John C. Masterson
Town ~f Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
John C. Masterson
5106 Princess Circle
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION ., AMOUNT
petty cash
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REF NO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11/18/2009 1 12 Donuts $7 49 $7 49
1 12 Bagels $8 99 $8 99
1 8 oz. Chive CC $2 99 $2 99
1 8 oz. Plain CC $2 99 $2 99
1 5 Munchkins $1 25 $1 25
1 Box Joe Orig Blnd $13 99 $13 99
1 Ht CofLg Orig Blend $1 94 $1 94
1 Tax $1 29 $1 29
$0 00
TOTAL $40.93
John C. Masterson 40.93
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 fer 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 amount claimed Is actually due
1(1~
SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
----1{', (( 107
DATE
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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid frpm the appropriations indicated above
COMPTROLLER
DATE
..
Welcome to Dunkin' Donuts ,.
Store #301313
1582 Route 9, Wappingers Falls
11/18/2009 8:51 :27 AM
Eat In
o rde r Number: 1111536
Register:1
Cashier:Dana V.
1 12 Donuts
1 12 Bage 1 s
1 802 Chive CC
1 802 Plain CC
1 5 Munchkins
1 Bx Joe Orig Blnd
1 Ht Cof LG OrigBlnd
Tran Seq No: 1111536
Sub. Total:
Tax:
Total:
Discount Total:
7.49
8.99
2.99
2.99
1.25
13.99
1. 94
$39.64
$1. 29
$40.93
$0.00
Change $0.07
Cash $41.00
****************************************
- Hf~ AHfRICA!
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Store #301313