New York Industries for the Disabled
..
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
New York Industries for the Disabled
11 Columbia Circle Dr
Albany, New York 12203
Due on Receipt
TERMS
Purchase 1 f)
Order No. ~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I ~IG. Lllll)
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REF NO.
DATES INV# Quantity DESCRIPTIO.N OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01/26/2012 4.00 Corrugated File Box, Letter or Legal Size $45 93 $183 72
lc-PrSf- ~ ') E53LIO-oOO- 00
TOTAL $183.72
Christine Fulton 183 72
1. 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 municipalny on the dates stated; that no part has been paid or satisfied; that taxes, from which the
:::::m_.mOO"_'M"~~_"Z~ TownClcrk
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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
.-
New York State Industries for the Disabled, Inc.
11 Columbia Circle Drive
Albany, New York 12203
(518) 463-9706 Fax (518) 463-9708
FederalI.D. # 13-2841179
Customer Invoice
Number Date
500399 1/27/2012
Cust Acct. # 10848
Sold To:
Ship To: Page: 1
WAPPINGER. TOWN OF
CHRISTINE FULTON
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS NY 12590
WAPPINGER, TOWN OF
P.O. BOX 324
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS NY 12590
Customer Order Number Ship Date Order Number Ship Via
CF012612#
1/27/2012
202577
NYSID
Item Quantity Quantity Unit
Number Ordered Shipped Description Price ~mount
E5340-0000-000
CHRISTINE FULTON
845-297-5771
4.00
4.00 Corrugated File Box, Letter or Legal Size
$45.93
$183.72
fR1~~~llW~[Q)
JAN 3 02012
TOWN OF WAPPINGER
TOWN CLERK
Subtotal
Payment
Credits
Freight
Sales Tax
Total
$183.72
$0.00
$0.00
$0.00
$0.00
$183.72
WAPPINGER, TOWN OF
TO:
New York State Industries for the Disabled, Inc.
11 Columbia Circle Drive
Albany, New York 12203
Cust. Acct.
Invoice No.
Invoice Date
10848
500399
1/27/2012
Invoice Amt.
$183.72
New York State Industries for the Disabled, Inc. Statement
11 Columbia Circle Drive Date: 1/31/2012
Albany, New York 12203 Account: 10848
(518)463-9706 Fax (518)463-9708
FederaII.D.# 13-2841179
WAPPINGER, TOWN OF
P.O. BOX 324
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS NY 12590
Payment Terms: NET 30
Please review and remit payment
Credit Card purchases may appear
on this statement before your
credit card is actually charged
COGe --- .t"'uLc..;hd.se--oJ...~C;~. 1~\.mLe-l
~~~J,. Amo>.m.l:-
Amr'lllnt....E.e . 'n
Balance
D~-;;~;;;e~i:;;Ir;;roiceNO ~--- Date
500399
1/27/2012 SLS
CF012612#
$183.72
$183.72
$183.72
If you have any questions ~:c~~t
your account p\eas~ con .
Rosi Palmatier .'
Accounts Receivable spe~~~st
Ph' 518-463-9706 Ext.
. Fax: 518-455-0322
Amount Due:
$183.72
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o - 30 Days 31 - 45 Days 46 - 60 Days 61 - 90 Days
91-120 Days
120+ Days
$183.72 $0.00 $0.00 $0.00
$0.00
$0.00
Codes: SLS
CR
Sales / Invoices
Credit Memos
PMT
Payments
RTN
Returns