Loading...
HomeMy WebLinkAboutAU-10/19/2021 Fishers Island FISHERS ISLAND FERRY DISTRICT at i VENDOR 001409 ADVANTAGE TECH, INC. 10/19/2021 CHECK 7688 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 968020 IT OUTSOURCING-10/21 3, 027.00 �g TOTAL 3,027.00 1 Emil ----- -------- - - 77' ....... .. i,43 ""41 --------- --- --- - ---- ---------- ,FISHERS ISLAND .FERRY DISTRICT -AuDIT 'i b3095'MAINFIOAD,F`O,BOX 1179 ,�0/19/2021-�'�, SOUTHOLD;,NY 1,7971�0959 CHECl�' NO,, 768',8 THE SUFFOLK CO.NATIONAL BANK, CUTCHOGUE,NY 11935 DATE AMOUNT 50-546/214- o/igi 0 2i $3O27 THREE• THOUSAND TWENTY: SEVEN-AND 0'0•/10 'DOUAkS PAY ADVANTAGE TECH, INC. TO 7'HE PO BOX 951 ',, ,. OF9ADkR _SUFFIELD CT 06078 7117 "'DO 7 68 8 un 1:0 2 L 40 5L,P,1,1: 68 00IS02 Llis 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, Inc , 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 sand Account Number 968020 10/1/2021 $3,027.00 $3,027.00 IT outsourcing October 2021 SM5710.4.000.500 $3,027.00 $3,027.00 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 di Title Signature Company Name Fishers s an env District Date 10/4/2021 Title Manager Date 0 Z- .�4 Advantage Tech, Inc. Invoice P.O. Box 951 Suffield, CT 06078 Date Invoice# 10/1/2021 968020 Bill To � p Fishers Island Ferry P.O.Box 607 Fishers Island,NY 06390-0607 VV- P.O. No. Terms Project Due on receipt Description Qty Rate Amount Ticketing System Usage and Support-Oct 2021 2,135.00 2,135.00 Ticketing Support-Ed-9/1/2021 thru 9/30/2021 3.5 165.00 577.50 AWS Hosting-Sep 2021 217.00 217.00 AWS VPN Tunnel:Sep 2021 50.00 50.00 DNS Hosting 2.50 2.50 Cloud Backup:Sep 2021 45.00 45.00 Thank you for your business. Subtotal $3,027.00 Sales Tax (0.0%) $0.00 Total $3,027.00 Payments/Credits $0.00 Balance Due $3,0271.00 Phone# E-mail ! (860)980-0861 billing@advantech.biz ..........Fr= I im FISHERS ISLAND FERRY DISTRICT mz' VENDOR 001318 AIRGAS USA, 'LLC 10/19/2021 // CHECK 7689 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.625 9117529824 PROP (4) NLT FORKLIFT 184.45 SM .5710.4.000.625 /,-9982048593 CYLINDER RENTAL (4) 105.24 TOTAL 289.69 co A vi - -------------- -------------------- -- --- ----------------- --- --- ----------------- -- Fi'v a R<, q 4\114 I o 'lq FISHERS ISLAND FERR YDISTRICr 53095 MAIN ROAD,PO BOkII79 AUDIT; 'SOUTHOLD,NY 11971-0959 ,17 CHECK' NP, ,7 6 8 THE Surl"OLK CO.NATiONAL BANK ,CUTCHOGUE,NY11935-,-, ,�,:DATE,'7- AM OUNT',-, ,:l M 0- • 9,:,6 t)0,646/214, 2' -!fW0 HUNDRED EIGHT' INE A N �Np',69/jdo"• D6iLA v, 0,1 k"- 4q\g P�Y,, AIRGAS-USA_ LLC - Al _PQ BOX'-734445 TO THE X bA6ER, -73444 5 ICAGO,,IL 60673 445'--- 4 T 110 00 7 G 8 9 n 1:0 2 140 54641: 68 00L502 1, 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 OCT 1 9 2021 Vendor Telephone Number 860-444-3055 800-962-0285 Town Clerk ,Q/f Vendor Contact �• `l L¢ .Ci Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9982048593 8/31/2021 $ 105.24 $ 105.24 Cylinder Rental (4) SM.5710.4.000.625 9117529824 9/14/2021 $ 184.45 $ 184.45 Propane (4) NLT forklift SM.5710.4.000.625 $289.691 1 $289.69 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing 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 a and Ferry District Date 10/7/2021 Title Manager Date 10/7/2021 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 T T INVOICS-A)ATS-A"' 'PU NVOtCE -'�80t.'o'-TOM -Z AL, 9-HASS A7 C TERWZ77 99820485931 2576547 1 3878688 08/31/2021 RENT NET 30 ..PRIJ k1.6WRJk : 'M' CY-PR 33A - CYL PROPANE INDUSTRIAL 33 CGA 790 7 9 9 0 7 3 4 124 $0.685/DAY $84.94 N 8112449680 - 08/02/2021 4 4 0 8113115147 - 08/23/2021 5 5 0 RRCYLILG-AR - Rent Cyl Ind Large Argon 1 0 0 0 1 1 0 0 $0.89/DAY CY-AR CD25125 - INM 25% CD/AR 125 1 0 0 0 1 RRCYLILG-OX Rent Cyl Ind Large Oxygen 3 0 0 0 3 3 0 0 $0.89/DAY CY-OX 200 CYL OXYGEN INDUSTRIAL 200 CGA 540 3 0 0 0 3 RRCYLISM-FG Rent Cyl Ind Small Fuel Gas 2 0 0 0 2 2 0 0 $0.82/DAY CY-PP 25 CYL PROPYLENE 25LBS 2 0 0 0 2 ---------- 13 9 9 0 13 $84.94 ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.COM/terms-of-sale Hazmat: 20.30 Important.See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the A $ 105.24 Reverse side of this form.You will be deemed to have accepted the provisions in the said Notice as part of the contractual arrangements between you and us,unless you reject such I affi MTfi I Ztm I kq=�- m provisions by written advice to us within(15)days after the date of this document. Airgas USA,LLC SHIP To 3878688 Acct No 550372228 Airgas® FISHERS ISLAND FERRY DISTRICT JPMC Bank,ABA No 021000021 an Ar Uquide company 5 WATERFRONT PARK AIRGAS USA,LLC N I EW LONDON CT 06320 6055 Rockside Woods Blvd For change of address Independence,OH 44131 email to:NDIV.Dl@,Airgas.com 011764 or call 216-520-6000 REV 6.1.16 0017658 Page 1 of 1 Disclosure Terms of Sale Each sale of Goods or services by an AirgaSTM"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 ht1p I/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(ii)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Argas 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 safe,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid oy 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 Seiler 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 Evvith Airgas is easier than ever with our eBusiness website,http:11 www airgas corn Visit us online today to see how www.airgas.com can save you t me and money TO ENSURE PROPER CREDIT.PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL.216-520-6000 1103592556 1 9117529824 109/14/20211 2576547 FISHERS ISLAND FERRY DISTRICT 4 PROPANE EXCHANGE CHRIS BAKER 860460-1513 CLIPU NET 30 109/14/2021 KDELN 'X w'Apga, Q, -'B10 RY al�- - W-10R,--" G7t — i71 iT �' "Cu ,0' 't g"A 8113791368 PR 33A 4 CL 4 4 41.00 CL 164.00 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 128 LBS) (H) Sale subtotal: 164.00 Airgas Hazmat Charge 20.45 Airgas Hazmat Charge (H) see Itemized Charges on reverse or visit www.Airgas.COM/terms-of-sale 184.45 SHIP To:3878688 Airgas FISHERS ISLAND FERRY DISTRICT an Aur Liquide 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 009179 email to:NDIV.13ligAirgas.com REV 6 1 16 0011730 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale Each sale of Goods or services by an AirgasT'"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(Le,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 Seiler'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 Surcbarges- 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:/1 www.airgas.com Visit us online today to see how www.airgas.com can save you time and money "MP, vq IL A FISHERS ISLAND FERRY Y DIARICT Till VENDOR 001400 ALTERNATIVE SAFETY & TESTING 10/19/2021 CHECK 7690 A FUND & ACCOUNT P.O'# INVOICE DESCRIPTION AMOUNT r SM .5710.4.000.000 101318 PRE-EMPLOYMENT (2) 81.00 ISM .5710.4 .000.000 101318 COLLECTION FEE (2) 30.00 N. 0 TOTAL ift 1.o o --- --- ---- -- -- - ----- --------------------- 77, 14� IV B -------- ------- - ------- -- - - ---------------- --- ----- ------- - ­ ""N FISHERS lStAAT)'FERRYDISrT9rCT AUDIT 10/ib�"` 53096 MAKROAD,PO BOX.1179, 26 SOUT14OLD;NY.11971,-0959 ...... 9'. TH I ECK ' CH S� ,�6LK'CO'.NAT�OhALI'A`NK DATE `- CUTCHOGUE,NY 11935 AMOUNT 50-5461214- $11,1' 00 -E"L VEN AND-_0 ,_j -_HUNDRED 0/iOO, ljOUAjRV­_ q P AY.' ALTERNATIVE SAFETY & TESTING, ll .1 w TO 771 29,6PRAIRIE � -2 0 0 STJ' S of ,GRANDNIECE MI 49418 411 11400 7 P390v 1:0 2 140SL, [,1: 68 00 L 5 0 2 l Vendor No. Check No. Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered by 678 Front Avenue NW Vendor Name Suite 256 Audit Date ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, MI 49504 ®'CT 1 9 2021' Vendor Telephone Number 800-477-3177 Town Clerk Vendor Contact �. �l14�V�CXRr Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 101318 10/1/2021 $111.00 $81.00 Pre-employment(2) SM5710.4.000.000 $30.00 Collection Fee(2) SM5710.4.000.000 $111.00 $111.00 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 QA Signature Title Signature y Company Name Fishers sand Ferry District Date 10/4/2021 Title_ Manager Date 1p I Ar Remit Payment To: Invoice EXCELLENCE 2969 Prairie Street S.W. '♦lw.j „ Suite 200 Date Invoice# Alternative Safety&Testing Solutions Grandville,MI 49418 10/1/2021 101318 Phone:800-477-3177 Fax:616-534-5545 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 261 Trumball Drive include the invoice number for 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 2 Drug Test 40.50 81.00 2 Quest Collection Fee 15.00 30.00 Federal Tax ID#38-3510664 Total $111.00 �A Ems, 'N FISHERS ISLAND FERRY DISTRICT VENDOR 001497 AMWINS GROUP BENEFITS, INC. 10/19/2021 CHECK 7691 A FUND & ACCOUNT P.O.# -INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 2743784 DENTAL PLAN (22) -10/21 1,531.48 SM .9060.8.000.000 2743-784 ADMINISTRATIVE FEE '20.00 TOTAL 1, 651.48 --- --- - --- -- --- ------- ------------------------------- -------------------------I---------- -------- - Ia� ;x% N "'W 441" P -------- - ------------- ----- -- --- ----------- -- ------ --------- - FISHERS ISLAND FERRYDISTRICTAUDIT -1'0'/1:9'/` '2'02 ,� '1-'�'.����'- ,, , ,: ', 53095 MAIN ROAD,PO BOX 1179, SgUTHOLD,NY.11971-'0959-1 CH'ECK' NO, THE SU FOLK CO.NATIONAL BANK CLITCHOGUE,NY 11935 DATE— , 777 7: 'AM Ic 6,546i2i4 10/19/2021�" --$ le ONE-Tkbtfb��Nb` HUNDRED ;FIFTY ONE, AND`,-48'['I-b 6 DOL�LARS,-,' j PAY--, AMWINS GROUP- BENEFITS, INC. 'SUITE 20 TO THE,'' 2-iNTI�k�RI'Sj -"D E,DRIVE ; 4, q 00ER OF 'SHELtOl CT 06484-, rp 1 -4 ;NI 11'00769 lilm 1:0 2 140 54641: 68 001502 Ill- Vendor No. Check No. Town of Southold, New York - Payment Voucher 1497 Vendor Address Entered by 2 Enterprise Drive \21L Vendor Name Suite 204 Audit Date Amwins Group Benefits Shelton,CT 06484 OCT 1 9 2021 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2743784 9/23/2021 $ 1,651.48 1,631.48 Dental Plan(22) 060 9021 SM9060.8.000.000 $ 20.00 Administrative Fee SM9060.8.000.000 $1,651.48 $1,651.48 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fisher s and Ferry District Date 10/4/2021 Title Date ze Z/ AinWINS Group genets Coverage Month October 2021 Payment Due Date 10/01/2021 Client Address Account Number 005-033-6264 Invoice Date 9/23/2021 FISHERS ISLAND FERRY DISTRICT Invoice # 2743784 - GORDON MURPHY , Page # 7 P.O. BOX 607 cct Administrator AMWINS BILLING FISHERS ISLAND, NY 06390-0607 Phone Number (203)924-2994 Toll Free (800)243-2534 Fax (203)924-0860 Email .: �hs@amwins.com IMPORTANT PROCEDURES RETROACTIVITY RETRO ADDITIONS/TERMINATION/CHANGES ARE ALLOWED UP TO 30 DAYS ONLY. THEY MUST BE SUBMITTED IN THE MONTH FOR THE MONTH. PAY AS BILLED ALWAYS PAY AS BILLED TO AVOID ANY PREMIUM ADJUSTMENT ISSUES. ADJUSTMENTS FOR ENROLLMENT ACTIVITY WILL BE REFLECTED ON YOUR NEXT INVOICE. NON-PAYMENT OF PREMIUM GROUP CLIENT TERMINATIONS WILL NOW OCCUR AFTER 45- DAYS OF NONPAYMENT OF PREMIUM. THIS WILL BE STRICTLY ENFORCED. CLIENTS WILL RECEIVE NOTICE BY MAIL OF TERMINATION. REINSTATEMENT IS SUBJECT TO UNDERWRITING REVIEW. n — Please detach the remittance slip below and return with your payment. .........................r.....................r...................r-------......_--------------------IT-•--- AinNVIINS Coverage Month : October 2021 Payment Due Date : 10/01/2021 Group Benefits Account Number : 005-033-6264 Account Name : FISHERS ISLAND FERRY DISTRICT Invoice Date : 9/23/2021 Invoice # : 2743784 Account Administrator : AMWINS BILLING Phone Number : (203)924-2994 Page # 6 . . - Plan Description T• . METLIFE 3 STAR DENTAL 2000MX 50DED $1,631.48 22 $1,631.48 Total Account Adjustments $20.00 $1,651.48 Grand Total LEGENDS: Relationship: HU = Husband, WI = Wife, PA = Partner, 50 = Son, DA = Daughter, A or B = Twin, TR = Triplet, QU = Quadruplet Coverage Type: IN = Individual, PC = Parent & Child, P2 = Parent & Children, HW = Husband/Wife, FA = Family *Indicates Active COBRA/State Extension Member, S = COBRA Subsidy Plan lb; FE FISHERS ISLAND FERRY DISTRICT VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 10/19/2021 CHECK 7692 A FUND\ & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 0202110205780 VISION PLN#A75986-11/21 215.88 TOTAL 215.88 j --- - ------------- - - - ---- ----------- ----- ----------- %x "Wo 0K tz T -- --------------- ---- ------------------- ------ - - --- ----------- - ----- - FISHERS ISLAND FERRY-DISTNCT, All 53095 MAIN ROAD,'PO,BOX 1179 j. -0959 /'2 021, SOUTHOLD,NY 11971 ,, ,7692 CHECKNO'.'- NATIONAL BANK,THE SUFFOLK 6�� - CUTCHOGUE,NY 11935 -DATE " AMOUNT:,, ', 1(f / 5 -5461214 2A 2 S,� 'FIFTEEN AND; 88/ xTWO '.HUNDRED' 'FIFTEEN -DOLLARS ".0 y, a PAYANTHEM BLUE CROSS BLUE SHIELD '!� 1 :� I �.I 'j, PO --B& s0-TWE 11792' I NEWAR 6T, K",NJ 07101'-4,792" G? r " 0011' 769 2115 40 2 L40 54641: G 13 00ISO2 L us Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 �4L Vendor Name Newark, NJ 07101 Audit Date Anthem OCT 1 9 2021 Vendor Telephone Number Town Clerk Vendor Contact /�• �l L2KJY C�i Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 0202110205780 10/1/2021 $215.88 $215.88 Vision Plan#A75986 November 2021 SM9060.8.000.000 215.88 1 215.88 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 rry Date 10/8/20211 Title Manager Date 10/8/2021 r' I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049 NORTH HAVEN,CT 06473 Anffiem.10. 033310 1 AB 0 458 002501/033310/005086161 02 VG09ZF WPT132 SMGRP 10/01/2021 10/02/2021 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND,NY 06390-0607 Your Premium Statement Is Enclosed Beginning May 1, 20171-we are going PAPERLESS, Anthem's standard will be to issue bills (invoices) and accept premium payment online via EmployerAccess. Register or sign up now on EmployerAccess by logging onto https://ernp➢oyer.anthem.com All it takes is a few clicks! It's fi•ee, 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: SmallGrWEBSupport@anthem.com. Provide your group number, contact name, email address, phone number and reason for opting out of the electronic billing and payment process Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc.Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 0333101005066 VG09ZF 51-ET-M1-C00009 4 Anthem.0. 9 Billing Summary InvoiceNo.- 0202110205780 Group Name- FISHERS ISLAND FERRY DIST Group Number- A75986 Billing Period: 11/01/2021 to 12/01/2021 Date Billed. 10/01/2021 Due Date 11/01/2021 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $314.25 $15061 $163 64 SubTotal $163.64 Current Billing ANTHEM $215 88 $000 5215.88 _ SubTotal - - - --- $215.88 $379.52 Total Amount Due Membership Detail Contract No Rate* Subscriber Dep Premium 1D# Subscriber Product Volume Type Cov Chg Amount Amount Amount_ u and symbols are registered marks of the Blue Cross and Blue Shield Association FISHERS ISLAND FERRY DISTRICT TTI VENDOR 002139 BD REMODELING',& RSTORATION INC 10/19/2021 CHECK 7693 A �' ND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709' 2.000.200 42025 SVC CALL-8/24 N DOCK RMP 384.76 TOTAL 384.76 U 11 co ------ ----- - ------------------------------------------------ --- --------------------------------------- - 7IR �,z 0 77. Al*, ,\w ---------- - - - ------- --- ---------- - --- --- ------- Wq! FISHERS ISLAND FERRY DISTRICT- -AtJD±.T ,-10/ 53096 MAIN ROAD,PO BOXII 1,79, ox �,,CHEqK­NO., 93 :SOUTHOLP;NY 11971-0959: THE SUFFOLK C0.'NATIONAL'BANK CUTCHOGUE,NYJ1935, DATE' 7F, AMOUNT,, �_"�� 76' 50-5461214S,'_,'_ 2021%; REE,"HUNDRED, EIGHTY,,:Fbtk"'AND 7'6/i00,•D& 'J d _7 --ci AY. BD `REMODELING &,,RSTORATIO14 INC T HE­� Box 24,41'- TO FISHERS'YI ISIAND;NY 06390 ' 0 0 7 r.9 3 1:0 2 X4054'641: 68 00LS02 I Vendor No. Check No. Town of Southold, New York - Payment Voucher 2139 Vendor Address Entered by 1420 The Gloaming,#447 Vendor Name Fishers Island, NY 06390 Audit Date BD Remodeling and Restoration x, �° -, Vendor Telephone Number ®� 202 � �� 631-788-7919 Town Clerk = Vendor Contact 631-788-7192 (� �• �r Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 42025 9/28/2021 $384.76 $384.76 Sry call 8/24 repair on north dock ramp -SM5709.2.000.200 $384.761 1 $384.76 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signatur 0 itle Signature Company Name Fishers Ferry District Date 10/4/2021 Title Manager Date le ly z1 ##### S, P.O Box 447 P.O.Box 1355 Fishers Island,NY 06390 Greenwich,CT 06830 (631) 788-7919 Mao (203)983-6083 Fak: (631)788-7192 rREMODEUNG. & RESTORATION Fax: (203) 983-6084 TERMS: UPON RECEIPT Fishers Island Ferry District INVOICE ID: 42025 P O Box H DATE: September 28,2021 Fishers Island,NY 06390 CUSTOMER ID• FIFERR-104 Amount Enclosed: Amount Due: $384.76 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TERMS: UPON RECEIPT 1 E1 9C�DE�1L 1G rRESTORATION INVOICE ID: 42025 DATE: September 28,2021 CUSTOMER ID: FIFERR-104 Please Remit Payment To- P.O.Box 447 Fishers Island,NY 06390 Amount Due: $384.76 Amounts Job#:61-356 Scope of Work: Service call on 8/24 to complete an emergency repair on north dock ramp. Replaced cord and GFCI breaker. Division 16-Electrical Electrical Service Call BD Labor 296.92 Material 87.84 Srtbtotal forEledneal 384.76 Subtotal for Job#:61-356 384.76 V Subtotal of Current Bangs 384.76 Sales Tax 0.00 Total $384.76 Pagel of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 002235 THE BELL SIMMONS COMPANY 10/19/2021 CHECK 7694 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 S013012742.001 NLT A/C PUMP 139.87 7i'l TOTAL 139.87 1h F71 -- ---_. ---------- ------ ---------- s�A w:xs I'M 4. ,-J w1l. d --- ------- ---- ---- --------- ------ ------ - 751 TISHERS ISLAND FERPY-D&MCT, ' AUDIT-' i 53095 MAIN ROAD,P0,BOX 1179 SOUTHOLD;,NY-1 1971-0959 - CHECK 7,6§,4 ,", ...... THE-Su FFOLK'CO.'N'ATIONX� CUTCHOGUE;NY 11935 DATE --AMOUNT: i�A,,*, 'A ONE Eb,,'THiRtY f • I T y, P Ll SIMMONS AY THE BE COMPANY 80'X"' 677 td THEA. PO, Y GLASTONBURY CT -060'3i�-&'Ei 0);l 77 7 u200 7 P39 L,un 1:0 2 L L,0 5 L, P3 L,i: 68 00L502 iii' Vendor No. Checl�No.- Town of Southold, New York- Payment Voucher 2235 Vendor Address Entered by PO BOX 677 Vendor Name Glastonbury,CT 06033-0677 Andit Date The Bell/Simons Companies 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- S013012742.001 9/20/2021 $139.87 $139.87 NLT A/C pump SM5709.2.000.200 ; t $139.87 $139.87 a Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fisher Ferry Dtstnct Date 10/4/2021 Title Date C-d z VI Bellsimons INVOICE C O M P A N I E S HVAC • REFRIGERATION • PLUMBING Se InatholnduhyAieet1940 Customer Account Date Invoice Number Page 41845 09/20/21 S013012742.001 1 Sold To: Ship To: FISHERS ISLAND FERRY DIST. FISHERS ISLAND FERRY DIST. 261 TRUMBULL DR. 5 WATERFRONT PARK P.O. BOX 607 NEW LONDON, CT 06320 FISHERS ISLAND, NY 06390-0607 Writer Customer PO Number Release Number Order Date Ship Date Terms CAROM coed pump 09/20/21 09/20/21 Net 30 days Quantity Stock Number Unit neecrivtim Unit Price Extended 1 361573 EA LTLGNT 553507 EC1DV 115/230V M 131.520 131.52 PUMP (553505) Non Taxable Mdse Taxable Mdse Sales Tax Shipping Handling Invoice Total 0 . 00 131.52 8 .35 0 . 00 0 .00 139.87 (1/0 Customer Account Date Invoice Number 41845 09/20/21 S013012742.001 PLEASE REMIT TO: The Bell/Simons Companies, P. 0. Box 677, Glastonbury, CT 06033-0677, A Service Charge of 1.59 per month (APR of 181) will be added to all past due balances. Please direct any questions concerning this invoice to the Branch of purchase. Customer will be liable for all collection costs including all attorney's fees. All DEFECTIVE RETURNS are subject to vendor approval prior to issuing of credit. RETURNS may be subject to a RESTOCKING FEE. NO RETURNS ON ELECTRICAL! *** NO RETURNS AFTER 90 DAYS. *** Visit us on the web at http://www.bellsimons.com or a-mail us at info@bellsimons.com Items purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 THE BELL/SIMONS COMPANIES ** Ship Ticket ** S013012742.001 4 Page # 1 Bill FISHERS ISLAND FERRY DIST. Ship FISHERS ISLAND FERRY DIST. To : 261 TRUMBULL DR. To 5 WATERFRONT PARK P.O. BOX 607 NEW LONDON, CT 06320 FISHERS ISLAND, NY 06390-0607 Customer PO# Customer Rel# Writer Payment Terms Ship Via cond pump CARONB Net 30 days PU PICK-UP Order Date Ship Date Batch Number Salesman Customer Phone 09/20/2021 09/20/21 516-788-7463 Quantity Stock # Item Description Unit Prc Net 1 361573 LTLGNT 553507 EC1DV 115/230V MINI 131.520 131.52 PUMP (553505) Total 131.52 Sales tax 8.35 Invoice Amount 139.87 Reprint . . Reprint . . Reprint . . Reprint . . Cu r it ature Items on this order were purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 FISHERS ISLAND FERRY DISTRICT t y 2776 CHARLES VENDOR 00 BURGESS 10/19/2021 j CHECK 7695 A t4 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 092221 ANHTM MDGAP N-10/1-12/31 365.54 74" TOTAL 365.54 41" P 15011 ---- -------- ---- ---------- — - - - - ---------------- ------- ---------- -------- --- --- ------ J 5, 10 "A 41 P"? j I 777 177 FISHERS ISWE),FERRY DISTRICT -53095 MAIN ROAD,PO BOX 11,19, AUD 1 SOU:rHOLD;NY 1.197;1;-0959 i'THE ESUFFOLK3k C6.'NAT16NXL'BAN.K. , ', [ , ., DATE AMOUNV CUTCHOGUE;NY,11935 nP, ot 54 'w iI,hREE.`HUNDRED 'SIXTY FIVE' -5'4'/:(b 6' r DOLLARS.11—," AY• CHARLES BURGESS P, rO-YHE )WkR' :.WATERFORD CT,'06385 4 t " 11100769511' 1:0 2 11,054-6-41: 68 00 15012 L lip t, t� Vendor No. Check No. t Town of Southold, New York - Payment Voucher 2776 o � Vendor Address Entered by 4 Hamel Court Waterford, CT 06385 Audit Date = , Burgess, Charles g��" y Vendor Telephone Number _ ®C T� 9' 2011 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order _ t Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and'Account Number { MED REIMB 9/22/2021 $487.38 $365.54 Anthem Medigap Plan N 10/1/21-12/31/21 SM9060.8.000.000 ($121.85) $487.38 @ 75% reimbursement a $365.54 $365.54 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 10/4/2021 Title Manager 10/4/2021 Anthem Blue Cross and Blue Shield PO Box 659816 1 of 3 San Antonio, TX 78265 Antiem.*V. Iltlttttr��ltlt�tl�tltttllrttlt�tttl�lttlttlttl�rtttttl�tlt��� 0093471 AV 0.423 00542/009347/001082 0036 2 VC0742 WPT170 GBDMS 09/09/202109/13/2021 CHARLES W BURGESS 4 HAMEL CT WATERFORD, CT 06385-2008 Invoice No.: 000203831597 Member Name: Charles W Burgess Member ID No.: 853MQa' A" o G 51-70,1/211,`. 3�- v ■. .1��N 0.;k 1C.C.BURGESS :�,5 KAREN S DATE W. CHARLES f WFORDC , T 06385-2008. ATER ' ��f DOISARS 1J �a'tli P' PAY TO THE, O ORDER DF r Pr: ' Kd v Re— ma, e. , ; , - - f,� Ma, ;�-Citlzens-Bank® e f I Cul, , M3 38 6 , Bill SD_ 40 5 3u 11?01 to 22013 0 . 8 TRA1-D-009347/001082 VC0742 St-ET-M1-C00003 1 PLEASE PAY THE BILLED AMOUNT UPON RECEIPT TO AVOID CANCELLATION --------------------------------------------------------------I------_ _-- PLEASE TEAR OFF THIS PORTION AND RETURN WITH YOUR PAYMENT *DO NOT SEND CASH* DUE;DATE:-, *MAIL PAYMENT TO THE ADDRESS BELOW* AMOUNT:DUE: ;' '` $487.38, ; Amount _ - Enclosed ' Charles W Burgess -- Make Check Payable To: Member ID No.: 853M84747 tilt■t'ttl��l�lttt�t�ttt�r���ttttllridtr�tt��lltlttttl"'tlt� Invoice No.: 000203831597 ANTHEM BCBS Billing Period: 10/01/2021 to 12/31/2021 ' Billed Date: 09/08/2021 PO BOX 11750 NEWARK,NJ 07101-4750 002989920757150500400000000853M84747800020383159710012100000000000487386 LES W BUR DISCOVER' Acct.Ending 2966GESS,KAREN BURGESS 4 HAMEL CT,WATERFORD,CT,06385--2008 (860)442-8383 Search Transactions: We found 3 matches. Note: Please review your statements for interest charge information. Transactions Trans.Date- Post Date Description Amount Category ❑07/09/21 07/09/21 BLUE MEDICARERX PREMIUM $ 135.00 Medical NASHVILLE TN Services ❑08/09/21 08/09/21 BLUE MEDICARERX PREMIUM $ 135.00 Medical NASHVILLE TN Services ❑09/09/21 09/12/21 BLUE MEDICARERX PREMIUM $ 135.00 Medical NASHVILLE TN Services Results Total =$ 405.00 Need to dispute a charge?Can't find a transaction? Suspect Fraud? Contact us immediately at: U.S. 1-800-DISCOVER(1-800-347-2683) Outside U.S. 1-801-902-3100 TDD/TTY 1-800-347-7449 Printed on 09/22/2021 02014 Discover Bank, Member FDIC. --!�TNT FISHERS ISLAND FERRYDISYRICT VENDOR 003053 CDW GOVERNMENT, INC. 10/19/2021 CHECK 7696 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM, .5711.4.000.000 L405468 NLT LAPTOP FOR GEB 912.41 TOTAL 912.41 'g� - - -- ------- ------ --- ----- ----- U'� ;P I o Ilk, ez, -- --------- ------- - ----- - - -------- ---- -'---- --- -- 2�Z If 0'/ DIT - -19 -2'0211'-,�'� ,FISHERS ISLAAD FERRY-DiMItT', 53095 MAIN-ROAD,PO BOX 1179 - , l 'SOUTH.OLD,NY11971-0959-, CHECK -7696, '1V THE SUFFOLK CO'.NATIONAL,BANK ,, CUT OGUE, Y 1935 DATE ^:AMOUNTJt 021',' DOLLARS,50 54J5 1 �2 D-- --NINE--HUND�i !IWELVE'AND 41 1-b d j Ni . �qa� PA Y CDW—GOVERNMENT, INC,. • gf 7WE- 75, REMITTANCE DRIVE-SUITE 1"515' is' ORDE CHICAGO IL 60675-151,5--,' v,v, u OF" ?J ii,007696ijw 1::020,0546 40: 68 00' L 50 2 1113 z Vendor No. Town of Southold, New York - Payment Voucher 003053 .` Vendor Tax ID Number or Social Security Number lVendor Addressiltf2d,b ;t 75 REMITTANCE DRIVE-SUITE 1515 CHICAGO, IL 60675-1515 Audit,]Date " CDW GOVERNMENT, INC. q Vendor Telephone Number C • ' 95`L 2 Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Q ikerdl L,`E,dger,YUnd'and' dcW6t'NuWbct L405468 9/28/2021 $912.41 $912.41 NLT new laptop for Geb SNIS�It1:4,t10,0,00 , i s r $912.41 $912.41 Y' 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 Ferry District Date 10/7/2021 Title Date C - 09/28/21 L405468 Net 30 Days 10/28/21 09/22/21 UPS Ground(2-3 Day) DISTRICT IT 11821911 QTY CITY, Ty, T TA DESCRIPTIOW 6519162 DELL 3420 15-1135G7 256/8 W1 OP 1 1 0 881.78 881 78 Manufacturer Part Number.Y2YWR Serial No- DBO95B3 Geb's new laptop GO GREEN! CDW is happy to announce that paperless billing is now availablel If you would like to start receiving your invoices as an emailed PDF, please email CDW at paperlessbilling@cdw.com. Please include your Customer number or an Invoice number in your email for faster processing. REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS! Begin transmitting your payments electronically via ACH using CDW's bank and remittance information located at the top of the attached payment coupon Email credit@cdw.com with any questions. "AbC0,614T MANAGER',,-, SHIPPING ADDRESS 0 SU BT 'TAL $881.78 ANITA SEBABI 'FISHERS-ISLAND FERRY DISTRICT FISHERS ISLAND NY 06390 sALES:TAk $0.00 SALES ORDER NUkIBER, ' HAVE QUESTIONS ABOUT YOUR ACCOUNT? ' DUNS Number-- --'--- PLEASE EMAIL USArceuu@xdvucmn ISO 9001 and ISO 14mo1Certified VISIT uoomTHE INTERNET ATwm,w.cdwm.com cmwGOVERNMENT FEIN xo-42xo110 0001.0001 Page 1 of .._ is dIIN aches a not me...met— anus t—of me u'ruaucrs punsiasea ey i-waomer nemunda am me omy woommtea orteren are Mose or Me maninaca er,not better or its Muriates m purchasing me I'Mmels,L rioter s retying on Me commactura s Specification omy ena is nor r 1l ng on any statements,Specifications,photographs or other dlusrmons representing the Produces that may be provided by Sella or its Affiliates SELLER AND ITS AFFILIATES HEREBY EXPRESSLY DISCLAIM ALL WARRANTIES EITHER EXPRESS OR IMPLIED,RELATED TO PRODUCTS,INCLUDING,BUT NOT LIMITED TO,ANY WARRANTY OF TITLE,ACCURACY,MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,WARRANTY OF NO'NINFRINGEMM T,OR ejrf WARRANT Y RELA'ITAG TO THIRD PARTY SERVICES THE DISCLAIMER CONTAINED IN THIS PARAGRAPH DOES NOT AFFECT THE TERMS Or ANY MANUFACTURER'S WARRANTY Customer expressly waives any claim that it may have against Seller or its Affiliates based on any product Lability or infringement or alleged Infringement ofany patent,copyright,Made secret or other intellectual property rights(each a"Claim")with respect to any Product and also waves any right to Indemnification from Seller oris Affiliates against any such Claim made against Customa by a third parry Customer acknowledges mat ria employee of Sella or its Affiliates is r uthonced to make any representation or warranty on behalfof Sella or any of is Affiliates that Is not in this Agreement Seller warrants that the Services will be performed in a good and xorlarmlik,manna Customer's Sale and exclusive remedy and Sellers entue habihty with respect to this warranty will be,at the sole option of Seller,to other(a)=its reasonable commercial efforts to reperform or cause to be reperformed any Services not m substanunl compliance with Mrs warnty or(b)refund amounts paid b)Customer related in the portion ofthe Services not In substantial compliance,provided,in each case,Customer notifies Sella In wring within five(5)business days after performance ofthe applicable Services.EXCEPT AS SET FORTH HEREIN OR IN ANY STATEMENT OF WORK THAT EXPRESSLY AMENDS SELLER'S WARRANTY AND SUBJECT TO APPLICABLE LAW,SELLER MAKES NO OTHER,AND EXPRESSLY DISCLAIMS ALL OTHER, REPRESENTATIONS,WARRANTIES,CONDITIONS OR COVENANTS,EITHER EXPRESS OR IMPLIED(INCLUDING WITHOUT LIMITATION,ANY EXPRESS OR IMPLIED WARRANTIES OR CONDITIONS OF FITNESS FOR A PARTICULAR PURPOSE, MERCHANTABILITY.DURABILITY,TITLE,ACCURACY OR NON-INFRINGEMENT)ARISING OUT OF OR RELATED TO THE PERFORMANCE OR NON-PERFORMANCE OF THE SERVICES,INCLUDING BUT NOT LIMITED TO ANY WARRANTY RELATING TO THIRD PARTY SERVICES,ANY WARRANTY WITH RESPECT TO THE PERFORMANCE OF ANY HARDWARE OR SOFTWARE USED IN PERFORMING SERVICES AND ANY WARRANTY CONCERNING THE RESULTS TO BE OBTAINED FROM THE SERVICES THIS DISCLAIMER AND EXCLUSION SHALL APPLY EVEN IF THE EXPRESS WARRANTY AND LIMITED REMEDY SET FORTH HEREIN FAILS OF ITS ESSENTIAL PURPOSE CUSTOMER ACKNOWLEDGES THAT NO REPRESENTATIVE OF SELLER OR OF ITS AFFILIATES IS AUTHORIZED TO MAKE ANY REPRESENTATION OR WARRANTY ON BEHALF OF SELLER OR ANY OF ITS AFFILIATES THAT IS NOT IN THIS AGREEMENT OR IN A STATEMENT OF WORK EXPRESSLY AMENDING SELLER'S WARRANTY Customer shall be Solely responsible for daily back-up and other protecuon of its dam and software against Ions,damage or corruption.Customer shall be solely responsible for reconstructing dam(mdudmg but not limited to data located on disk files and memories)and software that may be lost, damaged orcorrupted during the performance of Services SELLER,ITS AFFILIATES,AND ITS AND THEIR SUPPLIERS,SUBCONTRACTORS AND AGENTS ARE HEREBY RELEASED AND SHALL CONTINUE TO BE RELEASED FROM ALL LIABILITY IN CONNECTION WITH THE LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE,AND CUSTOMER ASSUMES ALL RISK OF LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE IN ANY WAY RELATED TO OR RESULTING FROM THE SERVICES Seller wtlI not be responsible for and no liability shall result to Sella or any of Its Affiliates for any delays in delivery or in performance which result from any cucamstances beyond Seller's reasonable control,including,but not Iimited to,Product unavadabdiry,tamer delays,delays due to fire, Sc..weather conditions,failure of power,labor problems,acts ofwar,terrorism embargo,acts of God or acts or laws of my government or agency Any shipping dates or completion times provided by Seller or any purported deadlmes contmned in a Statement of Work or any other document me emrmes only Pricing lnforman at Availability DuSelmot, Seller reserves the right to make adjustments to pricing.Products and Service offerings for reasons Including.but not limited to,changing market conditions,Product discommosrn,Product uoavailabihty,manufacturer price changes,supplier price changes and errors in advemsements All orders are subject to Product availability and the avmlabihry of Personnel to perform the Services Therefore,Seller cannot guarantee that It will be able to fulfill Customer's orders If Services are being pMormed on a time and matenals basis,any estimates provided by Seller are for planning purposes only Credits Any creditrssued by Seller to Customer for any reason most be used within two(2)years Rom the date that the credit was issued and may only be used for future purchases of Products and/or Services Any credit or portion thereoftim used within The two(2)year period will autematicaiiy expire Limitation of Liability UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY REMEDY SET FORTH HEREIN,WILL SELLER,ITS AFFILIATES OR ITS OR THEIR SUPPLIERS,SUBCONTRACTORS OR AGENTS BE LIABLE FOR(A)ANY INCIDENTAL,INDIRECT,SPECIAL,PUNITIVE OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO,LOSS OF PROFITS,BUSINESS,REVENUES OR SAVINGS,EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE OTHERWISE FORESEEABLE,IN EACH CASE,WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED UPON BREACH OF CONTRACT,WARRANTY,NEGLIGENCE,STRICT LIABLITY OR OTHER THEORY OF LIABILITY,(B)ANY CLAIMS,DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY,(C)ANY LOSS OR CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON,RESULTING FROM,ARISING OUT OF OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES,OR(D)ANY UNAVAILABILITY OF THE PRODUCT FOR USE OR ANY LOST,DAMAGED OR CORRUPTED DATA OR SOFTWARE IN THE EVENT OF ANY LIABILITY INCURRED BY SELLER OR ANY OF ITS AFFILIATES,THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF(A)THE DOLLAR AMOUNT PAID BY CUSTOMER FOR THE PRODUCT(S)GIVING RISE TO THE CLAIM OR THE SPECIFIC SERVICES GIVING RISE TO THE CLAIM,OR(B)550,000 00 Confidential Information Each parry anticipates that It may be necessary to provide access to Information of a confidential nature of such party,the Affiliates or a third parry,(hereinafter referred in as°Confidential Information")to the other party to the performance of this Agreement and any Statement of Work "Confidential Inforation"means any information or dam in oral,electronic or written fon)which the receiving party knows or has reason to know Is proprietary or an fidenual and which is disclosed by a parry in connection with this Agieemcnt or which the receiving parry may have access to in connection with this Agreement,including but not limited to the terms and conditions ofeach SoMMu t of WmrL Confidential Information will not include information which(s)becomes{mown to the public through no act ofthe receiving party;(b)was known to the receiving party,err becomes (mown to the receiving party from a thud party having the right to disclose it and having no obligation of confidenuality to the disclosing party with respect to the applicable information,or(c)is independently developed by agents,employees or subcontractors ofthe receiving parry who have not had access to such information To the extent practicable,Confidential Inforauon should be clearly Identified or labeled n such by the disclosing parry in the time of disclosure or as promptly thereafter as possible,however,fadure to so identify or label such Confidential Inf nnmant will not be evidence that such Information main confidential orprotectabla Each parry agrees to hold the other party's Confidential Information confidential for a period of three(3))ears following the date of disclosure and to do Sa in a manner at lean as,protective as it holds its own Confidential Information of like kind but m use no less than a reasonable degree of care. Disclosures ofthe other party's Confidential Information will be restricted(t)to those individuals who are pm,cipmng m the performance oftins Agreement or the applicable Statement of Work and need to know Such Confidential Information for purposes of pmvodmg or receiving the Products or Semcesorothervmsemwmn onxmh Mhrs Agrecinentortheappl,mole SmtementofWork,or(u)totsbusiness,Iegalandfinmcialadvlsommhonaconfidmtialbasis Each parry agrees not rouse my Confidential Information ofthe other parry for coy purpose othallmn the business purposes contemplated by this Agreement and the applicable Statement of WorL Upon the written request ofa party,the other party will eitherretum or cemfy the destruction ofthe Confidential Information ofthe other party If a receiving patty is tegwrcd by law,cele or regulation,or requested m nnyjediem or oduumsnmive proceeding or by any govcrninental or regulatory authority,to disclose Confidential Infomtation ofthe other party,the receiving party will give the disclosing party prompt notice of such request so thin the disclosing party may seek an appropriate protective order or similar protective measure and will use reasonable efforts to obtain confidential treatment ofthe Confidential Information so disclosed. RcMnn Privileges To obtain Sella's return policy,Customer should cometCDW Cunoma Relations at 866 SVC 4CDW ore=[atCumomerRelatimnsncdweem Customa must notify COW Customer Relations ofany damaged Products within ten(10)days ofrecerpt Arbirtion Any claim dapMc,or controversy(whether in contract,tort or otherwise,whether preexisting,present or future,and Including,but not limited to,summary.common law,Intentional tort and equitable clams)ansmg from or miming in the Products,the Services,the interpretation or application of these Terms and Conditions or any Statement of Work or the breach,termination or validity thereof,the relationships xhuch resell from these Tams and Conditions or any Statement of Work(Including,to the full extent permed by applicable law,relationships with thud parties who are not signatories herem),or Seller's or any of its Affiitain'advertising or marketing(collectively,a"Claim")WILL BE RESOLVED,UPON THE ELECTION OF ANY OF SELLER CUSTOMER OR THE THIRD PARTIES INVOLVED,EXCLUSIVELY AND FINALLY BY BINDING ARBITRATION Ifictimmionrs chosen,nwill be conducted pur,matto the Rules ofthe American Arbitration Association Ifarburuonm chosen by anyparrywith respect to a Claim,neither Seller nor Customer will have the right to bugate that Clam in court arm have ajury mal on that Claim or to engage In pro-nrbmeuon discovery,except as provided for in the applicable arbitration ales or by agreement ofthe parties involved Further,Customer will not have the right to participate as a representative or member of any class of clatmans patainmg many Claim Notwithstanding my choice of law provision included in these Team end Condiuons,this arbitration agreement is subject to the Fedeal Arb tomon Act(9 U S C 44 1.16)The arbmmhon will take place exclusively in Chicago,Illinois Any court havingjunsdictim may enter judgment on the mud tendered by the arb mma(s)Each patty,.volved will bear is awn cost ofany legal representation,discomery m ommuchrequired to complete arbitration.The eiustence or tesuls ofa))arbitisman will be ttemed n conditional Nmwlthnandmg anything to the conuaq contained herein,all touters penaming m the collection ofamounts due to Seller ansing out ofthe Products or Services will be exclusively litigated in court rather than through arbitration Miscellaneous Sella may assign or subcontract all or any portion of is rights or obligations with respect to the sale of Products err the performance of Services or assign the right to receive payments,without Customers consent Customermay not assign these Terms and Conditmns,or any of is rights,or obligations herein without the prior written consent of Seller Subject to the restrictions In assignment conmined hereto,these Terms and Conditions will be binding on and more to the benefit ofthe pates hereto and their successors and assigns Nopmsion ofthm Agreement or my Smtcmmt of Work will be deemed waved,amended or modified by either patty unless such wampates Th waiver,amendment or modification is In writing and signed by both e relationship between Seller and Customer Is thin of mdependent contractors and not that of employer/employee,partnership orjo nt veinum If any ter or condition of this Agreement or a Statement of Work is found b)a court of competent mooliction to be invalid,illegal or otherwise unenforceable,the same shall not affect the other terms or conditions hereaf or thereof or the whole of this Agreement or the applicable Statement of Work.Notices provided under this Agreement will be given in writing and deemed received upon the earlier of actual recopt or three(3)days after mailing if mailed postage prepaid by regular mail or airmail or one(1)day after such notice is sent by couner or facsimile transmission Any delay or failure by either party to exercise any right or remedy will not cunsnmte,a waver ofthat party to thereafter enforce such rights Version Date 02/232010 -T Fu FISHERS ISLAND FERRY DISTRICT VENDOR 003370 'CITY OF NEW- LONDON 10/19/2021 1 CHECK 7697 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .19,50.4.000.000 2016020040404 PRSNL PRPTY TAX-12/31/16 514.37 SM,, .1950.4 .000.000 2017020040404 PRSNL PRPTY TAX-12/31/17 721.24 , SKI, .1950.4.000.000 2018020040404 PRSNL PRPTY TAX-12/31/18 660.16 SM .1950.4.000.000 2019026640564 PRSNL PRPTY TAX-12/31/19 278.88 SM .1950.4 .000.000 2020020040532A PRSNL PRPTY TAX-12/31/20 1, 025.22 i SM ('.1950.4.000.000 2020020040532A PRSNL PRPTY TAX-12/31/20 457.30 TOTAL 3,657,17 ----- ------ ------------------- ----- ---`-• -------------------- -------- --------- - ---------------------------- fn:ek ll�'A' K, -0� 'A TP t4 -------------------- - ---------- ---- sm:111 illu FISHERS]SLAAE AUDIT a/ 62 f P:FERRYblS7RlCT, ' 53095'MAIN ROAD,PO=BOXA 1-79,,-, SOUTHoLO,NY 11971,-095,9CHEd K-NO. 97sfq ,' , — %',� THE SUFFOLK CO.'N'ATIONAL BANK J , AMOUNT,i' CUTCHOGUE;NY 11935 DATE '64 10 1 202;,,-,A IL 14, , IWD, THREE, Ot- ND SlX 6%""IF IF-T-Yl �T -SEVE' �f 10 0 DOLL��S' ,7? S TO' CITY OF NEW LONDON `181'•S TATE TATE STREET" dq Grp, - PO - PDX,13 5-, NEW LONDON CT ,06320-1305 J ilm0,0769711 1:0 2 11,0,5 1, 6 to 1: 68 00 150 2 Ln kms'. R Vendor No. Check No:: Town of Southold, New York - Payment Voucher 3370 Vendor Address Entered by e P.O. Box 1305 Vendor Name New London, CT 06320-1305 AuditDate City of New London-Tax Dept. OCT, 12x21 `, Vendor Telephone Number 860-447-5208 Town Clerk I Vendor Contact ��a P " w Invoice Invoice Invoice Net Purchase Order E Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2016-02-0040404 10/1/2016 $514.37 $514.37 Personal Property tax 2016 SM1950.4.000.000 N 2017-02-0040404 10/1/20171 $721.24 $721.24 Personal Property tax 2017 SM1950.4:000.000 2018-02-0040404 10/1/2018 $660.16 $660.16 Personal Property tax 2017 SM1950'.4.000.000 2019-02-0040564 10/1/2019 $278.88 $278.88 Personal Property tax 2018 SM1950.4.000.000 ' 2020-02-0040532 10/1/20201 $1,025.22 $1,025.22 Personal Property tax 2020 SM195,0.4.00,0.000 2020-02-0040532 10/1/2020 $457.30 $457.30 Personal Property tax 2020 SM1950.4.060.000 r $3,657.17 $3,657.17 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature J// Company Name Fis Ferry District Date 10/8/2021 Title Date A Zi PERSONAL PROPERTY TAX BILL 2017 TAXPAYER'S COPY C Make check payable to: NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE PAYMENT DUE 2016-02-0040404 OCTOBER 1, 2016 $514.37 OCT 01, 2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $514.37 43. 1700 23690 30740 DELINQUENT ASTM OCT 31,2021 040404 COC# 65356 ( 7, 050) FISHERS ISLAND FERRY DIST TAX $304.36 PO BOX 607 INTEREST $210.01 LIEN/FEE $0.00 FISHERS ISLAND NY 06390-0607 TOTAL DUE $514.37 IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII[�IIIIIII *2016020040404* PERSONAL PROPERTY TAX BILL 2017 Make check payable to: RETURN WITH 2ND PAYMENT B NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE r' �;r"" '' " ? PAYMENT DUE 2016-02-0040404 OCTOBER 1, 2016 $ _�� �' � K" OCT 01, 2021 51437 $514.37 MILL MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $ 43.1700 23690 30740 � _ 3 Ka�t � �<<y � .,`.�� �DELINQUENT AFTEA OCT 31,2021 040404 COC# 65356 ( 7, 050) TAX $304.36 INTEREST $210.01 LIEN/FEE $0.00 FISHERS ISLAND FERRY DIST TOTAL DUE $514.37 PO BOX 607 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2016020040404* PERSONAL PROPERTY TAX BILL 2017 Make check payables to: RETURN WITH 1ST PAYZN1ENT A NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE 2016-02-0040404 OCTOBER 1, 2016 $0.00 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT - ''-•,`,.a, 43.1700 23690 30740 040404 COC# 65356 ( 7, 050) TAX $0.00 INTEREST $0.00 FISHERS ISLAND FERRY DIST LIEN/FEE $0.00 PO BOX 607 TOTAL DUE $0.00 FISHERS ISLAND NY 06390-0607 I IIIIII VIII II II ILII VIII III I illll IIID VIII VIII VIII III I VIII III III *2016020040404* PERSONAL PROPERTY TAX BILL 2018 TAXPAYER'S COPY C Make check payable to: NEW LONDON WATER ST _s P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE PAYMENT DUE 2017-02-0040404 OCTOBER 1, 2017 $721.24 OCT 01,2021 MILL RATE GROSS ASSESSMENT TION NET EXEMPASSESSMENT $721.24 43. 6200 37760 48710 DELINQUENT AFTER OCT 31,2021 040404 - COC# 65357 ( 10, 950) FISHERS ISLAND FERRY DIST TAX $477.64 PO BOX 607 INTEREST $243.60 LIEN/FEE $0.00 FISHERS ISLAND NY 06390-0607 TOTAL DUE $721.24 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2017020040404* PERSONAL PROPERTY TAX BILL 2018 Make check payable to: RETURN WITH 2ND PAYMENT B NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE g ��;, � ',°o�� 7 PAYMENT DUE 2017-02-0040404 OCTOBER 1, 2017 $721.24 OCT 01, 2021 $721.24 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT d 43. 6200 37760 48710 DELINQUENT AFTER OCT 31,2021 040404 COC# 65357 ( 10, 950) Nak TAX $477.64 INTEREST $243.60 LIEN/FEE $0.00 FISHERS ISLAND FERRY DIST TOTAL DUE $721.24 PO BOX 607 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2017020040404* PERSONAL PROPERTY TAX BILL 2018 Make check payable to: RETURN WITH IST PAYMENT A NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE § ,' s, >5�, - ; 2017-02-0040404 . . Al � OCTOBER 1, 2017 $0 00 ,,,'° `°v ;n �,r`��N MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT r�wp7-'r 43. 6200 37760 48710 ; 040404 COC# 65357 ( 10, 950) TAX $0.00 INTEREST $0.00 FISHERS ISLAND FERRY DIST LIEN/FEE $0.00 PO BOX 607 TOTAL DUE $0.00 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIII IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIII *2017020040404* PERSONAL PROPERTY TAX BILL 2019 ' Make check payable to: TAXPAYER'S COPY C NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE PAYMENT DUE 2018-02-0040404 OCTOBER 1, 2018 $660.16 OCT 01,2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $660.16 39.9000 38100 50540 DELINQUENT AFTER OCT 3},2021 040404 COC# 65359 ( 12, 440) FISHERS ISLAND FERRY DIST TAX $496.36 PO BOX 607 INTEREST $163.80 LIEN/FEE $0.00 FISHERS ISLAND NY 06390-0607 TOTAL DUE $660.16 I IIIIII VIII VIII ILII VIII III I VIII VIII VIII Iilll III I I III VIII IIII IIII *2018020040404* PERSONAL PROPERTY TAX BILL 2019 Make check payable to: RETURN WITH 2ND PAYMENT B NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE �� , PAYMENT DUE 2018-02-0040404 OCTOBER 1 2018 $660.16 16 OCT 01,2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT ` $660.16 39. 9000 38100 50540 ` wag n ar. DELINQUENT AFTER OCT 31,2021 040404 COC# 65359 ( 12, 440) TAX $496.36 INTEREST $163.80 LIEN/FEE $0.00 FISHERS ISLAND FERRY DIST TOTAL DUE $660.16 PO BOX 607 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllll *2018020040404* PERSONAL PROPERTY ,TAX BILL 2019 Make check payable to: RETURN WITH 1ST PAYMENT A NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE 2018-02-0040404 $0.004 OCTOBER 1, 2018 `-40", MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT E, ;- '_ 39. 9000 38100 50540 040404 COC# 65359 ( 12, 440) TAX $0.00 INTEREST $0.00 FISHERS ISLAND FERRY DIST LIEN/FEE $0.00 PO BOX 607 TOTAL DUE $0.00 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII VIII *2018020040404* PERSONAL PROPERTY TAX BILL 2020 Make check payable to: TAXPAYER'S COPYC NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE PAYMENT DUE 2019-02-0040564 OCTOBER 1, 2019 $278.88 OCT 01, 2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $278.88 38.1900 43510 49860 DELINQDENP DETER OCT 31,2021 040404 COC# 65360 ( 6, 350) FISHERS ISLAND FERRY DIST TAX $242.50 PO BOX 607 INTEREST $36.38 LIEN/FEE $0.00 FISHERS ISLAND NY 06390-0607 TOTAL, DUE $278.88 I IIIIII IIIII IIIII IIIII III I III I LII I IIIII IIIII IIIII IIIII IIIII III I LII ILII *2019020040564* PERSONAL PROPERTY TAX BILL 2020 Make check payable to: RETURN WITH 2ND PAYMENT B NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 xw' 3 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE EWa � ,., PAYMENT DUE 2019-02-0040564 OCTOBER 1 2019 '°"' �"' `=_'`'''`'���"�'` $278 88 � Y �' OCT 01,2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT - `�'; <,n�z;�,,�> ;;,��� $278.88 3 8.19 0 0 43510 4 9 8 6 0 '.==; DELIN4�NT Ar=OCT 31,2021 040404 COC# 65360 ( 6, 350) TAX $242.50 INTEREST $36.38 LIEN/FEE $0.00 FISHERS ISLAND FERRY DIST TOTAL DUE $278.88 PO BOX 607 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2019020040564* PERSONAL PROPERTY TAX BILL 2020 Make check payable to: RETURN WITH IST PAYMENT A NEW LONDON WATER ST P O BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 - LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE 2019-02-0040564 OCTOBER 1, 2019 $0.00 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT �� ti, :.a^y,,.,•,,. 38.1900 43510 49860 040404 COC# 65360 ( 6, 350) TAX $0.00 INTEREST $0.00 FISHERS ISLAND FERRY DIST LIEN/EEE $0.00 PO BOX 607 TOTAL DUE $0.00 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIII ILII IIIIIIIIII IIIII IIIII IIIIIIIIII IIIlillllllllll 111111 II ILII *2019020040564* PERSONAL PROPERTY TAX BILL 2020 ' Make check payable to: TAXPAYER'S COPY C NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE PAYMENT DUE 2020-02-0040532 OCTOBER 1, 2020 $1,482.52 OCT 01,2021 JAN 01,2022 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $457.30 $1,025.22 37. 9500 29930 54030 DELINQUENT AFTER OCT 31,2021 DELINQUENT AFTER FEB 01,2022 040404 COC# 65361 ( 24, 100) FISHERS ISLAND FERRY DIST TAX $1,482.52 PO BOX 607 INTEREST $0.00 LIEN/FEE $0.00 FISHERS ISLAND NY 06390-0607 TOTAL DUE $1,482.52 IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2020020040532* PERSONAL PROPERTY TAX BILL 2020 Make checxpayable to: RETURN WITH 2ND PAYMENT B NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE 2020-02-0040532 OCTOBER 1, 2020 $1,025.22 �: ''' ` '; JAN 01, 2022 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT - q �'-�;- � �E $1,025.22 37. 9500 29930 54030x'`£ DELINQUENT AFTER FEB 01,2022 040404 COC# 65361 ( 24, 100) TAX $1,025.22 INTEREST $0.00 LIEN/FEE $0.00 FISHERS ISLAND FERRY DIST TOTAL DUE $1,025.22 PO BOX 607 FISHERS ISLAND NY 06390-0607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII *2020020040532* PERSONAL PROPERTY TAX BILL 2020 Make check payable to: RETURN WITH 1ST PAYMENT A NEW LONDON WATER ST P 0 BOX 1305, 15 MASONIC ST NEW LONDON CT 06320 (860) 447-5208 LIST NUMBER DIST BANK ON GRAND LIST TOTAL DUE PAYMENT DUE ; ' ' '= ' 2020-02-0040532 OCTOBER 1, 2020 $457.30 OCT 01,2021 MILL RATE GROSS ASSESSMENT EXEMPTION NET ASSESSMENT $457.30 EBF 37 . 9500 29930 54030 ' DELINQUENT AFTER OCT 31,2021 040404 COC# 65361 ( 24, 100) TAX $457.30 INTEREST $0.00 FISHERS ISLAND FERRY DIST LIEN/FEE $0.00 PO BOX 607 TOTAL DUE $457.30 FISHERS ISLAND NY 06390-0607 IIIIIIIi IIIIIIII IIIIVIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIVIIIIII II IIIIII *2020020040532* FISHERS ISLAND FERRY DISTRICT IF, VENDOR 003731 CUMMINS SALES AND SERVICE 10/19/2021 CHECK 7698 i A A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2 .000.200 90-71646 RP ALTERNATOR 611.34 TOTAL 611.34 Nil ,x P%% ox 16-k "M q j I r gA I o Vl ,4 vg e ----- -------- -- ---------------- Pll FISHERS ISLAND FERRkDISIRI&, AUDIT '10/19)-2021-, -', ,,, 53095 MAIN ROAD,PO BOX 1179 "c ECK-`NO SOUTHoLD ,NY 11971-0959 Tk-SU'F'Fj0Lk CO NATIONAL BANK q „DATE CUTCHOGUE,NY11935 AMOUNT,'i--',: , A 5 -546J21 0' LAR t S' IX-:HUNDRED ELEVEN DbL” j ay CUMMINS SALES' ,-AND SERVICE; - PO `BOX' 206039 k)tR T9 .. DALLAS; -TX 75320'-6039','' O ' OF" 7 t0 u300 76 98iin 1:0 2 L40 54641: /F3 8 00 150 2 10 Vendor No. Check No., Town of Southold, New York - Payment Voucher 3731 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Audit"Date° Cummins Sales and Services ,�( ��c�5 i�exCtS, j��j�� —�ofl3� °�CT°=°1 9 2021"1 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 90-71646 9/28/2021 611.34 611.34 RP alternator SM6710.2.000.20V r r y t i 611.34 611.34 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 r-141 Signature Title Signature Company Name Fis and Fer y Date 10/7/2021 Title Date 10/7/2021 Payment terms are 30 days from invoice date unless otherwise v Sales and agreed upon in writing Remit to Cummins Southern Plains Service P.O.BOX 206039 Dallas,Texas 75320-6039 SAN ANTONIO TX BRANCH 6226 PAN AM EXPWY NORTH REPRINT INVOICE NO P. O. BOX 18385 90-71646 SAN ANTONIO,TX 78218 (210)655-5420 TO PAY ONLINE LOGON TO customerpayment cummins com SOLD TO SHIP TO CUMMINS INC DBA CSSNA US FISHERS ISLAND FERRY DIST NANCY BLAISDELL 5 WATERFRONT PARK 21810 CLESSIE CT NEW LONDON,CT 06320 PAGE 1 OF 1 NEW HUDSON, MI 48165-8573 CONTACTRAHUL MOD] ON ACCOUNT CHARGE*" DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL __PUMP NO. - EQUIPMENT MAKE 28-SEP-2021 02997039732 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. - EQUIPMENT MODEL 30940 FED EX NDA M REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. OE-100-420258 GN449 1 1 3688268RX ALTERNATOR DRC 529.57 529.57 1 1 3675233D ALT,D/R 33SI CLEAN 5000 5000 Customer item#.3675233D 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# 5251 7012 8984 SHIPPING AND HANDLING: 31.77 SUB TOTAL: 611.34 LL Billing Inquiries?Call(877)480-6970 APPENDIX A IS ATTACHED AND INCORPORATED HEREIN IN APPENDIX A THERE ARE TOTAL AMOUNT:US$ 611.34 ADDITIONAL CONTRACT TERMS AND CONDITIONS, INCLUDING LIMITATION ON WARRANTIES AND LIABILITIES WHICH ARE EXPRESSIVELY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLDGES HAVE BEEN READ, FULLY UNDERSTOOD AND ACCEPTED RECEIVED BY(print name) SIGNATURE DATE APPENDIX A r 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 Southern Plains LLC("Cummins")unless a previous written agreement with respect to the Goods and/or Services(as hereinafter defined)has been entered between the parties,in which event,such previous written agreement shall prevail In the event of any inconsistency between this Agreement and any purchase order,terms and conditions or other document produced or delivered by Customer,the terms and conditions of this Agreement shall prevail 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 attorneys'fees)related to Cummins'enforcement and collection of unpaid invoices,or any other enforcement of this Agreement by Cummins 4 TAXES,EXEMPTIONS The Invoice includes all applicable local,state,or federal sales and/or use or similar taxes which Cummins is required by applicable laws to collect from Customer under this Agreement Customer must provide a valid tax exemption certificate or direct payment certificate prior to shipment of the Goods or performance of the Services,or such taxes will be included in the Invoice 5 DELIVERY,TITLE AND RISK OF LOSS Unless otherwise agreed in writing by the parties,any Goods supplied under this Agreement shall be delivered FOB Origin,freight prepaid to the first destination If agreed,any charges for third 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 ads 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 Goads 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(u)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,(u)Cummins receives written notice of the Warrantable Defect within thirty(30)days following discovery by Customer,and(m)Cummins has determined that there is a Warrantable Defect Warrantable Defects remedied under this provision shall be subject to the remaining warranty period of the original warranty of the Services New Goods supplied during the remedy of Warrantable Defects are warranted for the balance of the warranty period still available from the original warranty of such Goods e Used Goods Used Goods are sold"as is,where is"unless exception is made in writing between Cummins and Customer Customer agrees to inspect all used Goods before completing the purchase f THE REMEDIES PROVIDED IN THE LIMITED WARRANTIES AND THIS AGREEMENT ARE THE SOLE AND EXCLUSIVE WARRANTIES AND REMEDIES PROVIDED BY CUMMINS TO THE CUSTOMER UNDER THIS AGREEMENT EXCEPT AS SET OUT IN THE WARRANTY AND THIS AGREEMENT,AND TO THE EXTENT PERMITTED BY LAW,CUMMINS EXPRESSLY DISCLAIMS ALL OTHER REPRESENTATIONS,WARRANTIES,ENDORSEMENTS,AND CONDITIONS OF ANY KIND,EXPRESS OR IMPLIED,INCLUDING,WITHOUT LIMITATION,ANY STATUTORY OR COMMON LAW IMPLIED REPRESENTATIONS,WARRANTIES AND CONDITIONS OF FITNESS FOR A PURPOSE OR MERCHANTABILITY 8 INDEMNIFICATION Customer shall indemnify,defend and hold harmless Cummins from and against any and all claims,actions,costs,expenses,damages and liabilities,including reasonable attorneys'fees, brought against or incurred by Cummins related to or 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 subjectto 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 form,and which the receiving party(or agents)learns in connection with this Agreement including,but not limited to (a)business plans,strategies,sales,projects and analyses,(b)financial information,pricing,and fee structures,(c)business processes,methods,and models,(d)employee and supplier information, (e)specifications,and(f)the terms and conditions of this Agreement Each party shall take necessary steps to ensure compliance with this provision by its employees and agents 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 courier 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 p Z11 FISHERS ISLAND FERRY DISTRICT 71 VENDOR 003891 CWPM, LLC 10/19/2021 CHECK 7699 AWB FUND ,& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT", SM .5709.2.000.200 2360497 REFUSE/RECYCLING-10/21 529.34 TOTAL 529.34 fl, 4 ti IN I L J ---------- --- --------- ------ ---------------- ----------- -- - -------------------------------- ---------- -- 176 V14 OV"I T p n" ggg t,z 0 ---- - ----- - ----- 7 'FlSBERS jSL4Xb-FERRY blkRi& ' 0DIT '10/-i 53095 MAIN ROAD,PO BOX 11,79- 2 77 'SOU:THOLDv NY 11971-0959 11 K,,"NO,­­' -,76p, 1. , 9 "THE SuF1FOLK'CO.N'ATi6NAL BA'NK' 1 11111 _%V, 4x iF C'UTCHOGUE;NY 11935,: - M DA ,"t, -,-AMOUNT-4,, 1 ", 4j2I o/x 67'tWENtY "N±kE' A ,_ ND:,34/d' p 10 W" 'I''i, "s PAY ,.,-'CWP_M,- LLC, T, Ws Pb­ T -BOX O WER -NVf ICA 6 PLAI LLE CT 01 0 2, v /11'00769911' 1:02LL,05L, 6L, : 68 00L502 In' Vendor No. Check No:- Town of Southold, New York - Payment Voucher 3891 Vendor Address Entered by' PO Box 415 Vendor Name Plainville, CT 06062 Audit Date' CWPM, LLC „OCT' I'°��202"1„ -. Vendor Telephone Number - 860-447-1473 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger-Fund and Account Number- 2360497 umber2360497 10/1/2021 $529.34 $529.34 October 2021 Refuse and Recycling SM5709.2.000.200 $529.34 $529.34 J 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_Fishe Ferry District Date 10/4/2021 Title Manager Date 10/4/2021 -----Ya.cAJc ucl A,n nE"AND Kb1UKNAdUVh YUKIIUN WIlH YOUR YAYMENI-- Commencal Einvoices October 1 ' p0#: 1 i ActNbr 12761300 SiteName FISHERSISLAND FERRYDIST STATE ST NEWLONDON,CT 06320 10/1/2021 MONTHLY SERVICES 1.00 $259.17 $259 17 10/1/2021 RCY MONTHLY SERVICES 100 $9968 $99.68 10/1/2021 MONTHLY SERVICES 2.00 $53 16 $10633 U(—o ICD CWPM,LLC Charges: $465.18 PO Box 415 Taxes. $3160 Plainville,CT 06062 $3256 Phone:1-888-966-CWPM Fuel Surcharges: Fax:860-793-2624 Finance charge: $0 00 Total This Invoice: $529.34 x, FISHERS ISLAND FERRY DISTRICT VENDOR 004038 THE DAY PUBLISHING CO. 10/19/2021 CHECK 7700 A FUND ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 D01011122 RFP 9/17-9/18/21 289.80 SM .5710.2.000.000 D01012300 RFP 91/25-9/2,6/21 301.60 TOTAL 5* 591.40 M U, m, 20 "-NI 4 'n, —w t " "I ll!,:;, :,,, W-4 x", m w, vm gp N WQ I o 77 ER"RI I Y-D,IS ITRI 1,CT l-AUDI T,,10/192021' ' 0 BOX 1179 -70 L FISHERS I -I F S ' 0 1'9 1 IN RO y 530 5 MAIN so T'OL E N --,'77,00, -CH ,THE L CO. -0 Fvl _T E SUFFOLK CONATIONAL BANK CUT HO UE,NY CUTCHOGLIE;NY11935 A MOUNT 50.548/214 10* ',, F VE HUNDRED 0 1 0L R D' NI y 0 lVt' HUNDRE 14 " `61NA ,'4'i "- b T D INZTY E 40 10'0"DOL- i PAY, THE ,DAX 'PUBLISHING 47 -EUGENE 'NEILL-DRIVE "V OPbER OF ' ,PO -BOX--1231',- NEW`-LONDON CT 0632'0-1231 % 1190D7700115 1:0'211,054641: `6'8' 00 15 0 2 lus. Vendor No. COheckNo 4,`,- Town of Southold, New York - Payment Voucher 4038 :�`��` Vendor Address Entered liy 47 Eugene O'Neill Drive Vendor Name New London, CT 06320 AiiditDate , The Da a ;Zk „. ,0 C Y"- 1,A9,2Q2i Vendor Telephone Number 860-437-7504 Vendor Contact Invoice Invoice Invoice Net Purchase Order '"' wtr Number Date Total Discount Amount Claimed Number Description of Goods or Services "�`"General'U`dger Fund and'Account Number, D01011122 9/17/2021 $289.80 $289.80 RFP 9/17-9/18/21 : SM5710.2.000.000 _ '�,m„,7�, D01012300 9/25/2021 $301.60 $301.60 RFP 9/25-9/26/21 `�. � _SM5710:2:000 000,, e �n n $591.40 $591.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature�if. Title Signature Company Namrict Date 10/8/2021 Title Manager Date 10/8/2021 PLEASERETURNUPPERPORT16N M-N YOUR REMI'ffANCE 1IREFERENCE#' SIZE/LINES NET. DATE, DESCRIPTION 'PUBLICATIONS 4,I I +I _ - - l PO--# - , a OR,QW , 3 AMOUNT Previous Balance $0.00 09/17/21- Request for Proposals CPNW,DAY,DCW d01011122 2 col X 17 Lines $289.80 09/18/21 09/25/21- Request for Proposals CPNW,DAY,DCW d01012300 2 col X 17 Lines $301.60 09/26/21 Day Credit Department 860-701-4204 Accounting Fax 860-437-7504 Community Classifieds-Toll Free 800-582-8296 Advertising Fax 860-437-8780 Day Publishing Company-Toll Free 800-542-3354 Classified Fax 860-442-5443 Billing Period Account Number Customer 09/01/21-09/30/21 D24103 FISHERS ISLAND FERRY DISTRICT Current Due Over 30 Days Over 60 Days Total Balance $591.40 $0.00 $0.00 $591.40 Payment Terms-Net End of Month A FINANCE CHARGE OF 1.5%PER MONTH ON ACCOUNTS NOT PAID WITHIN THE MONTH FOLLOWING PUBLICATION PUBLICATION Abbreviation Publication Title Abbreviation Publication Title ASP Aspire MSR Managed Services CCE Community Classified East MVT The Montville Times CCW Community Classified West MYT The Mystic Times CTF Connecticut Family NHC North Haven Courier DAY The Day N LT The New London Times. DWB Digital Banners OSG Old Saybrook Guide EHC East Haven Courier PRO Digital Contest EML Email Advertising SCM Sound and Country Magazine GOW Go Westerly Magazine SGC Guilford Courier GRT The Groton Times SHN Harbor News HTJ Monster SND The Sound IMAG Digital Magazine SRC The Source IMS Digital Agency STT The Stonington Times LGY Legacy Svc Valley Courier LYT The Lyme Times TRT The Thames River Times MCM Mystic Country Magazine WFT The Waterford Times Times Group Shore Publishing Weeklies The Groton Times, The Lyme Times, East Haven Courier, North Haven The Montville Times, The Mystic Times, Courier, Guilford Courier, Harbor News, The New London Times, The Stonington Times, The Sound, The Source, Valley Courier The Thames River Times, The Waterford Times Tearsheets are available online at ts.theday.com Contact your account executive for log in and password information. Paper tearsheets are available at the cost of$5.00 for each requested copy. FISHERS ISLAND FERRY DISTRICT VENDOR 005738 EVERSOURCE-ELECTRIC 10/19/2021 CHECK ,7701 w A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4 .000,100 51981034011021 NLT ELEC SVC-9/1-'9"/30 988.01 TOTAL 988.01 z ----- ------------------ ---------------- -- --------------------------------- ---- ---- -- j W, I. ; Z'4" ---------------- - -------- 17 711 ys I D IS-.'ER S'IS A IT,%'lG/-1:9'), NIROAl)" 0 309 M l NY 1 0 BOXI 179, D 11971-Q95,9 !'7 fo T, fouT -095,9 JP4 ,O1 e SU OL H SUFFOLK NAL K C`0".' A"TIO' BANK CUTCHo' UE, E I T -NY 11935 , .=DATE, j 7,, AMOUNT', 5 .546214', a. NINE HUNDRED' EIGHTY,'tt0 Ht,AND 01j- 0,Y 01 00, EVERSOURCE-'ELECTRIC PA Y X, 0 BOX 002 ' to THE, `56 '000( ' 0 StON,"MA 02155 "600 2 1'1 11,00 7 70 Ilia 1:0 2 L40 S4641: 68 00LS02 1110 Vendor No. Check`No: Town of Southold, New York - Payment Voucher 5738 Vendor Address Entered byr `, PO Box 56002 .` ,�'; ��'"s'A Boston,MA 02155-6002 Audit=Date,` ; Eversource Vendor Telephone Number 0"(t 888-783-6617 owri Clerk Vendor Contact a. v, Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Generaltedgef-1~pnd'and Account Number-'-- 51981034010 9/30/2021 $988.01 $988.01 NLT elec sery 9/1-9/30/21A SM6 10 4.000.100 aF' i $988.01 $988.01 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 v5 ed with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and pa is approved Signature Title Signature Company Name Fishe dFerry District Date 10/8/2021 Title Manaeer Date 10/8/2021 'EVERS...URCE a 13 e r Account Number: 5198103 4010 Statement Date: 09/30/21 Amount Due On 09/29/21 $1,223.86 Service Provided To: Last Payment Received,, $0.00 FISHER ISLAND FERRY DISTRICT Balance Forward $1,223.86 Total Current Charges- $988.01, kWh/Day Supply Delivery $571.55 300 Cost of electricity from., Cost to deliver electricity Eversource from Eversource 250- % 50 % 200- 150- 4 0D150 � 100 - �= .' �` �',>',,.4�t;•- �r3 ,. �54�i} 50 $0 $199 $398 $597 $796 $995 Oct1 Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct 52' 46' 33' 28' 280 42' 51' 590 71' 73' 74' 67* D' ° : Your electric supplier is Average Temperature Eversource PO Box 270 Hartford,CT 06141-0270 This month your This month you used average daily 32.2%Cess V.2electric use was than at the 208 0 kWh same time last year USAGE j 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 PROD TXT,152699-000002045 ,r- , ,,, . „. , , . ,CE_21. 30, . EVE.RS*'-.--"' U RCE Account Number: 5198103 4010 ' Customer name key:FISH Statement Date: 09/30/21 Service Provided To: Electric Account Summary FISHER ISLAND FERRY DISTRICT Amount Due on 09/29/21 $1,223,86 Last Payment Received $0.00 Balance Forward $1,223.86 Current Charges/Credits Electric Supply Services $416.46' � 'e'°' e' �;'p "p' •• Delivery Services $571.55 Total Current Charges $988.01 Meter Current Previous Current Reading Total Amount Due $2,211.87 Number Read Read Usage Type 892582072 90899 I 90297 I 602 Actual Total Demand Use=19.80 kW 602 X Meter Constant of 10=6,020 Billed Usage Supplier Eversource,_ Oct Nov Dec Jan- Feb Mar Apr Service Reference:952682001 9200 7300 '8350 10160 8270 8890 7260 Generation Srvc Chrg** 6020.00kWh X$0.06918 $416.46 May 'Jun Jul Aug Sep Oct Subtotal Supplier Services $416.46 7160 6060 6100 8200 8030 6020 Delivery Contact Information (DISTRIBUTION RATE:030) Emergency:800-286-2000, Service Reference:952682001 www.eversource.com, Transmission Dmd Chrg 17.80KW X$7.92000 $140,98 BusinessCenterCTQeversource.com Distr Cust Srvc Chrg $44.00 Pay by Phone:888-78376618 Distribution Dmd Chrg 17.80KW X$14.22000 $253.12' Customer Service:888-783-6617 Electric Sys 17.80KW X$1.08000 $19.22 TS Isaias Performance Penalty 6020.00kWh X$-0,00140 -$8,43, CTA Demand Chrg , 17.8OKW X$-0.34000 -$6.05 FMCC Delivery Chrg 6020,00kWh X$0,01412 X85.00 Comb Public Benefit Chrg* 6020.00kWh X$0.00726 $43.71 Subtotal Delivery Services $571.55 Total Cost of Electricity $988,01 Total Current Charges $988.01 CE_210930PROD.TXT-152700-000002045 -EVERS® URGE Total Amount Due.by 11/29/21 $2,1211 -87 Account Number: 5198103 4010 "Customer name key:FISH Statement Date: 09/30/21 Service Provided To: FISHER ISLAND FERRY DISTRICT Continued from previous page... Supply Rate' Dollars/kWh 01- 008- 006- 004- 002- 0 10080080040020 Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Demand Profile Max.Demand 35- 30- 25- 20- 15- 10- 0-- Oct 530252015100Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct .y 2 CE 210930PRODTXT-152701-000002045 ol FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 10/19/2021 CHECK 7702 FUND & ACCOUNT P.O '# INVOICE DESCRIPTION AMOUNT SM .57,10.4.000.000 7-504-85548 AP (1) 40.18 , SM .5710.4.000.000 7-512-31623 PR (1) AP (1) 72.80 TOTAL 112.98 sI 'AR ----------- - ----------------- --------------- ------ -------- --- % "kl i. e o - - --------- - --- ------ 7" 77- FlSHERS IZIA'D EkR'YDJSWCT, .53095 MAIN,ROAD,PO 60X'1,179,. 7- SOUTHOLO,NY 11971-0959 (` : T C 'p THE SUFFOLK CO.NA-HONAL-6ANK AMOUNT CUTCHOGUE,NY 11935 'DATE,,- '10 501546/214;, 'o J, 8,100" DOLtAkS,'- o' ELVE AND 9 Z Im, p • Ayx 7' FEDEX. 7 "RE PO ,BOX -371461' o '0 PITTSBURGH 'PA 15150 OF 7 11800 7 70 2111 1:0 2 L 40 S 411: 1 6 8 001502 1n' Vendor No. Town of Southold, - New York Payment Voucher 6155 Vendor Address Entered liy; P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 A-6d'tD-'t ,` Fedex Vendor Telephone Number CT= 202 <; 800-622-1147 owii`Clerk f `;%' Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services °� General(edge%Fund and�ceounf�Number"' ,��, , 7-512-31623 9/27/2021 $72.80 $72.80 PR(1)AP(1) ,zaSM571,0.4.000:000-1—-- °- 7-504-85548 9/20/2021 $40.18 $40.18 AP(1) S105710:4:000.00Q� c4 fr ^ 1 $112.98 $112.98 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 v CompanyName Fishe d Fenv District Date 10/7/2021 Title Manager Date (/ v _ ® Invoice Number Invoice Date Account Number Page 7-512731623 Sep 272021 1206-0334-5 1of3 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-F 7 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 Sep 27,2021 FedEx Express Services Previous Balance 301.64 Total Charges USD $70.70 payments 0.00 Adjustments 0.00 Other Charges USD $2.10 New Charges (::72.80- TOTAL THIS INVOICE_ USD $72.80 _ NewAccount Balance $374.4 You saved$6.36 in discounts this period! PaymerttsootrecelvedbyOct 12,2021 are subject to a late fee. Other discounts may apply. To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. R11 ❑� r _ ' i Detailed descriptions of surcharges can be located at fedex.com ------------=--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Invoice Number Invoice Date Account Number Page 7-512731623 Sep 27 2021 1206-0334-5 2of3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated $pedal Weight Transp tatlon "Handling 11etChg/Tax payorlr pe ,r 5hipmeats: lbs Charges Charges CrelRtsJ*ftr Diswunts" TotalCharges - Recipient 2 2.0 63.52 13.54 -6.36 70.70 i� ll:e x 1press 2 2.a 03.52 : _ $13.54 41.86 0074 Other Charges Summary ll>voim Invoice Original Oaymenitss pastDge Number Date Amomt Applied/Credit Amount hate Charges Late Fee 7-476-84857 08/23/21 38.76 3.81 34.95 6% 2.10 Total . $35.1 5 $2.10 TOTAL THIS INVOICE USD $72.80 FedEx Express Shipment Detail By Payor Type(Original) ship aft6ep17,2021 Cash.Ref,:NO REFERENCE INFORMATION` - Ref. . Pa 9Fov:Recipient Refg3: • Fuel Surcharge-FedEx has applied a fuel surcharge of 9.00%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service.Any changes made are reflected in the invoice amount. • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient / Tracking ID 816377478248 DIANA WHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 MAIN RD 261 TRUMBULL DR Zone 02 SOUTHOLD NY 11971 US FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 1.0 lbs,0.5 kgs Transportation Charge 31.76 Delivered Sep 20,202109:26 Discount -3.18 Svc Area A9 Fuel Surcharge 2.92 Signed by N.WHITE DAS Extended Comm 3.85 FedEx Use 026089941/1486L Total Charge USD $35.35 U 1' 4 Invoice Number Invoice Date Account Number Page. • 7-512-31623 Sep 27 2021 1206-0334-5 3of3 tosLWANO REFERENCE WGRMA'ION ROM Payon Redplwt -RefJM- • Fuel Surcharge-FedEx has applied a fuel surcharge of9.00%tothis shipment. • Distance Based Pricing,Zone 2 Automation AWB Sender Reclplent Tracking ID 816377478237 KARIANE CHEW GORDON MURPY - Service Type FedEx Priority Overnight - TOWN OF SOUTHOLD FL FERRY DISTRICT_ Package Type Customer Packaging 53095 MAIN RD 261 TRMBELL DR 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 Sep 23,202112:32 Discount -3.18 Svc Area A9 Fuel Surcharge 2.92 Signed by N.WHITE DAS Extended Comm 3.85 FedEx Use 026552351/1486/_ Total Charge USD $35.35 Recipient Subtotal USD $70.70 Total FedEx Express USD $70.70 1268-01-00-0010691-0001-0021419 le— ■ ® Invoice Number Invoice-Date Account Number Page 7-504-85548 Sep 20,2021 1206-0334-5 1 of 3 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 Sep 20,2021 FedEx Express Services Previous Balance 403.78 Total Charges USD $33.93 Payments -142.32 Other Charges USD $6.25 Adjustments 0 New Charges 40.18 TOTAL THIS INVOICE - USD $40.18 pUfll– fllew Account Balance $301.64 You saved$3.10 in discounts this period[ Other discounts may apply. Payments notreceived by 0005,2021 are subject to a late fee.- To ee:To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. r ' r)n+,:I.. J r ..:..+in..n .f r•.rnhgr..nn n4" h? 1_nno+nd 7+fn.Jn.r nn_m Invoice Number Invoice Date Account Number Page 7-504-85548 Sep 20,2021 1206-0334-5 2 of 3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated- 'Special r- Weight Transportation Handing= filet ChgiTax Payor hype, Shipments - 1t s Cliaryi s" Charges Credits/tither Discounts_lfotal Charges- Shipper 1 2.0 30.98 6.05 -3.10 33.93 _ _ Total FedEx-�liress _ _ ._ _ 4 2,0 t� $605 43.40_ _ ._ $33M Other Charges Summary x Invoice- Invoice Original Payments Pastolle Number_ pate Amount Applied/Credit; Amount Rate, charges Late Fee 7-468-84157 08/16/21 104.09 - 10409 6% 6.25 'Focal X404.118 $625 TOTAL THIS INVOICE USD $40.18 FedEx Express Shipment Detail By Payor Type(Original) Ship tate;Sep 13r 02i`= Cast;Refs.NO REFERENCE INFORMATION Ref.1i2: Payor:Shipper" Ref#3: - - • Fuel Surcharge'-FedEx has applied a fuel surcharge-of-9-00%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810997040574 KASIAASMOLOV KARIANE CHEW Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD-ACCT DEPT Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs,0 9 kgs Transportation Charge 3098 Declared Value USD 10000 Discount -310 Delivered Sep 14,2021 1517 Fuel Surcharge 2.80 Continued on next page Fedl& IInvoice Number Invoice Date Account Number Page- 7-504-85548 Sep 20 2021 1206-0334-5 3 of 3 Tracking ID:810997040574 continued Svc Area A8 DAS Comm 3.25 Signed by M KERRY Declared Value Charge 0.00 FedEx Use 025660612/1283/ Total Charge USD $33.93 Shipper Subtotal USD $33.93 Total FedEx Express USD $33.93 1262-01-00-0006189-0001-0011124 Fifi`T 7 ,, v FISHERS ISLAND FERRY DISTRICT VENDOR 006482 'PAUL J. FOLEY 10/19/2021 CHECK 7703 FUN[D & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 (302303308010,21,pl REIMB—RETIREE RX-10/21 101.25 TOTAL 101.25 f3 ------------ - ---- --- --- - ---------------------- -- --------- - - --------- ----------- -- ,a 4r, X'z r v y J 44Z 77 AUDIT--10 191 FISHERS ISL410FERRYDISTRICT _-2 0 'j' 53095 MAIN ROAD,'PO 80X'11'79• SOUTHOLD,NY',11971-0959, "-,CHECK THE'SUFFOLK,cocNmfjdNAL BANK` CUTCHOGUE,NY 11935 -DATE, ,­C, j AMOUNT,i- i% ',2,5 C)NE''HUNDRED DISTE 'AND 25 l0 0t,'DOLLARS ' tz PAYPAUL J. FOLEY, r", :o", ,STREET 6' 3-2'0' OF J EW'.­LONDON 12T' S 11'00770311' 1:0 2 It.0 S4 Gtil: 68 001502 L Vendor No. Check No:' Town of Southold, New York - Payment Voucher 6482 Vendor Address Entered by,_ , 690 Williams Street New London, CT 06320 Audit,Date, Foley, Paul -,QCT n.1 _9 IN Vendor Telephone Number q 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 _ G0230330801 9/21/2021 $135.00 $101.25 Anthem Retiree Prescription Plan Oct 2021 SM9060.8:000.000 ro , ($33.75) 75% Reimbursement Paul FoleyCk#3257 9/21/21 $101.25 $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 7 Company Name Fishers s erre District Date 10/4/2021 Title Manager Date /-///, </ F va,4�,iti�t��'�F'^•'l'.j;��i�;°xz.`:*;�3'w355tl"k`,aS bY+:l�rg.,,x:�'',y};�,,:>' T. - � ''"'-,s '�„ i ,h�., _ s =:tt•„ s�7`:�,Kii.,'+a,�ia�,.,,, v_-�s�'i';5 - • lue-MedicareRx (PDP) Customer Care: 1—$$$-620-17µ7.T $ „ Connecticut I Massachusetts I Rhode Island Vermont T215 P1 25300(270)093351410824 Saye -�me Saye;,a,Staff � - , . � . Premium Pre-Payment:Options: PAUL J FOLEY 690 WILLIAMS ST ' NEW LONDON,CT 06320-4132 $405.0,0 Note:You mayPYe pay your account any amount at any time. You will not receive an invoice until you have an amount due ... - �... 't:. %vv��.t.'��u==_ z' - _ '��,n_ fi ,.;�, w;����", _^� u��•_�, •;r•.y�'�"�„ -'u^',+•_� +.r+.Vii,. r7,a>_71 ,";y'k v'x ,;;`c; -- - ,� t1 `m,'•' ,,. ;w;.;� .i., `'°< , :., ,.,, _ ^'y e;W.at^;' SJ. $135,.00 -- 10/0U202,1 row G0230330801, Payment Options N • For check paymen"for automatic withdrawal from your bank'account(ACH) ,use_ihe�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 -13 —0 Payment Tyne -$135.00 Check Payment-3246 Date Received Amount 08/22/2021 -$135.00 Activity Detail �n r Transaction Tyne $135.00 I 41 Premium Month Amo Premium `�� �'J \ OCTOBER 2021 unt Amount Due $135.00 $135.00 i t PAUL J.F®U=Y - _ . B90 WILL1AM3 ST. _ - HE�V L6NDON,cr 06MO -3257' t Pay to the lop 10, _„ Date {I}cTac�c nam Order of i - _ 7 � - , ,_,� - �'`�Dollars :•� �� peoplescom �• _ eB221172i869; 1630 �" .—` - . '� j 90 3 25 T L__ o 5 'FISHERS ISLAND FERRY DISTRICT VENDOR 009682 GOOSE ISLAND CORP 10/19/2021 CHECK 7704 ' A i AI Al FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.625 804481 4.938 GAL—DIESEL78/31 22.27 SM .5709.2.000.100 8433 112.7 GAL—WHISTLER AVE l 407.97 cy; TOTAL 430.24 cl) m ic - --- ------ -------- ------------------------------- --- al U, k gIX 11,1'1 :llv _yzm,rm.m gg $R P I N ,4k --- ----------- -- - - --- - --- ----- -------- ------- ----- -- ----- - ------ '.715 ; gi I FISHERS ISLAND'FEl?RYDISTRICT -10 -RO BOX 11,79 AUDIT 53095 MAIN ROAD, Q H E L SOUTHOLD;NY,l 1,971 THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 1-1935AAMOUNT.':MATE ' :'j ,l I "',4,-o 10,/-1,9/202'lL, 2 T RT - LLARS, kl- Y AN& 'Zi 1:00 -DO PAY- GOOSE. ISLAND CORP R, hE PO BOX -4-9 MER"' z.16 CENTRAL. AVENUE: OF FISHtRS ISLAND DIY, v- 11000770411' 1:0, 2 140 5L, F3 Lo I: 68 004 50 2 1 us 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 -OCT T 1_9 2021---. 631-788-7311 Town•Clerk Vendor Contact � � fI��ZRJt YX2 Susan Invoice Invoice Invoice Net Purchase Order I Number Date Total Discount Amount Claimed Number = Description of Goods or Services General Ledger Fund'and Account Number 804481 8/31/2021 $22.27 $22.27 Diesel 4.938 $4.509 SM5710.4.000.625 8433 9/24/2021 $407.97 $407 357 Whistler Ave heating oil 112.7 gal $3.62 SM5709.2.000.106 s $430.24 $430 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 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,and payment is approved Signature Title Signature Company Name irr s Fev District Date 10/4/2021 Title ' Manager Date 10/4/2021 Goose Island Corporation P.O. Box 49 �, Statement Fishers Island, NY 06390 Date 9/27/2021 To- FI Ferry District P.O.Box 607 Fishers Island,NY 06390 Amount Due Amount Enc $607.70 Date Transaction Amount Balance 07/27/2021 Balance forward 157.32 i 07/28/2021 INV#803893.Due 07/28/2021. 43 32 200.64 ---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. 23.47 224.11 ---Regular,5 159 @$4 549=-23.47 ---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 @$4.549=23.62 ---Cans ---Michael ---Tax-Exempt @ 0.0%=0 00 08/17/2021 PMT#7557-8/10/2021. -157.32 11263 08/19/2021 INV#804264 Due 08/19/2021 6483 177.46 ---Regular,9 813 @$4.549=44 64 ---Diesel,4.478 @$4 509=20.1.9_ ---Gordon ---Tax.Exempt @ 0.0%=0 00 08/31/2021 INV#804481.Due 08/31/2021. 22 2 199.73 ---Diesel,4.938 @$4 509=22.27 ---Gordon ---Gas cans ---Tax Exempt @ 0 0%=0 00 09/24/2021 INV#8433 Due 09/24/2021 407.97 607 70 ---Fuel Oil, 112 7 @$3.62=407 97 � ---357 Whistler ---Tax.Exempt @ 0 0%=0.00 4 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 43024 134.14 43.32 000 $607.70 I Goose Island Corporation P.O. Box 49 Fishers Island, NY 06390 631-788-7311 ❑ Dyed unmarked Heating Oil:Not for use in highway or non-highway, locomotive or marine engines. I START OF DELIVERY —� END OF GALLONS DELIVERY TENTHS 4N3 —i 1litl1S—> METER READING 10ths END OF DELIVERY METER READING ~START OF DELIV RY DATE SOLD TO OD Ll CHARGE ' ADDRESS � �� ^ � L CITY,STATE,ZIP S I DRIVER TRUCK NO I TIME AM P.M YOUR SALE NUMBER Gallon Reading—Finish 10ths PREVIOUS SALE NUMBER Gallon Reading—Start 101hs f 00�bCD0LF 8433 PRODUCT GALLONS PRICE AMOUNT PAYMENT RECEIVED $ [:]CASH ❑CHECK TAX CUSTOMER'S SIGNATURE x— TOTAL DELIVERY RECEIVED PER ABOVE METER READING l Goose Island Corp P.O. Box 49 Fishers Island, NY 06390 831-788-7311 D :USTOMER'S ORDER NOP HONEqAME j ADDRESS CASH COD CHARGE O T MDSE RET'D PAID OUT I I I I I TAX OLD BY RECEIVED Y �- y� PRODUCT M9T TOTAL r fJ- ® All claims and returned goods MUST be accompanied by this bill 804481 THANK YOU FISHERS ISLAND FERRY DISTRICT '7; VENDOR 010587 JMS NAVAL ARCHITECTS LLC 10/19/2021 CHECK 7705 rtA FUND ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.400.100 21-110-2 MU NOISE ANALYSIS-ENG 30,536.70 TOTAL J 30,536.70 r pQ j i ca j ----- - -- ------ ------------ ---- -------------------- --------- -------------------------------------- 7P, n. m 5est{ I sem- -cFaw ' et l li6ll zg --- - -- - - ------------ jq", AUDIT, SOUTHOLD JSLAAD FERRYDIS FISHERS, 53095'MAINROAJ),POBOX'1,179,,', ;W-1197.1'0959 HEC ; T U CO NATIONAL BANK L 6 K CUTCHOGUE,NY'11935 DATE, --"50-546121 H 6 : '— i0Rr't'Zl ,7:$ 0',' 53,. AND I HUNDRED T`T'S IX THOU ,,T I RTY 001, z kn AY , JMS,.NAVAL ARCHITECTS..LLC 'io ESSEX STREET' -v 9RDER TIC-CT C6355op" 11100 ? 70 5us 1:0 2 L40 5 4 GLII: 68 00 150 2 1 heckNor Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Addresst1tt i Vendor Name 70 Essex Street Auit>J 'ae '` JMS Naval Architects Mystic,CT 06355 ,4;.,. , Vendor Telephone Number Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services gei Ftltldp'nd-Acq,ug 21-110-2 9/30/2021 $30,536.70 $30,536.70 MU noise analysis-engineering „SM 710A400,fi100,` $30536.701 $30,536.701 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 ;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 Signature Company Name Fishers ISlal Date 10/8/2021 Title Manaeer Date 0 7i� Naval Architecture INVOICE Marine Engineering Q�� � °" Marine Surveying N A V A L A R C H ITECTS Salvage Engineering CUSTOMER INVOICE# INVOICE DATE GEB COOK j DISTRICT MANAGER 21-110-2 9/30/2021 i FISHERS ISLAND FERRY DISTRICT PO BOX 607 - ----- ----- -- --- - -- —-- -- FISHERS ISLAND, NY 06390 CUSTOMER PO#/POC DUE DATE i _ I 10/20/2021 j ITEM DESCRIPTION T AMOUNT !ENGINEERING P/V MUNNATAWKET 24,600.00 DEVELOP DRAWINGS AND SPECIFICATIONS FOR: TASK 1 RESILIENTLY MOUNT MAIN ENGINE EXHAUST (PRELIMINARY) TASK 2 IMPROVE LATERAL STIFFENING OF FORWARD ENGINE GIRDER TASK 4 INSTALL NOISE TREATMENT IN PASSENGER COMPARTMENT TASK 5 REPLACE PROPELLERS WITH 5 BLADE PROPELLERS TASK 6 RESILIENTLY MOUNT MAIN ENGINES I SHIP CHECK 7/28/21 SHIP CHECK 9/10/21 EXPENSES J&A ENTERPRISES 5,936.70 ENGINE MOUNT CALCULATIONS , EXHAUST MOUNT, PERF HEADLINER, SHIP CHECK,TRAVEL I CL I t i I C REMIT TO: TOTAL DUE $30,536.70 JMS NAVAL ARCHITECTS LLC 70 Essex Street Mystic, CT 06355 jms@jmsnet.com [860]536-0009 M FISHERS ISLAND FERRY DISTRICT July 19,2021 Munnatawket RESOLUTION 2021-120 WHEREAS,the Fishers Island Ferry District has recognized noise as an issue with the operation of the M/V Munnatawket; and WHEREAS,JMS Naval Architects has provided a time and material not to exceed a proposal of $37,500 to mitigate the noise issues based on the recent noise survey("Proposal'), and WHEREAS,JMS Naval Architects provides professional services and possesses a GSA contract; and THEREFORE it is RESOLVED by the Commissioners of the Fishers Island Ferry District to accept the Proposal from JMS Naval Architects for time and material not to exceed$37,500. Moved by: Commissioner Shillo Seconded by: Commissioner Ahrens Ayes:A.Ahrens, H. Burnham, T.Cashel,J. Reid and D.Shillo Nays: None e Southold Town Board-Letter Board Meeting of August 10,2021 ®$ RESOLUTION 2021-638 Item# 5.13 ADOPTED DOC ID: 17284 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-638 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 10,2021: RESOLVED that the Town Board of the Town of Southold hereby ratifies and approves the resolutions of the Fishers Island Ferry District Board of Commissioners dated July 19, 2021 meetings, as follows: FIFD Resolution# Regarding 2021 ? 118 Budget Mod 2021 ? 120 Legal 2021 ? 121 Insurance 2021 ? 122 EE Passage Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr,Doherty, Ghosio, Russell ABSENT: Louisa P. Evans Generated August 10, 2021 Page 24 FISHERS ISLAND FERRYDISTRICT VENDOR 007613 GLENN E. JUST 10/19/2021 CHECK 7706 f,f A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.2.000.000 SERV 8).26.21 AIRPORT SEAWALL PROJ 2, 695.40 TOTAL 2, 695.40 - -- -------- ------- - -- ------- - - --------- ------- -- -77 ------- --- -------- --- ------- FISHERS ISLAND FERRY DIS 'AUDIT 0 2 2 53095 MAIN ROAD,PO,BbX,1,1,79 SOUTHOLD,NY 11971-0959 CHECK-',NO,` 7,7,06 ,- THE SUFFOLK CO."NA' 0 Ti'NAL BANK CUTCHOGUE,NY 11935 DATE ,,,,'AMOUNT'. 50-5461214 410, 'TW '.T ' - HOUSANDSIXiHUNDRED 'NIN hTY 0 FIVE"AND ''4 0'/1'0 o b6LLJu—S' Id p GLENN, E. J-UST,- TP DBA -J-'M-;'O. -ENVIROMM E" ENT CONSULT ORDER,- OF' --- -,2 6 'TOPPING :DRIVE RIVERHEAD NY 11901 11600 7 70 Go 1:021L.054641: 68 001502 In, Vendor No. Check No.. , Town of Southold, New York - Payment Voucher 7613 7-1 Vendor Tax ID Number or Social Security Number Entered by 121 Jessup Ave 2nd floor P.O.Box 447 Audit,Date J.M.O Environmental Services Quogue,NY 11959-0447 QCT Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order E _, Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number' SERV 8.26.21 8/26/2021 2,695.40 2,695.40 Airport Seawall project SM5610.2.000.000' E o $ 2,695.40 2,695.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature �y,, Company Name e 10/7/2021 Title `�, Date �d J.M.0. Environmental Consulting Services August 26, 2021 ' Fishers Island Ferry District } P.O. Box 607 ���` Fishers Island, NY 06390-0607 u r Attn: Geb Cook Re: Elizabeth Field Airport FOR PROFESSIONAL SERVICES RENDERED New York State Department of Environmental Conservation approval (Tidal Wetlands) and Board of Town Trustees of the Town of Southold approvals (Wetlands and Coastal Erosion) for the repairs at Runways 7 and 30. Fee: $44,200.00 Retainer: $2,500.00 Disbursements: N.Y.S.D.E.C. application fee: $200.00 Town Trustees application and inspection fees: $550.00 Certified mailings (28) of the Notice of Public Hearing for the Hearing held on-July on-July19, 2021 for the project: $245.40 Amount d ; $2,695.40 Ila Phone (631) 653-0607 • Email Gjustl 0215@aol.com 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 7__lZ 7-4 FISHERS ISLAND FERRY DISTRICT VENDOR 012705 LOWE-S A 10/19/201 CHECK 7707 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2 .000.200 902565 RP SUPPLIES 28.23 SM .5710.2.000.200 902642 RP SUPPLIES 40.66 SM .5710.2 .000.200 902797 RP SUPPLIES 19.26 SM .5710.4.000.625 902916 NLT SUPPLIES 42.65 SM .5710;4. 000.625 919694 NLT SUPPLIES 31.58 TOTAL 162.38 24 1 - I - ------------ --------- ------------- -------------------- ------- r,:n7, --- ------------ -------- ----- ---------- -- .- n " g `4 A FISHERS ISLAND FERR.YDISYR4CT -AUDIT d/14/2, 6'2 1 .53095'MAIN ROAD,P0,BOX1,179 SOUTHOLO,NY 14971,0959 ­ CHECK"NO ' 7707 THE SUFFOLK CO NATIONAL BANK CUTCHOGUE;NYA 1935 DATE 7 F, AMOUNT.,, 1 2 4J A -HUNDREB ,-SiXT 6_ D ANl ", 3''-/' 00' b ONE TWO 8 1 bLLARS'5 51q PA,y, 'LOWE's TXH PO, BOX30§ -5 5 " 4' X, 9RDER' OF A'T'LANTA GA 3035'3-rO_95 A -1113007707,im i:0214054641: 68 00L502 i'in Check No. Town of Southold, New York - Payment Voucher 1,2705' `�,`� . Vendor Tax ID Number or Social Security Number Vendor Address Entered by n 6 Vendor Name 1000 Lowe's Blvd Audit Date Lowes Mooresville, NC 28117 ,2021 , Vendor Telephone Number ®�� Town Clerk' Vendor Contact y ° ao Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 902916 8/18/2021 $42.65 $42.65 NLT supplies SM5710.4.000.625 902642 8/30/2021 $40.66 $40.66 RP supplies SM5710.2.000.200 902797 9/21/2021 $19.26 $19.26 RP supplies SM5710.2.000.200 902565 9/28/2021 $28.23 $28.23 RP supplies SM5710.2.000.200 919694 9/30/2021 $31.58 $31.58 NLT supplies SM5710.4.000.625 $162.38 $162.381 1 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly :in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Islan erry Date 10/8/2021 Tale .ager Date �, LoWEV ' , LoWE LOVES HOME CENTERS, LLC R LOWE'S HOME CENTERS, LLC ;167 WATERFORD PARKWAY NORT 0W17E167 WATERFORD PARKWAY NORT WATERFORD, CT 06385 (860) 701-2000 WATERFORD, CT 06385 (860) 701-2000 r13 � I - SALE - LU41E'S HOME CENTERS, LLC LOWE'S HOME CENTERS, LLC ;�{�±:S#: 52263TS1 1251107 TRANSC 2344923 08-30-�;! 167 WATERFORD PARKWAY NORT 167 WATERFORD PARKWAY NORT I - SALE WATERFORD, CT 06385 (860) 701-2000 WATERFORD, CT 06385 (860) 701-2000 ,k ES#: S226SMSI 2444134 HOW 2305308 08-18-21 1:4266 I/O NE PATRIOTS 5 GAL BUC 7.42 _ x39933 3.6-QT WHT ELRSTOMERIC RO 37.16 7.98 DISCOUNT EACH -0.56 SALE S ALE - "'MESO: S2263LB2 1898386 TRANSC 2240451 09-21 ii,:ESP: S2263TS1 1251107 TRANSC 2854461 09-28-21 19.98 DISCOUNT EACH -1.40 22442 lIN GRLU FLOOR FLANGE 25.44 2 0 18.5813.68 DISCOUNT EACH -0.96 66992 3M MOUNTINO TAPE 4-FT ROL 13.91 49439 TERMINAL BLOCK 6 POLE 7.99 124742 WARNER 4-IN PLASTIC PUTTY 2.76/ 2 0 12.72 14.96 DISCOUNT EACH -1.05 8.59 DISCOUNT EACH -0.60 1.48 DISCOUNT EACH -0.10 23858 1-IN SCH40 ADAPTER 436010 1.64 195461 ETN 20A 125U COMM RECEPT 3.23 57229 FH PHIL WS 6 1-1/2-IN 10- 1.19 2 0 1.38 0.86 DISCOUNT EACH -0.06 3.47 DISCOUNT EACH -0.24 1,28 DISCOUNT EACH -0.09 -124741 WARNER 2-IN PLASTIC PUTTY 2.73 2 E) 0.82 72453 4-IN EXPOSED WORK COVER 1 2.12 x,44731 4-10 NICKEL MANHATTAN 19.05 0.98 DISCOUNT EACH -0.07 23852 1-IN SCH40 COUPLING 42901 4.06 2.28 DISCOUNT EACH -0.16 20.48 DISCOUNT EACH -1.43 3 0 0.91 0.62 DISCOUNT•tACH -0.04 i 7 0 0.58 SUBTOTAL: 19.26 SUBTOTAL: 28.23 iSUBTOTAL: 42.65 22703 1-IN SCH40 ELBOW 407010 1.12 TAX: 0.00 TAX: 0.00 TAX: 0.00 1.20 DISCOUNT EACH -0.08 INVOICE 02797 TOTAL: 19.2623870 1-IN SCH40 ELBOW (406010) 0.98 INVOICE 02565 TOTAL: 28.23 INVOICE 02916 TOTAL: 42.65 LAR: 19.26 LAR. 28.23 LAR: �I 42.65 1.05 DISCOUNT EACH -0.07 1 (ITAL DISCOUNT: 1 -4 I tATAL DISCOUNT: 2. 12 1 OTAL DISCOUNT: w 3.21 SUBTOTAL: 40.66 ui,: XXXXXXXXXXXX4653 AMOUNT:19.26 AUTHCD: 000 i' Oili: XXXXXXXXXXXX4653 AMOUNT:28.23 AUTHCO: 000764 0'-K: XXXXXXXXXXXX4653 AMOUNT:42.65 AUTHCD: 000736 •TAX: 0.00 SWIPED REFID:152675 09/21/21 12:07:24 SWIPED REFID:946358 09/28/21 14:40:52 SWIPED REFIQ:196041 08/18/21 12:48:07 INVOICE 02642 TOTAL: 40.66 A LAR P0: Race Point LAR P0: race Point LAR P0: 2263 LAR: 40.66 ACCOUNT,NAME: FISHERS ISLAND FERRY DISTRICT ACCOUNT NAME: FISHERS- D FERRY DISTRICT ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT ' RUTH BUYER: FRANCO MICHAEL RUTH BUYER: FRANCO MICHAEL A AA TAL DISCOUNT: `� 3.03-0g RUTH BUYER: FRANCO MICHAEL XXXXXXXXXXXX4653 AMOUNT:40.66 AUTHCD: 000748 E:.•rllNT WILL BE BILLED UPON MERCHANDISE TRisNSRCI m it)UNT WILL BE BILLED UPON MERCNRNDISE TRANSRCTI0,1 miEitsUNT-WILL BE BILLED-UPON MERCNRNDISE TRRNSACTI(sA SWIPED REFID:819269 08/30/21 13:34:39 s,m)FOR STOCK MERCHANDISE AND NO LATER THAN 90 Jr'~ ;•t,sf FOR STOCK MERCHANDISE RND NO LATER THAN 90 pA+', 1,11.1 FOR STOCK MERCHANDISE AND NO LATER THAN 90 D1,v., LAR P0: race Pt 110M TRANSACTION DOTE FOR SOS OR DIRECT AELIUE_1;o' ,,Mm TRANSACTION DATE FOR SOS OR DIRECT DELIVERY rnOM TRANSACTION DATE FOR SOS OR DIRECT DELIVERS ACCOUNT NAME: FISHERS ISLAND FERRY DISTRICT � i MERCHANDISE. MERCHANDISE. MERCNRNDISE. RUTH BUYER: FRANCO MICHAEL SCORE: 2263 TERMINAL: 02 09/21/21 12:07,:. JORE:-2263 TERMINAL: 02 09/28/21 14:41:01 MORE: 2263 TERNAIAL: 02 00/18/21 12:48:21) ti OF ITEMS PURCHASED.- ' Fs OF ITEMS PURCHASED- 1 13 OF ITEMS PURCHASED- 1Ni WILL BE BILLED UPON MERCHANDISE TRRNSACTION� irCLUDES FEES, SERVICES AND SPECIAL ORDER ITEh� - - 1= 1' FOR STOCK MERCHANDISE AND NO LATER THAN 90 DAYS ACLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS InCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS ".jM TRANSACTION DATE FOR SOS OR DIRECT DELIVERY MERCHANDISE. i �I III IIIIIIIIIIIIIII�IIIII VIII III/III II�IIIIII II IIIIIIIIIII IhIIIIIII III III! I II /IIIIII IIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIII III IIIII III II .,,,,.,, . ,_ �.,,,� „ 1�u� II �� III III 9 �10flE: 2263 TERMINAL: 02 08/30/21 13:35:23 FIJI IIIi IIfII IIIIIIIt RIP Il it ilU[f3 t Ek lk tt 13'!' '' !lf IEEE 1 ��p,'•n� I �II!!lI411_III II II II III II IIIII II II III II III /III III III 1111 {{{{11111 111 , l �l1.11���1� 1`, R1[I�-ilk #al�ll 11iP$i,�oi�llA1� 1i OF ITEMS PURCHASED: 14 I !'"CLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS eEiH ;• ,:it Ur{ �I )", iN: tlAt 1R",. tk+J , .'t _41.�Y!V. ,�7:r1 ... ir�.r* Y4e6 i{f±{ •:u r1'1'i 1i.'t i.[io! °i 111th} Y64 'i•;c y Iiil E i:'1c i i b LOLUEOSA LOWE'S HOMF CENTERS, LLCr`� 167 NATERFORD PARKWAY WORT 41AIE URD, O 063P5 (660) 7 1-° 00 CIL, p—rc 0'f Fro.,\ S2263AW2 3848163 fRANSO: 19008768 09 30-21 18026 1.75-6AL MUM RED PLTR 31.58 16,98 DISCOUNT EACH -1.19 2 0 15.79 SUBTOTAL: 31.58 TAX: 0.00 1110010E 19694 TOTAL: 31.56 LAR: 31.58 r ,r rf)L. D LSC.1`JIJN'f : 2-38 MXXXXXXXXXXX4653 AMOUNT:31.58 AUIHCO: 000770 SWIPED RFFLD:480561 09/30/21 09:32:41 LAR P0: cQuK •IC[OUNf NAME: FISHERS ISLAND FLRRY DISTRICT 01H BUYER: COOK GE13 ')Cli IWI WILL. OE BI(.LOLI UPON MERCHANDISL TRANSACTION FOR STOCK MERCHANDISE AND NO LATER THAN 90 DAYS -,,N IRANSACfION NATF f•OR SOS OR IIIRFCT OELIUERY MERCHANDISE, i4L: 2263 W011HAt. 19 09,130/21 09:32:40 uIF- 1:TC-t-1S frURCIiAS,ED: 2 LUDES FEES, SERWES AND SPECIAL ORDER ITEMS � {��.�I!�II�IiiII►ftl�lll!Ilf�lll!Iilli!�Ilillllllllf!IIIIIII►►Illllllilll!liIIIIIIIIIIIIIIIIIII'!iillllillllilllllil�,l IkI{ i l7i,l 11'1!1#x }�ii(1 1111�I{;t(; I�aE�•; '��i E , 1t+i iu�ip, 4 Account: 9800 295465 3 Statement Date: 10/02121 Page: 1 of 3 Learn how Lowe's Commercial Accounts can get Extended Terms as a Lowe's For Pros Loyalty Member (not required for accounts opened on or before 3/31/21.) For details, visit lowes.com/procreditoffer. "'I'Il'Illl,l,lllllllllll'Ill'III'Illl,l,lll'Illllll,lll'Illllll FISHERS ISLAND FERRY DIST 64697 ATTN: ACCOUNTS PAYABLE K109 PO BOX 607 FISHERS ISLAND, NY 06390-0607 Customer Service Online at www.lowescredit.com This account is already registered. See Your Online Admin to get a User ID & Password Account Balance Summary-1 Current In'voices&Reums J $ 16238 1�30 Days Past Due LJ $0100 31=60 Days Pd§f Due $0!00 Over 60 Days Past Due $0.00 Unapplied Payments&Adjustments $0.00 Statement Balance $ 162.38 0 01 0 Send payments to: Em ow Send Billing/General Inquiries Lowe's to: P.O.Box 530954 P.O.Box 965054 Atlanta GA 30353-0954 Orlando.FL 32896-5054 For Customer Service:call 1-866-232-7443 Purchases,returns,and payments made just prior to the statement date may not appear until the next month's statement.Any payments received after Spm on any business day or on any day other than a business day,at the address above,will be credited on the next business day If the payment is made at a location other than such address,credit may be delayed. -Continue- CULR649A 5879 SODS A7G 07 211003 PAGE OOD01 OF 00003 6469 Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices & Returns: New purchases and credits given for merchandise returned since the previous billing period. Past Due Invoices & Returns: Previously billed invoices that have not been closed (by a payment or a - credit) or merchandise returns that have not been applied to a specific invoice. Unapplied Payments & Adjustments: Payments or non-merchandise credits that have been applied to the account, but not applied to a specific invoice. 4 I ' ,��, PAYMENT STUB 4FqMS Page 2 of 3 I • I Account: 9800 295465$ Statement Date: 10/02/21 Page:2 of 3 1 Account:9800 295465 3 ACCOUNT ACTIVITY Account Number : 9800 295465 3 Current Invoices & Returns Date Invoice Original Due Date Store/City Reference invoice Date& Amount Amount Due Please Indicate by Invoices You are Paying 08/18/21 902916 $42.65 10/20/21 2263 2263 902916 08/18/21 -HKRARL $42.65 WATERFORD,CT 08/30/21 902642 $40.66 10/20/21 2263 RACE PT 9112642 08/30/21 -HMIDFT i $40.66 WATERFORD,CT 09/21/21 902797 $19.26 11/20/21 2263 RACE POINT 902797 09/21/21 -HPKWFI $1926 WATERFORD,CT 09/28/21 902565 $28:23 1120/21 2263 RACE POINT 902565 09/28/21 -HQLJWI �� i $28.23 WATERFORD,CT I 09/30/21 919694 $31.58 11/20/21 2263 COOK 919694 09/30/21 HQVIKN $31.58 WATEORD,CT 8ubtotal $162.38 a Subtotal $162.38 I I I I I � I I I = I I I I I I I e I o I I I I c7 I M1, I I Account Balance Summary I 9800 295465 3 I Total I I $162.38 I I I -Continue- I COLR649A 5879 5005 A7G 07 211003 PAGE DOD02 OF 00003 64697 i i i i i i i i i i i i i i t i Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices & Returns: New purchases and credits given for merchandise returned since the previous billing period. Past Due Invoices & Returns: Previously billed invoices that have not been closed (by a payment or a .-- credit) or merchandise returns that have not been - applied to a specific invoice. Unapplied Payments & Adjustments: Payments or non-merchandise credits that have been applied to the account, but not applied to a specific invoice. ' I ACOS Account: 9800 295465 3 Statement Date: 10/02/21 Page:3 of 3 Current Invoice Details Mail Payments to- LOWE'S P.O. BOX 530954 ATLANTA, GA 30353-0954 FISHERS ISLAND FERRY DIST Date of Sale! 09121121 Account: 9800 295465 3 Invoice: i 902797 -HPKWFI Store/City: 2263/WATERFORD,CT P.O./JOB: RACE POINT Buyer: FRANCO MICHAEL S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000000756992 3M MOUNTING TAPE 4-FT ROL 1.00 EA 13.91 13.91 000000000195461 ETN 20A 125V COMM RECEPT 1.00 EA 3.23 3.23 000000000072453 4-IN EXPOSED WORK COVER 1 1.00 EA 2.12 2.12 000000000155670 PROMOTIONAL DISCOUNT APPL 100 EA 000 0.00 Subtotal: 19.26 Tax: 0.00 Balance Due: 19.26 i \ MiilP may entsto LOWE'S �.-- -P,O,BOX-53095,44--__, I -1 ATLANTA,-GA 30353:0954 FIISHERSISLAND FERRY DIST �� Date of Sale:i 09128/21 Account: 9800 295465 3 Invoice: ; 902565 -HQLJWI p �j StorelCity:: 22637 WATERFORD,C I P.O./JOB RACE POINT Buyer: ERANCO_MICHAEL_ S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000000049439 TERMINAL BLOCK 8 POLE i 1.00 EA 7.99 7.99 000000000057229 FH PHIL WS 61-1/2-IN 10- 1.00 BA 1.19 1.19 000000000544731 4-10 NICKEL MANHATTAN 1.00 EA 19.05 19.05 000000000155670 PROMOTIONAL DISCOUNTAPPL i 1.00 EA 0.00 0.00 I Subtotal: 28.23 Tax- 0.00 Balance Due- 28.23 I Mail Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353-0954 FISHERS ISLAND FERRY DIST Date of Sale: 09/30121 Account: 9800 295465 3 Invoice: 919694 -HQVIKN Store/City: 2263/WATERFORD,CT P.O./JOB: COOK Buyer: COOK GEB S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE I 000000000858026 1.75-GAL MUM RED PLTR 2.00 EA 15.79 31.58 000000000155670 PROMOTIONAL DISCOUNTAPPL 1,00 EA 0,00 0,00 Subtotal- 31.58 Tax: 0.00 Balance Due: 31.58 I I i I COLR649A 5879 5005 A7G 07 211003 PAGE 00003 OF 00003 64697 t J _ Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices & Returns: New purchases and credits given for merchandise returned since the previous billing period. Past Due Invoices & 'Returns: Previously billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. Unapplied Payments & Adjustments: Payments or non-merchandise credits that have been applied to the account, but not applied to a specific invoice. I , FISHERS ISLAND FERRY DISTRICT I I I iVENDOR 013564 MCMASTER—CARR SUPPLY CO. 10/19/2021 CHECK 7708 A 'd FUND & ACCOUNT P.O.# INVOICE DESCRIPTIONAMOUNTI\ i SM .5710.4 .000.-625 65213675 NLT SUPPLIES 95.43 SM .5710 .2.000.200 1, 65382064 RP SUPPLIES 63.53 ' I I TOTAL 158.96 I I co I ` I ,. f:, „sriy .`•r.y, rr?tI"':•""•;a'i' w c, Is`: •tt :r; < . ;:rf; , r ,; .,e r:, ' =1 r, `;?e'' •rye,;` { ,a ' 1 .. ,-r" .X% ,.ro.z;,,,. , n ,.<, , . ;::.L'k `:xa. ;< :;•5'.-,' C"i.''°v t' 4,,;.' r., -" • ,,t, s .t AI \ I I I I Vis, I I . FISHERS ISLAND FERRY DISTRICT ­AUDIT 10,%19, -20.2-1:,: 4 tt c 53095.MAIN'ROAD,PO BOX 1179 — SOUTHOLD,NY 11971-0959 CHECK'„NO°, 7.70$ _ I, THE`SUFFOLK CO.NATIONAL BANK ` CUTCHOGUE,NY 11935 DATE, ,.',AMOUNT-, ' I 50-546/21j, = ;, 1'Q 15f2 21 -, '$-158-.91 ONE HLINDREDa FIFTY EIGHT AND. 96 100 DOiLARS; AY MCMASTER—CARR SUPPLY CO. TO THEROAD _ 6,00'-N: COUNTY, LINE ORDER ELMHURST IL`-60126 ”, OE rH "t u800 7 708ii' 1:0 2 L 40 5 L 641: 68 00 L 50 2 Iii' , Vendor No. Check No.,-� 2 Town of Southold, New York - Payment Voucher 13564 Vendor Address Entered by' P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr SupplyCo. 'AtT 1 9 "2021; ° Vendor Telephone Number 609-689-3000 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 r 65213675 9/20/2021 $ 95.43 $95.43 NLT supplies SM5710.4.000.625 65382064 9/22/2021 $ 63.53 $63.53 RP supplies SM5710.2.000.200 f $ 158.96 $158.96 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 Title Signature Company Name Fishers 152nd Ferry District Date 10/8/2021 Title Manager Date 10/8/2021 WMASTERmCARR. Invoice • 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com 9 Purchase Order JOHN P Total $95.43 1 nvo ice 65213675 Billed to Invoice Date 9/20121 FISHERS ISLAND FERRY DISTRICT Pa ment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$127 on merchandise and tax if paid by 9/30/21 Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago lL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 91152AO33 Hot-Dipped Galvanized Iron Leveling Washer for 1 1 0 .9.60 9.60 I-Beams, 1/2"Screw Size,0.562"ID, Packs of 10 Pack Per Pack 2 92186A724 Super-Corrosion-Resistant 316 Stainless Steel 8 8 0 1.46 11.68 Hex Head Screw, 1/2"-13 Thread Size,3"Long, Packs Per Pack Partially Threaded,Packs of 1 3 90107AO33 316 Stainless Steel Washer for 1/2"Screw Size, 1 1 0 8.16 8.16 0.531"ID, 1.25"OD, Packs of 25 Pack Per Pack 4 90715A165 316 Stainless Steel Nylon-Insert Locknut, 1 1 0 6.74 6.74 Super-Corrosion-Resistant, 1/2"-13 Thread Size, Pack Per Pack Packs of 10 5 8671K48 Moisture-Resistant HDPE Bar,2-1/2"Wide,"3/4" 4 4 0 5.89 23.56 Thick Feet Per Foot Merchandise 59.74 Sales Tax 5.70 Shipping 29.99 Total $95.43 Packing List Shipped Weight Carrier Tracking 5328834-01 9/20/21 4 Ib UPS 1 ZO835200335611501 5328834-02 9/20/21 4 lb UPS 1 ZO835200335611510 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 CD 7G5 I I MAASTEReCARR® 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 i 09/20/2021 nj.sales@mcmaster com Order Placed By John Paradis McMaster-Carr Number 5328834-02 Line Product Ordered Shipped I 1 91152A033 Hot-Dipped Galvanized Iron Leveling Washer for I-Beams, 1/2"Screw Size, 0 562" ID, 1 1 Packs of 10 Pack 2 92186A724 Super-Corrosion-Resistant 316 Stainless Steel Hex Hlead Screw, 1/2"-13 Thread Size, 3" 8 8 Long, Partially Threaded, Packs of 1 ; Packs 3 90107A033 316 Stainless Steel Washer for 1/2" Screw Size, 0 531" ID, 1 25"OD, Packs of 25 1 1 Pack 4 90715A165 316 Stainless Steel Nylon-Insert Locknut, Super-Corrosion-Resistant, 1/2"-13 Thread 1 1 Size, Packs of 10 Pack I I I Shipped separately from our New Jersey warehouse on 09/20 5 8671K48 Moisture-Resistant HDPE Bar, 2-1/2"Wide, 3/4"Thick' 4 4 ' Feet •I _ • 5 IN I I I I I I , I I , I I I - I I - I , I I . I I I- I I ` I I I I I 1 `k I I I 872 _-- --_ I ' ' MMASTERmCARR. Packing dist y 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 GT 06320 Orde09/20/207.1 nj.sales@mcmaster com Bohn Placed By �lohn Paradis McMaster-Carr Number 5328834-01 Line Product ; Ordered Shipped 5 8671K48 Moisture-Resistant HDPE Bar, 241/2"Wide, 3/4"Thick 4 4 Feet Shipped separately from our New,Jersey warehouse on 09/20 1 91152AO33 Hot-Dipped Galvanized Iron Leveling Washer for I-Beams, 1/2"Screw Size, 0 562" ID 1 1 ,i Pack 2 92186A724 Super-Corrosion-Resistant 316 Stainless Steel Hex Head Screw, 1/2"-13 Thread Size, 3" 8 8 Long, Partially Threaded Packs 3 90107AO33 316 Stainless Steel Washer for 1/2" Screw Size, 0.531" ID, 1.25"OD 1 1 Pack 4 90715A165 316 Stainless Steel Nylon-Insert Locknut, Super-Corrosion-Resistant, 1/2"-13 Thread Size 1 1 Pack r r 508 ' 1 MAASTERmCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com ' Purchase Order RACE POINT Total $63.53 I nvo ice 65382064 Billed to Invoice Date 9122121 FISHERS ISLAND FERRY DISTRICT P O BOX 607 L3 t 'f� Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 /� % Deduct$1 12 on merchandise and tax if paid by 10/221 Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 ' 1939K55 Low-Voltage Equipment-Cooling Fan, 12V DC with 2 2 0 26.25 52.50 Wire Leads,3.15"Square x 1"Deep Overall,40 Each Each CFM Merchandise 52.50 Sales Tax 3.79 Shipping 7.24 Total $63.53 Packing List Shipped Weight Carrier Tracking 5476559-01 9/22/21 1 Ib UPS 1 ZO835200335744510 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 CD 957 _v, -n ;5 7,7 FISHERS ISLAND FERRY DID= VENDOR 013937 NAPA AUTO PARTS OF GROTON 10/19/2021 CHECK 7709 FUND & ACCOUNT P.O.# 'INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 296095 MU OIL FILTER (3) 49.74 TOTAL 49.74 co a ---------- ----- ------------------- --------- - - ------------ --------------- -------- ------------------ - k2l -Pik -------- - --- ----- --- - - - - - ---------------------J_ v, T FISHERS ISLAM ERRYDISTVCT 43095'MAIN ROAD,PO BOX 117.9 ­ SOUTHOLD,,NY,1,1971,0959' a. }CHECK, ;77,09;;1 ,THE SUFFOLK CO.NATIONAL BANWt" CLITCHOGUE,NY 11935 DATE, -4% fiai 50.545/2142 .-10 7 4, -9 : `ibRTY- -NINE--AND 14'/,lbd' 0 t" V Piy NAPA AUTO PARTS -OF GROTON TO IWE 1002 :ROUTE 2 RDER GR6' CT 0 34 6'' 6 o ' OF ' 11100 7 70911m 0 2 140 5 LiP3It 68 00 150 2 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 13937 Vendor Address Entered by 1002 Route 12 Vendor Name Groton,CT 06340 Audit Date NAPA Vendor Telephone Number 860-445-8181 vvn Clerk Vendor Contact at Invoice Invoice Invoice Net Purchase Order < Number Date Total Discount AmountClaimed Number Description of Goods or Services General Ledger Fund and Account Number t 296095 8/31/2021 $ 49.74 $ 49.74 MU oil filter(3) SM5710.2.000.100 i 4 } �t V { $49.74 $49.74 r Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fis Ferry District Date 10/4/2021 Title Manage Date 10/4/2021 200001178 NAPA of Groton Time: 10:10 Invoice Number 296095 WAE] "PAZlro2 ROUTE 12egGroton, CT 06340 Date: 08/31/2021 (860) 445-9706 Page: 61297 Employee: 7 ROBERT " Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 26 A OCR 261 Trumbull Drive w" .,.""-- ) � 2000011782960952 � Fishers Island, NY 06390 i .PdZt` Nt3iltbGx - F.' -T7I1 .3 ,: TJesC'riptian Q taY1 t}!al' I� 3C `: d' r'LL , 2 :>', ,. 0 8 > "' „° .-..,......,�,M ....�.« >' . ;."�, �,, w..,�,...� �s�?."��`xM�*,. � 1503 FIL7NAPAGOLD OIL FILTER O 3.00 33.16 16.5800 ��>� 49.74 =R 6 Qty: 3 from: CON - CONNECTICUT A4Vw4-,tV�,et— Delivery: Subtotal 49.74 I Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: /J Terms: _ �_�..,.. -� i,�.�� . . Customer Signature Charge Sale 49.74 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY • J I i I r INKE % FISHERS ISLAND FERRYDISTRICT VENDOR 016723 PROGRESSIVE BENEFIT SOLUT. ,LLC 10/19/2021 CHECK 7710 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8,.000.000 PBS-HRA-09/21 HRA TOTAL UTI.2TN-0'9/21 3,526.25 SM .9'0'60.8.0001.000,1 68579 MNTHLY CRD ADMN(18) -9/21 99.0,0 W TOTAL 3, 625 25 --- - - - ----------------- - ------- - ww- ,g kt 50.546/2i4 `625"25° ;THRE 'Tl X HUNDRED"TWENTY,°7IVR AN,D 25/i66-bOLLAP9''' ..... % r? 4 Rff- PROGRESSIVE BENEFIT SOLUT,. ,LLC Tlb B PARK DRIVE'-#,8 -THE 14 USINESS, , AOERI ,BRANFOR , - D CTL 06405 - 11000 7 7 L0119 1:0 2 140 5 Le 6411: 8 001502 111' Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 —1—� V 0 Vendor Address Entered by 14 Business Park Dr#8 Branford, CT 06405 Audit Date Progressive Benefit Solutions (PBS) 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 2021PBS-HRA 9/30/2021 $3,526.25 $3,526.25 HRA Total 2021 utilization as of 9/30/21 SM9060.8.000.000 68579 9/30/2021 $99.00 $99.00 Monthly card administration Sept 2021 (18) SM9O60.8.000.000 $3,625.251 1 $3,625.25 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,an ent is approved Signature Title Signature Company Name Fis ers s and Ferry District Date 10/6/2021 Title Manager Date 10/6/2021 14 Business Park, #8 DATE: September 30, 2021 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2021 HRA Utilization Invoice Bill To: Fishers Island Ferry District DESCRIPTI0N M EALTRRP!qB)R§�EMET, `F�*-,UT T!0N' ;AMOUNT Required Funding Health Reimbursement Total Utilization $ 3,526.25 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 3,526.25 f Progressive Benefit Solutions LLC Invoice 14 Business Park, 48 Date Invoke# Branford, CT 06405 9/30/2021 68579 Bill To Fisheis Island Ferry District Attn: Gordon Murphy P 0 Box 607 Fisheis isle.NY 06390 P.O. No. Terms Project Upon Receipt Quantity _ ;Description. " ,_, Rate- Amount 18 Monthly Benny Card Administration 5.50 99.00 October 2021 Invoice(Active Participants thru 09/30/2021) Total $99.00 FISHERS ISLAND FERRY DISTRICT VENDOR 019136 NINA SCHMID 10/19`/2021 CHECK 7711 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8. 000.000 070821 MED PART B SUPPL-8/21 53 .44, SM .9060.8.000.000 080221 MED PART D SUPPL-8/21 12 .63 X SM .9060.8.000.00 1 0 080821 MED PART B SUPPL-9/21 53 .44 SM .9060.8.000.000 090221 MED PART D SUPPL-9/21 t 12 .63 a TOTAL 132.14 —- ---- --------------- ---------------------------------------- --- ---------------------------------------- - Re, 4 -------- - - ------- - --- - - ------- --- -------- pp r V, YDIS -'--AUDIT- 1 ISLAND'D',FERR" 7RICT ' 53095 MAIN ROAD,'PO BOX 1179 SOUTHOLD,NY11 1-0959', 77 CHECK' •N .THE SUIFFOL k I;CO.-NATIONAL BANk CLITCHOGUE,NYl 1935 -'AMOUNT,. ,,_' 6Q-546/214, 10-/ --ONE H&iDRk0,' THIRTY- TWO-.AND" 14 i 0 ­'DOLLARS 4 PAI Y, NINA SCHMID ' , , I ­­ I — I I 'I,I,` , I "I", -, , ! t:," ,o "1, 0, I TO TINE _' I "-_ 1 , 1 41, 1891 MAIN STREET, APT B , -j dA6Ek' :,SOUTH'WINDSO I R ,CT ,0'607`4" ',, 11500 7 7 11110 1:0 2 140 54 641: 68 001502 L Vendor No. CheckNo.., Town of Southold, New York - Payment Voucher 19136 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 1891 Main Str Apt B South Windor,CT 06074-1024 Audit Date Nina Schmid y Vendor Telephone Number 4 C T 1 .9 W21 Gry 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 8/2/2021 50.50 (37.88) 12.63 August 2021 Medicare Part D Supplement SM9060.8.000.000 ' I 7/8/2021 213.75 (160.31) 53.44 August 2021 Medicare Part B Supplement SM9060.8.000.000 - 9/2/2021 50.50 (37.88) 12.63 Sept 2021 Medicare Part D Supplement SM9060.8.000.000 8/8/2021 213.75 (160.31) 53.44 Sept 2021 Medicare Part B Supplement SM9060.8.000.000 j i i 10 years of service reimbursed at 26% 528.50 396.38 132.14 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 payment is approved Signature t Title Signature CompanyName Fisher�sa.nd Ferry Date 10/8/2021 Title /l Date Jo Blue Me- dicareRx (PDP) �,Bi�ue4NedicaireRg- :u;�alue Plns�(PDP���v�r=��syr h { s�l�:`�-'-;! s.� ;�A•i`��'^.�.x'r".:=ti„Y','`T-..h '= .m 5'...�.+ �::5; 'rw�',«`'i`�s�',.�"=-:-ta.ti..e.,.r'r'I Connecticut Massachusetts Rhode Island Vermont Customer Care: 1-888-620-1747 T132 P1 21787(270)093350480453 �II�i'I1�'I'�1���6u1'I1��1'IJ6"I��'ll'I�'llll'1116�1'll�l'� - _� NINA 7 SCIIlV� Payments received after the due date may L•r 1891 MAIN ST APT B appear on your next invoice. SOUTH WINDSOR,CT 06074-1024 tY7 s% tlk ^;;.n '�"a----2 2 Y.- r-.•.rr,r hxaw ern,•-arca' „5.., -.', .S•..: _ - ,Y�- - AY a'wrs Net—, . x w..1. $50.50 08/01/2021 G8C618173 FRO Payment Options • For check payment or automatic withdrawal from your bank account(ACI),use the form below. • For,cre'dit card,payment-or withholding from your SSA/RRB check, call 1-888-620-1747. s • For one time credit card payment through our automated system, call 1-866-535-8407. Previous Balance $0.00 Payment Activity Since Last Invoice $0.00 Activity Detail $50.50 ' Transaction Twe Premium Month Amount Premium AUGUST 2021 -150.50 Amount Due $50.5 ' Please detach and send cotipon With check payable to Blue MedicareRx" BILLING FOR: NINA J SCHMID DUE D 1/2021 CT I01 ._y • Aka.�.�i'Y'v;'�','�;c � '� 377�—+�F �T= "":i',i%„}":.n -•�- -s� r�. 0-U,NT EI�T SED G8C6181-73 $50.50 Please include your Payment ID on your check or money'der'Do no send ca ❑ If you would like to change your payment to automatic withdrawal from your bank Blue MedicareRx- CT account(ACI),please check this box, P.O. Box 505171 enclose your check payment,and see the St. Louis,MO 63150-5171 reverse side. 11'1�III'��'�'111i1�'111"i�ll�l'lll'�I��i�"I'1�II�'I�IIII'll 20002001AG8C618173I010050507 /jt--Vpo s✓auv va vuu uuu Lauv ✓uavau PO Box 659816 1 of 3 San Antonio, TX 78265 Aiisat h emnya' llllll°lI°°llllllll°llllll°llllll°!°11111°1111°l°ll°ll°°ll'llllll 015296 1 AB 0.425 02154/015296/004303 0068 2 ACZS92 WPT170 GBDMS 07/09/202107113/2021 NINA J SCHMID 1891 MAIN ST APT B SOUTH WINDSOR, CT 06074-1024 000198189064^— — -Member Dial-e: N1na J Sc'h-m__1-d—- - - Member ID-No.: 862M97252 Billing Period: 08/01/2021 to 08/31/2021 Billed Date: 07/08/2021 Payment Due Date: 08/01/2021 Prior Bill Amount $213.75 Paid Amount $213.75 Other Adjustment Subtotal $0.00 Prior Balance Due $0.00 Retroactive Eligibility Adjustment Subtotal $0.00 Manual Adjustment Subtotal $0.00 Current Charges Subtotal $213.75 Billed Amount $213.75 TRA1-D-0152961004303 ACZS92 Si-ET-Mi-C00004 1 --_-_---PLEASE-PAY-THE-BILLED AMOUNT UPON-RECEIPT-T-O-AVOID-CANCELLATION- - -- -- - PLEASE TEAR OFF THIS PORTION AND RETURN WITH YOUR PAYMENT - *DO NOT SEND CASH* DUE DATE: 1/2 *MAIL PAYMENT TO THE ADDRESS .BELOW* AMOUNT DUE: $213.75 - ------------- ------ -- - -------- - - -- - ---- Amount e— Enclosed Nina J Schmid Make Check Payable To: Member ID No.: 862M97252 !111!1!°1111°111111111101°°.11l°Illll°lll°Illllll�II��I.Z� Invoice No.: 000198189064 y CBS Billing Period: 08/01/2021 to 08/31/2021 ANTHEM Billed Date: 07/08/2021 PO BOX 111750750 NEWARK, NJ 07101-4750 0029660627287,5050D40000O000862M97252300019818906408012100000000000213754 Blue MedicareRx (PDP) Blue'Meclicarel2g$Mvvalii =Plus`' DP ° p. - ° Connecticut I Massachusetts I Rhode Island I Vermont Customer Care: 1-888-620-1747 T117 P1 18913(270)093351050349 'Ilhlllllll"1'11111'II1111111'Ihl'4h111'I'rll4'II'ill"111 - NINA J SCHMID Payments received after the due date may " 1891 MAIN ST APT B appear on your next invoice. SOUTH WINDSOR,CT 060744024 011 1W. $50.50 09/01/2021 G8C618173 Payment Options • For check payment or automatic withdrawal from your bank account(ACTT),use the form below. Ln © For credit card payment or withholding from your SSA/RRB check, call 1-888-620-1747. r s • For one time credit card payment through our automated system, call 1-866-535-8407. Previous Balance $50.50 Payment Activity'Since Last Invoice -$50.50 Payment Type Date Received Amount One Time CC Care VISA 08/03/2021 -$50.50 Activity Detail $50.50 Transaction Tune Premium Month Amount Premium SEPTEMBER 2021 $50.50 Amount Due $50.50 Please(letach aiiid send cotipoii with check 1)ayable o : BILLING FOR: NINA J SCHMID DUE DATE: 09/01/2021 CT I01 PAYMEN`P;ID p _ = W==:T"_ _ AIGIOUNT.D7E= Y `> ::< _'°. AIVIOIJ -' G8C,618173 $50.50 Please include your Payment ID on your check-or money ord . Do not send cash ,i � ❑ If you would like-to change your payment to automatic withdrawal from your bank Blue MedicareRx-CT I account (ACH),please check this bog, P.O. Box 505171 enclose your check payment, and see the St. Louis,MO 63150-5171 reverse side. II'lllll'll'I'lll'll'IIIi111111'111'111111"1'illll'llllll'll'll nnnnmMM A r-_ArLI a1 ,3,3Tni nn cn cn,3 r-u>Lne111 MMC truss anu Dine 3niwu PO Box 659816 1 of 3 San Antonio, TX 78265 Anthem*_- V-2. t�llaloalll�sa�'siel'alla°ool�a°lIII'I'IAo�°olll°I�Ili�l'I'°°'i�' 015045 1 AB 0.425 01760/015045/003516 0067 2 VC0342 WPT170 GBDMS 08/10!2021 08/12/2021 NINA J SCHMID 1891 MAIN ST APT B SOUTH WINDSOR, CT 06074-1024 ---'---Inv®ice-NO. -000201068982-- Member ID No.: 862M97252 Billing Period: 09/01/2021 to 09/30/2021 Billed Date: 08/08/2021 Payment Due Date: 09/01/2021 Prior Bill Amount $213.75 Paid Amount $213.75 Other Adjustment Subtotal $0.00 Prior Balance Due $0.00 Retroactive Eligibility Adjustment Subtotal $0.00 Manual Adjustment Subtotal $0.00 Current Charges Subtotal $213.75 Billed Amount $213.75 TRA1-D-015045/003516 VC0342 S1-ET-M1-C00004 1 PLEASE PAY THE BILLED AMOUNT UPON RECEIPT TO AVOID-CANCELLATION - -- PLEASE TEAR OFF THIS PORTION AND RETURN WITH YOUR PAYMENT *DO NOT SEND CASH* DUE DATE: 9l I I *FAIL PAYMENT TO THE ADDRESS BELOW* AMOUNT DUE: $213.75 Amount ;- Enclosed ' .- • c "_� Nina J Schmid Make Check Payable To: Member ID No.: 862M97252 e'a°�°Iolllfa'III°��'I°leo°le°'AI��°iAlll''I�ala�s''lill°I"°m°I°� o' Invoice No.: 000201068982 Billing Period: 09/01/2021 to 09/30/2021 ANTHEM BCBS '°`' PO BOX 111750750 Billed Date: 08/08/2021 NEWARK,NJ,07101-4750 0029782470911,50500400000000862M97252300020106898209012100000000000213757 7 8888 ; FISHERS ISLAND FERRY DISTRICT ll I tl5l VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 10/19/2021 CHECK 7712 FUND &/ACCOUNT P.O.# INVOICE DESCRIPTION , AMOUNT SM .5710.4.000.600 3487528528 JANITORIAL 91.69 TOTAL 91.69 q -- - - - - ---------------- ------------ .. ,s, :rfs gt .r v4'7'r'? 's'<'v<s ^tiff';`":t z¢ >^g*h,cy.-wwv,; d• v,,.gz.:.,z^^; l}>vo Ai r. 7- M" kW o tv; "J ------------ -- - ------- - --- ---- -- - - ---- ------- -- ------ ----- ISAAFEYFlSHERSLDRRDISIWICT AUDIT:`10,/39/20'21;. , 53095 MAIN ROAD,PO BOX 1179 , SOUTHOLD,. NY 1,1971-0959 , 1 _"" CHECK',: ,,77 2 ; 71' THE SUFFOLK CO.'NATIONAL BANK , CUTCHOGUE,NY 11935 DATE" ,­AMOUNT,,,' "0' -16/i: Y2021— 6,9 50.54612141. V LAND- 9/ LWDOLLAI S Ti"6 E' a, PAY,-- STAPLES CONTRACT ,& COMMERCIALi L.THE,-, p 5,s O­BO) '­7-0242, ­PHILADRLPHIA,- OF:. PA-19 17b=02'4 2 I 11100 7 7 L 2118 1:0 2 140 54 641: 68 00150 2 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 19711 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 OCT 19 2021 Vendor Telephone Number 888-753-4107 Town Clerk Vendor Contact n e n". _ Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3487528528 9/18/2021 $91.69 $ 91.69 Janitorial SM5710.4.000.600 $91.69 $91.69 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing 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 Signature hers d Ferry Distnci Company Name Fist Date 10/7/2021 Title Manager Date 171 Staple. INVOICE DATE, CUSTOMER :r -.~ s SUMMARY INVOICE 9/18/21 NYC 1032952 8063603662 PLEASE PAY BY 'TERMS AMOUNT DUE P 10/18/21 Net 30 Days 91.69 INVOICEDiTTAiL Staples Federal ID #:04-3390816 Sill 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: 3487528528 Budget Ctr Desc: order 7339524209-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 9/16/21 Release Release Desc order order B/o unit ship Unit extended Line Item Number Description Qty QtyMeas Qty Price Price 1 365381 CW CFOLD TWL 1PLY 200SHT/PK 2 0 CT 2 24.73 49.46 2 365377 CW 2PLY BATH 500SHT/RL 1 0 CT 1 42.23 42.23 Freight: .00 Tax:( .0000 .00 sub-Total: 91.69 Total: 91.69 CrL / - 6 C/ V Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to Staples Contract &commercial, Po Box 70242, PM1ade1 hia PA 19176-0242 FISHERS ISLAND FERRY DISTRICT 7*,' VENDOR 020730 TRAWLWORKS, INC. 10/19/2021 CHECK 7713 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 64266 RP SUPPLIES 1,408.22 71 N TOTAL 1,408.22 co Wk --------- ----------------------------- - ---------- ------------------ ---------------------------------- - All In! z=:4 I i kjls ,iq 'J" - ----------i U0111 ::1 11 FISHERS-ISLAND FERRY DISTRICT 53095 WAIN ROAD,PO BOX I AUD,IT;d'0/-f9/-2 62 1,. 7 g 179 SOUTHOLD,NY 11 -0959- HECK' Nb"-' ?71 ,,,'7 71 3*' -;C THE SUFFOLK C'O'.4,AfiONAL BANK CUTCHOGUE,NY 1-1935 ',,DATE,' , AMOUNT,e, 1"4'0'8'.' 2 2,', 'ONE THOUSAND, HUNDRED HT AND 22/%100}! e F'a R4 A3A tY TRAWIR KS, INC.O. THE 30 WALTS- WAY 0. PO BOX -342 NARRAOANSETT RI ,02882 i. 11'0077 1311, 1:0 2 L4054641: 68 00 150 2 1 r .'k Vendor No. Chick No Town of Southold, New York - Payment Voucher 20730 4'.. Vendor Address Eriteted;i)y, P.O. Box 342 Vendor Name Narragansett, R102882 Audi#D,ate'. " Trawlworks Inc. Vendor Telephone Number 401-789-3964 oVM' erk, Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount jAmount Claimed Number Description of Goods or Services ledger RindandAccburitNumberl, 64266 10/1/2021 $1,408.22 $1,408.22 RP supplies J- $1,408.221 $1,408.22 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 CompanyName Fis ers 5and FeDistrict Date_ 10/6/2021 Title Date d i TRAWLWORKS, INC. Invoice 30 WALTS WAY PO BOX 342 Date Invoice# NARRAGANSETT, RI 02882 10/1/2021 64266 Bill To Ship To Fisher's Island Ferry PO Box 607 Fisher's Island,NY 06390-0607 P.O. Number Terms Ship Via F.O.B. Net 30 10/1/2021 CPU NARRAGANSETT Quantity Description Price Each Amount 60 FT 3/8"6X7 WIRE-2 X 28FT 3/8116X7 SOFT EYES W/1/2" 0.78 46.80 HEATER HOSE COVER. 18" 1/4"CHAIN SHACKLED EACH EYE 4 3/8" MACHINE SPLICE 10 10 40.40 6 FT 1/4"GAL PC CHAIN 182 10.92 4 3/8"SPAS 6.25 2500 53 FT 1/2"HEATER HOSE 1.90 100.70 0.75 LABOR PER HOUR 60.00 45.00 600 FT(1 REEL) 1-1/2"SUPER-PRO-10% 1 899 1,139.40 U C_ Total $1,408.22 Payments/Credits $000 Balance Due $1,408.22 "'A Z A g FISHERS ISLAND F f ERRYDISTRICT VENDOR 021506 UPS 10/19/2021 CHECK 7714 it j A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639391 W/E 9/24/21 36.00 SM .5710.4.000.700 26639401 W/E 10/1/21 42.00 P TOTAL 78.00 f2i cl) A ,a `A5 AL9 ---- - ------------- - ---- - ------------ - -RW 1,8 N 4 71R, l AT 12& -- ----------- -------- --- ------------- - ----- ------- --- kw A, .q II Mm EMMA WERRY,619MCI; AUDIT -107 nt 53095MAINACIAD,PQ B0XJ179_, C PQUTHOLD,- -095$ CH CK,, Q. NY 11971 E THE§U0FOCK cb.,NAtf6NALBANK ®rll AMQUNT,, ,"-, CUTCHOGUE,NY 11935, 0 0 46 A Nm : ; ' , ,", , ` , 1:., 2, 9/2 's 18%, Ty - b ',/1:66, ,b6 -1,-, ,, It,,, , v10I- ,"r `SEVEN 111 '06 , - — -A, ,jj A S, LLA k 'p x 53 l zr t , AY,, U PS, T6 ifiE ;809458'- PO','B6 r 1-o' Oi6kR 6k- 77'! 1 0 7 7 1 Lollo 1:0 2 1 L,0 5 L, 6 Loi: 68 00LS02 L in Vendor No. Check Town of Southold, New York - Payment Voucher 21506 A,`~ t, Vendor Address Flt tBd P.O. Box 809488 Vendor Name UPS Chicago IL 60680-9488difitDate;; United Parcel Service Vendor Telephone Number 800-811-1648 T°�Clerk Vendor Contact 0 Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services `Geis ral;T✓e 6riiind acid�kcoimtNuinber Y 26639391 9/25/2021 $36.00 $36.00 WE 9/24/21 :,5M5770:4:OOQ:700; , 26639401 10/2/2021 $42.00 $42.00 WE 10/1/21 :.SM571f0;4:00b:i6Q, $78.00 $78.00 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 Signatur Title Signature Company Name Fishers Island Ferry District Date 10/7/2021 Title an ger Date 10/7/2021 a Delivery Service Invoice Invoice Date September 25, 2021 Shipped from: Invoice Number 0000026639391 FISHERS ISLAND FERRY Shipper Number 026639 OT. 5 WATERFRONT PARK Control ID J268 NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366040014216 Visit ups.com/billing AB 01 018525 27455 H 57 E 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.®OX 609488 CHICAGO,IL 60680-9488 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $36.00 Page Charge Amount Outstanding(prior Invoices) $1,714.05 3 Adjustments&Other Charges $3.00 Total Amount Outstanding $1,750.05 3 Service Charges $33.00 Please Include the Return Portion of each outstanding invoice with Amount due this period $36.00 your payment•See Account Status for details. UPS payment terms require payment of this Invoice by October 17, Questions about your char es? 2021. To get a bette clerstanding 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/involceguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service a't ups.com for details) Note:This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. N h Delivery Service In voice _ Invoice Date September 25, 2021 ON Invoice Number 0000026639391 Shipper Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please Include the Return Portion of each outstanding Invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639351 08/28/2021 $60.00 0000026639361 09/04/2021 $38.16 0000026639371 09/11/2021 $40.00 0000026639381 09/18/2021 $1,575.89 'Dotal $1,714.05 Outstanding balances reflect any payments received as of 09/24/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. ^ _ Delivery Service In voice Invoice Date September 25, 2021 Invoice Number 0000026639391 Shipper Number 026639 Page 3 of 3 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 24-SEP-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Service Charges Week Ending Billed Date Explanation Charge 09/25 Weekly Service Charge 33.00 Total Service Charges 33.00 018625 2/2 N b Delivery Service Invoice Invoice Date October 2, 2021 Shipped from: Invoice Number 0000026639401 FISHERS ISLAND FERRY Shipper Number 026639 5 WATERFRONT PARK Control ID 605Q TM NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing todayl 0736A00000266394 77366010014795 Visit ups.com/billing AB 01 018576 35377 H 59 B For questions about your invoice,call: I�IIIII�I�I�'I"'Ill'�Il�l�l'I. '�II'�lll'�'I'��I�I�I'lll�lllllll (800)811-1648 Monday-Friday FISHERS ISLAND FERRY e:oo a.m.-6:00 p.m.E.T. o ACCTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390.0607 P.O.BOx 809488 CHICAGO,IL 60680-9488 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $42.00 Page Charge Amount Outstanding(prior Invoices) $1,750.05 3 Adjustments&Other Charges $9.00 Total Amount Outstanding $1,792.05 3 Service Charges $33.00 Please Include the Return Portionof each outstanding Invoice with Amount due this period $42.00 your payment.See Account Status for details. UPS payment terms require payment of this invoice by October 24, Questions about your char es? 2021. o get a atter un erstan ing oft 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/involoeguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Note:This invoice may contain a fuel surcharge as described at I ups.com.For more information,please visit ups.com. �f�4 N b 00 00 Delivery Service Invoice Invoice Date October 2, 2021 ON Invoice Number 0000026639401 Shipper Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include the Return Portion of each outstanding involce with your payment. Invoice Number Invoice Date Balance Due 0000026639351 08/28/2021 $60.00 0000026639361 09/04/2021 $38.16 0000026639371 09/11/2021 $40.00 0000026639381 09/18/2021 $1,575.89 0000026639391 09/25/2021 $36 00 Total $1,750.05 Outstanding balances reflect any payments received as of 10/01/2021.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date October 2, 2021 Invoice Number 0000026639401 Shipper Number 026639 Adjustments & Other Charges Page 3 of 3 Packages Delivered but not Previously Billed Delivery Billed Date Tracking Number Service Zone Weight Charge 09/21 1ZO266390340597418 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 260 ISLAND CREEK 5 WATERFRONT PARK VERO BEACH FL 32963 NEW LONDON CT 06320 09/22 1Z0266390340985605 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 3628 COLGATE 5 WATERFRONT PARK DALLAS TX 75225 NEW LONDON CT 06320 09/21 1Z0266390342851022 Missing PLD Fee 2.00 Total 2.00 Receiver: Sender :FISHERS ISLAND FERRY 260 ISLAND CREEK 5 WATERFRONT PARK VERO BEACH FL 32963 NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 3 Package(s) 6.00 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 01-OCT-2021 Total Miscellaneous 3.00 Total Adjustments&Other Charges 9.00 Service Charges Week Ending Billed Date Explanation Charge 10/02 Weekly Service Charge 33.00 Total Service Charges 33.00 -- - -- ---- -- - - - - - - 018576 2/2 -K, FISHERS ISLAND FERRY DISTRICT VENDOR 005414 US ELECTRICAL SERVICES,INC. 10/19/2021 CHECK 7715 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .'5710.2-000.200 S118955538.001 RP ELECTRICAL SUPPLIES 55.51 r TOTAL 55.51 a. — --------- --- -- - -------------- ---------------------------- ------------------------------------- -- W 4 AY - ---- ------- ;771 FISHERS"ISLAND 53095 MAIN ROAD;PO,BOX 1,179 SOLITHO D,NYI-1971-0959 - THE F 6'C K!"CO".',i'AT10 • CUTCHOGUE,'NY'l 1935 777M7 ,, 5D--54&J214,% F I FTVY, ,'F I, I0'' VE AND 5 i 10"'0, DOLLARS -o 1" v PAY -SERVI CES,,,INC. ELECTRICAL X,4- 241 'oTF]E Po Bd­' 1' BOSTON TbN- -MA 0'2'-,2 4' 1-' v 11'0077 1 5ul 40 2 L 1,0 S Lt 6 Lli: 68 OOLS02 III 1 Vendor No. Ckieck' tir - Town of Southold, New York- Payment Voucher 5414 Vendor Addressb�, a?` Vendor Name P.O. Box 412485 ililib Date^"'' ` Electrical Wholesalers Inc. Boston, MA 02241-24852 g Vendor Telephone Number 800-522-3232 ToiticC#irk; ,'_ Vendor Contact Invoice Invoice Invoice Net Purchase Order ;,`,• NumberDate Total Discount Amount Clauriedl Number Description of Goods or Services Cieltel X Pder, utid ariSl ACCouirthWitbgt.` • - ,moi�" it - S118955538.001 9/14/2021 $55.51 $55.51 RP electrical supplies SM5T,1pi2.060.200: $55.51 $55.51 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 and Fenv District Date 10/7/2021 Title Manager Date 4 �/� INVOICE i, MW Electrical Wholesalers inc. US M.t—al S,—Co. CUSTOMERaNUMBER .�� SUB'/�CCOUNT#, a EW-NEW LONDON t J� 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER,,-,,.-,"'INVOICE DATE,` ,= 860-443-4381 Fax 860-443-4570 S1 18955538.001 09/14/21 __ „ ,`w �,REMITTO�``r ._.,:'•`r.u US ELECTRICAL SERVICES,INC. _ PO BOX 412485 BOSTON MA 02241-2485 BILL TO: 4527 1 AB 0.461 E0017X 10031 D8099440714 S2 P8532950 0001.0001 SHIP TO: �II111�1�1���1111111��1111111���1�1111�11�1�1�1111�1�1'I�"'ll�ll FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 ° CUSTOMEWPO'# -'-JOB JOB NAME I RELEASE ORDERED BY�,-' _ as SALESPER30N RACE POINT RACE POINT MIKE HOUSE ACCOUNT WRITER ;SHIP�VIA � � TERMS �,'SHIP DATE 6RDER°DATE,,1­ NICHOLAS GRESSLER PICK UP MFG DISC 10TH, NET 15TH 09/14/21 09/14/21 -ORDER QTY.e SHIP QTY ,`°r` w .° `DESCRIPTION;° UNIT PRICE �`�. EXT PRICE° ORDER PICKED UP IN NEW LONDON, CT-06320-5817 Zea Zea ALLPRO APEL ALL PRO 2-HEADED LED 26.100 ea 52.20 EMERGENCY LIGHT HEAD WHITE FINISH 120/277V SEALED NICKEL CADMIUM BATTERY Try ordering online or on the go! • Visit www.ew-ct.com or download our app on the App Store or Google Play store • Order until 7 PM for next day pickup or delivery • Live account pricing • Check stock in nearby branches • Contact Solutions1122AC 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 52.20 2021=11 4 02 08 02 FM S1189666381 Invoice is due by 10/15/21. Shipping Chgs 0.00 Tax 3.31 For complete Terms&Conditions go to: Payments s0.00 https://tinyurl.com/EWCT-Customer-TC °Amount°D,ue=' 55.51 A Electrical Company Visit us at www.usesi.com �Services Inc TO VIEW ONLINE GO TO: HTTP://USESI.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: LMR LDP GZR Page 1 of 1 0001:0001