Wells Fargo (3)_~
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
Order No.
DO NOT W E IN THlS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUNT
$168 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt ~NDOas
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
03/17/2013- 1.00 Colortac Scanner $168 97 $168 97
04/17/2013
TOTAL $16 8.97
~ Christine Fulton certify that the above account In the amount of E 168.97
is true and correct; that the items, services, and disbursements charged were rendered to orfor the municipality on the dales stated; that no part has been paid or satis5ed; that taxes, from which the
municipality is exempted, ere not included: end that the amount Gaimed is actually due
02/26/2013 ~- Town Clerk
DATE SIGNATURE 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
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
Des Moines, IA 50309-3605
P. O. Box 6434
Carol Stream, IL 60197-6434
Federal Tax H)#
,
az-1o747zs
Please have your Federa] Tax ID available when contacting us.
DESCRIPTION SUBTOTAL TOTAL
COLORTACSCANNER
CURRENT CHARGES
LEASE PAYMENT
MODEL CI-40C
S/N D2004392
CURRENT CHARGES SUBTOTAL
TOTAL
-~ -~V,, y.~ C.\ e S ~
168.97
188.97
168.97
INVOICE Page 1 of 1
Summary
Account Number 006-0026084-005
Invoice Number 6755647966
Due Date 03/17/13
Invoice Date 02/18/13
Current Period 03/17/13 -04/17/13
Covered
LAST PAYMENT $168.97 POSTED ON
02/11/13.
Current Charges 168.97
TOTAL DUE 168.97
WFFOn1 NCECPV WFF00101.R7P 00000256 100000201
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 02/18/13
Invoice Number 6755647966
ff'ELLS FARCO FnvANC~Ar, z,EASnvc PAYMENT DUE BY 03/17/13 TOTAL DUE 168.97
P. O. BOX 6434
CAROL STREAM, IL 60197-6434
Check here and see reverse side for billing address Amount -Q
and/or asset address change. Enclosed ~D •
Please make check payable to WELLS FARGO FINANCIAL LEASING
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1MB 00000256 3 256 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434 B
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 0
WAPPINGERS FALLS, NY 12590-4004 N
230014122531 000015373 00 47675500600260840D540000168970000168970