Signal Graphics (4)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Signal Graphics
1299 Rt 9 Suite 105
Wappingers Falls, NY 12590
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Dete Voucher Received
FUND - APPROPRIATION AMOUNT
IY/U.YOd..
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S d:::t:=: l
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/23/2011 1.00 Signature Stamp (Fulton) $23 76 $23 76
TOTAL $23.76
Christine Fulton 23 76
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 municipatlty on the datas s\8\8d; that no part has been paid or satisfied; that taxes. from which the
muniCIpality IS exempted, are not Included and that the amount claimed IS actually due
01/03/2011 ~~
DATE SIGNATURE
Town Clerk
(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
I Signal Graphics@
o PAID IN FULL
Cash Check#
AMEX DISC
Salesperson
I VISA I MC
o Customer Called
o Artwork Filed
1:':9~: R~:. S.', S,uitt: 105
42031
Date
12/23/11
VVaoplngers rails Ny ~25'jC
(,:A:,) 29'5-0172 ~a:c (84::;) 2::18-030/
SHIP "Tel
Wappinger, Town Of
20 Middlebush ROad
Wappingers falls NY 12590
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Subtotal
5.0% Discount
Shipping
Postage
Tax
TOTAL
- Paid----
BALANCE
~-'-- -, ~..-
"..'dl. :~:
Terms
Ne: 3C' Days
Pay from this invoicl'.'
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