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, SS UNIT “AGENCY NAME State Treasurer -! W JUDICIAL BRANCH - SPECIAL SVCS VENDOR CHECKNO. 11146216 TWO HUNDRED DOLLARS NO CENTS FLEET BANK 1 PAYMENT AMOUNT Haruoed, CF 06110 I Payment Date Payment Amount 01/05/2006 $200.00 PAY TO THE ORDER OF NOT VALID UNLESS SIGNED BY ROTH CESAR ALBAN-RUGEL STATE COMPTROLLER AND STATE TREASURER ] Dreie & har. DENISE L.naprER COMPTROLLER ST CUT TREASURER” STATE OF CONNECTICUT WLLLLG2bG0 044200805 574378880" State of Connecticut Office of the State Comptroller ado, CT W078 SUBIY 11146216 ong0s3752 CESAR ALBAN Bu supiy 926SILAS DEAN D-REST Agency Dudicial Beane «Special Sves WETHERSEHELD, CT 06109 Reference 11140216 usiz0n6 200,00 Tavaiee Naar rvaiee Date Vober Trams A Dino Take Reraaant SEOOUTTS Tra006 7 onnaT56 ~Io0.a0 To 0.07 INTHONY RAPOLITANA ACCIDENT © fer ease mformatin cal (860) 721-2150 | Stave of Connecticut the Scare Comperviler 1m JUDIY 13830021 _oowo71460 CESAR ALBAN-RUGEL, supiv 936 SILAS DEANE HWY, CSSD-REST. Suioil Branch «Special Sves WETHERSFIELD, CT 6109 bber U1S30024 Payment Dare 1077/2005 Payment Aimouut $00.00 ice Number woice Dass Vouther Sro0or77 Tarsao08 WOOT THONY YaPOUTAN-MW ACCIDBYT > futber eae information all (860) 721-2150 Discowa Takes Sermon] Ta oa nmarasonso ito inoravon is required, pease call adil Branch ~ Specs Ss at 86017065230 ~ Oiiice of the State Comptroller es Bees tothe AGENCY NAME, State Treasurer JWDICIAL-BRANCH - SPECIAL SVCS. ISINESS' a 5. VENDOR CHECK NO; 11530021

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