Wells Fargo Financial Leasing (3)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Wells Fargo Financial Leasing
P.O. Box 6434
Carol Stream, II 60197
Due on Receipt
TERMS
Purchase
Order No.
d~
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIA TJON AMOUNT
''--IIU I Ll0Je'J
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06-22-10 1.00 Colortac Scanner Lease payment $168 97 $168 97
1 One time ducumentation fee $75 00 $75 00
TOTAL $243.97
John C. Masterson 243 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 acluall due
06/22/2010
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
II.
WELLS FARGO FINANCIAL LEASING
P. O. HOX 6434
CAROL STREAM, IL 611197-6434
Our Federal Tax ID #42-1074725
Inquiries about your account?
Call Customer Service at 888-554-8564
or mail correspondence to:
Leasing Customer Service
MAC F4031-050
800 \V alnut Street
Des Moines. 1A 50309-3605
See reverse side for additional infonnation.
TOWN OF WAPPINGER
20 IvIIDDI.EBUSH ROAD
W APPINGERS FALLS. NY 12590-4004
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DESCRIPTION
COLORTAC SCANNER
SUBTOTAL
TOTAL
MODEL CI-40C
SIN D2004392
CURRENT CHARGES
LEASE PAYMENT
ONE TIME DOCUMENTATION FEE
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
75.00
243.97
243.97
~~~~~~~[Q)
JUN 22 20;0
TOWN OF WAPPINGER
TOWN CLERK
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-01126084-005
67552724112
06/17/10
06/17/10
06/]7110 - 07/17/10
Current Charges
TOTAL DUE
243.97
243.97
Thank you for financing with WELLS
FARGO FINANCIAL LEASING. We
appreciate the opportunit)' to serve you.
Please note your first payment is due
prior to this invoice date. Simply remit
payment upon receipt. Future invoices
will be mailed at least 17 days prior to
your payment due date.
WFFOOl PDLBAV WFF00101.RTP 00000335 f 00000341
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
006-0026084-005
06/17110
6755272402
06/17/10
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM. IL 60197-6434
o
Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Current Charges
243.97
TOTAL DUE
243.97
$
.
Please make check payable fo 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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