No preview available
IQM2 (2) Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: Purchase Order No. CLAIMANT'S NAMEAND ADDRESS 1QM2 90-D Raynor Ave Ronkonkoma, NY 11779 Date Voucher Received FUND - APPROPRIATION AMOUNT . TOTAL $0 00 ABSTRACT NO. I DO NOT WRITE IN THIS BOX Due on Receipt TERMS -- VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT I II I 12009 1 Media Traq Annual Maintenance $5,760 00 $5,760 00 January 1, 20l0-December 31,2010 IL/IO .L10ltJ . /~ r~\'1 .. 'I \ b ~ .' TOTAL $5,760.00 John C. Masterson 576000 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 lzl Z'"J) Or DATE ~r~ - 51 ATURE (SPACE BELOW FOR MUNICIPAL USE) II Town Clerk TITLE DEPARTMENT APPROVAL The above services or materials were rendered or furnished to the municipality on the dates stated and the charges are correct This claim is approved paid from the appropriations indicated above APPROVAL FOR PAYMENT COMPTROLLER DATE AUTHORIZED OFFICIAL DATE IQM2 90-0 RAYNOR AVE RONKONKOMA, NY 11779 Invoice DATE 11/1/2009 1NV01CE 11 2157 BILL TO ACCOUNT # TERMS Net 30 P.O.' Town of Wappinger, NY Attn: Chris Masterson 20 Middlebush Road Wappingers Falls, NY 12590 BALANCE DUE $5,760.00 . ~ Please make checks payable to: IQM2 Inc. Federal Tax 10: 26-3807522 DESCRIPTION QTY RATE AMOUNT *****MediaTraq Annual Maintenance January 1, 2010 5,760.00 5,760.00 - December 31, 2010****** RECE\~ IEO NOV 0 9 ~O09 T()WN C i-ERV Total $5,760.00