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Safegard Business Systems
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT.S
NAMEAND
ADDRESS
Safeguard Business Systems
15 Manchester Road
Poughkeepsie, New York 12603
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
6/] 9/2008 1.00 Safety Paper/No Border 500 Sheets $100 00 $100 00
TOTAL $100,00
John C. Masterson 100 00
I 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 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
June] 9,2008
DATE
i(LC~/&K
\ 81 NATURE
Town Clerk
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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
~ SArfGUARD,
INV .
Page 1
~~ 024251121
JEROME MARTIN
15 MANCHESTER ROAD
POUGHKEEPSIE NY 12603
INVOICE DATE
6/12/2008
I 00K9-00
DISTRIBUTOR NUMBER I ORDER NUMBER
HV20MH
CUSTOMER NUMBER
CUSTOMER P.O.
TAX CODE
220808
330272990
:or Inquiries Call:
(845) 471-4466
INVOICE TERMS: Payable Upon Receipt
LATE CHARGE: 1-1/2% per Month or Maximum Allowable Rate
Minimum of $.SO Per Month
FED. TAX ID: 23-1689322
B
I
L
L
TOWN OF WAPPINGER, NY
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590-4004
/111111,11/,1, L 1.11,11111.111111111111111111111111111111111,1
S
H
I
P
TOWN OF WAPPINGER
ANGIE
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590
T
o
T
o
QUANTITY PRODUCT NAME DESCRIPTION FORMS AMT. DISCOUNT I %
AMOUNT DUE
500 CUSTMISC
OPBMISC
SAFETY PAPER NO BORDER
100,00
100,00
Cl.FEGUARD MESSAGE:
) PAY BY CREDIT CARD, SIMPLY CALL YOUR BUSINESS SPECIALIST
TOTAL PRODUCT
DISCOUNT
PREPAYMENT
SHIPPING/HANDLING
SALES TAX
100,00
,00
,00
,00
.00
PLEASE PAY
(845) 471-4466 JEROME MARTIN THIS AMOUNT" 1 00,00
~------------------------------------------------------------------------
TOWN OF WAPPINGER, NY
INVOICE
~SAr-EGUARD. PLEASE INDICATE CHANGE OF ADDRESS AND/OR PHONE NUMBER:
INVOICE DATE INVOICE NUMBER
CUSTOMER NUMBER DISTRIBUTOR NO.
6/12/2008
024251121
E-MAIL ADDRESS:
ORDER NUMBER
220808
HV20MH
00K9-00
AMOUNT DUE
R
E
M
I
T
T
J
SAFEGUARD BUSINESS SYSTEMS
PO BOX 88043
CHICAGO IL 60680-1043
11111111111111,11111.1111111111//11111111111111/1111111111,/11
~
100.00
J
TO INSURE PROPER CREDIT RETURN THIS STUB
WITH YOUR REMITTANCE.
6/12/2008 22:53:50 XXXX
220808 24251121 000010000 1
~95017221100