IQM2 (2)
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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
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Racalved
FUND - APPROPRIATION AMOUNT
A 1'-1 J 0 , '-lOt /)
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/01/2011 1 Annual Maintenance Media Traq $5,760 00 $5,760 00
Period Covered January 1, 2012---December 31,2012
TOTAL $5,760.00
Christine Fulton 576000
1, 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 tha
municipality is axemptad, ara not Included: and that the amount claimed Is actually due ._~
12/01/2011
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SIGNATURE
DATE
Town Clerk
(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
,.. w_.:.
IQM2
90-0 RAYNOR AVE
RON KONKOMA, NY 11779
Invoice
DATE 11/1/2011
INVOICE # 2949
BILL TO
ACCOUNT #
TERMS Net 30
P.O. #
Town of Wappinger, NY
Attn: Chris Masterson
20 Middlebush Road
Wappingers Falls, NY 12590
I
Please make checks payable to: IQM2 Inc.
Billing Questions: 631-619-2015
Federal Tax ID: 26-3807522
DESCRIPTION QTY RATE AMOUNT
*****Annual Maintenance MediaTraq January 1 - 5,760.00 5,760.00
December 31, 2012*****
Total $5,760.00