Wells Fargo Financial Leasing (5)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.
a~
DO NOT WRITE !N THIS BOX
Date Voueher Received
FUND -APPROPRIATION AMOUN T
1410.409 $ ] 68 97
TOTAL $168 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
7/03/2013 1.00 Colortac Scanner $168 97 $] 68 97
$0 00
$0 00
TOTAL $16 8.97
t Christine Fulton certify that the above account in the amount of s 168.97
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dates staled; that no part has been paid ar satisfied; that taxes, from which the
municipality is exempted. are not included: and that the amount claimed is actually due
07/03/2013
DATE
J ~~ t`~~f-,i~J~/~-
NATURE
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
Invoice Page I of 3
Customer Service
Summary
~~ Hours of operation
M - F, lam - 6pm Central Time Fax
888-241-4382
Account number
603-0026084-005
Invoice number 5000234012
' Telephone Correspondence Due date 07/17/13
866-497-6661 Leasing Customer Service Invoice date 06/20/13
TOW N OF WAPPINGER blAC F4031-050 Current period covered 07/17/13 - 08/16/13
20 MIDDLEBUSH ROAD Payments 800 Walnut Street
Total due
$168.97
WAPPINGERS FALLS NY 1259 PO Box 6434 Des Moines, IA 50309-3605
Carol Stream, IL 60197-6434
Federal Tax ID# Last payment $168.97
42-1074725 posted on 06/10/13.
Please have your Federal Tax ID available when contacting us.
Account number Asset description Item description Amount Tax Item total Due date Subtotal
603-0026084-005 COLORTAC SCANNER Lease Payment 16897 168.97 07/17/13 $168.97
Model Cl-40C Total: 603-0026084-005 $168.97
SN D2004392
0 0 0 24 2100 04 8 5 ACQOWH S1-ET-M~-0001 1
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include invoice number on check. wert4cF
Wells Fargo Financial Leasing
PO Box 6434
Carol Stream, IL 60197-6434
Account number 603-0026084-005 Due date 07/17/13
Invoice dumber 5000234012 Invoice date 06/20/13
Total due $168.97
Amount
enclosed
^ Check here and see reverse side for billing address
and/or asset address change.
Please make check payable to Wells Fargo Financial Leasing
riiii.~~In~~IIII~iIIn~Ir~i~n~~rl~in.iiiin~~,n~i,~~~ii~ii~~i~ I~i~il~nllll~~ill~~~lu~~~n,~i.i~lnil,i~.~~~ni~il~lu,,,.n~l
WELLS FARGO FINANCIAL LEASING
2MB 00242!0002421000485 0003 4 ACQDW H PO BOX 6434
TOWN OF WAPPINGER CAROL STREAM IL 60197-6434
20 MIDDLEBUSH ROAD
~• WAPPlNGERS FALLS NY 12590-4004
0011303555112603500023401242013D7170DDD000168979
Z
v