Masterson, John C. 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 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.DR SERVICES UNIT PRICE AMOUNT 08/29/2008 1.00 Staples Receipt for Supplies, Plastic Paper Inserts $32 42 $32 42 2 Boxes at 14,99 each TOTAL $32.42 John C. Masterson 3242 1 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 ::::::::;;;'"" '""0000 '",.. ~ "OO"""~'~'C:. "-fir::-' ~ Town Cl"k DATE 11 ':~ATURE TITLE V (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 .. .. STAPlES that was easy. Low prices. Every item. Every day. 856-58 South Road/Route 9 Wappingers Falls, NY 12590 (845) 298-0767 SALE 086846 9 002 28008 022108/29/08 11:41 QTY SKU PRICE 2 STAPLES STO SHEET 718103053754 14.990ea 29.98 SUBTOTAL 29.98 Standard Tax 8.125% 2.44 TOTAL $32.42 Debit Tender: 32.42 Card No.: XXXXXXXXXXX2888 [SJ Auth No.: 078398 TOTAL ITEMS 2 Compare and Save with Staples-brand products. THANK YOU FOR SHOPPING AT STAPLES ! Shop online at www.staples.com SHOP SMART FOR COLLEGE SWEEPSTAKES Enter for a chance to win Visit www.staples.com/ultimateprizefor2 Now thru September 2, 2008 No purchase necessary to enter or win. See Official Rules online or in store. /111" I III 1111/1" II I I I1I1I 11111//1111 I 11111111/111 I 111/// II/ 022 1 0 8 2 9 0 8 2 8 0 0 8 0 2