Wells Fargo (6)-Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Purchase _,
Order No.
- DO NOT WRITE IN THIS BOX
Wells Fargo Financial Leasing
CLAIMANT'S
NAMEAND P•~• Box 6434
ADDRESS Carol Stream, IL 60197
Date Voucher Received
.FUND-APPROPRIATION :AMOUNT;; .; ,~ r
1410.409A $168 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
(SPACESELOW 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE COMPTROLLER
Christine Fulton certify that the above account In the amount of 5 1 oa.y i
t
is true end correct that the Items, services, and disbursements charged were rendered to or for the munldpallty on the dates stated; that no part has been paid or satisfied; that taxes, from whi t e
municipellry is exempted, are not InGuded: and that the amount claimed i~actually ~du(e
07/30/2012 ~~/ y v" ~ ~~ Town Clerk
DATE `~ SIGNATURE TITLE
I~lv .-~~.~~ ~..
C Customer Service
Hours of Operation Fax
i M - F, lam - 6pm Central Time 888-241-4382
Telephone Correspondence
888-554-8564 Leasing Customer Service
TOWN OF WAPPINGER MAC F4031-050
20 MIDDLEBUSH ROAD ~ 800 Walnut Street
WAPPINGERS FALLS, Nl' 12590-4004 ~ Payme°ts Des Moines, IA 50309-3605
--- P. O. Box 6434
E
s Carol Stream, IL 60197-6434 Federal Tax ID#
az-1o7a7z5
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
CURRENT CHARGES SUBTOTAL
TOTAL
168.97
168.97
168.97
INVOICE Page 1 of 1
Summary
Account Number 006-0026084-005
Invoice Number 6755581092
Due Date 08/17/12
Invoice Date 07/21/12
Current Period 08/17/12 - 09/17/12
Covered
LAST PAYMENT $168.97 POSTED ON
07/06/12.
Current Charges 168.97
TOTAL DUE 168.97
WFF00'I NCDX9X WFF0010t.RTP 00000276 100000282
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 07/21/12
Invoice Number 6755581092
WELLS FARGO FINANCIAL LEASING PAYMENT DUE BY 08/17/12 TOTAL DUE 168.97
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
Amount
Check here and see reverse side for billing address Enclosed
and/or asset address change. ~
Please make check payable to WELLS FARGO FINANCIAL LEASING
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1M6 00000278 3 278 /2 WELLS FARGO FINANCIAL LEASING ~
TOWN OF WAPPINGER P. O. BOX 6434 Z
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004 N
230013330933 000015339 00 476755006002608400540000168970000168976