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John C. Masterson Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: CLAIMANT'S NAMEAND ADDRESS John C. Masterson 5306 Princess Circle Wappingers Falls, NY 12590 Due on Receipt TERMS Purchase Order No. DO NOT WRITE IN THIS BOX Date Voucher Received FUND - APPROPRIATION AMOUNT TOTAL $0 00 ABSTRACT NO. 1 VENDOR'S REF NO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 12/5/2007 1 Dunkin Donuts Refreshments for State Archive Workshop $56 97 $56 97 ! ' PC1 :"l:~ 11.,~"~ . ,--.-. .__._._--~._. i .1(',1; n ~ ",;.j f.~, i .,', I ~~I)(, ] ij i \'. '. , - l)l,i',.: UIl 1,:( -_..,~----_.- . -.-._- It J\'I; .,---- - .-._- '" TOTAL $56.97 John C. Masterson 56 97 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 slated; that no part has been paid or satisfied; thallaxas, from which the ~"":::Ir:~::- 'M""~'~."_~' C ~ Town Cl"k DATE SIG ATURE TITLE (SPACE BELOW FOR MUNICIPAL USE) i i DEPARTMENT APPROVAL The above services or materials were rendered or furnished to the municipality on the dates stated and the charges are correct o ,I! <- ii 'I Ii DATE AUTHORIZED OFFICIAL APPROVAL FOR PAYMENT This claim is approved paid from the appropriations indicated above COMPTROLLER DATE , Welcome to Dunkin Donuts 12/5/2007 8:36:49 AM Eat In Order Number: 50524 Register:1 Tran Seq No: Cashier:Gregg C. 1 12 Donuts 1 6 Donuts 1 12 Bagels 1 6 Bagels 2 Bx Joe Orig Blnd 2 802 Plain CC 1 202 Chive CC 1 Box Joe & 12 Donuts Sub. Total: Tax: Toto 1 : Discount Total: Change Master Card: Thank You Come Back Again 50524 6.49 4.99 7.39 5.39 25.98 5.98 1.19 (2.49) $54.92 $2.05 $56.97 ($2.49) $0,00 $56.97