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ATTAC <br />Page: 1 Document Name: Kimberly <br />FUNCTION: DOCID: PV PKA AV100000050 11/05/09 <br />STATUS: PEND3 BATID: ORG: <br />H PAYMENT VOUCHER INPUT FORM <br />PV DATE: 11 04 09 <br />ACTION: E <br />OFF LIAB ACCT: <br />ACCOUNTING PRD: 05 10 BUDGET FY: 10 <br />PV TYPE: 1 SCH PAY DATE: <br />VENDOR CODE: 261905779 <br />VENDOR NAME: RM2 LLC <br />DBA: <br />ADDRESS: PO BOX 818 <br />CITY: HOTCHKISS <br />ACCOUNT NUMBER: <br />ST: CO ZIP: 81419 <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 />- m 1 Sess -1 165.127.50.98 YJ24 <br />Entered <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 />ISAT1SfACTORY, EXCEPT AS NOTEn <br />ri /Sg 61 3 i <br />(' PFh <br />08:40:41 AM <br />FA IND: DOCUMENT TOTAL: 22,300.00 <br />CALC DOC TOTAL: 22,300.00 <br />CHECK CATEGORY: P K SINGLE CHECK FLAG: Y <br />f <br />5/17 <br />Name: KAS - Date: 11/05/09 Time: 08:40:21 <br />