HV Shred
.;;
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
HV Shred
16 Griffen Street
Poughquag, NY 12570
Due on Receipt
TERMS
Purchase
Order No.
JX)
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
1440.410 $240 00
TOTAL $240 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES . UNIT PRICE AMOUN'F
1.00 Secured On-site Document Shredding Clean out Bin tips $240 00 $240 00
TOTAL $240.00
Christine Fulton 240 00
1, certify thatlhe above account in the amount of $ ,
is true and correct; that the items, sarvices, and disbursements charged were rendered to or for the municipalny on the dates stated; that no part has been paid or satisfied; that taxas, from which the
municipality is exempled, are not included: and that the amount claimed Is actually due
03/28/2012
Town Clerk
DATE
(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
COMPTROLLER
DATE
IlV HV Shred, Inc.
~-c/OJudith Papo
. . & 16 Griffen Street
." Poughquag, NY 12570
Invoice
Date Invoice #
3/27/2012 MAR27K_2012
Bill To
-
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MAR!'.2"~ 20\2
TOWN OF WAPPINGER
TO~l-!RK
,
Town of Wappinger Town Clerk
Christine Fulton
20 Middlebush Rd
Wappingers Falls, NY 12590-4004
,
j
Terms
Due on receipt
.
Description Qty Rate Amount
Secured on-site document shredding clean out bin tips 8 30.00 240.00
.
"
CERTIFICATE OF DESTRUCTION
HV Shred, Inc. certifies that all material covered by this seT' ice statement have ,
been destroyed in a manner that information cannot be recon tueted or retrieved.
The service was completed on the date indicated above.
Subtotal $240.00
Registered w/NYS DOS#15810018000 Sales Tax (0.0%)
$0.00
Pay online at: https://ipn.intuit.com/5z6zr487 Total $240.00
Phone # E-mail
(845) 705-7279 judith@hvshred.com