Safeguard Business Systems
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Safeguard Business Systems
15 Manchester Road
Poughkeepsie, NY 12603
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03-31-2009 5.00 Safety PaperINo Boarder 100 Sheets (500 Sheets) $25 00 $125 00
TOTAL $125.00
John C. Masterson 12500
1 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 slated; 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
03-31-2009
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SIGNATURE
TITLE
DATE
Town Clerk
(SPACE BELOW FOR MUNICIPAL USE)
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality the dates 5 ted and the
charges are correct
~!, /09
( DATE
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
APR-01-2009 09:28 From:
Fax
To: 845 298 1478
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