Kowalsky, Bernice
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TOWN O' .Wa...N.... NY
P.O. Box 324, MlddJebush Road
, Wappingers Falls, N.V. 12590
PURCHASE ORDER I VOUCHD
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CLAIMANT'S
NAMIAND
ADDRfSS
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TERMS
.~
OATES
QUANTITY
'XxUxx
XJtUQX HU.M.8: '-8-05
11'1 t,
/4/'1'
Cla..
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9-8-05
Cla..-
$ , ;i , . ,1:.1.
cl",c,(.t1:t.,v... ,.>ti(..I"""'" -
le-20-0S
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is 1M lIlld CllINCl: lhlItlllt lIemI. ......lIlld~ ~'"''''''''IoOtfllt..' ..' .'
munlciPeIIlY II tumIIled. IN nollnc:ludtfl: lIlld .1he1llloUnl ~.illCllliIlly eM
DATE
uNiT PAte.
TOTAL
:l'~'
AMOUNT
S 55.,
5 00,
00
;"
JtJ
5
00
156.85
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TITLE
APPROVAL FOR PAYMENT
This Claim. ~ _ fnxn \he ~ lncbted abOve
DEPARTMlNT APPROVAL
The above services 91' materiels were renderecl or .
furnished to the municipality on the dates stated .nd the'
charges are correct
Illlt. //.15
I DAte
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A~IZEO c ICOAL
C~Ol.t.ER