Dutchess County Print Shop
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Delivery Slip
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY . 486 - 3672
[Y:For Delivery
D For Pickup No. 0 414 7
TOWN CLERK's OFFICE
Department: TOWN OF WAPPINGER
Delivery Address: 20 Middlebush Road
Wappingers Falls, NY 12590
Contact Person: Sandra Kosakowski 297-5771
Job Description
PINK Refuse Collection Ticket Books -
5 Tickets per Book PLUS numbered covers
beginning with number 001
ALL TICKETS perforated & stavled with
5 plus 1 cover ticket per book.
- ~ .
Printing Requisid
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY .486.3672 Req No.
No. 04147
Department :
Town Clerk's Office
Account Code:
Date: 1 /11 /2006
Contact :
Sandra Kosakowski
Telephone No.: 297-5771
Fax:
298-1478
Number of Copies: Number of Pages: 1500 Date Needed: 1 / 27 1>6
Type of Paper Paper Size
Index Other Paper D 8 1/2 X 11
D White DRag Bond (Letterhead Paper) D 8 1/2 X 14
D Blue D Strathmore Bond (Letterhead Paper) D 11 X 17 _
D Buff D 881b (Business Card Slock) D Business Cards
D Canary NCR Paper
DGreen D2Part White/Yellow D
iil ~i: D 2 Part White! Pink D # 10 Envelope
D Salmon D 3 Part White / Yellow / Pink D # 6 3/4 Envelope
D Regular OWindow
Other ALL Tickets on index paper
Padding
Stapling Folding
D 1 Upper Left D 1/2 Fold D Pad on top
D 2 Left Side DLetter Fold D Pad on Side
D 2 Saddle DDouble Parallel Fold - Sheets Per Pad
Special Instructions
PINK Refuse Collection Ticket Books - 5 Tickets plus cover ticket
per book (stapled). Numbered covers beginning with number 00l~
All tickets perforated and each book stapled together.
All tickets on index paper. Authorized Signature C
Do not write below this line
Copy Paper
D White
D Blue
D Buff
D Canary
D Green
DGold
DPink
Type of Copies
D Single Sided
D Duplex (Two Sided)
Ink Color(s)
~ Black
D Blue
DRed
D
Binding / Hole Drilling
D 3 Hole Punch
D Spiral Binding
D Perfect Binding Tape
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Delivery Slip
Dutchess County PriptShop · 27 IDgh Street. Poughkeepsie, NY; · 486.3672
For Delivery D For Pickup N~" 0 .f14 9
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Department,: ~w/l/ e~ERK.!s 6F'rlC.E'
Delivery Address: -!c /J'1//).J.">iElJu:5if Jf~Aj)
1t.J;1Ip/,fG€~5 rA/..t.:5 ,.vV' 1-;'61t
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Contact Person :..sA~ [>.12 II
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Job Description
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Do ItOI writ, b,low lhis lin, ",
. Delivery Sllp . -" NY . 486 . 3671.
"gh Street. poughkeepsie,
Dutchess County Print Shop' 27\li
04149
o For Delivery 0 For Pickup ~.
-
Department:
Delivery Address:
- (' ';'.{05 A X t' uJS e I
rontact Person : ....J /J It! [/ Jl A '" 0 '7 _ ., 17 I
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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
"I
Date voucher Received I
FUND. APPROPRIATION I AMOUNT
I
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
Vwtc.kUl> Cou.nt~ plLi.n;t Shop
27 Hi.g k Sbted
Pougkkeepl>~e, NY 12601
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TERMS
VENDOR'S
REF NO
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
I
12/21/04 1500 PINK Refuse Ticket Booklets
tickets -
(5 tickets per book plus
1 cover ticket) I
I
Approximate Price 350 00
Deliver to:
Town Clerk's Office
I
TOTAL
-
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l. certify that the above account in the amount of $
is true and correct: that the items, services, and disbursements charged were rendered to or for the municipality on the dales stated: that no part has been paid or satisfied: thai taxes. from which the
municipality is exempted, are not included; and that the amount claimed is actually d
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DATE
~c~/:
TITLE
DATE
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II
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APPROVAL FOR PAYMENT
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Delivery Slip
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY . 486 . 3672
R'For Delivery 0 For Pickup 04.149
/JaY/v' ~ /LJ/f I. / AI G E.RJ ,
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Department: rt.'LLJ# {}~ E,(lIf'.5 tJ~r/C E
Delivery Add~~ss: ..?ll /J'J/L).J)L.E13ttSff ..f{JIf/)
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Contact Person: SAil! D.eA ~5 II f{!J ll)S K I
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Job Description
JD/NIf ~EFt./5E C {j J-L Ec..r/od
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t'JtJCJI
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Do not write below this line
Signature
_ 10199
Printing Requisition
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY .486 _ 3672 Req No.
No. 04149
Department: '/OtiJ# Or 1U/J1'1'/lv'GE.I!..;
Account Code:
Date: I:? /~/ / ~/f.
~..5AJ(OtcJ5K ;
Contact:
,-C)'AN'PL/I
Telephone No. :
,,( 7 7- 5771
,2 r??- /~73'
Fax:
Number of Copies: Number of Pages: /5tJ 0 Date Needed: / / ~ I / oS
~. e of Paper Paper Size
Copy Paper ~. Other Paper D 8 1/2 X 11
D White 0 White D Rag Bond (Letterhead Paper) D 8 1/2 X 14
D Blue 0 Blue D Strathmore Bond (Letterhead Paper) D II X 17
D Buff 00 CBuff D 88lb (Business Card Stock) DB' C d
D Canary anary NCR Paper usmess ar s
D Green B g~~n D 2 Part White I Yellow 6 # 10 E I
DGold SPink D2PartWhite/Pink D#63/4n,;op~
D Pink 0 Salmon D 3 Part White I Yellow I Pink DR I OWnve ?Pde
egu ar m ow
Type of Copies
D Single Sided
D Duplex (Two Sided)
Other
Ink Color(s)
B'Black
DBlue
DRed
D
Padding
Folding
D 1/2 Fold D Pad on top
DLetter Fold D Pad on Side
DDouble Parallel Fold - Sheets Per Pad
Special Instructions .
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..5 //C-K€ /5 /E.tf 81501(
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EG/A/,(/. W,rH NL/""J. ,..e
AN'/) Sr/lPL 61>)
Spechll Orders
(For Print Shop' (j~e Only)
Binding / Hole Drilling
o 3 Hole Punch
D Spiral Binding
o Perfect Binding Tape
Stapling
01 Upper Left
D 2 Left Side
o 2 Saddle
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TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No.
0001
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAME AND
ADDRESS
Dutchess County Print Shop
Attn: STOREKEEPER
27 High Street
Poughkeepsie. NY 12601
I
Dale Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
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Acct. No. A-445
VENDOR'S
TERMS REF,NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
I
Expendable 8uppUes (Paper) 38 28
Make check paD-ble to: The Commissioner of FInance
Send check to above address.
I
TOTAL 38 .28
--.
I. certify that the above account in the amount of $
is lrue and correct: Ihat the items, services. and disbursements charged were rendered 10 or for the municipality on the dates stated: that no part has been paid or satisfied: that taxes, from which the
municipality is exempled, are not included: and that the amount claimed is actually due
DATE
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 appropriations indicated above
'1//'
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,I DATE.
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DATE
COMPTROLLER
"
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- 64
COUNTY OF DUTCHESS
DIVISION OF CENTRAL PROCUREMENT
27 HIGH STREET
POUGHKEEPSIE, NEW YORK 12601
SUBJECT: MONTHLY EXPENDABLE SUPPLY CHARGES
TO: NC0060 TOWN OF WAPPINGER
ACCT: 0001
LISTED BELOW ARE THE TOTAL CHARGES FOR EXPENDABLE SUPPLIES ISSUED TO YOUR
AGENCY COVERING THE PERIOD: FEBRUARY 2005.
PLEASE RECONCILE THESE CHARGES WITH YOUR REQUISITIONS WITHIN THREE (3)
DAYS AFTER RECEIPT OF THIS STATEMENT. DISCREPANCIES OR QUESTIONS PERTAINING
TO THIS STATEMENT SHOULD BE DIRECTED TO THE STOREKEEPER BY CALLING: 486-3651
THOSE AGENCIES REQUIRED TO ISSUE A CHECK IN PAYMENT OF EXPENDABLE
SUPPLIES WILL ISSUE THEIR CHECKS PAYABLE TO: THE COMMISSIONER OF FINANCE,
DUTCHESS COUNTY, ACCT NO. A-445 AND MAIL TO THE ATTENTION OF STOREKEEPER AT
27 HIGH STREET. '
STATEMENT OF ACCOUNT
EXPENDABLE REQ NOS:
0001
ARREARS:
EXPENDABLES:
CREDIT:
TOTAL:
0.00
38.28
0.00
38.28
RECEIVED
MAR 0 7 2005
COMPTROLLER'S OFFICE
TOWN OF WAPPINGER
Delivery Slip
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY . 486 . 3672
IX! For Delivery 0 For Pickup No. 0414 8
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Department: /
Delivery Address:
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Contact Person :
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Job Description
C,.et(EN' ~ErtlStf( C(!L/-Ec.7'l'bN
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" TOWN OF WAPPINGER, NY
P,O, Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No.
CLAIMANT'S
NAME AND
ADDRESS
Dutchess County Print Shop
27 High Street
Poughkeepsie, NY 12601
-,
Dale Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
I
!
PURCHASE ORDER & VOUCHER
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TERMS
VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
9/2/04 1500 Green Refuse Ticket Booklets I
-
tickets (5 tickets per book plus
1 cover ticket) I
I
~
,.JtJtY q/11 V
J
Approximate Price 350 00
I
I
TOTAL 350. 00 J
I. certify Ihat Ihe above account in the amount of $
is true and correct; that the ilems, services, and disbursements charged were rendered to or for the municipalily on lhe dales staled; that no part has been paid or salisfied: Ihat taxes, from which the
municipality is exempted, are not included: and that the amount claimed is actually du
Sept. 2, 2004
DATE
Town Clerk
TITLE
rpAL USE)
DEPARTMENT APPROVAL ~ APPROVAL FOR PAYMENT
The above services or materials were rendered, or his claim is approved paid from the appropriations indicated above
furnished to the municipality on the dates stated and the
charges are correct I
I
DATE AUTHORIZED OFFICIAL I DATE COMPTROLLER
Delivery Slip
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY . 486 . 3672
r8I For Delivery 0 For Pickup [NO. 0 414 8
rtJ 4:J,y "r tV 1"91' /' / Al"G"' E ~
Department 7D4.J1// tJ j.1::-~K!.s ~rr/C &"
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Delivery AfIdress: .,{tJ /J7/l>L>t.t::gil..5# ~("'.l>
tU/lI'J'/#&fi~S rALL5 /II y /..<5ftC>
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Contact Person ~.vD~ ;r:~~K()~S 1:/'
:<j7- 677/
Job Description
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00001
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Do not write below this line
I;}e , " ",' Prilll ShipU$f '0,;1,
PateCofupleted: '. ........1.... .1
pa~ka~edBy: './ .~-. '.
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Courier Use Only
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.eceived By:
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Printing Requisition
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY .486 _ 3672 Reg No.
No. 04148
Department: /ouJ-'V ~r t.U/J~I'/AI{;-€L. - 7OUJIV' CL.E,eK.
Account Code: Date: r / I /,( tJ tJ ~
Contact: s:1.vP~ ~5AK~fd.5J::;
Telephone No. :
:1.'17. 577/
Fax:
~f8'-1'f7l?
Number of Copies : Number of Pages : /5tJD Date Needed: r /15/~~
~pe of Paper Paper Size
l.!!J!5j Other Paper 0 8 1/2 X 11
o While 0 Rag Bond (leTterhead Paper) 0 8 1/2 X 14
o Blue 0 Strathmore Bond (leTterhead Paper) 0 11 X 17
00 ~uff 0 88lb (Business Card Slack) 0 Business Cards
anary NCR Paper 0
~ Green .
o Gold 02 Part While / Yellow 0 # 10 Envelope
o Pink 0 2 Part While / Pink
o Salmon 03 Part While/ Yellow /Pink 0 # 6 3/4 Envelope
o Regular OWindow
Type of Copies
o Single Sided
o Duplex (Two Sided)
Ink Color(s)
gBlack
o Blue
o Red
o
Other
* Stapling
o 1 Upper Left
o 2 Left Side
o 2 Saddle
Binding / Hole Drilling
o 3 Hole Punch
o Spiral Binding
o Perfect Binding Tape
Folding
01/2 Fold
DLetter Fold
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REFUSE COLLECTION TICKET
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TOWN OF WAPPINGER, NY
P.O. Box 324, Middlebush Road
Wappingers Falls, N.Y. 12590
Purchase
Order No
(?o.~ {i1
DO NOT WRITE IN THIS BOX
I
I
Dale Voucher Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCH~R
CLAIMANTS
NAME NJD
ADDRESS
Dutchess County Print Shop
27 High Street
Poughkeepsie, NY 12601
L
--.l
TERMS
VENDOR'S
REF NO
-
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
I
10/28 Pink Refuse Ticket Booklets (1500) tickets
2003
Ii
\ ~f .\
. J \
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Approximate Price 350 00
I
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TOTAL
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I, certify thaI the above account in the amount of $
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dale slated; that no part has been paid or satisfied: that taxes. from which the
municipality IS exempted, are not included: and thaI the amount claimed is actuaU due
10/28/2003
DATE
Town Clerk
TITLE
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 app;oved paid from the appropriations indicated above
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DATE
COMPTROLLER
Dutchess County Print Shop' 27 High Street. Poughkeepsie, NY . 4~6 _ 3672
Delivery Slip
[!J For Delivery o For Pickup T No. 11580
Agency: Town of Wappinger / Town Clerk's Ofc.
Delivery Address: 20 Middlebush Road
Wappingers Falls. New York 12590
ob Name: Senior Refuse Tickets in Booklet
Contact Person: Form.
Sandra Kosakowski
Job Description
1500 Numbered Refuse Ticket Booklets
Pink (5 tickets no numbering - top
6th ticket with numbering - all tickets
perforated and stapled together to
form booklets.
I
. Print Shop Use Only
.
Date Completed: / /
Packaged By:
Courier Use Only
Courier: Date: / /
. Received By: Date: / /
, -
Signature
5/fH
Dutchess County Print Shop' 27 High Street. Poughkeepsie, NY . 486 _ 3672 Req No.
Agency: Town of Wappinger / Town Clerk's Office
Account Code: NC
Date: 10 / 29 / 2003
No. 11580
Job Name: Pink Senior Refuse Tickets in Booklet form.
Contact Person: Sandra Kosakowski
Telephone No.: 297-5771
Date Needed: 11 /29 /03
Copy Paper
o White
o Blue
o Buff
o Canary
o Green
o Gold
III Pink
Number of Copies : 1500 Number of Pages :
Type of Paper Paper Size
Index Other Paper 0 8 112 X 11
o White 0 Rag Bond (Letterhead Paper) 0 8 112 X 14
o Blue 0 Strathmore Bond (Letterhead Paper) 0 11 X 17
o Buff ggg 881b (Business Card stock) 0
o Canary NCRPaper
o Green .
o Pink 02 Part WhIte / Yellow
o Salmon 0 2 Part White / Pink
03 Part White/Yellow /Pink
Other
Envelopes
o # 10 Envelope
o # 6 3/4 Envelope
o Re ular OWindow
Padding
Folding 0 Pad on top
0112 Fold
OLetter Fold 0 Pad on Side
ODouble Parallel Fold - Sheets Per Pad
Job Description
Stapling
~ 1 Upper kmMiddle
02 Left Side
o 2 Saddle
(Last job # 5522)
Pink Refuse Collection Ticket Booklets _ 5
1 Numbered To Cover - whole book
perforated & stapled together.
Type of Copies
USingle Sided
o Duplex (Two Sided)
Ink Color(s)
D<<IBlack Lettering
OBlue
~Red Numbering
o
Hole Drilling
o 3 Hole Punch
Spiral Binding
011" 0 8 112"
Envelope Plate
Plate
/ /
Color Copies
Photo Copies
Hours of labor
Date Completed:
By:
Total Impressions:
3/01
Total $
...
Delivery Slip
Dutchess County Print Shop. 27 High Street. Poughkeepsie, NY . 486 _ 3672
o For Delivery
o For Pickup
Department :t-f/ "~I
Delivery Address: i, ~>:t '.>
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Contact Person: / (i; ,; / v>
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Job Description
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.",,;i~~PU"JCHES$ COUNTY DIVISION OF C'EN'tAAL SERVICES
PRINTING REQUIStTION
Submit o~ ONE job per,J'equi~iti02'" . /'" /;' )
I t k) A/ ~ f lvlfi t: j'-/ /'1 c:,. c;; ~
DEPARTMENT NAME: ;/"bahv' ;;J.lE~)(!s tiFF/c.€"
THIS SPACE FOR PRINTSHOP USE ONLY
Lt!. 'fY6 - 3~ 7~
TIME STAMP HERE
ACCOUNT CODE:
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TELEPHONE #: /;' 'IS)
DATE: bE'r.:,
,2, 97- .s 77/
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REQ.#:,
JOS.#:
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TOTAL #OF COPIES NEEDED:
I
/5/)i)
# OF PAGES:
I8t 1-SIDED
II
PAPER SIZE: ). Ii
PAPER COLOR: p / /V K.
PAPER TYPE:
.
INK COLOR(S):
I~N"EI..()PEstf' ,J62 .~ [~,) /' -ell t!J'~~
QUANTITY: ~ SIZE:_ #10 _ #63/4
DATE NEEDED:
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other:
TYPE:_
ENV.COLOR: INK COLOR:
DATE NEEDED:
ISINPERYI I ~ SUI PI. € ;JEII3~!t-
v' .5 T c.,u...-" it);.. t3 t- ~ K
STAPLING: A- YES _ NO if yes how many? / ~c /... , where?
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CUTTING: _ YES _ NO
tf yes, what is the FINISHED SIZE
PADDING: _ YES _NO
sheets per pad
FOLDING: _ YES _ NO type:
HOLE DRILLING: how many? where?
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SPIRAL BINDING (plastic combs): - YES _ NO OTHER (please specify)
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Authorized Signature
for printshop use only
BILLING INFORMATION
OTY DESCRIPTION PRICE OTY DESCRIPTION PRICE
under 50 Kodak copies @ $.04 per copy/per pg. Sheets of 81/2 x 11 Index@ $.02 per sheet
over 50 Kodak copies @ $.03 per copy/per pg. Sheets of 11 x 17lndt;lx @ $.05 per sheet
all originals @ $.10 ea Offset Plate (s) 11 x 15 @ $5.00 ea
Offset Plate (s) 18 x 15 @ $10.00 ea.
Halftone (s) up to 3 x 5 @ $ 7.50 ea.
Hrs. Labor @ $15.00 per hr. with a 1 hr. min.
Date Out
TOTAL IMPRESSIONS
TOTAL $
PD-2R-91
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\"'" t>UTC~~S~ QOUNTY DIVISION OF CENTRAL SERVICES
PRINTING REQUISITION
Submit only ONE job per requisition.
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DEPARTMENT NAME: rewA,! /1L.E,ek.:s tJFFlclr
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ACCOUNT CODE:
THIS SPACE FOR PRINTSHOP USE ONLY
TIME STAMP HERE
TELEPHONE #:
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REQ.#:
DATE:
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TOTAL #OF COPIES NEEDED:
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PAPER COLOR: fJ / N K
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PAPER TYPIi:
INK COLOR(S):
IENVELOPi:sl
/:;'L A Cl!. L IF T 1 e~~/ 1'6.'
-I II/ II m C 11' ,R / Iv' (,.
QUANTITY:
SIZE:_ #10 _ #631
ENV.COLOR:
INK COLOR:
IBINPi:Avl
STAPLING: _YES _ NO if yes how many?
CUTTING: _ YES _ NO
~'yes, what is the FINISHED SIZE
FOLDING: _ YES _ NO type:
.
SPIRAL BINDING (plastic combs): - YES _ NO
Jp~Re$9r:nf7TI()N-.~$Rerlatta.ohed"Vlmnot~$~Qbep~~9i
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Authorized Signature
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BILL
QTY DESCRIPTION PI
under 50 Kodak copies @ $.04 per copy/per pg.
over 50 Kodak copies @ $.03 per copy/per pg.
all originals @ $.1 0 ea
Date Out
TOTAL IMPRESSIONS
PD-2R-91
. Delivery Slip
Dutchess County Print Shop. 27 High Street. poughkeepsie, NY . 486 . 3672
PIES
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J:!f;~r Delivery
No.::-S-2_:l)
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Department: i)lh'/V '- c
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Delivery Address:
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Contact Person: 'r L (;;I!.. "
Job Description
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TOTALS
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REFUSECOLLI;~TION TICKET.