Signal Graphics (4)
.
CLAIMANT"S
NAMEAND
ADDRESS
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
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
09/27/2011
INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1 500 Transfer Station Permit Stickers $371 50 $371 50
Green-Computer Monitor
1 250 Single Use Permits $48 61 $48 61
$0 00
$0 00
1 5% Discount -$76 73 -$76 73
$0 00
TOTAL $343.38
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
John C. Masterson 343 38
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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(SPACE BELOW FOR MUNICIPAL USE)
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
D PAID IN FULL
Cash Check#
Salesperson
I VISA I MC
AM EX DISC
I Signal Graphics.
uk"ustomer Called q/~7111
D Artwork Filed
41481
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