Pam Brown
,-
,
/
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Pam Brown col NY ALGRO
P.O Box 18
Panama, NY 14767
Due on Receipt
TERMS
Purchase A
Order No. ~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
JLIIU, 405
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
J..j
DATES INV# Quanllty DESCRIPTION OF MATERIALS OR SERVICES - UNIT PRICE AMOUNT
01/09/12 1.00 2012 Annual Membership Dues $30 00 $30 00
TOTAL $30.00
Christine Fulton 3000
I, 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 munlclpaHty on tha dates stated; that no part has been paid or satisfied; that taxes, from which the
:~::::~'."._~'.'''-.''2.~~ Town Cl~k
DATE 51 URE 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
I
New York Association
of Local Government Records Officers
INVOICE
2012 ANNUAL MEMBERSHIP DUES
January 1; 2012
Name thn~MU Hon
lown (l~lerK.
Local Government lown ~ IA_.h+4)I0jff.
Address ao mlool.eJcJm.]d.
W~l(,Of15 ~tl51 tJ\t It JJ1QO
Title
Annual Regular Membership Dues (January 1, 2012-December 31, 2012
$30.00
Please print this document, fill in information above and send with your
remittance to:
Pam Brown
VP Membership
NYALGRO
P. O. Box 18
Panama, NY 14767
Any questions, please call (716) 483-4340 or em ail me:nval~ro2010(W~mail.com
Thank you.