DeMarco, Anna P , - '-. ,., .. 'c' -". ..,.'....:.:'._,.>...., ,,' '....... .. .' __ ... "" , ,,' ";7' . "''''''''~!''';'?' )"""~"'_''''''''' TOWN 0' WAPPINO.., NY P.O. Box 324, Mlddlebuah Aoad Wapplngers Falla. N.Y. 12590 ~ ....'No. 00 NOT WRITE IN THIS BOX r:l:,/,V4,;~;~" P. ,])e}ltJ~co '1 A' ~'7 CLAIMANT'S . ''I) j',. ",' .'''' . /' {) A" . . .... '.., == /In;/9;'ltlf'A$-PcJ '"j .., '.' ~~~ '_..~OPRIA1l0N AMOUNT " .,. .. < ..' ,. ". . '. . '.' .. . , < .', TOtAL -"'~NO. I PURCHASE ORDER. VOUCHER TERMS , .,\'ftlOR'S RlIl.NO. OATES QUANTITY DESCRIPTION OF MATlRfALl 0JIl $&fMCis UNIT PAICE AMOUNT I /' i . I;.,. , . . h'( /I"'ji./)) f b' :::~'..,.,( ~X // . .4.., ,.;; ''11'..' /:,,-'- /- I -. .... ..;J" 14~ - t' .:'c' ./ ...,......... /;)'1 .. ',' '" ,'/ ~""''''1~.'!:./E i!1?/) ""'vv~ '. ~ ..".... Y. '.. ...' ""'>~....~ . ,I' . / I '" i .:L",,J ..... '1'JU. t.~ ~. 5" .~ ..3 D / 5' (P /If'/OJ. JI/~A5 14 ;;"~pr IIIJ~ C' . ....... .,1'1'.' ...... .... .:' 7,...'.1,:1_...*-,"'-' j . ..~ f.".UL.~~ C.. . .. I)'~f;';:'<: . .4.,... ... ... (I TOTAL I. iI Irue IIIId CCln'8CI: tNllhe 1lemI. MMctt. end dialIu"".... ~ iI eQlnDllld. _ nal inctudecI: end tNllhe emaunl /.~ ~ . /.:..,~ ~ ,r / C;"l_.~ of::. , / ,/ " DATE . ..., tIlIt.. _. lICIlD\Iflllll" IllIOUnI of S . iItIlllMlt" or for lilt llI\IIlIeIlIlIIl\ ..... --7' : tIlIt no -- tIMn pIld or MlIdlIcl; ... ..... '-' whielIlhe .....~~ . ~ / /1-/ ' /.':" ...~. . r~' .~,...,: .,--' ".>".-.' .'. ", ~'''../'', ,,1'7 ~.' / .'--,or ' , .c~. Jf?:;(--',,?:;'O ..t:....A'."V L:"/. ' 1',."" /",...? -- .. .. .... . .' '. ..".fI'" ,.:._."'_.."......""f!,',, ..:. ./. . . ::";'. _,' L~'..." ':' " ._ ":(' ,.... . n1'LE (SPACE BelOW FOR MUNlCliw. USE~ DEPARTMENT APPROVAL The above services or materials were rendered or furnished to the municipality on the date. 'statedandthe charges are correct APPROVAL FOR PAYMENT Thiacl4lin\ ia~ _froIl'lthe~indlcattd.bOve /I./I/' Ie .5' DATE ~t~ i/A~ ....~ I CATE COMPTAOLLER