General Code LLC
JB.
\. TOWN OF WAPPINGER, NY
P,O, Box 324, Middfebush Road
Wappingers Falls, N.Y, 12590
PURCHASE ORDER & VOUCHER
r
CLAIMANT'S
NAME AND
ADDRESS
G,?::eral Code, LLC
72f..linchey Rd
F~:)chester, NY 14624
L
TERMS
DATES
QUANTITY
Purchaae
Order No.
DO NOT WRITE IN THIS BOX
-,
Dille Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
-1
VENDOR'S
REF.NO.
<-It./-
DESCRIPTION OF MATERIALS OR SERVICES
AMOUNT
I. certify that Ihe ebove eccount in the amount of S
ia IN. end correct; thllllleilema. lervices. and dlSbursemanta charged were rendered 10 or for the municipalilyon the dales sleled: Ihat no part has been paid or satisfied: Ihat laKes, from which lhe
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1d.\JgJ01 ~
DATE SIGNATi .
Ic2jLf /D
Sup~
UNIT PRICE
AJD. /1
TOTAL
qqD(o. q,
I
&'\~ Jctryu ~
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
I Z-} , i 1....-,
~
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
72 Hinchey Road
Rochester, New York 14624-2991
(800)836-8834 * Fax(585)328-8189
Page:
Sales/Edit:
Customer No:
1
BC
WA0691
BILL TO:
Town of Wappinger
Mr. Chris Masterson
C/O Clerk's Office
PO Box 324
Wappingers Falls NY
12590
Qty
44
Description
Supplement No. 14:
* Editorial Work
* Composition Work
* Duplication
* Finishing
PC/CodeBook Supplement
E-Code Supplement (refer to Website)
Interest will be charged on all past due
accounts at 1.5% monthly.
Invoice No:
Invoice Date:
Due Date:
Terms:
GOI08874
12/6/2007
1/5/2008
Net 30
Your Order:
SHIP TO:
Town of Wappinger
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls NY
12590
Amount
$6,491.40
$2,116.80
$859.84
$210.99
Subtotal
S&H Charges
Tax
Pmt Rec'd
Total Due
$9,679.03
$227.88
$0.00
$0.00
$9,906.91
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