Masterson, John C
Town of Wap;:linger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Chris Masterson
CLAIMANT.S
NAMEAND
ADDRESS
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
] 1/] 3/2008 ] 3 Boxes Joe Original Blend $41 97 $41 97
] 6 Bagels $5 79 $5 79
] 6 Muffins $7 93 $7 93
] ] 2 Donuts $7 49 $7 49
I 2 8oz. Plain CC $5 98 $5 98
NY State Grant Workshop $0 00
TOTAL $69.16
I. certify that the above account in the amount of $ 69.] 6
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
fl~~
SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
~11.<"1 'O~
DATE
'(7J-vJ (\ C ~-k...
TITLE
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
.-
..
'.
Welcome to Dunkin Donuts
11/13/2008 8:54:04 AM
Eat In
Order Number: 555954
Register:2
Cashier:Alison M.
3 Bx Joe Orig Blnd
1 6 Bagels
1 6 Muffins
1 12 Donuts
2 80z Plain CC
Tran Seq No: 555954
Sub. Total:
Tax:
Total:
Discount Tota 1 :
41.97
5.79
7.93
7.49
5.98
$69.16
$3.41
$72.57
$0.00
Change $0.00
Master Card: $72.57
Thank You Come Back Again