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Weitlich, Alan '-.., TOWNOP WAIIPI.......NY P.O. Box 324. Mlddlebush AClad Wappingers Falls. N.V. 12590 .'. PIolJftae ., t~"'~,' QUANTITY DESCRIPTION OF W.llRW.S Oll~' DO NOT WlfITE IN THIS lOX PURCHASE ORDER & V()UClotIR . AMOUNT r () / :-11/ ft.,I I U0/64 11// /'.1 CLAIMANT'S If 0' . /,J, / NAMe AND'} ) k./).. ...~....;II../' ('.[1 J .r.~~ ADDlleSS . .>" ~ I /7)// .... r~ L (Id // / :t;tP;),i'?lJ TlIlMS TOTAL DATes UNlTPAlCe AMOUNT 11-08-05 t' . I. I" / i~/-~'/ /?/",/." J.~ / , / t<' 71( t{! - I / / ~1 78 ,. ! / j ~I I /. 1/ t: I ,i/O''} I) /,,) ,~, 1/ cAY /A /"/ /7e ,"" Y'JIfI"';/ , Utlk' '/ ~-'l ......,f_t .- ./. iJ' L.l,/I IT 1/17 93 so ;/ j ;1 ,. TOTAL 93.50 I. . ...... ..... .' II lrue IIlCt COIl'eCl: thlII 1M ......1lINIon. IIlCt lIlIllli"*"*,,,, ~....... ....... ~ illtHIllPllld. _1ICll inCluded: _ thlII IM.-''''' iI.~M ..,. ,J " l j/ .c .H~, !!",~;'"' ,/ I /,: l.I'/" ":6'1' I / ,I f I ?( /}I \ ,:: -'l-"" ,'0 l.': "e/' ,. ",I DAre TITLE (SPACl8ELQW,.,PtCIPH. use.) APPROVAL FOR PAYMENT . This c;taim is ~... from \he ~1iOM indIcal. nove ;'h DEPARTMENT APPROVAL The abo"e services or materials. wererend....<t or furnished to the municipality on the dates stated Wthe charges are correct . //;/t/Li$' DATE ~f~; '. // AUTHOR OffiIlCW-... DATE .CONPTAOt.t.ER