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1 <br />2 <br />3 <br />4 <br />6 <br />6 <br />7 <br />8 <br />VENDOR # YYY <br />REFERENCE <br />INVOICE DATE 1/1/2012 (Vendor Invoice #) North of APPROVED BY: <br />AMOUNT $323.00 Douglas Pass Rex Goodrich Date <br />Service Entry/Good Receipt # <br />IT NUMBER HAA 12PKA006 -004 <br />PO NUMBER 221339486 <br />COLORADO DEPARTMENT OF TRANSPORTATION <br />SAP PV for ITs - YYY <br />Complete and Send to HQ Accounting PREPARED BY: <br />PR 110349443 <br />Attention IT department - GL <br />GL ACCOUNT AMOUNT Asslsgment No COST CENTER ORDER <br />Corinne Spor <br />SAP Invoice Doc # <br />Invoice Block for Payment Yes No <br />WBS ELEMENT Functional Area <br />4577600020 <br />TOTAL INVOICE <br />$323.00 <br />$323.00 <br />M- 1981 -043 <br />R3600 -010 <br />2000 <br />APPROVAL FOR PAYMENT <br />THE UNDERSIGNED HEREBY CERTIFIES THAT THE EXPENDITURES FOR PURCHASES OR SERVICES DESCRIBED ON THE VOUCHER AND IN THE ATTACHED <br />SUPPORTING PAPERS WERE DULY AUTHORIZED; THAT THE EXPENDITURES ARE FOR OFFICIAL STATE BUSINESS AND NOT FOR PRIVATE OR PERSONAL PURPOSES; <br />THAT THE EXPENDITURES ARE REASONABLE AND PROPER AND CORRECTLY REPRESENTED BY THE CLAIMS SET FOURTH ON THIS VOUCHER ARE IN ACCORDANCE <br />WITH THE LAWS OR ADMINISTRATIVE RULES; AND ARE AUTHORIZED BY APPROPRIATION OR OTHER SPECIFIC AUTHORITY. <br />CDOT <br />IT PV 02/07 <br />