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Get CA D15 - County Of Contra Costa 1977

As itemized below: DATE DESCRIPTION AMOUNT The undersigned, under the penalty of perjury states: That the above claim and the items as therein set out are true and correct, that no part thereof has been heretofore paid, and that the amount therein is justly due, and that the same is presented within one year after the last item thereof has accrued. Signed VENDOR NO. Received, Accepted and Expenditure Authorized: (Department Head or Chief Deputy) SUM NO. INV. DATE DESCRIPTION FUND/ORG.

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