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COLORADO DEPARTMENT OF TRANSPORTATION ~ vENGOR NurreER New <br />VOUCHER REQUEST (PROJECTS) ~ `' O <br /> REOUEST~NUr <br />IBER <br /> + <br /> <br />~J '00r <br />L <br />F PO/CONTRACT <br />~ LN ORGN S <br />U APPROP Ro <br />N <br />T S <br />U N <br />/ REV SUB <br />B/S G <br />B gEPT CATG <br />PROJECT 5 H AMOUNT <br />1 <br />uN NUMBER u (COST B coDE FU <br />C <br />ION OBJECT g p SOURCE REV rogour+rq 6 s VOUCHERED <br />1 cENTERf L <br /> <br />01 ~~ <br />~ ~' ~ <br />~'~ l, <br />~ /. r/ /~ <br />„~! %f~% ~'%f ~ii1 <br />~ <br />~ ~ <br /> HAA .. . <br />. /D00 av y, ~v 1 :! <br />s .;: ~ _:: o~~ ~ s <br /> <br />HAA D2 <br /> f.,,,, ;. ;::.,,,.~1 <br /> <br /> HAA ~ 000 <br /> i <br /> <br /> HAA <br />o00 <br />' -;, <br /> ~ <br />/ <br /> HAA >% ~ _000 %~/ <br />/ ~r/;.~ :.~ ~ir!.:.% . /.' ~ - <br /> '.. <br /> HAA ~ _000 ,,,%; ,. <br /> H~ ~ ,~ssl „ atv pOp it/~/j ;;~i %r~ ' j o0 <br /> ; <br /> <br />D <br />/ //ice <br />- .:% .,;,~. <br />; <br />~<%, ' <br />:;: <br /> <br /> '`` 11 9~);~ I % I)10 0 ~ ~i% ~i ~i 'f' ~ ~ , <br /> HAA ~ ~~ _00 / %/. / ' <br /> 3 '~ ~ '~ "' <br /> <br /> ' <br /> HAA .. ... ~ . / r <br /> <br /> 14 j / . <br />~ ; <br />/' <br /> ~~ <br />~~ ~ ; <br />// <br /> :1. ~ r:~ .. '~/ <br />~ r ~i~ ~~~:•;;~ <br />% ii ~ <br /> HAA %' , <br />j i . <br /> ~,. , <br /> <br />HAA I 16 <br />-~ <br />i <br /> <br />APPROVAL FOR PAYMENT PREPARED BY PATE <br />THE UNDERSIGNED HEREBY CERTIFIES THAT THE EXPENDITURES FOR PURCHASES OR SERVICES DESCRIBED ON i ~ ~ <br />~ <br />' <br />LJ _ <br />/ <br />~ <br />THE VOUCHER ANG IN THE AiiACHED SUPPORTING PAPERS WERE DULY AUTHORIZED: THAT THE EXPENDITURES <br />NOT F <br />S AN <br />P <br />V <br />TE OR <br />ERS <br />THAT THE EX <br />D <br />E Z~ } ~. ;. <br />~ -I <br />~~- r_ ~ . ! C ~-/ <br />L ~2 ~~ / <br />D <br />OR <br />RI <br />A <br />P <br />ONAL PURPOSES: <br />PEN <br />ITUR <br />S <br />ARE FOR OFFICIAL STATE BUSINES APPROVED BY DATE <br />ARE REASONABLE AND PROPER AND CORRECTLY REPRESENTED BY THE CLAIMS SET FOURTH ON THIS VOUCHER- <br />' <br />ARE IIJ AC CG RDANCE YJ~ i H THE LAW GR ADMINISTRATIVE RULES. AND ARE AUTHORIZED BV APPROPRIATION OR <br />UT <br />R <br />TUY <br />/ / ~ ' ~ ~ <br />~--~- /~ <br />/ ~ v ~S <br />HO <br />I <br />OTHER SPECIFIC A <br />Item not neetled for expenditure entries CDOTForml994 <br />