Masterson, John C. (10)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
John C. Masterson
Reimbursement to Petty Cash
Due on Receipt
TERMS
Purchase
Ordar 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
09/09/2011 1 Color Code 3/4 in Orange Dots $7 29 $7 29
1 500 Sheets Orange Paper $11 79 $11 79
1 500 Sheets Yellow Paper $11 79 $11 79
1 500 Sheets Green Paper $11 79 $11 79
1 Can Pledge $1 00 $1 00
TOTAL $43.66
John C. Masterson 43 66
I. certify that the above account in the amount of $ .
is true and correct; that the nems. services. and disbursements charged were rendered to or for the municipality on the dates steted; that no part has been paid or satisfied; that taxes, from which the
municipality IS exempted, are not included and that the amount claimed IS actualiy due
09/09/2011 (}? r:zP Town Clerk
DATE U SIGNATURE 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
AUTHORIZED OFFICIAL
DATE
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
STAPlES
that was easy.
Low prices. Every item, Every day.
856-58 South Road/Route 9
, Wappingers Falls, NY 12590
\ (845) 298-0767
SALE: 1595863 2 001 50803
0221 09/09/11 12: 36
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QTY SKU PRICE
COLOR CODE 3/4IN N
072782054670 7.29
BRIGHTS 8.5X11 ORA
718103095310 11,79
BRIGHTS 8,5Xll VEL
718103095297 11.79
BRIGHTS 8.5X11 GRE
718103095303 11.79
SUBTOTAL 42.66
Standard Tax 8.125% 3.47
TOTAL $46.13
Cash 50.00
Cash Change 3.87
TOTAL ITEMS 4
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