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HV Shred Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: HV Shred cu,IMANrs NAMEAND 16 Griffen St ADDRESS poughquag, NY 12570 Purchase Order No. DO NOT WRITE IN THlS BOX Date Voucher Received FUND -APPROPRIATION AMOUNT L D . TOTAL $0 00 ABSTRACT NO. VENDOR'S ~~~ ~ Due on Receipt REFNO. (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 t certify that the above account in the amount of $ Christine Fulton '`'~'"~ is true and correct; that the Items, services, and disbursements charged were rendered to or for the municipality on the dales staled; that no part has been paid or salisfled; that taxes, from which the municipality is exempted, are not inGuded: and that the amount claimed is actually due ~ Town Clerk May 20, 2013 DATE SIGNATURE TITLE HV HV Shred, Inc. c/oJudith Papo & 16 Griffen Street NY 12570 h P quag, oug Bill To Town of Wappinger Town Clerk Christine Fulton 20 Middlebush Rd Wappingers Falls, Nl' 12590-4004 Invoice/Service Statement Date Invoice # 5/20/2013 MAY20F_2013 Terms Due on receipt Description Qty Rate Amount Secured on-site document shredding clean out bin tips 11 30.00 330.00 \, ~C~~ . ,} , ;; .... ,~~-~,~~ ~c ~f :vim ,, o '~qr , " { '~~~~\'~~ ~ 2 ~-". "~~ '`' ` CERTIFICATE OF DESTRUCTION ~ ~ ~~~ ~G ~~ HV Shred, Inc, certifies that all material covered by this se ice statement have j~3 1 been destroyed in a manner that information cannot be recon cted or retrieved. ~ The service was completed on the date indicated above. Subtotal $330.00 Registered w/Nl'S DOS#15810018000 Sales Tax (0.0%) $o.oo Pamonline at: https://ipn.intuit.com/vp6sb52c. Total $330.00 Phone # E-mail (845) 705-7279 Judith@hvshred.com