Wells Fargo (10)~.
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, IL60197
Purchase
Order No.
~~
DO NOT WR/TE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
1410.409 $168 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt EFNOR'S
TERMS
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
11/29/2012 1.00 Colortac Scanner Lease 12/17/2012-01/17/2013 $168 97 $168 97
TOTAL $1 68.97
Christine Fulton certify that the above account in the amount of $ 168.97
I,
is true and correct; that the items, services, and disbursements charged were rendered to or for the munic' ality on the dates stated; that no pert has been paid or satisfied; that taxes, from whit e
municipality is exempted, are not included: and that the amount Gaimed is actually due
11/29/2012 Town Clerk
DATE SI ATURE 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
~r-
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-SS4-8864 Leasing Customer Service
MAC F4031-OSO
Payments 800 Walnut Street
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 6755620033
Due Date 12/17!12
Invoice Date 11/20/12
Current Period 12/17/12 - 01/17/13
Covered
LAST PAYMENT $168.97 POSTED ON
11/14/12.
Current Charges 168.97
TOTAL DUE 168.97
WFF001 NCE5U4 WFF00101.RTP 00000292 100000290
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 11/20/12
Invoice Number 6755620033
WELLS FARGO FINANCIAL LEASING PAYMENT DUE BY 12/17/12 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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1M6 00000282 3 282 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434 g
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 i
WAPPINGERS FALLS, NY 12590-4004 z
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