Petty Cash
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
M-Ll5
Petty Cash
Date Voucher Received
FUND - APPROPRIATION AMOUNT
J L}/(),UD?
TOTAL $0 00
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
CLAIMANT'S
NAMEAND
ADDRESS
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/24/2011 1 Increase in Town Clerk's Petty Cash $50 00 $50 00
,
TOTAL $50.00
John C. Masterson 5000
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 inciuded: and that the amount claimed is actually due
DATE
Town Clerk
06/24/2011
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
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER