Wells Fargo (8)Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Wells Fargo Financial Leasing
CLAIMANT'S
NAMEAND PO BOX 6434
ADDRESS Carol Stream, IL 60197-6434
Date Voucher Received
FUND -APPROPRIATION AMOUN T
A1410.209 $168 97
TOTAL $ l 68 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
1.00 Colortac scanner Lease 10/17/12-11/17/12 $168 97 $168 97
TOTAL $1 68.97
Christine Fulton certify that the above account in the amount of $ 168.97
t,
is true antl wrrect; 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, ere not inGuded: and that the amount Gaimed is actually due
09/27/2012
DATE
SIGNATURE
Town Clerk
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
APPROVAL FOR PAYMENT
This Gaim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
Purchase
Order No.
DO NOT WR/TE IN T lS BOX
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
Payments 800 Walnut Street
P. O. Box 6434 Des Moines, IA 50309-3605
Carol Stream, IL 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax ID available when contacting us.
DESCRIPTION SUBTOTAL TOTAL
a,.,a.,vn. n~ ~cnrvrvrx 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 006-0026084-00<
Invoice Number 675560090?
Due Date 10/17/12
Invoice Date 09/20/12
Current Period 10/17/12 - 11/17/12
Covered
LAST PAYMENT $168.97 POSTED ON
09/10/12.
Current Charges 168.97
TOTAL DUE 168.97
~~~~ou~
~~
WFF001 NCE7A0 WFF00101.RTP 00000299 100000295
_- etach 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 09/20/12
WELLS FARGO FINANCIAL LEASING Invoice Number 6755600903
P. O. BOX 6434 PAYMENT DUE BY 10/17/12 TOTAL DUE 168.97
CAROL STREAM, IL 60197-6434
Check here and see reverse side for billing address Amount Q
and/or asset address change. Enclosed ~P
Please make check payable to WELLS FARGO FINANCIAL LEASING
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TOWN OF WAPPINGER P. O. BOX 6434 g
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004
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