Geral Code
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
CLAIMANT'S
NAMEAND
ADDRESS
General Code
72 Hinchey Road
Rochester, New York 14624-2991
Date Voucher Received
FUND - APPROPRIATION AMOUNT
.
IlJ1lI) , -q() L..\
TOTAL $0 00
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S /9
REFNO. -
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03/24/2011 1 Composition $667 09 $667 09
1 Duplicating $154 91 $154 91
1 Editorial $2,117 98 $2,117 98
1 Finishing $92 53 $92 53
1 Shipping and Handling $69 75 $69 75
Slip Sheet $6 93 $6 93
TOTAL $3,109.19
John C. Masterson 3 109 19
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 included: and that the amount claimed is act lIy due
DATE
Town Clerk
03/24/2011
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
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
-
. G EN E RAt 72 Hinchey Road
~ID 10 a Rochester, New York 14624-2991
- - , (800)836-8834' Fax(585)328-8189
Tax ID 20-8015087
Invoice No.
Date:
Due Date:
Terms:
Customer No.
BILL004222
3/21/2011
4/20/2011
Net 30
WA0691
Bill To:
Town of Wappinger
Mr. Chris Masterson
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls, NY 12590
Supplement Project PO No.
Supplement No. 21 Quantity 21
Item Billing Amount Tax Total
Composition $667.09 $0.00 $667.09
Duplicating $154.91 $0.00 $154.91
Editorial $2,117.98 $0.00 $2,117.98
Finishing $92.53 $0.00 $92.53
Shipping & Handling $69.75 $0.00 $69.75
Slip Sheets $6.93 $0.00 $6.93
$3,109.19 $0.00 $3,109.19
Interest will be charged on all past due accounts at 1.5% monthly.
Total Due
$3,109.19
This order is subject to General Code's Terms and Conditions which are
available at www.generalcode.com/TCdocs
Voucher Form (if required)
Claimant's Certification
I do solemnly declare and certify under penalties of the law that the within
bill is correct in all its particulars that the articles have been furnished
or services rendered as stated therin that no bonus has been given or received
by any persons within knowledge of this claimant in connection with the above
claim that the amount therein stated is justly due and owing and that the
amount charged is a reasonable one
~~.
Accounting Administrator
3/21/2011
Account Charged
Department Approval
Payment Record Check#
nated
Date
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