Wells Fargo Financial (14)
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.
ElATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
09/13/2011 1 Sharp Copier Model MX-M550N $369 50 $369 50
Period Covered 08/28/2011-09/28/2011
TOTAL $369.50
John C. Masterson 369 50
I. certify that the above account in the amount of $ .
is true and correct; that the ~ems, services, and disbursements charged were rendered to or for the municlpallty 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 actually d
DATE
Town Clerk
09/13/2011
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
.
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 10#
42- 1074725
Please have your Federal Tax ID available when contacting us.
DESCRIPTION
SHARP COPIER
SUBTOTAL
TOTAL
SHARP COPIER
MODEL MX-M550N
SIN 85002037
MODEL MX-M620N
SIN 95002763
l.::- Tow fJ Cle(Z-i:~
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
6755464564
09/28/11
09/01111
08/28/11 - 09/28/11
LAST PAYMENT $743.09 POSTED ON
08/19/11.
Current Charges
TOTAL DUE
PO NUMBER 20110395
743.09
743.09
WFF001 NCD872 WFFOO101.RTP ooooon1 f 0??oo799
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
---------------------------------------------------------------------------------------------------
743.09
.
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
006-0026084 Current Charges
09/01111
6755464564
09/28/11 TOTAL DUE
WELLS FARGO FINANCIAL LEASING
P. 0. BOX 6434
CAROL STREAM, IL 60197-6434
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
743.09
Please make check payable to WELLS FARGO FINANCIAL LEASING
1MB
00000771
4
771 /1
11',1111I1'1'11'1'1"111,111111"111111 I II 111,1,1 1,'1,1'1,11'1'1'
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
en
....
8l
o
...
....
'"
o
'"
Z
Z
o
z
'"
,111'1,11',1,1'11,',1'1 Ii ',,1,',11',",1111 I I Ii 1"'11"1"111'111
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
230013080702
0000b0021 02 47b75500b002b08400040D00743090000743091