WB MasonTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
WB Mason
CLAIMANT'S
NAMEAND 59 Centre St.
ADDRESS Brockton, MA 02301
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES ,UNIT PRICE AMOUNT
7/03/2013 2.00 Envelope Clasp 9X12 $7 78 $15 56
1 Cash Register Tape $10 99 $10 99
1 Envelope #10 Windows $20 99 $20 99
TOTAL $4 7.54
! Christine Fulton certify that the above account in the amount of $ 47.54
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dates statetl; that no part has been paid or satisfied; that taxes, from
municipality is exempted, are not inGuded and that the amount claimed is actually due -
1
07/03/2013 ~ (~ 1~G t: ' ' a Town Clerk
DATE 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
Purchase (~
Order No. ~ 1
DO NOT WR/TE /N THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
1410.402 $47 54
TOTAL $47 54
ABSTRACT N0.
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
the
w.sMasar
W.B. MASON CO., INC.
59 Centre St -Brockton, MA 02301
Address Service Requested
888-WB-MASON www.wbmason.com
*42E678101*HO************SCH*3-DIGIT*125
TOWN OF WAPPINGER
ATTN INEZ
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590-4099
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(Page 1)
PM
Delivery Address Invoice Number: 112224777
Town Of Wappinger Customer Number: C1185869
20 Middlebush Rd Reference Number: 112224777
Wappingers Falls, NY 12590 Invoice Date: 06/26/2013
Due Date: 07/26/2013
PO Number: 062513
Order Date: 06/25/2013
Order Number: S012340924
Order Method: WEB
W.B. Mason Federal ID #: 04-2455641
Important Messages
Please send all remittance couaons withyQur,Q~,yment to our REMITTANCE ADDRESS.
W.B. Mason Co., Inc.
PO BOX 981101
Boston, MA 02298-1101
ITEM NUMBER DESCRIPTION ORDERED SH PPED UIM UNIT PRICE EXT PRICE
QUA37890 ENVELOPE,CLSP9X12,KFT,28# 2 2 BX 7.78 15.56
TST3099 ROLL,CASHREG,44MM,10RUPK,IOPK/CT 1 1 PK 10.99 10.99
OUA90120 ENV,#10 WNDW WHT 500BX 1 1 BX 20.99 20.99
SUBTOTAL: 47.54
TAX 8 DEPOSITS TOTAL: 0.00
ORDER TOTAL: 47.54
1 o ensure proper credit, please detach and return below portion with your payment
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
WHO f9UTf9UT ~O~ Remittance Section
weB~ Customer Number: C1185869
W.B. MASON CO., INC.
59 Centre St -Brockton, MA 02301
Address Service Requested
888-WB-MASON
Invoice Number: 112224777
Reference Number: 112224777
Invoice Date: 06/26/2013
Terms: Net 30
Total Due:
$47.54
TOWN OF WAPPINGER Amount Enclosed $
ATTN INEZ
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590-4099 W.B. MASON CO., INC.
PO BOX 981101
BOSTON, MA 02298-1101
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