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<br /> FOR FINANCE USE ONLY PAYMENT REQUISITION
<br /> * ORANGE COUNTY FINANCE OFFICE
<br /> VENDOR # I I VOUCHER #
<br /> new
<br /> PREPARED BY 11/17/87
<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: Tr i an le Office Equipment, Inc.
<br /> Rose Agency
<br /> P.O. Box 2372
<br /> Chapel Hill , NC 27514
<br /> P.0.# Partial Full city state zip
<br /> FOR FINANCE USE ONLY
<br /> INVOICE DATE AMOUNT
<br /> # invoice disc. pay gross disc. net
<br /> r 1 1 I 1 I
<br /> Account No. Description Amount
<br /> 10-410-33 Blue & green paper, black copy holder 34.64
<br /> ID-590-37 Tax 1 .73
<br /> (Department Read) (Finance Di rector)
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