Staples Office Supplies (4)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Staples Office Supplies
CLAIMANT'S
NAMEAND
ADDRESS
TERMS Due on Receipt
Purchase
Order No,
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO, I
VENDOR'S
REF NO,
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
09/27/2007 1.00 #430085 HP Black Ink Cartridge $0 00
Model Number C6614D
F!;11 jJ (7ft'lJ /."'
I . "".'. I., .....
TOTAL $0,00
John C, Masterson 000
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 stated; that no part has been paid or salisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount claimed Is actually due
September 27, 2007
DATE
Town Clerk
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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER