Sassmann, Eileen
,_ ,: -"',":.~.F"'~~ ..' '" ~ _'. _... ..~ ,.".. . r ",-"'~' ~"""'r' :'~'T',' 1.~rN':' "" r::::"""'.'?":"':''i;'''''>'7'? r::.."".:"t:.:. . ,..
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TOWN OF WA"I...", NY
P.O. BolC 324, Mlddlebush Road
Wappingers Falls, N.Y. 12590
':'11I'"
0IdeI'*.
00 ~OTWRITE IN THIS 80~
PURCHASE ORDER & VOUCHER
.~.:~ .~~
f ;f_~i~tA'QOfI AMOU NT
".."
.....,
".'.
'. ~
, J
TOTAL
.
~"~NO. I
r.t i/~ <. t,v C 511.';'.)/;1.4.<1,'1./ ..,
CLAIMANT'S I .. ...
NAME AND .;; (. c. IN,"t,I\J ,J" .
ADDRESS
Wn/P/A.JhIIS F/~44 $, iVy IJj""(j
f' . f
L ....J
l ;
,
VINOOItS
MII.I'IO.
TERMS
OATES
QUANTITY
"":.:.:..J
DESCRIPTiON OF MATlAIAt.$C)l\SlfMCE$
UNIT PRICE
AMOUNT
.
II/s)j'<
Ii L t;'(:",-I " 41 I A.I$l'ctt: Iti it
(rl/~J{..:l(IC/1A1 Lti..'~/6N)
I?'- 1 ,s/'tf iN t; .Jfll
136 00
/
..:), J 0 1'1,'
/1
J~
10-86-05 Tra1ning Cla8.
5 00
mileaae 2 mile. . 011,' ,.r all.
Pick - up & Return (1.1)
6S
4 00
'it.
11/6/05 Inspectors Machine 'traininaCla..
5 00
..
"
')<
...
TOTAL
150165
I. . '.' . .., . .' ~"'..~.1CClM'lI1n lMlIIlOIjIIl 01 S
is true IIld Clllll'Hl: tNt \he ".I4Il"IioM. IIld cIIIbu-'- CIhlqtd ,.. ~Io or tor \he lIIiUllllIlplIl 011. ..... ..... tNt no l*t ....., .... or MIIIdId: tNt ..... from whldl \he
munICiplIlIIy " enmpled. .,. IlO\ irlc:IulMd: IIld IhII \he IIIIlOUIlI cIelmecIls ~ Gut '
It /~~(;;{'
fD~
,a~c~
(SPACE _OW FOR ~ USEr
(;::'tFt:;)/ j:: IV INSA:' ( 111-<
TITLE
.r
DEPARTMENT APPROVAL
The above services. or materials were.. "'nderett or
furnished to the municipality on the dat4tsstated.and tn..
charges are correct
APPROVAL FOR PAYMENT
This ct8i1"l'l1a approved ~d '101"I'I the ~'Indlcattd aboYe
/!//~ It.5'
DAte
96 .f'fi1J~J
.. ../AUTHdR.. p~ ..~
. DATE
eOMPTROU.e~