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Clifford Thorpe PrintingTown of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: Clifford Thorpe Printing CLAIMANT'S NAMEAND PO BOX 140 ADDRESS pine Plains, NY 12567 Purchase Order No. DO NOT WRITE !N !S BOX Date Voucher Received FUND -APPROPRIATION AMOUNT A1410.402 $40 00 TOTAL $40 00 ABSTRACT NO. Due on Receipt VENDOR'S TERMS REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 1.00 200 Hunting Schedule Cards- Reorder #79855 Q-1160 $40 00 $40 00 TOTAL $4 0.00 Christine Fulton 40.00 t, certify that the above account In the amount of $ is true and correct; that the items, services, and tlisbursements charged were rendered to orfor the municipality on the dates stated; 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 ! _ 08/09/2012 Town Clerk DATE SIG E 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 Gaim is approved paid from the appropriations indicated above DATE COMPTROLLER TOWN OF WAPPINGER, N.Y. P.O. Box 324, Middlebush Road Wappingers Falls, N.Y. 12590 PURCHASE ORDrR & VOUCHER f CUIMANT'S Clifford Thor e Printin NAME P g AND P. 0. Box 1 4 0 ADDRESS Pine Plains, NY 12567 L TERME ......................................................................................................_..... -l Dote Voucher Received Vendor's Rot. No. Deter QwnNh DueriRfke s( Materials a Servieoa Unlt P rlee Amou nt 8/8/12 200 Each #63 Round Cornered 2012 - 2013 $ 40 00 Hunting Schedule Cards - Print d Black Ink - 2 Sides on 110# Green Index Stock REORDER #79855-Q-1160 T°T nL I $ 4 0 0 0 CLAIMANT'S CERTIFICATION i, ...............Cla..f.f.errd.....r.C'.har.~..e ......................................................., certih that the atavd account in the amoanf of 5....4..Q..~..Q.Q........................... is trw eed cornet; that the Items, wrvien and disbursemenh charoad were nndend to or for tha municipality on the dates stated; that no part has been paid er satisfied; that taxn from which the mueleipality is oxampf, an not inelndad• nd' at the amount claimed is actwlly due. August.....$........2 x.1.2 ............................... Owner DATE IGNATURE TITLE ISpaee Debw ter M le{pal Uael DEPARTMENT A--ROVAL Tha above prvfcaa or materiah wart randend er furnished to tM municipality on tho datos stefd end the cheeps an Ber- net. DATE AUTNORIZED OFFICIAL AI/ROYAL FOR -ATMENT This claim is approved and ordered paid from the appropriation indicated show. DATE AUDITING BOARD rf, ~ n1~ wahae. OrMr Ne. Clifford Thorpe Printing And Office Supplies P.O. Box 140, PINE PLAINS, N.Y. 12567 PHONE 518-398-7460 FAX: 518-398-6488 No: 79855 DATE Augus t 8 , B 01 2 CUSTOMER ORDER NO. s ~ s r Attn: Christine Fulton ~ ~ Town of Wappingers H D P.O. Box 324 P Town Clerk T Wappingers Falls, NY 12590 ~ T L ~ o ~- o QUANTITY QUANTITY BACK L I S T ! ORDERED SHIPPED ORDERED _ DESCRIPTION NET PRICE 200 Each #63 Round Cornered 2012 - 2013 $ 53.50 $ 40.00 Hunting Schedule Cards - Printed Black Ink - 2 Sides on 110# Green Index Stock REORDER #79855-Q-1160 t#~1iAMCYt~! ~~ TERMS: NET 30 DAYS A FINANCE CHARGE OF 1 1/2% PER MONTH (ANNUAL PERCENTAGE RATE 18%) WILL BE ADDED IF TffiS INVOICE IS NOT PAID 30 DAYS FROM INVOICE DATE