We, _________, _________, and _________, duly elected commissioners of the county commission of _________ County, Missouri, and I, __________________, county clerk of that county, certify that the above and foregoing is a complete and correct statement of every item of information required in section 50.815 for the year ending December 31, 20_________, and we have checked every receipt from every source and every disbursement of every kind and to whom and for what each disbursement was made, and each receipt and disbursement is accurately included in the above and foregoing totals. (If for any reason complete and accurate information is not given the following shall be added to the certificate.) Exceptions: the above report is incomplete because proper information was not available in the following records _________ which are in the keeping of the following officer or officers _________. | |||
Date _________ | |||
__________________ | |||
__________________ | |||
__________________ | |||
Commissioners, County Commission | |||
__________________ | |||
County Clerk |
§ 50.815, RSMo