Staples (2)
TOWN 0' WAPPINOBR. NY
P.O. Box 324, Middlebush Road
Wappingers Falls. N.Y. 12590
Purch...
Ord.r NQ,
DO NOT WRITE IN THIS BOX
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..,
ollte Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
STAPLES
L
..J
TERMS
VENDOR'S
REF,NO,
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
Pg. 626 HP LaserJet 2100-2200 Series Toner Cartridge #3801015 $139 92 $ 139 92
I
TOTAL
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I. certify th.t the above account in the amount of $
I. trua.nd correct; that the items. services. and disbursements cherged wera randered to or for the muniCipality on the dates staled: that no part has been paid or satisfied; that taxes. fmm which the
-::e:::~:'~~'''-"'~~'~ ~ Town Clerk
DATE GNATURE TITLE
(SPACE BELOW FOR MUNICIPAL USE)
DEPARTMENT APPROVAL
The above services or materials were rendered. or
furnished to the municipality on the dates stated an
charges are correct
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER