Signal Graphics (5)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department: Highway
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date VouCher Received
FUND - APPROPRIATION
AMOUNT
CLAIMANT'S
NAMEAND
ADDRESS
Signal Graphics
1299 Rt 9 Suite 105
Wappingers Falls, NY 12590
TOTAL
$000
ABSTRACT NO.
DR'
TERMS ue on ecelpt
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/19/2011 1.00 1,00 Transfer Station Pennit Stickers $485 10 $485 10
1 5% Discount -$24 26 -$24 26
TOTAL $460.84
Christine Fulton '. 460 84
I, certify that the above account In the amount of $ .
is true and correct; that the ijems. 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 exempled, are not inciuded: and that the amount claimed is actually due
f~ALfrrL
SIGNATURE
12/19/2011
DATE
Town Clerk
TITLE
(SPACE BELOW FOR MUNICIPAL USE)
/~!q!11
. DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
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AUTHoRIZED o' ICIAL
/
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
DATE
COMPTROLLER
I Signal Graphics@
o PAID IN FULL
Cash Check#
AMEX
DISC
Salesperson
I VISA I MC
o Customer Called
o Artwork Filed
1299 Rt. 9, Suite 105
Wappingers Falls NY 12590
(845) 298-0172 Fax: (845) 2.98-0307
SHIP TO:
Wappinger, Town Of
20 Middlebush Road
Wappingers Falls NY 12590
< Same as Bill To >
Fax: 2974558
ReceIved by_ _
Date___~~j!( /1/
Net 30 Days
Pay from this invoice
Signal Graphics Prlrltlng . 1299 Rt 9. Suite 105 . 'Napplngers Falls NY 12590 . (845) 298-0172
(print# 1
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