Petty Cash (5)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Petty Cash
Due on Receipt
TERMS
Purchase
Order No.
8
DO NOT WRITE IN THIS BOX
Dale Voucher Received
FUND - APPROPRIATION AMOUNT
J Y 10 I ,1-(00-
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO,
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03/15/2011 2 Cases Water (BJ's Wholesale) $8 39 $16 78
2 Deposit for Water (BJ's Wholesale) $2 40 $4 80
2 1/2 Gal Milk (Hanaford) $1 86 $3 72
2 Sugar Packets (Hanaford) $2 39 $4 78
1 Sweet N Low Packets (Hanaford) $2 69 $2 69
, Table Cloth (Just A Buck) $1 00 $1 00
TOTAL $33.77
John C. Masterson 3377
\. certify that the above account in the amount of $ .
is true and correct; that the Items, seNiess, and disbursements charged were rendered to or for the municipality on the dates slatad; 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 actually due
~1l~ ~
SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
3/15/2011
DATE
Town Clerk
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
BJ'S WHOLESALE CLUB
RT 9 AT M~ERS CORNER ROAD
WAPPINGER FALLS, N~
0053 ObO 6~36 03/15/11
CASH-1 1781 11:'13:38
..*.********.**.*..*.***..**.******.**
*** MEMBERSHIP 10. OS3Q32BS910 .**
*** MEMBERSHIP EXPIRES ~ 02/12 ***
.***1.**""*...******" '1**'*******
CASH OR CREDIT
Hannaford Food & Drug
1490 Rt. 9.. Wappingers Falls NY 12590
(845) 297..8254 - www.hannaford.com
7572000555 PS ~8/80Z
2 @ 8.39 16.78
GROCERY
HRD HOMO MILK PL
2 @ 1. 86
SWEET'N LOW 100S
DOM SUGR PKT 100CT
2 @ 2.39
TOTAL TAX
3.72
2.69
4,78
0.00
*
*
*
DEPOSIT
2 @ 2'10
IftM TOTAL 2
SUBTOTAL
N~ TAX 8 .125~.
TOTAL
'1.BON
21.58
1.36
22.9~
o ~AlA~~1: ~~t
Cash
CHANGE
11.19
11 .19
0.00
CHANGE
25 00
2 Ob
CASHIER NAt1E: Frank
STORE:08334 REGISTER:OOl CASHIER:Ol01
TICKET#:2561 15MAR2011 11 :23:04
Look for all the
Guiding Stars at
H.3.nnafo rd
Brent Caron Store Manager
CRSH
REWARDS EARNED AS OF 03/1'1/11 ; $2
THANK ~OU FOR SHOPPING AT BJ'S
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