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Thomas, Juanita t<'''''!'': .~".'f""'_.'-'<Jill',"r.' ~.'_'" .".\ . ~"~"""I'"' .- ~ .. ."'':'"-. -,. '-~F-""""-"",'~'~- ".~. -"-'.F1,.,, .., Ton o. W.....ING.... NY . P.O. Box 324. Mlddlebush Road Wapplngers Falls. N.Y. 12590 ~ Purehue o..No." DO NOTWRITlIN THIS .OX PURCHASE .ORDER"i ~~,~.\i , 'UNO. APPROPRIATION A"OUNT r;:.; ~. :ri" . ,,"hv~t"'-- CLAIMANT'S. ..? IJ ./) \..jNAMIANO (1".'~' . " \~) ADDReSS 1LJ4. I L TeRMS ~... IIF.NO.' . OATES QUANTITY DESCRIPTION OF MATlRIAL8 Oft ~ UNIT PRice AMOUNT .!~.~ / / Ii > 'r ':> , TOTAL 144.25 .~ In lhe.lIIIlOWIlf/ll $ ~1lIIt1lO _ "'bMIIl" or UlItfttcI: lheI..... flom wIllch 1M 1/ ~ g - 0 }" DATE J;" ~ /....',."'. '.' , .' . '.' . '.' '. ' .' ~ ;I;'~:?' , (SPAce eaow "OR~,\JSe) DEPARTMENT APPROVAL The above servtcea or materia" were rendered or . furnished to the municipatity on the dates stated ."dthe charges are correct APPRoYALFOR PAYMENT Thi...."iI ~ _from 1M ~propriatlonl indicatlCl lbove /~// ft. (l;j" OA ~c~ AIrr>Io/l D_... . '. f ' DATE COMPtFtOl..L.EA