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NUNS UN KEVEROE SIVE BErVURE CLUMFLEIING DEC INT INRVL 1 Wowcher Mo. OF STATE AID VOUCHER AG 1171 (Rev. 1096) STATE NEW YORK Omg Agency Code Interest Eligible (VAN) jy Onginating Agency 09000 No NYS Dept. of Environmental Conservation Lisbalty Date (mM) (00) (YY) Payment Date (Mil) (00) (YY) OSC Use Only Code Route Payee Amount WIR Date (Ma) (00) (YY) 2] Payee IO Additional Dp 16-0864526 RS Code. WS Areount 4] Payee Name (Limit to 30 spaces) Village of Springville ‘Sut Type Payee Name (Lina i 30 spaces) Dept. Sf Reffiny, Ne. (Limit to 20 spaces) Addreas (Lima to 30 spaces) 5 W Main St DEC01-C03232GM Retiny. Date (Mi) (DD) (YY) Address (Limi to 30 spaces) tLamut to 2 spaces}-* Suto Zip Code City (mut to 20 spaces, Springville NY 14141 Amount Description of Charges (Wf Personel Service, show name, ile, period covered) Date Pald Check or Voucher No. $200908.76 PPR Energy Solutions $24 500 Square Engineering SEE ATTACHED SUMMARY FOR FULL BREAKDOWN TOTAL 225408.76 ‘Suate Aid Program & Applicable Statute: 2024 DEC ZEV Statute: tat the claim is just and Less Receipts 0 Pere hee te above expenditures have been made in swith the provisn of the and owlng: and hat taxes which the State Lerey been paid except 2s stated: tat the balance is actually due That no pan theceo! has NET 225408.76 a State7 Aid 100 Tie noe Village of Springville —— % Claimed FOR STATE AGENCY USE ONLY STATE COMPTROLLER'S PRE-AUDIT ro ‘Merchandise Received A certify that this ciaim Is comect end just, end payment i¢ approved. By Vented Certied For Payment Lo ‘State Ad Amount Page No. ~Rudaed pee By | ae Liquidation Expenditure Amount Ong Agency POsContract Line FP Cost Center Code Object Accum Var | Yr Oept. Statemde Dept. Cost Center Unt [1 check 1 Contnuator form 6 attached