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Safeguard (4)
..
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Safeguard
15 Manchester Road
Poughkeepsie, New York 12603
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIA nON AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
II
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01/31/2011 1 2,500 (l Carton) #04126 $73 00 $73 00
1 Shipping/Handling $8 00 $8 00
TOTAL $81.00
John C. Masterson 81 00
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 inciuded: and that the amount claimed is aC~,!:!i'IIY due
1/31/2011
DATE
Town Clerk
V (SPACE BELOW FOR MUNICIPAL USE)
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality the dates stated and the
charges are correct
,/3/1"
I 'DATE
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
~ SAr-EGUARD.
INVOICE
Page
1
-~
1~~'1'1l._.1"1
1/24/2011
026671218
JEROME MARTIN.
15 MANCHESTER ROAD
POUGHKEEPSIE NY 12603
CUSTOMER NUMBER
220808
I OO'K9~'OO.~I'h'":t;THV2:HD't~r-
.....'..h'd:l:.:.I.
I 330272990
TAX CODE
For Inquires Call: (845) 471-4466
INVOICE TERMS: Payable Upon Receipt
LATE CHARGE: 1-1/2% per Month or Maximum Allowable Rate
Minimum of $.50 Per Month
FED. TAX 10: 23-1689322
B
I
L
L
TOWN OF WAPPINGER, NY
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590-4004
111.111111111.111.11111,111111111111111111111111111111,11111II
S
H TOWN OF WAPPINGER
~ ANGIE
20 MIDDLEBUSH RD
T WAPPINGERS FALLS NY 12590
o
T
o
QUANTITY I PRODUCT NAME I DESCRIPTION I FORMS AMT. I DISCOUNT I % AMOUNT DUE
2,500 CUSTMISC
OPBMISC
#04126 8.5X11 PAPER WI PE
RF 3 2/3 (1 CARTON)
73.00
73.00
SAFEGUARD MESSAGE:
TOTAL PRODUCT
DISCOUNT
PREPAYMENT
SHIPPING/HANDLING
SALES TAX
73.00
.00
.00
8.00
.00
TO PAY BY CREDIT CARD. SIMPLY CALL YOUR BUSINESS SPECIALIST
(845) 471-4466 JEROME MARTIN PLEASE PAy..... 81 00
THIS AMOUNT ~ .
~-------------------------------------------------------------------------
TOWN OF WAPPINGER, NY
INVOICE
~SAr-EGUARD. PLEASE INDICATE CHANGE OF ADDRESS AND/OR PHONE NUMBER:
INVOICE DATE
1/24/2011
l(ll'J.][._~lIh'JI:i:r:
026671218
CUSTOMER NUMBER DISTRIBUTOR NO.
220808
HV2HDN
00K9-00
ORDER NUMBER
E-MAIL ADDRESS:
AMOUNT DUE
~ 81.00
TO INSURE PROPER CREDIT RETURN THIS STUB
WITH YOUR REMITTANCE.
1/24/2011 23:37:56 XXXX
R
E
M
I
T
T
o
SAFEGUARD BUSINESS SYSTEMS
PO BOX 88043
CHICAGO IL 60680-1043
1.111111111111..1..111111111.11111'1.1'111111111111111111'1.1.1
220808 26671218 000008100 5
295017821100