Wells Fargo Financial
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Wells Fargo Financial
P.O. Box 6434
Carol Stream, IL 60197-6434
Due on Receipt
TERMS
Purchase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
12/8/2011 I Model MX-M550N $369 50 $369 50
SIN 85002037
Period Coverd 11/28/2011-11/28/2011
TOTAL $369.50
Christine Fulton 369 50
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
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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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
.
Customer Service
Hours of Operation
M - F, 7am - 6pm Central Time
Fax
888-241-4382
Telephone
888-554-8564
Correspondence
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des Moines, IA 50309-3605
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax In available when contacting us.
DESCRIPTION
SHARP COPIER
SHARP COPIER
SUBTOTAL
MODEL MX-M550N
SIN 85002037
MODEL MX-M620N
SIN 95002763
TOTAL
CURRENT CHARGES
LEASE PAYMENT
743.09
743.09
CURRENT CHARGES SUBTOTAL
TOTAL
743.09
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084
6755499313
12/28/11
12/01/11
11/28/11 - 12/28/11
LAST PAYMENT $743.09 POSTED ON
11/21/11.
Current Charges
TOTAL DUE
PO NUMBER 20110395
743.09
743.09
WFFOO1 NCDDWK WFFOO101.RTP 00000768 f 0??oo789
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 Current Charges
12/01/11
6755499313
12/28/11 TOTAL DUE
WELLS FARGO. FINANCIAL LEASING
P. 0. BGX 6434
CARGLSTREAM, IL 60197-6434
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
743.09
743.09
Please make check payable loWELLS FARGO FINANCIAL LEASING
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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