Wells Fargo (5)Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Well's Fargo Financial Leasing
CLAIMANT'S
NAMEAND PO BOX 6434
ADDRESS Carol Stream, IL 60197
Pumhase
Order No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
1410.409 $168 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 -7 l~~ I ~~ - ~'//^I / 1 at _ $168 97 $168 97
TOTAL $1 68.97
~ Christine Fulton 168.97
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 inGuded: and that the amount Gaimed is actually due
06/25/2012 Town Clerk
DATE SI 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
Hours of Operation Fax
M - F, lam - 6pm Central Time 888-241-4382
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Telephone Correspondence
888-554-8564 Leasing Customer Service
MAC F4031-050
800 Walnut Street
Pa ments
Y Des Moines, IA 50309-3605
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax ID available when contacting us.
DESCRIPTION SUBTOTAL TOTAL
COLORTAC SCANNER MODEL CI-40C
S/N D2004392
CURRENT CHARGES
LEASE PAYMENT 168.97
CURRENT CHARGES SUBTOTAL 168.97
TOTAL 168.97
INVOICE Page 1 of 1
Summary
Account Number 006-0026084-005
Invoice Number 6755571028
Due Date 07/17!12
Invoice Date 06/20/12
Current Period 07/17/12 - 08/17/12
Covered
LAST PAYMENT $168.97 POSTED ON
06/11/12.
Current Charges 168.97
TOTAL DUE 168.97
WFF001 NCDV35 WFF00101.RTP 00000286 / 00000290
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
---------------------------------------------------------------------------------------
® Account Number 006-0026084-005 Current Charges 168.97
Invoice Date 06/20/12
Invoice Number 6755571028
WELLS FARGO FINANCIAL LEASING PAYMENT DUE BY 07/17/12 TOTAL DUE 168.97
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
Please make check payable to WELLS FARGO FINANCIAL LEASING
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0
1MB 00000286 3 286 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434 S
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004 N
230013310305 000015988 00 476755006002608400540000168970000168973