Casuzzo, Carol
TOWN o. W..........IIY
P.O. Box 324, Mlddltbuth Road
Wapplngers Falls, N.Y. 12590
PurcIIaM
~No.
DO NOT WRITE IN THI 'K
Oldt~~M
r. .
i:'.,,/,,~i/ ,/
fr. '1f1
AMOUNT
PURCHASE ORDER. VOUCHIR<
ClAIMANT'S
NAME AND
ADDRESS
L
TERMS
'.~
. _.flIO.
CATES
QUANTITY
DESCRIPTION OF MATEFlw.1 0fII 18RYlC&1
UNIT PRIce
AMOUNT
No, 8 ~ ,~..
I
TOTAL
3' --
I.
iI INe Illd-..ct: lhelthe 1lemI. ...-.. _ ~ ..... ......,__
~ II exempled. .,. noc includel.t; _lhIIthe ~ ~..~_
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/1 i (. l ,J .~
/ Ci .f
DATE
~~l!llMlMounlof S
1IIlltlI:\lllII1IO...... MIll JIIld at ......: \hM ...... IIOI'Il wIIlcllthe
f''1'..n~ AG>;(lrfi'.',~P'",?x'~.
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TITLE'
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/ DA
~16....
APPROVAL FOR.PAYMENT
,... ~1.lIPPf'CMd pakI fron'llhe ~. Indicllted above
DEPAAT~~~Q"AL
The above services or.matttlals....~or
furnished to the municipality on the d.-tesstatedatt(ft",.
charges are correct
OATE
COMP1'AOLLEFt