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Rohling, Caterine f TOWN 0' WA.........<NY P.O. Box 324, Mlddlebulh Road W.pplngers F.II., N.Y. 12590 I., PURCHASE ORDER & VOUCHER reAt~e,',~ e rt.. R~hL;Nj ~=s 5 t.t Br" -r11 t?t"sR.<1C1~ AOORESS '. .. ,C i l ",,1 V {,(b f' F I nJ (fl f' 5]"6. t .'" ,.JV... .' ~ L ,. Jl~?~ TERMS "~:""~ :t"':1't,:::>;"",'~' 00 NOT WlfITl IN THIS .OX AMOUNT -,> '.~ Il.et:ion. nay 5130....'.30p1a OESCRIPTION OF MATERIAl.$ ~ $lRVlCE8 AMOUNT DATES QUANTITY 1I-~-05 11-06-05 ela.. UNIT P"lCE 136 00 S 00 TOTAL 141.00 C...,_-, ...., ......< I. . " .'. .. , . .',. ......,~"".~~.~IIl."'~of. it flUe IIld can.ct; ....the l!Ima. MNIceI. IIld ~..... ........100' tot '" ~,.'0I!,1It!"llilIIIlI:, . . ..' . lI\Ill'lO.__"''' or ......: 1IIat ..... fIomwhlch the IIIUIlIcipIIIIy tuumpllll. IN no! illelUdM: IIld ....lh..IIIIl..mt ~t..ClIII'" dUt '>> ." (41~~(:"'~ , )z;}1:~1 ' ' SfGNATUJII ,','. ',~ (SPAce 8E~:~MJNtCfPN. U$I) , / J ... /)fi( - (J S DATE DE"AR~NTA"'flOVAJ.. The above serv~sor mate~fs _rel'8ndt~.Or furnished to the municipality on 1he datea stateelandt". charges are correct //bL I~~ . DAfe ,',~!i,..:. '. .,.Aw'....' I tlS t) f;> 1:' "r;;,.... I ,TITLE APPROVAL FOR PAYMENT TNt ~.im ~ ~ PIid from Il'te ~ lncIIcatad abOw I COMP'rROI.U!R'