Home Again Processing Center
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
cor9~:
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAMEAND
ADDRESS
Home Again Processing Center
10488 South 136th Street
Omaha, NE 68138
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
Due on Receipt
TERMS
VENDOR'S
REFNO.
.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
08/28/2009 #2 11.00 Home Again Pet Recovery Service $14 99 $164 89
, TOTAL $164.89
John C. Masterson . 164 89
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 ctaimed is actuaUy due
DATE
~L('}~
. SIGNATURE
Town Clerk
08/28/2009
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 ciaim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
COMPTROLLER
DATE
. -. - - -" - - - - - - - ----
/' r)i) HOl1!e.
~/'...J Again
INVOIC E
Attn: Sandy Hunter
10-188 South 136tl1 Street
Omaha, NE. 68138
Phone 888-466-3242
INVOlC #2
DATE: AUGUST 28, 009
TO:
. ) C Masterson
Town d Wapplngers
20 Mlddlebush Road
Wappingers Falls, N.Y. 12590
845-2915771
SHIP TO:
) C Masterson
Town of Wappingers
20 Middlebush Road
Wapplngers Falls, N.Y. 12590
845.2975111
SALESPERSON
P.O. NUMBER.
REQUlsmONER
SHIPPED VIA . F.o... POINT
TERMS
Due 0i'1 I'e( elpt
Jeffrey Berns
Chris MBefson
QUANTITY
DEsatIPTION
UNIT PRICE
14.99
TOTAl
11
HomeAgaln Pet R.ecc:: ery Service
164 89 .
SUBTOTAL
16<11 a~
SAlES TAX
SHIPPING &. HANDUNG
TOTAL DUE
164 .89
Make all checks payable to HomeAgaln
If you have any questions concerning this In~ pice, contact Jeffrey Berns @ 914-489-1526
Thank you for your bu81nedl