Borek, Arlene M
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TOWN OF WAPPlII...., NY
P.O. Box 324, Mlddltbulh Road
Wappinger. Falll. N.Y. 12590
,e:,
DO NOT WRITlIN THIS 80X
PURCHASE ORDER It VOUCHER
o..~~
. APPROPRlAT1ON
AMOUNT
r
CLAIMANT'S fJ (Jeru... (?1. ~('"'e.k .
NAME AND \ -) q\h..; t ("\) ,u..; 1>",', t Vt
ADDRESS I
L 1,~L hill, ,N ~j , 1.' ,V
-,
TOTAL
...J
.Y$$TAACTtIIO.
TERMS
~'8
.'NO.
l.i,;'
OATES
QUANTITY
DESCRIPTION OFMATlRlALS OR SEIIMCes
UNIT PRIce
AMOUNT
/1/1 )0 $ {. If <--"*~, ::L, 'f~ ~~ r ~"()i?i'I?':.' JI'. ), j (
51 ti'~,k, ~ q1~iPt"r1
tJr,R I c6;}i,;.f y
l/e;iA
136 00
.1' 1J
A '0
l) "1.//
/
i :,<:';.,...
,. ib If,' I ;>/ 0 (,k, ~ko .. .0. ..... o. · 0 . . 0'. . .: . ......... '!'.................... .:~x..;: . .-
is true IlllI . IhIl \he .... ......1lllI ~ ~..........IO or for \he ~ _...... ....; l!IIl M .-.. ...,.. or ~.......; fralII whIqlIJIIt. , t'. .
rnunlcipeIlly is enmpIed. _ nat included; IlllIIhIl \he aml)Unt ..... II ~ cIu4I' , .
II/JJD{ (;9~~
p/
TOTAL
(,t
~?It.~ ,d"11u-<.,:k')
TitlE
(~ _OW FOR MUNICIlW.. use
.,t,.... APPaQ~FORPAVMENT
1'l'ilI_imls ~pM!from'h"Ppl'Ol)ri.tton'lndlcatecl.bove
DEPARTMENT APPROVAl; ',' ",
The above services or materials we,.. rende~or
furnished to the municipality on the datesstetedancfthe
charges are correct
.~
1IIItJE/.5
, DATE
g:.c~
- AUi '~~o.,~~
~.r
DATE
COMPTROLLER