Wells Fargo (9)Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
.PURCHASE ORDER & VOUCHER
Department:
VENDOR'S
rco~~c Due on Receipt REFNO.
Wells Fargo Financial Leasing
CLAIMANT'S
NAMEAND PO BOX 6434
ADDRESS Carol Stream, IL 60197
(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
Purchase
Order No
DO NOT WRITE IN THIS BOX
pate Voucher Received
FUND -APPROPRIATION AMOUNT
A1410.409 $168 97
TOTAL $168 97
ABSTRACT NO.
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE AUTHORIZED OFFICIAL
DATE COMPTROLLER
Christine Fulton 1 °o''
i certlty that the above account in the amount of $
is true end wrteq; 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
munidpality is exempted, are not inquded: and that the amount gaimed is equally due
10/30/2012 Town Clerk
DATE ATURE TITLE
f
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
Customer Service
Hours of Operation Fax
M - F, lam - 6pm Central Time 888-241-4382
Telephone Correspondence
888-554-8564 Leasing Customer Service
MAC F4031-050
Payments 800 Walnut Street
Des Moines, IA 50309-3605
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax ID#
az-1o7472s
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
RECEIVED
OCT 2 92012
ACCOUNTING
INVOICE Page 1 of 1
Summary
Account Number 006-0026084-005
Invoice Number 6755610526
Due Date 11/17/12
Invoice Date 10/21/12
Current Period 11/17/12 - 12/17/12
Covered
LAST PAYMENT $168.97 POSTED ON
10/09/12.
Current Charges 168.97
TOTAL DUE 168.97
0
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~~~
WFF001 NCE3F~ VYFF00101.RTP 00000273 100000278
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6439
CAROL STREAM, IL 60197-6434
Check here and see reverse side for billing address
andlor asset address change.
006-0026084-005 Current Charges
10/21/12
6755610526
11/17/12 TOTAL DUE
Amount
Enclosed
168.97
168.97
Please make check payable to WELLS FARGO FINANCIAL LEASING
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1MB 00000273 3 273 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434
WAPPINGERS FALLS, NY 12590-4004
230014031526 OD0015233 00 4767550060D2608400540000168970DDD168976
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
0
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