Safeguard
.
..
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS. NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Safeguard Business Systems
PO BOX 88043
Chicago, IL 60680-1043
Due on Receipt
TERMS
Purchase
Order No.
cJt:naox
O8Ie Voucher RllC8Ived
FUND - APPROPRIATION AMOUNT
A1410.402 $132 00
TOTAL $132 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 Safety Paper No Border $132 00 $132 ~
~
$0
~ 00
00
TOTAL $132.00
Christine Fuhon 13200
\, certify that the ebove account In the amount of $ .
is true and correct; thetthe items, services, and disbursements charged were rendered \0 or for the municipality on the dates slllled; that no pari has been paid or satisfied; that taxes, from which the
~;:::-"".. ..m"", ......"'7:-;..n ~ Town Cl"k
DATE ~TURE TITLE
(SPACE BELOWFORMUNICIPAL IJse)
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
..
.~ SAr-EGUARD.
Page 1
JEROME MARTIN
15 MANCHESTER ROAD
POUGHKEEPSIE NY 12603
For Inquires Call: (845) 471-4466
B
I
L
L
TOWN OF WAPPINGER, NY
20 MIDDLEBUSH RD
WAPP/NGERS FALLS NY 12590-4004
11111111111111111111111111111111111111111111111111111111111111
T
o
-;;~~,~~u"'ml
HV2R6G
........Il'll.:..w:.
IW~...J.I
330272990
INVOICE TERMS: Payable Upon Receipt
LATE CHARGE: 1-1/2% per Month or Maximum Allowable Rate
Minimum of $.50 Per Month
FED. TAX ID: 23-1689322
S
7 TOWN OF WAPPINGER
P REGINA
T 20 MIDDLEBUS!-I RD
o WAPPINGERS FALLS NY 12590
1,000 CUSTMISC
OPBMISC
TO PAY BY CREDIT CARD, SIMPLY CALL YOUR BUSINESS SPECIALIST
(845) 471-4466 JEROME MARTIN THrsL~~~~~i ~ 132.00
&(-------------------------------......----------------------------------------
TOWN OF WAPPINGER, NY
SAFETY PAPER NO BORDER
SAFEGUARD MESSAGE:
~SAr-EGUARD.
PLEASE INDICATE CHANGE OF ADDRESS AND/OR PHONE NUMBER:
E-MAIL ADDRESS:
R
E
M
I
T
T
o
SAFEGUARD BUSINESS SYSTEMS
PO BOX 88043
CHICAGO IL 60680-1043
111111111111111.11111111111111111111111111111111111111111111.1
120.00
120.00
TOTAL PRODUCT
DISCOUNT
PREPAYMENT
SHIPPI NG/HANDLI NG
SALES TAX
120.00
.00
.00
12.00
.00
INVOICE
l~l'..I.JI._'7..:W'
1~ITi.Jl._~I'h'il:t.:
5/07/2012
027844859
I O~]~~:~';'Jl.~I'
........Ufll.=...,'.h'Juun
ORDI R NUMIH R
220808
HV2R6G
AMOUNT DUE
~ 132.00
TO INSURE PROPER CREDIT RETURN THIS STUB
WITH YOUR REMITTANCE.
5/07/2012 23:25:29 XXXX
295015751100
220808 27844859 000013200 3