Masterson, John C. (9)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANrS
NAMEAND
ADDRESS
John C. Masterson
5106 Princess Circle
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purchase
Order No.
~C1
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
fL-1 H) . -J-f 4 '2- ~
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
07/28/2011 30.00 Renegades Ticket Voucher $6 00 $180 00
TOTAL $180.00
John C. Masterson 18000
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
municipaiity is exempted, are not included: and that the amount claimed is actually due
-4J-c~~
(SPACE BELOW FOR MUNICIPAL USE)
07/28/2011
DATE
Town Clerk
TITLE
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
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
DATE
COMPTROLLER
~
. . ., . .' . . .' . . .' . . . . . . . . .
Hudson Ualley Renegades
1500 Rt 9D
Wappingers Fls, N~ 12590
845-838-0094
COP '-t
07/28/2011 12:35:35
Transaction ~ ~
Card Type: Uisa
Acc: ~~~~~~~~~~~~8771
Exp. Date: --I--
Entry: Sw i ped
Invoice ~ 1442
Sa.le:
AMount: 180.00
Reference No. :
Autn.Code:
Response:
0003
01842B
AP
CUSTOMER COP~
I
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