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<table><tr><td>患者基本信息登记表</td><td>患者姓名</td><td>患者联系电话</td><td>患者地址</td><td>患者年龄</td><td>患者民族</td><td>患者联系电话</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者地址</td></tr></table>
Page No: 3
TOWNSHIP OF JACKSON Check Register By Check Date
| Check # | Check Date | Vendor | Amount Paid | Reconciled/Void Ref Num |
|---|---|---|---|---|
| CURRENT | Continued | |||
| 94042 | 12/22/15 | JRH01 | J.R. HENDERSON LABS, INC. | 115.00 |
| 94043 | 12/22/15 | LAN01 | LANIGAN ASSOCIATES, INC. | 837.00 |
| 94044 | 12/22/15 | LAW02 | LAWYERS DIARY & MANUAL | 102.00 |
| 94045 | 12/22/15 | LOW02 | LOWE'S COMPANY INC. | 423.90 |
| 94046 | 12/22/15 | MAZ04 | MAZZA RECYCLING, INC. | 31,100.00 |
| 94047 | 12/22/15 | MCB05 | SGT. JOHN MCBRIDE | 199.00 |
| 94048 | 12/22/15 | MER10 | MERIDIAN OCCUPATIONAL HEALTH | 3,860.00 |
| 94049 | 12/22/15 | MER17 | MERCER CTY. PROS. OFFICE | 2,000.00 |
| 94050 | 12/22/15 | MON32 | MONTAGE ENTERPRISES, INC | 3,150.65 |
| 94051 | 12/22/15 | MOT03 | MOTOROLA | 437.58 |
| 94052 | 12/22/15 | NAP02 | NAPCO/R.S.KNAPP CO.INC | 446.20 |
| 94053 | 12/22/15 | NAT07 | NATIONAL REC. & PARK ASSOC. | 467.05 |
| 94054 | 12/22/15 | NJCO2 | NJ CONFERENCE OF MAYORS | 1,140.00 |
| 94055 | 12/22/15 | NJL01 | NJLM | 715.00 |
| 94056 | 12/22/15 | NJPO2 | NEW JERSEY PLANNING OFFICIALS | 440.00 |
| 94057 | 12/22/15 | NJSO2 | NJSLM | 3,245.00 |
| 94058 | 12/22/15 | NJSS20 | NJ SEX CRIMES OFFICERS' ASSOC. | 250.00 |
| 94059 | 12/22/15 | OCE02 | OCEAN COUNTY BOARD OF HEALTH | 3,705.00 |
| 94060 | 12/22/15 | OCMO1 | OCEAN COUNTY MAYORS ASSOC. | 175.00 |
| 94061 | 12/22/15 | OFF06 | OFFICE NEEDS | 1,310.25 |
| 94062 | 12/22/15 | OFF10 | OFFICE BASICS INC. | 1,852.75 |
| 94063 | 12/22/15 | OMA02 | OMAHA STANDARD, INC. | 3,406.24 |
| 94064 | 12/22/15 | PAR09 | PARTY FAIR | 118.58 |
| 94065 | 12/22/15 | PET17 | PET EDGE | 590.71 |
| 94066 | 12/22/15 | PM01 | PMI TECHNOLOGIES | 878.75 |
| 94067 | 12/22/15 | PRO23 | PROPAC INC. | 818.80 |
| 94068 | 12/22/15 | RED01 | RED THE TAILOR, INC. | 2,697.20 |
| 94069 | 12/22/15 | RIC25 | RICOH AMERICAS CORPORATION | 0.00 |
| 94070 | 12/22/15 | RIC25 | RICOH AMERICAS CORPORATION | 1,372.26 |
| 94071 | 12/22/15 | RUMO2 | BRIAN E. RUMPF, ATTY. | 5,505.50 |
| 94072 | 12/22/15 | SAF07 | SAFE KIDS WORLDWIDE | 170.00 |
| 94073 | 12/22/15 | SER09 | SERVICE TIRE TRUCK CENTER INC. | 1,052.67 |
| 94074 | 12/22/15 | SHO13 | SHOPRITE/PERLMART, INC. | 426.58 |
| 94075 | 12/22/15 | SHO21 | SHORE PROMOTIONS | 242.50 |
| 94076 | 12/22/15 | SNA01 | SNAP-ON INDUSTRIAL | 667.74 |
| 94077 | 12/22/15 | STA69 | STAPLES PRINT SOLUTIONS | 789.25 |
| 94078 | 12/22/15 | STI05 | STILTON COMPANY | 800.00 |
| 94079 | 12/22/15 | TOB01 | TED TOBASSEN | 889.86 |
| 94080 | 12/22/15 | TOR13 | TORRO REPORTING, LLC | 200.00 |
| 94081 | 12/22/15 | TUS01 | TUSCANY ITALIAN SPECIALTY FOOD | 3,060.50 |
| 94082 | 12/22/15 | USB02 | US BANK CUST/PFS FINANCIAL 1 | 1,226.92 |
| 94083 | 12/22/15 | VAN02 | VAN DERVEER TIRE & SERVICE CTR | 86.00 |
| 94084 | 12/22/15 | VEN09 | VENOM GRAPHICS INC. | 300.00 |
| 94085 | 12/22/15 | VER03 | VERIZON WIRELESS | 1,400.68 |
| 94086 | 12/22/15 | VER04 | VERIZON | 413.30 |
| 94087 | 12/22/15 | VER08 | VERIZON WIRELESS | 1,703.04 |
| 94088 | 12/22/15 | VIT05 | VITAL COMMUNICATIONS INC. | 280.50 |
| 94089 | 12/22/15 | WAS01 | WASTE MANAGEMENT OF N.J. INC. | 45,994.70 |
| 94090 | 12/22/15 | WBMO1 | W.B.MASON COMPANY | 6,186.38 |
| 94091 | 12/22/15 | WEL13 | WELLS FARGO HOME MORTGAGE | 70.60 |
| 94092 | 12/22/15 | WES01 | WEST-THOMSON CORPORATION | 230.32 |
| 94093 | 12/22/15 | WIN11 | KELLY WINTHROP, LLC | 58.00 |