IQM2
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
]QM2
90-D Raynor Ave,
Ronkonkoma, NY I] 779
TERMS Due on Receipt
Purchase
Order No.
00 NOT WRITE IN THIS BOX
Dale 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
] 2/03/2008 1362 ]2,00 MediaTraq software subscription $480 00 $5,760 00
TOTAL $5,760,00
John C Masterson 576000
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 c,almed11l"Y due I &__
]2130/2008 c !'>-( e a[#-~ ~ Town Clerk
DATE SIGNATURE TITLE
L../
(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
(
Invoice
DATE 12/3/2008
90- D RAYNOR AVE
RON KON KOMA. NY 1177')
BILL TO
INVOICE # 1362
USERS 5
ACCOUNT # 1009
TERMS Net 15
P.O. if.
CONTRACT #
Town of Wappinger, NY
ATTN: Chris Masterson
20 Middlebush Road
Wappingers Falls, NY 12590
BALANCE DUE $5,760.00
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PleEJs~ nIEJI~t- ctlecl:~ pa\fEltll" to IC)ivi:c,
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f'-eClera
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DESCRIPTION QTY RATE AMOUNT
*****MediaTraq Subscription 1/1/09 - 12/31/09*****
MediaTraq software subscription 12 480.00 5,760.00
Total $5,760.00