Wells Fargo Financial (2)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
CLAIMANT'S
NAMEAND
ADDRESS
Wells Fargo Financial
P.O. Box 6434
Carol Stream, IL 60197-6434
Date Voucher Received
FUND - APPROPRIATION AMOUNT
TOTAL $0 00
ABSTRACT NO. I
DO NOT WRITE IN THIS BOX
Due on Receipt
TERMS
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11/28/2011 1 Colortac Scanner Model CI-40C $168 97 $168 97
SIN D2004392 $0 00
Period Covered
12/17/2011--01/17/2012
TOTAL $168.97
Christine Fulton 168 97
1. certify that the above account in the amount of $ .
is true and correct: that the items, services, and disbursements cherged were rendered to or for the municipality on the dates stated; that no part has been paid or satisfied; that taxes, from which the
::::~~..~,....,"......m'~J~f Mdm Dopu~Town aork
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
COMPTROLLER
DATE
AUTHORIZED OFFICIAL
DATE
/l-&/r- ~i/Q/V tv CivM/,'J-
.
Customer Service
INVOICE
Page 1 of 1
Hours of Operation
M - F, 7am - 6pm Central Time
Fax
888-241-4382
Summary
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
Correspondence
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des Moines, IA 50309-3605
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755495199
12/17/11
11/20/11
12/17/11 - 01/17/12
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Telephone
888-554-8564
Federal Tax ID#
42-1074725
Please have your Federal Tax ID available when contacting us.
LAST PAYMENT $168.97 POSTED ON
11/07/11.
DESCRIPTION
COLORTAC SCANNER
SUBTOTAL
TOTAL
Current Charges
TOTAL DUE
168.97
168.97
MODEL CI-40C
SIN 02004392
CURRENT CHARGES
LEASE PAYMENT
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
WFF001 NCDDBJ WFF00101.RTP 00000269 f 00000275
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
---------------------------------------------------------------------------------------------------
.
WELLS FARGO FINANCIAL LEASING
P. 0. BOX 6434
CAROL STREAM, IL 60197-6434
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
006-0026084-005
11/20/11
6755495199
12/17/11
Current Charges
168.97
TOTAL DUE
168.97
o Check here and see reverse side for billing address
and/or assel address change.
Amount
Enclosed
,.
Please make check payable loWELLS FARGO FINANCIAL LEASING
1111"11111111111111" '1"1,111'11"'1,11,11111"1,111111'111111'
1 MB 00000269 3 269 /2
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
11.,11"1111,111111111111'1'11,111_111,1111,,,111,11'11111111'111
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
en
~
~
...
o
o
Z
Z
o
Z
N
230013130819
000015127 00 476755006002608400540000168970000168978