Southern Dutchess News (4)
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No
DO NOT WRITE IN THIS BOX
I
CLAIMANT'S SOUTHERN DUTCHESS NEWS
NAME AND 84 EAST MAIN STREET
ADDREssWAPPINGERS FALLS, NY 125(10
L
"I
Date Voucher Received
FUND - APPROPRIATION AMOUNT
-'
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
-.J
TERMS
VENDOR'S
REF.NO.
, DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
5/3/0& ~Q / AJo1Sc.e.. ?:J. 9 5 ;l.. /~ 91
II Iu '7 Q / ,{j on c.e.. 7:J-9S3 ~5 3/
! ;
!
- RECE\VE'
MAY 1 7
TOWN CLERK
~ TOTAL ~ O. ~ S-
I (1(74'~/
I, 041 certify that the above account-m the amount of S c:. o. :<..s-
is true and correct; thai the items, services. and disbursements charged were rendered 10 or for the municipality on the dates slaled: thai no part has been paid or satisfied: thallaxes, from which the
municipality is exempted. are not included: and that the amount claimed is actually due
5}llo?
dvv~
DATE
SIGNATURE
8otJi:~
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
O/11ioCo
D TE
DATE
COMPTROLLER