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Wood, Jill Francis p "^'1;Y~);f411'- . ..",.~." """,.....,_' _~ . . '""', ,. ,., I. ~ ~""""i'~ "'''I''W~;'''''~''''.?!''''''''''';~':~'~;'I'':',,"7'''''''!'"',1"\' ',:':''''~''!;,12~'<'::; ""',.... TOWN OP W~ING.",NY P.O. Box 324, Mlddlebush AOJd Wapplngers Fall., N.V. 12590 f · '~~~~~'f;+;' ,<~ ....,No. '"" ~~1,j TOTAl. PURCHASE ORDER" ,OUCHe. r ~.. \\ ha.-v\. {t <',. t0o"~' CLAIMANT'S " ~EAND \'3 / c:-'",j,'..../\ . I. L' \1' (1 r/ \, ADDRESS . (..1 -,,,.::.;,.1 '( v . ' V \ \'-. \ Iii'L ..1.), C' " ...,)... , L L(;;~' I :\ C\( ( ((;~, \X ~ ! ~J S) ..J .) 1;2. <; qj ~..' , " ""No. ;/ TERMS OATES QUANTITY ~ DESCNPTION OF MATIAW.S 0Fl sllMCU UNIT PRICE , AMOUNT 11-08-05 :s '~,) Aff\ -q : 30 ,ftf\ 1)6 00 _. R.etum 2 00 ~ ;; I\, "t ! t I \ tOTAL 138.00 : :! ' ,',' () '. 4 ,..,. · , . I, -.J I ,I n it I( 'I <, 1_!:ilJ ' ' . ...-,......llICOlIIIlill..lIllQUIllofS iltrue IIld 0lIINCI: IlIallhe IlemI. .......1Ild ~ ct*IId .......,.... .'.....iJIUIilIlilMlllll.OIII'.._.~ IlIalIlO '*' ... '*" peld or llIlldId: lhel...... ftorrI wtIich lhe I'I\IlIlIclplIlI1l exemptId, _ nol iMluCIICI: MId .. lhe -'" clIlmlId illCllulIllr,'" .' " ' , . ' \ \ I (~~~ I 05 . . DATE ./f ~~ < bi.LJ " 11- .""'4-'" ,'QU' " '.J' /SIONA~ .' , " i' , '. " "" ' (SPACE B&.OWJlOR:~l:I$El . '> ",'" -,:: -"'_' d~-'~ [I ',.' J/"J" "'I', ,...._ {-, t, ," , ( TITLE /1//&// 6' , DATE ~ APPROVAL FOR PAYMENT 1,...,/''// TNt ~ 11~_f~lhe~~iI\dlcett'l! lbOVe DEPARTMENT APPROVAL The above services or materials were rendered. or fumishedto the municipality on the dates staled 8l'ld the " " charges are correct f" / DATE ...~"':"'".~.;"....,""';';';"'.."..-";"I;