Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Staples (5)
TOWN OF WAPPINGER, NY
p,o, Box 324, Middlebush Road
Wappingers Falls, N,Y, 12590
PURCHASE ORDER & VOUCHER
r
CLAIMANT'S
NAME AND
ADDRESS
Staples
1849 South Road
Poughkeepsie, NY 12601
L
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
'I
DAle Voucher Received
FUND. APPROPRIATION AMOUNT
,
TOTAL
ABSTRACT NO. I
..J
VENDOR'S
REF NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
I 18 95
6/13/06 1 Box Of 100 Clasp Envelopes 9" x 12"
I
TOTAL 18 95J
I. ;:f' Cl.l " C 1V\ftSTfZ.t:.Jc).1"') certify Ihellhe ebove accounl'n the emount of $ 18 . 95
is lrue end correct: Ihat the ilems, servIces, end dISbursements cherged we... ...ndered to or for the municlpallly on the deles sleled; Ihet no part hes been paid or sebsned; Ihat le.es, from which the
muniCIpality is e.empted, e... not Included; end thellhe emounl cle,med IS ecluelly due
~t~
SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
~t1 o..~
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered, or
furnished to the municipality on the dates stated and the
charges are correct
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
II
I
I
I
DATE
COMPTROLLER
