Signal Graphics (2)
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
ClAIMANT'S
NAMEAND
ADDRESS
Signal Graphics
1299 Rt Suite] 05
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purd1ase
Order No.
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DO NOT WRITE IN THIS BOX
Dale Voucher Received
FUND - APPROPRIATION AMOUNT
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TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
Co
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01-10-12 1.00 5 Certification Copy Pads/50 sheets per pad $44 93 $44 93
1 5%discount -$2 24 -$2 24
TOTAL $42.69
Christine Fulton 42 69
1, certify that the above account in the amount of $ .
is true and correct; that the Rems, services, and disbursemants charged were rendered to or for the munlclpaltty on the dates stated; that no part hes been paid or satisfied; that taxes, from which the
:/::::-'."'-"~"~~~ Town Cl"k
DATE SIGNATURE 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
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
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o PAID IN FULL
Cash Check#
Salesperson
I VISA I MC
AMEX DISC
I Signal Graphics.
o Customer Called
o Artwork Filed
:299 Rt. 9: Suite 105
Wappingers Falls NY 12590
(845) 2.98-0172 Fay: (845:\ L''-l8-V:i()-i
42118
01/10/12
SHIP TO:
Wappinger, Town Of
20 Middlebush Road
Wappingers Fails NY 12590
< Same as Bill To ;>
~,::y: 297-4558
Subtotal
5.0% Discount
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TOTAL
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':)ate (/ / 0 11?r-
Pay from this invoice
SIgna; ,=~raphr.:5 F"'fI'ltlf'g . 1299 Rt, :). S'....i'Le iuS VVappt:lgers Faib f..JV 1~__~9G :845', ~~::B-G17:
(or;ntL' 1)