IQM2
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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
Purchese
Order No.
38
Due on Receipt
TERMS
DO NOT WRITE IN THIS BOX
Dete Voucher Received
FUND - APPROPRIATION AMOUNT
I '-II V. LI Ow .
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/01/2011 1.00 Annual Maintenance Aug 1, 2011 - July 31,2012 $1 ,500 00 $1,500 00
TOTAL $1,500.00
John C. Masterson 1 50000
1. certify thet the above eccount in the amount of $ , .
is true end correct; thet 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 actualiy due
06/09/2011
Town Clerk
DATE
(SPACE BELOW FOR MUNICIPAL USE)
TITLE
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
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IQM2
90-D RAYNOR AVE
RONKONKOMA, NY 11779
Invoice
DATE 6/1/2011
INVOICE # 2714
BILL TO
ACCOUNT #
TERMS Net 30
P.O.#
Town of Wappinger, NY
Attn: Chris Masterson
20 Middlebush Road
Wappingers Falls, NY 12590
BALANCE DUE $1,500.00
Please make checks payable to: IQM2 Inc. Federal Tax ID: 26-3807522
DESCRIPTION QTY RATE AMOUNT
*****Annual Maintenance MinuteTraq August 1, 2011 1,500.00 1,500.00
- July 31, 2012*****
fPd ~ CC ~ awT~ [Q)
JUN 0 9 2011
TOWN OF WAPPINGER
TO\!:J~I ,..,. -... I
If 'J ~U::t<K
--
Total $1,500.00