2023-248Click Here To, Search Our. Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lodcll@townofvappingerny,90 or
Imcconologue LcNo,wnofwapgjqgerny,go
12590 y or in person/via mail to 20 Middlebusb W
Rd al pinN
gers Falls, Y
FOR INTERNAL USE ONLY TOWN OF WAPPMG,"j R
Received by: Joseph P. Paoloni 11 Application for Public Ic ords
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Lynn O'Dell FI: AT
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Lori McConologue�X023
Date Received:
FOIL Ser. #:
DEPARTMENT:X31°�N�!
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
El
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
F-1
TOWN CLERK
M
WATEWSEWER
F-1
DOG CONTROL OFFICER. ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
Name: Ct\ e',, ,
Address:
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FOR DEPARTMENT USE ONLY
Date Received by Dept ? 1*)113
Department Head approval:
Date Applicant Contacted: ? 3
Date FOIrdenied: 7111-11"k)-3
R��2� / .. I
Closed by:
Date:
Notes:
Amount Due: Pages for a total Of
E] check here if you are
I CA"'tzdl 6" requesting that the records
I I J'Z CL!(_'D be mailed to this address.
Agency or firm:
Telephone #: ��JFAX FAX
Email address:
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available) & I. - ClIq - 15,10191151
1H request to be notified when I can come to inspect the record(s) described above I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
FI request that the records be faxed to the number listed above
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
DEPARTMENT:
DUTCHESS PROPRINT
CLAIMANT'S
NAMEAND 1299 ROUTE 9, SUITE FOS
ADDRESS WAPPINGERS FALLS, NY 12590
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
FUND - APPROPRIATION
AMOUNT
73714 1 ENGINEERING SCAN & PRINT - SURVEY 24x18
$222
3620.400-13
$222
TOTAL
$2.22
TOTAL
$2122
ABSTRACT NO.
VENDORS
REPRO,
DATES
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
7/19/2023
73714 1 ENGINEERING SCAN & PRINT - SURVEY 24x18
$222
$222
TOTAL
$2.22
1. SUIIE HANSEN certify that the above account in the amount of $ 2'22
is true and correct; that the Items, services. and disbursements charged were rendered to or for the municipality on the dates stated; that no part has been paid or satisfied; that taxes, from which the
municipality Is exempted, are not Included: and that the amount claimed is nclually due
7/24/20234u:�t 2
DATE SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
Xd-
D E AUTHORIZEDOF'F'ICIAL
BUILDING DEPT. CLERK
TITLE
APPROVAL FOR PAYMENT
This claim Is approved paid from the appropriations Indicated above
DATE
COMPTROLLER
Dutchess ProPrint
Printing f Copying j Design i Mailing
1299 Route 9 Ste 105
Wappingers Falls NY 12590
845-298-8898
Accounts Payable
Town Qf Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
Ej PAID IN FULL CSR Date
Cash Debit Customer Called Emailed
Check # Date
Charge vsA Mc AMEX oiscovER
-tr n
'7
Na Date '`
fl `` 73714= 07>/i9/2_`
SMTP TO:
Received by pate
Pay from this invoice
Dutchess ProPrtnt • 1299 Route 9 Ste 105 - Wappingers Falls NY 12590 - 845-298-5898 (print4P 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
Christopher Burnett
Date Fee
07/21/2023
Town of Wappinger
20 Nliddlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAI®
Reference:
6157-04592252-0000
Burnett, Christopher
3 5 Fowlerhouse Rd
Check No. Receipt No. PayType
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 07/21/2023
Amount
Town 0f OaPPITOec'
Building
20 Middl6rush Rd i
Mappinwrs Fails, MY. 12530
Phone: 845-297-4158
07,,21/23 14:17
SlerchcitiL T6: 240670
Somme il: 002
Card lupe VISA
6.11h. Corte: MVIS
Rcct. No: Ks%wuzPor %2944
Entry Mode : CHIP
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Ai'PRO E -D
APPLICATI VISA BRIT
CVM SIGN I
AID A0000006031010
TVR 80800418000 j
1A0 66011203608000
TSI 6800
ARC 00
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U lETT/C STUPHER
I agree to da above total amount
according to the card issuer agreement
(Merchant agreement if credit voucher) f
412 appreciate Your w wmentt i
Thank You VerY Much!
Nle�rcFzavni Gcyr�"y'