HV Shred
Due on Receipt VENDOR'S jW
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
8/19/10 Shred Documents (2011 Shred Day $000
1 28% Town Clerk '13.20
1 2% Tax flU)
1 52% Comptroller nQ.aO
1 15% Assessor 5a12V
1 2% Water Sewer -'I~()
.~
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
HV Shred
16 Griffen St
Poughquag, NY 12590-4004
Purchase
Order No.
/LP
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
Town Clerk 1410.410
Comptroller
Assessor
Water/Sewer
TOTAL $0 00
ABSTRACT NO. I
r;r';, P'(
John C. Masterson 36&.66 ?~O g;>
I. certify that the above account in the amount of $ . U
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
~..,,'.........,. ~ ".,..~...~,..... _m d....';-l~"~ 1.;.0. =-- '>
8/19/10 ~c."fl;~ / -
DATE ~,IGNATURE
:3
00
-
TOTAL
,j36D...OO
Town Clerk
(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
DATE
AUTHORIZED OFFICIAL
This claim is approved
rx1 jet /, 0
DATE
COMPTROLLER
IIV HV Shred, Inc.
~ c/oJudith Papo
"", 16 Griffen Street
Poughquag, NY 12570
Invoice/Service Statement
Date
Invoice #
8/20/2010
AUG20A
Bill To
Town of Wappinger Town Clerk
Chris Masterson
20 Middlebush Road
Wappingers Falls, NY 12590-4004
Terms
Due on receipt
Description Quantity Rate Amount
Secured on-site document shredding clean out bin tips 11 30.00 330.00
CERTIFICATE OF DESTRUCTION
HV Shred, Inc. certifies that all material covered by this service statement have been
destroyed in a manner the information cannot be reconstructed or etrieved. The service
was completed on the date indicated above.
Subtotal $330.00
~ Sales Tax (O.~ Yo) $0.00
Registered w/NYS DOS# 1 581 0018000
Phone # E-mail
Total $330.00
(845) 705-7279 Judith@hvshred.com