2024-201Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imcconologue L&townofWappingern y.gov or
grobinson(i6,,towiiofwappilicern ,gqy or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
MR
Received by: Joseph P. Paoloni I JUL
Lori McConologue -1
Grace Robinson vv n
To[' Of
Date Received: Tov�
FOIL Ser, #:
FITH-00 N N0101919
ASSESSOR
D
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
D
RECREATION
SUPERVISOR
❑
TOWN CLERK
❑
WATER/SEWER
DOG CONTROL OFFICER[
TOWN ENGINEER
E]
TOWN ATTORNEY
E]
Date Received by Dept
Department Head approval:
713
Date Applicant Contacted:
6'
Date FOI4/f/ftulffilledenied:
Closed by.,
/ /dGy
Date: -7 A`
Notes: U-� ma., , _(F'ee.
6r -
Amount Due: Pages' for a total of $
Name: I Elcheck here if you are
Address: requesting that the records
be mailed to this address.
Agency or firm:
Telephone 4: FAX ft:
Email address:
SPF,CIFIC r DESCRIP ION OF CORD: I ) Wi
nlea 70 q)
FORMAT OF RECORD (if available) &,)Y 7 6 Od -7 ci, X
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 records in
H 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
I request that the records be faxed to the ]lumber listed above
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
DEPARTMENT:
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
DUTCHESS PROPRINT
CLAIMANT'S
FUND - APPROPRIATION
NAMEAND
1299 ROUTE 9, SUITE 105
ADDRESS
WAPPINGERS FALLS, NY 12590
TERMS
18
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
IJV# Quantity DESCRIPTION OF MATERIALS OR SERVICE5
UNIT PRICE
FUND - APPROPRIATION
AMOUNT
76164 1 ENGINEERING PRINTS (4 PRINTS)
$440
3620.400-8
$4
18
1 5% DISCOUNT
-$022
-$022
TOTAL
$4.19
TOTAL
$418
ABSTRACT NO.
VENDOR'S
REFNO,
OATES
IJV# Quantity DESCRIPTION OF MATERIALS OR SERVICE5
UNIT PRICE
AMOUNT
7/8/2024
76164 1 ENGINEERING PRINTS (4 PRINTS)
$440
$440
1 5% DISCOUNT
-$022
-$022
TOTAL
$4.19
L
SUSIE HANSEN certify that the above account in the amount of $ 4.18
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 satlsfled; that taxes, from which the
munlcipallty is exempted, are not included: and that the amount claimed is actually due
}t
7/22/2024 % t BUILDING DEPT. CLERIC
DATE SIGNATURE TITLE
BELOW FOR MUNICIPAL
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
DATEAUTHORIZED FICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Printing I Copying I Design I Mailing
1299 Route 9 Ste 105
Wappingers Falis NY 12590
845-298-8898
Accounts Payable
Town Of Wappinger
20 Mliddlebush Road
Wappingers Falls NY 12590
❑ PAID IN FULL CSR
Cash Debit
Check #
Date
Customer Called Emailed
Date
Charge VISA MC AMEX nlscav�a
nvoice
No. Date '
76164 07%08/24
SHIP TO:
Town Of Wappinger
20 Middlebush Road
Wappingers c=alls NY 12590
Fax: 297-4558
53 Susie'Hansen' 845-297 6zS6 Brian Pickup
_ F
_
Subtotal
4.40
5:0% Discount
Tax`
0.00
_
TOTAL
4.18
Paid
.0.00.
9ALANGE
4.18:.
"A
Terms
Net 30 Days
nn
eceive- v ...
a e
Pay from this invoice
Qutchess ProPrint - 1299 Route 9 Ste 105 , Wappingers Fags NY 12590 • 845-298-8898 (print# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
EDWIN RODRIGUEZ
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
y
Reference:
6257-01-003924-0000
Rothman, Daniel Cofb
15 Spook Hill Rd
07/19/2024
Date Fee Check No. receipt No. payType Amount
07/19/2024 1 COPIES 202401161 1 CASH $34.18
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 07/19/2024