General Code (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
General Code
cuIMANrs
NAMEAND 781 Ehngrove Road
ADDRESS Rochester, New York 14624
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
A1410.4 4 $1,856 30
TOTAL $1,856 30
ABSTRACT NO.
Due on Receipt EF OR'S
TERMS
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
08/06/2013 1.00 Code Supplements $1,856 30 $1,856 30
TOTAL $1,85 6.30
I Christine Fulton certify that the above account in the amount of $ 1,856.30
is true and correct; that the items, services, and diabureements charged were rendered to orfor the municipality on the dates stated; that rw part has been paid or satisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount daimed is actually due
DATE
(SPACE BELOW FOR MUNICIPAL USE)
08/06/2013
2 Town Clerk
ATURE TITLE
APPROVAL FOR PAYMENT
This Gaim is approved paid from the appropriations indicated above
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
DATE
COMPTROLLER
`GE'NERAL 781 Elmgrove Road
--•~ Rochester, New York 14624-2991
(800)836-8834 ` Fax(585)328-8189
- - Tax ID 20-8015087
11101-11tllxlUYl 113G1L~C tl'UZl
Bill To:
Town of Wappinger
Christine Fulton
C/O Clerk's Office
20 Middlebush Road
Wappingers Falls, NY
Supplement Project '; ,
Supplement No. 27
Quantity 22
12590
Invoice No.
Date:
Due Date:
Terms:
Customer No.
AUG 0 5 2013 t
TOWN OF UVAPPINGER
T'(~1>'~~~ ~LE~~K
PO No.
BILL011765
8/1 /2013
8/31 /2013
Net 30
W A0691
Item Billing Amount Tax Total
Code Analysis $1,157.19 $0.00 $1,157.19
Composition $474.72 $0.00 $474.72
Duplication, Finish & Handling $204.01 $0.00 $204.01
Shipping & Handling $20.38 $0.00 $20.38
$1,856.30 $0.00 $1,856.30
Payment applied:
Interest will be charged on all past due accounts at 1.5% monthly. Total Balance Due $1,856.30
This order is subject to General Code's Terms and Conditions which are
available at www.generalcode.com/TCdocs
Voucher Form (if required)
Claimant's Certification
I do solemnly declare and certify under penalties of the law that the within
bill is correct in all its particulars, that the articles have been furnished
or services rendered as stated therein, that no bonus has been given or received
by any persons within knowledge of this claimant in connection-with the above
claim, that the amount therein stated is justly due and owing, and that the
amount charged is a reasonable one. , ~~ _ ~ .
Accounting Administrator
8/1 /2013
Account Charged
Department Approval
Payment Record Check# Dated
Date
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