DiPierno, Gerald
. ~
TOWN O' WAfIlIJIN.......Vtr:
P.O. Box 324, Mlddlebulh Road
Wappinger. Fall.. N.Y. 12590
DO NOT WRIT! IN THIS 80X
PURCHASE ORDER aVOUCH" .x"''r''?
AMOUNT
r &,("111) d.t:elttlQ ..,
:~~~: /s;lm JI{/r J t l,;fifJr. ..... ........
..,.,.. /,/"NIIWI r:s ."F" tis/lit;,
L J 1,.?'wlI
TOTAL.
TERMS
OATES
QUANTlTV
OISCRIPT!ONOF MATIRW.$ OR ~
UNIT PRIce
AMOUNT
11-
,
"
II I
-
TOTAL
I, t ~
IIlif 0:>
DATE
. ..,... .... 8flllOIIIll ill ..-.nIof S
Oft..... ..... IIlIIlIlO ..., ....lIMn fIIld or ......: 1IlIIl...... Illlm wllich the
{kfM.... JuI*W-
.... . .. TInE
">':,.<"",",' ,'i '.."".',:':'. ','
ISPACl_OW4lOR~USE\
I.
illNe IIld ClllMCI: lhallhe __. ...... IIld cIiIllU....
rnunlcipIIIly iI..~.... not included: IIllIlIlIIllhe IlIlOUnI
DEPARTMENT APPROVAL
The above services or materials were renderecl or
furnished to the munlcipaUty on the.date. stated and the
charges are correct
APPROVAL FOR PAYMENT
. "/'hi. cIMi ilapproved _ from tt* ~ incIiCettclallo'"
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