Atlas Star (3)
TOWN OF WAPPINGER, NY
P,O, Box 324, Middlebush Road
Wappingers Falls, N. y, 12590
F>urcn...
Ord.r No.
DO NOT WRITE IN THIS BOX
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Atlas Star
1136 Route 9~ Suite L2
Hampton Business Center
Wappingers Fal Is~ NY 12590
.....,
DRle Voucner Received
FUND. APPROPRIATION AMOUNT
TOTAL
ABSTRACT NO. I
PURCHASE ORDER & VOUCHER
CLAIMANT'S
NAME AND
ADDRESS
L
..J
TERMS
VENDOR'S
REF.NO.
DATES QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1 Toner/Dev unit for Sharp FO-2970M Fax 97 00
C~ jJ~ 2fu .Lr;
c. ~
I
TOTAL 97.00
-."
John C. Masterson 97 00
I, certify thet the ebove eccount in the amount 01 S .
is true and CClmlCt: lllat the Items, services, and disbursements cnerged were rendered to or lor the municipality on the dales statad; Inal no part has been paid or satisfied: Inat taxes. from which the
municipality i. exempted, are not included: and that tne amount claimed is actually due
DATE
Town Clerk
TITLE
10/02/2006
DEPARTMENT APPROVAL
The above services or materials were rendered. or
furnished to the municipality on the dates stated and t
charges are correct ~-_.
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
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DATE
DATE
COMPTROLLER
Atlaltar
1136 ROUTE 9, SUITE L2
HAMPTON BUSINESS CENTER
W APPINGERS FALLS, NY 12590
P(845)297-0078 / F(845)298-2088
Packing Slip
DATE
INVOICE #
10/2/2006
33311
BILL TO
WF Town Hall / Comptroller
20 Middlebush Road
Wappingers Falls, NY 12590
SHIP TO
WF Town Hall / Comptroller
20 Middlebush Road
Wappingers Falls, NY 12590
Your P.O. REP START METER
AW
QUANTITY DESCRIPTION
1 FO-29ND, TonerlDev unit for FO-3800 Fax
.
Qlt1/~
/
I
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Acceptance - Please sign I
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