Jensen, Barbara
DATES
QUANTITY
DESCRIPTION OF MATlAIAL'OA~S
PUfO/lIIe
0. NIl. .
TOWN 0' WAPPt...... 'NY
P.O. Box 324, MkIdlebulh Aoad
Wappinger. Falls, N.Y. 12590
PURCHASE ORDER & VOUCHER
AMOUNT
r.~. \
Pc.\ \' \::, (,\....." Q A. :r
CLAIMANT'S "':\ LL _ \'\ "'~...\,S~\\
NAME AND '''~ 'T ~ . i'l \1 ~V s, ~'V'h It l{ oS R J...
ADDRESS W' , ~
. (L~? l \\ ') l(.){'S Fo..i \ ~ I
L .. \ L.)
N t .a69o
TERMS'
:,
UNIT PAte!
AMOUNT
111~/DS;
lec'hc)l,
Do.y .
~.
136 00
11-6-05 Cl...
Pick up and ...tum of hap
S 00
4 00
I. 60..., b{x.\ 0... 'A , ::r~.\"S~vl ..'.IIIl......aocountin..llIlOIInlofS .
illM IIld ClIIIM: 111II.. tIlImI. MMaIt. IIld ~ .................. toertor_II1Ilf1..'on." .....; thII_'*'.... bMiI_ or ......: 111II IUD. florn which lhe
munlcipIllly" uemp\IId,... no! included; lIIld thel.. _1II......lIIl101\1e1y... .
TOTAL
145.00
1~//~/C5'
DA
~
(. "').
/-A~W.
/ ......'.
I ,'. {\ ,
f..,\;' ".'.. "\"'\',.. ..' .' ,. ,~
t ',ch\"'\(~"'SI~.t\.,,;;
TITLE
11-8-0:::;-
DATE
DEPARTMEN1'APMOVAL.
The above services or mat..... ~rendered or
furnished to the municipality ,'QJ'I theRtes s.ted and the
charges are correct
APPROVAL FOR PAYMENT
Thit Claim l.'.~._ from the ~.lndlcated tlIcMl
DATE
COMPTFtOUE~