Town Clerk Petty CashTown. of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Town Clerk Petty Cash
'CLAIMANT'S
NAMEAND
ADDRESS '
Purchase I
Order No.
DO NOT WRITE /N THIS BOX
Date Voucher Received
FUND-APPROPRIATION AMOUNT
1410.402 $22 48
TOTAL $22 48
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
04/02/2013 1.00 Doughnuts and Coffee for Archives Seminar $22 48 $22 48
~-~~~ ~~
TOTAL $2 2 48
t ChrlStlne FUltOn certify that the above account in the amount of $ 22'48
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the tlates stated; that no part has been paid or satisfied; that taxes, from which the
murncipality is exempted, are not included: and that the amount Gaimed is actually due
04/04/2013 Town Clerk
DATE SIG URE 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE COMPTROLLER
4;~elcome to Dunkin' Donuts
Store #301313
1582 Route 9, 4~appingers Fails
4!2j2013 8:09:15 AM
~~t ~t1
E~ r~~ r I~urnbe r : ~~5
Register:l Tran Seq No: 2930945
Cashier:Arianna M.
1 12 Donuts 7,49
1 Bx Joe Orig Blnd 14.99
Sub. Total: $22.48
Tax: $1.22
Total: $23.70
Discount Total: $0.00
Change $1.30
Cash $5.00
HEY AMERICA!
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MEDIUM OR LARGER BEVERAGE?
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computer or mobile device in the next
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Survey Code: 94501-01313-0804-0234
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Franchisee: Please use PLU #201
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