Keystone Greenvile _..--------.._..
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SHEET 10E _________"-._ò_._______.
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,SHEET 10F_1 __..._________________
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01/12/10 SHEET 12 -- ----_..-_.._..
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. --------.--.-.-..-------..-------
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702 - Salaries & Wages 22-195-1 -.-
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01/12/10 SHEET 16 .-----...----.--.
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~ o :f ~ m x "0 CD :i '" CD '" en 0
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01/12/10 SHEET . SUBTOTALMUN DEBTSV
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(F) Judgments .__:._._.__..__._.__-
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Sheet 38 (Insert additional, approp
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SHEET 40 Check if municipality is u
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TOTALS. ALL PROJECTS 33-29S $ 210,1
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SHEET 43 - ._._----- ----- -_.._._-
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Year 2010 temporary budget to make available the ... - Jersey City

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