Wells Fargo Financial (4)
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
09/26/2011 1 Colortac Scanner $168 97 $168 97
Model CI -40C
SIN D2004392
Period Covered 10/17/2011-11 /17/2011
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
municipality is exempted, are not included; and that the amount claimed is aclually due
09/26/2011 ~ e -t~ Town Clod<
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
INVOICE
Page 1 of 1
Hours of Operation
M - F, 7am - 6pm Central Time
I'ax
888-241-4382
Summary
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Telephone
888-554-8564
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
6755472089
10/17/11
09/20/ II
10/17/11 -] 1/17/11
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.
LAST PAYMENT $168.97 POSTED ON
09/06/11.
DESCRIPTION
COLORTACSCANNER
SUBTOTAL
TOTAL
Current Charges
TOTAL DUE
168.97
168.97
MODEL CI-40C
SIN D2004392
CURRENT CHARGES
LEASE PAYMENT
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
WFF001 NC090V WFF00101.RTP 00000293 I 00000300
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
09/20/11
6755472089
10/17/11
Current Charges
168.97
WELLS FARGO FINANCIAL LEASING
P. 0. BOX 6434
CAROL STREAM, 1L 60197-6434
TOTAL DUE
168,97
o
Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
.
Please make check payable toWELLS FARGO FINANCIAL LEASING
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