Staples (6)Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Staples
CLAIMANT'S
NAMEAND
ADDRESS
Purchase ~~
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND-APPROPRIATION AMOUN T
I
TOTAL $0 00
ABSTRACT NO.
Due on Receipt VENCOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
09/19/12 1.00 Avery 1 x 2"5/8 clear labels $12 49 $12 49
1 Contract price $10.00 -$2 49 -$2 49
TOTAL $1 0.00
1, `-" 'r' `-'' ' r~~~ ~ ' ` ~ certify that the above account in the amount of $ 1 ~'~~
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 exempted, are not included: and that the amount claimed is actually due
09-19-12
DATE
SIGNATURE
Town Clerk
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
~~9/~a. -
DATE AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
l ~~
tfl8t W~~ ~BS~, ;
Low prices. Every item. Every day.
856-58 South Road/Route 9
Vlappingers Falls, NY 12590
(845} 298-0767
SALE 1550545 1 001 29893
0221 09/19/12 02:18
QTY SKU PRICE
1 AUY 1X2 5/8 CL.R IJ
072782186609 12.49N
Contract Price $10.00 -2,49
SUBTOTAL 10.00
Tax Exempt Number 0739010148
TOTAL
$10.00
Convenience 10.00
Card No.: XXXXXXXXXXX3080 [S]
Auth No.: OAPRVO
TOTAL ITEMS 1
Master Account 0001010549
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