Masterson, Chris (5)
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
l4LO . t-P1 Z- It 7f
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
09/12/2011 1 11 X 17 Black Picture Frame $11 25 $11 25
TOTAL $11.25
John C. Masterson 11 25
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
:::;~:~:T~.".'OO_'OO ...._.,,~ Cji t, ~ Town elm me,
(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
A~MOr.:JRJ dk
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A.C.Moore #21
Alpine Shopping Center
1404 RT 9
Wappingers Falls, NY 12590
(845)297-4693
11X17 BRENNA BLACK 02475178284
p.11 .21> TCM
ACMoore Rewargs Card 6603995051606148
/
$1'1.25
-"' """'$1) -.4"5
....-. .
.
$0.42
$0.04
$12.16
$2O...Qfl
$7.84 ~
SUBTOTAL
4.00% State Tax
3.750% County Tax
0.375% MCTD Tax
TOTAL
CASH
CHANGE
II 111m 1I11111111111111111111111mllllllllllllllllllllllU 11111111111
9 1 2 0 0 2 1 033 5 7 6 0152 2 9 1
"'"'
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TOTAL SAVINGS
$13.74
IT EMS 1
09-12-11 11:24AM 002103 3576 Elaine
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