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Home My WebLink AboutAU-07/27/2021 Fishers Island FISHERS ISLAND FERRY DISTRICT i I I at 'r VENDOR 001318 AIRGAS USA, LSC 07/27/2021 CHECK 7508 ° "t A �A I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION \ AMOUNT SM .5710.4 .000 .625 9114191726 1 PROPANE (3) NLT FORKLIFT 140.45 .I SM .5710.4.000 .625 9114739703 PROPANE (3) NLT FORKLIFT 140.45 SM .5710 .4.000.625"', — 9980623644 (4) CYLINDER RENTAL 102.50 TOTAL 383 .40 I 00 .. .-t• .. .. '�. r z 5{- ,�,�4 I .. ... - �.. -.,t c:a��. .y�.cti ^v�",`.i.'.�.H�,c•;a�'...cri 2",D;.�:��`� f "b `°�• �'r:� I' I I I I I I �'� _1 - --- - �—rs FISHERS ISLAND FERRY DISTRICT AUDIT 7/27/2021, 53095 MAIN ROAD,PO BOX 1179 �� m SOUTHOLD„NY 119b1-0959 - I �-�-- CHECK' NO' 75081';: '•< I THE SUFFOLK CO.NATIONAL BANK ” .7 tc° s--�� curcHocue,Nv i i s35 DATE AMOUNT .} �h . 50.546274' 07,/27I202`1' ' $'3$3 40 THREE_ HUNDRED EIGHTY THREE.AND 4 0 '100 'I?b'LLIARS .4Y -AIRGAS USA,,,, LLC �a� I -PO �BOX'•734445,' ORDER'. =CHI,QAGO IL 60673=4445 11400 7 50811' 1:0 2 140 54641: 68 001502 L11' ;a, Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 `--�50 Vendor Address Entered by P.O. Box 734445 k, L Vendor Name Chicago, IL 60673-4445 Audit Date Airgas USA, LLC JUL 2 7 2021 Vendor Telephone Number 860-444-3055 800-962-0285 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-9114191726 6/10/2021 $ 140.45 $ 140.45 Propane (3) NLT forklift SM.5710.4.000.625 9114739703 6/25/2021 $ 140.45 $ 140.45 Propane(3) NLT forklift SM.5710.4.000.625 9980623644 6/30/2021 $ 102.50 $ 102.50 Cylinder Rental 4) SM.5710.4.000.625 $383.401 $383.40 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—o�� Title Signature aR. O&A C— Company Name is d Ferry District Date 7/14/2021 Title Manager Date �(�(� 7/14/2021 Disclosure Terms of Sale Each sale of Goods or services by an Airgas TM 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 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 descriped in any Contractor otherwise provided by Seller to Buyer Notice Reoardino 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(ii)pays Seller 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 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 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 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 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://www.airgas.com Visit us online today to see how www.airgas.com can save you time and money ORDER FOR LOCATION NEAREST YOU ® ® UVE Y VISIT WWW.AIRGAS.COM an Air Liquide-company SHIPPER: SOLD BY: DELIVERY ORDER#8111299810 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/25/2021 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/25/2021 800-962-0285 800-962-0285 PRINTED: 08:08 06/25/2021 SALES ORDER: 1101287873 SHIP TO:3878688 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 5 WATERFRONT PARK RELEASE# NEW LONDON,CT 06320 FIS ERS ISLAND, DR ORD BY chris baker 860-442-0165 860-442-0165 FISHERS ISLAND,NY 06390-8021 ENT BY ERICCHASE Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org , Ship Return Counter Acct Front NET 30 Customer Pick up Airgas Customer Pick Up N329 N309 NOW City UOM 'HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 3 CL X UNI 978 PROPANE 2.1 Lirl 10 Materlal#PR 33A Stor.Loc.F001 3 3 3 96 LB PROPANE 32LBS ALUMINUM 204 000 LB EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT SEER VERSE SIDE FOR MPORTOANTRSA ETY INFORMATIONSTANDARD S AND CONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING Elr SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT-WLA AIRGAS CON>OR BY CALLING El ACCEPTED FOR THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 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 Y ACCORDING TO TI-I APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE P i NAME (` } J �•-' r� PLEASE PRINT AIRGAS PERSON—NEL VDATE T 0 D rvry INTERNAL USE ONLY - - 'Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight Delivery#[8111299810 ' 204 LB III IIII�IIII�Il�lilllll9llllll�ll ill�� *Total weight for materials with weight displayed only AIRGAS TERMS AND CONDITIONS OF SALE {YARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT IVITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER - ALIVAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')ARE AVAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BYAIRGAS 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 WWW AIRGAS COMITERMS-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 1 CYLINDERS.UNLESS OTHERWISE 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,M 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 MAKEANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM 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 1S 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,ATTHE 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 ORALLEGED 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 OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8 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 BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDECOr LIQUID ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Oa LIQUID ARGON LIQUID N, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS -EXTR EXPLOSION FIREOREXTREMELY FLAMMABLE FIRE OR EXPLOSION HEALTH HEALTH •Ellie, LYFLAMMABea Willse ELYFLAMMy head Somemcetice,notbwn DPiwnl feats tcmWsllon Vapors may cause diumeaz.asphynnut In- •Vapor,may cause diznnesa or aspayxieli,n •Wll beeazrplus memnwil sparks,r llamas Will be easily ignitetl by heel spaMe or llamas Somemay react explosively with fuels —Ingwithout wamng •Wll loan explosive matures vnth man WII Imen ea losoc mixtures vim air M Vapor, •Vapors from Lquefietl gwareimnall Pass—than air spread p aymnnecombazed gagaoodpallyhw,clothing yidapromhquehetlgas ere initellyheawer than we Vapomewittiorgrs from gr Bas ere lnNallyhewier than ear y spree g Simile will ignites designated m au Vap,rs from liquefied gas are morally heavier Nan an spread entl s d alon tl antl R EXP along grountl groIO and mayen(UN10purcesidw nantlfash back Those substances etdwms,Ii,,ed,n fl potymenze elan gree gr Iq,, CAUTION Hydrogen UN1019,OeNedum UN19 Y along end may bevel to,,vice of lgnNon end llasM1 back .Contact with I f tl FIgEOp EXPLOSION y gen( ) ( ST),NlighWr, exPors from whuefiedetlwmvolved metre •CRunoff omweem may cfre,exploheated antl sever gas 9,sibit¢gas may cause Darns .Non furnemble 9.... mfd erdtetl liquid UN1966 and Methane UN1971 ere 11 hbT Nan einryry en g Q ( ) ( ) g •Vapors lrpmgqu.ied Basara mNally to sour The, •Contain.smnd,m my FIRE OR EXPLOSION •Conauners may explode when heated airendwtOd,e. willnand.re—Owbeeumgreearemat.ml defect spread along grountl antl may Vavel to source of igndon •Rupturetl cyhndem may rocket Ruluretl cylinder,may end hasM1 back HEALTH Npn-flammable a es p cy yrocxeL slots Noy bum wrN an iwleible llama Use an alt¢mate mem,d of 9, dehcbon(Nermat comers,bsiom handle,etc) Cylindersexposed to fire may vent and release flammable Vapors may caused pressor asphynelmn wthgm—rung C,nuners may explode wean headed PUBLIC SAFETY •Cylenews exposed to lire may.,land release tolerable gas gas through pressure relief tlw,ce, •Contact win gas or liquefiod gas may cause bums were eywy Ruptured cy1od.en.il ock. Isolate spill or leek wee immediately for at least 100 Nmugh wasseembef do,,,, Conumse—yexplodewhenaeated and/or lmslbne PUBLIC SAFETY meters(330 fast)Inall dreelons •Conlan—may ax od,when healetl y pre g entl/or to.,.Bas ledwe spill w leak area immediately for at least 100 Keep una.h,nzed Personnel away PI •HEALTH ticyfntlws may rocket Fee me tluce irriuhn Stayupwmd Vapor•Ruptured cylinders may rocket HEALTH PUBLIC SAFETY s meters(ave lee,in all directions Man gessawe heavier matter,and ells read HEALTH Some may bemay tosetl oohed ar asphighynelnnwihout warning .(feet) sp.11 or deleak area lmmedelel for et leas11g0meters 730 Keep'Suay. authonzetl personnel away alongground and collect in Imm confined areas Vapors my be sedzzmess at hyhconeMwl waning Somemsybeas or Lgeled go,may y ( M upwintlgro • Some mayb gas or I.-Irealed.ay Istes.entreliona gas r q gas may cause burns severe leepin,urtw edp .Man estoI i or air and wJls e— (sew rs basements tanks) •Conta<IwM a o L uelietl •Nee thonzed ygases are ¢ •Contact with gas or liquelietl gas may cause burns severe m(ury jury end.frostbite Keep personnel away grountl and collect in lowwconlinetl creast(se— Keep out l Too, as, •Fire may predewrTanng wwwronc as May gases •yOTECeclECLOTa.es before entering endlOr hoslbno gases kion ea are heavier than air antl wills spread along ountl antl basements Isola) pgOTECRVECL07NING •Flre may produce nnmtmgandlon l,xic gases Many P BBr •V-dam loot areas PUBLIC SAFETY PUBLIC SAFETY colla.t.fl—w,nlinetl areas(sewers basements tanks) .yenulale closed spaces belwe entering •Wear pous(SCB ssu esell conrainetl breathing •Isolele spill or leakareaimmatlalely for at least lW meters i(MOect),,ll ek.eaimm¢tlietely for et least 100 meters •Keep outofbw ereaz epparelus(SCCA t (MO(....thereon!peim.rsonnel •VanlnCTIVE LOTHIes Delors entering PROTEperi LOssure ) (3301ee1 mall directions B •Wear p,sdiw Pressure self canceled breathing •Structural frefgM1lem protective clothing will only •Keep uruth,rued personnel sway Seep pnauth,nzetl personnel away PROTECTIVE CLOTHING apparatus(SCBA) provide touletl protacts, layupwntl •Wear positive pressureseliconsalnetl breafhingapparelus SuuctureI firelighters peoecew clothing,di only EVACUATION •St yupwintl Many gases am hearer monarantl well aw—along (SCBA) provide limited protection LargeSp//l-Consdarinnrel doth evacuation for • Many gases we heavier than au and all spread along ground antl ground and[,Ilett,,low Or confined areas(sewers Was,chemical protective clothng whichiaspecifcally Always wear thermal pn—se l—ogwhen win 1fjDDmwwr,(7301eet collectinliwcr.rrn wm(„wam was—v>n1.s7 besemenl.Janke) recmmepded by me manulvcturvr it may provide I.—n, hInding F/m-Illook ourter or lanklruckielo—dlnniire •Keep out.on,wo.s Keep out of low areas thermal protection EVACUATIONridalso lmuitlsw spittle ISOLATE for 800 meters(112 code)In all drections PROTECTIVE CLOTHING PROTECTIVECLOTHING Structural fr,rghmr,pnewsh a clothing o recmm—ed for are also co ender initial evacu.�on Ica 600 meters •Wear powarm pressure sellcmtaned brewm,geppamus(SCRA) .Wear posave pressure seg consalnetl breathing apparaNs siluabans ONLY It is no[eaecuw mspill siluati,ns waere lira. LwM,Spill-Consider Initial dgwnwnd evacuation total (12 mile)in all dreclions •Sbuclursl frehg.ers protective cl,lhing will only provide limited (SCBA) contact wM me substance is passible feast l00 meters(ma feet) P rotection S—tur.Ivefgntars prme.waclothr Isom de Alwa Flre-ifumt,rad�er,r lank I—k-rowlvedma lire EMERGENCYRESPONSE •Always wear thermal proeNve clothing when handling hmdetl gwi yprwi iI,ghermal proleWw clothing ween handling relrigerenV ISOLATE for 800 meters(1/2 code)In all dractions also FIRE relrigeranUcryogemcL tittle Prolecimn cryogenictoads oosidwineelavacuared for ego maters(112 m,1,)in Useexhnge,chm9ogent scalable for type of EVACUATION q EVACUATION EVACUATION ell directions surrountlmg lire LargoSpell-C,owdermnial Mound wacualion total least Lenge Spill-Consldwm,teu downwmtl...cuducefcatleas1500 •Mote c,nsainers Irm Ire areas it /area Spul-c,nsitler lmual eownwind evacuator mr aneasrew 80ometwe(lRol.) m¢mrs(113mde) EMERGENCYRESPONSE you son poo ars(12 mile) Fare-iflank and cat or lank muck-i,mivem,a lino,ISOIATE Fire-Iftook rad[arw tank truck is lnwlwtl Ina lire ISOLATE FlREwith-oro, Flm-Il In out car,qr lank trucknmwlwdm a fire ISOLATE Ica for 16M star,(I mile)in all drectons also wnatlw Initial for Bob mete,,(1/2 strove—ll dreclmns,also cc,siderinnial Uwexw,urshingegenta..ble lwtypeol •Damaged cylinders should be handled only by 1600 meiem(l mife)m all directions also c—der mdiel¢wcualsi evacuation for l6gO—,are(I mue)mall dremons evacuation for BOD meters(14!mile)in all directions wrountlmg lite speciean. for 1600 meters(1 code)o dill dvecunwe Move containers from its areas if you can do it Flm invehhey Tonka EMERGENCYRESPONSE EMERGENCYRESPONSE EMERGENCYRESPONSE FIRE-DO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS FIRE-Use exMgeshn without tisk •Fight lite Irm maximum distance or use unmannetl gag en agent of surrounding lire ,Dema Mss h,ltlerswmondor rules LFIRE-E,iIK DO NOT EXRNGUISHALEAKING GAS FIRE UNLESS Damaged cylinders would De hendletl only by Cool comenere with lloere LEAK CAN BE STOPPED Small Fires-Ory chemical or COr LEAK CAN BE 570PPE0 specialists B quanhbes of water until Smell Free-Dry chemical or COr Large Free Flre Invn/vldr,Tanks well eller five u out CAUTION Hydrogen dflq.lg/,Deuterium 66)be(UNlhis.end Large F/ms Wale, nerfog ormfile rloam Fight lire from meamum distance ar use umenned Do not direct water at source of leakwsaury 11.. Hydrogen, ddAffetu/d(oultso 6)bum.hoed inv/slble Wnmr epreyor INresfr Damaged dersshul area be undlwl ntlort spec,nSk hose holtlers or monitor rules tlences,ognmyo.cur som Hydchoshod Methene mlatum,rompreased(UN2034) Moveconminorslromfirewood you can doitwitho.tisk •Damagetlgranks Woulp be handletlonly by spedielisls Cool consamers vim flowingWmdraw immetlmel titan dfrom copybFire$-Cry heroical or me Fine lnvolNng Tenke Flm lnvo/v/ng ranks well after frois out qu�ntities al water until wntmg away,tlences or discoloration of tank Smolt Flres-Drychemicel or CO: •Fight fie Irm month—mstsncegr useuomanned hose •Fight fire from nmnmum distance or useermanned hose holders .Do not direct water etseue-wl leak or salary tlewces 'ALWAYS slay away from tanks engulfed In fro Lamar ma hold ers w momew rules o mends,rules •Wafer spray Or lag •Cool containers vnih ll„din icing may occur SPILL sOR LEAK g quanlili¢a of wafer umil well •Cool containers wits flooding queninns of water until well after Wlhdraw immetlmtel DO l touch or walk menu hs fled malarial •Move containers from lire wee it you can don wimoul risk is y in case,l using,,antl Irm Stop leak it B pi FireImelving Tanks •Do not direct—wsls,urce of leak or salary tlences icing Donc direct water at source of leak or safety tlences long venting safety tlewces or discoloration of tank turn llaWn wnt.n.as,l theur nekend(Possible •Fight lire from maximum d,,.nceor useenmanned hose holtlers cur cur ALWAYSsmy away from links engulfed m lire gco gas escapes rather onilor noulas •Whdrawimmedatelyin case of rising sound from willing •Whtlrawimmed.elym case omen sound fronownhn safety SP/LL ORLEAK ih liquid •Cool conmmse,with flooding qualities of water unhl well aft. salary tlwices or tliscol,rauon of sank tlevices or discoloration of tank B g e ty •D t touch or walk through spilled material U ler spray to reduce vapors w tlivet wpor fire, •Stop leak 11 you can do IT ,their risk and,If possible cloud drift Avoid wlomng water runoff to contact •Dorotdre.oma.sourcedlakotssfetydevnesicumnrey,coca •ALWAYS.aynternet the ends of me lank ALWAYS slay away from tank,angelfedo lire turn leaking containers,,that gas¢capes rather spilled material •Wmdrew immetliatel For massive fire use unmanned hose holders or monitor For massive fire u unmated hose holders p,en.owr rules If s Do not direct water at til or s,urceof leak yinvise of rising sound lromvenUng safely rules it tlllsis unposabia wMdew lernw- el lel this lsimpossible use from mea and let lie bum Than .quid P devicesotdiscoforalon,lmnk •U ter spray 1,reduce vapors or dived vapor 'Pmventenhymloweammys sewers basements or ends ofIre burrs SPILL co LEAK cloud drift Avoid all—e conlmetl areas •ALWAYS stay away from theadhose Ne conk SPILL ELIMIN LEAK •DKeep—1t touch bles(wmd paperghsp l.cteriayhm spoletl rtvt.W spoletl malenal g`wtet runoM to contact All,wsubslance to eveperwe •Fm ma r,pomeuehdm it ed hose and let cart urn nouJ¢s it fumes in immediate area) Step flares sparks or Dteplas uch..alk throughspoletlmaterial -Do not directwaleratspillm source of leak Venuto the area Its b mp,sable wMtlrew hm area and let Iva bum (lames in immediate area) •Stop leak it you can do it wmout tisk entl if possible turn leakng salver FIRS AID SPILLLEAK ,Alla Prefirredentryressm waterways ,basements or •ELIMINATE eliignihon mattes(nosmoking flares,sparks or quipmentusedwhen handbnglhe product must be Corot tdirct ter agescap sw,rcerman liquid confinetl areas Mall911 ormerge air mes Il z.lnimmwintewea) teple¢d Use me,spray s,urw of leek Allow substance to waporam Call 911 or emergency medical services •Slop leak d you can do Il.Mout tisk and dertanpossible turn Use water spray to retluce vert,or divert vapor clpu0 dna Avpitlilater. •Glw artificial respiration if victim is not wewhm •NI ocapmem ore kthr ugh handling the product mast be grounded leaking conlainere mihalgaz emap¢a nam.man Lquitl st mg water runoff to contact spoletl material CAUTION Wine. e.I P 9 Co t"wattor walk through spoletl alone Do not touch or walk Moll spilled mwwr,I Prevent enlrymfo—urwe ewers basements or confined CAUTIONWuids, any-stmael terial. become Keep—eroxyBeand quiet is difficult •Stop Teak H we car donwMout risk and it Ili Wrnle.ung Do naldirect water el spillor source of leak seas s cryogenic liquids,many become britt/e end Keepwcht warm andquiet m mat emepearalher than liquid Usewater spray to retluce vapors or liven vapor cloutltlrih Afmvsubssante to ova em llkolymbreak without worning Ensurethat medical permnnelere ewareollhe •Use watersprey 10 retluce vapors or tlrven w bud dish poste FIRSTAID material(,)involveel and sake precautions to protect to pear[ mint lnlynno lerr ya wontcontaspole basements or CAU77O area Whistle conf,dlspeonf •Mom—int to fresh or memsews Avwtl cited stamrmn.,rsourm of neektl malenal Prevem wale.f,waterways sewers basements or CAUTION When In conlecf.Illi relrlgemleNcryogenlc bqu/tle, .Cal 911 or emergency medical services •Do net cited gr el son r.thro g c—c conl�ned Drees many materials become boli sedim likely to bmak Mo.,•Prevent spread ng.vappra through sewers ventla(bn systema , many wanting •Adnn,steroxy en,f breath,ntim ie no, ting and confined ereaz FIRSTAID FIRSTAID •Administer oxygen it breathing is tlMicult •Isidulawali gas has dispersed •Move wttmtohesh air •Mwe victim to lrOsh air Clwong frozenm he skmah„Id be lhaw,d before CAUTION Wfwn in conmefwilb relrlgereledYryogenlc UquMs,many•Call 911 or emergency medical co—as •1911 or emergency miservices Dcas—feend meMlsb becmne bdd/eaM em hko/ylo bmak wrthoul wamlrg Give emfwal mspirmi—lin rs not breathing •Give aMfwalrespuatmndwchmis not brearmng In f saclwM liquefietl gas Laaw frosted FlRSSTA„D Administer pxygend bmaNmgre diicuv •Administer oxygen it brealM1ing is wflicult penswmlukewannwal. M.— •Remote and,solwo contaminated clwang andshow; •Remom,nd isolate comammaled cl.hmshoes oes Keepwctmwwmandquiet Cal 911 or emergnningen.cy Y medical services Incase.come.,with liq.cred gas thaw treated pens wnh Clonung hc¢m to Vit skin coni be vlawxd before ba enwvetl rEnssure mal maccal personnel weri me •Give enilical respireti,n it viNmia rt breathing lukewarm—1wIn case pl conla[I volt liquefied gas thaw lrostetl pans wnh lerml(s)i 1wd-d take precautions to protect •Atlministeroxygen itbreathing is wificull lhmselves Insawof burns imedet"I coolad¢cted skm lora, lukewarm water m •Remove entlei cmamnewsclOthmg and shoes long as possible wnh cold wale,D,nottemp.cl.hingit Keep scam warm and peat •Cbiheg lrwwi to the skin would be nowed before Pang motored asharing to sin Ensure that medcal personnelire aware of the on—o(sI •Ins—,teonlectwdhliquefieng Iha,,frO.edpadswdh Keep.cum wane and quiet. mvolvetl and lake prec-sore to protect themselves lukewarm water Ensure mat mewcal Personnel as swore of the mater ti(s) •Inca,eebsos Involved and take precauumis t,protect memsidwe wM colu water Do rot recce-ctomnlg d aMenrm to sen •Keep victim wain and quiet •Ensure char m Eical permnnel ere aware of me melerial(s) Ivadentl coke Plowed—t,protect memseiws TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 --,ORDER NO- r'•',• IN�fQi )�N '-' iNVOt ET?ATE ' :_ d"#�"T{3'N :" 'z: t?L13Ib. M _: , , 1100839737 9114191726 06/10/2021 2576547 FISHERS ISLAND FERRY DISTRICT �,.. P.Q t REIEASE .'• ' �.•:'.:ORI�ERE£f£#Y-.,_ ,_�, SMTP VIA PAYtVIENT TERMS' ORDER,P,4jE Chris baker 860-442-0165 CUPU NET 30 06/10/2021 `='CYF OFtIPTlf3N: , ' = ,,.. , R, ;UNIT.PR[CCY#i�lAMOUNT',DELIVERY'NO. €OR MATERIALtWEiE#2 'OTY610 8110812464 PR 33A 3 CL 3 3 41.00 CL 123.00 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 96 LBS) (H) Sale subtotal: 123.00 Airgas Hazmat Charge 17.45 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale L � �l v( ° AMOUNT_ 140 4 5 Airgas. SHIP To 3878688 --- -- --- FISHERS ISLAND FERRY DISTRICT an Air Liquide company 5 WATERFRONT PARK Airgas 550SA,LLC NEW LONDON CT 06320 Acct No N AIRGAS USA,LLC JPMC Bannkk,,ABA BA No 021000021 6055 Rockside Woods Blvd Independence,OH 44131 For change of address 000640 email to:NDIV.DI Airgas com REV 61 16 0000612 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale Each sale of Goods or services by an AirgasT11 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 comiterms-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 Rqgjoonslbility� 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 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(a 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 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 SurchaMe—s 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 E-quipment, 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 Ltgjmized 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 111246,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 eBusiness website,http:11 vmAv.airgas.com Visit us online today to see how www.airgas.com can save you time and money. FOR LOCATION NEAREST YOU DELIVERY VISITWWW.AIRGAS.COM an Air UoUide company SHIPPER:- SOLD BY: DELIVERY ORDER-#8110812464 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1-OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/10/2021 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/10/2021 800-962-0285 800-962-0285 PRINTED: '1305 06/10/2021 SALES ORDER: 1100839737, SHIP TO:3878688 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 5 WATERFRONT PARK 261 TRUMBULL DR RELEASE# NEW LONDON,CT 06320 FISHERS ISLAND, NY 06390-8021 ORD BY Chris baker 860-442-0165, 860-442-0165 ENT BY ERICCHASE Order,Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Acct Front• Customer Pick up Airgas Counter NET 30 Customer Pick Up N329 N309 N000 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 3 CL X UN1978 PROPANE 2 1 Line# 10 Material#PR 33A Stor.Loc.F001 3 3 3' 96 LB PROPANE 32LBS ALUMINUM 204.000 LB EMERGENCY ®i� 7 Phis 1.9-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION J PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING f SOURCES,POINT OF PURCHASE,AIRGAS WEB SITE AT 4`WW AIRGAS CO hU OR BY CALLING ❑ ❑ ACCEPTED FOR r THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#a ACCEPT REJECT THEABOVE THIS is TO CERTJJFY+THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER V PACKAGED,Mpp,,I�K AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION s-CUSTOMER MUS? ACC Oi2 TNG TCS T APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORT INITIAL CHOICE NAME l PLEASE PRINT III/ LLLJJJ AIRGAS PERSONNEL DATE i T 0 D � • �� INTERNAL USE ONLY g- Y Delivery#8110812464 ); Filled By Staging Area Total PKGS Tracking!Pro Number Freight Charges Total Weight" 204 LB ❑® rid � 'Total weight for materials with weight displayed only AIRGAS TERMS AND CONDITIONS OF SALE IYARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER - ALTYAYSTRANSPORTCYUNDERS INA SECURED UPRIGHTPOSITION SAFETYDATA SHEETS("SDS')AREA VAILABLEATAIRGAS 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 1 CYLINDERS.UNLESS OTHERWISE 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 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- TAMMATED 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 THEDATE OFSELLER'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($2 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 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 (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(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/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 8 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(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 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 BYPRODUCT,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 COQ LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID OI LIQUIDARGON LIOUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FlRE OR EXPLOSION POTENTIAL HAZARDS HEALTH •EXT REMELYFLAMMABLE EXTREMELY FLAMMABLE Substance does not burn but wll supportHEALTH •Wil be easily ignited by Heal sparks or flames Whl be eaedyignned by heat sparks or llames Some may matt ex loslval cmbus,io^ •Vapors may cause tl¢zeness or espnyaiahon wiNaul Vapors maycause Oiuiness Or asphyxialian •Will lOrm explrswe mixtures mth armay P YwiltN paper naming wilhrNwarmng •WJlmrod e+pl0arveontaneawyM1 11 Vmomfaecmuefied ga(wmtl pap wl clothing etc) Va Orebroa along II heavier then ev •Vaporshmliquetietlgas are inilully Deaner man air spreatl along .Selene wuli tesponleneousl .ya •Vapors from liquefeetl gas are lite,ultyheanerinan air P q gas are imuay tl mot may 9^i yin air pods lrsmdold mal wwre Iniadulceavierium au spread andspread OS tl ground yrave INS),0lgnnron Ondrash back Thosesubsmnc,he,t w,,e lthe(P)may polymerize el..ff,suntlnnefue Vaval lo.n h—llgnidon entl stash back entl spreatl grit,ground FlgEOR EXPLOSION un CAUTION HytlrogenlUNlp/9),OeuMrlum(UN195'G,Hydrogen, ea losrvel •Contact vnlhges Orliquef�etl gas may cause Darns M detetl liquid(UNI P Y viten heated or evolved in a hre RumH may create lire,whom hes ed aver Non flammable re ge qu (U )antl Mrcomm,UN15T1jare lighter lien yeoors lrrm liquelietl gas are menially M1eaner Manor Containere rosy explatle when healetl einXPLOSIO lroslbne .Containers oda game when heated aft entl will rise Hytlmgen entl OeuteduII Ore�ere tlllflm omtleNcl spreatlalon dand rod navel to so,homl Iron •Ru cured lindmann FlflEOR EXPLOSION d— gBroun y gni p cY yrmkeL •Non-Ilommable Ruplur¢tl cyl�n0ers may rocket alnro they bum my enlmlSlblefl�me Use en eltameta methotl of entl hash back HEALTH gases deteellon(Ihemlal modem,broom handle,etc) Cylndeme.posed to lira may v mmd rel ease flammable Vapors maycause artiness oresphyxiat—wMrul wmmg Cor,bumamayexplodewhenhealed PUBLIC SAFETY •Cy4nders exposed t.fee may them amd release flmmable gas gas through pressure rebel dwices •Contact with gas or liquelietl gas may cause burns severe injury Ruptured cylinders may rocket Isolate spill or leak amour dumely lora,Ieasi t00 fleough Pressure rebel dwites Coulon—may,mim.when heated andlor lroslbne PUBLIC SAFETY latera 1330 mal Met duacliome •Containers may¢aplW,.hen heated _ - Rud—coylindarsmayrmkel Fae may pr,auceirnlaling mold,mslo gases •Isolate spill or le.1,.m.unnedumy or.,[comfort Keep u...morired personnel away •Rupturetl cylintlers may rocket HEALTH meters PUBLIC SAFETY •Keep un(aNnoezletln ell tlirecuons ManStany gases are heavier than air and will spread HEALTH PUBLIC may cause dress oresphy.almn—outwarning .lediale spill Or lwk.mourulm-1 forst least too later,(330 io—chnelaway elan and entl collect in low rr canlinetl areas •Vapors may cause dam— esphy—Ion wimout wamm9 Some may be loxlcif lnnaled It high comm—lons y •Stay upwmtl ggrD •Some may be antalingamhaled.high mmendalronm gas q gas may cause bums eewere leap in ell dumlirna M heavier than an endwlls dalon (sewers,basements tanks) •Contact with l Frtl Contact with a or li ueleed KeepunauNarizetl y any gases ere prea g color qua gas may cause burns sertre lnln7 In,ury and/or lroslbne permnnel awe grruntl and wllecl in Tow or canlinetl areas(sewers 'Keep out of low areas and/or it hum Fve as •Stay upwentl basements tanks •Ventilate old setl spaces before entenng may prod—uhmongendd,to-gas •Man ) Me"gasesare heaner manse and w,Il,pre,d along and and PROTECTIVE CLOTHING •Fre may prOtluce ertaPU LIC.rdv toxic gases PUBLIC SAFETY collect in low or conf,wd,r,m(sewers basements lank,) Keep out fox areas Wear live pressumsel—named breemin PUBLIC SAFETY Isrlale spill or leak area immrdund y for at least 100 meters Keep oro 01 low areas V ECT closetl spares Delors emenng pose g •Isolate spill or leak area immetlulely form kas 100 metere PROTECTIVE CLOTHING epparetus(,CBA) (eep Mut)m all directions •VenECT closed spaces before enteringdoo, Slruclural fireF h Keepu-330 ti 91rood prone Slay,pauMwnietl laws PROTECTIVE pressure Wearaldhvepr¢ssura selfcOntainetl breathing gtorslolecdve clamingwill only •Keep unaumonzetl personnel ewe permnne y s epparalu.(SGBA) prwttla 1, ad Orotecl�on Y Slayupwentl •Wear posi,ivepres pressure seliconminetl Drealhing apparatus EVACUATION Stay upwintl Many heaner man air and whl5 Summ, ited prof protmuve cloNmg woolly •Man along and and ere spread (SGBA) tlo fiodted 1 Le Spill 0meterseI meal tlownvnnd evacuator for �y Bases are h¢avier tan air entl will spread elan tl antl ground end collect in low or confnetl areas(severs •Weer chemical prwi protection Large pyIn.hveelrowl,It asn—coeliy y�ya clothing File!l I 100 meters ortal0 m'linetl erei+s(senora baserrene ranks) oke) recmmentletl by me manulac,urer I[ Yew,arlhermmillry,sms Imus •Km emalnOl lOw meds mermal '^aY P'onCe lime or no ACOA f t ryogenc qui ISOLATE tank rail car ortalkruck is involvetl ions •K¢eprdl Olmwareas pati protection EVACUATIONr para eNc I. tls or solme I,OLATE for 800 meters 112 rule)In all tlheCuons PROTECTIVE CLOTHING PROTECTIVECLOTHING Structural firefighters pro[mwe cloven,is recommended for lire Large Spill-Cm,ld,,lona tlownwmtl ow.ualun forst also cored rmumma...I-,,R00meters •Wear posnne pressure.elft led bring apparatus(SCM) Wear ds^rve pressure sell...ipmd breathing apparatus mumons ONLY h is not effechwh sell situations where dmecl least 100 meters(3301¢eU (12 m1Ie)m ell tlnechons •S,mmural freighters protective clothing well only pronde limited (SGBA) conlacl with me suthmen—a possible F/m-Il mak rail(330feet) rock ismwlved in erre EMERGENCY RESPONSE pllmlion Structural Nefghlem prolective claming well only provide •Always wear thermal pr0Iamw clwhng when handling refrigerant/ ISO(ATE for 800 on, ors(12mil,inelldreOlen,fin,o FlRE •sways wear thermal prelern-clonng when hanclug Inrvled prole— cryogenic liquids nLATEifor age motors me[erelecmma •Use exon r fugere Vcryo,md liquids EVACUATION o )in guisM1mg agent suitable for type of EVACUATION EVACUATION III d,motious sdu druchng fire Large Spi//-Cons,der Inset tlownwmtl evacuahon for at least LAM,Spill-Consitler uutml tlownwmtl evacuahon for at least 500 Mow containers from fro areas it don Lem,spill-Commum miml dow,wnnd evacuahon for e0 ca.face a bo motors(t2 mile) he (1 r3 cone) EMERGENCYRESPONSE you can meters(12 moa) Ff,,-If lank ret car w lank duck is involvetl In a fee ISOLATE Fire-1l lank rat car Or unk truck I—II in a lee ISOLATE FIRE w—.t nsk Fire-Il lank rail car or lank truckisinvobedin a Fre ISOLATE for for 1600 meters(I mile)m I tlnechons also consider Initial for 1300 meters(112 mne)in all deectmns also coneldermmal use exunguishug agent maple for type of Dmaged cylud-should be handled only by lGlourelers(l mile)mall der¢mods also—1,111hoial evacuation evacuahon for 1600 meters(I mile)In ell tlnechons w....I qn for Boo meters(112 mile)m all tlirecuons sunrundng lire Flrel....I.n Tanks for Ingo meters(I mar)in au diraairns EMERGENCY RESPONSE EMERGENCY RESPONSE Ww.ut hak ere hood he areas h you ro^dart F hl ure tram—hum,durance or use unmapnad EMERGENCYRESPONSE FIRE-OO NOTEXTINGU/SMA LEAKING GAS FIRE UNLESS FIRE-Use.—gulshln ihoui nsk , LEAK CAN GE STOPPED Smell F/res-p gagenl sumbla lw type Ol surrountling Fre •Damaged cylinders mould be handled o^ hose holtlers or monitor sales FIRE-DO NOT FXTINGUISHALEAKING CAS F/qE UNLESS ty by LEAK CAN BE STOPPED ry chemical or COr speculists •Cool crnlainers nim Ilootling puanlihes of water until Small Small chemical or CO, Large Fires Fire II-Nin Tbnka well alter Arris out CAUTION Nydragan/UN10d(UN1uredumn with an and UrgeFeel Water spray log ormfire loam Fightlire frm maximum tlislance or use unmanned Do not daect water at source of leak Or safety Harm,H y,relr/garafed liquid.Ulu 6)burn with an/nvislble •Water spray a log Move cantcyAu from fire area II you can only 11 m,M1W1 risk devices I/eine Hl,with n 1—Molhane mature,compressetl(UNY039J Mwr c1,1rhl ars from lora err±a of you can don wVpul re:k le I—I tl ryllimits shpultl be hantll¢d only bye lists hose holders handre oh rodomg es ting may incur moybum with en lnvlslb/e game File lnw/vin Tanks Fire lnvolHn Tenke Pecia Cmlcontainers wiN llmding quantities of water until Wilhtlraw lmmetliemly en case of nein,sound hood Small Fires-Cry chemsal or CO, g g well after he is out wnimg safety tlevices of ducoloomon of tank Large File. Fl,M1I Fre lrm maximum tlislance or use unmannetl hose Flgnt Fre from maximum tlislarroa or use unmanned hose holders III not thrust water It source of lack or safety devices ALWAYS may away from Jenks angullm In hre holtlers or mommor mules or=,,for nozzles SPILL OR LEAK •Water spray or fog Cool containers wen flooding qumuhe.of w,let1 well Curl containers 11th flooding quanliues of water um,I well aher icing may occur Do not[ouch or walk through tlmateral •Move comamers from lire area d you can do m w,Ih,m um, eller lire es out fire is m1 Wthdraw emmedialely in case of rising sound from g filled Flrelnvo/v/ng Tanks venting safety dentes or tlesc0loraton of rook •stop lack dyou Can tlo 1,wimul risk and it Isamu. •Fght fre from rmaulum tlamnce or use unmanned hose holtlers Do rot w'dler et source of look or salary dances teen, Donoltlrmci water el source 011eakm salary tl¢vites icing ALWAYS may away film tanks engulfetlm hod turn leakeng containers an Nal gas escapes rather OnnOr nozzles may occur may occur than b •Wthdr—hurnetlataly m case of hump sound from venting Wthdrow am etlamiyu,am of nein sound from vrnlin solely SPILL OR LEAK Wd1ed •Coal...u,nem with flooding quantities of water unlit well her safety devices or ducobloon of lank dentes or discoloration of lank g O g a ty 'Do rot south a,walk through spilled malenal •Use spray to reduce vapour or tlivertvapw cloud dolt Awk!allowinwater mnoq to comae, Fre is out •ALWAYS stay away from the ands of the tank ALWAYS stay away hm larks engulfed in lire •,lop leak,f you can do It whaoul nsk antl J possible miles!malenal g •WohdruDo ciwmammurre of lack agsovird safety hers,from lung may occur For massive lira use unmannetl hose holders w monitor For massive fere a unmannetl nose holders or monitor noules n thanturn lI,mud onminere so that gas escapes ranter Do not tlirect water at still or source of leak •Withdraw emmetlialely in case of rasing smntl from venting safety ^pules if odes esimpossible wMdraw from area and lei th—unpose,ble Swithdraw from area and lel his burn Prevent en into waterways aware basements or tlevices Or discolorahon of tank •Usewater spray!mune vapors n ff to cvapor uY Ys s the burn SPILLco LEAK cloud drift Aur, ellawn low mbareas • ALWAYS slay away from the entl.of Vu Wtk SPILL OR LEAK g water NnOH to contact c •For massrvef,use,unmanned hose holtlers or momtw nozzles t ELIMINATE alli^Non sourcesm smOkin flares Keel can touch emeraay Iran spelled ml smiled not venhom Me areto euapOrele Nes is rap)ssible woharew Irl area d let lire bum d ( g sparks or •Do dol loath or walk inrpugh spilled malenal Do not tleeDl water et spill or source al leak •RSTA le Ne area (lame.m all use le area) •,top leak el yon can tlo a ales rusk r than 1 suable Nm learn SPILLORLEAK glroundemenl used when handing the product must be containers va that gas escaper:remar,han leo ed g P confined rifi red w,asto walerxays sewers baseme^Is or ;I Mow vOlim to fresh air •fla.wharm emism diale area) Do smoking lianas sparks or tletl Do no,coast water ate Il or...to,of leak howludereas llames en immedale area) Stop f P� •Allow substance to evaporate Call911emergency g rouch I to semces •M cold proem raetl when haho.rg to product moat be mantled P you inntl hot g houlo.posttl etthani1,Non Use spray 111.Covapors or dwanmllat vapor cloud onfl.Awltl yemise thearea •Give artificial respnahan itviclimunotbrealheng •Do fro,touch or walk through milled malenal g Donogoumm.ersI.rklso gazellepemeral than Lquitl allowing wale N,wamrways t wens asemo CAUTION Who,1,contact with relrl erefed/ Admimster okygen if brea[hmg Is difoult. •Stop Irak If you can do 11 wfhout nsk entl If possible turn leaking Do not much or walk thrmgh imus material Prevent entry enlo walemays sewers basements or mnfenetl II)w lc liquitls,many mafedele become bdttle antl Keep victim wean and cult adeperyus 9 Ds col ter spray resell m poo r of leak am BillyEnsure that m,d,ml l ave aware of the srmalgae.-w, ratherman woorlud U.ldmrrspra huce top mrdiven va areas para FIRSTAI to break wlNouf nam/ng malenal s)m.1wd and lake •use water.prey to reduce vapors or liven vapor cloud tlrM Awitl ailanto water yto re par cloud tlrih •Allrw suDsmnce,0 ova le FIflSTAIO ( Precautions to protect Awod allowing water r,mfl to Nnmct spilled malenal mnowmewdyulls Onlacl spilled or CAUTION ereaunlilgasntat fill Mow Heim to fresh air moll •Prevent entry roto waterways sewers basements or CAUTION When In confect wllb rein/gereledcryogenle liquids, Call 911 or emergency •PmwmDo not h¢r water etsioll,por,source of leek canlinetl areas manymaler/ale become bdttle antler likely 1,bmek without , odetlim In ports •Prevent spreatlingctveryra lhmu,nsewers vrnhlel�rn systems .Isolate area u^ul gas has dspersed warning Admolihaelrgen f treamugmldMoult alM1in, and cc humorous FIRSTAID AOmenlsler oxygen elbreelhing 15 tliHicull gas •Move victim to fresh air FlflSTAIO •Isolate area unlet has dispersed •Move victim to Iresh our Cloutingrmwe In the skin should bellowed before CAfrf10N Wlvn In comem'Win reMgereMVCThvgen/c liquitls,many Call 911 or emerge, in Nwarming .Give m,I.cal reeest,old icIn,le and •Call 911a¢odspralmIf ons services q g mafedals berorrre MNe elM ate like mbfeak wllhaul •In case of contact nnh le ueleetl as thaw lrosletl FlRSTA/O PnIf reelhugmrsnolbrealhing Gimmusterrw o.ygmrll 11 victim Is not breathenq pads vnih lukewarm wstar •MOve yohm to fresh air R,,,,starorygen llbreamingudill.cu •AGmmismr OxygenH omforhilatediHrouh Keep vistas warm and quiet •Ca11911 or emergency medcal services 'Remove entl emtate cmiminatetl cloNingantl aM1ces •Remove end nmlalacontaminetedclolheng entl shoes .Ensure that medroal personnel ere aware of the •I^case of mmlacl with hqueled gas Naw frosted parts win Cloth ng frozen to the skit should be mewetl before being remw¢d materm(,in •Gere eluvial respiration it victim is not breamin, lukewarm water In case of contact with liquefied gas thaw frosted parts wM l) vONetl and lake preceuhore to prrtect •Adrumaler Oxygen of breathing Is d icull I^case of burns immediately cool affected skit for as lukrwenn water Themselves •Remove entl isolate contaminated clrthng,it shous long as possible whh-to water Oo not remove clolhing it Keep victim warm and qual •Clol frozen M the skin should be mewatl before being rennowdi edhaung to son Ensure mat me ixei personnel are aware of me malenal(,) •Incase Of wtomatl wmh liquelietl gas,the,homed parts win Keep nclim warn antl,wet irw 1wcI and take precautions to protect moll lukewarm "or Ensure Nal on-cal personnel are aware 01 Ne mane-I.) •In case of bums imheedamtycool aHetted skit la assong es promble emolwd and lake pm-dons to mol MemseNes nM mid wata Do rotramvac a de&enrg m skin •Keep vichm warmantl queer •Ensure Mut medral Personnel are aware Of the mareriel(s) ved and take pomatams to protect memsrlvre R Z EE-:3ETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520.6000- 1NvaIC Na: ` sa D Ta Nt! Sid "4'rS tP Ta.: °''s<. ".INVOICE T!"' <<:•;, , , '�' ENTAL'PURCHASE Cf DER (7. 99806236441 2576547 3878688 1 06/30/2021 RENT NET 30 :MATERIALS DEBCRII?TION; ;s«: r,; :;•< BEG E3At , StiIR• RETURN •AD(, END F2AL !EA$ES,3 �tET CIAYS -RATE-,' ;`• ""P}�tCE: LjBJECT, ,:_ %CUMENTIDATI CY-PR 33A - CYL PROPANE INDUSTRIAL 33 CGA 790 7 6 6 0 7 3 4 120 $0.685/DAY $82.20 N 8110812464 - 06/10/2021 3 3 0 8111299810 - 06/25/2021 3 3 0 RRCYLILG-AR - Rent Cyl Ind Large Argon 1 0 0 0 1 1 0 0 $0.89/DAY CY-AR CD25125 - INM 25% CD/AR 125 1 0 0 0 1 RRCYLILG-OX - Rent Cyl Ind Large Oxygen 3 0 0 0 3 3 0 0 $0.89/DAY CY-OX 200 - CYL OXYGEN INDUSTRIAL 200 CGA 540 i 3 0 0 0 3 RRCYLISM-FG - Rent Cyl Ind Small Fuel Gas 2 0 0 0 2 2 0 0 $0.82/DAY CY-PP 25 - CYL PROPYLENE 25LBS 2 0 0 0 2 13 6 6 0 13 $82.20 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale Hazmat: 20.30 Important See the Notice Regarding Cylinder Rentals/Leases and Responsibility on thepMpj jN $ 102.50 Reverse side of this form You will be deemed to have accepted the provisions in the said Notice as part of the contractual arrangements between you and us,unless you reject such - provisions by written advice to us within(15)days after the date of this document Airgas USA,LLC SHIP TO:3878688 - -- -- Acct No 550372228 {V Airgas. FISHERS ISLAND FERRY DISTRICT JPMC Bank,ABA No 021000021 an Alr Ugwde company 5 WATERFRONT PARK AIRGAS USA,LLC NEW LONDON CT 06320 6055 Rockside Woods Blvd For change of address Independence,OH 44131 email to:NDIV.DI@Airgas com 011816 age 1 of 1 or call 216-520-6000 REV 6 116 0017698 Disclosure Terms of Sale Each sale of Goods or services by an AirgaST1'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 oeen completed),and the Terms of Sale found at http/(www girgas corn/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 seances 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((I)pays Seller 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 WarrantV 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 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 Egqirtment 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 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 thongs (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://www.airgas corn Visit us online today to see how www.airgas.com can save you time and money FISHERS ISLAND FERRY DISTRICT VENDOR 001400 ALTERNATIVE SAFETY & TESTING 07/27/2021 CHECK 7509 A v FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4 -000.000 100010 (4) PRE-EMPLOYMENT 162.00 SM .,'5710.4.000.000 100010 (4) COLLECTION FEE GO.OQ TOTAL 222.00 W 41 - - -- --------- ---- 8, " Cil q Al l xll -- ------ ---- - ----- ------------------- ------------- ----- FISHERS ISLAAD,FERRY,DIS7J?icT' `,AVDTT 53095MAIN ROAD;PO BOX 1179 SOUTHOLD,NY,1197 li-0959 CTi Kr ,NO' ."' __' 7' 9 THE SUFFOLK OLK CO.-NATIC CUTCHOGUE,NY 11 935 '.-DATE -J, AMOUNT 0.0 10 Q DOLLARS'-' ,1UNDRED-TWENTY TWO 50 TWOo`H 'YRNATIVE' SAFETY & TESTING ' ALTE 29,69 ,PRAIRIE. S W. 9 E R Sli 'Tl ,',2070 OF,, GR.ANDVILLE,MI .4 9,418 POO ? SO 9111 1:0 2 1 LvO S L, Loi: 68 00 ISO 2 I'll Vendor No. Check No. Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered by 678 Front Avenue NW Vendor Name Suite 256 Audit Date . ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, MI 49504 Vendor Telephone Number JU 2 7 "2021'-` 800-477-3177 0 Cle 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 100010 7/1/2021 $222.00 $162.00 Pre-employment(4) �� SM5710.4.000.000" " $60.00 Collection Fee(4) "-=:SM5710.4.000.000 . f k 4 t e � $222.00 $222.00 f 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 0 Title Signature Company Name Fishe Ferry District Date 7/15/2021 Title Manager Date �. r � AL Ajj?Mjr Ar' Remit Payment To: Invoice E X C E L,L E N CE 2969 Prairie Street S.W. ,♦„ „ Suite 200 Date Invoice# Alternative Safety&Testing Solutions Grandville,MI 49418 7/1/2021 100010 Phone: 800477-3177 Fax: 616-534-5545 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please Box 607 261 Trumball Drive include the invoice number for 26 Fishers Island,NY 06390 proper posting. We Moved See The NEW Remit Payment To Address Terms PO Number Above Due on receipt Quantity Description Rate Amount 4 Drug Test 40.50 162.00 4 Quest Collection Fee 15.00 60.00 �-A' Federal Tax ID#38-3510664 Total $222.00 FISHERS ISLAND FERRY DISTRICT AI VENDOR 001344 AMAZON WEB SERVICES, INC. 07/27/2021 CHECK 7510 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT' 'V k SM .5710.4.000.500 794400789 AWS SYS MANAGER/CLOUD 64.88 TOTAL 64 .88 A co J,A — ------ - -- ------- -- --- -- ---- --- ----- ---- - ---- f ;- --- - ----------- ---- - -- ------ 44 I Alueg Yk -- ----- --- -- - ------ ------ FISHERS ISLAAVFERRYDISTRICT -AUDIT 7/21/2621' 53095,MAIN ROAD,PO BOX 1179 ', ,, il, 1 1, "'7/2`1/2021'I I I SOUTHOLD,NY 11971-0959 CHECK 751"o", THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE , ]-, 777--AMOUNT 07 2_7/2,0,21_, -546/2i4. SIXTY,,'FOUR.-'.`AND 68/106 -DOLLAPS A P4Y,, AMAZON WEB, SERVICES,/ INC , l rE PO SBOX :81207% Or SEATTLE WA 481081207",' ns 007510 1:0 2 140SL,641: 68 OOLS02 Lu' Check No.-,e Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Entered by Vendor Name PO Box 81207 Audit Date _ Amazon Web Services Inc Seattle,WA 98108-1207 Vendor Telephone Number } Vendor Contact Clerk1 Invoice Invoice Invoice Net Purchase Order '- Account Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 794400789 7/3/2021 $64.88 $64.88 AWS system manager,cloud SM5710.4.000.500` " i P i $64.88 $64.88 r 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 04 0a e W—, Company Name Fishers Is Date 7/16/2021 Title Manager Date / �/J aws Account number: Amazon Web Services, Inc. Invoice Email or talk to us about your AWS account or bill'visit aws_amazon.com/contact-us/ 395681 1 26393 Invoice Summary Invoice Number- 794400789 BIII to Address: Invoice Date: July 3,2021 Fishers Island Ferry DistrictATFN: Gordon Gordon Murphy TOTAL AMOUNT DUE ON July 3, 2021 $64.88 261 Trumbull Drive Fishers Island , NY, 06390 , US This invoice is for the billing period June 1 - June 30 , 2021 Greetings from Amazon Web Services,we're writing to provide you with an electronic invoice for your use of AWS services.Additional information about your bill,individual service charge details,and your account history are available on the Account Activity Page. Summary AWS Service Charges $64.88+ Charges $64.88; Credits ----•-- ------------------- --_.-___------ $0.00f Tax $0.00 I Total for this invoice $64.88 Detail AWS Data Transfer $0.00 I --- -- ------ ----------- -- ' Charges - --- -- -- - -- - --- - -- -------- ... __ -____ _ ___.__— . ---- --$0.00, Estimated US sales tax to be collected $0.00 AWS Systems Manager $0.00 ---- — — - _- -- -- ------- _-- _— -- _ --- - ---------- Charges $0.00 Estimated US sales tax to be collected $0.00 Amazon Elastic Compute Cloud $35.71 Charges -`$35.71 Estimated US sales tax to be collected $0.00 AWS Key Management Service $0.00 Charges -$0.00 Estimated US sales tax to be collected $0.00 May include estimated US sales tax,VAT,ST,GST and CT Amazon Web Services,Inc.is registered under the Singapore GST Overseas Vendor Registration Pay- Service Provider. Only Regime and GST registration number is M90373009E (Not to be used for payment remittance) AWS,Inc,is a"Registered Foreign Supplier"under Japanese Consumption Tax Law and therefore AWS Amazon Web Services,Inc. Inc is required to declare and pay consumption tax in respect of this tiansaction(as a"Digital Service") 410 Terry Ave North to the Japan Tax Authority, Seattle,WA 98109-5210,US This is not a VAT,ST or GST invoice.Related tax invoices can be accessed by going to the Bills page on your Billing Management Console. -**Please reference the tax invoice for a breakout of the Canadian taxes by type t Usage and recurring charges for this statement period will be charged on your next billing date.The amount of your actual charges for this statement period may differ from the charges shown on this page The charges shown on this page do not include any additional usage charges accrued during this statement period after the date you are viewing this page Also,one-time fees and subscription charges are assessed separately,on the date that they occur. All charges and prices are in US Dollars All AWS Services are sold by Amazon Web Services,Inc. 1 - r Amazon Virtual Private Cloud $29.17 ` Charges _ --- -_ $29.17, Estimated US sales tax to be collected $0.00 Amazon Simple Notification Service $0.00 Charges - $0.00, Estimated US sales tax to be collected $0.00 May include estimated US sales tax,VAT,ST,GST and CT Amazon Web Services,Inc is registered under the Singapore GST Overseas Vendor Registration Pay- Service Provider: Only Regime and GST registration number is M90373009E (Not to be used for payment remittance) AWS,Inc is a"Registered Foreign Supplier' under Japanese Consumption Tax taw and therefore AWS Amazon Web Services,Inc. Inc.is required to declare and pay consumption tax in respect of this transaction(as a"Digital Service") 410 Terry Ave North to the Japan Tax Authority. Seattle,WA 98109-5210,US **This Is not a VAT,ST or GST invoice.Related tax invoices can be accessed by going to the Bills page on your Billing Management Console. ****Please reference the tax invoice for a breakout of the Canadian taxes by type t Usage and recurring charges for this statement period will be charged on your next billing date.The amount of your actual charges for this statement period may differ from the charges shown on this page.The charges shown on this page do not include any additional usage charges accrued during this statement period after the date you are viewing this page.Also,one-time fees and subscription charges are assessed separately,on the date that they occur. All charges and prices are in US Dollars All AWS Services are sold by Amazon Web Services,Inc 2 ,-°771 z"; -..,.: iT°"'' ..,;t—.ag_ ,.. ;t•"^_" a+"tie '$m FISHERS ISLAND FERRY DISTRICT I "; i VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 07/27/2021 CHECK 7511 ;T A ' M ; y FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 0202107206096 , VISION PLAN #A75986-8/21 184.15 TOTAL 184.15 day; s — — ------- -------- .-'4: .°'x?i.' r a ' L. ::r •'r, 0 •'Iit fi{:✓ ea,:'J3.; Y,.:lr,?. .}„° y'v., ,y.':{X .i .rv°:ti:L :i f;Yl fv , '', %r•^'n•':..✓ , '.`',,;` Y{a, ,•r. .3• ' k rvt k I ix Y. -.,< ` _._ -'t- ,•--f' „T. . —a , { r :.,"'+ '`' l".'-';";n+,;asxiY: •t;t :.;`:Aj,':r.u'';%tf f: ±;1 :.a j:,_.^:' ti ',. a r.;7:g.r ." I ,fin I . I o a I - --- --- - - ---- ---- --- ---- - i #ia I FISHERS ISLAND FERRYDISMCTAUDI`T /27-/2021 53095 MAIN,ROAD,PO BOX 1179, I t, SOUTHOi D,NY,1„1971,-095,9 , CH-ECK N0. t,I i THE-SUFFOLK CO.NATIONAL BANK i P i5 CUTCHOGUE,NY 11935 DATE ,AMOUNT I ` .7 0 fJNE '(OkDRED-EIGHTY FOUR .AND- 15/10,' DOLL`ARS r ,AY ANTHEM BLUEy CROSS` BLUE, SHIELD„ p T FIEPO BOX 117 92 .. I Rl3ER 3”'1VEWARK'NJ 0710 ,4'792', ,ja ii'00 ? 5 L Lii' i:0 2 L40 5', 64i: 68 00 150 2 LIIN I I . f.v la Vendor No. - Check No. - Town of Southold, New York - Payment Voucher 2437 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem J U L 2 7 2021 Vendor Telephone Number n C1 k 0 n" 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 02021072060 .1® 7/1/2021 $184.15 $184.15 Vision Plan#A75986 August 2021 SM9060.8.000.000 184.15 184.15 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 or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers s Date 7/15/2021 Title Manager Date 7/15/2021 I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD • PO BOX 1049 NORTH HAVEN,CT 06473 0334661 AB 0.425 002689/033466/005461 161 02 AGZR51 WPT132 SMGRP 07/01/2021 07/02/2021 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 hitps://einplover.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(q_),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 0334661005461 AGZR51 SI-ET-M1-C00009 4 Anthem. Billing Summary ® Invoice No.: 0202107206096 Group Name. FISHERS ISLAND FERRY DIST Group Number- A75986 Billing Period. 08/01/2021 to 09/01/2021 Date Billed- 07/01/2021 Due Date- 08/01/2021 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $321.38 $16069 $16069 SubTotal $160.69 Current Billing ANTHEM $184.15 __ __ $0.00 $184.-1-5 SubTotal $1F484 Total Amount Due _ mbership Detail Catszr zt No Raza" `5-rtilarr Dep Premium A[nrr:nt .mount Cobra Contract(s) Contract No Rate- Subscriber Dep Premium ID# Subscriber Product TNpe Cov Ch- Amount Amount Amount 358M90438 HANSEN BW A5 EE 01 $5.85 $000 $5.85 Membership Detail Subtotal $172.42 $0.00 $172.42 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 f and symbols are registered marks of the Blue Cross and Blue Shield Association 4OF4 r ® Invoice No.: 0202107206096 Group Name: FISHERS ISLAND FERRY DIST ® Group Number: A75986 Billing Period: 08/01/2021 to 09/01/2021 Date Billed: 07/01/2021 Due Date. 08/01/2021 *Rate Change Legend: B=New Age Rate C=Ncw Area Category D=Ncw Age Rate&Area Category E=Next Bill Reflects New Age Rate F=New Area Category&Next Bill Reflects New Age Rate T=Tobacco Use Premium Adjustment --Eligibility Change(s) - - - - - — -- -- Eligibility charge received after the 1 st of the month may be reflected on your next bill. Effective Change Subscriber Dep Premium ID# Subscriber Product Date Code Amount Amount Amount 329WO9003 EAGAN,DANIEL BVV A5 07/01/21 ADDSUB $5.85 $0.00 $5 85 046M90439 HANEY,JONATHAN BVV A5 07/01/21 ADDDEP $5 88 $000 $5.88 Eligibility Change Subtotal $0.00 $11.73 $11.73 Cobra Continuation Contract(s) 1D# Subscriber Name Product End Date 358M90438 HANSEN,DIANE BVV A5 04/01/22 PAYMENTPOLICY * Remember to PAY AS BILLED-pay the total amount shown as due on the bill. *Do not add or delete members by writing on your bill-your payment goes to an automatic deposit box that cannot read your changes. * Submit membership changes to Anthem as they occur. We will adjust your premiums,when applicable,on a future bill. This invoice reflects all membership information processed to date. If additional payments or member changes have been mailed,they will be reflected in a future invoice. According to Anthem eligibility guidelines, all membership changes must be received by Anthem within 31 days of the -qualifying event. ---- IMPORTANT NOTICE: If this bill reflects an outstanding premium balance for the prior month's bill,Anthem's issuance of this invoice does not extend any premium grace period applicable to the outstanding balance and does not waive Anthem's contractual right to automatically terminate your group's coverage for failure to timely pay premium. Any premiums received by Anthem or its designee are received conditionally subject to actual acceptance of the premiums by Anthem. For billing questions,please call(855) 886-6154 y, FISHER45 ISLAND FERRY DISTRICT VENDOR 003274 CHA CONSULTING, INC. 07/27/2021 CHECK 7512 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.2 .000. 000 644026 PROP SVCS-4/26-6/30 3,353.55 TOTAL 3, 353 .55 75, - -------- ------ - ---- --- -------- ---- -------------- ---- ---------- - -------- ---- ------- ---- --------- FISHERS ISLAND FERRYDISTRICT AUDIT'7,j2w26ai 5,3095 MAIN ROAR,PO BOX 11'79, I ' ! , 7'512, It SOUTHOLD,NY,11',1973,-01959' CHECK''NO. T 12 L_AT A. , THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT,, 0 7/27/l 021, Ix 'THREE.'THOUSAND THREE 'HUNDRED "FIFTY,'THREE t AXD,,Z'5 b/ibo DOLLARS V PAY CH4.,CONSULTING, INC. I "R, g, THE II, CIRCE ORDER' L ! i,vh-&NEkS I - ,l - _t -NY I 2205 I` AL ANY, N, V 11500 ? 5 11, 2113 1:0 2140 5464 1: 6 8 0 0 15 0 2 Ills V ,ll: Vendor No. Check No: Town of Southold, New York - Payment Voucher n, = 3274 �� Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 5269 Vendor Name Audit Date CHA Consulting Inc Alban ,NY 12205 `� r� IVendor Telephone Number JUL 1 2021 FY 2021 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Desenption of Goods or Services General Ledger Fund and Account Number, 644026 7/7/2021 $3,353.55 $3,353.55 Elizabeth Airport Seawall-shore,protection project SM5610.2.000.000 yt $3,353.55 $3,353.55 'ayee Certification Department Certification t)(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 n stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions xes from which the Town is exempt are excluded or discrepancies noted,and payment is approve Signature Title Signature GUI/ Company Name Fishers Islan Date 1/5/2018 Title Date -11 A r Invoice CHA Consulting,Inc. PO Box 5269 Albany,NY 12205 Phone:(518)453-4500 July 7,2021 Project No: 064402.000 Invoice No: 644026 �iAFishers Island Ferry District, NY 261 Trumball Drive 1l PO Box 607 Fishers Island, NY 06390 Project 064402.000 FI Ferry DistrictSho reline Stabilization of Email invoices to:accounting@fiferry.com Professional services provided:Additional work to June 30,2021 supporting shore protection project. Professional Services from April 26.20_21 to June 30,2_021 Phase 0002000 Bidding Assistance Fee Total Fee 6,000.00 Percent Complete 94.5768 Total Earned 5,674.61 Previous Fee Billing 4,879.81 Current Fee Billing 794.80 Total Fee 794.80 Total this Phase $794.80 Total this Invoice $794.80 Outstanding Invoices Number Date Balance 644025 4/26/2021 2,558.75 Total 2,558.75 ($37,353 Total Now Due Billings to Date Current Prior Total Received AR Balance Fee 794.80 13,620.90 14,415.70 Totals 794.80 13,620.90 14,415.70 11,062.15 3,353.55 Authorized By: Date: 07-07-2021 Richard H Strouse, PE,LS FISHERS ISLAND FERRYDISTRICT' VENDOR003731 CUMMINS SALES AND SERVICE 07/27/2021 CHECK 7513 i 7 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000,200 G4-57027 RP NONJZEPOWER 6,035.36 SM .5710.2.000.100 (34-57085 MU PARTS 645.98 TOTAL 6, 681.34 71 4:11 4n, ZN6 V. ,W ----------- ---- ------- ---- ---------------------- ------ -- -------- - ---------- FISHERS ISLAND'FERRY DISTRICT AUDIT 7, /2 7-/'2 53095WAIN AOAO,PO-BOX 11,79 SOUTHQLP;,NY 11'971-0969 CHECK 7 THE SUFFOLK CO.NATIONAL BANK' CLITCHOGUE,NY 11935 DATEAMOUNT 0 2f 50-5461214, -01/2-7 j'3 4'/-l- ON jSAi4D"""$IX','HUNt)RE'D""Et"dHT'Y h AtM 0' .DOLLARS Sik' 'TkOT 7 .4Y CUMMINS SALES ,AND SERVICE Q.R TH, PO. 1 0 786567 Ate' i 9RDrR' - 0)7, PHiL' AIDELPHIA,,PA'1'917b-6 67 'P, A III00 7 5 L 3110 1:0 2 L-140 54 E41: 68 00LS02 L no Vendor No. Check No. Town of Southold, New York - Payment Voucher 3731 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 786567 Audit Date Cummins Sales and Services Philadelphia,PA 19178 JUL' 7 �02� Vendor Telephone Number Vendor Contact l!)�0FClerk Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number G4-57027 7/12/2021 6,035.36 6,035.36 RP non repower SM5710.2.000.200 G4-57085 7/13/2021 645.98 645.98 MU parts SM5710.2.000.100 6,681.34 6,681.34 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 �F Company Name Fishers Island Ferry Date 7/16/2021 Title Date —7 J 7/16/2021 T Payment terms are 30 days from Invoice date unless otherwise Sales and agreed upon in writing. Remit to: Cummins Sales and Service Service P.O.Box 786567 Philadelphia,PA 19178-6567 ROCKY HILL CT BRANCH INVOICE NO 914 CROMWELL AVENUE ROCKY HILL,CT 06067 (860)529-7474 G4-57027 TO PAY ONLINE LOGON TO customerpayment cummins com SOLD TO SHIP TO FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK PAGE 1 OF 2 FISHERS ISLAND, NY 06390-0607 NEW LONDON, CT 06320 CONTACTGEB COOK ON ACCOUNT CHARGE**' MAR DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 12-JUL-2021 2220211 MV RACE POINT CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. XENG-100-360277 L0591/AO776 QUANTITY PART PRODUCT SHIPPED NUMBER DESCRIPTION CODE UNIT PRICE AMOUNT 1 1 CONTROLS TROUBLESHOOTING E2-OTHER 5,675.00 5,675.00 INVOICE REFERENCE MP#179116-FISHERS ISLAND FERRY ASA RESULT OF THE OUTBREAK OF THE DISEASE COVID-19 ARISING FROM THE NOVEL CORONAVIRUS,TEMPORARY DELAYS IN DELIVERY,LABOUR OR SERVICES FROM CUMMINS AND ITS SUB-SUPPLIERS OR SUBCONTRACTORS MAY OCCUR. AMONG OTHER FACTORS,CUMMINS DELIVERY OBLIGATIONS ARE SUBJECT TO CORRECT AND PUNCTUAL SUPPLY FROM OUR SUB-SUPPLIERS OR SUBCONTRACTORS,AND CUMMINS RESERVES THE RIGHT TO MAKE PARTIAL DELIVERIES OR MODIFY ITS LABOUR OR SERVICE.WHILE CUMMINS SHALL MAKE EVERY COMMERCIALLY REASONABLE EFFORT TO MEET THE DELIVERY,SERVICE OR COMPLETION OBLIGATIONS SET FORTH HEREIN,SUCH DATES ARE SUBJECT TO CHANGE. THIS INVOICE FOR CONTROLS TROUBLE SHOOTING BATTERY POWER ISSUES 2 @ $1,800 = $3,600 = CUMMINS TECH 1 = $2,075 = NAPP TECH 'v I TRACKING# '� SUB TOTAL: 5,675.00 STATE SALES TAX: 360.36 I �v***CONTINUED* Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE Payment terms are 30 days from invoice date unless otherwise Sales and agreed upon in writing. Remit to. Cummins Sales and Service Service P.O.Box 786567 Philadelphia,PA 19178-6567 ROCKY HILL CT BRANCH 914 CROMWELL AVENUE INVOICE NO ROCKY HILL,CT 06067 G4-57027 (860)529-7474 TO PAY ONLINE LOGON TO customerpayment.cumm ins Com SOLD TO SHIP TO FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND, NY 06390-0607 NEW LONDON, CT 06320 PAGE 2 OF 2 CONTACTGEB COOK *`*ON ACCOUNT CHARGE*** MAR DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 12-JUL-2021 222021/MV RACE POINT CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. XENG-100-360277 L0591/AO776 ART .1V UMBER DESCRIPTION PRODUCT CODE UNIT PRICE; AMOUNT 0 Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 6,035.36 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE „ p EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOO . RECEIVED BY(print name) �G SIGNATURE DATE Payment terms are 30 days from invoice date unless otherwise Sales and agreed upon in writing. Remit to: Cummins Sales and Service Service P.O.Box 786567 Philadelphia,PA 19178-6567 ROCKY HILL CT BRANCHINVOICE NO 914 CROMW-ELL AVENUE U VtiL�,vL+�rj cc+� h�,CT ROCKY HILL, CT 06067 G4-57085 (860)529-7474 � C �s :�r l Y.o W\rrvl TO PAY ONLINE LOGON TO I customerpayment cummins corn cv�C t: y"leAl SOLD TO SHIP TO Y FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK PAGE 1 OF 1 FISHERS ISLAND, NY 06390-0607 NEW LONDON,CT 06320 CONTACTJOHN PARADYS ON ACCOUNT CHARGE DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-JUL-2021 JOHNS VERBAL CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY 35348789 REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. OE-100-360287 NJ916 Imm 2 2 4933305 KIT,AFTERCOOLER SEAL CECO 205.12 410.24 2 2 3921926 GASKET,TURBOCHARGER CECO 42.99 8598 12 12 3973526 SCREW,HEX FLANGE HEAD CAP CECO 28.33 6 6 3328948 GASKET,EXHAUST MANIFOLD CECO 6.67 40.02 4 4 3818824 NUT,REGULAR HEXAGON CECO 3.51 1404 4 4 3095798 STUD CECO 15.50 AS A RESULT OF THE OUTBREAK OF THE DISEASE COVID-19 ARISING FROM THE NOVEL CORONAVIRUS,TEMPORARY DELAYS IN DELIVERY,LABOUR OR SERVICES FROM CUMMINS AND ITS SUB-SUPPLIERS OR SUBCONTRACTORS MAY OCCUR. AMONG OTHER FACTORS,CUMMINS DELIVERY OBLIGATIONS ARE SUBJECT TO CORRECT AND PUNCTUAL SUPPLY FROM OUR SUB-SUPPLIERS OR SUBCONTRACTORS,AND CUMMINS RESERVES THE RIGHT TO MAKE PARTIAL DELIVERIES OR MODIFY ITS LABOUR OR SERVICE.WHILE CUMMINS SHALL MAKE EVERY COMMERCIALLY REASONABLE EFFORT TO MEET THE DELIVERY,SERVICE OR COMPLETION OBLIGATIONS SET FORTH HEREIN,SUCH DATES ARE SUBJECT TO CHANGE. TRACKING# 1zx247w80361127436,500275569920, SHIPPING AND HANDLING: 57.13 I 507299676011 SUB TOTAL: 607.41 STATE SALES TAX: 38.57 9r, Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 645.98 DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE M BEEN READ AND FULLY UNDERSTOOD RECEIVED BY(print name) SIGNATURE DATE TERMS AND CONDITIONS Th se Terms and Conditions,together with the eshmate/quote(the'Quote')and/or invoice('Invoice")attached to these Terms and Conditions,are hereinafter collectively referred to as this'Agreement'and shall constitute the entire agreement between the cu tamer(°Customer')Identified on the Quote and/or Invoice and Cummins Inc('Cummins)and supersede any previous agreement or understanding(oral or written)between the parties with respect to the subject matter of this Agreement No pnor in onsistent course of dealing,course of performance,or usage of trade,If any,constitutes a warver of,or serves to explain or Interpret,the Terms and Conditions set forth in this Agreement Electronic transactions between Customer and Cummins will be s lely governed by the Terms and Conditions of this Agreement,and any terms and conditions on Customer's website or other internal site will be null and void and of no legal effect on Cummins In the event Customer delivers,references,incorporates by r lerence,or produces any purchase order or document,any terms and conditions related thereto shall be null and void and of no legal effect on Cummins 1 SCOPE OF SERVICES,PERFORMANCE OF SERVICES Cummins shall supply part(s)and/or component(s)and/or engine(s)and/or generator sells)('Goods')and/or perform the maintenance and/or repair('Services')on the equipment identified in tl a Quote and/or Invoice(°Equipment°),if applicable,in accordance with the specifications in the Quote and/or Invoice No additional services or goods are included in this Agreement unless agreed upon by the parties in writing,or otherwise,as applicable CUSTOMER OBLIGATIONS If necessary,Customer shall provide Cummins safe and tree access to Customer's site and arrange for all related services and utilities necessary for Cummins to safely and freely perform the Services During the erformance of the Services,Customer shall fully and completely secure all or any part of any facility where the Equipment Is located to remove and mitigate any and all safety issues and risks,Including but not limited to Injury to facility occupants, ustomers,invitees,or any third parry and/or property damage or work interruption ansing out of the Services If applicable,Customer shall make all necessary arrangements to address and mitigate the consequences of any electrical service Interruption hick might occur during the Services Customer Is responsible for operating and maintaining the Equipment in accordance with the owner's manual for the Equipment 3 INVOICING AND PAYMENT Unless otherwise agreed to by the parties In writing and subject to credit approval by Cummins,payments are due thirty(30)days from the date of Invoice If Customer does not have approved credit with Cummins,as solely determined by Cummins,payments are due in advance or at the time of supply of the Goods and/or Services If payment Is not received when due,in addition to any rights Cummins may have at law,Cummins may charge Customer eighteen percent(18%)interest annually on late payments,or the maximum amount allowed bylaw Customer agrees to pay all Cummins'costs and expenses(including all reasonable attorneys'fees)related to Cummins'enforcement and collection of unpaid invoices,or any other enforcement of this Agreement by Cummins 4 TAXES,EXEMPTIONS The Invoice Includes all applicable local,state,or federal sales and/or use or similar taxes which Cummins is required by applicable laws to collect from Customer under this Agreement Customer must provide a valid tax exemption certificate or direct payment certificate prior to shipment of the Goods or performance of the Services,or such taxes will be Included in the Invoice 5 DELIVERY,TITLE AND RISK OF LOSS Unless otherwise agreed In writing by the parties,any Goods supplied under this Agreement shall be delivered FOB Origin,freight prepaid to the first destination If agreed,any charges for third parry freight are subject to adjustment to reflect any change In price at time of shipment Unless otherwise agreed to,packaging method,shipping documents and manner,route and carrier and delivery shall be as Cummins deems appropriate All shipments are made within normal business hours,Monday through Friday Unless otherwise agreed in writing by the parties,title and risk of loss for any Goods sold under this Agreement shall pass to Customer upon delivery of Goods by Cummins to freight carrier or to Customer at pickup at Cummins'facility 6 DELAYS Any delivery,shipping,Installation,or performance dates indicated in this Agreement are estimated and not guaranteed Further,delivery time is subject to confirmation at time of order Cummins shall not be liable to Customer or any third parry for any loss,damage,or expense suffered by Customer or third parry due to any delay In delivery,shipping,Installation,or performance,however occasioned,including any delays In performance that result directly or indirectly from acts of Customer or causes beyond Cummins'control,Including but not limited to acts of God,accidents,fire,explosions,good,unusual weather conditions,acts of government authority,or labor disputes 7 LIMITED WARRANTIES a New Goods New Goods purchased or supplied under this Agreement are governed by the express written manufacturers'warranty No other warranty for Goods supplied under this Agreement is provided under this Agreement to Cummins Exchange Components,Other Exchange Components,and Recon Cummins will administer the Cummins exchange component warranty and the warranties of other manufacturers'exchange components or Recon Components which are sold by Cummins In the event of defects in such items,only manufacturers'warranties will apply c HHP Exchange Engine HHP Exchange Engines remanufactured by Cummins under this Agreement are governed by the express Cummins'written warranty No other warranty for HHP exchange Engines supplied under this Agreement is provided under this Agreement d General Service Work All Services shall be free from defects in workmanship(1)for power generation equipment(Including engines in such equipment),for a period of ninety(90)days after completion of Services or 500 hours of operation,whichever occurs first,or(ii)for engines,for a period of ninety(90)days after completion of Services,25,000 miles or 900 hours of operation,whichever occurs first In the event of a warrantable defect in workmanship of Services supplied under this Agreement ('Warrantable Defect'),Cummins'obligation shall be solely limited to correcting the Warrantable Defect Cummins shall correct the Warrantable Defect where O such Warrantable Defect becomes apparent to Customer during the warranty period,(u) Cummins receives written notice of the Warrantable Defect within thirty(30)days following discovery by Customer,and(ni)Cummins has determined that there is a Warrantable Defect Warrantable Defects remedied under this provision shall be subject to the remaining warranty period of the original warranty of the Services New Goods supplied during the remedy of Warrantable Defects are warranted for the balance of the warranty period still available from the original warranty of such Goods e Used Goods Used Goods are sold'as Is,where is"unless exception is made In writing between Cummins and Customer Customer agrees to inspect all used Goods before completing the purchase f THE REMEDIES PROVIDED IN THE LIMITED WARRANTIES AND THIS AGREEMENT ARE THE SOLE AND EXCLUSIVE WARRANTIES AND REMEDIES PROVIDED BY CUMMINS TO THE CUSTOMER UNDER THIS AGREEMENT EXCEPT AS SET OUT IN THE WARRANTY AND THIS AGREEMENT,AND TO THE EXTENT PERMITTED BY LAW,CUMMINS EXPRESSLY DISCLAIMS ALL OTHER REPRESENTATIONS,WARRANTIES,ENDORSEMENTS,AND CONDITIONS OF ANY KIND, EXPRESS OR IMPLIED,INCLUDING,WITHOUT LIMITATION,ANY STATUTORY OR COMMON LAW IMPLIED REPRESENTATIONS,WARRANTIES AND CONDITIONS OF FITNESS FOR A PURPOSE OR MERCHANTABILITY 8 INDEMNIFICATION Customer shall indemnify,defend and hold harmless Cummins from and against any and all claims,actions,costs,expenses,damages and liabilities,including reasonable attorneys'fees,brought against or incurred by Cummins related to or ansing out of this Agreement or the Services and/or Goods supplied under this Agreement(collectively,the"Claims'),where such Claims were caused or contributed,in whole or in part,by the acts,omissions,fault or negligence of the Customer Customer shall present any Claims covered by this Indemnity,including any tenders for defense and Indemnity by Cummins to Its insurance carrier unless Cummins directs that the defense will be handled by Cummins'legal counsel at Customer's expense 9 LIMITATION OF LIABILITY NOTWITHSTANDING ANY OTHER TERM OF THIS AGREEMENT,IN NO EVENT SHALL CUMMINS,ITS OFFICERS,DIRECTORS,EMPLOYEES,OR AGENTS BE LIABLE TO CUSTOMER OR ANY THIRD PARTY FOR ANY INDIRECT,INCIDENTAL,SPECIAL,PUNITIVE,OR CONSEQUENTIAL DAMAGES OF ANY KIND(INCLUDING WITHOUT LIMITATION DOWNTIME,LOSS OF PROFIT OR REVENUE,LOSS OF DATA,LOSS OF OPPORTUNITY,DAMAGE TO GOODWILL,ENHANCED DAMAGES,MONETARY REQUESTS RELATING TO RECALL EXPENSES AND REPAIRS TO PROPERTY,AND/OR DAMAGES CAUSED BY DELAY)IN ANY WAY RELATED TO OR ARISING FROM CUMMINS'SUPPLY OF GOODS OR SERVICES UNDER THIS AGREEMENT IN NO EVENT SHALL CUMMINS'LIABILITY TO CUSTOMER OR ANY THIRD PARTY CLAIMING DIRECTLY THROUGH CUSTOMER OR ON CUSTOMER'S BEHALF UNDER THIS AGREEMENT EXCEED THE TOTAL COST OF GOODS AND SERVICES SUPPLIED BY CUMMINS UNDER THIS AGREEMENT GIVING RISE TO THE CLAIM BY ACCEPTANCE OF THIS AGREEMENT,CUSTOMER ACKNOWLEDGES CUSTOMER'S SOLE REMEDY AGAINST CUMMINS FOR ANY LOSS SHALL BE THE REMEDY PROVIDED HEREIN EVEN IF THE EXCLUSIVE REMEDY IN SECTION 71S DEEMED TO HAVE FAILED OF ITS ESSENTIAL PURPOSE 10 GOVERNING LAW AND JURISDICTION This Agreement and all matters arising hereunder shall be governed by and construed in accordance with the laws of the State of Indiana without giving effect to any choice or conflict of law provision The parties agree that the court of the State of Indiana shall have exclusive jurisdiction to settle any dispute or claim arising in connection with this Agreement 11 ASSIGNMENT This Agreement Is binding on the parties and their successors and assigns Customer shall not assign this Agreement without the prior written consent of Cummins 12 CANCELLATION Orders placed with and accepted by Cummins may not be cancelled except with Cummins'prior written consent Cummins may charge Customer a cancellation charge in accordance with current Cummins policy which is available upon request,in addition to the actual,non-recoverable costs incurred by Cummins 13 REFUNDS/CREDITS Goods ordered and delivered by Cummins under this Agreement are not returnable unless agreed to by Cummins Cummins may,at Its sole discretion,agree to accept Goods for return and provide credit where Goods are In new and saleable condition and presented with a copy of the original Invoice Credits for returns will be subject to up to a 15%handling/restocking charge and are limited to eligible Items purchased from Cummins 14 INTELLECTUAL PROPERTY Any intellectual property rights created by either parry,whether Independently or jointly,in the course of the performance of this Agreement or otherwise related to Cummins pre-existing Intellectual property or subject matter related thereto,shall be Cummins'property Customer agrees to assign,and does hereby assign,all right,title,and Interest to such intellectual property to Cummins Any Cummins pre-existing intellectual property shall remain Cummins'property Nothing In this Agreement shall be deemed to have given Customer a licence or any other rights to use any of the Intellectual property rights of Cummins 15 COMPLIANCE WITH LAWS Customer shall comply with all laws applicable to Its activities under this Agreement,including without limitation,any and all applicable national,provincial,and local export,anti-bribery,environmental,health,and safety laws and regulations In effect Customer acknowledges that the Goods,and any related technology that are sold or otherwise provided hereunder may be subject to export and other trade controls restricting the sale,export,re-export and/or transfer, directly or indirectly,of such Goods or technology to certain countries or parties,Including,but not limited to,licensing requirements under applicable laws and regulations of the United States,the United Kingdom and other jurisdictions It is the intention of Cummins to comply with these laws,rules,and regulations Any other provision of this Agreement to the contrary notwithstanding,Customer shall comply with all such applicable laws relating to the cross-border movement of goods or technology,and all related orders in effect from time to time,and equivalent measures Customer shall accept full responsibility for any and all civil or criminal liabilities and costs ansing from any breaches of those laws and regulations and will defend,Indemnify,and hold Cummins harmless from and against any and all fines,penalties,claim,damages,liabilities,judgments,costs,fees,and expenses Incurred by Cummins or Its affiliates as a result of Customer's breach 16 CONFIDENTIALITY Each party shall keep confidential any information received from the other that Is not generally known to the public and at the time of disclosure,would reasonably be understood by the receiving parry to be proprietary or confidential,whether disclosed In oral,written,visual,electronic,or other form,and which the receiving party(or agents)learns In connection with this Agreement Including,but not limited to(a)business plans,strategies,sales,projects and analyses,(b) financial information,pricing,and fee structures,(c)business processes,methods,and models,(d)employee and supplier information,(e)specifications,and(f)the terms and conditions of this Agreement Each party shall take necessary steps to ensure Compliance with this provision by its employees and agents 117 MISCELLANEOUS All notices under this Agreement shall be In writing and be delivered personally,mailed via first class certified or registered mail,or sent by a nationally recognized express couner service to the addresses set forth In the Quote aol/or Invoice No amendment of this Agreement shall be valid unless it Is writing and signed by the parties hereto Failure of either party to require performance by the other party of any provision hereof shall in no way affect the right to require such performance at any time thereafter or the enforceability of the Agreement generally,nor shall the waiver by a parry of a breach of any of the provisions hereof constitute a waiver of any succeeding breach Any provision of this Agreement that is Invalid or unenforceable shall not affect the validity or enforceability of the remaining terms hereof These terms are exclusive and constitute entire agreement Customer acknowledges that the provisions were freely negotiated and bargained for and Customer has agreed to purchase of the Goods and/or Services pursuant to these terms and conditions Acceptance of this Agreement is expressly conditioned on Customer's assent to all such terms and conditions Neither parry has relied on any statement, representation,agreement,understanding,or promise made by the other except as expressly set out In this Agreement I I FISHERS ISLAND FERRY DISTRICT 77 VENDOR- 004277 DIME OIL COMPANY, - LC 07/27/2021 CHECK 7514 A Al FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 92-628 RP 5447. 1 GAL @$2.2003/G 11, 985.25 SM .5710.4.000.300 92628 S-F COST RECOVERY .0021 11-.44 SM \.5710.4 .000.300 92628 LUST TAX - $.0010/GAL 5.45 , ,191 ., TOTAL 12, 002.14 co —_ --------------- - - - --- --- --- - -------- - -- _- r-------------- - ------------------ - r I 'y 0 0 4 ---- -------------- ------- I If I g I I s;lel vi i !!pm 8llpl 7RICT AUDIT, 53095 0 ISOUTH, 7,5 1,4` AMOUNT- 50-5461214{ 0 TWELVE', THOUSAND TWO AND' 14/-i00 DOLLARS,"" t7 PAY DIME OIL COMPANY,, LL ,'rad ii r6Tlqg ` 'tR' ,'-', ' - ' , OFI , ,I, Po ox,1112,9 ' WATERBURY CT Q67,04 119 0 0 7 5 1 Loo 1:0 2 140 5 L, 6 L., 68 00 150 2 1115 Vendor No. Check No. , � Town of Southold, New York - Payment Voucher 4277 Entered�,by; P.O. Box 11125 Audit Date Dime Oil Company LLC Waterbury, CT 06703AL 2° T,202,, Vendor Telephone Number 203-754-5334 rwn"C1&& 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 92628 7/9/2021 $12,002.14 $11,985.25 RP 5447.1 gal $2.2003/ al SM5710.4.000.300 $11.44 S-F Cost Recovery.0021 SM5710.4.000.300 f $5.45 LUST Tax-$.0010/ al SM5710.4.000.300 OPIS attached $12,002.141 $12,002.14 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 discrepancies noted,and payment is approved. Signatur Title Signature C,d Company Name Fis e s sland Ferry District Date 7/15/2021 Title Manager Date Z I Dime Oil LLC Phone: 203-754-5334 PO. Box -11125 Date 07/09/21, Waterbury, CT _06703 Page 1 Dime Oil LLC www.dimeoilco.,com INVOICE ACCOUNT NUMBER : ,4420-16t Fishers Island Ferry District AMOUNT ENCLOSED: PO' Box 607 (EMAIL) Attn Account's 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 07/09/21 92",628 46 #2 ULSD Dyed 5447.1 GALS @ 2.200300 11985.25 Pickup No:, TM FULL #2 Dyed Diesel Fuel NonTaxable Use ONLY Penalty For Taxable Use _S-F Cost Recovery 11.44 LUST, TAX. 5.45 07/09/21 92628 Fuel Invoice Total 12002-14 Amount Due 12002.14 *.** Please include account number with payment *** Dime Oil LLC 203-754-533.4 Accbunt:4420165 Kasia Asmolov From: Kasia Asmolov Sent: Thursday,July 15, 2021 10:37 AM To: Kasia Asmolov Subject: FW:7/9 Delivery for Fisher Island Attachments: FISHER ISLAND 92628.pdf From: Beth Skojec [mailto:beth@dimeoil.com] Sent: Monday,July 12, 20217:54 AM To: Kasia Asmolov<kasmolov@fiferry.com> Subject:7/9 Delivery for Fisher Island NEW HAVEN, CT 2021-07-09 16:59:00 EDT **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.1 Move Pre Move Date Time Gulf u Net 215.05 + 3.70 -- -- -- -- 217.55 + 3.70 07/08 18:00 NWENGLPTR u N-10 215.90 + 2.85 -- -- -- -- 218.40 + 2.85 07/08 18:00 Shell u N-10 216.10 + 3.00 -- -- -- -- -- -- -- 07/08 18:00 Shell b 125-3 218.29 + 3.04 -- -- -- -- -- -- -- -- 07/08 18:00 Sprague u 1-10 218.85 + 3.28 -- -- -- -- 220.87 + 3.28 07/08 18:00 S.R.& M. u 1-10 219.17 + 3.28 -- -- -- -- -- -- -- -- 07/08 18:00 Citgo b 1-10 219.23 + 2.81 -- -- -- -- -- -- -- -- 07/08 18:00 Citgo u 1-10 219.23 + 2.81 -- -- -- -- -- -- -- -- 07/08 18:00 SaratogaE u N-10 219.24 + 3.00 -- -- -- -- -- -- -- -- 07/09 11:00 Valero b 1-10 219.37 + 3.46 -- -- -- -- -- -- -- -- 07/08 18:00 XOM b 125-3 219.58 + 3.32 -- -- -- -- -- -- -- -- 07/08 19:00 Valero u N-10 219.63 + 3.13 -- -- -- -- -- -- -- -- 07/08 18:00 Irving u N-10 219.77 + 3.11 -- -- -- -- -- -- -- -- 07/08 18:00 Sunoco b 125-3 219.85 + 3.10 -- -- -- -- -- -- -- -- 07/08 18:00 BP b 125-3 219.96 + 2.53 -- -- -- -- -- -- -- -- 07/08 18:00 Gulf b N-10 220.00 + 3.15 -- -- -- -- 222.50 + 3.15 07/08 18:00 Irving b 1-10 220.33 + 2.63 -- -- -- -- -- -- -- -- 07/09 00:01 LOW RACK 215.05 -- -- 217.55 HIGH RACK 220.33 -- -- 222.50 RACK AVG 218.80 Plus vendor mark-up 1.23 Total 220.03 Convert to dollars $2.2003 Kasia Asmolov Fishers Island Ferry District Beth S1wiec- beth o,dimeoil.com q � 6office: (203)754-5334 ©direct: (203)437-6864 6www.dimeoiflco.com IL COMPANY LLC 1 'EA118:VIE,RESERVE TFT 91gHT TO MAKE A FINANCE CHARGE COMPUTED V A PERIODIC RATE OF 1 5%PER MONTH WHICH IS 9 S 6.� � t 1 ' AN=AN�iUAL PERCENTAGE:HTE OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION FEES ' o of off- �7 a o E ORDER D T 0� f{ 6 a o630 10000 s� c 006/2021- ; Nn�� - DELI,�wp�)RY DATE (/.�� .� �� Era =� Yishers :Island Ferry Dist 4420165 -5Water cont Park—Race P6� GALLO(/N -State; street DYED DIESEL 860-442-0165 �� ° New London CT 06320- 23114 GALLON } /g�� f I•o FULL PRICE PER oz o, V �-actQr,: 21 . 000 Last Delv:06/03/'2;1v 0 .0123 - _ 1 e C ,CC o s j /_ u c111 jO 1i- i3[,, -303-8311*I95n-ex83—Strc 1t-1o11W DISCOUNT PRI&qPER GALLQN, o �- sa ' .t t s-L,,,,State St-ovr �RR tracks to' term L Q t (>`I PAY DISCOUPIT MINC?UIVT Y E '(B`) ORD-r,"5400 F'RI 7/9� @ . 9AM Pill4j «: PAY THIS AMOUNT !Il I! Taxes=$ .o.oa21 $ ,o . 001U f'IAFTER RAYS R DIME ®IL..V®MPANY' LLC TRUCK COMPANY, f'.O. BOX 11125 DRIv R TAX o . r WA!ERBURY, CT 06703; TM TIME' AM PAYMENT RECEIVED q (203) 754-5334 TMFI OF DEL M -• ° ❑CASH ❑CHECK CII REu---- o , ❑CHARGE � 1 , FISHERS ISLAND iERR Y DISTRICT VENDOR 005738 EVERSOURCE-ELECTRIC 07/27,/-202 1 CHECK 7515 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT iq SM .5710.4.000.100 51981034010621 NLT ELEC SVC-6/2=7/1 1, 090.16 :1 7. TOTAL 11090.16 g3 lvl/ --- -------- - - ------- _ .± —P ........... 41 A. 41 I I "27 f % - --------- ------------- - -- -- ----------------- ---------------- --- ------- ------ 'Its, /2021- FISHERS ISLAND FERRY,,OISTRICT :T 7/2,7, 53095'MAIN ROAD,PO BOX 11,79 AUDI SOUTHOLD,.NY 11971-0959, CHEICK',,,NO-.:- THE SUF60"LK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT, 07/27/20211,2,7 bNE 'T1401-3ID NINETY AND 16/100 DOtLAkS,,,-"" DAY EVERSOURCE7ELECTRIC,- o To -5-600 PO BOX -2, 'l ORDER '-BOSTON--MA d'2155-6002 OF 110007515111 1:02L4054641: M 001502 lul Vendor No. Check No. Town of Southold, New York - Payment Voucher 5738 . Vendor Address Ent eied by, n: PO Box 56002 Boston,MA 02155-6002 Audit Date Eversource Vendor Telephone Number 888-783-6617 T Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services a General Ledger Fund and Account Number, ' 51981034010 7/1/2021 $1,090.16 $1,090.16 NLT elec sery 6/2-7/1/21 SM5710.4.000.100. i E $1,090.16 $1,090.16 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 s an erre District Date 7/15/2021 Title Manaeer Date 7/15/2021 EVERS" URCE Total Amount 5198 Account Number: 103 4010 IIS a $2..097.3t Statement Date: 07/01/21 Amount Due On 06/30/21 $1,007.15 ' Service Provided To: ; Last Payment Received �I $0.00 FISHER ISLAND FERRY DISTRICT Balance Forward $1,0 .15 Total Current Charges r 001 _�,'4 vr.5._ 9` 9 °`. .•.;( tr` .n w.° LaY O V•'I.�+'; ` ? q �,�V t h17 kWh/Day supp�y Delivery 400- $497.03 A 9 .03 P� $593.13 Cost of electricity from Cost to deliver electricity 300 Eversource from Eversource 200 too $0 $220 $440 - $660 $880 $1,100 0 Jul Aug Sep Oct Nov Dec Jen Feb Mar Apr May Jun Jul 75° 72° 62°'52° 461 33° 28° 28° 420 51° 59° 71° 0° Your electric supplier is Average Temperature Eversource PO Box 270 Hartford,CT 06141-0270 This month your This month you used average daily 31.4%less % 31 4 electric use was than at the ° 21000 kWh same time last year usase l , News For You While,your supply rate decreased this month,keep in mind that most customers use about 35%more energy in the summer to,power air conditioners,fans and other cooling equipment,so your overall bill may be higher simply because more energy is being used.See how our energy,efficiency solutions can help you save by visiting Eversource.com/home-savings. Remit Payment To:Eversource,PO Box 56002,Boston,MA 02205-6002 CE 210701 PRODI.TXT-165511-000002797 EVERS.".� URCE t Account Number: 5198103 4010 ® 08/30 f Customer name key:FISH Statement Date: 07/01/21 Service Provided To: Electric Account Summary FISHER ISLAND FERRY DISTRICT Amount Due On 06/30/21 $1,007.15 Last Payment Received $0.00 Balance Forward $1,007.15 Current Charges/Credits Electric Supply Services $497.03 Delivery Services $593.13 Total Current Charges $1,090.16 Meter Current Previous Current Reading Total Amount Due $2,097.31 Number Read Read Usage Type 892582072 88674 88064 610 Actual Total Demand Use=20.30 kW 610 X Meter Constant of 10=6,100 Billed Usage Supplier uEversource Service Reference:952682001 Aug Sep Oct ' ' Nov Dec Jan Julul 11820 9680 9200 7300 8350 1 an Generation Srvc Chrg** 5889,70kWh X$0.08192 $482.48 Feb Mar Apr May Jun Jul Generation Srvc Chrg** 210.30kWh X$0.06918 $14.55 8270 8890 7260 7160 6060 6100 Subtotal Supplier Services $497.03 Contact Information Delivery Emergency:800-286-2000 (DISTRIBUTION RATE:030) www.eversource.com Service Reference:952682001 BusinessCenterCT®eversource.com Transmission Dmd,Chrg 18.30KW X$7.92000 $144.94 Pay by Phone:888-783-6618 Distr Cust Srvc Chrg $44.00 Customer Service:888-783-6617 Distribution Dmd Chrg 18.30KW X$14.22000 $260.23' Electric Sys Improvements*** 18.30KW'X$1.08000 $19.76 CTA Demand Chrg 18.30KW X$434000 -$6.22 FMCC Delivery Chrg 6100.00kWh X$0.01412 $86.13 Comb Public Benefit Chrg* 6100.00kWh X$0.00726 $44.29 Subtotal Delivery Services $593.13 Total Cost of Electricity $1,090.16 Total Current Charges $1,090.16 CE 210701PRODI.TXT-165512-000002797 EVERS`�� URCE 1 , Account Number: 5198103 4010 Customer name key:FISH Statement Date: - 07/01/21 Service Provided To: FISHER ISLAND FERRY DISTRICT Continued from previous page...' Supply Rate Dollars/kWh 012 01- 008- 006- 004- 002 1008006- 004002 0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Demand Profile Max-Demand 35- 30- 25' 53025' 20 15 10 0 n Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Important Messages,About Your Account ' Because the billing period spans a change in the rates,your usage has been calculated partly on the old rate and partly on the new rate. JO 2 5 CE_210701PROD1 TXr-165513-000002797 v;' I •- ., ... t_ ..ate- _ -, ` ,• „ . > *.,ed"r, ye.r, sa5 .im ix i >; FISHERS ISLAND FERRY DISTRICT I •• i,. VENDOR 006155 FEDEX 07/27/2021 CHECKS 7516 ',tl t FUND & ACCOUNT P.O.## INVOICE DESCRIPTION AMOUNT I I 1 SM .5710 .4 .000.000 7-424-90163 AP (1) PR (1) 70 .38 I SM .5710.4 .000.000 7-432-44751 AP (1) 42.45 rt 4A .f TOTAL yy& ! 112.8.3 I , I I I r7d I / I I I a ___ _____ __ ___ _ `« t` K' =n, I 'zx„,:✓„• :<> t<:'t ;.' .;•Tr:.`9v7 `+s. ., ; , j z • I I f I I I t _ , i I y•z"s I ,s I — JV K:! FISHERS ISLAND FERRYDISTRICT' AUDIT 1/2,1/2'02i-, } 53095•MAIN'ROAO;PO BOX 1179, SOUTHOLO,NY 11971.0959 — CHECK NO, ;,'7 516 v;` THE SUFFOLK CO.NATIONAL BANK n f CUTCHOGUE,NY 11935 DATE AMOUNT, 50.5461214; 07/27'/'2021- $;1"12 83, '" 17t ✓,? ONE ,HUNDRED TWELVE AND 83.,/f00 DOLLARS . , • • ”` ' - I ;p g RY-', FEDEX i TQTHE PO BOX 3,71461 RF1ER= PITTSBURGH I A 15250-17461Or 80075L6 ' :020,0SL GLe : 68 OOL502 L ' 1 n ii i i n I Vendor No. - Payment Voucher Town of Southold, New York 6155 ' Vendor Address Eti'teredbyN b P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Aui Invoice Number Invoice Date Account Number - Page 7-424-90163 Jul 05 2021 1206-0334-5 1 of 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 Jul 05,2021 FedEx Express Services _ Balance 253.14 Total Charges USD $70.38 Previous TOTAL THIS INVOICE USD $70:38 Payments o.00 ` Adjustments You saved$6.36 in discounts this period! New Charges 70.38' Other discounts may apply. New Account Balance $323.52 To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. Payments not received by Jul 20,2021 are subject to a late fee. r ■ 1 Detailed descriptions of surcharges can be located atfedex.com _ Invoice Number Invoice Date EAccount Number Page 7-424-90163 Jul 05, 2021 1206-0334-5 2 of 3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Spet•.iat Weight Transportation -_ Handling Rei Ch#Aax -ttayorType: Sf�pmeri[s _ lbs Charges -Charges� Credits/fltfter - Discounts, Taal Charges Recipient 2 2.0 63.52 13.22 -6.36 70.38 Total FedEx Express, , 2 2,o $63M $13.22 =$6.36 =$203I TOTAL THIS INVOICE USD $70.36 FedEx Express Shipment Detail By Payor Type (Original) Ship bate;Jun 25,2021 Cust.Ref:NO REFERENCE INFORMATION Ref.#2; Payor:Reaipient Ref.#3: ^ • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 8 50%to this shipment • Distance Based Pricing,Zone 2 • FedExhas 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 816377478351 DIANAWHITECAVAE GORDON 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 Jun 28,2021 09.38 Discount -318 Svc Area A9 Fuel Surcharge 1 276 Signed by C SHAW DAS Extended Comm FedEx Use 017688406/1486/_ Total Charge USD $35.19 Invoice Number Invoice Date Account Number Page 7-424-90163 Jul 05,2021 1 1206-0334-5 3 of 3 Ship Date:Jun 30,2021 Cust.Ref.:NO REFERENCE INFORMATION 11002: Payer:Roc€pient Ref#3: • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 50%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 816377478340 KARIANE CHEW GORDON MURPHY Lr// Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FL FERRY DISTRICT Package Type FedEx Pak 53095 MAIN RD 261 TRUMBELL DR Zone 02 SOUTHOLD NY 11971 US FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 10 lbs,0 5 kgs Transportation Charge 3176 Delivered Jul 01,20210946 Discount -318 Svc Area A9 Fuel Surcharge 2.76 Signed by R BROWN DAS Extended Comm FedEx Use 018151063/1486/_ Total Charge USD C $35.1 Recipient Subtotal USD .38 Total FedEx Express USD $70.38 1185-01-00-0006521-0001-0011789 Fe ® Invoice Number Invoice Date Account Number Page 7-432-44751 Jul 12 2021 11 1206-0334-5 1 of 3 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 Jul 12,2021 FedEx Express Services Total Charges USD $38.29 ' Previous Balance 323.52 Payments 0.00 Other Charges USD $4.16 Adjustments TOTAL THIS INVOICE USD $42.45 New Charges 42.45 New Account Balance $365.97 You saved$3.10 in discounts this period! Other discounts may apply Payments not received by Jul 27,2021 are subject to a late fee. To pay your FedEx invoice,please go-to www.fedex.com/payment-Thank you for using FedEx. ❑� r Detailed descriptions of surcharges can be located atfedex.com r_ Invoice Number Invoice Date Account Number Page 7-432-44751 Jul 12 2021 1206-0334-5 2 of 3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weigflt .Transportation Handling flet Chg/Tax- = fayorType Shipments lits Charges Charges Credits/Other Discounts Total Charges Shipper 1 2.0 30.98 10.41 -3.10 38.29 Total FedEx Express 1 2.0 $3098" $1041 -$3.10 $38.29 Other Charges Summary Invoice Invoice Original _ —0ayments last Due Number _- Date , Amount_,- Applied/Credit - Amount hate C arges Late Fee 7-395-25.785 0.6/07/21 69.40 69.40 6% 4.16 Total $69.40 TOTAL THIS INVOICE USD $42.45 FedEx Express Shipment Detail By Payor Type(Original) Ship Date:Ju106,2021 Cust.Ret.;NO REFERENCE INFORMATION Ref.#2: Payor:Shipper Ref-#3. • Fuel Surcharge-FedEx has applied a fuel surcharge of 900%to this shipment • Distance Based Pricing,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 810997040725 KASIAASMOLOV KARIANE CHEW Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTH OLD 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 0 lbs,0 9 kgs Transportation Charge 30.98 Declared Value USD 10000 Discount -3.10 Delivered Ju107,2021 1438 Fuel Surcharge 316 Svc Area A8 Courier Pickup Charge 400 Continued on next page Fedl-,-& I Invoice Number Invoice Date F Account Number Page 7-432-44751 Jul 12,2021 1206-0334-5 3 of 3 ~ Tracking ID:810997040725 continued Signed by MMERITY DAS Comm 325 FedEx Use 018773719/1283/ Declared Value Charge 000 Total Charge USD $38.29 Shipper Subtotal USD $38.29 Total FedEx Express USD $38.29 1191-01-00-0010939-0001-0021840 FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY Co 07/27/2021 CHECK 7517 FUND & ACCOUNT P.O.# INVOT'/ICE DESCRIPTION AMOUNT SM .5710.4.000.200 1100130621 -TELEPHONE-,FIT-6/21 262.93 SM .5710.4.000.200 110'0130621 INTERNET-FIT-6/21 125.52 SM .5710.4.060.200 110013f0621 ELECTRIC-FIT-6-/21 252.83 SM .5710.4.000.200 1100130621 WATER-FIT-6/21 41.55 rhe m --6/21'SM .7155.4 .000.000 1100130621 TELEPHONE-THEATRE44.71 m SM .7155.4.000 i.000 1100130621 /INTERNET—THEATRE-6/2 11 X146.99 SM .7155.4.000,. 000 1100130621 ELECTRIC-THEATRE-6/21 157.55 SM .7155.4 .000.000 1100130621 WATER'rTHEATRE-6/21 53 .32 SM .5709.2.000.100 1100130621 TELEPHONE-WHISTLER-6/21 33.05 SM .5709.2.000.100 1100130621 `'- INTERNET-WHISTLER-6/21 68.00 SM .57 116.67 ,,09.2. 000.100 1100130621 -WHISTLER-6/2 1 SM-_5709-2-000.1.00. .._--._---1,10Q13062.1 _g _T R: WH.I\ TLER:-6/21- ------- _ 53-3.2 SM .5610.4.000.0,60, 11001-'30621" ZC-AIRPORT-6/21 199.77 TbTAII 1,556.21 ; A, P ,i o 11 ~ ,+,a 1 i b4 - ------- - ------------ _71- ---------- ----- -- - -------- - -- - -------- --------- - FISHERS ISLAND FERRY DISTRICT _AUDITi , 1/27-/2"0'2-1' 53095 MAIN'ROAD,PO BOX 1,179,' ., 1'' 1 , ,", OUTHOLO,NY 1,1973-0959 F "N 1 1 :'7 tHE SUFFOLK cO.NA rIONAL'BANk CUTCHOGUE,NY 11935 DATE . I ;,AMOUNT,, ' "t`s I 600" 544812 4.', - ONE THOUSA 7D FIVE, HUNDREDiF-IFTY SIX- DOLL)%kS' ' 's ply_ .,,FISHERS ISLAND UTILITY.CO TOTHE PO -'BOX -BOX '6 0,4 RDCR ,FISHEkS 'ISI!Nb NY 063'5,0-0604 illoo ? 5 L ?Ila 1:0 2 L405464o: 68 OOLS02 III' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6412 _�S CA Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO BOX 604 t�(' Vendor Name Fishers Island, NY 06390 Audit Date FISHER ISLAND UTILITY COMPANY JUL. 2 7 2021 Vendor Telephone Number 631-188-0023 rCle 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 1100130 7/1/2021 $ 1,556.21 $ 262.93 Telephone June 2021 FIT SM.5710.4.000.200 $ 125.52 Internet June 2021 FIT SM.5710.4.000.200 $ 252.83 Electric June 2021 FIT SM.5710.4.000.200 $ 41.55 Water June 2021 - FIT SM5710.4.000.200 $ 44.71 Telephone June 2021 -Theatre SM.7155.4.000.000 $ 146.99 Internet June 2021-Theatre SM.7155.4.000.000 $ 157.55 Electric June 2021 -Theatre SM.7155.4.000.000 $ 53.32 Water June 2021 -Theatre SM.7155.4.000.000 $ 33.05 Telephone June 2021-357 Whistler SM5709.2.000.100 $ 68.00 Internet June 2021-357 Whistler SM5709.2.000.100 $ 116.67 Electric June 2021-357 Whistler SM5709.2.000.100 $ 53.32 Water June 2021-357 Whistler SM5709.2.000.100 $ 199.77 Electric June 2021-Airport SM5610.4.000.000 $ 1,556.21 $ 1,556.21 '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 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 vi Signature459 Title Signature �c1 Company Name Fishers Island Fent Date 7/15/2021 Title Manager Date I' Page: 1 of 14 Account: 1100130 P.O. Box 604 Bill Date: Jul 012021 Fishers Island, NY 06390 Name: F I FERRY DISTRICT LITILITY CO. 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 $1,976.13 Monday-Friday 8 am-Noon&1 pm-4:30pm Unpaid Balance as of Jun 29 $1,976.13 Email:Phone,Electric&Water-billing@fiuc.net (Unpaid Balance Due Immediately) If you pay by check,this is notification that the check may be converted to an electronic deposit. Please detach and return below Fishers Island Telephone Corporation $28483 portion with your payment. Fishers Island LD $55.86 Fishers Island-ISP $340.51 Register for ECare to view your bill and make Fishers Island Electric Corporation $726.82 payments online. Fishers Island Water Works Corporation -Go to www ftuc.net Select ECare:View/Pay My Bill. Total Current Charges $1,556.21 Select Register and follow the step instructions. -In Step 3 Click on(Show Me)to locate your account code on your bill. Total Amount Due by Jul 25 $3,532.34 Notice: The Federal Universal Service will be decreasing to 31.8%on July 1st,2021. This FCC approved per-line surcharge recovers local companies contribution to the Federal Universal Service Fund. Class Changes After reviewing June-Sept 2020 vs Oct 2020-May 2021 Electric&Water usage,some customers have changed Electric and/or Water Class. If you have any questions please call the office at 631 788 7251 x2001 Page: 2 of 14 ., Account: 1100130 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT How too Reach FISHERS ISLAND UTILITY CO. --By Phone: 631-788-7251 press 4 for Tele one, press 5 for Electric/Water --Webs Mail:te: O BOX O 604 FISHERS ISLAND NY 06390-0604 For Payments by 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 • s Page: 3 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT ,L UTILITY CO. 15T LEY, 0i 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 631 788-7345 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 mterLATA long distance: - 631 788-5523 631 788-7031 631 788-7345 631 788-7655 Fishers Island Telephone Monthly Service Monthly Service from Jul 01 through Jul 31 631788-5523(FAX/DSUMAINOFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Total for 631788-5523 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 3.88 NY State Surcharge 1.16 Total Taxes and Surcharges 5.39 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7031 (MOVIE THEATER) Business Local Service ** 2300 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Toll Restriction-Business ** 4.00 Total for 631 788-7031 39.20 Total Monthly Service Charges 39.20 ** Indicates an item for which non-payment will result in disconnection of basic service. i t Page: 4 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT UTILITY CO, EST 1918 Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.88 NY State Surcharge 1.28 Total Taxes and Surcharges 5.51 Monthly Service Monthly Service from Jul 01 through Jul 31 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 631788-7345 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 --3.88- NY -3.88-NY State Surcharge 1.28 Total Taxes and Surcharges 5.51 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7463(MANAGERS OFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 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 3.88 NY State Surcharge 1.16 Total Taxes and Surcharges 5.39 Monthly Service Monthly Service from Jul 01 through Jul 31 631788-7580(Flo 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: Jul 01 2021 Name: F I FERRY DISTRICT UTILITY CO. ES1, 1918 Monthly Service Monthly Service from Jul 01 through Jul 31 (continued) End User Charge-Multi Line * 9.20 Total for 631788-7580 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 388 NY State Surcharge 1.16 Total Taxes and Surcharges 5.39 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7655(F I FERRY DISTRICT-RESIDENCE) Access Recovery Charge SL Res ** .15 Residential Local Service ** 23.00 End User Charge-Single Line Res ** 6.50 Total for 631788-7655 29.65 Total Monthly Service Charges 29.65 ** 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 2.11 NY State Surcharge .94 Total Taxes and Surcharges 3.40 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7744(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. • Page: 6 of 14 ' P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT UTILITY • EST 1918 Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.88 NY State Surcharge 1.16 Total Taxes and Surcharges 5.39 Total Fishers Island Telephone Corporation Charges 284.83 I If you have any questions concerning the below charges, please call 631-788-7001, option 4. Usage Summary DEF Default FI Rate 1 calls .03 Total Usage Charges .03 Usage-Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-5523(FAX/DSL/MAINOFFICE) 1 Jun 18 7:27:22am New London CT 860 405-0105 Direct DEF 1:00 .03 Total of 1 call for 631 788-5523 1:00 .03 Total Usage Detail Charges .03 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7463(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 1:00 minutes Total Usage Charges .00 Page: 7 of 14 P.O. BOX 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 012021 Name: F I FERRY DISTRICT 1 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7463(MANAGERS OFFICE) 1 Jun 29 2.22:59pm Norwalk CT 203 851-7244 Direct 500 1:00 .00 Total of 1 call for 631788-7463 1:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Jul 01 through Jul 31 631788-7580(FIO ROLLOVER) Carrier Cost Recovery Fee .99 FILD National Plan 1700 Total for 631 788-7580 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00 minutes Used 153:00 minutes Total Usage Charges .00 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631 788-7580(Flo ROLLOVER) 1 Jun 02 9:54:02am Old Saybrk CT 860 339-5667 Direct 500 4:00 .00 2 Jun 02 2:55:51 pm Boston MA 617 513-9963 Direct 500 1:00 .00 3 Jun 04 9:00.26am Brooklyn NY 718 974-1399 Direct 500 1:00 .00 4 Jun 04 9:01:57am Brooklyn NY 718 974-1399 Direct 500 1:00 .00 5 Jun 04 9:50:46am Glastonby CT 860 368-8368 Direct 500 4:00 .00 6 Jun 04 10:25:42am New London CT 860 442-0165 Direct 500 3.00 .00 7 Jun 04 12:01:20pm Glastonby CT 860 368-8368 Direct 500 100 .00 8 Jun 08 8:33:30am Old Saybrk CT 860 399-3630 Direct 500 4.00 .00 9 Jun 08 3:46:31 pm Medway MA 508 254-6824 Direct 500 1:00 .00 10 Jun 08 3:53:04pm Stamford CT 203 940-3243 Direct 500 1:00 .00 11 Jun 09 9.16:36am Old Saybrk CT 860 399-3630 Direct 500 1:00 .00 12 Jun 09 9.58:42am Niantic CT 860 691-0044 Direct 500 1000 .00 13 Jun 09 10:25:57am Old Saybrk CT 860 399-3630 Direct 500 2:00 .00 14 Jun 09 11:19:12am New York NY 212 510-0128 Direct 500 8:00 .00 15 Jun 09 11:42:02am Glastonby CT 860 368-8368 Direct 500 1:00 .00 16 Jun 10 2.00:46pm Atlanta GA 404 798-1725 Direct 500 12:00 .00 17 Jun 11 2.29:44pm Grandprari TX 214 738-7190 Direct 500 3:00 .00 18 Jun 11 3.16:23pm Old Saybrk CT 860 391-7161 Direct 500 19:00 .00 19 Jun 11 4:47.21 pm Glastonby CT 860 368-8368 Direct 500 200 .00 20 Jun 14 9:42:18am Overlandpk KS 913 344-4565 Direct 500 1.00 .00 21 Jun 14 9:46,32am Glastonby CT 860 368-8368 Direct 500 1:00 .00 22 Jun 14 3:00:55pm Willimntic CT 860 771-1457 Direct 500 6.00 .00 23 Jun 15 9.08:12am New York NY 212 929-0220 Direct 500 1.00 .00 Page: 8 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT CO.UTILITY Toll Detail (continued) Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7580(FIO ROLLOVER) (continued) 24 Jun 15 10:37:07am Nwyrcyzn03 NY 917 232-6174 Direct 500 3:00 .00 25 Jun 15 10:58:08am Lyme CT 860 434-1788 Direct 500 1:00 .00 26 Jun 16 9.07:43am Glastonby CT 860 368-8368 Direct 500 1:00 .00 27 Jun 16 11:17:20am Norwich CT 860 215-6250 Direct 500 1:00 .00 28 Jun 16 4:28:04pm Memphis TN 901 747-7543 Direct 500 3:00 .00 29 Jun 16 4:35:15pm Norwich CT 860 215-6250 Direct 500 1:00 .00 30 Jun 17 10:18:33am Norwalk CT 203 247-0246 Direct 500 1:00 .00 31 Jun 17 11:05:40am Norwich CT 860 215-6250 Direct 500 1:00 .00 32 Jun 18 8:51:16am Brockton MA 508 513-8064 Direct 500 2:00 .00 33 Jun 18 11.47:36am Riverhead NY 631 566-7988 Direct 500 2:00 .00 34 Jun 21 7:29:19am Glastonby CT 860 368-8368 Direct 500 1:00 .00 35 Jun 21 8:45:33am York PA 717 515-2348 Direct 500 1:00 .00 36 Jun 21 9:24.08am Glastonby CT 860 368-8368 Direct 500 2:00 .00 37 Jun 21 10:05:00am New York NY 212 510-0128 Direct 500 8:00 .00 38 Jun 22 9:05-28am Humboldt IA 515 604-9776 Direct 500 4:00 .00 39 Jun 23 10:52:54am New York NY 212 510-0128 Direct 500 1:00 .00 40 Jun 24 7:32:55am Grandprari TX 214 418-3536 Direct 500 1:00 .00 41 Jun 24 2.31:49pm New London CT 860 961-0044 Direct 500 1:00 .00 42 Jun 24 2.32:08pm Niantic CT 860 691-0044 Direct 500 1:00 .00 43 Jun 24 2:37:31 pm Niantic CT 860 691-0044 Direct 500 11:00 00 44 Jun 24 3:40:36pm La Grange IL 708 203-2782 Direct 500 2:00 00 45 Jun 25 10.04:50am Grandpran TX 214 418-3536 Direct 500 1:00 .00 46 Jun 25 10:07:08am Memphis TN 901 747-7543 Direct 500 1:00 .00 47 Jun 25 4:06:00pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 48 Jun 29 11.00:22am Southold NY 631 765-4333 Direct 500 4:00 .00 49 Jun 29 3.08.52pm Norwalk CT 203 851-7225 Direct 500 6:00 .00 50 Jun 29 3:24:01 pm New London CT 860 442-4471 Direct 500 2:00 .00 51 Jun 29 4.40:58pm Hartford CT 860 841-6860 Direct 500 1.00 .00 Total of 51 calls for 631788-7580 153:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Jul 01 through Jul 31 631 788-7744(FI TICKETING) Carrier Cost Recovery Fee .99 FILD National Plan 1700 Total for 631788-7744 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500 00 minutes Used 25:00 minutes Total Usage Charges .00 Page: 9 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7744(FI TICKETING) 1 Jun 02 10:25:06am Niantic CT 860 691-0044 Direct 500 22:00 -.00 2 Jun 04 12.55:15pm New London CT 860 442-1822 Direct 500 1:00 .00 3 Jun 21 10.09:23am Baltimore MD 410 960-3865 Direct 500 1:00 .00 4 Jun 22 8:37 53am Snfc Cntrl CA 415 309-0586 Direct 500 1:00 .00 Total of 4 calls for 631 788-7744 25:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Total Fishers Island LD Charges, 55.86 Fishers Island Internet Monthly Service Monthly Service from Jul 01 through Jul 31 iso-1001000075(F I FERRY DISTRICT-RESIDENCE) 12 Month"BASIC"Internet 65.00 Internet Infrastructure Fee 3.00 Total for isp-1001000075 68.00 Total Monthly Service Charges 68.00 Monthly Service Monthly Service from Jul 01 through Jul 31 isp-1001010114(FERRY MAIN OFFICE) 12 Month'BETTER"Business Internet 122.00 Internet Infrastructure Fee 3.00 Total for isp-1001010114 125.00 Total Monthly Service Charges 125.00 Monthly Service Monthly Service from Jul 01 through Jul 31 isp-BBM-Theatre 8 Month"Better"Business Internet 138.00 8m-Internet Reconnect Fee .00 Internet Infrastructure Fee 3.00 Internet Modem Lease Fee 5.99 Total for isp-B8M-Theatre 146.99 Total Monthly Service Charges 146.99 Page: 10 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT UTILITY CO. Taxes and Surcharges Internet Service Suffolk County .28 NY Sales Tax .24 Total Taxes and Surcharges .52 Total Fishers Island -ISP Charges 340.51 Page: 11 of 14 P.O. BOX 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 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) 79.78 Demand Charge .00 Fuel Adjustment Fuel Adjustment Factor 02827 Per KWH 7.58 NY State Tax 2.85 Current Previous Energy Used Charges MASTER 22209 21941 REG. 268 KWH 79.78 DEMAND 0:00 DMD. 0.00 KWH .00 DATE 06/21/21 05/24/21 DMD.MIN. 000 Meter Multiplier 1 00 Total Energy Charges for RENTAL HOUSE 116.67 FREIGHT SHED, BLDG 208 Current Charges Commercial Electric Rates Class 5 18,20 Energy Charge(See detail below) 66.08 Demand Charge 2931 Fuel Adjustment Fuel Adjustment Factor.00993 Per KWH 316 Current Previous Energy Used Charges MASTER 8191 7873 REG. 318 KWH 66.08 DEMAND 2.31 DMD. 2.31 KWH 29.31 DATE 06/21/21 05/24/21 - DMD.MIN. 231 Meter Multiplier 100 Total Energy Charges for FREIGHT SHED, BLDG 208 116.75 THEATRE Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 13299 Demand Charge .00 Fuel Adjustment Fuel Adjustment Factor.00993 Per KWH 636 Current Previous Energy,Used Charges MASTER 1153 1145 REG. 640 KWH 132.99 DEMAND 0.00 DMD. 0.00 KWH 00 DATE 06/21/21 05/24/21 DMD.MIN. 0.00 Meter Multiplier 8000 Total Energy Charges for THEATRE 157.55 AIRPORT Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 13756 Demand Charge 37.44 Fuel Adjustment Fuel Adjustment Factor.00993 Per KWH 6.57 Page: 12 of 14 .€ P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT Current Previous Energy Used Charges MASTER 31699 31037 REG. 662 KWH 137.56 DEMAND 2.95 DMD. 2.95 KWH 3744 DATE 06/21/21 05/24/21 DMD.MIN. 0.00 Meter Multiplier 1.00 Total Energy Charges for AIRPORT 199.77 BUSINESS OFFICE Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 88.52 Demand Charge 2513 Fuel Adjustment Fuel Adjustment Factor 00993 Per KWH 4.23 Current Previous Energy Used Charges MASTER 8069 7643 REG 426 KWH 88.52 DEMAND 198 DMD. 1.98 KWH 25.13 DATE 06/21/21 05/24/21 DMD.MIN. 1 98 Meter Multiplier 1 00 Total Energy Charges for BUSINESS OFFICE 136.08 Total Fishers Island Electric Corporation Charges 726.82 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 1,00Dwatt-hours of electricity use.One KWH equals the energy needed to run a 100 watt light 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 $37.05 Minimum Charge 526.46 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 518.20 Demand Charge S1269 per KWH Energy Charge 50.2078 per KWH Page: 13 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 012021 UT # Name: F I FERRY DISTRICT CST 191a Fishers Island Water RENTAL HOUSE Current Charges System Improvement Charge 3.92 Water Class 2,Meter 5/8 49.40 05/25/21 —06/21/21 Water Usage Detail Meter#1564430356 Current Meter Reading 6419 Previous Meter Reading 6071 Cubic Feet Used 348 Gallons(Cubic Feet x 7.5) 2610 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 05/25/21 —06/21/21 Water Usage Detail Meter#1564600656 Current Meter Reading 90 Previous Meter Reading 76 Cubic Feet Used 14 Gallons(Cubic Feet x 7.5) 105 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 05/25/21 —06/21/21 Water Usage Detail Meter#1564573058 Current Meter Reading 4061 Previous Meter Reading 3850 Cubic Feet Used 211 Gallons(Cubic Feet x 7.5) 1583 Total Water Usage Charge .00 Total for BUSINESS OFFICE 41.55 Total Fishers Island Water Works Corporation Charges 148.19 Page: 14 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Jul 01 2021 Name: F I FERRY DISTRICT es'r 1,918 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 $19250 15,000 2 $308.00 24,000 3 $615.90 48,000 4 $962.40 75,000 6 $1,924.80 1.50,000 Water usage over the minimum is billed at$12.80 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 $791.10 48,000 4 $1,236.10 75,000 6 $2,47230 150,000 Water usage over the minimum is billed at$16.50 per thousand gallons. I 101! FISHERS ISLAND FERRY DISTRICT 7, "T I Ef VENDOR 007237 GILBERT ASSOCIATES, INC. 07/27/2021 CHECK 7518 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION_ AMOUNT H7 -5989.2.400.400 2021-1609 RP REPOWER-6/1-6/13/21 750.00 H7 .5989.2.400.400 2021-1626 RP REPOWER-6/14-7/4/21 1,350.00 TOTAL2, 100.00 17 -- ----- ------ - -------- --- ----" -------------- ----------- --- -- --- ----- -- ------- - Ni f N4 I Ji --- ----- --- - ---- ----- ---------j Tk I J, :i i: :ii z::i :i 1 FISHERS ISLAND FgRRYDIS7RkP '53095 MAIN ROAD,PO BOX 11,79,; -AUDIT, 1/27/20 1' SOUTHOLD,NY,11 971 O 59 CHECK Na '7518 THE SUFFOLK CO.,NATIONAL BANK CUTCHO GUE,NY 11835, DATE AMOUNT-- . 7 -1010 00 07, 50',64'6/21 D, ONE' V0 1"V06 bbtl'ARS-. vna TWO THOU HUNDRED 77 GILBERT 'ASSOCIATES, _INC. 100-GRI0 MAN-, DRIVE, ST-ITE '205' At ioAy, i J 77 SS R' NTR'9E MA 02 1: 4' or, -B Al a 7', 1Xi 11P 11500 7 S LBul 1:0 2 0,0 54641: 613 00L502 Lill A, •a Vendor No. Check No. Town of Southold, New York - Payment Voucher 7237 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 100 Grossman Drive, Suite 205 Braintree, MA 02184 Audit Date_ Gilbert Associates, Inc. L 7 ��2, Vendor Telephone Number , 781-740-8193 ler + 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 2021-1609 6/18/2021 $750.00 $750.00 6/1-6/13/21 RP repower H7.5989.2.4OO.4OO Propeller analysis and review 2021-1626 7/9/2021 $1,350.00 $1,350.00 6/14-7/4/21 RP repower H7.5989.2.4OO.4O0 issues w/repitching propellers,speed/power calc $2,100.00 $2,100.00 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 0 041 1 Signature ik �'r``+' Company Name Fis ny District Date 7/16/2021 Title Manager Date 7/16/2021 Gilbert Associates,Inc. Suite 205 'Braintree,MA 02184 To Invoice Bill To Date Invoice# Fisher's Island Ferry District PO Box 607 6/18/2021 2021-1609 Fisher Island,NY 06390 P.O. No. Project No. Due Upon Receipt C-1147 Race P... 6/18/2021 Description Hours/Days Rate Amount For professional services rendered from June 1,2021 through June 13,2021 including: propeller analysis and review with 1900 rpm torque Time: Gerald E.Gilligan 5 150.00 750.00 Total Job Balance Due to Date $7,850.00 Payments/Credits Received $0.00 Total of this Invoice $750.00 R, Gilbert Associates, Inc. Suite 205 Braintree,MA 02184 TO Invoice Bill To Date Invoice# Fisher's Island Ferry District PO Box 607 7/9/2021 2021-1626 Fisher Island,NY 06390 P.O. No. Project No. Due-Upon Receipt- C-1147 eceipt-C-1147 Race P... 7/9/2021 Description Hours/Days Rate Amount For professional services rendered from June 14,2021 through July 4,2021 including: questions and issues with repitching propellers,speed/power calculations Time: Gerald E.Gilligan 9 150.00 1,350.00 L ell,� Total Job Balance Due to Date $7,825.00 Payments/Credits Received $0.00 Total of this Invoice $1,350.00 FISHERS ISLAND FERRY DISTRICT VENDOR 012705 LOWE'S 07/27/2021 CHECK 7519 7" ' Pz A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2 .000.200 901829 RP SUPPLIES 25.96 SM .5710.2.000.200 901934 RP SUPPLIES 56.95 SM 5710.4 .000.625 902192 ---NLT SUPPLIES 163.13 • SM .57,'10.2.000.200 902195 RP SUPPLIES 92.23 -SM .571-0.2.000.200 902299 RP SUPPLIES 67.85 SM .5710.2.000.200 902305 RP SUPPLIES 2690 SM .5710.4 .000.625 902362 NLT SUPPLIES 56.24 yifco SM .5710.2.000.,2,00 902957 RP SUPPLIES 86.13 'o SM .5710.2 .000/.2'00 902991 RP SUPPLIES 25.94 SM .5710.2 .000.200 903247 ",RP SUPPLIES 23.00 SM 5710.4 .000.625 923493 SUPPLIES 20.82 -SM —5 710.2-0 0-0.2.0 0ek - -- - __9235.49A-_ -------- ___38 94 684.09- 111k, t'4 174- ---------------- - ----------- ------------ - -- ------ -------- ISLAND FERRY DISYI?ICT ',AUDIT- FISHERS 4'/'2 6 21 .53095 MAIN ROAD,PO BOX 1,179 SOUTHOLD,,NY 11971'-0959 CHECK"NO.,. 7-5 1 9 THE SUFFOLK CO.NATIONAL BANK'' CLITCHOGUE,NY 11935 DATE, AMOUNT 0 21 ' 0 , ND"-"0$I 0.1`DOLLARS'IX .HUNDRED, FOUR' A1 PAY LOWE'S T 0.THE-':-1-pO -B BOX 530954 ER' 0" 3 "'ATLANTA 6A J' 3 -'0954' OF 'w 11'00751911• 1:0 2 1405L,6L,1: 68 0015,0 2 L Check NO. , Town of Southold, New York - Payment Voucher ' „ _ 12705 Vendor Tax ID Number or Social Security Number Vendor Address Entered by,n Vendor Name 1000 Lowe's Blvd Audit Date Lowes Mooresville, NC 28117 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 = ' 902362 5/4/2021 $56.24 $56.24 NLT supplies SM5710.4.000.625 � 923493 5/11/2021 $20.82 $20.82 NLT supplies SM5710.4.000.625 902991 5/17/2021 $25.94 $25.94 RP supplies SM5710.2.000.200 902195 5/18/2021 $92.23 $92.23 o RP supplies SM5710.2.000.200 902192 5/18/2021 $163.13 $163.13 NLT supplies SM5710.4.000.626 902305 5/18/2021 $26.90 $26.90 " RP supplies SM5710.2.000.200 923549Q► 5/20/2021 $38.94 $38.94 RP supplies SM5710.2.000.200 902957 5/24/2021 $86.13 $86.13 RP supplies SM5710.2.000.200 901829 5/24/2021 $25.96 $25.96 RP supplies SM5710.2.000.200 ' 901934 5/26/2021 $56.95 $56.95 RP-supplies SM5710.2.000.200 903247 5/27/2021 $23.00 $23.00 RP supplies SM5710.2.000.200 902299 5/28/2021 $67.85 $67.85 RP supplies SMU10.2.000.200 $684.09 $684.091 1 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 (J d Company Name Fishers Island Ferry Date 7/14/2021 Title_ Manager Date • �7 aPFos Account: 9800 295465 3 Statement Date:07/02/21 Page: 1 of 2 Learn how Lowe's Commercial Accounts can get Extended Terms as a Lowe's For Pros Loyalty Member (not required for accounts opened on or before 3/31/21.) For details, visit lowes.com/procreditoffer. Ill�lll�l�lll�l�r�rl�ll�llr�rrr��lll�ll�rrllll�lll'Il'I'Ill�lrrl� FISHERS ISLAND FERRY DIST 66077 ATTN: ACCOUNTS PAYABLE K107 PO BOX 607 FISHERS ISLAND, NY 06390-0607 Customer Service Online at www.lowescredit.com This account is already registered. See Your Online Admin to get a User ID & Password �. Account Balance Summary I i I I Current Invoices&'Returns i I I I I hl c-x�l $684109 Ll1130 Days Past Du``e I Jf 9 �j $01.00 31-60 Days Past•Du—" �—" --- ` `- �� $0!00 Over 60 Days Past Due $0.00 Unapplied Payments&Adjustments $0.00 Statement Balance $684.09 O e o ' Send payments to: ® Send Billing/General Inquiries a Lowe's to: P.O.Box 530954 P.O.Box 965054 Atlanta GA 30353-0954 Orlando.FL 32896-5054 For Customer Service:call 1-866-232-7443 Purchases,returns,and payments made just prior to the statement date may not appear until the next month's statement.Any payments received after 5pm on any business day or on any day other than a business day,at the address above,will be credited on the next business day.If the payment is made at a location other than such address,credit may be l delayed J -Continue- COLR649A 5879 5005 A7G 07 210703 PAGE 00001 OF 00002 66077 a. Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices & Returns: New purchases and - credits given for merchandise returned since the, previous billing period. Past Due Invoices & Returns: Previously billed:- invoices-that have not been.closed (by'a payment-or a• I credit) or merchandise returns that, have not been applied to a specific-invoice: Unapplied payments & Adjustments: Payments or', non-merchandise credits that have been applied to the account, but not applied to a specific invoice. i i PAYMENT STUB 48� Page 2 of 2 PR Account: 9800 295465 3 Statement Date:07/02/21 Page:2 of 2 Account: 9800 295465 3 ACCOUNT ACTIVITY IPRM Account Number : 9800 295465 3 Payments Received Date Reference Amount Description 06/06/21 $(1,077.03) PAYMENT RECEIVED-THANK YOU i Current Invoices & Returns Date Invoice Original Due Date Store/City Reference Invoice Date& Amount Arpount Due Please Indicate by© Invoices Yo re Paying 05/04/21 902362 $56.24 07/20/21 2263 RACE POINT 902362 05/04/21 -GVHKXR - $56.24 -__WATERFORD,CT 05111/21 923493 $20.82 07/20/21 '-2263 N LT _ 923493 05/11121 OWHNM�J . $20.82 WATERFORD,CT -- 05/17/21 —902991 $`25,94 07/20/21 2263',f' RACE PT 902991 05/17/21 t -GXDCPRr -_ $25.94' " ,I WATERFORD;CT��€�4#"' s 05/18/21 9021951 1 � ,$92.231 07/20/21 E 2263 \, RACE POINT 902195 05/18/21 I GXHZWP _ �._s �_l E I.,. ` ,, N i $92.23 Ji"I _ i WATERFORD;CT) 05/18'121 902192 $163.13 07/220121_ 2263 .COOK " 902192 05/18/21 __._*-GXHZWN___'_. _, .�_ �__M___ __._____ , m _.,_ _ s_w_,_, $163,13 WATERFORD,CT 05/18/21 902305 $26.90 07/20/21 2263 RACE PT 902305 05/18/21 ® GXHZWN $26.90 WATERFORD,CT ' 05/20/21 923549 $38.94 07/20/21 2263 COOK 923549 05/20/21 -GXRXZN $38.94 WATERFORD,CT 05/24/21 902957 $86.13 07/20/21 2263 RACE POINT 902957 5/24/21 s -GYDXXA $86.13 WATERFORD,CT 05/24/21 901829 $25 96 07/20/21 2263 FISHERS ISLAND 901829 0$24121 -GYDXXS WATERFORD,CT 05/26/21 901934 $56 95 07/20/21 2263 RACEPOI NT 9111934 05/26/21 r -GYODRW $56 95 WATERFORD,CT 05/27/21 903247 $23.00 07/20/21 2263 COOK 903247 -GYTAGD qg/23�o0 WATERFORD,CT / 05/28/21 902299 $67 85 07/20/21 2263 COOK 902299 LTJ/ 05/28/21 -GYXEWJ $67.85 WATERFORD,CT Subtotal $684.09 Subtotal $684 09 Account Balance Summary 9800 295465 3 Total i $684.09 COLR649A 5879 5005 A7G 07 210703 PAGE 00002 OF 00002 660'7 I I I ' I I I I x _ I I ' f r Definitions PaymentsT Received: Money received and posted to the account,since the previous'billing period. ,- Current Invoices &,:Returns:. New purchases and - = credits given, :for.,.:merchandise returhe" d' since the,- previous billing period. Fust ®sae ''(invoiCes '& Returns: Previously ! billed : ` invoices that have=not been closed (by ;i payment or a, credit) or`merch�andisd`returns that have notebeen applied to a specific invoice. Unapplied •Payments & Adjustments: Payments-or J non-merchandise credits that have been applied to the 3: account, but�riot,applied to a specific invoice. - . - - I I' I , I I I I • I I i I . I _ " t o W E _ omer LOWE'S HOME CENTERS, LLC 167 WATERFORD PARKWAY NORT WATERFORD, CT 06385 (860) 701-2000 LOWEV -� SAI..E ;i= ESN: S2763TS1 1251107 TRANS#: 2153421 05-04-21 �... LOWE'S HOME CENTERS, LLC 69922 A 1X4 7/16-IN X 3-1/2-IN 36.80 j 167 WATERFORD PARKWAY HORT 19.78 DISCOUNT EACH -1.38 WATERFORD, CT 06385 (860) 701-2000 2 0 18.40 36100 1i2-IN BLACK IRON FLR FLA 8.90 _ S A L E 4.78 DISCOUNT EACH -0.:13 ESO: 62263XUL 3614350 TRANS#: 23764571 05-11-2 2 0 4.45 20991 lit-IN BLK 90-DEG STRT EL 5,72 ' TE#: 500434556 FISHERS ISLAND FERRY DISTRICT 3,08 DISCOUNT EACH -0.22 ` 839682 NTN BF 4.1/2-IN X 1/4-IN 13.26 2 0 2.86 6.98 DISCOUNT EACH -0.35 13014 1121N X 121N BLK PIPE NIP 4.62 I -2 0 6.63 5,18 DISCOUNT EACH -0.36 21603 DW HP 4-1/2-IN X 1/4-IN 2 7.56 3.98 DISCOUNT EACH -0.20 SUBTOTAL: 56.24 2'0 3.78 TAX: 0.00 INVOICE 02362 TOTAL: 56.24 SUBTOTAL: 20,U2 ' [AR: 56, 4 TAX: 0.00 i INVOICE 23493 TOTAL: 20.82 TA GMSC:C1i3N 22 I - LAR: 20.82 XXXXXXXXXXXX4653 AMOUNT:56.24 AUTHCD: 000645 j SWIPED REFID:978621 05/04121 14:36:36 i OTA L D I SI:O LiN r: 1 . 10 LAR P0: race paint TAX EXEMPTION #: 500434556 ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT ERTIFY THAT THE ITEMS PURCHASED ON THIS INVOICE RUTH BUYER: FRANCO MICHAEL TAXED WILL BE RESOLD OR USFO IN CONFORMITY W1111 j PURPOSE AS STATED IN THE TAX EXEMPT CERTIFICATE ON]' WILL BE BILLED UPON MERCHANDISE TRANSNCIIO r OVIDED 10 LOWE'S AND THAT THEY ARE BEING PURLHAS j FOR STOCK MERCHANDISE AND NO LATER THAN 90 DA ITN FUNDS OF MY COMPANY/ORGANIZATION AND NOT BY pOM-TRAMPCCION-OATE-FOR-SOS-OR DIRECI-DEUNERY - RSONAL CHECK OR MONIES. I FURTHER CERTIFY THAT, MERCHANDISE. ; EVENT [HAT T 00 NOT USE THESE IIEMS,IN THE MANN DRE: 2263 IERMIMAI: 02 05/04/21 14:37:01 j ED ABOVE, 1 WILL ACCRUE AND PAY USE TAX AS REQUI 0F ITEMS PIJRCHASEI:O: BY LAW. '.I.UDES FEES, SERVICES AND SPECIAL ORDER ITEMS ]HANK YOU FOR SHOPPING LOWE'S, FOR DETAILS ON OUR RETURN POLICY, VISIT LOWES.COM/RETURNS A WRITTEN COPY OF THE RETURN POLICY IS AVAILABLE AT OUR CUSTOMER SERVICE DESK is Mail Payments to- LOWE'S P.O. BOX 530954 AD ATLANTA, GA 30353-0954 0 FISHERS ISLAND FERRY DIST Date of Sale: 05/17/21 Account• 9800 295465 3 Invoice: 902991 -GXDCPR Store/City: 2263/WATERFORD,CT P.O./JOB: RACE PT Buyer: FRANCO MICHAEL S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000000300943 RICHL 450MM(18-IN)SLF C 2.00 EA 6.12 12.24 I 000000000034078 10-IN ZN CORNER BRACE(+3 1.00 EA 668 6,68 000000000020678 5/8 X 2 SCREW EYE ZN 2.00 EA 0.73 1.46 000000000755711 HM 6X3/4-IN PP INTERIOR 1 1.00 EA 5.56 5.56 000000000155670 PROMOTIONAL DISCOUNT APPL 1.00 EA 0.00 000 Subtotal: 25.94 Tax 0.00 Balance Due: 25.94 , ' W -Continue- COLR649A 5879 5006 A7G 34 210603 PAGE 00005 OF D0008 2245 f _ Lim OWE �. �"". .�. LOWE'S HOME CENTERS, I.LC 167 WATERFORD PARKWAY NORT mom 13 UATERFURD, Cf 06385 (860) '01-2000 Ldwk *** DUPLICATE *** SAL-E= - LOWE'S HOME CENTERS, LLC i-SN: S2263TS1 1251107 TRANSN: 2345834 05-18-i 167 WATERFORD PARKWAY NORT WATERFORD, CT 06385 (860) 701-2000 10990 R1CHL ld-IN SFT CLS FULL 18.58 S A I_E _ 19.98 DISCOUNT EACH -1.40 ESO: 52263XUL 3614358 iRAN5p: 23764571 05-11- 39187 NO DRIP STNDARD CAULK GUN 7.337.88 DISCOUNT EACH -0.55 839682 NTN BF 4-1/2-IN X 1/4-IN 13.26 25031 1.1/2-IN 00 S TRAP WHITE 6.96 6.98 DISCOUNT EACH -0.357.48 DISCOUNT EACH -0.52 47450 GORILLA CLEAR CON AD 22.14 2 9 6.63 21803 DW HP 4-1/2-INX 1/4-IN 2 7.56 11.90 DISCOUNT EACH -0,832 0 11.07 3.98 DISCOUNT EACH -0.20 06906 1.75-OZ TPLUS 2 THREAD SE 3.47 2 B 3'78 3.73 DISCOUNT EACH -0.26 60875 DW FT 2-IN 115 TORX IR BI 5.56 SUBTOTAL: 20.82 5.98 DISCOUNT EACH -0.42 Tl ;' 0.00 72608 1.1/4-INX9-IN EXTTUBE SJ 6.12 INVOICE 23493 TOTAL: 20.82 6.58 DISCOUNT EACH -0.+16 LAR: 20.82 22460 1/2IN GALV CAP 2.03 3 T AL L71`SC:i1l1PJY- 1 . '1 2.18 DISCOUNT EACH -0.15 iR: XXXXXXXXXXXX4653 AMUUNf:20.82 AUIHC0: 0006 51645 .78-IN X DISCOUNT SS-FC (251 d.17 8.7d OTSCOUNi L'Af,H -0.61 SWIPED REFID:086793 05/11/21 16:22:42 67486 1/2-IN HUY QTY ORS HOSE 8 8.35 LAR PO: nit 8.98 DISCOUNT EACH -0.63 ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT 54434 5 GAL LOWES BUCKF.f•UNITEO 3.52 AUTH BUYER: HANEY JON 3-A DISCOUNT EACH -0.26 :OUNT WILL BE BILLED UPON MERCHANDISE TRANSACT SUBTOTAL: 92.23 "'E FOR STOCK MERCHANDISE AND NO LATER THAN 90 TA 0.00 SROM TRANSACTION DATE FOR SOS OR DIRECT UELIVE INVOICE Ut195 1(11At: 92.23 MERCHANDISE. - - 92.23 )TORE: 2263 IERNINAL: 23 05/11/21 16:22: OF 11 TE MS, PURCHASE[): I'07-A L_ L70[SI;tIIJPd T' : Ci_9: :XCLUDES FEES, SERUTCES AND SPECIAL ORDER IIET I _AR: XXXXXXXXXXXX4653 AMOUNT:92.23 AUTHCO: 00061 SWIPED REFID:204990 05/18/21 09:49:33 LAR P0: race puint ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT AUTH BUYER: FRANCO MICHAEL ACCOUNT WILL BE BILLED UPON MERCHANDISE IRANSACT BITE FOR SIOCK MERCHANDISE AND NO LATER THAN 90 FROH TRANSACTION DALE FOR SOS OR DIRECT DELIUE MERCHANDISE, STORE: 2263 TERNINAL: 02 05/10/71 09:50:34 V OF TYEMS PURCHASED: 12 EXCLUDES FEES, SERUTCES AND SPECIAL ORDER ITEMS _ Zia. E 5 _ _ _ LOWE'S HOME CENTERS, LLC LOWE'S HOME CENfFRS, LLC 167 wAFERFORD PARKWAY NORT 167 WArERFOHO PARKWAY #ORT WATERFORD, Cr 06305 (860) 701-2000 WATERFORD, Ci 06385 (860) 701-2000 -- SALE — — SALE — iALES#: S2263TS1 1251107 TRANS#: 2345411 05-10-21 aa: S2263LSI 2095544 TRAMP: 23511382 05-20-21 85271 EMER61ZER AA 16 PACK 12.07 1379 UALSPAR 9 1/2-IN KNIT ROL 20.42 12.98 DISCOUNT EACH -0,91 10.98 DISCOUNT EACH -0.77 '2546182 EGO 56V 53OCFM/110MPH LEA 151.06 2 0 10.21 159.00 DISCOUNT EACH -7.94 i :1372 PROJECT SOURCE 48-IN EXT 18.52 *MINIMUhI RETAIL PRICE APPLIED TO THIS ITEM* 4,98 DISL'OUHT EACH 0.35 4 O 4.63 SUBTOTAL: 163.13 TAX: 0.00 SUBTOTAL: 30.94 INVOICE 02192 TOTAL: 163.13 TAX: 0.00 LAR: 163.13 INVOICE 23549 TOTAL: 38.94 ICY 1J�6� LAR: 38.94 'CTRL ICI X SCOIJf4 T - 6.85 .AR: XXXXXbXXXXXX4653 AMOUN1:163,13 AUIHCD: 00076E 'A L DISC-O LI T 2.9 4 SWIPED REFID:204584 05/18/21-09:44:14 XXXXXXXXXXXX4653 AMOUNT:38.94 AUTHCO: 000644 LAR P0: cunk SWIPED REFID:411379 05/20/21 07:49:34 ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT AUTH BUYER: LOOK GE8 LAR POT conk ACCOUNI NAME: F15HERS ISLAND FERRY DISTRICT, AUTHJUYER: COOK GED :COUNT WILL BE BILLED UPON MERCHANDISE IRAMSACTI% ,,ITE FOR SIOCK MERCHANDISE AND NU LATER THAN 90 DA1 ,..,.;INI 11TLI r. BILLED UPON MERCHANDISE TRANSACT 101., FROM TRANSACTION DATE FOR SOS OR DIRECT DELIVERY fUP SIOCK '+FRCHANDlcE-p!+n R-!AIER IRAN 1+0 'dY MERCHANDISE. ! STORE: 2263 TERMINAL: 02 05/18/21 09:4432 RdiR^:+oACTILIN DAIS tOH 1-08 OR DIN:, i UELIUL+Y ' '.r?;.HAiIG1E. OF ITEMS PLIRCHASED: HE: 2263 IERNINAL: 23 6)/o/21 07:0:42 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS I lF ITEMS PURCHASED- F 111 I I.UDES FEES SERUICFS ANO iT'L-c:?L ORDER ITEMS � I'Il'I�il!lill"II��II'f liif li'I1Ili[l Il'I!II Ili Ili[JI ill lil I IIIA ILILPI'Ill'�,lll��I'Il � � � 111�1� - 1.11,�]HANK YOU FOR SHOPPING LOWE'S. i Ill�ll�1111111,111ilIIIII1I'l,11llhlll�Illil'I II�h�Illlil IJIIIi!II' FOR DETAILS ON OUR RETURN POLICY, VISIT s THANK YOU FOR SHUPPTNO L041E'a.'--" LOWES.0011/RE.TURNS I FOR DETAILS ON OUR RETURN POLICY, VISIT A WRITTEN COPY OF INE RETURN POLICY I5 AVAILABLE LOWES.COM/RETURNS AT OUR CUSTOMER SERVICE DESK RITTEN COPY OF THE RETURN POLICY I5 AVAILABLE AT OUR CUSTOMER SERVICE DESK STORE MANAfiER: DAhIIEI. DELANF.Y STORE MANAGER: DANIEL DF.LRNEY ;1 PRIM RAGE Poo N )ImOWENS" 1 L041E'S HOME CENTERS, LLC ' CONE'S onNE tENfERS, LLC 167 UATERFORD PARKUAY NORT 167 WAIEREORO PARKam NORI 4IATIRFORD, CT 06385 (860) 701-2000 WATERFORD, CT 06385 (860) 701-2000 - SAL-E - S A L 1_ _ a: S22631CO 3600699 TRANSO: 88869661 05-2 q: S2263W 1251107 TRANS11: 2864867 05-24 873 BHK 1/4-IN X 100-FI PREM 45.52 023W-. WHIZZ 9-IN PRO 4100D GRIP 25.96 6 918 DISCOUNT EACH -0.49 11.98 DISCOUNT EACH 460 q 6.49 4 0 11.38 ;811 ORP BRUSH NICKEL RECTANGL 40.61 SUBTOTAL: 25.96 42.74 DISCOUNT EACH -2.13- TOTAL TAX: 0.00 IINIMUM RETAIL PRICE APPLIED TO THIS 1TE0 INVOICE 01829 TOTAL: 25.96 LAR: 25.96 SUBTUTRI: 86,13 I TAI- D ISCOUNT: x/07 1 .9k TAX: 0.00 R:XXXXXXXXXXXX4653 ANOUNT:25.96 RUfHCD:000635 INVOICE 02957 IOTRL: 86.13 SWIPED REFID:824309 05/24/21 11:21:16 LAR: @6.13 LAR PO: - FISHERS ISLAND -A L DISCOUNT: 4 y 5, ACCOUNT NAME: FI6HERS ISLRIID FERRY DISTR XXXXXXXXXXXX4653 AMOUN1:86.13 AUTH1,D: 00061 Atr(u est tr:— aoit-GEa _ SWIPED REFID:816990 05/24/21 10:00:39 LAR P0: face point ONNf WILL HL nIL1-10 UPON MULHANDISE fRANACT114 CCOUNT NAME: FISHERS ISLAND FERRY DISIRICT E I-Oli MIRK 14.RCIIANDISE AND NO 1ATEP, THAN 90 4.1.' AUTH BUYER: ESPINOSA NICHOLAS Hlrl1 IHANSACIIuN DIi1E Fuft SOS uR DIRLuf DELItERV MERAFINDISE. NT WILL BE BILLED UPON MERCHANDISE TRANSACT] narF-FOR STOCK-NCRCHANDISE AND NO LATER THAN 90 D.,.- i STORE: 2263 IFR!1110-; 01 05/24/21 11.21: M TRANSACTION DATE FOR SUS OR DIRECT DELIVER 4 OF ITEN6 P(Jft(;NF1ST�9� MERCHANDISE. EXCLUDES FEES, SERVICES AND bPEL-101. OROEH 1101 HE: 2263 TERNIHAL: 02 05/24/21 10:01:0 4 'i v II Ir )F ITE14S PURCHASED: VIII IIIIII ��IIIIII',�I�IIII�IIiIIII�II�IIIl�lllll��IIa11 k��Il�IlllllrlIIII�I!II�III'IU�I�IIIfillll'',il LUDES FEES, SERVICES AND SPECIAL ORDER ITEMS _ �► -- IHAHK YOU FOR SHOPPING LOWS !� FOR DEI AILS AOUR RETURN FOLICY, VISIT LOWES.COM/RETURNS THANK YOU FOR SHOPPING LOWE'S. A WRIPTEN COPY"OF-IHE RETURN POLICY IS AVAILABI FOR DEfAILS ON OUR RETURN POLICY, VISIT AC DUIT CIJSTOp SERUICE DESK LOWES.COM/RETURNS RITTEN COPY OF THE RETURN POLICY IS AVAILABL STOREliffAGER: DANIEL DELANEY AT OUR CUSTOMER SERUICE DESK 11E'S PHTCE PR* STORE MANABER: DANIEL DELANEY rno M+,& Wnfl c u1tiTr w�7uFS OHlPRdCEPR0i1T5� Mail Payments to. LOWE'S P.O. BOX 530954 ATLANTA, GA 30353-0954 FISHERS ISLAND FERRY DIST Date of Saler 05118/21 Account 9800 295465 3 Invoice: 90 XHZWV Store/City. 2263/WATERFORD,CT P.O./JOB: CE T Buyer: FRANCO MICHAEL S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000000025041 1-1/4-IN X 12-IN EXT TUBE 2.00 EA 3 70 740 i 000000000072608 1-114-INX9-IN EXTTUBE SJ 1.00 EA 6.12 612 000000002483959 1-1/4 SJ RUBBER WASHER 1.00 EA 212 212 000000002483951 1-1/4 X 1-1/4 SJ WING NUT 200 EA 2 58 5.16 S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000002483948 1-114 X 1-1/4 SJ NUTMASH 200 EA 3.05 6,10 000000000155670 PROMOTIONAL DISCOUNT APPL 1.00 EA 0.00 0.00 Subtotal: 2690 Tax 0.00 Balance Due. 26.90 i Mad Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353-0954 FISHERS ISLAND FERRY DIST Date of Sale'. 05/26/21 Account. 9800 295465 3 Invoice: 901934 -GYODRW Store/City. 2263/WATERFORD,CT P.O./JOB: RACEPOINT Buyer: FRANCO MICHAEL S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000001049325 CM SAE REVERS RATCH WRENC 2.00 EA 19.93 3986 000000001048858 CM SAE RATCH WRENCH-3/41N 1.00 EA 17.09 17.09 000000000155670 PROMOTIONAL DISCOUNTAPPL 1.00 EA 0.00 0.00 Subtotal. 56.95 Tax: 000 Balance Due 5695 W ' 1 i 1 l � , V L 1v LoWE'Sam" 0 W E LOWE'S HOME CENTERS, LLC / LOWE'S HOME CENTERS, LLC 167 WATERFORD PARKWAY NORT l� 167 WATERFORD PARKWAY NORT WATERFORD, Cl 06385 (060) 701-2DOU WATERFORD, CT 06365 (860) 701-2000 SALE - - S A L E — LES#: S2263TS1 1251107 TRANS#: 2223147 05-28-21 S#: S2263AWZ 3848163 TRANS#: 3139078 05-27-21 319104 PONY 14PC SPRING CLAMP 12,07 ^4020 1 1/4IN X 24IN GALU PIPE 23,00 12.96 DISCOUNT EACH -0.91 24.73 DISCOUNT EACH -1.73 010483 61,IIL 10-Ff X 100-FT CLR S 55.78 59.98 DISCOUNT EACH -4.20 ,SUBTOTAL: 23.00 1 TAX: 0.00 SUBTOfAI: 67.85 INVOICE 03247 TOTAL: 23.00 TAH: 0.00 LAR: 23.00 INVOICE 02299 TOTAL: 67.85 LAR: 67.85 TAL DISCOUNT: 1 .73 XXXXXXXXXXXX4653 AMOUNT:23.00 AUTHCD: 000635 11-AL D 15 C 0 U NT 5. 1 1 SWIPED REFID:435164 05/27/21 14:11:08 1: XXXXXXXXXXXX4653 AMOUNT:67.85 AUTHCO: 000681 JJ� LAR P0: cook SWIPED REFID:647609 05/28/21 13:32.:08 ACCOUNT NA�E: FISHERS ISLAND FERRY DISTRICT LAR P0: cook 1 AUTH BUYER: COOK GED ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT AUTH BUYER: COOK GEB SUNT WILL'BE BILLED UPON MERCHANDISE TRANSACTION FOR STOCK MERCHANDISE AND NO LATER THAN 90 DAY: HUNT WILL BE-BILLED UPON MERCHANOISE TRANSACTION :IOM MANSACfION DATE FOR SOS OR DIRECT DELIVERY FOR STUCK MERCHANDISE AND 110 LATER THAN 90 DAY MERCHANDISE. IOM TRANSACTION DATE FOR SOS OR DIRECT DELIVERY [ORE: 2263 TERMINAL: 03 05/27/21 14:11:18 MERCHANDISE. OF, ITEMS PURCHASED: 7 ORE: 2263 TERMINAL: 02 05/28/21 13:32:27 (CLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS OF ITEMS PURCHASED: CLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS r � i I i � I � � �I V �III I��ILII �III��I II III I�II'�II�lilll IIIIIIIII ILII it III i III I II II THANK YUU FOR SHOPPING LOWE'S. Oft ,,B AILS ON Gh RETURN POLICY, VISIT THANK YOU FOR SHOPPING LOWE'S, LOWES.COM/RET[IRNS FOR DLTAILS ON OUR RETURN POLICY, VISIT H+ WPTT LN COPY OF THE RETURN POLICY IS AVAILABLE LGWES.COM/RETURNS AT OUR CUSTOMER SERVICE DESK WRITTEN COPY UE THE RETURN POLICY IS AVAILABL AT OUR CUSTOMER SERVICE DESK STORE MANAGER: DANIEL DELANEY STORE MANAGER: DANIEL DELANEY FISHERS ISLAND FERRY DISTRfCT VENDOR 012810 M.J. BRADLEY & ASSOCIATES, LLC 07/27/2021 CHECK 7520 A ✓ FUND & ACCOUNT P.O.4 INVOICE DESCRIPTION AMOUNT' H7 .598,9.2 .400.400 196 PROF SVCS-6/3-7/2/21 797.50 tR 7p TOTAL 797.50 ,did I -- --- ---------- --- ---- -- ---- -------- - ------- ------------ -- --- M111 z" 1`4 y'Z; -------------- --------- R'law, IM FISHERS ISLAM?FERRY DISTRICT ,UDIT,J/2'7, /2021 53095 MAIN ROAD,PO 80X'1,1 79 SOUTHOLD,NY 11971-0959 CHECK" NO. 7520 T4 CO SUFFOLK NATIONAL BANKb7 , CUTCHOGUE,NY 11935 ATE AMOUNT'. 50.546/214 o1'/ 'SEVEN,HUNDRED NINETY`SEVEN',AND 50x/100,`DOLLARS' RADLEY ASSOCIATES, LLC, ,no ! PAY.- c ro:THE 47 JUNCTION- SQUARE:DRIVE 9)ZbER' .CONCORD, MA-01742 ovoo 7 S 20,10 1:0 2 111 LO 5 L, 6 Lol: 68 00LS02 I Vendor No. Check No. Town of Southold, New York - Payment Voucher 12810 Vendor Tax ID Number or Social Security Number Entered,by 47 Junction Square Dr. -a Concord, MA 01742 Audit Dat , M.J. Bradley&Associates Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice 7$117,97.50 et Purchase Order Number Date Total DiscoClaimed Number Description of Goods or Services ;General Ledger Fund and Account Number, 196 7/12/2021 $797.50 Professional services-Race Point H7.5989.2.400.400 through July 3,2021 ,,,. FIF CT DEEP VW Grant Technical Support $797.50 $797.50 ` 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 (J d Company Name Fishers s a erry District Date 7/15/2021 Title Date / �/� ^y Please Remit to:NEW ADDRESS ting Instructions: Check Payments: ACH Transfers, MJ ` Well Fargo Bank,N.A. Box No.2691 Wells Fargo Bank,N A 420 Montgomery Street P.O.Box 8500 420 Montgomery Street San Francisco,CA 94104 Philadelphia,PA 19178-2691 San Francisco,CA 94104 an ERM Group company ABA No 121000248 ABA. 121000248 Credit to:ERM,Inc. Credit to.,ERM,Inc. Account No.-2000031445506 Account No.:2000031445506 Swift Code WFBIUS6S Attn: Geb Cook; Kasia Asmolov Invoice Date:12-July-2021 Fishers Island Ferry District Invoice#:196 261 Trumbull Drive Project#:0593767 Fishers Island, NY 06390 ERM Project Manaaer: Dept:MB01 For Professional Services rendered through July 03,2021 Project Name: 156MB01 FIFD04 CT DEEP VW Grant gcook@fiferry.com;kasmolov@fiferry.com Professional Personnel Rate Schedule Labor Hours Rate Amount Dave Seamonds 5.50 145.00 797.50 -------------------- ERM Rafe Schedule Labor 797.50 Total ERM Labor 797.50 Amount Due This Invoice * (USD) 797.50 CA M.J.Bradley&Associates,LLC(an ERM Group Co)-Tax Id#26-2840513 Project. 0593767 -- 156MB01 FIFD04 CT DEEP VW Grant Invoice#: 196 Phase: '' -- Default' ERM Rate Schedule Labor Employee Name Date Hours Rate Amount Dave Seamonds 06/03/2021 1.50 145.00 217.50 06/04/2021 1.00 145.00 145.00 06/29/2021 2.00 14500 290.00 07/02/2021 1.00145.00 145.00 ---- ----- ----- .............. ..................... Dave--Seam- -onds 5.50 797.50 Rate Schedule Labor 5.50 797.50 Total Phase : o Default Labor': 797.50 - Expense,: 0.00 Phase Total 797.50 Total Project:0593767 -- 156MB01 FIFD04 CT DEEP VW Grant 797.50 Page 1 FISHERS ISLAND FERRYDISTRICT VENDOR 0135154 MCMASTER-CARR SUPPLY CO. 07/27/2021 CHECK 7521 fad A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT- SM .5710.4 .000.625 60009599 NLT SUPPLIES 115.49 SM .5710.4 .000.625 60653777 NLT SUPPLIES 51.58 TOTAL 167 .07. Iwo _A5 h --I------- ---- --- --- -- ---------------------------------- ------ - - -- - ---------------- - -- ------ i I FISHERS ISLAND FERRY DISTRICP, AUDIT' 53095 MAIN ROAD,FO'BOX 11'791.,' SOPTHOLD,,NY 11971'-0959 CHECK -NO'.- '7,5,2 1 THE SUFFOLK CO.NATIONAL BANK CLITCHOGUE,NY 11935 AMOUNT 0 7,,/ Q2 1 , 50,"546/214 -H_U_ -ONE NDRED 'SIXTY. SEVEN AND_07/10'0' PAYMCMASTER-CARR, SUPPLY.CO,. TP T 0,HE 0-,N, '-COUNTY LINE ROAD ,,' ORDE ELMHURST IL'60126 ' OF' 11500 ? 52Iii' 1:02140546 4 68 00 150 2 Lill Vendor No. Check No. t ` Town of Southold, New York - Payment Voucher 13564 Vendor Address Entered by " r` P.O. Box 7690 �v Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. ° 'J U�_ 2°7` 202 Vendor Telephone Number 609-689-3000 Town Clerk sF b Y Vendor Contact Invoice Invoice Invoice Net Purchase Order k Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 60009599 6/15/2021 $ 115.49 $115.49 NLT supplies SM5710.4.000.626 4 60653777 6/25/2021 $ 51.58 $51.58 NLT supplies SM5710.4.000.625 , $ 167.07 $167.07 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. Signatur Q.thl J, Title Signature Company Name Fishers Island Ferry District Date 7/15/2021 Title Manager Date 7/15/2021 -.� M�MASTER-CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $115.49 1 nvo ice 60009599 Billed to I nvo ice Date 6115/21 FISHERS ISLAND FERRY DISTRICT P o BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$138 on merchandise and tax if paid by 6/25/21 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 Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 7366T34 Flannel Rags,50 lbs. 1 1 0 65.05 65.05 Each Each Merchandise 65.05 Sales Tax - 6.90 Shipping 43.54 Total $115.49 Packing List Shipped Weight Carrier Tracking 8486880-01 6/15/21 531b UPS 1 ZO835200331350069 (o L Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 CD 7Fd WMASTERaCARR- Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $51.58 Invoice 60653777 Billed to I nvo ice Date 6/25/21 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Pa meet Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$088 on merchandise and tax if paid by 7/5/21 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 Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 5403K15 PVDF Cam-and-Groove Hose Coupling,Size 2, 1 1 0 41.53 41.53 Plug,2 NPT Female End Each Each Merchandise 41.53 Sales Tax 3.08 Shipping 6.97 Total $51.58 Packing List Shipped Weight Carrier Tracking 1176332-01 6/25/21 1 Ib UPS 1 ZO835200331872568 A 1 Federal ID 36-1458720 McMaster-Carr S upply Company Page 1 of 1 cv ion t x McMASTERsCARR. PackingList 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park JOHN P 609-689-3000 New London CT 06320 os/25/2021 Order Placed By nj.sales@mcmaster.com John Paradis McMaster-Carr Number 1176332-01 Line Product Ordered Shipped 1 5403K15 PVDF Cam-and-Groove Hose Coupling, Size 2, Plug, ',,2 NPT Female End 1 1 Each 1V I I I I I I I I I I I I ' I I I ' I I I I I 866 FISHERS ISLAND FERRY DISTRICT VENDOR 013948 CAROL MURPIY 07/27/2021 CkECK 7522 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.,4. 000.000 071221 USIFLAG COIL/100 55.00 72 TOTAL 55.00 co 4c — ----------- --- --- ----- --------- --- --- - -------------- - ----- - -------------------'- ------- ------- - ----------- V* 7, uFt A X-4" , x N, --- ----- -- - ----- ----------!-- FISHERS ISLAND FERRY DISTRICT , 53095'MAIN ROAD,PO BOX 1179 '7, SOUTHOM,j4Y'1,1 971-0959 Ci 7 CHE -,' NO. 22, THE SUFFOLK'CO:NATIONAL BANK 77 CUTCHOGUEi r{ ,NY 11935 DATE AMOUNT': 5 777- - -6 14 Q7/ 55 0, 046112 FIFTY, FIVE' AND 0'0/100 DOLLARS 'r+r PAY- CARPL,MURPHY b ""qM1` f "Ay 5, 4' ,C STL` A Hit T,ME -9 ER PAW-6AT, 66K CT`,-06S7'9- ' D aw -74 1110075 2 20 1:0 2 140 SL, Pil: 68 00 ISO 2 1V Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Address Entered by 4 Castle Hill Rd Pawcatuck,CT 06379 Audit Date' Murphy, Carol JUL ,2 7 2021 Vendor Telephone Number oClerk Vendor Contact , o Invoice Invoice Invoke Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number �1 a 7/12/2021 $55.00 $55.00 US Flag Coil/100 SM5711.4.000.000 $55.00 $55.00 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 Signatureok Is 10. Title Signature l 0 Company Name Fis FerryDistrict Date 7/15/2021 Title Date O pC)j MaYphy uiw I ED STATES POSTAL SERME. PAWCATUCK 66 S BROAD ST PAWCATUCK, CT 06379-9998 (800)275-8777 07/12/2021 03:19 PM ------------------------------------------ Product Oty Unit Price Price ------------------------------------------ US Flag Coll/100 1 $55.00 $55.00 ------------------------------------------ Grand Total. $55 00 --------------------------------- Credit Card Remitted $55.00 Card Name: AMEX Account b• XXXXXXXXXXX1008 Approval H: 821335 Transaction #• 749 AID: AOOOO00O25010801 Chip AL: AMERICAN EXPRESS PIN: Not Required ------------------------------------------ xXxXxxxxXxxxx%XxXxxXxxxxXXXkx xx xXxxxxxXxXX USPS is experiencing unprecedented volume increases and limited employee availability due to the impacts of COVID-19 We appreciate your patience xxxxxxxxxxxxxxxxxxxxxxxxxxxXxxxxXxxxxxXXxX Preview your Mall Track your Packages Sign up for FREE https://informeddellvery.usps com All sales final on stamps and postage Refunds for guarani es only. Thank you your busine Tell s about your experience. Go to: tps://postalexperience.com/ s or sea this code with your mobile devi e, % r or call 1-800-410-7420. UFN: 083434-037 ,, Receipt #: 840-50600372-1-2436973-1 Clerk: 04 V l/ -4 4111, FISHERS ISLAND FERRY DISTRICT VENDOR 013937 NAPA AUTO PARTS OF GROTON 07/27/2021 CHECK 7523 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710 .2.000.100 281954 (4) MU OIL 5GAL 289.96 SM .5710.2.000.100 290488 MU RADIATOR CAP 6.691 SM .5710.4.000.625 290839 NLT' SUPPLIES 180.741 SM .5710.2 .000.100 t 290899 MU MUFFLER CEMENT 14.69 F ms TOTAL 492 .08 ----------------- - --- -4- j. 9 "VIV 4,; jl ------ --------- -------- - --- mum FISHERS ISLAND FERRYD19TRICt APT Ti ,,, ,7,/2 7/2'0 2 1 53095 MAIN ROAD,,PO,,BOX 1179,,', SOUTHOLD,NY 1,1971'-0959 NO CH THE'SUFFOLK CO'.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT, I q2 7777 14 7 '-FOUR HUNDRED NINETY TWO AND-0 16 0 fdtLARS AY PNAPA AUTO PARTS,-OF GROTON ". , I i 1, W. i TO THE, % ROUTE 12 RD, OF GROTON. CT G634 0 11100 7 5 2 3ill 1:0 2L4054641: 68 00 1502 Lll@ i Vendor No. Check No." Town of Southold, New York- Payment Voucher 13937 7EQ Vendor Address Entered by 1002 Route 12 Vendor Name Groton,CT 06340 At Date NAPA Vendor Telephone Number �� 860-445-8181 Torun 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 281954 4/6/2021 $ 289.96 $ 289.96 MU oil 5gal(4) SM5710.2.000.100` _ t 290899 7/12/2021 $ 14.69 $ 14.69 MU muffler cement(1) SM5710.2.000.100 290488 7/7/2021 $6.69 $6.69 MU radiator caps(1) SM5710`2.000.1�00�_ 290839 7/12/2021 $180.74 $180.74 NLT supplies . SM5710.4-.000.625 a i $492.08 $492.08 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 venfied with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signatur 0A I I Title Signature 6 CII Company Name i Ferry District Date 7/16/2021 Title Manager Date 7/16/2021 200001178 _ \_ NAPA of Groton Time: 15:21 ,....Invoice Number 281954! 1002 ROUTE 12 Groton, CT 06340 Date: 04/09/2021 El IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII�II (860) 445-9706 Page: 1/1 61297 Fishers Island Ferry District Sales Rep: 0 Salesman Y Y PO Box 607 Accounting Day: 8 OCR s 261 Trumbull Drive - -- Fishers Island, NY 06390 2000011782819544 Pat'Number r; Line '. � De�crapbin ti2ualitity;jFrice " eC:_'M_ P 'r_ Total 75121H~M NA IT^~^ ,_ NOL NAPA 5 GAL 15W40 () 4.00 136.31 72.4900 _ 289.96 �..� 4 J t Anticipated Time \� Subtotal 289.96 Attention: 1 `! TABLE 1 6.3500% 0.00 Tax Exemption: PO#: I / �\ Terms: \ I Customer Signature Charge Sale 289.96 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE _ QUICK AND EASY 200001178 NAPA of Groton Time: 13:35 Invoice Number 290899( - FROUTE 12 APA Grroton, CT 06340 Date: 07/12/2021MMMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1 a (860) 445-9706 Page: 1/1 61297 Employee: 7 ROBERT _ Fishers Island Ferry District Sales Rep: 0 Salesman Y Y PO Box 607 Accounting Day: 10 OCR 261 Trumbull Drive - - " "-° --- — �" 2000011782908993 w Fishers Island, NY 06390 I _ Pari NumberLine( r• D_e_sa_riptz A Quantity _. wap je : _ Net' 35958 EXH MUFFLER CEMENT O 1.00 19.58 14.6900 14.69 ) gt ggi 3 � T Delivery: - � /� � Subtotal 14.69 Attention: ^ `Y/ TABLE 1 6.3500% 0.00 Tax Exemption: 1 �l P : v �� Terms: Customer Signature Charge Sale 14.69 L GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE _ RESERVE ONLINE _ PICKUP IN STORE QUICK AND EASY , -� I I 200001178 NAPA of Groton Time: 15:32 �NAPA� 1002 ROUTE 12 Invoice Number 290488 o Groton, CT 06340 Date: 07/07/2021 E3 )IIIIIIIIIIII IIIIIIIIII IIIIIIIIII IIIIIIII� (860) 445-9706 a Page: 1/1 61297 Employee: 22 HAILEY. _ Fishers Island Ferry District Sales Rep: 0 Salesman Y Y t PO Box 6076 OCR ! Accounting Day: I 261 Trumbull Drive 2000011782904880 Fishers Island, NY 06390 I =` "r£ <.r 3�2SCr'•7.` �'OII ";,'".> a€•,: ,xi. war "H a h;'_; r"'J `<'t ��,,,..:�:,�.��,>a,,�..,;�.st. .,,...,�...��..M„�>».�....:...a»�..�.:,;c»r.:,;.'.)„QU,F3.II.'�,7;��a:�i'.P�].C��N...,?x.'�^z':r.': ».,.u,.d ;,3 f 7031697 BKRADIATOR CAPS O ) 1.00 11.38 6.6900 6.69 Qty: 1 from: CON - CONNECTICUT T14` ! Anticipated Time,�.. .m......................_.. ..._.�,.,.�m,.,.„_m�.��„ Subtotal 6.69 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: Terms: Customer Signature Charge Sale 6.69 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE - QUICK AND EASY I STORE COPY 200001178 NAPA of Groton Time: 10:09 Invoice Number 290839E INAPAk # 1002 ROUTE 12 Groton, CT 06340 Date: 07/12/2021 IIIIIIIII o ' ! (860) 445-9706 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page: 1/1 61297 Employee: . _ROBERT ® Fishers Island Ferry District Y Sales Rep: 0 Salesman Y PO Box 607 Accounting Day: 10 OCR ® 261 Trumbull Drive �- ,�.—. —ay _.w..............„....__, � , 0 Fishers Island, NY 06390 2000011782908396 PP 1"e i.<r Y Paxt;>i�umbexx” k :=Lirie'.. ;Desc' io , [Qu. =P1`ce, :- . . .._, u_- V BKMAT24200UM NCB NEW PIG MAT 24X200 O 1.00 351.30 169.95 169.95^ T ( I Delivery: Subtotal 169.95 Attention: Tax Exemption: TABLE 1 6.3500% 10.79 PO#: MIKE I Terms: Customer Signature Charge Sale 180.74 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY - - .1 I t - + -.., . _- r-r .fig-,;;y. , gnn- P"".,z• •, it _ ;` mow";r«, :'.,w.:a"' . ..., vsr2: n FISHERS ISLAND FERRY DISTRICT to VENDOR 014505 NORTH ATLANTIC POWER PRODUCTS 07/27/2021 CHECK 7524 { asr A 1^<k FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710 .2.000.200 W,Q210605621 RP WIRING 227.44 TOTAL i 227.44 :+":t `.tire'i t' i%rS,S r +'J. .?•.•. + .+ n..•t vim::Y •y'• 4 ' •{-'i' G ; I • i I o I I — - - - F --- -------- -7 ------- FISHERS ISLAND FERRY DISTRICT, AUDIT ' /27_/2-02,1, 53095 MAIN ROAD,PQ 80X 11991' 77SOUTHOLD,'Nv 13'971,0959 „ C i E K'NO.," :75 4 THE SUFFOLK'CO.NATIONAL BANK ^ CUTCHOGUE Nr 11ssB DATE AMOUNT iV07/'217/'2'027;,' •, 1 - 't' "I`, . '22''7 44 2: 'TWO' HUNDRED TWENTY SEVEN -ANL)"44/1'0'0 DOLL'AR'S' t i AY; NORTH ATLANTIC PQWER, PRODUCTS THE __'ACCOUNTS RECEIVA'SLE=ADMIN 4 OT , 7455 -TYLER BI VD. MENTOR OH 44060 n'0075 24ii' 1:0 2 L4054641: 68 OO L50 2 Lill & I Vendor No. Check No. Town of Southold, New York - Payment Voucher 14505 a —� Vendor Tax ID Number or Social Security Number Vendor Address Entered by Exeter Branch Y-C, Vendor Name 15 Continental Drive Audit Date North Atlantic Power Products Exeter, NH 03833 JUL 2.7 2021, Vendor Telephone Number 603-418-0470 Clerk Vendor Contact ao Gl Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number WQ210605621 6/18/2021 $227.44 $227.44 RP wiring SM5710.2.000.200 $227.44 $227.44 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 UOILI VR Company Name Date Title Date i l7til D North Atlantic Power Products INVOICE Exeter Branch 15 Continental Drive Exeter,NH 03833 Invoice Date Customer �°P: (603)418-0470 WQ210605621 06/18/2021 101065 ssoo15 F: (603)418-0471 Sold to Shipped to Page 1 of 1 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT EMAILACCOUNT EMAILACCOUNT 261 TRUMBULL DR P O BOX 607 261 TRUMBULL DR P O BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 P: (860)442-0165 Branch Invoiced: 71NP Exeter Dept Invoiced: 40-Service Salesperson: Exeter Salesman Reqistration Notes Quantity Product Id - Description Unit Price Total Price Cust PO#: Jon P Entered by Matt Goldstein Work Order:WQ9606 Seg: 1 1031774 Jon P 06/18/21 WO Shop replacement display cable 1 TDC 1031774 HARNESS,WIRING 212.18 212.18 Total Parts 212,18 Outbound Freight 15.26 Total Misc 15.26 I` Due date Payment Amount Paid Tax Basis Tax Rate Tax Amount 06/28/21 On Account 227.44 4 _ - - - -- -- - - Delivery Order North Atlantic Power Products Work Order Exeter Branch 15 Continental Drive Packing slip Date Customer _ -� �• Exeter, NH 03833 - WQ9606-1 06/18/2021 101065 2 P:(603)418-0470 615,075 Page 1 of 1 F:(603)418-0471 Bill To Ship To FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT EMAIL ACCOUNT EMAIL ACCOUNT 261 TRUMBULL DR P O BOX 607 261 TRUMBULL DR P O BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 Delivery Contact: UP:(860)442-0165 Shipping: (((WILL CALL ORDER)))Will Call Salesperson : Exeter Salesman Ord Ship B/O PDe/ Wt Product Id Description Net Price Total Prepared by: Matt Goldstein Order : WQ9606 PO # : Jon P Entered by: Matt Goldstein Segment: 1 1031774 Jon P 1 1 - TDC 1031774 HARNESS,WIRING 0.00 Customer X Pkg qty 0 #Pallet 0 Shipping Date 06/18/2021 Payment On Account Weight Lbs Tax Group: Non-Taxable Tracking ID : Taken by Legend Ord-Quantity Ordered B/O-Remaining Back Order Ship-Shipped on this delivery P Del-Quantity previously shipped for this order c T.p—H.(,86)11MS1Q..pWu0xj.n'Qw 01 Xh—y-w1m1 6/18/2021 11 31 24AM 17 FISHERS ISLAND FERRY DISTRICT I I VENDOR 014588 NRPC - AMTRAK 07/27/2021 CHECK 7525 A FUND & ACCOUNT P.O.## INVOICE DESCRIPTION AMOUNT I SM .5710 .4 .000. 000 080509 PIPE/WIRE LEASE-NL 10.00 TOTAL 10.0 0 IT nr 4 I / I ,krt I I I I - ` > I ., ,!}.`r- ` pt.?• h4+f,c. vY ? ::>'Jt-;.>kv;'.,1,'r•r4: `y`1^ .r:, v1.': . •. •.t,}``' \_ ',,jai i . I'o- •. . ., ".. _ ._ .. - • - - -- I ,, I as I I ,In 1 I I .S- ,` f - / I _.,.,.G ._ -__ ---- __ __________ __ _____ ------------------- ..__ ___ __ _ _ _____ __ ----- _ .__- . ------ _ __ _ ___ _ I \ I 'FISHERS ISLAND FERRY DISTRICT' AUDIT,-7/27/2 0 21' 53096MAIN ROAD,PO'BOX 1,179, . SOUTHOLD,NY 1-1971'•0959 CHECK' NO;., 75,25 THE SUFFOLK CO.NATIONAL BANK 'CUTCHOGUE,NY 11935 , DATE AMOUNT ` I -• 6p;546'(2 7 4. _ p 7'/2;T/2 0 21 '' x u', h10, 0'0 , ? , ' Vi y ! d ` ,c ; t` ZEN`AND "00'/100 DOLLARS AY NRPC _- AMTRAK T -THE - GROUP'-5 -REAL;ESTATE DEPT ORDER 23615 NETWORK PLACE OF ! I CHICAGO IL GQ673_-1236 '` 11100 7 5 2 Slim 1.0 2 L 40 5 4 6 Los 68 00 150 2 L11' ' Vendor No. Check No. Town of Southold, New York - Payment Voucher 14588 Vendor Tax ID Number or Social Security Number Vendor Address Entered by', 23615 Network Place Vendor Name Group 5—Real Estate Dept Audit Date NRPC-AMTRAK Chicago, IL 60673-1236 ° JUL, 2 2021, Vendor Telephone Number 215-329-2013 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, ° 080509 7/1/2021 $10.00 $10.00 Pipe&Wire Lease-NL SM5710.4.000.000 $10.00 $10.00 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 & 0",.( Company Name Date Title Gi� Date ti INVOICE Invoice Number- 080509 Invoice Date: 7/1/2021 Mail Remittance To- Amount Due: $10.00 ,NRPC-AMTRAK Due Date: UPON RECEIPT 23615 Network Place Group 5-Real Estate Dept. Chicago, IL 60673-1236 Billing Detail for: Fishers Island Ferry District Lease ID Date . Code Description Charges Payments Amount Due A02430 7/1/2021 NPWO Pipe&Wire-NEC $10.00 $0.00 $10.00 i Total Due This Invoice: $10.0 Account Detail: File ID: 06014401 Customer ID, 0003000395 Building ID- NPWNH LeaselD: A02430 Bill To Email: accounting@fiferry.com Description: Crossing of one 2"iron water pipe New London,CT Interest will be charged on late payments in accordance with the terms and conditions of the agreement. Please direct questions regarding this document to ARRealEstate@4mtrak.com or 215-349-1202 or write to the remittance address above. Please Include Lease ID & Invoice Number on Remittance to Ensure Proper Application of Payment INVOICE Fishers Island Ferry District R P KnaufF Manager INVC P O Box 607 Fishers Island, NY 06390 I i FISHERS ISLAND FERRY DISTRICT VENDOR 016492' PITNEY BOWES, 'INC. 07/27/2021 CHECK 7526 A FUND & ACCOUNT P.O.# ' INVOICE DESCRIPTION AMOUNT SM .5711.4.0 0 0.000 3313889644 POSTAGE RENTAL-8/7-11/6 72.00 7, w TOTAL 72 .00 ;& ---------- -- --- -- ---- ---- --- - ---- ------- - - ------ ------------------------ -- ----- 7711 'Tv: ----- ------- 4": MIN mmy g FISHERS ISLAND FERRYDIS7ICT AUDIT" 7/27/2021,, 53095'MAIN ROAD,PO BOX 11 7B, SOUTHOL-Q,,NY I t971 0959 CHECK' NO. '7 5 2,6 THE SUFFOLK CO.NATi6NAL B 5A—TE ' : BANK g CUTCHOGUE,NY 11935 AMOUNT 'o 72 0 50'545/214 SEVENtY `TWO,AND OA'/100 DOLLARS Rd- PITNEY BOWES, -INC HE PO SOX'371896 Th 9 RD ER or17 ?iTttBi &kGH 'PA 1525'0-:78-96 -, if 0 0 7 5 2 G 1:0 2 140 54641: 613 001502 1 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 Vendor Telephone Number 800-228-1071 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 3313889644 7/4/2021 $72.00 $72.00 Postage Meter Rental SM5711.4.000.000 a 8/7-11/6/21 f ` u P p1p i y e V o $72.00 $72.00 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 d crepancies noted,and payment is approved Signature Title Signature �6 J Company Name Fis d Ferry District Date 7/15/2021 Title [/ Date L Account number: 0015132475 pitney bowel �1_� Account name: FISHERS ISLAND FERRY Page 1 of 2 Lease invoice# 3313889644 July 4, 2021 SUMMARY OF YOUR CHARGES PAYMENT INFORMATION Leasing charges $72.00 Payment of$72,00 is duo byAugust 7,2021 Total tax $0.00 Never need to pick up the phone again.Sign up TOTAL DUE 08/07/2021 $72.00 ��--�/ to'Your Account"to manage everything online. pitneybowes.com/us/signupnow See reverse side for invoice details. 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Page 1 of 2 TAX ID 20-1344287 Tearoffhere N-000116 A Account number Invoice number Invoice date Pitney bowes 0015132475 3313889644 July 4,2021 Page 2 of 2 DETAILS OF YOUR CHARGES Contract#0040884524 Sitting period.08/07/2021-11(06/2021 Totals Location account: 0015133256 Location: FISHERS ISLAND FERRY,261 Trumbull Dr,Fishers Island,NY 063908021 ttescription ; Total N Leased Equipment $72.00 0 Product/Serial#:K7M0/2019128 0 K7M0-Mailstation2 Meter o Product/Serial#.MP08/0492003 0 MP08 51b Scale for K700 C3 0 �o Total tax $0.00 Contract# 0040864524 Total $72.00 _o TOTAL DUE $72.00 o 0 Important information Access the following activities on our website: This transaction is governed by the terms and conditions of the applicable Pitney Bowes agreement,current as of the date of this invoice unless otherwise agreed -View and pay bills to in writing by the parties -Order Supplies -Update account information Payment -Access technical support If we do not receive your payment by the Payment Due Date,late fees will apply. It's easy Go to pitneybowes.us/signin If your payment is returned,you're liable for any charges we incur If you make a partial payment of the payment due,it doesn't change your contract or obligations to us. Page 2 of 2 FISHERS ISLAND FERRY DISTRICT 7 VENDOR 016723 PROGRESSIVE BENEFIT SOLUTI LLC 07/27/2021 CHECK 7527 A FUND & ACCOUNT P;O.# INVOICE DESCRIPTION AMOUNT Sm .9060,78.000.000 PBS—HRA-06/21 HRA TOTAL UTILIZTN-6/21 1, 621.77 TOTAL 1, 621.77 ce) 41"l n. ------------ --------- ------- ------ "MI ^'`,, I aryl "0. FISHERS ISLAND FERRY DISTRICT ,-AUDIT 7/2,7/2021 , 53095 MAIN'ROAD,PO'BOX 1179,_ SOUTKOLD,NY.11971-0959', CHE 7527,21 I'' CO'.NATIONAL THE SUFFOLK BANK 4 CUTCHOGUE,NY 11935 1 DATE AMOUNT 214, io /202 $ ij, , 07 7 ,ONE THOUSANP SIX `HUNDRED TWENTY ONE 77!/1GO -DOLLARS-,-'! 7 iY PAY,- PROGRESSIVE, B,ENEFIT SQLPT. ,LLC, j; K DR:IVE TO THE 4 'BUSINESS PAP ORDER' OF" BRANFORD CT' 06405 c 11600 7 5 2 711@ 1:0 2-1 40 5 4 6 41: 68 00 150 2 ills t I� YJj Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 -�cja Vendor Address Entered by r 14 Business Park Dr#8 Branford, CT 06405 Audit Date Progressive Benefit Solutions (PBS) ,➢UL 2 7 2021 Vendor Telephone Number I;Lown 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 PBS-HRA 6/30/2021 $1,621.77 $1,621.77 HRA Total 2020 utilization as of 6/30/21 SM9060.8.000.000 $1,621.771 1 $1,621.77 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 n.4,A Company Name Fishers Is an Ferry District Date 7/19/2021 Title Manage Date 7/19/2021 14 Business Park, #8 DATE: June 30, 2021 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2020 HRA Utilization Invoice Bill To: Fishers Island Ferry District DESGRIP 1?lO"EALTH'°REIIVIBURSEMENT"PLi41V UTIL1ION%'' M%1M0U•NT.. . . . Required Funding Health Reimbursement Total Utilization $ 1,621 77 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : u " 1,621:77 ]r";. t :a«" ".A"`° '.- . „ ' . °a,3`. , Ta , 1"Y Z?'•'" iI94 .=3.c T:: FISHERS ISLAND FERRY DISTRICT I I ' 1 © VENDOR 019136 NINA SCHMID 07/27/2021 - CHECK 7528 4 + FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM . 9060.8 .000.000 060,821 MED PART B SUPPL-7/21 53 .44 I TOTAL 53.44 w , - I 1 i I ---------- ---- --------------- ------ - - --------- -•--- 'Z?- '•''Yr -- ---- ----------- ----- ---- ------ --- - -- nIA i x ; 'd•<,rt... .,..cwi'"•V fif v7, . . '' fvT `t >" ' r;.r`:<r,.. ,•:y ,r,ti• . F"rte^z°i•cc. ` a;.'i`:''`' : ! ` '.:r=.S i:J _ , `.i +twb:.p.t..r r,• ,=' 5,.. o- F,r `?) 'r:,J , • ? .. `,"`•', '`t fi' <r :;" ,r.,c w:.:::3^s- 'ui-» , r' _ ,''t `"' ` .-ti.i, - ^2.... `h ,.F' Y ntw.r, ;' 5,:` ;' d "`p 4'+s,• sr_ , K`r i"- `'} ' / 't*''".._, e .-, ..`arc's:. .z ;::., ., +✓?"^,.. ..s `;".. P: :..ys+n •'f ., , ,';. f i• of I — m— . , -arm __ _ _ _ _ _ _ __ _ ._ ._ _ _ _ _ - • FISHERS ISLAND FERRY DISTRICT AUD zT /-,27,2 0 2'1; f a .53095 MAIN ROAD,PO BOX 11,79 SOUTHOLD,NY 11971-0959 CHECK';NO, 7,528 us . THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT 50-5461214', 07; 27/,2021 5'3.44 t t i FIFTY-' THkEE` 'AND "44/10.0 DOLLARS ' u? .4 NINA SCHMID- 0_TkE , 1B,91,MAIN STREET, ,APT ORDER', ,SOUTHRWINDSOR CT ^06074' %{ }11'0075 2811' 1:+0 2 1,405464l: 68 OO L50 2 Lii' _ I ' Vendor No. Check l'61" ; Town of Southold, New York - Payment Voucher 19136 Vendor Tax ID Number or Social Security Number Vendor Address Enteie&by 1891 Main Str Apt B _` South Windor,CT 06074-1024 Audit Date` f Nina Schmid Vendor Telephone Number 11,L:: � Clrik 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 REIMB 6/8/2021 213.75 (160.31) 53.44 July 2021 Medicare Part B Supplement SM9060.5.000:000 . 10 years of service reimbursed at 25% 213.75 160.31 53.44 i 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 disci ancies noted,and payment is approved Signature Title Signature ff" Company Name Fishers s and Ferry Date 7/15/2021 Title Date Anthem Blue Cross and Blue Shield 1 of 3 PO Box 659816 San Antonio, TX 78265 B1o1111'11"II'In11111°IIIn111'I°1'111111'°61°IIIII'lll'll'I' 0059941 AV 0.395 01350/005994/0022710022 2 ACZN8G WPT170 GBDNIS 06/09/2021 06/11/2021 NINA J SCHMID 1891 MAIN ST APT B SOUTH WINDSOR, CT 06074-1024 Invoice No.: 000195518200 Member Name: Nina J Schmid Member ID No.: 862M97252 Billing Period: 07/01/2021 to 07/31/2021 Billed Date: 06/08/2021 Payment Due Date: 07/01/2021 Prior Bill Amount $213.75 Paid Amount $213.75 Other Adjustment Subtotal $0.00 Prior Balance Due $0.00 Retroactive Eligibility Adjustment Subtotal $0.00 Manual Adjustment Subtotal $0.00 Current Charges Subtotal $213.75 Billed Amount $213.75 TRA1-D-0059941002271 ACZN8G S1-ET-M1-C00002 1 PLEASE-PAY THE BILLED AMOUNT-UPON RECEIPT-TO AVOID CANCELLATION PLEASE TEAR OFF THIS PORTION AND RETURN WITH YOUR PAYMENT DUE DATE: 07/01/2021 FDO NOT SEND CASH* AMOUNT DUE: $213.75 *MAIL PAYMENT TO THE ADDRESS BELOW* Amount Enclosed Nina J Schmid Make Check Payable To: Member ID No.: 862M97252 '11111111111111°II'l1.1111,1111Ill IIIIII'lltlll Invoice No.: 000195518200 ANTHEM BCBS ` Billing Period: 07/01/2021 to 07/31/2021 PO BOX 11750 Billed Date: 06/08/2021 NEWARK,NJ 07101-4750 � 002953433665150500400000000862M972523000195518200070127,00000000000213757 Q, FISHERS ISLAND FERRY DISTRICT 71 VENDOR 012315 SHELTERPOINT LIFE INS.CO. 07/27/2021 CHECK 7529 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000. 000 062821 LIFE INS PREM (21) -8/21 53-.55 1 771 TOTAL 53.55 - - ----- ----------------- -- - ----- -------- - Fg Sgt, FlifiW ISLAND FERRY DIS '71?1(7P - ' -AUDIT 7127'/Zb'2 1': Z3095 MAIN ROAD;PO,BOX 1;11 79,' A-7 SOUTHOLD;NY 11971-0959 '75-29- THE SUFFOLK CO."NATIONAL BANK' CUTCHOGUE,NY 11935 DATE AMOUNT-` S, 2 7 0 0 2 5' 546J2 FIFTY``.THkEi,`AND t'5/100, DOLLARS p ,4y p 7,0 THE lit" E HELT"POIN.T LI FE INS.CO. 1225,FRANKLIN AVEl',,SUITE%4 7 5 GARDEN-"CITY 'NY 11530, OF' 11'007529115 1:02L4054641: 68 00 150 2 L Vendor No. Check No. Town of Southold, Ne®v York - Payment Voucher 2315 5C Vendor Address Entered by 600 Northern Blvd Suite 310 Great Neck, NY 11021 Audit Date ShelterPoint Life Insurance Company 2021 Vendor Telephone Number 800-365-4999 Vendor Contact , G�14%CJC.r � Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 41515 6/28/2021 $53.55 $53.55 August 2021 Life,ADBD Ins Premiums(21) SM9060.8.000.00O $53.55 $53.55 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 ordiscrepancies noted,and payment is approved 9�'Signature (�)j Title Signature 0"L, Company Name Fishers s and Ferry District Date 7/15/2021 Title Manager Date 7/15/2021 4h, (l Shelter Point Life Insurance CoMPBR0003 Oper No•10 Monthly Billing for 8/1/2021 � Run 06/28/2021 04 50 PM Page 76 Premium 41515 FINAL FISHERS ISLAND FERRY DISTRICT(Grp 41515/Loc 10) PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 Location Totals Total Due Insureds Billed 21 Balance Forward $10710 New 0 Payments. - $5355 Termed 0 Adjustments + $000 Make Check Payable To Shelter Point Life Insurance Co. Beginning Balance $5355 1225 Franklin Avenue,Ste 475 Garden City,NY 11530 Current Amount Due + $53�00) Current Adjustments + Total Amount Due $10710 This is a premium invoice for the above mentioned policy Please remit payment by the 25th of this month to avoid a lapse in coverage It is very important that you remit your premium as shown on this billing statement Any enrollment/roster changes should be reported to us under separate cover,and will be credited accordingly on the next months' billing statement Delinquent payments and outstanding balances may result in the suspension of claim payments to your employees If you have any questions regarding this invoice or your insurance coverage,please call our customer service department at 1-800-365-4999 or email us at customerservice@shelterpoint cam Please return this entire form with your payment in the envelope provided FISHERS ISLAND'FERRY DISTRICT I I VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 07/27/2021 CHECK 7530 FUND & ACCOUNT P.O\ # INVOICE DESCRIPTION V AMOUNT II I SM .5710 .4 . 000.625 3481677052 PIT SUPPLIES 119.72 ,tN'711 tl TOTAL 119.72 OEM '40 g —----------- ----------------------- ------------------ - ------------------- - -------- ------ - -- - ......... .:z'.;, > .z 1i i i sa - - - ---- --------- x FISHERS ISLAND FERRY DISTRICT- 'AUDIT 53095'MAIN ROAD,PO BOX 1,179, 7/-27'/2021 'SOUTHOLD;NY 1"197,1,-0959- CHECK'NO.. 7 0 THE SUFFOLK CO.:NATiONAL BANK CuTCHOGUE,NY 11935 DATE AMOUNTl $ -e 60-5461214 :07/2 V20211` % 119. • 72' v- -,ONE 'HUNDRED,-NINETEEN'AND .72/1b0,-,EbLLkR6-,"-` A STAPLES CONTRACT, & COMMERCIAL;,•, ki• „ y,,,,, ;I, / ,,;j r0THk - PO, BOX ,70242 9)MER 2'AA iLPHIA- ` -,1'9-116 0242 or P!H PA 0 0 7 s3o 111 1:0 2 140 5 4 6 41: 68 00 111' 'S, Vendor No. Check No. Town of Southold, New York - Payment Voucher 19711 0 k Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY PO Box 415256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 JUL 2 7 2021 Vendor Telephone Number 888-753-4107 T Clerk Vendor ContactG%LQ�C- Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3481677052 7/10/2021 $119.72 $ 119.72 FIT supplies SM5710.4.000.625 $119.72 $119.72 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 66 0(joic'- Company Name Fishers Ferry District Date 7/15/2021 Title Manager Date r n gtan'� y INVOICE.DATE CUSTOMER -, SUMMARY INVOICE, I'' 7/10/21 NYC 1032952 8062839285 PLEASE PAY BY TERMS- 'x AMOUNT=DUE, 8/09/21 Net 30 Days 119.72 INVOICEDiTTAm 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: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 Invoice Number: 3481677052 Budget Ctr Desc: order 7334265333-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 7/06/21 Release Release Desc order order B/o unit ship unit extended Line Item Number Description Qty QtyMeas Qty Price Price 1 733152 SAFCO ONYX WALL MOUNT MAG RACK 2 0 EA 2 27.75 55.50 2 733250 SAFCO ONYX WALL MOUNT MAG RACK 1 0 EA 1 42.18 42.18 3 2002710 HP 952XL HY YELLOW INK CART 1 0 EA 1 22.04 22.04 Freight: .00 Tax:( .0000 %) .00 sub-Total: 119.72 Total: 119.72 V 1 l customer service inquiries # 877-826-7755 Invoice Payment inquiries 888-753-4107 Page: 1 Make checks a able to staples contract 8:commercial, PO BOX 70242, Philadelphia PA 19176-0242 FISHERS ISLAND FERRY DISTRICT VENDOR 096311 SUFFOLK COUNTY COMPTROLLER 07/27/2021 CHECK 7531---'- A -FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 2287901, PENALTY PROP TAX 295.04 TOTAL 295.r 04 --------- - --- ------ -------- a R Wi Q11 4n, 4, -------- - ---- -------- ---- -- ---- --- FISHERS ISLAND FEtiO R YDISYRICT -AUI51,T -:63095-MAIN nbAD,MBOX 1179 SOUTHOLD,NY 11971.0959 CH 7, 31-,' THE SUFFOLK CO'.NATIONAL BANK TCHOGUE,NY 11935 DATE, - AMOUNT,- 50-546/214 0; 2 7 95,"o D&LILAR'Si" TWOhUNbREb'-NINETY FIVE- AND 6 4 1,060,' SUFFOI P"y LK COUNT'Y COMPTROLLER TAXATlb NANCZ DE PT OF, Fl N 9PER 330,-CENTER DRIVE or ' RIVERHEAD NY -119,01 11§00 7 5 3 Ltio l:D 2 1 Loo S L, 6 Loi: 68 001502 L Vendor No. Check No. Town of Southold, New York - Payment Voucher �- Vendor Tax ID Number or Social Security Number Entered by 330 Center Drive Audit Date Suffolk County Comptroller Riverhead,NY 11901 JU L 2,7 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 i 2287901 6/17/2021 295.04 295.04 Penalty for property tax 3M5710.4.000.000 a f 295.041 1 295.04 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 Date 7/19/2021 Title Date o hq b.,�1 a. Office of the Comptroller of Suffolk County Official Receipt • • p Van Remit payment to: S C Div. of Finance &Taxation 330 Center Drive Riverhead, NY 11901-3311 Acceptanceof partial payment enforcementnot Waive of • Sale Liens, Tax Deeds or powers TOWN OF SOUTHOLD of the County C/O.F I FERRY DISTRICT PO BOX 607 FISHERS ISLAND,NY 06390 E Office Hours:Monday,Fi iday 9:00 am-5 00 pm Phone:(631)852-3000 Fax (631)852-3825 -- Town" ---PargetlD Number - - Land-Value/Buliding-Value/Full Value ,,,Property Location SOUTHOLD 1000.00900.10000090010000 600 4500 5100 WHISTLERAVE ;t Bill Date Statement Number Customer ID Current Owner "'" " ; Assessed Owner' 06/1712021 2287901 008715933 TOWN OF SOUTHOLD TOWN OF SOUTHOLD C/O F I FERRY DISTRICT C/O F I FERRY DISTRICT Tax Year Base Tax&5% Sale Sale Lien Redemption Bode ctfa Base Tax 5%Penalty Interest%Rate Adv ptlon Amount of Penal Total Int.%Rate Adv. Fees" Amount Due Tax Paid Penalty Cost AtitOUnL�, i; Cost 2021 5% se 2,69386 13469 2,828.55 144.28 2,972.83 2,67779 s pT F ASE NOTE,:IF the 2021 taxes,b2.ve been paid to the TOWN,,disregard the 2021. line item on this receipt- a If 2021 ta. ate NOT paid, { please call fox updated figures. I Payer Payment Type Check Number Amounts Tendered i Total Amount .,FISHER&ISLAND FERRY DISTRIC'L.,� „,,.,._....._CHIEC}5_ ,.__»__. „0071416 _4 2,677.79 Due, 2,972.$3 i Total Amount Paid 2,677,79 Total Balance Due 295.04 Refund to: Make check payable to: _ ry - ' .00 Suffolk County Comptroller _ Refund will be processed in 4 to 6 weeks PLEASE NOTE THAT CURRENT YEAR TAXES'WILL INCREASE AT 1% PER MONTH THROUGH { LIEN DATE. THEREFORE, ANY BALANCE DUE SHOULD BE PAID IMMEDIATELY. IF REDEEMING k TAX LIEN, PLEASE OBTAIN A CURRENT STATEMENT OF TAXES IN ARREARS FROM OUR 4 .,..................... ................................._.............»............,.,..............,......................OFFICE.............,................................-...............,.............................................................-......."........................................................._ ..................... WR t ,Receipt Number Date Amount Paid f 60076415 07/13/2021 2,677.79 i , 1 � I FISHERS ISLAND FERRY DISTRICT VENDOR 020230 THAMES SHIPYARD & REPAIR CO. 07/27/2021 ' CHECK 7532 FUND & ACCOUNT , P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2 .000.200 12057 RP NON-REPOWER 5, 786.00 SM ;5710.2-.000.200 —12058 RP NON-REPOWER 53, 088 .21 SM .5710:2 .000.200 12060 RP NPN-REPOWER 4, 142 . 02 TOTAL 63, 016.23 - ------- -- ------------ ------ -- ------- ------------------ 'oiI Ot I C ---- - ---- --- ------ 41 - l 71 - FISHERS ISLAND FERRY DISMICT, AUDIT. '7 - D 2 53095 MAIN ROAD,PO BOX 1,1 79_ SOUTHOLD,- NY 11971-0959 "CHECK NO,% 7532 L THE SUFFO K CO.NATIONAL BANK j- CUTCHOGUE,NY 11935 :i' DATE AMOUNT, x'' I N '2 SIX,TY TkREi-THO SAND U i 6 S' XTEE 'AND 0, S 2 , 4' P.4t, THAMES,SHIPYARD, &, REPAIR CO, 0 TNF 2" OF, ;, J Box" NEW, LONDON CT ,-06320-07-91 P, 546 Lo: 68 001502 In' 11400 ? S32,10 1:023140 •1 0 Vendor No. Check No. Town of Southold, New York - Payment Voucher 20230 Vendor Address Entered by 2 Ferry Street r Vendor Name New London,CT 06320 Audit Date Thames Shipyard&Repair Co. JUL, 2,,17 2021 Vendor Telephone Number 860-442-5349 Or"7wn,CC11erk'- Vendor Contacts ��2KJY.0 XPi Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 12057 7/2/2021 $5,786.00 $5,786.00 RP non repower SM5710.2.000.200 12058 7/2/2021 $53,088.21 $53,088.21 RP non repower SM5710.2.000.200 12060 7/6/2021 $ 4,142.02 $ 4,142.02 RP non repower SM5710.2.000.200 4 $63,016.231 1 $63,016.23 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 0000 Company NameFie eres an Ferry District Date 7/15/2021 Title Manager Date 7/15/2021 THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET 114VORCE NEW LONDON, CT 06320 Invoice Number, 12057 Invoice Date: Jul 2, 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 ID Customer PO Payment Terms FISHERS Net Due - Sales Rep ID Shipping Method Ship Date Due Date Courier 7/2/21 Quantity Item Description Unit Price Amount Race Point Non Repower Item A-Fire Pumps 8.00 Item C-BT Manifold 1,650.00 Item D-New Sea Valves 1,060.00 Item E-Repair Ballast Keels 1,442.00 Item I-Boiler Install -1,750.00 Item K-New BT Cont. 3,040.00 Item P-Fuel Tank 336.00 Subtotal 5,786.00 Sales Tax Total Invoice Amount 5,786.00 Check/Credit Memo No: Payment/Credit Applied TOTAL 5,786.00 OV THAMES SHIPYARD & REPAIR CO. 2 FERRY STREET INVOICE NEW LONDON, CT 06320 Invoice Number: 12058 Invoice Date: Jul 2, 2021 Page: 1 Voice: 860-142-5349 Duplicate Fax: 860-440-3492 till 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 7/2/21 Quantity Item Description, Unit'Price Amount Race Point Change Orders Change Order#7 7,181.20 Change Order#22 10,000.00 Change Order#23 2,397.50 Change Order#24 1,199.77 Change Order#25 3,636.46 Change Order#26 5,107.03 Change Order#27 5,594.72 Change Order#28 3,502.01 Change Order#29 2,052.09 N Change Order#30 11,345.75 Change Order#31 1,071.68 b� Subtotal 53,088.21 Sales Tax Total Invoice Amount 53,088.21 Check/Credit Memo No: Payment/Credit Applied TOTAL 53,088.21 SCHEDULE C (PROJECT xx(Vessel Name) REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANGE ORDER No- 22 DATE: 7/2/2021 DESCRIP'I1ON OF WORKS: Block, haul, launch for prop repairs. PRICE VARIATION: HOURS VARLATION; Change Order. 22 Change Order: Cumulative: $10,000.00 C:unttilative: RI:DELIVL'RY VARL1'I'ION- Nu.of Fattra Days to Redehvery of Vessel: LIG[•("I'iX�F:IGF f('VARLATION: Increase/Decrease in Lightweight :AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representative L 5SF9995-Ship Repair Agreement(Fishers Island Ferry Distnct)(Clean)DOCX-090312 US ACTIVE-123841216 2 o� SCHEQULE C PROJECT xx(YEP�S�(.am,� REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CRAINGE ORDER No- 23 DATE: 7/2/2021 DV,SC;RIP'llON OF WORKS: Remove prop keepers. Heat and remove props. Reinstall props and keepers. PRICE VARIATION: HOURS VARIATION: Change Order. 23 Change Order. Cumulative: $2,397.50 Cumulative: REMELIVERY VARIATION- Nu,of Extra Days to Redelivery of Vessel: I_(C;I i'I WFsJGI 11'VARIATION: Increase/Decrease in Lightweight AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representauve 1 58F9995-Ship Repair Agreemeni(Fishers Island Ferry District)(Clean)DOCX-090312 US ACTIVE-123841218 2 V SCHLOULEC PROJECT xx(YKset Name REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/ CHANGE ORDER CHA-NGE ORDER No- 24 DATE: 7/2/2021 DESCRR"11ON OF WORKS: Repairs to fire station piping. PRICE V.kRIATION; HOURS VARIATION: Change Order. 24 Change Order: Cumulative: $1,199.77 Cunatlativc: REDS,LIVERY VARIATION- u,of Extra Days to Redelivery of Vessel: LIGhI'I'WFsIC.;FI'1'V,�RIATION: Increase/Decrease in Lightweight AUTHORISED: Shipyard John P.Wronowski AUTHORISED: Owner's Representative k- 581`9995-Ship Repair Agreement(Fishers island Ferry District)(Clean)DOCX-090312 US ACTIVE-123&N2le 2 os SCHEDULE C PROJECT xx(VeFse.�l Name) REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANGE ORDER No- 25 DA'I'r.': 7/2/2021 DL:SCRIPTION OF WORKS: Repipe air system.Add one (1) seperator and regulator. PRICE VARIATION, HOURS VARIATION: Change Order. 25 Change Order: Cumulative: $3,636.46 t:nnutladtic: I21;L71:I,IVIsR1'VAItIAI'ION• No.of Extra Days to Redelivery of Vessel: LIG PITNXrRX 11T VARLITION: Increase/Decrease to I.ightwetght AU'T'HORISED: Shipyard John P. Wronowski AL'THORISED: Ownei a Representative Qc' 58179995-Ship Repair Agreement(Fishcrc Island Ferry District)(Clean)DOCX-090312 US AC71VE•12990218.2 V_ SCHEDULE C PROJECT xx fYessel Name) REPAIR CONTRACT-,SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANGE ORDER No: 26 DATE: 7/2/2021 Dr-SCRtP71ON OF WORKS: Replace main FO shutoff valve. Remove main FO piping in pieces. Clean and replace using socket weld couplings. PRICE VARIATION: HOURS VARLA DON: Change Order 26 Change Order. Cumulative: $5,107.03 Cumulative: REDELIVL'RY VARLATI0N- Nlo.of Exna Days to Redelivery of VcsSel: LIG1T Vtr%I(;[[TVARIATION: Increase/Decrease in Dghtwetght AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representative 581-9995-Ship Repair Agreement(Fishers Island Ferry District)(Clean).DOCX-090312 US_ACTIVE-123941218.2 SCHEDULE C PROJECT xx[Vesse�- t Name REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANNGE(TRUER No: 27 DA'I'S': 7/2/2021 DLSCRIVI ION OF WORKS: Replace entire aft control station. Insert deck under old control station. PRICE VARIATION: HOURS VARLq'I7014: Cha,tge Order. 27 Change Order: Cumulative; $5,594.72 C:unu,l;uivr: R17.D1.711VERY VAIUAl•ION: NO,of Extra Days to Redchvery of Vessel-. I_1GII'('�TTsIGFPT'VARIATION: Increase/Decrease in lightweight AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representative 58F9995:Ship Repair Agreemem(Fishers Island Ferry District)(Clean).DOCX-090312 US ACTIVE-129941218,2 SCHEDULE C PROJECT xx My .SctName) REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE CORDER FRF No- 28 DATE; 7/2/2021 ORKS: ystem. PRICE VARIATION; HOURS VARIATION: Change Order. 28 Change Order. Cumulative; $3,502.01 cunuilative: REDELIVERY VARIATION. No,of Extra Days to Redelivery of Vessel: LIC.[1'IWIslGl lT VARIATION: Increase/Decrease in Lightweight AUTHORISED: Shipyard John P.Wronowski AUTHORISED: Owner's Representative W9995;Ship Repair Agreement(Fishv,-te Island Ferry District)(Clean).DUCX-090312 US ACTIVF-123OM21n.2 SCHEDULE C PROJECT xx INUMI Nam,cl REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER FD1-:S(:R[P'I10N ORDER No- 29 7/2/2021 10N OF WORKS: L Exp Tank ando Hydr Oil minum Anodes for Fernstrum Coolers nal E-Stops PRICE VARIATION: HOURS VARLA"110N; Change Order, 29 Change Order: Cumulative: $2,052.09 Cumulative: VARtrV1'ION: Nu,of Extra Days to Redehvery of Vessel: 1..1ClIl'IWt:IGI°Y('VAR1A'IT(�N: �_ Increase/Decrease in Lightweight AUTHORISED: Slvpyard John P. Wronowski AUTHORISED: Ownei a Representative 5SF9995-Ship Repair Agreement(Fishers Island Ferry Distnct)(Clean).DOCX-090312 US-ACTIVE-123941218 2 SICHEDULE C PROJECT xx fVesSe__ 1 Name REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHANGE ORDER No- 30 DA'I'1?: 7/2/2021 DESCRIP110N OF WORKS: Due to the relocation of generators, boilers and general arrangement. Reframe and replate engine room decking. PRICE VARIATION: HOURS VARLVION: Cha,tge Order. 30 Change Order: Curnulative: $11,345.75 C;unurlative: REDELIVFRY VARIATION- No,of Extra Days to Redelivery of Vessel: L1GII'11Xri:IGFP1'VARIATION: Increase/Decrease in lightweight AUTHORISED: Shipyard John P.Wronowski AUTHORISED: Owner's Representative 58179495-Ship Repair Agreement(Fisher,;Island Ferry District)(Clean).DOCX-090312 US ACTIVE-[23941218 2 �v SCHEDULEC PROJECT xx fVesSc, [N�rt�c� REPAIR CONTRACT_SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CHILNGE ORDER No- 31 FDLS(.R[P'I10N 7/2/2021 OF WORKS°angeoutwo (2) additional bronze butterfly valves. PRICE VMUATION: HOURS VARLATION: Change Order. 31 Change Order: Cwnulative: $1,071.68 Cumularivc: [t1;D[sLl lrl°:li l'VAR NI'ION: Nu,of Extra Days to Redelivery of Vesscl: L1C;11'IWI,IGI IT VARL-VI'ION: Increase/Decrease in Lightweight .'AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representauve 58F9995-Ship Repair Agreement(Fishers Island Ferry District)(Clean).DUCX-090312 US ACTIVE•1239412182 THAMES SHIPYARD & REPAIR CO. INVOICE 2 FERRY STREET NEW LONDON,CT 06320 Invoice Number: 12060 Invoice Date: Jul 6, 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 CustomerlD CustornerPO Payment Terms FISHERS Net Due - �,' Sh"iin Method- pp g Courier 7/6/21 Quan`tity ��;.ltem " f•s �DesariOion �. Unit.Price Amount Race Point Change Orders Change Order#32 4,142.02 1� d/ Subtotal 4,142.02 Sales Tax Total Invoice Amount 4,142.02 Check/Credit Memo No: Payment/Credit Applied •�TQTAL` • ., �� . 4;142.02 SCHEDULE C PROJECT xx(Vessel Namg) REPAIR CONTRACT-SCHEDULE J ADJUSTMENT NOTICE/CHANGE ORDER CRAINGE ORDER No- 32 DATE: 7/6/2021 i D!sSCRIP-11OeN OF WORKS: Propeller pitch adjustment. I� C i PRICE VARIATION; HOURS VARLATION: Change Order. 32 Change Order. Cumulative: $4,142.02 Cumulative: REDELIVERY VARIATION No.of Extra Days to Redelivery of Vessel: LIGI-11"%TUGt iT VARIATION: Increase/Decrease in Lightweight AUTHORISED: Shipyard John P. Wronowski AUTHORISED: Owner's Representative 5SF9995-Ship Repair Agreement(Fishers Island Ferry District)(Clean)DOCX-090312 US ACTIVE-123941218 2 - :: ,tet •A. .- rr I I I I { FISHERS ISLAND FERRY DISTRICT , I F. i VENDOR 015921 UHS PREMIUM BILLING 07/27/2021 - CHECK 7533 A ;• FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SMI/.9060.8.000.000 647672184647 MED PREMIUMS (18) -8/21 19, 168.13 f- TOTAL 19, 168.13 1 S i I s " • I .-,. : ::.'a✓;k;,e: .i,p,,»s k}'2';=''}" , 'ti `ti`r,oh;•-F., ,'};`'" =2.r '" ; ` ' ' "^r: `;,>32:' .t,ti<"s,:v ..nF.•.;rr.e-_. I _'a^ 'r,Gt a6;,. z=;`^"' . h` = 2.4: : +`..a _ '';'•`;Y ^` ,y ..•'"- i / ;Yo- I 1 I , I .t •'z —w— I------' ---- - -- ----- --'- --_< ^' r --' i _ I 'fir• 'A , I , ® ® e o a a • ® o o •-; _ '` FISH R . r, '. fi•. , a, ,, . ; ' ,.,' ' ,✓ °, E S ISIrAND FERRY DISTRICT ' GSI I _ r 63096 MAIN ROAD,PO BOX 1179, AUDIT •7/27/202.1 - I ' .z;, CUTCHDGUE,NY 11936 OIgTE , AMQ pJ SXxsm5asl21a`• 0 DRED 7., '2,7 2021 • r":,$:l,'9,'i1 8' 1 t; N4INETEEN ;I`I 0 7SAND' ONE HUN4, `~'° I SIXTY EIGHTr_AND 13/100 DOLLARS, ot I ., . ',''` , - ,+ ,r `p; °'t T,t „ ;: r;° ,) _ `ail '{ I ✓ AY, - UHS,••PREMIUM BILI _ BILN .wTSE..Ijo 9,4 017XO OkbER , .: OF :PAIrTTN'E ,IL 60694-40,17' "' I " '• - _ _ - _ ' moi L " ' rI` I , n #, '007533112 1:0 2 L4054641: 68 00 L50 2 Lu' ' r Check No. Town of Southold, New York - Payment Voucher 15921 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Vendor Name PO Box 94017 Audit Date United Healthcare Palatine,IL60094.4017 Vendor Telephone Number 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 647672184647 7/8/2021 $19,168.13 $19,168.13 Au ust 2021 Medical Premiums (18) °'SM8060.8:000.000 ° t z � ° $19,168.13 $19,168.13 I Payee Certification Department Certification iant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me he foregoing claun is true and correct,that no part has in good condition without substitution,the services properly :rein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions t taxes from which the Town is exempt are excluded or discrepancies noted,and payment is app Signature Title Signaturerovedv—" f� Company Name Fishers Island Ferry Date 7/16/2021 Title Manager Date 6 UnitedHealtheare oxy"'9 United Healthcare Oxford Health Plans Manage your Account: 4 Research Drive uhceservices.cbm ' Shelton,CT 06484 Invoice No: 647672184647 Invoice Date: 07/08/2021 Customer No: 1320205 Bill Group No 209981 Coverage Period 08/01/2021 -08/31/2021 Due Date- 08/01/2021 1902DREGULARB W0004004-08289-01 FISHERS ISLAND FERRY DISTRICT GORDON MURPHY PO BOX 607 FISHERS ISLAND NY 06390-0607 Account Summary Thank you for your business. Previous Balance $16,430.45 Payments(-) -$16,430.45 About Your Payment -- - --Account Adjustments (+/_) -` — '- 80.00 -We,offer-several payment options to-help you manage your account.—- -- Current Charges(+) $19,168.13 pay Online. Go to uhceservices.com to make a one-time payment or schedule monthly payments directly from your bank account. Total Balance Due $19,168.13 pay By Phone. Call 1-888-201-4216,TTY 711,24 hours a day,7 days a week, to make a payment directly from your bank account. Pay By Check. Use the enclosed envelope to send us your payment.Your payment must be sent to the address on the form below to ensure it is applied to your account. Checks returned for lack of funds or checks that can't be cashed for any reason are not considered payment. Payment is due in full on or before the due date above.If full payment is not received by the end of your grace period,your coverage may be terminated as stated in your policy requirements.If a premium payment is deposited late,it does not automatically mean we will accept the premium. �— Please detach and return with your payment. —� 1902DREG ULARBW0004004-08289-02 FISHERS ISLAND FERRY DISTRICT Page 2 of 5 Customer No: 1320205 Invoice No: 647672184647 Invoice Date. 07/08/2021 Bill Group: 209981 Coverage_Period: 08/01/2021 -08/31/2021 Due Date' 08/01/2021 Summary Description Employee Net Amount Count 282348-Default Billing Pref CT B FRDM NG 6700/100 PPO HSA 21 Employee 11 $6,683.17 Employee&Family 4 $7,549.24 Employee &Spouse _ 3 -_.-.$4,9_35.72_ Subtotal, CT B FRDM NG 6700/100 PPO HSA 21 18 $19,168.13 Subtotal 282348-Default Billing Pref $19,168.13 282348-Default Billing Pref Adjustments Account Adjustments $000 Current Adjustments $0.00 Subtotal,Adjustments _ _ _ _M $000 TOTAL 18 $19,168.13 Questions?We're here to help Toll free 1-888-201-4216 uhceservices com .v E _. - - ,,_ -__ . - ._ ..,,-', ;T eti.E>% s' q=*r , •, tq^.>.,, ,.Vie.*=? " i %I t FISHERS ISLAND FERRY DISTRICT -. 1 I VENDOR 021304 ULINE / 07/27/2021 CHECK 7534 / A \II FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT r ' I SM .5710.4 .000.625 135002524 NLT MASKS 133 .46 I x !'t TOTAL 133 .46 f-- •i r I r I '4 I f* Vii• wr 'a '-¢ "'---------- - - -- - ----- -------- ------------- --------.-- --_ - -- ` 'x.^; '---------- --------- _r--------- ------ -_- -__, JR? _ ........... i7M 2 .. ,fix i ,. ,.iI•, Ott I _ I•"y. o a O ( - I ti .1 vyft I '•+> cwt i ` x 4 I-s•t 4 fif I • 0 6 o 0 ■ • ■ • ■ 4.i ,FISHERS ISLAND FERRYDISYRICT ALTDIT;'7/27/'2'021, ' Z3095WAIN'ROAO,PO BOX 1179,; ",';' h';i, •' SOUTHOLD„NY 11971;0959 - • , i •, i CHECK',NO., 75 '4 THE SUFFOLK C0:NATIONAL BANK ;0 CUTCHOGUE,NY 11935 'DATE AMOUNT -., ; , ;- - 111 -1 ,-. •_ ,; ,r-. ,. -'07 f 27/.'2021 tI' :`„ ':a,r t, P,133 ,46-'q' ' 'OE' N `kUNDHED.'`THIRTY T iREE',AND",46/-100' OLTiA D R'S.,a l'' " , ,I, 1' r,V`y!'t,•I„ I 1 ' - .. _' - "I 1` `y a,! ,, , _ y - r ,, rp,"z • ;t,l l, , 'r'y s „ .,t I. •.. r`'..-..I , - 'e ri ' - _ _ ;piaif , r _ f;•:i ; '' ;;,'i _ ; I '/fit i ,AY. ULINE -iFE -ATTN: ACCOUNTS RECEIVABLE > '' - I t - - - ,F+ t,d tT oRDBR' a PO 430X'.•88741- - „z^, CHICAGO IL 60680-1741 ilk,' — n'007534u' 1:0 2 L4054641: 68 OO L50 2 Lii' Vendor No. Check No. 9 Town of Southold, New York - Payment Voucher 21304 J �J _ Vendor Address Entered,by Attn:Accounts Receivable PO Box 88741 Audit Date ULINE Chicago, IL 60680-1741 � 2;7a 2021 Vendor Telephone Number J U L` 800-295-5510 T ler, / Vendor Contact l.L Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number { 135002524 6/15/2021 $133.46 $133.46 NLT masks SM5710.4.000.625 s $133.46 $133.46 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 disci pancies noted,and payment is approved L4Y5�;__ 9 Signature Title Signature � 0 C t Company Name Fishers Island Ferry District Date 7/16/2021 Title Manager Date 7/16/2021 INVOICE NO. 1-800-295-5510 ** u 135002524 line.com Elan PO Box 88741 •Chicago IL 60680-1741 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID#:36-3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2005 YOUR ORDER# 56267269 SOLD TO: SHIP TO: MDG2017 00002588 1 AB 042 8 2461167 FISHERS ISLAND'FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT . PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 U100-9-2013 2461167-- _ ---NICK UPS GROUND 6/15/21 - 6/15/21 - ------NET 30 DAYS " --6/15721 •-. ••. DESCRIPTION ■ . During these unprecedented times,the earlier-in the day you order fro Uline,the better equipped we are to handle your order. We so appreciate your business. 6 BX S-22137 ULINE DELUXE SURGICAL MASK 50/BX 19.00 114.00 cd ORDER PLACED BY: NICK ESPINOSA SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE KPROVENZAN/C 114.00 7.97 11.49 133.46 FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UPS 07/27/2021 CHECK 7535 ;A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4 .000.700 215639271 W/E 7/2/21 1,502.08t 7-5 SM .5710.4.000.700 26639281 W/E, 7/9/21 64.33 41i, TOTAL 1,566.41 cl) w, 61! J- -y-kol- _-F V, '5 'o- 'Aii — I-------- -------------------- --------- ---- ---------- -- so! IT FISHERS,1311a4-Ab FpRRypJsTNCT,' AUDI'T-:7)i7/i6 2i, 53095,MAIN'ROAD,PO BOX 1179 -SOUTHOLO,NY 11971-0959 yp, CHE(jk',N 6,;` ;7,535: THE SUFFOLK CO.NATIONAL BANKCUTCHOGUE,NY 11935 .,DATE i AMOUNT 'tg , 60-54612i4' u q02 t ONE-THOUSAND FIVE HUN D SIXTY SIX AND" 4i' 1-00 iuuLktb, ' PAY, 'UPS TO,THE Po BOX -809488, 't IORDER CHICAGO IL '60686 9'48-8 OF" 77', 68 00 150 2 I'll v00 7 5 3 Slil 1:0 2 LLs 0 54 641: Vendor No. Check No. Town of Southold, New York- Payment Voucher 21506 Vendor Address Entered by P.O. Box 809488 Vendor Name UPS Chicago IL 60680-9488 Auditbate United Parcel Service 'am Vendor Telephone Number ±j 6,02 800-811-1648 T vm Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General,Ledger Fund and Account Number, 26639271 7/3/2021 $1,502.08 $1,502.08 WE 7/2/21 �� ° SM57f0.4.000.700,- 7-1 26639281 7/10/2021 $64.33 $64.33 WE 7/9/21 �SM5710.4.000JW $1,566.41 $1,566.41 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 L TitleSignature 0 V�� Company Name Fis ers Island Ferry District Date 7/16/2021 Title Manager Date 7/16/2021 Delivery Service Invoice Invoice Date July 312021 f` Shipped from: Invoice Number 0000026639271 • OT. FISHERS ISLAND FERRY Shipper Number 026639 5 WATERFRONT PARK Control ID 039Y NEW LONDON,CT 06320 Page 1 of 7 f Sign up for electronic billing todayl _ 0736A00000266394 77366010015544 Visit upS.com/billing ®_ AB 02 019237 43774 H 61 A For questions about your Invoice,call: II'I'II'IIIIII'IIIIIII�IIII�I�IIII� �IIII"I"IIIII'I'lII'll"III 1648 Monday-Friday FISHERS ISLAND FERRY 8:00 a.m.-6:00 p.m.E.T. ACCTS PAYABLE or write: PO BOX 607 UPS r 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 $1,502.08 Page Charge Amount Outstanding(prior invoices) $200.00 3 Adlustments&Other Charges $1,485.58 Total Amount Outstanding $1,702.08 7 Service Charges $16.50 Please include the Return Portion of each outstanding Invoice with Amount due this period $1,502.08 your payment.See Account Status for details. UPS payment terms require payment of this Invoice by July 25, Important EU VAT rule changes 2021. Effective July 1,there are changes to the EU's VAT laws. These changes may result in additional charges in exports into the EU. Payments received Into are subject to a late payment fee of 6%of Find out more on ups.com/traderegulation 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. 'i II ,�. �. .. . . T Delivery Service In voice Invoice Date July 3, 2021 Invoice Number 0000026639271 Shipper Number 026639 Page 2 of 7 Account Status Vlfeekly,Payment Plan Amount Outstanding(prior invoices): P ease include the Return Portion of each outstanding invoice with your payment. Ir voice Number Invoice Date Balance Due 0000026639231 06/05/2021 $60.00 0000026639241 06/12/2021 $68.00 0000026639251 06/19/2021 $36.00 0000026639261 06/26/2021 $36.00 T 3tal $200.00 Qutstanding balances reflect any payments received as of 07/02/2021.Please ignore this message if a recent payment has b sen made for any outstanding-invoices. Delivery Service Invoice Invoice Date July 3, 2021 .' Invoice Number 0000026639271 Shipper Number 026639 Page 3 of 7 Adjustments & Other Charges Packages Delivered but not Previously Billed Delivery Billed Date Tracking Number Service Zone Weight Charge 05/26 1 ZO266390340091008 Ground Residential 8 , 46 62.53 Residential Surcharge 4.45 Fuel Surcharge 5.36 Total 72.34 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w iZ0266390340091008_ Ground Residential 8 ' 46- 62.53 Residential Surcharge 4.45 Missing PLD Fee 2.00 Fuel Surcharge 5.36 Total 74.34 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w dd . 1Z0266390340533763 V Ground Residential 8 49 64.92 Residential Surcharge 4.45 Fuel Surcharge 5.55 Total 74.92 Receiver: Sender :FISHERS ISLAND FERRY 1526 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/29 1Z0266390340740860* Ground Residential 8 24, 37.71 Residential Surcharge 4.45 Fuel Surcharge �1. 3.37 Total 45.53 't Recelver: Sender :FISHERS ISLAND FERRY . t 1525 E 20TH 5 WATERFRONT PARK i•; SPOKANE WA 99203 —NEW LONDON CT 06320 II Message Codes:w IZO266390340847193 Ground Residential 8 30 45.20 Residential Surcharge 4.45 Fuel Surcharge 3.97 Total 5362 Receiver: Sender :FISHERS ISLAND FERRY ------- 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 120266390340911916' Ground Residential 8 32 4768 Residential Surcharge 4.45 Fuel Surcharge 4.17 Total 56.30 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:m, 05/26 IZO266390340971834 Ground Residential 8 32' 47.68 Residential Surcharge 4.45 Fuel Surcharge 4.17 Total 56.30 Receiver: Sender ;FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:m 019237 2/4 Delivery Service Invoice Invoice Date July 3, 2021 Invoice Number 0000026639271 ` Shipper Number 026639 N Page 4 of 7 Adjustments & Other Charges Packages Delivered but not Previously Billed(continued) Delivery Billed Date Tracking Number Service Zone Weight Charge 05/27 120266390340975527 Ground Residential 5 32 27.10 Residential Surcharge 4.45 Fuel Surcharge 2.52 Total 34.07 Receiver:CIC VENTURES Sender :FISHERS ISLAND FERRY 445 OGLETHORPE 5 WATERFRONT PARK DULUTH GA 30097 NEW LONDON CT 06320 Message Codes:w 05/29 1Z0266390341057151 Ground Residential 8 22 34.31 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 1Z0266390341127969 Ground Residential 8 25 38.45 Residential Surcharge 4.45 Fuel Surcharge 3.43 Total 46.33 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/26 1Z0266390341140426 Ground Residential 8 22 34.31 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/29 1Z0266390341355883 Ground Residential 8 24 37.71 Residential Surcharge 445 Fuel Surcharge 3.37 Total 4553 Receiver: Sender :FISHERS ISLAND FERRY - 1525 E 20TH 5 WATERFRONT.PARK-- - - SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/26 1 Z0266390341468056 Ground Residential 8 5 16.02 Residential Surcharge 445 Fuel Surcharge 1.64 Total 22.11 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/29 1Z0266390341484930 Ground Residential 8 22 3431 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w Delivery Service Invoice Invoice Date July 3, 2021 ' Invoice Number 0000026639271 Shipper Number 026639 OT.M Page 5 of 7 Adjustments & Other Charges Packages Delivered but not Previously Billed(continued) 6 Delivery _ Billed Date Tracking Number Service Zone Weight Charge 05/29 1Z0266390341564148 Ground Residential 8 23 - 35.66 Residential Surcharge' 4.45 Fuel Surcharge 3.21 Total 43,32 Receiver: Sender :FISHERS ISLAND FERRY 1525 E '20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/26 1Z0266390341832787 Ground Residential 8 '48 64.54 Residential Surcharge 4.45 Fuel Surcharge 5,52 Total- 74.51 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/29 1Z0266390341860578 Ground Residential 8 22 34.31 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 05/26 1Z0266390342114819 • Ground Residential 8 44 60.49 Residential Surcharge 4,45 Fuel Surcharge 5.20 Total 70.14 Receiver: Sender :FISHERS ISLAND FERRY ° 1525 E 20TH 5 WATERFRONT PARK C�E SPOKANE WA 99203 NEW LONDON CT 06320 ;i Ila Message Codes:w - / 1Z0266390342190371 Ground Residential 8 46-- - 62.53 Residential Surcharge 4.45 Fuel Surcharge 5.36 Total 72.34 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 6 WATERFRONT PARK SPOKANE WA 99203 - NEW LONDQN GT 06320- ------- Message Codes:w " 05/29 1Z0266390342235475 Ground Residential 8 26 40.03 Residential Surcharge 4.45 Fuel Surcharge 3.56 Total 48.04 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 1Z0266390342269206 Ground Residential 8 15 - 26.04 Residential Surcharge 4.45 Fuel Surcharge 2.44 Total 32.93 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 6 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 019237 3/4 Delivery Service In voice Invoice Date July 3, 2021 Invoice Number 0000026639271 Shipper Number 026639 Page 6 of 7 Adjustments & Other Charges Packages Delivered but not Previously Billed(continued) DOlvery Billed Date Tracking Number Service Zone Weight Charge 05/29 1Z0266390342290101 Ground Residential 8 22 34.31 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 _ Message Codes:w 05/26 1Z0266390342533045 Ground Residential 8 44 6049 Residential Surcharge 445 Fuel Surcharge 5.20 Total 70.14 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 _ Message Codes:w 05/29 1Z0266390342626098 Ground Residential 8 22 34.31 Residential Surcharge 4.45 Fuel Surcharge 3.10 Total 41.86 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 _ Message Codes:w 05/26 1Z0266390342658956 Ground Residential 8 32 47.68 Residential Surcharge 4.45 Fuel Surcharge 4.17 Total 56.30 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:m 1Z0266390342784999 Ground Residential 8 47 63.53 Residential Surcharge 4.45 Fuel Surcharge 5.44 Total 73.42 Receiver: Sender :FISHERS ISLAND FERRY .......-- 1525 E 20TH -- 5 WATERFRONT PARK-- SPOKANE WA 99203 NEW LONDON CT 06320 _ Message Codes:w 05/29 1ZO266390342858981 Ground Residential 8 31 46.73 Residential Surcharge 4.45 Fuel Surcharge 4.09 Total 55.27 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 Message Codes:w 1Z0266390342889019 Ground Residential 8 30 45.20 Residential Surcharge 4.45 r, Fuel Surcharge 3.97 I ill Total 53.62 Receiver: Sender :FISHERS ISLAND FERRY 1525 E 20TH 5 WATERFRONT PARK SPOKANE WA 99203 NEW LONDON CT 06320 _ Message Codes:w Total Packages Delivered but not Previously Billed 28 Package(s) 1,482.58 Delivery.service Invoice Invoice Date July 3, 2021 Invoice Number 0000026639271 Shipper Number 026639 ON Page 7 of 7 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 02-JUL-2021 Total Miscellaneous 3.00 • Total Adjustments&Other Charges 1,485.58 Service Charges Week Ending Billed / Date Explanation Charge - / 07/03 Weekly Service Charge 16.50�/ Total Service Charges 16.50 Invoice Messaging Code Message w Dimensional Weight adjustment based upon UPS audit dd Identical tracking number used on multiple packages m Median weight for service based on last six weeks .�•.i T1. 019237 4/4 T - O 1 Delivery Service Invoice Invoice Date July 10, 2021 Shipped from: Invoice Number 0000026639281 FISHERS ISLAND FERRY Shipper Number 026639 ON 5 WATERFRONT PARK Control ID 491-4 NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366020013506 Visit ups.com/billing AB 01 018385 50368 H 61 B For questions about your invoice,call: (800)811-1648— Monday-Friday 11-1648 •Monday-Friday 8:00 a.m.-6:00 p.m.E.T. FISHERS ISLAND FERRY 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 Summmary of Charges Amount Due This Period $64.33 Page Charge Amount Outstanding(prior invoices) $1,574.08 3 Adjustments&Other Charges $31.33 Total Amount Outstanding $1,638.41 3 Service Charges $33.00 Please include the Return Portion of each outstanding invoice with Amount due this period $64.33 your payment.See Account Status for details. UPS payment terms require payment of this Invoice by August 1, Questions about your charges? 2021. To get abetter 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/invoiceguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) : q Note:This Invoice may contain a fuel surcharge as described at ups.com.For more Information,please visit ups.com. !'�.i r Delivery Service In voice Invoice Date July 10, 2021 Invoice Number 0000026639281 Shipper Number 026639 rw Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639231 06/05/2021 $60.00 0000026639241 06/12/2021 $68.00 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 0000026639251 06/19/2021 $36.00 0000026639261 06/26/2021 $36.00 0000026639271 07/03/2021 $1,502.08 Total $1,574.08 Outstanding balances reflect any payments received as of 07/09/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. a Delivery Service Invoice Invoice Date July 10, 2021 ' Invoice Number 0000026639281 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 06/02 1ZO266390340978033 Ground Commercial 3 33 21.28 Delivery Area Surcharge 3.10 Fuel Surcharge 1.95 Total 26.33 Receiver: Sender :FISHERS ISLAND FERRY 41 MAIN 5 WATERFRONT PARK RICHMOND ME 04357 NEW LONDON CT 06320 Message Codes:m 06/30 1ZO266390341975249 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 38 VESTAL 5 WATERFRONT PARK NANTUCKET MA 02554 NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 2 Package(s) 28.33 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 09-J U L-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 31.33 Service Charges Week Ending Billed ::fill Date Explanation Charge ';.;: 07/10 Weekly Service Charge 33.00 Total Service Charges 33,00 :;;i!°! Invoice Messaging Code Message - m Median weight for service based on-last six weeks - -------------- --. ------------------ --------• - - 018385 212 Delivery Service Invoice Invoice Date July 10, 2021 i Invoice Number 0000026639281 Shipper Number 026639 TV Page 3 of 3 Adjustments & Other Charges Packages Delivered but not Previously Billed Dellvery Billed Tracking Number Service Zone Weight Charge 0610 1Z0266390340978033 Ground Commercial 3 33 21.28 Delivery Area Surcharge 3.,10 Fuel Surcharge 195 Total 2633 Receiver: Sender :FISHERS ISLAND FERRY 41 MAIN 5 WATERFRONT PARK RICHMOND ME 04357 NEW LONDON CT 06320 Message Codes:m 06/3 1Z0266390341975249 Missing PLD Fee 200 Total 2.00 Receiver; Sender :FISHERS ISLAND FERRY 38 VESTAL 5 WATERFRONT PARK NANTUCKET MA 02554 NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 2 Package(s) 2833 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 09-JUL-2021 Total Miscellaneous 3.00 Total Adjustments & Other Charges 31.33 Service Charges Week Ending Billed Date Explanation Charge 07/10 Weekly Service Charge 3300 Total Service Charges 3300 Invoice Messaging Code Message m Median weight for service based on last six weeks 018386 2(2 ) I FISHERS ISLAND FERRY DISTRICT I _ t i VENDOR 002240 VERIZON WIRELESS 07/27/2021 CHECK7536„ A q, FUND &ACCOUNT - P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 9883009903 SE HOT SPOT-6/21 77.77 - ° TOTAL 77.77 \ I + 141 b - --- ---- - --- ---------- -- ----------- --- --- -_ t. --- ,ar.,.. . ---------- ------------ ---- ------- - ”<`:i •r, P: : tt s r: l ,}.,i+`: 5.,;a a;{`.;Y;2.; e:X•>; ii,> o I o ipfrF I ati Iv '4^ tl,d ,i I ' -- ------- - -- --- -- —- ----------- '- \ I _k vWl- _ FISHERS ISLAND FERRYDIMICT, , AUDIT'-7'/'27' I SOOT MAIIN ROAD971008 BOX 1179 la Teti I .. CT3ECK,NO. 7536 w I YHE SUFFOCK C0:NATIONAL BANK >" CUTCHOOUE,NY 11935 DATE_ AMOUNT'. - 7 2 5 `0 :,y$i' +7.-7+.7ENTY 'SEVEN AND. 7 7/10 0 `DOLLARS 7$J I '.p. , ,'tl - c, r = °' It; ; i ' ,7°; %zi ';i •ny%,' ,t `'a; i ' r l ,Ay,- VERIZON WIRELESS:, N I k O'TFIE' Pp. -,BOX 489 R" NEW4K:.`NJ 01i01`I-0489, - 119007536ii' 1:0 2 140 54 641: 68 00L'a502 I'll [--`-'z Check`No. - Town of Southold, New York - Payment Voucher =2240 e�l Vendor Tax ID Number or Social Security Number Vendor Address Entered by Vendor Name PO Box 408 Audit Date Verizon Newark,NJ 07101-0408 J UL ,2:'7 Vendor Telephone Number C1 r 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 9883009903 6/30/2021 $77.77 $77.77 SE hot spot June 2021 SM5710.4.000.100 E r $77.77 $77.77 j 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 C� Signature 0 Title Signature Or b Company Name Fishers Is an erry Date 7/15/2021 Title Manager Date verizon✓ PO BOX 489 Manage Your Account Account Number Date Due NEWARK,NJ 07101-0489 342281317-00001 Past 1 ue Change your address at Invoice Number 9883009903 http://sso.verizonenterprise.com - Quick Bill Summary May 31 —Jun 30 ISI'�Illll�il�l'�"'�I��I�I��nl�ll'lll��'lllilll�llliiliiil�lli'° - y FISHERS ISLAND FERRY DISTRICT 000eieza Previous Balance(see back for details)- $155.54 ACCOUNTS PAYABLE K107 Payment—Thank You, —$77.77 261 TRUMBULL DR• Balance Forward Due Immediately $77.77 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 $.77 Taxes,Governmental Surcharges&Fees n w Total Current Charges Due by July 22,2021 ; 77.77 Total Amount Due $155.54 Our'records indicate your account'Is past due,Please send payment now#o avoid service disruption. Pay from phone Pay on the Web Questions: veriz®nv Invoice Number Account Number Date Due Page 1�.;<.ate. �; ��, 98$3A099t13�.�.=342281317=00001�-Pa t u x2=of fi- £. J Get Minutes Used Get Data Used Get Balance h Payments 00 Payments, continued a Previous Balance $155.54 o Payment,-Thank You N Payment Received 06/08/21 -77,77 r P M Total Payments -$77.77 Balance Forward Due Immediately $77.77 1v(1 M Op.+N H(Q 6 W D o 0 0 n o J u " :;Y: Wr`1ten tiotatlonsliicluetl.wfthroro,n yo"a -pay`ment; +lll"itai Cie;;revrewe or honored Tease ser%d`oTrespQr� ed"ides fo." ` ' ,; ' �� - .Verizd"n"'Wlretesg�ttn:Gatres blydenefeaati,P �BQy 509.:Aban !L12212,' m;` verizom/ Invoice Number. Account Number Date Due Page 'P [ie 3,of 6.. �a98 3Q' 99 3. s3422813`l7�U€�Ua ast D Overview of Shared Usage Participating Lines Lines Exceeding Shared Shared Shared as of 06!30!21. Allowance after Share Allowance Usage Billable Cost Data—Flexible Business Share 1 0 2.000GB 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 Dees (includes Tax) Charges Usage Usage Usage Reaming Roaming' Roaming 631-372-0263 Ferry Jetpack 4 $26.95 — — $.02 $.00 — $26.97 — — — — — — 631-466-5153 Gordan Gordon 5 $50.05 — — $.75 $.00 — $50.80 10 — .347GB Total Current.Charges $77.00 $.00 $.00 $.77 $AO $.00 $77.77 • verizon✓ • _ • - • • - Invoice Number Account Number Date Due Page Summary for Ferry Jetpack: 631-372-0263 , Your Plan Monthly Charges Flex Business Data Device 2GB 07/01 —07/30 35,00 Flex Business Data Device 2GB 23%Access Discount - 07/01 -07/30 —8.05 $35.00 monthly charge $26.95 $,25 per minute 2GB Acct Share$10/GB Surcharges . 2 monthly gigabyte allowance Regulatory Charge .02 $10.00 per GB after allowance $.62 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.verizonwireless.com. verizon� = Invoice Number Account Number Date Due Page I° �� .�:� Wr�. :�e<_ .v�:��=, ;,. z�1 88$8t)U99U�>-�•>`342281�17=D0001•„Fast�Due �of`6,•� , �.�''_•,wz.,...,.`:.^.S�s�`s£.,�.°....�.w „w�:_r,.,,w,....,..�,e'��'`,.u�x...c.,'.,�.r:.wk.�'�.d�; ..._..b�.`:..'��P _,.,::.e.;s'��.,,`..`....W.,',�,a,�z,:.w.`'•,,:_•.::'`a..`..^`:•.».•.,. :��.:,,i°''�'..•",:...,,:';.u..'�m'"'�'#a:•.w•.�"r...,"�.,..,�.�..,.'„•..a...��w.a•_v„`o-v',* • Summary for Gordon Gordon: 631-466-5153 Your Plan monthly Charges 4G NW UNL Min&MSG+Email&Data 07/01 —07/30 65.00 4G NW UNL Mln&MSG+Emall&Data 23%Access Discount• 07/01 —07/30 —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 10 -- -- Mobile to Mobile minutes unlimited 20 -- -- Email&Web Unlimited Total Voice $.00 Unlimited monthly,gigabyte Data Allowance Used I Billable I Cost Beginning on 05/31/19: Gigabyte Usage. gigabytes unlimited .347 — -- 23%Access Discount Total Data $.00 M2M National Unlimited Total Usage and Purchase Charges $.00 -Unlimited monthly Mobile to Mobile Surcharges UNL Night&Weekend Min, Fed Universal Service Charge .37 Unlimited monthly OFFPEAK Regulatory Charge .21 Gross Receipts Surchg .17 UNL Picture/Video MSG $15 Unlimited monthly Picture&Video. Total Current Charges for 631-466-5153 $50.80 Have more questions about your charges? 'Get details for usage charges at b2b.verizonwireless.com. verizon Invoice Number Account Number Date Due Page 77-7,77— 77M " = 1 ° -f98830Q 903 wJt 8 2281317-'aQ0001''T §t-Due ,T -of 6 >-. deed-to-Know Information '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. FISHERS ISLAND FERRY DISTRICT 9, I <t,• i VENDOR 024539 W.B. MASON 'CO.INC / 07/27/2021 CHECK 7537 I I "i FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.625 221083399 NLT WATER/SUPPLIES 73 .92 i TOTAL 7 3 .92 z I f I I I h5.s '''t •nr.•n 'Y.i✓i>ti✓✓=in `" 4 i [ Y .. nz' I ,... .<.... . w.. ._.. .. ,,,-,,,...,_._...'int ? r ' si i• 1 1 1 ,. •s i, `,^.•-% ' . az ;',`i : `;'. R :;v.: .`•;" i'E;"' w, kw y z..4' 3 `..,,; Y ", ,'f;` s>.. `'+ ..:;1 •R, '`3;` j'?'ar'n „'3s, :>re,.s:: '•r",' . ,,? arts t u i 1 I o ' I i I ;ham'+„ I •4 5 ' I •3.' i I F` lit I I I i t° 6- , _ FISHERS ISLAND FERRY DISTRICT AUDIT' 7%2 7/2 0 21 53095 MAIN,ROAD,PO,BOX 1179, > SOUTHOLD;-NY 1'1971-0959 - QIECK';,NO;:, 7;53,7y. w ;7 \• THE SUFFOLK CO.NATIONAL BANK' ' CUTCHOGUE,NY 11935 DATE. AMOUNT , •; 1 _ 5a;5as zla : :} - "b7'/,27/262,S`, - •' ^ $7 3'.9 r• a,*, ” SEVENT.'Y'' HREE AND' 92/1'00''DOTl,ARS ;;' AY W.B . ,MASON,,CQ,,INC = rt; ; D PO SOX";98110']:° RD,-R'_ BOSTON'MA 02298-11 01 E,> A, ,M I lip 00753 ?v 1:02L 405464o: 68 00L502 Lii' »> a(' ' Vendor No. Check No. Town of Southold, New York - Payment Voucher 24539 Entered by PO Box 981101 Audit Date W.B. Mason Boston, MA 02298-1101 JUL 2 7 2021 Vendor Telephone Number 888-WB-Mason Cler 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 ; 221083399 6/18/2021 $ 73.92 $ 73.92 NLT water,supplies SM5710.4.000.625 f k t o / i $73.92 $73.92 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 excludedor disci pan; noted,and payment is approved Signature Title Signature U� �� Company Name Fishers Is and Ferry District Date 7/15/2021 Title Manager Date 7/15/2021 r (Page 1) 1 PM Invoice Number 221083399 Customer Number C2024302 W B MASON CO,INC Invoice Date 06/18/2021 59 Centre St Brockton,MA 02301 Due Date 07/18/2021 PO Number NL TERMINAL Address Service Requested Order Date 06/17/2021 888-WB-MASON www wbmason com Order Number S115117676 Order Method WEB 4399 1 AB 0.428 E041 9X 10655 07745094853 S2 P8335721 0001:0001 Delivery Address � FISHERS ISLAND FERRY DISTRICT l/ Fishers Island Ferry District Eird,1R,`• ATTN:Accounting 1/ Attn.:NL TERMINAL/geb PO BOX 607 5 Waterfront Park FISHERS ISLE NY 06390-0607 New London CT 06320 W B.Mason Federal ID# 04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless.Your Registration Code: 5637419782 Looking for an easier way to see and pay bills? Visit WWW.WBMASON.COM/ACCOUNTSTATEMENT.aspx to access your account, go paperless, review invoices and account statements, and link your checking account or credit card to make fast secure payments. ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE VER44084 CARD,64GB,MICROSDXC,BK 2 EA 12.61 25.22 BLZH2O5G WATER,5GAL JUG,BLIZZARD 10 EA 487 4870 BLZH2O5GDEPOSIT WATER 5GAL JUG DEPOSIT 10 EA 0.00 0.00 SUBTOTAL: 7392 TAX&BOTTLE DEPOSITS TOTAL: 000 ORDER TOTAL: 7392 Total Due: 73.92 To ensure . p er ro credit lease detach and return below portion with your payment ------------------------------------------------------ P P % wN®UT Packing Slip P FURNITURE h PRINTING Mode of Delivery: 00140 FOR OFFICE SUPP W B. Mason - PO Box 111 - Warehouse:. ............ NCH-CT 59 CENTRE ST Delivery Number:...... 93658095DEL CENTRE T 02303 Customer Number:..... C2024302 1-48 Phone Number:.......... 8604420165 ;:888-WBMASON www wbmason.com Sales Rep.Tricia Gosch Special Instructions: - Ship To: How many empty water bottles should be picked Fishers Island Ferry District up?- 12 5 Waterfront Park New London, CT 06320 Sales Order # S115117676 Ship Date:: 6/18/2021 P.O. Number:: NL TERMINAL Attention Name:: NL TERMINAL/geb Delive Number: 93658095DEL Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility BLZH2O5G 10 10 0 0 EA WATER,5GAL JUG,BLIZZARD NCH-CT "4'y„Rat""".."t �;. 7 .,,.. T. T— : BLZH2O'SGDEPU� 'W '10'"''"' :1'0" 0 0 EQ-.' nWATER 5 AL JUG'a`DEPOSIT;^k. NCWCT k,Y .�_��__�'�'�r ="kms" �°a�;�(,r��<tin'��:�w_��'gm,.————��._ .__� °., :-�°•��, VER44084 2 2 0 0 EA CARD,64GB,MICROSDXC,BK UNTD-WOB