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Horton, Rose " ,,,",,,,,;1: 'c:: <,' ~~"'~:"" ",''''C';')-''' ':' .' ".., TOWN 0' WAPPI.... NY P.O. Box 324, MlddlebUlhAoed Wappinger. Falll, N.Y. 12590 ;'=::. DO NOT WRITE IN THI, .OX r." f:. CLAlMANT'S NAME AND ADDRESS \i;/ L ''I (, ',f 1 ! (I -, "'~."~lJ , ""'.~'\t;~ROPRIAT'ON , .-auNT ;" " .'. . .". < <,".." "~i. > "';. ".<:, : .... , , , '" TOTAL AI~TNO. I PUACHASEOAOER & 'VOUCHER I' r f G TERMS VINDOlt" ".NO, OATES QUANTITY DESCRIPTION OF MA~I OR 8IfMe1S UNI'l' PRICE AMOUNT F..., L.;/j I . "(' It ,it., , .', J -,...~- I ~11 I - ,/ :i ..""It 10-20-05 CIa.. 5 00 TOTAl 141.00 I. . ,;. , ; ,; . '. ,'.. '," . ... ;.;... ";"~",,,,.O"~irI"llllOIInIof' lalrue IIld conect:..IM.... ......IIld~~... "'IIIOl'fQr1llt~iIIfll1li'!IlI:'''''''''''''1!IO_'',*",'' fit......,:....... ,"""wtMc:h 1M rnunk:i!*IlYiI exempted, - not 1ncIucIM: lIld"lhI MIOUIII clllIIMdlll....,.. , ,p.,' ,"".,',l ""I"., ~'. ' i.-~ I '-",,''' / ! 1/ !? i /jl!:;' r.J .,-;::,-){} 1> (2'(,', ,.// I' I DArst I TITLE (SPAQE_OVt;.~~.... 11ft tit! G' ;,. ~ DATE APPROVAL FOR PAVMENT TN, Claim It ~ PWctffom the ~.Indlcated above DE~RTMeNT,APPROVAL The above services or materialS were renderedOf' furnished to the rnuniclpatity'on th.date.$t8ttd....a;thJ charges are correct COMP1"R()LlER