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Payment Request
PAYEE LOPEZ CORTINAS, DAVID
EXPENSE CATEGORY CLAIMS-GENERAL LIABILITY
DEPARTMENT LAW
FUND LIABILITY RESERVE FUND
PROGRAM MISCELLANEOUS
ACTIVITY MISCELLANEOUS
PAYMENT REQUEST GAX 5700 25010302633

Total:$1,675.60

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PURCHASE ORDER CONTRACT DESCRIPTION REF. LINE CHECK DATE CHECK STATUS  AMOUNT
n/a Claims-general liability 101 01/16/2025 Paid $1,675.60
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