Wells Fargo Financial Leasing (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
r
Purchase (./~
Order No.
DO NOT RITE IN TN/S BOX
Date Voucher Received
FUND-APPROPRIATION AMOUN T
1410.409 $168 97
TOTAI. $168 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
05/02/2013 1.00 Colortac Scanner $168 97 $168 97
TOTAL $16 8.97
I Christine Fulton ceAlfy that the above account In the amount of $ 168.97
is true and cortect; 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 inGuded: and that the amount Gaimed is actually due
~.--`~\
05/02/2013 t ' ~ , ~-- f~~
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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Customer Service INVOICE Page 1 of 1
Hours oT Operation Fax Summar
~ ~ M - }', lam - 6pm Central Time 888-241-4382 y
Telephone Correspondence Account Number 006-0026084-005
TOWN OF WAPP[NGER 888-554-8564 Leasing Customer Service Invoice Number 6755666212
MAC F4031-050 Due Date 05/17/13
20 MIDDLEBUSH ROAD pa meets tt0o Walnut Street
WAAPINGERS !'ALES, NY 12590-4004 Y Des Moines, lA so3o9-3605 Invoice Date 04/20/13
P. O. Box 6434
Carol Stream, u.6o19~-6434 Federal Tax ID# Current Period 05/17/13 - 06/17/13
42- 1074725 Covered
LAST PAYMENT $168.97 POSTED ON
Please have your Federal Tax ID available when contacting us. 04/15/13.
DESCRIPTION SUBTOTAL TOTAL Current Charges 1.68.97
COLORTAC SCANNER MOD'L CI-40C TOTAL DUE ] 6$.97
5/N D-004392
CURRENT CHARGES
LEASE PAYMENT 168.97
CURRENT CHARGES SUBTOTAL 168.97
TOTAL 168.97
1
R. ~ Csod~~.~ ~ ~P ~ L.~
{a rt f~ G ~ ~ ~ 1
ACCOUNTING
WFF001 NCEHN3 WFF00101.RTP 0000025D ! 00000253
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
--------------------------------------------------------------------------------------------------
IN'ELLS FAItGO FINANCIAL LEASING
P. O. BO.Y 6434
CAROL STREAM, IL 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 04/20/13
Invoice Number 6755666212
PAYMENT DUE BY OS/l7/13 TOTAL DUE 168.97
Amount
Enclosed
Please make check payable to WELLS FARGO FINANCIAL LEASING
~~~llllllll~llll,111111'lllllllllllll~l~IIIIl111lIIIII1Jll~ll~lr lull.III~~IIIIIIlIlI1lI1111111~I~JIIlII111I11111111III~IIIJIII
N
1M6 00000250 3 250 /2 WELLS FARGO FINANCIAL LEASING
TOWN OF WAPPINGER P. O. BOX 6434 g
20 MIDDLEBUSH ROAD CAROL STREAM, IL 60197-6434 Z
WAPPINGERS FALLS, NY 12590-4004 °
N
230014172303 D00014170 OD 476755D06002608400540000168970000168972