ent000988-068

REQUEST FOR DISBURSEMENT TO ACCOUNTING DEPARTMENT: date?╟÷ *v8/2D/6?? PLEASE DRAW CHECK PAYABLE TO: niamf ROOSEVELT WELFARE CROim________________ G/0 AETNA BUILDING MAINTENANCE CO. annppgg 1850 NORTH WHTTT.F.Y AVF_------------ ^ LOS ANGF.LES ,CAI.TEL__________9QQ28?╟÷------ STATE amou nit $500.00_?╟÷_ CHARGE__I--,-------- C CHECK NO__?╟÷L--- PAID remarks__ PLEASE RETURN TO MR. AL FREEMAN FOR FORWARDIMS REQUESTED ??v PER C- GOHF.N------------------- AUDITOR?╟╓S APPROVAL KAYCO FORM NO. 1204