HomeMy WebLinkAboutPUBLIC ASSISTANCE PROGRAM PAYMENT REQUEST RECORD M
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ACCOUNT NUMBERS I State of Iowa
0267-08-583--000-7500-4124 Warrant
VOID MONTHS AFTER 10-160•07 No, 62970307
o Treasurer of State
Des Moines, Iowa 50319 I 3 302
Pay to the order of DEPARTMENTAL REFERENCE NO'S
AMOUNT
WATERLOO, CITY OF 08583285006 XXXXX532700 6 $#*#*CLERK/AUDITOR OFFICE 58308001951 1 BsLL� I 715 MULBERRY ST
WATERLOO r A _ r,
50703-5783 ® te
7AA99A3F8 riri
fir .AND.R ,fl`� a _t,aa Li 0
,.,..Jiri DEPT OF AOMif.SERViCc: f
AUTHORIZED SIGNATURE
1:0 7 3000 7 2 31: 6 297030711'