Wells Fargo Financial Leasing (6)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 NOT WR/TE /N THIS BOX
Date Voucher Received
FUND -APPROPRIATION AMOUN T
A1410.409 $168 97
TOTAL $ ] 68 97
ABSTRACT NO.
Due on Receipt VENDOR'S
TERMS REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
07/30/2013 1.00 Colortac Scanner 08/17/2013-09/19/2013 $168 97 $168 97
TOTAL $16 8.97
i Christine Fulton certify that the above account in the amount of $ 168.97
is true and correct; that the items, services, and disbursements charged were rendered to ar for-thamu icipality 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 Gaimed is actually due
J
07/30/2013 ~ 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
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
Customer Service
Hours of operation Fax
M - F, lam - 6pm Central Time 888-241-4382
Telephone Correspondence
866-497-6661 Leasing Customer Service
TOWN OF WAPPINGER MAC N0005-055
20 MIDDLEBUSH ROAD Payments $00 Walnut Street
WAPPINGERS FALLS NY 1259 PO Box 6434
Des Moines, IA 50309-3605
Carol Stream, IL 60197-6434
Federal Tax ID#
42-1074725
Please have your Federal Tax ID available when contacting us.
Invoice
Summary
Page 1 of 2
Account number 603-0026084-005
Invoice number 5000332632
Due date 08/17/13
Invoice date 07/21/13
Current period covered 08/17/13 - 09/16/13
Total due $168.97
Last payment $168.97
posted on 07/14/13.
Account number Asset description Item description Amount Tax Item total Due date Subtotal
603-0026084-005 COLORTAC SCANNER Lease Payment 168.97 168.97 08/17/13 $168.97_
Model CI-40C Total: 603-0026084-005 $168.97
SN D2004392
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000897/001534 ACQH5B St-ET-MI-0001 1
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include invoice number on check. wFF14Cr
Wells Fargo Financial Leasing
PO Box 6434
Carol Stream, IL 60197-6434
^ Check here and see reverse side for billing address
and/or asset address change.
Account number 603-0026084-005 Due date 08/17/13
Invoice number 5000332632 Invoice date 07/21/13
Total due $168.97
Amount
enclosed
Please make check payable to Wells Fargo Financial Leasing
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2MB 00897!000897/001534 0005 3 ACQH5B
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
~3M WAPPINGERS FALLS NY 12590-4004
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WELLS FARGO FINANCIAL LEASING
PO BOX 6434
CAROL STREAM IL 60197-6434
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