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Staples (8) '- Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS. NY 12590 PURCHASE ORDER & VOUCHER Department: CLAIMANT'S NAMEAND ADDRESS Staples Due on Receipt TERMS Purchase Order No. Ll1- DO NOT WRITE IN THIS BOX Dete Voucher Received FUND - APPROPRIATION AMOUNT IYJO.YO? TOTAL $0 00 ABSTRACT NO. I VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 06/22/2011 I Green 3 Tab Folders $7 79 $7 79 1 Contract Price -$1 06 -$1 06 TOTAL $6.73 John C. Masterson 6 73 I, certify thet 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 ciaimed is actua due 06/22/2011 DATE Town Clerk TITLE (SPACE BELOW FOR MUNICIPAL USE) APPROVAL FOR PAYMENT 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 This claim is approved paid from the appropriations indicated above COMPTROLLER DATE ... STAPlES that was easy. Low prices, Every item, Every day, 856-58 South Road/Route 9 Wappingers Falls, NY 12590 (845) 298-0767 SALE 1564643 1 001 30274 022106/22/11 11:01 QTY SKU PRICE 3-TAB FLOR LTR GRE 718103064804 Contract Price $6.73 SUBTOTAL 7.79N -1.06 6.73 Tax Exempt Number 0739010148 TOTAL $6,73 Convenience 6,73 Card No.: XXXXXXXXXXX3080 [S) Auth No,: OAPRVO TOTAL ITEMS 1 Master Account 0001010549 Compare and Save with Staples-brand products. THANK YOU FOR SHOPPING AT STAPLES ! Shop online at www.staples.com Staples Rewards are moving online. Provide your email at StaplesRewards,com/estatements to keep receiving Rewards. tl \ \1\ t I It I II I tl" lI1 t I III 1\ Itl Itt II I" ttI"" \ 1\" I It"" lit 022 1 062 2 1 130 2 7 401