Signal Graphics
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
CLAIMANT"S
NAMEAND
ADDRESS
Signal Graphics
1299 Route 9 Suite 105
Wappingers Falls, NY 12590
Date Voucher Received
FUND - APPROPRIATiON AMOUNT
TOTAL $0 00
ABSTRACT NO. 1
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11 /18/2009 1 500 Senior Refuse Tickets-Individual Tickets $74 40 $74 40
1 5% Discount -$3 72 -$3 72
TOTAL $70.68
John C. Masterson 70 68
I, certify that the above account in the amount of $ .
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
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DATE SIGNATURE TITLE
(SPACE BELOW FOR MUNICIPAL USE)
II
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
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D PAID IN FULL
Cash Check#
AMEX DISC
Salesperson
I VISA I MC
I Signal Graphics.
D Customer Called
D Artwork Filed
12':)~' Rt. 9.. Suite 105
VvapPlfiwers Falls I~i; 12590
(8'V'J) 298-0172. Fax: (845) 298-0307
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Ship To:
Wappinger, Town Of
20 "'1iddlebush Road
Wappingers Fa"s NY 1.2590
< SamE: as Bill To >
Fax: 297 -4558
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