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Staples (3) ii Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: CLAIMANT"S NAMEAND ADDRESS Staples Due on Receipt TERMS PurchlII8 Order No. 10 DO NOT WRITE IN THIS BOX DeI9 Voucher Received FUND - APPROPRIATION AMOUNT ,...., IV. l-fU a.. TOTAL $0 00 ABSTRACT NO. I VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 12/22/2011 2 Drawer Organizer $4 29 $8 58 1 Post-It $5 00 $5 00 1 SPLS Comfortstic (Pens) $1 99 $1 99 TOTAL $15.57 Christine Fulton 15 57 I. certify th8l \he 8bove 8CCllII1t in \he emount of $ . is true and correct; that \he ttems, services, and disbursements charged were rendered to or for \he municipality on \he deteS stlIIed; thet no part has been paid or sattslIed; that taxes, from which \he :::;:-_m'_"_"-t;;;:;a-~ 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 /d/ ~;;Yh A.,,..I\JAJO t? ~. DATE r-~ AUlHORrOF~ APPROVAL FOR PAYMENT This claim is approved paid from the appropriations indicated above DATE COMPTROLLER I STP.ptES -"', '-- "~~- that was easy- Lo~,prices. Every 'item. Everyday. 856-58 South Road/Route 9 Wap~ingers Falls, NY 12590 (845) 29B-0767 SALE 1550545 4 002 88780 0221 12/22/11 10:18 QTY SKU PRICE *' 2 DRAWER ORGANIZER B 718103J22481 4.290ea a.S8N POST-IT ~X3 SPRSTC 021200531736 5.00N SPLS COMFORTSTIC B 718103035040 1.99N SUBTOTt,L 15.57 Tax Exempt Number 0739010148 '" TOTAL $15.57 Convenience 15.57 Cal-d No.: XXXXX:<XXXXX3080 [S] Auth No.: OAPRVO TOTAL ITEMS 4 Master Account 0001010549 Compare and Save with Staples-brand products. THANK YOU FOI~ SHOPPING AT STAPLES ! Shop online at www.staples.com ~ 1lllllllllnlllllllUlltltllll~mllllllllllll lit o 2 2 1 1 22 2 1 1 8 8 7 8 0 0 2