Wells Fargo (3)
..
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT"S
NAMEAND
ADDRESS
Wells Fargo
PO Box 6434
Carol Stream, IL 60 197
TERMS Due on Receipt
Purchase
Order No.
15
DO NOT WRITE IN THIS BOX
Dele Voucher Received
FUND - APPROPRIATION AMOUNT
1410.409 A $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 thet the above account In the amount of $ .
is true and correct; that the items, services, and disbursements charged were rendered to or for the municl ality on the datas stated; that no part has baan paid or satisfied; that taxas, from which the
municipality is exempted, are not included: and that the amount claimed is actually due
02/27/2012
Town Clerk
DATE
SIGNATURE
(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
T
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, IA 50309-3605
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Payments
P. O. Box 6434
Carol Stream, IL 60197-6434
-
Federal Tax ID#
42-1074725
DESCRIPTION
COLORTAC SCANNER
Please have your Federal Tax In available when contacting us.
SUBTOTAL
TOTAL
-
CURRENT CHARGES
LEASE PAYMENT
MODELCI-40C
SIN D2004392
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
INVOICE
Page 1 of 1
Summary
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
006-0026084-005
6755528739
03/17/12
02/19/12
03/17/12 - 04/17/12
LAST PAYMENT $168.97 POSTED ON
02/06/12.
Current Charges
TOTAL DUE
168.97
168.97
WFFOO1 NC0K24 WFFOO1D1.RlP OODOO276 100D00281
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
02/19/12
6755528739
03/17/12
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, 1L 60197-6434
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Current Charges
168.97
TOTAL DUE
168.97
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Please make check payable toWELLS 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
230013200204
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