Gallagher, Jamie
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS. NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Jamie Gallagher
455 Route 82
Hopewell Jet, NY 12533
Due on Receipt
TERMS
Purchase -0
Order No. 0-'
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
Ifl410'/L.A'J
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
lOll 7 /20 I 0 1.00 Rabies Clinic Vet. $125 00 $125 00
TOTAL $125.00
I, c 'fy that the above account in the amount of $ 125 .00
is true and correct; that the items. services. and disbursements charged were ren ed to or for the municipa t on th 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 actuall d e
DATE
\S\").
(SPACE BELOW FOR MUNICIPAL USE)
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
~ol'''''\lO
~
DATE
This claim is approved pal
/1)/17 /0
, ,