Fulton, Christine
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Christine Fulton
CLAIMANT'S
NAMEAND
ADDRESS
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I y IU I L}O'(1..
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/8/2011 2 Boxes Joe $14 99 $29 98
1 Box of 12 Donuts $7 49 $7 49
1 Box of 12 Bagel $7 49 $7 49
2 8 oz. Plain Cream Cheese $2 99 $5 98
Reimburse Petty Cash
Grant Workshop $0 00
TOTAL $50.94
Christine Fulton 50 94
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
~~:~::'l--~".''"~~'.''OO'~~''?~ Town Cle,k
DATE
SIGNATURE
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
Welcome to Dunkin' Donuts
store #301313
1582 Route 9, Wappingers Falls
12/8/2011 9:12:06 AM
Eat In
Order Number: 756
Register:2 Tran SeqNo: 2253756
Cashier:Alejandro R.
2 Bx Joe Orig Blnd 29.9B
1 12 Donuts 7.49
1 12 Bagels 7.49
2 Boz Plain CC 5.98
Sub. Total: ~
Tax: . 4
Total: $53.38
Discount Total: $0.00
Change $0.62
Cash Next Dollar $54.00
****************************************
HfY AM~RICA!
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