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Wells Fargo Financial (8) . Town of Wappinger 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 PURCHASE ORDER & VOUCHER Department: CLAIMANrS NAMEAND ADDRESS Wells Fargo Financial P.O. Box 6434 Carol Stream, IL 60197-6434 Due on Receipt TERMS Purchase Order No. 51RJ Lf 'f DO NOT WRITE IN THIS BOX Data Voucher Recaivad FUND - APPROPRIATION AMOUNT /<1/7> LlQ 7 TOTAL $0 00 ABSTRACT NO. I VENDOR'S REFNO. DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT 06/27/2011 1 Colortac Scanner Model CI -40C $168 97 $168 97 Period Covered 07/17/2011---08/17/2011 TOTAL $168.97 John C. Masterson 16897 t certify thatlhe above account in tha amount of $ . is true and correct; that tha itams. services, and disbursemants chargad were rendered to or for the municipality on the datas stated; that no part has been paid or satisfied; that taxes, from which the municipality is exempted, ara not inciudad: and that tha amount claimed is actualiy due 06/27/2011 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 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 6755436163 07/17/11 06/20/11 07/17/11 - 08117/11 Payments Wells Fargo Financial Leasing P. O. Box 6434 Carol Stream, II.. 60197-6434 Federal Tax ID# 42-1074725 Please have your Federal Tax ID available when contacting us. LAST PAYMENT $168.97 POSTED ON 06/06/11. DESCRIPTION COLORTACSCANNER SUBTOTAL TOTAL Current Charges TOTAL DUE 168.97 168.97 MODEL CI40C SIN 02004392 CURRENT CHARGES LEASE PAYMENT CURRENT CHARGES SUBTOTAL TOTAL 168.97 168.97 168.97 WFFOO1 NCD3UM WFF00101.RTP 00000307 I 00000315 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 06/20/11 6755436163 07/17/11 Current Charges 168.97 TOTAL DUE 168.97 D Check here and see reverse side for billing address and/or asset address change. Amount Enclosed Please make check payable toWELLS FARGO FINANCIAL LEASING ,lll'lh III h 11,1, '11111'1,11'1111,1, ,III' ,11111'1..1111' ,111'11' 1 MB 00000307 3 307 /2 TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS. NY 12590-4004 1'1"1, ,1111,111 h 1111111'111111"'1,1'"11'11111111111111111'1,1 WELLS FARGO FINANCIAL LEASING P. O. BOX 6434 CAROL STREAM, IL 60197-6434 ~ 8l ~ .... o o Z Z o z '" 230013033022 000016651 00 47675500600260840054D000168970000168975