Wells Fargo Financial (10)
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
Ordar No.
.~~
DO NOT WRITE IN THIS BOX
Data 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
OS/27/2011 1 Colortac Scanner $168 97 $168 97
Model CI-40C
SIN D2004392
06/17/2011-07/17/2011
TOTAL $168.97
John C, Masterson 16897
I. cartify that the ebove account in the amount of $ .
is trua and correct; that tha 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 aliy due
OS/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
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
Wells Fargo Financial Leasing
P. O. Box 6434
Carol Stream, II, 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax ill available when contacting us.
DESCRIPTION
COLORTAC SCANNER
SUBTOTAL
TOTAL
MODEL CI-40C
SIN 02004392
CURRENT CHARGES
LEASE PAYMENT
168.97
168.97
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755423791
06/17/11
OS/21/11
06/17/11 - 07/17/11
LAST PAYMENT $168.97 POSTED ON
05/09/11.
Current Charges
TOTAL DUE
168.97
168.97
Need additional equipment
rmancing?
Call 866-249-6185 to speak to an
Equipment Specialist.
WFF001 NCD24D WFFOO101.RTP 00000291 I 0??oo299
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
OS/21/11
6755423791
06/17/11
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
D Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Current Charges
168.97
TOTAL DUE
168.97
Please make check payable to WELLS FARGO FINANCIAL LEASING
11111111111111111111111111111111111111111111111111111111111111111
1 MB 00000291 3 291 /2
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
1111111111111111111111111111111111-1I1111111111111111111111111I11
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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