IQM@Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
IQM2
CLAIMANT'S
NAMEAND 90-D Raynor Ave
ADDRESS Ronkonkoma, NY 11779
Purchase
Order No. !~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND-APPROPRIATION AMOUNT
A1410.406 $5,760 00
TOTAL $5,760 00
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 Annual Maintenance MediaTraq 1/1/2013-12/31/2013 $5,760 00 $5,760 00
TOTAL $5,76 0.00
i Christine Fulton certify that the above account In the amount of $ 5,760.00
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 InGuded: and that the amount Gaimed Is actually tlue
12/12/2012 Town Clerk
DATE SIGNATURE TITLE
(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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
90-D RAYNOR AVE
RON KON KOMA, NY 1 1 779
BILL TO
Town of Wappinger, NY
Attn: Chris Masterson
20 Middlebush Road
Wappingers Falls, NY 12590
Please make checks payable to: IQM2 Inc.
Billing Questions: 631-619-201.5
Federal Tax ID: 26-3807522
DESCRIPTION QTY RATE AMOUNT
*****Annual Maintenance MediaTraq January 1, 2013
- December 31, 2013***** 5,760.00 5,760.00
G~CC~C~~
NOV 0 7
TOWN OF W
TOWN C ~D
Oil
PPINGER
ERK
Total $5,760.00