Staples
CLAIMANT'S
NAMEAND
ADDRESS
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Staples
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 -
11/28/2011
11/28/2011
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1 Staples Security Pen $2 31 $2 31
TOTAL $2.31
DATE
(SPACE BELOW FOR MUNICIPAL USE)
Christine Fulton 2 31
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 ",unlciRality 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 tha amount claimed is actually due -- \
t,~Llrr~
SIGNATURE
Deputy Town Clerk
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
// -dr-
AL/~ rk
(Xad~
APPROVAL FOR PAYMENT
This ciaim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
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Net 30 Da s
..1 E NUMBER..
3164588341
. NT.:Due/.
2.31
SlAPtES
INVOICE
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Staples Business Advantage
Federal 10 #:04-3390816
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Bill To:
0000029 IN T 6279
TOWN OF WAPPINGERS FALLS(NYS)
CHARLES REINHARDT
20 MIDDLEBUSH RD
CONTRACT #PC63830
WAPPINGERS FALLS. NY 12590
Ship To:
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TOWN OF WAPPINGERS FALLS
ATTN: C(M)ANY CARD
20 MIDDLEBUSH RD
WAPPINGERS FALLS. NY 12590
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Bill to Account: 1002720
Ship to Ac:c:ount: 0-001
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Budget Ctr:
P 0 Number:
Ordered by:
Card #:
COMPANY CARD
xxxxxxxxxxx3080
Invoice Number:
Order:
Transaction Date:
Transaction Number:
3164588341
104828127-000-001
11/18/11
79705
Itemf\Ult)er
650499
650499
49
18 -
4.49
2. 18-
CUstaner Service i~iries # 800-724-0110 Invoice Payment I~iries 888-753-4105 Page: 1
Make checks payable to Staples. Inc. and ~idiaries. Dept ROC PO Box 415256. Boston MA 02241-5256
0000029-0000029-0000001
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CUstomer Service i~iries # 800-724-0110
Invoice Payment I~iries 888-753-4105
..
Please send payment to:
Staples. Inc. and Slbsidiaries
Dept ROC
PO Box 415256
Boston. MA 02241-5256
RCH31645883410000002317