Signal GraphicsA
{ Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Signal Graphics
CLAIMANT'S
NAMEAND 1299 Rt 9 Suite 105
ADDRESS Wappingers Falls, NY 12590
Purchase
Order No.
DO NOT WR/TE /N TH/S BOX
Dale Voucher Received
FUND -APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO.
Due on Receipt vENOOR's
TERMS REFNO.
DATES ~ INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03/25/2013 1.00 250 Recycling Center Single Use Permits $57 46 $57 46
1 5% Discount -$2 87 -$2 87
TOTAL $5 4.59
i certiry that the above account in the amount of S 54.59
is true and conect; that the items, services, and disbursements charged were rendered to ar for the municipality on the dates stated; that no pan has been paid or satisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount claimed is actually due
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
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
t
Signal Graphicsa
^ PAID IN FULL Salesperson
Cash Check# VISA MC AMEX DISC
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^ Artwork Filed
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