(845) 386-1460 clerk@townofmounthope.org

Town of Mount Hope

1706 Route 211W,
New York 10963

Town Voucher

  1. Please fill in the Claimant’s information portion at the top of the voucher – this is where we will mail the check.
  2. Fill in the terms – if any.
  3. Fill in the body of the voucher – including the date of the invoice/service, invoice number, quantity of materials provided along with a description of the materials or service and also the unit price and any shipping and handling fees.
  4. Please make sure your amounts add up to the total payment you are requesting.
  5. Fill in the Claimant’s Certification section, Please PRINT YOUR NAME, then the amount you need to be paid then date and sign along with your title with your company.

Voucher (PDF – 97.6 KB)