Theresa, NY · Jefferson County
Voucher/Purchase
The Voucher/Purchase form lets a claimant request payment from the Town of Theresa for highway-related materials or services and certify the claim.
What this form is
Use this voucher to claim payment for materials or services furnished to the municipality, with the department identified as Highway. It asks for claimant and invoice details, purchase information, itemized charges, and a certification that the amount is correct and unpaid; department approval and auditing-board payment approval sections are also included.
Who needs it
Claimants seeking payment for highway materials or services furnished to the Town of Theresa should complete and sign this voucher.
How to submit it
The form lists Theresa Town Office, 215 Riverside Avenue, Theresa, NY 13691, and identifies the department as Highway; it does not give additional submission instructions.
About notarization
This document is signed without a notary; the claimant signs and dates the certification, and approval sections also include dates and signatures.
How to submit this form
- 1
Download The Voucher
Download the Voucher/Purchase form for the Town of Theresa.
- 2
Complete The Claim
Enter claimant, purchase, materials or services, and charge details, then complete and sign the claimant's certification.
- 3
Gather Invoice Details
Attach detailed invoices if applicable and enter their total on the voucher.
- 4
Submit To The Town
The form lists Theresa Town Office, 215 Riverside Avenue, Theresa, NY 13691, and identifies the department as Highway.
Frequently asked questions
- Do I need a notary for the Voucher/Purchase form?
- No. This document is signed without a notary. The claimant signs and dates the certification, and approval sections also include dates and signatures.
- How do I submit the Voucher/Purchase form?
- The form lists Theresa Town Office, 215 Riverside Avenue, Theresa, NY 13691, and identifies the department as Highway. It does not provide further submission instructions.
- What information does the Voucher/Purchase form request?
- It requests claimant and purchase details, descriptions and amounts for materials or services, and a signed certification that the claim is correct and unpaid.
- Can I attach invoices to the voucher?
- Yes. The form says detailed invoices may be attached, with the total entered on the voucher.