Wells Fargo Financial Leasing (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 60197-6434
#$
Purchase
Order No.
DO NO WRITE IN THIS BOX
Date Voucher Received
FUND-APPROPRIATION AMOUN T
A1410.409 $168 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# puantity DESCRIPTION OF MATERIALS OR'SERVICES UNIT PRICE AMOUNT
04/01/2013 1.00 Colortac Scanner $168 97 $168 97
TOTAL $16 8.97
t Christine Fulton certiry that the above account in the amount of $ 168.97
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 which the
municipality is exempted, are not inGutled: and that the amount Gaimed is actually due
04/01/2013
DATE
n
GNATURE
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
Customer Service IN V(~l(,~. Page 1 of 1
~ f Hours o1' Operation Fax Summar
y
M - P, lam - Gpm Central Time 888-241-4382
Telephone Correspondence Account Number 006-0026084-005
TOWN OF WAI'PINUER 8258-554-8564 LeasingCusinmerServioe Invoice Number 6755657232
20 MIDDLEBUSH ROAD MAC F4o31-oso
800 Walnut Street llue Date 04/17/13
WAPPINGGRS FALLS, NY 125)0-4004 Payments Des Moines, IA 50309-3605 I
i
D
P. O. Box 6434 nvo
ce
ate 03/21/13
Carol Stream, ]l. 60197-6x34 Federal Tax Illk Current Period 04/17/13 - 05/17/13
az- una~zs Covered
LAST PAYMENT $ 168.97 POSTED ON
Please have your Federal Tax 1D available when contacting us. 03/08113.
DESCRIPTION SUBTOTAL TOTAL Current Charges 168.97
COLORTAC SCANNER MODEL CI-40C
S!N D2004392 TOTAL DUE ] 6H.97
CURRENT GHARGES
LEASE PAYMENT 168.97
CURRENT CHARGES SUBTOTAL 168.97
TOTAL 168.97
~ ~,,.:~~~~~ (w~r~ ~ •,.
RECEIVED
ACS... ~ ~.,!'~~TING
WFF00'i NCEFBX WFF00101.ftTP 00000263 / 00000266
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
Account Number 006-0026084-005 Cun•ent Charges 168.97
Invoice Date 03/21/]3
Invoice Number 6755657232
tvrr,[sr•~I~rcol-lnlftrocl~rir:•~2siNG PAYMENT DUE [3Y 04/]7/13 TOTAL DUE 168.97
P. U. /30,1' 6434
CAROI. STRL'Ati9, lL 60/97-6434
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
~~~I~~III~~I~'~III~~~~~~~~~~IIII~III~~I~~~I~~~I~~I~~~I~IIIII~1~1~ ~~~'~I1~"~I'I~1'~~I~~1."~"II~~'I~~I~~~1~1~~1~11~1111~~1~~1~~11
1M6 00000263 3 263 /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
230014150833 000014777 ^0 476755006002608400540000168970000168971
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