BASTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Business Automatation Services
CLAIMANT'S
NAMEAND 661 Plank Road
ADDRESS Clifton Park, NY
Purchase ~~
Order No.
DO NOT WR/TE /N TH/S BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
1410.403 $1,470 00
TOTAL $1,470 00
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFND.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
07/03/2013 1.00 BAS Clerk Licensing 9/1/13-8/31/14 $1,470 00 $1,470 00
TOTAL $1,47 0.00
I Christine Fulton certlry that the above account in the amount of $ 1,470.00
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dales stated; that no part has been paid or satisfied; that taxes, from which the
municipality is exempted, ere not inGutled: and that the amount claimed is actually due
i
07/03/2013 /,~-_.__ Town Clerk
DATE S 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE AUTHORIZED OFFICIAL
DATE
COMPTROLLER
VOUCHER
Ms. Chris Masterson
Town Clerk
Town of Wappinger
20 Middlebush Road
Wappinger Falls, NY 12590
Department
Date Received
Voucher Number
Date Voucher Received
FUND-APPROPRIATION AMOUNT
TOTAL
Claimants Business Automation Services
Name 661 Plank Rd
And Clifton Park, NY 12065
Address
DATE VENDOR'S INV NO. DESCRIPTION OF MATERIALS OR SERVICES AMOUNT
07/01/2013 SEP13-67 *NOTE: See Attached Invoice for Additional Details
$1,470.00
TOTAL
$1,470.00
CLAIMANTS CERTIFICATION
I, Carmen Vitti certify that the above account in the amount of $1,470.00 Is true and correct; that the items,
services and disbursements charged were rendered to or for the municipality on the dates stated; that no part has
been paid or satisfied: that taxes, from which the municipality is exempt are not included and that the amount
claimed is actually due.
07/01/2013
Date Signature
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
Accounts Receivable Clerk
Title
APPROVAL FOR PAYMENT
This claim is approved and ordered paid from the appropriations
indicated above.
. Business Automation Services, Inc
661 Plank Road * INVOICE "
Clifton Park, NY 12065
BILL TO
Ms. Chris Masterson
Town Clerk
Town of Wappinger
20 Middlebush Road
Wappinger Falls, NY 12590
DATE INVOICE #
7/1/2013 SEP13-67