Masterson, John C. (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
John C. Masterson
5306 Princess Circle
Wappingers Falls, NY 12590
Due on Receipt
TERMS
DATES
Quantity
DESCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
INV#
5/12/2008
3,00
Large Pizzas
2 Liter Pepsi
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2
See Attached
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
$11 50
$300
$34 50
$600
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1, certify that the above account in the amount of $ 40,50
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dates stated; that no part has been paid or satisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount claimed is actually due
Cb ("11~=
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l
5/12/2008
DATE
TOTAL
$40.50
Town Clerk
TITLE
(SPACE BELOW FOR MUNICIPAL USE)
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
DATE
AUTHORIZED OFFICIAL
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
GUEST CHE CK™
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