Wells FargoTown of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
Wells Fargo Financial Leasing
cu~iMANrs
NAMEAND P•~• Box 6434
ADDRESS Carol Stream, IL 60197
Purchase
Order No.
3
DO NOT WR/TE /N TH/S BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
$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
01/02/2013 1.00 Colortac ScannerOl/17/2013-02/17/2013 $168 97 $168 97
TOTAL $1 68.97
Chnstme Fulton cerliry that the above account in the amount of $ 168.97
t
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 whic e
municipality is exempted, are not inclutled: and that the amount claimed is actually due
O 1 /02/2013
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 claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
INVOICE Page 1 of 1
Customer Service
Hours of Operation Fax Summary
~ ~ ~ M - F, lam - 6pm Central Time 888-241-4382
Account Number 006-0026084-005
Telephone Correspondence
Leasing Customer Service
Invoice Number
6755629409
TOWN OF WAPPINGER 888-554-8564 MAC F4031-050 Due Date 01/17/13
20 MIDDLEBUSH ROAD
WAPPIIJGERS FALLS, NY 12590-4004
Payments 800 Walnut Street
Des Moines, IA 50309-3605
Invoice Date
12/21/12
P. O. Box 6434
IL 60197-6434
Carol Stream
Current Period
01/17/13 - 02/]7/13
, Federal Tax ID# Covered
42-1074725
LAST PAYMENT $168.97 POSTED ON
Please have your Federal Tax ID available when contacting us. 12/10/12•
DESCRIPTION SUBTOTAL TOTAL Current Charges 168.97
COLORTAC SCANNER MODEL CI-40C TOTAL DUE 168.97
S/N D2004392
CURRENT CHARGES 168
97
LEASE PAYMENT .
CURRENT CHARGES SUBTOTAL 768.97
TOTAL 168.97
~~~ ~~~
r
R ~ _ -T~VED
~o1z
AC....,~:~TING
WFF001 NCE88Y WFF00101.RTP 00000270 / 00000277
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
-------------------------------------------------------
R'ELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM, lL 60197-6434
Check here and see reverse side for billing address
and/or asset address change.
Account Number 006-0026084-005 Current Charges 168.97
Invoice Date 12/21/12
Invoice Number 6755629409
PAYMENT DUE BY 01/17/13 TOTAL DUE 168.97
Amount
Enclosed •
Please make check payable to WELLS FARGO FINANCIAL LEASING
~~~~1~111~11~1~11~1111~1~111~11~1~11~111~~~~111~~1~~~~111~~~ '~II~~11~~11~1~1~111~~111~11~11'111'~f~~ll~~l~lllllllll~l~~l~l'I
0
1M6 00000270 3 270 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434 0
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004 N
230014D8D834 000015744 00 47675500600260840054000016897000D16897?