HomeMy WebLinkAboutAU-11/09/2011 Fishers IslandFISHERS ISLAND FERRY DISTRICT
VENDOR 001395 ADVA/qTECH CONSULTING CORP 11/09/2011 CHECK 128
FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.500
SM .5710.4.000.500
965577
965577
IT OUTSOLrRCING-10/ll 650.00
SPAM FILTERING-10-12/ll 75.00
TOTAL 725.00
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Advantech Consulting Corp.
Vendor Telephone Number
Vendor Contact
Invoice
Number
965577
Date
101112011
Total
650.00
75.00;
VendorAddress
Discount
P.O. Box 961
725.00i 725.00
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
Deq
Suffield, CT 06078
Net Pumhase Order
Amount Claimec Number
680.00
75.00
//
Vendor No.
Check No.
lag
Entered, by ~
Audit Date /
..
Description of Goods or Services
IT Outsourclng
t01tlt1.1013111t
Spam Filtering Oct-Dec
$M$710,4,000.500
II
Department Certification
I hereby certify that the materials above specified have been received by mc
in good condition w~thout substitution, the services properly
performed and that the quantities thereof beve been verified with the exceptions
screpancies not~d, and payment is approved
Title[ ~ L~ Date [~'} [3~ [ (
Advan Tech Consulting
P,O. Box 951
Suffield, CT 06078
BILL TO
Fishers Island Ferry
P.O. Box H
Fishers Island, NY 06390
Invoice
DATE INVOICE #
10/1/2011 965577
TERMS DUE DATE PROJECT
Due on receipt 10/1/2011
QTY DESCRIPTION RATE AMOUNT
IT Outsourcing - 10/1/11 thru 10/31/11 650.00 650.00
Spam Filtering: Oct-Dec 2011 75.00 75.00
Thank you for your business. Contact us at (860) 668-0044.
Total $725.00
Unpaid invoices over 60 days past due date subject to late fee and interest charges.
FISHERS ISLAND FERRY DISTRICT
VENDOR 019500 AT&T 11/09/2011 CHECK 129
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.100 86044201651111 TEL/NL TERM-10/15-11/14 371.93
TOTAL 371.93
Town of Southold, New York
Vendor Tax ID Number or Social Security Number
Vendor Nme
AT&T
Vendor Telephone Number
VendorContact
Mvoice Invoice Mvoice
Number Dan Toni
- Payment Voucher
Discount
Vendor No. Check No.
19500
V~ndorAT&TAddress i Entered
P.O. Box 8110 Audit Date
Aurora, IL 60807-8110 [
Net
Amount Claime(
371.93 ! ; 371.93
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is true and correct, that no part has
due and ow' hat taxes from which the To xempt are eluded.
C:m~ pet; v 1 44, /
Purchase Order
Number
Description of Goods or Services
NL Terminal Tel/
General Ledger Fund and Account Number
8M5710.4.000.100
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed a that the quantities thereof have been verified with the exceptions
or~. [iscrepanciesl '~' ~x°ted' and payment is approved.
Title ( )~l~' ~\ Date J~/~!~
~ I,~ '-I ~' -
at&t
FISHERS iSLAND FERRY DISTRICT
PO BOX H
FISHERS ISLE NY 06390-0607
Page 1 of 7
Account Number 860 442 0165 0'78
Billing Date Oct 15, 2011
Web Site att.corn
Monthly Statement
Previous Bill 781.38
Payment 765.51CR
Adjustments .15
Past Due - Please Pay Immediately 16.02
Current Charges 355.91
TotalAmount Due $371.93 *
Current Charges Due in Fu~l by
Nov 14, 2011
· Thank you for being an ALL DISTANCE® customer.
Your ALL DISTANCE® savings includes:
Promotions and Discounts
27.00
Item
No. Date Description Adiusf3nents Payments
I. 9-19 Payment 39g~88
2. 10-15 Late Payment Charge 1.5% .15
3. 10-17 Payment 36963
Totals .15 765.51
Questions? Call:
Plans and Services
1 800 321-2000
Repair:
1 800 246-8464
Intemet Services:
1 877 722-3756
Total Current Charges
Page
1
· PREVENT DISCONNECT · CARRIER INTO
· KEEP YOUR DISCOUNT · UNIVERSAL SVC TEE
· ANNUAL NOTICE · MANAGING FEATURES
· E REPAIR · 2-LINE PHONE SYSTEM
See "News You Can Use" for additional information.
355.91
355.91
Promotions and Discounts
4. Save Elite-Tnn-$27 off -12mo term
Monthly Service - Oct 15 thru Nov 14
Z7.00CR
Charges for 860 442-0165
5. Monthly Charges 144.60
Charges for 860 443-6851
6. Monflfly Charges 50.35
Charges for 860 444-0320
7. Monthly Charges 50.35
Charges for 860 447-9371
8. Mont~ly Charges 50,35
Total Monthly Service 295.65
Directory Assistance
Instate
9 1Call(s)billedat$189each 1.89
Call Charges
Bus Block of Time 700 II 2Y Summary 717 Minutes Used
700 Minutes Allowed
Instate Long Distance .75
10. Bus Block of Time 700 II 2Y 3000
*BASIC $246.88 NON BASIC $125,05
Return bottom portion with your check in the enclosed envelope.
Local Services provided by AT&T Connecticut. Services beyond
Connecticut provided by AT&? Long Distance East.
GO GREEN - Enroll in papedess billing. R
at&t
FISHERS ISLAND FERRY DISTR~CT Page 2 o17
P0 BOXH Account Number 8604420165028
FISHERS iSLE NY 06390-0607 Billing Date Oct 15, 2011
Web Site att.com
Call Charges - Continued
Charges for 860 442-0165
Item
[~, Q,tt~ Time Place
Itemizad Calls
I. 9-15 716A WATERBURY
2. 9-15 255A FISHERSIS
3. 9-16 839A FISHERSIS
4. 9-15 844A FISHERSIS
5. 9-15 606A FISHERSIS
6. 9-15 607A FISHERSIS
7. g-15 1052A FISHERS IS
8. 9-16 1112A FISHERS IS
9. 9-16 1127A FISHERSIS
10. 9-16 1146A WALLINGFD
11. 9-18 1159A WALLINGFD
12. 9-16 1220P FISHERS IS
13. 9-15 1252P FISHERS IS
14. 9-15 210P GUILFORD
15. 9-18 414P HARTFORD
16. 9-18 415P HARTFORD
17. 9-16 607A FISHERSIS
18. 9-16 818A FISHERSIS
19. 9-16 608A FISHERSIS
20. 9-16 1224P FISHERS IS
21. 9-16 1233P FISHERS IS
22. 9-16 1236P FISHERS IS
23. 9-16 158P FISHERSIS
24. 9-16 204P FISHERSIS
26. 9-16 243P ESSEX
26. 9-16 321P FISHERSIS
27. 9-17 602A FISHERSIS
28. 9-12 548P FISHERSIS
CT 203695-2844
NY 631 788-7463
NY 631 788-7221
NY 631 788-7463
NY 631 188-7463
NY 631 788-7444
NY 631 788-7528
NY 631 788-5515
NY 631 788-7345
CT 203 269-7042
CT 203626-4300
NY 631 788-7001
NY 631 788-5660
CT 203458-4128
CT 860666-3922
CT 860 982-4061
NY 631 188-7463
NY 631 288-2463
NY 631 788-7463
NY 631 788-7463
NY 631 788-7463
NY 631 788-7402
NY 631 788-5793
NY 631 788-5673
CT 860662-3013 O
NY 631 788~7463 I
NY 631 788-7255 2
NY 631 788-7020 2
29. 9-19 714A MIODLETOWN CT 860635-4125 N
30. 9-19 732A FISHERSIS NY 631788-7463 2
31. 9-19 827A FISHERS IS NY 631788-7345 1
32. 9-19 914A POUGHKEPSI NY 848666-1677 1
33. 9-19 920A FISHERS IS NY 631 188-7348 1
34. 9-19 923A FISHERS IS NY 631788-7463 1
35. 9-19 928A FISHERS IS NY 631 788-7919 1
36. 9-19 935A FISHERS IS NY 631 788-7764
37. 9-19 952A FISHERS IS NY 631 788-7645 I
38. 9-19 1004A FISHERS IS NY 631 788-7402 1
39. 9-19 1138A FISHERS IS NY 631 788-7463 1
40. 9-19 1236P ESSEX CT 860767-1768 O
41. 9-19 1239P ESSEX CT 860662-0558 B
42. 9-19 249P FISHERS IS NY 631 788-7463 1
43. 9-19 259P FISHERS IS NY 631 788-7474 1
44. 9-19 305P DEDHAM MA 781329-9122 1
45. 9-19 321P FISHERS IS NY 631 788-7345 1
46. 9-20 1016A ESSEX CT 860662-3013 O
47. 9-20 1205P FISHERS IS NY 631 788-7463 1
Code
Call Charles - Continued
Item
~ Date Time Place Number
48. 9-20 112P FISHERSIS NY 631788-5673
49. 9-20 114P FISBERSIS NY 631788-7345
50. 9-20 131P HARTFORD CT 860436-3700
~ 51. 9-20 132P HARTFORD CT 860216-7827
52. 9-20 139P FISHERS IS NY 631 788-7463
0:30+ .60 53. 9-20 141P PROVIDENCE Ri 401 272-7965
0:40+ .00 54. 9-20 209P OLDSAYBRK CT 860221-1660
3:01+ .60 55. 9-20 310P OLBSAYBRK CT 860227-1660
1:38+ .60 56. 9-21 800A FISHERS IS NY 631 798-2463
0:30+ .60 57. 9-21 807A ESSEX CT 860167-1768
2:57+ .60 58. 9-21 944A FISHERS IS NY 631788-7345
0:36+ .60 59. 9-21 1049A FISHERS IS NY 631 788-7463
1:56+ .60 60. 9-21 1112A FISHERS IS NY 631 788-5615
1:12+ .60 61. 9-21 1133A FISHERS IS NY 631 788-7345
13:29+ .60 62, 9-21 1139A FISHERS IS NY 631 788-7463
4:18+ .60 63. 9-21 1145A FISHERS IS NY 631 188-5545
1:32+ .60 64. 9-21 1158A FISHERSIS NY 631788-7345
0:30+ .60 65. 9-21 1234P OLDSAYBRK CT 860227-1660
0:47+ .60 66. 9-21 1240P FISHERS IS NY 631788-7463
0:30+ .60 67. 9-21 1257P FISHERS IS NY 631788-7645
1:20+ .60 68. 9-21 1258P FISHERS IS NY 631788-7225
2:56+ .60 69. 9-21 106P CHESHIRE CT 203272-3511
0:53+ .60 70. 9-21 114P FISHERSIS NY 631788-7463
0:30+ .00 71. 9-21 153P FISHERSIS NY 631788-7345
2:51+ .60 72. 9-22 1127A HARTFORD CT 860883-8925
1:41+ .60 73. 9-22 1154A HARTFORD CT 860883-8925
0:30+ .60 74. 9-22 1202P PROVIDENCE Ri 401942-6530
0:30+ .00 75. 9 22 1214P HARTFORD CT 860983 8245
0:30+ .60 76. 9-22 1237P HARTFORD CT 860883-8925
0:35+ .60 77. 9-22 1255P HARTFORD CT 860436-3760
0:50+ .60 78. 9-22 119P FISHERSIS NY 631788-5655
0:30+ .60 79. 9-23 725A FISHERS iS NY 631 788-7463
0:43+ .60 80. 9 23 808A OLD SAYBRK CT 860227-1660
3:06+ .60 81. 9-23 1047A NWYRCYZN01 NY 917 536 8288
0:30+ .00 82. 9-23 1126A FISHERS IS NY 631 788-7444
0:52+ .60 83. 9-23 1201P FISHERS IS NY 631788-7345
3:41+ .00 84. 9-23 1203P NWYRCYZN01 NY 917 536-8288
1:40+ .60 85. 9-23 1235P OLD SAYBRK CT 860 227-1660
0:34+ .60 86. 9-23 116P PROVIDENCE RI 401 480-2608
0:30+ .60 87. 9-26 717A KILLINGWTH CT 860603-3005
0:48+ .60 88. 9-26 802A FISHERS IS NY 631 788-7919
1:19+ .60 89. 9-26 830A FISHERS IS NY 631788-5515
0:35+ .60 60. 9*26 837A FISHERS IS NY 631788-5515
0:30+ .60 91. 9-26 903A FISHERS IS NY 631798-7632
0:30+ .60 92. 9-26 911A FISHERSIS NY 631788-7345
2:56+ .60 93. 9-26 921A FISHERS IS NY 631 788-5633
0:30+ .60 94. 9-26 931A FISHERS IS NY 631 288-7223
1:06+ .60 95. 9-26 1003A FISHERS IS NY 631 788-7223
4:51+ .60 96. 9-26 I011A FISHERS IS NY 631 288-1444
0:41+ .60 97. 9-26 1024A FISHERS IS NY 631 788-7345
0:30+ .60 98. 9-26 1044A FISHERS IS NY 631 788-7345
8:41+ .60 99. 9-26 1120A FISHERS IS NY 631 788-7345
160. 9-26 101P FISHERSIS NY 631 788-7311
Code
1:31+ .60
0:30+ .60
0:30+ .00
2:07+
0:30+ .60
3:02+ .60
2:48+
1:09+ .60
0:30+ .60
1:05+ .60
0:33+ .60
1:14+ .60
0:30+ .60
0:53+ .60
0:30+ .60
0:43+ .(JO
0:30+
1:58+
0:33+ .60
0:30+ .00
l:10+ .00
7:40+ .60
1:00+
0:30+
0:39+ .60
1:35+
0:52+
0:44+
2:12+
0:30+
0:30+
5:34+
0:51+
0:31+
0:30+ .60
1:10+
1:06+ .00
1:04+
0:53+
0:30+ ,60
0:31+ .60
0:44+
0:35+ .60
0:51+ .60
0:40+ .(JO
2:07+ .60
0:43+ .00
0:30+ .60
0:30+ .60
0:38+ .00
0:39+ .60
0:53+ .60
1:14+ ,60
8605.603.034970.01.04.60606~ NNNNNNNY 69979.69979
FISHERS ISLAND FERRY DISTRICT Page 3 of 7
PO BOX H Account Number 860 442-0165 078
FISHERS ISLE NY 06390-0607 Billing Date Oct 15, 2011
at&t
Ca Char.qes - Continued
Item
No. Date T~ place
1. 9-26 105P WINDSOR
2. 9-26 109P WALLINGFD
3. 9-26 226P NEW HAVEN
4. 9-26 242P FISHERS IS
5. 9-76 327P FISHERS IS
6. 9-27 745A HARTFORD
7. 9-27 855A HARTFORD
8. 9-27 60DA FISHERS IS
9. 9-27 104lA FISHERS IS
10. 9-27 1228P FISHERS IS
II. 9-27 203P FISHERSIS
12. 9-27 216P FISHERS IS
13. 9-27 235P JEWETTCITY
14. 9-27 248P JEWETTCITY
15. 9-27 000P FISHERSIS
16. 9-27 302P FISHERSIS
17. 9-27 322P HARTFORD
18. 9-27 332P FISHERSIS
19. 9-27 338P PECONIC
20. 9 27 341P FISHERSIS
21. 9-28 854A FISHERS IS
22. 9-28 919A FtSHERSlS
23. 9-28 1219P HARTFORD
24. 9-28 1233P LYNBROOK
25. 9-28 1234P LYNBROOK
26. 9-28 1243P WORCESTER
Number
CT 860298-7071
CT 203294-1900
CT 200 795-4945
NY 631 788-7255
NY 631 788-7223
CT 860983-8245
CT 860594-4816
NY 631 788-7345
NY 631 788-7345
NY 631 788-7343
NY 631 788-7463
NY 631 788-7945
CT 000 376-7989
CT 860 376-7989
NY 631 788-7585
NY 631 788-7345
CT 860 289-8433
NY 631 788-7463
NY 631 734-5600
NY 631 7884403
NY 631 788-5515
NY 631 788-7345
CT 8607299844
NY 516 812-2000
NY 516812-2000
MA 50~ 753-1475
27. 9-28 1259P WATERBURY CT 203753-5555
28. 9-28 128P PECONIC
29. 9-28 155P FISHERSIS
30. 9-28 201P FISHERSIS
31. 9-28 246P HARTFORD
32. 9-28 318P FISHERS IS
33. 9-29 801A FISHERSIS
34. 9-29 956A FISHERS IS
NY 631 734-5600
NY 631 788-7444
NY 631 788 7463
CT 860 841-2256
NY 631 788-7463
NY 631 788-7345
NY 631 788 7632
35. 9-29 1027A BRENWVOOD NY 631445-7879
36. 9-29 1054A FISHERS IS
37. 9-29 1102A FISHERS IS
38. 9 29 1126A FISHERS IS
39. 9-29 1247P ARDMORE
40. 9-29 1251P FISHERSIS
41. 9-29 218P FISHERSIS
42, 9-29 220P FISHERS IS
43. 9-29 329P FISHERSlS
44. 9-29 331P HARTFORD
45. 9-30 810A FISHERS IS
46. 9-30 817A FISHERSIS
47. 9-30 1025A FISHERS IS
48. 9-30 1052A FISHERSIS
49. 9-30 1107A FISHERSIS
NY 631 788-7345
NY 631 788-7345
NY 631 788-7463
PA 610896-4434
NY 631 788-7463
NY 631 788-555~
NY 631 788-7045
NY 631 788-7463
CT 000003-8245
NY 631 788-7463
NY 631 788-7000
NY 631 788-7463
NY 631 788-5644
NY 631 788-7919
Code
NRmber
NY 631 788-7255
NY 631 788-7345
Mien CT 860 2t6-7827
0:49+ .00 NY 631 788-7019
1:43+ .00 NY 631 788-5644
3:58+ .00 MA 617 686 6547
0:30+ .00 NY 631 788-7444
1:33+ .00 NY 631 788-5633
0:56+ .06 NY 631 943 7487
1:01+ .00 NY 631 734+5600
0:32+ .00 NY 631 788 7101
1:52+ .OD NY 631 788-7922
0:52+ .00 NY 631 788-7444
6:19+ .00 CT 203468-4503
1:36+ .00 NY 631 788-7463
4:04+ .00 NY 631 78&7345
0:33+ .00 CT 203 453 5267
0:30+ .00 CT 203 46&4547
0:30+ .00 CT 203 468-4503
1:35+ .dO NB 603 418-0470
2:20+ .00 CT 203 876-8606
3:16+ .00 CT 200876-0000
1:29+ .00 NY 631 788-7919
1:57+ .00 PA 484256-4169
0:33+ .00 CT 860767-1768
1:34+ .00 CT 860002-4000
0:30+ .00 CT 800 395-7815
6:37+ .00 CT 860 528-3800
1:15+ .00 NY 631 788-7741
3:16+ .00 NY 631 788-7741
1:40+ .00 NY 914962-5513
0:30+ .00 NY 845 831-2313
1:39+ .00 NY 845831-2313
0:35+ .00 NY 845 831-2313
7:25+ .00 CT 860 267-6600
0:30+ .00 NY 631 788-7275
2:06+ .OO NY 631 788-7463
1:37+ .00 CT 860942-1472
0:30+ .00 CT 860 234-3543
0:30+ .00 NY 631 788 7463
0:37+ .00 CT 860 234~3543
0:37+ .00 CT 860974-9004
13:30+ .00 NY 631 788-7343
0:41+ .00 NY 631 788-7345
0:38+ .00 NY 631 788-7857
1:01+ .00 MA 617 686-6547
0:33+ .00 NY 631 788-7345
0:35+ .00 MA 857 919-2793
3:12+ .00 MA 857 919-2793
0:30+ .00 NY 631 788-7318
0:52+ .00 CT 860667-9188
0:49+ .00 CT 860677-9188
NY 631 788-7255
Call Clm~es - Continued
Item
~ ~ Time Place
50. 9-30 1233P FISHERS IS
51. 9-30 1237P FISHERS IS
52. 9-30 212P HARTFORD
53, 9-30 009P FISHERSIS
54.1003 800A FISHERSIS
55,10-03 832A BOSTON
56,10-03 950A FISHERSIS
57.10-03 957A FISHERS IS
58. 10-03 1026A BABYLON
59. 10-03 1048A PECONIC
60. 10-03 1109A FISHERS IS
61.10-03 1100A FISHERS IS
62. 10-03 1100A FISHERS IS
63. 10-03 1149A NEW HAVEN
64,10-03 259P FISHERSIS
65,10-04 836A FISHERS iS
66.10-04 913A GUILFORD
67.10-04 937A NEWHAVEN
68.10-04 938A NEWHAVEN
69. 10-04 1127A EXETER
70.10-04 102P MILFORD
71.10-04 201P MILFORD
72.10-04 323P FISilERS IS
73.10-05 635A READING
74.10-05 934A ESSEX
75.10-05 934A ESSEX
76.10-05 g36A OLD SAYBRK
77.10-05 946A HARTFORD
78, 10-05 101lA FISHERS IS
79. 10-05 1011A FISHERS IS
80. 10-05 1026A YORI~N HTS
81.10-05 149P BEACON
82.10-05 t50P BEACON
83.10-05 324P BEACON
84.10-05 346P E HAMPTON
85.10-05 357P FISHERS IS
86. 10-06 731A FISHERS IS
87.10-06 739A WlLUMNTIC
88. l0 06 809A WlLUMNTIC
89.10-06 810A FISHERS IS
00.10-00 812A WlLEIMNTIC
91.10-06 839A PUTNAM
92.10-00 1000A FISHERS IS
93. t0-06 1052A FISHERS IS
94. t0-06 1053A FISHERS IS
95.10-06 lllSA BOSTON
96. 10-00 l141A FISHERS IS
97.10-00 1204P BRIGHTON
98. 10-06 t221P BRIGHTON
99. 10-06 1200P FISHERS IS
100. 10-06 1236P HARTFORD
101.10-00 1237P FARMINGTON
102. 10-00 1251P FISHERS IS
Code Min
0:35+ .00
0:30+ .00
0:30+ .00
0:30+ .00
0:55+ .00
1:13+ .00
0:39+ .00
0:38+ .00
3:42+ .00
2:12+ .00
0:30+ .00
0:51+ .00
0:31+ .00
D 0:57+ .00
1 1:25+ .00
1 0:54+ .00
O 1:02+ .00
0 0:35+ .00
D 0:42+ .00
I 8:00+
D 2:30+ .00
D 1:59+ .00
1 0:30+ .00
2 1:44+ .00
D 0:30+ .00
O 0:30+ ,00
D 0:36+ .00
D 1:45+ .00
0:30+ .00
2:57+ .00
2:09+ ,00
8:30+ .00
0:37+ .00
1:36+ .00
D 0:48+ .00
1 0:49+ .00
2 5:10+
N 4:20+ .00
D 0:52+ .00
t 1:04+ .00
D 1 1:04+ .00
D 0:40+ .00
2:33+ .00
9:30+ .00
1:00+ .00
7:01+ .00
0:30+ .00
1:23+ .00
0:30+ .00
0:30+ .00
O 0:30+ .00
D 1:51+ ,00
1 2:33+ .00
J
FISHERS ISLAND FERRY DISTRICT PaOe 4 of 2 ¢
PO 6OX H Account Number 860 442-0165 078
at&t ,,,,~,,,,,~,, 0R390 060F Billin§ O.t. O~t 15, 2011
Call Charges - Continued
IEem
L 10-06
2. 10-07
3.10-07
4. 10-07
5.10-07
6. 10-07
7,1007
8. IO-07
9.10-10
I0. I0-10
I1.10-10
12.10-10
13.10-10
14. I0-10
15. 10-10
16. 10-10
17.10-10
19. 10-10
19. I0-10
20. 10-10
21.10-10
22.10-10
23.10-10
24.10-11
2E 10-11
26.10-11
27.10-11
28.10-11
29. 10-11
30. 10-11
31.10-11
32.10-11
33.10-11
34.10-11
30.10-11
36.10-11
37. I0 11
38. 10-12
39. 10-12
40. 10-12
41.10-12
42.10-12
43.10-12
44. 10-12
45.10-12
46.10J3
47.10-13
48.10-13
49. 10-13
Time Place Number
316P BRIGHTON MA 857 919-2793
719A FISHERS IS NY 631 788-7463
724A FISHERS IS NY 631 788-7463
1044A FISHERS iS NY 631 788-7463
202P FISHERS IS NY 631 788-7463
250P FISHERS IS NY 631 788-5515
258P OLDSAYBRK CT 860222-1660
3OOP FISHERS IS NY 631 788-7463
650A FISHERS IS NY 631 788-5508
828A NEWBURGH NY 845567 1063
832A LEBANON CT 860642-7748
034A NEW HAVEN CT 203640-8051
835A CLINTON CT 860669-5806
905A OLD SAYBRK CT 860399-9754
918A HARTFORD CT 8609~6-7634
1052A READING PA 484256-4169
1112A FISHERS IS NY 631 788-7345
1124A FISHERS IS NY 631 788-7345
1156A FISHERS IS NY 631 788-7090
242P FISHERS IS NY 631 788-7346
329P FISHERS IS NY 631 208-7455
329P FISHERS IS NY 631 780-5515
335P FISHERS IS NY 631 788-5515
823A FISHERS IS NY 631 788-7463
1020A FISHERS IS NY 631 788-7323
152P BRISTOL VT 802453-5549
154P DEDHAM MA 781 329-9122
157P DEOHAM MA 781 329-9122
223P FISHERS IS NY 631 788-7444
238P FISHERS IS NY 631 788-7632
243P MERIDEN CT 203238-6757
256P DEDHAM MA 781 329-9122
258P FISHERS IS NY 631 788-7444
259P FISHERS IS NY 631 788-2632
30OP FISHERS IS NY 631 788-2251
301P FISHERS IS NY 631 788-7520
316P FISHERS IS NY 631 788 7857
816A FISHERS IS NY 631 788-5515
832A NEW HAVEN CT 203868-2251
839A FISHERS IS NY 631 788-2463
934A FISHERS IS NY 631 788-2345
1158A READING PA 484256-4169
1225P FISHERS IS NY 631 788-7857
310P PROVIDENCE Ri 4OI 942-6530
323P HARTFORD CT 860289-8433
1003A ESSEX CT 860662-3013
1057A FISHERS IS NY 631 788 7528
II00A FISHERS ~S NY 631 788-7444
103P READING PA 484256-4169
Code
Mi~
1:58+ .00
2:52+
3:26+ .00
0:30+ .00
0:31+ .00
1:14+ .00
1:57+
0:30+
0:46+ .0~
3:35+ .00
0:53+ .00
0:50+ .00
0:33+ .00
0:30+ .00
10:11+ .00
1:02+ .00
0:32+ .00
0:30+ .00
0:49+ .00
0:30+ .00
0:30+ .00
1:24+ .00
0:30+ .00
0:30+ .00
2:03+ .00
1:23+ .00
2:17+ .00
0:59+ .00
0:37+ .00
0:59+ .00
3:01+
0:30+ .00
0:30+ .00
1:03+ .00
0:49+
0:30+ .ID
1:44+ .00
1:13+ .00
1:01+ .00
2:38+ .00
1:50+ .00
6:16+ .00
0:32+ .00
0:44+ .00
0:46+ .00
0:41+ .00
0:30+ .00
L37+ .00
0:30+ .00
Call Cbarqes - Continued
No. Date Time Place Number
5010-13 131P READING PA 484256-4169
5110-13 132P WATERBURY CT 203695-1572
52.10-13 143P READING PA 484256-4169
53,10-13 226P FISHERS IS NY 631788-7444
54.10-13 238P READING PA 484256-4169
55. 10-13 245P FISHERS IS NY 631 788 7790
56.1013 307P NEWBAVEN CT 203468-4547
57. 10 14 805A FISHERS IS NY 631 788-5515
58.10-14 810A FISHERS IS NY 631 788-7463
59,10-14 816A FISHERS IS NY 631 788-5516
60. 10-14 1133A FISHERS IS NY 631 788-7463
61.10-14 1143A FISHERS iS NY 631 288-7463
62.10-14 303P READING PA 484256-4169
Code Min
OLD SAYBRK CT 860399 9754
3:00+
0:30+
0:30+
6:08+
2:22+
0:53+
1:09+
0:55+
0:30+
0:32+
1:43+
4:46+
1:53+
0:47+
63. 10-14 306P
Total Itemized Calls
Total C0arges for 860 442-0165
CHarges for 860 ~3-6851
Itemized Calls
64. 9-15 949A FISHERS IS NY 631 788-5522 1 0:39+ ,00
65. 9 15 124P FISHERS IS NY 631 788-7192 1 0:30+
66. 9 15 303P FISHERS IS NY 631 788-5522 1 0:30+
67. 9 16 958A FI~HERS IS NY 631788-5522 1 0:37+ .0O
68. 9-16 317P FISHERS IS NY 631 288-5522 I 0:31+ .00
69. 9J7 721A FISHERS IS NY 631788-5522 2 O:30+ ,00
70. 9 17 IlllA FISHERS IS NY 631 288-5522 2 0:30+ ,00
71. 9 17 132P FISHERS IS NY 631 188-5522 2 0:30+ .00
72. 9 17 301P FISHERS IS NY 631788-5522 2 0:30+
73. 9 19 1022A FISHERS IS NY 631 788-5522 1 0:35+ .00
74. 9-19 257P FISHERS IS NY 631788-5522 1 0:32+ .00
75. 9-20 1044A FISHERS IS NY 631788-5522 1 0:49+ .00
76 9-20 ll01A DEOHAM MA 781 329-9348 I 0:31+ ,00
77. 9 20 248P FISHERS IS NY 631788-5522 1 O:31+ .00
78. 9-21 ll lTA FISHERS IS NY 631 788 5522 1 0:34+ .00
79. 9-21 1219P FISHERS IS NY 631788-5523 1 0:30+ .00
80, 9 21 314P FISHERS IS NY 631788-5522 1 O:33~- .00
81. 9-22 1114A FISHERSIS NY 631 700-5522 I 0:52+ .00
82. 9-22 1136A FISHERSIS NY 631788-5522 1 0:36+
83. 9 22 245P FISHERS IS NY 631 788-5522 1 0:31+ .00
84. 9-23 1025A FISHERS IS NY 631 708-5522 I 0:49+
85. 9 23 308P FISHERS IS NY 631 788-5522 1 0:30+ .00
86. 9-24 136P FISHERS IS NY 631788-5622 2 0:30+
87. 9-26 ll01A FISHERS IS NY 631780-5522 1 0:54+
88. 9-26 300P FISHERS IS NY 631788-5522 1 0:33+
89. 9-21 246A FISHERS IS NY 631788-5522 2 2:16+ .00
90. 9-27 1010A FISHERS IS NY 631788-5522 1 0:39+ .00
91. 9-27 1038A FISHERS IS NY 631788-5522 ~ 0:36+ .00
92. 9-27 255P JEWFTTCITY CT 860376-4094 D 0:35+ .00
93 9-28 100SA FISHERS IS NY 631 788-5522 1 0:39+ .00
94 9-28 1027A FISHERS IS NY 631788-5522 1 0:32+ .00
95. 9-28 1053A FISHERS IS NY 631 788-5522 I 0:32+ .00
96. 9-28 256P FISHERS IS NY 631 788-5522 1 0:30+
97. 9-29 1027A NWYRCYZNOI NY 212427-1301 1 0:31+ .00
8605.003.034970.02.04.000~0(~ NNNNNNNY 68739.68739
at&t
FISHERS ISLAND FERRY DISTRICT
PO BOX H
FISHERSISLE NY 06390-0607
Page 5 of 2
Account Number 860 442-0105 028
Billing Date Oct 15, 2011
Call Charges - Continued
Item
No. Date Time Place
1. 9-29 1107A FISHERS IS
2. 9-29 245P FISHERS IS
3. 9-29 248P FISHERS IS
4. 9-30 IIIIA FISHERSIS
5. 9-30 252P FISHERS IS
6.10-03 1103A FISHERS IS
7.10-03 315P EISHERSIS
8.1004 930A FISHERSIS
9.10-04 I0tlA FISRERSIS
10.10-04 248P FISHERS IS
I I. 10-05 I 118A FISHERS IS
12.10-05 256P FISHERS IS
13. 10-06 1021A FISHERS IS
14. 10-06 1022A FISHERS IS
15. 10-O7 9~1A FISHERS IS
16. 10-O7 330P FISHERS IS
17.10-30 15OP FISHERS IS
18. 10-10 736A FISHERS IS
19.10-IO 957A FISHERS IS
20.10-10 1121A FISHERSIS
Number
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY ~31 788-5522
NY 631 78~-5522
NY 631 78~-5522
NY 631 788 5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
21.10-10 225P HILTONHEAO SC 843681-6815
22.10-10 242P FISHERSIS
23.10-11 1030A FISHERS IS
24.10-11 1137A FISHERS IS
25.10-11 213P DEORAM
26, t0 11 219P OEDHAM
27.10-11 237P FISHERSIS
28.10-11 307P DEOHAM
29.10-11 33OP FISHERSIS
30.10-11 303P FISHERSIS
31.10-12 1030A FISHERS IS
32.10-13 1309A FISHERS IS
33. 10-13 1016A FISHERS IS
34.10-13 303P FISRERSIS
35.10-14 1030A FISHERSIS
36.10-14 1017A EtSRERSIS
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
MA 781 329-9122
MA 781 329-9122
NY 631 78e-5522
MA 781 329*9348
NY 631 78&5522
NY 63l 78~-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
NY 631 788-5522
37.10-14 125~P RRIOGEPORT CT 203333-9309
Total Itemized Calls
Total Charges for 860 443-6851
Chmges for ~ 444-0328
Itemized Calls
38. 9-15 704A FISHERS IS
39. 9-15 923A FISHERSIS
40. 9-19 202P FISHERS IS
41. 9 20 633A FISHERS IS
42. 9-22 121P HARTFORD
43, 9-26 245P FISHERSIS
44. 9 26 257P FISHERSIS
45. 9-29 941A EfSHERS IS
Code
NY &31 788-5523 2 0:35+ .00
NY 631 788-5523 1 0:31+ .30
NY 631 788-5523 1 0:32+ .30
NY 631 788-5523 2 0:34+ .30
CT 860 436-3264 D 0:36+ .00
NY 631 788-5523 I 0:32+ .(30
NY 631 788-5523 1 0:30+ .30
NY 631 788-5523 1 0:30+ .30
Min
0:40+ .30
0:32+ ,O0
0:30+ .30
0:39+ .30
0:33+ .30
0:38+ .00
0:34+ .00
NY 631 788-7463
0:32+ .30 NY 631 788-7345
0:35+ .30 CT 860 436-3259
0:31+ .30 NY 631 788-5673
0:37+ .30 NY 631 788-7463
0:31+ .30 CT 860289-8433
0:54+ .30 CT 203458-4128
0:33+ .30 NY 631 788-5~73
0:53+ .30 NY 631 788-7463
0:31+ .30 CT 860928-7848
0:31+ .30 NY 845656-1677
0:43+ .30 NY 631 78~-7345
0:37+ .30 CT 860 662-0558
0:36+ .OO NY 631 788-7982
0:33+ .30 MA 781 329-9122
0:32+ .30 RI 401 529-8755
0:39+ .30 NY 631 788-7463
0:30+ .30 CT 203868-2251
0:30+ .30 NY 631 788-7345
0:30+ .00
NY 631 788-7463
0:32+ .00 CT 860216-7827
0:39+ .00
NY 631 788-5655
1:57+ .00
NY 631 788-7463
0:50+ .00
NY 631 788-7345
0:38+ .30
NY 631 78&7463
0:35+ .30 NY 631 788 7345
0:32+ .30 NY 631 788 7463
0:31+ .00 VA 804539-4040
0:36+ .O~
MA 508 558-9996
0:37+ .30
NH 603823-9970
1:07+ ,00 CT 860227-1660
.00
NY 631 788-7463
.00
NY 631 788-7463
NY 631 788-7345
NY 631 788-7345
NY 631 788-7463
NY 631 788-7311
NY 631 788-2463
CT 860 841-2256
CT 860 841-2256
NY 631 788-7345
NY 631 788-7255
MA 508 481-5058
Call Charges - Continued
Item
No. ~ Time place
46.1046 731A FISHERSIS
47.10-06 405P LINDENRST
48. I0-12 317P HARTFORD
49.10-13 121P READING
50.10 14 735A UNDENRST
lotal Itemized Calls
Total Charges fur 860 444-0320
Charges for 860 447-9371
Itemized Calls
51. 9-15 720A FISHERSIS
52. 9-15 830A FISHERSIS
53. 9-15 930A HARTFORD
54. 9-15 1006A FISHERS IS
55, 9-15 1015A FISHERSIS
56. 9 15 1156A HARTFORD
57. 9 15 2lIP GUILFORD
58. 9-16 205P FISHERSIS
59, 9 16 205P FISHERSIS
60. 9 19 1014A PUTNAM
61. 9 19 1130A POUDHKFPSI
62. 9-19 1130A FISHERS IS
63. 9-19 1236P ESSEX
64. 9-19 307P FISHERS IS
65. 9-20 1024A DEBHAM
66. 9-21 llOP PROVIDENCE
67. 9-22 813A FISHERS IS
68. 9-22 916A NEW HAVEN
69. 9 22 948A FISHERS IS
70, 9-22 1214P FISHERS IS
71. 9-22 1258P HARTFORD
72. 9-22 130P FISHERSIS
73. 9-22 330P FISHERSIS
74. 9-23 712A FISHERSIS
75. 9-23 846A FISHERS IS
76. 9-23 1041A FISHERStS
77. 9-23 1051A FISHERSIS
78. 9-23 tI09A GLENAELEN
79. 9-23 1139A FALLRIVER
80. 9 23 1201P FRANCONIA
81. 9-23 1214P OLD SAYBRK
82. 9-26 1158A FISHERS IS
83. 9-26 1203P FISHERS IS
84. 9-26 1204P FISHERS IS
85. 9-26 150P FISHERSIS
86. 9-26 209P FISHERS IS
87. 9-26 234P FISHERS IS
88. 9-26 325P FISHERSIS
89. 9-27 713A HARTFORD
90. 9-21 743A HARTFORD
91. 927 858A FISHERSIS
92. 9-27 1045A FISHERS IS
93. 9-28 1223P MARLBORO
Number Code
NY 631 788-5523 2 0:30+ .30
NY 631 225-7911 1 O:E~+ .00
CT 860 291-9123 D 1:16+ .30
PA 484 256-4169 1 4:43+ .30
NY 631 225-7911 2 0:51+ ,30
.30
.00
10:57+ .00
0:30+ .00
1:53+ .00
1:31+ .30
0:41+ .00
4:35+ .30
1:19+ .00
0:30+ .00
3:0e+ .30
0:52+ .30
0:30+ .30
0:40+ .30
0:30+ .30
0:30+ .00
6:10+ .30
0:30+ .30
5:37+ .00
0:38+ .00
1:06+ .30
0:40+ .30
0:30+ .30
0:34+ .30
5:04+ .30
1:07+ .30
9:42+ .30
2:12+ .30
2:31+ .00
0:36+ .30
3:31+ .30
1:14+ .30
0:30+ .00
2:53+ .00
0:30+ .00
1:17+ .30
1:07+ .30
0:30+ .00
2:14+ .00
24:53+ .00
8:30+ .00
0:30+ .30
0:30+ .30
0:57+ .30
1:09+ .30
FISHERS iSLAND FERRY DISTRICT Page 6 of 7
PO BOX H Account Number 960 442-0165 078
FISHEgS ISLE NY 06390-0601 Billing Date Oct 15, 2011
at&t
Call Charqes - Continued
No. p~te Time Place Nmnber
I. 9-28 110P MIDDLEBOR0 MA508946-05DO
2. 9-29 945A PECONIC
3.10-03 849A BOSTON
4.10-03 1021A WALPOLE
5.10-03 1148A NEWHAVEN
0.10-03 239P FISHERS IS
7.10-03 244P FISHERS IS
8.10-04 922A FISHERSIS NY
9.10-04 929A PECONIC NY
10. 10-04 1115A STAMFORD CT
11.10-04 315P FISHEflSIS NY
12,10-06 8DOA WATERDURY CT
13.10-(36 842A WILLIMNTIC CT
14.10-DO 1152A FISHERS IS NY
15.10-06 150P BRIDGEPORT CT
16.10-07 261P OLD SAYDRK CT
17.10-07 214P FISHERSIS NY
10.10-07 310P OLDSAYBHK CT
19.10-10 830A HARTFORD CT
20.10-11 143P FISHERSIS NY
21.10 II 248P FISHERSIS NY
22.10-11 332P FISHERSIS NY
23.10-12 816A FISHERSIS NY
24.10-12 830A NEWRAVEN CT
25.10-12 1039A HARTFORD CT
26. 10-13 1157A FISHERS IS NY
27.10-13 1200P HARTFORD CT
28 IOq3 1242P HARTFORD CT
29.10-13 f20P WlNDSORLKS CT
30.10-13 3DOP NEWHAVEN CT
31.10-14 1224P HARTFORD CT
Total Itemized Calls
I Instate Directory Assistauce Carl(s)
Total Cbarges for 860 441-9371
+ - 0ptioual Calling Plau
Key ID Calling Codes
1 Peak 2 Off Peak
N NiglWWeekend
Code ~
I 5:30+ .00
NY 631 734-5600 1 0:38+ .DO
MA 617 686-6547 I 0:48+ .00
MA 508 641-8611 1 17:39+ .00
CT 203 468-4547 B 0:30+ .00
NY 631 788-7311 1 1:53+ .00
NY 631 788-73tl I 1:25+ .00
631 788-7463 1 6:58+ .00
631 734-5600 I 2:36+ .(30
203357-1544 D 1:49+ .DO
631 788-7345 1 1:23+ .00
203754-5334 O l:18+ .00
960 234-3543 D 0:42+ .00
631 788-7019 1 0:30+ .0~
203 650-7292 O 3:48+ .00
860 227-1660 D 2:24+ .00
631 788-7463 I 11:27+ .DO
860 227-1660 O 0:51+ .DO
860 986-7634 D 1:01+ .00
031 788-7919 I 1:14+ .DO
631 788-7345 I 1:58+ .DO
631 700-7345 ! 0:39+ .DO
631 788-7463 I 13:42+ .00
203 468-4503 D 0:56+ .DO
860 289-8433 D 4:33+ .00
631 788-7463 I 1:52+ .DO
860986-7634 D 39:12+ .63
860986-1634 D 0:57+ .04
860623-9886 O 0:30+ .02
203 468-4500 D 0:30+ .02
860 729-9844 O I:DO+ .04
.75
Total Call Charges
O Day
Surcharqes and Other Fees
AT&T Connecticut
32. ConuecticutE9-1-1Surcbarge-4Liues
33. Connecticut Service Fund - 4 Liues
34. Uuiversal Service Fuud - Local(4 @ $1.17)
35. Federal Subscriber Liue Charge - 4 Unes
Total AT&T Connecticut
Surcharqes and Other Fees - Continued
AT&T LD East
36. Federal Regulatory Fee
37. Universal Service Fund * Interstate
Total AT&T Long Distance East
Total Surcharges and Other Fees
Taxes
.18
1.91
2.09
31 .Z5
,75
30.75
1.20
.20
4.68
23.08
29.16
38. Federal
39. State Sales Tax
Total Taxes
Total Plans and Services
6.14
17.23
2337
355.91
PREVENT DISCONNECT
if your bdl slmws a past due amount, BOTH file Past Due amouut and
Curreut Charges are due IMMEDIATELY, All of your bill charges must be
paid eacb month to keep your accouut curreut and avoid collechou
activities (See Terms and Conditions for fmfller iRformation). However,
to avoid disconuection of local service, Basic Charges MUST be paid, For
$Z46.88 for Curreflt Basic Charges
$6,66 for Past Due Basic Charges
CARRIER INFO
Our records indicate that AT&T Connecticut is your carrier Ior iustate
calls. AT&T Long Distance Eastis your carrier for iuterstate aud
interuational calls.
KEEP YOUR DISCOUNT
scribed in file AT&T Benefits section of ale hill because you subscribe
ALL DISTANCE® customer. If you remove any of file services required fur a
particular discount, reduced rate, or promotioual credit, your
eflective rate Ior tile associated rernaiuing service will cbange. Please
call your AT&T service representative if you have any questions.
UNIVERSAL SVC FEE
Effective 10/1/2011, the Federal Universal Service Fee has increased,
Tltis fee supports telecommunication needs of Iow-incmne households,
consumers living in Itigh-cost areas, schools, libraries and rural
hospitals, Your current bill reflects tile change. For more information,
please coutect all AT&T Service Representetive at the phone number listed
on tbe frout of your bill.
ANNUAL NOTICE
Effective I-1-10 aud on a quarterly basis fllerealter, lutematJonal
Mobde Terminatiou Cbarge (IMTC) rates to some couni~ies may chm~ge.
Visit bttp~/www.attcomhnobileterm tot all new updated IMTC rates or
contect a Customer Service representative at the phoue uumber listed on
tile front of your bill. Tbaak you for choosing AT&T LoRg Distauce.
8605,OO3,034970.03.04,0000DOO NNNNNNNY 68741.68741
FISHERS ISLAND FERRY DISTRICT Page 7 of 7
PO BOX H Account Numbed 860 442-0165 078
at&t FISHERS ISLE NY 06390-0607 Billing Date Oct f§, 201f
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local calling features online. For example, you can change your
voicemail password, activate or deactivate your call forwarding, or
establish or update your speed calling list Once you are registered to
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E-REPAIR
The eRepair tool at attcom/repair provides answers to common repair
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Instead. you'll have ready access to the most up-to-date versions
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2-UNE PHONE SYSTEM
The AT&T TL86109 corded/cordless small business phone system comes with
two lines, a digital answering system, and a diaLin-base speakerphofle.
With Connect to Ceil(TM)technology, you can make and receive celt phone
calls with the ease, comfort and clari~ of your AT&T cordless headset
Receive 10% off the TL86109 ($169.95 + taxi until Novem her 30, 2011 with
promo code OCTBBM02 at telephones.att com.
NEW PAYMENT ADDRESS
Beginning with your November 2011 bill, your remittance address will
change to: PO Box 5ce2 Carol Stream IL 60197-50e2.
BILL PAYMENT, LATE PAYMENT CHARGES AND OTHER FEES
Failure to pay any portion of your bill may result in additional
collection action, Any partial payment made will first be applied to
Basic Charges, then to Non-Basic Charges. Failure to pay your Basic
Charges will result in interruption of your Ioca[ service. If you fail
to pay your Non-Basic Charges, your AT&T Connecticut local service will
not be interrupted, but all of your Non-Basic services will be
terminated. AT&T Connecticut may apply a late payment charge per month
on any unpaid balance, excluding the previously assessed late payment
charges. To avoid a late charge, we must receive payment for the total
amount due no later than the date specified on your bill statement AT&T
Connecticut will apply a $20.00 Collection Charge on an account where a
termination nobce has been sent. An explanation of these charges may be
obtained by calling AT&T Connecticut at the number shown on your bill or
accessing our website: http://www, attcom/ctbillglossary
AT&T SERVICES
Local and in state long distance services, inside wire, rental sets, and
voice mail services (except where shown as provided by AT&T Messaging)
are provided by AT&f Connecticut Out of state long distance is provided
by AT&T Long Oistance East Intemet services are provided by AT&T
lnternet Services. Wireless services are provided by AT&T Mobility.
BASIC CHARGES
Basic Charges are charges for Basic Services. Basic Services include
local service and in-state toll if you are an AT&T Connecticut local
service customer. Basic Charges include: Monthly Charges for your local
line and other services, such as Totalphone and Smardink; in-stste
Calling Charges; in-stato Directory Assistance Charges; the Connecticut
E-911 Surcharge; the Connecticut Service Fund fee; the Federal
Subscriber Line Charge; and the Universal Service Fund - Local fee.
NON-BASiC CHARGES
Non-Basic Charges are charges for Non-Basic Services. These charges
include: Call Charges for out of state calls, 900 calls and calls placed
through alternative services providers; Call Charges for in state Ion9
distance provided by a company other than AT&T Connecticut out of state
Directory Assistance Charges; charges for telephone equipment and inside
wire maintenance, ATaT Voice Mail, AT&T Unified Messaging, AT&T High
Speed Intarnet, Wireless, AT&T I DISH Network, AT&T I DIRECTV,
Advertising in the white page directories or other media; and the
Universal Service Fund - Interstate fee.
CHARGES THAT MAY BE BASIC OR NON-BASIC
Certain charges may be either Basic or Non-Basic, depending mr the
associated service. These include taxes, Late Payment Charges,
Collection Charges. and Additions and Changes to your service.
8605.003.034970.04.04.0000000 NNNNNNNY 68743.68743
FISHERS ISLAND FERRY DISTRICT
VENDOR 001790 BAIER MARINE COMPANY INC, 11/09/2011 CHECK 130
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .571~.2.000.100 BAI43325 MU DECK HATCH ASSY 625.77
TOTAL 625.77
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Balep ~ Compen¥, Inc.
Vendor Telephone Number
Vendor Contact
Invoice
Number
BA~4332~
Date
10/17/2011
Invoice
Total
626.77
Discount
gendorAddr~ss
File 61090
625.771 625.77
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is ~xue and correct, that no pa~ has
been paid, except as therein stated, that the balance therein stated is actually
due and o * d that taxes from which the Town i exempt e excluded
qi~ n Title ~ ~1~''~
Los Angeles, CA 90074-1090
Net Purchase Order
Amount Claime; Number
625.77
Vendor No. I'- qo'
Ch kN°' 130
Entered by ~
MU Oeck Hatch
To Be Installed
at Drydock
General Le. dg~r Fund and Account Number
8M5710.2.000.~00
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the quantities thereof have been verified with the exceptions
r discrepancies noted, and payment is approved.
Signature ·
~' Title 'e~2 -- Date ,tT~
Marine
Baler Marine Company, Inc.
A UMC Company
2920 Airway Ave
Costa Mesa, Ca 92626
Phone: 800-455-3917
Fax: 206-632-2441
INVOICE
Customer FIS18
Invoice BAI43325
Invoice Date 1011712011
Page Number I of I
FISHERS ISLAND FERRY S
PO BOX H H
FISHERS ISLAND NY 06390 I
USA P
T T
O O
FISHERS ISLAND FERRY
$ WATERFRONT PARK
NEW LONDON CT 06320
USA
Attention: MARK
Shipment Date Shipped
03194 10/17/2011
Buyer
Salesperson
RYAN ext 212
Ship Via I F.O.B. / Incoterms
UPS - GROUND I SHIP POINT
Freight Payment
Payment Terms
N ET 30
Tracking Number
PREPAID BY U/B AND BILLED IZ6F16OF0368547701
~ustomer P.O. Item Number Location Quantity Quantity Unit
Sales Order Description (~rrJ~r~l Shipped Price
VERBAL MARK BFHR20S/S BAILA 1,00 1.00 548.00
BAI13886 HATCH ASSY, 20" ROUND, FLUSH EACH
Percent I Line
Extended I
~mount
548.00
lax ~ummar~
PLEASE REMIT TO: File 51090, Los Angeles, CA 90074-1090
Subtotal Net Subtotal
548.00 0.00 62577 0.00
Nontaxable Freight Discount
77.77
Tax Total Invoice Total
625.77
All returned products are subject to a 16 ~ restocking fee.
Currency: US DOLLAR KFAN 10/18/2011 4:22:58AM
FISHERS ISLAND FERRY DISTRICT
VENDOR 003035 CARBOLINE COMPANY 11/09/2011 CHECK 131
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.000 20807003 12 GALS EPOXY PRIMER,THN 571.34
TOTAL 571.34
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Carbollne Company
Vendor Telephone Number
Vendor Contact
Number
20807003
Invoice
Date
10/19/20t t
Total Discount
571.34
i 571'341 i 871.34
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
d°~nhepr~bdY~ ths atthtehr ~ifn° rset agt°/~,gt ~'e ~i~eisb~t ~Uane ~ ~nldh ~ r°e~neCst 'tatthaedt i~ °acP~lT;
~ ~.~ ~1~, ~,1
2150 Schuetz Road
St. Louis, MO 63146
Net Purchase Order
Amount Claime¢ Number
871.34
Vendor No
Eheck No.
a. udit Date f
t_
Description of Goods or Services General Ledger Fund and Account Number
Epoxy Primer, Both Boats 8M$710.2.000.000
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
x~i v' I M 0 t ''
Carboli~e Company
2150 Schuetz Road · St. Louis, MO 63146 · 314-644-1000 · FAX 314-587-2695
INVOICE
The Fishers Island Ferry
SH)PTO 5 Waterfront Park
Attn Mark Easter 860-442-0165
New London, CT
06320
SOLD TO
Fishers Island Ferry
Attn Mark Easter 860-442-0165
PO Box H
Fishers Island, NY
06390
SLS/
20807003
CLEVELAND, OH 44193-'0004
PLEASE PAY FROM INVOICE
TERMS: NET 30 DAYS-NO DISCOUNT ALLOWED
EIN # 52-1167514
www.carboline.com
SALES ORDER NO CUSTOMER RD. NUMBER SHIPPED VIA EO.B. SHIPPING POINT
~94017- 1 VERBAL MARK EASTER New Penn Motor [Ground] 050 Linden, NJ
DATE ENTERED CUSTOMER NUMBER SHIPPING DATE INVOICE DATE DRIGINAL IN~)ICI
10-18-2011 214844000 Prepay and Add 10-19-2011 10-19-2011 SLS/20807003
4.00 GALLON 10200500901D 4.00 Gals 38.0000 152.00
Carboguard 635 Red
4.00 GALLON 10200700901D 4.00 Gals 38.0000 152.00
carboguard 635 Grey
4.00 GALLON 10200900901D 4.00 Gals 38.0000 152.00
Carboguard 635 Black
1.00 GALLON 05100910001D 1.00 Gals 15.0000 15.00
Thinner 10
1.00 EACH FREIGHT 1.00 Units 66.2300 66.23
Freight & Handling
]Tax AL~hority Rate Amount~/
IState 6.350 34.111
Material Safet~ DataSheets are also available
at www,carboline.com or by calling Technical
Service at 1-800-848-4645,
This order is subject to
the terms & conditions set forth on the
reverse side hereof.
INVOICE AMOUNTI~
USD
571.34
FISHERS ISLAND FERRY DISTRICT
VENDOR 003624 CREATIVE FORMS & CONCEPTS INC. 11/09/2011 CHECK 132
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5711.4.000.000 23503 110386 2011 W-2'S & 1099'S 111.25
TOTAL 111.25
Town of Southold, New York-Paymen~ 2005
Vendor Tax iD Number or Social Security Number I Vendor Address
PO Box 7456
Creative Forms & Concepts St. Cloud, MN 56302-7456
Vendor Contact
!~endor No.
~ 3624
::::::20::::::::::::::::
110386
ltl/17/201 I
10/17/2011
Total
$111.25
$111.25
Payee Certification
The undersigned (C!z::.:~:) (Acting on behalf of the above named claimant)
does hereby certi~ that the foregoing claim is tree and co~vect, that no part has
due and ~3~1. ai~ that taxes ~n wbe:h the Tow~ is exenm, a~e excluded
Company Name ?'~ Date
23503
txeauve Forms
& Concepts
INC.
BILL TO:
I~O. Box 7456
St. Cloud, MN 56302-7456
(320) 203-7327
fax (320) 255-5211
1 877 643 9229
E-mail: c reatlvctb r ms ,COcloud n et.corn
Town of Southold
PO Box 1179
Southold, NY 11971-0959
Invoice
DATE INVOICE#
10/17/2011 110386
SHIP TO:
Town of Southold
54375 Route 25
Southold, NY 11971
! PO. NUMBER TERMS REP SHIP I ViA EOB.
23503 Net 15 KJK 10/11/2011 UPS
QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT
50( 5028 Fold & Seal - Preprinted 4 up W2 0.273 136.50
20~ 5016 Laser 1099 Misc- Recipient Copy B - 100 0.18 36.00
1099's/pkg
20~ 5019 Double Window Envelope for 1099 Misc and 0.25 50.00
1099R
5010 W3 0.00 0.00
5011 1096 - 2 part 1099 Summary 0.00 0.00
5000 Shipping Charge 0.00 0.00
Thank you for your business. Total $222.50
Creative Forms & Concepts, Inc. · 120. Box 7456 · St. Cloud, MN 56302-7456 · (320) 203-7327
Purchase Order # 2 3 5 0 3
Date ' /
TOWN OF SOUTHOLD
Tax Exempt # A163554
"'
Account #
IDeliver and send billing to:
Department
Addr~ ~:+ :~ , ,, ~,/; )
VENDOR
Return this copy and Town of Southold voucher itemized and signed for payment''
ITEM
QUANTITY
DESCRIPTION
UNIT COST
TOTAL
THIS PURCHASE ORDER IS NOT VALID WITHOUT THE SIGNATURES OF THE DEPT. HEAD AND THE SUPERVISOR
I CF-J~T1F)f THA~T THERE ARE
SUPF)qi[~NT I:~INDS AVAILABLE
... !.~^~PR,^T,ON
I CERTIFY THIS TO BE A JUST
AND TRUE PURCHASE-ORDER
Supervisor
DEPARTMENT'S CERTIFICATION OF GOODS OR
SERVICES
I certify that the goods or services were received by this
Department and all exceptions duly noted.
Signed Title
Date
DEPARTMENT BILLING COPY
FISHERS ISLAND FERRY DISTRICT
VENDOR 018554 DIVERS COVE LLC 11/09/2011 CHECK 133
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.000 25975 BOAT INSPECTION-BOTH 106.35
TOTAL 106.35
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number Vendor Address
Divers Cove
Vendor Telephone Number
Vendor Contact
? Essex Plaza
Essex, CT 06426
:Vendor No.
Check No.
Entered by ,(~._._
Audit Date
town Clerk
Invoice Invoice Invoice
Number Date Total Discount
106.35
Net
Amount Clalme{
106.38
106.35 106.35
Payee Certification
The undersigned (Claimant) (Acting on behalf of thc above named claimant)
does hereby certify that the foregoing claim is 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 fi-om which the Town ~}s~a~n pt are excluded
Company Name ~ __ -D~at~;~-,' /Y. /£
Number Description of Goeds or Services
8oat Inspection-noth
General Ledger Fund and Accoun~ Number
8M$710.2.000.000
Department Certification
I hereby certify that the materials above specified have been received by me
in g condition w~tbout substiiution, thc services properly
performed an e quantities thereof have been verified with the exceptions
d payment is approved.
Divers Cove
7 Essex Plaza
Essex CT 06426
Fax: 860-~67-3356
FISHERS ISLAND FERRY DISTRICT #4411
BOX H
FISHERS ISLAND, NY 06390
Invoice %25975
10/19/2011 12:55:46 PM
Quantity unit Extended
Ord. Del. Description PC Tax Price Price
1 1 LABOR-BOAT INSPECTION/REPAIR- FIRST HOUR R 1 $100.00 $100.00
BOAT/DC3763:
NON TAXABLE: $0.00 TAXABLE AMOUNT: $100.00 6.35% Sales Tax: $6.35
TOTAL DUE: $106.35
TOTAL PAID: $0.00
BALANCE DUE (This Invoice): S]06.35
FOR SERVICE ON SUNDAY, OCT. 16, IN NEW LONDON
X
THANK YOU FOR SUPPORTING OUR BUSINESS! Page: 1
FISHERS ISLAND FERRY DISTRICT
VENDOR 005029 MARK EASTER 11/09/2011 CHECK 134
FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.000
SM .5710.4.000.000
SM .5710.4.000.000
102411
102411
102411
157,6/MILEAGE-3/8-6/6/ll 80,38
266.1/MILEAGE-6/7-9/23 135.71
145.8/MILEAGE-10/3-10/20 74.36
TOTAL 290.45
Town of Southold, New York - Pa,
Vendor Tax ID Number or Social Security Number
Mark B. Easter
Vendor Telephone Number
Vendor Contact
~ment Voucher
Vendor Address
t52 Gager Road
;Vendor No.
5029
~°zrah, CT 06334
Invoice
Number
Invoice
Date
Invoice I
Total Discount
/,~Z~/// 10/24/2011 80.38
t35.?S
74.36
Cheek No.
Entered by
]Audit Dale
!er
Net Purchase Order
Amount Claimel Number
/
80.38
74.36
Description of Goods or Services General I~dger Fund and Account Number
Mileage Reimbumements 8M5710.4.000.000
157.6 mi
266.1 mi ~ $ .$1/mi-~3- /Z..~}//
145.8 mi (~ $ .51/ml-/~' */~
Payee Certification ! Department Certification
]'he undersigned (Claimant) (Acting on behalf of the above named claimant) I I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is tree and correct, that no part has I , the services properly
been paid, except as therein stated, that the balance therein stated is actually I
due and ng, d that taxes from which the Town is exempt e excluded.
Title
or discrepancies noted, and payment is approved
Date
Mileage Reimbursement Form
Date Miles Destination Purpose
Total miles ~ ~.~, X - f('~ per mile
signature date
www. BusinessForm/emplate.com
Mileage Reimbursement Form
Name:
Date Miles Destination Purpose
~ 4.%
/
Total miles Z~,~o A X . ~r, per mile =
signature
date
www. BusinessFormTemplate.com
Mileage Reimbursement Form
Name:
Date Miles Destination Purpose
Total miles ~,clq. ~ X - per mile =
signatnre
date
w'~w. BusinessFormTemplate.com
FISHERS ISLAND FERRY DISTRICT
VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 11/09/2011 CHECK 135
FUND & ACCOUNT P.O.# IN¥OICE DESCRIPTION AMOUNT
SM .5709.2.000.200 S021339856.000 3 LIGHT BULBS-NL TERM 55.99
TOTAL 55.99
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Electrical Wholesalers Inc.
Vendor Telephone Number
Vendor No.
5414
Vendor Address
Lockbox 9761
P.O. Box 8500
Philadelphia, PA 19178-9761
Vendor Contact
Invoice
Number
$021339856.000
Invoice
Date
10114/2011
Invoice Net
Total i Discount :Amount Claimed
55.99
55.99
65.99
56.9~
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby ccrtj~:y that the foregoing claim is true and correct, that no part has
been paid ex t as therein stated, that the balance therein stated is actaally
due~and~ d\ that taxes~ fromx which.~T~ ~the To.~/;. ~"~is exempt
Company Name ]~}-.--~'- t~ Date /~N
Purchase Order
Number
Check No.
Entered by ~
Audit Date "
l~scription of Goods or Services
NL Terminal Light Bull:m
8M6709.2.000.200
G~nctal Ledger Fund and Aexount Number
Department Certification
I hereby certi~ that the materials above specified bevc been received by me
in good condition without substitution, the services properly
performed and that e quantities thereof have been verified with the exceptions
Elecirlclll Wlii)lemllerN, lilt.
ELECTRICAL WHOLESALERS INC,
P,O, BOX 261797
HARTFORD, CT 06126-1797
1-800-522-3232
Branch: 163 STATE PIER ROAD NEW LONDON,CT 06320
860/443-4381
5821AB0.368 EO213X ID447D385879076P8999280001:0001
llhlllllhlllllllllllllllhllhllhl,llhlllllll,ll,hlhlllllll
FISHERS ISLAND FERRY DI
PO BOX H
FISHERS ISLAND NY 06390-0607
INVOICE
Invoice #: S02133.~856.000
Invoice Date: 10114/2011
Account #: 28370
Ticket #: E71811
Please Remit All Payments To:
Electrical Wholesalers, Inc
Lockbox# 9761
PO Box 8500
Philadelphia, PA 19178-9761
VISIT US AT: www.usesi.comlew
SHIP TO
FISHERS ISLAND FERRY DI
Customer WILL-CALL at:
CT *NEW LONDON* BRANCH 06320
3 CCC
CCC
WILL CALL
HOUSE ALL EW BRANCHES
CHARRON, KEVIN
~EL F31T8/SPX35/U/ECO FLUOR LAMP
NEWI
View, print, download and pay your invoices with ease using
Electrical Wholesaler's new Invoice Gateway.
Electrical Wholesalem continues to service our customers by now allowing easy online
access to all your invoices and statements in one convenient location.
Please visit the web address at the bottom of this page and use your unique enrollment
token to begin experiencing the benefits of this great new service.
I
* PAYMENT IN FULL IS DUE BY NOV 25TH *
LAMPS/BULBS MAY CONTAIN MERCURY PER FED/STATE LAW MAY NOT BE PLACED IN 3.34
GARBAGE FOR DISPOSAL! 55.99
TERMS OF SALE
SPECIAL ORDERED NON-STOCK MERCHANDISE CANNOT BE RETURNED FOR CREDIT. NO MERCHANDISE CAN BE RETURNED FOR CREDIT WITHOUT AUTHORIZATION. A MINIMUM 30%
RESTOCKING CHARGE DEDUCTED FROM ALL RETURNED MERCHANDISE. ORIGINAL INVOICE NUMBER MUST ACCOMPANY ALL CLAIMS. A SERVICE CHARGE OF 1-1/2% PER MONTH, WHICH IS
THE EQUIVALENT OF 18% PER yEAR OR AT SUCH A HIGHER RATE AS SHALL BE ALLOWED BY LAW) ON ALL PAST DUE BALANCES. REASONABLE ATTORNEY'S FEES, COURT FEES AND
OTHER COLLECT ON COSTS MAY BE ADDED TO DELINQUENT ACCOUNTS.
NO DISTRIBUTOR WARRANTIES UNLESS OTHERWISE SPECIFIED IN WRITING. AS VENDOR OF THIS ARTICLE(S),S WE MAKE NO WARRANTIES OR REPRESENTATIONS EXPRESSED OR IMPLIED
,~ TO WORKMANSHIP, PERFORMANCE, QUAL TY, DURABILITY, FITNESS, OR MERCHANTAB L TY. THE ONLY WARRANT ES APPLY NG TO THE ART CLE S SOLD HEREUNCER ARE THOSE
SPECIFICALLY PROVIDED IN WRITING BY THE MANUFACTURER.
A USE 'S~- Company
0001:0001 ........ INVOICE GATEWAY: http:llewinc.billtrust.com Web Enrollment Token: VMV DKX FVX Page 1 of
FISHERS ISLAND FERRY DISTRICT
VENDOR 005442 EMPIRE DENTAL 11/09/2011 CHECK 136
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .9060.8.000.000 4708630 DENTAL PREMIUM-ii/il 827.83
TOTAL 827.83
ir!
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Empire Dental
Vendor Telephone Number
Vendor Contact
Number
4708630
Invoice
Date
10114/,2011
Vendor No.
P.O. Box 202837
Departmen~t83703
Dallas, TX 75320-2837
Invoice i Net
Total ! Discount Amount Claimed
827.83
827.83
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is trae and correct, that no pan has
been paid, except as therein stated, that the balance therein stated is actually
due and owing, d that taxes from which the To exempt are excluded.
Check No.
Entered byc~p~
Audit Date
Purchase Order
Number
Description of Goods or Services
Nov12011 Dental
General Ledl~er Fund m~d Account Number
8M9060.8.000.000
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed tha~shc~qpUaanncti~ise~;~ecdr,eOafn~aVpaeylr~ int ;ser~pfi;idov~tdh' the exceptions
Title ~ Dat '
Title e! I/
Emp. jre . . INVOICE PAGE I
EMPIRE,
PO BO~ 856
MINNEAPOLIS MN 88440-0866
ACCOUNT NAME
ACCOUNT #
BILLING DATE
8ILLING/PYflT
FISHERS ISLAND FERRY DISTRICT
ENY4561251 INVOICE# 4708630
10/14/2011 SUBSCRIBER PERIOD 11/01/2011 - 11/30/2011
877-606-3409 CLAIM PERIOD
FISHERS ISLAND FERRY DISTRICT
ATTN: ASSISTANT MANAGER NINA SCHMID
50 TRUMBULL BT
PO BOX H
FISHERS ISLAND NY 06390
REMIT TO:
EMPIRE DENTAL
PO BOX 202837
DEPARTMENT 83703
DALLAS TX 75320-2837
CUSTOMER NUMBER OF
CURRENT NUMBER OF CLAIM ADJUSTMENT RATE TOTAL
REPORTING NUMBER EMPLOYEES CLA{MS AMOUNT AMOUNT AMOUNT AMOUNT
456125-0001-0001-550 1§ 261.62
36.49/EE/MO
446.70
74.45/EE/MO
89.21
89.21/EE/MO
827.83
INVOICE TOTAL 15 0 $0.00 $0.00 $827.83 $827.83
YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH.
PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT.
SUBSCRIBER LISTING PA E 2
EMPIRE
PO BOX 856
NINNEAPOLIS MN 55440-0856
ACCOUNT NANE
ACCOUNT #
BILLING DATE
ENROLLMENT
FISHERS ISLAND FERRY DISTRICT
ENY4561251 INVOICE #
10/14/2011 SUBSCRIBER PERIOD
800-928-6459
4708630
11/01/2011 - 11/30/2011
CUSTOMER REPORTING NUMBER
SUBSCRIBER EFFECTIVE COVERAGE CURREhT RETRO TOTAL
LAST NAME FIRST NAME REF I ID OATE TYPE AMOUNT AMOUNT AMOUNT
8 INDIVIDUAL 291.92 0.00 291.92
6 EMPLOYEE+SPOUSE 446.70 0.00 446.70
1 EMP+CHILD(REN) 89.21 0.00 89.21
GRAND TOTAL FOR ALL TI CUSTOMER REPORTING NUMBERS 15 827.83 0.00 827.83
ENROLLMENT CHANGES MUST BE RECEIVED AT LEAST 5 BUSINESS DAYS
PRIOR TO YOUR SCHEDULED BILL RUN DATE.
SUBSCRIBER LISTING P^ E ,
EMPIRE
PO BOX 856
MINNEAPOLIS MN 55440-0856
ACCOUNT NAME
ACCOUNT #
BILLING DATE
ENROLLMENT
FISHERS ISLAND FERRY DISTRICT
ENY4561251 INVOICE #
10/14/2011 SUBSCRIBER PERIOD
800-928-6459
4708630
11/01/2011 - 11/30/2011
FISHERS ISLAND FERRY DISTRICT
ATTN: ASSISTANT MANAGER NINA SCHMID
50 TRUMBULL ST
PO 60X H
FISHERS ISLAND NY 06390
REMIT ENROLLMENT CHANGES TO:
EMPIRE
PO BOX 838
MINNEAPOLIS MN 55440-0838
ATTN: ENROLLMENT DEPARTMENT
CUSTOMER REPORTING NUMBER 456125-0001-0001 FISHERS ISLANO FERRY DISTRICT
LAST NAME FIRST NAME REF # SUBSCRIBER EFFECTIVE COVERAGE CURRENT RETRO TOTAL
ID DATE TYPE AMOUNT AMOUNT AMOUNT
BARRETT FREDERICK N/A 883Ml1083 05/01/2011 EMPLOYEE 36.49
BROWN DONALD N/A 895M11083 05/01/2011 EMPLOYEE+SPOUSE 74.45
DOHERTY THOMAS N/A 886M11083 05/01/2011 EMPLOYEE+SPOUSE 74.45
DUMOUCHEL ROBERT N/A 885Ml1083 05/01/2011 EMPLOYEE+SPOUSE 74.45
FLORA MICHAEL N/A 878Ml1083 05/01/2011 EMPLOYEE 36,49
FOLEY PAUL N/A 877Ml1083 05/01/2011 EMPLOYEE 36.49
HILLER OONATHAN N/A 262Ml1092 07/01/2011 EMPLOYEE 36.49
HOCH RICHARD N/A 882M11083 05/01/2011 EMPLOYEE 36.49
KNAUFF ROBERT N/A 884M11083 05/01/2011 EMPLOYEE+SPOUSE 74.46
LEFEVRE RAYMOND N/A 881Ml1083 05/01/2011 EMPLOYEE 36.49
LYNCH MATTHEW N/A 880M11083 05/01/2011 EMPLOYEE 36.49
MARSHALL dESSE N/A 896Ml1083 05/01/2011 EMPLOYEE+SPOUSE 74.45
MORGAN dOHN N/A 897Ml1083 05/01/2011 EMPLOYEE+SPOUSE 74.45
SCHMID NINA N/A 898Ml1083 05/01/2011 EMP+CHILD(REN) 89.21
TRAUB dAMES N/A 879M11083 05/01/2011 EMPLOYEE 36.49
8 INDIVIDUAL 291.92 0.00 291.92
6 EMPLOYEE+SPOUSE 446.70 0.00 446.70
1 EMP+CHILD(REN) 89.21 0.00 89.21
SUBSCRIBER TOTAL FOR HE ABOVE CUSTOMER RE ORTING NUMBE 15 827.83 0.00 827.83
FISHERS ISLAND FERRY DISTRICT
VENDOR 006482 PAUL J. FOLEY 11/09/2011 CHECK 137
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .9060.8.000.000 100111 REIMB.RX-OCT'll
TOTAL
95.94
95.94
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number Vendor Address
690 Williams Street
New London, CT 06320
ige~aor~.
Paul J. Foley
Vendor Telephone Number
Vendor Contact
Eheck No.
Entered b~
Audit Date
r ler
Invoice
Number
Date
Invoice Net Purchase Order
Total : Discount Number
r/~D/// t0/1/2011 95.94 95.94
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is true and correct, that no part has
been paid, except as therein stated, that the balance therein stated is actually
due an~that taxes from which the ToWn{~ilmpt are excluded. I
Sig~-~._ . x Title ~ [~0~'~ k / ]
pat /
Anthem Retiree
General Ledger Fund and Aecoant Number
8M9060.8.000.000
Prescription Plan
90% Reimbursement
H06.60 I~s 10%
Paul Foley Ck #2132
Monthly in Arrears-Oct/t1
Department Certification
i hereby certify that the materials above specified have been received by me
m good condition without substitation, the services properly
performed at the quantities thereof have been verified with the exceptions
screpancies noted,~and payment is approved
Title ~- ~..~ Date (~(J~ll~
>,0;o40/. 1
G0230330801
IIh,,,ll,,,,ll.,hllh,.,h.h,,ll.lh,,hll,h,lh,,Ih,,I
PAUL J FOLEY
690 WILLIAMS ST
NEW LONDON CT 06320-,4.132
Balance Due
$106,60
11/01/2011
/'lease retur, the top porfio.
See reverse side.for ?tt,!'l~lel/f
Relam !he bottom ,t~ortton o.f IhiX./brm for your
Anthem. .
Participant Summa~: G0230.*_ 0801
Date: 10/04/201 I
'l'ransaction
Premium
Date Description
10/01/2011 October 2011
Balance Due
! Blue MedicareRx'(PDP)
Amount
106 60
106.60
PAUL d. FOLEY 2132
690 WILLIAMS ST.
NEW LONDON. CT 06320 51-7218/2211
,' ' 139
.... ' DaLe
Pa), to the ..
Orderof __ .... -,--- "',- . ~ ;:b .',~L '.'~
Peoplef~ Umted
Bank
" >" ' " Dollars
'age I of 1
FISHERS ISLAND FERRY DISTRICT
VENDOR 008021 HAROLD'S LLC 11/09/2011 CHECK 138
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 6898 RPRS-FREIGHT OFFICE DOOR 304.15
TOTAL 304.15
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Securit~ Number vendor Address
Vendor Name
Harold's LLC
Vendor Telephone Number
Vendor Contact
Vendor No.
8021
P.O. Box 661
Fishers Island, NY 06390
Check No.
Entered by ~
Audit Date
NOV 0 0 2011
Number
Date
Lnvoice Net
Total Discount :Amount Claime(
6898 8/3112011 304.15 304.15
304.15 304.15
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant) I
does hereby certify that the foregoing claim is frae and correct, that no part has
been paid, except as therein stated, that the balance therein stated is actually
due and ow' g, and that taxes from which the Town is exempt e excluded
Purchase Order
Number
Description of Goods or Services
Frei~lht Office-Dick's Door
Ripped Off by Forklift
Repairs June 7, Audi 2&t3
SM5709.2.000.200
Department Certification
l hereby certify that the materials above specified have been received by me
tn good condition without substitution, the services properly
p e ffO~ t d i st hc; eqpUaannc, i t eis, ~ ~ ~ fn ~ ap'~aeym eb e ennt ;sO'~ p~rdo v..,2dt ~ the exceptions
Fishers Island Ferry
HAROLD~~
P. O, BOX 66 !
FISHERS ISLAND, NY 06390
6317885523 p. 1
DATE INVOICE #
8/31/2011 6898
BILL TO
FISHERS ISLAND FERRY DISTRICT
P.O. BOX H
FISHERS ISLAND, NY 06390
DESCRIPTION QTY RATE AMOUNT
LABOR AND MATERIAL TO FIX FREIGHT 304. t5
DOORS X3 JUNE 7, AUGUST 2 & 13
Total $3o4.15
P. O. BOX 661
FISHERS ISLAND, NY 06390
I DATE INVOICE #
8/31/20tl 6898
BILL TO
FISHERS ISLAND FERRy DISTRICT
P.O. BOX H
FISHERS ISLAND, NY 06390
DESCRIPTION QTY RATE AMOUNT
LABOR AND MATERIAL TO FIX FREIGHT 304.15
DOORS X3 JUNE 7, AUGUST 2 & 13
~ _L__L__S ALES~.3X INCL~ ~
Total $304.15
FISHERS ISLAND FERRY DISTRICT
VENDOR 007713 HOME AID CHIMNEY CLEANING CO. 11/09/2011 CHECK 139
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.100 102411 CLN/SVC CHIMNEY-BLDG 240 90.00
TOTAL 90.00
Vendor Tax ID Number or Social Security Number
Town of Southold, New York - Payment Voucher
Vendor Address
Vendor Name
Home Aid Chimney
~eend0r No.
Vendor Telephone Number
Vendor Conatct
Invoice Invoice
P.O. Box 18
Mystic, CT 06355
Net
Number ; Discount Amount Claime~
Date Total
10/2~/20t t 90.00
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is true and correct, that no part has
been paid, except as therein stated, that the bal therein stated is actually
due and owl and that taxes from which the exempt are excluded
Purchase Order BId~ 240,
Number ! Description of Goods or Services
Chimney Cln~/5~
Check No.
toff
Entered by
Audit Date
8M6709.000.100
Department Certification
I hereby certify that the materials above specified have been received by me
Home Aid Chimney Cleaning Company
SPECIALIZING IN: CHIMNEY CLEANING · FIREPLACES · DUCTS · MASONRY WORK
I
Daniel S. Cochran
59 Wyassup Road
North Stonington, CT 06355
Phone: 599-0444
TERMS: Net 10th of month following billings. Finance charges: 2% per month on charges over 30 days old with beginning balance
on second monthly billing and beginning balance monthly thereafter. Annual percentage rate on accounts over 30 days 24%.
FISHERS ISLAND FERRY DISTRICT
VENDOR 011557 D~NN KOWALCZYK-BANKS 11/09/2011 CHECK 140
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.600 103111 JAMITORIAL-OCT 2011 250.00
TOTAL 250.00
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social S~curity Number
Vendor Name
Ann Kowalczyk Banks
Vendor Telephone Number
Vendor Contact
Invoice Invoice
Number Date
/D.~/ / / 10/311~.~,G~
Invoice i
Total : Discount
Vendor Address
P.O. Box 384
Fishers Island, NY 06390
Net
Amount Claimec
I Vendor No. I
11557
260.00 250.00
Purchase Order
Number
Description of Goods or Services
JanitorlallOcfJl I
Cheek No,
Entered by
Audit Date
General Ledger Fund mad Account Number
8M6710.4.000.600
250.00 260.00
Payee Certification
T~e undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is tcae and correct, that no pact has
Signature x, \ ] Title~/~ /' I /
/
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
perfofor,~ie~ a[~d thd d that the quantities thereo£have been verified with the exceptions
o( ~L~r discrepancies noted, and payment is approved.
FISHERS ISLAND FERRY DISTRICT
VENDOR 012153 LIFE RAFT & SURVIVAL EQUIP INC 11/09/2011 CHECK 141
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.100 42882 1 BRACKET-MU STROBE LGHT 48.95
TOTAL 48,95
Town of Southold, New York - Payment Voucher
Vendor Tax 1D Number or Social Security Number Vendor Address
Vendor Name
Life Raft & Survival Equipment, Inc.
Vendor Telephone Number
Vendor Contact
Number Date
Total
590 Fish Road
Tlverton, RI 02878
Net Purchase Order
Amount Claimed Number
Vendor No.
12153
Discount Description of Goods or Services
42882 10112/2011 48.98 48.95 MU Lifefloat Strobe tl0ht
48.95
48.95
Payee Certification
The undersigned (Claimant) (Acting on behalf of thc above named claimant)
does hereby certify that the foregoing claim is true and correct, that no pan has
been paid, exc therein stated, that the balance therein stated is actually
due and o ' at taxes from which the Town is exempt e excluded
Check No.
Entered by
Audit Date
Replacement Bracket
General Ledger Fund and Account Number
~M87~0.2.000.100
Department Certification
I hereby certify that thc materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the quantities thereof have been verified with the exceptions
Oct 12 2011 I:3?PM LRSE 401-B16-5411 pa~e 1
Life Raft & Survival Equipment, Inc.
590 Fish Road
Tiverton, RI 02878
(401) 816-5400
(401) 816-5411 - Fax
Invoice
Invoice # 42882
Date ~%
Work Order
Bill To
Fi~efs Islmxt Ferry District
A'~n: Mask Easter
Box H
Fi~efs Island, NY 06390
Ship To
PO(2: Mark
Fishers Island Ferry Dish'icl
5 Waterfront Park
New Londonr CT 06320
Customer Phone
86044241165
P.O. Number Terms Rep Boat Name Mfr.
Net 30 BK Best Way
City Item Code S/N Description Price Each Amount
BRACKET F/RLB 14/SM2
SHIPPING & F~ANDLING
39.95
9,09
CAC94381
SH/P-STORE
3995
9.00
Subtotal $48 95
Sales Tax (0.0%) soea
Total 89s
Payments/Credits $oco
Balance Due ~9~
g'd gg§cJ88Z ~g9 XJ]ej puelSl s~eqs!j
Fishers Island Fer~¥ 6317885523 p.2
FISHERS ISLAND FERRY DISTRICT
VENDOR 013054 MAPLE PRINT SERVICES,INC 11/09/2011 CHECK 142
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.400 1323 LETTERHEAD 98,00
TOTAL 98.00
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Maple Print Services, Inc.
Vendor Telephone Number
Vendor Contact
Invoice Invoice Invoice
Number Date Total
265 Rt. 12, Suite 699
Gales Ferry, CT 06340
1323 98.00
Vendor No.
Discount
Amount Claime~
98.00
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is V;ue and correct, that no part has
been paid, except ~s therein stated, that the balance therein stated is actually
due and owing, and that taxes from which the Tow~ ~s~ exem t are excluded
Parchase Order
Number
13054
Check No.
Description of Goods or Services
New Letterhead
Remove M~lr's Name
General Ledger Fund and Account Number
8M8710.4.000.400
Department Certification
i hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performedrmed a~that tlthat the quantities thereof have been verified with the exceptions
it~iscrepancies noted, and payment is approved.
Maple Print Services Inc.
255 Rt. 12
Suite 699
Groton, CT 06340
Invoice
Date Ip, voice Cf
L r
i 10/20/2011 1323
Bill To
Fishers Island Ferry
Fishers Island, N.Y.
'~ 06390
Item
Letterhead
J P.O. No. I Terms
Description
500/8.5 x 11 Letterhead -
lOvers at NO Charge - Thanks for your support of
I Maple Print Service this year
Qty
Thank You!!!
Rep J
Amount
98.00
Subtotal $98.00
Sales Tax (0.0%) $0.00 /
Total 898.00
Phone #
LI 860-381-5470
FISHERS ISLAND FERRY DISTRICT
VENDOR 013008 MARIEN + COMPANY, LLC 11/09/2011 CHECK 143
FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT
SM .1310.4.000.000
SM .1310.4.000.000
SM .1310.4.000.000
23851 LITIGATION-ATM ISSUES 3,000.00
23881 VAR.MGMT ADVISORY SVCS 1,810.00
23882 ACCOUNTING-PROP TAX LEVY 1,087.50
5,897.50
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Vendor No.
124 New London Turnpike
Marien + Company, LLC, CPAs
Vendor Telephone Number
23851
Norwich, CT 06360
Invoice Invoice
Daw To~l
10/$1/2011 3,000.00
1,810.00
t,087.50
5,897.50i
Payee Certification
i Net
Discount ]Amount Claimed
3,000.00
1,810.00
5,897.50
The underjfl~ (Claimant) (Acting on behalf of the above named claimant)
does her that the foregoing claim is true and correct, that no part has
been as therein stated, that the balance therein stated is actually
s from which the lown is exempt are excluded
Signature__- Title_~ ~'~ ]
'-.t'~x M/~ ~ ~.g] ?//,n
Company Name ~ ~ Date ~ ~ //~k~; /
Pumh~se Order
Number
Description of Goods or Services
Litigation Support Ssrv.
ATM Issues
Various Mgmt. Advisory
Services
Acctlll/Bkkp~l Assistance
Property Tax Levy Calc
Check No.
Entered by
Audit Date
General Ledger Fund and Account Number
SM1310.4.000.000
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
perform that the quantities thereof have been verified with the exceptions
r discrepancies.~~~~noted, and payment is approved;~_.) !~/~//
Signature
Date
Marien + Company, LLC, CPAs
124 New London Turnpike
Norwich, CT 06360
860-886-1750
Fishers Island Ferry District
P.O. Drawer H
Fishers Island, NY 06390
Invoice No. 23851
Date 10/31/2011
Client No. 2011050501
Litigation support services -
ATM Issues
3,000.00
Current Amount Due $ 3.000.00
Marien + Company, LLC, CPAs
124 New London Turnpike
Norwich, CT 06360
860-886-1750
Fishers Island Ferry District
P. O. Drawer H
Fishers Island, NY 06390
Invoice No. 23881
Date 10/31/2011
Client No. 2011050501
Various management advisory services -
Analysis of Doherty proposal, complete the Doherty
worksheet and answer questions. Discussions
with Chris Rafferty, compensated absences, full
or temporary employees, management agreement,
budgets and reporting
$ 1,810.00
Current Amount Due $ 1.810.00
Marien + Company, LLC, CPAs
124 New London Turnpike
Norwich, CT 06360
860-886-1750
Fishers Island Ferry District
P. O. Drawer H
Fishers Island, NY 06390
Invoice No. 23882
Date 10/31/2011
Client No. 2011050501
Accounting and/or bookkeeping assistance -
Property Tax levy calculation
$ 1,087.50
Current Amount Due $ 1.087.50
FISHERS ISLAND FERRY DISTRICT
VENDOR 014021 NATIONAL AUTO PARTS SVCE,INC. 11/09/2011 CHECK 144
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.200 882232 3-FLTRS,BP~AKE CLNR,SWTCH 139.93
TOTAL 139.93
Town of Southold, New York - Payment Voucher
Vendor Name
NAPA
Vendor Telephone Number
Vendor Contact
882232
10/14/2011
Invoice i
Total Discount
139.93]
Vendor Address
$139.93I
Payee Certification
The tmdcrsigned (Claimant) (Acting on behalf of the above named claimant)
does hereby cerd~ that the foregoing claim is true and correct, that no part has
been paid, exc~pf'~in stated, that the balance therein s~tated is actually
due and o t taxes from which the To is exe are excluded.
com~.y~..-,oate k~ /0~//)
) ,, ·
106 Boston Po~t Road
Waterford, CT 06385
Net Purchase Order
Amount Cldime¢ Number
139.93
139.93
Vendor No.
14021
Check No.
Entered by ~
Audit Date
SM5710.2.000.200
Department Certification
I hereby certify that the matedals above specified have been received by me
in oed condition without substitution, thc services properly
pefformesi~that the quantities thereof have been vcfifl edov"?d!/, ~/~/the exceptions
National Parts Service Inc.
150 Bridge Street
Groton, Ct. 03640, CT 06340
Time: 10:24
Date: 10/14/2011
Page: 1/1
Invoice Number 882232
F/she, s Island Ferry District
?O Box 4H
Fishers Island, NY 06390
Employee: 35 CLARK, ERIK
Sales Rep: 9 Sposito, Chet
Accounting Day: 11
Bart Number
Line D~scriptlon Quantity Pric~ ~ Net Total
FIL NADAGOLD OIL FILTER~,~. ()~6~ 3.00 54.82 28.6900 86.07
MAC LOW VOC BRAKE CLNR ~ ~ 2.00 14.19 8.9900 17.98
ECH SWITCH ~F~ F,~. %~ ~ i 12.00 4.36 2.9900 35.88
Delivery: ~
Attention:
Tax Exemption:
PO#:
Terms: Net 20th
Subtotal
Customer Signature
NAPA AUTO PARTS
150 BRIDGE STREET
GROTON, CT. 06340
CUSTOMER COPY
139.93
b. OO
Charge Sale 139.93
FISHERS ISLAND FERRY DISTRICT
VENDOR 016659 PRINCIPAL LIFE GROUP 11/09/2011 CHECK 145
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .9060.8.000.000 H19730-1-11/11 LIFE PREMIUN-11/ll 108.06
TOTAL 108.06
Town of Southold, New York - Payment Voucher
Vendor T~x ID Number or Social Security Number
Principal Life Group
Vendor Telephone Number
Vendor Contact
:Vend0r No.
Vendor Address
P.O. Box 14513
Des Molnes, IA 80306-3813
16659
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number
4.
108.06 i 108.06
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is tree and correct, that no part has
been paid xcept as therein stated, that the balance therein stated is actually
~~due and that taxes from which theTitle~)Town is exempt e excluded /
Check No.
Entered by
AUdit Date
TOwn Clerk
Description of Goods or Services General L~dg~ Fund ~md Account Nmaaber
Life Prem-11111 8M9060.8.000.000
Department Certification
I hereby certify that the raatenals above specified have been received by mc
in good condition without substitution, the services properly
performed and that the quantities thereof have been verified with the exceptions
S i~crepan, ], ~ota:. and payment is approxi.~
Financial
Group
Principal Financial Group
Des Moines, IA 50392-0001
Principal Life
Insurance Company
IPREMIUM STATEMENT
Account Number
001202
FISHERS ISLAND FERRY
ATTN NINA SCHMID
PO BOX H
FISHERS ISLAND NY 06390
H19730-1 Lb. No. 0819730 00001 93
DueDate 11/01/11 ~mtDate 10/17/11 Billing Period 11/01/11 - 11/30/11
Please Pay Balance Due
$ 216.12
PLEASE REVIEW ALL MESSAGES BELOW. THEY CONTAIN INFORMATION RELATED TD YOUR PREMIUM
PAYMENTS AND THE ADMINISTRATION OF YOUR PLAN. IF YOU HAVE QUESTIONS REGARDING ANY
OF THESE MESSAGES, PLEASE CONTACT US AT THE NUMBER LISTED BELOW.
IT IS IMPORTANT TD REPORT NEW ENROLLMENTS, TERMINATIONS, AND CHANGES IN DEPENDENT
STATUS PROMPTLY TO OUR WEBSITE AT WWW.PRINCIPAL.COM OR NOTIFY OUR ADMINISTRATION AREA.
WEB REPORTING REQUIRES A PIN. IF YOU DO NOT HAVE A PIN, PLEASE CALL 800-621-6280.
REPORTING CHANGES PROMPTLY WILL RESULT IN A MORE ACCURATE PREMIUM STATEMENT. CHANGES
SHOULD NOT BE SENT WITH YOUR PAYMENT.
FOR ASSISTANCE, PLEASE CALL TOLL FREE: 1-800-843-1371
NOTICE--TO AVOID DISCONTINUANCE OF YOUR PLAN, PLEASE BE SURE YOUR $108.06
BALANCE IS PAID AND RECEIVED IN THIS OFFICE BEFORE THE GRACE PERIOD
ENDS ON 10/31/11. IF YDU HAVE PAID, PLEASE DISREGARD THIS NOTICE.
PROVIDING YBU WITH GOOD SERVICE IS IMPORTANT. PLEASE REVIEW YOUR
STATEMENT EACH MONTH TO ENSURE PROMPT AND ACCURATE CLAIM PAYMENT.
Group
TI'.IZS ES YOUR DOPY,
Principal Financial Group Principal Life
Des Mo nes, A 50392-0002 Insurance Company
PLEASE KEEP FOR YOUR RECORDS.
PREMIUM STATEMENT
This statement in no way changes the
contract or waives any overdue payment
ACCOUNT NO. H19730-1
FISHERS ZSLAND FERRY
LB. NO. 0819730 00001 93
DUE DATE: 11/01/11 STMT DATE: 10/17/11
ID LIFE/AD&D
~UMBER NAME BNFT PREM
CHARGE/
CREDIT
6.49
6.49
6.49
4,22
929355154 SCHMID N[N
920096292 TRAU6 dAME
SUMMARY TOTALS - TOTAL COVERED 17
LIFE / AD&D PREMIUM TOTALS
$106.06
CHARGES THIS STMT 108.06
TOTAL AMT DUE 216.12
FOR ASS[STANCE, PLEASE CALL TOLL FREE: 1-800-843-1371
F3g6GP-4
ACCOUNT NO. H19730-1 1 1/O1/2011 000 000000 000000 CGS631812901160570001002 0003076 002 OF 002
FISHERS ISLAND FERRY DISTRICT
~q~NDOR 017991 P~ACE ROCK GARDEN CO. 11/09/2011 CHECK 146
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 13867 CHAINSAW REPAIR 37.50
TOTAL 37.50
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
Vendor Name
Race Rock Garden Co.
Vendor Telephone Number
Vendor Contact
Vendor No.
17991
Vendor Address
P.O. Box 617
Fishers Island, NY 06390
Check No.
Entered by
town Otdk' - ~ 4. ~
Date
Invoice
Total
Discount
Description of Goods or Services
Net Purchase Order
Amount Claime~ Number
37.60
13867 9/30/2011 37.60 Chain Saw Repair
SM5709.2.000.200
37.80 37.50
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby eertify~IJaa~ tbe foregoing claim is true and correct, that no part has
been paid, ex rein stated, that the balance therein stated is actually
due and °~t~es fr°m which the T°~x~mpt I~excluded.
Company Name ~~ Bate/O )%.~39~-
Department Certification
I hereby certi~ that thc materials above specified have been received by me
in good condition without substitution, the services properly
performed a hat the quantities thereof have been verified with the exceptions
~r discrepancies noted, and payment is approved}
Race Rock Garden Company, Inc.
PO Box 517
Fishers Island, NY 06390
Invoice
Date Invoice #
9/30/2011 13867
Bill To
FI Ferr~ District
Drawer H
Fishers Island. NY 06390
Project Terms Account #
Net 30 23
Quantity Serviced Description Rate Amount
0.5 9/22/2011 Mechanic - chain saw 75.00 37.50
Phone # Fax # F-mail
Total ,37.50
631-788-7632 631-788-7634 rrgardenCt~ fishersisland.net
FISHERS ISLAND FERRY DISTRICT
VENDOR 019153 SCHULTZ LUBRICANTS, INC. 11/09/2011 CHECK 147
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.000 277393 1-55D ANTIFREEZE 520.55
TOTAL 520.55
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number Vendor Address
Vendor Name
Schultz Lubricants, Inc.
Vendor Telephone Number
164 Shrewsbury Street
Vendor No.
19153
West Boylston, MA 01583-2116
VendorContact
Namber
Invoice
Date
Invoice
Total Discount
Net
~.mount Claimed
520.55
Purchase Order
Number
Description of Goods or Services
Check No.
Entered by
AUdit Date
Ton~a Clerk
General Ledger Fund and Account Number
27739 10/27/20tt 620.55 ] SM5710.2.000.000
[lOTH BOATS-RP & MU
Payee Certification
The undersigned (Claimant) (Acting on behalf of thc above named claimant)
does hereby certify that the foregoing claim is hue and correct, that no part has
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the quantities thereof have been verified with the exceptions
r(~f~ discrepancies noted, and payment is approved.
.Faxed =o: 631-788-5523
INVOICE
LUBRICANT DISTRIBUTORS
SINCE 1~28
OillTo:
FISHER iSLAND FSRRY DISTRICT
P.O. BOX ~
FIS~R ISLAIqD NY 06390
ShipTo:
FiS}IER ISLAND FERRY DISTRICT
FOOT OF 9TAT~ STREET
i~W LONDON CT 06320
Co/Cust No, Order No. Customer PO# Ter Sis# Delivered
1/21358100 ??089/00 1 400 10.26.11
Terms 1.000% 1% 10 DAYg, NET 30
Ship Vie
Pay Type ACCOUNTS RgcE'rVABI',g Please Re~Jrn Top Pon'ion With Payment
I Item Number/Description U/M O~lered Shil:~oed
Price
Reffi
Invoice
277393
D~te
10/27/11
Total
90055 Core Charge 55D
55D T.'~V~RSA~ PE[RM Ai~TIFREEZE
1.000 1.000 8.91000 GAL
Core Charges
FU~L gUEC~G~
$4.90
MAY BE DEDUCTED IF PAID BY 11/06/11
--------'--- ~AL
~. M.~... --.-- AMT DUE:
490.05
22.00
8.50 /
520.55
THIS I$ YOUR INVOICE- NO OTHER WILL BE SENT
FISHERS ISLAND FERRY DISTRICT
VENDOR 019227 SETON IDENTIFICATION PRODUCTS 11/09/2011 CHECK 148
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.000 9316326508 12-EARMUFFS,SFTY GLASSES 210.55
TOTAL 210.55
Town of Southold, New York - Payment Voucher
Vendor Tax 1D Number or Social Security Number Vendor Address
Seton Identification Products
Vendor Telephone Number
Vendor Contact
P.O. Box 819
!Vendor No.
/7z 7
20 Thompson Road
Branford, CT 06405-08t9
Check No.
Invoice invoice Invoice Net
Number Date Total Discount
9316326508 10/19/2011 210.55 210.65
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is true and correct, that no part has
been paid, except as therein stated, that the balance therein stated is actually
Purchase Order
Number
Safety glasses, Ear Muffs
OSHA Required
General Ledger Fund and Account Number
8M5710.4.000.000
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the quantities thereof have been ve~fied with the exceptions
o discrepancies noted, and payment is approved.
SETON
Please Remit To:
Satori Identification
Products
P.O. Box 95904
Chicago, IL 60694-5904
Fed ID: 52-1234-223
INVOICE
....... - .......................... - .... ,, IIIIIIIIIIIIIIIIIIIIIIIII
Bill-to/Payer#: 10R919188
FISHERS ISLAND FERRY DISTRICT
PO BOX H
NEW LONDON CT 06390-0607
Ship to Account#: 10R919188
Shinto Attn; MARK EASTER
FISHERS ISLAND FERRY DISTRICT
5 WATERFRONT PARK
NEW LONDON CT 06320
Thank you for your order.
Please reference invoice number on remittance and all correspondence.
9316326508 10/19/2011 MARK EASTER 210.55 10 days net USD
cart et and service :Tem~ of Deli~y Deilv~ryi'rerms Oesor~ :or::::: :
¥0ar s]31p~: A~COUl~t Number:
BEST WAY GROUND Prepaid and Add
MARKEA~ER :: : :::: :~3230184 :
uNE# QUANTI~::: :(U/M): LImp:RIcE: NET PRICE :NET~OTA~
oRIGIN: DE$CRi~ION :::: : :
000010 2812B 12 EA 9.10 9.1o 109.20
0 HL VIKING V1 LIGHT BLUE EARMUFFS
000020 2634B 18 EA 4.30 4.30 77.40
0 AO SAFETY BX SLV-BLK FR/CL AF LENS
Net Total 186.6o
Freig ht/Handling/FuelSurcharge 23.s5
Invoice Total 21o.55
I
Any questions please call us toll free at 1-800-243-6624, e-mail us at satonusa@seton.com, or fax us at
1-800-345-7819. For order status, invoice reprint or to place an order, contact us at www.seton.com.
PAGE 1 OF 2
FISHERS ISLAND FERRY DISTRICT
VENDOR 020167 TERMINIX PROCESSING CENTER 11/09/2011 CHECK 149
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 4067323-1011 PEST CONTROL-NL-10/ll 47.70
TOTAL 47.70
Town of Southold, New York - Payment Voucher
Vendor T~x ID Number or Social Security Number Vendor Address
P.O. Box 742592
Vendor Name Cincinnati, OH 45274-2592
Terminix Processing Center
Vendor Telephone Number
Vendor Contact
Invoice
Number
4067323
!Vendor
20167
Invoice
Date
10/14/2011
Invoice Net
Total Discount Amount Clalm~
47.70 47.71
I
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is true and correct, that no part has
bee ' except as therein stated, that the balance therein stated is actually
g, and that taxes from which the is exempt excluded
Title.
Purchase Order
Number
Description of Goods or Services
Pest ControI-NL
Oct-11
Check No.
Entered by(~
Audit Date
SM5709.2.000.200
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed an that the quantities thereof have been verified with the exceptions
! r discrepancies noted, and payment is approved.
OPERAT~OR'S NAME & CERTIFICATION #
TEIlIIfI#IX
TERMITE and PEST CONTROL
ACCOUNT TELEPHONE
":.,
SERVICE PROPERTY AT
TARGET PEST:
PRODUCTION TIME IN TIME OUT
SERVICE CENTER
SERVICE INSTRUCTIONS TREATED INSPECTED
O~:f'iCES 024t1-6 02263 -6 15028-.S 02332 C
piJ~i..(C AREAS 02,1ti, 'C 0~263 C [5028-3 02332-C
[ ..]
AM,'iUN'i EqUiP
PYREfHR~i'iS,SX PiI~E,~ONYL 8 49'?.2')0
F[PRONil ,,)1~, 432-1259 3AYEi
SUPERVlSOR'S COMMENTS: [m Treat for Infestation/Prevention or Inspect areas indicated.
TREATMENT CODES: C = Crack & Crevice S = Spot B = 3' Band G = General T = Space Treatment
EQUIPMENT CODES: A = Aerosol B&G = Comp. Air F = Fogger HD = Hand Dust T = Trap B = Bait Stat.
AMOUNT PAID
FISHERS ISLAND FERRY DISTRICT
VENDOR .02400 JOHN TESTA 11/09/2011 CHECK 150
FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.000 102811 REIMB-TWIC CARD 132.50
TOTAL 132.50
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number
19 Honey Hill Road
Lyme, CT 06371
Vendor No.
Check No.
Entered by C~
John Testa
Vendor Telephone Number
Vendor Contact
Invoice Invoice Invoice
Net Purchase Order
Audit Date
Number Date Total
Discount
132.50
i Amount Claim
132.50
I
Payee Certification
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is trae and correct, that no part has
been paid. except as therein stated, that the balance therein stated is aci~ally
due~an lng, and that taxes~, from which theG.~-~T°wn is exempt are excluded.
Company Name ~X'% ,~x Date,~ /~f
Number
Description of Goods or Services
TWIC CARD REIMB
General Ledger Fund and Account Number
$M6710.4.000.000
Department Certification
hereby certify that the materials above specified have been received by me
'n good condition without substitution, the services properly
e been verified with the exceptions
or discrepancies noted, and payment is approved.
Title
Date
Page 1 of 1
TWICTM iEnrollment Receipt
Name: f JOHN TESTA
Amount: 15132.50
IMPORTANT NOTE:
Thank you for enrolling for a TWICTM card today. In most cases, enrollees are notified
within 6 to 8 weeks that their card is ready for pickup.
You may check the availability status of your TWICTM card at any time by going to the
TWICTM deployment website below and clicking on the "Check Card Status" link.
http://twicinformation.tsa.dhs.gov
Also, you can rise this same website to schednle an appointment to pickup your card
once you have received notification.
2255 Norwich New London Tpke
Port of New London 1-866-347-8942
Montville, CT 06382
file://C:\Program Files\Lockheed Martin\BioUnique\Enrollment\Receipt\TWIC Receipt.htm 10/6/2011
FISHERS ISLAND FERRY DISTRICT
VENDOR 020554 TORRINGTON BRUSH WORKS, INC. 11/09/2011 CHECK 151
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.000 0291096-IN 48-MINI ROLLERS,BRUSHES 137.79
TOTAL 137.79
!vendor No~ Check No.
Town of Southold, New York - Payment Voucher ~ 20554 ] 5 }
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
4377 Independence CL
Vendor Name Sarasota, FL 34234 Audit Date~//(?:~/~,/
Torrington Brush Works, Inc.
Vendor Telephone Number /~
Vendorcontu
Invoice invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledg~ Fund and Account Number
O29t096-1N 10/19120tl t37.79 t37.79 Mini Rollers, Brushes 8M$7t0.4.000.000
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, ex t as therein stated, that thc balance therein stated is actually~~d an~at the quantities / /
due and o d that taxes from which the Town i xempt are excluded discrepancies noted, and payment is approved.
Title S/gnat
Page: 1
Torrington Brush Works, Inc.
4377 Independence Ct.
Sarasota, FL 34234
9413551499
Sold To:
FISHERS ISLAND FERRY DIS
BOX H
FERRY ISLAND, NY 06390
Invoice
Invoice Number: 0291096-1N
Invoice Date: 10/19/2011
Order Number: 0265160
Order Date 10/19/2011
Salesperson: PHON
Customer Number: 0010040
Ship To:
FISHER ISLAND FERRY DIS
5 WATERFRONT PARK
ATT: MARK
NEW LONDON, CT 06320
Confirm To:
MARK
Customer P.O. Ship VIA F.O.B. Terms
MARK UPSGROUND 1% 15 Days - Net 30
item Number Unit Ordered Shipped Back Ordered price Amount
11094 EACH 48 48 0 1.0890
4" MINI ROLLER 1/2" NAP GOLD S Whse: 001
01072 EACH 24 24 0 3.2205
422 2" BRISTLE PAINT BRUSH Whse: 001
52.27
77.29
Net Invoice:
Less Discount:
Freight:
Sales Tax:
Invoice Total:
129.56
0.00
0.00
8.23
137.79
FISHERS ISLAND FERRY DISTRICT
VENDOR 021503 UNITED OIL RECOVERY, INC. 11/09/2011 CHECK 152
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.925 87946 725 GAL MTR OIL/WTR RFS;L 530.05
TOTAL 530.05
Town of Southold, New York - Payment Voucher
Vendor Tax ID Number or Social Security Number Vendor Address
P.O. Box 845033
United industrial Services
Vendor Telephone Number
Vendor Contact
Invoice
Number
87946
Vendor No.
' 21503
Boston, MA 02284-8033
Invoice Invoice
Date Total
10/t8/20,11 530.05
530.05 i
Payee Certification
Discount Amount Claimed
530.05
530.0~
The undersigned (Claimant) (Acting on behalf of the above named claimant)
does hereby certify that the foregoing claim is Vrue and correct, that no part has
been paid, except therein stated, that the balance therein stated is actually
due and owing, hat taxes from which the To exempt are excluded.
P~rchase Order
Number
Check No. I ~ ~
Entered by~..~
Description of Goods or Services
7z 5' ~'Z 5
Motor OII & Water Rmvl
General Ledge~ Fund and Ac~)unt Number
$M5710.4.000.925
Department Certification
I hereby certify that the materials above specified have been received by me
in goal condition without substitution, the services properly
pe fro r m. ~.~e ~a~ itshc:eqpanUa~tiiet isl:: t, ~,e~a fn: ;Vae3anbeeennt ~:~pfipredoveWidt~ the exceptions
Invoice
TRADEBE TM
FISHERS ISLAND FERRY DISTRICT
P 0 BOX H
FISHERS ISLAND, NY 06390
Contact: ACCOUNTS PAYABLE
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE ST/BEHIND TR STA
NEW LONDON, CT 06320
Please detach and return this po/lion w~th your payment.
UNITED INDUSTRIAL SERVICES 11/17/2011 4:46:00 PM 004FIS 87946 Net 30
Motor Oil & Water (P050306007LH) - Man# UISA0334435
VAC - TRUCK 4,000GAL CAPACITY
FUEL SURCHARGE
MANIFEST PREPARATION FEE
Recovery & Security Surcharge
LAST ITEM
N 725 Gallon $0.000 $0.00
Y 1 TRIP $340.000 $340.00
Y 340 EACH $0.250 $85.00
Y 1 EACH $20.000 $20.00
1 Surcharge $53,400 $53.40
Subtotal $498.40
Sales Tax $31.65
Payments $0.00
......... --,,, $530.05
TERMS: INTEREST SHALL ACCRUE AT THE RATE OF 1 1/2% PER MONTH ON ALL AMOUNTS NOT PAID IN 30 DAYS. CUSTOMER AGREES TO PAY ALL COSTS OF
COLLECTION INCLUDING A REASONABLE A"CrORNEY'S FEE IN THE EVENT THiS ACCOUNT IS TURNED OVER TO AN A~q'ORN EY FOR COLLECTION.
CONTACT INFO: UNITED OIL RECOVERY, INC. 47 GRACEY AVENUE, MERIDEN, CT 06451 PHONE: (203) 238-6757 FAX: (203) 238-6778
FISHERS ISLAND FERRY DISTRICT
VENDOR 021506 D-NITED PARCEL SERVICE 11/09/2011 CHECK 153
FL~ND & ACCOUNT P.O. # INA;OICE DESCRIPTION AMOUNT
SM .5710.4.000.700
SM .5710.4.000.700
026639421 W/E 10/14/11-1 PKG 40.01
026639431 W/E 10/21/11-5 PKGS 97.18
TOTAL 137.19
Tbwn of Southold, New York - Payment Voucher
Vendor Name
United Parcel Service
Vendor Telephone Number
Vendor Contact
Invoice
Number
Vendor Address
P.O. BOX 724?-0244
Dat~ Total
1011512011 $40.01
1022/11 97.18
$137.19
Payee Certification
Vendor No.
Philadelphia, PA 19170-0001
026639421 $40.01
026639431 97.18
I $137.19
The undersigned (Claimant) (Acting on behalf of the above named claimant)
Purchase Order
Number
21506
Description of Goods or Services
we 10114/11 - /
wle 10121/11 -~"//c//
Check No.
Entered by ~
Audit Date///~//~//
General Ledl~r Fund ond Account Number
SM5710.4.000.700
/I
Department Certification
I hereby certify that the materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the quantities thereof have been verified with the exceptions
or discrepancies noted, and payment is approved
Title Date
Town of Southold, New York - Payment Voucher
United Parcel Service
Vendor No.
21506
P.O. Box 7247-0244
Philadelphia, PA 19170-0001
~heckNo.
Entercd by (~
~udit Date ///~, /
/
To~ Clerk
N~mber
026639421
026639431
10/1512011
1022~11
Total Discount Amount Claime
$40.01 $40.01
97,18 97.18
$137.19 $137.19
Payee Certification
been paid, ex~ therein stated,/hat the balance therein stated is acPJaily I
I
Description of Goods or Services
we 10114/11 ~ ,'
wle 10/21/11 - J ~:~-~
SM$710.4.000.700
Deimrtme~t Certification
1 hereby certif5 that thc materials above specified have been received by me
in good condition without substitution, the services properly
performed and that the qulmfifies thereof have been verified v~th the exceptmns
or discrepancies noted, and paymem is approved
Shipped from:
FISHERS ISLAND FERRY
0 STATE ST
NEW LONDON, CT 06320
Delivery Service Invoice
Invoice date October 15,2011
Invoice number 0000026639421
Shipper number 026639
Control ID 76T6
Page 1 of 3
0720A00000266392 77366300013226
AB 01 069939 786941196 B**3DGT
~Hil,,,l,l,h~,-Ih,lq,~,h~llhlhlhhqH,,hlh,H,II~,
~ FISHER ISLAND FERRY
~ PO BOX H
m
--" FISHER ISLAND, NY 06590-0607
ISign up for electronic billing today!
Visit ups.com/billing
For questions about your invoice, call:
(800) 811-1648
Monday - Friday
8:00 a.m. - 9:00 p.m.E.T.
or write: UPS
P.O. Box 650580
Dallas, TX 75265-0580
Account Status Summary
Weekly Payment Plan
Amount Due This Period $ 40.01
Amount Outstanding (prior invoices) $ 579.02
Total Amount Outstanding $ 619.03
Please include t~e Return Porlion of each outstanding invoice with
your payment. See Account Status for details.
Go green - and save
Choose a UPS electronic billing solution as an alternative to
receiving a paper bill. You will be able to view, manage and
pay your UPS bills. Choose the electronic bill format that best
suits your company's needs. Learn more at
www.ups.com/billing
Thank you for using UPS.
Summary of Charges
Page Charge
Outbound
3 UPS WoddShip $18.01
3 Adjustments & Other Charges $ 2.00
Service Charges $ 20.00
Amount due this period $ 40.01
UPS payment terms require payment of this invoice by October
26, 2011.
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.5% for UPS Ground
Services and 14.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups. com.
Deliver~ ~ervi~e Invoice
Invoice dateOctober 15, 2011
Invoice number 0000026639421
Shipper number 026639
Page 2 of 3
Account Status
Weekly Payment Plan
Amoum Outstandin9 (prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
0000026639381 09/17/2011 $126.18
0000026639391 09/24/2011 $ 243.79
0000026639401 10/01/2011 $187.05
0000026639411 10/08/2011 $ 22.00
Total $ 579.02
Outstanding balances reflect any payments received as of
10/14/2011. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Outbound
UPS WorldShip
Delivery Service Invoice
Invoice date October 15, 2011
invoice number 0000026639421
Shipper number 026639
Page 3of3
Pickup Pickup Number of Billed
Date Record Message Codes Packages Charge
10/14 6744200271 1 18.01
Total UPS WorldShip 1 Package(s) 18.01
Total Outbound 1 Package(e) 18.01
Adjustments & Other Charges
Miscellaneous
Billed
Explanation Charge
WEEKLY PRINTER SERVICE FEE 2.00
FOR 1 PRINTERS AT $2.00 EACH
FOR 14-OCT-2011
Total Miscellaneous 2.00
Total Adjustments & Other Charges 2.00
Shipped from:
FISHERS ISLAND FERRY
0 STATE ST
NEW LONDON, CT 06320
Delivery Service Invoice
Invoice date October 22, 2011
Invoice number 0000026639431
Shipper number 026639
Control ID L132
Page 1 of 3
~ 0720A00000266392 77366400012529
--~ AB 01 064356 81662H185 B**3DGT
~- Hllll,,,~,,l,,ll,,lll,l,hh,ldl,ql,ll,hHl,llh,,h,h
~ FISHER [SLAND FERRY
~ PO BOX H
= FZSHER ISLAND, NY 06590-0607
Sign up for electronic billing today!
Visit ups.comFoilling
For questions about your invoice, call:
(800) 811-1648
Monday - Friday
8:00 a.m. - 9:00 p.m.E.T.
or write: UPS
P.O. Box 650580
Dallas, TX 752654)580
Account Status Summary
Weekly Payment Plan
Amount Due This Period $ 97.18
Amount Outstanding (prior invoices) $ 249.06
Total Amount Outstanding $ 346.24
Please include the Return Portion of each outstanding invoice with
your payment. See Account Status for details.
Go green - and save
Choose a UPS electronic billing solution as an alternative to
receiving a paper bill. You will be able to view, manage and
pay your UPS bills. Choose the electronic bill format that beet
suits your company's needs. Learn more at
www.ups.com/billing
Thank you for using UPS.
Summary of Charges
Page Charge
Outbound
3 UPS WoddShip $ 75.26
3 Adjustments & Other Charges $11.92
Service Charges $10.00
Amount due this period $ 97.18
UPS payment terms require payment of this invoice by November
2, 2011.
Note: This invoice may contain a fuel surcharge as described at
ups. cern, The published fuel surcharge is 8.5% for UPS Ground
Services and 14.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date October 22, 2011
Invoice number 0000026639431
Shipper number 026639
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
0000026639381 09/17/2011 $126.18
0000026639391 09/24/2011 $ 243.79
Account Status
Weekly Payment Plan
Amount Outstanding (prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
0000026639401 10/01/2011 $187.05
0000026639411 10/08/2011 $ 22.00
0000026639421 10/15/2011 $ 40.01
Total $ 249.06
Outstanding balances reflect any payments received as of
10/21/2011. Please ignore this message it a recent payment has
been made for any outstanding invoices.
Outbound
uPs WorldShip
Delivery Service Invoice
Invoice date October 22, 2011
Invoice number 0000026639431
Shipper number 026639
Page 3 of 3
Pickup Pickup Number of Billed
Date Record Message Codes Packages Charge
10/18 6744200282 3 47.88
10/20 6744200293 2 27.38
Total UPS WorldShip 5 Package{s) 75.26
Total Outbound 5 Package{s) 75.26
Adjustments & Other Charges
Miscellaneous
Billed
Explanation Charge
WEEKLY PRINTER SERVICE FEE 2.00
FOR 1 PRINTERS AT $2.00 EACH
FOR 21-OCT-2011
Total Miscellaneous 2.00
Residential/Commercial Adjustments
UPS WorldShi~3
Shipped Pickup Recorded Billed Adjustment
Date Record Entry Tracking Number Corrected Charge Amount
10/18 6744200282 1 1Z0266390344488001 Commercial -17.89
Residential 17.89
Residential Sumharge 2.45
Delivery Area Sumharge 0.90
Fuel Sumharge 0.28 3.63
1at ref: Jacky King FINY 06390 2nd ref: SAME
2 1Z0266390344137014 CommerciaJ -15.68
Residential 15.68
Residential Surcharge 2.45
Delivery Area Sumharge 0.90
Fuel Surcharge 0.28 3.63
1st ref: Jackie King FiNY 06390 2nd ref: SAME
3 1Z0266390346013822 Commercial -6 86
Residential 6.86
Residential Sumharge 2.45
Fuel Surcharge 0.21 2.66
1si ref: Sue Lusker FINY 06390 2nd ref: SAME
Total UPS WorldShip 3 Package(s) 9.92
Total Residential/Commercial Adjustments 3 Package(s) 9.92
Total Adjustments & Other Charges 11.92
064356 2/2