Petty Cash (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Petty Cash
CLAIMANT'S
NAMEAND
ADDRESS
Due on Receipt
TERMS
Purchase
Order No,
4~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I Crm .L/O'L
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES IN\!# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/24/2011 3 Tablecovers $1 00 $3 00
TOTAL $3.00
John C. Masterson 3 00
1, 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 actualiy due
06/24/2011
Town Clerk
DATE
(SPACE BELOW FOR MUNICIPAL USE)
TITLE
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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
.
DollAR TREE STORES, INC.~c
Stor'eN 3735
192ei South Road
Poughkeepsie NY 12601
(845) 297-4268
DESCRIPTION
----.----------------------------------------
--------------------------------------------
QTY PRICE
TOTAL
----.----------------------------------------
TABL.ECOVER 1 1. 00 1.00T
TABL.ECOVER 1 1.00 1.00T
TABL.ECOVER 1 1.00 1.00T
Sub Total $3.00
SALES TAX $0.24
Total $3.24
Cash $4.00
CHANGE ====> $-0.76
============================================
Thank You for Shoppj~g at Dollar Tree
Where Everythjng's $1.00
Now Shop On-L IneatDo Il~rtree. com
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6/24/11 10:55