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Home My WebLink AboutAU-01/31/2023 Fishers Island `s Vii' E i FISHERS ISLAND FERRY DISTRICT / ! VENDOR 001318 AIRGAS USA, LLC 01/31/2023 CHECK 8680 ! FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ia I r SM .5710.4.000.625 9133451070 (4)PROPANE—NLT FORKLIFT 207.92 SM .5710.4.000.625 9993667538 .(6)CYLINDER RENTALS 218.54 I � I ' TOTAL 426.46 i I I I I I r I I I I _ z _ . . ._. . ._ .. . ... ._ ._ ° I °s:'tr.•:N w CGJ11 1c, .I:'rti?:? .:$$:i5;a 4.•.� _�tlry • ! : p -------------------------------------------------------- , n�n:;.•.q..: - •:.?:::�dt+ - ::1::2:,^•.i - �,;•xk..: :i".��t.{it:i;�'"+,S:t•� s'�T.yt,-t.:, 1 :"`�?,�;::;;ti.•...., `wf4:?{;.:r�R'?.«,,��: ..�` '?v:•r.:.:r. :,.e.,, •:1,•:-xv>�;i i .. ��:{v, �,�:°y-�:.:;,A..:;�x,.a?°•i�� ':;;:�njr�,;hYc;;•�:�:an;?.r �:�:e,5>`ti:y}�3i` ...,s•:'f5��,:.s;-z:,A.;qJ•'®'..._ may,' _� `:.tsi, _ .7fr,.&a.. .•:: '"J>: •., .'H-ia�a�::_�,. p.' "� I I . I I 1 ! o r i f ' I . 1 I •.� 1 I ••�i m FISHERS ISLAND FERRY DISTRICT 01/31/23 P;UDIT' 53095 MAIN ROAD,PO BOX 1179 . SOUTHOLD;NY 11971-0959CHECK NO..`, .H68.0THE SUFFOLK CO. ' CUTCHOGUE,NY 11935 NAL BANK DATE AMOUNT 50-546/214. ..`; .'. 01/31/2023"_=' $426 4`6. "FOUR: HUNDRED TWENTY SIX SND -46/16-0DOLLARS'".:.'.'. i i AY AIRGAS USA, LLC :.: O.7NE: . PO `BOX 734445. OF CHICAGO IL 60673=4445 _7 i 11900868011' 1:02140546 til: 68 00 150 2 III' 4 s Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 GM - Vendor Address Entered by P.O. Box 734445 Vendor Name Chicago, IL 60673-4445 Audit Date Airgas USA, LLC JAN 3 1 2023 Vendor Telephone Number 860-444-3055 800-962-0285 FY 2027- 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 9133451070 12/29/2022 $ 207.92 $ 207.92 Propane(4) NLT forklift SM.5710.4.000.625 9993667538 12/31/2022 $ 218.54 $ 218.54 Cylinder Rental (6) SM.5710.4.000.625 $426.461 1 $426.46 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. 6 Signature Title Signature Company N and Ferry District Date 1/20/2023 Title Manager Date 1/20/2023 AIRGAS USA,LLC STANDARD INVOICE Airgas. 6055 Rockside Woods Blvd INVOICE DATE PAYER INVOICENO. DUEDATE PAYTHiS AMOUNT :anAir Uquldecompany Independence,OH 44131 12/29/2022 2576547 9133451070 01/28/2023 $207.92 Manage Your Account Online 24/7 SOLD BY AIRGAS USA, LLC (N329) Access order history,view cylinder balances,get proofs of delivery, 130 CROSS RD pay invoices and more--visit Airgas.com today WATERFORD CT 06385-1204 For all information about returns,please visit us online at Airgas.com/terms-of-sale. 800-962-0285 Please send new or updated blanket purchase orders to:ndiv.customerpo@airgas.com I'n111II'In'I-IIIIIlln'IIII-II11'111"Illii'IIII1II-IIIIIIIII' T2 P1 154000-21-20-1-395 BILL TO FISHERS ISLAND FERRY DISTRICT 1111'i111'I"1111'1'III'II'11111'I'1'III111'11'11111'I"'111'1111 �;. PO BOX 607 Airgas USA, LLC FISHERS ISLAND NY 06390-8021 PO BOX 734445 000395 CHICAGO IL 60673-4445 3 25765471913345107000000207924 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 216-520.6000 �';,.:-t ORDER'tN0 ,z;+•1NVOICE:NO:. a INVOICEDATE .,'„SOLD TO NO: ,r:-�� ,e�:,_�SOLDTO:NAME.�� ..',�.�;fryti., -+ y: 1116754160 9133451070 12/29/2022 2576547 FISHERS ISLAND FERRY DISTRICT PO,./_RELEASE;<: ORDERED=l3Y :=.SHIP-ylA,:°:: PAYMENT TERMS .ORDER,DATEY EVEN EXCHANGE 12/29/2022 NATE.WHITE@860.442.0165 CUPU NET 30 12/29/2022 DI=LIVERY NO / QtrY x MATERIAL NUAtIBER UOM> GtT}B!O UNIT PF2ICE UOM AMOUNT -t ' DESCRIPTION <. ; aS1iIP'Ct. 8128282075 PR 33A 4 CL 4 4 45.10 CL 180-.40 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 128 LBS) (H) Energy Charge 4.00 Sale subtotal: 184.40 Airgas Hazmat Charge 23.52 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale JA N � T SHIP TO:3878688 AMOUN 207.92 v A irgas® FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an AIr Uquide company 5 WATERFRONT PARK Acct No SA,LL 228 AIRGAS USA,LLC NEW LONDON CT 06320 JPMC Bank,ABA No 021000021 6055 Rockside Woods Blvd ww-global-remits@airgas.com Independence,OH 44131 ooaass NDIV.DI@Airgas.com Page 1 of 1 OF ADDRESS Phone:216-520-6000 6irgas.com l 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),arid-the Terms of-Sale found at h'tto://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 ail 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 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 lie 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 OR ANY 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 Sellers 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. Surcharqes:Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of (a)power and/or raw materials used in the production of Products and/or(b)fuel. Title to Equipment:Title to all rental equipment shall remain in Seller's name.Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes:Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. Itemized Charges: (a)The total amount due from the Buyer may include various itemized charges, including: charges for'the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials;charges for handling,delivery and shipping;'and/or charges for energy or fuel. None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things. (b) No such charges not already provided for in a Rider will be imposed without mutual consent. _ Government Contracts:Certain Airgas companies are U.S.government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No. 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http://www.alrgas.com.Visit us online today to see how www.airgas.com can save you time and money. AIRGAS USA, LLC CYLINDER RENTAL INVOICE Airgas 6055 Rockside Woods Blvd INVOICE DATE PAYER INVOICE NO DUE DATE PAY THIS AMOUNT an Air Uquide company Independence,OH 44131 1,12/31/2022 2576547 9993667538 01/30/2023 $218.54 Manage Your Account Online 2417 SOLD BY AIRGAS USA, LLC Access order history, view cylinder balances, get proofs of delivery, qffl &_130 CROSS RD pay invoices and more--visit Airgas.com today WATERFORD CT 06385-1204 800-962-0285 Please send new or updated blanket purchase orders to:ndiv.customerpo@airgas.com PLEASE MAKE CHECKS PAYABLE AND REMIT • BILLTO FISHERS ISLAND FERRY DISTRICT.-- I�I�'llll'�"IITI'�I�'ll'lull'I'I'll��l�'�I��I�Iul'llll PO BOX 607 fig Airgas USA, LLC , FISHERS ISLAND NY 0L�I�, -8021 PO BOX 734445 CHICAGO IL 60673-4445 �� -T _-- - 25765471999366753800000218547 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 216.520-6000 INVOICE NO: ' SOLD TO NUMBER SHIP TOINVOICE DATE' RENTAL-PURCHASE ORDER:NO: = TERMS 99936675381 2576547 1 3878688 1 12/31/2022 RENT NET 30 MATERIAL/DESCRIPTION SlJBJECT DOCUM TURN 'ADJ END,BAL LEASES RATE PRICE �. c. BEGBAL ��SHIP RE NETDAY$< ENT.,/'DATE. TO RENT � CY-PR 33A - CYL PROPANE INDUSTRIAL 33 CGA 790 7 4 4 0 7 0 7 217 $0.82/DAY $177.94 N 8128282075 - 12/29/2022 4 4 0 PO : EVEN EXCHANGE 12/29/ RRCYLILG-AR - Rent Cyl, Ind .Large Argon 2 0 0 0 2 2 0 0 $0.93/DAY CY-AR CD25125 - INM 25% CD/AR 125 2 0 0 0 2 RRCYLILG-OX - Rent Cyl Ind Large Oxygen 3 0 0 0 3 3 0 0 $0.93/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 $0.86/DAY CY-PP 25 - CYL P90PYLENE 25LBS 2 0 0 0 2 RRCYLISM-PR - Rent Cyl Ind Small Propane 2 0 0 0 2 2 0 .0 $0.93/DAY CY-PR 20 - CYL PROPANE INDUSTRIAL 20 CGA 510 2 0 0 0 2 - -- ----------------------------------------------------------------------------- 16 4 4 0 16 $177.94 ----------------------------------------------------------------------------------------------------------- Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale Rental Period From: 12/01/2022 To: 12/31/2022 Hazmat: 40.60 Important.See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the ;AMOUNT; '' $ 21 Reverse side of this forth.You will be deemed to have accepted theprovisions in the said Notice as part of the contractual arrangements between you and us,unless you reject such .: provisions by written advice to us within(15)days after the date of this document. Airgas USA,LLC AirgasSHIP TO:3878688 — _ — Acct No 550372228 FISHERS ISLAND FERRY DISTRICT JPMC Bank,ABA No 021000021 anAirLiquide company 5 WATERFRONT PARK ww-global-remits@airgas.com w�s AIRGAS USA, LLC NEW LONDON CT 06320 6055 Rockside Woods Blvd Independence,OH 44131 FOR CHANGE Email: NDIV.DI@Alrgas.eom 0121 Pae 1 of 1 OF ADDRESS Phone: 216-520.6000 0015183 g 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 hftp://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 Sellers 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)retumed such cylinders to Seller in good,working order or(ii)pays Seller the replacement cost thereof. Refrigerant Cylinder Returns/Deposit:Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors.Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants).Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time.Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned. Warranty: All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products.SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS,GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability:SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS.BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES. SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS OR ANY 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 Buyers 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 Sellers name,Buyer shall not cover, modify, remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes:Any taxes imposed by federal, state,or.other governmental authority on the sale, use or possession of Goods, or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. Itemized Charges: (a) The total amount due from the Buyer may include various itemized charges, including: charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials; charges for handling, delivery and shipping; and/or charges for energy or fuel.None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller. The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product, service, time and place, among other things. (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts:Certain Airgas companies are U.S.government contractors and subcontractors and are-subject to and adhere to the requirements of federal laws, executive orders, and attendant rules and regulations,specifically Executive Order No. 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website, http://www.airgas.com.Visit us online today to see how vwwv.airgas.com can save you time and money. e' �`S )tea � ._.,- . . � ..�(. �: .�::ai " .. • i FISHERS ISLAND FERRY DISTRICT I VENDOR 001400 ALTERNATIVE SAFETY & TESTING 01/31/2023 CHECK 8681 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 1 SM .5710.4.000.000 108046 (1)DRUG TEST 45.00 i SM .5710.4.000.000 108046 (1)COLLECTION FEE: 15.00 �— TOTAL 60.00 I , r I co I I � I .f• -®- -'- "---'---'�------------------- -'--------------y- .______..._--._____. '-'____-'__--_-___------ I i. ...,........, .... ysver tV" .•>. :�.rn`Fyyr`r t . >„_» .........ani I •.`:k::. 'v5y+,( .N lrmri::CT�.�.v?.,,n.,,`v:�vr.%rY.yy Tr4',••J.,:,v.J,>rfF!,I::�.S:'•;ti:;tv {:y4'::�?:+4 SYti;!'rt'{,:'':}h'"r'..::^. v�>'';"%•^:'�, .8•ti. ;Sk;:?:•,ti;:At.:.ii•. ,:h}h"(v' .. '`�'+"1"rti:,n•'.:t,:;i{;i::w .:?:.$r .•,A':)4{;i:�:.r.. +..:`k.v�,"r•.;y� h." .,Q.,,}. ., d ..,.v"5;�..y,Y. m.V.vvl '<`.%�,,.U'.�r•::.t�'.v }{'1{. i:�.::i:fi .} .v�� ag��_ ,{n• P � '•'��s:}'w,'e�.'v'•:a��tit vs i.�'i rvF zN:{' '�`.Ciyrr�-,:t��'�vy r?''"Sr."„`�,i�� .L: .:.�=`1�.,_�'«y 4s� v;a-r •}`l w.,>'?" N..?..::?�:.9�'.�'.�y,.,�:;F.4'i.+�..,.�:<-:...�..... = y:� I Y; I ' I I I i I I � I I I � I \ I. I I I ' I � I I I i I ' I FISHERS ISLAND FERRY DISTRICT 01/31/23 AUDIT _ _ 53095 MAIN ROAD,PO,BOX 1179' „ SOUTHOLD,;NY 1.1971-0959 CHECK' NQ,: 8!681 THE SUOOLK Co. ATIO CUTCHO UE,.NYY 11935 NAL BANK DATE AMOUNT t' :.: /2023 $60.00. ' '. 50 546/214:• - :. _ i `.S IXTY.'.AND 0.0/10 0:-DOLLARS. . I AY ALTERNATIVE SAFETY.&, TESTING , O.TNE ' 2969 PRAIRIE.,ST:. S;W )MER: SUITE 2'00OF —_ ! GRANDVILLE MI 49418 ! ;: ' 11000868 Lii' 40 2 1405464,:. 611 00 L 50 2 Lit' Vendor No. Check No.`,' Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered:by =t 2969 Prairie Street SW Vendor Name Suite 200 Audit ate; ALTERNATIVE SAFETY&TESTING SOLUTIONS Grangville MI 49418 Vendor Telephone Number AN "3' 2023' 800-477-3177 FY 2023 Town;Clerk - Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General LeilgerFund Arid Account Number 108046 1/2/2023 $60.00 $46.00 Drug test(1) SM6710A.000.000 $16.00 Collection Fee(1) SM5710.4.000.000 k $60.00 $60.00 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 QALt�— Title Signature (20"u'—� Company Name Ferry District Date 1/20/2023 Title Manager Date I 1 Remit Payment To: Invoice C E L L 'C E 2969 Prairie Street S.W. ' „' �, Suite 200 Date Invoice# Alternative safety&Testing solutions Grandville,MI 49418 1/2/2023 108046 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. _ Note: All invoices are-due upon receipt. If payment is not received within thirty (3 0) days of the invoice date, your account will Terms PO Number be suspended until payment is received. Due on receipt Quantity Description Rate Amount 1 Drug Test 45.00 45.00 1 Quest Collection Fee 15.00 15.00 � 0 't ed Federal Tax ID#38-3510664 Total $60.00 FISHERS ISLAND FERRY DISTRICT VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 01/31/2023 CHECK 8682 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 0202301203773 VISION PLAN A75986-2/23 192.99 TOTAL 192.99 A VP j y. J, ----------- ----------------------- -------------------------------------- ----- ------ FISHERS ISLAND FERRYDISTRICT01/3.1 /2"3 AUDIT. ROAD*,PO,BOX 1179 SOUTHQLD,,NY 11971:-0959 - N K THE SUFFOLK CO.NATIONAL BANK ' 41 DATE AMOUNT CUTCHOGUE,NY 11935 '�iJ2.9-J M54-6/214'. ;.ONE HUNDRED: NINETY TWO,AND.99/100- DOLLARS P AY ANTHEM BLUE CROSS BLUE SHIELD Fb THE PO BOX 1179-2. ORDER,' OF NEWARK. --NJ 0"7101-4792' ' . 7; 11500,136132no 1:0214051,6 44 68 00LS02 L fln �O Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 49 ?Q Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem JAN 3 1 2023 Vendor Telephone Number FY 2023 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 0202301203773 1/3/2023 $192.99 $192.99 Vision Plan#A75986 February 2023 SM9060.8.000.000 192.99 192.99 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_04Title Signature Company Name Name Fishers stand Fe Date 1/20/2023, Title Manaeer Date 1/20 1 OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049 NORTH HAVEN,CT 06473 Anffiem.e. 0 I��I�I�II�III�III�Ifo��o�I��J��ll�l„Ill�l�l�l�ol'��I11�'�11 0111801 AB 0.488 003597/011180/007274 05102 VG1ZH4 W PT132 SMGRP 01/03/2023 01/04/2023 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND,NY 06390-0607 Your Premium Statement is Enclosed Beginning May 1, 2017, we are going PAPERLESS, Anthem's standard will be to issue bills (invoices)and accept premium payment online via EmployerAccess. Register or sign up novo on EmployerAccess by logging onto littps://eMployer.anthem.com All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly email notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject Pule to: SmallGroupEBSupport@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. 011150/007274 VG1ZH4 S1-ET-M1-C00003 4 3 OF 4 Billing Summary ® Invoice No.: 0202301203773 Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 Billing Period: 02/01/2023 to 03/01/2023 Date Billed: 01/03/2023 Due Date: 02/01/2023 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $385.98 $192.99 $192.99 SubTotal $192.99 Current Billing ANTHEM 4 $192.99 $0.00 $192.99 -- SubTotal - --— - _, ..�_ $199 ---- --- - Total Amount Due $335.98 Membership Detail Contract No Rate* Subsenher Dep Premium ID# Subscriber Product Volume Tvpe Cov Clsg Amount Aeaaunt Amount 9I IN 4�11 RVV Ai "`-,w:.."�..:'+«:: v.y,;•y."..�:.e:.. - 4>3,.`"-'i'i^$*,•> - a w - . a ,e ter` y. _ - r •4 .. _ ,-.._---wry._.•_..�,.•'� __ - - - - ,•'.}:�^rt..:,,;o,.,.'Rn,.;°41_'-"a .,.•¢,,. .w.,�-...'+v.#..'v.'='tea_ :-_ -...rd �"'�Pw."`'- -- y';'°.=i-s^+..- - C.Y`4.�s:"' -::5u.^._iy""^.,'...'.:.i:"�':•�>.._;_^<Fi.<'"`.:y"+,' __ _ - • -�¢0�- `-•'S _ r ..., w_ _._".., i,'-H'.�'- . ...t -_+ra•.5� Y±: +�'"`.."-¢ a`y'` $y"*s4ttt. -:d+r:'s'•,.e•:+ce,-.''S.<.'Kvr'"�Fi�?c�_'!^'�.'4"`'�-tie`°ra' aRateChango l egem. b B-New Age Rate C=New Area Category DkNew"AgeRate& E=Next Bill Reflects New Age Rate F=N NT Age Rate T=Tobacco Use Premium Adjustment �AN 1 2023 6 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 lr and symbols are registered marks of the Blue Cross and Blue Shield Association. 40F4 s ` 'r Anthem.0 ® i' U Invoice No.: 0202301203773 Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 Billing Period: 02/01/2023 to 03/01/2023 Date Billed: 01/03/2023 Due Date: 02/01/2023 PAYME'li'T POLICY *Remember to PAY AS BILLED-pay the total amount shown as due on the bill. *Do not add or delete members by writing on your bill-your payment goes to an automatic deposit box that cannot read P your changes. * Submit membership changes to Anthem as they occur. We will adjust your premiums,when applicable,on a future bill. This invoice reflects-all membership information processed to date. If additional payments or member changes have been mailed,they will be reflected in a future invoice. r According to Anthem eligibility guidelines,all membership changes must be received by Anthem within 31 days of the qualifying event. IMPORTANT NOTICE: If this bill reflects an outstanding premium balance for the prior month's bill,Anthem's issuance of this invoice does not extend any premium grace period applicable to the outstanding balance and does not waive Anthem's contractual right to automatically terminate your group's coverage for failure to timely pay premium. Any premiums received by Anthem or its designee are received conditionally subject to actual acceptance of the premiums by Anthem. - f For billing questions,please call(855)886-6154 Ir ti ' 9 FISHERS ISLAND FERRY DISTRICT VENDOR .002235 THE BELL SIMMONS COMPANY 01/31/2023 CHECK 8683 FUNDI & ACCOUNT P.O.# INVOICE DESCRIPTION _ AMOUNT ! SM .5710.4.000.625 S013654655.001 FI(3)FILTER CARTRIDGES 14.37 I TOTAL 14.37 i I i m I . .^spa:�E.::•'>:''.'+^�^r:s:'':�.'::>w.':%:'.iaa.>;::�:..}'�:oSC;�°•'�''s:::=+r,. <'•'"'';:a":,,zs:';�L::`%5,:.:f'`'"`-`':S"",?'�,'�:.a,.:�.;r,,,,�:�;;-=< ..�- -�r.:y.;�i�''=':1" °z�+'',tiu�'2.+5�;?°w3,�s�:.��•�x , '.,F,T�ti•°� ,..r,Y a,�v`'t :'^fia;??:ss�;5,i�.�'.'Y,.t:"'�. .A.. , s��. ek. "` «, ,. rL.� l`°+t"s_i+tY't;n M� +rLL+,s �,•.m .,"�i, v°i�si'°bk^'� � i x"�,s.»ext'-�;: •4,:ri. ?:.'�`" i�:�.,..x.:?=P" '"'a..`< '�'S�'�`t''" .._. I I I i Y,SS I 'r'aq I c 1 t I I 1 I � l I I I f�, , I I I I . I I I I i =t `FISHERSBLAND-it Y.DISTRICT. ., 01/31/23 AUDIT 53095'VAIN ROAD,PO BOX 1179 r. SOUTHOLD,NY.11971.0959 C • HECK:NO `: 8683 . . . THB,SUFFOLK CO.NATIONAL BANK:,* "t ' CUTCHOGUE,NY 11935 DATE AMOUNT ° 5P-546izta. 1'/312 $14 `0 3. 7 3 , EOURTE ENI:AND' 3 7/:10 0 DOLLARS•; , I , i AY THE BELL SIMMONS COMPANY II n .. %- TU THE. . .. :a PO 'BOX .677 ODER: , 1/ GLASTONBURY .CT 06033-0677 I I , I I ��'008683us 1:0 2 L405464o: r,8 00 L50 2 Lil' _'' Vendor No. Check.No: Town of Southold, New York- Payment Voucher 2235 r Vendor Address Entered.by,,- :. PO BOX 677 Vendor Name Glastonbury,CT 06033-0677 Audi ate The Bell/Simons Companies 3 =.:LL Vendor Telephone Number jpN ::1 2023 FY 2023 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claime Number Description of Goods or Services General Ledger Fund and Account Number S013654655.001 1/12/2023 $14.37 $14.37 FI supplies SM5110.4.000.625~ $14.37 $14.37 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 b L, Company Name M erry District Date 1/19/2023 Title Date I �� BellSimons INVOICE COMPANIES • �� INVOICE HVAC•REFRIGERATION• PLUMBING 01/12/23 S013654655.001 The Bell/Simons Companies • PO Box 307 Biddeford,ME 04005 The BeIYSimons Companies PO Box 677 Glastonbury,CT 06033-0677 BILL 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 CUSTOMER NO. CUSTOMER PO NO. CUSTOMER RELEASE NO. ORDERED BY 41845 maintinence WRITER SHIPVIA TERMS SHIP DATE ORDER DATE Brett Caron PU PICK-UP Net 30 days 01/12/23 01/12/23 STOCK NUMBER DESCRIPTION ORDER QTY SHIP QTY UNIT PRICE EXT PRICE 12002 GFI 9011 101 FILTER CARTRIDGE 3ea 3ea 4.503 13.51 /jV�v Vk GET DEDICATED PORTAL TO VIEW,SEARCH,AND PAY YOUR BILLS. BellSimons Visit Billtrust einvoice Connect to sign up today. C O M P A N I E S HVAC•REFRIGERATION•PLUMBING Follow the link htto://belisimons.com to get started. TAXABLE MDSE 13.51 Invoice is due by 02/28/23. NON TAXABLE MDSE 0.00 Items purchased at The Bell Pump Service Company-NL Phone:860-443-2036 SALES TAX 0.86 A Service Charge of 1.5%per month(APR of 18%)will be added to all past due SHIPPING 0.00 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 HANDLING 0.00 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 . 6 • 14.37 ELECTRICAL! ***NO RETURNS AFTER 90 DAYS.*** TO VIEW AND PAY ONLINE-GO TOd httpalbellsimons.com Page 1 of 1 I ` . I I , FISHERS ISLAND FERRY DISTRICT i I • I VENDOR 002776 CHARLES BURGESS 01/31/2023 CHECK 8684 't FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' I SM .9060.8.000.000 100922 ANTHEM MED RX-10/22 102.15 SM .9060.8.000.000 110922 ANTHEM MED RX-11/22 102.15 SM .9060.8.000.000 120922 ANTHEM MED RX-12/22 102.15 SM .9060.8.000.000 123122 ANTHEM MEDIGAP-10-12/22 365.54 °Y TOTAL 671.99 I "� ' I I a . .--' --------. . - -- --- ----- I � +�:.� _..... .... .. ..... . .>.m,.l:�Y.•:Av. `"'-'•"-'t.+�-Vp�� •fit'• bir`{`.sy., _ !.•T.•�: ,.-�"J:,: ?r,°. rJa;:�:."•:z:,� _ "-;?tt'ir:•'.JS:;�w".t:°.v;:<::;•F:3z•.v .a:�.•'.��;irv.i•s,:�'�%"e':Y.•.:+;s�3. - - va';;•*.Jc;: '-:?£:."• .•:u-...., :.;*. t_J .J, .:t:`jY•Jw+f<"> :.;C.•:' �','e-''';'T:d?4:-< .;yY`r{:•,:�'. �'vi� .+y. .-.:.. -.,z_'^ «, „�.e- .;•k£..>:vt',°,» ,�:v'i+'.. l�,a.•.�'t'Av?v`.r,}vY?:ftrfi{.nn+.f,wJ}'h,.�., - ¢r;.R y''�,}� .�SNa4 ...+•w., i{:K..' 4j ? .:.. •§i:J:•:.iY:4J�53�.....`t, "T. .ZyAr.'\tlr e' � i I v 1 I o J ' , • I a I t I i ' I M1 • i ' 1 i i I : FISHERS ISLAND FERRY DISTRICT 01/31./23 AUDIT 63095'MAIN ROAD,PO BOX 1179 - j SOUTHOLD;NY 11971-0959 CHECK`.NO'., 8684 THE SUFFOLK CO:NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT I I � I ?I' 01/31%2023. $'671.9.9:. 50.546/214 !,• S-IX:'HUNDRED:,SEVENTY ONE' AND 99/'100 DOLLARS' 1 .4Y CHARLES BURGESS ....'• I ,`:: 6 7 HE''..4"".HAMEL"COURT` ! RDER; ` .WATERFORD CT:.:06385 L�� o; r ��!' f ..-. -. lis 008684o' 1:0214054641: 68 00 L50 2 I � I . Vendor No. Check No.., Town of Southold, New York - Payment Voucher 2776 Vendor Address Eiiter`ed by 4 Hamel Court Waterford, CT 06385 Audit Date- Burges ateBurgess, Charles �AN n N qqLflqq UZ Vendor Telephone Number 3- fL�� Town"Clerk A" 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 62�3a2- la 31 a�- ` ME E�IMB �2 $487.38- $365.54 Anthem Medigap Plan N 10/1/22-12/31/22 SM9060.8.000.000 ($121.85) $487.38 @ 75% reimbursement MED REIMB 10/9/2022 $136.20 $102.15 Anthem Blue Medicare Rx Oct 2022 SM9060.8.000:000 ($34.05) $136.20 @ 75% reimbursement t MED REIMB 11/9/2022 $136.20 $102.15 Anthem Blue Medicare Rx Nov 2022 SM9060.8.000:000 ($34.05) $136.20 @ 75% reimbursement MED REIMB 1219/2022 $136.20 $102.15 Anthem Blue Medicare Rx Dec 2022 SM9060:8.000:000 ($34.05) $136.20 @ 75% reimbursement $671.99 $671.99 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. Uk-- Signature Title Signature cr.l Company Name sland Ferry District Date 1/19/2023 Title Manager 1/1 g I of 2 Anthem Blue Cross and Blue Shield 1 of 4 51021 PO Box 659816 San Antonio TX 78265 Anthem.0(9 N -.��, 0 N, ..VY 1.2 J AN 0 9 2023 N ********************SCH 5—DIGIT 06385 22818 1 AV 0.455 95 �+ CHARLES W BURGESS 4 HAMEL CT o n Ln WATERFORD CT 06385-2008 s � a L � p � O N Invoice No.: 000252312903 Member Name: Charles W Burgess Member ID No.: 853M8474_7 Billing Period: 10/01/2022 to 12/31/2022 Billed Date: 09/08/2022 in/n1 i,)m,) KAREN C;BURGESS 51-7011721W CHARLES-*-BURGESS, $' 3r�72. Prie 'S M- 97:. 4;HAMEL CT` j /± . Palf WATERFORD;CT'.08385 nA`iq* Oth'r' ;PAY.TO.'THE Prlc'` ,:ORDER OF / Ret Mai DOLLARS. 8 .. Cur. Cltlzens=Bink Bili ®. v , _ :. ' • MEMO .AO PLEASE PAY THE BILLED AMOUNT UPON T N ------------------------------------------------------------------------------------------------ PLEASE TEAR OFF THIS PORTION AND RETURN WITH YOUR PAYMENT *DO`NOT SEND CASH* DUE DATE:: 10%0,1.%2022`_: *MAIL PAYMENT TO THE.ADDRESS BELOW*, Amount Enclosed �?S. •J.g Charles W Burgess Make Check Payable To: Member ID No.: 853M84747 •11i1.X111.I� 1111�1111.�I.I�IIIIIIIIIII'�II�"I�III'1'll�l��l� Invoice No.: 000252312903 ANTHEM BCBS Billing Period: 10/01/2022 to 12/31/2022 PO BOX 11750 Billed Date; 09/08/2022 NEWARK,NJ 07101-4750 tj . D'�� EK Acct. CHARLES W BURGESS,KAREN BURGESS Acct.Ending 2966 4 HAMEL CT,WATERFORD,CT,06385-2008 (860)442-8383 Search Transactions:We'Gound 3 matches. Note: Please review your statements for interest charge information. Transactions Trans.Date. Post Date Description Amount Category ❑10/09/22 10/09/22 BLUE MEDICARERX PREMIUM $ 136.20 Medical NASHVILLE TN Services ❑11/09/22 11/09/22 BLUE MEDICARERX PREMIUM $ 136.20 Medical NASHVILLE TN Services 1112/09/22 12/09/22 BLUE MEDICARERX PREMIUM $ 136.20 Medical NASHVILLE TN Services Results Total =$ 408.60 Need to dispute a charge? Can't find a transaction? Suspect Fraud? Contact us immediately at: E' U.S. 1-800-DISCOVER(1-800-347-2683) \l Outside U.S. 1-224-888-7777 TDD/TTY 1-800-347-7449 Printed on 01/02/2023 ©2014 Discover Bank, Member FDIC. J Ail 0 BY_� .� � ., �•• �•.-�� sem- :.,:: FISHERS ISLAND FERRY DISTRICT VENDOR 003567 GEORGE B COOK 01/31/2023 CHECK 8685 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM. .9060.8.00b.000 011023 MEDICARE REIM-JAN,FEB/23 380.20 SM .9060.8.000.000 123122 MEDICARE REIMB-12/22 190.10 ' - I I r'. TOTAL 570.30 x I I , i i ( Y• ______-_-. ___________________._.___._-....__._ ?"Fy�p '„= f -_..___... .______-_______.._____._- _'''.4.m:"i�?:.i.�� A.{'�•%:' ?y� :J.i,- ya..'i{� I •.e—. t♦;l.�y�:ui G:e° Jit h'i:}'e....Yv}:{':. -...,_.w...-,., : :} •.-,e:{ni}•f?;.v°-:: �..hY::.e•F`5, v.Z'.S:^ i:J',r.Y`i' r.4.. :: .. '.?C.@•:;s^;�zr: .r:'sr`rfi-:., r-;F..,.:,tw:s:^;::}'.,-:••R:'t w?r:�';s`z ;'-f:-; ..x:: •hrs: :,�<�' �ji;!fvL`•S>a r.�.a., vi:•.:};i; vr3;: :jS%,,. �3-.x'.mss..a , I o I t I . i i s a _ I FISHERS ISLAND_FERRY DISTRICT .. ...01/31/23 AUDIT' 53095'MAIN ROAD,PO BOX 1179 . , SOUTHOLD,NY.1197.1-0959' CHECK-NO.-. ' 8 68:5F LK THE CUTC OGUE,N�11N 935 ATONAL BANK DATE AMOUNT 5osasizfa Oto/3 /2023 $52:0.30 "FIVE.:HUNDRED' SEVENTY AND-30/100 DOLLARS'` .q� .AY GEORGE.B COOK. TO THE. 165 •WARPAS.'ROAD. ORDER OF,. MADISON CT -06443 ' u 008685O 1.0 2 L4054641. 68 001502 1ii 9"a Vendor No. Check No. .... Town of Southold, New York - Payment Voucher 3567 Vendor Tax ID Number or Social Security Number Vendor Address Entered by. 169 Warpas Rd Vendor Name Audit Date George B Cook Madison, CT 06443 J:AN_"3 l 2023 Vendor Telephone Number 203.410-8156 FY 2022 Town Clerk' Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services .Gdneral Ledger Fbind and.Account.Number ED REIMS 12/31/2022 $190.10 $190.10 Medicare Part B Reimb Dec 2022 SM9060.8.000:000: ° $190.101 $190.10 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 Nam Fishe Ferry District Date 1/19/2023 Title Date ' L� Visa/MasterCard/American Express/Discover Accepted: GEORGE.B COOK Expiration Date:(mm/yyyy) 169 WARPAS ROAD MADISON CT 06443-2022 Credit/Debit•Card Billing ZIP Code: AmountY®u re Pa sn S' 1 c p Signature: , Amount Due:$510.30 Due In Full By: 11/25/2022 ' Don't Send Cash.Make check/money order payable to: - CMS Medicare Insurance Medacare Number: -G1 KNI M63JR92 Send Payment To: a,. Medicare Premium Collection Center *fig"in.`>_`':. is'Ur, :�;,:., ' P.O.Box 790355 Write your Medicare Number on your . check or money order.Use the return envelope St.Louis,M0 63179-0355 included with your bill, 4326294328484525335144 183030 OOS1030 8LS GEORGE B.COOK 378 JEAN K. COOK 51-110,'211 7641 169 WARPAS RD. MADISON.CT 06443 1 d � Date Pay to the GT i ' Pyle- ' + $ ...0 fU. z o - Dollars. D Vra fb oono:en0 • _ � Gwm>.nc..x •N'etls 6:yc6ank,11;P.,.'',,;:i. _ - . '.Gonne-i[u: c- r _I/S Jn� 3 ��Nn,A4 Hr Ma Fv-.ir,rcv • 'Nflfz1.Cl1+aro �. r,e 1 q :fit_ o 9a) Vendor No. Check-No. Y Town,of Southold, New York - Payment Voucher 35467. :g6zg5 . Vendor Tax ID Number or Social Security Number Vendor Address Entered i)y 169 War as Rd Vendor Name Audit ate' George B Cook Madison,CT 06443 p p, Vendor Telephone Number J�I�'_ 203.410-8166 FY 2023 Towii'CTerk:" Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund"a'rid Account Number MED REIMS 1/1/2023 $380.20 $380.20 Medicare Part B Reimb Jan,Feb 2023 $M9060.8:000:000 $380.20 $380.20 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. �J�J' or discrepancies noted,and payment is approved. Signature Title Signature O 0WIL"'- Company N Fishers and Ferry District Date 1/19/2023 Title Date �/ Visa/MasterCard/American Express/Discover:Accepted .YFi : GEORGE B COOK 169 WARPAS ROAD Expiration Date:(mm MADISON CT 06443-2022 Credit/Debit-Card Billing'ZIP Code: Amount You're Paying:$ 1 0 . '� Signature: Amount Due--$-510.n'- _Due In Full By:. 11/25/2022 = Don't`Send-Cash:Make check/money'ordef payable to: CMS Medicare Insurance -r Medicare Number: 1 KN1 M63JR92 Send Payment Tos Medicare Premium Collectio'n''Cenfer P.O:B6x790355 our•Medicare!Number on your check or money.order.'Use the return envelope St.Louis,MO 63 179-0355" included with'your bill. 4326294328484525335-144 18.3030 0051030 865 GEORGE B.COOK 378 JEAN K.COOK 51-110/211 7641 169 WARPAS RD. ^ MADISON,CT 06443 Date Pay to the VVI�. D �� of ESC L4�{,. ,�.�G GN U' , 3 0 •,r:':.' .:f. _'�1' C c7 LJOII r `Vj oePosfA __�, '>•-t,:s"�'i'�- __ _ - _ ,,t,• :..:!;-^r' i-_r"-`-- axa+eontma t nr. e onnettiM - - -"�%v f "r` v 0 2 0'Z3 i FISHERS ISLAND FERRY DISTRICT i VENDOR 003731 CUMMINS SALES AND SERVICE 01/31/2023 CHECK 8686 FUND &' ACCOUN.T P-.O.# INVOICE DESCRIPTION AMOUNT ?i I i SM .5710.2.000.100 G2-32941 MU—TURBOCHARGE GASKET 282.99 I � I SM .5710.2.000.100 G4-88819 MU PARTS 458.47 SM .5710.2.000.200 G4-92554 RP(2)AIR CLEANERS,SWITCH 2,14'3 .51 I � I TOTAL 2, 884 .97 I I I � I I I � m I v I lF w __....-------------- -- -----------------___ - -...._ --------- JW" ------- Jr ,. ' f.'.:�nJ•%-r-,.,-� H �KL-:�' ..a...-r+r�•f .t3 Wit, ^.M!� ::P;?• �f�� i.{^.r, w�,{$tas_ -•q - t r >:•::rjP.::•:i:::'-.:.•::t.�.�•$?e's.. h::?•t.• i.:`L.'''w+ •.:i�: .�.:i!:?•••'••v+,.li...:.?rJ�?i';v:is:v�t :l:•k i%-��x.a R�tr'fii�?�;:�:?::t.,OY'�:+::.r..+ ..,�;•,:.v.,�:: ';�?..d.:'��•��':. :t.L:...::- :� &...)y,•k::`:.:::�"..•�.+i N: .-. fi.T.'i'>+ �'�,. va•.y:�.t:�> ?.��F u "w..'� ;y«�.sr ^`�,,..yt' ��++:?�;�• ^'2�. G.^,:u:n....'G!^:r`•a:ay.'':uu.�+:Le.;"'w.w+`'x.;!`ti:e�,.:.t:"t;t; .+ "u°.'r,. i "'. o � o I i vE. \+- ! I I I i I �— -------------------------------- ----------------------------------------------------- ------------ I I • FISHERS ISLAND.FERRYDISYRICT 01/31/z3 AUDIT 53095 MAIN ROAD,PO BOX 1179 I SOUTHOLD,NY 11971-0959 r„ CHECK NO. ,'8686 CUTCHO UETHE K CO.NY 11935 ATIONAL BANK DATE AMOUNT `884. 50.546/214 $2:; 97 T.WO-THOUSAND EIGHT HUNDRED,EIGHTY. FOUR AND' 97/100=.'DOLT�ARS _n. Zol AY.. CUMMINS SALES AND SERVICE TO THE. j PO BOX 20603.9- ORDER DALLAS TX 7. 5320*7.6 03 9 u0008686ow 1:0 2 14054641: 68 00 L50 2 Lei' :v': Vendor No. Check No._;,„.;.,;.,;.• .�, Town of Southold, New York - Payment Voucher 3731 �y Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 772639 Audit Date, Cummins Sales and Services Detroit, MI 48277-2639 2023 Vendor Telephone Number FY 2022 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 G4-88819 10/13/2022 $ 458.47 $ 458.47 MU parts SM5710.2.000.100 - G2-32941 11/8/2022 $ 282.99 $ 282.99 MU parts SM5710.2.000,100 ; G4-92554 12/15/2022 $ 2,143.51 $ 2,143.51 RP parts SM5710.2:000:200 2,884.97 2,884.97 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 on n O"k ,/ Company Name 4.42d Ferry Date 1/19/2023 Title Date S 1/19/2023 Payment terms are 30 days from invoice date unless � Sales and otherwise agreed upon in writing. Remit to: Service Cummins Sales and Service PO Box 772639 ® Detroit,MI 48277-2639 ROCKY HILL CT BRANCH 914 CROMWELL AVENUE ROCKY HILL,CT 06067 G4-88819 (860)529-7474 TO PAY ONLINE LOGON TO customerpayment.cu mmins.com SOLD TO SHIP TO FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK PAGE 1 OF 1 FISHERS ISLAND,NY 06390-0607 NEW LONDON,CT 06320 ON ACCOUNT CHARGE CONTACT JOHN PARADIS ( � 'y-N)U DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-OCT-2022 JOHN P. CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 UPSG-UPS GROUND REF.NO. SALES PERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO, OE-100-384275 ON695 CH7UY 1�I1fE�7� a° rp#n? Frf 1{ { 9EID Ut, m q- ' . ;GffLVMT (PIP YY _ I •L_ _,y4 .I� BACK ORDER 3 3 AH19002 PAC,AH FLG 143.70 431.10 SIGN UP FOR AUTO EMAIL OF INVOICES AND CREDITS AT HTTP:HCUSTOM E RPAYMENT.CU M MI NS.COM TRACKING# 1ZA350F30301495269 SUB TOTAL: 431.10 STATE SALES TAX: 27.37 Billing Inquiries?Call(877)480-6970 I THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 458.47. 1V1 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE Payment terms are 30 days from invoice date unless Sales and otherwise agreed upon in writing. Remit to: cC,,.,Vice Cummins Sales and Service i7PO Box 772639 ® Detroit,MI 48277-2639 KEARNY NJ BRANCH 435 B BERGENAVE KEARNY,NJ 07032 G2-32941 (973)491-0100 TO PAY ONLINE LOGON TO customerpayment.cu mmi n s.com SOLD TO SHIP TO 7 FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK PAGE 1 OF 1 FISHERS ISLAND,NY 06390-0607 NEW LONDON,CT 06320 ON ACCOUNT CHARGE CONTACT JON HANEY DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE ' 08-NOV-2022 ATT JOHN CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 BEST WAY REF.NO. SALES PERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-1268983 CK5�16 BACK ORDER 1 1 5521005 GASKET,TURBOCHARGER CECO 236.09 236.09 SIGN UP FOR AUTO EMAIL OF INVOICES AND CREDITS AT HTTP://CUSTOM ERPAYM ENT.CU MM I NS.COM TRACKING# FREIGHT 30.00 SUB TOTAL: 266.09 STATE SALES TAX: 16.90 Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 282.99 Y \ DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE Payment terms are 30 days from invoice date unless Sales and otherwise agreed upon in writing. Remit to: Cummins Sales and Service Semite PO Box 772639 ® Detroit,MI 48277-2639 ROCKY HILL CT BRANCH INVOICE NO 914 CROMWELL AVENUE ROCKY HILL,CT 06067 G4-92554 (860)'529-7474 TO PAY ONLINE LOGON TO customerpayment.cummins.com SOLD TO SHIP TO FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST PO BOX 607 5 WATERFRONT PARK PAGE 1 OF 1 FISHERS ISLAND,NY 06390-0607 NEW LONDON,CT 06320 ON ACCOUNT CHARGE"• CONTACT JOHN PARADIS "?A CE �Ul DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 15-DEC-2022 JOHN P CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 177525 UPSG-UPS GROUND NA REF.NO. SALES PERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. OESD-100-387645 IB450 P ■ 0 •' 0 •' ® O • 2 2 5478519 CLEANER,AIR CECO 970.26 1,940.52 1 1 5333845 SWITCH,MAGNETIC CECO 104.62 SIGN UP FOR AUTO EMAIL OF INVOICES AND CREDITS AT HTTP:!/CUSTOMERPAYMENT.CU MM I NS.COM Vendor PS#::CTN2432343 TRACKING# 1ZA350F30301618297 SHIPPING AND HANDLING 75.00 SUB TOTAL: 2,015.52 STATE SALES TAX: 127.99 L Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 2,143.51 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE Cummins USA Supplier No 8051 Allentown Boulevard ASN Number: 10152025254 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'lllllllll'IIIIIIIIIIIIII HARRISBURG PA 17112 USA Tracking Number: PRO Number: Ship to Address: Bill to Address: RGG i IV �G FISHERS ISLAND FERRY DIST CUMMINS INC DBA CSSNA US 5 WATERFRONT PARK 21810 CLESSIE CT NEW LONDON NEW HUDSON CT 06320 MI 48165 USA USA Customer No 2997-2016 Carrier UPSG- UPS Ground Shipment ID 10152025254 Order Type DY Notes: SHIP DIRECT Part No ECN Load Number Description Qty COO Bin PO DLR PO Customer Cust. Part No Loc. Noe No PO ;5478519 — - — - �S'.CTN2432343t" � `~- � CLEANER,AIR_,y- «_ 2" � :�' .'02997U4940� 547854,066, ' �,US�:' K'3JOHN:P 4 ..�r';��>.I�IIIII�IIIUIIII VIII�III III�I IIIIrf l�ll� ��`�.. ..��>.,� ^=, ,_.�.� ,a¢.-.,��:. •.,- .,.4EN;;�" � n6. � .��~ .X....` �''�� n 1�tap�°"�" -r{. -'�',;F - ;i:. ,�a�4isi�.�ce-`".',y.�ya� �a..tss: '+y!'.,c:f4 3,..Hi;�N �t.. ..�.u.....-..•�.:,:",�•' ^•�:- ...-+�',`. ..".�� ,. .:Y: •-.. ': "ter•, - ) .�+ .ik,��`#`: s=�?'r+� .w' r, b c �v4 rve f"' 5 y Packslip Number Parts Cartons Pallets Weight Pkg. Dims Pack Date Packer- CTN2432343 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1 1 1 13.900 321_X1 H X15.5 15-DEC-2022 QA857 Printed: 12/15/202212:14:381i Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 01/31/2023 CHECK 8687 ; A a' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i s ! SM .5,710.4.000.100 5296 370.0 GAL HTNG OIL-1/9 1,269.47 TOTAL' 1,269.47 i< , I a I 'f --ET•-n— ------- _. ......__.._..----------- =r ------------------------------------------------ Fttr v ._..:. I t•:r;�Y > 5�:':.iii tt�?�.'•.:*fwy "`� tt �'..'I .�.' I {��...,...'f..... ......,.»... ..« tw.s"x...w,y LR%.�P+rat'vro •".,1+p.4.+y'y'�';S i e � i �L�.pry_..- _•4,.—.—.�`tk.....a._..a..-...•+....'+¢•.C°:'?R ,;r.:s;;'v,�,rv„v ":R'✓°.aj;•Lw�'•.Y$Y!.a:'.i';:::.''?M•;:'Y'd�� ! , i F,:a,, gir.''ts�'�:+^r..'� .:,��.�.. :,,h�?$,y+; ??,, �:.a �,,y„.;...�-:•,:='*;3.,tfi o:,,c`�.:••�f x..�,,,kx•:. :;..w�..�.°.� ::,f, .,1+•",Kkt:..,..4�. .{:::c%�:i'.=;r'?.:.•v>�•+�?;;+�::rva�j\:•;{::Y,,.,?•.�:,ii:}:, i•ryr�•.;.i:::�??:.. {.•}` :':d::r •r.4eyy+;�+ - :..;:„''^�ys��e'%w{�,,,, v.L,�•^��„ oi�.a 'n•.'••• ., ..,�;i?;:C:t'-':r:�; ;�-r"s"�:,;':r:' "- ..:;�.j��. �•`;�s•�.,._�:t^�-- .,,a�a---.... i ?`:r�:-.+v '�">."'f%t- sig -i�,�'•-,,;+�.. •',d.�`ri�j�. :��;. ' ,,.,y. .'g.�r,r.,�`A.at.".'a•` ri.�d2�A;,..-,Y ,c..-tom''��„r_.''�'`'};�;.., q ��_` I !' i••�i � I ! c I I I `QI r`1 i I / I FISHERS ISLAND FERRY DISTRICT 01/3i/2-'3 AUpIT 53095 MAIN'ROAD,PO,BOX 1179 SOUTHOLD,NY]:1971-0959 ; CHECK NO.: 8687 - - THE SUFFOLK CO'.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT ! „ :.' 1 50-5as�zr'd ..01.)31/2023 $ 269.47 NE .THOUSAND TWO:HUNDRED.SIXTY NINE AND:' 47'/166 DOLLARS`..: 1 `'' !` ! ., PAY... DIME OIL COMPANY,- LLC - O.THE 93 :INDUSTRY'LANE 72DER' PO BOX °].1125... OF' — WATERBURY CT 06704 ill 008687us 1:0 2 14'054641: 68 00 150 2 111' ��•�� Vendor No. Check'N6.,- Town of Southold, New York - Payment Voucher 4277 ?& , 7 Entered by, P.O. Box 11125 Audit Date Dime Oil Company LLC Waterbury, CT 06703 JAN:3' 1",2023 Vendor Telephone Number 203-754-5334 FY 2023 Town-Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledge'r'Fund and Account Number 5296 1/9/2023 $1,269.47 $1,269.47 370.0 gal heating oil @$3.422 NLT SM5710.4.000.100 $1,269.47 $1,269.47 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 iscrepancies noted,and payment is approved. Signature Title Signature Company Name d Ferry District Date 1/19/2023 Title_ Manager Date r Dime Oil LLC Phone: 203-754-5334 PO Box 11125 Date 01/09/23 Waterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco.com INVOICE ACCOUNT NUMBER : 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms: Net• 30 Days From Invoice Date ------------------------------------------------------------------------------- Date Invoice Charge and Credits Amount ------------------------------------------------------------------------------- PO Number: 0 01/09/23 5296 4420165 -B Fishers Island Ferry 5 Waterfront Park 47T2C #2 HEAT EXPT134 370.0 GALS @ 3.422000 1266. 14 Dyed Unmark Heat Oil:Not for use in hwy/non-hwy,train/boat eng NORA ASSESSMENT 0.74 S-F Cost Recovery 0.78 LUST TAX 0.37 FED SUPERFUND TAX 1.44 5296 Fuel Invoice Total 1269.47 Amount Due 1269.47 Dime Oil LLC 203-754-5334 Account:4420165 0s: C,-F-S= 1 5 AN I_fA j. pj T 3 E. RAPT? C; 0,1 C' j',l, 30) PEL ().D NEXT ZON E TANK LOCATION CALL ORDER DATE gra DELIVERf DATE L: (z ll 3 GALLONS 0 FULL PRZE PCil GALLON DiscoUNT P.Rl'W,PER GALLON PAY DISCOUNT AU0UJ,4T Ef PAY I HIS AMOUNT AFF ER DAYS TAX Mil P.O. BOX 11125 WATERBURY, CT 06703 T hl F I AMOF DE�. PAYMENT RECEIVED f (203) 754-5334 i CASH CHECK CUSTOMER SIGNATURE 'CHARGE 05290 ORDER DATE x_ 1111 ZZ II!7 -SGS DELIVERY DATE 1< 1 GALLON 1 FULL PRICE PER GALLON I �1 I DISCOUNT PRI PER GALLON t PAY DISCOUNT AMOUNT t l c3 P� TRUC TAX p DRI E TIME AM PAYMENT RECEIVED _ I OF D �� 0 M f ❑CASH ❑CHECK F_R SIGNATU 46 / ❑CHARGE I Imo_ FISHERS ISLAND FERRYDIS7RICT ' I VENDOR 004443 DOCKSIDE ELECTRONICS SVC,LLC 01/3'1/2023 CHECK 8688 >; A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 15631 MU-RUDDER ANGLE INDICTOR 800.00 TOTAL 800.00 `A • i I i ' � I C:;r;�.r,.`7,•,!;,...hSp::~.:•,^:-:c:.>:.a;•;`1„::,}�>{r r...;r.,�:"w'?;a65Y^". �..�•v�,•:`.a•.:i:}i}}•;::,w,•p•Ah�.;':;�•.,v;::.cv.;.^4:::c; !,w;.:i:,`s;23:nF::?�ra_ym •.'!'. ,.�< �.::;5'rFs.•: •vr y.• ;q.4ht.;,,,t?{:,y„fi ri'`�K,.fs:{•.s�jr4•``•: •:�:•4.Gv: f?ti'i L.:i.:v i{,'.'':3';,y:Si�s`.•,'��,,.'��tia%%" f�•i +.�, - ��.. ,i iiti.. .,:�"s '''.::n� :ole?:��.v�� }• .1: �.sY;� ` '' e ��"" !'C �'i`4.`"r�,•L••�'r•'•r :>k:.i:G�'... �:✓.Lk-:1 +»? ..FG%+§:._.,•:yy*J,`.r��r'�$��'.y-b.......,r 1 �t' :Y £,.gl '�: w'r Y�?..Js.s3';`y_ ai .�:2. p' I'F�''2.•"`t�'i'»,” '�"4>^""f MP 's •°l . I I I' I I � I I 1 I r[ 1 • I I ° I I i I i I I I ..�. .. ......__.. o 0 0 O © Nii 110110 FISHERS ISLAND FERRY DISTRICT 0.1/31/23 AUDIT. 53095 MAIN ROAD,PO_BOX 1.179.. SOUTHOLD,'NY 11971-0959 CHECK'• NO,. 86.88 THE SUFFOLK CO.NATIONAL BANK ^ r CUTCHOGUE,NY 11935 DATE AMOUNT -. 50,546/214 '•, . . O.lf 31/2023:= ' ..$800.00 EIGHT.;:HUNDRED AND 00/100 DOLLARS �, . . : . ,. ,. • .. ,::� '.'; I I AY DOCKSIDE;ELECTRON ICS. SVC,LLC TO THE 18':STAFFORD STREET RDER MYSTIC:CT 06355' 113008688,1' 1:0214054641: 68 00 150 2 Lig' L:a r ' a3a2) Vendor No. 'Check.No; .CIO . Town of Southold, New York - Payment Voucher 4443 Vendor Address Enter4by.',•,"t", 18 Stafford Street Vendor Name AuditDate' Dockside Electronics Service LLC Mystic, CT 06355 -JAN -3,11,1023 , Vendor Telephone Number 860-536-1919 FY 2023 jTown.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 15631 1/11/2023 $800.00 $800.00 MU parts SM5710.2.000.100 ` $800.00 $800.00 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. SignatureTitle Signature Q a Company Nam and Ferry District Date 1/19/2023 Title Manager Date 1/19/2023 -DOCKSIDE ELECTRONICS W SAO Invoice o SERVICE LLC ~v 18 Stafford Street DATE INVOICE# Mystic, CT 06355 1/11/2023 15631 860.536.1919 BILL TO SHIP TO FISHERS ISLAND FERRY DISTRICT PO Box 607 - FISHERS ISLAND,N.Y. 06390 Boat Name P.O. NO. TERMS SHIP VIA FOS NET 30 ITEM QTY DESCRIPTION SERIAL NO. RATE - TOTAL 060-00 -1 Rudder Angle Indicator 700.00 700.00 FREIGHT 1 Freight In 100.00 100.00 FE, JAN I a 2123 1 Fax# E-mail Subtotal $800.00 860-536-9272 tim@dockside-electronics.com Sales Tax (6.35%) $0.00 All service calls are subject to a minimum charge of$145.A 50%deposit is required on all new installations. If final payment has not been received after 30 days of completion Total of services,the credit card we have on file for you will be billed the invoice total in $800.00. . addition to-a-3%service fee. Additional-Freight Charges May Apply. \ I FISHERS ISLAND FERRY DISMICT VENDOR 005461 ELLIOTT BAY DESIGN GROUP LLC 01/31/2023 CHECK 8689 A I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .'6710.4.400.100 J22075.00-2 FIFD FLEET ASSESSMENT 9,876.50 i TOTAL 9,-876.50 2 I I I i. . I co imp V.I. t S � > i lh ............... .ca�?•.-,. r:S�>?�: ^'F.:LF.::v:.•....,,.:{'.;; ,v,4., :^.nJ.'A'• KG:\^' '"*•.-`i"p Y:•;Yry�` ,'S •:!bx•. :l.:.v i>4.. vihY:?::.".Y•i: "`:7°v' ..N:j:�k;i:P h..• •.:;F�•�, v..t.}:k:,`1..._e .�A.t I ... � ro. .. /-.x •'.`f:'• \j}p�ti? :?:;.;r$rt v.5i.�:v:^$: '.'.. a}ts i.*,m, I �• I - I I , o I I I I ` I ! I I I I I 1 : I 1. , : 1 I eff r I I , I e i I I : I , I j I a ° o,Ia e. , o c o a,. o ° _ •' _sem f. FISHERS ISLAND FERRY DISTRICT- .'.01/31/23 AUDIT 53095 MAIN ROAD,PO BOX 1179. t^ SOUTHOLD,:NY 11971-0$59 CHECK NO,. 8•:689 e; CUTCHOGUE,NY 11935 NATIONAL BANK'IY DATE =AMOUNT i \. :..:.. -. '/50;=546/214, :.... , .01 -.' 9;:87 6. 5'0 31/2023'..; ' '•NINE THOUSAND EIGHT HUNDRED-SEVENTY SIX' AND..50/100'.:.DOLLARS. f I i AY ELLIOTT BAY. DESIGN GROUP LLC ' I : TO 771E: PO "BOX 45790 . - - 1 OF- SEATTLE WA 9.814'5 I 11.00868911' i:0 2 140 54640: 613 00 L 50 2 L11' Vendor No. Check No,.'- Town o`._Town of Southold New York - Payment Voucher 5461 Vendor Tax ID Number or Social Security Number Entered by PO Box 45790 Audit Date Elliott Bay Design Group Seattle,WA 98145 JAN-3 :1"'2023 Vendor Telephone Number FY 2022 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 J22075.00-2 1/9/2023 $9,876.50 $9,876.50 FIFD Fleet Assessment 2022 SM5710.4.400.100 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 U r3 Oc, Company Name F hers Isla d Ferry District Date Title Manager Date Elliott Bay INVOICE �I Design Group 206.782.3082-800.788.7930 1 Seattle New Orleans Ketchikan•New York f b p www.ebdg.com I EIN:26-0639545 Architectural&Engineering Services for the Marine Industry Fishers Island Ferry District January 9,2023 PO Box 607 Invoice No: J22075.00-2 Fishers Island,NY 06320 Due February 08,2023 Professional Services from December 1,2022 to December 31,2022 Project Description: FI FD Fleet Assessment Project Contact:Geb Cook Total Fee 98,765.00 Percent Complete 30.00 Total Earned 29,629.50 Previous Fee Billing 19,753.00 Current Fee Billing 9,876.50 Total Fee 9,876.50 Total this Invoice $9,876.50777777-77 O� 6It aniding _ - Number Date Balance 1 12/7/2022 19,753.00 Total 19,753.00 **Email invoices to Carol at cmurphy@fiferry.com and cc Geb at gcook@fiferry.com** Please note our new temporary remittance address: Elliott Bay Design Group PO Box 45790 Seattle,WA 98145 Invoices not paid within 30 days of invoice date will be subject to a 5%finance charge. V3 J t ' FISHERS ISLAND FERRY DISTRICT VENDOR 005738 EVERSOURCE-ELECTRIC 01/31/2023 CHECK 8690 I A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I 1 SM .5710.4.000.100 51981034012222 NLT ELEC SVC-12/1-12/31 2,086.16 I TOTAL 2, 086.16 1 I co I I I —�—, .. - - - - - - - ---- .----------- —�+— vv,":^•r.+:-:.wes •V•✓.:..ikvreC.. .•...•.•K,c.ov �..•asrvr. +:w+:v+:;'�,i,•^sSi�".r�;;j.!a.;.n,:a��new ,^,r�.ti:'."::�& i .iL$.��'+r,•'os•F.'%..,>�,...:.:1,+:.• %;t:• -:�:;�"%::,,• 'rf:t>`,-r.::2..•,.,,.;g rY.r;;r"iz':= •..;,,y ,,,,::. .s.a*<•�•-.o. ..�.:,,'C ..+��, v=> °2•'�•r:^v,..:...;; ,K.:: :;;,Gs:.:::.,;••..hr,�a,•.:�_;�..n.. ....ei^''�s&==�..:'*.%:`ay..•_«J,?s�•u"`•r:'t I ��i z3��x...r•'i=•'"' i '=':ate _ •w :,..W -" +,->-.-r.- I I a � I , I L ' I ' I I I i I I l i .., 53p �; •?y„ D 1 A,.,^'a..:u�.w:.syw...DT_.�a ® D ® B , •` :�/,.P<. Y , FISHERS ISLAND FERRYDISTRICT 01/31/23 AUDIT'. :. , 53095 MAIN ROAD;P.0 BOX 1.179 SOUTHOLD,NY1.1971'-0959' CHECK NQ.THE SUOOLK CO. 8690 ;* CUTCHOGUE,NY 1N ATIO935 NAL BANK DATE AMOUNT 5o=5as721a.. .... � /31/20 ' '$2;.`Q8. 01. TWO:THOUSAND` EIGHTY SIX AND 6/10:0`D&LkRS' 1 1- AY, EVERSOURCE-ELECTRIC OTHEPO BOX 56002. RDBR'. ..$OS,TON MA 02.155-6.002:' ' OF I _ 1 110008690no 1:0 2 L40 54641: 68 00 L 50 2 111' Vendor No. ClieckNo;: Town of Southold, New York - Payment Voucher 5738 Vendor Address Entered,by PO Box 56002 Boston,MA 02155-6002 Eversource Vendor Telephone Number 888-783-6617 FY 2022 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'arid-,AccountNiiinbea'.' 51981034010 1/3/2023 $2,086.16 $2,086.16 NLT elec sery 12/1/22-1/3/23 SM5710.4.000.100 $2,086.16 $2,086.16 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signator Title Signature Q, O"k-, Company a Fish Island Fe District Date 1/19/2023 Title Manager Date 1/19/2023 EVERS.'.' URCE $318112T: Account Number: 5198103 4010 by 03/04/23 Statement Date: 01/03/23 Amount Due On 12/29/22 $3,083.97 Service Provided To: Last Payment Received On 12/06/22 -$1,356.86 FISHER ISLAND FERRY DISTRICT i Balance Forward $1 Total Current Charges $2,086.16 kWh/Day a �} �� Delivery y $743 31 350 ��ii�I i n"i[SII"l) t�';'=`lj �u�� ■ Sao ,pry Cost of electricity from Cost to deliver electricity y Eversource from Eversource 250- 200- 150- 100- 50- 50 20015010050 $0 $419 $838 $1,257 $1,676 $2,095 0 Jen Feb Mar Apr May Jun Jul Aug Sep Oct NovDoc. Jan 26° 33° 42° 491 63° 671 76° 761 651 53° 451 340 421 / /Z Your electric supplier is Average Temperature I (/J Eversource LIZi 1 p PO Box 270 -- — ----- -- ------ -- - - — ---- � / R Hartford,CT 06141-0270 --- f 1 _e This month your This month you used average daily 12.06/a more1,2 O .electric use was than at the JAN 0 9 2023 same time last year USAGE t BY News For You Beginning Jan.1,if you've chosen Eversource as your energy supplier,the Standard Service supply rate will increase.How much you pay will depend on how much energy you use and weather conditions.To learn about the programs we offer to help manage your energy use and help you pay your bill this winter,visit Eversource.com/winter-bill. Remit Payment To:Eversource,PO Box 56002,Boston,MA 02205-6002 nF 73n1 MPRnn TxT-t 97x77-1111nnn194a ' - EVERS'.`.- URCE $3,813.27 , Account Number: 5198103 4010 ' Customer name key:FISH Statement Date: 01/03/23 Service Provided To: Electric Account Summary FISHER ISLAND FERRY DISTRICT Amount Due on 12/29/22 $3,083.97 Last Payment Received On 12/06/22 -$1,356.86 Balance Forward $1,727.11 �fy !r�di iL;,,Ii;9L;(a+;'iGjf iB;p;�<7rj Current Charges/Credits Electric Supply Services $1,342,85 ,� H F. ';' `•Ia,; ":1,:'' + . Is` . ,r,. Delivery Services $743.31 r a I Total Current Charges $2,086.16 LtlJ�lw.'•:°(l�l��aa�_�41� �;!;�5,4;1�1J :Iai �C�i, r,!�_Pd1,=,1.'�t�`yd�t i- - - -- I Meter Current Previous Current Reading Total Amount Due $3,813.27 Number Read Read Usage Type 892582072 I 2390 I 1375 1015 Actual `` iN� Il,c�_ rlJ;;;x,1.�;ri-!ixelli[ e'4; v -- - -- - - - _E Total Demand Use=26.50 kW 1015 X Meter Constant of 10=10,150 Billed Usage Supplier ii�loli,�gyjP;;'I ctYaYd;Jli_a Eversource - - -- - Service Reference:952682001 Jan Feb Mar Apr May Jun Jul 9090 8370 8040 6730 7120 5530 5910 Generation Srvc Chrg** 9227.30kWh X$0.12250 $1,130.34 Aug Sep Oct Nov Dec Jan Generation Srvc Chrg** 922.70kWh X$0.23031 $212.51 9360 8640 6370 7030 8650 10150 Subtotal Supplier Services $1,342.85 Contact Information Delivery Emergency:800-286-2000 (DISTRIBUTION RATE:030) www.eversource.com Service Reference:952682001 Pay by Phone:888-783-6618 Transmission Dmd Chrg 24.50KW X$9.36000 $229.32 Customer Service:888-783-6617 Distr Cust Srvc Chrg $44.00 Distribution Dmd Chrg 24.50KW X$14.22000 $348.39 Electric Sys Improvements*** 24.50KW X$1.86000 $45.57 Revenue Adj Mechanism 10150.00kWh X$0.00192 $19.49 CTA Demand Chrg 24.50KW X$-0.11000 -$2.70 FMCC Delivery Chrg 922.7OkWh X$-0.01500 -$13.84 Comb Public Benefit Chrg* 10150.00kWh X$0.00720 $73.08 Subtotal Delivery Services $743.31 Total Cost of Electricity $2,086.16 Total Current Charges $2,086.16 CE-230103PROD.TXT-167828.000001948 ,-EVERS=URCE - Account Number:- 5198103 4010 by Customer name.key:FISH Statement Date: 01/03/23 Service Provided To: FISHER ISLAND FERRY DISTRICT Continued from previous page... Supply Rate Dollars/kWh 0.25- 0.2- 0.15- 0.1- 0.05- 0- Jan .250.20.150.1 0.050Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Demand Profile Max.Demand 30- 25- 20-. 02520 5105 15- 10- 5- 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Important Messages About Your Account Thank you for your payments during 2022.We look forward to serving you in 2023. Because the billing period spans a change in the rates,your usage has been calculated partly on the old rate and partly on the new rate. by 2 456 CE_230103PROD.TXT-167829-000001948 I , I f ' FISHERS ISLAND FERRY DISTRICT n i VENDOR 006155 FEDEX 01/31/2023 CHECK 8691 . A ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I i SM .5711.4.000.000 7-995-19389 (1)AP, (1)PR ,i 48.53 It SM .5711.4.000.000 8-000-74890 MAP 25.89 I TOTAL 74.42 I I I I + f I >r, '{ik',Y.v�L....: {•; ''ra:•.r .d'$.- n({`i ..�::,h: 'aid..» s`vlCt? a.. ,.., i:b":K „n,r.^i', "•:$.-'djr':?; 'si$4 �;.v`:'"�X�i;.H.v, ,f r ,-(J<``::'d""'.'.. - I ._ �•A«, u.;.:,u;",`.'.:e.itiYry.';il':?y.r.::, :5°3�«'.C:t}.td%?✓, •'ti •.1«t�N,r.;ri�6 4.• d.' r ' ` . i O I i I I l I : I•;Si:� a iyl X0 _�qri�� 'B ® o ! e s s ,hgx• rs et �„S I: og7 FISHERS ISLAND FERRY,DISTRICT.... .01/31/23 AUDIT 53095"MAIN ROAD,FO BOX 1179_. ... ' SOUTHOLD,NY 11971-0959 . - •' : CH ECIC:,NO:.. :';.8691 jTHE SUFFOLK CO..NATIONAL BANK ' 5ATE AMOUNT CUTCHOGUE,NYJ1935 + 50-5461214 0,1/3,1/2023 :.$74.42. I `SEVENTY.FOUR`AND:.42/100 DOLLARS - ,. .. . . I I if1Y . FEDEX : ..TNE.:' PO ;BOX :.3.714'61 I ,. RDER �u �"T OFPITTSBURGH PA 15250-7461` ii'00869 Ln' 1:0 2 L40 5464 : 68 "00 L 50 2 Lii' Vendor No. Check No. Town of Southold, New York- Payment Voucher 6155 .. '. ' ga Vendor Address Entered by<' P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Audit Date' " Fedex /�p� q�yq Vendor Telephone Number t1'IV ,LUL3' 800-622-1147 FY 2023 Town,Clerk,' Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General'Iledger Fund and Account Number 7-995-19389 1/212023 $48.53 $48.53 AP(1)PR(1) SM5711.4.000.000 8-000-74890 1/9/2023 $25.89 $25.89 AP(1) SM5711.4.000.000 i $74.42 $74.42 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. O 0, Signature k t1-- Title Signature V Company Name Fishers Island Ferry District Date 1/19/2023 Title Manager Date X61 I q Fed, I Invoice Number Invoice Date F Account Number Page 7-995-19389 Jan 02 2023 1206-0334-5_ 1 of 3 Billing Address: Shipping Address: Invoice Questions? FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Contact FedEx Revenue Services ACCOUNT PAYABLE 5 WATERFRONT PARK Phone: 800.622.1147 PO BOX 607 NEW LONDON CT 06320 M-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 Jan 02,2023 FedEx Express Services Previous Balance 261.03 Total Charges USD $48.53 payments -114.02 TOTAL THIS INVOICE USD $48.5 Adjustments 0.00 You saved$20.50 in discounts this period! New Charges 48.53 Other discounts may apply.a I . New Account Balance $195.54 To pay your FedEx invoice,please go to www.fedex.com/payment.Thank Payments notrecetved byJan 77,2023 are subject to a late fee. you for using FedEx. Dintnilarl rlasrrintinnc of slirrharnac ran ha Inratarl at fpdpy rnm C Invoice Number invoice Date Account Number Page 7-995-19389 Jan 02 2023 1206-0334-5 2of3 FedEx Express Shipment Summary By Payor Type FedExExpressShipments(®riginal) _.._._._._._.."___ :::...:::.:......._..._...--.........._."..""..".""""."__..._..._.,__.:...::_.._...:_..,. ..:.,.. Rated' Special igfptght `�ransortatian; Hantlling EtatChgjia payarfiy}>we F Shlp�nenfs lbs Cllrarges: Cbares treitsJt ►er., p%scoua#s ;'1 ottaes Shipper 1 2.0 27.48 11.05 -10.25 28.28 Recipient 1 1.0 27.48 3.02 -10.25 20.25 fiutatFxExpress.:..: - .___..._ 5 ..::..... TOTAL THIS INVOICE USD $48.53 FedEx Express Shipment Detail By Payor Type(Original) ShipDate:l 27t2t)?2 Cust•R f. Nt3€tEF£RENCEIN R�lAnO .�. 1► jiar:Silpper . Ref#3 . .... _...,. • Fuel Surcharge-FedExhasappliedafuelsurchargeof17.50%to this shipment • Weather delay-Snow. • Distance Based Pricing,Zane 2 Automation AWB Sender Recipient Tracking ID 817445215995 KASIA ASMOLOV LAURA ARENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD ACCT DEPT Package Type FedEx Envelope 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 27.48 Declared Value USD 100.00 Discount -10.25 Delivered Dec 29,2022 13:09 Fuel Surcharge 4.21 Svc Area A8 DAS Comm 2.84 Signed by M.MICHELLE Declared Value Charge 0.00 FedEx Use 036157323/200/ Courier Pickup Charge 4.00 Total Charge USD $28.28 Shipper Subtotal USD $28.28 Fed-. I Invoice Number Invoice Date Account Number Page 7-995-19389 Jan 02 2023 1206-0334-5 3 of 3 Shipi .pec Zit ;, Cast.lr REJ (� FQRM� Payor Retipie . , . Refill: • Fuel Surcharge-FedEx has applied a fuel surcharge of 17.50%tothisshipment. • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 817263248096 DIANA WHITECAVAGE CAROL MURPHY Service Type FedEx Standard Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Envelope 53095 MAIN RD 5 WATERFRONT PARK Zone 02 SOUTHOLD NY 11971 US NEW LONDON CT 06320 US Packages 1 Rated Weight 1.0 lbs,0.5 kgs Delivered Dec 28,202212:23 Transportation Charge 27.48 Svc Area A4 Discount -10.25 Signed by D.WHITE Fuel Surcharge 3.02 FedEx Use 036156809/200% Total Charge USD $20.25 Recipient Subtotal USD $20.25 Total FedEx Express USD $48.53 1387-01-00-0008754-0001-0020151 Fed ' '.. Invoice Number Invoice Date F Account Number Page 8-000-74890 Jan 09 2023 1206-0334-5 1 of 3 Billing Address: Shipping Address: Invoice Questions? FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Contact FedEx Revenue Services ACCOUNT PAYABLE 5 WATERFRONT PARK Phone: 800.622.1147 PO BOX 607 NEW LONDON CT 06320 M-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 Jan 09,2023, FedEx Express Services Previous Balance 195.54 Total Charges USD $22.62 payments 0.00 Adjustments 0.00 Other Charges USD $3.27 New Charges 25.89 TOTAL THIS INVOICE USD $25.89 New Account Balance $221.43 You saved$10.25 in discounts this period! Payments not received byJan 24,2023 are subject to a(ate fee. Other discounts may apply. To pay your FedEx invoice,please go to www.fedex.com/payment.Thank you for using FedEx. r r. qJ� , � Ilotailorl rlocrrin+innc of ci irrhnrnoc rnn ho Inrn+orl n+forlov rnm Account yu—m—be—r--",�- Page Invoice Number invoice Date 8-000=74890 Jan 09 2023 1206-0334-5 2 of 3 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) ............................................. w4ft 7`i viii kklw nglitCb IT .. ........... Payarfi YP : ipM. Charged` :9e . 0 w....w.............::... : a....... w Recipient 1 29.54 3.33 -10.25 22.62 Other Charges Summary Pymenes 9astDue ............................................ I�fti M .............. Late Fee 7-965-41315 12/05/22 42.87 1.95 40.92 8% 3.27 ......... TOTAL THIS INVOICE USD $25.89 FedEx Express Shipment Detail By Payor Type(Original) ........... . .... ......... ........ .. N- - .04 :i RINK cus PRO- FE M EfATiN R M W.P.: -------M • Fuel Surcharge-FedEx has applied a fuel surcharge of 17.25%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 817263248052 LAURA ARENA CAROL MURPHY Service Type FedEx Standard Overnight TOWN OF SOUTHOLD Fl FERRY DISTRICT Package Type FedEx Envelope 53095 MAIN RD 5 WATERFRONT PARK. Zone 02 SOUTHOLD NY 11971 US NEW,LONDON CT 06320 US Packages 1 Rated Weight N/A Delivered Jan 05,202313:02 Transportation Charge 29.54 Continued on next page Fed-- i I. CHO Invoice Number Invoice Date FAccount Number Page 8-000-74890 Jan 09 2023 1206-0334-5 3 of 3 Tracking ID:817263248052 continued Svc Area A4 Discount -10.25 Signed by D.WHITE Fuel Surcharge 3.33 FedEx Use 000471857/200% Total Charge USD $22.62 Recipient Subtotal USD $22.62 Total FedEx Express USD $22.62 1007-01-00-0008916-0001-0020798 t FISHERS ISLAND FERRY DISTRICT I - VENDOR 006173 ;FERRY SLIP DOCKOMINIUM INC 01/31/2023 CHECK. 8692 • I A - FUND & ACCOUNT P.O.# INVOICE DESCRIPTION : AMOUNT a " 1 �;a � I SM .5710.4.000.000 2023-164 '; SE WINTER STORAGE 1,862.00 I I TOTAL 1,862.00 I 1 1.vs.:a:. I I I � I - I I I I • t I a • „a•-� ..:.,.'a, ^.Ary, . I/, )J ;':i� -•.•:x- ' ...,..,...-.?...-;..yae,?v .,,e .,2:>•' 7.+:;:�n.tga-;`T y� I ;�.� ttiP''i:;:: xS:n a:�:.SG•..1.{..: i�Y^. <:1., v',hY"x..�'Y:,'.':'-".'?,•?'45 n l �'Y ::�'�5 :h•:.v:•.{.!•�n;vv:,�..�•rd::;:'yx.''}.�,.�.�Ci>%eri'}'ji'r!:�;%...i:�v: .,.Y•'•). '.f:.:is ti::,;;•:•�^T:itX.." �"`�- .. � i ,.if:�','r�"s,;i i:+:;"•q.;�<t N-�°,+uS.. '.yY.;-{"r'-:ted•:�:h�"t.;YS�.;::.J;. '.,>s,gy.'2<: :,;'�t'R,:,'ey,,yy`.,ra:' :;:,r3,, �.a'_, x.-y. _ ' rSy,.-,`� __ usw°. _.-'y�••r-_.:.•:i>�.•:;t%;v5ti'fi rs,.,y{.`'+ >. ,a :^;.iii{• ..�,�.° ';r IW.�°,� ,....,.1..d rty z^r."sy --. �l,'•�4T t•�''�`io T�^"�.w.. •w4�.�iW'F:r 1 ! I I - i I i I • o I o i I 1' is - � I t • 1 t t ^s' 911 I 0a Sao @ y I '1rtii FISHERS ISLAND FERRY.DISTRICT 53095 MAIN'ROAWPO.BOX 1.179. 01/31/23„AUDI'T = �p r o SOUTHOLD,.NY 1997.1-0969 CHECK NO,. 8692 THE SUFFOLK CO.NATION BAN CUTCHOGUE,NY 11935 DATE AMOUNT ; 50-546214'. 01:/31/2023: 2.0:0. . ONE.';THOUSAND' EIGHT HUNDRED..SIXTY''TWO AND 00/1'00 DOLLARS. ; . I AY .: FERRY, SLIP.,DOCKOMINIUM INC ` TQ THE 10.0' PEQUOT.AVENUE _ ORDER OF NEW,,LONDON CT 06320 ' 11100869 tum 1:0 2 3140 54641: 68 00 1 50 2 ilii' - :... Check No.` Town of Southold, New York - Payment Voucher 617 Vendor Tax ID Number or Social Security Number Vendor Address Entered"jay Vendor Name P.O. Box 615 Audit ate"-x , Ferry Slip Dockominium Niantic,CT 06357 ;9AN'e� . l 2023 Vendor Telephone Number FY 2023 Town,Clerk "y " Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General-Ledg'er'Fund and=Account Number 2023-164 1/10/2023 $1,862.00 $1,862.00 SE winter storage for 2022/2023 season SM 5710.4.000.000 $1,862.00 $1,862.00 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ;in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. I SignatureTitle Signature___E `c c y� �enylat,�Company Name Fis111 Title Manager Date rCrr.MT .7LI1'LJVIir UMIIWUM N00vl.. INLP. �- PO Box 1882 New London, CT 06320 US J 660-443-2300 fsdtreasurer@gmail.com NVO � CE INVOICE# 2023-164 DATE 01/10/2023 DUE DATE 02/09/2023 TERMS Net 30 BILL TO Kasia Asmalov Fishers Island Ferry Fishers Island Ferry, District 5 Kasia Asmalov,A/P don Haney, Operations Waterfront Park New London, CT 06320 PLEASE DETACH TOP PORTION AND RETURN WITH YOUR PAYMENT. ----------------------------------- ----------------------------------------------------- ................................ ---• ---------------------------------- DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT Storage-Winter NOwner Winter Storage Season 38 49.00 1,862.00 *25% deposit due with signed agreement *due in full at time of haul. *subject to 1.5%/month if not pd by due date ------------------------------ ----------- -------- ............ --------- ........ ....... -----.......................... All balances remaining unpaid by the due date BALANCE DUE will be assessed a 1.5%monthly interest fee. $1,862.00 Make Checks payable to: Ferry Slips Dockominium Assoc. Inc Kasia Asmolov From: FERRY SLIP DOCKOMINIUM ASSOC. INC. <quickbooks@notification.intuit.com> Sent: Thursday,January 12, 2023 1:36 PM To: jon haney; Kasia Asmolov Cc: fsdtreasurer@gmail.com Subject: New payment request from FERRY SLIP DOCKOMINIUM ASSOC. INC. - invoice 2023-164 INVOICE 2023-164 DETAILS FERRY SLIP DOCKOMINIUM ASSOC. INC. DUE 02/09/2023 $_1 ,, 862m00 Review and pay Powered by QuickBooks Dear Kasia Asmalov, Here's your invoice! We appreciate your prompt payment. Please make payment out to: Ferry Slip Docominium PO Box 1882 New London CT 06320 Have a great day, Ferry Slip Dockominium Bill to Kasia Asmalov Fishers Island Ferry 1 Fishers Island Ferry, District 5 Kasia Asmalov, A/P Jon Haney, Operations Waterfront Park New London, CT 06320 Terms Net 30 Storage-Winter NOwner $1,862.00 Winter Storage Season *25% deposit due with signed agreement *due in full at time of haul. *subject to 1.5%/month if not pd by due date 38 X $49.00 Balance due $1,862.00 All balances remaining unpaid by the due date will be assessed a 1.5% monthly interest fee. Make Checks payable to: Ferry Slips Dockominium Assoc. Inc Review pay z 'E.:m» waw "';�� —sa7m--• FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 01/31/2023 CHECK 8693 A 1 i FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT \ i r SM .5710.4.000.200 10000085411222 PHONE—FIT-12/22 263.40 . , SM .5710.4.000.200 10000085411222 INTERNET—FIT-12/22 163.52 SM .5710.4.000.200 10000085411222 ELECTRIC—FIT-12/22 : 567.58' SM .5710.4.000.200 10000085411222 WATER—FIT-12/22 41.55 SM .7155.4.000.000 10000085411222 PHONE—THEATRE-12/22 44.81 SM ._7155.4.000.000 10000085411222 ;INTERNET—THEATRE-12/22 8.99 SM .7155.4.000.000 10000085411222 ELECTRIC—THEATRE-12/22 253.06 SM .7155.4.000.000 10000085411222 WATER—THEATRE-12/22 229.61 SM .5709.2.000.100 1000008541122? PHONE—WHISTLER-12/22 33.11 SM .5709.2.000.100 1000008541122 :INTERNE 78.00 * SM .5709.2.000.100 10000085411222.ii OkTRIC—WHISTLER-12/22 98.69 1000008541122 ,WAEti�-WHISTLER.-12/22-..._-- .. _41.55_ ' -:� �A — SM .5610.4.000.000 ZQ( t� 884; ? � ,F ,ECIC—AIRPORT-12/22 119.57 'TOTAL? F 1,943.44 :^,kwrG::.•..Yv'+r pd+}*. :vY}N;�-;C;:,�yw,'%+�:?'1:"•`•h.C;::::�::��ti= 'i:4'r=: �iSis •fi? :'fF,:;..r-^.:i^:.. '`:f.}'aX+S11':�r.°"ii^' - :fR.-'-ar•.. •.-f', s _ .}:,'j,:o.. ...f'O�?'i :%:C'ti i'Sfr•:?:•}?'`^'•Y `:'if..;.} �y':{; • .,.h:, .)u'`�{';<. :is;.rG✓'}•.;rr}J"?-:i%;:ik!:?i::'%n::'{'.S$ii::''C�::j iie, iA '`�i:y}:.::.{:.s.".�.>, :£.•sN.. ,.,.ry{,,,, ••+ ..ai}`:vr;.;rj:, e...s..,:.>..fa„_yp -s.�..x>.p .ir,';+3;•: :t., .,•::•:: V.n .�..., :�_n- .t�..'v,. ' . i .._.��.h'1� «..4e, '•�a;it,:.--€:'.”-t+';,y"y.�"'r�Z"rs.�;:'='�4'''Y':"+^,cr`;>",%p f •�•'rf:',°`;C�:s.�'--_;'^ti.'Z^c r'< b, � i ,'r I a I 1 I Q I ! 1 J I I l''. 1 I I • I , .p .j, FISHERS ISLAND FERRY DISTRICT 01/31/23 SOUTHOLD MAIN NO.11971-09590 .17953 CHECK NO.: '•.:8693 '"" THE SUFFO CUTCHOGUE,NY 11935 NAL BANK' DATE AMOUNT ". 50-548%214. ' 01./31/2023. a. :$1,,943.44 - 1; , ONETHOUSAND'NINE HUNDRED. FORTY THREE;AND''44/100 DOLLARS AY- FISHERS ISLAND UTILITY CO ITOTHE PO :BOX'BOX°.'604 I I k:•: .. : �OF-: FISHERS ISLANDNY .0639:0=0604 11 11'00869 3111 40 2 L40 54641: 68 00 L S0 2 L111 Vendor No. Check No. Town of Southold, New York - Payment Voucher 6412 4969 3 Vendor Tax ID Number or Social Security Number Vendor Address Entered b PO BOX 604 Vendor Name Fishers Island, NY 06390 Audit Date FISHER ISLAND UTILITY COMPANY JAN 3 1 2023 Vendor Telephone Number 631-188-0023 FY 2022 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 10000085410 1/1/2023 $ 1,943.44 $ 263.40 Telephone December 2022 FIT SM.5710.4.000.200 $ 163.52 Internet December 2022 FIT SM.5710.4.000.200 $ 567.58 Electric December 2022 FIT SM.5710.4.000.200 $ 41.55 Water December 2022-FIT SM5710.4.000.200 $ 44.81 Telephone December 2022-Theatre SM.7156A.000.000 $ 8.99 Internet December 2022-Theatre SM.7155.4.000.000 $ 253.06 Electric December 2022 -Theatre SM.7155.4.000.000 $ 229.61 Water December 2022 -Theatre SM.7155.4.000.000 $ 33.11 Telephone December 2022-357 Whistler SM5709.2.000.100 $ 78.00 Internet December 2022-357 Whistler SM5709.2.000.100 $ 98.69 Electric December 2022-357 Whistler SM5709.2.000.100 $ 41.55 Water December 2022-357 Whistler SM5709.2.000.100 $ 119.57 Electric December 2022-Airport SM5610.4.000.000 $ 1,943.44 $ 1,943.44 'ayee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities,thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or o1re noted,and payment is approved. Signature Title Signature L Company Name Fis d FeM Date 1/19/2023 Title Manager Date INA Page: 1 of 14 Account: 1100130 .RO.•BOX:604 Invoice No: 10000110656 Fisher • s.Island, NY 0 ,6390 Bill Date: Jan 012023 F I FERRY DISTRICT Questions about your bill? Ac(�Oulnt Summary Contact our-off ice by phone(631)788-7251 press 4 for Telephone;press 5,Electric or Water Previous Balance Due $3,187.48 Monday-Friday 8 am-Noon&1pm--4:30pm Payment-Dec 05 $1,596.51 CR Email:Phone,Electric&Water-billing@fiuc•net Unpaid Balance as of Dec 29 $12590.97 If you pay by check,this Is notification that (Unpaid Balance Due Immediately) the check may be converted to an electronic deposit. Please detach and return,below portion with your payment. Fishers Island Telephone Corporation $285.49 Fishers Island LD $55.83 Register for ECare to view your bill and make Fishers Island-ISP $250.51 payments online. Fishers Island Electric Corporation $1,038.90 -Go to www.fiuc.net Select ECare:View/Pay My Bill. Fisher;Island Water Works Corporation �$3#2 -Select Register and follow the step-instructions. Total Current Charges $12943.44 -in Step 3 Click on(Show Me)to locate your account code on your bill. . Please contact us ifou have Total Amount Due by Jan 25 $3,534.41 experienced a change in your financial circumstance due to the COVID-19 endemic that affects our ability to pay.,. lore info ore = at www.fiuc.net 1 1 � Page: 2 of 14 Account: 1100130 Invoice No: 10000110656 , 811I.Pate:, Jan 01 2023 Name: F I FERRY DISTRICT: How too Reach FISHERS ISLAND UTILITY CO. --By Phone: 631-7884251 press 4 for Telephone ppress`5 for`-Electric/Water By Mail: PO BOX 604 FISHERS ISLAND NY 06190-0604 --Website: www.fluc.net For Payments by Mail --FISHERS ISLAND UTILITY CO. PO BOX 604 FISHERS ISLAND NY 06390=0604, For Payments Online www.fiuc.net I ' Consumer Complaints If you have a complaint or,question about your utility-service, please contact The Fishers Island Utility Company first. If your complaint or dispute cannot ' be resolved with mutual satisfaction,you may file a customer complaint by contacting the New York State Department or Public Service(DPS) by any of the methods listed below. DPS complaint webpage: www.dps.ny.gov/complaints DPS Helpline: 1-800-342-3377 1-800-662-1220 Hearing/Speech Impaired,TDD) 1-518-486-7868 Fax ,, DPS Mailing Address: NYS Department of Public Services Office of Consumer Services 3 Empire State Plaza ; Albany,NY 12223-7350 Page: 3 of 14 P.O. BOX 604 Account: 1100130 Fishers Island; NY 06390 Invoice No: 10000,110656 Bill Date: Jan 01 2023 Name: F I FERRY DISTRICT Preferred Service Providers The following service(s)use Fishers Island LD for intraLATA long distance: 631 788-7463 631 788-7580 631 788-7744 The following service(s)use AT&T Communications for intraLATA long distance: 631 788-5523 631 788-7031 631788-7345 631 788-7655 The following service(s)use Fishers Island LD for interLATA long distance: 631 788-7463 631 788-7580 631 788-7744 The following service(s)use AT&T Communications for interLATA long distance: 631 788-5523 631 788-7031 631 788-7345 631788-7655 Fishers. Island Telephone Monthly Service Monthly Service from Jan 01 through Jan 31 631788-5523(FAXIDSUMAINOFFICE) Business Local Service " 23:00 Access Recovery Charge ML Bus '* 3.00 End User Charge-Multi Line *" 9.20 Total for 631788-5523 35.20 Total Monthly Service Charges 35.20 ** Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 ' Federal Universal Service Charge 3.98 NY State Surcharge 1.16 Total Taxes and Surcharges 5.49 Monthly Service Monthly Service from Jan 01 through Jan 31 631 788-7031 (MOVIE THEATER) $ Business Local Service "* 23.00 $ Access Recovery Charge ML Bus '* 3.00 0 End User Charge-Multi Line 9.20 Toll Restriction-Business "* 4.00 b Total for 631788-7031 39.20 w Total Monthly Service Charges 39.20 Indicates an Item for which non-payment will,result in disconnection of basic service. o Page: 4 of 14 RO. BoX.604 : Account: 1100130 Fishers Island, NY 06,390 Invoice No: 10000110656 Bill Date: Jan 01 2023 Name: F I FERRY DISTRICT Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.98 NY State Surcharge 1.28 Total Taxes and Surcharges 5.61 Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7345(FREIGHT OFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line *" 9.24 Toll Restriction-Business ** 4.00 Total for 631788-7345 39.20 Total Monthly Service Charges 39.20 °* Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.98 NY State Surcharge 1.28 Total Taxes and Surcharges 5.61 Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7463(MANAGERS OFFICE) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 End User Charge-Multi Line ** 9.20 Total for 631 788-7463 35:20 -------------------- -------------------__------------------ ---=--- ------------------------------ -- - Total Monthly Service Charges 35.20 ** Indicates an item for which non-payment will result in disconnection of basic service. o Taxes and Surcharges o - 0 Landline E-911 Surcharge .35 Federal Universal Service Charge 13.98 3 NY State Surcharge 1.16 Total Taxes and Surcharges 5.49 s - - Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7580(FIO ROLLOVER) Business Local Service ** 23.00 Access Recovery Charge ML Bus ** 3.00 � Page: 5 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390, Invoice No: 10000110656 BIII Date; Jan 012023 i Name: F I FERRY DISTRICT Monthly Service Monthly Service from Jan 01 through Jan 31 (continued) End User Charge-Multi Line " 9.20 Total for 631788-7580 35.20 Total Monthly Service Charges 35.20 " Indicates an item for which non-payment will result in disconnection of.basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.98 NY State Surcharge 1.16 Total Taxes and Surcharges 5.49 Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7655(F I FERRY DISTRICT-RESIDENCE) Access Recovery Charge SL Res *` .15 Residential Local Service " 23.00 End User Charge-Single Line Res "` •6.50 Total for 631788-7655 29.65 Total Monthly Service Charges 29:65 " Indicates an item for which non-payment will result in disconnection of basic service. Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 2.17 NY State Surcharge .94 Total Taxes and Surcharges 3.46 Monthly Service a w o Monthly Service from Jan 01 through Jan 31 631788-7744(FI TICKETING) Business Local Service 23.00 Access Recovery Charge ML Bus " 3.00 End User Charge-Multi Line "` 9.20 Total for 631788-7744 35.20 s o Total Monthly Service Charges 35.20 U `* Indicates an item for which non-payment will result in disconnection of basic service. 0 0 ERP IS4,t 'N s Page: 6 of 14 PA. Box 604 Account: 1100130 " Fishers Islami, NY 06390' Invoice No: 10000110656 Bill Date: Jan 01 2023 UTILI"fY CO Name: F I FERRY DISTRICT Taxes and Surcharges Landline E-911 Surcharge .35 Federal Universal Service Charge 3.98 NY State Surcharge 1.16 Total Taxes and Surcharges 5.49 Total Fishers Island Telephone Corporation Charges 285.49 1 If you have any questions concerning the below charges, please call 631-788-7001,option 4. Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7463(MANAGERS OFFICE) Carrier Cost Recovery Fee 99 FILD National Plan 17.00 Total for 631788-7463 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00.minutes -Used 4:00 minutes Total Usage Charges .00 Usage Detail Toll Detail - - - -------- -- - - Item Date Time Place Called Number Called Type Plans) Minutes. Charge 0 631788-7463(MANAGERS OFFICE) 1 Dec 20 8:25:1 Sam Albany NY 518 474-7736 Direct 500 :. 4:00 :00-, Total of 1 call for 631788-7463 4:00 .00 o g Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge •62 Total Taxes-and Surcharges •62 V sar Page: 7 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Invoice No: 10000110656 - Bill Date: Jan 012023 Name: F I FERRY DISTRICT Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7580(FIO ROLLOVER) Carrier Cost Recovery Fee .99 FILD National Plan 17.00 Total for 631788-7580 17.99 Total Monthly Service Charges 17.99 Usage Summay 500 National Plan Allotment 500:00 minutes �y Used 75:00 minutes '' Total Usage Charges .00 Usage Detail Toll Detail Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7580(FIO ROLLOVER) 1 Dec 01 10:59:37am Glastonby CT 860 368-8368 Direct, 500 1:00 .00 -N. 2 Dec 01 3:10:44pm Glastonby CT 860 368-8368 Direct 500 .2:00 .00 - --�3 Dec 02 8:53:35am Glastonby CT 860 368-8368 Direct 500 13:00 .00 4 Dec 05 2:08:24pm Mystic CT 860 536-4929 Direct 500 3:00 .00 5 Dec 06 9:40:34am Mystic CT 860 536-4929 Direct 500 1:00 .00 6 Dec 06 2:11:31 pm New London CT 860 447-2911 Direct 500 2:00 .00 7 Dec 08 11:21:01am Southold NY 631 765-1802 Direct 500 2:00 '.00 �8 Dec 09 11:59:49am Glastonby CT 860 368-8368 Direct 500 1:00 .00 9 Dec 09 12:10:39pm Glastonby CT 860 368-8368 Direct 500 9:00 • .00 x10 Dec 12 8:17:21 am Glastonby CT 860 368-8368 Direct 500 2:00' .00 11 Dec 13 8:55:34am New York NY 917 539-3654 Direct '500 1:00 .00 12 Dec 13 9:07:17am Huntsville . AL 256 562-5115 Direct 500 1:00 .00 13 Dec 13 2:41:38pm Stamford CT 203 273-2445 Direct 500• 1:00• .00 14 Dec 13 .2:42:12pm Stamford CT 203 273-7445 Direct 500. . 1:00 .00 15 Dec 14 7:39:31 am New London CT 860 514-7346 Direct 500 1:00 .00 16 Dec 14 8:05:56am New London CT 860 287-3782 Direct 500 1:00 . .00 --17 Dec 14 3:38:39pm Glastonby CT 860 368-8368 Direct 500 2:00 .00 "18 Dec 15 12:24:30pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 19 Deo 16 8:39:46am WschstznOl NY 914 200-9153 Direct 500 1:00 .00 --20--_--Dec-1.9----9:05:56am---Southold -- _NY -631 765-1800 -,:-Direct- - -----500 ------- - -2.00---- -------:00 - _--,21 Dec 20 1:26:27pm Glastonby CT 860 368-8368 Direct 500 3:00 .00 22 Dec 21 12:10:42pm Southamptn NY 631 353-1759 Direct 500 1:00 .00 X23 Dec 22 11:19:11 am Glastonby CT 860368-8368 Direct 500 2:00 .00 !24 Dec 22 1:43:28pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 X25 Dec 23 10;19:31am Glastonby• CT 860 368-8368 Direct 500 8:00 .00 26 Dec 23 3:27:07pm New Haven CT 203 410-8156 Direct 500 2:00 .00 827 Dec 26 1:38:06pm Old Saybrk CT 860 339-5667 Direct 500 2:00 00 28 Dec 28 12:00:06pm Southold NY 631 765-4333 Direct 500 4:00 .00 29 Dec 28 12:11:10pm Glastonby CT 860 368-8368 Direct 500 1:00 .00 30 Dec 28 12:32:00pm Glastonby CT 860 368-8368 Direct 500 1.:00 .00 �1 Dec 29 3:57:01pm New London CT 860 442-0499 Direct 500 2:00 .00 a Total of 31 calls for 631788-7660 75:00 .00 A Total Usage Detail Charges .00 a • Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 r Page: 8 of 14 P.O. BOX 604 Account: 1100130 Fishers Island, NY 06390 Invoice No: 10000110656 Bill Date: Jan 01 2023 i� UTILITY CO Name: F I FERRY DISTRICT Monthly Service Monthly Service from Jan 01 through Jan 31 631788-7744(FI TICKETING) Carrier Cost Recovery Fee .99 FILD National Plan 17:00 Total for 631 788-7744 17.99 Total Monthly Service Charges 17.99 Usage Summary 500 National Plan Allotment 500:00 minutes Used 223:00 minutes Total Usage Charges .00 Usage Detail Toll Detail Item Date Time , • Place Called Number Called Type Plan(s) Minutes Charge 631788-7744(FI TICKETING) 1 Dec 01 8:19:30am New Haven CT 203 410-8156 Direct 500 7:00 .00 2 Dec 01 8:32:37am New London CT 860 445-2471 Direct 500 1:00 .00 3 Dec 01 11:48:09am Easton . MD 410 924-1036 Direct 500 22:00 .00 4 Dec 01 3:37:50pm New London CT 860 445-2471 Direct 500 3:00 .00 5 Dec 02 8:50:01 am New York NY 212 510-0128 Direct 500 1:00 .00 6 Dec 02 9:58:05am New London CT 860 445-2471 Direct 500 3:00 .00 7 Dec 05 8:12:30am New Haven. CT 203 410-8156 Direct 500 3:00 .00 8 Dec 05 9:05:12am Mystic CT 860 536-4929 Direct 500 1:00 .00 9 Dec 05 9:57:01 am New London CT 860 445-2471 Direct 500 1:00 .00 10 Dec 05 10:43:04am Norwich CT 860 889-2093 Direct 500 4:00 .00 11 Dec 05 11:04:22am Mystic CT 860 536-4929 Direct 500 1:00 .00 12 Dec 05 11:05:07am Mystic CT 860 536-4929 Direct 500 18:00 .00 13 Dec 05 11:27:54am New Haven CT 203 410-8156 Direct 500 2:00 .00 14 Dec 06 8:09:31 am New Haven CT 203 410-8156 Direct 500 11:00 .00 15 Dec 06 8:34:24am Providence RI 401 427-0292 Direct 500 2:00 .00 16 Dec 06 8:39:45am Mystic CT 860 536-4929 Direct 500 1:00 .00 17 Dec 06 9:33:00am Providence RI 401 427-0292 Direct 500 2:00 .00 18 Dec 06 9:45:15am Mystic CT 860 536-4929 Direct 500, 2:00 .00 19 Dec 06 1:37:40pm New York NY 212 5104128 Direct ' 500 3:00 .00 --------20----Deo-Ofi---1:41-Mpm---Cincinnati----OH-513 412-1893-- ----Direct----=--500-----------1.:00----- ------.00----- --- - 21 Dec 06 1:45:47pm New York NY 917 273-2040 Direct 500 1:00 .00 22 Dec 06 1:47:07pm Nwyrcyzn01 NY 917 675-0719 Direct 500 1:00 .00 23 Dec 06 1:48:43pm New London CT 860 443-0622 Direct 500 3:00 .00 24 Dec 06 1:51:20pm New London CT 860 443-0622 Direct 500 1:00 00 25 Dec 06 1:59:09pm New London CT 860 443-0622 'Direct 500 1:00 .00 26 Dec 06 2:00:49pm New London CT 860 443-0622 Direct 500 13:00 .00 27 Dec 06 2:15:13pm Mystic CT 860 536-4929 Direct 500 1:00 .00 28 'Dec 06 2:22:24pm Mystic CT 860 536-4929 Direct 500 2:00 .00 M 29 Dec 06 3:46:56pm Southold NY 631 765-1283 Direct 500 6:00 .00 30 Dec 07 7:44:18am New Haven CT 203 410-8156 Direct 500 5:00 .00 31 Dec 07 3:32:56pm Brentwood NY 631 831-2826 Direct 500 1:00 .00 a 32 Dec 08 8:54:31 am Southold NY 631 765-1802 Direct 500 1:00 .00 33 Dec 08 10:24:29am Brentwood NY 631 831-2826 Direct 500 1:00 .00 A 34 Dec 08 12:22:35pm New London CT 860 444-3777 Direct 500 3:00 .00 s 35 Dec 08 1:35:22pm Huntington NY 631 897-1348 Direct 500. 5:00 .00 36 Dec 08 1:46:22pm Huntington NY 631 897-1348 Direct 500 1:00 .00 37 Dec 12 7:46:58am New Haven CT 203 410-8156 Direct - 500 13:00 .00 38 Dec 12 8:36:32am Gardencity NY 516 369-2079 Direct 500 1:00 .00 39 Dec 12 9:50:08am New York NY 212 510-0128 Direct 500 1:00 .00 40 Dec 12 11:19:13am Norwalk CT 203 247-6746 Direct 500 1:00 .00 41 Dec 12 11:27:24am Mystic CT 860 536-4929 Direct 500 2:00 .00 42 Dec 12 2:45:02pm Cincinnati OH 513 412-1893 Direct 500 1:00 .00 43 Dec 13 8:05:00am New Haven CT 203 410-8156 Direct 500 11:00 .00 � Page: 9 of 14 RIC P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Invoice No: 10000110656 Bill Date: Jan 012023 Name: F I FERRY DISTRICT Toll Detail.(continued) Item Date Time Place Called Number Called Type Plan(s) Minutes Charge 631788-7744(FI TICKETING) (continued) 44 Dec 13 4:49:18pm New Haven CT 203 410-8156 Direct 500 1:00 .00 45 Dec 15 8:16:01 am New Haven CT 203 410-8156 Direct 500 10:00 .00 46 Dec 15 11:13:18am Southold NY 631 765-1802 Direct 500 18:00 .00 47 Dec 15 3:51:48pm Wschstzn04 NY 914 564-9234 Direct 500 1:00 .00 48 Dec 16 9:39:28am New London CT 860 625-4930 Direct 500 1:00 .00 49 Dec 19 7:45:08am New Haven CT 203 410-8156 Direct 500 10:00 .00 50 Dec 19 9:01:12am New London CT 860 446-8085 Direct 500 4:00, .00 51 Dec 20 8:16:36am New Haven CT 203 410-8156 Direct 500 •2:00 .00 52 Dec 20 11:48:03am New London CT 860 443-9900 Direct 500 2:00. .00 53 Dec 21 8:49:56am Norwich CT 860 213-1422 Direct 500 2:00 .00 54 Dec 21 3:34:35pm New Haven CT 203 410-8156 Direct 500 2:00 .00 55 Dec 22 9:45:02am Colchester CT 860 537-2344 Direct 500 3:00 .00 56 Dec 22 11:56:50am New London CT 860 235-0797 Direct 500 1:00 .00 57 Dec 29 2:30:58pm Old Saybrk CT 860 339-5667 Direct 500 1:00 .00 Total of 57 calls for 631788-7744 223:00 .00 Total Usage Detail Charges .00 Taxes and Surcharges Landline NY State Surcharge .62 Total Taxes and Surcharges .62 Total Fishers Island LD Charges 55.83 I=fishers .Island Internet; Monthly Service Monthly Service from Jan 01 through Jan 31 Isp-1001000075(F 1 FERRY DISTRICT-RESIDENCE) 12 Month"BASIC"Internet 75.00 Internet Infrastructure Fee 3.00 Total for Isp-1001000075 78.00 Total Monthly Service Charges 78.00 Monthly Service a b 0 Monthly Service from Jan 01 through Jan 31 Isp-1001010114(FERRY MAIN OFFICE) ' 12 Month"Best"Internet 160.00 sa Internet Infrastructure Fee 3.00 Total for Isp-1001010114 163.00 Total Monthly Service Charges 163.00 $ Monthly Service Q 0 Monthly Service from Jan 01 through Jan 31 Isp-BBM-Theatre 8 Month"Better"Business Internet .00 8m-Internet Reconnect Fee .00 Internet Infrastructure Fee 3.00 j Page: 10 of 14 P.O. Box.'604 Account: 1100130 r Fishers.Island, NY.06390 Invoke No: 10000110656 Bill Date: Jan 012023 UTfLITY CO 75 Name: F I FERRY DISTRICT Monthly Service, Monthly Service from Jan 01 through Jan 31 (continued). Internet Modem Lease Fee 5.99 Total for isp-B8M-Theatre 8.99 Total Monthly Service Charges 8.99 Taxes and Surcharges Internet Service Suffolk County .28 NY Sales Tax .24 Total'Taxes and Surcharges .52 Total Fishers Island- ISP Charges 250.51 w 0 N h _ 0 ' O . O O n U �I Page: 11 of 14 ®R P.O. BOX 604 Account: 1100130 Fishers Island, NY 06390.• Invoice No: 10000110656 Bill Date: Jan 012023 Name: F I FERRY DISTRICT Fishers 'Island Electric For a request for billing information for a residential rental premise. Go to: http://fiuc.net/residential-rental-electric-service-info/ orcaTl r office: 631-788-7251 option 5 \THEATRE Cu es Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 151.28 Demand Charge 87.37 Case 19-E-0525 Lineman Credit 12.02CR Fuel Adjustment Fuel Adjustment Factor.0113 Per KWH 8.23 Current Previous Energy Used Charges MASTER 8151 7423 REG. 728 KWH 151'.28 DEMAND 6.88 DMD. 6.88 KWH 87.37 DATE 12/28/22 11/28/22 DMD.MIN. 6.88 Meter Multiplier 1.00 Total Energy Charges for THEATRE \ 253.06 r AIRPORT = ' urgent Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 67.95 Demand Charge 35.41 Case 19-E-0525 Lineman Credit 5.69CR Fuel Adjustment Fuel Adjustment Factor.0113 Per KWH 3.70 Current Previous Energy Used Charges MASTER 42024 41697 REG. 327 KWH 67.95 DEMAND 2.79 DMD. 2.79 KWH 35.41 DATE 12/27/22 11/28/22 DMD.MIN. 2.46• Meter Multiplier 1.00 Total Energy Charges for AIRPORT 11.9.57 BUSINESS OFFIC Current C, r Commercial Electric Rates Class 5 18.20 4 Energy Charge(See detail below) 105.77 Demand Charge 20.56 g Case 19-E-0525 Lineman•Credit 6.76CR Fuel Adjustment Fuel Adjustment Factor.0113 Per KWH 5.75 a Current Previous Energy Used Charges MASTER 18375 17866 REG. 509.KWH 105.77 DEMAND 1.62 DMD. 1.62 KWH 20.56 v DATE 12/27/22 11/28/22 DMD.MIN. 1.62 s Meter Multiplier 1.00 a Total Energy Charges for BUSINESS OFFICE 143.52 yl Page: 12 of 14 P.O. Box 604 Account: 1100130 Fishers Island, NY 06390 Invoice No: 10000110656 Bill Date: Jan 01 2023 6 Name: F I FERRY DISTRICT FREIGHT SHED, BLDG 208 Current Charges Commercial Electric Rates Class 5 18.20 Energy Charge(See detail below) 338.71 Demand Charge 68.65 Case 19-E-0525 Lineman Credit 19.92CR Fuel Adjustment Fuel Adjustment Factor.0113 Per KWH 18:42 Current Previous Energy Used Charges MASTER 22352 20722 REG. 1630 KWH 338.71 DEMAND 5.41 DMD. 5.41 KWH 68.65 DATE 12/27/22 11/28/22 DMD.MIN. 2.18 Meter Multiplier 1.00 Total Energy Charges for FREIGHT SHED, BLDG 208 424.06 RENTAL HOUSE Current Charges Residential Electric Rates Class 7 26.46 Energy Charge(See detail below) 67.28 Demand Charge .00 Case 19-E-0525 Lineman Credit 4.39CR Fuel Adjustment Fuel Adjustment Factor.03065 Per KWH 6.93. - NY State Tax 2.41 Current Previous Energy Used Charges MASTER 28118 27892 REG. 226 KWH 67.28 DEMAND 0.00 DMD. 0.00 KWH .00 DATE 12/27/22 11/28/22 DMD.MIN. 0.00 Meter Multiplier 1.00 Total Energy Charges for RENTAL HOUSE 98.69 Total Fishers Island Electric Corporation Charges 1,038.90 ----------------------------UNDERSTANDINGYOURELECTRIC-BILL- ------ ----- Your contract is on a non-transferable annual basis.Federal and State Taxes are billed when applicable.A complete copy of our rate schedulecan be obtained at the offices of the Fishers Island Utility Company office building. e BASIC MINIMUM CHARGE: Covers maintenance of electric lines,meters and other costs.This charge will be billed whether ornot you use energy. 8 KWH(KILOWATTHOUR): A KWH equals 1,01)0watt-hours ofetectriaty use,One KWH equals the energy needed o to run a 100 watt light bulb fol 10 hours. 0 FUEL AD1 USTMENT: A charge that reflects changes in the actual.cost of fuel purchased by the utility. a RESIDENTIAL ELECTRIC RATES w CLASS 1 CLASS 2 CLASS 7 AMinimum Charge $12.13 Minimum Charge S37.05 Minimum Charge $26A6 First 1,000 KWH 50.2186 All KWH $0.4101 AD KWH 50.2977 g Over 1,000 KWH $0.2503 0 COMMERCIAL ELECTRIC RATES e - CLASS 5 Minimum Charge S2&20 Demand Charge $12.69 perKWH FnergyCharge $0.2078 per KWH • Pae s P.O. BOX 604 Account. 1100130 Fishes Island, NY 0639@ Invoice No: 10000110656 Bill Date. Jan 01 2023 Name: F I FERRY DISTRICT Fishers Island Water BUSINESS OFFICE Current Charges System Improvement Charge 3.05 Water Class 1,Meter 5/8 38.50 11/28/22-12/27/22 Water Usage Detail Meter#1564573058 Current Meter Reading 9092 Previous Meter Reading 8986 Cubic Feet Used 106 Gallons(Cubic Feet x 7.5) 795 Total Water Usage Charge .00 Total for BUSINESS OFFICE 41.55 RENTAL HOUSE Current Charges System Improvement Charge 3.05 Water Class 1,Meter 5/8 38.50 11/28/22-12/27/22 Water Usage Detail Meter#1564430356 Current Meter Reading 14893 Previous Meter Reading 14618 Cubic Feet Used 275 Gallons(Cubic Feet x 7.5) 2063 J Total Water Usage Charge .00 Total for RENTAL HOUSE 41.55 THEATRE Current Charges Seasonal Meter Removal 176.29 System Improvement Charge 3.92 Water Class 2,Meter 5/8 49.40 11/28/22-12/27/22 Water Usage Detail Meter#1564600656 Current Meter Reading 4185 Previous Meter Reading 4185 Cubic Feet Used 0 Gallons(Cubic Feet x 7.5) 0 Total Water Usage Charge .00 Total for THEATRE 229.61 QP U s Total Fishers Island Water Works Corporation Charges 312.71 Page: 14 of 14 P.O.BOX 604 Account: 1100130 Fishers)Sland, NY 06390 Invoice No: 10000110656 Bill Date: Jan 012023 Name: F I FERRY DISTRICT UNDERSTANDING YOUR WATER BILL Water usage is billed monthly_Your contract is on a nontransferable basis.Monthly minimum charges are based on'meter size and class.Federal and State taxes arebilled where applicable.A complete copy of our rate schedule can be obtained at ,the offices of Fishers Island Utility Company office building. CLASS,j Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $38.50 31000 314 $57.80 -4,506 1 596 20, 7500 11/4 $234.70 10,500 11/2 5192.50 15,000 z $3a3,00 24,000 3 $615.90 48,000 4 S962.40 75,000 6 $1,924.80 150,000 Water usage over the minimum Is billed atS12.8aper thousand gallons. CLASS 2 Meter Size Minimum Charge. Minimum Usage (Inch) (Galions) 519 $49.40 3,000 3/4. $74.20 4,500 1 S123.60 7,500 1,1/4 •$173.10 10,500 11/2 $247.20 15,000 2 $395.60 24,000 3 $791.10 48,000 4 51,236.10 75,000 6 $2,47230 .M 000 ' Water usageover the minimum is billed at$16.50 per thousand gallons. w 0 e h o 0 0 g m ao n 00 0 v C7 A . U 0 't •.9 FISHERS ISLAND FERRYDISTRICT - 71 VENDOR 00\6489 FORERUNNER TECHNOLOGIES, INC. 01/31/2023 CHECK 8694 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I I ' SM .5709.2.000.200 INV422399 TECH SUPPOST—PHONS-12/13 43.75 I ' TOTAL 43.75 1 i I I ' 1 m i , I ---- --"--;;: - J % yrs; • �''js� II ...t.; --�.d�%.•.r.o.:•,.+.,r.-<*,J-tti,'��.cn,«.1:-..�..c•1:>•.Yxew�-t;�Y•:•s;.;5:•..--i.::.-,.r3:...>r+:.::fi"4�.'."st,'r,'_•,i.:•:_^d.:>'","%•'rr..`t'�+,i3:y•`.r.,,;r.°.�,•,;x•^°;•:�xfiz•�t?::•-.;.-»r.,..�..;..y.�;.�;e..:.�,....xry ,.c..<_K:*,.r,.•^.y';.'r.+,°S.,yrn,r.:.N.t.-.-:..�,..;.��:v5.,;r.�•..{.j.,.��..,g.rzt4-�.6-...5-•:;:x:..-..--•�«•,- 4,,. ;-;. ; r r'�>�-r - - ,� -,-A--tT• ."••�.�r'+?r.:;•,gK?`a a°.:ws' s:,°. ts'r�.t"'"�'rsti ;; _,,,-,.. :.t�= -acis'•a`,,r;{i?�.:. :`xtif,.'t.:'.•T-4r..�rr," n n a .!,. �'"��. N�=. ,✓�`z2U,K=a ��<.arC�+�"e%x�z"�x •:s: sx"r ,,.,�r��-.,...�,.,•,'r.=,�,aa,�,.R...,,,ri:''ssrt'�, I '.,,,� •'ti I • , :jT- arc.` I - o � ` I , - i : .__-__..___ _ ' .-___________________.__________-_.-_____.-____.--_.... , —a s— 1 � � jj v Z3 •« t. O 0;' D; O8 O 0 9 Y- -1• t itvJt FISHERS ISL&MTERRY.DISTRICT 01/31-/2;3 AUDIT 53095 MAIN ROAD,PO BOX 1179 SOUTHOLD,NY-11971-095.9 CHECK'•NO,'.,' 8694 THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT .^T, 5o546(214 01/3.1/2023' ;::. `,$-43~ 75 FORTY:, THREE.-AND :75/100: DOLLARS pAy.. FORERUNNER, TECHNOLOGIES, INC. TOHfi 150-M`EXECUTIVE- DRIVE i 'a ORDER. - .. i EDGEWOOD NY .11717 ' — 00013 69L,118 1:0 2 14054641: 68 00 150 2 Lii' I � t°, C�\�-J Vendor No. Check No.•. ....... . . .. . Town of Southold, New York - Payment Voucher 6489 '. 6q . Vendor Tax ID Number or Social-Security Number Vendor Address Entered"by - - Vendor Name 150-M Executive Drive Audit Date Forerunner Technologies Inc Edgewood, NY 11717 AN-1 12023 Vendor Telephone Number FY 2022 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Udger.Fund.and Account Number INV422399 12/29/2022 $43.75 $43.75 Tech support for phones stem 12/13/22 SM5709.2.000.200 $43.75 $43.75 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. 11 Signature Title Signature �� 0✓ Company Name Fishers Is nd Fr Date 1/19/2023 Title Manger Date ` Invoice# INV422399 Ty.P0., Incident Billing INC DAW""-- s 12/29/2022 Remit To: Forerunner Technologies 150-M Executive Drive 289252 Edgewood, NY 11717 855-378-3282 Bill To: Ship 9:' FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390 Problem Notes: Dave advised he needs some help with his phone- the flashing led for vmail is steady blink--ext 201--customer is saying vm iiis , no archives to retrieve Solution Notes: sent email customer called me back had him push the exit button , then the button too the right 2 times then exit 1cleared message light VIENDO 'R.— NU TERMS IR FISHERS10001 Net 30 HRS/QTY= DE 0116KI, .DATE I(NIT,PRICE Normal Labor for Resource Joseph Lowery 0.25, R-REGULAR- REMOTE REGULAR TIME 1211312022 $175.00 $43.75 OT SUBTOTAL $43.75 AV'ktAX-"T* $0.00 I -v6ice.16tafj $431.71 For any inquiries regarding this invoice, please call 1-855-378-3282 or email invoicesofrtinc.com V NJ I Page 1 of 1 FISHERS ISLAND FERRY DISTRICT 1 VENDOR 007677 GREAT AMERICAN INSURANCE GROUP 01/31/2023 CHECKI 8695 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1930.4.000.000 A00470140 CLAIM-J.LUDEMANN-9/6 1,000.00 TOTAL 1,000.00 ! ------------------------------------- I i I • I ' s,E csq � y int , jj1F✓3' t74 ri ':{i Vii$°:t fad,.:.:..:' �iY'� �,::•,.,.!� ..i .ki•�. i:.�;:. ti:.�tib' � :v1t+..M' (Z .,a. .xa^i"'�..v�'LSf:+•S.4:T`:-a'R'•�'�fi&$;;.:{�.a,?�:.;p, :-f,.;'i:� :•?k:..+:i:;. .•{}:y.y i:cY:q n;��t �'Y.° 8:`%';.Jtt�'.i?'� '4Yti. ,` •:�z•;".'�i.,...:.'s"^',�, `:"zy.:,.. � .+*x;.r �.nr�,,.��,.G�� ;aTxrva•'i.:'�"°'� :n',.•a.•';;vs.-,,.�r�y�...+s+`.`.+.rj'u..,fi � o .. � a`",y'":�-"a.•• r��m•r, er `x. �.-a.:L^.R9a$'�%t.. ,�•%-}TK::'+C-;`.�'.1+'�R��>:-'< �`"v�t...>''�s- I, �It I I Lr I o � _ ! t • I FISHERS ISLAND FERRYDISTRICT , 01/31/2.3 AUDIT � 53095'MAIN ROAD,PO BOX 1.179,' «: `' .. SOUTHOLDpNY 11971-09598695 _ CHECK NO.: THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 1,1935 1 DATE 'AMOUNT 5.o=5dsi2�d . 01[3`1%2023` $'1;:_000.Ob ; QNE:;THOUSAND'AND .00/,100' DOLLARS , '�. AL 1 AY. GREAT. AMERICAN INSURANCE GROUP TO THE:'. 4,01r-:t :4TH ST.-16NE; ; ,c RDER:. . CINCINNATI OH 452.0`2'.: OF'. 11'00869 Sill 1:0 2 140 546Loll: 68 '00 150 2 1'l' 91R Vendor No. Check No. , Town of Southold, New York - Payment Voucher -777 cc Vendor Tax ID Number or Social Security Number Vendor Address Entered-by` One-time vendor PO Box 2468 Audi ate' Great American Insurance Group Cincinnati3OH 46201 JAN 3 4 2023' Vendor Telephone Number FY 2022 Towri 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 CLAIM 9/6/2022 $1,000.00 $1,000.00 Deductible for Claim-John Ludemann SM1930.4.000.000 A00470140 $1,000.00 $1,000.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature Company N and Perry District Date 1/20/2023 Title Date 'v► �✓ OCEAN MARINE DIVISION 28 Liberty St. NEW YORK,NY 10005 GREAT f- '� TEL: (212)510-0128 AMERICAN FAX:(212)422-1108 JOAP.MAAIO INSURANCE GROUP SENIOR CIAIMSPECIALLIST } September 15,2022 VIA EMAIL: DMcCall@fiferry.com f Mr.David McCall { Fishers Island Ferry District PO Box 607 Fishers Island,NY 0630 RE: Insured: Fishers Island Ferry District Claimant: John Ludemann Date of Incident: September 6,2022 s Our File No. A00470140 Dear Mr. McCall: We have settled the claim for$1,901.91. Fishers Island Ferry District has a policy that provides Property Damage Coverage with Great American Insurance Company under policy no., OMH1854380. This policy has a deductible of$1,000.00. Currently,we request that you forward a check for$1,000.00 payable to GREAT AMERICAN INSURANCE COMPANY with Claim#A00470140 in the check's memo field at your earliest possible convenience to: Great American Insurance PO Box 2468 Cincinnati,OHIO 45201 Attn: Millie Melendez Should you have any questions,please feel free to contact me. This letter does not constitute,nor is it intended to be a waiver of any undisclosed.existing or future violations of any other term or conditions of the policy contract. If you have or obtain any information,now or in the future,which may have a bearing on our decision,we request you forward it to us immediately for review and consideration. If you have any questions,please contact me at 212 510-0128 Monday through Thursday from 7:00 a.m.—3:30 p.m. and 2:30 p.m. on Friday. Mailing Address: Great American Insurance Company,Ocean Marine Claims,Post Office Box 2468,Cincinnati,Oh 45201 Fax Numbers: (U.S.Only)800-498-2178 - (U.S.or International)513-345-1363 �t �.� OCEAN MARINE DIVISION 26 LIBERT ST.,36-FL. New YORK,NY 10005 TEL: (212)510-0128 GREATAmERICAN FAX:(212)422-1108 INSURANCE GROUP JOANNEMARZAMO SENIOR CLAIMS SPECIALIST January 20, 2023 Via Email: DMcCall@fiferry.com Mr. David McCall PO Box 607 Fishers Island, NY 06390 Insured Fishers Island Ferry District Claimant John Ludemann Date of Loss: 09/06/2022 Our File No. : A00470140 Dear Mr. McCall: This is a follow-up to our letter dated 09/15/2022. Copy attached for your easy reference. In order to avoid further action, kindly look into this matter, and send us your check for $1,000.00 to satisfy your policy deductible. Thanks. Great American Insurance Company Ocean Marine Claims Post Office Box 2468 Cincinnati, Ohio 45201 Attn: Millie Melendez Please Ref to A00470140 (On Check Memo Field) If you have any questions, please do not hesitate in contacting me. Very truly yours, Joanne Marzario St. Claims Specialist 1-800-426-9697 ext. 128 or JYM/mm cc: The Hilb Group of New England 2000 Chapel View Blvd 240 Cranston, RI 02920-3051 Attention: Claims Department FISHERS ISLAND FERRY DISTRICT I 'PI VENDOR 008140 HAYES SERVICES, LLC 01/31/2023 CHECK 8696 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 / 22227 PYMNT #4-SNOW PLOWING 1,450.00 i 1 450.00 m TOTAL • i i I o l v :; ',:Vis- •5..~.•'c;... i3:'e I - d..ti'Y, - ir.J.;,;3,!• n rvef:;:f r .'iai 1 I lF r.. ;:t:{j4: : <4' i'iC:x$f.J•e ± :2•:y:••:;;s:ri%"'i :r .:'. Fpny_y*}:v:sr •}}:c : x :-t1f y vr'] „y 4+"it$::` r.l}a?1.. ',. •!:v.,-:y::• .t a .,$.t,F r.X ..,•` ' ;_••. . .. a:;-., !,Feti•?i:,i CvS ': =; fiv ,•;i.;c',4`'w,;:i;r•:'r "'¢:: y`:rrY^.;;Yr•'3::": :• ::::ir:€fii :, '. ' ,,,; ',".y,$kw.>= , r ,,:.: f". i I l I I - • I i I i • h i I FISHERS ISLAND FERRY DISTRICT 0,1/3'1/23 AUDIT .., 53095MAIN:ROAD,P.O BOX 1179 . SOUTHOID;NY 1.19 1 0959 CHECK' NO -' 8.696 i '••....... THE SUFFOLK CO.-CUTCHOGUE,NY 11935 DATE AMOUNT NATIONAL BANK - 01./3:1/2023 5.0 00 50.548!2 t 4'• 'ONETHOUSAND' FOUR HUNDRED FIFTY AND 0.0/100'1D9LLARS' AY. HAYES. SERVICES, LLC TO THE PO. 'BOX '635 bAb F!, : NIANTIC CT 0.6357 t„ OF:. ; 11'00869611' 1:0 2 14054641: 18 00 L50 2 Iv 4 Vendor No. Check No. Town of Southold, New York - Payment Voucher 8140 y Vendor Tax ID Number or Social Security Number Vendor Address Entered by- PO Box 635 Audit Mate, Hayes Services, LLC Niantic, CT 06357 ,AN" 31" 1" ZOZ3Vendor Telephone Number W FY 2023 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 22227 1/15/2023 $1,450.00 $1,450.00 Pmt#4 Snow Plowing Contract SM5709.2.000.200 11/1/2022-3/31/2023 Per Contract 2020-2023 Res 2020-156,2020-727 $1,450.001 1 $1,450.00 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,whiclr"the Town is exempt are excluded or discrepancies noted,and payment is approved. o_&P, SignatureTitle Signature ll Company Nam hers Isl d Fe District Date 1/18/2023 j Title Date L i Hayes Services, LLC invoice PO Box 635 Niantic, CT 06357 Date Invoice# 1/15/2023 22227 Bill To Kurt Hayes Fishers Island Ferry www.hayesservicesllc.com Distric 5 Waterfront Park kurthayesl5c@gmail.com New London, CT 06320 email Office: 860.739.2273 Terms For Month of: 4 of 4 1 st of the month Description Qty Rate Amount Snow Plowing Contract—3rd year of 3 yr agreement 0.25 5,800.00 1,450.00 November 1,2022 to March 31,2023 4 equal installments due on the 1st of each month. Extra charges: $125.00/Loader per hour $115.00/Dump truck per hour (/ $200.00/Loader/Blower per hour J�an� c�au I Subtotal $1,450.00 Sales Tax (0.0%) $0.00 Total $1,450.00 Payments/Credits $0.00 Any invoice not paid within 30 days of issuance will be , assessed a finance charge of 1112%or a$5.00 fee (which ever Balance Due $19450.00 is greater). !.':: . 3 I FISHERS ISLAND FERRY DISTRICT I VENDOR 003701 LORENCE SIGNWORKS, LLC 01/31/2023 CHECK 8697 .? FUND &,ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5710.2:000.000 14155 RP/MU-CRANE SERVICE 850.80 I I TOTAL 850.80 z' I. 21 I • 'I I • .... •"rfi-'v'' '.r'uT3¢ t'g^'.;'eE-',s},S.i 4 r ..,... .. :n: : :>: X t \;r,. .i _*i:;. .,%nti{ :X nl;,hg;,r..? •,Y-.:•`;.,'+,Ct.?;. •,`rn: v:', ;&'t ':'rfit. .?f`.3xr sic,..r.>.,::i-•.e- •>-° 't: `'z'`' . moi:,•,•a• :=:tv ' ..r. ..t;'t : r.?"=,'; ,r a" tr • . • s+a+;.; .'-ii,4'':: `,'..;:$>%>='r. .,,, ;; : %: v.sS:.,;+;?.;P;+G?i'a.#,+ :rtit:..:.k "?A<„., I ._." =` *p4.^ n .. <w'Z.,,...;,_a;y ,' s ,y a•-- w, , , .;,r=:,fix i ?a s••` i i o i i l f I i I 1 .r4i I- I '.q•it I . FISHERS ISLAND FERRY DISTRICT 01/31/23 AUDIT ` .53095 MAIN ROAD,PO•BOX 1179 ® SOUTHOLD,NY 11971-0959 CHECK ,NO.: 8697 THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT O1°/.3:Z/2023 $65.0.80:.,.: ' r-: I '.•. .,.- ; '- :. .".:` .-. .. _ 50.5461214'.. ... , EIGHT _ . ... .:. HUNDRED FIFTY AND 8:0 100 DOI;LARS' I • . / AY . LORENQE SIGNWORKS, LLC 55 :WILLOW BROOK. RDER.: . BERLIN 'CT 06.037. L. OF 1w, i - 1150086970 1:0 2 L4054641: 68 0`0 150 2 111V Vendor No. Check o. . „ . '.,,,.;, •'_ _. Town of Southold, New York - Payment Voucher : : I 6 '7 . Vendor Tax ID Number or Social Security Number Vendor Address Entered by 55 Willow Brook Drive Audit Date Lorence Signworks Berlin,CT 06037 JAN'3=::1 2023 Vendor Telephone Number FY 2023 Town Clerk,', Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General.Udger Fund and Account Number_ 14155 1/20/2023 $850.80 $850.80 RP/MU crane service SM5710.2.000.000.' { $850.80 $850.80 i Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature 0",i Company Name Fis ers stand Ferry District Date 1/20/2023 Title Date t . LORENCE SIGNWORKS Invoice 55 Willow Brook Drive DATE INVOICE# Berlin, CT. 06037 1/20/2023 14155 (860) 829-9999 BILL TO Fishers Island Ferry District 5 Waterfront Park New London,CT 06320 P.O. NO. TERMS Due on receipt DESCRIPTION QTY RATE AMOUNT 1/19123 4 200.00 800.00T 2 MAN CREW REQUIRED OUT OF SIGHTLINE-SIGNAL MAN NEEDED 4 HOUR MINIMUM ROUND TRIP J AN �? Sales Tax(6.35%) $50.80 Total $850.80 Balance Due $850.80 VLA I FISHERS ISLAND FERRY DISTRICT VENDOR 013682 PETER MROWKA JR. 01/31/2023 CHECK 8698 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i SM .5710.4.000.625 5073 FIT OFFICE 'HEAT REPAIR 400.00 : I I TOTAL 400.00 i i I 4-# -" ------------------------------------------ - ,:y - ---- .. _ y ,itn,_ 1, ' i :Tie . , :.+ 1 vyr K:, i d{i:L+Si'}.:ir.•:{ '" '«?1 I I ,R. .. <,-..-,",«.o ._,. -^at+t.w•aK,r rY (e-."X,Ar+e -;'RR" `+e -e{,i••:?`.•::•:a:r_`r ;.:r.;f ;:;;>as:.v.:,..;,jo:: .;.rar. •r.;>`-Y:::.:: .,. va+.v-<, ;:;. r ;r:i.;..>rf4:^:"'< -;R'.3y`.;};"'{;` ; :,yi ...,•. ,?n .{a„ , {i'j ti.'.v:::.?:;>.<: '::FC,,:. ','isI-::.:•..ri'u' : efi:nSJt': d,+,%h,'may.v '{.,v}j::ti''+ av}.: $:.i••u_ .:!a Y^ ,. :_ s w4 :w`."•'^z:%'r'.=. , w-+'m. c-•• ,.+.:.:r!_:t ' `3'1: ,.L•;.. -a:f,.;d '•'^`' ,. „, 'k;> i:;'.f a "i yk..•, 1^.:la .,:vim-„i' ,:,-°,.,": ,g+_'r.', .r.': `^ r ;. .,-.,-,;M' -i3':<,,i':..,;y;.<;,. _ , !y i i I I i o I I ! I _ i - I - a ,,: I y I u, -.. .a—.. ._...... ....._. .. _ ..----------------------------- --c-------------------------------------------- ._ 1 I FISHERS ISLAND F.ERRYDISTRICT 01/31'/23 AUDIT - 53095;MAIN ROAD,PO BOX 1179' "179 _ .r SOUTHOLD,'NY 11971.0959 - - CHECK.,NO'... '8'698 ;•s THE SUFFOLK CO;NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT ..,. ! • .: 1./37./2023•' , X0_546/214 0 • - FOUR.'.HUNDRED' AND. 00/10.0 DOLLARS " : : AY. PETER MROWKA JR DA>r PETE T6 h E-. BE;'S' HEATING. & PLUMBING . 0'F . 95 .MEETINGHOUSE': DANE LEDYARD CT 06339 i '':` 110008 698n 40 2A4054644 68 00 1 S 2f iii' 4t Vendor No: Check No. Town of Southold, New York - Payment Voucher 13682 $ g Vendor Tax ID Number or Social Security Number Vendor Address Entered by 95 Meetinghouse Lane Vendor Name Ledyad, CT 06339 Audit Date Pete's Plumbing and Heating JAN 3 1 2023 Vendor Telephone Number 860/287-3782 FY 2023 Town Clerk Vendor Contact Pete Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Lcdger Fund and Account Number 5073 1/11/2023 $400.00 $400.00 FIT office heat repair SM5710.4.000.625 $400.00 $400.00 Payee Certification Department Certification The undersigned( aiffta`r 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 DTitle Signature Company Name!! 5erry District Date_ 1/18/2023 Title Date l L y _ 1 Pete's Heating&Plumbing 95 Meetinghouse Lane Invoice y Ledyard, CT 06339 US 860.287.3782 PetQ-mrowka@yahoo.com yahoo.com BILL TO SHIP TO Fishers Island Ferry District Fishers Island Ferry District PO Box 1179 PO Box 1179 Southhold, NY 11971-0959 Southhold, NY 11971-0959 INVOICE 4 DAT E TOTAL DUE DUE DATE ENCLOSED 5073 01/11/2023 $400.00 02/10/2023 DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT Labor Service call-no heat at ferry office; 1 250.00 250.00 bad burner relay,supplied and installed new one;installed provided thermostat Materials Materials 1 -150.00 150.00 BALANCE DUE 400000 I , 2 i i 1 FISHERS ISLAND FERRY DISTRICT VENDOR 013.948 CAROL MURPHY 01/31/2023 CHECK 8699 ; !i A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i I I SM .9060.8.000.000 011123 AETNA REIM-1/23 90.30 i TOTAL 90.30 ' a• t \ I , I , - I I I ro m m ti` I - ------- ---------------- ---------------------------- ---- r °}7a titfK ----------- - --- ---------------------- NA'a N` .. I',`9•' A S:a '..4t.•" Rv nv:i 'rr;:l.Uiw''M•,Q:r';h^.•.:L•`:^ .rr I +;^;,?. .`i::Y fM1St"F:••-.•si.. . y.,:.:i3: i•+F.•-}°: :YS;o t:=z:,•. •.yv ': 1.. •r I :r,, f:v%+ •..y.+,: ':. ::.',;'o-ti'. t'tti:.d,•x•:: ., :.,t?. 'fa.,:•:: :-t1`'.`.t,. - .m-K• I • n:i^`t.::.y ;ii.+'s.Yti;:''' '++.Nws;ft:+ %7?',?,:•;,•.`^'fi:r-. ;.r' w,'c''t<'Z ,+ f ' 'r'` • I i 7 i i o , I t I t r lY t i I I 3.1 I FISHERS ISLAND FERRY DISTRICT Q,1/317/,23 AUDIT .53095 MAIN ROAD;PO BOX.1179 - ,. I i SOUTHOLD,NY 11971-0959 CHECK_NO,.-. `; -8.699 • -' THE SUFFOLK CO.'NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT` f' 01/31/2023 $90.3;0 ' ,:,, •. , ".. -` '- -' •. 50.546/274,, NINETY AND, .30/100- DOLLARS_. PAY CAROL MURPHY . 7'0THE::. 4 CASTLE HILL.` i RUER OF' PP,WCPATUCK CT 06379 u§008699no 1:0 2 L405464i: 68 001S02. Lii' ' '``' Vendor No. Check No. " Town of Southold, New York - Payment Voucher iTSr- )"3G O , Vendor Address Entered by .; 4 Castle Hill Rd Pawcatuck,CT 06379 Audit Date Murphy,Carol JAN T Ir" 2013 Vendor Telephone Number FY 2023 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Furid and Account Number ' t REIMB 1/11/2023 $90.30 $90.30 Aetna Medicare Reimb 1.11.23 SM9060.8:001000 $90.30 $90.30 = Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature 0"V v Company Name and Ferry District Date 1/18/2023 Title Date 1` Thursday, January 12,2023 USAW Transaction Details C, Amount: -$90.30 a L Description: ealth Insurance Posted Date: January 11,2023 Category: Health Insurance Status: Posted Transaction Type: WEB PAY Original Description: AETNA HEALTH MGT WEB PAY'"""""4967 Additional Details: ACH WITHDRAWAL q J I FISHERS ISLAND FERRYDISTRICT i I I I VENDOR 014022 RING'S END LUMBER, INC. 61/31/2023 CHECK 8700 A I FUND &ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I A, , i SM .5710.4.000.625 620354 NLT SHOP SUPPLIES 66.96 SM .5710.4.000.625 623321 FIT SHOP SUPPLIES 25.30 , SM .5710.2.000.200 627739 RP SUPPLIES 85.08 i TOTAL - 177.34 i --------------------- ---- I I I m , r{ xTMl4n.-. .-.... F»<.-.. ...__, rv'"^9, . ...r'r'!ri `l:of p•r:...:,-y ', 1, ::c=?s:•:>::T,^:',".crnS:: S' ::r :h;.T.r;. <:qYt.,.•:7^+`<:;,'r•:.g».•$:::rfit. .5z::$,;-?;}i<`•:x , ?':..i;1c.:${k .4 :.>:^:^ :•::,,,., .sf: a• ti.-.: 5 ';s: .. :fif}'°at•N : ::, 'rfi:'"':-f`hr •.5 .:.. ,:ii;;{:.5.;>r,. ::::^'•$:k.;•. :fi:i 's..,-,.:.j .., , ,<::r;.:t', .,w,.v r ,nt,,. _..`".a^e'• ...., :r:%! '•i'„;3i:;:`ti}i s, r.2:, r,.: .}—r , ..$:::Y rnA •'z' , x::^?v .;}'t; •:...s:.: r. .. y 4, _e 't'f'::f'•.. uR. &+. >""r..;• a. :;+ola::i; f.+ r: I .^-,`..` "' -'*.G;N`-S''.ar `'' ' . 1 :t. ...- ... ..• :{?,:. -' ;. +rY`- `•''irr ^:,i^73 .mss: t. ' I I Li I - i - i i _ ---- --------- ---'-------------------------------------------.._-. .... _.. I `4 f FISHERSISLAND FERRY DISTRICT 01/311/23 `AUDIT..' - 53095 MAIN ROAD,PO'BOX 1'179. + SOUTHOLD,'NY119,7:1-0959 CHECK NO._ 8700 I + 'THE SUFFOLK CO.NATIONAL BANK :_:'• CUTCHOGUE,NY 11935 DATE AMOUNT, :r50-5 _ ' asizra :.. :;.. - ..01/3:1%20231.7.7.34 QNE'::HUNDREb: SEVENTY SEVEN,AND 34/160:-b OLLAR.9 ' I AY RING',S. END. LUMBER, INC.. O THE P.O :BOX 714-*" F.. NIANTIC CT '06357: 11'008700,15 1:0 2 14054641: 68 0012 Lii' ; ' I 1 Vendor No. Town of Southold, New York - Payment Voucher 14022 Vendor Address Entered by, PO BOX 714 Niantic,CT 06357 Audi ate RING'S END J.AN 3 1. 2023 .. Vendor Telephone Number 860-739-5441 FY 2023 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 620364 1/10/2023 $66.96 $66.96 NLT shop supplies SM5710.4.000.6251, 623321 1/13/2023 $25.30 $25.30 FIT supplies SM571.0.4.000.625 627739 1/18/2023 $85.08 $85.08 RP supplies SM5710.2.000.200 $177.34 $177.34 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. SignatureTitle Signature_Q Company Name Fis .dFerryrict Date 1/20/2023 Title Manaeer Date 1/20/2023 AM ®A&M, ®�®, ' Page # 1 RING'S END Since 1902 Bethel, CT Branford, CT "Darien, CT Lewisboro, NY (203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 -308 South Frontage Road (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 New London CT - 06320 -' T: 860-439-0155- New London, CT .• New Milford, CT Niantic, CT __ Wilton, CT -. - . (860) 439-0155 (860) 355-5566 (860) 739-5441' '`.(203) 761-1000 F:- 860-439-1369 (866) 439-0155 (888) 850-8966'_-, (800)'303-6526_- (866) 84.2=7883 TRANSACTION :.• TYPE Charge Invoice *** VISIT OUR NEW WEBSITE - WWW.RINGSEND.COM *** New London, CT BICL'`TO':i is`€i:::.;.:_„ €I€;::':' ::";; .:':;::'i.".'::':i:: a:''[i _.::..... :,::) ::;9ii:`::.::: ::::.:::?: €ii. "i[il:a:;:`.5::i 6::i l.. ::.i ... FISHERS ISLAND.FERRY DIS P.O. BOX 607 FISHERS ISLAND NY 06390 860-442-0165 :. CUSTOMER.-.:.�:° :TRANSYACTION�,::: .:�:: .. :': , . :.• ; CUSTOMER;: :.>.::.:::.:":: ...` CODE: :DATE: ::::':; :.'i NUMBER::'.':: TIME;.: :. :: . '::.'-., PURCHASE.ORDER'NUMBER::. .. .. -;; :i.:"::::;'.::::::'::: SALESP.ERSON.... EFISHIS 01/10/2023 620354 09:52 RACE POINT 81 - Sean Obrien-Best :••::;::.::..:...::::I.::::i':: ;:4:�::�:;`-:::::::ORIGINAL:;:r,t:::r::.: :,:: .:'�:::'.: ,".;':..:;'_:: :.:....,.-;.,..:•:::..,.: :. ....... ..... ,. .-....... . ........ ... � ............•.... .... .. .. APPLY TO°:,.._,0 D D' :.::::::: ..,-.: :.:.:::. :',:.;....., _ ..;.......':,:.. ., ER, ATR..:.::-ORDLQ.TE NO..::. :.:.:..:.::..::.....:. ..... ::.•:...... _....__.... TAX JURISDICTION TER S.. ::,., .:::::.::..:.. . .+..........:. 0 620354 20 15th, Net 25 Days ,6.35% CT SALES TAX ITEM _.... ORDERiOTY: :;:SHIP.;'QTY.LOG:::': E..:7 : "'":.- "e;;,.::;,;OESCRIP:T.ION' - :"''•` :'PRIbING:UNIT'i" PRICING PER:UOm:;:: NET.AMOUNT' .... .... KL02625 4 4 KLEANSTRIP DENATURED ALCOHOL GAL 4.000 15.740/EACH 62.96 J Z II � � � 1� �I �, � f�,� � ( I,,' ti4 ,'•wJ• Fra^ �ty (�I j .` RECEIVED,..IN_-GgbpCOND.IP;ZON',$`C:;`". ::::: SEE REVERSE SIDE FOR TERMS AND CONDITIONS NICK ESPOSITO NET AMT; CHARGE '.-DISCO :SALES:, INVOICE' UNT . -TAX`.• " DEPOSIT TOTAL X 62.96 0.00 4.00 �GG.996 CUSTOMER COPY �"t The following terms and conditions govern the sales of The Seller,whether pursuant to oral or written orders to its representatives or salespeople. RETURNED GOODS Stock items, in original units or full packages, will be accepted for credit or exchange when returned in good condition. Within 30 days of purchase, AND ACCOMPANIED BY ORIGINAL SALES TICKET. A restocking charge will be assessed by the Seller on all returned goods. No special orders will be ' accepted for return or credit. TAXES Buyer shall pay to Seller the amount of any and all taxes, excises or other charges which Seller may be required to pay or to collect for any government, national, state or local, upon, or measured by the production, sale transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Delay in delivery or non-delivery in whole or in part by Seller shall not be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contingencies, the non-occurrence of which is a basic assumption on which the agreement is made: (a) Fires, Floods, or other casualties; (b) Wars, Riots, Civil Commotion, Embargoes, governmental regulations or martial law; (c) Seller's inability to obtain necessary materials (finished or otherwise) from its usual sources of Supply; (d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other labor troubles affecting production or shipment, whether involving employees of Seller or employees of others and regardless of responsibility or fault on the part of the employer; and (f) Other contingencies of manufacture or shipment, whether or not of a class or kind mentioned herein and not reasonably within Seller's control. WARRANTY Seller agrees that any merchandise delivered hereunder found to be defective in material or workmanship will be repaired or replaced by the Seller without additional charge for the merchandise. This warranty is made in lieu of any other warranties or conditions including merchantability or fitness for a particular purpose. The remedies under this warranty are exclusive and by accepting this merchandise the Buyer agrees to these conditions and waives any other warranties conditions expressed or implied. All claims for damaged or defective material must be made within 5 days and we are limited to the purchase price of the materials sold or the replacement thereof at our option. We are not responsible for extra costs, indirect damages or consequential damages. Buyer assumes all risk and liability with respect to results obtained by the use of such merchandise whether used alone or in a combination with other products. No claims of any kind whatsoever, whether based on breach of warranty, the alleged negligence of seller, or otherwise, with respect to merchandise delivered or for failure to deliver any merchandise shall be greater in amount than the purchase price hereunder of the merchandise in . respect of which damages are claimed; and failure of buyer to give written notice claim within 30 days after delivery of merchandise shall constitute a waiver of buyer of all claims with respect to such merchandise. TERMS AND CONDITIONS TO GOVERN THIS INVOICE CONSTITUTES THE ENTIRE CONTRACT WTH RESPECT TO THE SALE AND PURCHASE OF THE MERCHANDISE SPECIFIED HEREIN. No modification of this sale shall be effected by the acceptance or acknowledgement of purchase order forms specifying different conditions, and no modifications shall be effective unless in writing signed by the party claimed to be bound thereby. STATE OF JURISDICTION This sale shall be deemed to have been made in, and shall be,construed in accordance with the laws of the State shown in the Seller's address. DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Title to the materials shall pass from the Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, breakages or for any nonconformance with the terms and conditions of the order shall be noted on the Seller's delivery receipt by the Buyer at the time of delivery, otherwise, the Seller shall not be responsible for any such claims. If delivery is by common carrier; delivery by the Seller to the carrier at point of origin shall constitute delivery to the Buyer and thereafter the shipment shall be at Buyer's risk, and claims for loss or damage must be filed by the Buyer against the carrier. Title to goods loaded onto Buyer's conveyance at Seller's warehouse passes to the buyer at the Seller's loading dock. If upon delivery at job site, there is not present at the job site an employee of the Buyer authorized to accept delivery and sign a delivery document evidencing delivery of materials as listed on this invoice document, then the Seller reserves the right to deposit the material at the delivery area previously designated by the Buyer without obtaining a signed receipt therefore, and the Buyer agrees to liability for payment of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the Seller not to deposit material at the designated delivery area without obtaining a signed delivery receipt from an authorized employee of the Buyer. FINANCE All bills are payable on the 15th of the month following billing date and are past due after 30 days. Past due accounts are subject to a FINANCE CHARGE of 1 1/4% PER MONTH on the past due unpaid balance (which is an ANNUAL PERCENTAGE of 15%)• MATERIALS SAFETY DATA SHEETS (MSDS) The occupational safety and,Health Administration Hazard Communication Standard, the Superfund Amendments and Reauthorization Act of 1986 and many state right-to-know laws require that a material safety data sheet (MSDS) be provided with products containing hazardous chemicals. As a manufacturer, importer or distributor, you are required by law to ascertain which of your products require an accompanying MSDS and provide such. As a condition of this sale, you expressly warrant that you will comply with the provisions of the foregoing right-to-know-laws. HAZARD COMMUNICATION LABEL Alkaline Copper Quaternary (ACQ) Pressure Treated Wood Hazard warnings for treated wood are similar to those for untreated wood. • Airborne wood dust can cause respiratory, eye, and skin irritation. • Breathing excessive amounts of treated or-untreated wood dust (primarily hardwood) has been associated with nasal cancer in some industries. 9 Handling may cause splinters. - ' • High airborne levels of wood dust may burn rapidly in the air when exposed to an ignition source. • Some forms of components of the liquid preservative used to manufacture this product (arsenic and chromium) have caused lung, skin, and possibly other cancers in humans occupationally or environmentally overexposed. SUCH EXPOSURES HAVE NOT OCCURRED WITH TREATED WOOD. NOTE: Consult the Material Safety Data Sheet for additional information on this product. This Information is designed to address the label requirements of the OSHA Hazard Communication Standard with respect to treated lumber. DELIVERY All deliveries are priced and understood to be on a first floor/tailboard delivery basis. MAMA 0 Page # 1 RINGS END Since 1902 - Bethel, CT Branford,'CT Darien, CT Lewisboro, NY (203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 308 .South. Frontage Road (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 New London CT .06320 T 860-439-0155 New London, CT New Milford, CT Niantic, CT Wilton, CT (860)'439-0155 (860) 355-5566 (860) 739-5441 i(203) 761-1000 F: 860-439-1369 (866) 439-0155 (888) 350-8966 (800) 303-6526 . (866) 842-7883 TRANSACTION ._ _ .... STORE Charge I voice *** VISIT OUR NEW WEBSITE - WWW,RINGSEND:.COM *** New London, CT _ . BILL:TO:: -. ::::.- ,::;.' ' .: .�:: :.. _ SHIP TO's' FISHERS ISLAND FERRY DIS P.O.`-BOX 607 , , FISHERS ISLAND NY 06390 860-442-0165 CUSTOMERTRANSACTION_ :::;.. :: ":CUSTOMER".," CODE. DATE � _, ,NUMBER;.,i'' .�TIME;1,� ... _ ..PURCHASE ORDERNUMBEB,` .;. ; ;. :, ,.;,, " '.:;_; • :.. .,;SALESPERSON EFISHIS 01/13/2023 623321 07:12 FISHERS ISLAND 104 - Bob Thomas :. ORIG INA - APPLY TO ORDER' .PATE'. :... ::.:: :::: :'.:':. ":.:. TERMS :-::.: ': i' '- :.. "' ;'TA7C' URISDI:CTION. .' 0 623321 2%" 15th', Net 25 Days 6.35% CT SALESITAX ITEM` ORDER:QT.Y;' '$HIPQTY:LOCDESCRIPTION•.-.: PRICINCr UNI PRICING PER'UOM NET AMOUNT' P220804 1 1 URETHANE ALKYD 'GLOSS WHITE QT _1.000 23 .440/EACH 23 .44 PCQ PAINT CARE. FEE - <= QUART 0.35 �A RECEIVED-IN.: G:00D- _GONp2'EI'O9.:BY:., ( SEE' REVERSE SIDE FOR TERMS AND CONDITIONS NICK ESPOSITO MISC v ...SALES',';: REMAINING INVOICE NET AMT;. :CHARGE DISCOUNT TAX —';: 'DEPOSIT. TOTAL X 23 .44 0.35 0.00 1.51 25.30 CUSTOMER.COPY The following terms and conditions govern the sales of The Seller, whether pursuant to oral or written orders,to its representatives or salespeople. RETURNED GOODS Stock items, in original units or full packages, will be accepted for credit or exchange when returned in good condition. Within 30 days of purchase, AND ACCOMPANIED BY ORIGINAL SALES TICKET. A restocking charge will be assessed by the Seller on all returned goods. No special orders will be accepted for return or credit. TAXES Buyer shall pay to Seller the amount of any and all taxes, excises or,other charges which Seller may be required to pay or to collect for any government, national, state or local, upon, or measured by the production, sale transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Delay in delivery or non-delivery in whole or in part by Seller shall not be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contingencies, the non-occurrence of which is a basic assumption on which the agreement is made: (a) Fires, Floods, or other casualties; (b) Wars, Riots, Civil Commotion, Embargoes, governmental regulations or martial law; (c) Seller's inability to obtain necessary materials (finished or'otherwise) from its usual sources of Supply; (d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other labor troubles affecting production or shipment, whether involving employees of Seller or employees of others and regardless of responsibility or fault on the-part of the employer; and (f) Other contingencies of manufacture or shipment, whether or not of a class or kind mentioned herein and not reasonably within Seller's control. WARRANTY Seller agrees that any merchandise delivered hereunder found to be defective in material or workmanship will be repaired or replaced by the Seller without additional-charge for the merchandise. This warranty is made in lieu of any other warranties or conditions including merchantability or fitness for a particular purpose. The remedies under this warranty are exclusive and by accepting this merchandise the Buyer agrees to these conditions and waives any other warranties conditions expressed or implied. All claims for damaged or defective material must be made within 5 days and',we are'limited to the purchase price of the,materials sold or the replacement thereof at our option. We are not responsible"for extra costs, indirect damages or consequential damages. Buyer assumes all risk and liability with respect to results obtained by the use of such merchandise whether used alone or in a combination with other.products. No,claims of-any kind whatsoever, whether based on breach of warranty, the alleged negligence of seller, or otherwise, with respect to merchandise-.delive'red or for failure to-deliver any merchandise shall be greater in amount than the purchase price hereunder of the merchandise in respect of which damages_are claimed; and failure of buyer to,give written notice claim within 30 days after delivery of merchandise shall constitute a waiver of buyer of.all claims with respect to such merchandise, TERMS AND CONDITIONS TO GOVERN THIS INVOICE CONSTITUTES THE ENTIRE CONTRACT WTH RESPECT TO THE SALE AND PURCHASE OF THE MERCHANDISE SPECIFIED HEREIN. No modification of this sale shall be effected by the acceptance or acknowledgement of purchase order forms specifying different conditions, and no modifications shall be effective unless in writing signed by the party claimed to be bound thereby. STATE OF JURISDICTION This-sale,shall'be deemed_to have been made in,'and shall be construed in accordance with the laws of the State shown in the Seller''s address. DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Title to the materials shall pass from the Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, breakages or for any nonconformance,with the terms and conditions of the order shall be noted on the Seller's delivery receipt by the Buyer at the-tifne of"delivery,otherwise, the Seller shall not be-responsible for any such claims. If delivery is by common carrier, delivery by the Seller,to'the carrief at poinf of origin shall constitute delivery to-the Buyer and thereafter the shipment shall be at Buyer's risk„and claims for loss or damage must be filed by the Buyer against the carrier. Title to goods loaded onto Buyer's conveyance at Seller's warehouse passes to the buyer-at the Seller's-loading dock. If upon delivery at job site, there is not present at the job site an employee of the Buyer authorized to accept delivery and sign a delivery document evidencing delivery of materials as listed on this invoice document, then the Seller reserves the right to deposit the material at the delivery area previously designated by the Buyer without obtaining a signed receipt therefore, and the Buyer agrees to liability for payment of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the Seller not to deposit material' at the designated delivery area without obtaining a signed delivery receipt from an authorized employee of the Buyer. FINANCE All"bills=are payable on the 15th of the-month following billing date and are past due after 30 days. Past due accounts are subject to a FINANCE CHARGE of 1 1/4% PER MONTH on the past due unpaid balance (which is an ANNUAL PERCENTAGE of 15%). r, ,: MATERIALS SAFETY DATA SHEETS (MSDS) The occupational,'safety and Health Administration'Hazard Communication Standard, the Superfund Amendments and Reauthorization.Act of 1986 and,many,-state right-to-know"'laws require that a material safety data sheet (MSDS) be provided with products containing hazardous chemicals. As a manufacturer, importer or distributor, you are required by law to ascertain which of your products require an accompanying.MSDS and provide such. As a condition of this sale, you expressly warrant that you will comply with the provisions of the-foregoing right-to-know-laws. HAZARD COMMUNICATION LABEL Alkaline Copper Quaternary (ACQ) Pressure Treated Wood Hazard warnings for treated wood.are similar to those for untreated wood, • Airborne wood dust can cause respiratory, eye, and skin irritation. �' • Breathing excessive amounts of treated-.or untreated wood dust (primarily hardwood) has been associated with nasal cancer in some industries. cc Handling may cause splinters. • Hi.gh'airborne,l'evels of wood dust-may burn rapidly in the air when exposed to an ignition source. ,'Some forms of-components of the liquid preservative used to manufacture this product (arsenic and chmrriium) have caused lung, skin, and possibly other-cancers in humans occupationally or environmentally overexposed. SUCH EXPOSURES HAVE NOT OCCURRED WITH TREATED WOOD. NOTE; Consult the Material Safety Data Sheet for additional information on this product. .` This Information.is'designed to address the label requirements of the OSHA Hazard Communication Standard with respect to treated lumber: DELIVERY All deliveries are priced and understood to be on a first floor/tailboard delivery basis. t ti AW1 AWA AM ®11®11®11 Page # 1 RING'S END, Since 1902 Bethel, CT Branford, CT Darien, CT - 'Lewisboro, NY (203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 308 South Frontage Road (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 -New London CT 06320 T: 860-439-0155 = New London,,CT New Milford, CT Niantic, CT Wilton, CT - (860) 439-0155 (860) 355-5566 (860) 739-5441 (203).761-1000 F.: 860--439-1369 (866) 439-0155 (888) 350-8966 (800) 303-6526 - (866) 842-7883 .T N TRANS 'C 10 :;:: A ..:.: TYPE: .... :, ....... STORE i Charge Invoice ***VISIT OUR NEW WEBSITE - WWW.RINGSEND.COM *** New London, CT BILL TO:: : :,::..... ,.. . .. ; ;..,, ..� _ . ._ SHIP TO:"='' . FISHERS ISLAND-FERRY DIS P.O. BOX 607 FISHERS ISLAND NY 06390 860-442-0165 CUSTOMER _ ANSAC _,ON:�'':::'..::=":";-.. CUSTOMER•:,:.;.: :• :.'::.'; •:::.; " ` '..: :?:. '�::.:::.::::::. .: CODE "=BATE^: NUMBER:'.,: T1ML' PURCHASE ORDER NUMBER:' SALESPERSON EFISHIS 01/18/•2023 627739 13 :11 RACE POINT 497 Gregpry GregoryPerrone-Gilb .O=RIGINAL . . , APPLY TO-,. ORDER•DATE:.; 'ARDIQTE:NO: _ - TERMS . : T.Ax-JURISDICTION 0 1 1 627739- 1 21 15th, Net 25 Days 6.350 CT SALES,TAX ITEM. ORDEk QT.Y: °.SHIP_;QT.Y; LOC::: DESCRIPTION. :::: '''':: `:° ':_;+ PRICING:UNIT::{:BRICING,PER:UOM'.:: :."''`: `NET AMOUNT _ . -. .. P234BO4 1 1 SIS DTM ALKYD L/L ULTRA BASE QT 1.000 31.120/EACH 31:12 BK-3X SHELLAQ 1 1 SHELLAC AMBER-#3 QUART 1.000 31.990/EACH 31. 99 ARIO836 ''l 1 411• FOAM MINI• ROLLER 1OPK 1.000 16:190/EACH 16.19 PCQ PAINT CARE ,FEE - <=.QUART 0.70 . . RECEIVED INtGOOD: GONDITI.ON;:BY:: SEE REVERSE SIDE FOR TERMS AND CONDITIONS R.J.- BURNS • •- MISC.'.!- <„ --,; ',;;.� ;''•'SALES';:: .REMAINING". -_INVOICE, ;NET AMT:. CHARGE DISCOUNT '.: :TAX' DEPOSIT``, TOTAL' X 79.30- 0.70 0.00 5.08• 85.08 , CUSTOMER COPY The following terms and conditions govern the sales of The Seller, whether pursuant to oral or written orders to its representatives or salespeople. RETURNED GOODS Stock items, in original units or full packages, will be accepted for credit or exchange when returned in good condition. Within 30 days of purchase, AND ACCOMPANIED BY ORIGINAL SALES TICKET. A restocking charge will be assessed by the-Seller on all returned goods. No special orders will be accepted for return or credit. TAXES Buyer shall pay to Seller the amount of any and all taxes, excises or other charges which Seller may be required to pay or to collect for any government, national, state or local, upon, or measured by the production, sale transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Delay in delivery or non-delivery in whole or in part.by Seller shall not-be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contingencies, the non-occurrence of which is a basic assumption on which the agreement is made: (a) Fires, Floods, or other casualties; (b) Wars, Riots, Civil Commotion, Embargoes, governmental regulations or martial law; (c) Seller's inability to obtain' necessary materials (finished or otherwise) from its usual sources of Supply; (d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other labor troubles affecting production or shipment, whether involving employees of Seller or employees of others and regardless of responsibility or fault on the part of the employer; and (f) Other contingencies of manufacture or shipment, whether or not of a class or kind mentioned herein and not reasonably within Seller's control. WARRANTY Seller agrees that any merchandise delivered hereunder found to be defective in material or.workmanship will be repaired or replaced by the Seller without additional charge for the merchandise. This warranty is made in lieu of any other warranties or conditions including merchantability or fitness for a particular purpose. The remedies under this warranty are exclusive and by accepting this merchandise the Buyer agrees to these conditions and waives any other warranties conditions expressed or implied. All claims for damaged or defective material must be made within 5 days and we are limited to the purchase price of the materials sold or the replacement thereof at our option. We are not responsible for extra costs, indirect damages or consequential damages. Buyer assumes all risk and liability with respect to results obtained.by the use of such merchandise whether used alone or in a combination with other products. No claims of any kind whatsoever, whether based on breach of warranty, the alleged negligence of seller, or otherwise, with respect to merchandise delivered or for failure to deliver any merchandise shall be greater in amount than the purchase price hereunder of the merchandise in respect of which damages are claimed; and failure of buyer to give written notice claim within 30 days after delivery of merchandise shall constitute a waiver of buyer of all claims with respect to such merchandise. TERMS AND CONDITIONS TO GOVERN THIS INVOICE CONSTITUTES"THE ENTIRE CONTRACT WTH RESPECT TO THE SALE AND PURCHASE OF THE MERCHANDISE SPECIFIED HEREIN. No modification of this sale shall be effected-by the acceptance or acknowledgement of purchase order forms specifying different conditions, and no modifications shall be effective unless in writing signed by the party claimed to be bound thereby. STATE OF JURISDICTION This sale shall-be'deemed_to have,been,made in, and shall.be construed in accordance with the laws of the State shown in the.Seller's address. -DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Title to the materials shall pass from the Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, breakages or for any nonconformance with the terms and conditions of the order shall be noted on the Seller's delivery receipt by the Buyer at the time.df delivery, otherwise, the Seller shall not be responsible for any such claims. If delivery is"by common carrier, delivery by the Seller to the carrier at point of origin shall constitute delivery to the Buyer and thereafter the shipment shall be at Buyer's risk; and claims for loss or damage•must be filed by the Buyer against the carrier. Title to goods'loaded onto Buyer's conveyance at Seller's warehouse passes to the buyer at the Seller's loading dock. If upon delivery at job site, there is not present at the job site an employee of the Buyer authorized to accept delivery and ,sign a delivery documentevidencing delivery of materials as listed on this invoice document, then the Seller reserves the right to deposit the material at the delivery area previously designated by the Buyer without obtaining a signed receipt therefore, and the Buyer agrees to liability for payment of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the Seller not to deposit material at the designated delivery area without obtaining a signed delivery receipt from an authorized employee of the Buyer. FINANCE All bills ares payable on the 15th of the month following billing date and are past due after 30 days. Past due accounts are subject to a FINANCE CHARGE of 1 1/4% PER MONTH on the past due unpaid balance (which is an ANNUAL PERCENTAGE of 15%). MATERIALS SAFETY DATA SHEETS (MSDS) The occupational safety and Health Administration Hazard Communication Standard, the Supe rfund Amendments and Reauthorization Act of 1986 and many state right-to-know laws require that a material safety data sheet (MSDS) be provided with products containing hazardous chemicals. As a manufacturer, importer or distributor, you are required-by law to ascertain which of your products require an accompanying MSDS and provide such. As a condition of this sale, you expressly warrant that you will comply with the provisions of the foregoing right-to-know-laws. HAZARD COMMUNICATION LABEL Alkaline Copper Quaternary (ACQ) Pressure Treated Wood Hazard warnings for treated wood are similar to those for untreated wood. • Airborne wood dust can cause respiratory, eye, and skin irritation. • Breathing excessive amounts of treated or untreated wood dust (primarily hardwood) has been associated with nasal cancer in some industries. Handling may cause splinters. " Ce High airborne levels of wood dust may burn rapidly in the air when exposed to an ignition source. •' Some forms of components of the liquid preservative used to manufacture this product(arsenic acid chromium) have caused lung, skin,,and :'possibly other cancers in-humans occupationally or environmentally overexposed. - SUCH EXPOSURES HAVE NOT OCCURRED WITH TREATED WOOD. NOTE: Consult the Material Safety Data Sheet for additional information on this product. This Information is designed to address the label requirements of the OSHA Hazard Communication Standard with respect to treated lumber. DELIVERY All deliveries are priced and understood to be on a first floor/tailboard delivery basis. Y •i :4 3 I'."• „i.W,°.° a - t •'. he ' 1 I FISHERS ISLAND FERRY DISTRICT VENDOR 018571 DEANNA L ROSS 01/31/2023 CHECK 8701 I A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT • 1 I - i SM .5710.4.000.000 28 SVCS TO BOC-29 HOURS 725.00 I 1 I I TOTAL 725.00 I I ---- ------------------- ' I I I , I 1 I r I 'y :.. `,h ir. eg .7 n:yw.-;-.`•:•av `>}nb "is 1•^: 1 1 .:; a ,;X.'3xs .:3:.. ,...d ^u .,?a'a. r 1•t '}.':. I A' oc;,;< v.. $.c..i;2;t•fi:. '::i:<!:y"rKi;. ,..a, :-"::.. :¢.fC •t; `_ `:':'n.,-'s,,',r„'s5 •'rN?•,:''c'> •%?a,'>"».:irr',s,” 1 -•t'afi" ' :' ,,':jy+:,ai`1 .:, •b.\ ,ti .::"U.`'7 ;;%;?, y„,C. y 5:';A:; 'oS,`^°` .:R•,,; .•4+- d:':, a; ^ ,; .•a .' ^ .:,..: a•sr: „ •v -.x, : . •.:,° .. 'z ,^,•. .+;:3'ti, . •.av,'i';:nn, .ya. i tisv-:..•,..., :a^.k<s•• ta .'.zt ;aQ w.".•'^r'' i'.'K.:' r. r'r' '3»,..f.'-- . i ' 1 x ,, y^J d• c amu,. sC` 'c•,,rt,. ...: y rr..F"'+•, t...n'-• •`. ,,, T-:+"".+.:z•ws I ;:i ^r t ys I ` u I I i I I' ,=t I Ft FISHERS ISLAND FERRYDISTRICT 01/31/23 AUDIT .. . 53095 MAIN'ROAD,PO-BOX 1179' ar ;... SOUTHOLD,NY 11971-0959 CHECK •N0. 87.01 CUTCHOGUE,NY 11935 NATIONAL BANK'- DATE. AMOUNT r ` 50--5461214.. 01'/2023::: $725.00 _ SEVEN;-'HUNDRED TWENTY FIVE.AND 00/100 DOLLARS: V. AY. DEANNA L ROSS'. }, To7HE 1400,;MANSION. HOUSE: DR.r#341 RDER PO BOX 341 ` OF - FISHERS ISLAND NY. 06390 t.E ; 11000a701,115 1:0 2 L40 546411: 68 00 150 2 Iii- Vendor No. Check o.. Town of Southold, New York - Payment Voucher 18571 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 341 Fishers Island, NY 06390 Audit ate DEANNA L. ROSS JAN 11:2023 ' Vendor Telephone Number FY 2022 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 28 12/15/2022 $725.00 $725.00 Board of Commissioners Secretary Services SM5710.4.000.000 29 hours @$25 $725.00 $725.00 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. r discrepancies noted,and payment is approved. - Signature Title Signature 6G IL Company Name Fi and Ferry District Date 1/18/2023 Title Date e DEANNA ROSS INVOICE BOX 341 FISHERS ISLAND, NY 06390 �aJ V� INVOICE#28 DATE:12/15/22 TO: FOR: FISHERS ISLAND FERRY DISTRICT FIFD SECRETARY SERVICES 261 TRUMBULL DRIVE FISHERS ISLAND, NY 06390 DESCRIPTION HOURS RATE AMOUNT REVIEW BOARD PACK Et BOC MEETING 7/11/22 2.0 _ 25.00 50.00 7/11/22 RESOLUTIONS 8t MINUTES 2.5 25.00 62.50 REVIEW BOARD PACK Et BOC MEETING 7/25/22 1.5 '25.00 37.50 7/25/22 RESOLUTIONS Et MINUTES 2.0 25.00 50.00 REVIEW BOARD PACK It BOC MEETING 8/30/22 1.5 25.00 37.50 8/30/22 RESOLUTIONS Et MINUTES 2.0 25.00 50.00 REVIEW BOARD PACK Et BOC MEETING 9/12/22 1.0 25.00 25.00 9/12122 RESOLUTIONS Et MINUTES 0.5 25.00 12.50 REVIEW BOARD PACK Et BOC MEETING 9/26/22 1.0 25.00 25.00 9/26/22 RESOLUTIONS Et MINUTES 1.5 25.00 37.50 REVIEW BOARD PACK Et MINUTES 10/11/22 1.5 25.00 37.50 10/11/22 RESOLUTIONS Et MINUTES 2.5 25.00 62.50 REVIEW BOARD PACK Et BOC MEETING 10/24/22 1.0 25.00 25.00 3/21./22 RESOLUTIONS Et MINUTES 1.5 25.00 37.50 REVIEW BOARD PACK Ft BOC MEETING 11/7/22 1.0 25.00 25.00 11/7/22 RESOLUTIONS Et MINUTES 1.5 25.00 37.50 SPECIAL BOC MEETING, RESOLUTIONS Et MINUTES 4/19/22 0.5 25.00 12.50 REVIEW BOARD PACK Et BOC MEETING 11/21/22 1.0 25.00 25.00 11/21/22 RESOLUTIONS Et MINUTES 1.0 25.00 25.00 REVIEW BOARD PACK Et BOC MEETING 12/5/22 1.0 25.00 25.00 12/5/22 RESOLUTIONS Et MINUTES 1.0 25.00 25.00 725.00 ------------ Make all checks payable to DEANNA ROSS THANK YOU FOR YOUR BUSINESS! M . FISHERS ISLAND FERRY DISTRICT VENDOR 012315 SHELTERPOINT,LIFE IN8.CO. 01/31/2023 CHECK 8702 ; A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 415150223 LIFE INS PREM (22) -2/23 62.70 I TOTAL 62.70 I W. i I I I 1 t I fi {.,!{>::r^,•.F;:l.j;y;.z r yrcyvr 'v Y1 !/F":):=•'. /.•'F-2- ::•.?`n.r« :vNn^^r:.{}i:•.r.r;TwT•-0!'/1Ji'` : :{e`. :;i':{?i:'"•_.,'t.{v°tie i',{.} -•'n,,' riY: : I. ..f.-t-r r.: .:5,-r>-rt•.:;sr..r; '?fi-r;..,, n>:fi::'<' }:,.rry:.; :.r,.T.: .;a•; .., :t sJ::;i,.. ,... - I 'v.,v„N-;:>R•}r:x.:• n,{,;.•xf,•.t:v?`,,, ; g5..: -;.-r,l?:.,-l..•r. ._,. q::f-..a : f2::.+/.a• `r:."``l,•r.-' `'%;=t=>•:i.± ,.f t:v`;4-.::.a;,P•a+-- I - .K i".;:,,, ,. a , ,,w,:• . ..,> ++ i `:u ?udF.•;•„•;•,.x?=` 3:,,. , ;''•:, a,:' ,isa ,.r}„x"•. ,a.«x,.ne 1;?' -.>t `.;; ... >::X'`: " • ...- ,r„ t...,.rt ter'. a,'. `_'.'i,.^'a' n»4...:.; ••n,, "N,.. :° `;..:.'x,., t,.., y._.., • •.•: I i I 0 1 ; I - I i - M,• I --gym-- . ... ' z a . c .F.,, ca a u ' :y o •{i o..;r• z o” o • ,. ® ,;,.,.;t y. i ;,>i<' . i FISHERS ISLAND FERRY DISTRICT "01/31 j Z 3 AUDIT 53096 . SOUTHO D,NY.1197 -059117 PO BOX 9 ' THE SUFFOLK CO.NATIONAL BANK ' CHECK NO.. ` 8702 Iy, , CUTCHOGUE,NY 11935 SATE AMOUNT 50'=546i214 01"/3"1/202`3"" $62.TO. °'SIXTY. TWO, AND 70/100 DOLLARS i a AY SHELTERPOINT .LIFE INS..CO. 6777E.:. 1.225 FRANKLIN AVE;;SUITE 475 ' RDER: OF GARDEN, CITY'NY 1153 0.: 11'008 70 2115 1:0 2 140 54641: 68 00 L 50 2 111' r Vendor No. Check No: Town of Southold, New York - Payment Voucher 12315 • Baa Vendor Address Entered by 600 Northern Blvd Suite 310 ;.. Great Neck, NY 11021 Audit Date_ ShelterPoint Life Insurance Company ., ,AN 3`•1 2021 Vendor Telephone Number 800-365-4999 FY 2023 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 41515 1/4/2023 $62.70 $62.70 Feb 2023 Life,ADBD Ins Premiums (22) SM9060.8.000.000 oaa5 $62.701 1 $62.70 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature 0A Title Signature '7 Q). Company Name ' d Ferry District Date 1/18/2023 1 Title Manager Date V ~ f g• �I o Shelter Point Life Insurance Co. Monthly Billing for 2/1/2023 MPBR0003 Oper No:10 Run:01/04/2023 03:25 PM Page:62 Premium: 41515 FINAL FISHERS ISLAND FERRY DISTRICT(Grp:41515/Loc:10) PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 Location Totals Total Due Term Eligs: Medical: 0 Dental: 0 Vision: 0 Drug: 0 Misc: 0 Life: 1 LTD: 0 STD: 0 Insureds Billed: 22 Balance Forward: $68.40 New: 0 Payments: - $0.00 Termed: 1 Adjustments: + $0.00 Make Check Payable To: Shelter Point Life Insurance Co. Beginning Balance: $68.40 1225 Franklin Avenue,Ste.475 Garden City,NY 11530 Current Amount Due: + $62.70 Current Adjustments: + $0.00 Total Amount Due: $131.10 This is a premium invoice for the above mentioned policy. Please remit payment by the 25th of this month to avoid a lapse in coverage. It is very important that you remit your premium as shown on this billing statement. Any enrollment/roster changes should be reported to us under separate cover,and will be credited accordingly on the next months' billing statement. Delinquent payments and outstanding balances may result in the suspension of claim payments to your employees. If you have any questions regarding this invoice or your insurance coverage,please call our customer service department at 1-800-365-4999 or email us at customerservice@shelterpoint.com. Please return this entire form with your payment in the envelope provided. FISHERS ISLAND FERRYDISTRICT VENDOR 019719 STAPLES CREDIT PLAN 01/31/2023, CHECK 8703 A FUND & ACCOUNT P.O.# INVOICE , DESCRIPTION AMOUNT SM .5711.4.000.000 38313 ASSTD OFFICE SUPPLIES 101.82 i TOTAL 101.82 i I ! i Aye I, 'A1- s .._______________________. _________.__.._-__.._______________} __________________.__________________ + }.•iv .... ._ .._.._,.. ,... ,..,+•li. r•- y M .,,,,t; .{, "•4:: -moi'rpt. 't' :.,R.,. `•':ice :;:u°r:i :'t4: ,:;i:{''ti5r'e,:'`,: .: r ..,.s...} .:^c,.; .+.:r.. 't•. .:", Yn ' ,•' i`" .:::.'•J..;,r,..y.{:4 :i' + :{;;:i.::. :: :4:n..v-:i`'.{•`...-,•.r°. '-::v.Y}.....:.::}•.:.. r.d '.:pr° .., :::..Ss .... .... r+:'•+.•."ovt{'-' } 4 Y4•s..:...;.. A js•4.:<hM'y 7j: '•b.•.at"A. ;ps S:z' ! .•' tr=`-t..w:=w- hy .< _r}'iro ''^ "fr ° `.._ s1: k"' kyr• ..bP I 1 i I 1 ! ° I I I I I I I ! I I a 1 I ' 1 Y i I -mss- .. - __. _ .___ fz'4• 9- 9 a[y .,•L'- a p• "c3 .A.s.Cfi'i" M1 t ;, ax .:FISHERS ISLAND FERRY DIS_ TWCT ol/31/23 AUDIT.53095 MAIN SOUTHO D,NY 1 ROAD,7.1.-09591:779 ' 703 i qs' CHECK'.. THE SUFFOLK CO.-NATIONAL BANK „e. CUTCHOGUE,NY 11935 DATE AMOUNT 50-54012 14 : 01:%31/2023` $'101.82 ONE''HUNDREDONE AND '82/100`DOLLARS' AY- STAPLES CREDIT PLAN T6 Am . DEPT.51;-- 782`06,57.673' ORDER' PO `.BOX 78004-.` .. OF: ! PHOENIX AZ -85062-8004 — no. 00870Do 11:021405464i: 68 OOL502 Lill Vendor No. Check,No. Town of Southold, New York - Payment Vouche 19719 ? 3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept 51-7820657673 PO Box 78004 Audit ate STAPLES CREDIT PLAN Phoenix,AZ 85062-8004 JAN '3, 202Y. Vendor Telephone Number 800-767-1291 FY 2022 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number' 38313 12/28/2022 $101.82 $101.82 Office supplies SM5711.4.000.000 $101.82 $101.82 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. 0Signature Title Signature Lv- C.mpanylslam , e and Ferry Date 1/20/2023 Title Mangier Date 4 L ti 7 ? r L'' Remit payment and make checks payable to: ^�, S 7626657673 CREDIT N DEPT.5INVOICE DETAIL �U PO BOX 70612 PHILADELPHIA,PA 19176-0612 BILLTO:. SHIPTO: Acct:-6035 5178,2065 7673 FISHER ISLAND FERRY DIST r'Amount Due:', 'TranS;Date:•-'._ „ ` ; :` "' 9fi� ( s ru Card: 6035 5178:2065 7673 PO BOX 607 38313 FISHERS ISLAND,NY 06390-0607 $101.82 12/28/22' PO: Store:•100001872,292'US Route 1,NEW LONDON,CT PRODUCT : SKU#- QUANTITY UNIT.PRICE TOTAL PRICE, ' BROTHER LC71.BLACK 324013. 1.0000 EA. $19.99. $19.99 POSTIT'21N TABS PRIME 30C 1638829 1.0000 EA. $6.79 $6.79 P-TOUCH TAPE 1/21N BLK/WH 917860 1.0000 EA $25.99 STAPLES 5TB INST DIVD CLR 431422 1.0000 EA `$7.99 _ $7.99 STAPLES 5TB INST DIVD CLR 431422 1:0000 EA _ $7.99 $7.99 RY23 AAG PLNMO WC 15X22 M 24514495 1.0000.EA 26.99 _ $26.99 . SUBTOTAL $95.74 TAX $6.08.,- TOTAL $101.82 Ir .W o LtJ ■k Staples Business.accountonIIne.com Page 5 of 6 1-800-767-1291.(TTY:711) This page intentionally left blank. v y Staples Business.accountonline.com Page 6 of 6 1-800-767-1291 (TTY:711) Account Statement rr . Customer Seevice: Commercial Account FISHER ISLAND FERRY DIST StaplesBuslness acmountonlinecom - �� ® Account Inquiries: _ 1.800.767-1291 (1 TY•711) Fax i-801779-7425 AccourrtNum6er: 6035 51:78`2065' Gu�ffo i C b.t.. 6141 dnforrat le171 ' iP _Previous'Balance $0.00 Current Due $25.00. : . Pa ments 40.00 ': Past Due Amount + $0.00- Credits -$0:00 Minimum Payment Due $25.00 Purchases +$101.82.: -- - - - -- -Y- --. 'Debits w +$0.00 Payment Due Date ' '02703/23'. FINANCE CHARGES +$0.00 Credit`,L'ine $10,500 Late Fees +$0.00 -New Balance-, ' ,$101,82' Credit Available $10,398 Closing Data 01/09/23 �'SP9 end.Notice of Billing Errors and Customer Service Inquiries to: NeXtCIOSIr1 Date 02/06/23 TAPLES CREDIT PLAN. gO.Box-790449;St.'Louls;Mo`63179-o44s Days in Billing Period 31 YOU MAY REQUEST.TO RECEIVE WRITTEN COMMUNICATIONS IN BRAILLE OR LARGE-PRINT'FORMAT BY. CALLING THE TOLL FREE OR TTY NUMBER LISTED AT THE TOP OF THIS,STATEMENT. Important Changes:.Our Privacy Notice.has,changed and can be found atwww:citi.com/privacy.• Please note that if we,received your pay-by phone or online payment between 5 p'.m..ET and midnight ET on the last day of your billing period,your ' payment will not be reflected until your next statement: Your New Overnight Delivery/Express Mail Payment Address is: C3 3137 East Elwood Street Suite 130 Phoenix AZ 85034 Rurniridor C-1ayrnonts con br,t~r ado by mail,ohllho 4r by e alilnr,j Not%I0•stQQ,G1 p,.1V1 (n is tIro im wore ated, `� ;�kif�f-tC:t'dCf�f.3• , Trans Date -Location/Description _ PO_# Order# Amount _ CARD ENDING 7673 FISHER ISLAND FERRY DIST _ _ :12/28' OFFICE SUPPLIES NEW LONDON CT _ $ 101.82_ TOTAL CARD,ENDING 7673 $ 101.82 �'kf6�.�driRG f`i_a an E+s �d�bli/lip� _ Your Annual Percentage Rate(APR)Is the annual Interest rate on your account. Annual Percentage ::Dally Periodic'- Balance Subject to Type of Balance Rafe(AeR)' Rate' '>-' Finance ChaFge '` Flnance`CFiarge ` PURCHASES REGULAR REVOLVING CREDIT PLAN 0.006% 0:00000%. $0.00 0.00 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION 'Page 1 of'6 This Account Is•Issued by Citibank,N.A. 40 Please detach and return lowerportlon with Yourpayment to ensureproper credit_ Retaln neper portion for your records_ y Your Account Number Is 6035 51782065 7673 Payment Due;Date February 3,•202$ New Balance $101.82 Po BOX 79043e Past Due Amount. , $0:00 ST.LOUIS,MO 63179 Minimum Payment Due $26.00 Statement Enclosed Amount Enclosed: _ Print address-change's on the reverse side. 00005697.1. G3101159 DTF 00005697 Make Checks Payable.to w- nllrllillli�l��llll'IIII'Illlllllnillilnllllllllll'IIIIII'41'I STAPLES-.CREDIT PLAN DEPT.51 -'7820657673. .+ FISHER ISLAND FERRY DIST PO BOX 70612 Cq -ACCOUNTS PAYABLE PHILADELPHIA;PA 19176-0612 - �N POi.BOX607 IIIIIILiI'Illilllllll'll"IIIi1'II�III�I�I'il�ll'illil.'i�nlu'il. o a FISHERS ISLAND,-NY 06390-0607 . 04400 .000250.0 0010182 0011991. 06035,517820657673 '040:0 Information About Your Account. sent to the correct address.The correct address for regular mail is the Grace Period on Purchases.You can avoid periodic finance charges on address listed on the front of the payment coupon.The correct address purchases but not on cash advances(if available on your account).This is for courier or express mail is the Express Mail Address shown in the ' called a grace period on purchases.The grace period is at least 20 days. Express Mail section. To get a grace period on purchases,you must pay the New Balance by Proper Form.For a payment sent by mail or courier to be in proper form, the payment due date every billing period.If you do not,you will not get a you must: grace period until you pay the New Balance for two billing periods in a row_. Enclose a valid check or money order.No cash,gift cards,or foreign If you have a balance subject to a No Interest promotion or a 0% currency please. promotion and that promotion does not expire before the payment due Include your name and the last four digits of your account number. date,that balance(an"excluded balance")is excluded from the amount. Copy Fee.We charge$5 for each copy of a billing statement that dates you must pay in full to get a grace period on a purchase balance other back 3 months or more.We add the fee to the regular revolve credit plan than an excluded balance.In addition,if you have a major purchase balance.We waive the fee if your request for the copy relates to a billing plan rbalance,that balance(an"excluded balance")is excluded from error or disputed purchase. the amount you must pay in full to get a grace period on a purchase balance other than an excluded balance.However,you must still pay any Payment Other Than By Mail. separately required payment on the excluded balance.In billing periods Online.Go to the URL on Page 1 of your statement to make a payment. in which payments are allocated to No Interest balances first,the No. For security reasons,you may not be able to pay your entire New Interest balance will be reduced before any other balance on the account. Balance the first time you make a payment online.The payment cutoff However,you will continue to get a grace period on purchases,other time for Online Bill Payments is midnight Eastern time.This means that than an excluded balance,so long as you pay the New Balance(less any we will credit your account as of the calendar day,based on Eastern excluded balance,plus any separately required payment on an excluded time,that we receive your payment request. . balance)in full by the payment due date each billing period.. Phone.Call the phone number on Page 1 of your statement to make a ! In addition,certain promotional offers may take away the grace period on payment.We may process your payment electronically after we verify purchases.Other promotional offers not described above may also allow your identity.There is no fee for this service.The payment cutoff time you to have a grace period on purchases without having to pay all or a for Phone'Payments is midnight Eastern time.This means that we will portion of the promotional balance by the payment due date.If either is credit your account as of the calendar clay,based on Eastern time,that the case,the promotional offer will describe what happens. we receive your payment request. Balance Subject to Finance Charge.We calculate periodic finance Express Mall.Send payment by courier or express mail to: charges separately for each balance.Balances include regular purchases, Attn:Commercial Payment Dept.,1820 E.Sky Harbor Circle South, 3- regular cash advances(if available on your account),and different STE 150,Phoenix,AZ 85034.Payment must be received in proper form _J promotional balances. at the proper address by 5 p.m.Central time to be credited as of that LU To get a daily balance,we start with the balance as of the end of the day.All payments received in proper form at the proper address after previous day.We add any new charges.We then subtract any new credits - that time will li credited k of the next day. u or payments and make other adjustments.A credit balance is treated as u you send et eligible check with this payment coupon,yodo,u authorize a balance of zero.If the rate on a balance is a daily rate we include in the us c complete your payment by electronic debit.If we he the daily balance any periodic finance charge on the previous day's balance. checking account will be debited in the amount on the check.check may (This results in daily compounding of finance charges.) do this as soon as the day we receive the check.Also,the check will be destroyed. If the rate on a balance is a daily rate we use an average daily balance method(including new transactions).We figure the periodic finance Report a Lost or Stolen Card Immediately.You may call Customer Service 24 hours a day,7 days a week. charge by multiplying the daily balance by its daily periodic rate.We do this for each day in the billing period.The Balance Subject to Finance Notify Us In Case of Errors or Questions About Your Bill.If you think Charge is the average of the daily balances during the billing period.If you your bill is wrong,or if you need more information about a transaction on multiply this figure for each balance by its daily periodic rate and by the your bill,write us(on a separate sheet)at the Billing Errors address on this number of days in the billing period,the result is the total periodic finance statement as soon as possible.We must hear from you in writing no later charge on that balance.Rounding may cause a small difference. than 60 days after we send you the first bill on which the error or problem Other Account and Payment Information. appeared.In your letter,give us the following information: I When Your Payment Will Be Credited.If we receive your payment in Your name and account number. proper form at our processing facility by 5 p.m.local time there,it will be The dollar amount of the suspected error. ' credited as of that day.A payment received there in proper form after Describe the error and explain,if you can,why you believe there is an I that time will be credited as of the next day.Allow 5 to 7 days for error.If you need more information,describe the item you are unsure payments by regular mail to reach us.There may be a delay of up to 5 about. i days in crediting a payment we receive that is not in proper form or is not ST OS CRC JUN16 /A/-ST-9194-1550.0002-/B/-N-00-6035517100088887- -/C/- -0--96-/D/-P-B-0-N-/E/-0- - -N-- 0-/F/-04/01/02-249-September 8,2022 -/G/-0- -ST09-M/- -0- -December 29,2022-Al- -- - Page 2 of 6 c Change of Address Please print address changes in blue or black ink. ... ,. t-.-.. -nJi J•1 .. - S r''l c. - -.. FISHERS ISLAND FERRYDISTRICT I ; I VENDOR 019708- STAR COMPUTERS, `LLC 01/31/2023 CHECK 8704 A " FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5710.4.000.500 2022815 IT SERVICES 552.00 SM .5710.4.000.500 230129 IT SERVICES 275.00 ' - I TOTAL 827.00. - ; I tit I I • I .•v::. .. .,. ._ •,key:; I - , {Ci l'4:Z.i:::• fw.r._ .....,..•i:R^....._.......+... . . .^•"•r'i:: -n4:4 ....yx; t.•.°`•.T,`.,Y. vv°> 7 ;..$.;y. ,rn Y • .. #.-.:"7.r" :ya•'r.::?':Z.in YF ?r:Fr'.`3::.,Y..., ..'.{,.. {. ': i::'•" 5 i:,:.vC ...,?t. ..¢`r:;;y;` :?i't:°., o...,; i : :y Y :rri'.rr;. .`i.: . '`::f" 5: •<za •S. .,•v,'}' .rr.'--r' I "K:::: S:c.f :-i w.u.- •' Y ?'r a S.v .'.'`.'..p'x., : .T., `•. y ,wS v ..;`i4:,;'3,,, .";rt ✓ .'' ": :6wc.n ; •;' ""^ `Fn'y><,'?> *X '•`tir :x . x$ ,r33z+,.v': ' a '"G„-`t"rfN I ..,... Year . *s;._r .k`,. . . ..a..»^<.i,i,,.+. r"` ,* le`ri-'a -. .r:.ru^•> sr s• ..d;SF I '" •'P.i I I i I 1 I .. I I I i I I , i _I.___...__-_ ___.. .. ..________________-.______________________-__..__.___-___-_________________.._.._.._.__.._..____.____ ---- --------- 7" ___ ._.____I_7 25 i FISHERS ISLAND FERRY.DISTRICT°: 01/31/23 AUDIT d 153095MAIN.ROAD,PO BOX 1179.' ; SOUTHOLD;NY 11971..-095.9 CHECK NO."" 18704, AL BANK I THE SUFFOLK CO.NATION CUTCHOGUE,NY 11935 DATE >AMOUNTIt ' I 50-'546/214. Oi"/3i/202 3 $'8-27•.00 .: EIGHT;:HUNDkED TW'E'NTY.`SEVEN..AND 00/100".::DOLFiARS " STAR COMPUTERS, ,.LLC . TO THE ." 34.BLACK' POINT "ROAD s< OR-DER OF PO BOX' 618 NIANTIC CT 06357' " V00El 7040 I:,0 2 L40 54641: 68 001502 Lig' „ Check No. Town of Southold, New York - Payment Voucher 19708 74 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Vendor Name P.O. Box 618 Audi ate Star Computers Niantic,CT 06357 J AN 3 ,1 .2023 Vendor Telephone Number FY 2023 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 230129 1/9/2023 $275.00 $275.00 IT services SM5710.4.'000.500 2022815 1/9/2023 $552.00 $552.00 IT services SM5710.4.000.500 $827.00 $827.00 Payee Certification Department Certification nt)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ;in stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions axes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fish erry Date 1/18/2023 Title Manager Date y{ e . C 0 E.R!:',;,, ,T ,ST VOICE oprrtplex tQ0,11110109y,.9fmple Wutfon P.O.Box 618 DATE: INVOICE# Niantic,CT 06357 """"""" 860-691-0044 1/9/2023 i 2300129129 www.starcomputers.com Fishers Island Ferry District P.O. Box 607 261 Trumbull Dr. 6 C Fishers Island,NY 06390 i.{:... P.O.NO. ',KT-.-. -,-- .-�_...�. .._ . _ .,.,.. . .�..... : ....... ...... . �.....,....-......-._._..... ...... . __._., ,.,,.-.,.. .. ... ........._..._..... TERMS ! DUE DATE i TECH I NOTES ! SHIP DATE SHIP VIA j Due on receipt 1/9/2023 i Renew 1/9/2023 QTY DESCRIPTION RATE I AMOUNT I 1 ;Online Backup Service-Service can be installed on Multiple Devices(servers, 275.00 275.00 j desktops,laptops,tablets,etc). Annual Fee. 1/2022-1/2023 j 250GB Combined Space J. A f i i I I i X023 LA I I j � I1 I j I � i j I i I I i I I 7Safe,&Thank You Sales Tax (0.0%) $0.00 In an effort to out down on paper waste,Star Computers is now offering the option ti.._..............__..----..-----.---------------- __-...._--------.---_....,..........� j to have invoices electronically submitted to you via e-mail.If you are interested please include your 'Tota preferred e-mail address with your payment or submit via e-mail to:NBuzzelli@starcomputers.com $275.001 Thanky°°! -._......-._...-....._.__.....................---_.........-.. , W., N��N�� ' �JA R C 6 M P U NN`� q��N�� P.(}. Box 6l0 owns INVOICE# Niuodu, C706357 --�------' ----------�- l/�2O23 / 2022815 �00-h9l-0044 ( vvvvvv.atarcomnpotero.cozu Fishers Island Ferry District P.O. Box 607 26lTrumbull Dr. Fishers Island,NY 06390 P.O.NO. TERMS DUE DATE rso* NOTES SHIP DATE SHIP vm Due on receipt | 1/9/2023 | LLS ! 12/1/2022 | | QTY oEacRIpnom | RATE Amnuwr ~'~^~—~~~~^^' l APC 8murt'QY8 1500 SunerUobntounpmhle Power Supply 552.00 1 552.00 WE F% Thank you for your business! In an effort to cut down oil paper waste,Star Computers is now offering the option to have invoices electronically submitted to you via e-mail.If you are interested please include your preferred e-mail address with your payment or submit via e-mail to:NB uzzell i@starconiputers.coin Total $552.001 Thank you! � | ' ------- '------- ---------------------------------------------- --------------- �----------------------- k�v\ i . FISHERS ISLAND FERRY DISTRICT ` I VENDOR 019836 SUN TURTLE OFFICE FURNITURE 01/31/2023 CHECK 8705 I AI FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I I SM .5710.4.000.625 22-129 FI(1)OFFICE CHAIR 275.001. ! ( I TOTAL 275.00 I i +; L I I t ' I I I • _ ,.{wsti•::er;. ::tY.:"v,v{:ri. .:v':i'-.:.:.,i:.. ` sro{--^i:aw::,•,r.;. .qv;.r;' :.;<w:.;:nv:v:s L:.:ir''i.• i. t e 4 I I i I I- • • I ;,s i <, i I I FISHERS ISLAND FERRY DISTRICT o l 31 2 3 AUD53095 MAIN IT: - SOUTHOLD,NY ROAD, 9710BOX'-0 591.77 /CHEC•K' N 9,. O: ..: 87'05 THE SUFFOLK CO.NATIONAL BANK af'i -,: .•, CUTCHOGUE,NY 71935 SATE AMOUNT : I 01'/3-1/2023';; $275.00 50'546!214:. `.TWO' HUNDRE ::SEVENTY FIVE :AND 00/100 D.OIiLPiRS.. AY. SUN,. TURTLE..OFFICE FURNITURE. i 's= :.. OTIYE l` BAILEY CIRCY,E . ORDER NEW,_LONDON CT OF' 110008 70 511' 4:0 2 L40 546411: 613 001502 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 1$036 t Vendor Tax ID Number or Social Security Number Vendor Address Entered by -- Sun Turtle LLC 1 Bailey Circle Audit ate New London,CT 06320ry y Vendor Telephone Number J, N 2OLe3 ? FY 2023 Town Clerk- Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Gencrdl Ledger Fund and Account Number 1/9/2023 $275.00 $275.00 FI office chair 1) SM5710.4.000.625 $276,001 $275.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature 0L __ Company Name Fishers Island Ferry District Date 1/18/2023 Title - Date ILI 1 Sun Turtle LLC Invoice a�►��dba Sun Turtle Office Furniture Hodges Square Business District Date Invoice# One Bailey Circle 1/9/2023 22-129 New London, CT 06320 Bill To Ship To Fishers Island Ferry District Fishers Island Ferry Distri Attn:Accts Payable 5 Waterfront Park PO Box 607 New London,CT 06320 Fishers Island,NY 06390-0607 P.O. Number Terms Due Date Rep Ship Via F.O.B. Verbal Net 30 2/8/2023 1/6/2023 Destination Item Code Description Quantity Price Each Amount MISC Merchandis. . Office Star Chair 1 275.00 275.00 i Gray Leather Customer Pickup j AIM I t 2023 Tota_1 $275.00 UEI#CFT5NBZXAMM87 - TIN#:06-1562515 Cage Code: 1VU90 DUNS#:05-495-2101 Phone# E-mail 860-442-4775 Sales@SunTurtle.com 0 -FISHERS ISLAND FERRY DISTRICT VENDOR 015921 UHS PREMIUM BILLING-' 01/31/2023 CHECK 8706 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM1.9060.8.000.000 647670146495 MEDICAL PREMIUM-02/23 21,806.20 TOTAL 21,806.20 ------------- ----------------------_ al------- vo. ------------ -------------- -----------------_ --- -------------- = qm f'!M-1 Wlrll MM FISHERS ISLAND FERRYDISTRICT --01/31/13 AUDIT 53095 IVIAIN`RQAD,PO BOX 1179 'No. 870 6' SOUTHOLOo NY 11971-0959 CHECK- THE SUFFOLK CO.-NATIONAL BANK CUTCHOGUE,NY 11935 DATE " 'AMOUNT -/2021" " t2l, ,' 20— 5 Q 546/214- `,TWENTYl,,ONEJ.ItHOUSAND EIGHT HUNDRED 'SIX::AND,:12Q: 100 DOLLARS "r IPAY PHS. PREMIUM BILLING za PO BOX 94 017:.. TALTINE: IL 60694-4017 11'00870611' 1:0 2 Il,0 S L,F3 to: 68 001S02 low Check--No. Town of Southold, New York - Payment Voucher 1:5921. Vendor Tax ID Number or Social Security Number Vendor Address Enteied'by'' '',-_ Vendor Name PO Box 94017 Audit:sate , United Healthcare Palatine,IL 60094-4017 =_: SAN' 3 1 2023 Vendor Telephone Number FY 2023 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' 647670146496 1/6/2023 $21,806.20 $21,806.20 February 2023 Medical Premium SM9060.8.000.000 $21,806.201 1 $21,806.201 1 Payee Certification Department Certification cant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me he foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ;rein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions t taxes from which the Town is exempt are excluded, or discrepancies noted,and payment is approved. SignatureTitle Signature T o '`/ Company Name Fis rry Date 1/18/2023 Title Mana eg r Date Uniteoealthcare °"°`d -Mana a our Account: UHS Premium Billing . g.~y PO BOX 94017 ;�.uhceservlces.coin., _- Palatine,IL 60094-4017 Invoice No: 647670146495 Invoice Date: 01/06/2023 Customer No: 1320205 Bill Group No: 209981 Coverage Period: 02/01/2023-02/28/2023 Due Date: 02/01/2023 DPS$$$PKG FISHERS ISLAND FERRY DISTRICT GORDON MURPHY PO BOX 607 / 1 i l FISHERS ISLAND NY 06390-0607 Account Summary Thank you for your business. Previous Balance $23,706.90 Payments(-) $0.00 About Your Payment Account Adjustments(+/-) $0.00 We offer several payment options to help you manage your account Current Charges(+) $21,806.20 pay Online. Go to uhceservices.com to make a one-time payment or schedule monthly payments directly from your bank account. Total Balance Due $45,513.10 pay By Phone. Call 1-888-201-4216,TTY 711,24 hours a day,7 days a week, to make a payment directly from your bank account Pay By Check. Send a check to the address listed below.Checks returned for lack of funds or checks that can't be cashed for any reason are not considered payment Payment is due in full on or before the due date above.If full payment is not received by the end of your grace period,your coverage may be terminated as stated in your policy requirements.If a premium payment is deposited late,it does not automatically mean we will accept the premium. please detach and.return with your payind"t. Customer Name Customer Number Payment Due Date Invoice# FISHERS ISLAND FERRY DISTRICT 1320205 02/01/2023 64.7670146495 Send payment to: Minimum Amount Due:$45,513.10 UHS Premium Billing PO BOX 94017 Palatine, IL 60094-4017 Amount Enclosed 647675076500100000045513106476701464954 r FISHERS ISLAND FERRY DISTRICT Page 2 of 5 Customer No: 1320205 Invoice No:647670146495 Invoice Date: 01/06/2023 Bill Group:209981 Coverage Period: 02/01/2023-02/28/2023 Due Date: 02/01/2023 Summary Description Employee Total Volume Net Amount Count (000's) 282348-Default Billing Pref CT B FRDM NG 6700/100 PPO HSA 22 Employee&Family 5 $9,924.13 Employee 8 $4,493.18 Employee&Spouse 4 $6,566.01 Employee&One Dependent ---1— Subtotal, _LSubtotal, CT B FRDM NG 6700/100 PPO HSA 22 18 $21,806.20 Subtotal 282348-Default Billing Pref _$21,806.20 282348-Default Billing Pref Adjustments Account Adjustments $0.00 Current Adjustments $0.00 Subtotal,Adjustments $0.00 TOTAL _ 18 $21,806.20 Questions?We're here to help. Toll free 1-888-201-4216 Q uhceservices.coin FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UPS 01%31/2023 CHECK 8707 t' j FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 1 SM .5710.4.000.700 026639013 W/E 01/07'/23 38.34 SM .5710.4.000.700 026639023 W/E 01/13/23 33.00 TOTAL 71.34 i I ' I n I ' I 4 - — I -`----------------- ------------------------- K pw :K •l LtiA jtro -- — - - - - - . .-rt' K:h.w,. iC'' ' d'. £, i'?t +t l« ' 4 vs. t."r i" '. I '•• jj.•r C:,•-• -.n.rvtro-J•r {',c,.`.niX•::Ga'Y.'- ^ei•.t:, . ,.Y, :.:n. :.'•'';Ct, ;j•-fjv;r,^ ,"..na;q•;.^:.t:'•{r; -.jam`,°v: .f ;{ i .v.:-4. Vii.\:•.• :.^.y:.r4: rl ify..)ii4:o :. : : ;ro . ..un..• ter,, t\ ..•. ,My. i :-::;•:ti! ::- : =:h ? :,Tfi> "iv"i%ri :• .n'.'.Y •?i•:;:a?• v+y' .'^s: q' :..,i •'=Yui''5.: „i•'Mz'-?':;.::M14 O:::: :.J'h•.:C'' : rt.` 4..4.ei`:- : . h.. ga• ^.fir.. ..:: `'-n'i,,....,,,,, -a.” '.;c s. ,.s..,•4 ::i:;:p::r:; - .^;;cai%.'S::'.'v.,:"':it'. "`;;:; : ;:`,.,mss: .::r:,` w 7`-ii' -- -`; ter-" b: wt-:"r,r :ut t ., '4%eK.. w "= : .r ', ;:-' .•[' H n. f ' 1 I I` I SS. I i;1a I i., S, I j ae v o 0 9 m s o o a n z I FISHERS ISLAND FERRY.DISTRICT 0.1/31/2.3 AUDIT • i. ,, 53095 MAIN ROAD,P0BOX179.: SOUTHOLD, 'NO.. 87 07 NY1197,1-0959: THE SUFFOLK O^NATINAL BANK CUTN1DATE. AMOUNT i{ - 50 548/214 ; 64 3 ./2023, :,...•w... 34 .`;:. SEVENTY:QNE::'AND 3.4/100 DOLLARS , - UPS` TO.THE. : PO BOX 8:09488: RDER CHICAGO IL 60680=9488 OF'` `r 11'00870 Wo 1:0 2 L40SL, 64l: 68 00 L50 2 Lii' Vendor No. Check No. Town of Southold, New York- Payment Voucher 21506 Vendor Address Entered P.O. Box 809488 Vendor Name UPS Chicago IL 60680-9488 Audi ate...,', ' United Parcel Service Vendor Telephone Number 800-811-1648 FY 2023 Town C1erk Vendor Contact Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services Geheml Udger.Fund and Account Number" 26639013 1/7/2023 $38.34 $38.34 WE 117/23 SM5710.4.000.700 26639023 1/14/2023 $33.00 $33.00 ME 1/13/23 SM5710.4.000.700 $71.34 $71.34 E 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 Nam ishersIsland nyDistrict Date 1/18/2023 Title Manager Date 1/18/2023 • Delivery Service Invoice Invoice Date January 7, 2023 Shipped from: Invoice Number 0000026639013 FISHERS ISLAND FERRY Shipper Number 026639 5 WATERFRONT PARK Control ID M177 TM NEW LONDON,CT 06320 Page 1 of 3 s _ r0 10 ---773Sign up for electronic billing today) --- 0729A000002 "'000 Visit ups.com/billing 93 66010004281 AB 01 002343 29502 H 8 E For questions about your invoice,call: =_ VIII'III��I��IIII1111�11111"'�'�'I"�I�III�II�II�I�II��II�III s-1648 Monday-Friday 3 FISHERS ISLAND FERRY 8:00 a.m.-6:00 p.m.E.T: ACCTS PAYABLE or visit: c PO BOX 607 www.ups.com/billing FISHERS ISLAND, NY 06390.0607 Account Status Summary Thank you for using UPS. Weekly PaXment Plan Summary of Charges Amount Due This Period $36.34 Page Charge Amount Outstanding(prior invoices) $534.31 3 Adjustments&Other Charges $6.00 Total Amount outstanding $572.65 3 Fees $2.34 Please Include the Return Portion of each outstanding Invoice with 3 Service Charges $30.00, your payment.See Account Status for details. Amount due this period =anuary r Have ou seen the new bill a ment latform? UPS payment terms require payment of this Invoice 9, The PS Billing Center,our new Ing portal,can make your 2023 y , p y bill payment experience easier.You can view and organize your UPS account information using your mobile device or desktop. Payments received late are subject to a late payment fee of 8%of You can also pay your bill on the go. Sign up today or pay your the Amount Due This Period.(see Tariff/Terms and Conditions of bill at www.ups.com/guestpay/us. Service at ups.com for details) Updated Demand Surcharge information is now available for 'r review, including Demand Surcharge rates for certain domestic Note:This Invoice may contain a fuel surcharge as described at and international shipments effective January 15, 2023.Visit ups.com.For more information,please visit ups.com. : ups.com/rateupdates for more Information. Delivery Service Invoice Invoice Date January 7, 2023 q . U Invoice Number 0000026639013 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 0000026639472 11/19/2022 $92.88 0000026639492 12/03/2022 $41.58 0000026639502 12/10/2022 $39.00 0000026639512 12/17/2022 $51.02 0000026639522 12/24/2022 $274.34 0000026639532 12/31/2022 $35.49 Total $534.31 Outstanding balances reflect any payments received as of 01/06/2023.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date January 7, 2023 ' Invoice Number 0000026639013 Shipper Number 026639 Page 3 of 3 Adjustments & Other Charges Packages Delivered but not Previously Billed Delivery Billed Date Tracking Number Service Zone Weight Charge 12/28 120266390340017259 Missing PLD Fee 3.00 Total 3.00 Receiver: Sender :FISHERS ISLAND FERRY 805 SPYGLASS 5 WATERFRONT PARK VERO BEACH FL 32963 NEW,LONDON CT 06320 Total Packages Delivered but not Previously Billed 1 Package(s) 3.00 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 06-JAN-2023 Total Miscellaneous 3.00 Total Adjustments&Other Charges 6.00 Fees Week Ending Unpaid Billed Date Balance Rate Charge 12/10 Late Payment Fee 39.00 6.00% 2.34 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 2.34 ae: Service Charges y,'• Week Ending Billed Date Explanation Charge 01/07 Weekly Service Charge 30.00 Total Service Charges 30.00 - ------------------------------- --------------------------------------------------------------------------------------- ---------------------------------------------------------- 002343 002343 2/2 R Delivery Service Invoice Invoice Date January 14, 2023 Shipped from: Invoice Number 0000026639023 FISHERS ISLAND FERRY Shipper Number 026639 5 WATERFRONT PARK Control ID H596 NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing todayl 0729A00000266393 77366020004590 Visit ups.com/billing AB 01 002877 39845 H 10 B For questions about.your Invoice,call: li i II I ISI ISI i I iii I Illi I I II lul II of (800)811-1648 I n 1111 III I I n 111111 I l l i t i t l 1 Monday-Friday FISHERS ISLAND FERRY s:oo a.m.-6:00 p.m.E.T. ®. ACCTS PAYABLE or visit: PO BOX 607 www.ups.com/billing FISHERS ISLAND, NY 06390.0607 Thank you for using UPS. Account Status Summary Summary of Charges Weekly Payment Plan g Amount Due This Period $33.00 Page Charge Amount Outstanding(prior Invoices) $441.05 3 Adjustments&Other Charges $3.00 Total Amount Outstanding $474.05 3 Service Charges $30.00 Please Include the Return Portion of each outstanding invoice with Amount due this period 33.0 your payment.See Account Status for details. UPS payment terms require payment of this invoi e b ebru 5, Have vou seen the new bill paymentplatform? 2023. The UPSB ng Center,our new billing portal,can make your bill payment experience easier.You can view and organize your Payments received late are subject to a late payment fee of 8%of UPS account information using your mobile device or desktop. the Amount Due This Period.(see Tariff/Terms and Conditions of You can also pay your bill on the go. Sign up today or pay your Service at ups.com for details) bill at www.ups.com/guestpay/us. �1' Note:This Invoice may contain a fuel surcharge as described at Updated Demand Surcharge information is now available for ups.com.For more information,please visit ps.com. review, including Demand Surcharge rates for certain domestic • .. and international shipments effective January 15, 2023.Visit ups.com/rateupdates for more information. N Delivery,Service invoice Invoice Date January 14, 2023 O Invoice Number 0000026639023 , Shipper Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639492 12!03/2022 $41.58 0000026639502 12/10/2022 $39.00 0000026639512 12/17/2022 $51.02 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 0000026639472 11/19/2022 $92.88 0000026639522 12/24/2022 $274.34 0000026639532 12/31/2022 $35.49 0000026639013 01/07/2023 $38.34 Total $441.05 Outstanding balances reflect any payments received as of 01/13/2023.Please Ignore this message if a recent payment has been made for any outstanding invoices.- f� Delivery Service Invoice Invoice Date January 14, 2023 OTM Invoice Number 0000026639023 Shipper Number 026639 Page 3 of 3 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 13-JAN-2023 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Service Charges Week Ending Billed Date ExplanationCharge 01/14 Weekly Service Charge 30.00 Total Service Charges 30.00 x1i. ----------------- - ---- ------------- ---------------------------------------------------------------------- nn'JA77 010 FISHERS ISLAND FERRY DISTRICT VENDOR 002240 VERIZON WIRELESS 01/31/2023 CHECK 8708 ya- A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I `.R I I SM .5710.4.000.100 9924141254 SE HOT SPOT=12/22 77.50 I I 1 TOTAL 77.50 i i I I ,r:t u " I r ,:3 •X .> « .•>.,.., •." ..3.i .,._ ;:>,Y>.:' ..,.•rc :_a;,s« \ i.a. :rr n, *.•:•}j:.;!:;, >c :c = I •Y.;.=,3..> " :•.Jr. =:-i`:3.-n. ti:, ;.t1-i•:d:.. :•^y'}'?a: "1.t;.>.i.: .,'^; :•:.?i :' :::{Sv,:...e :ity} •t. ,l•''-•: } ii:`:>4`V. >= ti ` h.ft i y.i=y •.Wj:^' >''•! 9i :i: ?:;::. ''' ':'{i `; ^"'.`'::<.: '3•`':. 5,;i.kvv.;•v ;:,•;;.:.s;..>5'Na, ;r ;:Yy,,. ;•}t.:2::?.v'v$:.:: .f •:yo.--' • ' ^ 'vim ,c ...- ,.... :.,•- ,r , , ,..a`,' ,'ti: . xi `r° %N' '"."' : `r'.c.. ,,.r,r^• '-:— .- v"• „n.se St._:, .+x:., n'• '•..",,....+.'"'::wx'.i° I - >..=`f..E-•a... 'F ... ,A,,,..=.s`tLxv:; ... «.=e.r;• :rs `. .d: e .>. ri'.++ - I i I " I 1 •': f 1 I i I o I I I 1 I i I I i I —a tea_ r i • i ' I I -acr I FISHERS ISLAND FERRY DISTRICTo-i/3i/23 AUDIT 53095,MAIN ROAD,PO BOX 1179 SOUTHOLD,NY 91971-0959 CHECK NO:' 8 7 0 8 r.,•` :I . ......; .:..' . THE SUFFOLK . ., ... .. . . . • ,i :r I CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT ., .. i 4'50=646/21 '.. _ O1 /3af2 ;. ' .$77 50,:'' SEVEN TY';SEVEN AND 50/100 DOLLARS I - I t, Ay.. VERIZON WIRELESS.. IM THE !ORDER''.: ., ... .• , . ... _.. ': ...:. •'- " , `••'•' NEWARK--NJ 07101-0,489" ' • '<. ; lie 008 70811' 40 2 140 54641: 68 00 L 50 2 Lii' Cr.ic I .+ I - _ OR - - - Check No. Town of Southold, New York - Payment Voucher - 2240 870 Vendor Tax ID Number or Social Security Number Vendor Address Entered'by. Vendor Name PO Box 408 Audit Date Verizon Newark,NJ 07101-0408 J.AN 3'.':f 2023 Vendor Telephone Number _ FY 2022 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General lie'dger Fund,and Account Number 9924141254 12/31/2022 $77.50 $77.50 SE hot spot Dec 2022 SM5710.4.000.100 $77.50 $77.50 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. QSignature Title Signature d jj ! Company Name Fishers Date ____1/20/2023 Title Manager Date 1. verizon t' PO BOX 489 Manage Your Account Account Number , Date Due ' . NEWARK NJ 07701=0489 ------------_-- ----�.--------- - -- _.-- --- .__� __------- (nk1, t �UirA�aViiPv',A omo Ol�)II !i'= 7il�tulr Ol�e; � Fera°a�d�r�N.r , ----— — Invoice Number - 9924141254 MO. 02oncaate4ilsc:.cam_ . Qdk* dill o'—'umCV1` try lar:;�� B1tiRa � FISHERS ISLAND FERRY DISTRICT 00067602 -Pi e'd01Is Cn1'wtge;(see back for details) $155.14, ACCOUNTS,PAYABLE . K1.11 Payment=Thank You -$77.57 261 TRUMBULL'DR Balance,Forward Due Immediately $77.57 PO BOX 607 FISHERS ISLAND,NY.,06390-8021 Monthly,Charges •$77.00 Usage and.Purchase Charges Data $.00 Surcharges and Other Charges&Credits $.50 Taxes,Governmental Surcharges&Fees x.00 Total Current Charges Due by January 22,2023 $77.50: Total Amount Due $155.07 _ �}_�r.Q,.<-gyp•'" wPayfrom phone_ Payon the,Web f - 1 Questions: .. �.4; � i Y- l' '•1 Y. y J f'`%.�,ii ^te;' _ -. '_ _ — ` l :1 1��f ver'zon Invoice Number Account Number Date Due Page X9924191254' -342281317, '00001 ..Pasf Llue' .2 of.6 77 M. ; � ._ Get Minutes Used Get Data Used Get Balance LA U. N Previous Balance $155.14. N Payment.—Thank You 00 , N Payment Received 12/08/22 —77.57 Ln Total Payments —$77.57 , �o Balance Forward Due Immediately $77.57 : am KIWI�e - J F7777Wfi en no,atians, ncluded With of an your.-pay ment will not be revteuued°or honored:-<ISlease-se ndcor espon ec ence.to; a;_VerIzon,wWireless Atm;Correspondence Team PQ.BoX'15069 Aitiany.;NY 12212:; verizon. Invoice Number Account Number Date Due Page ..,.x .. m. ..°x .... ` a� x :342281317=U€?Q01w� '�°�` ...d....n"..w......,.. -___.�.3'..X.. .:u,S.........,.._"_"..."..a.....�— ..,. "'..m?3,�...�.«' ..a&M.:w.•x�.,.<on...a....es.... _id...._ _.... �...:e.;.3y�w....Y......s.". 9924141254�e...w..........e- .3,-:....'`.et..Re,:w:s.Y�_.:.�....w...wx.....,_.....".x....v ..,...1..vw...w..A.<....., ... .,.+a Participating Lines Lines Exceeding Shared Shared Shared as of 12/30/22 Allowance after Share Allowance. Usage' Billable Cost Daia—Flexible Business Share . 1 0 2.000GB 0G13 OGB • I Usage Surcharges Taxes, and and Other. Govemmenbi Third—Party ! Voice Page Monthly Purchase Equipment Charges and Surcharges Charges Total i Plan Messaging Data Voice Messaging , Data C631-4666-5153 . Number Charges Charges Charges Credits and Fees (includes Tax) Charges Usage 'Usage Usage Roaming . Roaming Roaming Ferry Jetpack 4 $26.95 -- — $.02 $.00 -- $26.97 J` -- -- — — -- -- Gordon Gordan 5 $50.05 -- — $.46 -$.g0 -- $50.53 ! — -- 237GB -- -- harges $77M $.00 S-00 $SO $AO $.00 $77.50 Invoice Number Account Number Date.Due Page 4-, 9 2�14 4" 2 8 317= 9 4 1.25. 34 2 1 .,,°..+�......,...>.....�,.....,.,.,...... .+..................................................,...........v.......:b..:w....Y:w....aw,>:..,>«.......'t...�...e a-...."e s+w+..;..:B:X,.:�r:A".�:...:..:......!.,,.n."....b.�i..c>+..:,,..::..,..:...w+.....:a..,..4xd:......�....£b:.n��.:.'e'.....:.Sia.'..w`�..`.?...xx`7w....w..�.,:x.....:�;4.tt�. Summary for.Ferry Jetpack: 631-372-0263 Flex Business Data Device 2GB 12/31 —01/30 35.00 Flex Business Data Device 2GB . 23%Access Discount 12/31—01/30 —8:05 $35.00 monthly charge $26.95 $.25:per minute 26B Acct Share$10/GB Surcharges 2 monthly gigabyte allowance Regulatory.Charge 02 $10.00 per GB after allowance $.02 Beginning on 06/07/19: 23%Access Discount Total Current Charges for 631-372-0263 $26.97 Neve qa 6i°e rlt p: iatrr abWl:your Ch"14 jeru? - wer�zonv,,,, - Invoice Number Account Number Date Due, Page 9924141254342L8t3 i"7=0000 .~'Pasfi,t3ue `of s ;=, . Summary,for Gordon,• Gordon: 631-466 :5153 4G NW UNL Min&MSG+Email&Data' 12/31 01/30 65.00 4G'NW UNL Min&MSG+Email&Data 23%Access Discount 12/31 01/30 -14.95 $65.00.monthly charge $50.05 Unlimited monthly minutes UNL Text Messaging U s ,�, h E" a ps Unlimited M2M Text Unlimited Text Message Data Allowance Used Billable Cosh Gigabyte Usage_ gigabytes unlimited O =— Email&Web Unlimited_ Total Data . $.00 Unlimited monthly gigabyte TotalUsage and Purchase Charges $.00 Beginning on.05/31/19: 23%Access Discount Surcharges Fed Universal Service Charge ,26 M2M National Unlimited Regulatory Charge .09 Unlimited monthly'Mobile to Mobile Gross Receipts Surchg .13 $.48 UNL.Night&Weekend Min Unlimited monthly OFFPEAK I Total Current Charges for 631-466-5153 $50.53 UNL PictureNideo MSG Unlimited monthly Picture&Video vC-'."'ie irwolt:gtlEE4iC;1w'iw5 'ftmm Our verizon, j Invoice Number Account Number Date Due Page �:� s h�•.4itibF "f�;�i�'.�:3 "".$:�-e.-,,. w--u,..-.�'T&;:-�:.m-..-.e-^-«�-"g�-"v..-.-w..;,-. � � R ,� � .•99241' 2, ':34228:13y74-00i�p "Past Due°�6 of: . Subject to Cancellation Effective.January 11,2023,the definition of the Administrative Our records indicate your account is past due.Please send Charge will be modified to help defray and recover certain direct paymentnow to avoid service disruption: If you have already made and Indirect costs we or our agents incur,Including:(a)cost's of your,payment please disregard this message and thank you; complying with regulatory and industry obligations and programs,such as E911,wireless local number portability,and Returned Payments wireless tower mandate costs;(b)property taxes;and(c).costs If you pay your wireless bill by check and your check is returned by associated with our network,including facilities(e.g.leases),, your bank for insufficient funds,Verizon Wireless may resubmit your operations,maintenance and protection,and costs paid to other check to your bank for payment-from your checking account. companies for network services. More-On Wireless Taxes And Surcharges Please note that this surcharge is a Verizon•Wireless charge;not Your total chargesfor this month's bill cycle are.$155.07. a tax or government-imposed fee.This charge,and what's Included,is subject to change from time to time. This includes charges for one or more bundled Verizon service plans that include voice,messaging,data,or other services for Apple Music Price Change which you pay a monthly plan charge. BeginningJanuary 11,2023,Apple will increase the subscription price for Apple Music from$9.99/mo to$10.99/m6.If you subscribe This bill cycle,your fixed monthly plan charges were$100.00, to Apple Music through Verizon,you will see this new price on the (before applying any discounts or credits,and excluding other first Verizon bill you receive after January 11,2023. charges such as overage,late payment,taxes,Verizon surcharges, and equipment). To,manage an Apple Music subscription through Verizon,sign in to verizon.com/myverizon and navigate to Account,then to Apps& To accurately bill taxes and Verizon surcharges,we regularly took at add-ons. past network usage by you and other customers_with.simitar plans to,allocate this fixed monthly plan charge among the services If you do not subscribe to Apple Music through Verizon,you will see included in the bundles no change to your monthly bill. In this bill cycle,we have allocated this amount as follows:$3.48 for voice,$0.72 for messaging,$95.80 for data,and$0.00 for other services. For more information,please go to vzw.com/taxesandsurcharges. Bankruptcy Information- If you are or were in bankruptcy,this bill may include amounts for pre-bankruptcy charges.You should not pay pre-bankruptcy amounts;they are for your information only.In the.event Verizon. receives notice of a,bankruptcy filing,.pre-bankruptcy charges will be adjusted in future,invoice-s.Mail bankruptcy-related correspondence to 500 Technology Drive,Suite 550,Weldon Spring,MO 63304. Explanation of Surcharges Surcharges include(i)a Regulatory Charge(which helps defray .various government-charges we pay including government number administration and license fees);,(ti)a Federal Universal Service Charge(and;if applicable,a State Universal Service Charge).to recover charges imposed on us by the government to support universal service;and(iii)an Administrative Charge,which helps defray certain expenses we incur,including;charges we,or our agents,pay local telephone companies for delivering calls from.our customers to their,customers;fees.and assessments on our network facilities and services;property taxes;and the costs we incur responding to regulatory obligations.Please note that-these are Verlion Wireless charges,not taxes.These charges,and .what's included,are subject to change from time to time. ~i FISHERS ISLAND FERRY DISTRICT \ VENDOR 025038 Z & S FUEL & SERVICE, INC. 01/3'1/2023 CHECK 8709 = A } I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' i I SM .5710.4.000.200 37528 FIT 179.413 HTNG OIL-1/11 781.83 TOTAL 781.83 I i I i I I I i E ___.________ ______.._________._____._____________. ______.__.____.._.____.____.______.._________ - i . I ` '•qµ.'"' Y` ., y y`.;'„ i'- i, i:'b' t' iJyi a'+1 ; 'T ,l'` I - s-•4-sf.`,_.. - v ...... ....... rh e'is.;:Yy. f ':?:x -• 7. .;+t ,wrti:•i , •;{q{',. .;:0.:y'S'n'y': i:>i>'' 'r'+ih.•: •...""Y•x`{0.•f2'? , ..xY>:'.F:A.:fid: :;ttir•.;,'},- ar"''"..... °`:,;'". y''t.>s`"•' r;$,`v'}ti:'. .il{tT':?v:':F;.. •.t{+; v.J.•1, ::i:y. •::I:•?:..+,..'.' ' j •.}..',i,vi:?r" -r.+:•i':v : :tr !{{ yu, to?✓i • I V ': ''t.; `•C3..," ..fA;;:i✓ :}.:.}: nQ•'Y,:':+ii;K':'tiT" :ef1;;" ='4 M •:;::` .•i:, ,•.x.;. .r'a".. ..v.,.. `"5:``y,,..✓yr +tt*T> ' d,,,. 's:,etc.. ^;".•, ytr.:.'> a, ss.'w''''' '?' ':i. .. 5iv:e;.,._,:: :..wr>'"a 1 4s.sX ."'rf_ -• •Svr r,t'rr l:A v °'i.. sr:.,v.,y. ,a„ Gni 4: I tf•, I , I I ' ° I I I I I I I _ I I ' I FISHERS ISLAND FERRY DISTRICT p:' ' .01/3.1/23 AUDIT' ;.: -- AIN'ROAD PO BOX 1179-:, = SOUTHOL'D;NY 1.1971-0959 59 ' CHECK` NO.. S709 y THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE• AMOUNT _ I ;Li .. sa;5as zta. O1:/31/202"3 '781 83 ! `•SEVEN:•:HUNDRED EIGHTY ONE 'AND 83/100 DOLLARS. .: I it . Z &-.S FUEL %SERVICE., INC. I.3a1 `i TO THE'. "DRAWER $ —r. ORDER PO ,$OX '6 01 FISHERS ISLAND NY. 06390- 0 0 El 6390008 70 9ii' 1:0 2 140 51,CA 1: 68 ''00 L 50 2 til' ` Vendor No. Check No. Town of Southold, New York - Payment Voucher 25038 Vendor Address Entered by P.O. Drawer B Vendor Name AUdlt ate;' ' Z&S Fuel&Service,Inc. Fishers Island, NY 06390 JAN 3-4 2023 Vendor Telephone Number 631-788-7343 FY 2023 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services GeneraILedger Fund and Account Number F-37528 1/11/23 $781.83 $781.83 FIT 179.4 gal heating oil $4.358 Ticket 14628 SM5710.4.000.200 $781.83 $781.83 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. l or discrepancies noted,and payment is approved. Signature Title Signature-0-6 r'1— Company N e Fishers Isla Fe District Date 1/18/2023 Title Date I i / ti Z&S FUEL&SERVICE,INC. Invoice P.O.Box 601 Fishers Island,NY 06390 DATE INVOICE# 1/11/2023 37528 BILL TO FISHERS ISLAND FERRY DISTRICT P.O.BOX 607 FISHERS ISLAND,NY 06390 TERMS ITEM QUANTITY DESCRIPTION RATE AMOUNT fuel oil 179.4 fuel oil C/O OFFICE 4.358 781.83 L �: �ASN, L �c� A,�F "'Ll'I ' eJ 5 ji pw PLEASE INCLUDE INVOICE#ON YOUR CHECK THANK YOU! Total $781.83 z P.0 80i(.60 FISHERS fSU0113', NY 06390 (631) 7813-7 343 s ❑ Dyed unmarked Heating Oil:Not for use in highway or non-highway, locomotive or marine engines. START OF DELIVERY III, END OF GALLONS DELIVERY —� TENTHS ON3 --4- 18V1S—► � (� 101hsLI METER READING �—END OF DELIVERY I METER READING �—START OF DELIVERY SOLD TO DATE )- 1 -�2 3 .- ❑C.O.D. i ! �ir ❑CHARGE ADDRESS CITY,STATE,ZIP DRIVER A �� TRUCK TIME A.M. t r(� P.M. CA Gallon Reading—Finish 10ths i 0 0 7 4 ER Gallon Reading—Start 10ths 1462,8 PRODUCT GALLONS PRICE AMOUNT JET PAYMENT RECEIVED PRI -'� Q; ❑CASH ❑CHECK () TAX 4 CUSTOMER'S SIGNATURE p/ TOTAL 7D/ I,f DELIVERY RECEIVED PER ABOVE METER READING — 'S _ I P