Wells Fargo Financial (5)
..
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
08/26/2011 1 Colortac Scanner Model CI-40C $168 97 $168 97
SIN D2004392
Period Covered 09/17/11--10/17/2011
TOTAL $168.97
John C. Masterson 168 97
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 actually due
08/26/2011
9ft~
' IGNATURE
DATE
Town Clerk
(SPACE BELOW FOR MUNICIPAL USE)
TITLE
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
Fax
888-241-4382
Summary
Federal Tax ID#
42-1074725
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755460291
09/17/11
08/21/11
09/17/11 - 10117/11
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
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
Telephone
888-554-8564
Please have your Federal Tax ID available when contacting us.
LAST PAYMENT $168.97 POSTED ON
08/05/11.
DESCRIPTION
COLORTACSCANNER
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 NCD7GS WFF00101.RTP 00000284 I 00000292
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
006-0026084-005
08/21/11
6755460291
09/17/11
Current Charges
168.97
.
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 to WELLS FARGO FINANCIAL LEASING
'111' '111111111111'11111.1. '1111.1. .11.11111.11111.111111" '1111.
1 MB 00000284 3 284 /2
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
1"..111111.1.".11.11.1.11....11 .111 II' .11111'1'1.1,,111'11..111
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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