Signal Graphics (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Signal Graphics
1299 Route 9 Suite 105
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Dete 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
09/29/2011 1 1,000 Blue Transfer Station Permits $465 00 $465 00
1 5% Discount -$23 25 -$23 25
TOTAL $441.75
John C. Masterson 441 75
I, certify that the above account in the emount of $ .
is true and correct; thaI the Items, services, and disbursements charged were rendered to or for the municipality on the detes stated; that no pert has been paid or satisfied; that taxes, from which the
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(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
COMPTROLLER
DATE
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Cash Check#
Salesperson
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