Wells Fargo
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT"S
NAMEAND
ADDRESS
Wells Fargo
P.O. Box 6434
Carol Stream, II 60197
Due on Receipt
TERMS
Purchase
Order No.
c)~
DO NOT WRITE IN THIS BOX
Date 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
12/27/2011 1 Co1ortac Scanner Model CI-40C $168 97 $168 97
SIN D2004392 $0 00
Period Covered 01/17/12---02/17/2012
TOTAL $168.97
Christine Fulton 168 97
I, certify that the above account in the amount of $ .
is true and correct; that the ttems, 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
::;:::~~~'_M'.'''~'(1~~ Townel"k
DATE SIGNATURE 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
~k-1Jk t? /
/
AifHORI
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 Tax ID#
42-1074725
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755506601
01/17/12
12121/11
01117/12 - 02/17/12
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Payments
P. O. Box 6434
Carol Stream, IL 60197 -6434
Correspondence
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des Moines, lA 50309-3605
Telephone
888-554-8564
Please have your Federal Tax ID available when contacting us.
LAST PAYMENT $168.97 POSTED ON
12/05/11.
SUBTOTAL
TOTAL
Current Charges
TOTAL DUE
168.97
168.97
DESCRIPTION
COLORTACSCANNER
MODEL CI-40C
SIN D2004392
CURRENT CHARGES
LEASE PAYMENT
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
WFFOO1 NCOF4W WFF00101.RTP 00000285 I 00000290
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
12/21/11
6755506601
01/17/12
Current Charges
168.(
.
TOTAL DUE
168.
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Please make check payable toWELLS FARGO FINANCIAL LEASING
1MB
00000285
3
285/2
llhhll' 1"111"1,1111'1111'1"1111111111'1111' 111,11'1111"1111
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
111111111111 11111111111111111111111111111111111111111111111111111
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
230013150432
00001b337 DO 47b75500b002b084005400001b89700001b8977