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<br />REASON FOR PAYMENT: <br /> <br />u..~RlTr'A <br />;'g,. "~. <"~~;I.."{ ?... ~ . <br /> <br />,'---- . <br />~....,-.~'~I ~ <br />_.. , -':::.', <br />~("': ~! <br />~, -'-----.-" <br />)~ "-. .:...~,~ <br />O!-'I'I!R\",~,/:: <br /> <br />DATE: <br /> <br />TO: <br /> <br />FROM: <br /> <br />AMOUNT: <br /> <br />PAYABLE TO: <br /> <br />VENDOR NO. <br /> <br />STATE OF FLORIDA <br /> <br />City of Zephyrhills <br />e~ fI-/ ~~ '3U~ <br /> <br />PASCO COUNTY <br /> <br />DISBURSEMENT REQUEST <br />REFUNDS & MISCELLANEOUS PAYMENTS <br /> <br />I / ~n/():1- <br />I 1 <br />ACCOUNTING <br /> <br />fJ1anf)iVJfj. <br />(Depar ent) <br />, <br /> <br />$ / .c;n, nn <br /> <br />DO n Ad n m s <br />L.j In '] X' (J ) ; '" if; r; IJ f) I' /1/ ~ <br />7 r" D/l Y I hi / f s F/ _ ~ ~~ _~ .z; I <br />/ ./ <br /> <br />R. p t:u () /'f <br /> <br />r:Jf- <br /> <br />( I'!f)rj ; f;oy) /P 1 (j.. <:, <?, Pe.-+r"+rC/Y\.. <br />- <br /> <br />F~ e ""-,_ <br /> <br />/./J)I')11 ; -!-/f/Ylr-,J) it", <" tJ/jT 11 ~ t"' ('J. ,::' r1 <br />- <br /> <br />1'5 - ') (" -) 1 -I) I (,? (J - OO()()~ 1J..3 V () <br /> <br />CHARGE TO AccorlNT NO.: <br /> <br />(:it' - -~1.:2 - /)0 (!:J <br /> <br />REQUESTED B;~ * <br /> <br />APPROVED BY: . <br /> <br />Paid Date: <br /> <br />ACCOUNTING USE ONLY: <br /> <br />Check #: <br />