BASTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Business Automation Services
CLAIMANT'S
NAMEAND 636 Plank Rd Suite 207 .
ADDRESS Clifton Park, NY 12065
Due on Receipt EF OR'S
TERMS
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES ~ UNIT PRICE AMOUNT
07/02/2012 1.00 BAS $1,400 00 $1,400 00
0
TOTAL $1,40 0.00
Christine Fulton cenity that the above account in the amount of a 1,400.00
t
is true and wrred; that the Items, services, and disbursements charged were rendered to orfor the munidpallty on the dates stated; that no pan has been paid or satisfied; that taxes, from which the
municipality is exempted, ere not induded: and that the amount dalmed Is adually due
Y
07/02/2012
DATE SIGNATURE
(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
Purchase yo~j~
Order No. ~,/
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
A1410.403 $1,400 00
roraL $1,400 00
ABSTRACT NO.
APPROVAL FOR PAYMENT
This Gaim is approved paid from the appropriations indicated above
Town Clerk
TITLE
AUTHORIZED OFFICIAL
DATE
DATE
COMPTROLLER
~~^~ Business Automation Services, Inc
~~ 661 Plank Road
Clifton Park, NY 12065
BILL TO
C`hr .~~-Ji ne_-~u ~y~
Town Clerk
Town of Wappinger
20 Middlebush Road
Wappinger Falls, NY 12590
* INVOICE
DATE INVOICE #
7/1/2012 SEPT12-62
DUE DATE
8/31/2012
SOFTWARE & SERVICES CLASS AMOUNT
The BAS Clerk Licensing System:
Annual Software Support/Maintenance Fee
(for the period 911/12 - 8/31/13) Softwaze 1,400.00
Thank you for your business. Total Due $1,400.00
~~ y VOUC,H.E^R
~L~I 1 1~~ ~ 1lJ `
Town Clerk
Town of Wappinger
20 Middlebush Road
Wappinger Falls, NY 12590
Department
Date Received
Voucher Number
Date Voucher Received
FUND -APPROPRIATION AMOUNT
TOTAL
Business Automation Services
Claimants
Name 636 Plank Rd, Suite 207
And Clifton Park, NY 12065
Address
~'.
DATE VENDOR'S INV N0. DESCRIPTION OF MATERIALS OR SERVICES AMOUNT
07/01/2012 SEPT12-62 *NOTE: See Attached Invoice for Additional Details
$1,400.00
TOTAL $1,400.00
CLAIMANTS CERTIFICATION
I, Carmen Vitti certify that the above account in the amount of $1,400.00 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 municipality is exempt are not included and that the amount
claimed is actually due. /~/
07/01/2012 V
Date Signature
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
Accounts Receivable Clerk
Title
APPROVAL FOR PAYMENT
This claim is approved and ordered paid from the appropriations
indicated above.