General Code
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
CLAIMANT"S
NAMEAND
ADDRESS
General Code
n Hinchey Road
Rochester, NY 14624-2991
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. \
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
10/2112008 1.00 Supplement No. 16 $0 00
I *Editorial Work $385 43 $385 43
] *Composition Work $81 90 $81 90
1 *Duplication $31 30 $31 30
1 *Finishing $46 10 $46 10
] Zoning Slip sheets $3 02 $3 02
Shipping & Handling $22 00 $22 00
TOTAL $569.75
John C. Masterson 569 75
\. certify that the above account in the amount of $ .
is true and correct: that the items, services. and disbursements charged were rendered to or tor the municipality on the dates stated; that no part has been paid or satisfied; that taxes. from which the
municipality is exempted, are not inciuded: and that the amount claimed is actuaiiy due
DATE
Town Clerk
TITLE
(SPACE BELOW FOR MUNICIPAL USE)
1\
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
APPROVAL FOR PAYMENT
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
GENERAL
[K.) IJ ~
72 Hinchey Road
Rochester, New York 14624-2991
(800)836-8834 * Fax(585)328-8189
Tax ID 20-8015087
1
BC
WA0691
Page:
Sales/Edit:
Customer No:
Invoice No:
Invoice Date:
Due Date:
Terms:
G0115604
10/2112008
11/20/2008
Net 30
Your Order:
BILL TO:
Town of Wappinger
Mr. Chris Masterson
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls NY
12590
Qty
44
Description
Supplement No.16:
* Editorial Work
* Composition Work
* Duplication
* Finishing
Zoning Slipsheets
PC/CodeBook Supplement
E-Code Supplement (refer to Website)
17
Interest will be charged on all past due
accounts at 1.5% monthly.
SHIP TO:
Town of Wappinger
Mr. Chris Masterson
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls NY
12590
RECEIVED
OCT 2' 7 2008
Amount
TOWN CLERK
$385.43
$81.90
$31.30
$46.10
$3.02
Subtotal
S&H Charges
Tax EXEMPT
Pmt Rec'd
Total Due
$547.75
$22.00
$0.00
$0.00
$569.75
Thank you for choosing General Code. We appreciate your business.
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Claimant's Certification
Voucher Form (if reQuired)
I do solemnly declare and certify under penalties of the law that the within
bill is correct in all its particulars; that the articles have been furnished
or services rendered as stated therin; that no bonus has been given or received
by any persons within knowledge of this claimant in connection with the above
claim; that the amount therein stated is justly due and owing; and that the
amount charged is a reasonable one.
-VD7LM-LL~
Accounting Administrator
10/21/2008
Account Charged
Payment Record: Check #
Department Approval
Dated
Date
