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FOR FINANCE USE ONLY PAYMENT REQUISITION
<br /> ORANGE COUNTY FINANCE OFFICE
<br /> VENDOR II __ 1 ii VOUCHER # _..^
<br /> new DATE. - .2/ ifil
<br /> PREPARED BY
<br /> This is to request that a check be drawn for the following valid and necessary expenditures of
<br /> this department., /)/ 6.�r�'6,4
<br /> Pay to the order of: .r� x:
<br /> ‘d_.. 6.5-0. • -
<br /> ; •
<br /> 4rtiai
<br /> c7 ty _ / state zip
<br /> p;p,# : Full
<br /> F R FINANCE USE ONLY
<br /> 'INVOICE DATE AMOUNT
<br /> # in oice disc. pay _ gross disc. net_t_______,
<br /> 1 : 4 - L i _L. - 1
<br /> Account Nom Description Amount
<br /> .41).°-4/4—S'. MI li....,•,.........4' ....:, .144-4.4L.rt
<br /> lam.. _�, ' . �Q a-1- 1---'i
<br /> V./S i)
<br /> - �- � Tax,��... -
<br /> (W. . . 0/0
<br /> _. 4. _ If OA.gr.—
<br /> Depart - , 'ea'', (Finance Di rector' -
<br /> r
<br /> '�
<br /> `�
<br /> r
<br /> '� . /i1 �li
<br /> ,,,,,l,„,,,,,,, .. ,,-__,t ,.,:_,,„..
<br /> 4`, ,:ge.' i . 6,4 / i rf,' '..;/'m 1 ...„.„..-0.
<br /> i:.: A„, & / ,o, A :4/1; -,,./....._ .:. ..x, 1.1
<br /> ''' r 4 414M.Fim A, , AA A /A A:14 11:2 .0/
<br /> '' ' (, A. r f7//4" /4t'lw°1 / 14,70.041.4 .1,r,,
<br /> 0
<br /> 1
<br /> ,V4&, / 1 ,/. �/.. .,,//./,//r
<br /> __
<br />
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