HomeMy WebLinkAboutLighthouse Security, Inc Town of Southold, New York
Vendor Tax ID Number or Social Security Number
Vendor Name
Vendor Contact
- Payment Voucher
~r Address
Vendor No.
Invoice Invoice
Number Date
Invoice ~ Net Purchase Order
Discount I Amount Claimed Number
Description of Goods or Services
Payee Certification
The undersigned (Claimant) (Acting on behalf Of the above named ctaimanO
does hereby enrtify that the foregoing claim ia true and correct, that no part has
been paid, except as therein stated, that the balance therein stated is actually
due and owing, and that taxes from which the Town is exempt are excluded.
Department Certification
I hereby emily that the materials above specified have been received by me
in good condition without substitution, the services properly
pefform~ and that the quantifies thereof have been verified with the exceptions
or discrepancies noted, and payment is approved,
0 Town'Cle~k, Town of ~outhold
Lighthouse Securi(y Inc.
Post Office Box 1894
Riverhead, New York 11901
B/Il To:
OFFICE OF TOWN CLERK
TOW2q OF SOUTHOLD
POST OFFICE BOX 1179
SOUTHOLD, NY 11971
I poice
Job Site:
SOUTHOLD TOWN HALL
53095 MAIN ROAD
SOUTHOLD, NY 11971
--]Please check box if address is incorrect or has TELEPHONE NUIVlI3ER: 631-765-1801
changed, and indicate change(s) on reverse side.
If applicable, enter e mail address and/or fax number here: ~ $300,00 )
PI,EASE DETACH ANf) RETURN TOP PORTION WI'I'll YOUR PAYMENF,
Ligh/hoase Secari y Inc.
~9~ Mailing Address: P.O. Box 1894 Riverhead, Ne~v York 11901 . .
Office Address: One Doe Run Manor~/lle, Nexv York 11949
Tel: 631-727-2728 Fax: 631-727-0107 ~
ANNUAL CENTRAL STATION MONITORING RENEWAL 300.00
EFFECTIVE 4/23/10 THRU 4/22/11
S
There will be a $15 charge for all returned checks. $300.00
For billing inquiries: 631-727-2728 ~ $0.00
~ $300.00
Licensed by New York Deparement of State We now accept VISA/MASTERCARD for payment.
License #: 12000022174 Please call our office to pay your bill over the phone.
Lighthouse Secmi(y Inc.
Post Office Box 1894
Riverhead, New York 11901
B~I To:
OFFICE OF TOWN CLERK
TOWN OF SOUTHOLD
POST OFFICE BOX 1179
SOUTHOLD, NY 11971
Invoice
Job Site:
SOUTHOLD TOWN HALl,
53095 MAIN ROAD
SOUTHOLD, NY 11971
[~] Please check box if address is incorrect or has TELEPHONE NUMBER: 631-765-1801
changed, and indicate change(s) on reverse side.
If applicable, enter e mail address and/or fax number here: ~ $240.00 )
PLEASE I)ETACH AND RETURN TOP PORTION WITH YOUR PAYMENT.
o se Secu Inc.
~7~z* ~vmmng ~ress: l<t), 13ox 1894 Fuverhead, New York 11901 ~ : ...
Office Address: One Doe Run Manorville, Ne~v York 11949
_ .
Tel: 631-727-2728 F~x: 631-727-0107 ~
ANNUAL SERVICE CONTRACT RENEWAL 240.00
EFFECTIVE 4/23/10 THRU 4/22/11
SECURITY SYSTEM SERVICES
$240.00
For billing inquiries: 631-727-2728 ~ $0.00
~ $240.00
Licensed by New York Department of State We now accept VISA/MASTERCARD for payment.
License g: 12000022174 Please call our office to pay your bill over the phone.