Atlas Star (2)
TOWN OF WAPPINGER. NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N. Y. 12590
PURCHASE ORDER & VOUCHER
r
CLAIMANT'S
NAME AND
ADDRESS
Atlas Star
1136 Route 9~ Suite L2
Hampton Business Center
Wappingers Falls~ NY 12590
L
TERMS
Purchase
Order No
DO NOT WRITE IN THIS BOX
--,
D.te Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
-.J
VENDOR'S
REF.NO
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1 FO-29ND~ Toner / Dev unit for FO-3800 Fax 97 00 97 00
(Customer Pick Up Toner)
I
TOTAL 97.00
--.
Chris Masterson 97 00
I. certify that the above accountm the amount of $ .
is true and correcl: that the items. sarvicas. and disbursements charged ware rendered to or lor the municipality on the dales stated: that no part has been paid or satisfied: thet ta.es. from which the
m~~::::o:~,"W_M.~"~.m'"""';:~~J1!r~ Town Clerk
DATE ~'.'.." .' ilGNATURE TITLE
(SPACE BELOW FOR MUNICIPAL USE)
r APPROVAL FOR PAYMENT
II T"" d.lm I, ""0'" ,old 'rom.. .,prop'''"",, ,"d,~'" .bow
I
I
I
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
DATE
COMPTROLLER
Atlagtar
1136 ROUTE 9, SUITE L2
HAMPTON BUSINESS CENTER
WAPPINGERS FALLS, NY 12590
P(845)297-0078 / F(845)298-2088
Invoice
DATE INVOICE #
2/24/2006 30964
BILL TO
SHIP TO
WF Town Clerk
20 Middlebush Road
Wappingers Falls, NY 12590
297-2744 Florance
WF Town Clerk
20 Middlebush Road
Wappingers Falls, NY 12590
P.O. NO. TERMS REP START METER END METER
Due on receipt BT
QUANTITY DESCRIPTION RATE AMOUNT
1 FO-29ND, TonerlDev unit for FO-3800 Fax 97.00 97.00
Customer picked up toner.
RECEIVE[
FEB 2 7 2006
TOWN CLER~
Total $97.00
Thank you for your business
Web Site
www.atlastar.com