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Payment Request
PAYEE HURLIMANN, DANIEL
EXPENSE CATEGORY CLAIMS-GENERAL LIABILITY
DEPARTMENT LAW
FUND LIABILITY RESERVE FUND
PROGRAM MISCELLANEOUS
ACTIVITY MISCELLANEOUS
PAYMENT REQUEST GAX 5700 24041005968

Total:$28.98

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PURCHASE ORDER CONTRACT DESCRIPTION REF. LINE CHECK DATE CHECK STATUS  AMOUNT
n/a Claims-general liability 101 04/18/2024 Outstanding $28.98
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