Home Depot
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Home Depot
1570 Route 9
Wappingers Falls, NY 12590
Due on Receipt
TERMS
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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
OS/29/2009 311011 1.00 Measurement for Carpet (Town Clerk) $35 00 $35 00
1 Tax $2 84 $2 84
TOTAL $37.84
John C. Masterson 3784
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
municipality is exempted, are not included: and that the amount claimed is actualiy due
OS/29/2009
S}{L (~~
IGNATURE
DATE
Town Clerk
(SPACE BELOW FOR MUNICIPAL USE)
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 from the appropriations indicated above
COMPTROLLER
DATE
SPECIAL SERVICES CUSTOMER INVOICE
Store 1207 WAPPINGERS FALLS Phone: (845) 298-9200
1570 ROUTE 9 Salesperson: KXG767
WAPPINGERS FALLS, NY 12590 Reviewer:
This is only a QUOTE for the merchandise and services printed below. This becomes an
Agreement upon payment and an endorsement by a Home Depot register validation.
Page 1 of 2 No. 1207-311011
VALIDATION AREA
SALE
1207 00017 03990 OS/29/09
72 VRF892 09:59 AM
Home Phone
CUSTOMER AGREEMENT ~ 311011
f;~ECALL AMOUNT
SALES TAX
TOTAL
XXXXXXXXXXXX6943 HOME DEROT
AUTH CODE 029551/6172071
P.O.~/JOB NAME: TOWN CLERK
TOWN OF WAPPENGER PARKS!
DEROSA JR JOSEPH
QUOTE is valid for this date: OS/29/2009
35.00
2.,84
B7.S4
37.84
Name
TOWN OF WAPPINGERS REC * *
(845) 297-5771
Address 20 MIDDLEBUSH RD
Work Phone
TA
Company Name
City WAPPINGERS FALLS
State NY Zip
12590
Job Description FOR 311010
County DUTCHESS
REF# SKU UM
M01 578-468
MEASUREMENT SITE:
ADDRESS: 20 MIDDLEBUSH RD
STATE: NY ZIP: 12590 COUNTY: DUTCHESS
PHONE: 845 297-5771
MEASURE SPECIAL INSTRUCTIONS:
DESCRIPTION
EXTENSION
$35.00
MEASUREMENT #1
MERCHANDISE AND SERVICE SUMMARY :fdr~~~~~~~~~ghltolimittheqUantiti
REF # MOl FROM INSTALLATION # 311010-101
TOWN OF WAPPINGERS REC * *
CITY: WAPPINGE
SALES TAX RATE:
$0.00
$35.00
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Check your current order status online at
www.homedepot.comJorderstatus
END OF MEASUREMENT
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(9801) 0100405125
Page 1 of 2
No. 1207-311011
Customer Copy