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Home My WebLink AboutAU-09/21/2021 Fishers Island M, FISHERS ISLAND FERRY DISTRICT ' :-VENDOR 001409 ADVANTAGE TECH, INC. 09/21/2021 CHECK 7632 FUND & ACCOUNT NP.0.�# INVOICE DESCRIPTION AMOUNT SM .5710.4 .000.500 968007 IT OUTSOURCING-9/21 2, 944.56 17 TOTAL 944.50 ol ----------- - IJ - 1 I -- - - - --- ------------- -- ---------- - t-, *k Nz IR"I M ; iq ------ ------ --- --- -------------- --- ---- i i 'vf FISHERS ISLAND FERRkL)IYTRICT -"-' -AUDIT 0 1 9'1/�1/2021 _._ 53095 MAIN-ROAD,PO BOX 1.179., SOUTHOLD;NY,l1971,-0959 No CHECK' 63 ' 2 THE,SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY11935, _DATE AMOUNT ' -, . 09,/21'/2021,,' 2 944.50,' $ , 1�: 50-646/2"1 - - ' TWO -796USAND HUNDRED FORTY FOUR 'SNA 6/100 -DOLLARS`" y !77 j PAY, ADVANTAGE ,TECH JNC. Ile rd THE 0"x"' '9* 5 1"" PO dF9kDER -SUFFIEL -D CT06078!,' li,007632iio 40214054GLx 68 OOL502 L IIICST C�p Vendor No. Check No. Town of Southold, New York - Payment Voucher 1409 Vendor Address Entered by PO Box 951 Suffield,CT 06078 Audit Date Advantage Tech, IncSEP 'j 2021 Vendor Telephone Number 860-668-0044 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 968007 9/1/2021 $2,944.50 $2,944.50 IT outsourcing September 2021 SM5710.4.000.500 $2,944.50 $2,944.50 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 Company Name Fishers Island Ferry District Date 9/6/2021 Title Manager Date Advantage Tech, Inc. Invoice P.O. Box 951 Suffield, CT 06078 Date Invoice# 9/1/2021 968007 Bill To Fishers Island Ferry P.O.Box 607 Fishers Island,NY 06390-0607 P O. No Terms Project Due on receipt Description Qty Rate Amount Ticketing System Usage and Support-Sep 2021 2,135.00 2,135.00 C Ticketing Support-Ed-811/2021 thru 8131/2021 3 165.00 495.00 AWS Hosting:Aug 2021 217.00 217.00 AWS VPN Tunnel:Aug 2021 50.00 50.00 DNS Hosting 2.50 2.50 l Cloud Backup:Aug 2021 45.00 45.00 ✓'� Thank you for your business. Subtotal $2,944.50 Sales Tax (0.0%) $0.00 Total $2,944.50 Payments/Credits $000 Balance Due $2,944.50 Phone# E-mail (860)980-0861 billing@advantech.biz V " Em FISHERS ISLAND FERRY DISTRICT VENDOR 001318 AIRGAS USA, LLC 09/21/2021 CHECK 7633 N' A FUND' & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.625 91167592,07 (5) PROPANE NLT FRKLFT 230.15 , E _6 TOTAL 230.15, -M —---------------- --- - ------- --- - --------- ------------ --- - ---------------------------------- 'in, vA ----- ---- -I Gomm=, FISHER S ISLAN6,FERR Y DISYRICT -AUDIT' 53095;MAIN ROAD,PO BOXI 79 13 - SOUTHOLD,,NY 11971-0959 O 6 CHECKN_, 3'3' THE SUFFOLK CO.NATIONAL BANK [-_ ,-, DATE: -AMOUNT-,,` CUTCHOGUE;NY,11?35 $23`0,,-1115,, 50-5461214 ,T`WO ` THIRTY'AND 15,/:i,GO DOLtA'AZ'S" ,'l AIRGAS USA, LLC 10 ME PP PDX 734445- ,R _CHICAGO"IL 60613--4445ov _' u800 7 E3 3 Pl 40 2 1 l-,0 5 L,FAi: 68 00L502 L v lAe Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 Vendor Address Entered by P.O. Box 734445 Vendor Name Chicago, IL 60673-4445 Audit Date Airgas USA, LLC 2021 Vendor Telephone Number SEP 2 860-444-3055 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 9116759207 8/23/2021 $ 230.15 $ 230.15 Propane 5) NLT forklift SM.5710.4.000.625 } $230.151 1 $230.15 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 and Ferry District Date 9/10/2021 Title Manager Date 9/10/2021 TO ENSURE PROPER CREDI .PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 hl LORDERNOL-1 1102952860 9116759207 08/23/2021 2576547 FISHERS ISLAND FERRY DISTRICT BOB.LAVIN@860 442.1605 CLIPLI NET 30 08/23/2021 DELIVERY SH 8113115147 PR 33A 5 CL 5 5 41.00 CL 205.00 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 160 LBS) (H) Sale subtotal:- 205.00 Airgas Hazmat Charge 25.15 Airgas Hazmat Charge (H) see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale 230.15 SHIP TO.3878688 Alrga& FISHERS ISLAND FERRY DISTRICT an Adr Uquide company 5 WATERFRONT PARK Airgas USA,LLC Acct No 550372228 AIRGAS USA,LLC NEW LONDON CT 06320 JPIVIC Bank,ABA No 021000021 6055 Rockside Woods Blvd Independence,OH 44131 For change of address OOD450 email to:NDIV.D[@,Airgas.com m o�mo . —�— . _ . nsvo� call00 /l Disclosure Terms of Sale- Each sale of Goods or services by an AirgaSTI company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http//www airgas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods'refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cylinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i.e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(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 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 corn Visit us online today to see how www.airgas com can save you time and money _Z 10 FISHERS ISLAND FERRY DISTRICT VENDOR 001400 ALTERNATIVE SAFETY & TESTING", 09/21/2021 CHECK 7634 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 100892 (1) PRE-EMPLOYMENT 40.50 SM .5710.4.000.000 100892 (1) COLLECTION FEE 15.00 TOTAL 55.50 34 Fe OD Ai A 0 Ia" 411: ----- - - ----- -- --- ---- ------------ ------ ----- -- 2 Ao 'F ' 4' FISHERS ISLAND Ekkk`DlSiRiCT, AUDIT '0 /21/2 01 53095,MAIN ROAD;POBOX,1179', SOUTHOLD,NY 11971-095,9 CHECK NO., 7634°. SUFFOLK CO.NATIONAL BANK 2 CUTCHOGUE;NY11 935 DATE, AMOUNT1 5 5. 0, r' 4 5Db 62 14 0lFtY_.'FIVE_AND 5-0`/100 DOLLARS AY, . _ALTERNATIVE SAFETY &TESTING 1 PO Ti!E 2965 'PRAIRIE` ST', S'. 14, OADER _t, SUITE -200 "' - OF' -GRANDVILLE MI 49418' 0 0 7 6 3 t, is 1:0 2 1 L,0 S I, 6 L,1: 613 00L502 L A Vendor No. Check No.= Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered,by; 678 Front Avenue NW Vendor Name Suite 256 AuditDate ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, MI 49504 Vendor Telephone Number SEPI` 800-477-3177 ovim Clerk` Vendor Contact • Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledgcr Fund and Account Number { 100892 9/1/2021 $55.50 $40.50 Pre-employment(1) S,M571"0.'4.000;000- $15.00 Collection Fee(1) SM6710.4.000.00a- $55.50, .4.000.000-$55.50 $55.50 x . 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 Namend Ferry District Date 9/2/2021 Title Manager Date t 1 AL APMMW jr Remit Payment To: Invoice E X C E L L E N C E 2969 Prairie Street S.W. ,.,, „ Suite 200 Date Invoice# Alternative Safety Vesting Solutions Grandville,MI 49418 9/1/2021 100892 Phone: 800-477-3177 Fax:616-534-5545 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 include the invoice number for 261 Trumball Drive 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 1 Drug Test 40.50 4050 1 Quest Collection Fee 15.00 15.00 V Federal Tax ID#38-3510664 Total $55.50 77 FISHERS ISLAND FERRYDISTRICT "0' VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 09/21/2021 CHECK 7635 A 'A FUND & ACCOUNT P.O,# INVOICE —DESCRIPTION AMOUNT SM .9060.8.000.000 0202109205845, VISION PLN #A75986-10/21 163.64 TOTAL 163.64 ---- - --- ---- --------- --- --- -------- ---- --- ------------------------ 7, .... ...... 37' ji T` --- -- ---- ----- - ----------- 1-o FISHERS ISLAND FERRY,,DISTVICP 53095 MAIN ROAD,'PO BOX 1179 - - CHEC -- SOUTHOLD,,NY 11 971-09 59_ N b :7, THE SUFFOLK CO.NATIONAL'BANK 7 CUT HOGUE, NY 1"1935 7 ,AM0UNT',' M 0921/2021, s 50.5481214; `ON'E ED_' :SIX'T - T: REjl,A'ND" 64/160',' 'DOLLAR'S PAY ANTHEM BLUE CROSS BLUE SHIELD 0 'T iE TI, PO BOX 792 5POERI 1 0 OF -NEWARK NJ 7101-4792 ' u200 7 6 3 Sno 1:0 2 ILO 54E41: 68 00 L 5 0 2 /Iii' 't Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 -1(X:3 S Vendor Tax ID Number or Social Security Number Vendor Address Entered by " 11 P.O. Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem Vendor Telephone Number SEP 2 12021 wn Clerk Vendor Contact • n• %!`� Invoice Invoice Invoice Net Purchase Order r Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 0202109205845 9/1/2021 $163.64 $163.64 Vision Plan#A75986 October 2021 SM9060.8.000.000 163.64 1 163.64 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 ri Title Signature Company Name Fishers Is an Date 9/10/20211 Title Manager Date 9/10/2021 I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049 NORTH HAVEN,CT 06473 A n t h e m.Omr W 0330521 AB 0.458 002170/033052/004405 159 02 VG061Y WPT132 SMGRP 09/01/202109/0212021 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 httl2s://employer.anthem.com All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly email notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject line to: CT.ogb@anthem.com. Provide your group number, contact name, email address, phone nuinber 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. hidependent 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 name and symbols are registered marks of the Blue Cross and Blue Shield Association. 0330521004405VG061YS1-ET-M1-C00009 4 AnthemoOl Billing Summary ® invoice No: 0202109205845 Group Name. FISHERS ISLAND FERRY DIST Group Number. A75986 Billing Period. 10/01/2021 to 11/01/2021 Date Billed- 09/01/2021 Due Date. 10/01/2021 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $33476 5184 15 $150.61 $150.61 SubTotal Current BiIlmg __ _ ANTHEM _____ $163 64 $Q 00 $163.64 SubTotal $163.64 $314.25 Total Amount Due Membership Detail Contract No Rate* Subscriber Dep Premium A mnynf Am,nitalt � '^t- Membership Detail Subtotal �tos.oa !,u.utt �tod•ow 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 ti •: and symbols are registered marks of the Blue Cioss and Blue Shield Association FISHERS ISLAND FERRY DISTRICT • VENDOR 002800 BURRIS YACHT HAVEN INC. 09/21/2021 CHECK 7636 A FUND & ACCOUNT P.O.# ' INVOICE DESCRIPTION AMOUNT SM .5710.4.000.350 D8601 I60.3 GAL GAS,/9/3 i 618.60 TOTAL 618 .60 vi -- ---------------- --- ---- - -------- ------- --------- ------- 0 - 0 z A4 V!, ------ --- - --------------- ----- --- ------- -- ----- ---- ------ ^5 F ' FISHERS ISLAND R 20 1 FE.RYDISTRICT AUDIS V9 2 1 2 MROAD,PO BOX :f-,, 5,3095 `MAIN OLD NY 11971,09519 T MAI ;?7 CHECK' NO,." , 636 ",' THE SUFFOLK CO.NATIONAL B'A .,SATE i AMOUNT-,',,- CLITCHOGUE,NY 11935 09-/21/202'31'' 5b-54612i4, 0 LARj- G61100' D"h -o 72 ,ilk PAY BURRIS-YACHT HAVEN INC. 244"'PEQUOT A NUE- 0 T ORDER r" NEW L0,-NbOWCT 06120 - 11000 7 6 3 Gil 1:0 2 1405tjGL,1: 68 OOL502 Lill CheckNq: Town of Southold, New York - Payment Voucher 2800.E Vendor Tax ID Number or Social Security Number Vendor Address Entered by K' Vendor Name 244 Pequot Ave Audit Date Burr's Yacht Haven Inc New London,CT 06320 .� 2�;<1p 202< '1-" ; r 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,', ; D8601 9/3/2021 $618.60 $618.60 160.3 gal 3.859 SM5710.4.000.350'' " 4 - i i " f $618.60 $618.60 1 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 I Signature Title Signature Company Name Fishers Is Date 9/10/2021 Title Mana eger Date Invoice »s,.� �..�.,s,. RN Date -!7'%' 244 Pequot Ave. 9/3/2021 New London, CT 06320 Invoice# Bill To: D8601 Fishers Island Ferry Due Date 9/3/2021 Item Quantity Description Rate Amount Gasoline 160.3 Gas Sales 3.859 618.60 v Subtotal $618.60 Sales Tax (6.35%) $0.00 Invoice Total $618.60 Customer Total Balance$3,954.68 BurrsMarinal@gmaii.com 860-443-8457 FISHERS ISLAND FERRY DISTRICT ' Ul' as i VENDOR 002929 C & S ENGINEERS, INC. 09/21/2021 CHECK 7637 ' m A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 0 SM .5,610.2.000.000 0196562 PROF SVCS-4/3-7/30 -- 432.28 SM .5610.2 .000.000 0196563 PROF SVCS-5/29-7/30 2, 121.57 AN TOTAL 2,553.85 goo — ------------- - ----`_- ------- --- ------- ------ -- ---- ---------------------------------------------- 2k, a/ I o - ------------ 71 FISHERS ISLAAD,FERRYDISTRICT •-AUDIT,Or9j2l'_ '/,2'0 i-', :'' 53095 MAIN ROAD,PO 80X 1179 ' SOUTHOLD,NY'T1 971,096,9, CHECK R0': _^7637; --THE SUFFOLK tO':NA TIONAL'BANk CUTCHOGUE,NY 14935 ',,.,DATE ,,AMOUNT:,, "5 -'54 $2 553 '8'5 'VWO -THOUSAND- FIVE- HUNDREDD&L ...... . FIFTY PAY, c, S ENGINEERS,, INC. Th PO •BQX: 6436.6-- ORDtR - ' BALTINO li 6'4'-4, 6" RE',MIX,2 61' iu, 4 111007637111 1:021405464l: 68 OOL502 III' Vendor No. Check No" 71 Town of Southold, New York - Payment Voucher 2929 Vendor Address Entered"by- PO Box 64366 Vendor Name Baltimore, MD 21264-4366 Auditba:W' C&S Engineers, Inc. T Vendor Telephone Number SEP '21" 262,1" 315-466-2000x4422 Towri Cl&lk' Vendor Contact • Invoice Invoice Invoice Net Purchase Order Number Date Total Retainage Amount Claimed Number Description of Goods or Services General Udger Fund and Account Numbef 0196663 8/31/2021 $2,121.57 $2,121.67 Professional Services 6/29-7/30i21 -SM4610.2.000.000,' Airport Entrance Road Rehab Project 211019002 0196562 8/31/2021 $432.28 $432.28 Professional Services 4/3-7/30/21 SM6610.2.000.000 Airport Wide Obstruction Eva[ Project 211017001 -V 1 $2,553.861 $ $2,653.86 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 4 — Tte Signature C77� Company Name �Sd F.M�Distric'tll)ate 9/10/2021 Title Mana2er Date t w Send Payment to: CSS Engineers, Inc. CBS PO Box 64366 COMPANIESO Baltimore, MD 21264-4366, Gordon Murphy Invoice#: 0196563 Town of Southold Project : 211019002 c/o Fishers Island Ferry District Invoice Date : 8/31/2021 PO Box 607 Fishers Island, NY 06390 Est. Cost : 52,737.75 Fixed Fee : 6,602.25 Total : 59,340.00 For Professional Services Rendered from 5/29/2021 through 7/30/2021 Airport Entrance Road Rehab(CA-CO) AIP Grant 26-2020 Analysis of Costs This Invoice Cumulative Direct Salaries 693.55 4,820.40 Overhead% 166.00 1,151.29 8,001.86 ---------------------- ..................... Total Direct Personnel 1,844.84 12,822.26 Total Other Direct Charges 0.00 1,138.83 Total G&A% 0.00 0.00 0.00 ---------------------- ..................... Total Costs 1,844.84 13,961.09 Fixed Fee 276.73 1,923.34 Total This Invoice 2,121.57 15,884.43 Amount Due This Invoice ** 2,121.57 15,884.43 Invoice Contact Person: Kim Cadrette,Account Manager Telephone:(315)455-2000 Ext.No.4203,kcadrette@cscos.com Net 30 Days-1 1/2%Interest per Month Send Payment to: C&S Engineers, Inc. PO Box 64366 Baltimore, MD 21264-4366 Gordon Murphy Invoice#: 0196562 Town of Southold Project : 211017001 c/o Fishers Island Ferry District Invoice Date : 8/31/2021 PO Box 607 Fishers Island, NY 06390 Est. Cost : 155,174.60 Fixed Fee : 13,325.40 Tota 1 : 168,500.00 For Professional Services Rendered from 4/3/2021 through 7/30/2021 Airport-Wide Obstruction Eval FAA AIP No.3-36-0029- -2018 NYSDOT No 0913. Analysis of Costs This Invoice Cumulative Direct Salaries 148.75 22,920.66 Overhead% 166.00 246.93 38,048.31 ---------------------- ..................... Total Direct Personnel 395.68 60,968.97 Total Other Direct Charges 0.00 64,843.53 Total G&A% 0.00 0.00 0.00 ---------------------- ..................... Total Costs 395.68 125,812.50 Fixed Fee 59.35 9,145.35 Total This Invoice 455.03 134,957.85 Less Retainage Amount * 5.00% 22.75 6,747.90 Amount Due This Invoice ** 432.28 V,r 128,209.95 J Invoice Contact Person: Kim Cadrette,Account Manager Telephone:(315)455-2000 Ext.No.4203,kcadrette@cscos.com Net 30 Days-1 112%Interest per Month N, R FISHERS ISLAND FERRYDISTRICT VENDOR 003629 CROCKER'S BOATYARD,INC. 09/21/2021 CHECK 7638 A FUND & ACCOUNT P.O.# - INVOICE DESCRIPTION AMOUNT SM .5710.4 .000.300 5028777,,--_-- 147.8 GAL GAS-8/3 791.25 TOTAL 791.25 Mimi 7g, ix, - A 1 4 .0 ok V A-if qi. :'kl w zv,%x {k J RD I _v -A p- - ---- ----- - ------- --- ------ --------- -------- 77 AUDIT 09/2'1/-2021'_: k AMOUNT.v,, , o 0 7 9 50-546%2W.l =SEVEN HUNDRED NINETY'ONE "AND Y_25/iOO' 7 p'4Y CRQC,KER S BOATYARD INC 6 rl T E I o 56 OW DS STREET ORDER 0RbER_ NEW, 'LONDON CT 063'2b , ii,00 T6 3 El ii, 1:0 2 140 54641: G 11 00 L5 2 1115 CheckNo., ' Town of Southold, New York - Payment Voucher 3629a� Vendor Tax ID Number or Social Security Number Vendor Address Entered,by Vendor Name 56 Howard Street Audit_ Date Crocker's Boatyard Inc New London CT 06320 p c� Vendor Telephone Number � Town Cierk _ a"'• Vendor Contact wa✓ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General,Ledger Fund and Account Number. 5028777 8/13/2021 $791.25 $791.25 SE fuel SM5710.4.000.300> a; $791.25F $791.25 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly :in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry Date 9/9/2021 Title Manager Date -JL JL DATE TRANSACTION AMOUNT BALANCE 07/31/2021 Balance forward 0.00 08/13/2021 INV#5028777. 791.25 791.25 Any payments made with a credit card are subject to a 3% service fee. 1-30 DAYS 31-60 DAYS 61-90 DAYS OVER 90 DAYS CURRENT PAST DUE PAST DUE PAST DUE PAST DUE AMOUNTIDUE 791.25 0.00 0.00 0.00 0.00 $791.25, CKEWSBO -INC. FROM IN U S IL i i yr 4 }}�1p�sl a m cavi luau�a�a.�amntwzr u, t�I I !�JU • a taq ins swpa6*Oka uuoimdw saa&Wo Was4 UNOW 1W1 W110 i µ+gLLta a4!W BtJAAs A W!SAWO 10Idaaa 98500VMLMV APPLM dais X du saivs Hound D �irmonr xouaxos� un �`�. ` { UU2.05 €(€ i { " 'ox 3oN3a3d3a ! f Q33133HO I t I a3naas rlorsrrlaot scaly NOt1VNIdX3 !!} .31vUllotivd(d)q2)qlpION 00--3NrSIH13A0WA'V0tl1Y0U311iIHd4i--� - 15 Uc _ rapt Al Al FISHERS ISLAND FERRYDISTNCT VENDOR 0103731 CUMMINS SALES AND SERVICE 09/21/2021 CHECK 7639 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT rfi SM .57101.2.000.200 G4-59222 RP PARTS 515.88 SM .5710.2.000.200 G4-59324 RP PARTS - 327.73 I '4 SM .57101I.2.000.200 G4-59846 RP PARTS 2,327.75 1, TOTAL 3, 171.36 47 ------------------- ------ ------ ---------------------- -- ----- -------------------------------------------- -- 77 75 R, 0 5 CA, 2 '0?l `V% AI - --- --- -------------- ----------------- 4a_ FISHERS ISLAND FERRY 11DISTRICT. / - ' '2 1/2621. 53095 MAIN ROAD,PO BOX, ,79 $OUTFiOLO;NY,1197V0059l' CK' 7 1 Rv, H THE SUFFOLK C {NATIONAL BANK CIJTCHOGUE,NY 11935 t 5A ',AMOUNT.-,,`,,, 0 9,/2:- ' 50-546121'4 - 202 EE -THOUSAND-ONE' H'U!NDRiD"SEVENTY Oi4ti,AND •3`6 100 DOLLARS ''_ I DAY CUMMINS SALES-AND SERVICE PO, BOX, 7865 7, 2RDER PHILADELPHIA PAl;'9178 ^6567 V OF" ,p 11'007639113 1:02 140 54641: 68 00 L 50 2 1u' r Vendor No. @fieckNo: Town of Southold, New York - Payment Voucher 3731 " Vendor Tax ID Number or Social Security Number Vendor Address Entered bye , P.O. Box 786567 Audit Date Cummins Sales and Services Philadelphia PA 19178 Vendor Telephone Number S"E "2"�nl.,202:1 ; Town Clerk Vendor Contact ,"� ,6 Invoice Invoice Invoice Net Purchase Order == Number Date Total Discount Amount Claimed Number Description of Goods or Services }„"�,,*<' General°Ledger Fund and Account9NuiriberA G4-59222 8/25/2021 515.88 515.88 RP Parts SM5710.2:000.200 G4-59324 8/26/2021 327.73 327.73 RP Parts SM5710,.1.000: Payment terms are 30 days from invoice date unless Sales and otherwise agreed upon in writing. Remit to. Service Cummins Sales and Service P.O.Box 786567 ce Philadelphia,PA 19178-6567 ROCKY HILL CT BRANCH 914 CROMWELL AVENUE INVOICE �� ROCKY HILL,CT 06067 G4-59222 (860)529-7474 C�A 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 1 FISHERS ISLAND, NY 06390-0607 NEW LONDON,CT 06320 ON ACCOUNT CHARGE... CONTACT JOHN PARADYS DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 25-AUG-2021 JOHN P CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY 74664295 REF.NO. SALES PERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-361653 NJ916 4 4 122-0923 FILTER-OIL(ASSEMBLY) ONAN 51.36 205.44 1 1 LF14009-NN PAC,LF FLG 76.91 76.91 1 1 FF5488 PAC,FF FLG 19.08 19.08 6 6 122-0923 FILTER-OIL(ASSEMBLY) ONAN 51.36 1 1 4358341 MANUAL,OWNERS CECO 17.50 17.50 1 1 4358343 LITERATURE,SERVICE CECO 121.25 121.25 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# 183905467463,492705327659,500275641195, 528680023067,530757470973 SHIPPING AND HANDLING 44.90 SUB TOTAL: 485.08 STATE SALES TAX: 30.80 Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 515.88 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 TERMS AND CONDITIONS These Terms and Conditions,togetherwith the estimate/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 customer('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 prior inconsistent course of dealing,course of performance,or usage of trade,if any,constitutes a waiver of,or serves to explain or interpret,the Terns and Conditions set forth in this Agreement Electronic transactions between Customer and Cummins will be solely governed by the Terms and Conditions of this Agreement,and any terms and conditions on Customer's website or other internet site will be null and void and of no legal effect on Cummins In the event Customer delivers,references,incorporates by reference,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 set(s)('Goods')and/or perforin the maintenance and/or repair('Services')on the equipment identified in the 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. 2 CUSTOMER OBLIGATIONS If necessary,Customer shall provide Cummins safe and free 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 performance 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,customers,invitees,or any third party and/or property damage or work interruption arising out of the Services If applicable, Customer shall make all necessary arrangements to address and mitigate the consequences of any electrical service interruption which 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'casts and expenses(including all reasonable attomeys'tees)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 party 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 party for any loss,damage,or expense suffered by Customer or third party 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,flood,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 — - b 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'wntten 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(i)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(n)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(i)such Warrantable Defect becomes apparent to Customer during the warranty period,(n)Cummins receives written notice of the Warrantable Defect within thirty(30) days following discovery by Customer,and(iii)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. 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 arising 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 7 IS 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 party,whether independently orjointly,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 goads 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 arising 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 party to be proprietary or confidential,whether disclosed in oral,written,visual,electronic,or other forth,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 17 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 and/or Invoice No amendment of this Agreement shall be valid unless it is writing and signed by the parties hereto Failure of either parry 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 party 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 party has relied on any statement,representation,agreement,understanding,or promise made by the other except as expressly set out in this Agreement Payment terms are 30 days from invoice date unless Sales and otherwise agreed upon in writing. Remit to! Service Cummins Sales and Service P.O.Box 786567 ce Philadelphia,PA 19178-6567 • IYe?!'r; ROCKY HILL CT BRANCH (�, INVOICE O 914 CROMWELL AVENUE ,\ ROCKY HILL,CT 06067 \� G4-59324 (860)529-7474 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 1 FISHERS ISLAND, NY 06390-0607 NEW LONDON,CT 06320 ON ACCOUNT CHARGE... CONTACT JOHN PARADYS DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 26-AUG-2021 JOHN P CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY REF.NO. SALES PERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. OE-100-361653 NJ916 a IFF „ a $'8 9 ®'m 0 A� 9-- ; No •. r �/3. s°y#Y�u ^B O ,y G ! � 4�'F, _,,,. �s �, sr ',. „ry>„f� ':apt,45°a '••�%�,y� �� ' ��/'>.ss®s �''",�� Q�„s"i'� ,y�-` i®®i % ;7� rPo ;�3�.i r� � ,lay,,a..,, BACK ORDER 6 6 122-0923 FILTER-OIL(ASSEMBLY) ONAN 51.36 308.16 AS A RESULT OF THE OUTBREAK OF THE DISEASE COVID-19 ARISING FROM THE NOVEL CORONAVIRUS,TEMPORARY DELAYS IN DELIVERY,LABOUR OR SERVICES FROM CUMMINS AND ITS SUB-SUPPLIERS OR SUBCONTRACTORS MAY OCCUR. AMONG OTHER FACTORS,CUMMINS DELIVERY OBLIGATIONS ARE SUBJECT TO CORRECT AND PUNCTUAL SUPPLY FROM OUR SUB-SUPPLIERS OR SUBCONTRACTORS,AND CUMMINS RESERVES THE RIGHT TO MAKE PARTIAL DELIVERIES OR MODIFY ITS LABOUR OR SERVICE.WHILE CUMMINS SHALL MAKE EVERY COMMERCIALLY REASONABLE EFFORT TO MEET THE DELIVERY,SERVICE OR COMPLETION OBLIGATIONS SET FORTH HEREIN,SUCH DATES ARE SUBJECT TO CHANGE. TRACKING# 507100634017 SUB TOTAL: 308.16 STATE SALES TAX: 19.57 Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 327.73 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 TERMS AND CONDITIONS These Terms and Conditions,together with the estimate/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 customer("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 prior Inconsistent course of dealing,course of performance,or usage of trade,If any,constitutes a waiver of,or serves to explain or Interpret,the Terms and Conditions set forth In this Agreement. Electronic transactions between Customer and Cummins will be solely governed by the Terms and Conditions of this Agreement,and any terms and conditions on Customer's website or other Internet site will be null and void and of no legal effect on Cummins In the event Customer delivers,references,incorporates by reference,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 set(s)("Goods")and/or perform the maintenance and/or repair("Services*)on the equipment Identified In the 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 2 CUSTOMER OBLIGATIONS. If necessary,Customer shall provide Cummins safe and free 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 performance 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,customers,Invitees,or any third party and/or property damage or work Interruption arising out of the Services. If applicable, Customer shall make all necessary arrangements to address and mitigate the consequences of any electrical service Interruption which 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 by law Customer agrees to pay all Cummins'costs and expenses(including all reasonable attomeys'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 party 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 carver and delivery shall be as Cummins deems appropriate Al 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 party for any loss,damage,or expense suffered by Customer or third party 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,flood,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 b.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(I)for power generation equipment(Including engines in such equipment),fora 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(i)such Warrantable Defect becomes apparent to Customer during the warranty period,(II)Cummins receives written notice of the Warrantable Defect within thirty(30) days following discovery by Customer,and(III)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 Seances. 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 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 arising 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 Customers 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 7 IS DEEMED TO HAVE FAILED OF ITS ESSENTIAL PURPOSE 10 GOVERNING LAW AND JURISDICTION This Agreement and all matters ansing 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 poor wntten 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 party,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 arising 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 party to be proprietary or confidential,whether disclosed In oral,written,visual,electronic,or other farm,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 17 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 and/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 party 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 party has relied on any statement,representation,agreement,understanding,or promise made by the other except as expressly set out In this Agreement Cummins USA Supplier No : 4155 Quest Way Memphis TN 38115 ASN Number: 41088524 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII USA Tracking Number: 507100634017 PRO Number: Ship to Address: Bill to Address: FISHERS ISLAND FERRY DIST NORTHEAST REGIONAL 5 WATERFRONT PARK 7701 GENERAL MCCLELLAN RD PRINCE WILLIAM NEW LONDON MANASSAS CT 06320 VA ; 20109 USA USA Customer No 30648-15924 Carrier FedEx Priority 1 Next Day Shipment ID 00041088524 Order Type ED Notes: CUMMINS, INC. Part No ECN Load Number Description Qty COO Bin PO DLR PO Customer Cust. Part No ' Loc. Noe No PO 0122-0923 I IIIIII IIIII IIIII IIIII IIII IIIIII IIIII IIIII IIIII IIII IIII ..TCC,1233157 F��,�R_oi�(assennBwi 6 US . , N , :`.`JOHN ; 0299703883 -0122-0923 . ECCN US EAR99 :. - - � - - IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII . . , s , I 1 i 1 Packslip Number Parts Cartons Pallets Weight Pkg. Dims Pack Date Packer CC11233157 IIIIIIII IIIIIIIIIIIIIIIIIIIIIIII 111111111111111111111111111111 IIIIIIII 1 1 ; 1 10.600 12.75LXH 0WX10 26-AUG-2021 PS138 Printed: 8/26/2021 1,20:45 AM I Page 1 of 1 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 G4-59846 (860)529-7474 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 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 07-SEP-2021 JOHN P CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY CSP REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-362957 NJ916 yy� 6Q MW 'M.7uuU 2 2 5478519 CLEANER,AIR CECO 854.17 1,708.34 2 2 3691265 BELT,V RIBBED CECO 79.18 158.36 1 1 3289056 BELT,V RIBBED CECO 65.13 65.13 2 2 3687291 BELT,V RIBBED CECO 66.52 133.04 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# 507100702069 SHIPPING AND HANDLING: 123.89 SUB TOTAL: 2,188.76 STATE SALES TAX: 138.99 �e Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 2,327.75 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 Cummins USA Supplier No , 4155 Quest Way ASN Number: 41114486 IIIIIII'lllllllll III�IIIIIIIIIII II�III'lllllll IIII 4ro Memphis TN 38115 USA Tracking Number: 507104997758 PRO Number- Ship to Address: Bill to Address: FISHERS ISLAND FERRY DIST NORTHEAST REGIONAL 5 WATERFRONT PARK 7701 GENERAL MCCLELLAN RD PRINCE WILLIAM NEW LONDON MANASSAS CT 06320 VA 20109 USA USA Customer No 30648-15924Carrier FedEx Priority 1 Next Day Shipment ID 00041114486 Order Type EM Notes: CUMMINS, INC Part No ECN Load Number Description Qty COO Bin Po DLR PO Customer Cust. Part No Loc. Noe No PO 3289056 IIIIIIIIIIII(IIII IIIIIIIIIIIIIIIIIIII IIIIIIII, CP14074649' BELT,V RIBBED ; 1 CN_- 3 JOHN P 0299703617 328905600 0 ' ECCN US,EAR99 Packslip Number Parts Cartons Pallets Weight Pkg. Dims Pack Date Packer CP14074649 I Iilllll IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII 1 1 1 1600 11 LX11 WX8H 03-SEP-2021 QY190 Printed: 9/3/2021 4:47:34 PM Page 1 of 1 Cummins USA Supplier No :4155 , Memphis TN 3 115 est Way ASN Number: 41114486 II"III IIIIIII'II'I'lllllll'I'llll'IIIIIIIIIIIIIII USA Tracking Number: 507100702069 PRO Number: Ship to Address: Bill to Address: FISHERS ISLAND FERRY DIST NORTHEAST REGIONAL 5 WATERFRONT PARK 7701 GENERAL MCCLELLAN RD PRINCE WILLIAM NEW LONDON MANASSAS CT 06320 VA 20109 USA USA Customer No 30648-15924 Carrier FedEx Priority 1 Next Day Shipment ID 00041114486 -T-Order Type EM Notes: CUMMINS, INC. Part No ECN Load Number Description Qty COO Bin �POine DLR PO Customer Cust. Part No Loc. No No PO rv3687291 IIIIIII VIII VIII VIII VIII VIII VIII IIII Ilil CC1=12620$0- -"BELT,V'RIBBED 2 ' CN- ;; 4 `- °JOHN P r 0299703917 368729100 • ECCN US EAR99 0 3691265 IIIIIII VIII VIII VIII VIII VIII VIII IIII IIII CC11262080 BELT,V RIBBED 2 CN 2 JOHN P 00299703917 369126500 ECCN US EAR99 ` 5478519 1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CC11262080 CLEANER,AIFi-' 2 USy �, JOHN-P '0299703917- `547851900 0` ECCN US,NOTAFP ` - Packslip Number Parts Cartons Pallets Weight Pkg. Dims Pack Date Packer CCI 1262080 I IIIIIII VIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII 3 1 1 14.060 11 LX11 WX8H 03-SEP-2021 SL914 Printed: 9/3/2021 7:5034 PM Page 1 of 2 Part No ECN Load Number Description Qty COO Bin �POine DLR PO Customer Cust. Part No Loc. No No PO Packslip Number Parts Cartons Pallets Weight Pkg. Dims Pack Date Packer CC11262080 I IIIIIII VIII IIII VIII VIII VIII VIII VIII11111111IN 1111 3 1 1 14.060 11 LX11 WXBH 03-SEP-2021 SL914 Printed: 9/3/2021 7:50:34 PM Page 2 of 2 Ytz FISHERS ISLAND FERRY DISTRICT , VENDOR 003891 CWPM, LLC 09/21/2021 CHECK 7640 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT sae SM .5709.2.000.200 2333071 529.34 TOTAL 52.9.34 4 P - - ------- -- 4 gmx -, 'w (IX 7 - ----------- -- ---- -- - ------- - ----- N FISHERS ISLAND5 0 .54 2 FE Y DISTRICT AUDI 53AGAINROAD, 080X17 OUTOLDyI97095 HECK NQt -76 wi THE SUFFOLK CO. NATIONAL 3ANK' cuTCH0GUE Nyll9 5 DATE, AMOUNT 0 { FIVE 7 1 50-546f214 TWENTY NINE AN A— gai "_HUNDRED TWEN D`34/1'061 DOLL R.§'' % AY CWPM, LLC rOTH rE ,P P0 , BOX 415 .,° INV1 -LLE'CT 06062 - 9RW op, ii'00 7 C3 L,0 v 1:0 2 L40 54641: 68 00LS02 Lils 5. -• i Vendor No. Check No'.,` Town of Southold, New York - Payment Voucher 3891 Vendor Address Entered=by PO Box 415 ° Vendor Name Plainville, CT 06062 ,,ditDate` CWPM, LLC SEP'a 2O2 Vendor Telephone Number 860-447-1473 4To""C,Ierk°.s- Vendor Contact • Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number ;General Ledger Fund,and Account Number° 2333071 9/1/2021 $529.34 $529.34 September 2021 Refuse and Recycling SM5769:2.000.200. $529.34 $529.34 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 Company Name Fishers Island Ferry District Date 9/6/2021 Tale �Mafager Date 9/6/2021 Commercial Einvoices September Date: Ref Nbr: 'O' 1 i ActNbr•12761300S1teName FISHERSISLANDFERRYDIST STATESTNEWLONDON,CT 06320 9/1/2021 MONTHLY SERVICES 100 $259.17 $259.17 9/1/2021 RCY MONTHLY SERVICES 100 $99.68 $9968 9/1/2021 MONTHLY SERVICES 2.00 $5316 $106.33 CWPM,LLC Charges: $465 18 PO Box 415 Taxes: $3160 Plainville,CT 06062 Fuel Surcharges: $32.56 Phone:1-888-966-CWPM Finance charge: $0.00 Fax:860-793-2624 Total This Invoice $52,,9.34 P�� FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 09/21/2621 CHECK 7641 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 93369 5430.7 GAL @$2.2206/GAL 12, 059.41 SM .5710.4.000.300 93369 S-F COST RECOVERY .0021 11.40 SM .5710.4.000.300 93369 LUST TAX - $.0010/GAL 5.43 TOTAL 12, 076.24 4 -- ----- ------ - ----- - -------------- ---- ------------------------------------------- rvi ,. ;, v 3,.. s<.' '.i F -. „ ea':S'gv t^"+;a S•`'wt sFYLa - .+„S,. ,,•;x=;a ..g.,r{.,=,; ,.,.. ,..,, le a tZ, j - ------ --- ---- - -- ----- -- ------- FISHERS ISLAND-PERRY DISTRICT " 53095,MAIN ROAD,PO'BOXI 179 _AUDIT0921/202i, SOUTHOLD,NY 1-197,1-0959 CHECK-`NOS: THE SUFFOLK-CO:0,NATIONAL BANK” CUTCHOGUE,NY 11935 KMOUN' 60],5401214, -O9/2,1/2,021 $ 2,10 6.`4'4'", 't, ,F, TGVE 24"WE SAND SEVENTY-SIX AND 24/10 Q-"A,DbttAR§ Ay DIME OIL COMPANY, LLC INDUSTRY Y'jANE • )RDER, OF PO -BOX-11125- WATERBURY CT, 06704 80 2 10 11'0076 11's 1:0 2 0.0 St, [Al: 68 001 Vendor No. Check No:° ;; °; ; :z9"= •� Town of Southold, New York - Payment Voucher 4277 Entered,,-by P.O. Box 11125 Audit Date Dime Oil Company LLC Waterbury, CT 06703 "'s 2021�-� Vendor Telephone Number 203-754-5334 Clerk Vendor Contactos� Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger,Fund and Account Number, 93369 9/2/2021 $12,076.24 $12,059.41 RP 5430.7 gal $2.2206/gal SM5710.,4.000.300 $11.40 S-F Cost Recovery.0021 SM5710.4.000.300 $5.43 LUST Tax-$.0010/gal ��SM5710 4.000.300, OPTS attached $12,076.24 $12,076.24 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 SignatureTitle Signatur Company4Na.ineher�Ferry trict Date 9/10/2021 Title - Manager Date "Ce Dime Oil LLC Phone: 203-754-5334 PO Box 11125 Date 09/02/21 Waterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco.com INVOICE ACCOUNT NUMBER : 4920165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms: Net 30 Days From Invoice Date ------------------------------------------------------------------------------- Date Invoice Charge and Credits Amount ------------------------------------------------------------------------------- 09/02/21 93369 #6 #2 ULSD Dyed 5430 .7 GALS @ 2 .220600 12059.41 Pickup No: NO TM #2 Dyed Diesel Fuel NonTaxable Use ONLY Penalty For Taxable Use S-F Cost Recovery 11.40 LUST TAX 5.43 09/02/21 93369 Fuel Invoice Total 12076.24 Amount Due f 12076.24 *** Please include account number with payment *** Dime Oil LLC 203-754-5334 Account: 4420165 y TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 1.5%PER MONTH WHICH IS �1 I'.� {• AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION FEES. •--' �� r • • ° ° ORDER DATE 4 v�c1�i i Jit c i;�i/ til . =L�� c $3 T DELIVERY DATE 1\ c c LUQ .%PT i.v �I11.4 ��G �a.�l� A � „ i✓ 2 I O f J i•:�IGG iiGC!., L'�?1. :4'_t.aCr' a'C_._. � • • ALL -h3 fp • �. G}i=lire 2 vii` 1)- 4 2-01rD5 oa'F New LO:%cl V T� CT 0631.21.1— 11 S.Z 7 FULL PRICE PER GALLON: y�o I d 21 . 000 Last: 0 . 012_ so .7l}tld rj — f ✓- r f 1 )-ii^'�:_ 3 ;i.i �' •; E1'1 DISCOUNT PRICE PERyhLLON m m e �� C . : .r1n.' -L State + �T �O PAY DISCOUNTAMOUNT 3 I PAY THIS AMOUNT P' to �' r� - I} AFTER DAYS ' / °v t C.—:J 1.g E,..'10 I. ,i, .1 4�J. DIME OIL COMPANY LLC TRUCK ' r� ,AX P.O. BOX 11125 [)RIVER 4--1 WATERBURY, CT 06703 TMST THE 7tIAI+ pgyMENTRECEIV60 (203) 754-5334 TMFI OF DEL CASH ,{ ICHECK �/STOMER-STMTOR_E THIS IS • INVOICE t- Kasia Asmolov From: Kasia Asmolov Sent: Tuesday, September 07, 2021 10:56 AM To: Kasia Asmolov Subject: FW: 9/2 Delivery Attachments: FISHER ISLAND.PDF From: Beth Skojec [mailto:beth@dimeoil.com] Sent: Friday,September 03, 20213:05 PM To: Kasia Asmolov<kasmolov@fiferry.com> Subject:9/2 Delivery **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.l Move Pre Move Date Time NWENGLPTR u N-10 216.80 - .95 -- -- -- -- 219.30 - .95 08/31 18:00 Shell u N-10 217.15 - .10 -- -- -- -- -- -- -- -- 09/01 18:00 Shell b 125-3 219.35 - .10 -- -- -- -- -- -- -- -- 09/01 18:00 Valero b 1-10 220.03 + .07 -- -- -- -- -- -- -- -- 09/01 18:00 Sunoco b 125-3 220.07 - .06 -- -- -- -- -- -- -- -- 09/01 18:00 Gulf b N-10 220.15 - 1.10 -- -- -- -- 222.65 - 1.10 08/31 18:00 BP b 125-3 220.18 - .15 -- -- -- -- -- -- -- -- 09/01 18:00 XOM b 125-3 220.24 - .13 -- -- -- -- -- -- -- -- 09/01 19:00 Citgo b 1-10 220.28 - .08 -- -- -- -- -- -- -- -- 09/01 18:00 Citgo u 1-10 220.28 - .08 -- -- -- -- -- -- -- -- 09/01 18:00 Irving b 1-10 220.72 - .05 -- -- -- -- -- -- -- -- 09/02 00:01 SaratogaE u N-10 221.22 + 5.00 -- -- -- -- -- -- -- -- 09/02 12:15 Gulf u Net 221.30 + 4.50 -- -- -- -- 223.80 + 4.50 09/02 11:30 Irving u N-10 222.10 + .06 -- -- -- -- -- -- -- -- 09/01 18:00 Valero u N-10 223.03 + 4.00 -- -- -- -- -- -- -- -- 09/02 11:00 S.R.& M. u 1-10 225.50 + 4.00 -- -- -- -- -- -- -- -- 09/02 11:30 Sprague u 1-10 225.72 + 5.05 -- -- -- -- 227.74 + 5.05 09/02 13:00 LOW RACK 216.80 -- -- 219.30 HIGH RACK 225.72 -- -- 227.74 RACK AVG 220.83 Plus vendor mark-up 1.23 Total 222.06 Convert to dollars $ 2.2206 Kasia Asmolov Fishers Island Ferry District Beth Shoiec- betb@dimeoil.com 6office: (203)754-5334®direct: (203)437-6864 bwww.dimeoilco.com �fM [L COMPANY LLC Ufw wYU4 1 FISHERS ISLAND FERRY DISTRICT VENDOR 005326 EFPR GROUP, CPAIS PLLC 09/21/2021 CHECK 7642 A FUND & ACCOUNT P.O.# ( INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 309092 PRGRSS BILLING-20 AUDIT 2,500.00 TOTAL 2,500.00 IN gl Atli 4 J- 61 44, "A .21 y )4, 1"Al A113 A ---- ---- ----- IAll. REVE: c MM. FISHERS ISLAND FERRY DlSiRiCy, bt9, i/-2 53095'MAIN ROAD;PO BOX 1179 SOUTHOLD,NY 11971,0$69- CHE, 6i"go, __764'2__764'2 THE SUFFOLK,CO-NATIONAL Bi CUTCHOGUE,NY 11935 SATE, AMOUNT',, 2 ,5 0 0 20 0, 4" —NO THOUSAND-FIVE'-,'HUNDRED-AND oo/abo Dottm Vs PAY EFPR qROUP, CPA'S PLLC_, rO T HE 6290 ,ATN -STREET, SUITE,;-200- 9RDER, WILLIAMSVILLE NY- 14221 ,q ii'00764 20 1:0 2 140 5 L, FA 1: 68 00 150 2 LV Vendor No. Check No. Town of Southold, New York - Payment Voucher 5326 :zz Vendor Tax ID Number or Social Security Number Entered by 6390 Main Street,Suite 200 Audit Date .EFPR Group,CPAs,PLLC Williamsville,NY 14221 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 309092 8/27/2021 2,600.00 2,500.00 Progress billing for 2020 audit ZM1310.4.000-.000 Res 2018-221 Res 2018-1068 2,500.00 2,600.00 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 Signatu7p. Title Signature(—�� Company Name Fishers and Ferry Date 9/7/2021 Title le,-/Date 1 `A EFPR Group, CPAs, PLLC 6390 Main Street, Suite 200 Williamsville, NY 14221 716-634-0700 Fishers Island Ferry District P.O. Box 607 Attn:Accounting Fishers Island, NY 06390 Invoice No. 309092 Date 08/27/2021 Client No. 7105933 PROGRESS BILLING For professional services rendered from April 27, 2021 to date in connection with our audit of the financial statements of the Fishers Island Ferry District for the year ended December 31, 2020. $ 2.500.00 PLEASE INCLUDE YOUR INVOICE NUMBER ON CHECK INVOICE PAYABLE UPON RECEIPT INVOICES NOT PAID WITHIN 30 DAYS ARE SUBJECT TO FINANCE CHARGES AT A RATE OF 1% PER MONTH. ALL CREDIT CARD PAYMENTS ARE SUBJECT TO A 2 5% FEE AW Or 4 FISHERS ISLAND FERRY DISTRICT J" VENDOR 005738 EVERSOURCE-ELECTRIC 09/21/2021 CHECK 7643 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM'--.5710.4 .000 .100 51981030610921 NLT ELEC ,SVC-8/2-9/1 1,223 .86 TOTAL 1,223 .86 T-------- --- -- - --------------- ---- --------------- ---------- ----------------- ,q tP ivw lw FI9HEkSlSLANFERRY DfS7RCT T'.:0 9`%'2.1'/-z 53095 MAIN ROAD PO BOX 1179, 1 SOUTHOLD,NY-1 1971-0959 THE SUFFOLK CO.NATIONAL BANK' , , CUTCHOGUE,NY,11 s35 DATE' AMOUNT -1,.223:`86- SAM bNE "THOUSAND':TWO'H=RED 'TWENTY THREE'ANbj'b 6/10 0 DOLLARS E P -EVERSOURCE-ELECTRIC MY "Po BoX-" -.',BOSTON 'MA 0215526062 OF" -:mo ov00 7 G I, lis 1:0 2 L L.0 5 4P.Lo: 68 00L502 Ill' Vendor No. Check No. Town of Southold, New York - Payment Voucher 5738777 a Vendor Address Entered by PO Box 56002 _�- Boston,MA 02155-6002 Audit Date u�r <. Eversource ' 2021 SEP""" Vendor Telephone Numbers 888-783-6617 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 51981034010 9/1/2021 $1,223.86 $1,223.86 NLT elec sery 8/2-9/1/21 SM5710.4.000.'100 _ a � 1 _ f q $1,223.86 $1,223.86 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 'Ie� District Date 9/10/2021 Title �Mana Date 9/10/2021 � EVERS=URGE e s by 10/31/21 t . , Account Number: 5198103 4010 Statement Date: 09/01/21 Amount Due On 08/30/21 $2,359.52 Service Provided To: I Last Payment Received On 08/31/21 - -$2,359.52 , FISHER ISLAND FERRY DISTRICT ; Balance Forward $0:00 Total Current Charges $1,223.86 a ,o dzi .yh'•j kWh/Day suppp y Delivery 350- p� ��a $5519.52 $668.34 300 Cost of electricity from Cost to deliver electricity 250- Eversource ftom,Eversource ' - � . ,.. i zoo 150 i' 100 M_m r f I $0 $246 $492 '� -$738 $984 $1,230 0 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Id Aug Sep 62* 52"- 46' 33' 28^ 28 42^ 51- 59' 71- 73- .74- 0- Your electric supplier is Average remper&ffe Eversource PO Box 270 Hartford;CT 06141-0270 This month your This month you used average daily 19.8%less1 9.8 electric use was - than at the 268.0 kWh same time last year USAGE News For You Beginning this month,you will receive a bill credit as a result of the performance penalty assessed by the Public Utilities Regulatory Authority related to Tropical Storm Isaias.This credit is based on usage and varies by customer rate.For the typical residential customer using 700 kWh of electricity a month,the credit is about$1 per month and will be in effect for 12 billing cycles.See'TS Isaias Performance Penalty'on page 2 of your bill. Remit Payment To:Eversource,PO Box 56002,Boston,MA 02205-6002 EVERS'.`.- URCE Account Number: 5198. 103 4010 ' Customer name key:FISH Statement Date: 09/01/21 Service Provided To: Electric Account Summary FISHER ISLAND FERRY DISTRICT Amount Due On 08/30/21 $2,359.52 Last Payment Received On 08/31/21 -$2,359.52 Balance Forward $0.00 Current Charges/Credits Electric Supply Services $555.52 Delivery Services $668.34 Total Current Charges $1,223.86 Meter Current Previous Current Reading Total Amount Due $1,223.86 Number Read Read Usage Type " 892582072 I 90297 I 89494 803 I Actual i W• @bwP@ Ww Total Demand Use=21.80 kW 803 X Meter Constant of 10=8,030 Billed Usage Supplier Eversource Sep Oct Nov Dec Jan Feb Mar Service Reference:952682001 9680 9200 7300 8.350 10160 8270 8890 Generation Srvc Chrg** 8030:OOkWh X$0.06918 $555.52 Apr May Jun Jul Aug Sep - Subtotal Supplier Services $55552 7260 7160 6060 .6100 8200 8030 Delivery Contact Information (DISTRIBUTION RATE:030) Emergency:800-286-2000 - 'Service Reference:952682001 www.eversource.com Transmission Dmd Chrg 19.80KW X$7.92000 $156.82 BusinessCenterCTQeversource.com Distr Cust Srvc Chrg $44.00 Pay by Phone:888-783-6618 Distribution Dmd Chrg 19.80KW X$14.22000 $281.56 Customer Service:888-783-6617 Electric Sys Improvements*** 19.80KW X$1.08000 $21.38 - TS Isaias Performance Penalty 267.7OkWh X$-0.00140 -$0.37 CTA Demand Chrg 19.80KW X$-0.34000 -$6.73 FMCC Delivery Chrg 8030.00kWh X$0.01412 $113.38 Comb Public Benefit Chrg* 8030.00kWh X$0.00726 $58.30 Subtotal Delivery Services $668.34 Total Cost of Electricity $1,223.86 Total Current Charges $1,223.86 IVERSEURCE Total Amount Account Number: 5198103 4010 by ° 311223.86 kCustomer name key:FISH Statement Date: 09/01/21 Service Provided To: , ` FISHER ISLAND FERRY DISTRICT Continued from previous page... Supply Rate Dollars/kWh O1 0-08 0 OB 004 0.02 ILI 0 Sep Oct Nov Dec Jan. Feb Mar Apr May Jun'Jul-Aug Sep Demand Profile Max.Demand 35- 30- 25- 20- 15- 5 5302520155 0 Sep OctNov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 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. 1x1 ' •y � 2 5 CE_210901 PROD TXT-159357.000002541 I 77, FISHERS ISLAND FERRY DISTRICT I °> VENDOR 006155 FEDEX 09/21/2021 ;CHECK 7644 , A r FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I . SM .5710.4.000.000 7-476-84857 AP (1) 38.76 SM .5709.2.000.200 7-483-58972 BOCA PRINTER REPAIR 55.82 SM .5710.4.000.000 7-483-58972 PR (1) AP (1) 70.38 TOTAL 164.96 r I ------- ---- R d`xp.4 %• ' — — .. EJ- ON .., . z,. .e„? '; w :a }, . ... rjs,..•..ps¢."?r , •{..., '. •,i'",,'a','•a I r 'P, ";r,+ .;c:•,r,'ti'w; .:ei;t 4a r..,., .' ed`,,`>nh.`Jam y°4•`' £ .:Y... 'S.yr. ry t, ,.Ca,n: .* ;tom'%5tti' t,.i-a•. °'°"Y. '. ,. '- + '" ., .• - .d"ate° .ro i ss I " . ° Z, ar i - +- -----77 - FISHERS`ISLAND FERRYDISTRICT AUDIT} 0"b/2f/202i,"- 53095 MAIN ROAD;PO,BOX 1'179 SOUTHOLD,NY L1971 As59 .- '' CHECR`'N0. 7,64'4; 3 I THE SUFFOLK CO.NATIONAL BANK ' > I CUTCHO GUE,NY11935 t . .AMOUNT,;-,,AMOUNT - `i - u I ' MAT 50-5481214 09%2;1/Zo2 ' ' $164 ,A9'6' ° END` Hi NDRED` SIXTY_`FOUR`AND 56/100`'DOLLARS ^` ' y FEDEX « ! QTHE , PO. BOX :371461.- ` ER'OF PITTSBURGH PA 152.5,0-7461 1111007644ii' i:0 2 L405464o: 68 00 150 2 1no Vendor No. Check,No ' '''h;'"11;71' 1e'�R- Town of Southold New York- Payment Voucher 6155 - ` Vendor Address P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Audit Date Fedex Vendor Telephone Number 800-622-1147 own Clerk Vendor Contact �.nr Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services p Mrd,�',Geueral�I,edgerFFunflandAcoountNuaiber�� 7-476-84857 8/23/2021 $38.76 $38.76 AP(1) SM571,0.4A00'000 31- A" i 7-483-58972 8/30/2021 126.20� $ $55.82 Boca Printer Repair �y'r„�y SM5709:2:000.200-, ' $70.38 PR(1)AP(1) ' $M571 `:4:000;00� 0 0'=t--. s-3 r3� n TU ”`" $164.96 $164.96 ` 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 Signature! le Signature Company Name Fishers sDistract Date 9/8/2021 Title Manager Date f Fe&� I Invoice Number Invoice Date Account Number Page 7-476-84857 Aug23 2021 1206-0334-5 1of3 Billing Address: Shipping Address: Invoice Questions? FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRYTERMINAL 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 Aug 23,2021 FedEx Express Services Previous Balance 314.74 Total Charges USD $34.95 Payments 0.00 Other Charges USD $3.81 Adjustments TOTAL THIS_INVOICE USD $38.76 New Charges 38.76 New Account Balance $353.50 You saved$3.22 in discounts this periods Other discounts may apply. Payments not received by Sep 07,2021 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_ _ Invoice Dumber Invoice Date Account Number Page 7-476-84857 Aug23 2021 1206-0334-5 2of3 ' FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weight- Transportation Handling Oet Chgffax Payor Type Shipments Ills Charges Charges_ Credits/Other Discounts"Total urges — Shlpper1 2.0 32.18 5.99 -3.22 34.95 -Total FedEx Express 1 2 U $V-16- $5.99 -$3.22 $34.95- Other Charges Summary Invoice Invoice : Original Payments Past Otte _ Number " hate Amount 4plied/Credit Aniouht Rate tbarges Late Fee 7-439-27875 07/19/21 65.77 2.26 63.51 6% 3.81 Totat $61. 1 A TOTAL THIS INVOICE USD l/ $38.76 FedEx Express Shipment Detail By Payor Type(Original) Ship hate.Aug 18,2421" Cust,R04 NO REFERENCE INFORMATION Ret.#2: Payor:Shipper Re03F • Fuel Surcharge'-FedEx has applied a fuel surcharge of 8.50%to this shipment • Temporary local disruption • 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 Automaton AWB Sender Recipient Tracking ID 810997040688 KASIA ASMOLOV KARIANE CHEW Service Type FedEx Priority Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTMOLD ACCCT DEPT Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD T OWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2 O lbs,0.9 kgs Transportation Charge 3218 Declared Value USD 100.00 Discount -3.22 Delivered Aug 19,202115:08 Fuel Surcharge 274 Continued on next page F rew, o InNumber Invoice Date Account Number Page 7-476-84857 Aug 23,2021 1206-0334-5 3 of 3 Tracking ID:810997040688 continued Svc Area A8 OAS Comm 325 Signed by M CONNIE Declared Value Charge 000 FedEx Use 023057132/1486/_ Total Charge USD $3425 Shipper Subtotal USD $34.95 Total FedEx Express USD $34:95 1234-01-00-0005943-0001-0010555 Fed1g. I Invoice Number Invoice Date Account Number Page 7-483-58972 Aug30,2021 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 Aug 30,2021 FedEx Express Services Previous Balance 353.50 Total Charges USD $126.20 Payments 0.00 TOTAL THIS INVOICE USD $126.20 Adjustments 0.00 You saved$1102 in discounts this period New Charges 126.20 !) Other discounts may apply. New Account Balance $479.70 To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. Payments not received by Sep 142021 are subject to a late fee. - r ---- - --Detailed descriptions of-surchar es can_be located at fedex.com -- ti Invoice Number Invoice Date Account Number Page 7-483-58972 Aug30,2021 1206-0334-5 2 of 3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weight Transportation, Handling' Ret Chgf[ax Payor Type ' __ _ _ _. Shipments lbs _ Charges Charges Credits/Other Discounts Total Charges Shipper 1 7.0 46.57 13.91 -4.66 55.82 Recipient 2 2.0 6352 13.22 -6.36 70.38 .Thal FedEx Express _ 3 ." 9.0 $1'111:09 $2313 -$11 Q2 $126.20 TOTAL THIS INVOICE USD $126.20 FedEx Express Shipment Detail By Payor Type(Original) Slip[late:Aug 21,2021 Cust.Ref_-Baca t.ernur RefJ2. Pow.,Shipper Ref#3. - • Fuel Surcharge-Fed Exhas applied a fuel surcharge of 8 50%to this shipment • Distance Based Pricing,Zone 5 Automation INET Sender Recipient Tracking ID 774588818202 Anatoly Voronov MarkValidzic Service Type FedEx 2Day CIS Ventures Self-Service Networks Package Type Customer Packaging 445 Oglethorpe Lane 28 Jacome Way Zone 05 DULUTH GA 30097 US MIDDLETOWN RI 02842 US Packages 1 Rated Weight 7.0 lbs,3.2 kgs Transportation Charge 46.57 Declared Value USD 900.00 Discount -4.66 Delivered Aug 23,202113 44 Fuel Surcharge 3.56 Svc Area A5 DirectSignature -000 Signed by M ARK Declared Value Charge 10.35 FedEx Use 000000000/6046/_ Total Charge USD $55.82 Shipper Subtotal USD $55.82 Invoice Number Invoice Date FAccount Number Page 7-483-58972 Aug30 2021 1206-0334-5 3 of 3 chip Date,Aug 20,2021 ; ` Oust,Ref.%O REFERENCE INFORMATION ROW: Payer:Recipient Rot#1 • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 8 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 816377478281 DIANA WHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERY 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 10 lbs,0 5 kgs Transportation Charge 31.76 Delivered Aug 23,202109:02 Discount -3.18 Svc Area A9 Fuel Surcharge 276 Signed by N WHITE DAS Extended Comm 3.85 FedEx Use 023270893/1486/_ Total Charge USD $35.19 $hip Gate:Aug 25,20 1. _ Oust,Rei:NO REFERENCE INFORMATION' 9002: f: ;Recipient Ref# : • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 8 50%to this shipment • Distance Based Pacing,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 816377478270 LAURAARENA GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT Package Type FedEx Pak 53095 MAIN RD 261 TRUMBELL DRIVE Zone 02 SOUTHOLD NY 11971 US FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 1.0 lbs,0 5 kgs Transportation Charge 31.76 Delivered Aug 26,202110:25 Discount -3.18 Svc Area A9 Fuel Surcharge 2.76 Signed by N.WHITE DAS Extended Comm 3.85 FedEx Use 023793193/1486/_ Total Charge USD $35.19 Recipient Subtotal USD $70.38 Total FedEx Express USD $126.20 1240-01-00-0009940-0001-0020445 FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND, UTILITY CO 09/21/2021 CHECK 7645 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 1100130821 TELEPHONE-FIT-8/21 262.90 SM .5710.,4.00-0.200 1100130821 INTERNET-FIT-8/21 1,63'52 SM .5716.4.000.200 1100130821 ELECTRIC-FIT-8/21 3'86.64 SM .5710.4.000.260 1100130821 WATER-FIT-8/21 41.55 . 1100130821 TELEPHONE-THEATRE-8/21 44 SM .7155.4.000.000 71 SM .7155.4.000.000 1100130821 INTERNET-THEATRE-8/21 146.99 SM .7155.4.000.000 1100130821 ELECTRIC-THEATRE-8/21 2.56.50 SM .7155.4.000.000 1100130821 , WATER-THEATRE-8/21 73.62 SM .5709.2.000.100 14,00130821 TELEPHONE-WHISTLER-8/21 33.05 i is fi SM .5709.2.000.100 1100130821 ',INTERNET-WHISTLER-8/21 68.00 Sm .5709.2.000.100 1100130821 y-,E144P7 TRIC-WHISTLER-8/2 1 216.44 _.SM__._57_09_.2_._000.100- ---- --- --------- -____110-0.130821_ W.A.,'g)9R:-w_WRIS_TLER-_8/21------------ 100_,4_7_____ SM .5610.4.000.000 1,1 QQ13 0,82 TJZ. C-AIRPORT-8/2 1 238.73 TOTAI; 2, 033.12 "In '7 ie \ \\ ,,7b ---- -- -------- - ----- ---- - - -- ---- ----------- ' FISHERS ISLAND FERRY DISTRICT ,AUDIT 6_9%2 i'%2 0 2 1 % _$3095MAIN ROAD,P0B0X1179 - ",I -, I SOUTHOLD,NY 11971--0959 CHECK, 45, ' THE SUFFOLK CO.NATIONAL BANK , j CUTCHOGUE,NY 11935 DATE AMOUNT` '09/21' 2021'x' i 454 "TWO -THOUSAND THIRTY THREE-,AND 12/TOb'WLLARS qj PAY. ,FISHERS ISLAND UTILITY CO 4 PQlBOX"BOX'-6 Q 4 0)1 FISHERS ISL JW' D NY 063H-0604' 115007645ilw 1:0 2 140 54641: 68 001502 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 6412 -1 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO BOX 604 Vendor Name Fishers Island, NY 06390 Audit Date FISHER ISLAND UTILITY COMPANY SEP 2 1 2021 Vendor Telephone Number Vendor Contact wn 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 1100130 9/1/2021 $ 2,033.12 $ 262.90 Telephone August 2021 FIT SM.5710.4.000.200 $ 163.52 Internet August 2021 FIT SM.5710.4.000.200 $ 386.64 Electric August 2021 FIT SM.5710.4.000.200 $ 41.55 Water August 2021 -FIT SM5710.4.000.200 $ 44.71 Telephone August 2021 -Theatre SM.7155.4.000.000 $ 146.99 Internet August 2021-Theatre SM.7155.4.000.000 $ 256.50 Electric August 2021 -Theatre SM.7155.4.000.000 $ 73.62 Water August 2021 Theatre SM.7155.4.000.000 $ 33.05 Telephone August 2021-357 Whistler SM5709.2.000.100 $ 68.00 Internet August 2021-357 Whistler SM5709.2.000.100 $ 216.44 Electric August 2021-357 Whistler SM5709.2.000.100 $ 100.47 Water August 2021-357 Whistler SM5709.2.000.100 $ 238.73 Electric August 2021-Airport SM5610.4.000.000 $ 2,033.12 $ 2,033.12 3ayee Certification Department,Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,a payment is approved Signature Title Signatu Company Name Fishers Island Ferry Date 9/10/2021 Title Mana er Date Page: 1 of 14 Account: 1100130 P.O. Box 604 Bill Date: Sep 01 2021 Fishers Island, NY 06390 Name: F I FERRY DISTRICT CO.UTILITY CST 1918 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 $3,619.06 Monday-Friday 8 am-Noon&1 pm-4:30pm Payments and Adjustments(see details) $3,619.06CR Email:Phone,Electric&Water-billing@fiuc.net Unpaid Balance as of Aug 31 $.00 If you pay by check,this is notification that the check may be converted to an electronic deposit. Please detach and return below portion with your payment. Fishers Island Telephone Corporation $28483 Fishers Island LD $55.83 Register for ECare to view your bill and make Fishers Island-ISP $37851 payments online. Fishers Island Electric Corporation $1,098.31 -Go to www.fiuc.net Select ECare:View/Pay My Bill. Fishers Island Water Works Corporation $215.64 -Select Register and follow the step instructions. Total Current Charges $2,033.12 -in Step 3 Click on(Show Me)to locate your account code on your bill. Total Amount Due by Sep 25 $2,033.12 Page: 2 of 14 Account: 1100130 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT How to Reach FISHERS ISLAND UTILITY CO. For quiries --By Phone::631-788-7251 press 4 for Telephone, press 5 for Electric/Water --Webs Mail: PO BO 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 1-800-662-1220Hearing/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 ♦ Page: 3 of 14 P.O. BOX 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT Payments and Adjustments Payments Payment Received Aug 02 1,556.21CR Payment Received Aug 30 2,062.85CR Total Payments and Adjustments 3,619.06CR 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 interLATA long distance: 631 788-5523 631 788-7031 631 788-7345 631 788-7655 Fishers Island Telephone Monthly Service Monthly Service from Sep 01 through Sep 30 631 788-5523(FAX/DSL/MAINOFFICE) 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 Sep 01 through Sep 30 631 788-7031 (MOVIE THEATER) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 gEFUS ISL Page: 4 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICTUTILITY CO3 - Monthly Service Monthly Service from Sep 01 through Sep 30 (continued) 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. 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 Sep 01 through Sep 30 631 788-7345(FREIGHT OFFICE) Business Local Service ** 2300 Access Recovery Charge ML Bus ** 300 End User Charge-Multi Line ** 920 Toll Restriction-Business ** 4.00 Total for 631 788-7345 39.20 Total Monthly Service Charges 39.20 ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.88 NY State Surcharge 1.28 Total Taxes and Surcharges 5.51 Monthly Service Monthly Service from Sep 01 through Sep 30 631 788-7463(MANAGERS OFFICE) Business Local Service ** 2300 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Total for 631788-7463 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non—payment will result in disconnection of basic service. • Page: 5 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT UTILITY CO. &S'r 191t 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 Sep 01 through Sep 30 631788-7580(FIO ROLLOVER) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 920 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 3.88 NY State Surcharge 1.16 Total Taxes and Surcharges 5.39 Monthly Service Monthly Service from Sep 01 through Sep 30 631788-7655(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 Sep 01 through Sep 30 631 788-7744(FI TICKETING) Business Local Service ** 2300 Access Recovery Charge ML Bus ** 3.00 • Page: 6 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT UTILITY • Monthly Service Monthly Service from Sep 01 through Sep 30 (continued) 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. 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. Monthly Service Monthly Service from Sep 01 through Sep 30 631788-7463(MANAGERS OFFICE) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631788-7463 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00 minutes Used 30:00 minutes Total Usage Charges .00 Page: 7 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7463(MANAGERS OFFICE) 1 Jul 27 8:24 47am Jackson WY 307 690-8833 Direct 500 2:00 .00 2 Aug 06 12.13:53pm Southingtn CT 860 637-4626 Direct 500 1:00 .00 3 Aug 06 2:50:38pm New York NY 917 482-4307 Direct 500 1:00 .00 4 Aug 13 2:02:19pm -Syracuse NY 315 703-4244 Direct 500 26.00 .00 Total of 4 calls for 631 788-7463 30:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Sep 01 through Sep 30 631 788-7580(Flo ROLLOVER) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631788-7580Total 9-- Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00 minutes Used 200:00 minutes Total Usage Charges .00 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7580(FIO ROLLOVER) 1 Jul 27 9.01:12am Humboldt IA 515 604-9776 Direct 500 19:00 .00 2 Jul 27 9:41:28am Brooklyn NY 917 685-1833 Direct 500 2:00 .00 3 Jul 27 3 51:48pm Torrington CT 860 459-7619 Direct 500 1:00 .00 4 Jul 27 3.53:54pm Torrington CT 860 459-7618 Direct 500 1.00 .00 5 Jul 28 9:21:35am New York NY 212 510-0128 Direct 500 1.00 .00 6 Jul 28 11:07:37am Laguna Bch CA 949 395-4540 Direct 500 1:00 .00 7 Jul28 1:45:22pm Bethesda MD 301229-9436 Direct 500 2:00 .00 8 Jul 30 10:59:05am Glastonby CT 860 368-8368 Direct 500 2:00 .00 9 Aug 03 11:11:58am Chicago IL 312 416-1518 Direct 500 7:00 .00 10 Aug 04 11:13 32am Bridgeport CT 203 650-0327 Direct 500 5:00 .00 11 Aug 04 2:53:56pm Mystic CT 860 536-4931 Direct 500 1:00 .00 12 Aug 05 9:01:55am Southold NY 631 765-4333 Direct 500 3:00 .00 13 Aug 05 11:01:06am Wapello IA 319 527-2714 Direct 500 7:00 .00 14 Aug 06 1.59:07pm Wapello IA 319 527-2714 Direct 500 21:00 .00 15 Aug 09 2:55:55pm Riverhead NY 631 852-1461 Direct 500 4:00 .00 16 Aug 09 3:02:44pm Chicago IL 312 416-1518 Direct 500 1.00 .00 17 Aug 09 4:43-12pm Lynn MA 781 710-3546 Direct 500 1:00 .00 18 Aug 10 11:19:11am Glastonby CT 860 368-8368 Direct 500 1.00 .00 19 Aug 10 11'29:33am Glastonby CT 860 368-8368 Direct 500 1:00 .00 20 Aug 10 12:07:34pm Glastonby CT 860 368-8368 Direct 500 3.00 .00 Page: 8 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT Toll Detail (continued) Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631 788-7580(Flo ROLLOVER) (continued) 21 Aug 11 12:10.40pm Riverhead NY 631 852-5280 Direct 500 8:00 .00 22 Aug 13 9 43:27am New Haven CT 203 314-4692 Direct 500 3:00 .00 23 Aug 13 12:58-24pm Phldlphzn1 PA 267831-0333 Direct 500 20:00 .00 24 Aug 16 8 29:44am Glastonby CT 860 368-8368 Direct 500 2:00 .00 25 Aug 16 10:23:58am Riverhead NY 631 852-4020 Direct 500 2.00 .00 26 Aug 17 9.01 45am Humboldt IA 515 604-9776 Direct 500 2:00 00 27 Aug 18 9:18 01 am New London CT 860 514-7346 Direct 500 1:00 .00 28 Aug 18 11:42:54am Concord MA 978 505-5720 Direct 500 1:00 .00 29 Aug 18 1:58:49pm New York NY 917 903-3516 Direct 500 2:00 .00 30 Aug 18 2:03:55pm Glastonby CT 860 368-8368 Direct 500 1.00 .00 31 Aug 18 2:04.25pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 32 Aug 18 2:04:44pm Glastonby CT 860 368-8368 Direct 500 3:00 .00 33 Aug 19 9:53:28am Hobe Sound FL 772 263-0182 Direct 500 3:00 .00 34 Aug 20 9:00.12am Southold NY 631 765-4333 Direct 500 3:00 .00 35 Aug 20 10:47:23am New London CT 860 447-3903 Direct 500 1 00 00 36 Aug 20 1:01:12pm Nwyrcyzn08 NY 929 205-6099 Direct 500 17:00 .00 37 Aug 24 9:35:56am Glastonby CT 860 368-8368 Direct 500 1.00 00 38 Aug 24 10:44 06am Nwyrcyzn01 NY 917 536-8288 Direct 500 1:00 .00 39 Aug 26 10:07:02am Lynn MA 781 710-3546 Direct 500 1:00 .00 40 Aug 26 10:53:33am Wpalmbeach FL 561 568-1270 Direct 500 3:00 .00 41 Aug 26 11:15.08am Glastonby CT 860 368-8368 Direct 500 3:00 .00 42 Aug 26 2:58:36pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 43 Aug 27 984:41 am Southold NY 631 765-4333 Direct 500 1:00 .00 44 Aug 27 1.08:56pm Nwyrcyzn01 NY 646 518-9805 Direct 500 5:00 .00 45 Aug 30 8:31:54am Wapello IA 319 527-2714 Direct 500 18:00 .00 46 Aug 30 12:35:50pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 47 Aug 31 2:42 36pm Hartford CT 860 573-3957 Direct 500 10:00 .00 48 Aug 31 3:03:59pm Eprovidnce RI 401 437-4858 Direct 500 1:00 .00 Total of 48 calls for 631 788-7580 200:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Monthly Service Monthly Service from Sep 01 through Sep 30 631 788-7744(FI TICKETING) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631788-7744 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: 9 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 Name: F I FERRY DISTRICT r Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631 788-7744(FI TICKETING) 1 Aug 19 9:18:07am Riverhead NY 631 852-4020 Direct 500 1:00 .00 Total of 1 call for 631 788-7744 1:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Total Fishers Island LD Charges 55.83 Fishers Island Internet Monthly Service Monthly Service from Sep 01 through Sep 30 _ - r isp-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 Sep 01 through Sep 30 isp-1001010114(FERRY MAIN OFFICE) 12 Month"Best"Internet 160.00 Internet Infrastructure Fee 3.00 Total for isp-1001010114 163.00 Total Monthly Service Charges 163.00 Monthly Service Monthly Service from Sep 01 through Sep 30 isp-BSM-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: Sep 01 2021 Name: F I FERRY DISTRICT vi' TILITY 1 Taxes and Surcharges Internet Service Suffolk County .28 NY Sales Tax .24 Total Taxes and Surcharges .52 Total Fishers Island - ISP Charges 378.51 L Page: 11 of 14 P.O. Box 604 Account: 1100130 a`- Fishers Island, NY 06390 Bill Date: Sep 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) 177.13 Demand Charge .00 Fuel Adjustment - Fuel Adjustment Factor.01272 Per KWH 757 NY State Tax 528 Current Previous Energy Used Charges MASTER 23325 - 22730 REG. 595 KWH 17713 DEMAND 0.00 DMD. 0 00 KWH .00 DATE 08/25/21 07/19/21 DMD.MIN 0.00 Meter Multiplier 1 00 Total Energy Charges for RENTAL HOUSE 216.44 FREIGHT SHED, BLDG 208 Current Charges Commercial Electric Rates Class 5 1820 Energy Charge(See detail below) 115.12 Demand Charge 2931 Fuel Adjustment Fuel Adjustment Factor.00496 Per KWH 2.75 Current Previous Energy Used Charges MASTER 9129 8575 REG. 554 KWH 11512 DEMAND 2.31 DMD 2.31 KWH 29.31 DATE 08/25/21 07/19/21 DMD.MIN. 231 Meter Multiplier 1 00 Total Energy Charges for FREIGHT SHED, BLDG 208 165.38 THEATRE Current Charges Commercial Electric Rates Class 5 1820 Energy Charge(See detail below) 23274 Demand Charge .00 Fuel Adjustment Fuel Adjustment Factor.00496 Per KWH 5.56 Current Previous Energy Used Charges MASTER 1177 1163 REG. 1120 KWH 232.74 DEMAND 0.00 DMD. 0.00 KWH .00 DATE 08/26/21 07/19/21 DMD.MIN 000 Meter Multiplier 80.00 Total Energy Charges for THEATRE 256.50 AIRPORT Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 177.46 Demand Charge 38.83 Fuel Adjustment Fuel Adjustment Factor.00496 Per KWH 4.24 op Page: 12 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021Name: F I FERRY DISTRICT Current Previous Energy Used Charges MASTER 33069 32215 REG. 854 KWH 177.46 DEMAND 3.06 DMD 3.06 KWH 38.83 DATE 08/25/21 07/19/21 DMD MIN. 0.00 Meter Multiplier 1.00 Total Energy Charges for AIRPORT 238.73 BUSINESS OFFICE Current Charges Commercial Electric Rates Class 5 1820 Energy Charge(See detail below) 164.37 Demand Charge 34.77 Fuel Adjustment Fuel Adjustment Factor.00496 Per KWH 3.92 Current Previous Energy Used Charges MASTER 9413 8622 REG. 791 KWH 164.37 DEMAND 2.74 DMD. 2.74 KWH 34.77 DATE 08/25/21 07/19/21 DMD.MIN. 1 98 Meter Multiplier 1.00 Total Energy Charges for BUSINESS OFFICE 221.26 Total Fishers Island Electric Corporation Charges 1,098.31 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis.Federal and State Taxes are billed when applicable.A complete copy of our rate schedule can be obtained at the offices of the Fishers island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines,meters and other costs.This charge will be billed whether or not you use energy. KWH(KILOWATTHOUR): A KWH equals 1,000 wart-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 $0.2185 A I KWH $0.4101 All KWH $0.2977 Over 1,000 KWH $0.2503 COMMERCIAL ELECTRIC RATES CLASS 5 Minimum Charge $18.20 Demand Charge $12.69 per KWH Energy Charge $0.2078 per KWH Page: 13 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 lop Name: F I FERRY DISTRICT r Fishers Island Water RENTAL HOUSE Current Charges System Improvement Charge 7.38 Water Class 2,Meter 5/8 49.40 07/26/21 -08/23/21 Water Usage Detail Meter#1564430356 Current Meter Reading 7969 Previous Meter Reading 7216 Cubic Feet Used 753 Gallons(Cubic Feet x 7.5) 5648 Total Water Usage Charge 43.69 Total for RENTAL HOUSE 100.47 THEATRE Current Charges System Improvement Charge 5.41 Water Class 2,Meter 5/8 49.40 07/26/21 -08/23/21 Water Usage Detail Meter#1564600656 Current Meter Reading 2784 Previous Meter Reading 2232 Cubic Feet Used 552 Gallons(Cubic Feet x 7 5) 4140 Total Water Usage Charge 18.81 Total for THEATRE 73.62 BUSINESS OFFICE Current Charges System Improvement Charge 305 Water Class 1,Meter 5/8 38.50 07/26/21 -08/23/21 Water Usage Detail Meter#1564573058 Current Meter Reading 4771 Previous Meter Reading 4415 Cubic Feet Used 356 Gallons(Cubic Feet x 7.5) 2670 Total Water Usage Charge .00 Total for BUSINESS OFFICE 41.55 Total Fishers Island Water Works Corporation Charges 215.64 Page: 14 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Bill Date: Sep 01 2021 f Name: F I FERRY DISTRICT THILITY Co. CST 19it UNDERSTANDING YOUR WATER BILL Water usage is billed monthly.Your contract is on a non-transferable basis.Monthly minimum charges are based on meter sae and class.Federal and State taxes are billed where applicable.A complete copy of our rate schedule can be obtained at the offices of Fishers Island Utility Company office building. CLASS 1 Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $38.50 3,000 3/4 $57.80 4,500 1 $96.20 7,500 11/4 $134.70 10,500 11/2 $192.50 15,000 2 $308.00 24,000 3 S615.90 48,000 4 5962.40 75,000 6 51,92480 150,000 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 3/4 574.20 4,500 1 5123.60 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 $1,235.10 75,000 6 $2,472.30 150,000 Water usage over the minimum is billed at$16.50 per thousand gallons. Ir FISHERS ISLAND FERRY DISTRICT kd VENDOR 006482 PAUL J. FOLEY 09/21/2021 CHECK 7646 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8 .000.000 G0230330801921 REIMB-RETIREE RX-9/211 101.25 TOTAL 101.25 1j --- --------- -- ------ --- -- --- ------ ---- ---------- A" "" Z g- 'N i. A liT, U J,i ---------- - -------- ------ - -------- I. a 0 . FISHERS ISLAND'FERRY DISTRICT AUDIT 09/'21/-2621_''I" 53095'MAIN ROAD;PO.BOX 1179' SOUTHOLD,,NY 11971-096.9 CH 646", --7 THE SUFFOLK CO.NATIONAL'BANK ! MM Mf CUTCHOGUE,NY 11935 DATE AMOUNT" "y" 2 D ,ONE AND 60 DOLLARS' 50=546 1 ,-OP, 1/2,021_' --ONE PAUL J. FOLEY,; (5 0'-_WfL'LIAMS,,S TO THE, _REET T 9$PER o , NEW' LONDON CT 0632'0 OF - 0 0 7 E3 L, P3 1:0 2 14054P3L.1: 68 OOLS02 Ilio Vendor No. Cbeclt No.- Town of Southold, New York - Payment Voucher 6482 ° Vendor Address Entered by 690 Williams Street -1 New London, CT 06320 Audit Date ' , Foley, Paul SEP2 11021- Vendor Telephone Number q'Cllerkk ^ Vendor Contact lll......000' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ,'} G0230330801 8/17/2021 $135.00 $101.25 Anthem Retiree Prescription Plan Sept 2021 .,SM9060.8.000.000 - ($33.75) 75% Reimbursement t Paul Foley Ck#3246 8/17/21 k , i $101.251 1 $101.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature Title Signature Company Name Fps a and Ferry District Date 9/2/2021 Title Manager Date dicareRx (PDP) Customer Care: 1-$$$—(20-1747 Connecticut Massachusetts I Rhode Island I Vermont Tl 18 P1,19165(270)093351050601 III°III°1I'111'IIIIIIII'II"IIi'I''IIII'IIII"'III°II111I1I1611° � . , � �� , PAUL JFOLEY Payments received after the due date ma 690 WILLLIAMSIAMS ST y NEW LONDON,'CT 06320-4132 appear on,your next invoice. air}°';�'� s',,^��•��:yX6"">`�s'St $135.00 09/,01/2021. 80 G0230330 1 Payment�Options� - , , • For check a $ • p yment or automatic withdrawal,from your bank account(ACH),use,the form below. For credit card payment or withholding from your SSA/RRB check, call 1-888-620-1747. • �For one time credit carda p yment through our automated system, call 1-866-535-8407. Previous Balance Payment Activity Since Last Invoice 5135.00 Pave -$135.00 Check Payment-3238 Date Received Amount 07/26/2021 -$135.00 Activity Detail - Transaction Tyne $135.00 Premium Premium Month Amount '3� SEPTEMBER 2021 $135.00 Amount Due (� \ $135.00 690, VWLLtAMs sr: 324;6_ ) 'NEVI/LONDON,CT os320 5%12t�r22t;t Date _654wm�0. d:the r of �' � •,., - -. �o {�, : �=Dollars �"'��. E Iunai - .,.--� peoples.com 4 Z 2 b17,246,64, L,6 3,090 2 L 218 po I TT- Utz FISHERS ISLAND FERRY DISTRICT VENDOR 009682 GOOSE ISLAND CORP 09/21/2021 CHECK 7647 A FUND & ACCOUNT P.O INVOICE DESCRIPTION AMOUNT '14 SM .5710.4.000.625 803893 FI FORK 10.008 GAL 43 .32 SM .5710.4.000:625 804034 FI FORK 5.159 GAL 23 .47 SM .5710.4.000.625 804264 FI FORK 4.478 GAL DIESEL 20.19 i. SM .5710.4 .000-.625 804264 FI FORK 9.813 GAL 44.64 FI FORK 5.129 GAL 18 m SM .5710.4 .000.625 904112 23 .62 21 SM .5710.4 .000,625 904112 FI FORK 4.928 GAL DIESEL 22.22 TOTAL 177.46 A -------- ---- --- ------ - -- - ---- --- ------------ -- ------ 'T R`- 41, ;4 lv o k- F ERS ISLAND FEkR Y-DISTRICr', ISH (ATjb''t*"Q"9"/-2,1/2'02 53095 MAIN ROAD;PO BOX 1179, 10.- S0UTHOLQ,,NY.T197t,0959 CHEC ," N ' THE SUFFOLK CO;'NATIONAL'BANK -2 CUTCHOGUE.NY,11935 ','AMOUNT.., *-qpX 50!5461214 HUNDRED; I SEVEN AND 4 100 "DOLLARS', 2 F". 71 PA Y, GOOSE.ISLAND CORP C. IT677_E: P101-BOX'49 OF9Rb-ER"- 1633, CENTRAL =AVENUE, ' FISHERS ISLAND NY 06390-0049, ,M- 0 0 764 Iii' 1:02140546L,1: 68 00LS02 1115 Vendor No. Check No. Town of Southold, New York - Payment Voucher 9682 Vendor Address Entered by, 1633 Central Avenue ° " Vendor Name P.O. Box 49 Audit Date Goose Island Corporation Fishers Island, NY 06390 ��'� � ' Vendor Telephone Number SEP 2.'---1' 20211----" 631-788-7311 Tovim Clerk Vendor Contact Susan Invoice Invoice Invoice Net Purchase Order " Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ; 803893 7/28/2021 $43.32 $43.32 FI fork 10.0088 @$4.329 " SM5710.4.000.625° 804034 8/5/2021 $23.47 $23.47 FI fork 5.1598 @$4.549 _°"°`'W6740.4.000.625 t 804112 8/11/2021 $45.84 $22.22 Diesel 4.9288 @$4.509 SM5710.4.000.625, $23 FI fork 5.1298 @$4.549 SM5710.4.000.625 804264 8/19/2021 $64.83 $44.64 FI fork 9.8138 $4.549 SM5790.4.000.625 $20.19 Diesel 4.478g $4.509 SM6710.4.000.625,� 9 $177.46 1 $177.46 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 discrepancies noted,and payment is approved Signature Title Signature Company Name Fis ers s and Ferry District Date 9/9/2021 Title Manager ate 9/9/2021 Goose Island Corporation , P.O. Box 49 Statement Fishers Island, NY 06390 c Date 8/27/2021 To FI Ferry District P.O.Box 607 Fishers Island,NY 06390 Amount Due Amount Enc. $177.46 Date Transaction Amount Balance 07/27/2021 Balance forward - 15732 07/28/2021 INV#803893 Due 07/28/2021. 43.32 20064 ---Regular, 10.008 @$4 329=43.32 ---Gas cans ---Capt.&Chris ---Tax:Exempt @ 0.0%=0.00 (� 08/05/2021 INV#804034.Due 08/05/2021. p d 23 4 224.11 ---Regular,5.159 @$4.549=23.47 J/ ---Michael ---Tax:Exempt @ 0.0%=0 00 08/11/2021 INV#804112 Due 08/11/2021 45.84 26995 ---Diesel,4.928 @$4.509—22.22 ---Regular,5.192 @$4.5 — 62 1� ---Cans YYY ---Michael ---Tax.Exempt @ 0.0%=0.00 08/17/2021 PMT#7557-8/10/2021. e-;—' -15732 112.63 08/19/2021 INV#804264.Due 08/19/2021. ✓ 64.83 17746 ---Regular,9.813 @ -_Diesel.4.4.7.8_@$4.509.509 _ 20.19 _ __ _ _ _ _ _ __ _ _ ,_ _ ___ _ _ -- --- ---Gordon ---Tax.Exempt @ 0.0%=0 00 � �� 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 0.00 177.46 000 0.00 0.00 $177.46 Goose Island Corp - - — Goose Island Corp P.O. Box 49 P.O. Box 49 Fishers Island, NY 06390 Fishers Island,-NY`06390 831-788-7311 831.788-7311 CUSTOMER'S ORDER NO PHONE DAT /� ' CUSTOMER'S ORDER NO PHONE DA NAME NAME ADDRESS ADDRESS CASH C 0 D CHAR E CCT MD ETD PAID OUT CASH C 0 D CHARGE ON ACCT MDSE RET'D PAID OUT CASH C 0 D CHJE CA Wp-e4 1 I I 6 I I I 1 I I 41 I �(1 I I j 0 I I F I I I I I I I I I I fl ' TAX TAX SOLD BY FCVED BY SOLD BY REQ IV Y --� TOTAL , i�� TOTAL E PRODUCT 609T ® All clam and returne goods MUST be accompanied by this bill E PRODUCT 609T All claims andjr,urned goods MUST be accompanied by this bill - 803893 THANK YOU 804034 THANK YOU l Goose Island Corp Goose Island Corp P.O. Box 49 P.O. Box 49 Fishers Island, NY 06390 Fishers Island, NY 06390 831-788-7311 831-788-7311 CUSTOMER'S ORDER NO PHONE DAT •�I'�^ I CUSTOMER'S ORDERNO PHONE DAT -��♦/�^^ L/ I NAME NAME ADDRESS ADDRESS( I CASH COD CHARGE ON ACCT MDSE RET'D PAID OUT CASH C 0 D CHARGE ON ACCT MDSE RETD PAID OUT 4I� I I I (^J1 2 Q9\ I I Y I I I I I I I I I I I \ I I ♦ I I I _ I I I I I I TAX TAX SOLD BY REC D Y f•I SOLD BY RE IVE Y TOTAL `3 1 r TOTAL E PRODUCT 609T All claims and returned goods MUST be accompanied by this III E PRODUCT609T ® All claims and returned goods MUST be accompanied by this bill 804112 THANK YOU L 804264 THANK YOU' FISHERS ISLAND FERRY DISTRICT VENDOR 019216 GRANITE GROUP. WHOLESALERS, LLC 09/21/2021 CHECK 7648 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 13602816-00 NLT SUPPLIES t74.66 SM .5710.2 .000.200 13844733-00 RP SUPPLIES 54.20 TOTAL 128.86 J I oo ------ -- ----- N 4,i P 7 41" W, 2 -- ---------------------- --- ------- -- -- 74 -Z A FISHERS ISLANDPEPfi ibiSTRIC T AUDIS--0*41/- f/`20-' l 53095 MAIN ROAD;P0 BOX 1179 SOUTHOLD,NY 11971 -0959 Nd,,." 8, THE SUFFOLK CO.NATIONAL CUTCHOGUE,NY 11935 MOUNT" F DATE, A 09, 4 21;. 0 60-546/214, RE: Wn ONE`HUNDRED.-TWENTY UNDRED,-TWENTY EIGHTA'N'b" 86/1-'00" DOLLARS_' 'o j PRANITE, GROUI?,,WHOLESALERS, LLC "0 TOTllff G, STORRS, STREEV 9s IORDE - 2004"' 0 OF, P BOX CONCORD NH 03302 77, J 00 Iii' 11'00 7 G 413 1:0 2 1 ti 0 S G t.1: G 8 Vendor No. Check No. Town of Southold, New York- Payment Voucher 19216 , M Vendor Address Entered by P.O. Box 2004 VendorName Concord, NH 03302-2004 A6dit Date Granite Group,The Vendor Telephone Number 'S EP 860-442-4348 Town Clerk, q 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 13602816-00 6/212021 $ 74.66 $ 74.66 NLT supplies 4 ,SM570.2.000.200, 13844733-00 8/30/2021 $ 54.20 $ 54.20 RP supplies S M571 0.'2.060.206' $128.86 $128.86 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 �� Signature Title District 9/712021 Title to Company Name Fis er F D. Date THE Invoice INVOICE DATE INVOICEUMBE; GRANITE 06/02/2171 13602816-00 GFICU111= P.O.NO. PAGE SLID AS OUR NAME race pt 1 of 1 6 Storrs Street ' Concord,NH 03301 The Granite Group (860)629-7900 PO BOX 2004 Concord,NH 03302-2004 TO VIEW ONLINE . . CUST#: 27698 http://thegranitegroup.billtrust.com TOKEN:USE THIS ENROLLMENT BILL TO: IQMZ LDG BKR SHIP TO: FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES P O BOX 607 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND,NY 06390-0607 P O BOX 607 FISHERS ISLAND,NY 06390 POINTINSTRUCTIONS SHIP SHIPPED TERMS The Granite Group BR 44 PICK UP 06/02/21 ar 2%10thN30 LINE PRODUCT QUANTITY QTY. QUANTITY QTY UNIT AMOUNT • AND DESCRIPTION ORDERED SHIPPED : • MR70885 1 1 0 EACH 649 6M 1/2"X 1429"B/M PTFE Thread Seal Tape 2 0803311-12 2 1 1 EACH 6817 68.17 0331-1-1/2 1/2"CP LVR HD SELF CLOSE STR STOP 2 Lines Total [�ty Shipped Total 2 Total 74.66 iI Invoice Total I 74.66 Cash Discount 149 If Paid By 07/10/21 I I � � .n Import your invoices directly in to your accounting system l Never print another Invoice again Stay organized by managing your bills In our online portal. qb Please visit us at. http//thegranitegrouo billtrust com TERMS.A 2%per month service charge will be added to all invoices past due 30 days or more.This is an annual rate of 24%.All claims must be made within 20 days,no material may be returned without prior permission.Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking charges THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,'LOCATED AT WWW THEGRANITEGROUP.COM/TERMSANDCONDITIONS/.THE"TERMS AND CONDITIONS"LOCATED AT WWW.THEGRANITEGROUP COMITERMSANDCONDITIONSH ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW. THEGRANITEGROUP COM/TERMSANDCONDITIONS.BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE. goammotts THE Invoice INVOICE DATE INVOICE 1 /21 13844733-00 GRANITE111TE 08/30• e NO. SOLID AS OUR NAME monatucket 1 of 1 6 Storrs Street REMIT TO: Concord, NH 03301 The Granite Group (860)629-7900 PO BOX 2004 Concord,NH 03302-2004 TO VIEW ONLINE • . CUST#: 27698 http://thegranitegroup.billtrust.com BILL TO: QMZ LDG BKR • SHIP TO: FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES P O BOX 607 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND,NY 06390-0607 P O BOX 607 FISHERS ISLAND,NY 06390 POINTINSTRUCTIONS SHIP The Granite Group BR 44 PICK UP 08/30/21 ar 2%10thN30 LINE PRODUCT QUANTITY QTY. OUANTITY QTY UNIT AMOUNT N 0. AND DESCRIPTION ORDERED SHIPPED B.O. U/M PRICE (NET) 1 1 10pvcp 5 5 0 EACH 10.84 5420 ! 1"X 10'Sch 40 PVC Pipe P/Length j 1` Lines Total Qty Shipped Total 5 Total + 54.20 Invoice Total 54.20 Cash Discount 1.08 If Paid By,09/10/21 q C� { i I I I f s Import your invoices directly in to your accounting system!!! f Never print another Invoice again.Stay organized by managing your bills In our online portal. I qb Please visit us at• htkp//theciraniteciroup.billtrust.com _1 C TERMS:A 2%per month service charge will be added to all invoices past due 30 days or more This is an annual rate of 24% All claims must be made within 20 days,no material may be returned without prior permission.Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking charges THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,"LOCATED AT WWW. THEGRANITEGROUP.COM/TERMSANDCONDITIONS/.THE"TERMS AND CONDITIONS"LOCATED AT WWW.THEGRANITEGROUP.COMITERMSANDCONDITIONS//ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW THEGRANITEGROUP.COM/TERMSANDCONDITIONS.BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE 77W,", 4 FISHERS ISLAND FERRYDISTRICT Ilk" VENDOR .04009 GREAT AMERICAN INSURANCE GROUP 09/21/2021 CHECK 7649 V4 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT Sm .9060.8.000.000 061621 CLAIM—AO037038-6/16 416.79 TOTAL 416.79 J co —------- ------ -- --------------- ---------------------- - ------- ---- -------- ---------- ---------- -- X 5! ' X'Z .4" 4;, SCS d 4 r. FISHERS ISLAND FERRY DISTRICT- AUDIT 0 2-1 -2 0 2- 53095 MAIN ROAD,PO BOX 1,1179 SOUTHOLD,NY 11971-0959 CHECK "F, N THE CO`NATIONAL BANK J ' , —, CLITCHOGUE,NY*11935 DATEJAMOUNT. '4131 f,4 0 - Ll- o9,/2 $41,6 7, 0 ED SIXTEEN AND-79/100 DOLLARS 77' V 1", I PAY 1% GREAT_ AMERICAN INSURANCE GROUP,, i6.THF,, P6 OX 2468, 9RER OFD -CINCINNATI OH 45201,, `0 150 2 L V 11800 7 G 4 9no i:02L405I. Glo: 68 0 Vendor No. Che&,No.'. Town of Southold, New York - Payment Voucher ®,—�00"�\ � Vendor Tax ID Number or Social Security Number Vendor Address Entered byV. One-time vendor PO Box 2468 Audit�Date Great American Insurance Group Cincinnati3OH 4520145 . Vendor Telephone Number SEP .2 1-M-1 own'Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order F Number Date Total Discount Amount Claimed Number Description of Goods or Services 'General LedgerFund and Account Number, t CLAIM 6/16/2021 $416.79 $416.79 Deductible for Claim-John Morgan SM906Oi8.000.000,- Date of loss 6/16/21 A0037038 i $416.79 $416.79 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Is an erry District Date 9/10/2021 Title Date • Gordon Murphy From: scurry@GAIG.COM Sent: Tuesday, September 7, 2021 11:49 AM To: Gordon Murphy Cc: mmelendez@gaig.com Subject: Request for reimbursement for Medical bills and expenses for$416.79 Attachments: 51991575.pdf, 51991576.pdf Insured : Fisher Island Ferry District Claim No: A00370038 Date of Loss: 6/16/21 Claimant: John Morgan - Mr. Murphy, Y Great American paid $416.79 for medical and auditing bills for John Morgan. Your policy has a $1,000 deductible. Please forward a check for$416.79 payable to: v Great American Insurance ��- P.O. Box 2468 Cincinnati, OH 45201 Attn: Millie Melendez MEMO- Ded A0037038 Sincerely, Sean Curry Senior Claims Specialist Great American Insurance . 28 Liberty, 36th Floor New York, NY 10005 (212) 510-0108- phone (800)498-2178-fax E-mail: scurry@gaig.com 1 o f Security features included.Detalls,on back. GREAT AMERICAN IN$URANCE COMPANY 2a LIBERTY ST., CLAIM NO A00370038 NEW YORK,NY 0005E 3610 No. 3001801831 POLICY NO.:OMH 1854380 DATE 07/07/21 DATEILOSS,6116!21 INSURED. FISHERS ISLAND FERRY DISTRICT CHECK VOID AFTER 180 DAYS CLAIMANT:JOHN MORGAN STMT.OF ACCT;INV 25376 14 DOLLARS AND 65 CENTS $14.65 PAY TO PRODUCER: THE I PARADIGM MEDICAL SERVICRS INC I THE HILB GROUP OF NEW ENGLAND,LLC ORDER 2000 CHAPEL VIEW BLVD,STE 240 OF CRANSTON,RI 02920-3051 LJ Great American Insurance Company PNC Bank,N.A.070 ASHLAND,OHIO 8Y: 56-3$91412 CP David J.Liftall,$eIV r Vice Ores f FO&Treasurer nrt 11' 300180183111' 11:04 1 20 389 51: 4 239730554116 I �:err �RJ�' .•`. •�• :�' r s a5. ��r .��'. ;�-.*.•---=---r=r—=�— �Qi2 ''• CORDER CD THE RACY.�'yD FROt1T COUTA11.rbiM0-PR1l1T11iG idiD MAY BESEEH UNDER In GUIFlCATIDII-[DgI,fOR•^uREi TA:•ER.C,i7l:ISU 1,11iCEC061Pi l�Y LPO hOT,7RrTE STA'.11,Cq SIGN BELO:r•RES'_WED FOR F101,0141.I,STITOTI:Y IAC M [L[^^1 W V I }� 0NLf) WN 4)N rl N Ni-1 I dt it Qf-•1 U M O <Acncy)"driN r" Or-Ko o O 1 N Mr-10 Or-O PlAo�:OOo ~ra J� •R� .•n �Y• y.. r L<YI ber•.varN`7sa.;dYk^ry'sc rmriiad ce this Cea'r.art. - ,•Asrdeaorrr.eseua�.m.m; orvslr. rord;isrxZeN:cuhn t run�sv reAra,s ue san1,�9 rrUfG]SIr. Securlty Feature Results of Check Alteration • t;rc•o•Pr-•)-•idP' Sris (s•a•d�`drt'Ysmuw Co-ltY•yl • C•x5a 45•r:i • nvw 0• <"Gir S;LIJeJ•r2Cr'o, • 'r .... . ,yrs.,r. :'P::<•• b!1 '.7: 3 iae <)•,i•td1:i n rok rlC..k r jo':,1A., ;.a:1:. oSocuilly festums included.Details r GREAT AMERICAN INSURANCE COMPANY 28 LIBERTY ST.SUITE 3610 No. 3001801827 CLAIM NO A00170008 NEW YORK,NY 10005 POLICY NO OMH 1!!54360 DATE 07107/21 DATEILOSS 6IMI INSURED FISHERS ISLAND FERRY DISTRICT CHECK VOID AFTER 180 DAYS CLAIMANT JOHN MORGAN STMT OF ACCT DOS Oall&2021 AND 0612 t2021 402 DOLLARS AND 14 CENTS $402.14 PAY THEO 1 LAWRENCE MEMORIAL HOSPITAL INC PRODUCER ( I THE HILS GROUP OF NEW ENGLAND,LLC ORDER I 2000 CHAPEL VIEW BLVD.STE 240 OF CRANSTON,RI 02920-3051 LCreat American hsvanta Company PNC Bank.N A 070 ASHLAND.OHIO J 8Y. �✓l ' 58.3891412 CP David J.Wltzgall,SeVIV,ePreafWO:S:.:T:,.asurer M+. Its 3001801827114 40t, 1120389St: 4239 ? 30Sr.4i1• cfMREF=x50'79-512 ". Y- 20.210714 x'" 8-20772 ' •280';:BOS-419761 BORDER ON THE BACK AND FRONT CONTAIN rdlCRO•PRINTING AND MAY BE SEEN UNDER MAGNIFICATIONOl OK FOB•OREATALiFRICANIIISURANCECO.'APANY DO tIOT WRRTE,STAMP On SIGH BELOW•RESERVED FOR Fr1ANVAIANSWUnUti USE >011000138< CR PAYEE ACCT LACK END GTD BANK OF AMERICA llsledbeldltaF4Etc retivlryleatnrerpraHdedanW;docamem. _ Adsedct of Am 1wha ms mJ lholext tllereucnt'dvatlrtlJod 2 u those 1"I'ms are ment,lf0 eOrwit, Security Feature Results of Check Alteration M uc-Porainq-'tAP• SmIl tqn(Croat Aman:az Insurce Comsy) II I' Y.me s1 rpt I ar]Z7.10 of 19 bo Jer J W Ct 3rlmr sal 6cx n im t:cx r.—m Mary d ra e]cr=,r. II : Ct.A Stu:/S:rn . At•.3.Ye cl t;tec�s•CR,11A:O:C='.Tca Ct C N'tK CttCt • FJ ra Kd Fjr,,Vaa5 Ands tt lr_rt Cl UX1.,1>!1�hT,41'%XITr I wpD dCr srijd li — AP:Irtut,J:l:nra•t KeN:l:nla-cmvdncunrrlram !! :�F'ad g:k deel,rrsa[er7bw'rua ir8rk N C�rocR Pa•snt E�Siznn Assosrs:n j Al, FISHERS ISLAND FERRY DISTRICT VENDOR 012810 M.J."BRADLEY & ASSOCIATES, LLC 09/21/2021 CHECK 7650 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT H7 .5989.2 .400.400,, 330 RP PROF SVC-8/21 870.00 TOTAL 870.00 - ----------- - -------- ----- --- Mv -- ------ ---- - ---------- ---------- ----------------- ------------- PISHkkS ikA Nb' 'FERP Ybfsy, RicT AUDIT 53095'MAIN ROAD,PO BOX 11-79 SOUTHOLD,,NY,11971-0959 CHECK'NO. YHE'SUFF6'LK`CO.NATIONAL BANK CUTCHOGUE,NY111935DATE AMOUNT 50-54B/21 09/21/2'O21 tlGift-HUNDRED SEVENTY,,AND- 00 100 DOLLARS 'j, qI PAY M.J. BRADLEY ,& ASSOCIATES, LLC '' 47 DRIVE ro E ' oda 07ER - MA 01742 - op' ' CONCORD-, lim 0 0 76 50ul 40 2 140 5461,1: 68 001502 Ili' Vendor No. C heck:No. �4 Town of Southold, New York - Payment Voucher 12810 Vendor Tax ID Number or Social Security Number Entered by,, 47 Junction Square Dr. Concord, MA 01742 Audit Date M.J. Bradley&Associates Vendor Telephone Number z A A -2021 -4-2 —° Town Clerk'' Vendor Contact Invoice Invoice Invoice Net Purchase Order 'y3 Number Date Total Discount Amount Claimed Number Description of Goods or Services General t6dger Fund and Account Number',' 3 330 9/2/2021 $870.00 $870.00 Professional services -Race Point H7.5989.2.4OO.400 through August 28,2021 FIF CT DEEP VW Grant Technical Support I $870.00 $870.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted.and payment is approved Signature Title Signature Company Name Fishers Islan env District Date 9/7/2021 Title Date 1 Please Remit to- NEW ADDRESS MJ ; A Bj r { wring Instructions Check Payments. ACH Transfers Wel Fargo Bank,N A. Box No 2691 Fargo Bank, %ty 4201Montgomery Street P.O Box 8500 201 Montgomery Street et { San Francisco,CA 94104 Philadelphia,PA 19178-2691 San Francisco,CA 94104 an ERM Group company ABA No 121000248 ABA 121000248 Creditto ERM,Inc. Credit to:ERM,Inc Account No,2000031445506 Account No 2000031445506 Swift Code WFBIUS6S Attn: Geb Cook; Kasia Asmolov Invoice Date:02-September-2021 Fishers Island Ferry District Invoice#:330 261 Trumbull Drive Project#:0593767 Fishers Island, NY 06390 ERM Proiect Manaaer: Dept:MB01 For Professional Services rendered from August 01,2021 through August 28,2021 Project Name: 156MB01 FIFD04 CT DEEP VW Grant gcook@fiferry.com;kasmolov@fiferry.com Professional Personnel Rate Schedule Labor Hours Rate Amount Dave Seamonds 6.00 145.00 870.00 -------------------- ERM Rate Schedule Labor 870.00 Total ERM Labor _ 0-1 Amount Due This Invoice (USD) 870.00 M.J. Bradley&Associates, LLC(an ERM Group Co)-Tax Id#26-2840513 7111 EES i _ ,., FISHERS ISLAND FERRY' DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 09/21/2021 CHECK 7651 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 63589147 RP SUPPLIES 222.77 SM .5710.2 .000,200 64139736 RP SUPPLIES 142.17 TOTAL \ 364.94 10 ,pp -------- -------- --------- --------------- - ---- -- --------- --------------------------- -- -- M At An, -S F 1SUERSISLAArD FERRYDIS -AUDIT 0F9,/21/"2021 ,.`,2 A3095 MAIN,ROAD,PO BOX 1179- 11971-09591 771 NO,. 7 qOUTHOLD,,,YY ,CHECK' NATIONAL BANK'T'HE UF FbtK cd- * CUTCHOGUE,NY-1 1935AMOUNT, A 6j2ll 2 " lt9EllUiffkED S'IXTY 'FOUR MD-94 b4tb& TH JI j P,4Y,- MCMASTER-CARR SUPPLY CO. rO THE '600:;NT 0,,-,N,.-",COUNTY LINE ROAD qRbER`, OF" -ELMHURST It-'_G0I,26` 11000 7C3 S Lum 1:0 2,11.0 SLGLl: 68 001502 iii' L Vendor No. Cli&k-No. Town of Southold, New York - Payment Voucher 13564 Vendor Address Enterod"l?y",',", P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. Vendor Telephone Number 609-689-3000 Town Clerk Vendor Contact y— Invoice Invoice Invoice Net Purchase Order 7 Number Date Total Discount Amount Claimed Number Description of Goods or Services Genial Ledger Fund'and Account Number i 63589147 8/1912021 $ 222.77 $222.77 RP supplies S"'M''-6 7"1'0.2."'0 6,0.200 64139736 8130/2021 142.17 $142.17 RP supplies SM5710.2*.000.200, $ 364.94 $364.94 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 'ze L*��RqyDistnct Date 9/10/2021 Company Name Fishers s HdFerry 9/10/2021 )ate MMASTER-CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com (" Purchase Order JOHN P Tota 1 $222.77 I nvo ice 63589147 Billed to I nvo ice Date 8/19/21 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Pa Ment TeCms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$4.18 on merchandise and tax if paid by 8129/21 Shipped to Mail Payment to McMaster-Carr Attention: John P PO Box 7690 Fishers Island Ferry District Chicago IL 60680-7690 5 Waterfront Park Your Account 260910000 New London CT 06320 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 5282K39 Low-Pressure Petroleum Hose with 3/4 NPT x 3/4 2 2 0 98.35 196.70 NPSM Fittings, 1-3/16"OD, 10 Feet Long Each Each Merchandise 196.70 Sales Tax 13.30 Shipping 12.77 Total $222.77 Packing List Shipped Weight Carrier Tracking 3864077-01 8/19/21 12 Ib UPS 1ZO835200334277652 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 CD 7R9 McMASTERmCARR. Packing List ,,,"'%"'* 200 New Canton Way Fishers Island Ferry District Purchase Order Page:1 Oil Robbinsville NJ 08691-2343 5 Waterfront Park JOHN P 609-689-3000 New London CT 0632008/19/2021 nj sales@mcmaster.com Attention: John P Order Placed By John Paradis McMaster-Carr Number 3864077-01 Line Product Ordered.Shipped 1 5282K39 Low-Pressure Petroleum Hose with 3/4 NPT x 3/4 NP$M Fittings, 1-3/16"OD, 10 Feet 2 ;2 ; Long Each i . I ' I -- - - -- - - ----- - - -----------------------------T- ---- - ----- - ! ---r I I I ' i I i 51 •'y , 188 i :F r M`MASTE • Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $142.17 1 nvo ice 64139736 Billed to Invoice Date 8/30/21 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Pa ment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$2 68 on merchandise and tax if paid by 9/9/21 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 30015T33 Easy-Position Beam Clamp for Pipe,Tube and 10 10 0 2.34 23.40 Conduit, Bottom Mount, 1-3/16"-1-5/16'OD Each Each 2 29 85T83 Beam Clamp for Pipe,Tube,and Conduit, 4 4 0 16.54 66.16 Perpendicular Mount,Galvanized Iron,for 1"OD Each Each 3 29585T84 Beam Clamp for Pipe,Tube,and Conduit, 2 2 0 18.16 36.32 Perpendicular Mount,Galvanized Iron,for 1-5/16' Each Each OD Merchandise 125.88 Sales Tax 8.49 Shipping 7.80 Total $142.17 Packing List Shipped Weight Carrier Tracking 4376399-01 8/30/21 5 Ib UPS 1 ZO835200334744763 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 I � � F1, MMASTERoCARR, _.Packing List 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 08/30/2021 nj.sales@mcmaster com Order Placed By John Paradis McMaster-Carr Number 4376399-01 Line Product. i Ordered Shipped 1 30015T33 Easy-Position Beam Clamp for Pipe, Tube and Conduit, Bottom Mount, 1-3/16"-1-5/16" 10 10 OD ; Each 2 29585T83 Beam Clamp for Pipe, Tube, and Conduit, Perpendicular Mount, Galvanized Iron, for 1" 4 4 OD Each 3 29585T84 Beam Clamp for Pipe, Tube, and Conduit, Perpendicular Mount, Galvanized Iron, for 2 2 1-5/16"OD Each i i a94 - ------ ------ ------------------- - - 916 ----- ---------- 916 FISHERSISLAM) FERRY DISTRICT VENDOR 013937 NAPA AUTO ,PARTS OF GROTON 09/21/2021 CHECK 7652 i n" 14 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2 .000.000 296341 " RP/MU OIL i 4,774.14 a TOTAL 4,774 .14 h it 5 -------------- -- -- - - ----------------- - 4-11 v ,03 MIA 'Na - --- ---------------------- 3,if FIjHERS'&-ANb' 7RICT AUDIT", oq,/•2).[2'6,2i' FERRYDIS %, ,qOUTHOED,NY11971 0959 , - 53095'MAIN ROAD;PO BOX 1,179 CHtCK',,NO,' THE SUFFOLK CO!NAT[b AL,BANK, AMOUNT,," CUTCHOGUE,NY'l 1935 DATE, k's $4,,J 4, 14' -09 4 50' J214 -546 y=FO - i -,rhunusAlb SEVEN UlbRElj'-SEVENTY FOUR 'idqb 14 100 S AY, NAPA AUTO PARTS OF-GROTON x AE 1H2 ROUTE A 2 06340 - CTROt0&', OF" lieD D ?6 S 2us 1:0 2 1 40 S L, 6 Lti: 68 00 L'50 2 Ills Vendor No. Check No. <=L777) Town of Southold, New York- Payment Voucher 13937 kb CD C=K Vendor Address Erftei6d by 1002 Route 12 Vendor Name Groton,CT 06340 Audit,Date NAPA -SEP 21''1 -202'1 :, Vendor Telephone Number 860-445-8181 Town,Cldrk,'� Vendor Contact G %! Invoice Invoice Invoice Net Purchase Order Number Date Total —Discount Amount Claimed Number Description of Goods or Services General Ledgei Fund andAccountNumber'', 296341 9/2/2021 $4,774.14 $4,774.14 RP/MU oil tM5710.2.000.000 % $4,774.14. $4,774.14 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 or discrepancies noted,and payme tis approved discrepancies a SignatureG Title Signature Date Company N::' �Ferry District Date 9/10/2021 Title Manager z Date 9/10 200001178 ^',E NAPA of Groton Time: 09:34 Invoice Number 296341 ON WWPAW� ' 1002 ROUTE 12 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ca Groton, CT 06340 Date: 09/02/2021 E3 I (860) 445-9706 Page: 1/1 61297 _... _ Employee: 7 Fishers Island Ferry District Sales Rep: 0 Salesman Y Y PO Box 607 Accounting Day: 2 OCR 261 Trumbull Drive Fishers Island, NY 06390 2000011782963414 `^r Pd Z�T}1T[lbG1 °' tL7322fx' -=f; `°'', 51� �OTI•,.; oda'u ;^ t .x,. .C�•,v.,, y,�- �2��.z ,•�a�� ,e�.�'O�a�, `'�°%.;«.n..�`�f�,..,.....�,S..l 891011 VAL �PB ONE SOL GEN2 15W40 O 6.00 2,297.13 795.6900 4,774.14 � 4 I Delivery: Subtotal 4,774.14 Attention: JOHN TABLE 1 6.3500% 0.00 t Tax Exemption: PO#: Terms: Customer Signature Charge Sale 4,774.14 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY GRAINGER. IIf/I Products Based on Your Search CITGO EMS MAG 1 VALVI Conventional,Diesel Engine Oil, 55 Conventional, Diesel Engine Oil, 55 Cony gal, 15W-40, For Use With Diesel.., gal, 15W-40, For Use With Diesel... 15W- Item #33ME29 Item #43Y901 Item Web Price Web Price Web $920.65/each $697.20 /each $119 t Related Categories i„� Engine Vehicle Fleet& ®! and �i Lubrican ;,, Vehicle Product Categories / Fleet&Vehicle Maintenance / Vehicle Lubricants / Engine and Motor Oils / Conventional,Diesel Engine Oil,55 gal,15W.. VALVOLINE Web Price Conventional, Diesel Engine Oil, $1,043.49 /each 55 gal, 15W-40, For Use With This item requires special shipping, additional charges may apply. Diesel Engines - , Qty A•d to cart Item #2MWE3 Mfr. Model #891011 UNSPSC#15121501 Catalog Page#896 -- Country of Origin USA.Country of Origin is subject to change. Q Shippin 3 Pickup E Advanced lubricant performance for Expected to arrive Wed.Sep modern low-emission diesel engines. 08. 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Model #894063 UNSPSC#15121501 Catalog Page#896 -- ------- Country of Origin USA.Country of Origin is subject to Shipping 0 Pickup change. Use in modern, low-emission diesel Expected to arrive wed.Sep engines. Ideal for cooled exhaust gas 08. recirculation engines. Ship to 02138 1 Change Technical Specs Shipping Weight 433 lbs ; _. Ship Availability Terrors Item Diesel Engine Size, - _ ' 55 gal Oil - - Container Type Drum -Base Oil.. Conventional -_,- ' _.- _ _-- - -- Chat vAt�an Agent 'v -_-uxmir, FISHERS ISLAND FERRYDISTRICT VENDOR 016723 PROGRESSIVE BENEFIT SOLUT. ,LLC 05/21/2021 CHECK 7653 FUND,,& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 PBS-HRA-08/21 HRA TOTAL UTLZTN-08/21 6, 114.96 I SM .9060.8.000.000 67898 MNTHLY CRD RDMN(18) -8/21 99.00 R TOTAL 6,213 .96 .03V lk rew_. 114 —--- -------- ----------------- - ----------------- ------------- - --- ------------------ -------- ----- ---- - W X1 w a Y K iF 6t M, -0 -- - ----- - --------- - -- - -------- ----- - - - IT m F '1EkSI§LAA' FERRY ISI D F DISMICT '5,/21/202i P'O,BOX 1179_ HEC ',NO., 63095 MAIN'ROAD, SOUTHOLD,NY)197,1,0959 THE SUFFOLK CO %T lv4 iO N 1935 N L BA 'K,' A ,i9 CUTCHOGUE,NY 1 DATE, MOUNT'X', , , ` 721/20'21 6e 213 -9 1X ',ThOUSANDTWO',IiUNbRt& ,TH 1"R'TE E- M,"A]Nbo,:,96ibb--bOLLAkS -J, v PAY, 'PROGRESSIVE z BENEFIT SOLUT. j-jLC X_z icy I -'14 bfzI rO 7WE' BUSINESS, 2 9RDER OF - '06405 % BRANkRD, CT .,11'00 7 6 5 3110 1:0 244'0 4 PA q: 68 001502 111- Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 �-05 Vendor Address Entered by 4,( 14 Business Park Dr#8 Branford, CT 06406 Audit Date Progressfve Benefit Solutions(PBS) SEP 2 1 2021 Vendor Telephone Number own 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 2021PBS-HRA 8/31/2021 $6,114.96 $6,114.96 HRA Total 2021 utilization as of 8/31/21 SM9060.8.000.000 67898 8/31/2021 $99.00 $99.00 Monthly card administration August 2021 (18) SM9060.8.000.000 $6,213.961 1 $6,213.96 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 ja& Title Signature Company Name Fishers Isan Ferry District Date 9/9/2021 Title Manager Date 9/9/2021 . MWQA (W� 14 Business Park, #8 DATE: August 31, 2021 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2029 HRA Utilization Invoice Bill To: Fishers Island Ferry District ` DESCRIPTION:; HEALTH,REIMBURSEMENT PLAN UTILIZATION —AMOUNT w«, Required Funding Health Reimbursement Total Utilization $ 6,11496 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 6,114.96 ' ��v 1 l/ Progressive Benefit Solutions LLC Invoice 14 Business Park, #8 Date Invoice# Branford, CT 06405 8/31/2021 67898 Bill To Fishers Island Ferry District Attn• Gordon Murphy P O.Box 607 Fishes s Isle,NY 06390 P.O. No. Terms Project Upon Receipt Quantity Description _ . Rate- Amount 18 Monthly Benny Card Administration 5.50 9900 Septembei 2021 Invoice(Active Participants thw 08/31/2021) Total $99.00 FISHERS ISLAND FERRY DISTRICT VENDOR 017962 KENNETH RICKER 09/21/2021 CHECK 7654 A 4 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 'a -4 SM .9060.8.000.000 090121 AARP SUPPLEMENT-7/21 170.60 SM .9060.8.000.000 090121 AARP SUPPLEMENT-8/21 170.60 SM .9060.8.000.000 090121 AARP SUPPLEMENT-9/21 170.60 SM .9060.8.000.000 090221 AARP RX PLAN-7/21 69.08 SM .9060.8.000.000 090221 AARP RX PLAN-8/21 69.08 SM .9060.8.000.000 090221 AARP RX PLAN-9/21 69.08 -TOTAL 719.04 co qg -------------------- - - - ----- -------------------- -- 41 --- -- ------ - ------ ------- ------------- -- - - --------- --- FISHERS IS LAND 1SWS7T AUDIT,-99 %2'1_/2''0'2"'i - 53095 MAIN ROAD PO BOX 1179 _7, ,CHECK 765,4,,,'- I THE SUFFOLK C0:NATIONAL K DATE, , AMOUNT,',, ,,, cif 56-64`s/214t 09-/'21/2b2l, ,' 1, %t7l-9.4 , R' SEVEN 41UkDiZEb,,NINETEEN'AND 0 4 i.,,b o' ,`bb Lli, - KENNETH RICKER p4y rO ME,' 17-34 •NE LEE PLACE F CITY; OR '97'367 11'007654115 1:0 214054640: 68 001502 1110 Vendor No. Check No: > Town of Southold, New York - Payment Voucher 17962 Vendor Address Entered'li -C'. y r" „ 1734 NE Lee Place Lincoln City,OR 97367 Audit Date Ricker,Kenneth = n r zt° A uk°4H FYo � Vendor Telephone Number � r¢ 860-575-9438 Towtrlerk; F`` i'a Vendor Contact n24':� Invoice Invoice Invoice Net Purchase Order _s Number Date Total Discount Amount Claime Number Description of Goods or Services y„ General hedge'rFund amd'AecountNumher, REHW97- 9/2/2021 $92.10 $ (23.03) $ 69.08 AARP Jul 2021 MedicareRx$92.10 @ 75%reimbursement SM9060:8:000:000' $92.10 $ (23.03) $ 69.08 AARP Aug 2021 MedicareRx$92.10 @ 75%reimbursement u. �SM9060.8.000.000 $92.10 $ (23.03) $ 69.08 AARP Sept 2021 MedicareRx$92.10 @ 75%reimbursement °` �SM9060,8:000.0005°�. 9/1/2021 $227.46 $ (56.87) $ 170.60 AARP supplement Jul 2021 $227.46 75%reimbursement ��=SM9060.8.000:OOOa=� $227.46 $ 56.87) $ 170.60 AARP supplement Aug 2021 $227.46 75%reimbursement SM9060.8.000.0W._-'-' $227.46 $ (56.87) $ 170.60 AARP supplement Sept 2021 $227.46 75%reimbursement '°- SM9060.8.000.000, `r, dA +gra s $958.68 $ 239.67) $ 719.0 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 SignaturI // — Company Name Fishe erry Distract Date 9/6/2021 Title Mana er ate Print. My Payment History Details https://www.medicare.uhc.com/medicare/member/payments/over... Premium Payment History Payment history for KENNETH RICKER H Plan name(s): AARP MedicareRx Preferred (PDP) Member ID: 0131041231 From: June 05,2021 To: September 02,2021 Payment Date Amount Status Payment Method Reference Number 09/02/2021 $92.10 Processed EFT Not applicable for this payment 08/03/2021 $92.10 Processed EFT Not applicable for this payment 07/02/2021 $92.10 Processed EFT Not applicable for this payment Total Amounts $276.30 V" I II I I of 1 9/2/21,7:38 AM Print. My Payment History Details https://www.medicare.uhc.com/medicare/member/payments/over... Premium Payment History Payment history for KENNETH RICKER H \ Plan name(s): AARP MEDICARE SUPPLEMENT PLAN Member ID: 302307704-11 From:June 04,2021 To: September 01,2021 Payment Date Amount Status Payment Method 09/01/2021 $227.46 Processed EFT 08/01/2021 $227.46 Processed EFT 07/01/2021 $227.46 Processed EFT Total Amounts $682.38 1 of 1 9/1/21,9:57 AM tq FISHERS ISLAND FERRY DISTRICT 177 1 VENDOR 018875 SAFETY-KLEEN SYSTEMS, INC. 09/21/2021 CHECK 7655 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 86957287 OIL SVC/STOP FEE 1,260.78 iA TOTAL 1,260.18 zw S A, c) 4 —------ ---- - - ----- ------- ----- ------------ --- ----- ----------------------------- ------ - ..........1_ z4-1`0 -1 I l Z, x;P ------ - - - -------- FISHERS ISLAND FERRY D197V 77 -Abbit"69'/21/2021' 53095 MAIN ROAD,PO BOX 1179 SOUTHOLD,,NY 17971-0959 '76 CHECK ATO. THE SUFFOLK CO.NATIONAL BANK 77 -'T ,'AMOUNT; CUTCHOGUE;NY'l 1935 DATE',", 56'54 5- - "09/21 2`021 X1,,260 78 ya E to"N", "-,T,'-ftbTjsANb Two=HUNDRED 'SIXTY AND 7'8/,106,,-10OLLARS' my, SAFETY-KLEEN ,SY,9gEMS,, .INC. W TH 'p -BOX'9,75ZOI' OR))M tthS TX — OF 75397-5201 7- 110007655n 1:0 2 1 Lv0s Is GLO: 68 001502 I - Vendor No. Check No. ` Town of Southold, New York - Payment Voucher 18875 Vendor Address Entered by PO Box 975201 Vendor Name Dallas,TX 75397-5201 Audit Date Safe -Kleen Systems, Inc. Vendor Telephone Number 800-669-5740 Town Clerk a Vendor Contact �0 6�1Q%V'C.C.eQi Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund a`nd Account Number f 86957287 8/19/2021 $1,260.78 $1,260.78 8/19/21 oil sm/stop fee non prequal crnkcs SM5710.4.000.000 j used oil recycle n� ° C p f f ° E . e Na $1,260.78 $1,260.78 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted and payment is approved Signature Title Signa Company Name Fish- Ferry District Date 9/10/2021 Title Manager Date 9/10/2021 t. �afP,l��li�eBllm _ INVOICE Page 1 oft enorcc�noN•cHo�cesFeoriESAFETY-KLEENSYSTEMS,fINC € IY NM GREEN tllt M 42 Longwater-0r, Norwell,MA 02061 - Billing Account# Service Account# Invoice# Invoice Date 4 ouNs No:05-397-6561 F124659 F130857 86957287 08/19/21 '�^FEDID N0:39-6090019. _ .; y Billing Adddress T ' -- - J Service Address Y 4 - �y y Y Branch Location 4 i4 Terms FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT, BPS BRISTOL Net 30 Days PO BOX 607 261 TRUMBULL DRIVE 5 WATERFRONT PARK FISHERS ISLAND NY 06390 NEW LONDON CT 06320 For Questions Call: Service Date 800-323-5040 08/17/21 PO Number Department-# , Department =-Tax Status)#_ QUANTITY PART# TERM SERIALIPROFILE# UNIT PRICE UOM� SALES TAX - TOTALf 1 10256 $185.0000 EA $11.75 $196.75 OIL SERVICEISTOP FEE NON-PREQUAL CRANKCASE - 575 66636. 24 $1.7400 GA $63.53 $1,064.03- USED OIL RECYCLE AUTOMOTIVE OIL ON '`` SUBTOTAL V� $1,185.50 TOTAL TAX $75.28 CURRENT AMOUNT DUE $1,260.78 USD NOW ORDER THE PRODUCTS YOU NEED ONLINE. Shopping for Safety-Kleen products has never been easier. Shipping is FREE when you add the delivery to your next scheduled service. `Exp/ -oouup tY- e e � .-_ ores rr, roducts,at store.safe kleert:com;,-- Open Balance as of 0811612021 Current 31-60 Days 61.90 Days 91.120 Days Over 120 Days Finance Charges Total Open $0.00 1 $0.00 $000 $000 1 0.00 $0.00 Balance Interest will be charged at a rate of 1,5%per month for all past due amounts. Thank You $0.00 safotgED108H® e INVOICE Page 2of2 PRMECnON•CHorcES PEOPLE SAFETY-KLEEN SYSTEMS,INC MAKE GREEN WORK 42 Longwater Dr. Norwell,MA 02061 Billin Account# Service Account# Invoice# Invoice Date DUNS N0;05-397-6551 FED ID NO-39-6090019 1`124659 F130857 86957287 08/19/21 Comments: Standard payment terms are Net 30 days from invoice date. To maintain a positive credit history,payments must be made within approved terms. Late payment or other deviations from approved terms may cause service interruptions and initiation of collection efforts,and may result in late fees,interest,and collection costs. Pay your invoice on line! Simply go to www,safety-kieen.com and click on the Customer Portal link at the top of the page, Please note a delivery document was provided at the time of service for this transaction.If the delivery ticket was paid,this invoice may be for your records only. Please be advised all payments must reference the invoice number or your account number, FISHERS ISLAND FERRY DISTRICT, VENDOR 013571 SELF-SERVICE NETWORKS 09/21/2021 CHECK 7656 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 INV-1023664 TICKET MACHINE REPAIR 550.00 TOTAL 550.00 'n ------------- % MRO i4r, -;%i-- ---- ------ ------------ ------ ----- --- -- ------- 77, Tq' J ' AFISHERS-ISMAD-FERR'rDISITICTAUDIT 0,9-1.2-1/.-2 0 2 1 -79 53095 MAIN ROAD,PO BOX 11 No- SOUTHOLO,NY 11 971',09,59 CHE Ck THE SUFFOLK,CO-.,NATIONAL BANK vZATE:i AMOUNT,,% ' .*,`, CILITCHOGUE,NY 11935 % 21 AND-' o o,/i'd,o ijbh S ES, ,Aq PA ySELF-SERVICE NETWORKS - 76 77 E 28,,LTACOME WAY,:' 0,WFR MIDDLETOWN R 028'42 11900 ? F:i 5 6iiv i:021405464o: 613 001502 1110 4 r T r Vendor No. Check No. ; Town of Southold, New York - Payment Voucher 13571 Vendor Address Entered by,,,, rr 28 Jacome Way :w Montegonet Solutions, LLC dba Middletown, RI 02842 Audit,Date -4d�„,•,r, ,_ Self-Service Networks Vendor Telephone Number 401.619.4000FY 2021 Town Clerk o Vendor Contact Invoice Invoice Invoice Net Purchase Order + Number Date Total Discount Amount Claimed Number Description of Goods or Services ''General Ledger Fund and'Acoourit Number INV-1023664 9/1/2021 $550.00 $550.00 Ticket machine repair SM5709.2.000.200 f p W a a ,e • • t111 1 • il7f • $550.00 $550.00 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 paymen is approved SignatureTitle Signatur Company Name Fishers s and Ferry District Date 9/7/2021 Title Manager Date 9/7/2021 Self-Service Networks self-service 28 JACOME WAY I iretwoeks- MIDDLETOWN, RI 02842 US (401) 619-4000 info@self-servicenetworks.com www.self-servicenetworks.com INVOICE BILL TO SHIP TO INVOICE# INV-1023664 Fishers Island Ferry Fishers Island Ferry DATE 09/01/2021 PO Box H Ferry DUE DATE 09/01/2021 Fishers Island, NY 06390 5 Waterfront Park TERMS Due on receipt New London, CT 06320 Fishers Island, NY 06390 DESCRIPTION , QTY RATE- AMOUNT GW-Equipment 1 550.00 550.00 GiftWise Equipment: Replacement PC WAYS TO PAY BALANCE DUE USD 550.00 ACH/WIRE . BankRl Bank Account Number: 3161 001 312 Routing Number 011501682 Check Mailing Address /DI Self-Service Networks 28 Jacome Way — Middletown,RI 02842 G�✓ � L F �� „FISHERS ISLAND FERRY DISTRICT VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 09/21/2021 CHECK 7657 A FUND & ACCOUNT g.0.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.625 3433190138 FIT SUPPLIES 69.98 SM .5710.4.000.625 3479855815 FIT SUPPLIES 167.21 SM .5711.4 .000.000 3485622659 OFFICE SUPPLIES 38.58 ' SM .5711.4\.000.000 3485622767 OFFICE SUPPLIES, 216.66 TOTAL 492.43 -—-- ---- -- ------------------- ---------------------- ---------- ---- --- -- ------------ -------- -------- WJ - ---------- --- - ---- -------- 17 FISHERS ISLAND FERRYDISTRICT, 53095 MAIN ROAD,PO BOX 1179 AUDI ,5 7 $0 THOLD,NY 1 1 971 C ,O 6 THE SUFFOLk'CO.'NAT16NALBANK UTqHOGUE,NY 11935, DATE, ,AM0UNT,,%*,,'.,,, ""Y'J G 9/21/,2,O 2 1' 0 5 -5461214,, -FOU '4 100”DO O,AND k Hb=Ri b NINETY "N 4\ AP; STAPLES CONTRACT COMMERCIAL,, ij TlP-0 'BOX 7-0242- k PHILADELPHIA SPA`--1.9,176'-'0242 OF' 13- 1IN00 7 6 S 7116 1:0211,054641: 68 00 150 2 1110 r Vendor No. Check No. Town of Southold, New York - Payment Voucher 19711 --1 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 SEP 2 12021 Vendor Telephone Number 888-753-4107 T Clerk Vendor Contact 7. Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3433190138 12/7/2019 $69.98 $ 69.98 FIT supplies SM5710.4.000.625 3479855815 6/19/2021 $167.21 $ 167.21 FIT supplies SM5710.4.000.625 3485622767 8/28/2021 $216.66 $ 216.66 Office Supplies SM5711.4.000.000 3485622659 8/28/2021 $38.58 $ 38.58 Office Supplies SM5711.4.000.000 $492.43 $492.43 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 ayment is approved Signature Title Signature Company Name Fis nd Ferry District Date 9/13/2021 Title Mana er Date INVOICE DATE CUSTOMER SUMMARY INVOICE M Staples. 12/7/19 YN1032952 li8056704066 PLEASE PAY BY TERMS ISUMMARY INVOICE AMOUNT 1/6/20 Net 30 Days 1$69.98 INVOICE DETAIL Staples FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607#PC67296 261 TRUMBULL DR FISHERS ISLAND,NY 063900607 FISHERS ISLAND,NY 06390 Bill to Account:NY1017907 Ship to Account: Budget Ctr:1010 Invoice Number:3433190138 P O Number:FI TERMINAL Order:7302521445-000-001 Ordered By:GORDON MURPHY Order. Item Number Description/Unit of Measure Order Ship Unit Price Extended Price Line Qty qty 1 NSP SPECIAL Zebra True Colours Ribbon-Y 200 2.00 $34.99 $69.98 Subtotal:$69.98 Total:$69.98 �w Customer Service Inquiries# 877-826-7755 Invoice Payment Inquiries# 888-753-4106 Page°1 Make checks payable to Staples PO BOX 70242,Philadelphia,PA 19176-0242 Al"�IStaples- 6/19/21 YN1032952 8062618564 PLEASE,PAY,'BV,' Is UMMARY PW.OICE 7/19/21 Net 30 Days 1$16721 INVOICE DETAIL Fames FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607#PC67296 261 TRUMBULL DR FISHERS ISLAND,NY 063900607 FISHERS ISLAND,NY 06390 Bill to Account:NY1 017907 Ship to Account: Budget Ctr:1010 Invoice Number:3479855815 P 0 Number:FI TERMINAL Order:7333044911-000-001 Ordered By:GORDON MURPHY ,,1Orddt,,p Ship'!,, umber?, ce `0- 1 365381 CW CFOLD TWL I PLY 200SHT/PK 2.00 200 $24 73 $49.46 2 365377 CW 2PLY BATH 500SHTIRL 1.00 1.00 $42 23 $42 23 3 421778 SWIFFER 360 DUSTER EXTNDER KIT 1.00 1.00 $10.06 $10 06 4 2728773 SWIFFER 360 DUSTER REFILL 1.00 1.00 $12.94 $12.94 5 325417 KCUP DONUT SHOP REGULAR 24CT 1.00 1.00 $12.87 $12 87 6 103986 15 STEEL RULER 1.00 1.00 $2.12 $2.12 7 135848 STAPLES 8 5X11 COPY CS 1.00 1.00 $37.53 $37.53 x Total:$167.21 z Customer Service Inquiries#.877-826-7755 Invoice Payment Inquiries# 888-753-4106 Page I Make checks payable to-Staples PO BOX 70242,Philadelphia,PA 19176-0242 n staples_ INVOICE DATE ' CUSTOMER ` '". '� SUMMAkY INVOICE 8/28/21 NYC 1032952 8063372247 PLEASE'PAY BY "'" TERMS'"" " AMOUNT DUE " 9/27/21 Net 30 Days 216.66 INVOICEDETAn, 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: 3485622767 Budget Ctr Desc: order 7338176597-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0-Desc Order Date 8/27/21 Release Release Desc order Order B/O unit Ship unit Extended Line item Number Description Qty M Meas Qty Price Price 1 2002713 HP 952XL HY BLACK INK CART 1 0 EA 1 28.78 28.78 2 2002712 HP 952XL HY CYAN INK CART 1 0 EA 1 22.04 22.04 3 2002711 HP 952XL HY MAGENTA INK CART 1 0 EA 1 22.04 22.04 4 920646 TRED REMAN CANON 120 BLACK TNR 1 0 EA 1 93.41 93.41 5 990176 SPLS 8.5x11 COPY 20/92 5RM CS 2 0 CT 2 18.76 37.52 6 719465 KCUP GM REGULAR VARIETY 22CT 1 0 BX 1 12.87 12.87 Freight: .00 Tax:( .0000 %) .00 sub-Total: 216.66 Total: 216.66 1 l V customer service inquiries # 877-826-7755 invoice Pa ent Inquiries 888-753-4107 Page: 1 Make checks a able to sta les Contract &Commercial, Po Box 70242, Philad:1 hia PA 19176-0242 M Staples_ INVOICE DATE' CUSTOMER SUMMARY INVOICE 8/28/21 NYC 1032952 8063372234 PLEASE PAY BY. TERMS-, AMOUNT DUE 9/27/21 Net 30 Days 38.58 INVOICEDETAm staples Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFERRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN. ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3485622659 Budget Ctr Desc: Order 7338181038-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 8/27/21 Release Release Desc oLine item Nrder order B/o unit Ship unit Extended umber Descri tion t Meas Price Price 1 756927 K700 MAILSTATION & K7M0 INK 2 0 EA 2 19.29 38.58 Freight: .00 Tax:( .0000 %) .00 sub-Total: 38.58 Total: 38.58 v� Customer service inquiries # 871-826-7755 Invoice Payment inquiries 888-753-4107 Page: 1 Make checks a able to sta les contract &commercial, PO Box 70242, Philadel hia PA 19176-0242 REFER TO THIS ORDER NO. FOR ALL INQUIRIES To reach Customer Service, MStaples.- -please dial . (877)285-8852. 0001032952 1 8/27/21 7338181038-000001 - FI TERMINAL =COST,`CENTER r x� � � '"' cE2id"Cifs t PO# Staples SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE: SPl/FDX /F2 g FISHERSSSLAND FERRY DISTRICT 7 H GORDONXRPHY 0FISHERS ISLAND FERRY DISTRICT(NC) TOTAL PACKAGES: 1 _I 2 61 TRILL DR Ii PO BOX 607 p FISHERSISLAND, NY 06390 D• FISHERS ISLAND, NY 063900607 ,T Contact (631) 788-7463 EXT. 20100 — GORDON MU a Tu 6 PAGE: 1 SPECIAL INSTRUCa 7ro �,t..<` ITEM" .`M Ds` , ;. .:;:, _a✓'. ,i"a �h'.: , Liae :r" - a_ ,3jNQNIDEFt p., e'W�f✓< ctre�me:.- �a, 1; SHIPPED ' " , < a, %DESCRIPTION' / ;NOFIDERH%O`4t] ,rx �� 1 756927 K700 MAILSTATION & K7M0 INK /SIP-K700 EA 2 2 0 SafetyZata Sheet (SDS) may be found by visiting http://sds. tal les.com msds/756 27.pdf n 'Staples--',;' N ,o Wx�'"�ii,. a�., 'x 9 CE N'EW�'`PPCKPGING &��ANEW,rs' fit e.� .y.,"2 •-'#a,.. ,.t,. F,?p ..drips'"• AJ" � - ��` . ?p t^ ",'��'�*-� #.� Ae .a �.YY1. _ _ - - . { a."'. , . . -+d.,_ - - .-.}^^,k a•`Y, `',d" �� Nees, x-MDUCTOPTIONS TO BETTER,,-SERVE� n. ~'r u. .x ;Gy?:<° •^y"s`'-.. �rv'a+ u�' v� '�W,�".;, ~a,`,K�.�.;m �;� .t NEEDS` x,�t�..� .,,�.:r�fR=�„BUSINESS-NEEDS`. „ "r6r•2 - ^s�;dy�t-n� x,��a r ��`�• - 001 Thank You For Your Order! Staples, Inc. SCS 17 FISHERS ISLAND FERRY DISTRICT VENDOR 020590 TOM'S PLUMBING AND HEATING 09/21/2021 CHECK 7658 ti A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT J SM .5710.4.000.625 9948 RPLCMNT FOR TOILET BOWL 207.93 TOTAL 207.93 41 r'A Z A r Z% ,g "ok --- --------- --------- ------ FISHERS ISLAND FERRY DISTRICT, , "A AUDIT /21,/2021-- 53095 MAIN ROAD,PO BOX 1179 SOUTHOLD,NY 1 1971'-0959 -- 0. - C*HEC "'V ALBANK THE SU0FOtK:CO.NATION I , " ' ' - I NT', 'c I X, CUTCHOGOE,NY 11935 y,-DATE, ,: , ,'AMOU 09/21'20'21 50.5,4 214 2 ""Wo T HbNDkib,,-SEVEX--AND -93/100'DCLL7RS PAY TOM-',S,, PLUMBING AND HEATING , 0 F9 tc 00 T, T BOi, 34: ERk ' ''IS"HE S- ISLAND `kY 0(53 9 b, FA OF U, lip 0 0 7 F3 513 lip 1:0 2 140 54641: 68 001502 L o. Vendor No. _ _ _ _ Check N Town of Southold, New York - Payment Voucher f ' 20590y (05 Vendor Tax ID Number or Social Security Number Vendor Address Entered=by,, Vendor Name P.O.Box 534 Audit Date Tom's Plumbing and Heating Fisher Island, NY 06390 Vendor Telephone Number 2,02"t, own Clerk . Vendor Contact Invoice Invoice Invoice Net Purchase Order o, Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number, i k 9948 8/31/2021 $207.93 $207.93 Rplcmt for toilet bowl SM5710.4.000.625 ' t $207.93 $207.93 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 0. Title Signature Company Name Fishers Isla Date 1/5/2018 Title Date 4 Tom's Plumbing and Heating J invoice' Box 534 P. O. Box-534 Date Invoice# Fisher's Island, NY 06390 8/31/2021 9948 Bill To Fisher's Island Ferry District P.O.Box 607 Fishers Island,NY 06390 Terms Project Item Description Amount Material 08.13.21 Replacement for toilet bowl that was broken at Gebb. 191.42 Subtotal $191.42 Please call us at(401)741-5521 with any questions Sales Tax (8.625%) $16.51 concerning your bill.Alternately,please don't hesitate to email us at toms_plumbing@yahoo.com. Thank you. Total $207.93 Phone# E-mail Payments/Credits $0.00 (860)460.8950 toms plumbing@yahoo.com Balance Due $207.93 www.toms-plumbing-and-heating.com L 4 A FISHERS ISLAND FERRYDISTRICT VENDOR 001459 TOWN OF SOUTHOLD, A&T 09/21/2021 CHECK 7659 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT H7 .9730.7.100.100 092420BANINT BAN INT P FROM PREM/INT ' 33, 064.48 SM .9730.7.000.000 092420BANINT FIFD BAN INTEREST 12,435.52- H7 .626 092420BANPRIN FERRY PILINGS 345,000.00 H7 .626 092420BANPRIN MUNNATAWKET ENGINE 2,180, 000.00 H7 .626 092420BANPRIN MUI&ATAWKET ENGINE 145, 000_00 i A A7 626 092420BANPRIN DREDGE SILVER EEL CHANNL 105,000.00 H7. 626 092420BANPRIN PASSENGER FERRY 460, 000.00 H7 .626092420BANPRIN RACE POINT FERRY 1,265, 000.00 TOTAL 2,645,500.00 "vr -------------------- ------ ---- -- - ------- - ------------t , - - -------- ----------------------------- - -- 2m AN 1 14 Affl. 77 ILI FISHERS ISLAAV-FERRY DISTRICT' A:UDIT--09'/21`/20-21' '-,-.', --- "- I - 53095 MAIN ROAD;PO BOX 1179 T SOUTHOLD,,NY I_JS7 1-.09g? CHt -THE SUFFOLK CO.NATIONAL BANK' DATE"' , ,,AMOUNT NY 11935 50-54W114, iTWO' SIX HUNDRED EbRTS? FIVE' TilbusAOD''FIVE HUNdRtD' AND ,0'01 ,00, ' ' DOLLAR$L TOWN OF SOUTHOLD A&T TRUST W-TIIE _A'GENCi AND OFER 5095,ROUTE'25 ` 3 - SOUTHOLD NY 11971 u3007659is 1:0 2 140 S 1, 6 111: 68 001502 In' Vendor No. Check No. Town of Southold, New York - Payment Voucher 1459 .o Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 1179 _ Vendor Name Audit Date Town of Southold --Agency &Trust Southold, NY 11971-0959 9/21/2021 Vendor Telephone Number Town Clerk (631) 765-4333 J Vendor Contact Q %� Kristie Hansen-Hightower t. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number . 9/24/20BANPRIN 9/23/2021 345,000.00 345,000.00 Ferry Pilings H7.626 9124/20BANPRIN 9/23/2021 280,000.00 280,000.00 Munnatawket Engine H7.626 9/24/20BANPRIN 9/23/2021 145,000.00 145,000.00 Munnatawket Engine H7.626 9/24120BANPRIN 9/23/2021 105,000.00 105,000.00 Dredge Silver Eel Channel H7.626 9/24/20BANPRIN 9/23/2021 460,000.00 460,000.00 Passenger Ferry H7.626 9/24/20BANPRIN 9/23/2021 1,265,000.00 1,265,000.00 Race Point Ferry H7.626'- 9/24/20BANINT 9/23/2021 33,064.48 33,064.48 BAN Int pd from Prem/Int H7.9730.7.100.100 9/24/20BANINT 9/23/2021 12,435.52 12,435.52 FIFD BAN Interest SM.9730.7.000.600_ 2,645,500.00 Payee Certification Department Certification The undersigned(Glaimano(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. kj�c:�� I �N_ Signature Title Town Comptroller Signature Company Name Town of Southold Date Title Town Comptroller Date Town of Southold Town of Southold Schedule of Borrowings September 2020 Borrowing Schedule September 2020 BAN BAN Sale M 2011-598'„ 8/16/201`1 Stormwater Mitigation Improvements _ _ , A„ y,A $ „ F 240,000 $ 5 OOQ ,„ $ M 235,w000 4,112 50 u 12017-158 1/31/2017 Upgrade Town Hall Telephone System A 19,00_0 _6,000 13,000 H.626w „ 189.41_ 227_50 w _ _ A'µ µ 84 000_ 28,000 56;00_0'. H.626m 815.92` aw - 980.00^` _ - 1/31/_2017'Fir6wall, _ _ _ 201;7=158 A N _ ___ „ w,.80-00 201_7-431 5/9/2017 Shade Shelter/Solar Array at Animal Shelter A 275,000 163,000 M 112,000 H.626 1,6_31.84 -1_,_960 00 -- __ SM . ___ `.360 000 „15 000` ? `.,345;000 H7.626- _ 5,026:65� w^ 6,037:5Q 2017=539, 6/12/2017 Ferry Pilings, ,_- _ X2017-864 10/1_0/2017 Munnatawket Engine _. -„ s A m SM M w_285,000 5,_000m N 280,000 H7.626 y m mmm Wµ 4,079.60 wm 4,90000 Nry D_B- 160'000 86,000 3 ^„ 74,000a H.626 1,078.18 . _w „ 3°.1,2_95.00_ 2017-432 5/9/2017'Salt Barn on FI N,,, „,. -. - _ - ,Am _ , _ ., 2018-262 3/14/2018 1080 Carroll Ave Acgwsition A 71_0,000 20,000 69_0,000 H.626 10,05_3.30 12,075 00 - _-� 3 090 000 60,0001 3,030,000 H.626' 44,147:11 _53,024:98 w„, . 2018-261 3/14/2018 Town Annex-Acquisition' ,w A `:` µ.`- „, _-, - �W 2018-261 3/14/2018 Town Hall Annex-Improvements A 550,000 35,000 500,000 1,015,000 H.626 14,788.55 17,762 50 2018-286>,` -3/27120,18-Sidewalks and Drainaz a DB 450,000 ` . , 45,000 405,0009;H.626_ ®y µ :;5;900.85 ^„ TW 7,087.50wx „.- 4 2018-535 6/5/2018 Salt Barn on FI _ DB_ 65,000 65,000 µH - H.626 - - 9 7/17!2018 Iricreasellm rovement of SWMD (Pa loader SR, " 378;117 35;000_ x343,117 H y626 " 4,999:21 w6,004.55 2018-6 3 :` p ( Y ._. w -,. 2018-790 8/28/2018 Sidewalk Improvements-FI - DB 565,000 60,000 _505,000 H.626_ ^ �_7,35_7.85 _8,837 50 '2018-869 9/25/2018 Munnatawket Engine ,�- SM- � ',=150,00`0,° 5,000. „- 145,000 ,H7.626 „ =2;112.65 2;537.50 , ; ;2018-869 9/25/2018 Dredge Silver Eel Channel SM 140,000 35,000 N _ ,^ 105,000 H7.626 1,529.85 1,83750 120_18-1065 12/1812018 Computer Equipment`• ; A 48,000` ,. _ °- _ �qe y µ 48,600 H:62_6699._6°.` „ aeiN 84000 2018-1067, 12/1812018 Town Hall HVAC-- „ -- „ � A ��„ 200,000 - m �- 200,000 H.626_ 2,914.00__ 3,500 00 _ _ _ 2019-301 °`3/26/2019 Passenger Ferry Purchase SM-E°, 460,000= „ _460,000,„H7,626�, 6,702 20_ 8,050.00_ 12019-30 , � s, h se, ,. a „ � „-, �„. �. ;2019-521 6/4/2019 Street Lighting Replacements A 250,000 - w 250,000 H.626 N 3,64250 -- 00 ._., ;2019-623 , -" 7/2/2019 Increase%Improvem6nt-of SWMD'(Grinder),, SR ' 800,000' 400,000 mm 400,000 11.62_6 „ �Y ya 5,828 0Oµ , „ TO O.00 ?2020-174 2/11/2020 Fishers Island Sidewalk Bond A„ W 250,000 250,000 H.626 3,642.50 4,37500 _ _ mw w a � µ M V 1,975:76° M M_2_,3 _73.09.6262020-175, 2/1112020 HighwayEquipmentBond, DB 135,13 135605 �H 12020-178 2/11/2020 Stormwater Mite anon A 100,000 100,000 H.626 1,457.00 1,750 00 I9 _ _ __.- _,-. .._..- - -., _. _m =2020-504: <„ 8/11/2020 Race Paint Ferry � °SM -1,265,060. �. 1,265,000 H7.626�' _ 18,431.05 ; 22,137:50 r 2O , _ t Totals � $ 9,279;117:00 $ 1;`068,000.00 $`_ <' 2,250,605.00` $ 10,41;722.00>� $ 1152,427.296 $ ,'183,680.14 ` $ 7,884,117.00 $ 1,008,000.00 $ 985,605.00 $ 7,861,722.00 H.626 $ 114,545.29 $ 137,580.12 $ 1,395,000.00 $ 60,000.00 $ 1,265,000.00 $ 2,600,000.00 H7.626 $ 37,882.00 $ 45,500.02 =��: 9,279,117 $ 1;068,'OQO;, $ 2;250,,605.00 ;$ =1Q;, 1,72grd0 $°° 152142 ,2^9t° $ k 18 080.14; LETTER OF TRANSMITTAL-/REDEMPTION PAYMENT SUMMARY/CERT LIOTING, K THE DEPOSITORY TRUST COMPANY DATE• 08/23/21 A subsidary of the Depository Trust and Clearing Corporation LT PAd E: 000l of 000i TAX 1. D. # 13-2555119 9K915`1A { NAME OF PAYINGAGENT AB # TO BE FIL ED IN BY PAYING AGENT TOWN OF SOUTHOLD 982 121171786 ACCEPTE6IN FULL 53095 MAIN RD SOUTHOLD; NY 119710959 FAST BALANCE MUNI/BOOK ENTRY ONLY 00008360 REJECTED FULL/ PAI4TIAL CONNIE SOLOMON REDEMPTION DATE (631)765=4333 4333 _ Imm/dd/yy) MATURITY DATE OF WIRE: 0b/23/21 WIRE#: rCCRUr2D A DESCRIPTION:, 844572QY6 REDEMPTION RATE PER$1,000.00 LD N Y NY bo9/23/20. 01.750* 21 BE PRINCIPAL AMOUI4�'ENCLOSED PRINCIPAL/XMOUNTREDEEMED PRINCIPAL ACCRUED INTEREST INTEREST DUE TOTAL PROCIIEDS DUE $ 10,461,722.00 $ 10,461,722.00 1,000.000000 17.499999 $ 183,080.12 $ 101644,802.12 On payable date,please wire Federal Funds by 2:30 P.M.in paymentthereofto: REISSUED CERTIFICATE For Partial Calls Only: Chase Bank The certificate,registered in the name of CEDE&CO.,along with a copy of this letter is to be sent to: 66 Water Strreet,New York,NY 10041 ABA 021 000 021 For Credit of AIC Depository Trust Co. DENOMINATION: Redemption Account 066-027306 Reference#CUSIP(S) OSI = PAI/844572QY6/09/23/21 MUNI MATURITY CERTIFICATE LISTING FOR CUSIP 844572QY6 - SOUTHOLD N Y NY D09/23/20 01.750% 21 BE CERTIFICATE CERTIFICATE DENOM QUANTITY CERTIFICATE CERTIFICATE DENOM QUANTITY FROM TO FROM TO 000000000001 000000000001 10,461,722 10,461,722.00 TOTAL SECURITIES FOR REDEMPTYON 10,461,722.00 COPY1 If there are any questions or problems as a result of this delivery, please contact the redemption supervisorat(212)86611377. Please do not reject(return)securities without first telephoning the aforementioned. FIFD 2017 2018 2019 2020 Premium Rev 4,502.17 6,246.80 9,290.70 37,882.00 57,921.67 Interest Rev - - - 17.75 17.75 Gross Interest Net Interest Unspent 7,241.27 - 7,241.27 45,500.00 $ 12,435.52 4,502.17 6,246.80 16,531.97 37,899.75 65,180.69 Fees Paid - 2,878.60 1,082.43 4,835.27 8,796.30 $ 33,064.48 Premium/Interest Debt Paid - - 7,870.37 15,449.54 23,319.91 - Unspent - 2,878.60 8,952.80 20,284.81 32,116.21 33,064.48 Net Available $ 33,064.48 Starting 2018 as 2017 and prior are PY earnings items FISHERS ISLAND FERRYDISTRICT VENDOR 014606 TWOMEY,LATHAM,SHEA,KELLEY, 09/21/2021 CHECK 7660 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION il AMOUNT It SM .1420.4.0010.000 85705-OOM-0521 LEGAL SVCS-05/21 1,725.50 TOTAL 1,725.50 -------- ------ ----- ---------- X11 ur W0,1-5*111-xilll Im" .q "v 72 111 I ,Zoq 'RO 1411 *k 0 - - ----- ------- ----- - -- --- 114 11 1 1 !ZIP33111mv! 11111: EIMER Mi FISHERS-BLA' Ar D FERR Y DlSb?ljCt' ' AbD I T "53095 MAIN ROAD,PO BOX 1179 ^T; J\, $QUTHOLD, ,ly 11971-0959CRE, CK' NO.J, 766'o n', THE SUFFOVK 6C),.',N4-riON,ALB'A NK J -1 - -,,-AMOUNT", C,UTCHOGUE,NY 11935 CI, ',DA IA,,725,So-," 50.548/214,- ' 1% 'C 'd 4 1 "THOU AN 14 HUNDRED 10 0 'Dib't LAR S "IT S rC ;A "SEVE WENTY FlVt 7 `A Y.- TWOMEY,LATHAM,SHEA,KELLEY, Th rE DUBIN-&'-QUART-ARARO LP TO O ' Pb --BOX orRWER9398 RIVERHEAD NY,119.01-9398 ;7*1 00 7 G 6Oiim 1:0 2 14054641: 68 00LS02 IV Vendor No. Check No. Town of Southold, New York - Payment Voucher 14606 Vendor Tax ID Number or Social Security Number Vendor Address Entered"by P.O. Box 9398 Vendor Name Riverhead, NY 11901-9398 Audit Date., Twomey, Latham, Shea, Kelly, Dubin &Quartararo, LLP SEP, 2, 1 2021 s Vendor Telephone Number 631-727-2180 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- 85705-00 7/30/2021 1,725.50 1,725.50 5/4-6/4/21 Legal services SM1420:4.000.000 1,725.50 1,725.50 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 Company Name Fis nd Ferry District Date 9/7/2021 Title Manager Date Twome FJ Latham . Y SHEA , KELLEY, D,UBIN & QUARTARARO, LLP Post Office Box 9398 Riverhead,New York 11901-9398 631-727-2180 Fishers Island Ferry District July 30, 2021 261 Trumbull Drive 85705-00 Post Office Box 607 Fishers Island, NY 06390-0607 PAYMENT DUE UPON RECEIPT To pay your invoice online,visit us at: www.suffolklaw.com/payment FOR PROFESSIONAL SERVICES Re: Town of Southold Management Agreement Hours 05/04/2021 MDF Review correspondence from Geb regarding Shillo lease and clean up; Review of / lease and photos of debris; communications with Geb and Bill Duffy regarding strategy for addressing clean up. 0 . 80 05/05/2021 MDF Research historical photos; analyze / lease in preparation of demand letter to Shillo. 1 . 20 05/06/2021 MDF Communications with Geb and Gordon regarding Shillo letter; revise letter. 0 . 40 05/28/2021 MDF Review of UPS contract; communications with Gordon regarding same. 1 . 00 06/02/2021 MDF Review correspondence from Gordon with additional comments on UPS contract; communications with Gordon regarding same. 0 . 40 06/04/2021 MDF Review of UPS contract; advice to Gordon!/ regarding proposed changes . 0 . 40 4 .20 1, 680 . 00 (Continued) Fishers Island Ferry District July 30, 2021 85705-OOM Re: Town of Southold Management Agreement RECAPITULATION Hours Hourly Rate Total Martin Finnegan 4 . 20 $400 . 00 $1, 680 . 00 Express Mail 45 . 50 Total Disbursements 45 . 50 Total Current Work 1, 725 . 50 Previous Balance $2, 000 . 00 03/01/2021 Payment -2, 000 . 00 Balance Due L$1, 725 . 50 v� FISHERS ISLAND FERRYDISTRICT VENDOR 015921 UHS PREMIUM BILLING 09/21/2021 CHECK 7661 FUND & ACCOUNT P.O.'# INVOICE DESCRIPTION AMOUNT Sm .9060.8.000.000 647671290476 MED PREMIUMS (18,)\-10/21 17, 070.20 SM .9060.8.000-000 ' 647671290476 ADJ MIKE FRANCO-JUL-AUG 6,293.79- TOTAL 10)776.41 A -mw------------- - --- ------------------------------- ---- ------------------------------------- d, W gI I yam, ov.- X,IR -aY —----------- ---------- - -- -------- Io, NEE= • FISHERS ISLAND MkYDISTRICT, 53095 MAIN ROAD;PO BOX11,79 SOUTHOLD,NY 11971-0959 , CHECK%-NO-.--,' fl THE SUFFOLK CO'.NATIONAL BA1.1- ; j- CUTCHOGUE,NY,11935 DATE ,.AMOUNT,i' "J 09/21/2,02 -6,A1 '17U V- jNbRED SEVENTY S ' &b li' 0 0 bOLi 'XHOUS ~SEVEN HT :-y 50 UHS.,,PREMIUM BILLING APALTIN]k"IL 60694---:417 ull 94017,-, PO B O OX' OF- n [in 0 0 7 F3 F3 1 un 1:0 2 L L,0 5 Lt F3 L,i: G8 001S02 1113 i 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 IL 60094-4017 BSEP, 9� T 202°1 Vendor Telephone Number ., Town C lerk a Vendor Contact � MA Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 647671290476 9/7/2021 $10,776.41 $17,070.20 October 2021 Medical Premiums (18) SM9060.8.000.000 -$6,293.79 Ad' Mike Franco Jul Aug Set SM9060.8.000.000 r $10,776.41 $10,776.41 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 claim 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 approved. I Signature Title Signature Company Name Fishers Island Ferry Date 9/10/2021 Title Za er Date �f UnitedHealthcW UHS Premium Billing Manage your Account: PO BOX 94017 uhceservices.com Palatine,IL 60094-4017 Invoice No- 647671290476 C3A Invoice Date: 09/07/2021 Customer No: 1320205 Bill Group No- 209981 Coverage Period- 10/01/2021 -10/31/2021 Due Date- 10/01/2021 DPS$$$PKG FISHERS ISLAND FERRY DISTRICT GORDON MURPHY PO BOX 607 FISHERS ISLAND NY 06390-0607 Account Summary Thank you for your business. Previous Balance $19,168.13 Payments(-) -$19,168.13 About Your Payment Account Adjustments(+J-) $0.00 We offer several payment options to help you manage your account Current Charges(+) $17,07020 pay Online. Go to uhceservices.com to make a one-time payment or schedule Current Adjustments(+/-) -$6,29379 monthly payments directly from your bank account Total Balance Due $10,77641 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. —� FISHERS ISLAND FERRY DISTRICT Page 2 of 5 Customer No: 1320205 Invoice No- 647671290476 ` Invoice Date- 09/07/2021 Bill Group:209981 Coverage Period: 10/01/2021 -10/31/2021 Due Date. 10/01/2021 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 2_ $2 837.7_9 Subtotal, CT B FRDM NG 67001100 PPO HSA 21 17 $17,070.20 Subtotal 282348-Default Billing Pref $17,070.20 282348-Default Billing Pref Adjustments Account Adjustments $000 Current Adjustments -$6,293.79 Subtotal,Adjustments -$6,293.79 TOTAL 17 $10,776.41 Questions?We're here to help Toll free 1-888-201-4216 izi Oceseroices com FISHERS ISLAND FERRY DISTRICT VENDOR 021304 ULINE 09/21/2021 CHECK 7662 A FUND & ACCOUNT P.O.# ' INVOICE DESCRIPTION AMOUNT As, , SM .5710.4 .000.625' 137620595 NLT SUPPLIES 110.69 SM .57,10.4 .000.625 137620596 NLT SUPPLIES 7 ) 1,651.58 -TOTAL 1,762.27 --------- ---- - -- -------- 4, _n4 tlzx !,q X, IJ ----------- --- - - - ---- ------ ----- --- ---- - 'Tr' af UKT OM _1 , 20,21', -2 TISHki8iA'AAD, AUDI,T 09/ 53095 MAIN'ROAD,PO BOX 1179 SOUTHOLD,,NY_1,1971-_0959,-- CHECK ,, 0'. ;`7662 AY THE SUFFOLK,CO NATIONAL BANK CLITCHOGUE,NY 11935 :,DATE. 'AMOUNT,'t W 211 .62 2,7, ,'l` 505461214. 1 "'dNg"THOUSAND SEVEN-H*, DREt' 'SIXTY-T WO"AND `23)i,60 DOLLARS', 7 pAY , ULINE, o-TUE AWN -ACCOUNTS-A -RECEIVABLE t 0 i3Oj(,'B 8 7 4 0)7 • CHICAGO IL60,680-1741 u'0076621:02 140 54641: G 8 00L502 1115 i Vendor No. Check No—,., Town of Southold, New York - Payment Voucher 21304 " Vendor Address Entered by y Attn:Accounts Receivable PO Box 88741 Audit Date ULINE Chicago, IL 60680-1741S�E� �2 �.2021- , Vendor Telephone Number 800-295-5510 ['!own,C1erk Vendor Contact V , Invoice Invoice Invoice Net Purchase Order x` Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger"Fund and Account Number 137620595 8/19/2021 $110.69 $110.69 NLT supplies SM5710.4.000.625 x 137620596 8/19/2021 $1,651.58 $1,651.58 NLT supplies SM6710.4.000.625 .= s $1,762.271 $1,762.27 ' Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry District Date 9/2/2021 Title Manager Date 9/2/2021 INVOICE NO. 1-800-295-5510 Emil] uline.com 137620595 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# 56271124 SOLD TO: SHIP TO: -MDG2017 00004531 1 AB 042 8 2461167 FISHERS ISLAND FERRY DISTRICT FISHERS,ISLAND FERRY DISTRICT pac PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 U100-9-2013 PURCHASE ORDER NO. __0_R_D_ER�DATE DATE SHIPPED TERMS ER ms _ = 2461167 NICK_ UPS-OROUND, 8/19/21 8/19/21 NET 3.0 DAYS 8/19/21 ITEM NUMBER DESCRIPTION During these un recedented times,the earlier in the day you order from Uline,the better equippe we are to handle your order. We so appreciate your business. 1. EA H-295 HEAVY-DUTY HANDWRAPPER 18" 94.00 94.00 GLS' ORDER PLACED BY: NICK ESPINOSA SUB TOTAL SALES TAX FRT/HNDLING AMO TIAOLSON /M 94.00 6.61 10.08. 110.69 INVOICE NO. 1-800-295-5510 ** MIM3 u1me.com 137620596 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# 56271124 SOLD TO- SHIP TO: MDG2017 00004531 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 PURCHASE ORDER'NO. 2461167 NICK J.P. EXPRES 8/19/21 8/19/21 NET 30 DAYS 8/19/21 During these un recedented times,the earlier in the day you.order fro Uline,t better equipped we are_to handle your order. We so appreciate your usines t 16 RL, S-2108 18X1500 90GA ULINE BLOWN WRAP 21.00 336.00 4. EA H-2896 36" DELUXE TRASH PICKER 33.00 132.00 1 EA H-6395T LATERAL FILE CABINET 42"W-4 DRWR 810.00 810.00 24 EA S-21133W INVERTED STRIPING PAINT-WHITE 7.00 168.00 1 EA S-23921 XXL ROCKING CHAIR .00 .00 THIS ITEM AT NO CHARGE ORDER PLACED BY: NICK ESPINOSA SUB TOTAL - SALES TAX. FRT/HNDLING AMOUNT DUE TIAOLSON /M 1446.00. 98.61 106.97 C16;1.5.) 1-800-295-5510 i G ullne.com i 12355 Uline Way, Kenosha,WI 53144 DO#: 223698886001 SHIPPING SUPPLY SPECIALISTS FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT SOLD TO: PO BOX 607 - SHIP TO: 5 WATERFRONT PARK FISHERS ISLAND, NY 063900607 NEW LONDON, CT 06320 ,I I 'IP VIA PUROHASE,,QRDER.! ORDER DATE ORDER,# 2461167 NICK UPS Ground-(Palatine). 08/19/21 08/19/21 56271124 QUANTITY ••. • . MODEL • ••. sIPPE During these unprecedented times,the e�'rlier in,the day y u order.from line,the d w better equippee are to handle your,order. e so appr aciat6 your bt sinc ss. H-295 HEAVY-DUTY HANDWRAPPER 18" 1 EA 1 I I. I RETURNS:WE HOPE YOU ARE HAPPY WITH THIS ORM. HOWEVER, IF YOU NEED TO RETURN MERCHANDISE, PLEASE REFER TO THE BACK OF THIS FORM.THERE IS NO NEED TO CALL ULINE. ORDERED BY: NICK ESPINOSA 8604420165 I 0321 -1 16 08/19/212:18 08/19/212:46 TIAOLSON I , 1-500-295-5510 01IM3ullne.com ]. a, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIILIIIIIIII 700 Ullne Way,Allentown,PA 18106 i DO#: 223698945001 SHIF SUPPLY SPECIALISTS SOLD TO: FISHERS ISLAND FERRY DISTRICT SHIP TO: FISHERS ISLAND FERRY DISTRICT PO°BOX 607 , 5 WATERFRONT PARK FISHERS ISLAND, NY 063900607 - NEW LONDON, CT 06320 4 Order# : 56271124 CUSTOMER NO. PURCHASE ORDER NO. f 2461167 NICK JP—NHV 08/19/2021 08/19/2021 1,011111 MODEL NUMBER DESCRIPTION ORDERED U/M SHIPPED T4 Duri ig these unprecedented times,the earlier in the day you order front Wine, he be ter equipped we are to handle your order. We so appreciate your business. b S-2108 18X1500 90GA ULINE BLOWN WRAP 16 RL 16 4i H-2896 36" DELUXE TRASH PICKER ?:` 4EA 4 S-23921 XXL ROCKING CHAIR 1 EA 1 THIS ITEM AT NO CHARGE S-21133W INVERTED STRIPING PAINT-WHITE 24 EA 24 ORM-D H-6395T LATERAL FILE CABINET 42"W-4 DRWR 1 EA 1 RETURNS: WE HOPE YOU ARE HAPPY WITH THIS ORDER. HOWEVER, IF YOU NEED TO RETURN MERCHANDISE, PLEASE REFER TO THE BACK OF THIS FORM. THERE IS NO NEED TO CALL ULINE. ORDER PLACED BY: NICK ESPINOSA 8604420165 P6 8/19/21 2:18 PM 8/19/21 2:33 PM TIAOLSON MERCHANDISE RETURN PROCEDURE ' r= i 1. It is not necessary to call us for an authorization. Complete steps 2-5 below and include this fc ' nd your packing list with the returned merchandise within 30 days. Return to: Wine, 700 Wine Way, Allentown, PA 18106 2. Action desired(check box): U Defective merchandise - Item(s) listed below- Please replace. ® Incorrect merchandise received - List item(s) received vs. item(s) ordered below. ® Shortage - List item(s) not received below. ® Damaged merchandise - See step 4 below. ® Customer ordered wrong amount or item. -""- 3. Model Number: Quantity: Description: Reason for return: Replacement item requested: 4. Damaged Merchandise: UPS/Parcel Post: Please note extent of damage with action you wish taken and mail to Customer Service Department at Wine. Mold material for disposition instructions. Truck or Air Freight. Note any damage on the carrier's delivery receipt. Immediately notify carrier of any concealed damage and have them provide an inspection report on the damaged shipment within 10 days. Forward inspection report and packing list to our Customer Service Department. We will file a claim and immediately replace the item for you. 5. Your Name/Title: EDMONTON Phones: SEATTLE MINNEAPOLIS,TORONTO as CHICAGO NYC/PHILA LOS ANGELES MEXICALI ATLANTA GUARANTEE Try any product in our catalog for a full 30 days.If you are not MONTERR DALLAS completely satisfied,return it to us for a full refund or credit. ' b 1808 L5$s"`• 'pF.,z':.rt .t, >`'X - _ .z e:, r: 4r x , ,,#;,4. ;t'.fi-:", ..iti ' w4"` *':s'' : ' 's"'. +.Zxr°e3 I FISHERS ISLAND FERRY DISTRICT ,VENDOR 021506 UPS 09/21/2021 CHECK 7663 ; f A t > FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' a SM .5710.4.000.700 266393,51 W/E 8/28 60:00 SM .5710.4.000.700 26639361 W/E' 9/4, 38.16• - rt TOTAL 98:16 tl - I I t iii - — -- a: _ --.µNx —------------ ------------ ----------------- - { .. ; '.j 'T'- ,., :,r,>• .r :•Z, k •> L ,g f.-r;,> rs....,.>,..:.y rYy; t,.r'rt.:. .s.},,, .. xs "S >'p r `t . y,.t, '»wr,:: ..h.(g.;.i .•as#..; °. .0+ .•: ^.tt,'',:+`r ,, x i k'', , jafiij I i '1?L yfl I i`fyif I I ' ir12 o o o o •, _ " FISHERS'IS. .,.•, _ ; ;- ,:; :;'-:•r-;d`Y;•,, : •• _ -Y- t LAND FERRYDISTRICT AUDI '_.09%2T 2F02'I: _ 53095 MAIN ROAD,PO BOX 1179 SOUTHOLO,'NY 11971-0959 ; THE SUFFOL'K,CO NATIONAL 3ANK 1,CUTCHOGUE,NY11935, DATE;'` ,s, AMOUNTl's' " . `N ;,rs _ ,.'y.: , - `,s° _ ,J,, 'n rn a, ii• if c1. '' s'• t•.y1 i i'Si I:.t."a ed5lz ia'.' „`2 021c :-'ice a ,.,, :- °F :ININETY- EIGHT=AND' ;16/1:`00 DOT;_I ' RS , ,_ ,''' ` , - ' '!,s si. ,;,"', F`'F ;s,`.,a . a,pr , 'V •'• ` ' s. UPS THE;_ 'PD BOX =809488` OF',. . CHICAGO IL 60680"-9488 = us00 766 Sus 1:0 2 040 54641: 68 OO L 50 2 Ln” Vendor No. CheckNo. ° Town of Southold, New York- Payment Voucher 21506 �. Vendor Address Entered by p. { P.O. Box 809488 Vendor Name UPS Chicago IL 60680-9488 Audit Date United Parcel Service 4- ,,SEP-'21 2 Vendor Telephone Number Vendor Contact Town Clerk Vendor Contact ` „ o r Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number { 26639351 8/28/2021 $60.00 $60.00 W/E 8/28/21 $M5710.4.000.700 26639361 9/4/2021 $38.16 $38.16 W/E 9/4/21 SM5710.4.000.700, , $98.16 $98.16 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 V-STitle Signature Company Name Fis Ferry District Date 9/10/2021 Title Manager Date 9/10/2021 O Q Delivery Service Invoice Invoice Date August 28, 2021 Shipped from-' Invoice Number 0000026639351 FISHERS ISLAND FERRY Shipper Number 026639 .N 5 WATERFRONT PARK Control ID P856 NEW LONDON,CT 06320 Page 1 of 4 ®_ Sign up for electronic billing today! 0736A00000266394 77366040014364 Visit ups.com/billing AB 01 018692 99339 H 59 B For questions about your invoice,call: (800)811-1648 Monday-Friday FISHERS ISLAND FERRY 8:00 a.m.-6:00 p.m.E.T. ACCTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390.0607 P.O.6Ox 809488 CHICAGO,IL 60680.9488 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $60.00 Page Charge Amount Outstanding(prior invoices) $976.19 3 Adjustments&Other Charges $27.00 Total Amount Outstanding $1,036.19 4 Service Charges - $33.00 Please include the Return Portion of each outstanding invoice with Amount due this period $60.00 your payment.See Account Status for details. UPS payment terms require payment of this invoice by September Questions about your charges? 19,2021. To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at Payments received late are subject to a late payment fee of 6%of ups.com/invoiceguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) •I Note:This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. dL T f i f i i i i f i i i i i 7 f i i f = f i T i i t ,i i 's a Delivery Service Invoice Invoice Date August 28, 2021 V Invoice Number 0000026639351 Shipper Number 026639 TM Page 2 of 4 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include the Return Portionof each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639301 07/24/2021 $36.00 0000026639311 07/31/2021 $36.00 0000026639321 08/07/2021 $722.75 0000026639331 08/14/2021 $ 143.44 0000026639341 08/21/2021 $38.00 Total $976.19 Outstanding balances reflect any payments received as of 08/27/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. '1 Delivery Service In voice Invoice Date August 28, 2021 Invoice Number 0000026639351 Shipper Number 026639 U0. Page 3 of 4 Adjustments & Other Charges Packages Delivered but not Previously Billed Delivery Billed Date Tracking Number Service Zone Weight Charge 08/18 1Z0266390340369263 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 08/20 1Z0266390340790495 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 5034 LA CROSSE 5 WATERFRONT PARK MADISON WI 53705 NEW LONDON CT 06320 08/18 1Z0266390340937443 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 6824 CITRINE 5 WATERFRONT PARK CARLSBAD CA 92009 NEW LONDON CT 06320 1Z0266390340960828 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 IZO266390341215873 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 120266390341248285 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 1Z0266390341383218 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 IZO266390341429393 Missing PLD Fee 2.00 Total 2.00 -------------- - --- --- --- - -- -- -- -- - -Receiver:- -Sender :FISHERS ISLAND-FERRY__,- .------------------------------------- - - --- - - ---- ------ - 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 08/16 1Z0266390341504453 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 84 PARKER 5 WATERFRONT PARK TRENTON NJ 08609 NEW LONDON CT 06320 08/18 120266390341567403 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3630 OVERBROOK 5 WATERFRONT PARK DALLAS TX 75205 NEW LONDON CT 06320 08/16 1ZO266390342805180 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 4015 SUL ROSS 5 WATERFRONT PARK HOUSTON TX 77027 NEW LONDON CT 06320 NUN 2/2 n Delivery Service Invoice Invoice Date August 28, 2021 VTM Invoice Number 0000026639351 Shipper Number 026639 Page 4 of 4 Adjustments & Other Charges Packages Delivered but not Previously Billed(continued) Delivery Billed Date Tracking Number Service Zone Weight Charge 08/18 IZO266390342904233 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 904 GRINNELL 5 WATERFRONT PARK RICHARDSON TX 75081 NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 12 Package(s) 24.00 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FE9 300 FOR 1 PRINTERS AT$3.00 EACH FOR 27-AUG-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 27.00 Service Charges Week Ending - Billed Date Explanation Charge 08/28 Weekly Service Charge 33.00 _ Total Service Charges 33.00 _. ........................... _ i Delivery Service Invoice Invoice Date September 4, 2021 Shipped from: Invoice Number 0000026639361 r= FISHERS ISLAND FERRY Shipper Number 026639 ON 5 WATERFRONT PARK Control ID i 575D NEW LONDON,CT 06320 Page of3 I I i i Sign up for electronic billing todayl 0736A00000266394 77366010014688 Visit ups.com/billing ®_ AB 01 018466 06175 H 59 B For questions about your invoice,call: (800)811-1648 Monday-Friday 8:00 a.m.-6:00 p.m.E.T. FISHERS ISLAND FERRY ACCTS PAYABLE j or write: PO BOX 607 j UPS FISHERS ISLAND, NY 06390.0607 P.o.BOX 809488 CHICAGO,IL 60680-9488 Thank you for using UPS. Account Status Summary Summar of Char 'es Weekly Payment Plan 9 Amount Due This Period $38.16 Page Charge Amount Outstanding(prior invoices) $277.44 3 Adjustments&Other Charges $3.00 Total Amount Outstanding $315.60 3 Fees $2.16 Please Include the Return Portion of each outstanding Invoice with 3 Service Charges $33.00 your payment.See Account Status for details. Amount due this period $38.16 Questions about Your charges? UPS payment terms require payment of this invoice by September - To get abetter understanding of the charges on your invoice, 26,2021. visit our invoice guide and glossary of billing charges at ups.com/involoeguide. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of V. Service at ups.com for details) Note:This invoice may contain a fuel surcharge as described at N ups.com.For more information,please visit ups.com. i Delivery Service Invoice Invoice Date September 4, 2021 1 Invoice Number 0000026639361 Shipper Number 026639 - T. Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639311 07/31/2021 $36.00 0000026639321 08/07/2021 $722.75 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 0000026639301 07/24/2021 $36.00 0000026639331 08/14/2021 $ 143.44 0000026639341 08/21/2021 $38.00 0000026639351 08/28/2021 $60.00 Total $277.44 Outstanding balances reflect any payments received as of 09/03/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. a Delivery Service Invoice Invoice Date September 4, 2021 Invoice Number 0000026639361 Shipper Number 026639 OTM Adjustments & Other Charges Page 3 of 3 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 03-SEP-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Fees Week Ending Unpaid Billed Date Balance Rate Charge 07/24 Late Payment Fee 36.00 6.00% 2.16 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 2.16 Service Charges Week Ending Billed Date Explanation Charge 09/04 Weekly Service Charge 33.00 Total Service Charges 33.00 018466 212 7!UAM, FISHERS ISLAM FERRY DISTRICT VENDOR 008414 US ELECTRICAL SERVICES, INC. 09/21/2021 CHECK' 7664 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION' AMOUNT SM .5710.4.000.625 S118755322.001 NLT,:ELECTRICAL` SUPPLIES , 64 .07 TOTAL 64 .07 co co ------------- elk 7 09 In 2 sl - ------------- --------- - - ----------------- -- k FISHERS ISLAND FERRY DISM167 AT 4DIT 6 / l/', 53095 MAIN ROAD,PO BOX 1179' M SOUTHOLD,NY 11971-0959- CHECK'NO. 7564 ' THE SbFFOLK'CO.NATIONALAA DATE CUTCHOGUE,NY 11935 Ve, 50-5462i4' 00,.7, "SfXTI 'FOTJR',,AND 07/106 -DOLLARS m- t; 4Y PS EIECTRI.CAL,,l SERVICES, INC. THE po SOX 4124$5 .rO OF - BOSTON MA 02241 lie 0 0 766411' 1:0 2 11,0 51. 641: P3 13 001502 1:1110 1 Vendor No. Check No.,'- ' Town of Southold, New York - Payment Voucher 5414 ] p�D Vendor Address Entered uy' Vendor Name P.O. Box 412485 Audit Date Electrical Wholesalers Inc. Boston, MA 02241-24852 ' 5�� 21��' Vendor Telephone Number ,. ° 202z1 , 800-522-3232 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 -" � S118755322.001 8/17/2021 $64.07 $64.07 NLT electrical supplies SM5710.4.000.625 Al - r 71 ° y'; ° , a f -4 $64.07 $64.07 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 Signature Title Signature Company Name Fi d Ferry District Date 9/10/2021 Title Manager ate INVOICE INN"Electrical Wholesalers inc. ans�«�se Saco CUSTOMER NUMBdR, ' SUB ACCOUNT*," EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER r` --INVOICE DATE 860-443-4381 Fax 860-443-4570 S118755322.001 08/17/21 REMIT TQ:. US ELECTRICAL SERVICES,INC. _ PO BOX 412485 BOSTON MA 02241-2485 BILL TO: 3360 1 AB 0.428 E0306X 10497 07986116872 S2 P8472854 0001.0001 SHIP TO: ��i�i�I�I�II��I�111111I1I I1I1�I�lll�lli��lll�lll��i�l�lll�l�l�� FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI 4 PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 ti e CUSTOMER PQ# , JOB'NAME feRELEASE`#� ' ORDERED�I3Y SALESPERSON RACE POINT RACE POINT DON HOUSE ACCOUNT WRITER SHIPVtAa e'e �TER�flS SHIPrDATE; OtDER DATEn.°` NICHOLAS GRESSLER PICK UP MFG DISC 10TH, NET 15TH 08/17/21 08/17/21 `,OR[ ER QTY° ` SH1P QTY oDESCRIPTION'`; UNIT PRICE° '�" EXT°ORICI ORDER PICKED UP IN NEW LONDON, CT-06320-5817 12ea 12ea PHI 479444 5 020 ea 60.24 8.8A19/PER/927-22/P/E26/WG 6/1 FB A19 LED 8.8W 60EQ 2700K WARM GLOW 80OLM E26 80CRI Try ordering ®mine or c3 n tEnsee go! • Visit www.ew-ct.com or download our app on,the App Store or Google Play store • Order until 7 PM for next day pickup or delivery o Live account pricing • Check stock in nearby branches • Contact SolutionsR22AOo usesi_com for more information • Pay your bills online at usesi.billtrust.com(enrollment token at the bottom of this invoice] PROOF OF DELIVERY SIGNATURE Subtotal 6024 2021/D8117 10 16 43 AM S118766322 1 Invoice is due by 09/15/21. Shipping Chgs 0.00 Tax 383 For complete Terms&Conditions go to- Payments https//tinyurl.com/EWCT-Customer-TCti Amount Due_ 64.07 A MElectricai Company Visit us at www.usesi.com �Serwces Inc41 TO VIEW ONLINE GO TO: HTTP:I/USESI BILLTRUST.COMUSE THIS ENROLLMENT TOKEN: LMR LDP GZR Page 1 of 1 0001:0001 III III II11111III I11111IIINIIIII1111IIIN III MW Electrical -hw. Shi Ticket a USElecirkal,Sendces Co. j I SHIPbATE "dRDER�NUMBER`_,"' `aPAGE.NO.,' EW-NEW LONDON 08/17/2021 S118755322.001 1 of 1 163 STATE PIER ROAD NEW LONDON, CT 06320-5817 COST=PO#. RACE POINT 860-443-4381 " Fax 860-443-4570 ° ' 'JOB/+SEL`# .; RACE POINT SOLD TO. SHIP TO. FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 CUSTOMERNUMBER _ �;CUSTOMERPHONE#' ORDERED BY SALESPERSON,`., 27352 860-442-0165 DON HOUSE ACCOUNT WRITER �rSHIP VIA ` 1NAREHOUS �ORDERDATE.'e' -FREIGHT ALLOWED NICHOLAS GRESSLER PICK UP Ship: NELO Price: NELO 08/17/2021 No 860-443-4381 ORDER QTY SHIP,QTY'. "� DESCRIPTION " 12ea 12ea PHI 479444 8:8A19/PER/927-22/P/E26NVG 6/1'FB A19 LED 8.8W 60EQ 2700K WARM GLOW 80OLM E26 80CRI 2021 M/17 10 16 43 AM 5118755322.1 I ,vl Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax For complete Terms & Conditions go to: https://tinybrl.com/EWCT-Customer-TC Payments Amount Due Printed by GRENIC on 0/17/2021 10 16 47 AM EST FISHERS ISLAAD-FERRY DISTRICT I, VENDOR 002240 VERIZON WIRELESS 09/21/2021 CHECK 7665 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 4 R SM .5710.4.000.100 9887348854 SE HOT SPOT-8/21 137.76 TOTAL 137.76 ----------------- ------------- ------------ - 1W"'sWi 0, dN q' V, R -1 77 T 202 FE D -A "'0'9' 2 IS -'S IC 7 7 ROAD,Po Bo 1 9 CK 0 11971-0969 'C Y' '-o , , ' -95 -- 5 '2 2 E MAIN I 0 OUT T C He UFFOLK Co.i ATIONAL BA K U ,0 U 'N 'l 935 T H G E, y AMOUNTA'." '7 9 ,2 '202 1 0 5, '4 'Al 0 SEVEN-AND' 7 6 1Q 0" ONE'HUNDRED,,THIRTY- DOL 41 PAY,_ ,.,VERIZON WIRELESS r0-THE PG, BOX '489 op . 07101-;0489 :`- N NJ 07 10 1'-';O 4'*8'9' 00 766 5 111 1:0 2 140 54641: 68 00150 2 1111 Check No: Town of Southold, New York - Payment Voucher 2240 Vendor Tax ID Number or Social Security Number Vendor Address Entered by , Vendor Name PO Box 408 Audit Date Verizon Newark NJ 07101-0408 " `p c�'� q Vendor Telephone Number -�S f' 1.+ 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',a 9887348854 8/30/2021 $137.76 $137.76 SE hot spot August 2021 SM5710.4.000.100 t o $137.76 $137.76 =` Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly .m 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 Signatur Company Name Fishers Isl Date 9/9/2021 Title Manage- Date ■ :venzon PO BOX 469 Manage Your�Account Account Number Date Due NEWARK,NJ 07101-0489 • boom 342281317-00001 Past Due Change your address at Invoice,Number 9887348854 x \ http://sso.verizonenterpriie.com Quick BIII SuCY1CT1arJul31—Aug3O- illl�ll�lll��i��llu�l�inl�llllll��gl�l��ll�lllllll�lll�l�lllll - _ - •' ` , FISHERS ISLAND FERRY DISTRICT ROOOB1646 Previous Balance,(see back for details) $175.55 . g ACCOUNTS PAYABLE • Ki ob - Payment—Thank You —$77.77 rA 261 TRUMBULL,DR, Balance Forward Due Immediately . $97.78 PO BOX 607 ,FISHERS ISLAND,NY 06390-6021 ' Monthly Charges $77.00 Usage and Purchase;Charges Voice $.00 _ —Messaging. $.00 . Data $60,00 Surcharges and Other Charges&Credits $.76 Taxes,Govern mentaF Surcharges&Fees , 'Total Current Charges Due by September 22,2021 $t 37.76' Tobi Amount Due $235.54 Pay from phone Pay on the Web Questions: veriz®n-1 Invoice Number Account Number Date Due Page ^•yl"--e�•`x�""l,w ""„„��, '^"alive°n"�:Tw,9�SR�°\ mY^`�"`�'." :`°'^.�"""-x"-4^.-1. .UQ\�..-„' I��,i,3`,�.'r�+�'.w.'� �i.':•'ts�" n >3.K�,,. 4� fi.�la�� ux..e' .. - ;v`•-'eC,y,. xa2u "°$ r i :rye, �A'! `°Pak "ARE, �,u�'� °.`"w'-a,�.a.,•,. ..W...�,.,..,.'aV�..a a' :s,...,. �,i.:�"3:._Ma.::;+:»:.,.,M ',,.".��iatiwn,.a..'.�:.....-,::�::m'�*. •,a,.:. �<.,»,:,:...�,s...•....ww.;,•�:.t...?`N`'..,,'s: ..; w" .,.,..,x.. ."'.*.�'-:a". `a"«�a, ,:,•,..u.,.,..,. s.w Get Minutes Used Get Data Used Get Balance p •pe s p •®e p , Payments e Payments, continued N Previous Balance $175.55 Payment—Thank You W ia Payment Received 08/03/21 —77,77 Total Payments 477.77 V Balance Forward Due Immediately $97.78 00 �o 0 a me tr• a't he , # on"s'ei cru gid . PrP _t .v�J re�ilgWe`d'gr�h�iarasl Cease:sei��'ca�re�pan��i �Sa .."-=:"�F''` , „" " �_ rlgnri�lAlir 1 'fie �Mitic�`fE,nru• aF�nfit1�3'1tnA""f 4�m,h13�pny`+�ti�fRl'j' {bav�V-l'Uil"�`J*JK7^''�`�t4�. s_-_.�� _ ��,:�..�:..:`. veriz®n Invoice Number Account Number Date Due Page 711 �x`;n - Overview of Shared Usage Participating Lines Lines Exceeding Shared Shared Shared as of 08/30/21 Allowance after Share` Allowance Usage Billable Cost Data–Flexible Business Share 1 1 2.000GB 7.50266 6.00066 $60.00 Overview of Lines Usage Surcharges Taxes, ,and and Other Governmental Third–Party Voice Page Monthly Purchase Equipment Charges and Surcharges Charges Total Plan Messaging Data Voice Messaging Data Lines Charges Number Charges Charges Charges Credits and Fees (includes Tax) Charges Usage Usage Usage Roaming Roaming Roaming 631-372-0263 Ferry Jetpack 5 $26°95 $60.00 -- $.02 $00 -- $8697 - -- -- 7.502GB -- -- -- 631-466-5153 Gordon Gordon ,6 - $50.05 — -- $.74 $.00 -- $50.79 110 7 1.455GB -- -- -- Total Current Charges $77.00 $60.00 $ $.76 $.00- $.00 $137.76 verizonNI Invoice Number Account Number . Date Due Page • �, c`��;^ .7 :� "7 ��22813�7=0D4t>«;'�� P�IsL'Que M4a�7• •��, ,ate �£...�.�.�.�.;.�:�+.:.,,'...�°.,,�.w.._...�.w.�:.�.�ua�,..,......,.....,;a .....�.:��,,:i_�,�;.�..=vs_;_,.F•...m' :.�.��_,...�,....,__»,_.,,� �.,�.,.w ',.�,��a�.w_,a.�.�..«.,r.�.;.�.w«....r,.,..;.,ua„s...,.;'. ,'�^_�:.. ,...» ��.,�, .._.,.w r;.� ..;..�.r�:.u, , Shared Usage Overage Details Current Usage DATA—FLEXIBLE BUSINESS SHARE Shared Usage Overage Details Allowance Used Billable Cost 2GB ACCT SHR$10/GB$0 631-372-0263 FERRY JErPACK 2.000GB 7.502GB 6.000GB $60,00 Have more questions about your chargeV Get details for all your Usage Charges at vzw.com/mybusinessaccount. verizon-1 Invoice Number Account Number Date Due Page W -Fig, V "Wt 537 Ut 8 a., &M-X-, TI- Summary for Ferry Jetpack: 631-372-0263 Your Plan Monthly Charges Flex Business Data Device 2GB 08/31 —09/30 35.00 Flex Business Data Device 2GB 23%Access Discount 08/31 —09/30, --8.05 $35.00 monthly charge $26.95 $.25 per minute 2GB Acct Share$1 OIGB Usage and Purchase Charges 2 monthly gigabyte allowance Data Allowance Used Billable, Cost $10.00 per GB after allowance Gigabyte Usage gigabytes 2.000 7.502 5.502 60.00, (shared) Beginning an 06/07/10: Total Data $60.00 23%Access Discount 'Total Usage and Purchase Charges $60.00 Have more questions about your charges? Surcharges Get details for usage charges at Regulatory Charge .02 b2b.verizonwireless.com. $.02 Total Current Charges for 631-372-0263 $86.97 veriz®n� Invoice Number Account Number, Date Due Page N^ ,..:aJ-.�.�:..,,....�' `- 0 nry 87 281311,, 0000J. -W,7, 6r Summary *.w..r ....a .rr..,.wtxw " for Gordon Gordon: 631-466-5153 Your Plan Monthly Charges 4G NW UNL Min&MSG+Email&Data 08/31 —09/30 65.00 4G NW UNL Mln&MSG+Email&Data 23%Access Discount 08/31 —09/30 —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 110 -- -- Mobile to Mobile minutes unlimited 74 -- -- Email&Web Unlimited Nlght/Weekend minutes unlimited 20 -- -- Unlimited monthly gigabyte Total Voice $.00 Beginning on 05/31/19: Messaging Allowance Used Billable Cost 23%Access Discount Text messages unlimited 5 -- -- M2M National Unlimited Unlimited M2M Text messages, unlimited 2 -- =— Unlimited monthly Mobile to Mobile Total Messaging $,00 " Data Allowance Used I Billable I Cost UNL Night&Weekend Min Gigabyte Usage gigabytes unlimited 1.455 -- -- Unlimited monthly OFFPEAK Total Data $.00 UNL PlctureNldeo MSG Total Usage and Purchase Charges $.00' Unlimited monthly Picture&Video Surcharges Fed Universal Service Charge .36 Have more questions about your charges? Regulatory Charge .21 Get details for usage charges at Gross Receipts Surchg .17 �b2b.verizonwirelessxom. $34 Total Current Charges for 631-466-5153 $50.79 veriz®n ' 'Invoice Number Account Number. - Date Due Page 34' 131N4{}/�n�{ �t.4/�.tStweis ..�......3:�.c�...::. �:�'�F�.�:...x,_. ,.,..........,....:�a.,_.._,......w..+'`.-„-."°,.;a,,,.,.,.:.....a&,.m ..i"',i��.<x Need-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. More On Wireless Taxes And Surcharges Your total charges for this month's bill cycle are$235.54. This includes charges for one or more bundled Verizon service plans that include voice,messaging,data,or other services for which you pay a,monthly plan'charge. This bill cycle,your fixed monthly plan charges were$100 00 (before applying any discounts or credits,and excluding other charges such as overage,late payment,taxes,Verizon surcharges, and equipment). To accurately bill taxes and Verizon surcharges,we regularly look at past network usage by you and other customers with similar plans to allocate this fixed monthly plan charge among the services included in the bundle. In this bill cycle,we have allocated this,amount as follows:$4.17 for voice,$0.84 for messaging,$_94.99 for data,and$0.00'for other services. For more information,please go to'vzw.com/taxesandsurcharges. Regulatory Charge Decrease Effective September 1,2021,the monthly Verizon Wireless Regulatory Charge for voice-capable devices will decrease from $0.21 to$0.16 per line.The charge for data-only devices remains at $0.02,Please note that this is-a Verizon Wireless charge,not a tax. This charge,and what's included,are subject to change from time to time.For further information regarding this charge,review the "Explanation of Surcharges”section of this bill,or consult your wireless service agreement.