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OR FINANCE USE ONLY PAYMENT REQUISITION <br /> ORANGE COUNTY FINANCE OFFICE <br /> JENDOR # 1 1 VOUCHER # <br /> new <br /> 'REPARED BY DATE July 31 , 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: Mary Anne Black <br /> Parks & Recreation Dept. <br /> Orange County Offices <br /> Hillsborough, NC 27278 <br /> '.O.# Partial Full city state zip <br /> FOR FINANCE USE ONLY <br /> INVOICE DATE AMOUNT <br /> invoice disc. pay - gross disc. net <br /> Account No. Description Amount <br /> 10-410-10 Reimbursement for a plane ticket used by Chair $ 145.50 <br /> Shirley E. Marshall for the NACo Conference in <br /> Indianapolis, Indiana <br /> 10-590-37 Tax <br /> (Department Head) (Finance Director) <br />