Staples (2)
~ Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS. NY 12590
PURCHASE ORDER & VOUCHER
Department: Town Clerk
CLAIMANT"S
NAMEAND
ADDRESS
Staples
Due on Receipt
TERMS
3L{~1
DATES
Quantity
Purchase
Order No.
;;;009 Ofo 3:3
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION
It /410 /f0 z..
AMOUNT
$5676
TOTAL
$5676
ABSTRACT NO.
VENDOR'S ~ ~ ff I t 79
REFNO.
-
4/15/09
2.00
HP 20 Black Ink
DESCRIPTION OF MATERIALS OR SERVICES
$28 38
INV#
-r ::#=
Jnv.
;----:-
"6/lrt731'11g
APR 1
UNIT PRICE
~:;;; !.:~-1)
&.., IioJ
2009
, :l, ,::~cFI'S=,
. 1!"",,:,_~,
-I: 1J:.
....J.--I'YV' y'
3/1 <{2.32t:t 7<6
TOTAL
AMOUNT
$56 76
$56.76 /'
1 '''Illy Ih,llh' above ,ccounlln Ih. amounloll 56.76
IS true and correel: lhallhe ilem 5, ser~lces, and disbursem tnls charged Ii efe rendered to orlor Ihe municipality on the ~ales staled. thatno part has been palo 01 salislied that Ines,lrom which the
m un Ie Ip a liiy is ex e m p te d a Ie no I in c lu d e d and Ih a! th e am 0 un Ie la 1m e d 15 C tu a lIy due
DATE
TITLE
(SPACE BELOW FOR MUNICIPAL USE)
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipalit~ the dates st d and the
charges are correct
4 ~q /69
I 'DATE
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
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