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Northeastern Cash RegisterTown of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: Northeastern Cash Register CLAIMANT'S NAMEAND 795 Burlington Road ADDRESS pine Bush, New York Purchase Order No. DO NOT WRITE IN THIS BOX Date Voucher Received FUND -APPROPRIATION AMOUNT 1410.402 $16 50 TOTAL $16 50 ABSTRACT NO. VENDOR'S Due on Receipt REFNO. TFRMS (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 Christine Fulton ib.~u 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 municipality on fhe 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 Gaimed is actually due 08/20/2012 ~ ePi Town Clerk DATE SIGNATURE TITLE NORTHEASTERN CASH REGISTER COMPANY 795 Burlingham Road Pine Bush, New York 12566 (845) 733-1713 FAX (845) 733.1724 NAME 17/F-~I~~ ©~ ' ~~~~717M"~'L ~ f/f uHi c p/~ ~I / y 7 J o (/!!/ f~ ADDRESS ~r9 ~`,Jy U~~ ~iG'!~"/~' PHONE APARTMENT DATE PROMISED MAKE MODEL NO. SERIAL NO. DATE OF ORIGINAL INSTALLATION NATURE OF SERVICE ^ ESTIMATE CASH ^ WARRANTY HARGE ^ CONTRACT ^ C.O.D. OTY. DESCRIPTION PRICE AMOUNT ~~~~ J~ COMMENTS >.., TOTAL MATERIALS /~ TECHNICAL ^ SHOP ^ HOME SERVICE TIME // " ~ ' ~ PICK UP OR SERVICE CALL ^ ^ ~ ~ CHARGE DELIVERY TECH CIAN Signat a below constitutes acceptance of above service ' DATE COMPLETED TAX ctory -and that the equipment performed as being sat h~~}e n left in goo on !, ~,~b~~ ;~'~~f~- TOTAL ~ .. 8 PRODUCT 631 ~~~~ ~~~i~~r~j n ~n 7972 /~~~/ °~