Wells Fargo Financial Leasing (2)
CLAIMANT'S
NAMEAND
ADDRESS
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Well Fargo Financial Leasing
P.O Box 6434
Carol Stream, IL 60197-6434
Due on Receipt
TERMS
Purchase 24
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I Y 10, -qOt-
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
08/26/2010 5302872 1.00 Colortac scanner Model CI-40-C $168 97 $168 97
TOTAL $168.97
John C. Masterson . 168.97
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
municipality is exempted, are not included: and that the amount claimed is actually due
08/26/2010
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
4-
.-
II.
Our Federal Tax ID #.t2-107.t725
Inquiries about your account?
Call Customer Service at 888-554-8564
or mail correspondence to:
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des I\loines. IA. 50309-3605
See reverse side for additional infonl1ation.
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
TOWN OF WAPPINGER
20 MIDDLEBlfSH RO.m
W.--\PPINGERS FALLS. NY 12590-4004
m
~
DESCRIPTION
SUBTOTAL
TOTAL
COLORTACSCANNER
MODEL CI-+OC
SIN D2004392
CURRENT CHARGES
LEASE PAYMENT
168.97
168.97
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
RECEIVED
AUG 26 2010
ACCOUNTING
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-002608.t-005
6755302872
09/17/10
08/21/10
09117/10 - 10117/10
LAST PAYMENT $168.97 POSTED ON
08/02/10.
Current Charges
TOTAL DUE
168.97
168.97
WFF001 POLQ3J WFF00101RTP 00000331 I 00000338
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
---------------------------------------------------------------------------------------------------
..
Account Number
Invoice Date
hlVoice Number
PAYMENT DUE BY
006-002608.t-005
08/21/10
6755302872
09/17/10
WELLS F.~RGO F1NANCL~L LE~SING
P. 0. BOX 6434
C~ROL STRE.HI. Ii 60I9~-6434
o
Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Current Charges
168.97
TOTAL DUE
168.97
$
Please make check payable to WELLS FARGO FINANCIAL LEASING
.
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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