Wisconsin Real Property Listers Voucher

Print just this first page and complete this form for submission to the Treasurer

Send Check (Vendor Information) to:

Name: _______________________________________

Address: ______________________________________________________________

City: ________________________________________ Zip: ____________________

Note: Attach and receipts/billings to this voucher or mail prior to having vendor submit bill.

Description Amount
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Forward Voucher to: Submitted By:
  Name:
   
  Telephone #:

Treasurers use:
Paid by Check #: ____________ Date: _______________ Amount: $_________________