Fulton, Christine (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Christine Fulton
18 Park St
Wappingers Falls
Due on Receipt
TERMS
Purchase
Order No.
IS
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I '-IJ 0, 401..
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11/16/2011 1.00 Dunkin Donuts for NY State Achives Class $39 03 $39 03
reimbursement to petty cash
TOTAL $39.03
Christine Fulton 39 03
I. certify thet 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 included: and that the amount claimed is actually due
1
11/18/2011
Deputy Town Clerk
TITLE
DATE
(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
11/16/2011 4:17:27 PM
Eat In
Order Number: 091
Register:2 Tran Seq No: 2220091
Cashier:Amanda .0.
1 12 Donuts 7.49
1 12 Bagels 7.49
1 IceTea SM Unsweet 0.99
1 Bx Joe Orig Blnd 14.99
2 802 Plain CC 5.98
1 Bagel w/CC 2.09
Sub. Total: $39.03
Tax: $1.47
Tota 1 : $40.50
Discount Total: $0.00
Change $0.00
Cash Exact Dollar $40.50
****************************************
H~Y AM~RICA!
WANT A FREE DONUT WHEN YOU PURCHASE A
MEDIUM OR LARGER BEVERAGE?
Go to www.telldunkin.com on your
computer or mobile device in the next
3 days and tell us about your visit.
Te invitamos a participar en
nuestra encuesta.
Survey Code: 09101-01313-1611-1616
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Visit DunkinDonuts.com for
coupon restrictions.
Franchisee: Please use PLU #201
Thank You Corne Back Again