Masterson, John C. (6)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
6C1
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
A1410.442
TOTAL $0 00
ABSTRACT NO. I
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
07/26/2011 1 Big Lots $29 00 $29 00
07/26/2011 1 United Rentals $36 63 $36 63
TOTAL $65.63
John C. Masterson 65 63
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
:::.;::-:- -.. '",- M< ..,.. _.,,~ Town Cle,k
DATE 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations Indicated above
DATE
AUTHORIZED OFFICIAL
COMPTROLLER
DATE
MASTERSON, JOHN
5106 PRINCESS CIRCLE
WAPPINGERS FALLS, NY
12590
RENTAL RETURN
INVOICE
94369688-001
Customer Number $# 1006533280
Invoice Date 7/11/11
Rental Out 7/09/11 9:06 AM
Rental In 7/11/11 7:39 AM
Job Location: DRIVING TO OHIO
Job Number
P.O. Number
Ordered By
Written By UR232PD
Salesperson 99
iJnited Rentals.
i.
/UR-RENTS (800-877-3687)
,Itedrentals.com
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LOCATION #232
124 Jr.INDSOR BIG1IJfAY
JmW Jr.INDSOR, NY 12553
845-562-4560 845-562-4514 FJI.%
1111111111111111111111111111111111111111111111111
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Office: 845-705-7801 Job: 845-705-7801
....
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MASTERSON, JOHN
5106 PRINCESS CIRCLE
WAPPINGERS FALLS, NY 12590
RENTAL ITI!:MS:
~ Equipment Description
PAYMENT HISTORY
DATE TYPE
7/07/11 PAY ON RETURN
7/07/11 VISA CARD
7/09/11 PAY ON RETURN
7/09/11 PAY ON RETURN
7/11/11 VISA CARD
REF # AUTH # TRANS TYPE
Minimum Day Week 4 Week Amount
32.00 32.00 1.70.00 424.00 32.00
N/e
Rental Subtotal: 32.00
Price Unit of Measure Extended Amt.
[ENV /MCI] .150 ( D) DCB .15
AMOUNT APPLIED
1 740937 *TRAILBR BQUIPMENT SNGL AXLB
Make: TOW MASTER Model: T-5TSL
Serial: 4KNTT16195L163740
1 920/9952 SLIDB IN PINTLE COMBO HITCH
SALES/MISCBLLAHBOUS ITBMS:
~ Item
1 ERVIIlOIDIBNTAL CIlAIlGB
I
**8771 01771B AUTH USED
Agreement Subtotal:
Rental Protection:
Tax: NO
Total:
Balance paid:
**8771 01771B CHARGED
39.24
.
Sal.s/Mise Subtotal:
THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT. WHICH ARE INCORPORATED HEREIN BY REFERENCE.
A COPY OF THE RENTAL AGREEMENT IS AVAILABLE UPON REQUEST.
Page:
1
I
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! BIG LOTS(
I~perial Plaza #01396
1 5}4Rout~~ 9 .' .<
Wapp i'119!1.rS Fal 1 s;i NYl 2q~.o
, o. 8'15 )29g-1~5Q""'.}'
~ .: '~!7" ':,'C'.':' ,'.....:..,u_, . ,
:0171 0/2url;,~'P';~";~L.:i;(),~2~~3_~A_MJpT ' F.
Trans,: 1622 Store: 01396 '.
I
Re9.: 002 _ Till :barb :;..
Cashier: 1519006 Sales: 15r~OQ6
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SALE
1111111111111111111111111111111111111111
01396002162220110710
TARP 12X20 HD 1'1Xl'l MESH
270010781 1 @ 29.00
Sub-Totll
NY 8.125% Taxable
NY 8. 125% Tax
Total Slle. Tax
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..~4t .
. 29.r~i
.
29.00
2.36
....---"
Totll
V i sa (S) 31 . 36
Account: 8771
Expires: **1****
Auth: 05099B.9778176'1 (A)
Total Tender
Chlnge Due
Thank YOU for shopping at Bi9 Lots!
Si9n UP for Buzz Club Rewards at
www.bi9lots.co~
Retain this receipt for
return or exchange
..
Merchandise ~ust be in its original
condition as of the day it was purchased
******************************
RETURNS WITH THIS RECEIPT WILL
BE ACCEPTED THROUGH
8/9/201 1
Custo~er COP\!
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Thank You
#799
.. '9 I' 11 9 : 53 PM
'~rrm: ~9 1~21218121
lpr: 214~41B
IMP*! ~1 CREDIT I'
-!L @ $3.599I'G
LUME 17.5215 GAL
i':;:~,S TOTAL $63. 2121
~'AND TOTAL $63. 2121
~!a
<XXXXXXXXX877 1
<, "2191'22111 21 :51: 11
.sr~~ to pa!::l th~
. 'V~ Total Amount
:'..ord 1 ns to Card
:- u~r Aer~~m~nt.
THANK YOU
..........,.- -
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~ I . STOP . I 888216688~
. ,Iif!:~ East Valley R
)i.A~TOH I PA
.' '112811 5: 18: 26 AM 8314
". VISA
CE 851521
88-837468 REF 96888628268
7
, AR
./GAL
TOTAL
..... Credit
Total = $78,88
$78.88
Thank YOU
Please come again
WELCOME TO
GOOSEBERRY FARMS
GOOSEBERRY FARMS 54292980418953-824790-1
490 ~UEDBERG RD PINE G~'OVE F'A
570-345-3705 17963
DUPLICATE OUTDOOR RECEIPT
VI AIJTH#03809B
SEmi 9544
DATE 07/09/11 12:53
REF# 119016987009081
BATCHtt 20110709011
PUMP # 06
PRODUCT: UNLD
APPROVAl # 03809B
GALLONS: 16.223
PRIGE/G: $ 3.699
FUEL SALE $ 60.01
THANKS, COME AGAIN
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$ .
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