Stern, Ellen
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TOWN OF WAJIItiN....NY
P.O. Box 324. MlddtebUshAoad
Wappingers FaNs. N.Y. 12590
PwrcIIaM
. '0lllIt: No.
00 NOT WRITE IN THIS 80X
PURCHASE ORDER 1& YOU"......
AMOUNT
r f II~ f\ C. 51 t;v:2/t1
CLAIMANT'S
=~;:~ 3P S'~+.e H: flP"",
L 'fo,~~ ba ~s', e: IltJ~z.bo..j-J
TERMS
~.
".NO.
OATES
" t/:1S
c le.<"'Joh
DESCRIPTION OF MATIRtAI.s OR 8IfIMCQ
€A '1 ..,r" ';,'t) M... tJ: ~c ~h1
UNIT PFlICE
AMOUNT
QUANTITY
! t,~ -
TOTAL
136.00
" ',',,'
I. . . . ..... ...... ........ ...~....~.....~irlll!..1Il01l"'OIS
II lIue 1IIllI-.:I: lhlIIlht 1lemI. Ml'Ytcln.lIIllIdialN.........lII CIIlIl!lIId ~ ~ IO.OI'fOr..""'111!f!1.IJl..,..............: lhlIIllO,*,""'" I'*d or 1dalIed: lhlII ..... fftllIl whleIIlht
~ II exelIlplecI. IfllIlOl inclIIdell: IIIllIlhlII..lII!loIInl ~.~M . . ..... .... . .. .
IIJtJ~s
DATE
!t,..~
· TITLE
(SPACl_~ F.OR WNlCtPAL USE)
DEPARTMENT APPRQVAL
The above services or materials wererel'l(t~rector
furnished to the municipatity on the da..mtedand the
charges are correct
APPROVAL FOR PAYMENT
This daim i&apf)tOvtCi flaid fromlhe ~llndlcat" lIboYe
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