StaplesTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Staples
CLAIMANT'S
NAMEAND 856-58 South Road/Route 9
ADDRESS Wappingers Falls, NY 12590
Purchase
Order No.
DO NOT WRITE IN THIS BOX
pate Voucher Received
FUND-APPROPRIATION AMOUNT
A1410.402 $1 12
TOTAL $1 12
ABSTRACT NO.
VENDOR'S
Due on Receipt REFNO.
TERMS
12/06/2013
UNIT PRICE AMOUNT
$1 12 $1 12
TOTAL $1.12
Christine Fulton 1.12
t cerilry that the above account in the amount of $
is true end correct; that the items, services, and disbursements charged were rendered to or for the municipallry on the dates stated; that no part has been paid or satisfied; that taxes, from which the
municipallry is exempted, are not inGuded: and that the amount Gaimed is actually due
02/06/2013
DATE
Town Clerk
ATURE 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 Gaim is approved paid from the appropriations indicated above
DATE
COMPTROLLER