Staples (9)
TOWN OF WAPPINGER. NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purche..
Order No.
DO NOT WRITE IN THIS BOX
r
-,
DAte V"ucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Staples
1849 South Road
Poughkeepsie, NY 12601
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TERMS
VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES rl UNIT PRICE A"OUN~I
Titanium Frame 6' x 4' 364 95 I
5/8/06 1
Staples No. 462095B
Mfr. NO. QRT-TE567T
I
TOTAL
_..
I. ~.);t '1 ( , d\ ~n certify Ihellh" ebove eccount in the emounl of S
is lrue end correcl: lhellhe Items. services. end disbursemenls cherged we.. ..ndered 10 or for the municipelily on the deles steted: Ihet no pert 1'1.. been pe.d Of selisfled: Ihet te.es. from which the
munic.pellly is "xempted, e.. not ,ncluded: end Ihel the emounl cleimed is ecluelly due
~/<4D&
, DATE
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. SIG JURE ~
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TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered. or
furnished to the municipality on the dates stated and tti
charges are correct
APPROVAL FOR PAYMENT
This claim is approved paid from the eppropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER