IQM2
,
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
IQM2
90-D Raynor Ave
Ronkonkoma, NY 11779
Due on Receipt
TERMS
Purchase
Order No.
COpy
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/01/2009 1 Annual Maintenance Minute Trag August 1, 2009 $1,500 00 $1,500 00
TOTAL $1,500.00
John C. Masterson 1 50000
I. certify that the above account in the amount of $ , .
is true and correct: that the items. services. and disbursements charged ware 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
1= c1Ak -,
! SIGNATURE
TITLE
~Ot1
DATE
Town Clerk
(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
DATE
COMPTROLLER
IQM2
90- D RA Y NOR A V E
RON KONKOMA, NY 11779
Invoice
DATE 6/1/2009
INVOICE # 2079
BILL TO
ACCOUNT #
TERMS Net 30
P.O. #
Town of Wappinger, NY
Attn: Chris Masterson
20 Middlebush Road
Wapplngers Falls, NY 12590
BALANCE DUE $3,300.00
Please make checks payable to: IQM2 Inc. Federal Tax 10: 26-3807522
DESCRIPTION QTY RATE AMOUNT
*****Annual Maintenance MinuteTraq August 1, 2009 1,500.00 1,500.00
- July 31, 2010*****
Total $1,500.00