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Weitlich, Gail
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TOWN O. .....IN....NY
P.O. Box 324, Mlddlebush Road
Wappingers Falls, N. V. 12590
PURCHASE ORDER' VOUCHER
AMOUNT
r &~~ W:,lt~d1
CI.AIMANT'S ;14),. . ~
::.~~ ,yr;, rV'o'rci ';;jf\
W~1fW\r'~ r~~
L 1J.y. j i~'h)
TOTAL
TeRMS
OATES
QUANTITY
UNIT PRICE
AMOUNT
11-6-05
~,.. .l~
( &.c. {.f..II\-S Iv. "'feW' ~ )
(/'J<d:W ~"'c t<:-.l;.o.<: k f<t;~ ~It
\, '
1f~30- ~
42 50
I. . "'. . '..... . " _'.....lIlllMlIOCll\IIltln.,.~olS
illM IIllf conecl: IhaI the...... ~,and diIlIurMmellll~' _..... .or."~Ol'I"-"": N IlO '*'..."'" - or HlIdecI: IhaI taxH. '-' which the
~i118Q/1lpleC1, _1lOl inctudecI: IIllf IhaI the lII'IiO\IIIl dIIiII'lHII....,.. ... ",",""',.,i , '
TOTAL
42.50'
JJ n" (~~)()oS
TITLE
DEPARTMENT AP,rlOVAL,
The above servlces,or materials were ,.ridered. or ..,., '
furnished to the municipality on theaat..,stated'andthe'
charges are correct
APPROVAL FOR, PAYMENT
Thit.~in'l it ~'-*..the eppropriatlonalncliCated abOve
J~//t1L'6'
DATE
~f~
AUTHOR omclAL.
J
, OAT!
CoMP1'f<<)u.ER