Christine Fulton (4)
-#
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Christine Fulton
18 Park St
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purchase
Order No.
~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I LIITJ,Ytl)-
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S ~
REFNO. '"
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01/13/2012 2.00 Tolls to and from Newly Elected Classes $3 40 $6 80
TOTAL $6.80
Christine Fulton 6 80
1. certify thet the above account in the amount of $ .
Is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dates stated; that no part has been paid or satisfied; that taxes, from which the
::::::--"';--~''*''-''t~@, Town Cleek
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
THRUWAY AUTHORITY
Lane 05X
Coll 19281
01/13/12
3:05pm
Plaza 24X to Plaza 18X
ClasS 2L Toll $3.40
Retain this Receipt to support
claim for exemption from New York
State Truck Mileage Tax
NEW YORK STATE
THRUWAY AUTHORITY
Lane 12X
Coll 17839
7:33am
01111/12
Plaza l8X to Plaza 24X
Cla 5S 2L
Toll $3.40
Retain this Rec '
claim for exe~Pt:1Ptfto support
S lon rom N
tate Truck Ml'l ew York
eage Tax