Well's Fargo
~l.
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS. NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Well's Fargo Financial Leasing
P.O. Box 6434
Carol Stream, IL 60197-6434
Due on Receipt
TERMS
Purchal8
Order No.
~I
DO NOT WRITE IN THIS BOX
0Ille Voucher Received
FUND - APPROPRIATION AMOUNT
A141 0.409 $168 97
TOTAL $168 97
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity' DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 Scanner Lease $168 97 $168 97
. .... . . .
TOTAL $168.97
Christine Fulton 168 97
I, certify that the above account In the amount of $ .
Is true and correct; that the ~ems, I8rvices, and dlsbursemants charged were rendered to or for the munlclpaUty on the dates stated; that no part has been paid or satisfied; that taxes, from which the
=:l-;--~-""'''-'~fA Town Cl"k
DATE 51 TURE 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
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
Federal Tn ID#
42-1074725
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755560796
06/17/12
OS/21/12
06/17/12 - 07117/12
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
Correspondence
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des Moines, IA 50309-3605
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
W APPINGERS FALLS, NY 12590-4004
Telephone
888-554-8564
Please have your Federal Tax ID available when contacting us.
LAST PAYMENT $168.97 POSTED ON
05/08/12.
DESCRIPTION
COLORTACSCANNER
SUBTOTAL
TOTAL
Current Charges
TOTAL DUE
168.97
168.97
MODEL CI-4OC
SIN 02004392
CURRENT CHARGES
LEASE PAYMENT
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
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WFFIlO1 NCDSRJ WFFIlO1Dl.RTP DODIlO297 I IlOIlOD3D4
Detach and return the bottom rel1"!ittance 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/21/12
6755560796
06/17/12
Current Charges
168.97
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
TOTAL DUE
168.97
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Pleaee make check payable toWELLS FARGO FINANCIAL LEASING
1MB
00000297
3
297 /2
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM,IL 60197-6434
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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