UWWD Orrick #42290-2-620
O R R I C K
July 17, 2013
Via E-Mail: (Cfulton~a~,townofwa~inger.us)
Christine Fulton, Town Clerk
Town of Wappinger
Town Clerks Office
20 Middlebush Road
Wappingers Falls, NY 12590
ORRICK, HERRfNGTON & SUTCLIFFE ur
SIWEST 52ND STREET
NEW YORK, NY 10019-6142
tef 212-506-5000
fax 212-506-5151
WWW.ORRICK.COM
DOUGLAS E. GOODFRIEND
(800) 295-8506 (TOLL. FREE)
(212) 506-5211 (DIRECT DIAL)
DGOODFRIEND(g)ORRICS.COM
Re: Town of Wappinger, Dutchess County, New York
$4,040,000 Improvements to the United Wappinger Water District
Orrick File: 42290-2-62
Dear Ms. Fulton:
This will acknowledge receipt in our office on May 13`)' of your correspondences, with the proof of
recording of the Public Interest Order in the County Clerk's office and the legal notice of estoppel
in connection with the above-referenced matter, which documents were in proper form.
Accordingly, it has been added to our transcript and the file is complete.
With best wishes,
Very truly yours,
Douglas E. Goodfriend
~DougCas
DEG/vmo
OHSUSA:754053408.1
0
ORRICK
January 28, 2013
VIA E-MAIL (aroberts~vsrp.com; aroberts(u~srddlaw.com)
Albert P. Roberts, Esq.
Vergilis, Stenger, Roberts & Davis LLP
] 136 Route 9
Wappingers Falls, New York 12590
ORRICK, HERRINGTON & sUTCLIFFE LLp
S1 WEST 52ND STREET
NEW YORK, NY 10019-6142
tel 212.506-5000
fax 212-506-5151
WWW.ORRICK.COM
Douglas E. Goodfriend
(212) 506-5211 (Direct Dial)
dgoodf riendC~orrick. com
Re: Town of Wappinger, Dutchess County, New York -
$4,040,000 Improvements to the United Wappinger Water District
Orrick File: 42290-2-62
Dear Al:
In accordance with your recent request, I have prepared and enclose herewith a draft of an Order Calling a
Public Hearing on the increase and improvement of the facilities of United Wappinger Water District,
pursuant to Section 202-b of the Town Law. You need to confirm SEQRA status, and have the SEQRA
compliance materials on file in the Clerk's Office.
Please review the description of the project and its status under SEQRA in the preamble and notice and if it is
correct, please see that this order is adopted by at least a majority vote of the entire voting strength of the
Town Board. The notice of the hearing, a copy which I enclose for your convenience, should be published in
the official newspaper of the Town and posted on the Town Clerk's sign board, both publication and posting
being made not less than ten nor more than twenty days prior to the hearing. A copy of the "map, plan and
report" is required to be available for public review, i.e., engineer's report(s) acid related materials for the new
improvements, as applicable, as previously reviewed by us.
When mailable, please furnish us with a certified copy of the enclosed proceedings, together with an original
printer's affidavit of publication and the Town Clerk's affidavit of posting of the notice of the hearing.
On ht of the public hearing, after it, the Town Board will h pu is interest order and
the bond resolu 10 . _ blication of_th~ resd of t on estoppel notice, the Town will be able to borrow
for this project - se on receipt of a certified copy of the enclosed order
ca ' a public hearing, and the printer's affidavit. __
ease do call with any questions you might have. As you know, the requirement for a separate Public
Hearing and the components which need be noticed may be found in paragraph 1 of Section 202-b of the
Town Law.
With best wishes,
Very truly yours,
Douglas E. Goodfriend
DEG/vmo
Enclosures
USAOHS:750974379.1
TOWN CLERK
Christine Fulton
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY ]2590
W W W.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-1478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
February 13, 2013
Orrick, Herrington & Sutcliffe, LLP
51• West 52°a Street
New York, New York 10019-6142
Re: Town of Wappinger, Dutchess County, New York
$4,040,000 Improvements to the United Wappinger Water District
Orrick File: 42290-2-62
Dear Mr. Goodfriend:
In accordance with your letter.dated January 28, 2013 I am enclosing the following:
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Kuzmicz
• An original certified copy of Resolution 2013-078, together with the Certification form
provided by your office.
• An original Town Clerk's Affidavit of Posting of such Order
The original printer's affidavit of publication of such Order, from both of the Town's official
newspapers, will be forwarded when we receive them.
Please let me know if there are any problems. Thank you.
Sincerely,
'~`
_ ~ -
hristine Fulton
Town Clerk
CF/jf
Cc: Al Roberts
Enclosures
r
2013-78
Order Calling Public Hearing in the Matter of the Increase and Improvement of the
Facilities of United Wappinger Water District, in the Town of Wappinger, Dutchess
County, New York
At a regular meeting of the Town Board of the Town of Wappinger, Dutchess County,
New York, held at Town Hall, 20 Middlebush Road, Wappingers Falls, New York, on February
~~ ~ 11, 2013.
~. ~ The meeting was called to order by Barbara Gutzler, Supervisor, and upon roll being
'~`~~ called, the following were present:
PRESENT: Supervisor - Bazbaza Gutzler
Councihnembers - William H.~Beale
Ismay Czanuecki
Michael Kuzmicz
.ABSENT: Vincent F. Bettina
The following Resolution was introduced by Councilwoman Czarniecki and seconded by
Councihnan Beale.
WHEREAS, the Town Board of the Town of Wappinger, Dutchess County, New York, has
caused to be prepared a map, plan and report, including an estimate of cost, pursuant to Section 202-
b of the Town Law, relating to the increase and improvement of the facilities of the United
Wappinger Water District, in the Town of Wappinger, Dutchess County, New York, being (1) the
purchase and installation of cartridge filter facilities, including buildings and building additions and
reconstruction at the Atlas and Hilltop Well Fields located at Helen Drive and at Deer Run Road in
said District and (2) purchase and installation of approximately 7,250 linear feet of 8" water main
from the Meadowwood Wells to All Angels Hill Road (Route 94) and at Route 9 at MacFarland
Road in said District, including, in each case, original equipment, machinery, apparatus, furnishings,
appurtenances, and incidental improvements and expenses in connection therewith, at a maximum
estimated cost of $4,040,000; and
WHEREAS, all conditions precedent to the financing of the capital project hereinafter
described, including compliance with the provisions of the State Environmental Quality Review Act
("SEQRA"), have been performed, it having been determined that this capital project is a Type I
Action as to which it has been determined that there is no significant environmental effect and
SEQRA compliance materials are on file in the Office of the Town Clerk where they may be
inspected during regular office hours; and
WHEREAS, it is now desired to call a public hearing on the question of the increase and
improvement of the facilities of said United Wappinger Water District, in the matter described above,
and to hear all persons interested in the subject thereof, concerning the same, in accordance with the
provisions of Section 202-b of the Town Law;
NOW, THEREFORE, IT IS HEREBY ORDERED, by the Town Board of the Town of
Wappinger, Dutchess County, New York, as follows:
Section 1. A public hearing will be held at the Town Hall, in Wappingers Falls, New
York, in said Town, on March 11, 2013, at 7:30 o'clock P.M., Prevailing Time, on the question of
the increase and improvement of the facilities of United Wappinger Water District, in the Town of
~,
Wappinger, Dutchess County, New York, in the manner described in the preambles hereof, and to
hear all persons interested in the subject thereof, concerning the same, and to take such action
thereon as is required or authorized by law.
Section 2. The Town Clerk is hereby authorized and directed to cause a .copy of the
Notice of Public Hearing hereinafter provided to be published once in the official newspapers, and
also to cause a copy thereof to be posted on the sign board of the Town, such publication and posting
to be made not less than ten, nor more than twenty, days before the date designated for the hearing.
Section 3. The notice of public hearing shall be in substantially the form attached hereto
as Exhibit A and hereby made a part hereof.
Section 4. This Order shall take effect immediately.
The foregoing was put to a vote which resulted as follows:
BARBARA GUTZLER, SUPERVISOR Voting: AYE
WILLIAM H. BEALE, COUNCILMAN Voting: AYE
VINCENT F. BETTINA, COUNCILMAN Voting: ABSENT
ISMAY CZARNIECKI, COUNCILWOMAN Voting: AYE
MICHAEL KUZMICZ, COUNCILMAN Voting: AYE
Dated: Wappingers Falls, New York
2/11/2013
The Resolution is hereby duly declared adopted.
CHRISTINE FULTON, TOWN CLERK
M
CERTIFICATION FORM
STATE OF NEW YORK )
ss..
COUNTY OF DUTCHESS )
I, the undersigned Clerk of the Town of Wappinger, Dutchess County, New York (the
"Issuer"), DO HEREBY CERTIFY:
l . That a meeting of the Issuer was duly called, held and conducted on the 11 ~' day of
February, 2013.
2. That such meeting was a special regula (circle one) meeting.
3. That attached hereto is a proceeding of the Issuer which was duly adopted at such
meeting by the Board of the Issuer.
4. That such attachment constitutes a true and correct copy of the entirety of such
proceeding as so adopted by said Board.
5. That all members of the Board of the Issuer had due notice of said meeting.
6. That said meeting was open to the general public in accordance with Section 103 of the
Public Officers Law, commonly referred to as the "Open Meetings Law".
7. That notice of said meeting (the meeting at which the proceeding was adopted) was
caused to be given PRIOR THERETO in the following manner:
PUBLICATION
Poughkeepsie Journal - 01/07/2013
Southern Dutchess News - 01/07/2013
POSTING
Town Hall Sigh Board - 0.1/07/2013
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Issuer
this 13th day of February, 2013.
C-L-
Christine Fulton, Town Clerk
(CORPORATE SEAL)
Exhibit A
NOTICE OF PUBLIC HEARING
NOTICE IS HEREBY GIVEN that the Town Board of the Town of Wappinger, Dutchess County,
New York, will meet at the Town Hall, 20 Middlebush Road, in Wappingers Falls, New York, on March 11,
2013, at 7:30 o'clock P.M., Prevailing Time, for the purpose of conducting a public hearing upon a certain
map, plan and report, including an estimate of cost, in relation to the increase and improvement of the facilities
of the United Wappinger Water District, in the Town of Wappinger, Dutchess County, New York, being (1)
the purchase and installation of cartridge filter facilities, including buildings and building additions and
reconstruction at the Atlas and Hilltop Well Fields located at Helen Drive and at Deer Run Road in said
District and (2) purchase and installation of approximately 7,250 linear feet of 8" water main from the
Meadowwood Wells to All Angels Hill Road (Route 94) and at Route 9 at MacFarland Road in said District,
including, in each case, original equipment, machinery, apparatus, furnishings, appurtenances, and incidental
improvements and expenses in connection therewith, at a maximum estimated cost of $4,040,000;
Said capital project has been determined to be an Type I Action pursuant to the regulations of the
New York State Department of Environmental Conservation promulgated pursuant to the State Environmental
Quality Review Act ("SEQRA"), the implementation of which as proposed, it has been determined will not
result in a significant environmental effect. SEQRA compliance materials are on file in the Office of the Town
Clerk where they may be inspected during regular office hours
At said public hearing said Town Board will hear all persons interested in the subject matter thereof.
Dated: Wappingers Falls, New York,
February 13, 2013.
BY ORDER OF THE TOWN BOARD OF THE TOWN OF
WAPPINGER, DUTCHESS COUNTY, NEW YORK
Christine Fulton, Town Clerk
AFFIDAVIT OF POSTING
STATE OF NEW YORK )
ss..
COUNTY OF DUTCHESS )
I, the undersigned Clerk of the Town of Wappinger, Dutchess County, New York,
DEPOSE AND SAY:
That on the 13th day of February, 2013 I caused to be posted on the official signboard
maintained by me pursuant to subdivision 6 of Section 30 of the Town Law, a Notice of Public
Hearing which was a part of an Order adopted by the Town Board of said Town on February 11,
2013.
A true and correct copy of such Notice of Hearing is attached hereto.
Christine Fulton, Town Clerk
Sworn to before me this 13th day
of February, 2013.
Notary Public
BARBARA L» RQBFA'12
Notary !',~nlic, Stan ofNew York
.. ~u.O1R1N130344
,,itrhes~ Cnur.•
My Commission Ezpii r~ .; ul~ 18, 2013
f-
TOWN CLERK
Christine Fulton
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
W W W.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-1478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
March 13, 2013
Orrick, Herrington & Sutcliffe, LLP
51 West 52"d Street
New York, New York 10019-6142
Re: Town of Wappinger, Dutchess County, New York
$4,040,000 Improvements to the United Wappinger Water District
Orrick File: 42290-2-62
Dear Mr. Goodfriend:
In accordance with your letter dated January 28, 2013 I am enclosing the following:
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Kuzmicz
• The original printer's affidavit of publication of such Order, from both of the
Town's official newspapers
Please let me know if there are any problems. Thank you.
Sincerely,
lstine Fulton
Town Clerk
CF/jf
Cc: AI Roberts
Enclosures
SOUTHERN DUTCHESS NEWS
NORTHERN DUTCHESS NEWS ~ EC11~8t3Jfi S`/(~Jt
84 EAST MAIN STREET I(~IhBat~ Sa~lla~Ut
WAPPINGERS FALLS, NY 12590 SaI~IpC
Je~n6aJ ~c
awiJ~ a }iwwc
Affidavit of Publication XI}aJCI ~LBIJBWC
~~ta~e~S pua ~ S~~
To: TOWN OF WAPPINGERS FALLS gyp.
C/O TOWN CLERKS OFFICE Sa~n~lp
20 MIDDLEBUSH RD.
$WnSSL ~UIu~aUJt
WAPPINGERS FALLS , NY 12 5 9 0
aa~ann ui s~~~
Re: Legal notice #88136 Saa~}a~ t~Sl~~l
a~qw
State of NEW YORK S~tlBJEC
S S : plea ~~paJ~ E 2At
County of DUTCHESS
}aJa Ja~ia
I , CYNTHIA MCDONALD, being duly sworn, depose BD.IIIt)S JLlhl
and say : that I am the Publisher's ~ pa~sinn~: a~>`
Representative of Southern Dutchess News, a oy Jt) paq ao~ 6u~pl
weekly newspaper of general circulation sauigwt
published in WAPPINGERS FALLS, County of CAB
DUTCHESS, State of NEW YORK; and that a
notice, of which the annexed is a printed JggE
copy, was duly published in Southern Dutchess :~~pauas'~ pJBUr
News once on 02 27 13 .
/ / ~ ~~~~ ~~~~
State Departr»ent of
EnvironmQntal Con-
servation promul-
gated pursuant to the
State EnvironmentaF
Sworn to before me his 27th day of February, 2013 'Quality Review Act
("SE(~Rq"),thelmple-
mentation ofwhich as
proposed, ithas been
CY YDU detert~iinedwitlnotre-
Notary Public, State of NEW YORK sultinasignificarrter-
No . O1HY6221990 vironmentei "-.~i~i~ct'.
Qualified in DUTCHESS County SEQF~4 Compliant
maten`afisare on fide in
My commission expires on June 14, 2014 theOffit:eoftheTown
Clerk where they may
be ingpect~dduring
re~ularoffit~e hours
"- ? At said pia tiNc ht;taring
~ said Tawrt Board wiN
hear all persons inter-
F E B~~ ?
G i 3 sated irs the subject
_ matter thereof:
Dated:
-~.,y -~
a <.. - . '' ~'' k ~ ~ ~~~ i'.
.Wappingers Falls,
~~:~
, ; New York,
,~
~
Y ' ~ February 13, 2013.
BY ORDER OF THE
_TOWN BOARD OF
THETOWN OF
WAPPFNGER,
DUTCHESS
.COUNTY,
. NEW YORK
Christine Fulton,
Tornm Clerk
Southern Dutchess News
84 East Main Street
Wappingers Falls, NY 12590
(845) 297-3723 Fax (845) 297-6810
TOWN OF WAPPINGERS FALLS
C/0 TOWN CLERKS OFFICE
20 MIDDLEBUSH RD.
WAPPINGERS FALLS, NY 12590
Issue Dates Description
INVOICE 02/22/13
Phone: 845-297-5771
Your sales representative is:
Legal Ads
Amount
In Southern Dutchess News and Beacon Free_Press:
LEG: LEGALS
02/27/13_ Legal Notice - 99 Lines
#88136 PUB HRG 3/11 WATER DISTR
Affidavit Charge - 2
$ 40.10
0.00
50.00
TOTAL CHARGES ----------> $
(Ad #88136) ~~~~~~~~1.~ U" L~D
FEB 2 8 2013
.~ ,~.,,, 5 ~ pp.{!
90.10
TOYN OF WAPPINGER, NY
~O. Box 324, Middlebush Road
1Nappingers Falls, N.Y. 12590
PURt~lASE ORDER & VOUCHER
)-
cLAtMwJrs SOUS-IERN DUTCMES~ N~WS
NAME AND ~.. EAST MAIN BTf~E~T
A°DRESSWAP~JGERS FALLB, NY 1~~99
=RMS
Purdiase ~
Ortfer No. ~
. -l
DO NOT WRITE IN THIS BOX
Dale Voucher Received
FUND -APPROPRIATION AMOUNT
~~-
TOTAL
ABSTRACT NO.
VENDOR'S ~ I
REF.NO.
~ DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
0~~-713
~ ~ l~G~ L : ~5813(o PuSuG ~~2wGr 3(~~ I,JA-T~iIL 1j ~s-~'2
- '+" .. 9~ io
-~FEB 2 8 2013 -
I -
- TOTAL Q 1 ~
t. --if--" - ~,~ ~ ~~u /'-~ri- mrtify Ctal the above account-in the amount of S ~ • /O
is We and cvrte'd: tlraQ Ure dertu, services. and d'rsbursemenls charged were rendered b or fa the murydpeGty on the dates staled: Ihal rw part has been paid or satisfied; That lazes, from whidt the
rnuntdpafity a exempted, are not included; and that the amount chimed is acwapy due ,
DATE SIGNA URE TITLE
(SPACE BELOW FOR MUNICIPAL USE)
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
DATE AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This daim is approved paid from the appropriations indicated above
DATE COMPTROLLER
~ough~eepsie 3ournal
Poughkeepsie, N.Y.
AFFIDAVIT OF PUBLICATION
EichibltA ~1 ~ dk
NOTICE OF PUBLIC Atlas and Hilltop Well
HEARING Fields located at Hek!n
NOTICE IS HEREBY Drive and at Deer Run
GIVEN that the Town Road in said District
Board of the Town of and (2) purchase and
Wappinger, Dutchess Installation of approxi
County, New York, will awtely:7,250 linear feet
meet at the Town Hall, Of $" water main from'
20 Middlebush Road, In the Meadowwoad Wells
Wappingers Falls, New' to All Angels HIII Road.
York on March 11, 2013,' (Route 94) and at Route
at 7:30 o'clock P.M„ 9 at MacFarland Road in
Prevailing Time, for thei said District, including,
purpose of conducting in each case, original
a public hearing upon a° equipment, machinery,
certain map, plan and apparatus, fumishings,
report, including an es ~purtenances, and In
timate of cost, in rely c eMal improvements.
lion to the increase and and expenses In can,
r Water
the ToN
fllter facilities,
bugling a~~ns a
New
rtal of
compli
are 'on
~~ y~
ed dun.
p~sreon subject
BY ORDER OF THE
TOWN BOARD OF THE
TOWN OF
WAPPINGER, DUTCHESS
COUNTY, NEW YORK
Cie ~ Fulton, Town
State of New York
County of Dutchess
City of Poughkeepsie
Rita Lombardi, of the City of Poughkeepsie,
Dutchess County, New York, being duly sworn, says
that at the several times hereinafter mentioned he/she
was and still is the Principle Clerk of the Poughkeepsie
Newspapers Division of Gannett Satellite Information
Network, Inc., publisher of the Poughkeepsie Journal, a
newspaper published every day in the year 201.3 in the
city of Poughkeepsie, Dutchess County, New York, and
that the annexed Notice was duly published in the said
newspaper for one insertion
successively, in each week, commencing on the ., -,~.~,
-a,~-ter,
day of
Feb.
in the year of 2013 and
on the following dates thereafter, namely on:
And ending on the day of
in
the ear of 2013 ,both days inclusive.
Sub ri ed and sworn to before me this Z? ~ day
of ~Pi in the r of 2013
Not Public
My commission expires j ~-
803E ANN SIMPSON
No~ry Public, State of New York
No. Of St62f 5$93
Qualified in Dutchess County
Commission Expires January 4, 2014
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A GANNETT COMPANY
vrt..~vv~rt r,~v
ADVERTISING
INVOICE
P.D. BOX 1231
8s CI V tC CENTER PLAZA
POUGHKEEPSiE, NY 12602
BUSINESS OFFICE: (84s) 451557
BILL DATE
02/27/13
WAPPINGER/TOWN OF
ATTN:TOWN CLERK
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590-4004
TO PLACE A CLASSIFIED AD
PLEASE CALL (845) 471-7355
AD NUMBER CLASS DESCRIPTION START DATE SIZE RUNS AMOUNT
0103467368 000 EXHIBIT ANOTICE OF P 02/27/13 91 1 47.32
0103467368 000 EXHIBIT ANOTICE OF P 02/27/13 91 1
0103467368 AFFIDAVIT CHARGE 02/27/13 40.00
PHONE NUMBER
845-297-5771 1000
'r=,~~„ ~~~^D
MAR ~ 20 ~~
87.32
TERMS: PAYABLE UPON RECEIPT
" TO ASSURE PROPER CREDIT, DETACH AND RETURN THIS PORTION WITH REMITTANCE"'
Check payable to: THE POUGHKEEPSIE JOURNAL ^ Vsa ^ Mastercard ^ American Express ^ Discover
INVOICE
87.32 0103467368 02/27/13 ritar o,
~gnature xpua on on ear
^ PLEASE CHANGE MY ADDRESS AS INDICATED ON REVERSE
~1~34673680~~0873Z1,
WAPPINGER/TOWN OF
ATTN:TOWN CLERK
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590-4004
~ou~hhee~uie Journal
PO BOX 1629
BINGHAMTON, NY 13902-1629
8 4 5- 2 9 7- 5 7 71 10 0 0 ~ou~hhee~uie .3 ournal P.o. sox 1231
85 CIVIC CENTER PLAZA
POUGHKEEPSIE, PIY 12602
BUSINESS OFFICE: (sas)aslASS7
Wappingers Falls, N.Y. 12590V
PURCHASE ORDER & VOUCHER
CLAIMANT'S , .
NAME AND
ADDRESS poughkeepsie Journal
L
TERMS
DO NOT WR/TE IN THIS BOX
Voucher Received
FUND -APPROPRIATION
J
ABSTRACT NO.
VENDOR'S
- REF.NO.
DATES I~ QUANTITY DESCRIPTION OF MATERIALS OR SERVICES
ad # 3467368- legal 7368- 2/27/2013
Hearing- United Wapp. Water Dist.
... u J _„ .
.~
TOTAL
UNIT PRICE
AMOUN
AMOUNT
87.32
--- TOTAL
1 Rita Lombardi
municipality is exempted, are not included; and that the amount cla' a is actually due rRrtiy that the above account in the amount of $
is True and correq; that the i~ems, services, and disbursements charg ere rendered to or for the municipality on the dales staled: Ihat no pan has been paid or satisfied; that lazes, Irom which the
~- /
~/~7/2013
DATE Principal Clerk
SIGNATURE
TITLE
(SPACE BELOW FOR MUNICIPAL USEI
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to `lie municipality on the dates stated and the
charges are correct
DATE AUTHORIZED OFFICIAL
~ I APPROVAL FOR PAYMENT
II This claim is approved paid Irom the appropriations indicated above
I
f DATE COMPTROLLER