HomeMy WebLinkAbout04/07/2020ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL050S-V08.11 COVERPAGE
GL540R
*******************************************************************************
* * * * W A R R 0 4 A * * * *
* * * * W A R R 0 4 A * * * *
* * * * W A R R 0 4 A * * * *
* * * * W A R R 0 4 A * * * *
*******************************************************************************
Report Selection:
RUN GROUP... 040720 COMMENT... AUDIT 04/07/2020
DATA-JE-ID DATA COMMENT
-------------- ------------------------
H-04072020-776 AUDIT 04/07/2020
W-04072020-775 AUDIT 04/07/2020
Run Instructions:
Jobq Banner Copies Form Printer Hold Space LPI Lines CPI CP SP RT
L WARR 04A 01 ACCTHP Y S 6 066 10 Y
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 1
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
GENERAL FUND WHOLE TOWN ***************
CABLEVISION SYSTEMS CORP
MNTHLY MTC PD 3/23-4/22 116.47 COMMUNICATION EQUIPME A .3020.2.200.700 316851010420 P 775 00051
CMYK PRINT GROUP, INC.
2019-20 REPRINT TAX BILL 205.00 TAX BILL PROCESSING A .1330.4.400.100 103382 33367 F 775 00055
EMERALD ISLAND SUPPLY CO
(3) CLOROX WIPES 105.60 JANITORIAL SUPPLIES A .1620.4.100.300 315985 34360 P 775 00063
(8) REJUVNAL 156.32 JANITORIAL SUPPLIES A .1620.4.100.300 316005 34360 F 775 00064
261.92 *VENDOR TOTAL
EVANS/LOUISA P.
REIMB-FI FERRY-AOT '20 27.00 TRAVEL-FI JUSTICE A .1110.4.600.300 021620 P 775 00065
REIMB-TRAINS-AOT '20 36.50 TRAVEL-FI JUSTICE A .1110.4.600.300 021620 P 775 00066
REIM-MLG 105@57.5AOT '20 60.37 TRAVEL-FI JUSTICE A .1110.4.600.300 021620 P 775 00067
REIM-MEALS-AOT '20 176.50 TRAVEL-FI JUSTICE A .1110.4.600.300 021620 P 775 00068
300.37 *VENDOR TOTAL
FEDEX
EXPRESS MAIL-(1) 3/12/20 31.18 EXPRESS MAIL A .1670.4.600.500 6-958-38392 P 775 00069
GALLS
UNFRMS-LATHAM-3/20 22.30 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1072772 33787 P 775 00074
UNFRMS-HINTON-3/20 94.99 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1075960 33787 P 775 00075
UNFRMS-MCNAMARA-3/20 54.46 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1077775 33787 P 775 00076
UNFRMS-JHN CROSSER-3/20 192.25 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1079995 33787 P 775 00077
UNFRMS-ZUHOSKI-3/20 24.84 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1080378 33787 P 775 00078
UNFRMS-WILLIAMS-3/20 423.90 UNIFORMS & ACCESSORIE A .3120.4.100.600 BC1082055 33787 P 775 00079
812.74 *VENDOR TOTAL
HARTFORD/THE
1/1/20-3/31/20 DIS INS 1,821.57 DISABILITY INSURANCE A .9055.8.000.300 747638714368 P 775 00096
HUNSTEIN/DAVID
207C PYMNT-2/27-3/11/20 4,743.98 207C BENEFITS A .9040.8.000.100 031120 34178 P 775 00102
207C PYMNT-3/12-3/25/20 4,743.98 207C BENEFITS A .9040.8.000.100 032520 34178 P 775 00103
9,487.96 *VENDOR TOTAL
MEDICAL WAREHOUSE, INC.
SHRPS CNTNR/MSKS/SCSSRS 800.50 FIRST AID SUPPLIES A .3120.4.100.800 199843 34127 P 775 00113
BATTERIES/MASKS 77.90 FIRST AID SUPPLIES A .3120.4.100.800 199897 34127 P 775 00114
878.40 *VENDOR TOTAL
MOTOROLA SOLUTIONS, INC.
SBSCRBR PRGRMMNG APX6500 70.00 COMMUNICATION EQUIPME A .3020.2.200.700 41282810 34128 P 775 00115
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 2
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
GENERAL FUND WHOLE TOWN ***************
NORTH FORK ANIMAL LEAGUE
SERVICES-4/20 20,654.57 ANIMAL CONTROL-NF ANI A .3510.4.400.900 040120 TBR273 P 775 00123
NYS EMPLOYEE HEALTH INS.
EMPIRE PREMIUM-4/20 399,406.59 MEDICAL INSURANCE, NY A .9060.8.000.000 550 P 775 00132
OFFICE OF STATE COMPTROL
1/20 JUSTICE COURT DIST 42,746.00 OVERPAYMENT & CLEARING A A .690 4737900-1/20 P 775 00138
1/20 JUSTICE COURT DIST 27,157.65CR NYS AUDIT & CONTROL A .2610.00 4737900-1/20 P 775 00139
2/20 JUSTICE COURT DIST 26,913.75 OVERPAYMENT & CLEARING A A .690 4737900-2/20 P 775 00140
2/20 JUSTICE COURT DIST 13,838.50CR NYS AUDIT & CONTROL A .2610.00 4737900-2/20 P 775 00141
28,663.60 *VENDOR TOTAL
PSEG LONG ISLAND
ELECTRIC-DEANS PKG-3/26 265.57 LIGHT & POWER A .1620.4.200.200 96118395510320 P 775 00146
STRG-PACIFIC ST-2/28 517.52 LIGHT & POWER A .1620.4.200.200 96138238020220 P 775 00147
HRC-2/28 1,108.57 LIGHT & POWER A .1620.4.200.200 96138240040220 P 775 00148
RT48 STRBRY FLD-2/25 14.40 LIGHT & POWER A .1620.4.200.200 96170070010220 P 775 00149
DOWNS FARM-2/26 13.15 LIGHT & POWER A .1620.4.200.200 96210670010220 P 775 00150
CUSTER INST-3/19 13.15 LIGHT & POWER A .1620.4.200.200 96334299010320 P 775 00151
COMM CTR-3/17 1,118.14 LIGHT & POWER A .1620.4.200.200 96343385010320 P 775 00152
PD STORAGE-3/13 45.88 LIGHT & POWER A .1620.4.200.200 96343387510320 P 775 00153
PEC LANE SCHOOL-3/17 736.97 LIGHT & POWER A .1620.4.200.200 96343390010320 P 775 00154
RR BARN PECONIC-2/26 1,727.11 LIGHT & POWER A .1620.4.200.200 96465013010220 P 775 00155
PECONIC LANE PARK-2/26 830.51 LIGHT & POWER A .1620.4.200.200 96465287010220 P 775 00156
DPW STORAGE-2/28 170.07 LIGHT & POWER A .1620.4.200.200 96465400010220 P 775 00157
GARAGE PECONIC-2/28 822.02 LIGHT & POWER A .1620.4.200.200 96465405000220 P 775 00158
GAZEBO SOUTHOLD-2/28 128.31 LIGHT & POWER A .1620.4.200.200 96520179510220 P 775 00159
ANNEX-2/27 2,602.91 LIGHT & POWER A .1620.4.200.200 96530341820220 P 775 00160
TOWN HALL-2/26 2,543.13 LIGHT & POWER A .1620.4.200.200 96530452810220 P 775 00161
GRNPRT INFO BOOTH-3/4 12.70 LIGHT & POWER A .1620.4.200.200 96720656030320 P 775 00162
LAUREL LK MCFEELY-3/6 53.79 LIGHT & POWER A .1620.4.200.200 96903465010320 P 775 00163
12,723.90 *VENDOR TOTAL
SANTACROCE/HENRY F.
384/E-APR 2020 160.90 NYS POLICE/FIRE RETIR A .9015.8.000.000 032620 P 775 00179
STAPLES CONTRCT-COMMERCI
INK CARTRIDGES/SHARPIES 113.06 OFFICE SUPPLIES & STA A .3120.4.100.100 3439984212 33789 P 775 00193
FILE JACKETS 50.94 OFFICE SUPPLIES & STA A .3120.4.100.100 3441727111 33789 P 775 00194
GLUE STICKS 16.88 OFFICE SUPPLIES & STA A .3120.4.100.100 3441727112 33789 P 775 00195
(1) PACK GREEN PAPER CLP 11.49 OFFICE SUPPLIES/STATI A .1355.4.100.100 3442373531 33672 P 775 00196
(1) PACK JUMBO PAPER CLP 10.59 OFFICE SUPPLIES/STATI A .1355.4.100.100 3442373532 33672 P 775 00197
(1) PACK RED PAPER CLIPS 11.29 OFFICE SUPPLIES/STATI A .1355.4.100.100 3442373534 33672 P 775 00198
ANSI A+ 50P REFILL 28.99 OFFICE SUPPLIES/STATI A .1355.4.100.100 3442373624 33672 P 775 00199
HP49A TONER 59.39 OFFICE SUPPLIES & STA A .3120.4.100.100 3442373628 33789 P 775 00200
302.63 *VENDOR TOTAL
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 3
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
GENERAL FUND WHOLE TOWN ***************
TIMES-REVIEW NEWSPAPERS
1/2 PAGE 3/19/2020 498.00 ADVERTISING A .1410.4.600.900 224942 33763 P 775 00206
VEHICLE TRACKING SOLUTIO
SVC-3/10-4/9/20 (10) GPS 235.00 VEHICLE GPS A .1620.4.400.900 393124 TBR581 P 775 00216
SVC-3/10-4/9/20 (10) GPS 235.00 VEHICLE GPS A .1640.4.400.900 393124 TBR581 P 775 00217
SVC 3/10-4/9/20 (11) GPS 258.50 VEHICLE GPS A .6772.4.400.900 393124 TBR581 P 775 00218
SVC-3/10-4/9/20 (1) GPS 23.50 VEHICLE GPS A .7020.4.400.900 393124 TBR581 P 775 00219
752.00 *VENDOR TOTAL
VILLAGE OF GREENPORT
1/20 JUSTICE COURT DIST 4,380.00 OVERPAYMENT & CLEARING A A .690 4737900-0120 P 775 00224
2/20-JUSTICE COURT DIST 4,775.00 OVERPAYMENT & CLEARING A A .690 4737900-0220 P 775 00225
9,155.00 *VENDOR TOTAL
WYSOCKI/JOSEPH
207C PYMNT-2/27-3/11/20 4,879.52 207C BENEFITS A .9040.8.000.100 031120 34179 P 775 00226
207C PYMNT-3/12-3/25/20 4,879.52 207C BENEFITS A .9040.8.000.100 032520 34179 P 775 00227
9,759.04 *VENDOR TOTAL
GENERAL FUND WHOLE TOWN 496,061.84 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 4
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
GENERAL FUND PART TOWN ***************
HARTFORD/THE
1/1/20-3/31/20 DIS INS 410.85 DISABILITY INSURANCE B .9055.8.000.300 747638714368 P 775 00097
NYS EMPLOYEE HEALTH INS.
EMPIRE PREMIUM-4/20 33,823.35 MEDICAL INSURANCE, NY B .9060.8.000.000 550 P 775 00133
GENERAL FUND PART TOWN 34,234.20 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 5
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
COMMUNITY PRES FUND (2% TA***************
NYS EMPLOYEE HEALTH INS.
EMPIRE PREMIUM-4/20 2,063.64 MEDICAL INSURANCE, NY CM .9060.8.000.000 550 P 775 00135
COMMUNITY PRES FUND (2% TAX) 2,063.64 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 6
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
HIGHWAY FUND PART TOWN ***************
BARNWELL HOUSE OF TIRES,
#292B-2 STEERING TIRES 151.80 TIRES DB .5130.4.100.550 1359529 H0716 P 775 00042
#292B-2 TRAILER TIRES 458.30 TIRES DB .5130.4.100.550 1359628 H0716 P 775 00043
610.10 *VENDOR TOTAL
BLACK GOLD INDUSTRIES, I
12.23 TONS-QPR COLDPATCH 1,443.14 ASPHALT PATCH DB .5110.4.100.905 4296 H0648 P 775 00044
27.83 TONS-QPR COLDPATCH 3,283.94 ASPHALT PATCH DB .5110.4.100.905 4301 H0677 P 775 00045
12.13 TONS-QPR COLDPATCH 1,431.34 ASPHALT PATCH DB .5110.4.100.905 4307 H0734 P 775 00046
6,158.42 *VENDOR TOTAL
C.MARTIN AUTOMOTIVE ENT.
ASSTD SHOP SUPPLIES 75.43 PARTS & SUPPLIES DB .5130.4.100.500 722240 H0692 P 775 00049
2 CLAMPS FOR SHOP 10.51 PARTS & SUPPLIES DB .5130.4.100.500 723383 H0718 P 775 00050
85.94 *VENDOR TOTAL
CANON FINANCIAL SERVICES
HWY-IR4225-3/30 34.56 OFFICE EQUIP MAINT/RE DB .5140.4.400.600 21178263 20-217 P 775 00052
DEJANA TRUCK & UTILITY E
#299-MNT FISHER PLOW 650.00 PARTS & SUPPLIES DB .5130.4.100.500 KPT9651 H0632 P 775 00058
GEORGE & SWEDE SALE & SR
#293-1 LAMP PLATE/SHPNG 43.43 PARTS & SUPPLIES DB .5130.4.100.500 01-41101 H0672 P 775 00080
#293-PRTS BEACN LGHT KIT 228.95 PARTS & SUPPLIES DB .5130.4.100.500 01-41316 H0672 P 775 00081
272.38 *VENDOR TOTAL
GSA, FAS, 4QSCC
03 FRGHTLNR FL70 DMP TRK 19,735.00 HEAVY DUTY VEHICLES DB .5130.2.300.200 GS05F20FBE2228 H0700 P 775 00093
HARTFORD/THE
1/1/20-3/31/20 DIS INS 365.20 DISABILITY INSURANCE DB .9055.8.000.300 747638714368 P 775 00098
JIMMY'S JET TOWING INC.
#222-NYS INSPECTION 45.00 MAINTENANCE & REPAIRS DB .5130.4.400.650 103017 H0670 P 775 00105
#229-NYS INSPECTION 45.00 MAINTENANCE & REPAIRS DB .5130.4.400.650 103044 H0688 P 775 00106
90.00 *VENDOR TOTAL
LONG ISLAND SANITATION
#309-SEAL KIT CYLINDER 435.36 PARTS & SUPPLIES DB .5130.4.100.500 37316 H0599 P 775 00112
MSC INDUSTRIAL SUPPLY CO
ASSTD PARTS/SUPPLIES 729.25 PARTS & SUPPLIES DB .5130.4.100.500 C26090502 H0676 P 775 00116
48 GUM CUTTER 248.16 PARTS & SUPPLIES DB .5130.4.100.500 26671492 H0676 P 775 00117
1 DUST CAP 100.60 PARTS & SUPPLIES DB .5130.4.100.500 28677072 H0676 P 775 00118
1 CARBIDE DBL END 6.96 PARTS & SUPPLIES DB .5130.4.100.500 28788042 H0676 P 775 00119
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 7
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
HIGHWAY FUND PART TOWN ***************
MSC INDUSTRIAL SUPPLY CO
1 CARBIDE D/C CYL 12.16 PARTS & SUPPLIES DB .5130.4.100.500 30381442 H0676 P 775 00120
1 CARBIDE ALYIN CYL 9.29 PARTS & SUPPLIES DB .5130.4.100.500 31443462 H0676 P 775 00121
1 CARBIDE ZRN CYL 7.49 PARTS & SUPPLIES DB .5130.4.100.500 31757342 H0676 P 775 00122
1,113.91 *VENDOR TOTAL
NORTH FORK WELDING & STE
ARGON EXCHANGE 103.90 PARTS & SUPPLIES DB .5130.4.100.500 72606 H0636 P 775 00124
ROSE BUD/HNDLE/WHEELS 540.00 PARTS & SUPPLIES DB .5130.4.100.500 72697 H0639 P 775 00125
ASSORTED FITTINGS 100.07 PARTS & SUPPLIES DB .5130.4.100.500 72750 H0650 P 775 00126
ARGON/SAFELITE 175.79 PARTS & SUPPLIES DB .5130.4.100.500 72769 H0656 P 775 00127
ASSORTED FITTINGS 635.20 PARTS & SUPPLIES DB .5130.4.100.500 72772 H0654 P 775 00128
HOSE ENDS/ADPTERS/STRAPS 313.89 PARTS & SUPPLIES DB .5130.4.100.500 72789 H0660 P 775 00129
8 QTS OSPHO FOR SHOP 136.00 PARTS & SUPPLIES DB .5130.4.100.500 72895 H0704 P 775 00130
4-ADAPTER FITTINGS 21.92 PARTS & SUPPLIES DB .5130.4.100.500 72905 H0710 P 775 00131
2,026.77 *VENDOR TOTAL
NYS EMPLOYEE HEALTH INS.
EMPIRE PREMIUM-4/20 89,110.50 MEDICAL INSURANCE, NY DB .9060.8.000.000 550 P 775 00134
RIVERHEAD BUILDING SUPPL
156FT SPRUCE 107.64 LUMBER DB .5110.4.100.925 334714 H0539 P 775 00166
6FT DOUG FIR 31.14 LUMBER DB .5110.4.100.925 334714 H0539 P 775 00167
10-PREASURE TRTD POSTS 239.90 LUMBER DB .5110.4.100.925 359821 H0570 P 775 00168
10-PREASURE TRTD POSTS 191.70 LUMBER DB .5110.4.100.925 363397 H0574 P 775 00169
RETURN-9 PRSRE TRTD PSTS 199.71CR LUMBER DB .5110.4.100.925 364327 H0570 P 775 00170
1 PAIR PLIERS 21.99 IMPLEMENTS (SMALL TOO DB .5140.4.100.400 388690 H0602 P 775 00171
2 PCS DOUG FIR 30.78 LUMBER DB .5110.4.100.925 388690 H0602 P 775 00172
1 HAMMER/1 CHISEL 36.98 IMPLEMENTS (SMALL TOO DB .5140.4.100.400 457129 H0655 P 775 00173
ASSRTD NUTS/BOLTS 63.45 PARTS & SUPPLIES DB .5130.4.100.500 460991 H0657 P 775 00174
4PCS DOUG FIR 63.00 LUMBER DB .5110.4.100.925 460991 H0657 P 775 00175
1PC PREASURE TREATED 15.99 LUMBER DB .5110.4.100.925 478450 H0678 P 775 00176
602.86 *VENDOR TOTAL
SOUTHOLD HARDWARE CORP.
30-ASSTD HARDWARE 13.90 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 138442/1 H0623 P 775 00181
1 BOX SCREWS 15.67 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 138480/1 H0631 P 775 00182
ASSTD SUPPLIES FOR PAINT 363.68 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 138536/1 H0635 P 775 00183
#312-4 HEX BUSHINGS 26.56 PARTS & SUPPLIES DB .5130.4.100.500 139133/1 H0659 P 775 00184
KWIKSET/ENTRY/KNFE BLDES 54.99 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 139167/1 H0663 P 775 00185
1 PK C BATTERIES 8.49 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 139263/1 H0665 P 775 00186
ASSTD SHOP HARDWARE 10.98 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 139376/1 H0682 P 775 00187
ROLLER FRAME/COVERS 48.31 MISCELLANEOUS SUPPLIE DB .5110.4.100.100 139393/1 H0684 P 775 00188
ASSTD RAKES/SHOVELS 860.59 IMPLEMENTS (SMALL TOO DB .5140.4.100.400 139394/1 H0683 P 775 00189
1,403.17 *VENDOR TOTAL
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 8
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
HIGHWAY FUND PART TOWN ***************
SPEEDWORLD FX
NOISE SILENCERS 12.99 PARTS & SUPPLIES DB .5130.4.100.500 27525 H0664 P 775 00190
SPRAGUE OPERATING RESOUR
GAS/HWY-3500 GAL-3/2 6,040.65 FUEL/LUBRICANTS DB .5110.4.100.200 20352064 H0689 P 775 00191
FEDEX TAX 3.50 FUEL/LUBRICANTS DB .5110.4.100.200 20352064 H0689 P 775 00192
6,044.15 *VENDOR TOTAL
T-JAY'S TRANSMISSIONS, I
#250-ASSTD PARTS 60.45 PARTS & SUPPLIES DB .5130.4.100.500 022620 H0687 P 775 00205
TOOL TRUCK INC.
2 TERMINAL KITS-SHOP 339.15 PARTS & SUPPLIES DB .5130.4.100.500 2252065741 H0702 P 775 00207
3 CLLTS/4 CRBD CUTTERS 136.95 PARTS & SUPPLIES DB .5130.4.100.500 3032065976 H0641 P 775 00208
476.10 *VENDOR TOTAL
TRIUS, INC.
GEAR BX AIRFLW SPREADER 660.48 PARTS & SUPPLIES DB .5130.4.100.500 SI063393 H0628 P 775 00212
VEHICLE TRACKING SOLUTIO
SVC-3/10-4/9/20 (13) GPS 305.50 VEHICLE GPS DB .5130.4.400.900 393124 TBR581 P 775 00220
VERMEER NORTH ATLANTIC S
#197-1 CYLNDR HD KT/SHPG 875.17 PARTS & SUPPLIES DB .5130.4.100.500 31111716 H0622 P 775 00222
LBR SHRPN 80 BLADES 76.00 MAINTENANCE & REPAIRS DB .5130.4.400.650 31111724 H0548 P 775 00223
951.17 *VENDOR TOTAL
Z & S FUEL & SERVICE, IN
29.024 GAL GAS-2/5 112.00 FUEL/LUBRICANTS DB .5110.4.100.200 24744 P 775 00228
28.067 GAL GAS-2/13 108.31 FUEL/LUBRICANTS DB .5110.4.100.200 24765 P 775 00229
18.670 GAL GAS-2/18 72.06 FUEL/LUBRICANTS DB .5110.4.100.200 24777 P 775 00230
31.327 GAL GAS-2/25 120.89 FUEL/LUBRICANTS DB .5110.4.100.200 24789 P 775 00231
#272-HVY DTY TRCK INSPCT 20.00 MAINTENANCE & REPAIRS DB .5130.4.400.650 33059 P 775 00232
433.26 *VENDOR TOTAL
HIGHWAY FUND PART TOWN 131,638.27 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 9
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
CAPITAL PROJECTS ACCOUNT ***************
GOV CONNECTION, INC.
WORKSTATION MEMORY 2,987.90 APPLICATIONS UPGRADES H .1680.2.500.700 57563565 34028 F 775 00090
KOFILE PRESERVATION, INC
RESTORATN OF TOWN RECRDS 5,500.00 RESTORE EARLY TOWN RE H .1460.2.400.200 232030 P 775 00107
CAPITAL PROJECTS ACCOUNT 8,487.90 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 10
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
NEW LONDON TERMINAL PROJEC***************
DOCKO, INC.
PROF SVCS-1/3-1/31 1,235.00 SILVER EEL COVE DREDG H7 .5989.2.400.100 2793.E14 P 775 00062
NEW LONDON TERMINAL PROJECT 1,235.00 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 11
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
FISHERS ISLAND FERRY DIST.***************
ALLEN WATROUS LLC
3/1/20 RP/MU INSPEC DIVE 300.00 FERRY REPAIRS-BOTH VE SM .5710.2.000.000 000075 P 775 00002
3/15 RP/MU INSPCTN DIVE 300.00 FERRY REPAIRS-BOTH VE SM .5710.2.000.000 000076 P 775 00003
600.00 *VENDOR TOTAL
AMWINS GROUP BENEFITS, I
DENTAL PLAN(24) MAR 2020 1,690.36 MEDICAL INSURANCE,BEN SM .9060.8.000.000 2567710 P 775 00004
ADMINISTRATIVE FEE-4/20 20.00 MEDICAL INSURANCE,BEN SM .9060.8.000.000 2567710 P 775 00005
1,710.36 *VENDOR TOTAL
BABISKIN/WILLIAM A.
HEARING CANCELLED 1,320.47 LEGAL FEES AND FINES, SM .1420.4.000.000 021920 P 775 00006
BANK OF AMERICA, N.A.
DIGITAL MMBRSHP-2/26 15.00 FERRY OPERATIONS, OTH SM .5710.4.000.000 7335-0320 P 775 00007
MU SY CAR RENTAL-3/17 90.97 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 7335-0320 P 775 00008
FIT FLASH DRIVE 26.58 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00009
NLT HOLE DIGGER 53.15 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00010
DIGITAL MMBRSHP-3/25 15.00 FERRY OPERATIONS, OTH SM .5710.4.000.000 7335-0320 P 775 00011
(3) CNTNR RNTL-3/1-3/31 350.94 REPAIRS RENTAL BUILDI SM .5709.2.000.100 7335-0320 P 775 00012
COAST GRD FIT PNLTY-3/6 1,000.00 LEGAL FEES AND FINES, SM .1420.4.000.000 7335-0320 P 775 00013
NLT REPAIR SPPLS-3/18 916.50 REPAIRS DOCKS & TERMI SM .5709.2.000.200 7335-0320 P 775 00014
DSPSBLE COVERALL 25PACK 133.59 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00015
RP/MU PAINT 2/28 1,317.00 FERRY REPAIRS-BOTH VE SM .5710.2.000.000 7335-0320 P 775 00016
HND SNTZR STND W/PURELL 306.39 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00017
NLT PAINT SUPPLIES-3/9 17.44 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00018
(2) NLT HOSE-3/9 85.06 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00019
NLT GLOVES/WRE WHL-3/9 52.98 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00020
N WHTE SHOES-3/16 119.63 UNIFORMS SM .5710.4.000.800 7335-0320 P 775 00021
NLT COFFEE-3/20 25.76 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00022
NLT COFFEE-3/6 49.98 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00023
(12)RBBNG ALCHL-3/13 76.44 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00024
(4)SE HOSE CLAMPS-2/25 10.08 FERRY REPAIRS-FAST FE SM .5710.2.000.300 7335-0320 P 775 00025
NLT SUPPLIES-3/4 105.85 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00026
MU JET PMP WLL-3/9 719.88 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 7335-0320 P 775 00027
NLT HEATER-3/9 409.00 REPAIRS DOCKS & TERMI SM .5709.2.000.200 7335-0320 P 775 00028
RP RESL VLV 7HR LBR-3/10 854.61 FERRY REPAIRS-RACE PO SM .5710.2.000.200 7335-0320 P 775 00029
MU REPAIR SUPPLIES-3/2 32.10 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 7335-0320 P 775 00030
RP SUPPLIES-3/10 76.82 FERRY REPAIRS-RACE PO SM .5710.2.000.200 7335-0320 P 775 00031
(2)RP EPOXY ADHSVE-3/10 37.88 FERRY REPAIRS-RACE PO SM .5710.2.000.200 7335-0320 P 775 00032
(2)NLT RENTAL SAW-3/12 215.89 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00033
(2)NLT FRAME/BRD-3/18 365.00 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00034
MU SIGN-3/24 299.11 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 7335-0320 P 775 00035
POSTAGE ACCTG-2/27 55.00 OFFICE EXPENSE SM .5711.4.000.000 7335-0320 P 775 00036
POSTAGE AIRPORT-2/26 8.80 ELIZABETH AIRPORT, C. SM .5610.4.000.000 7335-0320 P 775 00037
FIT SUPPLIES-3/9 6.00 TERMINAL SUPPLIES SM .5710.4.000.625 7335-0320 P 775 00038
AIRPORT CABLE-3/9 7.82 ELIZABETH AIRPORT, C. SM .5610.4.000.000 7335-0320 P 775 00039
RP SUPPLIES-3/2 115.23 FERRY REPAIRS-RACE PO SM .5710.2.000.200 7335-0320 P 775 00040
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 12
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
FISHERS ISLAND FERRY DIST.***************
BANK OF AMERICA, N.A.
NLT SHEAVE-3/9 2,084.02 REPAIRS DOCKS & TERMI SM .5709.2.000.200 7335-0320 P 775 00041
10,055.50 *VENDOR TOTAL
BLOETHE/WILLIAM
MAIL STRNSPRT-1/1-3/31 2,550.00 U.S. MAIL SM .5713.4.000.000 033020 P 775 00047
BRODEUR'S OIL SERVICE, I
247.2GAL HTG OIL-3/14 419.00 UTILITIES-NEW LONDON SM .5710.4.000.100 29784 P 775 00048
CAPALBO ACCOUNTING SVCS,
2/14&2/26 CPA CNSLTNG 270.00 ACCOUNTING & FINANCE, SM .1310.4.000.000 8254 P 775 00053
CDW GOVERNMENT, INC.
DELL 22 IN MONITOR 128.08 COMPUTER OPERATIONS SM .5710.4.000.500 XCJ4143 P 775 00054
DIME OIL COMPANY, LLC
MU 5230.0GAL @1.3401/GAL 7,008.72 FUEL OIL, VESSELS SM .5710.4.000.300 81168 P 775 00059
S-F COST RECOVERY .0021 10.98 FUEL OIL, VESSELS SM .5710.4.000.300 81168 P 775 00060
LUST TAX-$.0010/GAL 5.23 FUEL OIL, VESSELS SM .5710.4.000.300 81168 P 775 00061
7,024.93 *VENDOR TOTAL
FOLEY/PAUL J.
REIMB-RX-APR 2020 99.20 MEDICAL INSURANCE,BEN SM .9060.8.000.000 031620 P 775 00070
REIMB 2ND QTR STND-2020 389.81 MEDICAL INSURANCE,BEN SM .9060.8.000.000 03162020A P 775 00071
489.01 *VENDOR TOTAL
FRONTIER COMMUNICATIONS
NL INTERNET-3/15-4/14 505.29 UTILITIES-NEW LONDON SM .5710.4.000.100 86019658310320 P 775 00072
NL TERM TEL-3/15-4/14 370.08 UTILITIES-NEW LONDON SM .5710.4.000.100 86044201650320 P 775 00073
875.37 *VENDOR TOTAL
GILBERT ASSOCIATES, INC.
MU VBRTN RVW-1/20-2/9 500.00 MARINE ENGINEERING SM .5710.4.400.100 2020-1241 P 775 00082
RP VSSL RPWRNG-2/24-3/15 2,095.00 MARINE ENGINEERING SM .5710.4.400.100 2020-1270 P 775 00083
2,595.00 *VENDOR TOTAL
GOOSE ISLAND CORP
10.506GAL GAS-FI FRKLFT 42.01 TERMINAL SUPPLIES SM .5710.4.000.625 363230 P 775 00087
9.972 GAL GAS-FI FRKLFT 39.88 TERMINAL SUPPLIES SM .5710.4.000.625 363297 P 775 00088
9.710 GAL GAS-FI FRKLFT 38.83 TERMINAL SUPPLIES SM .5710.4.000.625 363338 P 775 00089
120.72 *VENDOR TOTAL
HANSEN/DIANE
MED PART B PREM-4/20 144.60 MEDICAL INSURANCE,BEN SM .9060.8.000.000 032520 P 775 00094
PER AGMNT RESO 2018-203 15.03 MEDICAL INSURANCE,BEN SM .9060.8.000.000 033020 P 775 00095
159.63 *VENDOR TOTAL
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 13
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
FISHERS ISLAND FERRY DIST.***************
HARVARD PILGRIM HEALTH
MEDICAL PREM (17) APRIL 16,273.24 MEDICAL INSURANCE,BEN SM .9060.8.000.000 308988006620 P 775 00101
LAMB & BARNOSKY, LLP
GENERAL-FEB 2020 125.00 LEGAL FEES AND FINES, SM .1420.4.000.000 129684 P 775 00108
CSEA GENERAL-FEB 2020 136.25 LEGAL FEES AND FINES, SM .1420.4.000.000 129684 P 775 00109
MASON SEC 75 HEARING 1,850.00 LEGAL FEES AND FINES, SM .1420.4.000.000 129684 P 775 00110
U-73338 CSEA SUSPENSION 1,306.25 LEGAL FEES AND FINES, SM .1420.4.000.000 129684 P 775 00111
3,417.50 *VENDOR TOTAL
OCCUPATIONAL HEALTH CENT
(1)FTNSS FOR DUTY EXAM 125.00 FERRY OPERATIONS, OTH SM .5710.4.000.000 199625 P 775 00137
PENN MACHINERY,INC./H.O.
RP GASKETS/SEALS 330.28 FERRY REPAIRS-RACE PO SM .5710.2.000.200 PSCE4893053 P 775 00144
RP GASKETS 382.20 FERRY REPAIRS-RACE PO SM .5710.2.000.200 PSCE4893539 P 775 00145
712.48 *VENDOR TOTAL
RING'S END LUMBER, INC
RP/MU PAINT 95.90 FERRY REPAIRS-BOTH VE SM .5710.2.000.000 341659 P 775 00164
SAFETY KLEEN SYSTEMS, IN
USED OIL RECYCLE-3/11 788.91 FERRY OPERATIONS, OTH SM .5710.4.000.000 82608509 P 775 00178
SHRED-IT US JV, LLC
SHREDDING SVC-2/20 75.04 TERMINAL SUPPLIES SM .5710.4.000.625 8129425350 P 775 00180
STAR COMPUTERS, LLC
IT SVCS-1/20 2,782.50 COMPUTER OPERATIONS SM .5710.4.000.500 2020208 P 775 00201
SULLY'S MOBIL MART
MU SY RENTAL GAS-3/17 20.56 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 602983 P 775 00204
TRI-TOWN MECHANICAL LLC
NLT BOILER TUNEUP/SVC 413.34 REPAIRS DOCKS & TERMI SM .5709.2.000.200 1210-125-REISS P 775 00209
RP BOILER TUNEUP/SVC 413.33 FERRY REPAIRS-RACE PO SM .5710.2.000.200 1210-125-REISS P 775 00210
MU BOILER TUNEUP/SVC 413.33 FERRY REPAIRS-MUNNATA SM .5710.2.000.100 1210-125-REISS P 775 00211
NLT BOILER TUNEUP/SVC 413.34CR REPAIRS DOCKS & TERMI SM .5709.2.000.200 1210-125-VOID P 776 00001
RP BOILER TUNEUP/SVC 413.33CR FERRY REPAIRS-RACE PO SM .5710.2.000.200 1210-125-VOID P 776 00002
MU BOILER TUNEUP/SVC 413.33CR FERRY REPAIRS-MUNNATA SM .5710.2.000.100 1210-125-VOID P 776 00003
0.00 *VENDOR TOTAL
UNITED PARCEL SERVICE
W/E 3/13/20 34.00 UPS FREIGHT CHARGES SM .5710.4.000.700 26639110 P 775 00214
W/E 3/20/20 34.00 UPS FREIGHT CHARGES SM .5710.4.000.700 26639120 P 775 00215
68.00 *VENDOR TOTAL
FISHERS ISLAND FERRY DIST. 52,677.20 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 14
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
REFUSE & GARBAGE DISTRICT ***************
ALDEN EQUIPMENT, INC.
1 CAP TL97642/1 STN S&H 974.22 MAINT/SUP-FORKLIFT SR .8160.4.100.610 67497 S12946 F 775 00001
GLOBAL MONTELLO GROUP CO
260.0 GAL DIESEL-3/11 1,280.07 DIESEL FUEL SR .8160.4.100.200 20120576 S12954 P 775 00084
304.5 GAL DIESEL-3/11 512.87 DIESEL FUEL SR .8160.4.100.200 20129215 S12954 P 775 00085
137.2 GAL DIESEL-3/17 236.23 DIESEL FUEL SR .8160.4.100.200 20138870 S12954 P 775 00086
2,029.17 *VENDOR TOTAL
GRAINGER
67 MM SOCKET 64.13 MISC EQUIP MAINT/SUPP SR .8160.4.100.600 9473733872 S13147 F 775 00091
2 GAL WATER HEATER 209.72 MAINT-FACILITIES/GROU SR .8160.4.100.800 9873677215 S13145 F 775 00092
273.85 *VENDOR TOTAL
HARTFORD/THE
1/1/20-3/31/20 DIS INS 211.65 DISABILITY INSURANCE SR .9055.8.000.300 747638714368 P 775 00099
INTERSTATE REFRIG RECOVE
107 UNITS REFRGNT REMOVD 963.00 REFRIGERANT REMOVAL SR .8160.4.400.850 7367 S12953 F 775 00104
NYS EMPLOYEE HEALTH INS.
EMPIRE PREMIUM-4/20 28,206.29 MEDICAL INSURANCE, NY SR .9060.8.000.000 550 P 775 00136
OLYMPIC GLOVE & SAFETY C
3 BX RSPRTRS/3 BX GLVES 139.22 EMPLOYEE WORK GEAR SR .8160.4.100.120 716182 S12950 F 775 00142
RIVAS/LEONARDO
VNDG MCHN MTC/ADJSTMNTS 375.00 VENDING MACHINE MAINT SR .8160.4.400.610 15 S12952 F 775 00165
S & M TIRE RECYCLING, IN
12.16T-SCRAP TIRE RMVL 2,979.20 SCRAP TIRE REMOVAL SR .8160.4.400.815 28367 S12956 F 775 00177
STREBEL'S WASTE OIL, INC
280G WSTE OIL RMVL-2/22 168.00 WASTE OIL REMOVAL SR .8160.4.400.841 48156 S12945 F 775 00202
400G WSTE OIL RMVL-3/4 240.00 WASTE OIL REMOVAL SR .8160.4.400.841 48167 S12951 F 775 00203
408.00 *VENDOR TOTAL
UNITED METRO ENERGY CORP
201.3 GAL #2 OIL-3/18 300.60 HEATING FUEL SR .8160.4.100.250 318845 S13111 P 775 00213
VEHICLE TRACKING SOLUTIO
SVC-3/10-4/9/20 (4) GPS 94.00 VEHICLE GPS SR .8160.4.400.950 393124 TBR581 P 775 00221
REFUSE & GARBAGE DISTRICT 36,954.20 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 15
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
FISHERS ISLAND SEWER DIST.***************
HARTFORD/THE
1/1/20-3/31/20 DIS INS 0.28 BENEFIT FUND, DISABIL SS2.9055.8.000.300 747638714368 P 775 00100
FISHERS ISLAND SEWER DIST. 0.28 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 16
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
SOUTHOLD TRUST & AGENCY ***************
CSEA UNION DUES
UNION DUES-03/20 10,136.34 UNION DUES T1 .024 033120 P 775 00056
PBA DUES
UNION DUES-03/20 4,696.16 UNION DUES T1 .024 033120 P 775 00143
SOUTHOLD TRUST & AGENCY 14,832.50 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 17
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
F.I.F.D. AGENCY & TRUST ***************
CSEA UNION DUES
UNION DUES-03/20 943.30 UNION DUES T2 .024 033120-FI P 775 00057
F.I.F.D. AGENCY & TRUST 943.30 ***************
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL540R-V08.11 PAGE 18
BY FUND FOR (A/P)
VENDOR NAME
DESCRIPTION AMOUNT ACCOUNT NAME FUND & ACCOUNT CLAIM INVOICE PO# F/P ID LINE
REPORT TOTALS: 779,128.33
RECORDS PRINTED - 000235
ACS ACCOUNTS PAYABLE SYSTEM ACCOUNTING & FINANCE DEPT.
04/06/2020 09:22:14 Schedule of Bills by Fund GL060S-V08.11 RECAPPAGE
GL540R
FUND RECAP:
FUND DESCRIPTION DISBURSEMENTS
---- ----------------------------
A GENERAL FUND WHOLE TOWN 496,061.84
B GENERAL FUND PART TOWN 34,234.20
CM COMMUNITY PRES FUND (2% TAX) 2,063.64
DB HIGHWAY FUND PART TOWN 131,638.27
H CAPITAL PROJECTS ACCOUNT 8,487.90
H7 NEW LONDON TERMINAL PROJECT 1,235.00
SM FISHERS ISLAND FERRY DIST. 52,677.20
SR REFUSE & GARBAGE DISTRICT 36,954.20
SS2 FISHERS ISLAND SEWER DIST. .28
T1 SOUTHOLD TRUST & AGENCY 14,832.50
T2 F.I.F.D. AGENCY & TRUST 943.30
TOTAL ALL FUNDS 779,128.33
BANK RECAP:
BANK NAME DISBURSEMENTS
---- ----------------------------
FIFD FIFD ACCOUNTS PAYABLE 54,855.50
SCNB ACCOUNTS PAYABLE CHECKS 724,272.83
TOTAL ALL BANKS 779,128.33
THE PRECEDING LIST OF BILLS PAYABLE WAS REVIEWED AND APPROVED FOR PAYMENT.
DATE ............ APPROVED BY .................................
.................................
.................................