intervent Inc
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Intervent Inc
P.O. Box 198428
Atlanta, GA 30384-8428
Due on Receipt
TERMS
Purchase
Order No.
-dt3LJ
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I LI1 0 . LfO-z.. .
.
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11/29/2010 16 Home Again Chip Enrollment $16 99 $271 84
TOTAL $271.84
John C. Masterson 271 84
I. certify that the above account in the amount of $ .
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 exempted, are not Included' and that the amount claimed IS actually due
11/29/2010 . ('(Jr:.~ Town Clerk
DATE T SIGNATURE 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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
SHIP TO: TOWN OF WAPPINGER
J C MASTERSON
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
INVOICE NO: 0240358544
INVOICE DATE: 11/08/201000:0
Customer PO #: EB
TERMS:
60 DAYS NET
Ship To #:
0010177291
BILL TO:
0480
TOWN OF WAPPINGER
J C MASTERSON
20 MIDDLEBUSH RD
WAPPINGERS FL, NY 12590-4004
1..111.1111.1.111.1.11111..1111111111111111..11.1.111..11111.1
Bill To #:
0010177291
Please direct any questions or inquiries to: 1-888-HomeAgain (1-888-466-3242)
UIN
DESCRIPTION
QUANTITY
PRICE
AMOUNT .
099672
HOME AGAIN CHIP ENROLLMENT
16
$16.99
$271.84
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HOMEAGAIN ENROLLMENT BILLING
CRT
ORDER DESCRIPTION:
$271.84
PLEASE MAKE CHECKS PAYABLE AND RETURN TO: INTERVET INC., P.O. BOX 198428, ATLANTA, GA 30384-8428
SHIP TO: TOWN OF WAPPINGER
J C MASTERSON INVOICE NO: 0240358544
20 MIDDLEBUSH RD INVOICE DATE:
WAPPINGERS FALLS, NY 12590 11/08/201000:0
Ship To #: 0010177291
B ILL TO: TOWN OF WAPPINGER
J C MASTERSON Bill To #: 0010177291
20 MIDDLEBUSH RD
WAPPINGERS FL, NY 12590-4004 TOTAL DUE THIS INVOICE: $271.84
If paying by credit card please call 1-800-225-0113
For any questions or inquiries please contact 1-888-HomeAgain (1-888-466-3242)
I NV Promotion Statements Invoice No: 0240358544
TOWN OF WAPPINGER Account No: 0010177291
J C MASTERSON
20 MIDDLEBUSH RD
WAPPINGERS FALLS, NY 12590
ENROLLED ENROLL PET OWNER OWNER
MICROCHIP PROCESSDT NAME FIRST NAME LAST NAME
UNPAID MICROCHIPS
4901576321 10/27/2010 11 :39:34 ROCKIE JANNETTE COTES
4919580647 10/27/2010 11 :39:35 MIMI LAI MING PANASIK
490C3E6B60 10/27/2010 11 :39:35 GGO GGO LAI MING PANASIK
490C446C47 10/27/201011 :39:35 AUBRIE JOY MOLINELLI RENEE ROE-MOLINELLI
490E523761 10/27/2010 11 :39:35 BABY GIRL GEORGE DEGELORMO
4902283E78 10/27/201011 :39:35 BUDDYBEASTIE JONATHAN KALBFUS
4902127335 10/27/2010 11 :39:35 LIZZIE SUSAN HOLMES
4909274940 10/27/2010 11 :39:35 STANLEY SUSAN DAO
4903435COO 10/27/2010 11 :39:44 SADIE LORI GIUSTINO -
~
49016F5D18 10/27/201011:39:44 CODY MICHAEL ROE -
~
'"
4916772954 1 0/27/2010 11 :39:35 HARLEY QUINN HARLEY RICHARD MCMAHON 0
-
490F282COO 10/27/201011:39:35 BANDIT HEIDI WENDEROTH .......
491C7AOE68 10/27/2010 11 :39:35 MACK LINDA CAPORUSCIO
491724274E 10/27/201011 :39:35 ZUES MOLIN ELL RENEE ROE-MOLINELLI
4910443476 10/27/2010 11 :39:35 STRIPES ZACHARY MURRAY
4912270825 10/27/2010 11 :39:34 BROOK NOEL AND MARY MORRIS
TOTAL UNPAID MICROCHIPS: 16 @ $16.99 ea = $271.84
TOTAL MICROCHIPS: 16