IQM2 (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
IQM2
90-0 Raynor Ave
Ronkonkoma, NY 11779
Due on Receipt
TERMS
Purchase
Order No.
35
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
12/01/2010 1 Annual Maintenance Media Traq Januaryl- $5,760 00 $5,760 00
December 31,2011
TOTAL $5,760.00
John C. Masterson 5 760 00
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
:::~;:::-~..m ~ "'"~.~ ..,.. ~,".'.m~ "'Q;~ Town Cl"k
DATE ~ SIGNATURE
(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
IQM2
90-0 RAYNOR AVE
RONKONKOMA, NY 11779
Invoice
DATE 11/1/2010
INVOICE'" 2455
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 ID: 26-3807522
DESCRIPTION QTY RATE AMOUNT
*****Annual Maintenance MediaTraq January 1 - 5,760.00 5,760.00
December 31, 2011*****
Total $5,760.00