Signal Graphics (3)
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 -I
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE 'l AMOUNT
03-09-2009 1.00 Numbered Books of Pink Tickets $262 50 $262 50
Quantity 500- 5 Tickets in each book Plus one numbered $0 00
cover ticket. Please perforate each book. Begin #3402
1 Discount -$13 13 -$13 13
TOTAL $249.37
/
')VVI" C - ./1-'\.1<;'112\ 50v1 .' 249.37
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 actually due
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SIGNATURE
03-11-2009
-::>~ 3/ &i
, TITLE
DATE
(SPACE BELOW FOR MUNICIPAL USE)
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
Salesperson
I VISA I MC
o PAID IN FULL
Cash Check#
AM EX
DISC
I Signal Graphics.
g Customer Called
o Artwork Filed
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