Southern Dutchess News (5)
TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, NY 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 12eyO
L
I
Dale Voucher Received
FUND - APPROPRIATION AMOUNT
..-
T{:lTAl
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
-l
TERMS
VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIAlS OR SERVICES UNIT PRICE AMOUNT
cY9/0f '~70/ JUOhcL 7." /, 9 I /;/s- 3P
1 Ic.e? 0 I ,.uolJ 'u:. ?flA. ~ 0 ~~ /("
/; ~follUonc.JL 7'11 f 7 S3 ~7
7~A tff. 63 ~l'
Ii &74 I A..J .07') C.(L
REC\:.fVEO
AUG '6 2006
- TOWN CLERK
TOTAL Ift.oJ
-
( / C)
I. /1/1 q Ii 0/1; certify lhalthe above acrounl-m the amounl 01 S 1 t, 0 'I
is !rue and correct; lhalthe items, services, and disbursements charged were rendered to or for the municipality on the dales slaled; that no part has been paid or satisfled; that taxes, from which the
municipality is exempted. are no( included; and that the amount claimed is actually due
0//1,//0 ?
DATE
oJAJ ~ ~-'-A
SIGNATURE
110(/il~~ J
TITL
(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
DATE
DATE
COMPTROLLER