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Staples (4) . Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: Purchase Order No. Staples Date Voucher Received FUND - APPROPRIATION AMOUNT TOTAL $0 00 ABSTRACT NO. I 00 NOT WRITE IN THIS BOX CLAIMANl'S NAMEAND ADDRESS Due on Receipt TERMS VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT SlJ~ 8/3/2009 2 430085---HEW C6614D "'0tl/i~~. $28 38 . $56 76 ill- J 4u& 0 '~'!tiCS $0 00 fit 32009 eCSivaC/ . ; /~ :::'''\ J'" .-. jffj AU6 0 " Ce 11 32009 ecsivad TOTAL $56.76 John C. Masterson . 5676 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 ac lIy due (-I > .I () 7 DATE Town Clerk TITLE (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 Your Order Status ~!'~~ . Click 'Print This Page' to print this page for your records. . Click 'Back' to go to the previous page. Order Status: Order No: Order Date: Ordered By: PO: Item Status Transmitted for Fulfillment 7054440143 08/03/2009 INEZ MALDONADO 080309 Ship To: Print This Page GII INEZ MALDONADO WAPPINGERS FALLS TOWN OF 20 MIDDLEBUSH RD WAPPINGERS FALLS, NY 12590 USA Your Price Packing Slip Note Item Total Expected Customer's Delivery Date Item Number MFR Item No. UOM/Qty Qty HP Print Cartridge,C6614DN, Black Staples Item No. 430085 NYS Contract Item Available 08/04/2009 430085 HEWC6614D E8Ll $28.38 2 $56.76 Total: $56.76 . http://www.stapleslink.com/webapp/wcs/ stores/serv let/ orddetail ?ts= 12493 0998728 8 Page 1 of 1 8/3/2009