Laserfiche WebLink
F3 <br />C PRA <br />14- Page: 1 Document Name: Kimberly <br />i�I �F� <br />FUNCTION: DOCID: PV PKA AV090000114 04/13/09 09:44 :55 AM <br />STATUS: PEND3 BATID: ORG: <br />H PAYMENT VOUCHER INPUT FORM <br />PV DATE: 04 10 09 ACCOUNTING PRD: 10 09 BUDGET FY: 09 <br />ACTION: E PV TYPE: 1 SCH PAY DATE: <br />OFF LIAB ACCT: FA IND: DOCUMENT TOTAL: 16,360.00 <br />CALC DOC TOTAL: 16,360.00 <br />VENDOR CODE: 840841501 CHECK CATEGORY: P K SINGLE CHECK FLAG: Y <br />VENDOR NAME: PROCK, ROGER S <br />DBA: K &P PROPERTY DESIGN <br />ADDRESS: 236 SOUTH 3RD #219 <br />CITY: MONTROSE ST: CO ZIP: 81401 <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 REG ACCT: <br />H- - *S403 -READY FOR APPROVAL 3 <br />4-© 1 Sess -1 192.136.70.50 5/17 <br />Entered t��S 4113(rA� 1 <br />Approved <br />Date <br />i CERTIFY THAT I HAVE RECEIVEC 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: 04/13/09 Time: 09:44:28 <br />