Staples Office Supply
..
TOWN OF WAPPINGBR. NY
P.O. Box 324, Mlddlebush Road
Wappingers Falls, N.Y. 12590
Purcha.e
Order No,
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAME AND
ADDRESS
Staples Office Supply
-,
DRle Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO, I
PURCHASE ORDER & VOUCHER
r
L
....J
TERMS
VENDOR'S
REF,NO,
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1/25/07 1 HP 1040 Inkjet Plain-Paper Fax
Item II 589818 .~
Model Q7270A#ABA
\.. \ '"
i
I
TOTAL
--,
John C. Masterson - Town Clerk
I. certify IhlIt Ihe above account in the amount of S
l.lrue and correct; that the Item., Hrvices. end dlaburHmanta charged ware rendared to or for the munlclPllllty on the da'a. atated; that no part has been paid or satisfied: that I8xes, from which the
mun~ty Is exempled. are not included: and lI1al the amount c1aimad Is actually dua
1/2,/2007 ~~
DATE IGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
Town Clerk
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered, or
furnIshed to the muniCipality on the dates stated and the
charges are correct ,;
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER