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Ames, Dorothea
'i',y~~,:,'..,_~~~;f2~ ,,' ",'",':"',;; ,',' ~,1-'".:,-:~~~':',i~;:r,;~h'''~;~T,,:l~f':Y~-:i~,_~.;;~irl'!n,~~"Fl'l~:,:r'~:;;:~q;7-q:,~".~:r~W:i~~~5f(':~\;(~:~'~!'C?~?~~'Y~,~,~~:~f:'(1i~:.;t'>O.;':'1:l';,':1;-C'-- ,. -- TOWN O. wa...'N....Ny P.O. Box 324, Mlddlebuah Road 'Wappjngers FaUI, N.V. 12590 PurctMt .' 0fI\IIr No, DO NOT Wlflre IN THIS .OX PURCHASE ORDER. VOUCHER .~~.~ ,.;" "'>W~(~;>j_>,,~PR()tI.JA1JON AMOUNT .... '.' : <:'f' : .... f . . ,". . . . ...... ." TOTAL ~~. I r CLAIMANT'S j)orol4i!"4 fJrn eS" :~;:~~ II tJ Ke /11 1.2~ L LU<"//l')/n!!<I'S'/ ;:?}J~Y 1;?~9() ....J TERMS -"",,:.' ~.. _NO. ,',.-'~wc .5 00 OATES QUANTITY OESCAIPTlON OF MATElW4.1 ORSl.fMC&S UNITPAlCE AMOUNT ,'/o//):) \J01'". ~;..I'~c:-Ic"- 11/6/ OS Inspectors .lfaotd....'kal.i11a (:J.... I - TOTAL 1411 00 ~ - I. . .' ..... .. .'. ...., . .\lIIIfIr41t1t..~~tntM8IlIOIIlllO.. it lrUe IlICl ClIIl'ICl: ... tMlIemI.HNlceI.lIIlCI ~ ~ ....~ lOorfDf tM ~CII\tM""IIIlltlt.'" M "'" 11M" - <It .....: ... ...... floIn wNch 1M munIciIlIIlIViI~..,.notinCludecl:IlICl"'IMMlIOUIIt~it""'M ...... '.' . .... . l'h1z()t>~ I I DATE . TlTLE . ($PACE BELOW FQA MUNlCIPAL USE) .. APPRoVAL FOR PAYMENT TN' claim is firjprovtd Ptid fl'Orll the ~ lrICIic*ld above DEPARTMENT APPROVAl. The above services or m.teri.ts....rtn4e~or: .' ....... furnished to the municlpalityon tmt<i8tts'statedln<t.tb.. charges are correct ~/~' ' AUTHO 1Z!DPFi'tC1I\I. DATE COMPTROLLE~ /~//~/t 5' [)1;E -,,:~ . -'- .',,--- . ."