Atlas Star (2)
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TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls. N.Y. 12590
Purchase
Order No.
00 NOT WRITE IN THIS BOX
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D"te Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Atlastar
1136 Route 9, Suite L2
Hampton Business Center
Wappingers Falls, NY 12590
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TERMS
VENDOR'S
REF. NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
08/18/0; 1 Labor for work performed on the FO-29.?tM 130 00 130 00
SN-1G108721.
Dutchess County Sales Tax 8.125% 0 00
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TOIAL II 130 O~U
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I. certify that the above account in the amount 01 S 130. 00
is true and conect: thet the Items. services. and disbursements charged wens nsndered to or lor the municipality on the dates Itatad; thet no part hes been paid or sabllled; lhet ta.es. trom which the
municipality is e.empted. ens not included; end that the amount claimed is actually due
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IGNATURE
.:JOwYl C ~
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
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
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Adagtar
1136 ROUTE 9, SUITE L2
HAMPTON BUSINESS CENTER
W APPINGERS FALLS, NY 12590
P(845)297-0078 / F(845)298-2088
Invoice
DATE INVOICE #
8/18/2005 28613
BILL TO
WF Town Hall / Comptroller
20 Middlebush Road
Wappingers Falls, NY 12590
SHIP TO
WF Town Hall / Comptroller
20 Middlebush Road
Wappingers Falls, NY 12590
P.O. NO. TERMS REP START METER END METER
Net 10 AW 18686
QUANTITY DESCRIPTION RATE AMOUNT
1 Labor for work performed on the FO-2950M 130.00 130.00
SN-1G108721.
Dutchess County Sales Tax 8.125% 0.00
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c-- --"TMOLU .' _ _
O(N OFV\... . .
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Total $130.00
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Thank you for your business
RECElVED
Web Site
SFP 7 - ?~~5
www.atlastar.com
TOWN CLERK