Tolliver, Rachel
TOWN OF WA...NG.... NY
P.O. Box 324, Mlddlebush Road
Wappinger. Fahs. N.Y. 12590
PURCHASE ORDER & VOUCHER
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ADDRESs . /lpf D - /;2
LjwfJ?l/ljRrs fa./1S IVY j)5f{(l,Ji
TERMS
OATES
QUANTITY
DESCRIPTION OF MATERW.IOIt ~
AMOUNT
//- ?-()5
llec/IOt JIInspecior
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I.
iI lrue Ml carNICl; Ihel the Ilema. MMeeI. Ml clIIb\l....".... ~
rnunlcipIIIIly iI ~. lIIlI tlQl iIlcluded; Ml ... the tmOunl
~
OllIefNo.
00 NOT WRITE IN THIS 80X
~~.~~... ......
J lIOND.. \' ~H .. AMOUNT
< ..
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>
. ..
TO''''
.r.C:T NO. I
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''-.NO.
UNIT PAICE
7.5
1
75
,
j,
TOTAl
63.15
...,.... 1IW .... elIllCIlIIlIll'lllW IlIIlIUnI of $
10 or ftlr"~III"""IIlIltf:... no.. ... lIMnlllld or ....hcI; ... ...... '""" which the
.... .'
r8 JIJS
/OATE
DEPARTMENT APPRO....
The above services .or. materiala were .-.tVlerecl or
furnished to the municipality on the dates stated and the
charges are correct
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, DATe
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TITLE
APPR9VALFOR PAYMENT
ThiI ~iITllt ~ ,*,fromlM~liol'lIil'ldlclatedabove
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DATE
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COM~Ot.LEA