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Urbanski, Leslie
P;T' ,.". .q,. "',' "'"7~"'/~-l"r,T~ ~- TOWN 0' W........NY P.O. Box 324. MfddIebu.h Road Wapplngers Falla, N.Y. 12590 ~ .~ ~No. DO NOT WIt/nIN THIS BOX ,.; .'1' I, ,"'~ '-{ t;.;c.,o ..J o' ~~~, .. N.~ IATION . AMOU NT .. .' . ~', " ...... . . .. ........... "~<:tN(). I ". PURCHASE ORDER. VOUCHER CLAIMANTS NAME AND ADDRESS r Leslie tI, F\ S tt_-t f ~i t'.' ),. . ,,,- (.,..4_ L (t (1.J k;'.J. TERMS VENDOR" ..No. OATES QUANTITY DESCRIPTION OF MATlRIALIQ8~. UNlTPAICE AMOUNT j I \, ::.~ '" t "" 136 00 11-06-0 Cl... 5 00 TOTAL 141.00 , I. j i ' .,' IIlruI end carM: lIIIl \tIe"-....... end ~ chlIrIicI'" ....Ioor rarlllll ~. . II'lUIllclpeIll II 8lllIlllIMd. lie no! included: Md thIl \tie _"' dIIIrIIed It ~ due' '.' . I ;,..~" :i.,~ C~u,~., -, ~ ,: .~:~In lilt IlllOUI'ItIlfI , ~ '*110 IlI!tha., JIIld or~: lhII_... from wIllctI \tie I-'), .,.. ,'.-, ,-, (SPACI-.ow TITLE use> DlPAflT,..e"TA..,~qV~L The above serviC8$ orm......w.. ~.rec:tor fumished to the ml.lnicip.lity on t~,d.tt$$t8ttd .ndthe charges are correct . APPROVAL FOR PAYMlNT Thlaclaifn la ~ _ 'I'0I\'l the ~ IIICkated above lib/' /,,5' DATe t DATE eOMPtRQl.J..ER 0)