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Drahis, Caroline
Ill.."
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""-:
,..,NO' W.PPING.". NY
. P.O. Box 324, Mlddlebush Road
Wapplngers Falls. N.Y. 12590
Pu<<:ha"
,000000r No,
PURCHASE ORDER. VOUCHER
.~
if
DlIIt .VO\!CII*. ~
~UND . APPROPRIATION
DO NOT WRIT! IN THIS SOX
AMOUNT
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r / . f.iL...
f} lJ...Y:. II hC, rr
CLAIMANT'S L/
. NAME AND
'" ADORESS
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L
TeRMS
-/ '. -.., ~.
OATES
QUANTITY
DESCRIPTION OF MATlfUAt.S OA~S
UNIT "RIce AMOUNT
Il~.Jjj;
C JeC.,"~l
} d :3
-I'll <' /Jro'.j (.. y
-' '~;(' '
~+- 2.
,q/ -
,~
v> :-l ;' t h Cern
I' '..
TOTAL
.3'. ~
I. . .. ..... '. . . .' . ClII!IlV:.........-.nt"'.lumOunlofS
is INeIllCl CIlIMCI: 1IIII1lIe..... ~.I!I4I~~..........ortor.. ~Oll..-.... ...... ..110 pelthll '*" pIlidflt ulIdId: 11III... fI'omwtllch\ll4t
~ is eH/IIIIIed. ...lIOliN;llitlld: IlICIIIIII1II..t'I\l)u",~1I~ M " .. ..... ".
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DATE
(1-f(i .II; '1 If
Tf11.E
tiJ./'
(lPAC&_OWFOA~ USI)
~PPf(OVALFC)ft.PAYMINT
Thit <aim ~.,ptOV4ld_ from tM~ il'ldiuted above
DEPARTMENTAPPROYAL
The above services or materials were rendered. or
furnished to the munidp8lity on the dateS stated .nd
charges are correct '
r2J ~~,
~~.
1~/::jt5
, eOMP'T'ROLLER
DATE ..
