HomeMy WebLinkAbout*Other - BOCCCLAIMS PAYMENT REQUEST
County
Batchl,
AGENCY Multi Agency - Com municatjons,-":Center
DATE 03/1=021. SAT .09-1:2 Purchases
TYPE Page I of I
Agency
Vouchers #: Viandor# Jnvo'ide-.# -fie ndo'rNme Account�-,#; Amount
'63
03001 -INTSC" 5045841 INT RADO�LIFE, ,&..$AF��-S'OLUTIONS,:,r,,ORP 307, 001' 00 0000 528 70: 48.00 728.10
CERTIFICATION
MIS e .:SON Tenderad; orthe labor.,Performed as:described hereln.- and th the
Vdo'.hereby�,ceitfy under penalt ,-of -pej Materfeils`*h0Ve;-be0n'fU' h d,-- the�; Ws_
at
-and Ce 'claims will.. be
-,zra-a' .0 6,to..euthenticate -to S s.'Mated Is.backlin up the
claim is aji4st -&e*,and. unpaid*.6bl- 5 st-the'a .c,, I' iA dze rtfy aldclalm
SO
ret01fned'bythe.-.d1sW . d acco.rdint td' - We 16w-and.,zre availlable."to-the pu'blI I b c. on reqpest,
Tile-
BOA RD* AUTHORIZATION
HMO % f M -M+1 ri!2U_A4n4-:Ji'rvn
i wAg-:- rp Armtmoiflha -f4!z;M4,- 1kAAAt,!:3hA%r1*:(;riM1 Minn n4mm,61 h.
for the. period- ending .0311112021ow.
approve payment. vath.-our -signatures bel,
rman. Date Board Wm bei~ Date:
t. �C �t
D,
0121
A'Ot - 70)!Q 4 ri
ragq:Tota 64,728010
C304
1ER0
TOtal
n
vl!ffy Cumulative: 63-1728-10