Standard Voucher Village Of Elmsford

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VILLAGE OF ELMSFORD
STANDARD VOUCHER
15 South Stone Avenue
Elmsford, NY 10523
(914) 592-6555
Payee Name:
VENDOR #
Address:
CODES:
City, State ZIP:
PAYMENT TERMS:
INVOICE #
P.O.#
Date
QTY.
ITEM DESCRIPTION
PRICE EACH
TOTAL
Sub Total:
PAYEE CERTIFICATION:
Disc/Credit:
I certify that the above bill is just, true and correct that no part thereof
Total Amount
has been paid, except as stated, and that the balance is actually due and owing.
By:
Date
Authorized Signature
Title
PAYER CERTIFICATION:
I certify that this voucher is correct, just, and payment is approved.
By:
Date
Authorized Signature
Title
Department
APPROVED BY: Board of Trustees
Mayor Robert Williams
Edward Rush
Michael Eannazzo
Sydney Henry
Raymond Cordi

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