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Page: 1 Document Name: Kimberly <br />r` <br />FUNCTION: DOCID: PV PKA 07000000310 11/22/06 12:27:08 PM <br />STATUS: PENDS BATID: ORG: <br />H- PAYMENT VOUCHER INPUT FORM <br />PV DATE: 11 22 06 ACCOUNTING PRD: 05 07 BUDGET FY: 07 <br />ACTION: E PV TYPE: 1 SCH PAY DATE: <br />OFF LIAB ACCT: FA IND: DOCUMENT TOTAL: 4,995.00 <br />CALC DOC TOTAL: 4,995.00 <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-m 1 Sess-1 192.136.70.50 <br />Entered ,al Jcs <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 />Name: KAS - Date: 11/22/06 Time: 12:29:02 <br />5/17 <br />