Staples (10)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department: Town Clerk
CLAIMANT'S
NAMEAND
ADDRESS
Staples
Due on Receipt
TERMS
Purchase
Order No.
~~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
It/IIJ. '-/0 ~
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
04/28/2011 I Box of 500 Security Envelopes $15 99 $15 99
TOTAL $15.99
John C. Masterson 15 99
I, certify that the above account In the amount of $ .
is true and correct; that the nems, services, end disbursements charged were rendered to or for the municipality on the detes steted; that no pert has been paid or satisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount claimed is ectually e
04/28/2011
DATE
Town Clerk
(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
STAPlES
that was easy.
Low prices. Every item. Every day.
856-58 South Road/Route 9
Wappingers Fa) )6, NY 12590
(845) 298-0767
SALE 1426081 4 006 70249
0221 04/28/11 10:35
QTY SKU PRICE
ENVELOPE SECURITY
718103031271 22.99N
Contract Price $15.99 -7.00
SUBTOTAL 15.99
Tax Exempt Number 0739010148
TOTAL $15.99
Convenience 15.99
Card No.: XXXXXXXXXX~3080 [S]
Auth No.: OAPRVO
TOTAL ITEMS 1
Master Account 0001010549
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