Town Clerk Petty CashTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Town Clerk Petty Cash
CLP.IMANT'S
NAMEAND
ADDRESS
Due on Receipt ~ ~ ~ ~ VENDOR'S
TERMS REFNO.
~K~ 15 31 ~
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
~~_ ~~. ~~ 1.00 Dutchess County Clerk's Office for Filing Resolutions
-'j~~C^U~~..~vz~ F~~S $65 00 $65
$0 00
00
TOTA L $ 65.00
Christine Fulton certify that the above account in the amount of $ 65.00
t
is true and correct; that the items, services, and disbursements charged ware rendered to odor the municipality on the dates stated; that no part has been paid or satisfied; that taxes, from which t e
municipality is exempted, are not inWUded: and that the amount Gaimed is actually due
10/19/2012 ~ Town Clerk
DATE 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
DATE AUTHO ZED FICIAL
Purchase (y ~\~~~~~
Order No. "`~~~\ VVV~~~
DO NOT WRITE /N THlS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUN T
D• U
~~ i ~~ ~ ~4 ~~ a4
ti.~11~c+~ {ice`
TOTAL $0 00
ABSTRACT NO.
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER