Platt's Country Village
..
. TOWN OF WAPPINGER, NY
P.O, Box 324, Middlebush Road
Wappingers Falls, N,Y, 12590
F'urche.e
Order No,
00 NOT WRITE IN THIS BOX
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D~le Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO, I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Platt's 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
7/26/06 I 50 00
Service Safe
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TOTAL 50 00
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I, certify thet the above account in the amount of $ 5 0 . 00
i. true end correct; thet the IIams. se/Vices, end di.bursemants cherged were rendered to or for the municipality on the dales slated; that no part hes been paid or satisfied; that taxes, from which the
munlciF'lllty i. exempted, ere not inCluded; and thetthe amount claimed is actually due
AmnIRt 4. 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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248f Route 9
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Pil\:lJ'lf.' (l$4'S) 297 -!;~:20
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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 DATE
TOTAL
MATERIALS
TOTAL
LABOR
D~CECHG.
. 0 TRIP CHG.
ADDRESS
YEAR
MAKE
B PRODUCT 619
A 7632
SUBTOT
IF AUTO
LICENSE/SERIAL NUMBER
TOTAL
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INVOICE