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I <br />Page: 1 Document Name: Kimberly Cc P, <br />FUNCTION: DOCID: PV PKA AV090000020 09/10/08 10:09:18 AM <br />STATUS: PEND3 BATID: ORG: <br />H- PAYMENT VOUCHER INPUT FORM <br />PV DATE: 09 09 08 ACCOUNTING PRD: 03 09 BUDGET FY: 09 <br />ACTION: E PV TYPE: 1 SCH PAY DATE: <br />OFF LIAB ACCT: FA IND: DOCUMENT TOTAL: 29,997.00 <br />CALC DOC TOTAL: 29,997.00 <br />VENDOR CODE: 523065887 CHECK CATEGORY: P K SINGLE CHECK FLAG: Y <br />VENDOR NAME: OXFORD, DARNELL MARTIN <br />DBA: RED DOG ENTERPRISES <br />ADDRESS: PO BOX 452 <br />CITY: HOTCHKISS ST: CO ZIP: 81419 <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 />4-© 1 Sess-1 <br />Entered Mj)o <br />Approved <br />Date <br />i 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 />192.136.70.50 <br />Name: KAS - Date: 09/10/08 Time: 10:08:59 <br />CrOOD4 <br />dna off. c�1 i�b� <br />5/17 <br />