Signal Graphics (3)
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
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESC~IPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
09/27/2011 1 500 Transfer Station Permit Stickers $371 50 $371 50
Orange-Single Axle
1 500 Transfer Station Permit Stickers $371 50 $371 50
Orange-Double Axle $0 00
1 500 Transfer Station Permit Stickers $371 50 $371 50
Green-Freon Purge
$0 00
TOTAL $1,114.50
J-VI-\ n f. yv,^~~9.~,)~" .' 1 114.50
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
municipality is exempted, are not inciuded: and that the amount ciaimed is actually due
~TE -4f~
{OWV\ {ut/L
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
I Signal Graphics.
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o PAID IN FULL
Cash Cheek#
Salesperson
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AMEX DISC
rrk'ustomer Called q/~7! II
o Artwork Filed
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