Macio, Denise
TOWN OF WAPPINGER, NY
P.O. Box 324, Mlddlebush Road
Wappingers Falls, N.Y, 12590
Purena..
Ordar No,
DO NOT WRITE IN THIS BOX
r
Denise Macio
16 Nicole Drive
Wappingers Falls. New York
12590
-,
D~la Voucnar Recalved
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO, I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
L
..J
TERMS
VENDOR'S
REF,NO,
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
.
November
11/8/0E To P.O. ONLY P.M.
11/15 To P.O. and Bap.k A.M.
11/20 To P.O. and Bank A.M.
Mileage Total 7.8 Miles @ 32.5~ per Mile 2 54
I
TOTAL 2.54
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I. n ~ n; Q <> M", t" ; n certify Ihellhe above account in Ihe amounl of S $ 2 . 5 4
is Irutl and comtel; II1altheilems. services. and disbursements cI1arged ....re rendered 10 or for the municipality on the dat.s slaled; lhet no pari hes been paid or sallsfied; Ihat taxas. from which Ihe
-:~=::.::o~"'''-'-~'c!!i~- Deputy Town Clerk
DATE SIG ATURE 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
.
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CAMBRJDGE
58244
~ Initials Dale
I Prepared By .
. Approved By
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