R. Costa Electric Inc.
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
-2-
CLAIMANT'S
NAMEAND
ADDRESS
R. Costa Electric Inc.
15 Apple Blossom Lane
Hopewell Jet, NY 12533
Date VOllcher Received
FUND - APPROPRIATION AMOUNT
I L{ 10 - dtOO
TOTAL $0 00
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/24/09 1.00 Light in Town Clerks office- Installed new Ballast & $85 00 $85 00
converted fixture to T -8 Lamps $0 00
1 REL2P32SC Ballast $22 75 $22 75
RECEIVED
JAN 1 5 2010
ACCOUNTING
TOTAL $107.75
John C. Masterson 10775
\'. certify that the above account In the amount of $ .
IS true and correct; that the .tems, 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 amOllnt claimed Is actually due
01-15-2010
DATE
9fr~RE
(SPACE BELOW FOR MUNICIPAL USE)
Town Clerk
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
R. COSTA ELECTRIC INC.
15 APPL.E BL.OSSOM LANE
HOPEWEL.L. JUNCTION NY 12533
ftECEIVEiJ
JAN 1 5 2010
''-'''"",,,, ~tF=J:W'
R. COSTA ELECTRIC INC.
Providing quality electrical service.
845-206-6943
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls NY 12590
INVOICE
Electrical
Install
Material
Light in Town CLerks office was not working, diagnosed as bad ballast.
Installed new ballast and converted fixture to T -8 lamps.
REL2P32SC ballast
Non taxable
1
85.00
85.00
1
22.75
0.00%
22.75
0.00
Your business is always appreciated
j
I t I . ~ j. 11\' )f"'., 1
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