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Page: 1 Document Name: Kimberly 1 ftACIM s (DP/b13`n x/33 <br />FUNCTION: DOCID: PV PKA AV100000103 04/16/10 08:19:23 AM <br />STATUS: PEND3 BATID: ORG: <br />H- PAYMENT VOUCHER INPUT FORM <br />PV DATE: 04 15 10 ACCOUNTING PRD: 10 10 BUDGET FY: 10 <br />ACTION: E PV TYPE: 1 SCH PAY DATE: <br />OFF LIAB ACCT: FA IND: DOCUMENT TOTAL: 5,689.00 <br />CALC DOC TOTAL: 5,689.00 <br />VENDOR CODE: 846000545 CHECK CATEGORY: P K SINGLE CHECK FLAG: Y <br />VENDOR NAME: COLORADO STATE UNIVERSITY <br />DBA: CASHIERS OFFICE <br />ADDRESS: 108 JOHNSON HALL <br />CITY: FORT COLLINS ST: CO ZIP: 80523 <br />ACCOUNT NUMBER: <br />SELLER: FUND: AGENCY: ORG: <br />SUB-ORG: APPR CODE: PROGRAM: <br />FUNCTION: OBJECT: SUB -OBJ: <br />REV SRC: SUB -REV: BS ACCT: <br />GBL: RPTG CAT: JOB NO: <br />OFF REC ACCT: <br />H--*S403-READY FOR APPROVAL 3 <br />EM <br />1 Sess-1 165.127.50.98 <br />Entered <br />Approved <br />D ate <br />, CERTIFY THAT I HAVE RECEIVED AND <br />INSPECTED THE ARTICLES LISTED <br />HEREON. THAT THEY ARE IN GOOD <br />CONDITION AND COMPLY WITH THE <br />SPECIFICATIONS GIVEN EXCEPT AS <br />NOTED. OR THAT THE SERVICES ARE <br />SATISFACTORY. EXCEPT AS NOTED <br />Name: KAS - Date: 04/16/10 Time: 08:18:50 <br />------ - YI FM <br />614bg Flo <br />tNl\.\j 1 v1* )o <br />5/17 <br />