Johnson, Nick
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PurohHe
Older. No.
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TOWN 0' W.IIPINGIR, NY
P.O. Box 324, Mlddlebuah Road
Wapplngers Falls, N.Y. 12580
DO NOT WRITE IN THIS lOX
DATES
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· APPROPRIATION
AMOUNT
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ADORESS . ('
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TERMS
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QUANTITY
AMOUNT
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TOTAL
DATE
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DEPARTMENT APPR
The above services or materials
furnished to the municipality on the' ..
charges are correct
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> . . APPROVAL FOR PAYMEtfT:; <~f'
This cleim Is epprovect_ from the ep~tlons indic\t~ebOve
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