2024-191Click here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via. Email to Imccoraolo iLie cutownofwa in ern ov or
grobinson(ir,townof�vappingeriiy, ov or in on ail to 20 Middlebush Rd Wappingers Falls, NY 12590
Received
FOR INTERNAL USE ONJUt 0 1 ZOk4• TOWN OF WA.PPII` GER
Received by: josephP.Town �
.R'W1 pPlication for Public Access to Records
REUET
Lori McConologLT _
Gi-ace Robinson
Date Received: i
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CGDE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
�]
WATERJSEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
miv( 1;10
C �zF
u
FOR DEPARTMENT USE ONLY
Date Received by Dept /
Department Head approval:
,i
Date Applicant Contacted: 5-1,
Date FOIL( or denied: 5 1 1 '
Closed by:
Date:
dq1'X1)q
Notes:
Amount Due:. Pages for a total of, "
Name: Vg o, 4, [j check here if you are
Address: :t r, requesting that the records
ly;r f,? be mailed to this address.
Agency or firm:
Telephone #-#: FAX #:
Email address:
SPECIFIC DESCRIPTION OF RECORD:
FORMAT" OF RECORD (if available)
(f ?
I 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 re
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
❑1 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 105
ADDRESS WAPPINGERS FALLS, NY 12590
TERMS
Purchase
Order No.
DO NOT WRITE 1N THIS BOX
Date Vo4aher Received
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
FUND - APPROPRIATION
AMOUNT
75880 1 ENGINEER PRINT - WAPP SHOPPING CENTER
$520
3620.400-B
$9,42
5124124
1 ENGINEER SCAN - WAPP SHOPPING CENTER
S472
$472
1 DISCOUNT
-$050
-$050
TOTAL
$9142
ABSTRACT NO.
VENDOR'S
REFNO
DATES
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
5124124
75880 1 ENGINEER PRINT - WAPP SHOPPING CENTER
$520
$520
5124124
1 ENGINEER SCAN - WAPP SHOPPING CENTER
S472
$472
1 DISCOUNT
-$050
-$050
TOTAL
$9,42;
1 SUSIE HANSEN certify that the above account in the amount of $ 9.42
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 actually due
5/30/2024 �`'� _ BUILDING DEPT CLERK
DATE SIGNATURE TITLE
DEPARTMENT APPROVAL
The above services or materials were rende
furnished to the municipality on the dates std
charg s ar correct
DA E 7 AUTHORIZED
BELOW FOR MUNICIPAL US
TTI
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Dutchess
Printing I Copying I Design I Mailing
1299 Route 9 Ste 105
Wappingers Falls NY 12590
845-298-8898
Accounts Payable
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
SHIP TO:
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
Fax: 297-4558
Pay from this invoice
Dutchess ProPrint - 1299 Route 9 Ste 195 • Wappingers Falls NY 12590 - 845-298-8898 (print# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
�l�Yl�!eC CtYIC� dod - du-
VINCENT TROUNG
U
Date Fee
05/29/2024 1 COPIES
05/29/2024
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAID
Reference:
6157-02-653974-0000
Wappinger Shopping Cntr LLC
1488-1506 Route 9
Check No. Receipt No. PayType Amount
2024-00815
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 05/29/2024
CREDIT $9.42
CAR
Town OF AmmLT)gar
26 Mlcldl Am ush Rd
Wappingers h115'
06/2/24
2106N
001
VISA
Aoib- C-6:
Acct. 140:
L'to, 1104, : CHIP
9-42
I-- 13311
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I agree to Pay the above 'total qlpounz
aLcL)rdiiig to the card jS5kjCT- dgCeLMErlt
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