Kosakowski
---,
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
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
~
FUND - APPROPRIATION ! AMOUNT
I
I
I
I
I
I
TOTAL I
Abstract No. I
Vendor's
Ref. No.
r
I
L
TERMS
Dates
Quantity
Description of Materials or Services
Unit Price
Amount
11/3
REGISTRAR fEES - VILLAGE Of WAFPINGERS fALLS
0/05 Stnaub Fun~al Home 50 00
-
TOTAL 50 00
CLAIMANT'S CERTIFICATION
SaYLCVW, M. K0.6ak.ow.6R-<- 50.00
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 satlslied; that
taxes from which the municipality is exempt: are not included; and that the amount la' ed is actually due....
;t.
Date
Veputy Reg-L6tJr.atL On Vilal
Sto.-tU,UC1.l
Title
12/16/2005
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
i.
i;I ~ ~
VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
L
.J
FUND. APPROPRIATION I AMOUNT
I
I
I
L
I
I
TOTAL I
Abstract No. I
Vendor's
Ref. No.
Date Voucher Received
PURCHASE ORDER & VOUCHER
r
I
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
TERMS
Dates
Quantity
Description of Materials or Services
Unit Price
Amount
9/2
10/
11/
11/
11/
1/2005 McHoul Funeral Home, Inc. 50 00
5/2005 Straub Funeral Home 50 00
5/2005 Straub Funeral Home 30 00
2/2005 Straub Funeral Home 20 00
9/2005 Straub Funeral Home 10 00
17/2005 Straub Funeral Home 20 00
Straub Funeral Home (CASH) 10 00
Straub Funeral Home (CASH) -10 00
.
.
TOTAL 200 00
9/2
CLAIMANT'S CERTIFICATION
S d M K k k. 200 .00
I an ra . osa ows 1 , certify that the above account in the amount of $ is true and
correct; that the items, services and disbursements charged were rendered to or f r 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 a t claimed is actually due.,
11/29/2005
Date
Deputy Registrar of Vital
Title Statistics
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.
AUTHORIZED OFFICIAL
DATE
DATE
AUDITING BOARD
PAY TO THE
ORDER OF.
'.
STRAUB FUNERAL HOME
55 E. MAIN STREET
WAPPINGERS FALLS, NY 12590
PH.(845) 297-2610
Villagp. nf WarringI'm:; F::tll!';
M & T BANK
WAPPINGERS FALLS OFFICE
MANUFACTURERS AND TRADERS TRUST COMPANY
10-4-220
11/2/2005
$ **20.00
Twenty and 00/1 00***********************************************************************************************************
MEMO
PAY TO THE
ORDER OF.
MEMO
PAY TO THE
ORDER OF.
Village of Wappingers Falls
M. Peter
11"0 0 .. b L. 5 III I: 0 2 2 0 0 0 0 1.. b I:
STRAUB FUNERAL HOME
55 E. MAIN STREET
WAPPINGERS FALLS, NY 12590
PH.(845) 297-2610
Villagp. nf WarrinOpr!'; F::tllc:;
.~
M & T BANK
WAPPINGERS FALLS OFFICE
MANUFACTURERS AND TRADERS TRUST COMPANY
10-4-220
11/0/2005
$ **10.00
**************************************************************************************************************~
Village of Wappingers Falls
D. Nelson
III 0 0 .. b b 7 III I: 0 2 2 0 0 0 0 1.. b I:
STRAUB FUNERAL HOME
55 E. MAIN STREET
WAPPINGERS FALLS, NY 12590
PH.(845) 297-2610
Vill;:!!)p nf Warrinopr<:. F::tll!';
~\l; ~Y1o-
I1B~5 251111b 2111
1645
DOLLARS
M'
1667
DOLLARS
M'
M & T BANK
WAPPINGERS FALLS OFFICE
MANUFACTURERS AND TRADERS TRUST COMPANY
10-4-220 11/17/2005
$ **20.00
T wp.nty ::t n rl nn/ 1 nn***********************************************************************************************************
MEMO
Village of Wappingers Falls
R. Shavkin
III 0 0 .. b B 7 III I: 0 2 2 0 0 DOL. b I:
~~L~
I1B~5 251111b 2111
1687
DOLLARS
M'
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
-,
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
-.I
TERMS
Dates.
Quantity
Description of Materials or Services
Unit Price
Amount
7/
9/
9/
REGISTRAR FEES - VILLAGE OF WAPPINGERS FALLS
22/05 Delehanty Funeral Home 60 00
1/05 Delehanty Funeral Home 120 00
12/05 Delehanty Funeral Home 50 00
TOTAL 230 00
CLAIMANTS CERTIFICATION
I Sandra M. Kosakowski . certify that the above account in the amount of $ 230.00 is true and
correct; that the items, services and disbursements charged were rendered to or for the municipality on the dates stated; that no pari has been paid or satisfied; that
taxes from which the municipality is exempt; are not included; and that the amount cl imed is actually due.,
~
9/19/05
5i ature
(Space Below ior Municipal Use)
Deputy Registrar of Vital
Title Statistics
Date
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
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
L
.J
FUND - APPROPRIATION AMOUNT
I
I
I
I
I
I
TOTAL I
Abstract No. I
Vendor'j;
Ref. No.
r
I
CLAIMANT'S
NAME
AND
ADDRESS
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
TERMS
Dates
Quantity
Description of Materi<lls or Services
Unit Price
Amount
5/10
5/20
6/6/
REGISTRAR FEES - VILLAGE OF WAPPINGERS FALLS
;
I
/05 McHoul Funeral Home, Inc. 20 00
/05 McHoul Funeral Home, Inc. 100 00
05 Straub Funeral Home 70 00
.
-
TOTAL 190 00
CLAIMANT'S CERTlFICATION
I Sandra M. Kosakowski , certify that the above account in the amount of $ 190.00 is true and
correct; that the items, services and disbursements charged were rendered to or tor 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 lai ed is actually due.
..
Date
Deputy Registrar of Vital
;ritle Statistics
6/17/05
APPROVAL FOR PA'v'MENT
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
AUTHORJZED OFFICIAL
DATE
AUDITING ,BOARD
..
VILLAGE OF WAPPINGERS FALLS
2628 South Avenue
WAPPINGERS FALLS, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
L
.J
a ec e
FUND - APPROPRIATION I AMOUNT
I
I
I
I
I
I
TOTAL I
Abstract No. I
Vendor's
ReI. No.
PURCHASE ORDER & VOUCHER
o te Voucher R eiv d
CLAIMANT'S
NAME
AND
ADDRESS
r
Sandra M. Kosakowski
4 Mohawk Drive
Wappingers Falls, NY 12590
-,
TERMS
Dates.
Quantity
Description 01 Materials or Services
Unit Price
Amount
3/
REGISTRAR FEES - Village of Wappingers Falls
10/05 Straub Funeral Home, Inc. 60 00
16/05 Straub Funeral Home, Inc. 50 00
25/05 Straub Funeral Home 100 00
.
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~~ \O~
~\\~
TOTAL 210 00
3/
4/
CLAIMANT'S CERTIFICATION
I Sandra M. Kosakowski , certily that the above account in the amount of $ 210.00 is true and
correct; that the items, services and disbursements charged were rendered to or lor the municipality on the dates stated; that no part has been paid or satislied; that
taxes trom which the municipality is exempt; are not included; and that the amount claim is actually due.
Date
Deputy Registrar of Vital
xR:e:JI:H1q[X~xgi:e:xk S ta t 1S t ic S
Title
5/05/2005
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
This claim is approved and ordered paid Irom the appropriation indicated.
The above services or materials were rendered or lurnished to
the municipality on the dates stated and the charges are corr-ect.
DATE
AUTHORIZED OFFICIAL
DATE
AUDITJNG 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
-,
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
.J
TERMS
Dates
Quantity
Description of Materials or Services
Unit Price
Amount
1
REGISTRAR FEES - Village of Wappingers Falls
2/21/04 Delehanty Funeral Home 70 00
,
,
TOTAL 70 00
CLAIMANT'S CERTIFICATION
I Sandra M. Kosakowski , certify that the above account In the amount of $ 70.00 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 salisfied; that
taxes from which the municipality is exempt; are not included; and that the amoun cl med is actually due. .
1/31/05
Date
Deputy Registrar of Vital Stats.
Title
APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
This claim is approved and ordered paid from the appropriation indicated.
The above services or materials were rendered or turnished to
the municipality on the dates stated and the charges are correct.
DATE
AUTHORIZED OFFICIAL
DATE
AUDITING BOARD
f~lIJi,-~- ~~":':::'fiS"~';"if"1~ ,,'j'- ~" I: (,~,,_:,. ,IHI;..l'.J(.Hf'~;.I:e.. II"! 'l~.I~i"flIftL'i:&;r.\",J:':" -,'IHa: "lIt;~i\:'j;U~l<~::t.Ii';,I"I'I&h':~f"il:J:a :l~H;- .1-'"l:l,AI..;:F.;:1~I~I.'!.~el t:,uJ)O!;~~ol;1*'1lj~tU:'fi.;-'" ,\~!j;l;:.;::r:
~-t..f'~..
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d>haub 9u.nEJw.t dlomE., [fnc.
55 EAST MAIN STREET
P.O. BOX 131
WAPPINGERS FALLS, NY 12590
P. ONE: (845) 297-26 (z9~
~ ..-:-
EXPLANATION AMOUNT
if
1-108/289.~
28'922
UNT
DOLLARS
-E
TO THE ORDER OF
DESCRIPTION
CHECK
NUMBER
CHECK
AMOUNT
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HSBC BANK USA
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1110 2B 9 2 2111 1:0 tBOO .OB .1: DB 211173 L. 3 .1117111
DELEHANTY FUNERAL HOME
64 EAST MAIN STREET
POBOX 185
WAPPINGERS FALLS, NY 12590
I PAY "
TO THE ,E ~
ORDER OF /) 'd,~
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HSBC ~
10725
1-108/210
'\ DATE 'l{ &tf-
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$ 56 0-0
DOLLARS
{TI S'"''''
FlIalur."
t oel.I,1500
Bo"
FOR
HSBC Bank USA Wappinger Falls, NY 12590
SJr~-~
III 0 . 0 7 2 SUI
~"H':- t2.~
1:0 2 .00 .OBBI: DB 270 25 . 2111 '
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