HV Shred (2)
,.
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
HV Shred, lnc
16 Griffen
Poughquag, NY 12570
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
/4/0.'-1/0
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
c9c;r/W
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
04/01/2011 10 Secured On- Site Document Shredding Clean Out Bin Tips $30 00 $300 00
Assessor 2 Boxes 9.84
Clerk 16 Boxes 78.69 $0 00
Comptroller 26 Boxes 127.87
Tax 9 Boxes 44.26
Water 8 Boxes 39.34
Total 300.00
TOTAL $300.00
I. J"b~(\ Co A1~~~Cl "'. certify that the above account in the amount of$ 300.00
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 ctually due
(
'-"
-$J\\
DATE
~f\ C~
(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
IIV HV Shred, Inc.
~ c/o Judith Papo
Jfi# 16 Griffen Street
Poughquag, NY 12570
Invoice/Service Statement
Date
4/1/2011
Invoice #
APRJG_20J]
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 10 30.00 300.00
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.com/idmqppj Subtotal $300.00
I Sales Tax (8.1 25%) $0.00
Registered wlNYS DOS#1581001 8000
Phone # E-mail
Total $300.00
(845) 705-7279 judith@hvshred.com