Document oDykjLqMVXZqRe0pEO9NzXRN7
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'ACTURERS ASSOCIATION
REQUISITION
DATE. Sov=T"her , 19S7 AMOUNT: $
QUANTITY
Re: CM?. Acrei Payrer t upon -Amount Author Previous Payw Amount Availafo Thiss Payment Balance:
OF ITEM OR SERVICE
-ll.c-Er?
m cf contract
$,629.00 . 0.00
5.629.00 1.629.00
4,000.00
AMOUNT $1,623.
REMSEDUll'' ACCOUNTING^IWite
DATE RE0UMED:
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Has Shah APPR0VED BY 0MSI0N HEAD *JP TO *MG:
L. Spurlock AIJJR0^yjyjjEJAfl11|BWT HEAD (UP TO SSOOA:
APPROVED 8Y TREASURER (OVER m:
APPROVED BY PRESQENT (DV8U800Q:
**
AUOTTED BY:
**
CHECK SIGNED BY:
CHA
REQUISITIONING-Green
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r.nnyiDEHTIAL SuWeot to Protoctlve OrforW^ pogg v. Conoco, Inc Mo. 9v --Jits Judicial District Court
Calcasieu Parish,, Louisian
Environnpfetal Health Associates, Inc.
520 Third Street Swfe;2QS Oakland, CA 94607 (415) 451-1888
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IJULA I_C
TOTAL AMOUNT DUE
AUTHOBIZATION
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PFINC IPAL
$ 1,629.00
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INVOICE l ATE
mill BE A2 E:'E P 'li A LI AMO^T.-
CMA 009999