Pacheco, Diana
~ ".":.~"~_":'r~"~ ';;'--<{""'-, ~,~,,:,"I'~':';':!r"'~S~'?':'_~'~' 1,' :':"!"'fl~~("'K/"",;,,~:~'?'.' '~,~'~T~--'~;~0.~{}TI:,".t:\',?r~:~:~/.-.!:~~~.~~~~;'::!~':t'JI~~::1'-:-'li}~.,.,..f,\:~~;~,!::"};,,:,,,..;,I', "'''''':~''''7~';17! I':-::>"'l'r"1~,'~~"";:'T;';" :' -, --T.? ,,:~n",'7,;' 'l,'f;' '~"; 't::"'''-~",''''':'~,- ;,. ". :'
i
';~
TOWN 0' WaIlPIN.'''. NY
P.O. Box 324, MlddlebUah Road
Wapplngers Fall., N.Y. 12590
=:, "
"'""-
DO NOT WRITE IN THIS SOX
_~"'.1lII"
PURCHASE ORDER 1& VOUCHER
:rICN
AMOUNT
rv\(~\\C\ \'C\(~\\e (, 0
CLAIMANT'S \ \.1' "~""" I
NAMe AND 1 \1 "1 \ ,y\ \:, C;0
ADDRESS \\\}\\" \\\C\~:\ \;. C\W'>
L' .
TOTAL
't.,
TERMS
OATES
QUANTITY
DeSCRIPTION OF MATMW.1 OR 1IRvtcn',
UNITPRlC!
AMOUNT
\ 1-- b . D~ \ Y\ S r f e \ \OV'\t\-
136 00
TOTAL
136.00
I.' .. .. . . '.. . . ... ... ...,.... ...,.,.>....,..,....tcCO!IntlnlM.....OfS '
II true Illd ~ IhIlIM '*"'. HNicH.1lld dlIlIu___ ~......... ...fOt.llIUllI~.""".""":."'I'lO.!lIft .. bIIft _ or 1IlIIhd: 1hIl...... fIOlII whicIIlhI
~.II IIlllIIIPIed. .. nat inclucIed: encI...lhI_t clIiIMd.~"
\\\Q\Q~
\ DATE
\V\S\\i c \--rN'-
TITLE
DE'M1'MENTAP~OVAL
The above services or material8W8($re~()I'
furnished to the municipality on the dates stated and the
charges are correct
.APfIflOVAL.FORPAYMENT
T~i'_il~_ffOl'llli'ia ~tIonlllndicllttcl.bOW
IL.J/~~ ~ S'
%.e~
... ........AVTHOA~.~......<
DATE
COMPTROLLER