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Get Ac3253 S Xclaim For Payment Instructions Online Fillable

State of New York SFS - CLAIM FOR PAYMENT Court Voucher No. AC3253-S Effective 4/12 VOUCHER ID VENDOR ID BUSINESS UNIT UCS 05 Time/Date Entered Vendor Name Submitted for Approval Invoice Date Invoice Number Vendor Address State City Purchase Order Unit Zip Code Invoice Amount SFS PO No. Contract ID Attach Packing Slip Vendor Certification I certify that the above bill is just true and correct that no part thereof has been paid except as stated an.

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