Wells Fargp Financial
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.
;;;1'
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I LIJ O.'-{D,
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
4/29/2011 1 Colortac Scanner Model CI-40C $168 97 $168 97
SIN D2004392
Period Covered 05/17/2011-06/17/2011
TOTAL $168.97
John C. Masterson 16897
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 a ually due
04/28/2011
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, IL 60197-6434
Federal Tax ID#
42- 1074725
Please have your Federal Tax ID available when contacting us.
DESCRIPTION
COLORT AC 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
6755411298
05/17/11
04/20/I ]
05/I 7/l ] - 061I7/I]
LAST PAYMENT $168.97 POSTED ON
04/11/11.
Current Charges
TOTAL DUE
168.97
168.97
Need additional equipment
financing?
Call 866-249-6185 to speak to an
Equipment Specialist.
WFF001 NCCZZ9 WFF00101.RTI' 00000291 100000298
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
04/20/I ]
675541 ]298
05/17/11
WELLS FARGO. FINANCIAL LEASING
P. 0. BDX 6434
CAROL STREAM. IL 60197-6434
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enc]osed
Current Charges
]68.97
TOTAL DUE
168.97
.
Please make check payable 10 WELLS FARGO FINANCIAL LEASING
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
1MB
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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