Town Clerk
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
PURCHASE ORDER & VOUCHER
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CLAIMANT'S
NAME AND
ADDRESS
TOWN CLERK
Town of Wappinger
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TERMS
Purchase
Order No
DO NOT WRITE IN THIS BOX
--,
Date Voucher Received 1
FUND - APPRO
ABSTRACT NO.
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VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES
3/2005 Overpayment on March 2005 Town Clerk's Repor~ t
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TOTAL 250.00
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Gloria J. Morse 250 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 satisfied: that taxes. from which the
municipality is exempted, are not included; and that the amount claimep is actually due
April 12, 2005
DATE
SIGNATURE
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
DATE
AUTHORIZED OFFICIAL
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APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER