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Protico, Livia ~~".~'f"'O~:' ,,,....-".'or-.~ '.....-...."":-.. .... TOWN OP.WA"'..''',.Y P.O. BOx 324. Mlddltbuah Road Wapplngers Falla. N.Y. 12590 tPurchlae *'~. ,Ofdtf No. . " ' DO NOT WRITE IN THIS BOX . ~ ,~~~ PURCHASE ORDER & VOUCHER ' ".... Hs l"\if /3\q.;" AMOUNT r, r I,' I ~. " .)....y I, j :'1.. (. ( ! i' (f ~~I to CLAIMANT'Sfri\i' ,,' "j ::::: \ (1 :\')0((1,0 L a~)Yll~c7.Q\l. ..,. mAt.: TERMS '4NDOR1 -,~, 10-20-05 1,'/' ('.' ,t )( , ' >, (Dr 9fJ"1 UNIT PRICE AMOUNT 5 00 3 2S 136 00 2 00 DATES QUANTITY i-r Bag.Plck uo l': ) TOTAL 146.25 DE~RTMeNT APPRc)~AI. The above servlcesor<m_..rialswererendered. or furnished to the municipatityon the dat8sstate<j _ndthe charges are correct .~ Il!lt~ 11IM 4lllCIlIlllt 1ft the -' 011 ' , ' 1ft... .......,; INl' 110_ .. bMn _ 01' UlIIfled: _ .... Il'am whleh lIle I. it true 8Ild COI'IWCI: lllIIlllle --..MMciII. ... ~~ I'rlUlIlcllleIlIa ~"_ not induded: 8Ild lIlIt tile -'~. . I)' /' I, J ',""" II,: () ~ , DAre tA) ';.>,~: !". tj', 1'- AI \ .;. ".,':;~..~ (. .... o TITLE APPROVAL FOR PAYMeNT This c:leim It .proved _ from the ~tfGM Indlcltted Rove I/I/~/I :: DATe ". DATE 'COMPTROLLER