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HV Shred .. Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: Purchase Order No. 3~1 DO NOT WRITE IN THIS BOX Date Voucher Received CLAIMANT'S NAMEAND ADDRESS HV Shred, Inc 16 Griffen Poughquag, NY 12570 TOTAL $000 ABSTRACT NO. Due on Receipt TERMS VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 06/08/2011 24 Secured on-site document shredding clean out bin tips $30 00 $720 00 Town Clerk 8/130 = 6.2%=$44.64 Supervisior 122/130= 93.8% $675.36 TOTAL $720.00 John C. Masterson 72000 1, certify that the above account In the amount of $ . Is true and correc~ that the ~ems. 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 ::s::-::~.m ~ ;~".... .".. .m'~~(fJc~ Town am DATE (; SIGNATURE TITLE (SPACE BELOW FOR MUNICIPAL USE) II APPROVAL FOR PAYMENT This claim is approved paid from the appropriations indicated above DEPARTMENT APPROVAL The above services or materi Is were rendered or furnished to the municipali 0 the dates stated and the charges are correct ('/8/ll , DATE COMPTROLLER DATE ~ IIV HV Shred, Inc. ~ c/oJudith Papo ~ 16 Griffen Street Poughquag, NY 12570 Invoice/Service Statement Date Invoice # 6/7/2011 JUN7B 2011 Bill To Town of Wappinger Town Clerk Chris Masterson 20 Middlebush Road Wappingers Falls, NY 12590-4004 Terms Due on receipt Description Quantity Rate Amount Secured on-site document shredding clean out bin tips 24 30.00 720.00 lit ~/r 30 (,.1..1, ... ~"l.'~ ~ 5Uf7 \2Z( \.36 4oH.t 10 ::: r,1S. ~~ CERTIFICATE OF DESTRUCTION HV Shred, Inc. certifies that all material covered by this service statement have been destroyed in a manner the information cannot be reconstructed or etrieved. The service was completed on the date indicated above. Pay online at:: https://ipn.intuit.comIb67625c Subtotal $720.00 Sales Tax (8.1 25%) $0.00 Registered wlNYS DOS#15810018000 Phone # E-mail Total $720.00 (845) 705-7279 judith@hvshred.com