General Code (3)
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
General Code
781 Elmgrove Rd
Rochester, NY 14624-2991
Due on Receipt
TERMS
Purchase
Order No.
5
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
IFILl I 0 i LICi--/
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
\5
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01/10/2012 1.00 Annual maintenance fee Ecode 360 $1,195 00 $1,195 00
TOTAL $1,195.00
Christine Fulton I 195 00
1, certify thallhe ebove account in the amount of $ , .
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipaltty on the dates ateI8d; that no part has been paid or satisfied; that taxes. from which the
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01/10/2012 (I ~ Town Clerk
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
G~NERAL
-
- ~I
'.CODE'
~ ~ ,- -. .
781 Elmgrove Road
Rochester, New York 14624-2991
(800)836-8834 * Fax(585)328-8189
Tax ID 20-8015087
Invoice No:
Invoice Date:
Due Date:
Terms:
PO:
C0006984
1/1/2012
1/31/2012
Net 30
Information made civil
Town of Wappinger
Christine Ful ton
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls NY
Customer No: WA0691
Maintenance Period Ends: 12/31/2012
12590
Qty
1
Description eCode360 Annual Maintenance
eCode360 Annual Maintenance Fe
Amount
$1,195.00
\PI.~~~~~~\fJ
j~N 1 () L -: '.2
r WAPPINGER
iO~~N CLERK
Interest will be charged on all past due
accounts at 1.5% monthly.
Subtotal
S&H Charges
Tax EXEMPT
Pmt Rec I d
Total Due
$1,195.00
$0.00
$0.00
$0.00
$1,195.00
Thank you for choosing General Code. We appreciate your business.
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Voucher Form (if reauired)
Claimant's Certification
I do solemnly declare and certify under penalties of the law that the within bill is correct in all its particulars;
that the articles have been furnished or services rendered as stated therein; that no bonus has been given or received
by any persons within knowledge of this claimant in connection with the above claim; that the amount therein stated is
justly due and owing; and that the amount charged is a reasonable one.
~~.
Accounting Administrator
1/1/2012
Account Charged
Department Approval
Payment Record: Check #
Dated
Date
GENERAL 781 Elmgrove Road
((:.JIJ_ Rochester, NY 14624
p: 800/836-8834 fax: 585/328-8189
email: sales@generalcode.com
Hasler
02/06/2012
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#278440; - ~
01/31/2012
Christine Fulton:
We have received the following from your municipality:
Fax authorization for supplement; Officials changes
Town of Wappinger
CIO Clerk's Office
20 Middlebush Road
Wappingers Falls, NY 12590
1...11.. 1.1. 1.1.1.1..11....1..111...1,1..1,1,.1.1.,1,1",,11,1
$00.32Q
ZIP 14624
011011617638