Wells Fargo Financial Leasing
*'
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
)~
DO NOT WRITE IN THIS BOX
CLAIMANT" S
NAMEAND
ADDRESS
Wells Fargo Financial Leasing
P.G Box 6434
Carol Stream, IL 60197-6434
Date Voucher Received
FUND - APPROPRIATION AMOUNT
Al_408
b.'1Lf1 LJ . L/ D~
TOTAL $0 00
ABSTRACT NO. I
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
07/26/2010 1.00 Colortac Scanner Lease $168 97 $168 97
RECEIVED
JUL26 2.0\0
ACCOUNTING
TOTAL $168.97
John C. Masterson 16897
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
::~:::-'.";~'~.''''''''''.Wc ~- Town Cle,k
DATE Ii 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
-II.
WELLS F..\R(;O FIN.\NCL\L LE..\SIN(;
P. O. 1I0:X (,.n.t
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Our Federal Tax In #-42-1117-4725
Inquiries about your account?
Call Customer Service at XXX-554-X5M
or mail conespondence to:
I ,~asing Customer Scr\'ic~
MAC F4031-050
lWO Walnul Slr~e1
D~s 1\loin~s. IA 50309-J(,05
TOWN OF WAPPINGER
20 1\IIDj)LEBIISlI ROAD
\\' APPINGERS FALLS. NY 12590-40()4
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S~e rewrsc side llJr additional inlol1l1alioll.
DESCRIPTION
SUBTOTAL
TOTAL
COLORT'\(' SCANNI<:R
~I( )[)EJ. ('1--1111"
s,N IJcll1l-n9c
CURRENT CHARGES
LEASE PAYMENT
168.97
168.97
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
- RECEIVE[)
JUL 26 tOtO
ACCOUNTING
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number-
Due Date
lnvoice Date
Cunent Period
Covered
011(,-11112(,1184-1105
('75528852lJ
08/17110
07/21/10
OX/I 7/1 0 - Ol)/I 7/1 0
LAST PAYMENT $1 (,8.1)7 POSTED ON
Cl7 /0(,/10.
Cunent Charges
TOT AL DUE
16X.l.J7
1 (,8.lJ7
WFF001 PDLJAE WFF00101.RTP 00000350 I 00000356
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
--~-~-~--------------------------------------------------------------------------------------------
..
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
O()(,-0026084-005
07/21/1 0
67552&8529
08/17/10
WELLS FARGO FINANCIAL LE4SING
P. 0. BOX 6434
CAROL STREAM, IL 6019--6434
o
Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Cunent Charges
168.97
TOTAL DUE
1 (,8.lJ7
$
.
Please make check payable 10 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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