HomeMy WebLinkAbout887593 PUBLIC VOUCHER FOR PURCHASES AND vouc. E~tno.
.~,=T .... ~ SERVICES '~' THER THAN PERSONAL
U.S. Attorney's Office
Western
District
O~
washington v ....... Lino
601 Union S~¢t, Suite 5100
REQUISITION
NUMBER
AN
D
Seattle, WA 98101
DATE
BOOK / PR PAGE ~4~uate .nv°'ce aecelve°
~e~,s Lincoln Coun~ Recorder
~,~'~ Coun~ Courthouse ~OOK SI~prpA~E 4 I 0
~.~[~s 925 Sage Avenue
Kemmere~5 WY 83101-3114 ~~. ;. ' ,~,~.~
1 Cgg TIFF fha r HtS nD Vn,VCe eA n~teNr Is N~C~SSa ~ F IN rile ~Va LIC INTE~IG~
SNIPPED FROM TO WEIGHT GOVERNMENT B/L NUMBER
J DATE OF ~TICLES OR SERVICES QU~- ~l-r PRICE AMOUNT
NUMBER
OF O~ER OR DERVICE ~cfiedule. ami other b~ormation deemed nect~smy) COST PER ( I
Fee for Recording Notice of Lien 1 $10.00 S t 0.00
U.S.v. Darryl L Hoxie
USAONo. 1992001042 REdE /ED
Courtno. CR93-0553-01 LI~ICO .rq CO~'4TY CLERK
887593 "
(Usc cominmtion shccgs)if ncc~sa~) (Payee must NOT use Ibc space below) TO'rAh , '~L" .: :. Si0.00'
~FINAL
DPROGRESS
Pm~nl Io amhodty volcd in ~. l ce~i~ ~al ~is voucher: ~ con~t and pr~cr for
~ (Authorized Cert~i,,g O~cer) 2 ' (Till,)
~ cHEcK NUMBER ON ACCOUNT OF U.S. TREASURY CHECK NUMBER ON
CASH DATE PAYEE ]
ncc~sa~ othc~isc ~c apOrovin8 officer ~ll sign ia ~c spac~ providc~ over his official
· c con~y or co,orate hac~ as well ~ ~c capaci{y in which hc sigm, n~l app~r. For cxan~lc: TIILE
Previous edition usable. ~ 75q00~
900-2234
PRIVACY ACT STATEMENT
The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the
purpose of disbursing Federal money.
The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish
this information will hinder discharge of the payment obligation.