Home Again LLC
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT"S
NAMEAND
ADDRESS
Home Again LLC
Box:402534
Atlanta GA 30384-2534
ATTN: CUSTOMER CREDIT
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
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03-26-07 1 2989482 $412 50 $412 50
04-10-07 1 3985773 $206 25 $206 25
04-19-07 1 1992081 -$206 25 -$206 25
TOTAL $412.50
John C. Masterson 41250
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 satisfied: that taxes, from which the
municipality is exempted, are not included: and that the amount claimed is a lIy due
May 9,2007
DATE
Town Clerk
(SPACE BELOW FOR MUNICIPAL USE)
TITLE
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
KEEP FOR YOUR RECORDS
i
Home Again LLC
BOX:402534
Atlanta GA 30384-2534
Attn: Customer Credit
0502154150-HA10=004515,009029*1/2
TOWN OF WAPPINGER
MCCOMB A DVM J C MASTERSON
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590
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MAKE CHECKS PAYABLE TO:
HOME AGAIN LLC
TRANSACTION
NUMBER lEGEfID
2989482
[] 3985773
[] 1992081
[]
[]
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LEGEND
01 : Invoice
03: Debit Adjustment
06: Debit Adjustment
08: Debit Adjustment
11: Credit Memo
15: Unapplied Payment
16: Credit Adjustment
STATEMENT DATE
PAGE 0001 OF 0001
STATEMENT
Dear Customer: This itemized statement reflects
all matters outstanding on your account as of the
date indicated. Cash discount ~ applicable. may
be determined by reviewing copies of invoices
already provided. In order to earn the cash
discount payment must be received at remit to
address on or prior to discount due date.
-
-
DISCOUNT
DUE DATE
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