Masterson, Chris
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Chris Masterson
Reimbursement to Petty Cash
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
09/30/2011 1 Orange 3/4 in Dots for Transfer Permits $7 29 $7 29
TOTAL $7.29
John C. Masterson 7 29
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
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DATE IGNATURE 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
STAPLES
"-
"
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Low prices: Every item. Every day.
856-58 South Road/Route 9
Wappingers Falls, NY 12590
(845) 298-0767
SALE 1053736 1 001 55366
022109/30/11 11:08
aTY SKU PRICE
1 COLOR CODE 3/4IN N
072782054670 7.29
SUBTOTAL 7.29
Standard Tax 8.125% 0.59
TOTAL $7.88
Cash 10.00
Cash Change 2.12
TOTAL ITEMS 1
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