Perillo, Joseph M
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'".' ?"":~::~'ry, ~~,t~,~.:,<,:~-,' "',,~,~:~'~":'?"'~?r::"'::_"r::";,':"::-,>;r',,'<,~'''Y."""".:'. ~""~::)':'~~,("f,:~'l:C:,..t~>-;.-,.--,
TOWN 0.Wa..IN8.... NY
P.O. Box 32., Mlddlebuah Road
Wappingera Fana. N.V. 12590
P\wdlIH
. bIdIr No.
00 NOT WRIT! IN THIS 80X
PURCHASE ORDER" VOUCHER'
AMOUNT
N
. ~O>CfH m ffrlLt I/o
CLAIMANT'S
NAME AND p. 0 E ..,...(j, 't
ADDRESS
L C~,/J7 l:J.m
TOTAL
TERMS
~
. . MP.NO.
OATES
QUANT.TY
DESCRIPTION op MATERIALS &R sPVIC&S .
UMT PRICE
AMOUNT
136 00
S 00
S 00
e/-4.< r-c.~ /,N S'rac.rn $',. JQAi~i .~.<;.'~a I' Pf1
Cla..
lUl.....
Cl...
TOTAL
146.00
I. . . . . .... '.' '. ...... ..\M.....~.1CllOunt In lh..mount 01 $
illrUe Irld COl'Ift\: lI!lIllhe "-. MNlceI. IrldlllllN"'lMItl1 c:heI1lII:/ .........lo,ortor.~...._: "'110 _... bHn PIld 01' .....: lhet.... '""" wlIldIlhe
munlcipIIIIly it exernpled. IN no! inelUcIed: Irld lhItlhe llIllOunt clIllWIcI'lli ll4ltIlIIly" . .
DIPAIltT"eNTA'ptto"...
The above servi~or '".t,riatswereref'K$~or
furnished to the municipality. on the date$stated and' the
charges are co.rrect
el.# <:.. f?~...,. /A> $ ~G lit .
TITLE
II /~. lar
I I DATE
USE}
APPROVAL FOR PAYMeNT
This dlim it~PlIid frorn the appropn.lIoI\Ilndica~.ve
II II" I~ 5
f DAre
"
OATE
C~E~