Wells Fargo Financial (13)
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
. \ .
T'1/V.40,
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
10
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
01/28/2011 I Monthly Lease Payment $168 97 $168 97
Colortac Scanner Model CI-40C
SIN D2004392
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
1/28/2011
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
II.
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 12590A004
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
6755372201
02/17/11
0I/2I/I1
02/I7/l1-03/17/l1
Pavments
Weils Fargo Financial Leasing
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax 10 available when contacting us.
LAST PAYMENT $168.97 POSTED ON
01/13/11.
DESCRIPTION
COLORTAC 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
WFFG01 NDCVUV wrr001D1.RTF" 00000300 / OOC00310
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
01/21/11
6755372201
02/17/11
Current Charges
168.97
TOTAL DUE
168.97
D
Check here and see reverse side for billing address
and/or assel address change.
Amount
Enclosed
$
.
Please make check payable loWELLS FARGO FINANCIAL LEASING
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P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
230012313031
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