Platts Country Village Locksmith
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TOWN OF WAPPINGER, NY
..~ P,O. Box 324, Middlebush Road
Wappingers Falls, N. Y. 12590
Purch...
Ord.r No.
DO NOT WRITE IN THIS BOX
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DRle Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. T
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Platts Country Village Locksmith, Inc
1488 Route 9
Wappingers Falls, NY 12590
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TERMS
VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
10/13/06 Service for Vault 60 00
Service Charge/
Trip Charge 50 00
.
I
, TOTAL 110.00
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John C. Masterson 110 00
I. certify Ihet the ebove eccount in the amount of S .
is true end c:omtct: that the ilems, services, and di.bursements ch.rged were rendered to or lor the municipality on the dales stated: lhal no part has been peid or salisfied: thetla.es, lrom which the
municipality i. e.empted. are not included: and thet the amount claimed is actually due
lOI161~~6 ~c;,~
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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
PLATT'S - COUNTRY VILLAGE
lOCKSMITH,INC.
1488 Route 9
WAPPINGERS fALLS, NEW YORK 12590
Phone (845) 297.8220
ht 1 DA(;",! 3'( 10
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V un. 10<KS
NAME
ADDRESS
RES. PHONE
..
"1\' finance- c1i1irge-'O'f-'r.~,-pef".mon1Tl.t!Sl)Uper ....
aHllum) wit! be addecto- unpaid balances..
~I~~~<;'~~~'S X
TOTAL
MATERIALS
AUTHORIZATION FOR SECURITY/EMERGENCY SERVICES
I hereby certify that I have the authority to order the lock, key or security work
designated above. Further, I agree to absolve the locksmith who bears this
authorization from any and all claims arising from the performance of such work.
SIGNATURE
TOTAL
LABOR
ADDRESS
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TAX ~-
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TOTAL I) lJ
WORK ORDER
INVOICE
YEAR MAKE
IF AUTO
LICENSE/SERIAL NUMBER
B PRODUCT 619
A 7716
LNEflZlfj To Reorder'
80(',..225-6380 or nebs.com
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