Hill, Virginia E.
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TOWN OF WAPP'NG... NY
P.O. Box 324. Mlddlebush Road
Wappingers Falls, N.Y. 12590
. PurcIlItH
Order,*,.
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
~~~
. 'FUND.- AJIPROPRtATION
AMOUNT
r
CLAIMANTS
NAME AND
ADDRESS
L
.., . .~, ," c
I'r i ,1 ?t;; It ~
;Q /' () ^).
TOTAL
TlRMS
OATES
;1/ ~J{)l
DESCAIPTlON oF MAT&RIAl.S_~S
UNIT PRICE
AMOUNT
QUANTITY
:r-t.f! .r....
.tit
I"
i4f J;; (;I
I
136 00
/
TOTAL
136 00
_,I'
I.
ia true Illd --=t: lllat the ilwnI. RNicft.1lld ~..~.~:......., 10.,....'
~ ia ulfllllltd. .,. IlOI included: Illd ....the 8INlunl .....It IliluIllv M
~'ln1he-"'!afS
.....:thIt l!O"'. IlIen _ or.......: lhet..... fIOnl which the
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DATE
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t; 1f:~;CTl D I \)
TITLE
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D&PART~A~AL
The above servlcesormateriallw."'....ndttreclor
furnished to the municipality on the dat.. 'tet~'andthe
charges are correct
- (SPACe.lOW fIlOJIt~$W. USE:)
APPROVAL FORP~YfIINT
Thit:.im iI~ ~ftom lhe.~ Indlcated aboVlt
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DATE
,.,,.<~
DATE
eOMP'TAOllE~