Wells Fargo (2)~~.,
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
Purchase
ONer No.
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
~},#}g;,~AB-• $168 97
L ~.
TOTAL $168 97
ABSTRACT NO.
Due on Receipt REFNO S
TERMS
DATES ~ INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
02/17/2013- 1.00 Colortac Scanner Lease $168 97 $168 97
03/17/2013
TOTAL $16 8.97
Christine Fulton 168.97
I certify that the above account in the amount of $
is We and correct; that the items, services, end disbursements charged were rendered to or for the allty on the dates stated; that no part has been paid or satisfied; that taxes, from which the
municipality is exempted, are not included: and that the amount daimed is actually due
01/30/2013 Town Clerk
DATE SIG 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
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
AUTHORIZED OFFICIAL
DATE
COMPTROLLER
',
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 Roo 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 6755638627
Due Date 02/17/13
Invoice Date 01/21/13
Current Period 02/17/13 - 03/17/13
Covered
LAST PAYMENT $168.97 POSTED ON
01/15/13.
Current Charges 168.97
TOTAL DUE 168.97
WFF001 NCEAGC WFF00101.RTP 00000283 /00000286
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 01/21/13
Invoice Number 6755638627
WELLS FARGO FINANCIAL LEAS/NG PAYMENT DUE BY 02/17/13 TOTAL DUE 168.97
P. O. BOX 64 i4
CAROL STREAM, IL 6 01 9 7-643 4
Amount
Check here and see reverse side for billing address
andlor asset address change. Enclosed ~ •
Please make check payable to WELLS FARGO FINANCIAL LEASING
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1M6 00000263 3 263 /2 WELLS FARGO FINANCIAL LEASING a
TOWN OF WAPPINGER P. O. BOX 6434 g
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004 N
230014101612 000014972 DD 47675500600260840054000D16897000016B977