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LaRose, Antionette
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t>O ~OT WRITIf IN THIS 80X
TOWN 0' WAJlPtN..., NY
P.O. Box 324, Mlddl8bulh Road
Wapplngers Falla. N.Y. 12590
PURCHASE ORDER. VOUCHIR'
N
AMOUNT
rA Y\~;l'"\t#.,. P. LI'l-.~6Ii""
CI.AlMANT'S t)"\' .'
==\,p ()Dt1~ .k,' t,,..
L ~ff,n~\.~,,"'..,
Ni r~l;q,
',toTAL
TERMS
OATES
QUANTITY
UNIT 'PRJCI
AMOUNT
-:x I\<5P e c.. ~ r'
\) \ Sf'r .'G.t- b
136
00
10-20-0.
Cla88
.~.
S 00
98
10-2.0-0
Mileas. 3 miles @ 32.5 cot. '.1'''111
DEPARTMENT APPROVAL
The above services or .materials' were ~ or'
furnished to the munlCipaUty on the chltesstated andt"
charges are correct
TOTAL
'"'~,'
1.41.98
6."". CA. .
I, . . ~ . . '. . . . ......... .\..............lI!lOOUfIIifI.'1..lIlIouIlIGn
it true IIWl ~ \h8l \he lIemI. HNlcII. IIld dIItlulMMMlI .........10 Of.............,OII..........:..no...... """... or.........1Iltt ..... 110m whidI \he
~ l....mllled. ere nol iniMIecI: IIld thel\he _lit cIeIIMd it""" M .' . .
1\- ~- (:7'
DATE
.EJ'f r{, .~ ~ I ::fl\Y;P AoV'
TITLE
APPROVAL FOR PAYMENT
. tN. dalmll ~ _ fl'omlN~ lndlcattd abOve
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COMPTROLLE~
