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FOR FINANCE USE ONLY PAYMENT REQUISITION <br /> VENDOR # ] VOUCHER # ,,. ANGE COUNTY FINANCE OFFICE <br /> new <br /> PREPARED BY DATE March 16. 1988 <br /> This is to request that a check be drawn for the following valid and necessary expenditures of <br /> this department. <br /> Pay to the order of: FMO <br /> P.O. Box 5350 <br /> Largo, FL 34649-5350 <br /> P.O.# Partial Full city state zip <br /> FOR FINANCE USE ONLY <br /> INVOICE DATE AMOUNT <br /> r # invoice disc. pay gross disc. net <br /> Account No. Description Amount <br /> 10-410-27 Mobile Homeowner' s Reference Handbook 5.00 <br /> 10-590-37 Tax <br /> (bepartrrnt Head) (Finance Director) <br /> ,.Gf..r,r..-.::'J-v St. z�vtt i.Y::v. .a i.t.'..=+•'C•s/Y!'.-_-:::,�.._s..: -- ... - .- .. - - .. <br /> ..-. ... ..•.- .. _ .. ... - .. _ .. ... ,: .ice -.-w -• ,..... . <br />