Signal Graphic
t
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Signal Graphics
]299 Route 9 Suite 105
Wappingers Falls, NY ]2590
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
02/08/2008 300.00 Numbered Books of Pink Recycle Tickets $0 59 $177 00
Numbered and Perforated
1 Less 5% Discount -$8 85 -$8 85
TOTAL $168.]5
John C. Masterson 168 15
L 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 inciuded: and that the amount claimed is actually due
February 8,2008
DATE
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
...
.
D PAID IN FULL
Cash Check#
Salesperson
I VISA I MC
AM EX DISC
I Signal Graphics.
D Customer Called
D Artwork Filed
1299 Rt. 9, Suite 105
Wappingers Falls NY 12590
(845) 298-0172 Fax: (845) 298-0307
Ship To:
Wappinger, Town Of
20 Middlebush Road
Wappingers Falls NY 12590
< Same as Bill To >
"ax: 297-4558
Received by
~Jt-
I
Date ~/<61 0<(
Pay from this invoice
Signal Graphics Printing' 1299 Rt. 9, Suite 105 . Wapplngers Falls NY 12590 . (845) 298-0172
(prlnt# 1)