Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
AU-04/20/2021 Fishers Island
j ht5 -7 FISHERS ISLAND FERRY DISTRICT VENDOR 020230 THAMES SHIPYARD & REPAIR CO. 04/13/2021 CHECK 7268 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ', AMOUNT SM .5710.2.000.200 11673 RP-NON REPOWER 56, 151.34 H7 .5989.2.400.400 11675 RP !REPOWER ' 55,232 .05 SM .5710.2.000.200 11676 RPNON REPOWER 50,203.14 H7 .5989.2.400.400 11677 RP REPOWER 16,605.92 178,192.45 M ir —- ---- - ----- --- --- ---- - --------- -- ------- -- --- ------- ------- ------- -- V, nv ,7 ,M ------ ------- -- ---- - ------- -------------------- ----- -- ------ ;L FISHERS ISLAND' WRRYDISPRE-'•PAib" CHECK 53095 MAIN ROAD,i'0 79®' SOUTHOLD,,NY.7'1971-0959' , CHECK, NO,,.- 7, NATIONAL BANK 35 -DATE AMOUNT -/2'0'2':L 2'. 04'/1,3 ONE"'HUNDR SEVENTY EIGHT TH-"6 SANDi ,bkt.-HUNDRED NINETY' NO AND iQo,,D �b'!AR PAY, THAMES SHIPYARD & REPAIR CO.' 1b Ti 2- F 4E EkRY-,STREET - 9)ZbER Po 91 ok NEW LONDON CT 06320-0791 00 7 26aus 40 2 L 40 5 4 E.44 F31i 0'0 150 2 L V pt Vendor No. Check No. Town of Southold New York- Payment Voucher 20230 Vendor Address Enfered'by i 2 Ferry Street 2':i _ _ . Vendor Name New London,CT 06320 Audit Date Thames Shipyard&Repair Co. AP R 0 -202� Vendor Telephone Number 860-442-5349 FY 2021 Clerk - VendorContact --- - -- Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services '';General Ledger Fiind,and Account Number. 11673 2124/2021 $56,151.34 $56,151.34 RP non repower •.SM5710.2:000.200 11675 2/25/2021 $55,232.05 $55,232.05 RP repower ,•H7:672"A00.400 11676 2/25/2021 $ 50,203.14 $ 50,203.14 RP non repower •SM5710.2.000.200 11677 2/25/2021 $16,605.92 $16,605.92 RP repower H7.67*0-2.400.400 $178,192.45 $178,192.45 does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Sr afore a gn gn Company Name Fishers Island Ferry District Date 2/26/2021 Title Manaeer Date 2/26/2021 Chew, Kariane From: Hansen-Hightower, Kristie Sent: Thursday, April 8, 2021 11:34 AM To: Nickonovitz, Michelle; Chew, Kariane Cc: Arena, Laura Subject: FW:Thames Shipyard & Repair lost check Importance: High Would you please start the process son this? Thank you! Xristie Hansen-Hightower, CPA Comptroller Town of Southold 54375 Main Road PO Box 1179 Southold, NY 11971 631-765-4333 Phone 631-765-1366 Fax From: Kasia Asmolov [mailto:kasmolov@fiferry.com] Sent: Thursday, April 08, 2021 11:24 AM To: Hansen-Hightower, Kristie Cc: Geb Cook Subject: Thames Shipyard &Repair lost check Importance: High Good morning Kristie, Our vendor Thames Shipyard cannot locate check#7206 that was issued on 3/9/21 audit.Total amount of this check was$178,192.45. Can you please put stop payment on this check and expedite the new check to them. Thanks so much and let me know if you have any questions, Kasia Asmolov Accounts Payable Fishers Island Ferry District PO Box 607 Fishers Island,NY 06390 www.fiferry.com Tel. 860-442-0165 ext 306 Hours M-F 9am-fpm 1 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. . 2 I t~. .i 11:.$':*. ;,.«r.<< �,:1'• �. .�..._ r—,.''�.t`^•r•..•.l�:'.•> f4. �'t�:wik'� t] �-7r r_%he'te:;—xxmYT+ 1 FISHERS ISLAND FERRY DISTRICT . I I I � VENDOR 020230 THAMES SHIPYARD & REPAIR CO. 03/09/2021 CHECK 7206 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT • - i S� .5710.2.000.200 11673 RP NON-REPOWER 56,151.34 i H7 .5989.2.400.400 11675 RP REPOWER 55,232.05 5M .5710.2.000.200 11676 RP NON-REPOWER 50,203 .14 tf H7 .5989.2.400.400 11677 RP REPOWER 16,605.92 , TOTAL 178,192.45 � I co I o I I i �t �'a1'.t."9 p.'i9 �i�i�•7re i�Jai:� ) I,•�xpb:;,qg�� ` ` r � fir,=r.<>F.v i�v z;_ ,t;7'. •I�;{.xs��, x 7;;•:..., i$. ,�,� zfii L.•..{,`�;:! i „,k:: r. ,4. ,, .tA - � �r}`.i.^_•�f'•'vagi''a"4•+ ;t'�'%�"i•Sk�Ci.�' •,��#�t a.�,' ����3aF•yl�,r�r31t'. I��} a-„ •b I I t I � i I I _ I •NC.�w• I I i I � I ` 1 - •- - - -- - -- L ---- I / I - - FISHERS ISLAND FERRYDISTRICT AUDIT' 39/211 i 53095'MAIN,ROAD,PO BOX 1.179' ' :,• i 0 SOUTHO_LD.NY 11971-0959 '7206 I CHECK''N0:' ;;•: :i I THE SUFFOLK C0.'NATIONAL BANK CUTCHOGUE,NY 11935 ',DATE. 1;;' AMOUNT,a"! +yti;t.i I 411 .! + ;ly: ^,,`: 1°• -'�• '.! _01/09/ ;:! •re "'!rr�•'J., ! 1' 'I"-�. I ;! ,_ 5o_'sa`sizta;�" i ``' 03/09%2021: 9;2',4�,,'a: i J• r J 4 �= i SONE"HUNDk2V,'SEVENTY'EIGHT THOUSAND-'ON_E_,+; THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET ���®��� NEW LONDON,CT 06320 Invoice Number: 11673 Invoice Date: Feb 24, 2021 Page: 1 Voice: 860-442-5349 Duplicate Fax: 860-440-3492 10 0""- FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O.BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND, NY 06390-0607. PO- 91 d'n I t'T14 rrns; % FISHERS Race Point Net Due Courier 2t24/21 t idquh Race Point Change Order 6 49,525.00 SALES-MATERIAL 6,230.69 tj 4) Subtotal 55,755.69 Sales Tax 395.65 Total Invoice Amount 56,151.34 Check/Credit Memo No: Payment/Credit:Applied 51 A -_ _-k nes SMpy4rd Repel' Coo Crop out wasted hull plate and frames. Install new frames and hull plates. Weld plates on inside single pass.Back gouge and grind outside seam and weld with 3 passes. Intermittent weld frames to plates. Test all welds for USCG.Apply complete paint system to outside. Two (2)coats primer,two(2) coats AF and two (2) coats of primer to inside. Replace pumps and tanks removed to access hull plate welds. Labor 689.5 hrs @$70.00/hr $48,265.00 UT Shots 140 @$9.00/shot $ 1,260.00 Material: 332.75ft2 3/8 Plate (40.5ft ) Credit 292.25ft2 3/8 Plate 5,151lb @$1.15/lb $ 5,923.65 Paint&Consumables TBD 2671b of Frames @$1.15/lb $ 307.05 Subtotal $55,755.70 Tax $ 395.64 Total $56,151.34 tL- � o� lFw fror 2 Ferry Street P.O.Box 791 New London,CT 06320 (860)442-5349 www.thamesshipyard.com An Affirmative Action /Equal Opportunity Employer THAIMES.SHIPYARD & REPAIR CO. 2 FERRY STREET NNVOME NEW LONDON,CT 06320 Invoice Number: 11675 Invoice Date, Feb 25, 2021 Page: 1 Voice: 860-042-5349 Duplicate Fax: 860-440-3492 s`Bill To: SFiip'to: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O.BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 'CustomerlD - Customer PO Payment Terms FISHERS Net Due `Sales Rep'ID' �'' ' .Shipping Method - b. 'Ship,,Date. Due•ba`te Courier 2/25/21 _. Quantity ;De'scription, Unit Price. Amount q f „k Race Point e ow Item#3-Propellers-50% 15,111.00 Item#10-Main Engine Exhaust Material: 2-8"Silencers 3,250.00 i Freight 638.69 2-8"Flexes 1,690.00 Item#12-Keel Coolers-Remove coolers, cofferdoms and piping. Fabricate cooler guards. Labor 147.5 hours @$70.00/hr 10,325.00 Material: 980lbs 1/2"Plate @$1.15/Ib 1,127.00 _ Item#14-Shafts Labor-158 hours @$70.00/hr 11,060.00 Item#16-Generator Install Material: 2-4"Silencers 1,794.00 2-4"Flexes 910.00 Freight 229.71 Subtotal Continued Sales Tax Continued Total Invoice Amount Continued Check/Credit Memo No: I Payment/Credit Applied TOTAL.. Continued THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOICE NEW LONDON,CT 06320 Invoice Number, 11675 Invoice Date: Feb 25,2021 Page. 2 Voice: 860-442-5349 Duplicate Fax: 860-440-3492 Bill To: Ship to: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O.BOX 607 P.O.BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 Customer ID Customer PO' °". Payment Terms FISHERS Net Due Sales Rep ID Shipping Method Ship Date Due Date Courier 2/25/21 Quantity Item Description Unit Price Amount ' Item#17-Disconnect panels and switchboard. Remove. Labor 107.5 hours @$70.00/hr 7,525.00 S ubtotal 53,660.40 Sales Tax 1,571.65 Total Invoice Amount 55,232.05 Check/Credit Memo No: Payment/Credit Applied TOTAL r 55,232.05 THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOICE NEW LONDON,CT 06320 Invoice Number: 11676 Invoice Date: Feb 25, 2021 Page: 1 Voice: 860-442-5349 Duplicate Fax: 860-440-3492 Bill To:' Ship to:. FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O.BOX 607 P.O.BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 Customer IDCustomer PO f , Payment Te"rms FISHERS Net Due Sales Rep ID Shipping Method, Ship Date. ..-.Due Date Courier 2/25/21 Quantify: ' " Item Description Unit Price ' ' Amount Race Point Non Repower , Item A-Fire Pumps 2/4-2/21 r f/� Labor 266 75 hours @$70.00/hr 18,672.50 V , Material: V _ 2 Pumps 15,418.00 Freight 358.68 4-Vibration Couplings 772.79 f`^ Pipe&fittings 1,516.78 3101bs 5x3x3/8 L @$1.15Ab 356.50 Consumables 821.65 Item B-Boiler Material: Burner&Alarm Panel 1,120.00 _ Item I-Boiler Install-Drain F.W.tank and boiler.Remove boiler. Fabricate foundation for new boiler. Rig boiler into engine room. Labor 45.5 hours @$70.00/hr 3,185.00 Material: 24'3x4x5/16L 180lbs @$1.15Ab 207.00 1-10"Flex 1,157.00 Subtotal Continued Sales Tax Continued Total Invoice Amount Continued Check/Credit Memo No: Payment/Credit Applied TOTAL' Continued THAMES SHIPYARD & REPAIR CO. INVOICE 2 FERRY STREET NEW LONDON,CT 06320 Invoice Number: 11676 I nvo ice Date: Feb 25, 2021 Page: 2 Voice: 860-442-5349 Duplicate Fax: 860-440-3492 V'Q -$hlplc�' CF 4 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O.BOX 607 P 0.BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND,NY 06390-0607 XMV FISHERS Net Due • t", �V.T'"'-'E4'�-q; Ok Courier 2/25/21 r14�1 'A Consumables 159.00 Item P-Remove fuel from ships tank. Clean tank for hot work.Set up temporary fuel tank. Chemist certificate. Labor 57 hours @$70.00/hr 3,990.00 Material&Disposal 494.00 Chemist 520.00 JA JJ Subtotal 48,748.90 Sales Tax 1,454.24 Total Invoice Amount 50,203.14 Check/Credit Memo No: Payment/Credit Applied :15,0,203;14' ' - ^ ' '- --'--- SHIPYARDREPAIR ~~~~^ � ��� Y�� �`J�����k�� ' 2FERRfGTREET INVOICE `= �� � ^�' �� NEW LONDON,CT 08320 Invoice Number: 11677 ' |nvoice Date: Feb 25. 2O21 Page: 1 Voice: 860442'5349 Duplicate Fax: 860440'3492FISHERS Net Due . FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 V, f7e _ Courier 2/25/21 W Ile Race Point Change Orders ChanSe Order#2-Upgrade keel coolers 2,164.33 Change Order#3-Fabricate and nstall new genera—to r—fdn's Labor 40 hours @$70.001hr 2,800.00 40'6"Charinel 460.20 40'3x5x5/16 L 391.00 Change Order#4-Modification to main eng in e exhaust 2-10"Slip on flanges 235.20 2-10"Flex gaskets 57.40 2-10A Reducer 248.00 4-8"Butt weld 45' 274.00 2-8"Butt weld 90' 22220 2-8"Slip on flanges 135AO Change Order#7-BT Install: Remove old engine keel cooler and exhaust. Fabricate new ibundation. Subtotal' Continued Sales Tax Continued Total Invoice Amount Continued Check/Credit Memo No: Payment/Credit Applied THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET 114VONCE NEW LONDON,CT 06320 Invoice Number, 11677 Invoice Date: Feb 25, 2021 Page: 2 Voice: 860-442-6349 Duplicate Fax: 860-440-3492 Al NW97 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O.BOX 607 P.O.BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND,NY 06390-0607 FISHERS Net Due Ue Courier 2125/21 b ikn-p" nt Labor120.5 hours @$70.00/hr 8,435.00 Material: 10" Channel 750lbs @$1.15/lb 862.50 'Vo Subtotal 16,285.23 Sales Tax 320.69 Total Invoice Amount 16,605.92 Check/Credit Memo No: Payment/Credit Applied i . a�'I c PROJECT xx(ygjjel Na_mel REPAIR CONTRACT-SCHEDULE J j ADJUSTMENT NOTICE/CHANGE ORDER CPLD NGE ORDER No 2 DATE: 2/20/2021 i DL:S(.RIIYIION OF WORKS: Client wanted to change keel coolers to larger size to allow for potential 80°F water temp i I; PRICE V.kRIATION: HOURS VARIATION. I Change Order 2 Change Order Cumulative: $2,164.33 Cumulative. i R.FDEL1Vt:RY VARLA11ON- 1 I No,of F—iuu Days to Redchvery of Vcsscl,. LIGIITWTuo rr VARLVnC)N. Increase/Decrease in Lightweight AUTHORISED. j Shipyard John P.Wronowski j AUTHORISED, Owner's Representative 1 ' i I i 581.999$,5hip Repair Agreement(Fishers Island Ferry District)(Clean).M)CX-090312 US,_ACTIVE123W 218 2 j r AMR=C PROJECT xx lVc� el REPAIR CONTRACT-SCHEDULE j ADJUSTMENT NOTICE/CHANGE ORDER CE-IA.'VGE(�RDFR No- 3 DATE: 2/20/2021 DE.SCRI711ON OF WORKS: Fabricate new foundations for generators. Generators will not fit in location shown on plans. Fdns to be 6"channel with the 3x5 angle iron supports down to frames on hull. Ii i I r PRICE V,IRIATION: HOURS VARLATION: Change Order, 3 Change Order. Cumulative, $6,802.81 Cumulative. REDELIVERY VARLATION I No,of Extra Days to Redehvery of Vessel: LIGI-IT%XT%IGE rr VARLATION: Increase/Decrease in Ltghtwetght AUTE IORISED: Shipyard John P.Wronowski AUTHORISED I Owners Representative y� I ,,[ I I I I I 58F9995,Shtp Repair Agreement(Fishers Island Fefty District)(Clean)DXX-090312 US-ACTIVE-1239412`18 2 I I~ . i I PROJECT xx(vessel hLgffl4 REPAIR CONTRACT-SCHEDULE J 1 ADJUSTMENT NOTICE/CHANGE ORDER CRk..NGE ORDER No- 4 I DAT" 2/20/2021 DIsSCRIVIION OF WORKS: Main engine mufflers will not fit as shown on plans. Repipe exhaust to shaft mufflers forward. rRelocate air receiver on stb side aft bulkhead. i I i PRICE LrARIATION: HOURS VARIATION: jC:hutge Order. 4 Change Order. Cumuianve: $10,563.41 Cumulative. REDELIVI:RY VARLATION- Nu.of Extra Days to Redehvery of Vessel: LIGI•I'IvmGf,rI'VARLA*I10N: Increase/Decrease in lightweight AU'll IORISED: Slupyard John P.Wronowski I AUTHORISED: Owner's Representative I I i i i . i I 581.9995:Ship Repair Agreement(Fishers Island Ferry Disinct)(Clean),DUCX-090312 U"CT WE123941216 2 i I ` i 1 PROJECT xx 0et�tc�R 1�d_ ame�l REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANGE ORDER No: 5 DATE: 2/20/2021 DESCRIPTION OF WORKS: The exhuast plan does not show flexes in the vertical position at the engine. Purchase and install vertical flexes for 2-ME 2-Gen 1-BT I _ I I I PRICE VARIATION: HOURS VARIATION: I ' Change Order 5 Change Omer. Cumulanve: $10,177.83 Cumulatl c: IM)ELIVERY VARLATION- No.of Exua Days to Rcdehvery of Vessel: LIGFITWTIGFrr VARMTION: Increase/Decrease in Lightweight AUTHORISED: Slupyard John P.Wronowski AUTHORISED: Owner's Representauve vv�4 9 I I I I w-9995,Sh1p Repair Agreement(Fishers Island Ferry Distnet)(Clean)DCCX-090312 US ACTNE-129941219 2 7 k, FISHERS ISLAND FERRY DISTRICT VENDOR 001409 ADVANTAGE TECH, INC. 04/20/2021 CHECK 7269 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4 .0 00.500 967927 IT OUTSOURCING-4/21 3,430.75 TOTAL 3,430.75 EMMA ------ ------ ---- ------- - --------- ---- -------------- - --------------------- -------------------- - pg 5 ut -3 o 77,' A - FISHERSBUAVI 53096-MAIN RO/W,-PO'BOX 1- :SOUTHOLD ,NY,llp7l,-09Sb ;THE SUFFOLK CO.N CUTCHOGUE,NY 11935` ,5D-6 6i f4 44/20 "'THREE, Tk6iJSAib •FOUR flUNDR-Elj' lTHIRT7Y-' AND /,,l`0ol,,DOLLARS Q ADVANTAGE "TECH, INC. rO T 'V WE ' O BOX 951 ORDER' p , l-SUFIELD, CT 0'6 0 7 8: 0 0 7 2 P3 9 Ill 1:0 2 140 54641: 68 -00 L SO 2 Lill 11A • r Vendor No. Check-No: Town of Southold, New York - Payment Voucher 1409 "7`: (Da Vendor Address Entered.-by PO Box 951 ," Suffield,CT 06078 Audit Date G.w a Advantage Tech, Inc PR" Apx� Vendor Telephone Number s_5- 860-668-0044 860-668-0044 FY 2021 T.%wn;Clerk z . Vendor Contact Invoice Invoice Invoice Net Purchase Order 1 Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledg'er:Fund•and�A000untNuinber', 967927 4/1/2021 $3,430.75 $3,430.75 IT outsourcing April 2021 SM5710.4.000.500 i N ;,� ,�;• ,gym �y�e «��a yi ,� $3,430.75 $3,430.75 �- G Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature r qjCompany Name Fishers Island Ferry District Date 4/5/2021 Title Manager Date 1 r Advantage Tech, Inc. Invoice P.O. Box 951 Suffield, CT 06078 Date Invoice# 4/1/2021 967927 Bill To Fishers Island Ferry P.O.Box 607 Fishers Island,NY 06390-0607 P O. No Terms Project Due on receipt Description Qty Rate Amount Ticketing System Usage and Support-Apr 2021 2,083.00 2,083.00 IT Support-Ed-3/1/2021 thru 3/31/2021 6.5 165.00 1,072.50 AWS Hosting:Mar 2021 177.75 177.75 AWS VPN Tunnel:Mar 2021 50.00 5000 DNS Hosting \v 2.50 250 v� Cloud Backup:Mar 2021 , , 45.00 45.00 fl i C Thank you for your business. Subtotal $3,43075 Sales Tax (0.0%) $000 Total $3,430.75 Payments/Credits $000 Balance Due $3,430.75 Phone# E-mail (860)980-0861 billing@advantech.biz M77, Wil FISHERS ISLAND FERRYDIS7WCT VENDOR 001318 AIRGAS USA, LLC 04/20/2021 CHECK , 7270 - FUND & ACCOUNT INVOICE DESCRIPTION AMOUNT SM .5710.4-000.625 9110851982 PROPANE (4) NLT FORKLIFT 206.25 SM .5710.4.000.625 9111247908 PROPANE (2) NLT FORKLIFT 92.64 SM .5709.2.000.200 9111247908 NLT PARTS FOR/ PLATS RPR 65.42 SM .5709.2.000.200 9111247909 NLT PARTS FOR PLATS RPR 18.91 SM .5709.2.00'0.200 911130537-1 NLT PARTS FOR PLATS RPR 69.48 TOTAL 41,52.70 D 'q ---------------- -- ----- --- - ------------------------ e4q "R a ----------- - ------------------- ------ -- ------ ------- -- --- - -------- ------ -------- 'ND- ,53095 MAIN ROAD; 0 BOX 1 -0959,- Z0.NA NY 119 50-54012 4 FOUR! HUNDRED, FIFTY tf4o-, 0 0 ttAkS AND",10114 D 2, Rd AIRGAS USA, LLC TO THE,,-,'-'Po BOX '73444 1 0"' 3-4 RISER bli 'CA6 IL '606 ' 4445, or, 11'007 2 70iin 1:0 2 L lio 5 1-1 C3 Lis: 68 00LS02 Ilia a Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 -7 ol "7 0 Vendor Address Entered by P.O. Box 734445 Vendor Name Chicago, IL 60673-4445 Audit Date Airgas USA, LLC Vendor Telephone Number A P R 2021 860-444-3055 800-962-0285 FY 2021 Town Clerk Vendor Contact , Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number F-9110851982 3/9/2021 $ 206.25 $ 206.25 Propane(4) NLT forklift SM.5710.4.000.625 9111247908 3/22/2021 $ 158.06 $ 92.64 Propane (2) NLT forklift SM5710.4.000.625 $ 65.42 NLT parts for flats repair SM5709.2.000.200 9111247909 3/22/2021 18.91 18.91 NLT parts for flats repair SM5709.2.000.200 9111305371 3/23/2021 $ 69.48 $ 69.48 NLT parts for flats repair SM5709.2.000.200 $452.701 1 $452.70 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature VtJ Company Name Fishers Island Ferry District Date 4/5/2021 Title Manager Date 4/5/2021 AIRGAS USA,LLC STANDARD INVOICE Airgas® 6055 Rockside Woods Blvd INVOICE DATE PAYER INVOICE NO DUE DATE PAYTHISAMOUNT Independence,OH 44131 an Air Liquide company 08/202 03/09/2021 2576547 9110851982 04/ 1 $206.25 .. Manage Your Account Online 24/7 SOLD BY AIRGAS USA, LLC (N329) Access order history,view cylinder balances,get proofs of delivery, 130 CROSS RD pay invoices and more-visit Airgas.com today WATERFORD CT 06385-1204 For all information about returns, please visit us online at 800-962-0285 Airgas.com/terms-of-sale. PLEASE MAKE CHECKS PAYABLE AND REMIT • �r.rl��l�rlll'I'Il�IrI�IIIII��I�Illrll�"�Illlrlllll'11��1�1'Il" T3 P1 121883-1-8-1-549 BILL TO FISHERS ISLAND FERRY DISTRICT I�1�'1111' "IITI'���'II'11111'1'1'II��1�'�I'�1�1�'�"'111'1111 ;. PO BOX 607 Airgas USA, LLC FISHERS ISLAND NY 06390-8021 PO BOX 734445 000549 CHICAGO IL 606734445 3 25765471911085198200000206258 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON,YOUR•ACCOUNT PLEASE CALL. 216-520-6000 RDE :; N _I )=' f?; t V L' A " ; LD; cFrs :..FI,<:.,<:'' bFNA `a! r:,<,<s,;I ' 1097940428 9110851982 03/09/2021 2576547 FISHERS ISLAND FERRY DISTRICT :, ., r RDERED BY SHIP„VIA" '.",::'a=;,ac,',_<:s:PAYMENTTERMS,<`=,'�< ORDER DATE= NATANWHITE@860 y442 0165 ARGTRK NET 30 03/05/2021 'f ">" 'iYF.I'r ','.:s•,.., x " "%r • ,amu ",yyyr V><; •,."�"r " `�iF`..n:'< ;>'• :r>DELIV"ERY,'IJO:'!,' Q Ny :; ' ;"3;-, rERL Nl1tvIBE ,< F, , "QTY810,e �� w ,° ,, ,x. x,z�, «>,,�<,,: ,,,:.�..,_T, .,<, :.< c"f,+Rl � IY `s ;iii; ."4.H Slx>x£,xe' ,...a .^cm„. :,.�:.; ,1: :.ir," - :4'H�P`Lk--x 3 ids. 0:`'>t#I tiY" 8107684211 PR 33A 3 CL 3 3 46.32 CL 13.8.96 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 96 LBS) (H) Sale subtotal: 138.96 Delivery Flat Fee 39.50 Fuel Surcharge Flat 10.34 Airgas Hazmat Charge 17.45 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale -L�► - SHIP TO-3878688 - __ -_ 206.25 •- FISHERS ISLAND FERRY DISTRICT Airgas° Airgas USA,LLC an Ar Llqulde company 5 WATERFRONT PARK Acct No 550372228 AIRGAS USA,LLC NEW LONDON CT 06320 JPMC Bank,ABA No 021000021 6055 Rockside Woods Blvd Independence,OH 44131 For change of address 000549 email to:NDIV.DI@lirgas com REV 61 16 0090678 Page 1 of 1 or call 216-520-6000 CRED17 CARD BILLING VISA MASTERCARD DISCOVER AMEX Exp. mmlyy___ Card ft CVV# — F"rint Name Card BiIIingA.d1dress___ Card Holder's Phone Number—_ Signature if Y()u are faxing this form please provide your Airgas acct# and Invoice ft�orn the reverse reverse side. ---- - -- ---------- - ---- - - ---- -- -- - ------ --- - - ---- ---- ---- -- -------- ---- - Disclosure Terms of Sale Each sale of Goods or services by an Airgas"company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the'rerms of Sale found at htto//www aimas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract)shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price delivery terms,and all other special provisions `Goods'refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cylinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or [eased to Buyer,and which Buyer has not returned)according to Seiler's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct loi all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either (i)returned Such cylinders to Seller in good working order or(6)pays Seller the replacement dost thereof Refrigerant Qy1Lnder Returns,DeDOSIt Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases to g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty- All products, other items of sale cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT OWINFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liabil!y. SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMEwr OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICA1 IONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS E,CPRESSL:-(PROVIDED HEREIN), INDIRECT,SPECIAL, INCIDENTAL, CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Paym.ent Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit Is subject to Seiler's assessmem of Buyei's financial condition and abihLylo pay A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars(S2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges_ Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel Title to Equipment Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any iental equipment Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company shall be paid by Buyer in addition to the purchase price Itemized Chpig_es (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with law,and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among oilier things (b)No such charges not already provided for in Rider will be imposed without mutual consent t Government Contracts Ceiltain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders, and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,hftp:]/www airgas.com Visit us online today to see how www airgas corn can save you time and money AIRGAS USA,LLC STANDARD INVOICE Airga& 6055 Rockside Woods Blvd INVOICE DATE PAYER INVOICE NO DUE DATE PAY THIS AMOUNT an Air Liquide company Independence,OH 44131 03/22/2021 2576547 9111247908 04/21/2021 $ 158.06 Manage Your Account Online 24/7 SOLD BY AIRGAS USA, LLC (N329) Access order history,view cylinder balances,get proofs of delivery, 130 CROSS RD pay invoices and more--visit Airgas.com today WATERFORD CT 06385-1204 For all information about returns, please visit us online at 800-962-0285 Airgas.com/terms-of-sale. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: T3 P1 121883-1-16-1-475 BILL TO FISHERS ISLAND FERRY DISTRICT IIII'1111'I"1111'1'III'II'11111'l'l'llllll'II'Illll'I"'Ill'llll HPO BOX 607 Airgas USA, LLC H FISHERS ISLAND NY 06390-8021 PO BOX 734445 000475 CHICAGO IL 606734445 3 25765471911124790800000158067 ------------------ -------------------------------------------------------------- - ---- --- - -- ------------- -- - -------- ----- ----------------- ----- - - ----------- --------------- -- ----------- ----- --------- TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL. 216-520-6000 RD ' .' I VOI . N :_< lN17 C CATH ' EI?T°. 1098339376 9111247908 03/22/2021 2576547 FISHERS ISLAND FERRY DISTRICT �' *•,L» �IPO'I<V'��{rk:AVE'F^''F:F<D�.{s;F C•: `�WTS[J�EI�LF GFI F'~ ,%��IF—�YIAi Y,€%M#YtE�M �22V4.Sl.QA SHOP USE 03/22/2021 MIKE FIORA 860-883-26471 UPU NET 30 03/22/2021 <inE ' a ' Ei.<, r> ;DKK•°°:ys,4<.,., ,�.; ro, =>'rSEt[a(ERY[a1t3t1; :; o QTS`3€; YI IIVAER c zcs-,<.F.,° 3„sM1�TER{ I:t�11JMBE} :,.,..'- t3i =`tTY•B(o'; :<.lN1TPFElC ,t O ;z;:: s Ai�t©Li fSJ=S� IPT1C?N', ' I� F.. ,a�r z� ;s� „�;�y' IP'A< '!sii,•<�^' :;5Hp'Di;`�REY'Ct~% �1�.. <..E.<<:>E :�.iX•t<,< `:>�: ,:.c'%"":=>E.s 8108147371 NOR66252843328, 2 EA 10.73 EA 21.46 N WHL DPRSD CTR 4-1/2"X1/41IX7/8" TYP 27 (H) 8108147371 RAD64000805 2 EA 2.92 EA 5.84 N WHL CUT OFF 411X 1/16"X 5/8" 1 A36T ALOX (H) 8108147371 WBU56489 2 EA 10.32 EA 20.64 N MNDRL MNTG CT/O WHL & UNTZD WHL 1/411ARBR 8108147371 FUL3021X 1 CG 3.18 CG 3.18 N FLINT SNGL RENEWAL 10 EA CG 200 CG CRTN 8108147371 PR 33A 2 CL 2 2 46.32 CL 92.64 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) Sale subtotal: 143.76 Airgas Hazmat Charge 14.30 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale T' g AlUl3t3NT;'> , 158.06 SHIP TO:3878688 Airgasm FISHERS ISLAND FERRY DISTRICT ir anAlrLigwdecompany 5 WATERFRONT PARK Airgas USA,LLC NEW LONDON CT 06320 Acct No AIRGAS USA,LLC JPMC Banknk,,ABA ABA No 021000021 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:NDIV.DI@Airgas.com REV 6.1.16 00oo6oT oo1.1Page 1 of 1 or call 216.520-6000 - 6 CREDIT CAR® BILLING VISA ( ) MASTERCARD { ) DISCOVER{ ) AMEX{ ) Exp. mm/yy Card# CVV# Print Name Card Billing Address Card Holder's Phone Number Signature If you are faxing this form please provide your Airgas acct# and Invoice# from the reverse side. Disclosure Terms of Sale Each sale of Goods or services by an Airgas"m company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at httg 1/www airgas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer. Notice Regarding_Cylinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer;has either(i)returned such cylinders to Seller in good working order or(it)pays-Seller the replacement cost thereof 1I Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time'to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 15%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel, Title to Equipment: Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other Indicia of Seller's ownership on any rental equipment Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or-possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges (a)The total amount due from the Buyer may Include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges fqr handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service time and place,among other things . (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts. Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusmess 'Now doing business with Airgas Is easier than ever with our eBusmess website,httpJ1 www.airgas.com Visit us online today to see how www.airgas.com can save you time and money y ,.Avlr�iga& FOR LOCATION NEAREST'YOU LIVE VISIT WWW.AIRGAS.COM an Air Liquide-company SHIPPER: SOLD BY: DELIVERY ORDER#8108147371 - AIRGAS USA,LLC AIRGAS USA, LLC PAGE 1 OF 1- 130 CROSS RD 130 CROSS RD ORDER DATE:, 03/22/2021 WATERFORD,CT 06385-1204 WATERFORD, CT 06385-1204 SCH SHIP DATE:03/22/2021 .800-962-0286 800-962-0285 PRINTED: 07:51' 03/22/2021 SALES ORDER: 1098339376 SHIM'TO:3878688 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# SHOP USE 03/22/2021 5 WATERFRONT PARK 261 TRUMBULL DR RELEASE# NEW LONDON,CT 06320 FISHERS ISLAND, NY 06390-8021 ORD BY MIKE FIORA 860-442-0165 860-883-2647 ENT BY RANZARMSTR Sales Sales Total Containers. Order Type Payment Terms Incoterm Route Plant Office Org ship Re r CounterAcct NET 30 Customer Pick up Airgas Customer Pick•Up N329 N309 N000 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UNI 978 PROPANE 2.1 Line# 50 Material#PR 33A Stor.Loc.F001 2 2 2 64 LB PROPANE 32LBS ALUMINUM 136.000 LB Qty UOM HM Description&Hazard Class Qty Qty Bin Ship Type Order B/0 Loc WT 2 EA Lin e# 10 Material#NOR66252843328 Stor.Loc.F001 2 0 5603 0.7 LB WHEEL DEPRESSED CENTER 4-1/2"X1/4"X7/8"TYPE 27 CERAMIC ALUMINA, TL0202 ZIRCONIA ALUMINA NORZON PLUS 2 EFS Line# 20 Material#RAD64000805 Stor.Loc.F001 2 0 5603 0.3 LB WHEEL CUTOFF 4"X 1/16"X 5/8"1 A36T ALUMINUM OXIDE 15280 2 EA Line# 30 Material#WBUS6489 Stor.Loc.F001 ti 2 0 SB04 0.15 LB MANDREL MOUNTING FOR CUT-OFF WHEELS AND UNITIZED WHEELS 1/4" ARBOR HOLE 1/4"STEM 1 CG Line# 40 Material#FUL3021 X Stor.Loc.F001 1 0 SC09 0.02 LB FLINT RENEWAL 10/CARD s ` R , ,F EM E RGCY GICA7 1'ACTA-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERYSIAND CONDITIONS f SEE REVERSE SIDE FOR IMPORTANT SAFETY INFO MAT ONS PURCHASER AGREES 0 BTAIN FETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ vi .,/ SOURCES;POINT O RCHA ,AIRGAS E SITE AT dNWW.AIRGAS COhb OR BY CALLING ACCEPTEDfOR THE ABOVE LIS MERGE CY CONTA ONE NUMBER AND SELECTING OPTION#3 ACCEPT REJECT THE ABOVE zw� - I FITS IS TO CE,jj��TIFY JHF�T THE ABOVE;gAMED MATER�LS,ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED�J4IARK D A D LABELED%1)ARE.UPROPER CONDITION FOR TRA SPORTATION CUSTOMER MUST / ACCORD GG TO% PPLIC BLE REfGGGsUL7ITIONS OFT DEPARTMEN F T SPO�2TA7- AIRG INITIAL CHOICE NAME / 1 / y PLEASE PRINT �� 7" °�l J S PERSONNEL V DATE 7 T.0 D. q-,tn. INTERNAL USE ONLYStaging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight Delivery#8108147371 �� 137 LB II I ill llllll llllllll lllllllll�III 111111 Totq wgbt.tor'materials with weight displayed only ATRGAS TERMS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR MANY OTHER IMPROPER bfANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETYDATA SHEETS("SDS)AREA VAILABLEAT ATRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP H WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER CYLINDERS UN LESS OTHERWIS E SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH ORAT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MIMMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BY LAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (I0)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7 REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER S COMPLIANCE/SDS-BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,01)BY CALLING 1-866-734-3438,OR(III)ATAIRGAS COM 9 ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS ATAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper forst PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Ox UQUIDARGON LIQUION. HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS F/REOR EXPLOSION FIRE OR EXPLOSION FlREOR EXPLOSION HEALTH HEALTH •EXTREMELYFLAMMABLE EXTREMELY FLAMMABLE •Substance does not burn but 1111,pool combustion Vaporsmay cause tlluyn mass or esphaikonwIr Vapors may cause docmess oresphyxi3uon •Will beeaskiy lgmuko by heal sparks or flames Will be easily Ignited by heat sparks or flames Some mayreect exploavely with fuels war wnhoul warning •Will formexplosrv.mn,ureswth au Vill lgrnexplaawe mkmures'M air vInivaecombusebles(woed paper oil clothing etc) Vapor, from liquefied Initial,heavier than air Vapor from liquefietl gas are lnsally heavier Nen air •Vapors from liquefetl gas are laeallyneaner thanau splead along •Silanewllligminspoumecuslymeir •vapors from liquefied gas aemimlly heawe,Mem,,,spread ands, que gas are Y and spreatl alonggrountl groundandmay Vavelb courceolignNonend flash back •Those substances des ted.,he(P tl Contacpreadt will alonggrountl CAUTION dro UNIN9,Deubdum UN19 trio )may polymerize along myc at,Is orevelloeo Ims,or ignition antl flash back Ce-es,jury ad/or indelietl gas may reuse burns FI REOREXPLOe gas Fly den( ) ( a�, litho t explosively whenhega armvdvetl in h,a Runoffmyry,,plod—aptoseneazartl se ere infury SIONlrarnbita Non llner,maaga,ea rehl9er,Il liquidHyd,1966)antl Me dmfs N19T1),re lultlodhan .yp,,,lremlkquaundgas areitrvelheavier than air •Contunersmayersm when heated FIRE OR EXPLOSION •Container,sm,d,,otle when heated efr antl will tlsa Hytlmgen antl Oeumdrmtlires ere dtgicutl tq delecl spread along ground antl may,revel to source of ignition Rupluretl cylintlers may rocket •Nan-Ilemmoble Bases Rupiuretl cylintlers may rocket slots iDey bum with enimisible game Use en 611ermla memotl of endli.shloc HEALTH Contours mayexplodewnen heated PUBLIC SAFETY tleiaclion(Iherm.l camera,broom handle,-) Cylmdemexposedo,fire mayv.m endaiesse flammable Vapors may cause tlixznesamasphyxlatir,crout warning Rup—d.yl1mims meyrocket Isolalespillor leek—a immed'alely for sllearnl0o •Cyund.rsexpeaetllo lire may vent end elate.llammablegas gas through pressure relief tlevices Contact with gas or liquefied gas maycause burns sevenamjury mi directions through bel tlewcaa PUBLIC SAFETY personnel y pressurec Containers may explode when heated and/or frostbite Isciatespillor leak sreeimmadkately lora,least 100 'Keep unauNonxetl lewd •Comaina"may explode when healed Ruplumdcyfindersmayrockel Fire may produc—malingandlor tont gess malars(3301eeU in all tlirectigns •Slay upwind •Ruplured cylinders may when HEALTH PUBLIC SAFETY s Keeps(330 orixed personnel away Many gases are heavier than air and will spread HEALTH Vapors may rause tliu,neas or azphyxiefion wMout warning .Isolate spill or leak area mmetlaiety for e11ea51100 meters(330 along grcu,d,nticollaclknlow.,confined areas •Vapors maycause d,conessorasphynalion v Mc,.,t warning .Some a be loxlcil innaletl al hl Many gases •Some may bemealin iknhaledat highcosearlmlions may may cause burns feet)iunauthecikons .Man heavier than arentl wins dabs (sewers of lowaea tanks) Y g' •ContactwM a o I, fietl burns severe Many are orae 9 .Keep •Contact will, liquefied Durns severer lu gas r que gas may cause stayupaulhor¢etl personnel away ga, tlantl cdlen in low or conlinetl areas(seversce closed mw areas gas or qua gaz may cause n ry i,,,mydlod,,e Dile Many gases Dasememstanks) • OEC7VECLOTHING before entering Firewandl.ypro u •Fre may protluca irritating an SAFETY ollIll low heavier ihreas end willsasement,ld along arks) antl Keep oe clocw areas PROTECT pressure •Firs may produce mrllating antllor lgxic gases PUBLIC SAFETY callecl in low err conlinetl areas(sewers basements mMs) yenlitale closetl spaces before enwrmg •Wear posilrve press sell contained breathing PUBLIC SAFETY isol,a,pil or lesk II—mmecked Iorat least 100 meters Keep cutot lcwrosas a poor,us(SCBA)u •Isolate spill or le,k,rea immedaIeiy for at learn too are,, (ma feet)In all directenns y Vandals closed spaces before entering PROTECTIVE poss CLOTHING Souccral firelighters pro[ecove clothing will ally f330 feet)1-11 tlreagn, .Kee Honied personnelawa PROTECTIVE CLOTHING rates vep ell cgntalnetl breathing prowde limited protection •Keep unauthpretl personnel away Sm Keep y Was, iwe II contained breathing apparatus(SCBM •Stay upwind Manygses ara heavier Nan arr and 01 spread along (SCBA)si pressure se gapparatus Structuralfited pens protective tinningwi,lonly Lam Spill--Con,kderm,tdl dgwnwmdevacualkonfor •Many gases era heawar man ev antl wn spread eeng ground and d end coiled In low or confined erees •Wear chemical provide limited thermal plmn collect m-er confined or—sawem basements uracs groan (sewers mourner by the—ltolhingwnich is specilkcally h1rdliwearg,ec cryog,vo clothing when arts,-If Ilk e1ar.talk i •Kee Id lbw areas ) basemenis ow areas endedby the manNacturor It may prontle lime pr rip ACUA7grelrigereled/cryogenic liquids gr,Mims ISOLATE for B00metes(112 mile In all Orechgnsr�re PCT • OT outofCLOTHIThermal protection EVACUATION ) PROTECTIVE CLOTHING PROTECTIVE CLOTHING S suarcre tONLY leis nor effective elmapit l-on,ehere for lire Large Spill-meters Dfeetial downwntl evacuation for al also tonvder lmeourcmcuatign Ter 800 meters •Wear po.,f,arssuee self,ememed Wearposilivapressure sell fAn,eirtl breathingapparatus situations ONLY,Isnoteffeposible silualipns here direct least IfImelers(3 tan (1/2mJe)inall ERGEN •smemrennargnmre prmeave ddhng vnb only provide bmnetl ItruBA) tad wnb the subsmnce clothing FIOi for 00 to err(11 wokrs�mwroedin,rre EMERGENCY RESPONSE Always tign Structureicedprotection protective clothing will only provide Arweys 1protecfive clothing when rndl�ng reirlgeranV ISOLATE Iare00melers(1/2 mile)mall eter.(112 I also FIRE •AlwayawearMemel,"i proleclrve clothing when nandin9 limited protection cryogenic liquids direst miial evacuation for 800 melers(1/2 mile)In surrounding fhrng egenl suitable Iqr rypa of rACUATI Vcryogenic liquids EVACUATION EVACUATION all tlsectiana eunding bre EVACUATION Large Spill-Cons,tler initial tlownwintl evacua,�bn for a,lean Large Spl/I-Consitler imnal downwind evecualion treat least 500 Moveeut risk hers from bre areas Jyou can tlon Large Split--cgnaitler Initial downwind evacuation for at least 800 ego meters 1R mile miler,(1p mile EMERGENCY RESPONSE meters(1/2 mile ( ) ) FIRE without risk Fine-If tank rail caro lank uuckaim ivetl,ne fee ISOLATE for Fire tank railcarmlanktruckkskn,also ico lire ISOLATE Fire tank railcar or tank truck is involvetl matin ISOLATE Useemkng,�,hkngagentepnablelgrtyp,,f Damaged cylintlers shaultl be handled only by 1600 melera lmile)in ell tlneclione also rs,tler iatl,l evecualion for lEoO meters(1 mi all directions also consder initial tar B00 meters(t2 miie)in ell dreclions also consitler sinal sumountlng lire list ler'( evenuaon for 1600 malers(I m1Ie)m all dueciions evacuahan for Boo melera(12 mile)In all d,recrons Moveconlaners from lire eras it tlo it Fire Involving Tenke for lrsW micro(I rte)inallmrections EMERGENCYRESPONSE EMERGENCYRESPONSE you .right Toe from manmum hicerce I,u:eunmared EMERGENCYRESPONSE FIRE-DO NOTEXTINGUISHA LEAKING GAS FIRE UNLESS F/RE-Useesungu'sn'n gfire w'Nqul risk hose holders cr monitor rules g egenlsuitablslorrype of surrountlin Damaged cylintlers should be handled only by Fine-DO NOT EXTINGUISH ALEAKING GAS FIRE UNLESS LEAKCANBESTOPPED Small Flrea-Dry chemical or CO, spagaiksla Cool containers wuh(Irdmg quantities of water until LEAKCANSESTOPPED Small Fires-Dry chemical or COQ L-Me Flns Fire Involving Tanks well after lea is out CAUTION Hydrogen(UN1049),Deuterium(UNI95T)ard large FIrea Wni pmy log or regutarloam Fght lire Iran manmum dksmnce or use unmanned Danold,rectwaleratsourceolleekorsafery Hydrogen,rofrigamfedliqu/d(UN1966)bumwdhenlnvlslble .Weer spray or log Move containers Iron fire area I you can I- ,=,I risk nose holtlers or monitor nozzles owtuc tongmel Meme Hydrogenend Mefhanemlxfure,.ompreased(UN2034) Move containers from fire seal yo-do it vntheiunsk Damaged cyimcce should be handled only by speciabsis Coal oentamera wm flooding quences of water until mtlka Withdraw imetelykn case of rising sound hen, may burn with an Invlslble gem. Fire Involving Tanks Fire Involving Tank, well alter fire is out venting aalely devices or dscolors er of tank Small Fires-Dry chemical or CO, Fight fee from mcomum distance oruseunman,ad lose FlgM1t fire lrgm maximum tllslanca or use unmanned rise molders De not tlirecl water at source of leak or safely tlevices ALWAYS shay away from tanks engulletl in lire Large Fires holtlers or mgmtor nozzles or mon or rulesSPILL OR LEAK Water spre • 1 icingmaypccur yon erg .Cool conleiners with l,ppding quantities of water until well Cool conlalners with rooming quanikiies of wafer until well after Wthtlrawkm safety devices of -d morn Sonmak it you workthroughI ,them risk malarial •Move conleiners from lire area it tlo,1 wnhod risk y in case e g spunand Involvingyou can eller I dractuL borrow qui vLWAY scary way i,c.ran.anguie i mtalkria Sop Teak it you can do se,Meth gas escapes cape Parable Flrehtfee from Tanks Donotdkrecl wateral sourcealleakm celey devices Icing Dorot tleecl water at source of leak orsafely tlevices Icing .ALWAYS stay awayfrom lanky engulletlin fire turn,hold containers so lhelgsescapes rather • Fight ins from manmum distance or use unmanned hose holders our Nan llqutl mor,, nozzles mithor-r ca may SPILL OR LEAK •Cool containers wthllootln lies of water until well after Wirrawvnes or disconcert too tang sound from venting devices mmetllorabotely n cased rising aurid from venting salary free,outstrithayou ca,kthwo hs his and •Use wafer spraytolowng vatersordkvo curnei g quant, salary devices or discoloraagn of Tank devices ordisrlorern olmnk •Slop lskil you dortwMoutnsk antl ilpossmle cloutl tlnfl Avaitl allowingwalerrunoH tocenmcl •Do rt tlrBtly2la et source of Isola axle devices is •ALWAYSslay away from the ends of Ne lank •ALWAYS stay away from lanksengulf,d,n fire turn leaking containers so that gas escapes rather spklletl malenal ry rg maYoaur For massive fire useu menned has.h,lde o,mo,,he Formasslveive u mmanned Wseholdersormenkio,=I,s,ll than liquid on not direct water atspkilarspurce of wah. •W,rxMwvkmrodIdlYmcaseof reingsound from venimg safely rules 0 this eimposskble withdraw fromareaand lei thaa mpossibie wnM1dew fumsere and let bre bum Use welerspmy Li educe vapors or riven vapor Prevamembymnowaterways sewers basements or devices or dkscoorabon of tank fire bum SPILL OR LEAK cloud drift Avoid allowing water runoff to contact corm ade—, •ALWAYSrnayaway from Meares of the lank SPILL OR LEAK •Keep combusubies(wmtl paper of am)away hcm splloo marenal sp,11ad tenial •Allow substance to evaporate •Far massive Iris use unmourned hose rtoloarso,moncerroales s ELIMINATE abkgnmonseur...(no smoking flares sp,rk,,r •Do not Touch,,walk through stolid material •Do not drecl water at spill or source of leak •Vmblale the area Nis is impossible withdraw iron area antl let lee bum Ilamesm immediate area) •Stop leakff y,,,,,dolt v and rkskentl f possible Turn leaking Prev,murtirymlo waterways,sewers basements or FIRSTA/D SPILL OR LEAK Allequpmenl...d when handling the product must be conlaners so that gas escapes rather than houtl confined areas Move victim to fresh err •ELIMINATEellkgnibonsources(nosmokkng(,area sparkeor grounded Do not tlueclwelerel spillor sourceolisk Allowsubstance to evaporate ul 911 oremergencymedkcalservlces flames in immetliete area) Slap leakil you can d- m.ut risk and it possible turn •Use water spray to reducevapors,r chi vapor-laud drift Avotl Ventilate the area Glve artifkaal respeclonn wdimka not brearleng •All eauomen used when handling the product must ba grounded leaking containers so the,ges escapes rather than liquid allowing wafer cm.ff to conlacl spJletl material CAUTION When In contact with midgeraled/ Administer oxygend blearing is difficult .Do rl louchorwelkmrou9hsplll,dmeieral Do not touch or walk through spied material Prevementrymmwatem,ye sewers basemenlsorcommed cryogenic liquid,,many lefnhole become brMle and Keep victim warm and qu'el Stop leak if you can tlon without risk antl it Possible turn leaking Do mol dmecl water el spnl or....co of Iaak seas are likely to break wifhouf wimily Ensure me,medical personnel ere aware of the ser that gas escapes rather man lkquitl •Use water spraym ratluce vapmaa dwell vapor eioud tlnh A11cwsubsl,ncetoevep,r FIRSTAID malenel(s)involvetl antl oke precautions to protect •Usewateeraspray[o reduce vapors or tlivert vapor cloutl drill Avoid allowing were,—off to concert spilled malenet l,,coteereaumngashxadnperaed Move votm to lashar themselves Avoid allowlng water runoff to contact spklletl material Prevent entry into waterways,sewers basemenis., CAUTION When In contact with reidgereleNeryggen/e liquids, Call 911 or emergency medical se— •Do not dela—le—lipki-aourceal leak c-finroreaa many—.He.become bdoff—m am likely fir break without Gwaamfical respualkon it victim is mol brea,hng •Pow,rilspreadmg of vapors through sewers venbl,t systems Isolate area until gas has dispersed waning Atlmin,sler oxygen ll breathings tliHlcull and confines areas F/RSTA/D FIRSTA/D Clothng fro,..to me akin should be,hewed before •Iaefete areaunto gas has dispersed Movewcumtolrechair Movevictimmoved freshar being rem CAUTION When in commed with refrigerersoViu genfoliquids,many.Call 911 or emergency medical semces •Call 911 or emergency medical services .in case of canted with bquelied gas thaw frosted maferols bosoms bmetsndare likely f,break wfolul waning Gkveanktickalrespkratkonkivkctanksnolbreathkng Give ahrckalsep,r.hor 11 wctimke not breathing par with lukewarm water FIRST AID •Administer oxygend breathing is difficult •Adminslerorygenabream,ngksdkffkcult •Keepvlamwarm and quiet •Move victim to fresh air •Remove antl isolate conlammaletl clothing and sloes Remove and stirna contaminated clom,ngandahces Ensure that medical personnel are awxreof Ne •Call 911 or,merg,nq medical services •Incase ne tolled with liquefied gas mew frosted pans with Cmthmg 11.Pe akn should be Mewed before being removed malenai(s)nvolved and lake paceutkons to protect •Give anh—flrespkral-d wctimisnol breathing lukewarm water In case of contact with liquefied gas thaw trooted parts with themselves •Ahnn—re,ygenkl breathing,,Ckltkcult In caseol burns Immediately cdcI.M I.d,km lora, lukewarm water •Removeendisolate contaminated clothing and shoes long as possible with cold water Do not remove clothing it Keep victim wart end quiet •Cldnmg from too the skin stvuid be mewed betas being rertrnH adhering to skin •Ensure matmetlmal porsonnal are aware of me rrulanalfs) •In case of conlacl wnh bquebed gas maw frosted pads win Keep vkcnm warm oldquiet involved and take pacaulkon,to protect M11111,11lukewarm water Ens re that mipersonnel areawa,e of me marence) •In case of burns nar,adaleN dol aRecled skin lora 1pngsposabie Involved antl take pmcarkmo to protect inemaelvea wol water Oo m,mrmmclommgkl adheni to skin •Keep voorn wane antl quiet •Ensure mat medical personnel are aware.,,he matenal(a) mmInd and take prec—to protect meme.1kes AIRGAS USA,LLC STANDARD INVOICE Airgas® 6055 Rockside Woods Blvd INVOICE DATE PAYER INVOICE NO . DUE DATE PAY THIS AMOUNT an Air Liquids company Independence,OH44131 03/22/2021 2576547 9111247909 04/21/2021 $ 18.91 Manage Your Account Online 24/7 SOLD BY AIRGAS USA, LLC (N329) Access order history,view cylinder balances,get proofs of delivery, 130 CROSS RD pay invoices and more—visit Airgas.com today WATERFORD CT 06385-1204 For all information about returns, please visit us online at 800-962-0285 Airgas.com/terms-of-sale. NW-MM1170T"0 BILL TO FISHERS ISLAND FERRY DISTRICT I�I�'1111' "IITI'���'Il'I1111'1'1'I1��1�'�I'�1�1�'�"'111'1111 PO BOX 607 Airgas USA, LLC FISHERS ISLAND NY 06390-8021 PO BOX 734445 CHICAGO IL 60673-4445 25765471911124790900000018912 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER}PtORTION WITH YOUR REMITTANCE ' FOR QUESTIONS ON YOUR ACCOUNT PLEASE yCALL 216.520.6000 '�' ,OR E s< r='N air I Y` < .'A, a,e' Lin! `.F9 :it in E"tiywittt 'SOi •SVS 1098395177 9111247909 03/22/2021 2576547 FISHERS ISLAND FERRY DISTRICT -6 i;°'=:, '.SHIP,VfA`:m"',,,; ><f<:.°PAIl'ENT-TAMS" i::,. •r" pRDERDATE,' FERRY KRIS DORSETr860-442-0165 CUPU NET 30 03/22/2021 <.,•�DEI:NI=RY•Nt3:'1,�? £,:<„�,;,�}}��Al'ERI�1:tNL)'�r♦{BE `,:° zi<`�:�.,QT� - 9;4U•M"�.'�GlTitiBt(ir::r `-`UIVI�>'Pft}CE:�>;� ;`�UtIM>; - ��AhIIQLItdT,„,: ) F-SCF2IPTICItd. „SHIPt t :SHPd; 8108153485 RAD64000753 2 EA 8.73 . EA 17.46 N WHL CUT OFF 1411X 3/32"X 1" 1 A36P ALOX (H) Sale subtotal: 17.46 Airgas Hazmat Charge 1.45 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale vq-i SHIP TO:3878688 __ -- -- 18.91 Airgas® FISHERS ISLAND FERRY DISTRICT an Air Liquide company 5 WATERFRONT PARK Airgas USA,LLC NEW LONDON CT 06320 Acct No 550372228 't� AIRGAS USA,LLC JPMC Bank,ABA No 021000021 ei 6055 Rockside Woods Blvd Independence,OH 44131 For change of address 000475 Page 1 of 1 email t :NDIV.DI@Airgas.com 6g00'com REV 6 1.16 0000608 CREDIT CARD BILLING VISA( ) MASTERCARD ( ) DISCOVER ( ) AMEX ( ) Exp. rnmlyy Card# CVV# Print Name Card Billing Address Card Holder's phone Number Signature If you are faxing this form please provide your Airgas acct# and Invoice# from the reverse side. -- -- - ----- - ------------------ -- ---------------------- ---------- -- --------------- -- ----- --------- ------- -- --- ---------------- ---------------- ----- -- - ------ - -- ------- --------------- -------- Disclosure Terms of Sale Each sale of Goods or services by an AirgaSTI company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http//www airgas cam/terms-of-sale(collectively the"Terms of Sale") Each Contract for` the sale of Goods or services Between Seiler and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cylinder Rentals/Leases and Resi)onsibility This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(n)pays Seiler the replacement cost thereof Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furni$hed by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR Ofd REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICA-t7ONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. 13UYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is sublect,to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (mimmu,M.tWq,dollars($2 00),or thejflaxinlum lawful rate allowable in the state where the Goods are delivered,whichever is less M Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel Title to Equipment Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment i Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges* (a)The total amount due from the Buyer may include various itemized charges, including,charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent, Government Contracts Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:/1 www.airgas.com, ,Visit us online today to see how www.airgas.com can save you time and money Airgas, FOR®® LOCATION NEAREST YOU LIVERY ®E ORDER VISIT WWW.AIRGAS.COM an Air Liquide Company SHIPPER: SOLD BY: DELIVERY ORDER#8108153485 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 03/22/2021 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:03/22/2021 800-962-0286 800-962-0285 PRINTED: 10.46 03/22/2021 SALES ORDER: 1098395177 SHIP TO:3878688 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# FERRY 5 WATERFRONT PARK RELEASE# NEW LONDON,CT 06320 261 TRUMBULL DR ORD BY KRIS DORSETT 860-442-0165 FISHERS ISLAND,NY 06390-8021 860-442-0165 ENT BY ERICCHASE Order Type Payment Terms Incoterm Route Sales Sales Total Containers Office Plant Org Ship ' Return Acct Front NET 30 Customer Pick up Airgas Customer Pick Up N329 N309 N000 Counter Qty UOM HM Description&Hazard Class Qty Qty Bin WT Type Order B/O Loc 2 EA Line# 10 Material#RAD64000753 Stor.Loc.F001 2 0 S602 0.52 LB WHEEL CUT OFF 14"X 3/32"X 1"1 A36P ALUMINUM OXIDE 4365 TL0203 EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS El 1:1SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT 4VWW AIRGAS CO Ma OR BY CALLING ACCEPTED FOR THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION 93 ACCEPT REJECT THE ABOVE THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MARKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING TO THE AP LIrGAB EGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME 3 ZZ-q I /() // PLEASE PRINT AIRGAS PERSONNEL DATE T.O.D. INTERNAL USE ONLY Filled By Staging Area Total PKGS Tracking/Pro NumbIer Freight Charges Total Weight' Delivery#8108153485 o .. . � , LB I I IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII 'Total welgnt for materials with weight displayed only AIRGAS TERMS AND CONDITIONS OF SALE {YARNING TRANSPORT AND USE OF COWRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT IVITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS IN A SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')ARE AVAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP H WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER I CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BYTHESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(15%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES.TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF S.WARRANTY AND CLAIMS:SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7 REMEDY.BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. S.COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 1-866-734-3438,OR(111)AT AIRGAS COM 9 ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BY PRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Ox LIQUID ARGON LIQUID Na HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FlREOR EXPLOSION FlRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Substance does hot burn but all..1port combusllon •Vapors may cause mzz,ness ar esphyxietipn vnlh.ut Vapors may cause dumess or asphyxiation •Wit be easdy,gmted by heat sparks or flames Wl,beeas,ly,gmlad by heat sparks or flames Sam,mayeact explosively with fuels wammg w,thol-l—remg •Wll farm explosive anxlureswith an Wlllpnne.plcau—naxtures withal, Mayigmte wrrlbusllblesI—pop.,.11 cloning etc) Vapors from 11 bed Il heavlermanas Vapo,sirem hquehed glemelnloally heavier man air •Vapors from bquelied gas are meally heavier man air spread along Sllana will lgatow.m.—usly i,as Vapors from liquefied gas a-sudelly heavier mail spread antlsp...daong g,o,,d ¢,,may and spreatl along ground grountl and may bevel to source of ig,lon and flash bac, Thosesubst.....designated with.F)may polymenze along ground and may travel to source of,ghbon and flash back Centactw,ih gas or liquefied gas may cause bums FIRE OR EXPLOSION CAUTION Hydregon(UNt069),13eutelon(UN1967)Hydrogen, explosively when heated o m,olvetl lite lire Runoff maycreme Bre erexplo„On hazard sewremlury entls frostbite •Non-tlammeblo gases rahlgereled liquid(UN1966)and Memmre(UNtm1)are llghmr man .Vapors from hquehed gasare,nilially heaver than air Contanersmayexplotlewhenta-d FIREOREXPLOSION Containers mayexplodewhen heated alrandwlll dee Hydrogen and Deuterium Ores ere iiff-fth,detect sp,,adalo,gg,c,,dontlm,ytav,lt,mu,c,,f,g,a�,n Ruptured cylinders may rocket Non-Ifammabl.,was Rupturedcylmdoemayrocket since they bum w an lmisIbla name Use,,eltemetareahadof antlllashleack HEALTH •Containers may expl.tlewM1en heatetl PUBLIC SAFETY dmectmn(themol cemere,broom handla,ete) Cyh,dersexposed to lire may wnl antl rel ease flammable Vapmsmaycauseauz,ness.rasphyxatio,w„hput warning Ruptured cyiincers may rocket •isolate split.,lwkarea mmw,ately lore)least 100 •Cyl,ndersexpc,,d to lire may vent and release flammable gas gas through pressure relief dances •cenmctwnn gas or liquefietl gas may cause burns severemlury PUBLIC SAFETY meters(33D feet)In all chreewas Ihooul pressure relief tleNces Containers may explode when heated and/.r f—Itene •Isolate spill or leakerea,mmetl,elely lorel least 100 •Keep umthorged personnel away •C lamere may explode when heatetl •Ruptured cylinder,may rocket Fre may produce innaung and/or toxic gasesmlabaso301eeak acemmun.ne •Slayupwind •Rupturetl cyl,ntlers may rocket HEALTH PUBLIC SAFETY •Keep un, onzed personnel away Many gases ere heavier than as antl ,it spread HEALTH •Vapors may cause dimness.,esphyxm 11 without—mmg .Isolate spill.,leak area lmmkouncly lora,Iws1100malers(330 along ground and collect,n lox or confined meas •Vapors may cause dizziness orasphyxahce without wommg Some a be exicamhaledm highconcenaahens Man..rd er •Same a be lmtann I,nhaletl al half,conceniral,ons t may vera feeUmel Rrecmns Many are heaver than eV and will spre,d,leng saw's basements tanks) may gC.n act with gas or Lquelied gas may cause burns se Keep unauthorized personnel away gr,ad and collect m Low or coal areas(sexers Keep em of lows. •Camara wet go,,,liquelietl gas may cause bums sewremryry mluryandlor frostbite Stay upwind basements lank,) Ventilate of...dwaces before entermg entl(or frostbite Fre may p,ccucer0.Lng andl.r toxic gases Mmyg....are hwa ,menar and will spreatlal.ng ground and Keepoutof lox areas PROTECTIVE CLOTHING • Fire may produce„rimtmgand/o,toxic gases PUBLIC SAFETY collect,,low or coal areas(sawere basements tanks) Venl,mthcl.sedwa...beforeenlermg Wear pbs,l,ve pressure self—lamed le—mng PUBLIC SAFETY s.lao,N]orlentrarea,mmud,auuy for at least top meters Keep oulof low areas PROMC77VECLOMING appahelus(SCRA) •Isolate spol or leak areaimandonly ler at least 100melere (330 feet)mall direct... Vanhlafe.l.sed spaces before entering •Wear posh-pressure wil—a—cl breathing Slructuralnaughtare pr.reft,acIkahngwllenly (330 fOco m all direction, Keep unaumenzed personnel away PROTECTIVECLOTHING apparatus(SCBA) provide betted prolecbon •Keep mauthal persennelaway Slayupw,nd Wear pos,hw pressure sell c.ntaned breathing apparatus Structural firefighters prote—a clommg will.nty EVACUATION •Strayupwind Many gases are heaver than hr and w,(I,pr,ad along (SCBA) Large Split-C.nsdermmal downwntl evacuation for •Mmygasesamh....r than on,and will spread al0ng ground and providehor tlprolectien _cii b.-ma collect,,lower connnetl areas(sewrers Wearche-Odpbro—hatch—O,h1ch¢s,,..d ally Always wear thermal protective clothing en 911eas1100 meters(330 feet) —ed—ex(sewers basemenq r,ks) basememslariks) thermmenoed yme menutactular li may previtle lime or no ACUA7greingeraletl/cryogenic liqultls or solidi, ISOLATE SOLAT tank 00 merertank truck is inwlvedions, •Keepoutof law areas a •Keepoutof loxareas thermal protection EVACUATION ISOLATEstirrmmeter¢ ft(112 nide)In all meters ns, PROTECTIVE CLOTHING PROTECTIVE d-pressure Stivation ONLfilfiY,¢is Protective not isrecens whertlforhre Large Split-ons(33 fee,)eltlownwmd evacuation for at also it consider m,uactions ahon for B00 meters •Wear cevWe pressure se9mnrametl breathing apparatus(SCBA) .Wear pos,lite pressure sell-cbmainetl breathing apparatus situations ONLY,t is not eneclive In spill situations where dsecl Ieesi 100 meters(330 teeU (f2 mile)in all directions •Structural hehghte,s protective clothing will only provitle limned (KBA) with the substances possmle Fbe_Iftank ria tankhuckis,nvoNedm,Fa EMERGENCYRESPONSE • protect,,ar thermal rolechve clmM1m when handling Structural hrebgmers protecuw clotting will only provitle Always twas,thermal prolective clothing when handling mfIngeranV ISOLATE for B00 meters(12 mile)in all tl,rechens also FlRE refrlgeranVc F Itls g g Lmnetl prbtech., cryogenic liquids onsiderms,al evacuation for 800 meters(112 mda),n Use enegusmng agent suitable for type Of ry.gemc qu EVACUATION EVACUATION all d,,ctions ana.untlmg fire EVACUATIONLarge Split-C,maderme,1 downw,nd evacuation for at least Large Split-Considermmel downwind ev.O-U.n lora)least 500 EMERGENCY RESPONSE Mme containers lremlite areas 11 you can diedLarge Sp/I/-Consoer,n,lml down—evacuation for et least B00 800 st-02-1c) meters(1/l mile) withoulnsk malers(12 mile) Rm-If leak tali car or lank truck,s,nwlved Ina hire ISOLATE Fire-If lank tall onto,lank muck-mlm a lire ISOLATE FlRE Damagedo I d,r,,h,,Id be handled Onlyb Flet-IltarJr rail tar or rank vuck¢mvdvetlinanre lSOIATEIor for 1600 meters(1 mde)m ell cLanums also consider,,,hal for Boo m naso/2 nufom a ll drechons also colad mmol use extinguishing agent suiletele for type oflstsyn y 1fi00 merera I miin),n al orectons also consmer m,sal macuat an scuatwn for 1600 meters(l nine)m all tlirecl,bns .O,anon for am meters(I/2 rale)m all d—rons su mdmg lire F/rel,volving Tonka for 1600 melers(1.4.)..,1 ev ev Move containers from fire ereaz,f youc.n port EMERGENCYRESPONSE EMERGENCYRESPONSE EMERGENCYRESPONSE waboutrisk •Fight fire from mammum distance or useunmannetl FIRE-OO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS FIRE-useexongu,shng agent suitable for type of surtound,ng bre Damaged cyimders should be handled only by hese holders Or monimr n...Is, FIRE-DO NOTEXTINGUISH A LEAKING GAS FIRE UNLESS LEAKCANBESTOPPED Sma/IFIhw-Dry Chemical.,CO. wwensls •COOLc-mmhe with flooding qu,man,of water mill LEAKCANBESTOPPED Small Fires-Dry chemical o,GO, Large Fres Fire Involving Tanks wellanerhre,s Out CAUTION Hydrogen(UN1049),Deuterlum(UN1957)and Large Has Water spray log Or regular foam Film lire from maximum d,smn.ear use unmanned Do not directwalerat source of leak or safety Hydrogen,re(r/gemmdliquid(UN1966)bum with a,iI-Islble Wafer spray.,fog Movecontamme from hl,ince If you can do It wuhout risk hose holders or moron,n—les tlevices icing may occur I/eme Hydrogen-of Methene behTure,ca.paweed(LIN204) Movecghmmas from lite area 11 you can dolt with.ul ask •Damaged cylinders should be handled only by specialists Co.lc.nta,ners vim flooding quennhesofwafer unlA •Wmdrsw immediately In case of rang sound from may burn wive an Inv/e/til.name Flit Idvol deft Tanks RasInvblving Tanks well after file Is out venting safer/tlevices or escolomia of tank Smell Fires-Drychemmal Or CO, Fight fire from maximum dstance—wunmannad hose Fight fire frommaximum dislunceor beeunmanned hese holders Don.,drat,water al source of leak.,safety tlevices 'ALWAYS stay away from tanks engulle0,n lire Large Flies holders orm.me nozzles Or mo„for nozzles IcingSPILL OR LEAK •Wafer spray1 dra-Occur or fog Caul cee.sout with Binding quantities of velarunl,lwell Cool epnlamers w,m flooding until well Wnhung safety Inset tllrom Do leakuchor walk oft whep,lled material •Move c.ma,ners from lire area,1 tlo it wnM1oul risk y In caze o g soon you can possible you can afte, is out Do t venl,ng eelety dev,cesor d¢colorstion of tank •Sop leakd do it ask and,f Fire Involving ienks Do not Osecl water el source of leak or salary devices Icing Do not Ortect velar at source of leak or solely tlevices Icing .ALWAYSstayawaylrantanksengulf.d,nise turn leaking c.nesmus so mal gas escapes rather •Fight hire from maximum dstance or use unmanned hose holders may Our may occur SP/LL OR LEAK than liquid 01 onrtor nozzles •Wmtlraw,mmetla,ely,n case of,sing sound from venting •Wmtlraw,mme0,etelym caso of,sing sound from venting salary D-1 touch or walk through spJletl malenal Use wafer spray to reduce vapors or pita,,vapor COOL cant with flooding quanblies of water unit well a Mer safely tlevices or tlacbr—h-of lank tlevices or dscolminon of lank •Stop leak)you can do It wnhouthek and,I possible cloud dntl.A-d allowing walerrunoil to contact f ra is out •ALWAYS slay away from me ends of me tank •ALWAYS stay away from tanks shouted,n Ise turn leaking-rueners sb that gas escapes rather stated materiel •Do trot tl,edwaleratepurceorleakOmfetydawcesc,ngmaywmr •For mass-fila use unmannetl hose holtlers or nmmle, •For masswe File us, se unmanned hoholders or momernbzzles J On.fqu,d Do not oreciwalerm spill Or w,,ce.f leak •W,htlrawimmediatelymc,w,fr.,mg sound from waling safety 1=11,It this,s,mpaaaele wmdre,from area and lel Ihe,s lmp.so,ble wdi lromares and Let hire burn •Use wafer spray looducevapers er Owen vspo, Paraml enhymlo waterways,sewers basements or devmes or discoloration of rank in bum SPILL OR LEAK cloud drift Aw,d aiming water runoff to contact c.nimedareas •ALWAYS slay a way fr.m the ends of me tank SPILL OR LEAK Keep conbustbles(wootl paper al etc)away lrmnsp,Iad material spired materiel All.weubslance to evaporate •F—Irsrvafse use unmannetl hese holtlers or martini,nozrles it EUMINATEaII,gmnon wurces(no smoking Ilares sparks e, O.not touch or walk Otreughspoled material Do not tl,rect water al spill er source of leak •Vvulabithe area lhssimposs,ble wvthdraw from area end let bre burn flan—rima dve area) •Stop lwk,l you can do Mwnhoutnskand,l possible turn leaking Prevent ellry mlo waterways,sewers basements o, FIRSTAID SP/LL OA LEAK All equip...t used when handing the product mus,be comaners so that gas a...resister than liquid confined areas Mme victim to fresh an •EUMINATEni,gnition source,(11 smoking Ilares sparks- gmurded •Donor&act water etsp,Il or source of leak Allow substance to maporate Call 911 or emergency medical services flames in lramedmeerea) Stop leak 11 you can tlo,wnhou,nsk and If possible turn Use watersprayle,scucevapers er d-ri valor cloud drift A-d •Ventilate the area 3-aNnmal respsa„onnv,ctlm is not breathmg •NI egwpmem uYtl whim hantllmg Ne pr.tlrot,rust be greuntletl leaking c.nimnere so that gas escapes rather man liquid allOwmg water runoff to[.,lett spnletl nal CAUTION When M contact with reMgemleN Ada mater oxygen II breathing Is tl,mcult. •D.not touch or walk through willed material Do not touch or welk mhagh spJled material Prevent entry Into waterways sewers basements or confined cryogenic liquids,many arrow—la become bnad—ed •Keep victim wane and genet •Stop leak,fyoucando,IwMouln,kand,lptlisible lurnleakmg D,mldrectwaleratspillorsburceefleak areas era likely to break without warning Ensure mel medical personnel or......itne .Maine,,so that go, ,cap,,rather than liquid •Use water spray to retluce wp.rs br tl,ved wp.r cbutl dnM Almweubobel-Levet).,... F/gSTAID malenel(s)mwlvetl antl take preewuhonslom-ot •Use water spray to reduce vapas or Orven vapor cloud dna Avmd allowmg water ru..I to contact spilled material •Isolate area unlll gas has d wood •Move-clan 1.fresh as themselves Avo,d allowing water runoff to contact spnletl material .Prevenlentrymlowaturway95ewors basements., CAU77ON When In epnfacl wllh reldgemfeNcrybgenlc l/qultle, .Call 911 or emergency medical serves •Do not d,recl wafer et spill or source bl leek ...finetlareas any meleHela..come brlf0e end ere likely tb break wflhoul Give aNricialrespratl.n It victim is not breammg •Proven,eareadng Ol vapors through sawere vennlan.n systema .Foists area ural gas hes dispersed weming Admmsler oxygen if breathings difficult and confined areas FIRSTAID FIRSTAID Isolate area until Bas has dfw.c,1 •Meve victim t,fresh air Mme—ram bean mr Cleat rrozan to the skm should be thawed bete,. CAIrr1O11 Whin In contact wive reldgemadtryagenle hqu/de,merry•Coil 911 or emergency medical services •Cali 911 or emergency medical services bemgrearI mateda/s6xvme6dnb brN ere hkety m break wrthbul warning .Give an,ficial resp.r,b,,Jvichm,s rot breathing Gn,artfi l respiration ifvicten,s rW oreammg Incase of contact with bquehetl gas thaw frosted FIRSTAID AdIrma a- Ibrealmn d,ffouA Atlm,msterp Ibreamin tl,ff,cull p ,vicem wean and tui¢ •Mwevichm tbfresha,r ryo,, g,s rygen, gIs Keep vohm edicandq t •Remove nidi ls.c. m i Lquah led cicih w antl shoes Cl movra and nto t e contain„aced metweg antl a bes .Ensure metmedicalpersonnel are aware of me • Call 911 or emergency mearcal services Incase el cgnlan with Lquelietl gss thew h.stetl pens with Clothing faawn comacdws liquefied uMWd ghe as thaw frosted being with matenel(s),nvolvetl and rake precautions to protect •Give art�cal tespnanon,i wcl,m,s not bream,ng lukewarm water In case watan—let wMl,quel,etl gaze maw lrosled pans with themselves •Aamm,slerd-lat,(breemmg,edMmult •Inca se olburns,th coldlaly Or affseloo clo Keep vchim r •Remove and,.late contaminated be cloth„gand arms long as to sola vimcold water Do nal,¢mete clom,ng,1 Keepetht warmand gmel •Cbthmg frozen to the wiWnshuddbemawetl beforebeingIF rert1h atlhermg to skm Ensure mit,kepr..smnel are aware tof the hemseelanal(s) •In caze.l contact with bquenetl gas maw frosted parts with .Keep victim arm,rd quiet inwlvetl antl take precautio,s Ib protect themselves lukewarm wale, Ensure that medcal personnel¢re eve,¢of the malerial(s) •Inetaseblburns swretlately wdeMecletl stun taraz lmgaz posvble —Ned and take precautions to protect themselves wM cold water Do not rerr[n9 coning it edronng t.skm •Keep—inn warm end qui¢ •Ensure that medical personnel are aware 0 me matenel(s) nwlved antl lake precautions t.pretecl themselves AIRGAS USA,LLC " STANDARD INVOICE Airgas® 6055 Rockslde Woods Blvd INVOICE DATE PAYER INVOICENO DUE DATE PAY THIS AMOUNT an Air Liquide company Independence,OH 44131 03/23/2021 2576547 9111305371 1 04/22/2021 $69 48 Manage Your Account Online 24/7 SOLD BY AIRGAS USA, LLC (N329) Access order history,view cylinder balances,get proofs of delivery, 130 CROSS RD pay invoices and more--visit Airgas.com today WATERFORD CT 06385-1204 For all information about returns, please visit us online at 800-962-0285 Airgas.com/terms-of-sale. 1'111.11"III'II'I'�JIIII'I'11111111'llllnllllll�lllnllln'�II , T3 P1 121883-1-17-1 -575 BILL TO FISHERS ISLAND FERRY DISTRICT IIII'llll'I"1111'1'III'll'lllll'1'1'111111'11'11111'I"'111'1111 ®R PO BOX 607 Airgas USA, LLC FISHERS ISLAND NY 06390-8021 PO BOX 734445 000575 CHICAGO IL 60673-4445 3 25765471911130537100000069486 ------- ------- ---- ---------- --- ----------------------- ---------- ----- ----------- --- ----------`------------- ---------------- -------- ----- - ------- --------- -- --------- ------ ---- ------------------ TO ENSURE PROPER CREDIT PLEASE RETURN N�THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 :AA',., NOr�r� �N :.a.>5,.�`. `,< <,'.<..� �..Y. •Li.t ti/LVf'\�ul ..<i:,.::��i.. >.'<,^..�yiitv";;>'``, C 'N V.'; 10984438}71) j�h' 9111305371 03/23/2�y0211 ' 2576547 FISHERS ISLAND_FERRY DIS TRICT .tiwWAV ;:.:�:.3...,..,...;•r ` ,. � Ttil� [�GGR1-'•, .i.`':.. '.�..: JI?I�JA <<:„ ' a;. `PA1�(stiENT`.E#MS >r,..". <<£":t)RAFRUATI ` TONYMIRABELLI@8604420165$ CUPU NET 30 03/23/2021 .,..I:tE�.11fiM(�Y'C!IQ:1:�;':�''„'.:;, ,;' . .• , ..,,z.� - .QTY'�'::�: : � ~'�c� .,-;CYLINAJ»R .:•..;.: '. ^,.n ., ,..�.,; ;;....,ui �k�et/!�� y� ' ^.;.3r: :.►4QfT�21; i.NUA+16F,..,.:.;, �s :”UQM `<QTY87Ci< .;.3.:i1IlT,t!„'tCE �,�� `;LSM,:;;:> AI[OLIMT";;;; 8108206730 RAD64000786 121EA 2.08 EA 24.96 N WHL CUT OFF 311X .035"X 1/4" 1 A600 ALOX (H) 8108206730 UAB23071 12 EA 2.96 EA 35.52 N WHL CTNG 4"X.035" 36 GRIT (H) Sale subtotal: 60.48 Airgas Hazmat Charge 9.00 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale' 69.48 ' SHIP To 3878688 -- -- -- Airgas. FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an Air Liquide company 5 WATERFRONT PARK Acct No SA,LL 228 AIRGAS USA,LLC NEW LONDON CT 06320 UPMC Bank,ABA No 021000021 6055 Rockside Woods Blvd Independence,OH 44131 For change of address 000575 email to:NDIV DI@Alrgas.com Pa REV 6 1 16 0000712 Pagel of 1 or call 216.520.6000 CRS OT CARD BILLONG VISA MASTERCARD DISCOVER AMEX Exp. mm/y Card CVV Print Name Card Billing Address Card Holder's Phone Number Signature If you are faxing this form please provide your Airgas acct# and Invoice# from the reverse side. ----------------- ------------------------------- ---------------- -------------------------I----------- ---- ------I-----------------I------------------------ ------ - --- ----- --------------------------- ----------- ----------- Disclosure Terms of Sale_ Each sale of Goods or services by an Argasll'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at bAR//www airqas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice This document shows the total number of cylinders charged to Buyer(i.e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof 'Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof RefingerantCylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(a g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as estab�hshed by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty, All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ON.INFRINGEMENTAND ANY WARRANTIES THAT MAY BE ALLEGED TOARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS, BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms ofPayment Unless otherwise specified in a Contract,Buyer shall make payment in full within 36 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay,A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel- Title to Equ nt Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of ipme Seller's ownership on any rental equipment Taxe5 Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges, (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel,None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government ronlrqct!i Certain Airgas companies are U 8 government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our e6usiness website,http://www.airgas.com. Visit us online today to see how www.airgas.com can save you time and money FISHERS ISLAND FERRY DISTRICT VENDOR 001497 AMWINS GROUP BENEFITS, INC. 04/20/2021 CHECK 7271 A k"k FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 2682741 DENTAL PLAN(22)4/21 1,642.11 SM .9060.8.000.000 2682741 ADMINISTRATIVE FEE 20.00 TOTAL 1,662.11 " ---------------- -- ----- ------------ ----- --- ---- - --- ----------k —-- -------------- ------------ -------------- - 7_ V, 4&^ s ----------- -- - ------ ----------- Z, IMF FISHERS ISLAND FERR DISMICT = 4,/ 0'/2"O"A"`Ad]DIT',," i. DIBOX 1179 17971-0959' CHECK CO.NATIONAL BANK CUTCHOGUE;NY 11935 I 2'i 4 ":dY,i:o6"DOLLARS, ,ONE -THOUSAND' AND ,GROUP .BENEFITS, INC. -4Y, AMWINS rO ` THE ERP ISE DRIVE SUITE 204, , T PZ' CT06484—' "ER SHELTON - OF' 150 2 Lill 11'007 2 ? Lill 40 2 11,0 5 4 6 to: 68 00 Vendor No. Check No. Town of Southold, New York - Payment Voucher 1497 "?017 1 Vendor Address Entered by 2 Enterprise Drive Vendor Name Suite 204 Audit Date Amwins Group Benefits Shelton,CT 06484 APR 2 0 2021 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2682741 3/22/2021 $ 1,662.11 1,642.11 Dental Plan(22)Apr 2021 SM9060.8.000.000 $ 20.00 Administrative Fee SM9060.8.000.000 $1,662.11 $1,662.11 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature Title Signature- �A- L--� Company Name Fishers Island Ferry District Date 4/7/2021 Title IMC Date �1 AinWINS Group Benefits Coverage Month April 2021 Client Payment Due Date 4/01/2021 ' •• Account Number 005-033-6264 Invoice Date 3/22/2021 FISHERS ISLAND FERRY DISTRICT Invoice # 2682741 GORDON MURPHY Page # 7 P.O. BOX 607 cct Administrator AMWINS BILLING FISHERS ISLAND, NY 06390-0607 Phone Number (203)924-2994 Toll Free (800)243-2534 Fax (203)924-0860 Email DAWN.GUIDONE@AMWINS.COM IMPORTANT PROCEDURES RETROACTIVITY RETRO ADDITIONS/TERMINATION/CHANGES ARE ALLOWED UP TO 30 DAYS ONLY. THEY MUST BE SUBMITTED IN THE MONTH FOR THE MONTH. PAY AS BILLED ALWAYS PAY AS BILLED TO AVOID ANY PREMIUM ADJUSTMENT ISSUES. ADJUSTMENTS FOR ENROLLMENT ACTIVITY WILL BE REFLECTED ON YOUR NEXT INVOICE. NON-PAYMENT OF PREMIUM GROUP CLIENT TERMINATIONS WILL NOW OCCUR AFTER 45 DAYS OF NONPAYMENT OF PREMIUM. THIS WILL BE STRICTLY ENFORCED. CLIENTS WILL RECEIVE NOTICE BY MAIL OF TERMINATION. REINSTATEMENT IS SUBJECT TO UNDERWRITING REVIEW. t Please detach the remittance slip below and return with your payment. �I..._......................... _........................................................................... ............ .; Invoice AMNMS Coverage Month April 2021 Payment Due Date 4/01/2021 .roup Benefits Account Number 005-033-6264 Account Name FISHERS ISLAND FERRY DISTRICT Invoice Date 3/22/2021 Invoice # 2682741 Account Administrator : AMWINS BILLING Phone Number : (203)924-2994 Page # 6 F-71-1--' -7! METLIFE 3 STAR DENTAL 2000MX SODED $1,642,.11 22 $1,642.11 Total Account Adjustments $20.00 $1,662.11 Grand Total LEGENDS: Relationship: HU = Husband, WI = Wife, PA = Partner, SO = Son, DA = Daughter, A or B = Twin, TR = Triplet, QU = Quadruplet Coverage Type: IN = Individual, PC = Parent & Child, P2 = Parent & Children, HW = Husband/Wife, FA = Family *Indicates Active COBRA/State Extension Member 'MR %-!---'NA1 FISHERS ISLAND FERRY DISTRICT VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 04/20/2021 CHECK 7272 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 0202104206445 VISION—GRP #A75986-5/21 160.69 TOTAL 160.69 3 5 ------ -- --- --- - --- ---------------- 'i",------ -------- ------------ -- -------- - 4j 1d g4 'uti i t E , ilvli -------- - -- --------------- - ---------- ------- ---- ------ ----------------- - FISHERS ISLAND FERRYDI TRI `;2' T, 04/20'/x`' D21,;-AUDIT CHEEK -NO': 7272, 1 ' ,Z `7 ,',DATE' ;% AMOUNT; 2 0'2,1;-,` 0-546/214-, 0 XTY AND 6 9 10 6 'DOLLAkS' PAY 'ANTHEM BLUE CROSS BLUE SHIELD TIDE Pp OREitR -NEWARK',14J 07101-11792: 0), u000 ? 2 7 2om ii:b21405464i: 68 OOL502 Lill Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 7,97 & Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 Y)c Vendor Name Newark, NJ 07101 Audit Date Anthem A P R � 0 202 Vendor Telephone Number FY 2021 Town Clerk Vendor Contact , n '. 4�WA Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 0202104206445 4/1/2021 $160.69 $160.69 Vision Plan#A75986 May 2021 SM9060.8.000.000 160.69 160.69 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claun is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Islan env Date 4/9/20211 Title Manager Date 4/9/2021 I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049 NORTH HAVEN,CT 06473 pAn ffiem® �-1® V® 0 033399 1 AB 0.425 0025511033399/005157 162 02 AGZDGD WPT132 SMGRP 04/01/202104/02/2021 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND,NY 06390-0607 Your Premium Statement Is Enclosed Beginning May 1, 2017, we are going PAPERLESS,Anthem's standard will be to issue bills (invoices) and accept premium payment online via EmployerAccess. Register or sign up now on EmployerAccess by logging onto https://eMploler.anthem.com All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly email notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject line to: CT.ogb@anthem.com. Provide your group number, contact name, email address,phone number and reason for opting out of the electronic billing and payment process Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc.Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. ur r .Anthem®0. )Billing Summary ® Invoice No.: 0202104206445 Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 Billing Period: 05/01/2021 to 06/01/2021 Date Billed: 04/01/2021 Due Date: 05/01/2021 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $321.38 $321.38 $0.00 SubTotal $0.00 Current Billing - - - -- ANTHEM' — - --$160.69 - ---_��-� _�_ —$1-6(F69— - SubTotal $160.69 Total Amount Due $160.69 �. .-,^:c.'�y- ...,..,,y,+--,,. -- �.z-,_ F.�µ��_�•_-:,. _ - -��,..c. `Y ,... —..._. u,,., .m _ Y 1 ' ^C,-„.y-,,; ., - `.-•- _ __` -_.«..,.-.-.,-n-�_ ti«..�.,,..._'+�;'+t.�»-'.-.--•- - - _� ._ _ - ���w.:..-.4�. +...s.-.�_ r^-t”-'tea- - � - ._.' � _ .. .r„bw '.w-.-xK..^vet'n�,d-..:....ersek.=_+a.G::.r<--t. , � -,. �,..- ___ „ ,--..._-_ �y„' <w-r<,...-< _ � •__ ,i. -: ^-�,..._. � ,„ . - ...,._ = - _�+�.rr^_ty,e,+arm-n_s_-_x.. - �„_,.-...-`-_.._ - �„.a..rn�^Msr,.n._.-�„�^�9 x----..,- ._.aM^�..+r-.r•-„-.-a._��n....r.»�'« - s _ _ `_ - _ 'r.r'.<�Vs... w'�__ .-._-,�- ___ -` __ _'nom_`_"�_.- _._. ~-._"y_.-,A!„�--^-uur..�e __ .-...,.c. - _ _ _ ,.__ �• _ _ _ _ - -__ � -__ "�'1'y�,ws ." -- _- ._..,-..s.- e _-__ - -_'^`i-sem - __ _ • _- •' —_ � -_- _ - ..• - - m. .. ��� -,-,�'l nwv - - _” --�.� y ,.,__^ .r - _�,_ «' - `_ - _- __. - '`yam~"`___,"«-.� - �- .,. - --�...."- -~-T - w- - ._, � _ �' ,,...,._-._.- „`"_... +.._`��,._ __ _ _ _ .,,-e.'._ •lam"_,.=r�>,� _ �_-__ __-_ •__ -�.�� ..,..,.___ - _.:.av _ �... -'-,-_ --. -..'"t"n.TM'^n�v __ _.n �.. - ,y`^fn _ _. ,.., __ "`,+f.r,-'�•^ �_'`_ ~�"+«... "y�a_ -..: ,_ ..-_.,- ya- '_ _ - .v.,-. „_ ..- .-e. ....,.� � ._.:,.,�` _ � ., _`_ ���' �.+.-„t.__ `•-_`+C.-..�nK:S:a'^-�s - ,a+,..+ito-.-a,>-'-•'c,i ..tt�^r'r-..�_- _ ., r - v. ,., _ti"�-'�^,�rc��t= •,,,�- ...vy-,r.-..s •.� -"<�;"n'a� "-„t.-�.R,...r�.y,.p¢zT, ,..�..-._ tr._-w,r�Pt, r-rc'R!'•-"_�'1'T;`ost•..+ `,^^".^Cv;:.�"scaa,.�rs`��at'�%°"e'�e..tu �'^}i'.' :7,;'=::—c^r'-,---.._^_"_ _ Cobra Conte;acts) Contract No Elate* Subscriber Dep Premium ID# Subscriber Product Type Cov Ch9 Amount Amount Amount 358M90438 HANSEN BW A5 HE O1 $5.85 $0.00 $5.85 )Membership Detail Subtotal $160.69 $0.00 $160.69 Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc.Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names x and symbols are registered marks of the Blue Cross and Blue Shield Association. 'vl IiA FISHERS ISLAND FERRYDISTRICT Al VENDOR 002785 STEPHEN G. BURKE 04/20/202,1 CHECK 7273 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060(.8.000.000 041221 CIGNA MEDICAL-4/21 1, 184.25( TOTAL 1, 184.25 p 00 -O ------------------------------------ ------ -- --------------- ---- ---- ---------------------- ------------ 41 v, "N T T 11 A$; !"t -- -------- --- --- --- ----------------- AIA FISHERSS-ISLAAD FERRY-DISTNCT -'04/2,'O" '- I. 53095 MAIN'RbAD;-PO BOX 1179,z A SOUTHOLD,':NY'l 1971 pq5q: :n7 2 0 "CHECK,NO 7' H SUFFOLK FFOCK'60.NATIONAL'BANK, -, ,--7 PUTC.HOGUE,NY'l 1935 DATE.,, 17- AMOUNT 04-/2o 8 4 `ONE,'Tk6iY8A&b',ONE:, D HUNDRED,EId iTY, FOUR'ANDt _ o o". 6ttAks .-', pAY. .-STEPHEN G_BURKE v,, A, 4 0,',STODDARDS ' WHARF,ROAD o- LEDYARD CT 0 : 9RDER -'12 i OF'`' 6335' '7T Aa?l o5007 2 7 Ps 1:0 2 L405464l: 68 00LS02 L Vendor No. Che'ck 0 Town of Southold, New York - Payment Voucher 2785 AU Vendor Tax ID Number or Social Security Number Vendor Address Ehtered-0y7,,,-,', 40 Stoddard's Wharf Road Ledyard, CT 06339 A: it-Daf6.-. ek5 Stephen G. Burke Y Vendor Telephone Number FY 2021 F, Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services MED REIMB 4/12/2021 Apr 2021 Medical reimb 0 $1,579.00 $1,184.25 Mc A00 OW, -$394.75 76%of$1579 1/ J p, At P �4 Z v 0 4,- �zt ,X/0, $1,184.25, $1,184.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies not d,and payment is approved SignatureTitle Signature 9.6 Company Name —Date 4/7/2021 Title Manager Date Elevate Wellness NELEVATE/r% 20 Madison Avenue WELLNESS Valhalla, NY 10595 Phone(914)428-6400 W�60 Fax(914)428-8080 jil, INVOICE STATUS PAID INVOICE# E356051776 Stephen Burke BILLING PERIOD 2021-04-01 to 2021-04-30 40 Stoddards Wharf Road DUE DATE 2021-03-20 Ledyard, CT,06339 ENROLLMENT FEE $00.00 STATEMENT FEE $0.00 TOTAL PAID $1,579.00 TOTAL DUE $0.00 2021-04-01 to 2021-04-30 Stephen Burke Silver 3000 PPO $1,579.00 Previous Due $0.00 Statement Fee $0.00 Late Fee $0.00 Bounce Fee $0.00 Overall Amount $1,579.00 Total Paid $1,579.00 Total Due $0.00 �/ J Please note: -When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. s -Please make check payable to Elevate Wellness Inc and include invoice#on the check -A$25 late fee will apply if payment is not received on time. -A$30 bounce fee will be apply for each bounced check Please return this portion of the invoice and make check payable INVOICE# E356051776 to Elevate Wellness Inc and include invoice#on the check DUE DATE 2021-03-20 TOTAL DUE $0.00 Elevate Wellness MEMBER Stephen Burke 20 Madison Avenue Valhalla, NY 10595 Q, C '� I I� 1 Q tO 0, FISHERS JSLAAD FERRY DISTRICT VENDOR 003274 CHA CONSULTING, INC. 04/20/2021 CHECK 7274 1 abi A N FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.2.000,000 0000644024 AIRPORT SEAWALL REPAIRS 102 .26 SM .5610.2.000.000 0000644024 AIRPORT BIDDING ASSISTNC 2\,321.06 TOTAL 2,423.32 Rig OD ---------- ---- ------ - ----- -- ------- ------------- -- - ----------------- -------- 7 1 7 4 s. VA w J% 14 ------ ------- --------- --- - --- ------------ FISHERS IkA '- FERRY PIS MIC --'04/20/` . 021,-"MkDilr. ,, , 53095 MAIN',AOAD,,PO BOX 1179 SOUTHOLD;NYj-1 97V0959" t. 1-o,CHECK. t—:, " FFOLK.CO.NATIONAL E -A -c CUTCHOGUE,NY 11935- DATE MQUNT J; 5 -5461214 ,20 AND 3 100'-DPLIARS 7W OUS R D,-TWENTY'- HREE, O"TH A9b:' 1?O&k':HUND''E'' vll PAY - CHA. CONSULTING, INC, iO17NE--- `III WINNERS CTRCLE'- ,RD _8R AL OF' ' lie 0 0 ? 2 ?to 115 -1:0 2 L 40 5 Le 6 41: 613 00L502 Lei' CHA Consulting,Inc. L �� Invoice 3 Winners Circle Albany,NY 12205 March 29,2021 Fishers Island Ferry District, NY Project No: 064402 000 261 Trumball Drive Invoice No: 0000644024 PO Box 607 - Fishers Island, NY 06390 Project 064402.000 FI Ferry DistnctShoreline Stabilization Email invoices to:accounting@fiferry.com Professional services provided:Work to date preparing bidding documents to shore improvements runways 7 and 30. Professional Services from February 20,2021 to March 26,2021 Phase 0001000 Sea Wall Repairs Fee Total Fee 8,825.00 Percent Complete 99.0492 Total Earned 8,741.09 Previous Fee Billing 8,638.83 Current Fee Billing 102.26 Total Fee 102.26 Total this Phase $102.26 --- - -- - -- - - - - - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - Phase 0002000 Bidding Assistance Fee t Total Fee 6,000.00 Percent Complete 38 6843 Total Earned 2,321.06 Previous Fee Billing 0.00 Current Fee Billing 2,321.06 Total Fee 2,321.06 Total this Phase $2,321.06 Total this Invoice $2,423.32 � Outstanding Invoices Number Date Balance 0000644021 1/14/2021 1,349.98 0000644022 2/9/2021 6,696.95 0000644023 2/25/2021 591.90 Total 8,638.83 Billings to date Current Prior Total Received AR Balance Fee 2,423.32 8,638.83 11,06215 Total 2,423.32 8,638.83 11,062.15 0.00 11,062.15 t FISHERS ISLAND FERRY DISTRICT (✓'d `' March 1,2021 FEMA Seawall—Bid Assistance RESOLUTION 2021—034 WHEREAS Elizabeth Field Airport on Fishers Island sustained storm damage from Storm Sandy: And WHEREAS FEMA has granted funding(DR-4085-DR-NY)and Technical Bid documents need to be prepared;and Therefore it is RESOLVED by the Fishers Island Ferry District Board of Commissioners to approve the 2/25/2021 proposal from CHA Consulting Inc., not to exceed$6,500,for Technical Specifica- tions and Bidding documents in accordance with District, Local and State Public Procurement Standards;and It is further Resolved to authorize management to execute contract and ancillary documents for i this project after review by District counsel. Moved by:Commissioner Ahrens Seconded by: Commissioner Reid Ayes:A.Ahrens, H.Burnham,T.Cashel, J. Reid and D.Shillo Nays:None i i 1 i I i i Southold Town Board-Letter Board Meeting of March 23,2021 RESOLUTION 2021-229 Item#5.20 yam` ' ADOPTED DOC ID: 16911 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-229 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 23,2021: RESOLVED that the Town Board of the Town of Southold hereby ratifies and approves the { resolutions of the Fishers Island Ferry District Board of Commissioners dated March 1 st and March 15th,2021 meetings, as follows: FIFD Resolution# Regarding March 1st 2021 - 032 RP Yard-Change Order 2021 -033 Legal/Av►rardt 2021 -034 Legal/Seawall , 2021 -035 Legal/Settlement March 15th 2021 -038 Budget Mod 2020 2021 -040 Legal/Public Health Plan 2021 -041 Legal/Dental Insurance Renewal Elizabeth A.Neville Southold Town Clerk j RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Louisa P. Evans,Justice AYES: Nappa,Dinizio Jr,Doherty, Ghosio,Evans, Russell Generated March 25,2021 Page 30 FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 7 04/20/2021 ,, CHECK 7275 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT W SM .5709.2.000.200 1 2163091 REFUSE/RECYCLING-3/21 499.47 SM .5709.2.000.200 2188024 REFUSE/,RECYCLING-4/21 504.24 TOTAL 1, 003 .71 Al a7 -------------------------- - -------------------------------- ------------------------------------------- - 1% Zr 1A, V, ---- --- --------- -- --- ---- --------- :7- Y DISTRICT 53095-MAIN ROAD;PO BOX -0959 ECK,,NO' :CO.'NATIONAL BANK NY 11935 F7 DATE'- -AMOUNT- W', by 5 ,546/214, 04/20%2021 nTHOUSAN THREE AND 1, ,'ONE' -7 1,'0 6' DOtLARS',',," P,4 Y, CWPM, •LLC TRME'- PO BOX 4%15 OF ' 'PLAINVILLE CT 06662" 11'007275119 1:0 2 11,0 S 4 to: 68 00 L50 2 1 Vendor No. Clieck,No: Town of Southold, New York - Payment Voucher 3891 �� `� r- Vendor Address Entered by PO Box 415 Viz ° Vendor Name Plainville, CT 06062 Aiidit`Date' r, CWPM, LLC x Vendor Telephone Number 860-447-1473 FY 2021 Town'Clerk %- mak;yi.3o Z, f.x"5'/;r1 r;/fir•,., v' .-, Vendor Contact Invoice Invoice Invoice ;,r,��°�"%'� � Net Purchase Order .ty"s Number Date Total Discount Amount Claimed Number �yQeneral'LedgerPFund'and AccountNrinibec ' 2163091 3/1/2021 $499.47 $499.47 March 2021 Refuse and Recycling ,' -;`SM5708.2.000.200` '> 2188024 4/1/2021 $504.24 $604.24 April 2021 Refuse and Recycling `r=, SM6700.2:000.200 < '=I 'moi y,'w r;.s�r"3,7 /i"i;i' r'�� ,3<i",`",,ion.r��' r0 NO X52, >;�' '/Fiq�,✓y� /E,f�viF J���i P %;�,M1 N;-`5,'rr Fa',P;�v Y , 01 %: �5F4 °'°dpFy..,,��„.ri,;;r'W,rj/',,�,;c,'s,„r„s„',.✓;r?',.:;y,;y 1,003.71.1 7111 1 003.71 414 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry District Date 4/6/2021 Title Manager Date `'1 4/6/2021 Page 1 of 1 Phone. 1-888-966-CWPM ruip,73 Fax 860-793-2624 INVOICE www cwpm.net PO Box 415,Plainville,CT 06062 Account Number ' 12761300 Invoice Date 3/1/21 Invoice Number 2163091 P 0 Number Date Due 4/1/21 New Charges this Invoice $49947 Payments/Credits Applied $000 FISHERS ISLAND FERRY DIST. Please Pay This Amount: $499.47 P O BOX 607 FISHERS ISLAND,NY 06390 , ------------PLEASE DETACH HERE AND RETURN ABOVE PORTION MM YOURPAYMENT---------- COMMERCIAL EINVOICE MARCH e e btotal- ActNbr. 12761300 StteName FISHERSISLAND FERRYDIST STATE STNEWLONDON,CT 06320 3/1/2021 MONTHLY SERVICES 100 $24921 $24921 3/1/2021 RCY MONTHLY SERVICES 100 $9585 $9585 3/1/2021 MONTHLY SERVICES 200 $51 12 $10224 V I CWPM,LLC PO Box 415 Charges: $44730 Taxes: $2981 Plainville,CT 06062 $2236 Phone 1-888-966-CWPM Fuel Surcharges: Fax.860-793-2624 Finance charge: $000 Total This Invoice: $499.47 Page 1 of 1 Phone:1-888-966-CWPM A&ULF Fax:860-793-2624 INVOICE www.cwpm.net PO Box 415,Plainville,CT 06062 ' Account Number 12761300 Invoice Date 4/1/21 Invoice Number 2188024 P.O.Number Date Due 5/1/21 New Charges this Invoice $504.24 Payments/Credits Applied- $000 FISHERS ISLAND FERRY DIST. Please Pay This Amount: $504.24 P O BOX 607 FISHERS ISLAND,NY 06390 Aniount ------PLEASE DETACH HERE AND RETURN ABOVE PORTION WITH YOUR PAYMENT------ Commercial Einvoice April PO4 ActNbr:12761300 SlteName.FISHERS ISLAND FERRYDISTT, STATE ST NEW LONDON,CT 06320 4/1/2021 MONTHLY SERVICES 100 $24921 $24921 4/1/2021 RCY MONTHLY SERVICES 100 $9585 $9585 4/1/2021 MONTHLY SERVICES 200 $51 12 $10224 CWPM,LLC Charges: $44730 PO Box 415 Taxes: $3011 Plainville,CT 06062 $26 83 Fuel Surcharges: Phone-1-888-966-CWPM $000 Fax.860-793-2624 Finance charge: Total This Invoice: $504.24 FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC '4 04/20/2021 CHECK 7276 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 90061- MU 5483 6GAL@$2.0558/GAL 11,273 .18 SM .5710.4 .000.300 90061' S-F COST RECOVERY .0021 11.52 SM .5710.4 .000.300 90061 LUST TAX - $.0010/GAL-O 5.48 TOTAL 11,"290.18 , - -- -- ----------- --- ---- -- --- ------------------- P -x 2 wq, m,4 ma\, J ---- ------- ----------- ------- ---- ----- - --------- --- ----'- ----------- --- ---- - - ------- --- - ------ ------- 77, FISHERS 7SI, 04 'AUD, AD,F8R9YblS 0 WX 1179 20 2 NO K CO.NATIONAL 6;kNk CUTCHOGUE,,NY 11935 .7,DATE, ,, 3j'j':2' b,.,16." 5b-5461214 -DOLLARS,' AND,' ig 0, ,ELEVEN'.THOUSAND 'TWO HUNDRED NINETY PAY., DIME OIL COMPANY, LLC 9 -NDUST Y 3 j R l LANE 25'1 GiF" _WATERBURY CT 06704 118007 2761im i:02140546 ,1: 68 00 150 2 L Vendor No. Cfieck.N6.- Town of Southold, New York - Payment Voucher 4277 -7- 7-7777 777- 5-F Efii6ied by �i-- 4 P.O. Box 11125 AudWDdie A P r Waterbury, d "M z Vendor Telephone Number Dime Oil Company LLC CT 06703 203-764-6334 FY 2021 Clerk %' V, Vendor Contact Invoice Invoice Invoice Net Purchase Order - I f Number Date Total Discount Amount Claimed Number Description of Goods or Services Genesi Ledger F /"a "Acc6mrNumber 90061 3/16/2021 $11,290.18 $11,273.18 MU 5483.6 gal @$2.0658/gal 6�4:000.300 i1/1 " -41' $11.52 S-F Cost Recovery.0021 S M 6 710 4.-'009.AW�',� $5.48 LUST Tax-$.0010/gal 0. "A "J""s, OPIS attached 4-W, 4 A q It a, $11 290.18 $11,290.18 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excludedrepancies noted,and payment is approved Signature Title Signature� (K —"��hd Ferry District Date Title Manager Date Company Name Fis 4/6/2021 Dime Oil LLC Phone: 203-754-5334 PO Box 11125 Date 03/16/21 Waterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco.com INVOICE ACCOUNT NUMBER : 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms: Net 30 Days From Invoice Date ------------------------------------------------------------------------------- Date Invoice Charge and Credits Amount ------------------------------------------------------------------------------- 03/16/21 90061 4420165 -A Fishers Island Ferry 5 Waterfront Pk-Munn #6 #2 ULSD Dyed 5483. 6 GALS @ 2.055800 11273.18 #2 Dyed Diesel Fuel NonTaxable Use ONLY Penalty For Taxable ,Use S-F Cost Recovery 11.52 LUST TAX 5.48 03/16/21 90061 Fuel Invoice Total 11290.18 Amount Due 11290.18 *** Please include account number with payment *** Y Dime Oil LLC 203-754-5334 Account: 4420165 TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 1 5%PER MONTH WHICH IS ,p — ek AN ANNUAL PERCENTAGE RATE OF 18% ON AMOUNTS\PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION FEES ' 0 0•G I 0 �, ; }J oo ice} o o �_� � o o � ORDER DATE' 66 _ _ ' 01 06320 10000 ! W/Ij /'C' 03/12/202 f cE3 3 D 1�. DELIVE Y DATE ° .. Fishers Island Ferry X64'420165 -A - 1�� -ck' f QI'; C^ Q 4 5 Waterfront Pk-Munnatawket • • ;GALLONS v� om n 1 State Street DIED DIESEL 860-442-01659R-31 /� �(/ New London CT 06320- 10340 FULL YL- �/1 b PRICE PLR GALLON I o o K Factor:' 0'.000 Last Delv:;0�/15�/21V 0.a 0123 �a I I95-ex83-st''ait-follow `.Signs-L State-bvr DISCOUNT PRI EJ PER GALLON RR Tracks,, to Term,JOHN 860-303-8311 (R)DEL 5400 ON 3/16 @ 9AM , 0hY61stcouNTAMou14r u _ ' ,Tl- .'RHIS AMOUNT $ 0 0010 YAKEq DAYS 4�Taxes=$ 0 . 0021o j I 4r a DIME OIL COMPANY LLC TRUCK 1 TA, , - o P.O. BOX 11125- W DRI ��,; - WATERBURY, CT 06703 T TIME AM PAYMENT RECEIVED (203) 754-5334 TM OF DEL00 ❑CASH ❑CHECK :cTHIS IS YOUR 1,r ® ❑CHARGE �I'lll = Vill �1= ,�, +• ��d'rct� �'� t,�d=`'��`,Esc �.. 0,��lil r'. _.�,, �, ,, t':r:�19�"�!�""��+�' :U" }„ iv'l '...k.` �a� �'�illi" •�di5rr'� ar', ..,};.''' •tl,�,r 4'++�I V i �•`a d' �tll ul'i ,Ypb,�._'R J,��';IIw41a1M1'Pd"'i���""'i�'.�;x_= m�,F�,�, ,;J,.;_ ��N�lil�'•I��I�uIjInIIII�I,���l�l,���� ,_d' .. <+ ��r.'�1••.I��,"���,d��lj'��ilil'd,��I�7r7M��,si .a t =`r �`*'°r�S:�1.�;�;u�l� I I _ i�;��� l III •, i. ....r .�' � ����i����l� ��;•, �I��'lu'��IIImilll��ul�,��������I'� - .'�•�r,;, ���� I�"'lu'I!IIN�,���°iPl�l I���I���� �� „", � ; "ul„���6�I!;��������IIV�, , III�'ll�',;;��� �:r- „ +•, VI r 'I I IVIVIII�'llilgllll I I rrll IQ16,'lilup°I Il ll at, u m ill I ��� �- •— __: 1 :uWVl wlllu�'i„01^I•r� �� i �6�"I'I °I���41lVI""�i ����o�� a1,� Kasia Asmolov From: Kasia Asmolov Sent: Monday,April 05, 2021 10:16 AM To: Kasia Asmolov Subject: FW: Invoice for 90061 Attachments: FISHER ISLAND.PDF HAVEN, CT 2021-03-16 16:59:00 EDT **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.l Move Pre Move Date Time Gulf u Net 199.95 - 2.25 -- -- -- -- -- -- -- -- 03/15 18:00 NWENGLPTR u N-10 201.55 - 1.65 -- -- -- -- -- -- -- -- 03/15 18:00 SaratogaE u N-10 202.05 - 1.85 -- -- -- -- -- -- -- -- 03/15 18:00 Shell u N-10 202.60 - 1.45 -- -- -- -- -- -- -- -- 03/15 18:00 Valero u N-10 203.65 - 1.35 -- -- -- -- -- -- -- -- 03/15 18:00 S.R.& M. u 1-10 204.22 - 1.86 -- -- -- -- -- -- -- -- 03/15 18:00 XOM b 125-3 204.55 - 2.03 -- -- -- -- -- -- -- -- 03/15 19:00 Shell b 125-3 204.65 - 1.46 -- -- -- -- -- -- -- -- 03/15 18:00 Sprague u 1-10 204.86 - 3.74 -- -- -- -- 207.38 - 3.74 03/15 18:00 Irving u N-10 204.88 - 1.88 -- -- -- -- -- -- -- 03/15 18:00 Citgo b 1-10 205.09 - 2.47 -- -- -- -- -- -- -- -- 03/15 18:00 Citgo u 1-10 205.09 - 2.47 -- -- -- -- -- -- -- -- 03/15 18:00 Valero b 1-10 205.10 - 1.85 -- -- -- -- -- -- -- -- 03/15 18:00 Sunoco b 125-3 205.86 - 1.97 -- -- -- -- -- -- -- -- 03/15 18:00 Gulf b N-10 206.00 - 2.20 -- -- -- -- -- -- -- -- 03/15 18:00 Irving b 1-10 206.95 - 1.93 -- -- -- -- -- -- -- -- 03/16 00:01 BP b 125-3 206.97 - 1.51 -- -- -- -- -- -- -- -- 03/15 18:00 LOW RACK 199.95 -- -- 207.38 HIGH RACK 206.97 -- -- 207.38 RACK AVG 204.35 -- -- 207.38 Plus vendor mark-up 1.23 Total 205.58 Convert to dollars $ 2.0558 Kasia Asmolov Fishers Island Ferry District From: Kasia Asmolov rmailto:kasmolov@fifer[y.com] Sent: Monday, April 5, 20219:37 AM To: Beth Skojec Subject: Invoice for 90061 Please send us invoice and OPIS for ticket#90061 from 3/16/21 Thanks and have a great day, Kasia Asmolov 7 FISHERS ISLAND FERRY DISTRICT VENDOR 004443 DOCKSIDE ELECTRONICS SVC LLC 04/20/2021 CHECK 7277 A FUND & ACCOUNT P.OA INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 14298 'FCC SAFETY INSPECTION 359.59 TOTAL 359.59 SA ------------- -- ------------------------------------------ - ------------ -------------------------- v j, An' .; ' ( i ------ ------- 7 A, HERS,ISLAM PlS 1FERRYDISTRICT 5 5 MAIN 0 2 R SOUTHOLD,%NY 11971-0959 309 OAD,PO BOXI 179 %4, THE SUFF0LK'C0.'NlA'TI0JNAL,BANK AMOUNT, ,',' , CLITCHOGUE,NY 11935 -54612 4, 4-/-2:0'/-2 0'2'f, 50 Z 5 ,.TH S - Eb, 'FI TY kNE A1415 9 1:dlo DOLLAR' A." p y DOCKSIDE ELECTRONICS SVC,LLC* ,- FF _,,i8 :STA, Rj 'STRIM, g o 0 OP PER '_MYSTIC' OF" 111007 277us i:02L\l,054641: 68 00 150 2 L0 Vendor No. Check No. Town of Southold, New York - Payment Voucher 44437 Vendor Addressn ed by 18 Stafford Street , Vendor Name Audit Date Dockside Electronics Service LLC Mystic, CT 06355 A'P R 2 ® 2021, Vendor Telephone Number 860-536-1919 FY 2021 Town,Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General,Ledger Fund and Account Number, 14298 4/2/2021 $359.59 $359.59 FCC Safety Inspection (1 hr) --SM5710.`2:000.000 $359.59 $359.59 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Is env District Date 4/7/2021 Title Manager Date 4/7/2021 o�xs� DOCKSIDE ELECTRONICS Invoice SERVICE LLC y 18 Stafford Street DATE INVOICE# Mystic, CT 06355 4/2/2021 14298 860.536.1919 BILL TO SHIP TO FISHERS ISLAND FERRY DISTRICT PO Box 607 FISHERS ISLAND,N.Y. 06390 Boat Name P.O. NO. TERMS SHIP VIA FOB Munnatewket/ NET 30 ITEM QTY DESCRIPTION SERIAL NO. RATE TOTAL FCC_INSPE... 1 Labor to perform FCC Safety Inspection 350.00 350.00 MILEAGE F... 1 Mileage Fee 9.59 9.59 o+�, �Q Fax# E-mail Subtotal $359.59 860-536-9272 tim@dockside-electronics.com Sales Tax (6.35%) $0.00 All service calls are subject to a minimum charge of$130.A 50%deposit is required on all new installations. If final payment has not been received after 30 days of completion Total of services,the credit card we have on file for you will be billed the invoice total in $359.59 addition to a 3%service fee. -qp 77, FISHERS ISLAADFERRY DISYRICT Vi VENDOR 005738 EVERSOURCE-ELECTRIC 04/20/2021 CHECK 7278 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT, SM .5710.4.000.100 51981034010321 NLT ELEC SVC-3/3-4/1/21 1,264 .40 TOTAL 1,264.40 low J, --- -- ---- - -- - ------ ----- Yj - ---- -- ---- ---- ---------------------- -- §,3,S 7, A I^; - i "r 4 --------- - -- ---------- ------ ---- ------------ ------- A, Q DOWUM-91 FISHERS.ISLAIVD FERRY'DlkICT'' I - 53095 MAIN O,BON 1179 _09,9 CHEck2'NO' . CO NATIONAL BANK - NY11935 ',,,AMOUNT', . IT 5Q 54'8(214= v,04/20/DATE 2b2l , ,,.,` 0 SAND' TWO`HUNDRED,,SIX Y AND',' 4'0%1'0,0' LLARS'.-', po PA) EVERSOURCE-ELECTRIC , E Po 6062 ,'BOX -5 OADER : S 02 -600: , 90 T6N:'MA - 155 C 11'007 2 Mile 1:0 2 140 5 L, 6 Loll: 68 001502 Ills Vendor No. Check No.•` Town of Southold, New York - Payment Voucher 5738 Vendor Address Entered by PO Box 56002 Boston,MA 02155-6002 Audit Date ; Eversource "M R 1 0 ,2021- Vendor Telephone Number 888-783-6617 FY 2021 Town Clerk,_,' , Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 51981034010 4/1/2021 $1,264.40 $1,264.40 NLT elec sery 3/3-4/1/21 W6710.4:000.100 f 4 $1,264.40 $1,264.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature 02� Ltt' - Company Name Fishers Island Ferry District Date 4/7/2021 Title Manager Date /r1 4/7/2021 EVERS®IJRCE ® . ` ® ; . � , ® ® Account Number: 5198103 4010 .Statement Date: 04/01/21 Amount Due On 03/31/21 $1,424.39 Service Provided To: Last Payment Received On 03/29/21 -$1,424.39 FISHER ISLAND FERRY DISTRICT Balance Forward $0.00 Total Current Charges $1,264.40 kWh/Day Supply Delivery 400- $594.74 $669.66 % Cost of electricity from Cost to deliver electricity 300- Eversource from Eversource 200- 100 -4,444 - NOM WN, OP $0 $254 $508 $762 $1,016 $1,270 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr 441 56* 681 761 721 62' 52' 461 33* 281 281 421 0* Your electric supplier is Average Temperature Eversource PO Box 270 Hartford,CT 06141-0270 This month your This month you used average daily 31.9%less % electric use was than at the 31®9 250.0 kWh same time last year USAGE News For u If you're having trouble paying your bill,we have programs to help—even if you've never needed them before.Call us at 800-286-2828 for residential and 800-682-3637 for businesses or visit Eversource.com/BillHelp for info on payment plans and other assistance programs available to you. Remit Payment To:Eversource,PO Box 56002,Boston,MA 02205-6002 OC EVERS.". URCE ° ' - 'Account Number: 5198103 4010 ' / Customer name key:FISH - Statement Date: 04/01/21 Service Provided To: Electric Account Summary FISHER ISLAND FERRY DISTRICT Amount Due On 03/31/21 $1,424.39 Last Payment Received On 03/29/21 -$1,424.39 Balance Forward $0.00 Current Charges/Credits f o o B o pj Electric Supply Services $594.74 Delivery Services $669.66 . o o m . o a a Total Current Charges $1,264.40 Meter Current Previous Current Reading Total Amount Due $1,264.40 Number Read Read Usage Type 892582072 86742 86016 726 I Actual ,,- Total Demand Use=23.40 kW 726 X Meter Constant of 10=7,260 Billed Usage Supplier Eversource Apr May Jun Jul Aug- Sep Oct Service Reference:952682001 10650 10940 9640 8880 11820 9680 9200 Generation Srvc Chrg** 7260.00kWh X$0.08192 $594.74 Nov Dec Jan Feb Mar Apr Subtotal Supplier Services $594.74 7300 8350 10160 8270 8890 7260 Delivery Contact Information (DISTRIBUTION RATE:030) Emergency:800-286-2000 Service Reference:952682001 www.eversource.com Transmission Dmd Chrg 21.40KW X$6.74000 $144.24 BusinessCenterCT®eversource.com Distr Cust Srvc Chrg $44.00 Pay by Phone:888-783-6618 Distribution Dmd Chrg - 21.40KW X$14.52000 $310.73 Customer Service:888-783-6617 Electric Sys Improvements*** 21.40KW X$0.82000 $17.55 Revenue Adj Mechanism 7260.00kWh X$-0.00011 -$0.80 CTA Demand Chrg 21.40KW X$-0.06000 -$1.28 FMCC Delivery Chrg 7260.00kWh X$0.01412 $102.51 Comb Public Benefit Chrg* 7260.00kWh X$0.00726 $52.71 Subtotal Delivery Services $669.66 Total Cost of Electricity $1,264.40 Total Current Charges $1,264.40 CE_210401 PROUXT-158846-000002767 E!/ERS®IJRCE e , Account Number: 5198 103 4010 'Customer name key:FISH Statement Date: 04/01/21 Service Provided To: FISHER ISLAND FERRY DISTRICT Continued from previous page... Supply Rate Dollars/kWh AA 0.12 0.1- 008- 006- 004 002 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr Demand Profile Max Demand 40- 30- 20- 10- 0- Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr ti 23 CE 210401PROUXT-1 58847-000002767 FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 04/20/2021 CHECK! 7279 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 7-320-68502 PR (1) AP (1) 106.82 SM .5710.4.000.000 7-327-72541 AP (1) 37.50 TOTAL 144.32 44 Rm -------------------- ---------- -- ------------------- ---- -------- --- 1 -------------------------------------------- - N I r ----- - --- --- ------ -- - ------------- " lz 17 7 PISHERS ISLAAV FERRY DISTRICT' 04/2`0"/'2','0'2"f-AUl 53095 MAIN ROAD,PO BOX 1179 SO I UT,HOLO,NY,11971,-,0959 CHECk, ,N0 THE SUFFOLK CO.'NATION,AL BANK K CUTCHOGUE,NY 11935 DATE AMOUNT 2'0/202 1 50 W $144',32 's -FORTY-,FObR--AND%J-2 100 :Dot ONE HUNDRED, Aly FEDEX. 'PO 'BOX 371461, - Ta THE ORER OFDPITTSBURGH, PA 15250 11000 7 2791 1:0214054641: M3 00 150 2 1 Vendor No. Check No. Town of Southold, New York- Payment Voucher 6155 74Q Vendor Address Entered by P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Audit Date Fedex �o�� Vendor Telephone Number AM R 800-622-1147 FY 2021 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 7-320-68502 3/29/2021 $106.82 $106.82 PR(1)AP(2) SM5719.4.000.000 7-327-72541 4/5/2021 $37.50 $37.50 APO) SM5710.4.000.000 $144.32 $144.32 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature— Title Signature 01 —,, o,,- Company Name Fishers Is and Ferry District Date 4/9/2021 Title Manager Date ■' Invoice Number Invoice Date FAccount Number Page 7-320-68502 Mar 29 2021 1206-0334-5 1 of 3 F Billing Address: Shipping Address: Invoice Questions? FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Contact FedEx Revenue Services ACCOUNT PAYABLE 5 WATERFRONT PARK Phone: 800.622.1147 PO BOX 607 NEW LONDON CT 06320 M-F7 AM to 8 PM CST FISHERS ISLAND NY 06390-0607 Sa 7 AM to 6 PM CST Internet: fedex.com Invoice Summary Account Summary as of Mar 29,2021 FedEx Express Services Previous Balance 169.15 Total Charges USD $106.82 Payments 0.00 TOTAL THIS INVOICE USD $106.82 Adjustments 0.00 You saved$9.46 in discounts this periods New Charges 106.82 Other discounts may apply: New Account Balance $275.97 To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. Detailed descrio�tigns of sarch�rae�-qn 0e located atfegpx.r.nmj r Invoice Number Invoice Date Account Number Page 7-320-68502 Mar 29 2021 1206-0334-5 2 of 3 - I:edEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weight Transportation Nandi ing ;Ret Chg/Tax F"ayor7yp Shipments. lits Charges Charges CreditsjOther Discounts, Total Charges Shipper 1 2.0 3098 9.62 -3.10 37.50 Recipient 2 2.0 63.52 12.16 -6.36 6932 -Total FedEx Express 3 &Q $0410 " $21.78 7$9.46 $10682 TOTAL THIS INVOICE USD $106.82 FedEx Express Shipment Detail By Payor Type(Original) Ship bate:Mar 16,2021 Cust,Ref.:NO REFERENCE INFORMATION 6ef#2: - Payor:Shipper Ref.#T • Fuel Surcharge-Fed Exhas applied a fuel surcharge of 675%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810997040508 KASIAASMOLOV KARIANE CHEW ' Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLO-ACCT DEPT Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD v Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2 0 lbs,0 9 kgs Transportation Charge 30.98 Declared Value USD 10000 Discount 3.10 Delivered Mar 17,202110 51 Fuel Surcharge ` 237 Svc Area A8 Courier Pickup Charge \ 400 Signed by D DIANE DAS Comm 325 FedEx Use 007578636/1283/_ Declared Value Charge 000 Total Charge USD $37.50 Shipper Subtotal USD $37.50 F"EW® Invoice Number Invoice Date Account Number page 7-320-68502 M a r 29 2021 1206-0334-5 3 of 3 Ship Bata.Mor-18,2021- ____. ____-- : _.__Us>t�Refs NO-WEIfE ICE IfUFL I IItIATI IN ef. ;.;; ;- ,_.. :, . : . Ref.D. • Fuel Surcharge-FedEx has applied a fuel surcharge of675%to this shipment • Distance Based Pricing,Zone 2 • Fed Ex has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 812608090056 DIANA WHITECAVAGE GORDAN MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 MAIN RD 261 TRUMBULL DR Zone 02 SOUTHOLD NY 11971 US FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 1.0 lbs,0.5 kgs Transportation Charge 3176 Delivered Mar 19,202110:25 Discount - -318 Svc Area A9, Fuel Surcharge 2.19 Signed by B BOB DAS Extended Comm 3.85 FedEx Use 007785324/1486/ Total Charge USD $34.62 Ship later Mar 24,2121 Cyst.Ref.NO€EFERENCE INFORMATION, 8002. - favor.-Recipient • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 7.00%to this shipment. • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 816377478145 KARIANE CHEU GORDON MURRAY Service Type FedEx Priority Overnight TOWN OF S0UTH0LD - A FERRY DISTRICT Package Type FedEx Pak 53095 MAIN RD 261 TRUMBELL OR Zone 02 SOUTHOLD NY 11971 US FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 10 lbs,0 5 kgs Transportation Charge 3176 Delivered Mar 25,202110 23 Discount -3.18 Svc Area A9 Fuel Surcharge 2.27 Signed by N.NICK OAS Extended Comm 385 FedEx Use 008362740/1486/ Total Charge USD $34.70 Recipient Subtotal USD $69.32 Total FedEx Express USD $106.82 1086-01-00-0013038-0001-0026685 ® Account Number Page Invoice Number Invoice Date 7-327-72541 Apr 05 2021 1206-0334-5 1 of 2 Billing Address: Shipping Address: Invoice Questions? FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Contact FedEx Revenue Services ACCOUNT PAYABLE 5 WATERFRONT PARK Phone: 800.622.1147 PO BOX 607 - NEW LONDON CT 06320 M-F7 AM to 8 PM CST FISHERS ISLAND NY 06390-0607 Sa 7 AM to 6 PM CST Internet: fedex.com Invoice Summary Account Summary as of Apr 05,2021 FedEx Express Services Previous Balance 275.97 Total Charges USD $37.50 TOTAL THIS INVOICE USD $37.50 Payments -169.15 Adjustments 0.00 You saved$3.10 in discounts this periods New Charges 37.50 Other discounts may apply. New Account Balance $144.32 To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 7-327-72541 Apr 05 2021 1206-0334-5 2 of 2 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weight Transportation Handling Rot Chgffax PayorType Shipments tbs Charges Charges Credits/Other Discounts Total Charges Shipper 1 2.0 30.98 9.62 -3.10 37.50 Total FedEx Express t i.0 S301I8 $9.62 3.10 $3710 TOTAL THIS INVOICE USD $37.50 FedEx Express Shipment Detail By Payor Type (Original) _ _ Ship Date:Altar 29„202t Cust,Ref.:NO REFERENCE INFORMATION Ref.#2: Payor;Shipper Refl3; • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 675%to this shipment • Distance Based Pncing,Zone 2 • FedEx has audited this shipmentfor correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810997040519 KASIA ASMOLOV KARIANE CHEW Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD ACCT DEPT Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2 O lbs,0 9 kgs Transportation Charge 30.98 Declared Value USO 10000 Discount -310 Delivered Mar 30,202112 03 Fuel Surcharge 237 Svc Area AB DAS Comm i13 25 Signed by M VERITY Declared Value Charge 0.00 FedEx Use 008847684/1283L Courier Pickup Charge 4 00 Total Charge USD $37.50 Shipper Subtotal USD $37.5 Total FedEx Express USD $37.50 T77, M 17 ? FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 04/20/2021 CHECK 7280 A, PA FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i J; SM .5710.4.000.200 1100130-0321 TELEPHONE-FIT-3/21 263.91 SM .5710.4 .000.200 1100130-0321 INTERNET-FIT-3/21 125 .00 SM .5710.4.000.200 1100130-0321 ELECTRIC-FIT-3/21 403 .84 JI SM .5710.4.000.200 110013 1 0-0321 WATER-FIT-3/21 41.55 16 SM . 1155.4 .000.000 1100130-0321 TELEPHONE-THEATRE-3/21 44.90 SM _.7 15 5.4 .0 0 0"."ift o 1100130-021 ELEC'T'RIC-THEATRE-3/21 122 .08 SM .7155.4.000.000 1100130-0321 WATER-THEATRE-3/21 53.32 SM .5709.2.000.1001100130-0321 TELEPHONE-WHISTLER-3/211 33.16 co SM .5709.2.000.100 1100130-032'\l INTERNET-WHISTLER-3/21 68.00 ti SM .5709.2.000 100 1100130-03121 * ,,ELE,CTRIC-WHISTLER-3/21 12G.49 SM .5709.2.000.'100 1100130-0321R-3/21 53.32 R-WHISTLE _SM .5610..4._000.0Q0__ - ------ 1,10-01307-0-32. ;,.ELECTRIC-AIRPORT--3/2.1__ -- ----20.9-91 .TOTAL1,545.48 ,*,, .' "T -- --------- ---- ------------------------------------- -- - ------ ---------- ------------- - ----- -9mo- T 021- -FISHERS ISLAND FERRY DISTRICT,_ 0 2 0 /i' 53095 MAINROAD,PO BOX 1 1791_ I . I I -11971-09 - ' N SOUTHOLD,'NY pq C 7 - CHECK', C THE SUFFOLK,CO.NATIONAL BANK- -qUTCHOGUE,NY11935 DATEt AMOUNT,",,,", 04/20/2'02'T` 1$T,:5'45-.,4-8 -540/214 ONE',tHOUSANDFIVE'HUNDRED,-FORTY FIVE AND 4:&J1,00 DOLLARS : 17 FISHERS, ISLAND UTILIT ,CQ TO TUE PO BOX 'BOX 604 VER OFFISHERS- ISLAND NY` 06390'=0604" 4s u§00 7 280iin 1:0 2 X40 5 001502 Vendor No. Check No. Town of Southold, New York - Payment Voucher 6412 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO BOX 604 Vendor Name Fishers Island, NY 06390 Audit Date FISHER ISLAND UTILITY COMPANY APR 2 0 2021 Vendor Telephone Number 631-188-0023 FY 2021 Town Clerk Vendor Contact 0. Y " Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1100130 4/1/2021 $ 1,545.48 $ 263.91 Telephone March 2021 FIT SM.5710.4.000.200 $ 125.00 Internet March 2021 FIT SM.5710.4.000.200 $ 403.84 Electric March 2021 FIT SM.5710.4.000.200 $ 41.55 Water March 2021 - FIT SM5710.4.000.200 $ 44.90 Telephone March 2021 -Theatre SM.7155.4.000.000 $ - Internet March 2021-Theatre SM.7155.4.000.000 $ 122.08 Electric March 2021 -Theatre SM.7155.4.000.000 $ 53.32 Water March 2021 -Theatre SM.7155.4.000.000 $ 33.16 Telephone March 2021-357 Whistler SM5709.2.000.100 $ 68.00 Internet March 2021-357 Whistler SM5709.2.000.100 $ 126.49 Electric March 2021-357 Whistler SM5709.2.000.100 $ 53.32 Water March 2021-357 Whistler SM5709.2.000.100 $ 209.91 Electric March 2021-Airport SM5610.4.000.000 $ 1,545.48 $ 1,545.48 ?ayee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or disc pancies noted,and payment is approved Signature Title Signature Company Name Fishers sand Fem Date 4/9/2021 Title Manager Date J ► Page: 1 of 14 Account: 1100130 P.O. Box 604 Bill Date: Apr 01 2021 i Fishers Island, NY 06390 Name: F I FERRY DISTRICT UTILITY O ' cs�z 1912 Questions about your bill? Account Summary Contact our office by phone(631)788-7251 press 4 for Telephone;press 5 Electric or Water Previous Balance Due $1,665.29 Monday-Friday 8 am-Noon&1pm-430pm Payment-Mar 29 $1,665.29CR Email:Phone, Electric,&Water-billing @fiuc.net Unpaid Balance as of Mar 29 $.00 If you pay by check,this is notification that the check may be converted to an electronic deposit. Please detach and return below portion with your payment. Fishers Island Telephone Corporation $286.08 Fishers Island LD $55.89 Register for ECare to view your bill and make Fishers Island-ISP $193.00 payments online. Fishers Island Electric Corporation $862.32 -Go to www.fiuc.net Select ECare:View/Pay My Bill. Fishers Island Water Works Corporation $148.19 -Select Register and follow the step instructions. Total Current Charges $1,545.48 -in Step 3 Click on(Show Me)to locate your account code on your bill. Notice: The Federal Universal Service will be Total Amount Due by Apr 25 $1,545.48 increasing to 33.4%on April 1st,2021. This FCC approved per-line surcharge recovers local companies contribution to the Federal Universal Service Fund. Please make checks payable to Fishers Island Utility Company Page: 2 of 14 ` Account: 1100130 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT How to Reach FISHERS ISLAND UTILITY CO. For Inquiries: --By Phone: 631-788-7251 press 4 for Tele one, press 5 for Electric/Water By Mail: PO BOX 604 FISHERS ISLAND NY 06390-0604 --Website: www.fluc.net For Payments b Mail --FISHERS ISLAND UTILITY CO. PO BOX 604 FISHERS ISLAND NY 06390-0604 For Payments Online --www.fiuc.net Consumer Complaints If you have a complaint or question about your utility"service, please contact The Fishers Island Utility Company first. If your complaint or dispute cannot be resolved with mutual satisfaction,you may file a customer complaint by contacting the New York State Department or Public Service(DPS)by any of the methods listed below. DPS complaint webpage: www.dps.ny.gov/complaints DPS Helpline: 1-800-342-3377 1-800-662-1220 Hearing/Speech Impaired,TDD) 1-518-486-7868 Fax DPS Mailing Address: NYS Department of Public Services Office of Consumer Services 3 Empire State Plaza Albany, NY 12223-7350 Notice: The Federal Universal Service charge will be increasing to 33.4%on April 1st, 2021. This FCC approved per-line surcharge recovers local companies contribution to the Federal 1niversal Service Fund. __rTTT--T -- -- • Page: 3 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY CO. Preferred Service Providers The following service(s)use Fishers Island LD for intraLATA long distance: 631 788-7463 631 788-7580 631 788-7744 The following service(s)use AT&T Communications for intraLATA long distance: 631 788-5523 631 788-7031 631788-7345 631 788-7655 The following service(s)use Fishers Island LD for interLATA long distance: 631 788-7463 631 788-7580 631 788-7744 The following service(s)use AT&T Communications for interLATA long distance: 631 788-5523 631 788-7031 631788-7345 631 788-7655 Fishers Island Telephone Monthly Service - Monthly Service from Apr 01 through Apr 30 631 788-5523(FAX/DSUMAINOFFICE) Business Local Service ** 2300 Access Recovery Charge ML Bus ** 3.00 End User Charge—Multi Line ** 9.20 Total for 631 788-5523 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non—payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 4.07 NY State Surcharge 1.16 Total Taxes and Surcharges 5.58 Monthly Service Monthly Service from Apr 01 through Apr 30 631788-7031 (MOVIE THEATER) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge—Multi Line ** 9.20 Toll Restriction—Business ** 4.00 Total for 631788-7031 39.20- Total Monthly Service Charges 39.20 ** Indicates an item for which non—payment will result in disconnection of basic service. s Page: 4 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY (10. EST. 1911 Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 4.07 NY State Surcharge 1 28 Total Taxes and Surcharges 5.70 Monthly Service Monthly Service from Apr 01 through Apr 30 631788-7345(FREIGHT OFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Toll Restriction-Business ** 4.00 Total for 631 788-7345 39.20 Total Monthly Service Charges 39.20 ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 4.07 NY State Surcharge 1.28 Total Taxes and Surcharges 5.70 Monthly Service Monthly Service from Apr 01 through Apr 30 631 788-7463(MANAGERS OFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 300 End User Charge-Multi Line ** 9.20 Total for 631 788-7463 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 4.07 NY State Surcharge 1.16 Total Taxes and Surcharges 5.58 Monthly Service a e e o e Monthly Service from Apr 01 through Apr 30 631 788-7580(FIO ROLLOVER) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 • Page: 5 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY CO. CST. 191a Monthly Service Monthly Service from Apr 01 through Apr 30(continued) End User Charge-Multi Line ** 9.20 Total for 631 788-7580 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 4.07 NY State Surcharge 1.16 Total Taxes and Surcharges 5.58 Monthly Service Monthly Service from Apr 01 rough Apr,3 631 788-7655(F I FERRY DISTRI -RESIDENCE) Access Recovery Charge SL Res ** .15 Residential Local Service ** 23.00 End User Charge-Single Line Res ** 6.50 Totalfor631 788-7655 29.65 Total Monthly Service Charges E9.65D- ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 2.22 NY State Surcharge .94 Total Taxes and Surcharges 3.51 Monthly Service Monthly Service from Apr 01 through Apr 30 631 788-7744(FI TICKETING) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Total for 631788-7744 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non-payment will result in disconnection of basic service. o a a a e pp— Page: 6 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT L UTILITY CO. S 14 Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 407 NY State Surcharge 1.16 Total Taxes and Surcharges 5.58 Total Fishers Island Telephone Corporation Charges 286.08 1 If you have any questions concerning the below charges, please call 631-788-7001, option 4. Usage Summary DEF Default FI Rate 1 calls .06 Total Usage Charges .06 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631 788-5523(FAX/DSUMAINOFFICE) 1 Mar 17 8:26:22am New London CT 860 405-0105 Direct DEF 2:00 .06 Total of 1 call for 631 788-5523 2:00 .06 Total Usage Detail Charges .06 Monthly Service Monthly Service from Apr 01 through Apr 30 631 788-7463(MANAGERS OFFICE) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631 788-7463 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00 minutes Used 3:00 minutes Total Usage Charges .00 e e e e a 'OF • Page: 7 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT LIELITY CO. &ST. 1918 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631 788-7463(MANAGERS OFFICE) 1 Mar 22 3:17:59pm New London CT 860 447-2377 Direct 500 2:00 .00 2 Mar 22 3.19:52pm New London CT 860 447-2377 Direct 500 1:00 .00 Total of 2 calls for 631 788-7463 3:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Apr 01 through Apr 30 631 788-7580(FIO ROLLOVER) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631 788-7580 17.99 Total Monthly Service Charges _.. 17.99,,-- Usage Summary 500 National Plan Allotment 500:00 minutes Used 175.00 minutes Total Usage Charges .00 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7580(FIO ROLLOVER) 1 Mar 02 8:57:41 am Humboldt IA 515 604-9776 Direct 500 12:00 .00 2 Mar 02 9:17:56am New London CT 860 442-1201 Direct 500 2:00 .00 3 Mar 02 9:39:55am Simsbury CT 860 844-2229 Direct 500 1.00 .00 4 Mar 02 11:01:10am New London CT 860 442-1201 Direct 500 1:00 .00 5 Mar 02 11:02:1 lam Norwich CT 860 886-7641 Direct 500 5:00 .00 6 Mar 02 12:39:25pm Albany NY 518 530-4357 Direct 500 16:00 .00 7 Mar 02 3:52:24pm Norwich CT 860 886-7641 Direct 500 2:00 .00 8 Mar 02 3:54:11 pm New London CT 860 442-1201 Direct 500 2:00 .00 9 Mar 02 3:56:47pm Waterbury CT 475 233-8315 Direct 500 1:00 .00 10 Mar 02 4:18:33pm Simsbury CT 860 844-2229 Direct 500 3:00 .00 11 Mar 04 9:39:23am New York NY 917 968-9820 Direct 500 1:00 .00 12 Mar 04 11:47:57am Southold NY 631 765-4333 Direct 500 5:00 .00 13 Mar 05 2:37:04pm Miami FL 305 588-3867 Direct 500 3:00 .00 14 Mar 05 6:53:40pm New London CT 860 389-2277 Direct 500 1:00 .00 15 Mar 08 2:10:41 pm Providence RI 401864-3411 Direct 500 3:00 .00 16 Mar 08 2:18:48pm Waterbury CT 475 233-8315 Direct 500 1 100 .00 17 Mar 08 2:27:05pm New Haven CT 203 464-9364 ° Direct 500 1:00 .00 18 Mar 09 9:05.46am Humboldt IA . 515 604-9776 Direct 500 1:00 .00 19 Mar 09 9:06:16am Humboldt IA 515 604-9776 Direct 500 2:00 .00 20 Mar 09 9:11:06am Weymouth MA 781 789-7971 Direct 500 1:00 .00 21 Mar 09 12:33:43pm New Haven CT 203 464-9364 Direct 500 1:00 .00 22 Mar 09 1:31:53pm Old Saybrk CT 860 339-5667 Direct 500 1:00 00 • , Page: 8 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY Co 6ST. 1918 Toll Detail (continued) Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7580(FIO ROLLOVER) (continued) 23 Mar 09 1:33:07pm Old Saybrk CT 860 339-5667 Direct 500 1:00 .00 24 Mar 10 9:22:06am Washington DC 202 641-0043 Direct 500 1 100 .00 25 Mar 10 2:19.57pm Hartford CT 860 803-2963 Direct 500 2:00 .00 26 Mar 11 8:54:55am Old Saybrk CT 860 339-5667 Direct 500 1:00 .00 27 Mar 11 9:38:15am Old Saybrk CT 860 339-5667 Direct 500 1:00 .00 28 Mar 12 10:22:11 am New London CT 860 442-1201 Direct 500 3:00 .00 29 Mar 12 11:50:29am Poughkepsi NY 914 474-7551 Direct 500 1:00 .00 30 Mar 15 8:21:18am New York NY 917 499-8960 Direct 500 2:00 .00 31 Mar 16 8:59:22am Humboldt IA 515 604-9776 Direct 500 6.00 .00 32 Mar 16 2:25:03pm Eprovidnce RI 401 437-4858 Direct 500 1:00 .00 33 Mar 16 3.33:46pm Memphis TN 901 361-7144 Direct 500 6.00 .00 34 Mar 17 10:55:46am Bridgeport CT 203 650-0327 Direct 500 2:00 .00 35 Mar 17 11:45.09am New London CT 860 440-3999 Direct 500 4:00 .00 36 Mar 17 3:04:49pm Greenwich RI 401 336-2182 Direct 500 23:00 .00 37 Mar 18 12:09:53pm Hartford CT 860 291-8997 Direct 500 3:00 .00 38 Mar 19 8.52.43am New London CT 860 449-4147 Direct 500 9.00 .00 39 Mar 19 6:49:32pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 40 Mar 22 9:40:57am Roanoke TX 817 224-2209 Direct 500 1:00 .00 41 Mar 22 3:51:12pm Greenville SC 864 243-6133 Direct 500 6:00 .00 42 Mar 23 8:58:19am Humboldt IA 515 604-9776 Direct 500 12:00 .00 43 Mar 23 11:02:51 am Hartford CT 860 291-1998 Direct 500 1:00 .00 44 Mar 23 1:29:59pm Selden NY 631 384-6809 Direct 500 1:00 .00 45 Mar 24 11:31:03am Bridgeport CT 203 767-0097 Direct 500 1:00 .00 46 Mar 25 11:29.30am Hartford CT 860 291-1998 Direct 500 2:00 .00 47 Mar 25 11:39:22am Hartford CT 860 291-1998 Direct 500 1.00 .00 48 Mar 25 1:21:22pm Hartford CT 860 291-1998 Direct 500 4:00 .00 49 Mar 25 1:33:41 pm Hartford CT 860 291-1998 Direct 500 400 .00 50 Mar 26 9:40.03am Southold NY 631 765-4333 Direct 500 3:00 .00 51 Mar 29 12:37:18pm Southold NY 631 765-4333 Direct 500 6:00 .00 Total of 51 calls for 631788-7580 175:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Apr 01 through Apr 30 631788-7744(FI TICKETING) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631 788-7744 17.99 Total Monthly Service Charges 17.99 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Total Fishers Island LD Charges 55.89 a a a a e pp— Page: 9 of 14 P.O. Box 604 Account: 11'00130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 L UTILITY CO. Name: F I FERRY DISTRICT Fishers Island Internet Monthly Service Monthly Service from Apr 01 thrroo ghApr 30 isp-1001000075(F 1 FERRY DISTRIT RESIDENCE) 12 Month"BASIC"Internet 6500 Internet Infrastructure Fee 3.00 Total for isp-1 001000075 611 Total Monthly Service Charges 68.00 Monthly Service Monthly Service from Apr 01 through Apr 30 isp-1001010114(FERRY MAIN OFFICE) 12 Month"BETTER"Business Internet 122.00 Internet Infrastructure Fee 3.00 Total forisp-1001010114 125.00 Total Monthly Service Charges 125.00 Total Fishers Island - ISP Charges 193.00 e e n e a Page: 10 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT Fishers Island Electric RENTAL HOUSE Current Charges Residential Electric Rates Class 7 26.46 Energy Charge(See detail below) 91.99 Demand Charge .00 Fuel Adjustment Fuel Adjustment Factor 02603 Per KWH 8.04 Current Previous Energy Used Charges MASTER 21381 21072 REG. 309 KWH 91.99 DEMAND 0.00 DMD. 0.00 KWH .00 DATE 03/22/21 02/22/21 DMD.MIN. 0.00 Meter Multiplier 1 00 Total Energy Charges for RENTAL HOUSE 126.49 FREIGHT SHED, BLDG 208 Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 193.46 Demand Charge 55.11 Fuel Adjustment Fuel Adjustment Factor.00863 Per KWH 8.03 Current Previous Energy Used Charges MASTER 6432 5501 REG. 931 KWH 193.46 DEMAND 4.34 DMD. 4.34 KWH 55.11 DATE 03/22/21 02/22/21 DMD.MIN. 2.31 Meter Multiplier 1 00 Total Energy Charges for FREIGHT SHED, BLDG 208 274.80 THEATRE Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 99.74 Demand Charge .00 Fuel Adjustment Fuel Adjustment Factor.00863 Per KWH 4.14 Current Previous Energy Used Charges MASTER 1135 1129 REG. 480 KWH 99.74 DEMAND 0.00 DMD. 0.00 KWH .00 DATE 03/23/21 02/22/21 DMD.MIN. 0.00 Meter Multiplier 80.00 Total Energy Charges for THEATRE 122.08 AIRPORT Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 146.91 Demand Charge 38.70 Fuel Adjustment Fuel Adjustment Factor.00863 Per KWH 6.10 PP ' Page: 11 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 012021 Name: F I FERRY DISTRICT UTILITY CO. 8ST. 1916 Current Previous Energy Used Charges MASTER 28628 27921 REG 707 KWH 14691 DEMAND 3.05 DMD. 3.05 KWH 38.70 DATE 03/22/21 02/22/21 DMD.MIN. 0.00 Meter Multiplier 1.00 Total Energy Charges for AIRPORT 209.91 BUSINESS OFFICE Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 82.29 Demand Charge 25.13 Fuel Adjustment Fuel Adjustment Factor.00863 Per KWH 342 Current Previous Energy Used Charges MASTER - 6768 6372 REG. 396 KWH 82.29 DEMAND 1.98 DMD. 1.98 KWH 25.13 DATE 03/22/21 02/22/21 DMD.MIN. 1 98 Meter Multiplier 1 00 Total Energy Charges for BUSINESS OFFICE 129.04 Total Fishers Island Electric Corporation Charges 862.32 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis.Federal and State Taxes are billed when applicable.A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines,meters and other costs.This charge will be billed whether or not you use energy. KWH(KILOWATTHOUR): A KWH equals 1,000 watt-hours of electricity use.One KWH equals the energy needed to run a 100 watt right bulb for 10 hours. FUEL ADJUSTMENT: A charge that reflects changes in the actual cost of fuel purchased by the utility_ RESIDENTIAL ELECTRIC RATES CLASS 1 CLASS 2 CLASS 7 Minimum Charge $12.13 Minimum Charge 537.05 Minimum Charge $26.46 First 1,000 KWH $0.2186 All KWH $0.4101 All KWH $0.2977 Over 1,000 KWH $0.2503 COMMERCIAL ELECTRIC RATES CLASS 5 Minimum Charge $18.20 Demand Charge 532.69 per KWH Energy Charge $0.2078 per KWH e o a S11IMS ISL Page: 12 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY CO Fishers Island Water RENTAL HOUSE Current Charges System Improvement Charge 3.92 Water Class 2,Meter 5/8 4940 02/22/21 -03/18/21 Water Usage Detail Meter#1564430356 Current Meter Reading 5348 Previous Meter Reading 5090 Cubic Feet Used 258 Gallons(Cubic Feet x 7.5) 1935 Total Water Usage Charge .00• Total for RENTAL HOUSE 53.32 THEATRE Current Charges System Improvement Charge 3.92 Water Class 2,Meter 5/8 49.40 02/22/21 -03/18/21 Water Usage Detail Meter#1564600656 Current Meter Reading 68 Previous Meter Reading 68 Cubic Feet Used 0 Gallons(Cubic Feet x 7 5) 0 Total Water Usage Charge .00 Total for THEATRE 53.32 BUSINESS OFFICE Current Charges System Improvement Charge 3.05 Water Class 1,Meter 5/8 38.50 02/22/21 -03/18/21 Water Usage Detail Meter#1564573058 Current Meter Reading 3122 Previous Meter Reading 2904 Cubic Feet Used 218 Gallons(Cubic Feet x 7.5) 1635 Total Water Usage Charge .00 Total for BUSINESS OFFICE 41.55 Total Fishers Island Water Works Corporation Charges 148.19 a a o a D o Page: 13 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 012021 Name: F I FERRY DISTRICT UTILITY CO, UNDERSTANDING YOUR WATER BILL Water usage is billed monthly.Your contract is on a non-transferable basis.Monthly minimum charges are based on meter size and class.Federal and State taxes are billed where applicable.A complete copy of our rate schedule can be obtained at the offices of Fishers Island Utility Company office building. CLASS 1 Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $38.50 3,000 3/4 $57.80 4,500 1 $96.20 7,500 11/4 $134.70 10,500 11/2 $192.50 15,000 2 $308.00 24,000 3 $615.90 48,000 4 $962.40 75,000 6 $1,924.80 150,000 Water usage over the minimum is billed at 512 80 per thousand gallons. CLASS 2 Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $49.40 3,000 3/4 $74.20 4,500 1 $123.60 7,500 11/4 $173.10 10,500 11/2 $247.20 15,000 2 $395.60 24,000 3 $79L10 48,000 4 _ $1,236.10 - 75,000 6 $2,472.30 150,000 Water usage over the minimum is billed at$16.50 per thousand gallons. 7 0 0 ! \ 9 • Page: 14 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Apr 01 2021 Name: F I FERRY DISTRICT UTILITY • EST. 15114 ******************** This page intentionally left blank******************** m e m e e FISHERS ISLAND FERRY DISTRICT VENDOR 009682 GOOSE ISLAND CORP 04/20/2021 CHECK 7281 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT "A SM 5710.4.000.625 801056 DIESEL-9.822 @ $3 .799 39.28 SM .5710.4.000.625 802002 DIESEL-4.777 @ $3.799 18.15 SM .5710.47000.625 802513 DIESEL-4.829 @ $3.7-99 18.35 TOTAL 75.78 04';Z 4 ------------- ------------------------------------------ A, ------------------------------------------- -- 0", --------- --- ------ -------- ----- - - ------------- -------- ----------- ---------- FISHERS'ISLAAD FERRY DISTRICT- 04/20/2021 53095 MAIN ROAD,PO BOX1 1,79 T= SOUT OLD,NY11971-0969, H :CHECK''-NO,j -N( -,-7281 THE SUFFOLK CO.'N6ONALBANK CUTCHOGUE,NY 11935, DATE,' 60-54 121417 , FIVt'AND 7 8/10 d DOLLARS PAY GOOSE ISLAND CORP. f 0 'kX -4t% 9 T, WE,, ORDER',` 63,3 "CENTRAL,AVENUE OF• FISHERS ISLAND NY 06390-0049 1180072131110 1:021,4054F3 41: 68 001502 Ilia Vendor No. Check No., Town of Southold, New York - Payment Voucher 9682 Vendor Address Entered by 1633 Central Avenue Vendor Name P.O. BOX 49 Audit Date', .: Goose Island Corporation Fishers Island, NY 06390 (' ��� Vendor Telephone Number AT'` 2-0'' 631-788-7311 FY 2021 T6*n:Clerk Vendor Contact '�'➢ `����KJ'(.YxPi Susan Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 802002 3/8/2021 $18.15 $18.15 Diesel 4.777 @$3.799 SM5710.4.000.625 ! 802513 3/8/2021 $18.35 $18.35 FI fork 4.829 @$3.799 SM5790:4.000.625 " 801056 3/18/2021 $39.28 $39.28 FI fork 9.822 @$3.999 x SM5710.4.000.625 A $75.781 1 $75.78 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature 4—Company Name Fishers sand Ferry District Date 4/8/2021 Title Manaeer Date 4/8/2021 Goose Island Corporation P.O. Box 49 Statement Fishers Island, NY 06390 QF Date 4/1/2021 i To FI Ferry District P O.Box 607 Fishers Island,NY 06390 Amount Due Amount Enc. $75.78 Date Transaction Amount Balance 03/07/2021 Balance forward 124.72 03/08/2021 INV#802002.Due 03/08/2021. 18.15 142.87 ---Diesel,4.777 @$3.799= 18.15 ---Gordon gas can ---Tax Exempt @ 0.0%=0.00 NA 03/08/2021 INV#802513.Due 03/08/2021. 18.35 161.22 ---Regular,4.829 @$3.799= 18.35 ---Gordon gas can ---Tax:Exempt @ 0.0%=0.00 03/18/2021 INV#801056.Due 03/18/2021. 3928 200.50 ---Regular,9.822 @$3.999=39.28 ---Gordon Gas cans ---Tax:Exempt @ 0.0%=0.00 03/29/2021 PMT#7229-3/23/2021. -124.72 75.78 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Due DUE DUE DUE PAST DUE 0.00 75.78 0.00 000 0.00 $75.78 i I r — Goose Island Corp Goose Island Corp P.O. Box 49 P.O- Box 49 Fishers Island, NY 06390 Fishers Island, NY 06390 831-788-7311 831-788-7311 CUSTOMER'S ORDER NO PHONE �/y'�� ;USTOMER'S ORDER NO PHONE V .2` NAME TT- -Fe I v� DAME f-Fe r-ni ADDRESS - %DDRESS CASH COD CHARGE ON ACCT MDSE RETD PAID OUT CASH COD CHARGE ON ACCT MDSE RETD PAID OUT I - 1) f-eSeI 7 l - i , I I I ' I � I I I I I I I I I ` TAX TAX SOLD BY CEIVEDBY I OLD BY R EI ED BY TOTAL 1 V- oN TOTAL CC'J1f//� E PRODUCT 609T hnao� M All claims and returned goods MUST be accompanied by this bill = PRODUCT609T All claims and returned goods MUST be accompanied by this bill 8 0 2 0 0 2 THANK YOU 802513 THANK YOU L I Goose Island Corp- P.O. Box 49 06390 631-788-7311 ol CUSTOMER'S ORDER NO PHONE DA NAME lADDRESS I CASH C O D CHARGE ON ACCT MDSE RET'D PAID OUT TAX SOLD BY REC VED BY ' TOTAL 3 C PRODUCT 609 All claims and returned goods MUST be accompanied by this bill. 801056 7hank"'You L7 FISHERS ISLAND FERRY Y DISTRICT VENDOR 012810 M.J. BRADLEY & ASSOCIATES, LLC 0412012021 CHECK 7282 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT H7 .5989.2.400.400,-, 14090-FIFDO04 PROF, SVCS-RP-1/1*-,1/31 652.50 H7 .5989.2.400.400 14204-FIFDO04 PROF' SVCS-RP-3/1-3/31 72.50 SM .5709.2.000.200 14204-FIFDO06 PROF SVCS-PRT-3/1-3/31 600.00 Ki TOTAL 1,325.00 C-0 -------- -- -- '61 ---------- ------------- --- ------------- - --------------- --- --- --- --- -- ------ - ---- ------- NO, ' , - 2--"=4 771 77 --04,/20/ ,2 1";P, 5 0 0 jSANb, THREE HUNDRED- TWENTY, 'IVE, TH6T 0 ONE DOLLARS Y' I „may PAY M.J. BRADLEY & ASSOCIATES, LLC TO 7A - ",7 J4GTIO - sQ ARDRVE OF ',-CONCORD-MA 01742`, il,00 7 28 2 iin 1:0,2 1-40 5 4 6 41: 68 00iSO 2 Ilia Vendor No. Check No,. Town of Southold, New York - Payment Voucher 1281079 t 9 Vendor Tax ID Number or Social Security Number Entered by 47 Junction Square Dr. Concord, MA 01742 Audit Date ... M.J. Bradie &Associates A P R�-2 0 '102t Vendor Telephone Number FY 2021 Towb`Clerk ' Vendor Contact x n Invoice Invoice Invoice Net Purchase Order = Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger kmu and AccouhtNumber 14090-FIFDO04 2/3/2021 $652.50 $652.50 Professional services-Race Point H7.5989.2.400.400 1/1-1/31/21 FIF CT DEEP VW Grant Technical Support 14204-FIFDO04 4/5/2021 $72.50 $72.50 Professional services-Race Point H7.5989.2:400.400 3/1-3/31/2021 FIF CT DEEP VW Grant Technical Support C s 14204-FIFDO06 4/5/2021 $600.00 $600.00 Professional services -Port Security SM5709.2.000.200 { 3/1-3/31/2021 r FIF 2021 PSGP Grant Advisory Services y $1,325.00 $1,325.00 r Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the_exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature 0'a VV 6 G l Company Name_Fishers Is an Fem Distract Date 4/8/2021 Title Date Z 1 MJB , A an ERM Group company M.J Bradley&Associates 47 Junction Square Drive Concord, MA 01742 (978)369-5533 To: Geb Cook Fishers Island Ferry District 261 Trumbull Drive Fishers Island, NY 06390 CC: gcook@fiferry.com From: David Seamonds Date: 2/3/2021 Re: FIF CT DEEP VW Grant Technical Support Invoice#:14090- FIFD004 Invoice For professional services rendered,from 1/1/2021 to 1/31/2021. David Seamonds Date Activity Hours 1/5/2021 Call w/Geb, review Mitigation Plan 1.50 1/12/2021 Review destruction pics, update report, review PO 2.00 1/13/2021 Destruction photos upload, correspondence w/CT 1.00 Subtotal Labor 4.50 @ $145.00=$652.50 Total Labor=$652 50 Total Expenses=$0 00 Invoice Total = $652.50 � W f Mj B an ERM Group company V l r M.J. Bradley&Associates 47 Junction Square Drive V Concord, MA 01742 (978)369-5533 To: Geb Cook Fishers Island Ferry District 261 Trumbull Drive Fishers Island, NY 06390 CC: gcook@fiferry.com From: David Seamonds Date: 4/5/2021 Re: FIF CT DEEP VW Grant Technical Support Invoice#:1 4204-Fl FDO04 Invoice For professional services rendered,from 3/1/2021 to 3/31/2021. David Seamonds Date Activity Hours 3/16/2021 Call w/Geb 0.50 Subtotal Labor 0.50 @ $145.00=$72.50 Total Labor=$72.50 Total Expenses=$0.00 Invoice Total = $72.50 1Y1 B , �'_ . A J -� an ERM Group company I M.J. Bradley&Associates o b 47 Junction Square Drive �vl Concord, MA 01742 (978) 369-5533 b1c- To: Geb Cook Fishers Island Ferry District 261 Trumbull Drive Fishers Island, NY 06390 CC: gcook@fiferry.com From: David Seamonds Date: 4/5/2021 Re: FIF 2021 PSGP Grant Advisory Services Invoice#:1 4205-Fl FDO06 Invoice For professional services rendered,from 3/1/2021 to 3/31/2021. David Seamonds Date Activity Hours 3/12/2021 Review FEMA Grant manual, emails to Jon H. 1.00 3/16/2021 EHS Screening form,call w/JH 3.00 Subtotal Labor 4.00 @ $150.00=$600.00 Total Labor=$600.00 Total Expenses=$0.00 Invoice Total = $600.00 Vr IF, FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 04/20/2021 CHECK 7283 A FUND & ACCOUNT P.O.# —INVOICE NDESCRIPTION AMOUNT sl SM .5710.4.000.625 54534432 NLT PAINT FOR RAMP 810.79 SM .5710.2.000.100 547894 4 MU SUPPLIES68'.89 SM .5710.2.000.100 54970370 MU SUPPLIES 128.86 SM .5710.4.000.625 55191231 NLT SUPPLIES 87.07 SM .5710.2.000.000 55434567 RP/MU SUPPLIES 201.75 SM .5710.4.000.625 55607785 NLT SUPPLIES 99.89 SM .571 0.4.000.625 55764694 NLT SUPPLIES 204.13 tG TOTAL 1,601.38 —----------------------------- ------ ---------------- ----- tt---——— — -——————--—— ————————————————————————— — Igo ————---- — —-—— —----——---——- 77 `50.545/214' 20'/2 t l ONE`THOUSAND SIX`HUNbRED ONE-AND`,,3'8 10 6;'jDbLLA WY,, MCMASITER-CARR SUPPLY CO. LIN RbAb" TtFE 6,9,G N, COUNTY 0 9-DER, rkMHURST IL 60126 OF i,000 ? 28 3110 40 2 140 54 641: 68 00L502 Ill, Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. A-P R 2 ® 7021 Vendor Telephone Number 609-689-3000FY 2021 Town Clerk Vendor Contact e Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger=Fund and Account Number 54534432 3/9/2021 $ 810.79 $810.79 NLT paint for ramp SM5710.4.000.625 54789464 3/12/2021 $ 68.89 $68.89 MU supplies SM5710.2.000.100 6!44� 54970370 3/16/2021 $ 128.86 $ 128.86 MU supplies SM5710.2.000.100 55191231 3/19/2021 $ 87.07 $87.07 NLT supplies SM5710.4.000.625 55434567 3/24/2021 $ 201.75 $201.75 RP/MU supplies SM5710.2.000.000 55607785 3/26/2021 $ 99.89 $99.89 NLT supplies SM5710.4.000.626 ! 55764694 3/30/2021 $ 204.13 $204.13 NLT supplies SM5710.4.000.625 $ 1,601.38 $1,601.38 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Feny District Date 4/9/2021 Title Manager Date Y✓J 4/9/2021 5�7_ MtMASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHNH Total $810.79 Invoice 54534432 Billed to Invoice Date 319121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$15 22 on merchandise and tax if paid by 3/19/21. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Haney placed this order. Line Product Ordered Shipped Balance Price Total; 1 6135T38 Water-Based Acrylic Antislip Coating, 1 Gallon, 7 7 0 88.70 620.90 Yellow Each Each 2 6439T73 Roller Cover for Thick Solvent-Based Coatings,9" 4 4 0 2.14 8.56 l Long, 1-7/16"Core Diameter Each Each 4 6524T15 Rocker-Lug Fire-Fighting Hose Fitting, Reducing 1 1 0 50.55 50.55 Adapter, 1 NH/NST Male x 1-1/2 NH/NST Female Each Each 5 6469T441 Spray/Stream Nozzle for Fire-Fighting Hose, 2 2 0 17.82 35.64 l Polycarbonate, 1"NH/NST Female,2-3/4" Each Each Diameter,4-3/4"Long Vk ( Merchandise 715.65 V Sales Tax 48.41 Shipping 46.73 Total810.79 Packing List Shipped Weight Carrier Tracking 3419038-01 3/9/21 491b UPS 1ZO835200326760420 3/9/21 491b UPS 1 ZO835200326768511 3/9/21 171b UPS 1 ZO835200326768520 3419038-02 3/9/21 31b UPS 1 ZO835200326760439 LL Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 271 MAASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHNP Total $68.89 Invoice 54789464 Billed to Invoice Date 3112121 FISHERS ISLAND FERRY DISTRICT P o BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.23 on merchandise and tax if paid by 32221. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago I L 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 47865K22 Brass OntOff Valve with Lever Handle,3/8 NPT 1 1 0 8.94 8.94 Female Each Each 2 4708K54 High-Flow Threaded Check Valve, Bronze Body, 1 1 0 47.88 47.88 3/4 NPT Female, 125 Pressure Class Each Each 3 44605K173 Low-Pressure Pipe Fitting,Steel,Cap,3/8 NPT 1 1 0 1.14 1.14 Each Each Merchandise 57.96 Sales Tax 4.11 Shipping 6.82 Total $68.89 �� Packing List Shipped Weight Carrier Tracking 3654519-01 - 3/12/21_ 2Ib__ UPS 120835200326964951 J Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 212 i J McMASTERmCARR. Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park JOHNP 609-689-3000 New London CT 06320 ; 03/12/2021 nj.sales@mcmaster.com Order Placed By John Paradis McMaster-Carr Number 3654519-01 Line Product Ordered Shipped 1 47865K22 Brass On/Off Valve with Lever Handle, 3/8 NPT Female 1 1 Each 2 4708K54 High-Flow Threaded Check Valve, Bronze Body, 3/4;NPT Female, 125 Pressure Class 1 1 Each i 3 44605K173 Low-Pressure Pipe Fitting, Steel, Cap, 3/8 NPT 1 1 Each i 747 MMASTERmCARR. _ Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $128.86 Invoice 54970370 Billed to Invoice Date 3116121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$2.42 on merchandise and tax if paid by 32621. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320- - Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 9773K55 High-Flow Threaded Check Valve, Bronze Body, 1 1 1 0 113.98 113.98 NPT Female, 150 Pressure Class Each Each Merchandise 113.98 Sales Tax 7.69 Shipping 7.19 Total $1�2�8j.8866 Packing List Shipped Weight Carrier Tracking 3847321-01 3/16/21 3 Ib UPS 1 ZO835200327142579 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 275 i � t McMASTERoCARR, Packing List 20d'New'Canton Way Fishery Island Ferry District Purchase Order = Page 1 of 1 Robbinsville NJ 08691-2343 5 Watelrfront Park JOHN P 609-689-3000 - New London CT 06320 i Order Placed By 03/16/2021 nj sales @mcmast'er�crn John Paradis McMaster-Carr Number r _ 3847321-01- Line Product Ordered Shipped 1 9773K55 High-Flow Threaded,Check Valve,Bronze Body, 1 NPT Female, 150 Pressure Class v 1 1 Eich 58 [1 ,FMcMASTERmCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $87.07 Invoice 55191231 Billed to Invoice Date 3119121 FISHERS LAND FERRY DISTRICT P O BOX 607Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.60 on merchandise and tax if paid by 32921. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 47865K23 Brass On/Off Valve with Lever Handle, 1/2 NPT 1 1 0 10.24 10.24 Female Each Each 2 409OK12 Vibration-Resistant Pressure Gauge with Brass 1 1 0 64.79 64.79 Case, 1/4 NPT Male Center Back Connection, Each Each 2-1/2"Dial,0-300 PSI Merchandise 75.03 Sales Tax 5.20 Shipping 6.84 Total $87.07 Packing List Shipped Weight Carrier Tracking 4061036-01 3/19/21 21b UPS 1ZO835200327335432 I Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 250 i' MMASTERmCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHNH Total $201.75 Invoice 55434567 Billed to Invoice Date 3/24121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$3.84 on merchandise and tax if paid by 4/321. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Haney placed this order. Line Product Ordered Shipped Balance Price Total 3 5504K22 Medium-Pressure Easy-Store Discharge Water 2 2 0 90.23 180.46 Hose, Brass 1 NPSM Male x 1 NPSM Female Each Each Fittings,30 Feet Long Merchandise 180.46 Sales Tax 12.05 Shipping 9.24 Total $201.75 Packing List Shipped Weight Carrier Tracking 3419038-03 3/24/21 12 Ib UPS 1 ZO835200327507050 1 Z L GJ � 1 c Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 271 .---------- - - F� McMASTERmCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0326JMARSHALL Total $99.89 Invoice 55607785 Billed to Invoice Date 3/26121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.85 on merchandise and tax if paid by 4/521. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Jesse Marshall placed this order. Line Product Ordered Shipped Balance Price Total 1 6524T13 Rocker-Lug Fire-Fighting Hose Fitting, Reducing 1 1 0 51.45 51.45 Adapter, 1 NPT Male x 1-1/2 NH/NST Female Each Each 2 6469T442 Spray/Stream Nozzle for Fire-Fighting Hose, 2 2 0 17.82 35.64 Polycarbonate, 1"NPSH Female,2-3/4"Diameter, Each Each 4-3/4"Long Merchandise 87.09 dL-/ Sales Tax 5.96 Cvl Shipping 6.84 Total $99.89 Packing List Shipped Weight Carrier Tracking 4428909-01 3/26/21 2 Ib UPS 1 ZO835200327679026 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 240 i MAASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order STEEL FLAT Total $204.13 Invoice 55764694 Billed to Invoice Date 3/30121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$3 65 on merchandise and tax if paid by 4/Ml. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Fiora placed this order. Line Product Ordered Shipped Balance Price Total 1 92620A716 Zinc Yellow-Chromate Plated Hex Head Screw, 2 2 0 8.77 17.54 Grade 8 Steel, 1/2"-13 Thread Size, 1-1/2"Long, Packs Per Pack Packs of 10 2 98026A116 Grade 8 Steel Washer, Black 7 7 0 10.42 72.94 Ultra-Corrosion-Resistant,9/16"Screw Size, 1.5" Packs Per Pack OD, Packs of 5 3 5185N115 Black-Oxide Steel Split Lock Washer, Black-Oxide 2 2 0 3.61 7.22 Carbon Steel,for 1/2"Screw Size,0.512"ID, Packs Per Pack Packs of 10 4 94895A200 High-Strength Steel Hex Nut,Grade 8, 1 1 0 11.20 11.20 Black-Oxide, 1/2"-13 Thread Size, Packs of 50 Pack Per Pack 5 6527K624 Low-Carbon Steel Rectangular Tube, 1/4"Wall 1 1 0 62.79 62.79 Thickness,3"x 3"Outside Size,3 Feet Long Each Each Merchandise 171.69 Sales Tax 12.19 Shipping 20.25 Total $204.13 Packing List Shipped Weight Carrier Tracking 4573011-01 3/30/21 7 Ib UPS 1 ZO835200327812381 4573011-02 3/30/21 271b UPS 1 ZO835200327812390 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 268 -,- -?7- 1 7 7 77, 7, JI, FISHERS_1SLAAD FERRY DISTRICT VENDOR 013937 NAPA AUTO PARTS OF GROTON 04/20/2021 CHECK 7284 A is FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 28,1488 RP SUPPLIES 32.90 TOTAL" 32.90 Y - - - ----- -- --------- ------- ------------- - -- ---------- 'vv -.4 . ......_;5,' 3, ,4 ------- ----- ------- --------------- ---------------- ------ - -- - - -- - --- ----- - ----- ------ t glo,'MI&S ISLAND FERRY N DISTRICT TRICT 0.4 21 0,' ,, 1,*,AUDIT, IT ROAD;PO BOX 117 9,,, PUTHOLD,NY 11971-0959 CHECK' , '2'8 THE,SUF90L'k co.NATIONAL BANK ,CUTCHOGUE,NY 11935. MOUNT,, F k .90 , , , 1 , 4&D' -/ ,o , goio -DOLLAR 1"y" •J,A P" 'y P"4y, NAPA AUTO PARTS -QF,GROTON TO TiVE !-_'i0,62' ,ROUTE ORDER'. -,GROTON CT 06340,-:'.:, OF 110007 28411' 1:0 2 14051, 41: 613 001502 Ills Vendor No. Check No. Town of Southold, New York- Payment Voucher 13937 79 Vendor Address Entered by 1002 Route 12 Vendor Name Groton,CT 06340 Audit Date ��2� NAPA APR 2 0- Vendor Telephone Number 860-45-8181 FY 2021 Town Clerk Vendor Contact �1 v 4f��— Invoice Invoice Invoice Net Purchase Order u Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 281488 4/6/2021 $ 32.90 $ 32.90 RP supplies SM5710.2.000.200 , , i $32.90 $32.90 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discEaKl ies noted,and payment is approved 0 Signature Title Signature Company Name Fishers Is an Ferry District Date 4/7/2021 Title Manager Date 4/7/2021 200001178 NAPA of Groton Time: 10:43 Invoice Number 2814881 INA AM PMn '` 1002 ROUTE 12 I IIIIII VIII VIII VIII VIII VIII IIII IIII` � Groton, CT 06340 Date: 04/06/2021 � E3 (860) 445-9706 Page: 1/1 61297 ._�.�.�.."- Employee: 11 ,m JohnmN_,,..�__��.,"_..__.�... Fishers Island Ferry District Sales Rep- 0 Salesman Y Y PO Box 607OCR Accounting Day: 5 261 Trumbull Drive "' ",. 2000011782814889 ca Fishers Island, NY 06390 _ .] i` .�> ''�?�rt°�Number"��� - ;�La..ne�i• , .�x;>��D`es`cri�it�.an��,: <,<H�. � a< Qiian�i�y; ��Pr�.ce. €` F�,M. �'�m>, k.- _.<.,-�,_ �� 272 MMM REINFORCED FILLER (530) 2.00 27.22 16.4500 32.90 S Qty: 2 from: CON - CONNECTICUT i Delivery Subtotal 32.90 Attention: nick f TABLE 1 6.3500% 0.00 ( Tax Exemption: ! PO#: Terms: -7 77 a1 �u�f,rx.-7 ` �:.: ._ Customer Signature Charge Sale 32.90 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE p� RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 0rI6492 PITNEY BOWES, INC. 04/20/2021, M A CHECK 7285 FUND & ACCOUNT P.O.#/ INVOICE DESCRIPTION 1 AMOUNT SM .571 1.4.000.000 3313337977 PSTG MTR RNTL-5/7-8/6/21 72.00 TOTAL 72.00 ------------ -------- ------------- ----------------------------- V, ------------------------------------------- ----- - 'All xr1l.-W ;_q I%X -- - -- ----------- - -------- --- --------------- -------------- 1,15 Z''111 FISHERS ISLAND'FERRY DISTRICT- ' 'j " r 021'-Auuur,, _53095 iVlAIN ROAD,PO BOX 1,179 04 2<0 2 ` 7.2 '6-64012 4- '04" /2 0 '1' 5 7 `,'§tVENTY, 'T—Wb' AND 00/ 00`-DOLW_R'§, r ic\,, PAY, PITNEY 'BOWES, INC. PQ BOX"17 18 9 6 9EM OFMPITTSBURGH PA 1525038,'96 Z 0 0 7 213 S 111 1:0 2 140 5 to r3t,1: 613 00 150 2 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 16492 Vendor Address Entered by PO Box 371896 Pittsburgh, PA 15250-7896 Audit Date Pitney Bowes APR-2 0 �1oz Vendor Telephone Number 800-228-1071 FY 2021 TowriuClerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger.Fund and Account Number , } 3313337977 4/3/2021 $72.00 $72.00 Postage Meter Rental 3M5711.4:000.000- 5/7/21-8/6/21 1 t =,r i $72.00 $72.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Titlea& CL"-S gnature Company Name Fishers Is and Ferry District Date 4/9/2021 TitleDate 1�f l�l-�� Account number: 0015132475 Pitney boWes C�JJ) Account name: FISHERS ISLAND FERRY Page 1 of 2 Lease invoice# 3313337977 April 3, 2021 SUMMARY,GF YOUR,CHARGE `ry ,PA'IfM NT 1NFORM,AT1®N Leasing charges $72.00 F` l?�yt ey+ t of,$72;0Q,is dile,by May,7;2021 Total tax $0 00 Never need to pick up the phone again.Sign up TOTAL DIE 0 /0712029 $72.40 ) ��) to'YourAccount"to manage everything online. pitneybowes.com/us/signupnow See reverse side for invoice details. Sign up. Start using'Your Account'today to manage everything online,including AutoPay. Pay online. pitneybowes.com/us/payontinenow Get immediate answers to your questions. pitneybowes.com/us/answers Questions? For Bitting and Account Support call: 844-256-6444 NEW:Check your lease contract details at pitneybowes.com/us/contract l/ -To pay by mail,•complete-and"send the coupon betdW_Please show 7-10 busib6s4'6ys for,mait'alid processing time. Pane 1 of 2 TAX ID 20-1344287 N-000146 777 zs","-", FISHERS ISLAND FERRY DISTRICT i VENDOR 016723 PROGRESSIVE BENEFIT SOLUT. ,LLC 04/20/2021 CHECK 7286 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT' SM .9060.8.000.000 PBS-HRA-03/21 HRC TOTAL UTILIZTN-3/21 899.98 SM .9060.8.000.000 64747 MNTHLY CARD UTILZTN-3/21 104 .50 ,z TOTAL. 1, 004.48 Al MEW- 10 ` - - ----- --- ----- --------—--- -- }; I .. . ..;&,S -'+.t "" k':r.,'•ts.x,x: •,., "r.. ",, .r ' r;_4.; .•t;. =f.t; hi`."+ ,. y ... °F.nC 6 ".fir,, ' ti;<<, ca, :k"?^.,, '• }i;'/. "t'Y+ ;', ;'tr t .,x .. : +• .,:_ - a I _ - '"} ., ;.,yr.../ , ;•:;yam.,, h .;`t;; I I I £x I I I , ' fi• I \\ bldg FISHERS ISLAND FERRY DISTRICT ` `` 53095 MAIN ROAD,PO BOX 1,179 04/2 0l?02;1 AUDIT SOUTHOLD„NY 11971-0956 ' - - 'CHECK'-NQ. 7,28,6 ; ''<Y ” THE SUFFOLK CO.NATIONAL+BANK CUTCHOGUE,NY 11935 AMOUNT,,' •- I ^"j - a+'- , t I - ", '' 1{ •, t fig„ .• - .:•,'` . .` . F, k-+ I F.4""• 5o.5a5i2i'g; _ 04 2V[20'21 'ONE'THOLTSANDx,FO 0 ' OLT ARS 7: UR' AND 4 8 1'0 D ^, r PROGRESSIVE BENEFIT- PAY, SOLUT. ,LLC OT9HE14, BUSINESS' PARK-DRIVE; ORDER:, 'BRANFQRD CT 06405 11'00 7 28611' 1:0 2 li40 5L, F3L, 68 00 1 50 2 iii' f , Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 77 tq$ ro Vendor Address Entered by 14 Business Park Dr#8 54L Branford, CT 06405 Audit Date Progressive Benefit Solutions(PBS) APR 2 ® 2021 Vendor Telephone Number FY 2021 Town Clerk Vendor Contact +, 9 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 64747 3/31/2021 $104.50 $104.50 Monthly card administration Mar 2021 (19) SM9060.8.000.000 PBS-HRA 3/31/2021 $899.98 $899.98 HRA Total 2020 utilization as of 3/31/21 SM9060.8.000.000 $1,004.48 $1,004.48 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature L�'— Company Name Fishers Island Ferry District Date 4/6/2021 Title Manager Date 4/6/2021 Progressive Benefit Solutions LLC Invoice 14 Business Park,98 Date Invoke# Branford, CT 06405 3/31/2021 64747 Bill To Fishers Island Ferry District Attn Gordon Murphy P O Box 607 Fishers Isle,NY 06390 P.O. No. Terms Project Upon Receipt Quantity Description Rate Amount 19 Monthly Benny Card Administration 5 50 10450 April 2021 Invoice(Active Participants thru 03/31/2021) Total S10450 r 14 Business Park, #8 DATE: March 31,2021 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2020 HRA Utilization Invoice Bill To: Fishers Island Ferry District " DESCRIPTION: HEALTH REIMBURSEMENT PLAN UTILIZATION',, AMOUNT, Required Funding Health Reimbursement Total Utilization $ 899.98 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 899.98 Z, FISHERS ISLAND FERRY DISTRICT VENDOR 014022 RING'S END LUMBER, INC. 04/20/2021 CHECK 7287 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 692824 RP SUPPLIES 3 1.23 SM .5710.4.000.625 697621 NLT SUPPLIES 191.79 TOTAL 231.02 ------------------------------------------ ------------------- ----------------------------- ------------- - vx. q ze ----- --------- pa l< 17 U ME s F1SUERS-I&L-AArb AkRYPISTRICT ',,04/20/2021-AUDIT-' ';, 53095 MAIN ROAD,PO,BOX 1179, 11971-0959, - SOUTHOLD,NY CHECK' NO. 7, THE SUFFOLK CO.NATIONAL BANK K CUTCHOGUE,NY11935, #21 .02 *231 11 I 'l MiOH DRED THIRTY ONE,__AND 02/100'"'DOLLARS-,, l 7 1' PAY, RING',S END LUMBER, INC. Td 77[E' 0 P BOX 7-14 , ORDEJ - N! OP", ANTIC' CT 06357-- G13 OOLS02 III ii"00 ? 213 Wo 1:0 2 1 tio 5 4 6 Lo: Vendor No. Check No. Town of Southold, New York - Payment Voucher 14022 Vendor Address Entered 6y PO BOX 714 �. t Niantic,CT 06357 Audit Date e RING'S END Vendor Telephone Number APR"t 0. 860-739-5441 FY 2021 Town Clerk�.�, Vendor Contact LZ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services "'General Ledger Fund and Account Number 692824 3/24/2021 $39.23 $39.23 RP supplies SM5710.2.000.200, . � 697621 3/29/2021 $191.79 $191.79 NLT supplies SM5710.4.000.626' k A $231.02 $231.02 a Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title0".' Signature9 � V"' Company Name Fishers Island Ferry District Date 4/8/2021 Title Manager Date 4/8/2021 mhmhm I ( RINGSEND Since 1902 Bethel, CT Branford, CT Darien, CT Lewisboro, NY (203)797-1212 (203)488-3551 (203)655-2525 (914)533-2517 308 South Frontage Road (800)797-6511 (866)758-3551 (800)390-1000 (888)533-2517 New-LIQ 8�� - 6 6 8 5 New London CT New Milford CT Niant'c ((66220U4# , i CT Wilton, CT (860)439-0155 (860)355-5566 (860)739-5441 (203)761-1000 (866)439-0155 (888)350-8966 (800)303-6526 (866)842-7883 TRANSACTION TYPE STORE Charge Invoice New London, CT BILL TO: SHIP TO: FISHERS ISLAND FERRY DIS P.O. BOX 607 FISHERS ISLAND NY 06390 Phone 860-442-0165 CUSTOMER TRANSACTION CUSTOMER CODE DATE NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON EFISHIS 032421 692824 08:40 RACE POINT 493 Heather O'Connor APPLY TO ORDER DATE ORD/QTE NO. TERMS TAX JURISDICTION 0 R 2% 15th, Net 25 Days 6.35% - CT SALES TAX ITEM ORDER QTY SHIP QTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET SUNT XIMXSQ 1 1 XIM SOLVENT X-TENDER QT PACOA 1.000 14.390 QRT 14.39 W041742 1 1 U/PRO LINDBECK 2" FIRM A/S 1.000 10.620 EACH 10.62 W015534 2 2 XXWOOSTER SILVERTIP 2" A/S 2.000 5.940 EACH 11.88 RECEIVED IN GOOD CONDITION BY: R.J. BURNS . SIGNATURE NOT REQUIRED RISC SALES RENBIINING 32CMICE NET ANT CHARGE FREIGHT TAX DEPOSIT TOTAL X 36.89 0.00 2.34 39.230 CUSTOMER COPY Page: 1 ®A®fl®fl �tING'S ENJD Since 1902 Bethel, Cr Branford, Cr Darien, CT Lewisboro, NY (203)797-1212 (203)488-3551 (203)655-2525 (914)533-2517 308 South Frontage Road (800)797-6511 (866)758-3551 (800)390-1000 (888)533-2517 New London CT 06385 T: 860-439-0155 F: 860-439-1369 New London, Cr Nev Milford, CT Niantic, Cr Wilton, Cr (860)439-0155 (860)355-5566 (860)739-5441 (203)761-1000 (866)439-0155 (888)350-8966 (800)303-6526 (866)842-7883 TRANSACTION TYPE STORE Ch r e Invoice New L ndon, CT BILL TO- SHIP TO: FISHERS ISLAND FERRY DIS P O. BOX 607 FISHERS ISLAND NY 0639 Phone 860-442-0165 CUSTOMER TRANSACTION CUSTOMER CODE DATE NObIDER TIME PURCHASE ORDER NUMBER SALESPERSON EFISHIS 032921 697621 10:20 104 Bob Thomas APPLY TO ORDER DATE ORD/QTE NO- TERMS TAX JURISDICTION 0 2% 15th, Net 25 Days 6 35%s - CT SALES TAX ITS ORDER QTY SEIP QTY I LOC DESCRIPTION PRICING—IT PRICING PER u0mNET AMODNT V50090Q 2 2 COROTECH ALI/ACR/UR CATALYST QT 2 000 30 190 EACH 60 38 V50088 2 2 COROTECH ALI/ACR/UR CLEAR BASE 2 000 59 980 EACH 119 96 BUFF/THAMES C 1, �S RECEIVED IN GOOD CONDITION BY. NICK ESPOSITO Mlc s ALES REMAINING INVOIC E NEi AMT CRAROE PREIGRTDEPOSIT I TOTAL X 180 34 0-00 11.4 191 79 +A CUSTOMER COPY Page: I Ube J A LA TR FISHERS ISLAND FERRY DISTRICT VENDOR 013571 ,SELF-SERVICENETWORKS 04/20/2021 CHECK 7288 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 INV-1023308 STN SUP AGRMNT-4/21-3/22 900.00 SM .51n10.4.000.500 INV-1023308 INRCH RMT-4/21-3/22 1 696.00 TOTAL 1,596.00 as Mom co - ------- ----- ----------------- j__ ------ ----- --- -- - ----- --------- ---- A ' ------ ------- -- ------ ----- ------------------------- ------ -- ------ ---- 1! 1:1 1 i .7 55095 MAIN RQAD.*P0,90X 1179 FISHERS ISLAND FERRY DISTRICT 04'/2'6/2: 21". 'd' 6ftl' ISH, -059 ' I , •I , , .' -_ I "I ,I I I'I'' 1' 4, ", , CHECK,,N SOUTHOLD,'NY 11971 7;28,8w THE Suo'.0,Lk"6U.NATIONAL BANK 11 I ZUTCHOGUE,NY 11935 -DATE -AMOUNT, 50,546/214-, 20,20 o ' 1 , QNE THOUSAND' FIVE`-HI NDREb,•14I-NETY.,,', ik' .0'o/ 0'obOLLARS';- PAY SELF-SERVICE NETWORKS D7 HE' 28 JACOME IdXi 0-284 D ORDER' - I ,DLETOWN A, " e "A 2 , 2 1:0 2 1[.C-S L.G Los. 11100 7 28alle 68 00LS02 In' - r Vendor No. Check No. Town of Southold, New York - Payment Voucher 13571 7ol g$ Vendor Address Entered by 28 Jacome Way ��L Montegonet Solutions, LLC dba Middletown, RI 02842 Audit Date Self-Service Networks APR 2 0 2021 Vendor Telephone Number 401.619.4000 FY 2021 Town Clerk Vendor Contact Ep Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number INV-1023308 4/1/2021 $1,596.00 $900.00 Solution Support Agreement SM5710.4.000.500 4/1/21 through 3/31/22 $696.00 inReach remote Monitoring SM5710.4.000.500 4/1/21 through 3/31/22 f $1,596.00 $1,596.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature (� �. "` _ Company Name Fishers Island Ferry District Date 4/9/2021 Title Manager Date 4/9/2021 v MONTEGONET SOLUTIONS, LLC self.service 28 JACOME WAY MIDDLETOWN, RI 02842 (401) 619-4000 www.self-servicenetworks.com VO� CE INVOICE# INV-1023308 DATE 04/01/2021 DUE DATE 04/01/2021 TERMS Due on receipt BILL TO SHIP TO Fishers Island Ferry Fishers Island Ferry PO Box H 5 Waterfront Park Fishers Island, NY 06390 New London, CT 06320 PLEASE DETACH TOP PORTION AND RETURN WITH YOUR PAYMENT. ------------ ----------------------- -------- -------------------- -- SHIP DATE SHIP VIA TRACKING NO.- 04/01/2016 Services RI ACTIVITY QTY RATE AMOUNT SSA-1 1 750.00 750.00 Solution Support Agreement- 1 Year, April 1, 2021 through March 31, 2022 SSA-1 1 150.00 150.00 Solution Support Agreement- 1 Year, April 1, 2021 through March 31, 2022 IR-1 2 348.00 696.00 inReach Remote Monitoring and Management- 1 Year, April 1, 2021 through March 31, 2022 -- - ------------------- ----------------------------------------------------------------------------------------------------------------------------------------------- WAYS TO PAY: BALANCE DUE USD 1 ,596.0® ACHMIRE: BankRI Bank Account Number: 3161 001 312 Routing Number: 011501682 Check Mailing Address: Self-Service Networks 28 Jacome Way Middletown,RI 02842 G"�1 FISHERS ISLAND FERRY DISTRICT VENDOR 019244 KRISTENR./SHUTT 04/20/2021 CHECK 7289 rt A A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM 15710.4-000.600 114252 JANITORIAL 3/23/21 30.00 SM .5710.4.000.600 114253 JANITORIAL 3/30-/21 90.00 4T Ile TOTAL 120.00 lkll ---------------- ----------------------------------- ------- ---------------------------------- ---- - 1,77 FISHERS ISLAND FERRY DISTRICT No''4/ 13 ------ - --- --------- - ----------I- 20' Al -NO'C HEC1 .71 ". CUTCHOGUE,NY 11935,E -AMOUNT DATE, 56 Q4/2 W TWENTY' AkD`V1jb 0/iob,, h S', PAY KRISTEN R. S HUTT rO THE D 34, B4ANFOR ; AVE 0, O 9ROTOii CT .06340x, 11900 7289111 '1:0'2 14054640: GB 00LS02 Lill Vendor No. Check No. Town of Southold, New York- Payment Voucher 19244 Vendor Tax ID Number or Social Security Number Vendor Address Entered.by 34 Branford Ave Vendor Name Groton,CT 06340 Audit Date" " ' Kristen Shutt 202'�� ` Vendor Telephone Number FY 2021 To*n Clerk. Vendor Contact a„ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General hedger Fund�and'AccountNumber 114252 3/23/2021 $30.00 $30.00 Janitorial 3/23/21 SM571O.4.00O.6OO,u .w 114253 3/30/2021 $90.00 $90.00 Janitorial 3/30/21 6M571O.4:OOO.6OO' ' $120.00 $120.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry District Date 4/6/2021 Title_ Manaeer Date 114252 . 114253 CUS ER'S ORDER NO DATE. TOMER'S ORDER NO. p F h �c I NAME NAME ADDRESS QCADDRESS �.�IiC� t-v-CLQ Q.i�l CITY,STATE,ZIP CITY,STATE,ZIP SOLD BY CASH C 0 D I CHARGE CN ACCT. MDSE RETD PAID OUT SOLD BY CASH COD CHARGE CN ACCT- MDSE RETD PAID OUT DESCRIPTION A�'I€3tiPJT 'i�€As4. DEB>61iPT10�{ r�R€liE�(i AMOUNT 1 1 4t f 9b 2 2 3 3 4 4 5 5 6 6 mv 7 7 8 // 8 9 C� 9 10 10 11 L 11 12 12 13 13 i 14 14 RECEIVED BY RECEIVED BY TAX TOTAL TOTAL A-24705W 01-11 -24906 01-11 T-6901SLIP FOR REFERENCE KEEP THIS T-46901 SEP THIS SLIP FOR REFERENCE T K -7-7 FISHERS ISLAND FERRY DISTRICT VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 04/20/2021 CHECK 7290 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 , 3473701766 NLT TONER (5) 417.60 SM .5711.4.000.000 3473701768 NLT OFFICE SUP LIES 137.49 TOTAL j 555.09 ---- ---- - - ---------------- - ---------------- ------- -- ----- - -- - ------ - ------------------------- ------- ---------------- --- - - -- ---- ----- - - --------------- ----------- 7' .5 teE FISHERS ISLAND,MRRYbzS, -AUDI'T 4 210k,Z0211 Z3095MAIN ROAD,PO BOX 1,179i SOUTHOLD;NY-1-1971'-0959 CH rj,,NO., 4- T HE SUFFOLK'Co'.'NA'TiONAL BANK' CUTCHOGUE,NY 11935 AMOUNT, -,,''l` 56 • 4 2 0'/2 0'21 s i 'i7i, FIVE -09/100'`' D'0L-L-AP,9 FI-VE'-Ht, R F AN V 1p 11 1, 'o• p4y"-' P:rA PLES, CONTR' ,ACT,,& COMMERCIAL, E TQ TH PO, 'BOX :70242 OF'' 9 —,024 OWE P14i 2 u2007 2901i' 1:0 2 44054641: Pi 13 00 L 5 0 2 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 197117-742110 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY V-�( PO Box 415256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 APR 2 o 2021 Vendor Telephone Number 888-753-4107 FY 2021 Town Clerk Vendor Contact 0" Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3473701766 4/3/2021 $417.60 $ 417.60 NLT toner(5) SM5711.4.000.000 3473701768 4/3/2021 $137.49 $ 137.49 NLT office supplies SM5711.4.000.000 $555.09 $555.09 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved A Signature Title Signature Company Name Fishers Island Ferry District Date 4/8/2021 Title Manager Date 1�, SUMMARY INVOICE rl Staples INVOICE DATE ' CUSTOMER` 4/03/21 NYC 1032952 8061798458 AMOUNT DUE ` 5/03/21 Net 30 Days 555.09 I"OICEDETAm Staples Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: ORDERS FIFERRY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 Invoice Number: 3473701766 Budget Ctr Desc: order 7327556603-000-001 P 0 Number ACCOUNTING Ordered By ORDERS FIFERRY P 0 Desc Order Date 3/29/21 Release Release Desc order order B/o Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 2706120 BROTHER TN436BK SUP HY BLK TNR 2 0 EA 2 50.22 100.44 2 2706117 BROTHER TN436Y SUP HY YEL TNR 1 0 EA 1 105.72 105.72 3 2706118 BROTHER TN436M SUP HY MAG TNR 1 0 EA 1 105.72 105.72 4 2706119 BROTHER TN436C SUP HY CYN TNR 1 0 EA 1 105.72 105.72 Freight: .00 Tax:( .0000 %) .00 sub-Total: 417.60 Total: 417.60 �s 0 � bh � CIF 04 customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: i Make checks payable to Staples contract & commercial, PO Box 70242, Philadelphia PA 19176-0242 Staples INVQICE`DATEz, � CUSTOMER, .,, .,,, w-,< ,:,, SUMMARY,INVOICE 4/03/21 NYC 1032952 8061798458 PLEASE PAY,BYTERMS AMOUNT DUE 5/03/21 Net 30 Days 555.09 1"010EDETAiL Staples Federal ID #:04-3390816 Hill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 invoice Number: 3473701768 Budget Ctr Desc: order 7327911325-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P o Desc Order Date 4/02/21 Release Release Desc order order B/o Unit ship Unit Extended Line Item Number Description Qt Qt Meas Qt Price Price 1 2002712 HP 952XL HY CYAN INK CART 1 0 EA 1 22.04 22.04 2 2002711 HP 952XL HY MAGENTA INK CART 1 0 EA 1 22.04 22.04 3 920646 TRED REMAN CANON 120 BLACK TNR 1 0 EA 1 93.41 93.41 Freight: .00 Tax:( .0000 %) .00 sub-Total: 137.49 Total: 137.49 U� customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to staples Contract & commercial, Po Box 70242, Philadelphia PA 19176-0242 1P�1 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES ■ Staples.. please dial (877)285-8852. CUSTOMER NO. SHIP DATE ORDER NO. 0001032952 4/02/21 7327911325-000001 PURCHASE ORDER NO. RELEASE NO. FI TERMINAL COST CENTER End Cust PO# iuiu Staples SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE: SP1/FDX /F2 S FISHERS ISLAND FERRY DISTRICT S H GORDON MURPHY O FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 I 261 TRUMBULL DR L PO BOX 607 P FISHERS ISLAND, NY 06390 D #PC67296 r Contact: (631) 788-7463 EXT. 20100 - GORDON T FISHERS ISLAND, NY 063900607 O PAGE: 1 SPECIAL INSTRUCTIONS ITEM / MODEL UNI Line ITEM NUMBER of QTY QTY B/O qty DESCRIPTION / NUMBER MEA ORDERED SHIPPED 1 2002712 HP 952XL HY CYAN INK CART /LOS6IAN#140 EA 1 1 0 Safety Data Sheet (SDS) may be found by visiting http://sds.., talles.com/msds/200, 712.pdf 2 2002711 HP 952XL HY MAGENTA INK CART /LOS64AN#140 EA 1 1 0 Safety Data Sheet (SDS) may be found by visiting http://sds. to les.com msds/200 711.pdf J 3 920646 TRED REMAN CANON 120 BLACK TNR/TR2617B001 EA 1 1 0 Safety Data Sheet (SDS) may be found by visiting http://sds.., talles.com/msds/920( 46.pdf I"l Staples, NOTICE NEW PACKAGING & NEW Nems PRODUCT OPTIONS TO BETTER SERVE & Previeme YOUR BUSINESS NEEDS. 001 Thank You For Your Order! Staples, Inc. SCS Yl FISHERS ISLAND FERRYDISTRICT VENDOR 019708 STAR -COMPUTERS, LLC 04/20/2021 CHECK 7291 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4 .000.500 2021169 IT SERVICES 1, 614.06 SM .5710.4.000.500 2021193 IT SERVICES 11870.00 171 TOTAL 3,484.00 co V_ -------- ---- - ----- ---------- -- --------- -- ----- ---- ----- ---- - ------------------ 'a ez"a 4 : -7 ------------- ow mom Inn, W:Bli 04/20,/2' FISHER S ISLA WFERR Y DIS TRIC T 02 :-AUDIt'-'- 53095 MAIN ROAD,PO BOX 1179 SOUTHO I LD,,NY 119Z.1-0959 C14ECK,:N 2 :p- , ' THE SUFFOLK O.NATJONAL BANK, CUTCHOGUE,NY'll 935 ATE, AMOUNT' -,04/2 9/2021 484'.od"'"Y"', '54 1214 M 6 :TH"kEE,'.'tlf'' dSANb, FOUR 'HuNDi -EIGHTY TY FOUR,AND , 100 -DOLLARS k, ' o f ,v STAR COMPUTERS, _LLC- d T 4 3 BLACK' , POINT,ROAD 0ODER :PO BOX -618 or NIANTIC CT 06357 11'007 29 Ins 1:0 2 111 t,0 5 t, 6 L,1: 68 00 150 2 11's Check No. Town of Southold, New York - Payment Voucher 19709 -7al9l Vendor Tax ID Number or Social Security Number Vendor Address Entered by Y�f� Vendor Name P.O. Box 618 Audit D t 1 Star Computers Niantic,CT 06357 R 202 Vendor Telephone Number Vendor Contact FY 2021 Town Clerk Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2021169 3/24/2021 $1,614.00 $1,614.00 IT services SM5710.4.000.500 2021193 3/31/2021 $1,870.00 $1,870.00 IT services SM5710.4.000.500 $3,484.00 $3,484.00 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ;in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry Date 4/8/2021 Title Manager Date ILI • STARCOMPUTERS INV complex technology...simple solution www.starcomputers.com DATE INVOICE# P.O.Box 618 3/24/2021 2021169 Niantic, CT 06357 Fishers Island Ferry District P.O. BOX 607 261 Trumbull Dr. Fishers Island,NY 06390 PO NO TERMS DUE DATE TECH I NOTES i SHIP DATE SHIP VIA !------------------- — -- — ----- ----- -- -- --------------------------------------------- — -- -- — — — —— — —— — —— 10/19- 10/20 j Due on receipt 1 3/24/2021 f Contr I 3/24/2021 DESCRIPTION �_ RATE AMOUNT �I 19 Remote Health Monitoring-PC(Monthly fee,to billed quarterly)-$19.00 per month j 5700-1 1,083.00 X 3 months=$57.00 ( j -Remote Patch Management including Microsoft Windows Critical Updates and Service Pack/Feature Updates i -24/7 Antivirus Protection with Automatic Updates and Monitoring j I-24/7 System Hardware Monitoring and error notification i -Problem resolution is prioritized based on severity of the issue(s). Critical issues get i the highest priority and are addressed same day/next day,usually within 2 hours or less during normal business hours. Email support is available outside of normal business hours. 3 Remote Health Monitoring-Server(Monthly fee,to billed quarterly)- $59.00 per 177.00 1 531.00 month X 3 months=$177.00 I -Remote Patch Management including Microsoft Windows Critical Updates and I Service Pack/Feature Updates I I j-24/7 Antivirus Protection with Automatic Updates and Monitoring i I-24/7 System Hardware Monitoring and error notification -Problem resolution is prioritized based on severity of the issue(s). Critical issues get j the highest priority and are addressed same day/next day,usually within 2 hours or less during normal business hours. Email support is available outside of normal business ' hours. I I I ' i I I I j Stay Safe,&Thank You Sales Tax (0.0%) $0.00 In an effort to cut down on paper waste,Star Computers is now offering the option -__v___—___ ------------- !to ____Ito have invoices electronically submitted to you via e-mail If you are interested please include your i preferred e-mail address with your payment or submit via e-mail to NBuzzelli a starcomputers coni614$1 T®t�I 00 Tli � � ankyouI ------------- --' ---- STARCOMPUTERS INVOICE complex technology...simple solution www.starcomputers.com DATE INVOICE# P.O.Box 618 3/31/2021 2021193 Niantic, CT 06357 Fishers Island Ferry District P.O. Box 607 261 Trumbull Dr. Fishers Island,NY 06390 PO NO TERMS DUE DATE TECH I NOTES SHIP DATE i SHIP VIA j Due on receipt 3/31/2021 LLS i 3/31/2021 i` __w--QTY DESCRIPTION RATE 1 AMOUNT i I 11 Computer Technician-LLS _ 170.00 1,870.00 'Date 3/02/2021 - Ticket # 10944 i 1 Location::Remote -Ticketing Upgrade j I• I j Date 3/12/2021 - Ticket # 11360 1 --- Location::Remote-=Ticketing System Patch Date 3/17/2021 - Ticket # 11598 I Location::Remote - VPN � Date 3/19/2021 - Ticket # 11645 Location::Remote -TLS Restrictions with Worldpay C/ ; i Date3/26/2021 - Ticket # 11811 j Location::Remote -Slow internet FI side i Date 3/24&3/30/2021 - Ticket # 11829 11830 i i Location::Remote&Onsite-Time clock troubleshooting j i - { I i I i iI Stay Safe,&Thank You Sales Tax (0.0%) $0.00' In an effort to cut down on paper waste,Star Computers is now ofterm.a the option ___—___—_..__—.____-_-.--_-__-.-_._-� to hate invoices electronically submitted to you via c-mail if you are interested please include your preferred e-mail address with your payment or submit via e-mail to NBuzzelh@starcontputers cont j Tota' $1,870.00 Thank your i — -- ------------------------ — ----------------------------------------------- -- ---�--— — — -- ---------------— — — "rz 'W' T 'm FISHERS ISLAND-FERR Y DISTRICT VENDOR 020230 THAMES SHIPYARD & REPAIR, CO. 04/20/2021 CHECK 7292 A FUND, & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 11701 RP NON REPOWER 66,069.96 H7 .5989.2.400.400 11702 RP REPOWER 230,663.67 L`r;, H7( .5989.2.400,400 11703 RP REPOWER 78',-053 .95 H7 .5989.2.400.400 11704 RP REPOWER 19',975.50 SM .5710.2.000.200 11704 RP NON REPOWER I 121,504 .79 TOTAL 516,267.87 co 4 co IiJ -------- -------- - ---------------------- - 74 z, "4- ----------------- --- ------ --- ------------------ --- --- -------- - ----- -- ------------------------ -- ---- I I Rua, A RICT jb l Abb:lt- FISHERS ISLAND FERRY DIST 53095MAIN ROAD,PO BOX 1.1 79; SOUTHOLD,'NY 1 , 71 9 6H C ,:y' 7H'E'SUFFO'LK CO.NATIONAL BANK CUTCHOGUE,NY11935, DATE 'AMQUNT, , ' ' FIVE UNDREP 'SIXTEEN:THOUSAND TWO ' " ' ' i DRE6, ±XTY-St EN,' AiD- 87/-1 o D6EL '-": ' THAMES SHIPYARD,,& REPAIR CO. ,4Y ' , TO THE 1?EiRY,'STR-EET 2 ORDtR Ox" OF' Pb ,B NEW LONDON -CT, 06320-0791 11'00 7 29 211' 1:0 2 140 54641: 68 00ISD2 III' Vendor No. Check No. Town of Southold, New York - Payment Voucher 20230 7oQ92 Vendor Address Entered by 2 Ferry Street Vendor Name New London,CT 06320 Audit Date Thames Shipyard&Repair Co. APR ,2,,O 2021 Vendor Telephone Number 860-442-5349 FY 2021 Town Clerk Vendor Contact " La Invoice Invoice Invoice Net Purchase Order 41 Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 11701 4/6/2021 $66,069.96 $66,069.96 RP non repower SM5710.2.000.200 11702 4/6/2021 $230,663.67 $230,663.67 RP repower H7.6=0.2.400.400 11703 4/6/2021 $ 78,053.95 $ 78,053.95 RP repower H7.57%.2.400.400 11704 4/6/2021 $141,480.29 $19,975.50 RP repower H7.5-7W.2.400.400 $121,504.79 RP non repower SM5710.2.000.200 $516,267.87 $516,267.87 does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved OA- Signature Title Signature GfA7 Company Name Fishers ISM erry Di strict Date 4/9/2021 Title Manager Date 4/9/2021 THAMES SHIPYARD & REPAIR CO. 1,2 FERRY STREET INVORCE ;NEW LONDON, CT 06320 Invoice Number: 11701 Invoice Date: Apr 6,2021 Page: Voice: 860-442-5349 Fax: 860-440-3492 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O. BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 PA yp'ie''f!'�:T'�rrp FISHERS Race Point Net Due Shii "bite"' a�Ig' IP, Courier 4/6/21 ;Amount Race Point Non Repower Item A-Fire Pumps 2,586.10 Item B-Boiler(Credit for over billing) -1,120.00 Item E-Repair Ballast Keels I 1,060.00 Item G-Replace Laz Bilge Pipes 2,632.00 Item H-Hull Plate 6,200.00 Item I-Boiler Install 26,955.86 Item J-Sea Valves 1,040.00 Item L-Switch Nav Lites 2,080.00 Item N-Paint Bottom 17,732.00 Item 0-Stringer over Laz 5,004.00 Item Q-Hyd Fill 1,900.00 Subtotal 66,069.96 Sales Tax Total Invoice Amount 66,069.96 Ch eck/Cred it Memo No: Payment/Credit Applied 0 THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOICIE NEW LONDON, CT 06320 Invoice Number- 11702 Invoice Date: Apr 6,2021 Page: Voice: 860442-5349 Fax: 860-440-3492 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O. BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-'0607 t ' Customer P Payrlettleir FISHERS Race Point Net Due V -Sales Rep Due Date P;' Courier 4/6/21 Race Point Remo per Item#4-Shore Power 10,320.00 Item#5-Drydock 3,000.00 Item#8-Fdn Mods 30,827.80 Item#9-Wiring 25,933.00 Item#10- Exhaust System 18,281.81 -7 Item#11 -Fuel Pipes 5,304.00 .1 Item#12-Cooling Mods 28,490.45 1 Item#13-Controls 5,508.00 J Item#14-Shafts 4,960.00A001 Item#15-Reduction Gears 6,395.50 Item#16-Generator 29,584.69 Item#17-Switch Board 62,058.42 Subtotal 230,663.67 Sales Tax Total Invoice Amount 230,66367 Check/Credit Memo No: Payment/Credit Applied I I THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOOCE NEW LONDON, CT 06320 Invoice Number: 11703 1 nvo,ice Date: Apr 6,2021 Page: Voice: 860-442-5349 Fax: 860-440-3492 641 T6. FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O. BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 46 omer Ic ayme ht TorTns' M e�qT� FISHERS • Race Point Net Due -ev-77-y� , 'tallj 6 p D - §tiippingzlletliod D eb Courier 4/6/21 ric 77-z 0 n t ht :Quantity telb Afiid6ui Race Point Change Orders Change Order#3-New fdns for generators 3,151.61 Change Order#4-Main engine exhaust 9,391.21 mods Change Order#5-Add flexes 10,177.83 Change Order#7-New► BT install 55,333.30 '%4i ig 1't too VA j IA,- Subtotal 78,053.95 Sales Tax Total Invoice Amount I 78,053.95 Check/Credit Memo No: Payment/Cr dit Applied THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOOCE / NEW LONDON, CT 06320 Invoice Number: 11704 Invoice Date: Apr 6,2021 Page: 1 Voice: 860-442-5349 Duplicate Fax: 860-440-3492 f FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O.BOX 607 P.O. BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 ,.: C,y �orire{;ID�w:;� �; _.tx�.' •�° Cus�omeir'Pm���; ;'�� ;,_, _ � _�-{ =,,,t , � `Payment:Teinis� - FISHERS Net Due _ Sales;RspIb; z- � t�., Slf � 'etEioii . x. - _ 'ShiptDafe� _ Due 9 Courier 4/6/21 Quarttityq :',4`;4Itain. i; _ 'tlecri tin' ' , ; - - �- _ it,Prg'e,. Atnaunt, Race Point 'Change Orders Change Order#8 3,059.21 Change Order#9 4,411.22 Change Order#10 1,525.16 Change Order#11 3,628.22 Change Order#12 27,560.75 Change Order#13 4411 y'r 2; 493 Change Order#14 18,755.39 Change Order#15 639.77 Change Order#16 (Z��1�� ,457.-44 Change Order#17 9Q97:44 Change Order#18 a " V, x;500;69) Change Order#19 4,140.00 Change Order#20 0-?4/' E805 0g' Change Order#21 57,785.07 Subtotal 141,480.29 Sales Tax Total Invoice Amount 141,480.29 Check/Credit Memo No: Payment/Credit Applied �On l Z I iStq ,—1'q r vJ i i C EDULE C PROJECT xx LYss� :urs� i REPAIR CONTRACT-SCHEDULE J S i ADJUSTMENT NOTICE/CHANGE ORDER j CHi1.-IGE C)[tDI:R No 20 s DATE: p' �--- DtiSCRIPTION OF WORKS: 4!6/2021 Modify fwd main engine mounts. Cut mount webs to reverse install as per Cummins. PRICE Vr,1I1LIA-1 IUNI: HOURS VARI9'TION; Change Order, 20 Change Order; Cumulative: $$05.00 C.UgnllJtive: EEEE Nu.of Extra Days to Redclivery of Vessel. 1.10 l'I WFsIG1,Pl'VARIATION: --__ S Increase/Decremse in Lightweight AUTHORISED., Shipyard John P.Wronowski AUTHORISED: Owner's Representative Q 21`9995,Shtp Repair Agreemenl(Ftahers Island Ferry Dlktriel)(Clean),D0 CX.090312 US1tCTIVE-12a6.112�8Z � �CHEDUI.E C REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER (TL-kNC;E 0RDF.R No• 18 b,Al'F: 4/6/2021 1;1fiSr:ttlli[IC)N OF WORKS: Modify main engine fdns to accomodate 3rd mount. PRICE VAIUA I'IOV; 140L) RS VARLATION: Change Order 18 Changc Order: Cumulative: $5,500.69 Cumulonve: 1 ."DI:LIVINY VARIA11 NO.of Extra Days to Redelivery of Vessel; � I:I(it MXT:10.11 rr VARIATION: Increase/Decrease in Lightweight AUTHORISED: Shipyard John P.Wronowski At:7 HORISM: Ownec s Representative 581.9995.5hip Repair Agreement(Fishers hdand Ferry 1)islriet)(Clean).(XX'X•090312 USJACT1VE-1.23941218 2 C LE C PROJECT xx REPAIR CONTRACT_SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CI LINGE ORDER No. 17 - I 4/6/2021 1 UiiSCIZI STI t;�CSF WORKs: _ d Modify main engine fdns for elevations. { PRICE V,Uu.,j LIL)\i 1[()(.RS Vr1RLATION; Change Order 17 Change Order; Cumulative: $9,097.44 i:untultuve: Rl{I)i3LIVERY VAIUA11ON; No.of Exrra Days to Redelivery of Vessel: LI(.1 r1 WF,IG1 rI'VAKA17UN: _-- Increase/Decrease in Ughtweight A UTI(ORIS ED: Shipyard John P. Wronowski AUTHORISED- Uwner's Representauve s 581-9995-Ship Rcpalr Agreement(Fishers Island Ferry District)(Clean)I)0C X•090312 US ACTIVE-1230412 i97 CHEDU C PROJECT ax(ygx&"+uIa t REPAIR CONTRACT-SCHEDULE J 's ADJUSTMENT NOTICE/CHANGE ORDER Crl.a\GE ORDFR No: 16 4/6/2021 DIINCRIPTI tiV OF WORKS Purchase and install adaptors for rear boiler exhaust. Purchase and install boiler antifreeze Cryotec. G PRICE VARIATION, I-10t,RS VARLATION: Change Order. 16 Change Order; Cumulative: $2,457.44 C:unud:ua'r: lt�;I)l.:1:iV1?Itl`�',altl TION: No.of Extra pays to Redelivery of Vessel; 1.IC;I.1'1'WF:[C.II'I'�'ARLa'1•IU�I: "' Increase/Decrease in Ughtweighl AUTHORISED: shipyard John P.Wronowski AUTHORISED: - Owner's Representative 581.9995;Ship Repair Agreemeal(Fishers Island Ferry Uislrict)(Clean)D(X:X-090312 US�ACTIVE-123941214 2 CH�DtlL C PROJECT xx(-y REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER (.'TIAN(,E C7RDFR No- 13 DATE: 4/6/2021 j DIiSCRWTION OF WORKS; Louver would not fit with new furnace exhaust pipe in place. Frame louver out with 1 1/2" square stock. Drill and tap. Prime and paint. PRICE VARIATIO.::: HOt1R.S VARIATION, Cha<tge Order, 13 Change Order: Cumulative: $2,114.93 Cutnulnave: Rl I�i..I.IXV,I?RY VAIRUi I'l0N- Nu,of Exrra Days to Redelivery or Vessel: Increase/Decrease in Ieghtweight Shipyard John P.Wronowski AGTHORISEII: - Owner's Representative &Aj fJ,-A&1. - 581;9995-.Ship Repair Agreement(Fishers Island Ferry I)i,lrint)(Clean),IXX-X-090312 uS�7CT1VE.ta3941�ip Z �C1`i�DUI,E C ...—_..—..__._-- REPAIR CONTRACT-SCHEDULE J ` ADJUSTMENT NOTICE/CHANGE ORDER C1 biVGE C)RL)FiR No: 8 1 D,1'I`Ii; j 4/6/2021 OF WOLt1CS. i Weld six(6)sets of draft marks. Wire wheel prime and paint per USCG. 1-iOt:RS VARt1"LIUN: Chulge Order, 8 Change Order: Cumuladvc: $3,059.21 C:unaAnava: VARIATION; Biu.of Extra Days to RedcGvery of Vessel, I,1GL1'1U—F"G1rrVAiTA11ON ~� ` Increase/Decrease in lightweight A UTI fORISED. Shipyard John P. Wronowski A15THORISED: Owner's Representauve 58F9995-Ship Repair Agreement(Fishers!stand(Lrry(Astrict)(Clean);Ota:X-090312 US ACTIVE-1279,412102 sc"EDULE C PR EOJJECT xx(Y�z+?ct3Yaat►s:I REPAIR CONTRACT-SCHEDULE] ADJUSTMENT NOTICE J CHANGE ORDER CTtrlNG ()RDF,R Na � t�.�Ih.; 4/6%2021 DEdSCRIPTI(0) t)F WORDS: Replace two (2) hatch rings per USCG, PRICE VARIATION: ;1-10c RS'v,tkluAT1oN:- Change Order 9 Change Order; Cumulative: $4,411.22 i'unuituuvc: 4 ItfiDL�LiVI�.R1't`ARL1'ITUN:, _ . No.of Extra Days to Redelivery of Vessel; Increase/Dectease in lightweight ALtTHOftISED: Shipyard John P.Wronowski AI ITEEORISED: Owner's Rcpresentauve 58P9995-Ship Repair Agree mens(Ftshvrs Island FeM t)Istrieq(C;teanl I,�(:CX-090312 aS.AgT1VE.123941,i3O 2 PRUJMT xx,G�# ��' REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER 011.`GE ORDRR No- 10 DATE: ! 4/6/2021 DI"SCRIPTION OF WORKS: ' -------------- Replace Replace ladder#2 ballast tank per USCG, PRICE VAW,4TI0�: HOL RS vARL�TION; Changc Order 10 Change Order. Cumulative: $1,525.16 ('urnnl:ttivw RI.DI.-IJ 'I:RY VARIA'T'ION c'4v.of Extra Days ro Redofivery of Vessel; l.lr!1'I'Wf?Ic, %NARIA'T TUN: Increase/Decrease in Lightweight ' AUTHORISED: -- - - Shipyard John P. Wronowski A CTHO RISEh: --- C)wner's Representative 581-9995-Ship R pair Agreement(Fishers Mand Ferry()istrict)(Ctean),M' •0903 t2 U84CM&I239412 tg 2 5SM99MLE C FR619-ff;�x�(y REPAIR CONTRACT SCHEDULE] ADJUSTMENT NOTICE/CHANGE ORDER Cf MNGE ORDER No, 11 DATE', 4/6/2021 DES(T'11—1Y Y 1-0—N—0 F—W—O—RK Crop and renew aft long BHD aft of rudder post(2 deep floor frams portside aft) per USCG. —S. PRICE�ARIATtOY I'foI:PS VtUUA'IION: Change Order 1 Change Order: Cumulative: $3,628.22 Nu.of Extra Days to RedelIvery of Vessel: TW—F—1(, VA—RL,T1(TR 5 VtMATION: Order:Change Ord tl. Increase/Decrease in bghtweight AU-T1 0 R iS—E—I Shipyard ) John P.Wronowski TUTH0JSEl Owner's epresentanve P 549995 Ship Repair Agiument(F,jhLm Island perry I)igilict)(Claim)D(X'X.090312 ECHE—RULE C PROJECT XX cy-M rI. -W-1t j — REPAIR CONTRACT-SCHEDULE J ^ ADJUSTMENT NOTICE/CHANGE ORDER CELL IL ORDER No: 12 4/6/2021 j b1iSC.RIP'I'1ON OF WORKS: Replace port stern tube per USCG. PRICE vAtuA'rlt�\, 'HOURS VARLATION. Change Order 12 Changc Order: Cumulative: $27,560.75 C:unit0arivc: Rl:l)1:1_lV1;R1'VARLA'I'ION: No,of Extra Days to Redelivery of Vessel; f,16116'vc�I lGl rl'VAR1A'I'IUN; —` increase/Decrease in lightweight AUTHORISED: Shipyard John P.Wronowski AUTHORISED: Owner's Representative 5819995-Ship Kfpafr Agreement(Fishers Island Ferry Ufstnet)(Clcan),p(}CX.090312 US�f:TNE-t21yif2f97 J i SCH---UULE C PROJECT xx(Y-tE AN in-w) --------- —— REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CN"k.*C;E ORDFR No: 14 4/6/2021 f I31sSCRIPTION OF WUItltS: Crop out and renew hull plate in port aft ballast as a result of USCG UT requirements. I'RCE VA1tIATIO,\'; ' - 1C) L;RS VA1tL9'iTON: Chaztge Order, 14 Change Order: Cumulative $18,755.39 f:tl ntUla Ii%%: KIi1J1"sIJL'hK1•'�'AK1:'l'I'IUN• w I Nu.of Exna Days to Redelivery of Vessel; -71 I'C�'ARIP,TIUN: Increase/Deetease in lightweight AL'Tl-lO1tISl;:I): �" - SEvpyard John P. Wronowski AUTHORISED: Owncr's Represr_ntauve 581,9995-Ship Repair Agreement(Pishen)eland Perry i)istrict)((:lean)DOCX-090312 US—ACTIVE-123W2191 SCHEDULE C PROJECT REPAIR CONTRACT-SCHEDULE j ADJUSTMENT NOTICE/CHANGE ORDER C 11 ANGE ORDER No- 15 j DATE: j DV-Sr_RIIt 110N OF WORKS: 4/6/2021 Renew hyd vent pipe. PRICE VARI,4'1''IC)\. I IOI:RS VA1tL9T10N: Change Order 15 Change Order: Cumulative: $639,77 C:nmulntivc: RI:I)I:1.11•'I'AY VARIATION Nu.of Extra Days to Redelivery of Vessel: I.ic jH WFu;i rr VARIAITON: Increase/Decrease in lightweight AUTHORISED: M" --- Shipyard John P.Wronowski Al. HORISE'D: -- Owner's Representauve 58h9995-Ship Repair Agreement(Fishers Island Ferry pistricq(Cleanl,q[;CX-090312 US rCT)VE-1236412192 $CHEDULE C xx REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NO'V'ICE/CHANGE ORDER (:FiAtiGCs C)RDFR No: 19 4/6/2021 17liSi;RII''1'I(tN OF UVORhS.. Install forty-six(46)anodes. PRICE V ItKI;1'4 IU\ 1 IC)I;RS vrUZI A I ION: Change Order 19 C:hunge Order: Cumulative: $4,140.00 t;un11411 vc: Rl,il)h:I J VI AY VARIATION No.of EXrra Days to Redefivery of Vessel: I.I(r 111wa(a rr VARIAITUN. Increase/Decrease in Iightweight AUTHORISED: Shipyard John P.Wronowski AUTHORISED: Uwnei s Representative, Po Vj/ 58F9495-Ship Repair Agreemeal(Fishm Island Ferry Uisirim)(Clean)0Wx-090312 US,ACTIV6.1239gspig2 S 9_MDUI.E C i REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER C:1La1VGE ORDER No, 21 17r1'1'Fs: 4/6/2021 ` DL�Sta�li�'i'ls,ON U ------------ P WORKS, Change Order#6 Continued- Finish crop and renew of hull plates on port and stbd sides 2/22-3/26. Including installation of new zinc studs to replace zincs that were on removed plate. PRICE VAMATk ,N, �'i tC)1;R8 VAI A'TTON;, Champ Order; 21 t:hxngc Order: Cumulative: $57,785.07 r`;uitu�lstsvc: RfiI7l:l.11rf;RY 7ARIA"rl5 Nu.of Exna Days to Redelivery of Vcs,ei: l.t<.1•I'1'V(rFsit711'I'�rAR.I.r1T1U1�1: _"�"�._ ,-.�_-- Increase/Decrease in Iaghtweight A—R 165R1SI.L�� 'Shipyard John P. Wronowski A 1 f THC)R.1SEn: Owner's R.epresentanve • Ov V 581'9995-Ship Repair Agreement(FishvKs Island ferry()isirict)(t;texnl,IXX X-040312 US,,,tL"TINE.{2�{�{2QtB 2 r N FISHERS ISLAND FERRYDISTRICT, VENDOR 020730 TRAWLWORKS, INC. 04/20/2021 CHECK 7293 A FUND & ACCOUNT P.O.# INVOI PE DESCRIPTION AMOUNT SM .5709.2.600.20 11 0 62686 (5)HAMMERLOCK/ (2)CHAIN 1, 158.15 TOTAL 1,158.15 IV- I J ------------------- - ------- --------- ---------------------- --------------------------------- {rc 'n I ------- - --------------i__ Bml a FISHERS ISLAND_FERRY D)SWCT' 14 " ,53095 MAIN ROAD;AD.,POZOX'1179 _, I T "v OUTHOLD;NY'l 1971,0959 N3 F- 7 THE SUFFOLK'CO.`NAfIO'N A V/ " 0,i Yl -7 CUTCHOGUE;NY 1,11935, F7, ZATE, , ;,"'AMQUNT 0 V 0 -546/214 20'/2021, bNE T i 5,Yd:,o o,' ib'bL' iARS, :f J j PAY- TAAW,L_W9RKS, INC.. Z., - v 4Y. _WALTS. WAY 30 THE 'Po- ORD op, B4Ox 4 2 -NARRAGANSETT RI 02882 11'007 293115 1:0 2 &405464o: 68 00LS02 L11' Vendor No. Check No. Town of Southold, New York - Payment Voucher 20730 '3 Vendor Address Entered by P.O. Box 342 Vendor Name Narragansett, RI 02882 Audit Date Trawlworks, Inc. Vendor Telephone Number :A P R (d 401-789-3964 FY 2021 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order ° w Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 62686 3/15/2021 $1,158.15 $1,158.15 NLT hammerlock 5 chain (2) SM5709.2.000.200 E $1,158.15 $1,158.15 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded a or discrepancies noted,and payment is approved Signa Title P� Signature & 0.t�"— . I- Company Name Fisherss and Ferry District Date 4/7/2021 Title Vgr4 O Date 1 J ' TRAWLWORKS,INC. Invoice 30 WALTS WAY PO BOX 342 Date Invoice# NARRAGANSETT,RI 02882 3/15/2021 62686 Bill To Ship To Fisher's Island Ferry Fisher's Island Ferry PO Box 607 JOHN PARADIS Fisher's Island,NY 06390-0607 5 Waterfront Park New London,CT 06320 P O. Number Terms Ship Via F.O B. Net 30 3/11/2021 VARIOUS VARIOUS Quantity Description Price Each Amount 5 1"GUNNEBO HAMMERLOCK G-26-8 170.00 850.00 1 SHIPPING ON HAMMERLOCKS 41.17 41.17 2 PEERLESS GRADE 80 1"ACCO CHAIN 3FT EACH 100.00 200.00 1 SHIPPING ON CHAIN 66.98 66.98 (1A Total $1,158.15 Payments/Credits $0.00 Balance Due $1,158.15 tw 77 A '41 FISHERS ISLAND FERRYDISTRICT VENDOR 021501 UPS 04/20/2021 CHECK -7294 A" A _lUND'& ACCOUNT P.OJ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639131 W/E 3/26/21 36.00 rr, SM .5710.4.000.700 ` 26639141 W/E 4/2/21 38.00 A TOTAL 74.00` ----------------- - ---- -------- ---- - -- ------- ----------- ------------------------ -- - % - 2 -------- ------- --- ------------------ --------- --- ---- ---- ------------------- --------- 7 7 77 'FISHERS ISLAM?FERR Y DISTRICT' 0 53095 MAIN ROAD,PO BOX 1179 ? 4%2`0:/.x`02'1. A , OUTHOLD,,W1197.1-0959 " . 1009, T4 SUFFOLk O",'NATI'014AL BANK, CUTCHPGUE,NY11935 DATE , ,—AIVIOUNT`Ii,: :,,-" 4 n $74 00, ALMA Zp 1 0 in moven 1 tog; 4 W!WAY W UPS PA Y zz P( 70OX WOO RD HI&66"IL 60680 - 7948810 - ;, ,4 007 2,9 L. 0 2 1405L,P341: 68 00'1 2 L V Vendor No. Check No. Town of Southold, New York- Payment Voucher 21506 - '- M, Vendor Address Entered by, P.O. Box 809488 Vendor Name UPS Chicago IL 60680-9488 Audit Date United Parcel Service Vendor Telephone Number A f R 800-811-1648 FY 2021 Town Clerk ' Vendor Contact � Q Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 26639131 3/27/2021 $36.00 $36.00 W/E 3/26/21 - SM5710.4.000.700",-' 26639141 4/3/2021 $38.00 $38.00 W/E 4/2/21 SM5710.4.000.700, � v ' 7 E i $74.00 $74.00 ° Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that tax es from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature 01Company Name Fishtrict Date 4/7/2021 Title_ Manager Date 4/7/2021 M h h O N Delivery Service Invoice Invoice Date March 27, 2021 Shipped from: Invoice Number 0000026639131 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID H281 NEW LONDON,CT 06320-6336 Page 1 of 3 Sign up for electronic billing todayl 0736A00000266394 77366040015071 Visit ups.com/billing AB 01 019894 48618 H 60 B For questions about your Invoice,call: (800)811-1648 Monday-Friday FISHERS ISLAND FERRY 8:00 a.m.-6:00 p.m.E.T. ACCTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390.0607 P.O.BOX 809488 CHICAGO,IL 60680-9488 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $36.00 Page Charge Amount Outstanding(prior Invoices) $147.46 3 Adjustments&Other Charges $3.00 Total Amount Outstanding $183.46 3 Service Charges $33.00 Please Include the Return Portion of each outstanding Invoice with Amount due this period $36.00 your payment•See Account Status for details. UPS payment terms require payment of this invoice by April 18, -_ Questions about vour char es? 2021. To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at Payments received late are subject to a late payment fee of 6%of ups.com/involcegulde. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) :;,�•:; Note.This Invoice may contain a fuel surcharge as described at ' ups.com.For more information,please visit ups.com. ;IIIH 0 N ®e/%Vely Service Invoice Invoice Date March 27, 2021 ' Invoice Number 0000026639131 Shipper'Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please Include the Return Portion of each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639091 02/27/2021 $36.00 0000026639101 03/06/2021 $39.46 0000026639111 03/13/2021 $36.00 0000026639121 03/20/2021 $36.00 Total $147.46 Outstanding balances reflect any payments received as of 03/26/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. N h n 0 N Delivery Service Invoice Invoice Date March 27, 2021 Invoice Number 0000026639131 Shipper Number 026639 Page 3 of 3 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEB 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 26-MAR-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Service Charges Week Ending Billed Date Explanation Charge 03/27 Weekly Service Charge 33.00 Total Service Charges 33.00 019894 2/2 q 0 N Delivery Service Invoice Invoice Date April 3, 2021 Shipped from: Invoice Number 0000026639141 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID 1075 NEW LONDON,CT 06320-6336 Page 1 of 3 Sign up for electronic billing todayl 0736A00000266394 77366010016236 Visit ups.com/billing AB 01 020325 56172 H 60 B For questions about your invoice,call: I. 1 1 1 1 1 1 III I I. I I I (800)811-1648 Monday-Friday FISHERS ISLAND FERRY 8:00 a.m.•600 p.m.E:T: ACCTS PAYABLE or write: PO BOX 607 UPS" FISHERS ISLAND, NY 06390.0607 P.O.BOX 809488 CHICAGO,IL 60680.9488 Account Status Summary Thank you for usfng UPS. Weekly Payment Plan Summary of Charges : , Amount Due This Period $38.00 Page Charge Amount Outstanding(prior Invoices) $108.00 3 Adjustments&Other Charges $5.00 _ Total Amount Outstanding $146.00 3 Service Charges $33.00 Please include the Return Portion of each outstanding invoice with Amount due this period $38.00 your payment.See Account Status for details. UPS payment terms require payment of this Invoice by April 25, �^ Questions about vout charges? 2021. To get abetter understanding of tte charges on your invoice, visit our invoice guide and glossary of billing charges at Payments received late are subject to a late payment fee of 6%of ups.com/involceguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) :I 1• Note:This Invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. !y!, R Delivery Service In voice Invoice Date April 39 2021 Invoice Number 0000026639141 Shipper Number 026639 ow ' Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639091 02/27/2021 $36,00 0000026639101 03/06/2021 $39,46 Account Status Weekly Payment Plan Amount Outstanding(prior Invoices): Please Include the Return Portion of each outstanding Invoice with your payment, Invoice Number Invoice Date (Balance Due 0000026639111 03/13/2021 $36,00 0000026639121 03/20/2021 $36.00 0000026639131 0-3/27/2021 $36,00 Total $108.00 Outstanding balances reflect any payments received as of 04/02/2021.Please Ignore this message If a recent payment has been made for any outstanding Invoices. 4 � Delivery Service Invoice Involce Date April 3, 2021 Invoice Number 0000026639141 Shipper Number 026639 Page 3 of 3 Adjustments & Other Charges Packages Delivered but not Previously Billed Delivery Billed Date Tracking Number Service Zone Weight Charge 03/19 1Z0266390341725278 Mining PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 1 STATE 1 STATE ST NEW LONDON CT 06$20 NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 1 Package(s) 2.00 Miscellaneous Bllled Explanation _ Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3,00 EACH FOR 02-APR-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 5.00 Service Charges Week Ending Billed Date Explanation Charge 04/03 Weekly Service Charge 33.00 Total Service Charges 33.00 1W aU 020325 2/2 FISHERS ISLAND FERRY DISYRICT VENDOR 005414 US ELECTRICAL SERViCES,INC. 04/20/2021 CHECK 7295 A ii FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 S117688756.001 RP ELECTRICAL SUPPLIES 18.04 TOTAL 18.04 ---------------- ------------------------------------ '-- - -------------------------------------- -I -- --- -" - -------- -------- ------------J- ' :FISHERS-ISLAND FERRY 'T, -&DIT ,,--04-/20-/202f'. AMOUNT", ,0404'/=20/,2021,',, -PQ-5 61?1416, G4 AI J) 04 1-0 RS ':EIGHTEEN-'ANP0 DO L'A U 'ELECTRICALSERyIqES,INC,-' S ' TO 7yfE,',,'PO,:B0X 4,12485 ly I 4 OMER OSTW MA'OF 0224'1, 3 Lt 1: 6 El OOL502 L 0 0 7 2 9 5 1:0 2 L L,0 5Lt F INVOICE I NN Electrical ®T�Ii1ICO:1�C1'S Enc. a DS mct-9 Services Co CUSTOMER NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER ' °' INVOICE DATE 860-443-4381 Fax 860-443-4570 S117688753.001 03/23/21 REMIT TO: _ US ELECTRICAL SERVICES,INC. PO BOX 412485 BOSTON MA 02241-2485 BILL TO: 3439 1 AB 0 428 E0430X 10699 07379012636 S2 P8142538 0001 0001 SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO# JOB NAME/RELEASE#- �` ORDERED BY SALESPERSON RACEPOINT RACEPOINT MIKE HOUSE ACCOUNT WRITER . SHIP VIA TERMS. SHIP DATE,w y ORDER DATE KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 03/23/21 03/23/21 ORDER QTY SHIP QTYDESCRIPTION UNIT PRICE` EXT PRICE lea 1 ea LNX 30052-52L 3-1/4 HOLE SAW 16.960 ea 16.96 �C� Try ordering online or on the go! • Visit www.ew-ct.com or download our app on the App Store or Google Play store • Order until 7 PM for next day pickup or delivery • Live account pricing • Check stock in nearby branches • Contact SolutionsR22A@usesi.com for more information • Pay your bills online at usesi.bilitrust.com(enrollment token at the bottom of this invoice) 2021103!23 07 30 04 AM S1176887631 Subtotal 16.96 Invoice is due by 04/15/21. Shipping Chgs 0.00 Tax 1.08 For complete Terms&Conditions go to Payments 0.00 hftps./Itinyuri.com/EWCT-Customer-TC Amo_unt Due, 18.04 A MRElectrica�Company Visit us at www.usesi.com ser"ces Inc TO VIEW ONLINE GO TO: HTTP://USESI.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: LMR LDP GZR Page 1 of 1 0001:0001 FISHERS ISLAND FERRY DISTRICT VENDOR 002240 VERI2 bN WIRELESS 04/20/2021 CHECK 7296 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 9876574984 SE HOT SPOT-3/21 77.76 TOTAL 7 7 X7 G 3 1003re J —----------- --------------- ---- -- - q, A 36 IF, rr 14, ---------- - --- ---- ---- ------ ----- - ----- -------------------- '4 FERRY'DISTRICT 53096 04/2,0,O'BOX1179 -HECK' NO. -7-2 9 THE 'co.NATIONAL4ANK CUTCHOGUE.,NY 11935 DATE'` AMOUNT-,,,,- 50,-646/214', '-04,/,26 02,1,-',' 'S N' 00 ',.DGLLARS E ENTY 'S 7 G'l 1 '7 PA Y, ,VERIZON,WIRELESS , TO THE - PO, 'BOX : 4 8 9 WA'Rk' "N-J 01101'448 E op, 7-'0 11'007 29611' 1:0 2 1 LvQ S 4 G li: 68 00L502 Jill Check No. Town of Southold; New York - Payment Voucher 2240_ Vendor Tax ID Number or Social Security Number Vendor Address y EIIfered`b _ �C Vendor Name PO Box 408 Audit Date Verizon Newark,NJ 07101-0408 Vendor Telephone Number �(P r G . 2'021 FY 2021 Town Clerk. Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General/Ledger Fund and Account Number 9876674984 3/30/2021 $77.76 $77.76 SE hots of March 2021 SM6710.4.000.100 n .x $77.76 $77.76 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ;in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded or discrepancies noted,and payment is approved aASignature Title Signature � - Company Name Fishers Islan er y Date 4/9/2021 Title Mana eget _Date 'LA verizon / PO BOX 489 Manage Your Account Account Number - Date Due NEWARK,NJ 07101-0489 b2b.verizonwireless.coM1111 04/22/21 Change your address at Invoice Number 9876574984 http://sso.verizonenterprise.com Quick Boil Summary Mar 01 —Mar 30 �I�leel�l�l�llllili�lllelllleeel�'ll�ll�ielel�lel�lll'I'I�III11�I FISHERS ISLAND FERRY DISTRICT 00004162 Previous Balance(see back for details) $155.52 ACCOUNTS PAYABLE K103 Payments—Thank You _ —$155.52 261 TRUMBULL DR Balance Forward $.00 PO BOX 607 FISHERS ISLAND,NY 06390-8021 Monthly Charges $77.00 Usage and Purchase Charges Voice, $.00 Data $.00 Surcharges and Other Charges&Credits $.76 Taxes,Governmental Surcharges&Fees $.00 Total Current Charges $77.76 Total Charges Due by April 22, 2021 $77.76, 4 Pay from phone Pay on the Web Questions. .. e e e ern 1,800.922.0204 or . e e Ohone --------------------------------------------------------------------------------------- , ------------------------------------------------ Ved''I 00 Invoice Number Account Number' Date Due Page ��2>af;6°;���;> Get Minutes Used Get Data Used Get Balance B' LL Payments N I Payments, conth.led 0 0 N Previous Balance $155.52 o Payments—Thank You N Payment Received 03/03/21 —77.76 M Payment Received 03/31/21 —77.76 v Total Payments —$155.52 v Balance Forward $.00 ae 0 0 0 0 r.o J O V Written;notations`i�cliidei#h;or5oo#tryur payme wiJ not be reviewedror snored:Please send"corresponder►ce 30-. '"�°;""�""' -------- ----;=° v°r--- .€= --=Yerizoitlltretess,An.Correspo�tdencegl®ain PO9Bii408-�Cuvarlt,INJO 901-Q408 .yF ' -------- ■ verizonInvoice Number Account Number Date Due Page ww~m 77 ^; 7=7, ^ =^ -rte- 7 1.7 t �":e777 - '.«�=,z �^.. _e^ L, _ ""T" �"'_ m-c _ �-•. i �« ;�M � .� l"a5 ����°°,�..4• � .U412212�" ;3,0jr,$.. Overview of Shared Usage Participating Lines Lines Exceeding Shared Shared Shared as of 03/30/21 Allowance after Share Allowance Usage Billable Cost Data—Flexible Business Share 1 0' 2.00OGB OGB OGB -- Overview of Lines Usage Surcharges Taxes, and and Other Governmental Third—Party Voice Page Monthly Purchase Equipment Charges and Surcharges Charges Total Plan Messaging Data Voice Messaging Data Lines Charges Number Charges Charges Charges Credits and Fees (includes Tax) Charges Usage Usage Usage Roaming Roaming Roaming 631-372-0263 Ferry Jetpack 4 $26.95 -- -- $.02 $.00 -- $26.97 — -- -- -- -- — 631-466-5153 Gordon Gordon 5 $50.05 — -- $.74 $.00 -- $50.79 1 -- .340GB -- — -- Total Current Charges $77.00 $20 $.00 $.76 $.00 $.00 $77.76 veriz®W Invoice Number Account Number , Date Due Page ....__'>..�'.,e,.s,;.9.........�x.,�..x.M..ae� � � �4 '.'�"" . .„..�w,,.'L;r.:1.i///✓:i��,�n �:«.t;.. ,,....z.,m.... .�.,w.1.Ls.»�.�..,w:.mw:.e...,,.,.`. ,. :..�Tl , Summary,for'Ferry Jetpack: 631-372-0263 Your Plan -monthly Charges Flex Business Data Device 2GB 03/31 04/30 35.00 Flex Business Data Device 2GB 23%Access Discount 03/31 —04/30 —8.05 $35.00 monthly charge $26.95 $.25 per minute 2139 Acct Share$10/GB Surcharges 2 monthly gigabyte allowance Regulatory Charge .02 $10.00 per GB after allowance $.02 Beginning on 06/07/19: I Total Current Charges for 631-372-0263 $26.97. 23%Access Discount Have more questions about your charges? Get details for usage charges at ; b2b.ve nzonwi reless.com. Vei'iZOf'1� Invoice Number u AccountNumber Date Due Page age "4""`,'\ti tx "- •,,.gi^°'w ,;7r r5T 426, =00b�4 4 Cf 6 Summary for Gordon Gordon: 631-466-5153 Your Plan Monthly Charges 4G NW UNL Min&MSG+Email&Data 03/31 —04/30 65.00 4G NW UNL Min&MSG+Emall&Data 23%Access Discount 03/31 —04/30 —14.95 $65.00 monthly charge $50.05 Unlimited monthly minutes UNL Text messaging- Usage and Purchase Charges Unlimited M2M Text Voice Allowance Used, Billable Cost Unlimited Text Message Calling Plan minutes unlimited 1 -- -- Total Voice $.00 Email&Web Unlimited Unlimited monthly gigabyte Data Allowance Used Billable Cost Gigabyte Usage gigabytes unlimited .340 -- -- Beginning on 05/31/19: Total Data $.00 23%Access Discount Total Usage and Purchase Charges $.00 M2M National Unlimited Unlimited monthly Mobile to Mobile Surcharges Fed Universal Service Charge .36 UNL Night&Weekend Min Regulatory Charge .21 Unlimited monthly OFFPEAK Gross Receipts Surchg .17 $.74 UNI.PictureNideo MSG Unlimited monthly Picture&Video I Total Current Charges for 631-466-5153 $50.79 Have more questions about your charges? Get details for usage,charges at b2b.verizonwlreless.com. - verizon , - Invoice Number Account Number Date Due Page 371 nis, a,r'.. ;m,„Ma...,,,», .,• ,. .« F'0 a,..a `sr+z ��.•";"� 0 1n., 4-/a2a"26ot�f'•,6T&�"•.,o �., ,. ,,r,•2e.A;�a.,'�'^' ..�:,.r.' Nsj.<s «.F-. `S''� "a,>,•M•"S.,.µfs��sM „w..x ,s;.' :.zG.w.�.v.. x' ` Need-t®�-KnoWl lnf®rmation , Explanation of Surcharges Surcharges include(i)a Regulatory Charge(which helps defray various government charges we pay including government number administration and license fees);(ii)a Federal Universal Service Charge(and,if applicable,a State Universal Service Charge)to recover charges imposed on us by the government to support universal service;and(iii)an Administrative Charge,which helps defray certain expenses we incur,including:charges we,or our agents,pay local telephone companies for delivering calls from our customers to their customers;fees and assessments on our network facilities and services;property taxes;and the costs we ,incur responding to regulatory obligations.Please note that these are Verizon Wireless charges,not taxes.These charges,and what's included,are subject to change from time to time. Bankruptcy Information If you are or were in bankruptcy,this bill may include amounts for pre-bankruptcy charges.You should not pay pre-bankruptcy amounts;they are for your information only.In the event Verizon receives notice of a bankruptcy filing,pre-bankruptcy charges will be;adjusted in future invoices.Mail bankruptcy-related correspondence to 500 Technology Drive,Suite 550,Weldon Spring,MO 63304. Returned Payments In the event your check for payment of your wireless bill is returned by your bank for insufficient or uncollected funds,Verizon Wireless may resubmit your check electronically to your bank for payment from your checking account.- Late Payment Information A late payment applies for unpaid balances.The charge is the greater of$5 or 1.5%per month,or as permitted by law.Failure to pay bills on time may result in negative credit reporting. More On Wireless Taxes And Surcharges Your total charges for this month's bill cycle are$77.76. This includes charges-for one or more bundled Verizon service plan's that include voice,messaging,data,or other services for' which you pay a monthly plan charge. This bill cycle,your fixed monthly plan charges were$100.0.0 (before applying any discounts or credits,and excluding other charges such as overage,late payment,taxes,Verizon surcharges, and equipment). To,accurately bill taxes and Verizon surcharges,we regularly look at-, past network usage by you and other'customers with similar plans to allocate this fixed monthly plan charge among the services included in the bundle. In this bill cycle,we have allocated this amount as follows:$4.17 for voice,$0.84 for messaging,$94.99 for data,and$0.00 for other services. For more information,please go to vzw.com/taxesandsurcharges. Introducing Network Notifications Get outage information when you need it.Tap in the My Verizon app for your up-to the-minute outage status.