Masterson, John C. (5)
TOWN OF WAPPINGER, NY
P.O. Box 324. Middlebush Road
Wappingers Falls, N.Y. 12590
Purche.e
Order No,
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAME AND
ADDRESS
John C. Masterson
Town Clerk
Town of Wappinger
20 Middlebush Road
Wappingers Falls, NY 12590
.,
DRte Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO, 1
PURCHASE ORDER & VOUCHER
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TERMS
VENDOR'S
REF,NO
DATES
QUANTITY
DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
8/16/06
Reimbursement to Petty Cash:
Drawer shortage of $19.00 on Tuesday, August 15, 2006
$19.00
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Sandra Kosakowski
Deputy TOl~ Clerk 1
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b1 i/f(j~ V/7J1II1tE
Dorothv C1 oarR
Deputy To~ Clerk 3
TOTAL
$19.0@
John C. Masterson 19100
I. certify thallhe above accounl in the amounl of S
is true end correct: that the Items. services. and disbursements charged were rendered 10 or for the municipality on the dales stated; that no part has been paid or satisfied: Ihallaxas, from which the
municipality is exempled. are nol included; and thai the amount claimed is aclually due
08/16/2006 ~t~- ?own Clerk
DATE /I ' ( SIGNATURE 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 appropnalions indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
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