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<br /><< <br /> <br /> <br />STATIO' 'LOAIDA <br /> <br />City of Zephyrhills <br />I <br />: PASCO COUNTY <br /> <br />DISBURSEMENT REQUEST. REFUNDS & MISCELLANEOUS PAYMENTS <br /> <br />.g .- 5-7// <br />9ATE <br /> <br />" <br /> <br />TO: ACCOUNTING <br /> <br />FROM: <br /> <br /> <br />. .-1 ,A/ . O-R- <br />AMOUNT: . ' r{).. <br />. ('. 2 €J rV <br />PAYABLETO: . C7..-A'a ~ A~I~ <br /> <br />~R {, 19 a{taIJfl.- il~ ~ <br />tJ . <br />o // /),1 :3 r, /- L//J <br />c.5 ....!2.A.Yf~ $":;> LV <br /> <br />VENDOR .: <br /> <br />REASONFORPAYMENT:@~~A'~r:-~ a<L~J V~7f 'ItltJ14 <br />L.55U.L<l-t R'- f-71. () <br /> <br />CHARGE TO ACCOUNT' 01- (""3:<~ - 000 <br /> <br />REQUESTEDBY:I:.I!S~ <br />4, \. . .---j8ID>>~tU~') <br />. . APPROVED BY: /~ <br />(Signature) <br /> <br />ACCOUNTING USE ONLY: <br />Paid Date: <br /> <br />check . <br />