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FOR FINANCE USE ONLY PAYMENT REQUISITION <br /> ORANGE COUNTY FINANCE OFFICE <br /> VENDOR # 1 ] VOUCHER # <br /> new <br /> PREPARED BY DATE July 21 , 1987 <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: Triangle Office Equipment, Inc. <br /> Rose Agency <br /> P.O. Box 2372 <br /> Chapel Hill , NC <br /> P.O.# Partial Full city state zip <br /> FOR FINANCE USE ONLY <br /> INVOICE DATE AMOUNT <br /> # invoice disc. pay _ gross disc. net <br /> r <br /> ___J <br /> Account No. Description Amount <br /> 10-410-33 Supplies as on attached invoice 25.63 <br /> 10-590-37 Tax 1 .28 <br /> i-p. tmen 'ea• r <br /> rrFinance Director) <br />