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Steagall, Inman ~: ,.t'~' ~-",?',;"'I';'~~o . '; -""-';,m:.) ";,),_~,,,,~~_~.~~..,,:l,"':' ~:"'TII'; er,~-'l ,,;:',.'. ~i~:" ;"'.: "';::~fI!':.-~'I":.",\.,-_~: "'6;: TOWN O'WaPltlN...jNY P.O. Box 324, Mfddlebush Road Wappingefl Falla, N.Y. 12590 '~.,.. """""'.No 1 ';.:\,,:,. . .. , .. ~ :f: ' r r;if h"J /). -1Y'fJ'.A CLAlMANT'S :~;;:~ 4.1 /.. I (d L tAll n ').,.; ( ,/ DO NOT WRITE IN THIS BOX .;.....:,' '.\ PURCHASE ORDER. VOUCHER "~i AMOUNT /(/'1. J "l 5"',1 a ..J TERMS veNOO/!t'I . ..NO. . \ >, , OATES QUANTITY oeSCRtPTlON OF MATMtALs oaltERVlCeS It:.: UNIT PRICE AMOUNT -t !.,r It"!.,)' -f-' I.i-, [ ~d t l ~"I "" .<, i /c Y1 .S- ,'~.,e7- J () : () fA! if ~~ ~., .;.,...... .".... / TOTAL 146.00 I. . ..i< ,.. /,'".....",...~ill..~Qf$ II lIue Illd -.:I; -... ilMla, MIYiaIa.lIIl<t........".... ~..~....fot...~ilIllIW'-.......illl!lM/:_1IO .....blIel\...or ""1IId; 1heI...... flom which... ~II~, - naI iN:ludtd; lIIIII_...~I~i1J.....,M . . . . . " Ifj/ir/ [S-' -f ' , DATE ~~~.~ , SIGNA~"', (SPACE ..OW'~~ U$&l t I C;1 .... '. ..., C h.,v.., P-t-~4J.-~,:i;:t TITlE V DEPAIlTMeN1'APPROV~ The above serviclsqrmat'"'tsWftl'e~~or furnished to the municipaflty on thedat......ted."dthe charges are. correct APPROVAL FOR PAYMENT Thlt ctaIm i. tlIlfJ\'Oved _ from the 1IPPf'Oprle1lon, iftdicattd abow /11/ {; 1125 , DATE I bAte,,- COMPrROl..l.EA