Platts Country Village Locksmith (2)
TOWN OF WAPPINGER, NY
P,O, Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purch..e
Order No.
DO NOT WRITE IN THIS BOX
r
--,
Dille Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Platts Country Village Locksmith, ~
1488 Route 9
Wappingers Falls, NY 12590
L
-.J
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
-.,
John C. Masterson 110 00
I. certify the' the above account in !he amount of $ .
is true and correct: that the itams, services. and disbursements charged ",ere rendered to or for the municipality on the dates stalad: 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 actually due
10/16/2006
DATE
SIGNATURE
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
/
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V UYS . LUCK I
PLATT'S - COUNTRY VILLAGE
LOCKSMITH, INC.
1488 Route 9
WAPPINGERS FALLS, NEW YORK 12590
Phone (845) 297.8220
RES. PHONE
BUS. PHONE
PRIOE
AMOUNT
-_.~~-.....$;ji~_:
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/li--fijiance-c!iafgeorr:5% peililOritff -(18% pei
annum) will be added to unpaid balances.
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
MATERIALS
TOTAL
LABOR
O,st>RVICE CHG.
o TRIP CHG.
SUBTOTAL
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~:i,SNT~~~~'S X
ADDRESS
TAX
YEAR MAKE
IF AUTO
LICENSE/SERIAL NUMBER
A 7716
III/l'fiImJ To Reorder'
800-225-6380 or nebsmm
TOTAL /) b
WORK ORDER
INVOICE
B PRODUCT 619