Pitney Bowes Supplies
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No.
Date Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. 1
PURCHASE ORDER & VOUCHER
r
....,
CLAIMANTS
NAME AND
ADDRESS
Pitney Bowes Supplies
MSC 1400
L P.o. Box 906
Shelton, Connecticut 06484
I
--I
TERMS
VENDOR'S
REF-NO.
DATES
QUANTITY
DESCRIPTION OF MATERIALS OR SERVICES
03/16/05
(4) 1/2 Gal. E-Z Seal Solution #608-0
Ordered by phone 03/16/05
I. certif
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality (
municipality is exempted, are not included; and that the amount claimed is actually due
DATE
SIGNATURE
(SPACE BELOW FOR MUN'
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
DO NOT WRITE IN THIS BOX
UNIT PRICE
II
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AMOUNT
61
94
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APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No.
r
"I
Dale Voucher Received I
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
CLAIMANTS
NAME AND
ADDRESS
Pitney Bowes Supplies
MSC 1400
P.o. Box 906
Shelton, Connecticut 06484
I
--I
L
TERMS
VENDOR'S
REF.NO
DATES
QUANTITY
DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
03/18/04
(4) 1/2 Gal. E-Z Seal Solution #608-0
6>ildevl; 3 'I~ -t11
1 ~I q"l ,~Aifrr~
I 'N
CG~;jf ~312n &?J t
S - 1 ~clafb
do' . ~
o ~ '-:p? , \ }. 4 0
~ ~w1 I
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~
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Int""~oC! -. .
TOTAL
I
h 1 . QL. J
1na
I. certify that the above accounl in the amounl of $
is true and correct; that the ilems. services. and disbursements charged were rendered to or for the municipality on the dates slaled; Ihat no part has been paid or satisfied; that taxes. from whIch th~
municipality is exempted, are not included; and that the amount claimed is actually due
DATE
SIGNATURE
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
AUTHORIZED OFFICIAL
II
I
I
I
COMPTROLLER
DATE
DATE
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No.
r
'I
Dale Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. T
DO NOT WRITE IN THIS BOX
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Pitney Bowes Supplies
MSC 1400
P.o. Box 906
Shelton, Connecticut 06484
--!
L
TERMS
VENDOR'S
REFNO
DATES
QUANTITY
DESCRIPTION OF MATERIALS OR SERVICES
'P
<:")
<'""l
V
\.
OS/20/03
(4) 1/2 Gal. E-Z Seal Solution #608-0
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TOTAL
,
54 94
Includes Shi in
I. certify lhatlhe 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 slated; 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 actually due
DATE
SIGNATURE
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