Wells Fargo (4)
Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
ClAfMANT"S
NAMEAND
ADDRESS
Wells Fargo Financial Leasing
PO Box 6434
Carol Stream, IL 60197
Due on Receipt
TERMS
Purchase J l
Order No.
DO NOT WRITE IN THIS BOX
Dete Voucher Received
FUND - APPROPRIATION AMOUNT
I L/IO. YOU[ A
,
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 Colortac Scanner $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 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
=:_m"'~~~-~''''''--7~~ TownCle<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
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
888-24 I -4382
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Telephone
888-SS4-8S64
Correspondenee
Leasing Customer Service
MAC F4031-oS0
800 Walnut Street
Des Moines, IA S0309-360S
Payments
P. O. Box 6434
Carol Stream, II.. 60197-6434
-
Federal Tax ID#
42-1074725
DESCRIPTION
COLORTAC SCANNER
Please have your Federal Tax ill available when contacting us.
SUBTOTAL
TOTAL
-
CURRENT CHARGES
LEASE PAYMENT
MODEL CI-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
LAST PAYMENT $168.97 POSTED ON
01/10/12.
006-0026084-005
6755517717
02/17/12
01/21/12
02/17/12 - 03/17/12
Current Charges
TOTAL DUE
168.97
168.97
WFFool NCDH2H WFF00101.RTP 00000274 10??oo278
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
01121/12
6755517717
02/17/12
WELLS FARGO FINANCIAL LEASING
P. 0. BOX 6434
CAROL STREAM, IL 60/97-6434
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
Please make check payable to WELLS FARGO FINANCIAL LEASING
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1 Me 00000274 3 274 /2
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
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WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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