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"ATTACH BILLS TO THE BACK" <br />FINANCIAL VOUCHER <br />WASHINGTON COUNTY, COLORADO <br />DATE: 1 20 <br />TO:? (S 2/e !Q <br />ADDRESS: <br />Amount Warrant No. <br />Date Paid <br />Vendor No. <br />APR - 6 2010 <br />Have all bills itemized, OK'd and acknowledged before filing with Financial Department. <br />Attach invoice if applicable. <br />FUND BUDGET CODE DESCRIPTION TOTAL <br />o ?o d 2- ?f 3 0?0 - o t,??-c?c <br />The undersigned, under penalty of perjury, states that the above account is true and just: that the <br />articles or services rendered have been furnished or performed and that the charges made therefor are <br />true and correct after allowing all credits. <br />Approved for Pay ent <br />Department Head Claimant <br />Chairman Board of County Commissioners <br />Date <br />Commissioner <br />Commissioner