Fillable Form AOIC Probation Reimbursement (rev. 04/2019): County Code (Administrative Office of the Illinois Courts)

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Form AOIC Probation Reimbursement (rev. 04/2019): County Code (Administrative Office of the Illinois Courts)

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The Form AOIC Probation Reimbursement (rev. 04/2019): County Code (Administrative Office of the Illinois Courts) form is 1 page long and contains:

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  • 4 check-boxes
  • 147 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Administrative Office of the Illinois Courts

BROWSE ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) FORMS

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Position
Number
Probation/Court Services
Employees
Days
Worked
SSN Last
4 Digits Annual Salary
Amount Paid in
Month Amount of Claim
-$
County Date
Circuit Date
Chief Circuit Judge's Signature
County Treasurer's Signature
AOIC USE ONLY
VOUCHER TOTAL
County Treasurer's Certification and Chief Circuit Judge's Approval
"I, Treasurer, do hereby certify that the payroll information herein is correct and acknowledge that the Chief Judge
has certified that the services listed above were performed at his/her direction and are legally chargeable to the State of Illinois, pursuant to Section 15 of the
Probation and Probation Officer's Act (730 ILCS 110/15 (West 1996)."
Grants-in-Aid
Pretrial
Salary Subsidy
Reimbursement Type: (check one)
Claim Information
Expenditure Object
4471
If Supplemental
Voucher, Check Box
Appropriation Number
Description of Claim
Note: You may attach a print out for the following information, however, it is required that you follow the same layout.
Month
Year
County
Department
001-20101-1900-9900
County Code
Zip Code
AOIC Certification
I certify that the services specified on this voucher were
for the use of the Judicial Branch and that the
expenditure for such services was authorized and
lawfully incurred; that such services meet all the
required standards set forth in the Probation and
Probation Officers Act to which this voucher relates;
and that the amount shown on this voucher is correct
and approved for payment. If applicable, the reporting
requirements of section 5.1 of the Governor's Office of
Management and Budget Act have been met.
By Date
Address
City , IL
Administrative Office of the Illinois Courts
Probation Services Division
3101 Old Jacksonville Road
Springfield, Illinois 62704
Control Number
Form AOIC Probation Reimbursement (rev. 04/2019)
Attachment A
COUNTY USE ONLY
Invoice Voucher
AOIC USE ONLY
0.00
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Form AOIC Probation Reimbursement (rev. 042019): County Code (Administrative Office of the Illinois Courts)

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Completed 13 August 2020

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