Cantelli, James Jr
~~,,"- ~.,~,'o,r>1r~.~:."~f" ':(i>'<"'c'nl',....~" ~,,"'~ :-~, ,~~..-~,:"(~, -~}"~~1~!>~;.:~;,'1~~,~:-:~r.'~,:~"!r;r;,'^'7,,,,'~~~j"'?,~~;;:I.~~'~\P.W~~;~~.;)'jT~,';r~?;,~"~?i~_':~~,. ~,~.....:.,,': "'"~, ,~
CLAIMANT'S
NA,ME AND
-.cDRESS
TOWN 0' WAPIti"..... NY
P.O. Box 324, Mlddlebulh ~
Wappingers Falls, N:Y. 12S~ '.,
'~
: QIWr No,
DO NOT WRIT! IN THIS 80X
PURCHASE ORDER a VOUCHeR '.
~~~~d
. PIMO...~TtON AMOUNT
:0;::'"_,,,,,;>_,,:._,;,_,,_' /~::,,;__',,::.',: .,>:.'-, '''''':'' " ",'
..........
< .........
." "\
. ,
.', ..
7- . .
.....
TOTAL
~$.~1't-fO. I
r
::rAY\"~ (A~.l\~ "3"......,
I b N. ~ at""~fjlw4
w-'pp:I\"ft'Li -(Aft) ~~.
l '"t. ~ qa
L
VINIXlI'I
',_.NO,
TERMS
OATES
H'~/o
Itj1,&
1"'6-05
10/20/0
QUANTITY
DESCRtPTICN OF MATIRW.S OR SIRVICES
UNIT PRICE
AMOUNT
't. 'fJ (. ~ . 'c;",-r.., <) p ~ c +O.A.-
'3 : ou PM
Dt~~~,(T Y
q )/t.. H
80 75
5 : "3 (J ^~
tv A A. 1) ..i-
~-f'...
tv
I?~
/;~
C1'Zz
(Mactd.nl~
.5 00
.? ~ Q!
111\..) ·
Trainin. Cla..
Kilea.e
I Jf3
I
Tratatnl Cl.s. (laapectors)
.5 00
TOTAL 93.08
I. . ...."... ,.,.........,....~tMIt..~~~..lmOUIIlof. {
illM 1NI-..ct;1hellhe~.MMwI, INI~ ~~......lcJortor.._'lili~~..,N....~;_IIO'*'_--_ or eIIIIIllId: tMt tuft. fforn V/hiCh \lie
~ iI exeIllIIIlId." not irlcIIIMd: INI tMt"'lIlftOlIllt~.allIUIIIy" .. . ......
~.
(SPAcetILQW FOR MUNtCIPAL USE)
( \'E'<.t tV1 .::u )PE( t~
TITLE
111~/or
DATE
A....R(lYAl..FORP~YMENT
Thit_I'~_ftOm-'~ lndIcatec:l above
DEPARTMENT APPROVAL
The above services or malfri~"'~re~.,..qor
furnished to the municlpaUtyon th.datels~ted.and the
charges are correct
/~//r;I~b
DA
~t:.'
A.m.o...tOiNi .
':'-'..,
.'\
DATE
COMPTf'tOLt.EA