Safeguard Business Systems
. ,.""
TOWN OF WAPPINGER. NY
P.O, Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchasa
Order No,
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAME AND
ADDRESS
r-Safeguard Business Systems
2 Lagrange Avenue
Poughkeepsie, NY 12603
"I
DRI. Voucher R.c.iv.d
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO, I
PURCHASE ORDER & VOUCHER
L
-.J
TERMS
VENDOR'S
REF NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/08/06 Safety Paper I
15 packs of 100pg (1500 pages) $180. 0
~~EDIT
C It f<;b
uSEh
I
TOTAL '1:180.00
-.,
John C. Masterson . 180.00
I. certify th.t Ihe above account In the amount of S
is true and oorrect: lhlllll.lt.ms, s.rvices. and disburs.m.nts en.rged ....re rend.red 10 or lor the munlciPllllty on the dalas statad: Ihat no part has bean paid or satisfi.d: Ihat lexas. lrom which the
munlciPllllty is ex.mpt.d, are not included; and that the amount claimed Is actually due
.~~AJ. ___~vlJA~'
'I'~NATURE r f:' r
(SPACE BELOW FOR MUNICIPAL USE)
e/g/Q€i
DATE
J
~:1:Yrc
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered. or
furnished to the municipality on the dates stated d the
charges are correct
APPROVAL FOR PAYMENT
is claim is approved paid from the appropnations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
.,.
Owning Dist.#
OK9-00
Customer #
22080800
CMS Order 6.5
Order Num.
HDRJ4BOOO
Dist. P. O. # Order Date
00K9002670 06/08/06
Page 1
* CMS Telecomm User *
Dist. Num. Assoc. CSR
OK9 00 00
Telephone FAX Number
845-297-0060 845-297-4558
SIC Source OTS
9114 R NO
Cust P.O.
Short Name
WAPPINGER
Tax Exmpt Guar. Payment Type
E NO CREDIT CARD ORDER
BI TOWN OF WAPPINGER, NY
II
LI 20 MIDDLEBUSH RD
LI WAPPINGERS FALLS
NY 12590-
Tax Code Distributor Message:
027 2990
SI TOWN OF WAPPINGER
HI CHRIS MASTERSON
II 20 MIDDLEBUSH RD
PI WAPPINGERS FALLS
NY 12590-
Quantity NRA Product #
STK Start
OVR
Price % PT PL SC SI Quote #
1 1500 A CUSTMISC
SAFETY PAPER NO BORDER
180.00 0 CB 89 G
Plant Review: N
Forms Total
180.00
Shipping
0.00
Handling
0.00
Tax
0.00
Total
180.00
Special Shipping Instructions
Shipping Dep Ref
0.00
Deposit
180.00
Order- Total
180.00
PL Pay Program Ref.
Pay Program Ref.
Guarantee
Y
CI Customer Name on Credit Card Credit Card Type Credit Use Only
RI JOSEPH RUGGIERO Visa
EI
01 Card Number Expires Trans/lnv. Approval Credit Use Only
114802610002827317 01/07
TI
Vendor Invoice Totals:
0.00
0.00
0.00
SBS Fee: 9.00
~ SAf-EGUARD.
JEROME MARTIN
15 MANCHESTER ROAD
POUGHKEEPSIE NY 12603
INVOICE
Page
1 _~ 022137111
6/08/2006 100K9-oo
220808 I
INVOICE DATE DISTRIBUTOR NUMBER I ORDER NUMBER
HDRJ4B
CUSTOMER NUMBER
CUSTOMER P.O.
TAX CODE
330272990
For Inquiries Cal/: (845) 471-4466
INVOICE TERMS: Payable Upon Receipt
LATE CHARGE: 1-1/2% per Month or Maximum Allowable Rate
Minimum of $.50 Per Month
FED. TAX ID: 23-1689322
B
I
L
L
TOWN OF WAPPINGER, NY
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590
~ TOWN OF WAPPINGER
I CHRIS MASTERSON
P 20 MIDDLE BUSH RD
T WAPPINGERS FALLS NY 12590
o
T
o
QUANTITY I PRODUCT NAME I DESCRIPTION I fORMS AMT. DISCOUNT %
AMOUNT DUE
1,500 CUSTMISC
OPBMISC
180.00
180.00
SAFETY PAPER NO BORDER
SAliE'GUARD MESSAGE.;. .
InanK you TOr your credlt card payment
TOTAL PRODUCT
180.00
ro PAY BY CREDIT CARD, SIMPLY CALL YOUR BUSINESS SPECIALIST
(845) 471-4466 JEROME MARTIN
DISCOUNT
PREPAYMENT
SHIPPING/HANDLING
SALES TAX
PLEASE PAy.....
THIS AMOUNT""-
.00
180.00
.00
.00
.00
TO INSURE PROPER CREDIT RETURN THIS STUB WITH YOUR REMITTANCE.
~SArfGUARD.
INVOICE
6l,.~t"~~
TOWN OF WAPPINGER, NY
PLEASE INDICATE CHANGE OF ADDRESS AND/OR PHONE NUMBER:
CUsTO
~:
~.
'~B~'~I=:
E-MAIL ADDRESS:
AMOUNT DUE
~
.00
R
E
M
I
T
T
o
SAFEGUARD BUSINESS SYSTEMS
PO BOX 88043
CHICAGO IL 60680-1043
6/08/2006
23:24:48
XXX X
220808 22137111 000000000 9
INE1 LITHO USA