Masterson, John C. (5)
..
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
~;o
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAMEAND
ADDRESS
John C. Masterson
5106 Princess Circle
Wappingers Falls, NY 12590
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I'-/IU .L/L/'2 /<S"L oe:;
TOTAL $0 00
ABSTRACT NO. I
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
08/12/2011 1.00 NOOK $132 05 $132 05
1 Gift card for Barnes & Noble $20 00 $20 00
(Treasure Hunt prize)
TOTAL $152.05
John C. Masterson 152 05
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 included: and that the amount claimed is actually due
DATE
Town Clerk
08/12/2011
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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
S //1.- /1 f
/ 6ATE
4/;ff:.~
COMPTROLLER
AUTHORIZED OFFICIAL
DATE
Barnes & Noble Booksellers #; 36
2518 South Road
Poughkeepsie, NY 12601
845-485-2224
STR:2886 REG:007 TRN:5380 CSHR:Ni( Ie H
TAX EXEMPT ID:
TAX EXEMPT RSN:
146002488
Government
Gift Card Issue N
<1 iii 20.00>: 20.00
CardH.: XXX)0(XXXXXX7157
Auth : 002000
Entry Method: Swiped
Card Balcmoe:20.00
NOOK
97814005327,11
(1 iii 139:00) Item Cpn 5% (6.95)
HNY PC 64492
(1 iii 132.05) 132.05
E -Reader Seri a J 1# 301283002723300;
TOTAL 152.05
VISA 152.05
Cardl#: XXXXXXXXXXXX8771
Expdate: XX/XX
Auth: 08364B
Entry Method: Swiped
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