Untitled
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VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
Date Voucher Received
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FUND - APPROPRIATION ! AMOUNT
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TOTAL I
Abstract No. I
Vendor's
Ref. No.
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wapplngers Falls, NY 12590
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TERMS
Dates,
Quantity
Description of Materials.or Services
Unit Price
Amount
6/7
REGISTRAR FEES FOR REIMBURSEMENT -
V i II age of Wappingers Falls
/2006 Robert H. Auchmoody Funera I Homes, Inc. 80 00
,
TOTAL 80 00
CLAIMANT'SCER11FICA TION
I Sandra M. Kosakowski , certify that the above account in the amount of $ 80.00 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 ;s exempt; are not included; and that the amount cl imed is actually due,
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Date
DepUTY RegiSTrar of VITal
Title STaT I ST I cs
6/9/2006
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
This claim is approved and ordered paid from the appropriation indicated,
The above services or materials were rendered or furnished to
the municipality on the dates stated and the charges are correct.
DATE
AUTHORIZED OFFICIAL
DATE
AUDITING BOARD
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VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
Date Voucher Received
r
"I
FUND - APPROPRIATION ! AMOUNT
I
I
I
I-
I
I
TOTAL I
Abstract No. I
Vendor's
Ref. No.
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wapplngers Fa! Is, NY 12590
L
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TERMS
Dates
Quantity
Description of Materials or Services
Unit Price
Amount
4/1/
4/4/
4/25
REGISTRAR FEES FOR REI MBURSEMENT -
Village of Wappingers Fa II s
2006 Robert H. Auchmoody Funera I Homes, Inc. 40 00
2006 Straub Funera I Home 70 00
/2006 Straub Funeral Home 30 00
TOTAL 140 00
CLAIMANT'S CERTIFICATION
I Sa nd ra Kosa kows k I , certify that the above account in the amount of $ 140.00 is true and
correct; that the items, services and disbursements charged were rendered to or for the unicipality on the dates stated; that no part has been paid or satisfied; that
taxes from which the municipality is exempt; are not inciuded; an that the amou t i d is a ually due.
Date
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5/12/2006
Deputy Registrar of Vital
Title Stat 1st Ics
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
This claim is approved and ordered paid from the appropriation indicated.
The above services or materials were rendered or furnished to
the municipality on the dates stated and the charges are corr.ect.
DATE
AUTHORIZED OFFICIAL
I
DATE
AUDITING BOARD
VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
Date Voucher Received
r
I
FUND - APPROPRIATION ! AMOUNT
I
I
I
I
1
I
TOTAL I
Abstract No. I
Vendor's
Ref. No.
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
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TERMS
Dates.
Quantity
Description of Materials or Services
Unit Price
Amount
2/2
2/2
REGISTRAR FEES for Reimbursement - VILLAGE OF
WAPP I NGERS FALLS
3/2006 Delehanty Funeral Home 50 00
6/2006 Straub Funeral Home 100 00
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TOTAL 150 00
CLAIMANT'S CERTIFICATION
I San d ra M. Ko s a kow ski , certify that the above account in the amount of $ 1 50 . 00 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 exempt; are not included; and that the amount laimed is actually due.
...
March 16, 2006
Date
Deputy Registrar of Vital
Title Stat i st i cs
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
ThiS claim is approved and ordered paid from the appropriation indicated.
The above services or materials were rendered or furnished to
the municipality on the dates stated and the charges are correct.
DATE
AUTHORIZED OFFICIAL
DATE
AUDITING BOARD
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VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
Date Voucher Received
r
I
FUND - APPROPRIATION I AMOUNT
I
I
I
I
I
I
TOTAL I
Abstract No. I
Vendor's
Ref. No.
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
L
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TERMS
Dates.
Quantity
Description of Materials or Services
Unit Price
Amount
2/
REGISTRAR FEES - VILLAGE OF WAPPINGERS FALLS
22/2006 Brooks-DiDonato Funeral Service, Inc. 50 00
(Mid-Hudson Trade Service)
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TOTAL 50 00
CLAIMANT'S CERTIFICATION
I Sandra M. Kosakowski , certify that the above account in the amount of $ 50.00 is true and
correct: that the items, services and disbursements charged were rendered to or for thl/ municipality on the dates stated; that no part has been paid or satisfied: that
taxes from which the municipality is exempt: are not included: and that the amount I med is actually due.
February 22, 2006
Date
.l~ I
Deputy Registrar of Vital
Title Stat i st i cs
Signature
(Space Below foriMunicipal Use)
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
This claim is approved and ordered paid trom the appropriation indicated.
The above services or materials were rendered or furnished to
the municipality on the dates stated and the charges are correct.
AUTHORIZED OFFICIAL
DATE
DATE
AUDITING BOARD