Helen W. WiejaczkaTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Helen M Wiejaczkza
cuIMANrs
NAMEAND 19 Pine Hill Rd
ADDRESS Wappingers Falls, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUN T
A2130
TOTAL $0 00
ABSTRACT NO.
TERMS Due on Receipt VENDOR's
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
~~19/2012 1.00 Refund of recycle center permit fee paid for two $30 00 $30 00
receipt #46305 10/18/11
TOTAL $3 0.00
t, , . ., - ,
is true end correct that the Items, servl ,and disbursements charged vferE
munidpality is exempted, are not included: and that the amount claimed Is d
ATE
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
~9 ~a
DATE AUTHORIZED OFFICIAL
ce ' that the above account in the amount of $ 30'0
rendered to or for the icipality n the dates stated; that no part has been paid or satisfied; that taxes, from which the
sally due ,
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY 12590
***RECEIPT***
Receipt: 46305
Date: 10118/11
Transaction(s):
R c cle Center Annual Permit -Senior
Reference Subtotal
1330 $30.00
-, e y
Total Paid: $30.00
Check: 7593
Name: ,Helen M
19 Pine Hill Road
Internal ID: 1330
Clerk ID: SR