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Lawrence, Yvonne TOWN OF WaPltING..,NY P.O. Box 324, Mlddlebush Road Wappingers Falls, N.Y. 12590 ~ OIlIer "10, DO NOT WRITE IN THIS SOX r\J, , 7 ( () p,,) f.....l CLAIMANT'S NAMIANO ADORESS 1 ;., J-1 \.;)j2 e ., C:s .~.~.~ "'"0 .... !fIGN AMOUNT > . TOTAL . A8$TAAeT NO. . I PURCHASE ORDER. VOUCHER L / r+. 9. p' I lJJ ,;...) c: e , i' rVIY c,-r rH hl~ Sf ..J 1.~}"1 v 7 l., HcU tZf",1 ~1; TERMS ~ .,NO, OATES QUANTITY DESCRlPTIONOFMATERIAl.$ OR .lIMer. UNIT PRICE AMOUNT 1/// I C 68 00 P .Ii'\ '.(,.A.:t- 'TOTAL 68.00 'C",_:>.'.:::,',':,' -'--_.',"'_ ',:.'.-'d,' I, . , ,~""'''lCIIlI:l\IIilln''' IJ'/lOUnt of S II INIIIIlCI CDr'Nllt Ihet llIe M_. ...... end diIIlun4Im4lftlt ..... _ .......... 10.. loiIrllle 11II.. . llll I~ Ill" ....1IIIlrIlIl... Nl 11M ... bIIlI _ llI' .......: ItIet ... '"'"' wI'Iich llIe rnunIciplIIlly II ~. ... naI inCluded: end Ihet llIe ~ c:IIlMeIIit;-;, ,!/If . ~.:- ", j // . , j , I / --- 1 l/ / "'......."" I f C lJ '. f . . . . . ..'.,h '- . ! DATE $I~ TIM use} DElWttMENT APPRO~ The above seNices Qr me-riels were ,........or furnished to tbemurllcipatity on the~tel.tatect.nd tn. charges are correct . .\PPROVAL FOItPAYMINT TtIla Claim iI~ P8ld ftorII..~ Indlceted Mlove.. /~ht/c.5 CAre ~~ ....i...... ...... '..;.~Ii.~. _/- AUtHOR... ~Q .~..~. (.,...... " ' " ' , ' ,-", ",'," , )~< . --I " ,. ",' ....bATE COMPTftOLLEA