Wells Fargo
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
10/11/2011 1 Model MX-M550N $369 50 $369 50
SIN 85005037
Period Covered 09/28/2011--10/28/2011
TOTAL $369.50
John C. Masterson 36950
1. certify that the ebove account in the amount of $ .
is true and correct; that the itams. 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
municipallly is exempted, are not included: and that the amount claimed is actually due
frv.~ ~
) SIGNATURE
(SPACE BELOW FOR MUNICIPAL USE)
10/11/2011
DATE
Town Clerk
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
AUTHORIZED OFFICIAL
DATE
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
COMPTROLLER
DATE
.
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, lA 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 ID available when contacting us.
DESCRIPTION
SHARP COPIER
SUBTOTAL
TOTAL
SHARP COPIER
MODEL MX-M550N AI
SIN 85002037 .-jOf;JoJ L ~
MODEL MX-M620N
SIN 95002763
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
6755476271
10/28/11
10/01/11
09/28/11 - 10/28/11
LAST PAYMENT $743.09 POSTED ON
09/26/11.
Current Charges
TOTAL DUE
PO NUMBER 20110395
743.09
743.09
WFF001 NCDA3V WFF00101.RTP 00000758 I 00000785
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
10/01/11
6755476271
10/28/11 TOTAL DUE
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM. IL 60197-6434
D
Check here and see reverse side for billing address
and/or assel address change.
Amount
Enclosed
743.09
743.09
Please make check payable 10 WELLS FARGO FINANCIAL LEASING
.
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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