Wells Fargo Financial (6)
T own of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase
Order No.
~~
CLAIMAN,..S
NAMEAND
ADDRESS
Wells Fargo Financial
P.O. Box 6434
Carol Stream, IL 60197-6434
Date Voucher Received
FUND - APPROPRIATION AMOUNT
J L./ J ()t/ r)"7
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
07/28/2011 1 Colortac Scanner Model CI-40C $168 97 $168 97
SIN D2004392
Period Covered 08/17/2011-09117/2011
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 amounl claimed is actually due
DATE
Town Clerk
07/28/2011
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
INVOICE
Page 1 of 1
Hours of Operation
M - F, 7am - 6pm Central Time
Fax
888-24 J -4382
Summary
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax ID#
42- 1074725
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755448330
08/17/11
07/21/11
08/17/11 - 09/17/11
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Telephone
888-554-8564
Correspondence
Leasing Customer Service
MAC F403J-050
800 Walnut Street
Des Moines, lA 50309-3605
Please have your Federal Tax ID available when contacting us.
LAST PAYMENT $168.97 POSTED ON
07/11/11.
DESCRIPTION
COLORT AC 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 NCD5PS WFF00101.RTP 00000304 I 00000312
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
07/21/11
6755448330
08/17/11
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 toWELLS FARGO FINANCIAL LEASING
111111111111111111111.1111111111111111111111111111111111111111111
1 MB 00000304 3 304 /2
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
111111111111111111111.11111111111111111.1111111111111111111111111
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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