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HomeMy WebLinkAboutAU-06/19/2012 Fishers IslandFISHERS ISLAND FERRY DISTRICT VENDOR 001392 kDMIRAL CUSTOM EMBROIDERY, LLC 06/19/2012 CHECK 497 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.800 SM .5710.4.000.800 1052 55 CREW SHIRTS 2,039.79 1054 CREW POLO SHIRTS 1,429.34 TOTAL 3,469.13 Town of Southold, New York - Pa~ rment Voucher ? Vendor Tax ID Number or Social Security Number Admiral Custom Embroidery, LLC Vendor Telephone Number vefiaor ~o. ~ Vendor Address 69 Warren Street New London, CT 06320 Vendor Contact Invoice Net Purchase Order Cheek No. Entered by Audit Date JUN 1 9 2012 Number 105~ Date 6/26/20t2 Total Discount Amount Claimec 1,429.34 1,429.34 Number Description of Goods or Services Crew Polo Shirts C~-meral Lodser Fund and Account Number SM5710.4.000.~00 1052 5117/2012 2,039.79 2,039.79 55 Crew Shirts SME710.4.000J]00 3,469.13 Payee Certification The undersigned (Claimant) (Acting on bebelf of the above named claimant) does hereby certify that the foregoing claim is true and correct, that no part has be~n paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Department Certification i hereby 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 beve been verified with the exceptions or discrepancies noted, and payment is approved Signature ~ Title Date ~, ~A_~ / ~.~ Town of Southold, New York - Payment Voucher Vendor Tax ID N~ tuber or Sec a Sccuri .~ Number Vendor Address Admiral Custom Embrolder~, LLC Vendor No. 69 Warren Street ~l~v'l~nd0n, CT 06320 Check No. Entered by Audit Date Number 1054 1052 5 Crew Shirts Invoice Invoice Date Total 5125/2012 1,429.34 5/1712012 2,039.79 Payee Certification 1~429.34 2,039.79 3,469.13 Thc undersigned (Claimant) (Acting on behalf of the abev¢ named claimant) Crew Polo Shirts SM$710.4.000.800 SM57t 0.4.000.~00 Department Certification 'Admiral Custom i'Embroidery, LLC §gWarren Street New London, CT06320 Phone:(860)442-7519 Fax:(860) 437-0118 Invoice # 10S2 Created: 5/17/2012 Invoiced: Bill To: F.I. Ferry District Ship To: 5 Waterfront Park Nev¢ London, CT 06320- F.I. Ferry District 5 Waterfront Park New London, CT 06320- PO Number Sales Rep Customer Terms Contact F.I. Ferry District Polly Ford (8~0) 442-0165 ()- Style I oescription I Color I sizes I Quantity I Piece I Subtotal Production ! Port Authority Bamboo Blend Pique Navy L-30, XL-12, 2XL-6 48 $35.00 $1,680.00 K497 Sport Shirt L526 Port Authority Ladies Dry Zone Horizontal Texture Sport Shirt Navy XL-7 7 $34.00 $238.00 IType IAm°unt IMeth°d II)ate Subtotal $1,918.00 shipping 6.35% Sales Tax 5121.79 ' GrandTotal $2,039.79 Payments $O,O0 Balance $2,039.79 Signature: Date: Admiral Custom · .'Embroider~, LLC 69 Warren Street New London, CT 06320 Phone: (860) 442-7519 Fax: (8§0} 437-0118 Created: 5/25/2012 Invoiced: Bill To: F.I, Jerry District 5 Waterfront Park New London, CT 06320- 5hip To: F,I. Ferry District S Waterfront Park New London, CT 06320- PO Number Terms Sales Rep Customer Contact F,I. Ferry District Polly Ford 860) 442-0165 (}- Style CS412 [ Description CornerStone Select Snag-Proof Polo [ Cp:l:juctio?i;e s ]Quantity IPiece [Subtotal Navy L-21, Xt-26, 2XL-1 48 $28.00 $1,344.00 [Type [Amount [Method [Date 5ubtotal $1,344.00 Shipping $0.00 6.35% Sales Tax $85.34 GrandTotal $1,429.34 Payments Balance 51,429.34 Signature: Date: Page 1 of I Whitecavage, Diana From: Gordon Murphy [GMurphy@flferry.com] Sent: Tuesday, June 12, 2012 9:04 AM To: Whitecavage, Diana Cc: Deb Doucette; Craig Gilbert; Jeann(~ L. Neubelt Subject: RE: vouchers - 6/19/12 Audit Diana, See below: From: Whitecavage, Diana [mailto:diana.whitecavage@town.southold.ny.us] Sent: Tuesday, June 12, 2012 8:50 AM To: Gordon Murphy Cc: Deb Doucette; Craig Gilbert Subject: vouchers - 6/19/12 Audit Good morning Gordon, Upon entering the vouchers yesterday I have come across a few questions. 1) Admiral Custom Embroidery for "crew shirts" is being charged to SM.5710.4.000.000 should this have been charged to SM5710.4.000.800 (uniforms)? Please advise which account to use. We should use SM.5710.4.000.800 and will update our records here. 2) I never received the W-9 for Atlas Companies that was requested on 5/18/12. We were told that the company was sending it directly to you~ We will call them today 3) The Bell/Simons Companies for "MU heating system smoke pipe" is being charged to SM57092.000.100 (Repairs Rental Buildings). Please advise of the correct account to be charged. This should be MU repairs. 4) Lamb & Barnosky - FYI there is still a balance due of $4889.12 last payment made was only for $1312.50. we have a call into them as we do not have an invoice for the difference. 5) Niantic Lumber - I will send this back for approval (no signatures on voucher). Our mistake. 6) NYS Unemployment - I had e-mailed you a copy of the invoice for "interest due" on 6/4/12 and do not see a voucher for this so I will continue to hold. I processed that here. I will look into asap. 7) The Depository Trust & Clearing Corp.- Please see the attachment - John had e-mailed you back in May regarding this and I am still holding this pending approval (and voucher). I will see where it is, Thank you/ Dtbna Whi'i'ecava. qe Account Clerk Town of 5outhold 6/12/2012 FISHERS ISLAND FERRY DISTRICT VENDOR 001327 AIRGAS EAST, INC 06/19/2012 CHECK 498 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 116499601 (2)32~ PROPANE TANKS 67.96 TOTAL 67.96 ' Town of Southold, New York - Payment Voucher Vendor T~x ID Number or Social Security Number Vendor Address Vendor Name Air, as East Vendor Telephone Number VeodorContact Invoice Number [~endor No. P.O. Box 827049 Philadelphia, PA 19182-7049 Invoice Invoice Net Purchase Order Date Total Discount Number 116499601 5111/2012 $67.96 $67.96 1327 n of Goods or Services Tank ~heck No. Audit Date JUN 1 9 2012 Fund and Account Numbor $M67t 0.4.000.000 67.96 Payee Certification The undersigned (Claimant) (Acting on behal£of tbe above named claimant) docs hereby certify that the foregoing claim is true and correct, that no pan has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from *vhich the Town is exempt are excloded Signature~ Title. Company Name f~"F/~_ Date Department Certification 1 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 there&have been verified with the exceptions or discrepancies noted, and payment is approved / ENSURE PROPER CREDIT 439384-00 116499601 02081 05/11/12 FISHERS ISLAND 465 841 I 812 I ~'r~lCKU~ · / ~ .NET30DAYS ·] 1 , ~* LOCATION: B6 43938Z0~[1[ ?R 33A PROPANE 32LBS ALUMINUM SI 29.9775 59.96 N 2 2 VOL: 64 43938~09,'1~ {AZHAZMAT HAZARDOUS MATERIAL CHARG ES 8.00 8.00 N ~uk total 67.96 TO] kL fLIgDKRS SHIPPED: 2 RETUR~E[ TAX CD,: )00000006 TAX ESCR~ C( 4NEiTIiU EXMPT CD: 0 EXMPT/CER~ MUNICIPALITY ,, $67.96 I $.oo Airgas www.a,rgas.com AJrgas East 17 Northwestern Drive Salem, NH 03079 SHIP TO: FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND NY 06390-0607 ORIGINAL INVOICE ACT. NAME AIRGAS EAST ACT. NO. 8606074799 PNC BANK - ABA NO. 031000053 REF. 116499601/02081 =p!a', LIT 2 Li ,;it~v: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THE REPLACEMENT OF GASES THA~r t)O NOT MEET ITS PURITY SPECIFICA-rlONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS, BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORT NG AND USING COMPRESSED GASES SELLER SHALL NOT BE LIABLE FOR ANY DIRECT (EXCEPT AS EXRRESS,¥ PROVIDED HEREIN). INDIRECT. SPECIAL iNCiDENTAL. CONSEOUENTIAL AND/OR PUNITIVE DAMAGES. ARISING OR ALLEGED TO ARISE OUT OF OR iN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT OTHER ITEMS OF SALE OR EQUIPMENT SOLD OR LEASED SELLER WHETHER SUCH DAMAGE RESULTS FROM ANYNEGLIGENfACT OR OMISSION OR S RELAfEDTOSTRICFLtABILITY, OR OTHERWISE FISItERS ISLAND FERRY DISTRICT VENDOR 001623 ARROW PAPER EQUIP RNTL & SALES 06/19/2012 CHECK 499 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 299203-1 CONCRETE GRIND,DISC-NL 120.00 TOTAL 120.00 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Securit~ Number Vendor Name Arrow Equipment Rental a Sales Vendor Telephone Number Vendor Contact Vendor Address 567 Colman Street New London, CT 06320 1623 Check No. Entered by ~ Audit Date JUN 1 9 2012 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claime( 266203-4 s 6/20 2 420.00 420.00 [ aa , 420.00 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 balance therein stated is actually due and ouang, and that taxes from which the Town Is exempt are excluded Number goncrete Gridin~ Dlsc-NL Terminal General Ledser Fund and Account Number 8M5709.2.000.200 Department Certification 1 hereby certi~ 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 ARROW EQUIPMENT RENTAL& SALES Status: Closed 567~COLMAN ST 860-447-'1621 phone Invoice#: 299203-'1 NEW LONDON, CT 06320 860-437-1080 fax Invoice Date: 5/0812012 www.ez2rentit, com Date Out: Tue 51 8/2012 9:27AM FISHERS ISLAND FERRY DISTRIC PO BOX DRAWER H FISHERS ISLAND, NY 66390 ~ CustomeM 31118 ) 860 442.0165 Contract Info: PO #: STEVE Operator: MATTHEW HUTCHINGS Terms: On Account 1107434-1 DIAMOND, 7" X5/8" DOUBLE ROW CL07434 Pulled $120.00 $120.00 Picked Up By: STEVE Please pay from this invoice. RENTAL CONTRACT The said property listad below is to be returned to 567 Cctman Street, New London, CT on the date and time listed below under "Agreed Return Date", Signed. Witness Date This is a contract. Read both sides before signing.The words"Renter", "You" and "Yours" mean the person who signs this contract (or are obligated under its terms). "We", "Ou~' and "Us" refers to Arrow Equipment and Sales or Arrow Paper Pan'y Rental at address listed above. Terms: Cash in advance. Established open accounts are due and payable net 10th of each month. Past due accounts bear late payment penalties at 1 1/2% per month. I accept/decline the damage waiver, if damage waiver declined please initial as provided on the reverse side and agree to pay above described additional charges thereof, I, the undersigned renter, specifically acknowledge that I have received and understand the instructions regarding the use and operation of the rented equipment Renter further acknowledges that he has read and fldly understands lhe within equipment rental contract and agrees to be bound by all of the terms, conditions and provisions hereof. Renter acknowledges that he has received a true and correct copy of this agreement at the time of execution he~eof. Notif'/Arrow Equipment Rental and Sales Promptly if equipment does not function properly, or no refund or allowances will be considered. SIGNATURE: FISHERS ISLAND FERRY DISTRIC Rental: $0.00~ Damage Waiver: $0.00 Sales: $120.00 Delivery Charge: $0.00 Misc. Charges: $0.06 Subtotal: $120.00 CT Sales Tax: $0.00 TOTAL: $120.00 PAID: $0.00 AMOUNT DUE: $f20.00../ Printed on 5/9/2012 9:01:56 am Open Monday-Friday 7am-5pm, Saturday 8am-5pm, Closed Sunday Modification #1 Software by Point~3f-Rental Systems W3NV~ POINT-OF-RENTAL COM InvoicesByDateRange rpt ( 1 ) FISHERS ISLAND FERRY DISTRICT VENDOR 019500 AT&T 06/19/2012 CHECK 500 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 86044201650612 TEL/NL TERM 5/15-6/14 292.74 TOTAL 292.74 Town of Southold, New York - Payment Voucher Vendor T~x ID Number or Social Security Number Vendor Address Vendor Name AT&T Vendor Telephone Number Vendor Contact AT&T p. Oi Box 5082 Carol Stream, IL 60197- Vendor No. 19500 Check No. 50o Entered by .~ Audit Date JUN 1 9 2012 T lerk ~ ' · Number 8604420165 Invoice Date - 5/1512012 Invoice Net Total [ Discount Amount Claimed 292.74 292.74 292.74 Payee Certification The undersigned (Claimant) (Acting on behalf of tbe 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 from which the Town is exempt are excluded Purchase Order Number Description of Goods or Services NL Terminal Tel 05115 - 06/14 8M5710.4.000.100 Department Certification I hereby certify that the mataria[s 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 ~s approved. Signature ~"~~ Title . Date at&t EISHERS ISLAND FERRY DISTRICT Page PO R0X H Account Number FISHERS ISLE NY 06390-0607 Billing Date Web Site 1nfl0 860 442-0165 078 May 15, 2012 art. Eom ,! .inthly Statement Previous Bill 568.31 Payment - Thank You I 568,31 CR Adjustments .00 Balance ,00 Current Charges 292.74 Total Amount Due $292.74 '/* Amount Due in Full by Jun 14, 2012 · Thank you for being an ALL DISTANCE® customer. Your ALL DISTANCE® savings includes: Promo~ons and Discounts Item No~ Date Oescriotion 1, 4-19 Payment 2, 5-15 Payment Totals Adiustments 27.00 Payments 283.45 284.86 568.31 Questions? Call: Plans and Services 1 800 321-2000 Repair: 1 800 246-8464 Internet Services: 1 877 722-3755 Total Current Charges Page 1 · PREVENT DISCONNECT · CARRIER INF0 · KEEP YOUR DISCOUNT · PRICE INCREASE · CENTRALINK 1100 See "News You Can Use" for additional information. 292.74 292.74 Promotions and Discounts 3. Save Elite-S Conn-$27 off - 12mo term 27.OOCR Monthly Service - May 15 thru Jun 14 Charges for 860 442-0165 4. Monthly Charges 122.60 Chargee for ~60 443-6851 5. Monthly Charges 28.35 Chargee for 860 444~0320 6. Monthly Charges 28.35 Chargea for 860 447-9~71 7, Monthly Charges Total Mon~ly Service 28.35 207.65 Call Charges Bus Block of Time 70e II ZY Summary 1365 Minutes Used 700 Minutes Allowed Instate Long Distance Out of State Long Distance Call Plan Summary Total 8, Bus Block of Time 70~ Il 2Y Chargea for 860 44Z-0165 Item No. Date Time Place Number Itemized Calls 9~ 4 11 843A BRIDGEPORT CT 203650~0327 O 6.46 22.02 28.48 Mien 2:28+ .00 *BASIC $154.01 NON BASIC $13873 Return bottom portion with your check in the enclosed envMope. at&t FISHERS ISLAND FERRY DISTRICT Page PO 80X H Account Number FISHERS ISLENY 06390-0607 Billing Date Web Site 2 of 10 860 442-0165 078 May 15, 2012 att.com Call Charges - Continued Item J~ Date Time Place 1. 4-16 823A FISHERS IS 2. 4-16 917A FISHERSIS 3. 4-16 954A FISHERSIS 4. 4-16 1027A FISHERStS 5. 4 16 1029A POUGHKEPSI 6. 4-16 1034A POUGBKEPSI 7. 4-16 1088A FISHERS IS Number NY 631 788-7857 NY 631 788-7857 NY 631 788-7857 NY 631 788-7857 NY 845656-1677 NY 845656-1677 NY 631 788-7345 8. 4,16 1041A PROVIDENCE RI 40t 742-1056 9. 4,16 1049A NARRAGNSTT RI 4OI 783-4778 10. 4,16 1122A FISHERS IS NY 631 788-7345 11. 4-16 l15OA FISHERS IS NY 631 788-5673 12. 4-16 1157A NEWYORK NY 212921-1520 13. 4-16 1228P FARMINGDL NY 631414,8808 14. 4-16 1246P NEWHAVEN CT 203468-4501 15. 4-16 1248P FISHERS IS NY 631 788-7463 16.416 1257P BETHESDA MO 301 320-6962 17. 4 16 t01P FISHERSIS NY 631 788-7463 18. 4 18 129P FISHERStS NY 631 788-5673 19. 4 16 131P FISHERSIS NY 631788-7463 20. 4,16 151PCOLCHESTER CT 860537-8270 21. 4-16 307P PUTNAM 22. 4-16 313P FISHERS IS 23. 4,16 317P FISHERS IS 24. 4-16 330P QUEENS 25. 4-16 334P HARTFORD 26. 4-16 334P FISHERSIS 27. 4-16 504P FISHERS IS 28. 4-16 547P HARTFORD CT 860928-7848 NY 631 788-7463 NY 631 788-7463 NY 718 440-9257 CT 860916-6867 NY 631 788 7463 NY 631 788 7463 CT 860 883 2647 29. 4-17 823A BRIDGEPORT CT 203650-0327 30. 4-17 837A FISHERS IS NY 631788-7645 31. 4,17 959A GUILFORD CT 203458-4128 32. 4-t7 1884A CLEVELAND OR 216881-0111 33. 4-17 101SA FLEMINGTON NJ 988751-5332 34. 4 17 1105A GUILFORD CT 203458-4128 35. 4,17 1149A FISHERS IS NY 631 788-7343 36. 4-17 1211P FISRERSlS NY 631788-7463 37. 4-17 124OP FISHERS IS NY 631788-7463 38. 4-17 104P FISHERS IS NY 631788 7463 39. 4 17 219P FISHERS IS NY 631 788-7463 40. 4-17 223P NWYRCYZN01 NY 212628-6070 4l. 4-17 25.3P FARMINGDL 42. 4,17 256P FARMINGDL 43. 4-18 811A FISHERSIS 44. 4,18 849A FISHERSIS 45. 4,18 859A WILLIMNTIC 46. 4 18 909A FISHERS IS 47. 4,18 91lA WILLIMNTIC 48. 4-18 1880A FISHERS IS 49. 4-18 1003A NEWHAVEN NY 631 414-5825 NY 631 414-5825 NY 631 788-7857 NY 631 788-5550 CT 860 942-3685 NY 631 788 7251 CT 860942-3685 NY 631 788-5673 CT 203410-6997 Cod~e O 2 E D D O Call Charges - Continued Item No. Date Time P!o~ Number 50. 4-18 1084A MILFORD CT 203876-8606 51. 4-18 1054A FISHERS IS NY 631 788-74~3 Mien 52. 4-18 1055A FISHERS IS NY 631 788-74&3 1:01+ .00 53. 4-18 1131A FrSHERSIS NY 631 788-7463 1:19+ .00 54. 4,18 1155A JEWETTCITY CT 860591-7306 1:28+ .00 55. 4,18 1156A JEWETTCITY CT 860591-1306 0:30+ .00 56. 4-18 1225P NEWHAVEN CT 203710-4410 0:30+ .00 57. 4-18 2C6P FISHERS IS NY 631 788-7919 0:30+ .0O 58. 4-18 328P FISHERS IS NY 631 788-7463 0:52+ .00 59. 4-18 333P DENVER CO 303788-8362 0:30+ .00 60. 4-18 531P FISHERS IS NY 631 788 7463 1:07+ .00 61. 4-18 541P WlNOSORLKS CT 8606688844 1:48+ .00 62. 4-19 738A WATERBURY CT 203754,5334 2:20+ .00 63. 4-19 813A QUEENS NY 718440-9250 0:51+ .00 64. 4-19 818A QUEENS NY 718440-9257 0:30+ .00 65. 4-19 825A FISHERS IS NY 631 788-7919 1:18+ .O~ 66. 4 19 848A FISHERS IS NY 631 788-7463 1:18+ .00 67. 4-19 926A MILFORD CT 203876-8806 2:24+ .00 68. 4-19 948A FISHERS IS NY 631 788-7255 0:53+ .00 69. 4-19 958A MILFORD CT 203876-8606 0:41+ .00 70. 4-19 1111A FISHERStS NY 6317887133 0:30+ .00 71. 4,i9 1114A FISHERS IS NY 631 788-7463 0:30+ .00 72. 4-19 1132A FISHERS IS NY 631 788-7919 0:46+ .00 73. 4-19 1208P FISHERS IS NY 931 788-5550 0:36+ .00 74. 4 19 1219P FISHERS IS NY 631 788-7632 0:30+ .08 75. 4 19 1220P FISHERS IS NY 631 788-8734 0:30+ .OO 76. 4-19 1233P FISHERS IS NY 631788-7463 0:30+ .00 77. 4 19 124OP HARTFORD CT 860627-3013 1:32+ .00 78. 4 19 1241P ESSEX CT 860662-3013 1:58+ .00 79. 4 19 113P FISHERS IS NY 631788-7225 0:30+ .00 80. 4 19 132P BRISTOL VT 802 453-5549 0:42+ .08 81. 4-19 133P FISHERSIS NY 631788-7919 0:48+ .00 82. 4 19 147P FISHERS IS NY 631 788-7463 1:55+ .08 83. 4-19 152P FISHERS IS NY 631 788-7463 11:07+ .OO 84. 4-19 213P FISHERS IS NY 631 788 7412 2:03+ .0O 85. 4-19 219P PLAINVILLE CT 860747-9911 0:46+ .00 86. 4-19 407P FISHERS IS NY 631 788 7632 0:31+ .00 87. 4 20 739A FISHERS IS NY 631788-7463 0:32+ .00 88. 4-20 759A SOUTHOLD NY 631765-2784 0:30+ .00 89. 4-20 836A FISHERS tS NY 631 788-7632 0:36+ .08 90. 4-70 903A WINDSORLKS CT 860688-0044 2:44+ .00 91. 4 20 924A FISHERS IS NY 631788-7857 0:30+ .00 92. 4 20 95OA NORFOLK VA 757 353-0842 2:03+ .dO 93. 4 20 1011A FISHERS IS NY 631 788-7463 0:54* .00 94. 4,20 1033A FISHERS IS NY 631 788-7463 3:40+ .00 95. 4-20 1085A HARTFORD CT 860883-4444 0:32+ ,00 96. 4-20 1052A HARTFORD CT 860424-3620 3:51+ .00 97. 4-20 1054A HARTFORD CT 860424-3620 1:14+ .00 98. 4-20 1221P FISHERS IS NY 631 788 7630 1:88+ .00 99. 4,20 1228P FISHERS IS NY 631 78&7632 1:53+ .00 100. 4,20 1250P WlNBSORLKS CT 860668-0044 0:30+ .00 101. 4-20 142P FISHERSIS NY 631788-7463 102. 4-20 202P FISHERSIS NY 6317887463 Code MLQ 2:10+ 0:30+ 24:88+ 0:57+ 0:30+ ~:49+ 0:41+ 0:30+ 3:29+ 0:36+ 0:42+ 8:48+ 0:53+ 0:30+ 0:37+ 2:04+ 0:30+ 5:52+ 4:37+ 0:30+ 0:30+ 0:30+ 0:39+ 4:40+ 0:46+ 0:30+ 1:48+ 0:30+ 1:08+ 3:22+ 0:43+ 1:35+ 2:23+ 0:30+ 1:23+ 0:58+ 0:30+ 2:34+ 0:39+ 5:23+ 1:33+ 6:00+ 0:30+ 0:30+ 0:35+ 2:39+ 0:30+ 0:30+ 0:30+ 0:39+ O 50:53+ 2:27+ 0:49+ .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 874&068.080458.01.05.0000000 NNNNNNNY 59211.161063 at&t FISHERS ISLAND FERRY DISTRICT Pa~e PO BOX H Account N#mber FISHERSISLE NY 06390-0607 Billin~ Date 3 of 10 860 442-0185 078 May 15, 2012 Call Charges - Continued Item No. Date Time Place I. 4-20 208P FISHERSIS 2. 4-20 215P RSHERSfS 3. 4 20 216P FISHERSIS 4. 4 20 216P FISHERSIS 5. 4-20 217P FtSHERSIS 6. 4-20 232P FISHERSIS Number NY 631 788-7463 NY 631 788-7345 NY 631 788-5551 NY 631 788-5510 NY 631 788-7255 NY 631 788 5655 7. 4-20 234P POUGHKEPSI NY 845656-1677 8. 4 20 240P SEATTLE WA 206 720-1626 9. 4-20 248P WINDSOBLKS CT 860668-0044 10. 4 20 306P FISHEBS IS NY 631 788-7463 11, 4 20 355P POUGHKEPSI NY 845656-1677 12. 4-20 357P POUGHKEPSI NY 845656-1677 13. 4 20 403P POUGHKEPSI NY 845656-1677 14. 4 20 403P POUGHKEPSI NY 845656-1677 15. 4 20 412P POUGHKEPSl NY 845656-1677 16. 420 455P NEWHAVEN CT 203468-4433 17. 4 23 819A FISHERS IS NY 631 78~-7255 18. 4 23 918A WESTHAMPTNNY 631 288-1727 19, 423 931A WlNDSORLKS CT 860668-0044 20. 4-23 101SA FISHERS IS 21. 4-23 1046A FISHERS IS 22. 4 23 1105A STAMFORD 23. 4-23 1136A FISHERSIS 24. 4 23 1143A FISHERS IS 25. 4 20 1146A HARTFORD 26. 4-23 1156A FISHERS IS 27. 4 23 1203P FISHERS IS 28. 4 23 1234R FISHERS IS 29. 4 23 1259P FISHERS IS 30, 4-23 104P FISHERSIS 31. 4-23 129P FISHERSIS 32. 4-23 143P FISHERS IS 33. 4-23 250P ESSEX 34. 4-23 323P FISHERSIS 35. 4-23 332P FISHERS IS 36. 4-23 337P HARTFORD NY 631 788-7463 NY 631 78~-7632 CT 203 977-7327 NY 631 788-7345 NY 631 788-7632 CT 860817-8110 NY 631 788-7463 NY 631 788-7054 NY 631 788-7632 NY 631 788-7345 NY 631 788-7632 NY 631 788-7463 NY 631 788-7632 CT 860767-9917 NY 631 788-7632 NY 631 788-7632 CT 860242-2514 37. 423 407P NEWHAVEN CT 203468-4509 38. 4-23 419P FISHERS IS NY 631788-7632 39. 4 23 427P FISHERS IS NY 631788-7463 40. 4-23 428P FISHERS IS NY 631788-7463 41. 4-24 734A FISHERS IS NY 631788-7345 42, 4-24 829A FISHERS IS NY 631788-6655 43. 4-24 843A FISHERS IS NY 631 788-74~3 44. 4 24 DOnA POUGHKEPSI NY 84565&1677 45. 4-24 953A SEARSPORT ME 207 548-6302 46. 4-24 100~A FISHERS IS NY 631 78~-7345 47. 4-24 1012A FISHERS IS NY 631 78~-7463 48. 4 24 1027A FISHERS IS NY 631 78~-7463 49. 4-24 1029A HARTFORD CT 860883-2047 Code D Call Charges - Continued Item No. Date Time Place Number 50. 4-24 1137A FISHERS IS NY 631 788-7857 51. 4-24 1156A FISHERS IS NY 631 788-7463 ~ 52. 4 24 14DP FISHERS IS NY 631 78~-7045 0:47+ .30 53. 4-24 228P FISHERS IS NY 631 78~-7463 0:30+ .00 54. 4-24 389P BRIDGEPORT CT 203556-2964 0:30+ .00 55. 4-24 325P HARRISON NY 914462-2162 0:45+ .30 55. 4-25 724A FISHERS IS NY 631 788-5655 1:04+ .00 57. 4 25 725A POUGHKEPSI NY 845656-1677 0:30+ .00 58. 4-25 807A FISHERS IS NY 631 78~-5550 0:43+ .00 59. 4-25 813A FISHERS IS NY 631 788-7835 0:49+ .00 60. 4-25 830A FISHERS IS NY 63178~-5550 15:45+ .00 61. 4-25 948A FISHERS IS NY 631 788-7345 0:37+ .30 62. 4-25 10OTA FISHERS IS NY 631 788-7463 1:28+ .30 63. 4-25 1041A MILFORD CT 203876-8603 0:30+ .00 64. 4-25 1043A MILFORD CT 203876-86~6 0:30+ .30 65. 4-25 1052A FISHERS IS NY 631 78~-7463 0:54+ .30 66. 4-25 1112A FISHERSIS NY 631788-7463 1:07+ .30 67. 425 1119A LEBANON CT 860642-4377 0:30+ .30 68. 4 25 1213P FISHERS IS NY 631 788-7463 1:18+ .30 69. 4-25 1223P WESTHAMPTNNY 631 288-5100 0:43+ .30 70. 4-25 1238P BRIDGEPORT CT 203521-8846 5:35+ ,00 71. 4-25 1245P HARTFORD CT 860986-7634 11:20+ .00 72. 4-25 102P FISHERSIS NY 631788-7463 1:46+ .00 73. 4-25 111P HARTFORD CT 850986-7634 1:13+ ,00 74. 4-25 II8P FISHERSIS NY 631788-7857 0:38+ .30 75. 4-25 207P BABYLON NY 631 943-7487 0:42+ .00 70. 4-25 217P FISHERSlS NY 631788-7463 1:38+ .00 77. 4-25 219P FISHERSIS NY 631788-7667 2:00+ .00 78. 4-25 220P FISHERS IS NY 631 788-5667 2:44+ .0O 79. 4-25 223P DANBURY CT 203648-9319 1:10+ ,00 80, 4-2§ 300P FISHERSIS NY 631788-7463 2:21+ .00 81. 4-25 324P OLDSAYBRK CT 860388-8855 14:28+ .00 82. 4-26 419P FISHERSiS NY 631788-7463 6:37+ .00 83. 4-25 428P FISHERS IS NY 631 788-7463 0:30+ .00 04. 4-26 810A ANSONIORBY CT 203906-6161 2:00+ .00 85. 4-26 917A BRENTWOOD NY 631831-8926 1:34+ .00 86. 4-26 922A ORIENT NY 631323-2525 I:0~+ .00 87. 4-26 925A FISHERS iS NY 631788-7264 4:33+ .00 88. 4-26 926A FISHERS IS NY 631788-7632 1:28+ ,00 89. 4-26 941A FISHERS IS NY 631788-7345 0:44+ .30 90. 4-26 1014A NAUGATUCK CT 203723 7413 0:30+ ,00 91, 4-26 1029A WINOSORLKS CT 860623-9~86 4:00+ .00 92. 4-26 105OA FISHERS iS NY 631 788 5550 0:30+ .30 93, 4-26 1057A ESSEX CT 860662-3013 0:30+ ,00 94. 4-26 1104A ESSEX CT 860662-3013 0:32+ .30 95. 4-26 1238P POOGHKEPSI NY 845656-1677 0:42+ .30 96. 4-26 1256P POUGHKEPSI NY 845656-1677 2:15+ .30 97. 4-26 158P RSHERS IS NY 631 788-5673 0:30+ .00 98. 4-26 200P MOODUS CT 860873-5065 0:37+ .30 99. 4-20 201P MOODUS CT 860873-5065 0:30+ .30 100. 4-26 214P POUGHKEPSI NY 845656-1677 0:30+ .30 101. 4-26 221P POUGHKEPSI NY 845656-1677 102. 4-26 245P NORFOLK VA 757353-9~42 Code 2:13+ .30 0:32+ .30 0:30+ .30 0:44+ .30 2:20+ .30 1:19+ .30 0:30+ .30 0:30+ .30 0:53+ .30 4:22+ .00 0:37+ .30 2:02+ .00 0:30+ .30 0:30+ .00 4:20+ .0~ 1:14+ .00 0:30+ .00 2:40+ .0~ 0:30+ .O0 1:17+ .00 0:41+ .00 12:41+ .30 2:41+ .0~ 1:10+ .30 1:50+ 2:32+ .30 0:51+ .30 0:30+ .30 0:30+ .00 1:06+ .30 4:06+ .30 0:51+ 0:30+ .30 1:13+ .00 0:30+ .30 0:34+ .00 2:12+ .30 0:31+ .30 0:50+ .30 0:30+ .30 5:50+ .30 2:59+ .00 0:30+ 2:02+ .30 0:30+ .00 8:27+ .00 0:30+ .30 1:01+ .00 0:30+ .00 2:09+ .00 0:30+ .00 1:03+ .30 1:51+ .00 FISHRRS ISLAND FERRY DISTRICT Page 4 of 10 PO 60X FI Account Number 860 442-0165 078 Call CharGes - Continued Item ~ Date Tim~ Plec~ Number I. 4-26 541P SNMNMRVS CA 310751-6003 2. 4-26 634P EARMINGDL NY 631414-5825 3. 4-27 737A FISHERS IS NY 631788-7645 4. 4-27 738A FISHERS IS NY 631788-7653 5. 4-27 749A FISHERS iS NY 631 788-7463 6. 4-27 751A LEBANON CT 860642-4377 7. 4-27 803A BREN]WOOD NY 631831-8926 8. 4-27 815A FISHERSIS 9, 4-27 856A FISHERSIS 10. 4-27 955A FISHERSIS 11. 4-27 1024A FISHERS IS 12. 4-27 1037A FISHERS IS 13. 4-27 1131A FISHERS IS 14. 4-27 110P FISHERSlS 15. 4-27 1t3P FISHEHSIS 16. 4-27 139P RSHERSIS 17. 4-27 143P EISHERSIS 18. 4-27 218R FISHERSlS 10. 4-27 228P FISHERSIS 20. 4-27 307P FISHERSIS 21. 4 27 308P FISHERSIS 22. 4-27 320P FISHERSIS 23. 4-28 946A FISHERSIS 24. 4-28 958A FISHERSIS 25. 4-29 1238P FISHERS IS 26. 4-29 IOOP FISHERSIS 27. 4-29 154P FISHERS IS 28. 4-30 814A FISHERS IS 29. 4-30 830A FISHERS IS 30. 4 30 844A FISHERS IS 31. 4-30 900A FISHERSIS NY 631 788-7919 NY 631 788-5655 NY 631 788-7463 NY 631 788-5550 NY 631 788-7816 NY 631 780-7345 NY 631 788-7343 NY 631 788-7311 NY 631 788-7463 NY 631 788-7463 NY 631 788-7463 NY 631 788-7345 NY 631 788-7345 NY 631 788-7463 NY 631 788-7343 NY 631 788-7133 NY 631 788-5550 NY 631 788-7463 NY 631 788-7~63 NY 631 788-7573 NY 631 788-7463 NY 631 788-5673 NY 631 788-5673 NY 631 788-7255 32. 4-30 957A ANSONIDRBY CT 203906-8161 33. 4-30 1002A KILUNGWTH CT 860663-2759 34. 4-30 1009A FISHERS IS NY 631 788-7463 35. 4-30 1018A HARTFORD CT 860760-3942 36, 4-30 IlllA FISHERS IS NY 631 788-7716 37. 4-30 1113A WINDSORLKS CT 860668-0044 38. 4-30 1134A KILLINGWTH CT 860663-2759 39. 4*30 1157A FISHERS IS NY 631 780-7311 40. 4-30 1221P WlNDSORLKS CT 000008-0044 D 41. 4-30 1235P FISHERS IS NY 631 788-7343 1 42. 4-30 136P MILFORD CT 203876-8606 O 43. 4-30 144P BRIDGEPORT CT 203521-8846 D 44. 4-30 152P FISHERS IS NY 631 788-7463 1 45. 4-30 220P NEWHAVEN CT 2037104410 D 46. 4-30 401P FISHERS IS NY 631 788-7463 47. 4-30 438P WESTHAMPTNNY 631 288 5100 1 48. 4-30 500P FISHERS IS NY 631 788 7463 2 49. 4-30 550P MORRISTOWN NJ 973214-1506 2 Call Charges - Continued ~Oate Time Place 50. 51. Min 52. 2:20+ .00 53. 5:45+ .O0 54. 0:30+ .00 55. 0:30+ .00 56. 0:30+ .00 57. 4:11+ .00 58. 1:56+ ,00 59. 0:30+ .00 60. 0:54+ .00 61. 0:30+ .00 62. 2:53+ .00 63. 0:30+ .00 64. 0:30+ .00 65. 1:58+ .00 66. 1:01+ .00 67. 0:43+ ,00 68. 1:20+ .00 69, 2:09+ .00 70. 0:30+ .00 71. 0:30+ .00 72. 2:54+ .00 73. 0;42+ ,00 74. 0:34+ .0(1 75. 0:30+ .00 76. 8:53+ .00 11. 0:48+ .00 78. 0:32+ .00 79. 0:30+ .00 80. 0:31+ .00 81. 0:43+ .00 82. 0:30+ .00 83. 0:30+ .00 84, 0:30+ .00 85. 0:59+ .00 86, 0:35+ .00 87. 0:30+ .00 88. 9:44+ ,00 89. 0:30+ .00 90. 1:44+ .00 91. 8:15+ .00 92. 2:01+ .00 93. 0:33+ .00 94. 0:53+ .00 95. 2:16+ .00 96. 0:33+ .00 97. 5:38+ .00 98. 1:04+ .00 99. 0:40+ ,00 100. 0:54+ .00 101. 102. Number 4-30 634P EISHERS IS NY 631 788-5545 5-OI 732A LEBANON CT 860642-4377 5-OI 833A FISHERS iS NY 631788-7463 5-01 901A HARTFORD CT 860573-3987 5-01 902A PTCHARLOTT FL 941979-7607 5-01 916A HARTFORD CT 8609~6-7634 5-01 917A HARTFORD CT 8609~6-7634 5-01 94OA FISHERS IS NY 631 788-7463 5-01 948A FISHERS iS NY 631 788-7632 5-01 954A FISHERS rs NY 631788-7225 5-01 1002A SAUGUS MA 617 257-4693 5-O1 1OI6A WESTHAMPTN NY 631 288-5100 5-OI 1025A FISHERS IS 5-OI IO56A FISHERS IS 5-O1 IO57A FISHERS IS 5-01 1104A FISHERS IS 5-01 1246P FISHERS IS 5-01 152P FISHERSIS 5-01 157P FISHERStS 5-01 201P FISHERSIS 5-O1 23OP SAUGUS 5-OI 244P FISHERSIS 5-OI 358P FISHERSIS 5-01 417P FISHERS IS 5-02 834A HARTFORD 5-02 857A FISHERS IS 5-02 900A FISHERS IS 5-02 908A FISHERS IS 5-02 932A FISHERSIS NY 631 788-7632 NY 631 788-7632 NY 631 788-7632 NY 631 788-7463 NY 631 788-7463 NY 631 788-7444 NY 631 788-7463 NY 631 788-7255 MA 617 529-9666 NY 631 788-7444 NY 631 788-7460 NY 631 788-7919 CT 860 986-7634 NY 631 788-7233 NY 631 788-725~ NY 631 788-7463 NY 631 788-7463 5-02 1021A NEWMILEORD CT 860350-9449 5-02 1023A NEWMILFORD CT 860350-9449 5-02 1029A WESTHAMPTN NY 631 288-1727 5-02 IO36A FISHERS IS NY 631 788-5546 5-02 IO57A HARTFORD CT 86098&7634 5-02 1118A COLCHESTER CT 860537-8270 5-02 1124A COLCHESTER CT 860537-8270 5-02 1126A HARTFORD 5-02 1128A ATTLEBORO 5-02 1143A HARTFORD 5-02 1223P FISHERS IS 5-02 113P FISHERSIS 5-02 148P NEWHAVEN 5-02 232P SAUGUS 5-02 24OP NEWHAVEN 5-02 242P NEWHAVEN 5-02 312P FISHERS IS 5-02 316P NEWHAVEN 5-02 345P FISHERSIS 5-02 356P BRISTOL 5-02 712P FISHERSIS 5-03 717A FISHERSIS Cf 860 882-3555 MA 508 222-O787 CT 860883-2647 NY 631 788-7463 NY 631 788-7463 CT 203 468-4433 MA 617 257-4693 CT 203468-4401 CT 203468-4401 NY 631 788-7463 CT 203 468-4401 NY 631 788-7463 CT 860583-1022 NY 631 788-5545 NY 631 788-5673 5-03 754A WATERBURY CT 203754-5334 5-03 906A FISHERS IS NY 631 788-5673 Code Mien 2 11:59+ .00 N 2:44+ .00 1 0:30+ .00 D 0:30+ I 13:44+ .00 D 0:30+ .00 D 16:03+ .00 1:30+ .00 1:46+ .00 2:52+ .00 0:43+ .00 0:41+ .0~ 3:21+ .00 0:47+ .00 1:05+ .00 0:30+ 0:30+ .00 0:46+ 0:30+ 4:32+ .00 2:32+ .00 0:50+ .00 0:41+ .00 1:30+ D 17:45+ .00 1 0:30+ .00 1 0:30+ .00 1 16:14+ 1 0:59+ .00 D 0:37+ D 0:38+ .00 I 3:01+ .00 1 0:58+ .00 0 1:38+ .00 D O:41+ ,00 O 0:39+ .00 D 0:33+ ,00 1 0:30+ .00 O 0:30+ .00 1 1:09+ .00 1 0:50+ .00 D 1:03+ .00 I 0:40+ .00 D 1:58+ .00 D 0:47+ I 0:55+ .00 B 4:43+ .00 1 1:17+ .00 O 8:46+ .00 2 0:49+ .00 2 0:40+ .00 N I:11+ .00 I 0:57+ .00 8748.008.080458.02.05.0000000 NNNNNNNY 47691.127619 at&t FISHERS ISLAND FERRY DISTRICT Pago Po BOX H Acconnt Number FISHERS ISLENY 06390~607 Billing Date 5 of 10 860 442-0165 078 May 15, 2012 Call Cho~ge$ - Continued No. Date Time Place I. 5-03 955A FISHERS IS 2. 5-03 1028A BRISTOL 3. 5-03 11OOA BRISTOL 4. 5-03 1124A BRISTOL 5. 5-03 1145A FISHERS IS 6. 5-03 1203P FISHERS IS 7. 5-03 239P FISHERSlS 8. 5-03 302P FISHERSlS NumBer NY 631788-7835 CT 860583-1022 CT 860583-1022 CT 860583-1022 NY 631788-7645 NY 631788-7345 NY 631788-7345 NY 631788-7255 9. 5-03 35OP OLOSAYBRK CT 860399-5266 10. 5-03 433P FISHERSIS 11. 5-03 455P FISHEflSlS 12. 5-04 728A FISHERSIS 13. 5-04 841A AGAWAM 14. 5-04 938A FISHERSlS 15. 5-04 1OO3A FISHERSIS 16. 5-04 1016A FISHERS IS 17. 5-04 1034A FISHERS IS 18. 5-04 104OA FISHERSIS 19, 5-04 1042A MILFORD 20. 5-04 1053A FISHERS IS 21. 5-04 1201P FISHERS IS 22. 5-04 1202P FISHERSlS 23. 5-04 1205P HARTFORO 24, 5-04 12OOP FISHERS IS 25. 5-04 1248P AGAWAM 26. 5-04 107P WlLUMNTIC NY 631 708-7311 NY 631 788-7463 NY 631 788 7345 MA 413 374-3739 NY 631 788-7857 NY 631 788-7632 NY 631 7OO-7857 NY 631 788-7632 NY 631 788-7857 CT 203876-8606 NY 631 7OO-7463 NY 631 788-7463 NY 631 788-7857 CT 860 289-0268 NY 631 788-7345 MA 413 374-37~9 CT 860 942-3685 27. 5-04 114P PROVIDENCE RI 401486-6759 28. 5-04 126P HARTFORD CT 860289-0268 29. 5-04 128P WlLLIMNTIC CT 860942-3685 30. 5-04 138P FISHERS IS NY 631 788-7502 31, 5-04 14OP FISHERS IS NY 631 788-7405 32. 5-04 219P FISHERS IS NY 631788-7225 33. 5-04 227P FISHERS IS NY 631 788-5655 34. 5-04 232P POUGHKEPSl NY 845656-1677 35. 5-04 318P FISHERS IS 36 5-04 319P FISHERSIS 37. 5-04 342P FISHERS IS 38. 5-04 408P FISHERS IS 39. 5-07 737A FISHERS IS 40. 5-07 OOSA FISHERS IS 41. 5-07 918A PLAINVILLE 42. 5-07 958A PLAINVILLE 43. 5-07 1OO6A WALLINGFD 44. 5-07 1OO8A HARTFORD 45. 5-07 1046A FISHERS IS 46. 5-07 1049A BROCKTON NY631788-73~ NY 631788-7483 NY631788-7345 NY 631788-7463 NY631788-7345 NY 631788-5550 CT 860747-9911 CT 860747-9911 CT 203741-0412 CT 860289-0267 NY 631788-7345 MA508587-8877 47. 5-07 11nBA WINDSORLKS CT 860668-0044 48. 5-07 1147A NEWTON MA617243-OOOO 49. 5-07 1153A HARTFORD CT 860232-0010 Call Charfloo - Continued Item N_~ Poto ~ Pl~l~e Number 50. 5-07 1222P BRISTOL CT 8500589-2252 51. 5-07 1228P FISHERS IS NY 631 788-7463 (:ode Min 52. 5-07 1237P HOPE IN 812 546-5975 1 2:14+ .00 53. 5-07 1249P COLUMBUS IN 812390-7606 O 0:57+ .00 54. 5-07 looP FISHERS IS NY 631 788-7444 D 0:33+ .OO 55. 5-07 202P POUGHKEPSI NY 845656-1677 O 2:21+ .OO 56. 5-07 209P FISHERS IS NY 631 788-5550 1 11:00+ .00 57. 5-07 2BOP FISHERS IS NY 631 788-7919 1 0:30+ .00 58. 5-07 211P FISHERSIS NY 63t788-7857 1 0:30+ .On 59. 5-07 226P FISHERSIS NY 631788-7050 1 1:09+ .50 60. 5-07 241P FISHERS IS NY 631 788-7345 D 1:19+ .On 61. 5-07 322P NEWMILFORD CT 8OO350-9449 1 6:37+ .OO 62. 5-07 415P FISHERSIS NY 631788-7463 1M 7:13+ .On 63. 5-07 655P MORRISTOWN NJ 973214-1506 0:30+ .00 64. 5-OO 800A FISHERS IS NY 631 788-7225 0:47+ .00 65. 508 850A HARTFORD CT OO0519-4415 2:01+ .50 66. 5-OO 919A EiSHERSlS NY 631188-7255 4:41+ .00 67. 5-OO 104lA HARTFORD CT 860289-0267 4:t4+ .00 68. 5-OO 1043A HARTFORD CT 860289-0267 1:57+ .02 69. 5-OO 1044A HARTFORD CT 860289-0267 0:36+ .03 70, 5-OO ll01A FISHERS IS NY 631 783-7345 O 1:46+ .08 71. 5-OO 1139A FISHERS IS NY 631 788-7463 1 3:32+ .15 72. 5-08 12OOP FISHERSIS NY 631788-7463 1 0:33+ .02 73. 5-OO 1216P HARTFORD CT 860 257-1870 I 0:31+ .02 74. 5-OO 1227P HARTFORD CT 860 257-1870 D 0:30+ .02 75. 5-OO 1236P FISHERS IS NY 63l 788-7463 I 0:30+ .02 76. 5-08 100P WESTRAMPTNNY 63t288-51OO 1 0:50+ .04 77. 5-OO looP FISHERSIS NY 631788-5550 O 2:48+ .12 78. 5-OO I10P QUEENS NY 7187OO-7999 1 0:31+ .02 79. 5-OO 127P NEWHAVEN CT 203387-22OO D 1:04+ .05 80. 5-OO 13BP PLAINVILLE CT OOO351-0136 D 0:30+ .02 81. 5-0~ 202P FISHERSIS NY 631788-5550 1:09+ ,05 82. 5-0~ 232P FISHERSIS NY 631788-7345 0:49+ .04 83. 5-08 233P FISHERSIS NY 631788-7501 1:34+ .07 84. 5-OO 246P HARTFORD CT 860289-0267 0:30+ .02 85. 5-OO 313P FISHERSIS NY 631788-7463 2:27+ .11 OO. 5-OO 409P FISHERSIS NY 631788-2463 0:30+ .02 87. 508 503P NEWHAVEN CT 203468-4505 0:30+ .02 88. 5-09 84OA FISHERSIS NY 631788-7345 0:30+ .02 89. 5-09 944A BRISTOL VT 802 453-5549 2:29+ .11 90. 5-09 950A FISHERSIS NY 631 788-7225 0:30+ .02 91. 5-09 1019A FARMINGDL NY 631 414-5008 0:30+ .02 92. 5-09 1037A FISHERS tS NY 631 788-7585 O 2:03+ .09 93. 5-09 1118A FISHERS IS NY 631 788-7345 D 4:36+ 20 94. 5-09 1140A FISHERS IS NY 631 788-7463 D 0:30+ .02 95. 5-OO 1154A FARMINGDL NY 631 414-5025 D 2:44+ .12 On. 5-09 1150A FISHERS IS NY 631 788-7444 I 0:52+ .04 97. 5-09 1232P MORRISTOWN NJ 973214d506 1 1:15+ .05 98. 5-09 1241P FISHERS IS NY 631 78~-7463 D 8:10+ .35 99. 5-09 1247P WILUMNTIC CT 860942-1472 1 0:52+ .04 100. 5-09 looP FISHERStS NY 631788-7255 D 2:29+ .11 101. 5-09 111P FISHERSIS NY 631788-7463 102. 5-09 143P FISHERSIS NY 631788-7463 Code 0:30+ ,02 1:15+ .05 4:33+ .20 0:30+ ,02 1:47+ 0:30+ .02 0:30+ .02 0:57+ .04 0:53+ .04 0:30+ .02 0:55+ .04 5:45+ ,25 0:30+ .02 12:50+ .50 1:10+ .On 0:30+ .02 0:30+ .02 0:55+ .04 0:50+ .04 0:30+ 02 0:30+ .02 9:10+ .39 0:30+ 02 10:35+ .45 0:55+ .04 0:30+ .02 1:15+ 0:47+ .03 3:47+ .16 2:57+ .13 1:10+ .05 1:57+ 0:33+ .02 0:57+ .04 19:28+ .84 4:01+ .17 2:48+ .12 0:38+ .03 0:30+ .02 1:06+ .OO 0:49+ .04 0:30+ .02 1:34+ .07 O:OO+ .02 6:16+ .27 2:41+ .12 4:11+ .18 I:OO+ .04 4:19+ .19 0:30+ .02 0:30+ ,02 1:51+ .08 0:39+ .03 FISHERS ISLAND FERRY DISTRICT Page 5 of 10 Po BOX H Account Number 860 442-0165 078 FISHERS iSLE NY 06390-0607 Billing Date May 15, 2012 at&t Call Charges - Continued Item No. Date Tim~e Pl~cq i. 5-09 321P FISHERSIS NY 2. 5-09 4O8P FISHERSIS NY 3. 5-09 458P WESTHAMPTNNY 4. 5-09 543P FISHERSIS NY 5. 5-09 658P NEW HAVEN CT 6. 5-09 659P NEW HAVEN CT 7. 5 10 818A FISHERS IS NY 8. 5-10 843A FISHERSlS NY 9. 5-10 845A FISHERSIS NY IO. 5-10 9O2A FARMINGDL NY II. 5-10 933A FISHERSIS NY 12. 5-10 949A FISHERSlS NY 13. 5-10 95OA FISHERSIS NY 14. 5-10 10O5A FISHERS IS NY 15. 5-1o 1007A FISHERS IS NY 16. 5-~0 1039A FISHERS IS NY 17. 5-10 104lA POUGHKEPSI NY 18. 5-10 1043A WILLIMNTIC CT 19. 5-10 1137A FISHERS IS NY 20. 5-10 1144A PUTNAM CT 21. 5-10 1252P FISHERSIS NY 22. 5-10 II7P POUGHKEPSI NY 23. 5-10 138P FISHERSIS NY 24. 5-10 151P FISHERSIS NY 25. 5-10 252P POUGHKEPSI NY 26. 5-10 336P FISHERS IS NY 27. 5-10 338P FISHERS IS NY 28 5-10 350P FISHERS IS NY 29. 5-10 354P FISHERSIS NY 30. 5-10 358P FISHERSIS NY 31. 5-10 400P FISHERSIS NY 32. 5-10 4OIP FISHERSlS NY 33. 5-10 446P FISHERS IS NY 34. 5-10 459P DANIELSON CT 35. 5 10 525P FISHERSIS NY 36. 5-10 528P FISHERSIS NY 37. 5-10 550P FISHERSIS NY 38. 5-11 087A FISHERSIS NY 39. 5-11 80~A FISHERSIS NY 40. 5-11 825A HARTFORD CT 41. 5-11 082A WESTHAMPTNNY 42. 5-11 950A POUGHKEPSI NY 43. 5-11 1004A FISHERSIS NY 44. 5-11 1007A FtSHERSIS NY 45. 5-11 1033A MERIDEN CT 46. 5-11 1034A MERIDEN CT 47. 5-11 1042A FISRERSlS NY 48. 5-11 1115A POUGHKEPSI NY 49. 5-11 1133A WlLLIMNTIC CT Number Code ~ 631 788-7345 0:30+ 631 788-7463 0:30+ 631 288-510(} 0:50+ 631 788-7463 0:30+ 203 468-4509 0:30+ 203 468-4441 0:53+ 631 788-7345 0:30+ 631 788-7246 0:48+ 631 788-7345 0:52+ 631 414-5808 1:05+ 631 788-7463 0:30+ 631 788-7264 0:31+ 631 788-7632 0:48+ 631 788-7255 0:45+ 631 788-7225 0:45+ 631 788-5515 0:30+ 845 656-~677 0:32+ 808 576-0~15 D 0:30+ 631 788-7345 ~ 0:38+ 860928-7848 D 1:21+ 631 788-7857 1:05+ 845 656-1677 4:36+ 631 788-7919 2:10+ 631 788-7875 0:30+ 845 485-4033 11:42+ 631 788-7264 0:30+ 631 788-7264 0:30+ 631 788-7463 1:21+ 631 788-7311 2:35+ 631 788-7343 0:58+ 631 788-5667 0:30+ 631 788-7345 0:30+ 631 788-7345 0:30+ 860 779-8910 2:13+ 631 788-7463 2:57+ 631 708-7463 1:03+ 631 788-7463 4:40+ 631 788-5515 0:30+ 631 788-5515 2:05+ 860817-8118 1:11+ 631 288 5100 2:11+ 845 485-4033 5:29+ 631 788-7221 1:04+ 631 788-7311 2:08+ 203 630-5555 0:33+ 203 630-5555 4:21+ 631 788-7463 0:30+ 845 485-4033 4:03+ 860 942-0885 0:30+ Call Charges - Continued Place Number FISHERS IS NY 631 788-7311 STPETERSBG FL 727573-9339 WILLIMNTIC CT 860942-3685 FISHERS IS NY 631 788-7528 FISHERS IS NY 631 788-7815 FISHERS IS NY 631 788-5515 FISHERS iS NY 631 788-7223 FISHERS IS NY 631 788-7255 FISHERS IS NY 631 788-7463 FISHERS IS NY 631 788-7874 FISHERS IS NY 631 788-7255 FISHERS iS NY 631 78~-7062 FISHERS IS NY 631 788-74~3 FISHERS IS NY 631 788-7463 HARTFORD CT 860721-2238 FISHERS IS NY 631 788-7463 FISHERS IS NY 631 788-7246 MOODUS CT 860 873-8488 FISHERS IS NY 631 788-7463 NEWBURYPT MA 978 465-3558 FISHERS IS NY 631 788-5685 NEWBRITAIN CT 860770-8192 STAMFORD CT 203 273-7505 STAMFORD CT 203273-7508 FISHERS IS NY 631 788-7463 BETHESDA MD 301 320-6960 FISHERS IS NY 631 788-7463 MACHIAS ME 207 263-9030 FISHERS IS NY 631 788-7463 FISHERS IS NY 631 788-7463 FISHERS IS NY 631 788-7345 MILFORD CT 203876-8606 ESSEX CT 860767-9917 FISHERS IS NY 631 788-7919 ESSEX CT 860767-9917 FISHERS IS NY 631 788-5515 FISHERS IS NY 631 788-74~3 ESSEX CT 860767-9917 FISHERS IS NY 631 788-7463 FISHERS IS NY 631 788-7463 HARTFORD CT 860 257-1070 Item No~ Date Tirade 50, 5-11 1203P 51. 5-11 1202P 52. 5-11 1237P .02 53. 5-11 107P .02 54. 5-11 122P .O4 55. 5-11 123P .02 56. 5-11 129P .02 57. 5-11 130P .04 58. 5-11 157P .02 59. 5-11 159P .03 60. 5-11 204P .04 61. 5-11 225P .05 62. 5-11 229P .02 63. 5 I1 322P .02 64. 5-11 328P .03 65. 5-11 359P .03 66. 5-11 557P .03 67. 5 11 920P .02 68. 5-12 905A .02 69. 5-12 1135A .02 70. 5-13 112P .03 71. 5-13 142P .06 72. 5-13 358P .05 73. 5-13 359P .20 74. 5-14 818A .69 75. 5-14 822A .02 76. 5-14 851A .50 77. 5-14 857A .02 78. 5-14 920A .02 79. 5-14 959A .06 80. 5-14 1014A .11 81. 5-14 1112A .04 82. 5-14 1115A .02 83. 5-14 1119A .02 84. 5-14 1120A .02 85. 5-14 1142A .10 86. 5-14 1150A .13 87. 5-14 11~8A .05 88. 5-14 126P .20 89. 5-14 218P .02 90. 5-14 236P .09 91. 5-14 246P FISHERS iS .05 Total Itemized Calls .09 Total Charges lot 860 442-0165 .24 .05 Charges for 860 443-68S1 Itemized Calls .09 92. 4-14 127P FISHERS IS .02 93. 4-16 953A FISHERS IS .19 94. 4-16 311P FISHERSIS .02 95. 4-17 1030A FISHERS IS .17 96. 4-17 315R FISHERS IS .02 97. 4-17 318P FISHERSIS NY 631 788-7463 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-7192 NY 631 788-7192 Code M~ 1 1:03+ .05 1 0:47+ ,03 D 2:12+ .09 0:36, .03 0:30+ .02 0:57+ .04 I:10+ .05 6:14+ .27 0:59+ .04 1:55+ .O~ 0:30+ .02 3:32+ .15 5:23+ .23 0:44+ .03 5:26+ .23 0:30+ .02 0:30+ .02 0:30+ .02 6:53+ .30 0:30+ .02 0:53+ .04 0:37+ .03 0:30+ .02 0:48+ .03 2:32+ .11 2:22+ .10 0:58+ .04 2:54+ .12 0:30+ .02 8:03+ .35 1:13+ .05 1:56+ .0~ 0:33+ .02 0:39+ .03 2:59+ .13 1:27+ .08 7:03+ .30 0:55+ .O4 4:00+ .17 1:42+ .07 0:56+ .04 3:14+ .14 14.55 14.55 0:30+ .02 0:36+ .03 0:31+ .02 I:00+ .04 2:02+ .09 0:30+ .02 8748.008.080458.03.05.000(~ NNNNNNNY 47693.127621 EISHERS ISLAND FERRY DISTRICT Pnge 7 of 10 at (t PO 60X H Account Number 860 442-0165 078 FISHERS ISLE NY 06390-0607 Billing Date May 15, 2012 Call Charges - Continued Item No. Date Time Place Number 1. 4 18 949A FISHERS IS NY 631788-5522 2. 4-18 109P NEWYORK NY 212725-1948 3. 4 18 306P FISHERS IS NY 631788-5523 4. 4-19 832A FISHERS IS NY 631788-7192 5. 4-19 1058A FISHERS IS NY 631 788-5522 6. 4-19 226P FISHERS IS NY 631788-5522 7. 4-19 259P SELOEN NY 631698-4736 8. 4-20 701A FISHERS IS NY 631788-5522 9. 4-20 1047A ATLANTA GA 404846-1156 10. 4-20 1053A ATLANTA GA 4048404156 II. 4-20 1106A FISHERS IS NY 631 788-5522 12. 4-20 310P FISHERS IS NY 631788-5522 13. 4-23 957A FISHERSIS NY 631788-5522 14. 4-23 1007A OSSINING NY 914762-5180 15. 4-23 1207P FISHERS IS NY 631 788-5522 16. 4 23 258P FISHERS IS NY 631788 5522 17. 4-23 306P FISHERSIS NY 631788-5522 18. 4-24 1012A RSHERSIS NY 631788-5522 19. 4-24 306P RSRERS IS NY 631788-5522 20. 4 25 1052A FISHERS IS NY 631 788-5522 21. 4-25 1144A FISHERS IS NY 631 788-5522 22. 4-25 1140A FISRERSIS NY 631788-5522 23. 4-25 1151A FISHERS IS NY 631 788-5522 24. 4-25 252P FISHERSIS NY 631788-5522 25. 4-26 929A FISHERSIS NY 631788-5549 26. 4-26 1115A FISHERS IS NY 631 788-5522 27. 4-26 1136A FISHERS IS NY 631 788-5522 28. 4-26 1212P FISHERS IS NY 631 788-5522 29. 4-26 217P BRISTOL CT 860589-2252 30. 4-26 255P FISHERS IS NY 631 788-5522 31. 4-26 519P FISHERS IS NY 631788-5522 32. 4-27 1112A FISHERS IS NY 631 788-5522 33. 4-27 219P FISHERS IS NY 631 788-5522 34. 4-27 253P FISHERS IS NY 631788-5522 35. 4-30 1028A FISHERS IS NY 631 788-5522 36. 4~30 307P FISHERS IS NY 631 788-5522 37. 5-01 803A NEWRAYEN CT 203392-3576 38. 5-01 953A FISHERS IS NY 631 788-5522 39. 5-01 206P FISHERS IS NY 631788-5525 40. 5-01 313P FISHERSIS NY 631788-5522 41. 5-02 IIOOA FISHERSIS NY 631788-5522 42. 5-02 1256P FISHERSIS NY 631 788-5523 43. 5-02 1257P NEWMILFORD CT 860350-9449 44. 5-02 1259P NEWMILFORD CT 860350-9559 45. 5-02 309P FISHERSlS NY 631788-5522 46. 5-02 336P NEWHAVEN CT 203468-4443 47. 5-03 103DA BRISTOL CT 860589-2252 40. 5-03 1135A FISHERS IS NY 631 788-5522 49. 5-03 243P FISHERS IS NY 631788-5522 Code Min 0:51+ .04 0:38+ .03 0:30+ .02 0:30+ .02 0:40+ .03 0:31+ .02 0:48+ .03 2:46+ .12 0:30+ .02 0:30+ .02 0:57+ .04 0:31+ .02 0:38+ .03 0:30+ .02 0:54+ .04 0:31+ .02 0:31+ .02 0:50+ .04 0:32+ .02 0:54+ .04 4:42+ .20 0:53+ .04 0:52+ .04 0:32+ .02 0:43+ .03 I:01+ .04 2:14+ .10 0:36+ .03 D 0:31+ .02 0:31+ .02 0:30+ .02 0:37+ .03 0:30+ .02 0:30+ .02 0:58+ .04 0:32+ .02 D 0:30+ .02 I 0:38+ .03 I 0:35+ .03 I 0:32+ .02 I 0:55+ .04 I 0:50+ .04 D 0:30+ .02 D 0:30+ .02 I 0:31+ .02 D 0:39+ .03 D 1:25+ .06 I 0:38+ .03 I 0:32+ .02 Call Charges - Continued Item No. Date Time Place 50. 5-04 1052A FISHERSIS 51. 5-04 1205P FISHFRStS 52. 505 242P FISRERSlS 53. 5-07 1011A FISRERSiS 54. 5-07 251P FISHFRSIS 55. 508 1041A FISRFRSIS 56. 5-08 1142A NEWBAVEN 57. 5-08 314P FISHERSIS 58. 5-09 836A FISHERSIS 59. 5-09 1118A FISHERSIS 60. 5-09 144P FISHERSfS 61. 5-09 233P FISHERSIS 62. 5-10 60lA ORLANDO 63. 5-10 603A ORLANDO 64. 5-10 1136A EISRERSiS 65. 5-10 222P FISRERStS 66. 5-10 245P FISHERSlS Number NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 CT 203 392-3576 NY 631 788-5522 NY 631 288-5523 NY 631 788-5522 NY 631 788-5523 NY 631 788-5522 FL 407447-5312 FL 407447-5312 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 67. 5-10 317P POUGHKEPSl NY 845405-2501 68. 5-I1 756A FISHERSIS 69. 5-11 1023A FISHERSIS 70. 5-11 301P FISHERSIS 71, 5-11 3t6P FISHERSIS 72. 5-11 317P FISHEflSIS 73. 5-11 338P FISHEflSIS 74. 5-12 149P FISHERSIS 75. 5-13 1157A FISHERSIS 76. 5-14 1023A FISHERSiS NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5523 NY 631 788-5522 NY 631 788-5522 NY 631 788-5522 NY 631 788-5523 NY 631 788-5522 77. 5-14 1247P HUNTINGTON CT 203925-2660 78. 5-14 312P FISHERSIS Total Itemized Calls Total Charges for 860 443-6851 Charges for 860 444-032e Itemized Culls 79. 4-16 1104A FISHERSIS 80. 4-16 456P FISRERSIS 81. 4-27 1022A FISHERSIS 02, 4-30 237P FISHEflStS 83. 501 1114A FISRERSIS 84. 5-01 1117A FISHERSIS NY 631 788-5522 NY 631 788-5523 NY 631 788-5523 NY 631 788-5523 NY 631 788-5523 NY 631 788 5523 NY 631 788-5523 85. 5-02 1207P WESTHAMPTNNY 631 288-5161 86. 5-02 1209P FISHERSIS 87. 5-08 1205P FISHERSIS 88. 5-09 434P FISHERSIS 89. 5-09 445P FARMINGDL 90. 5-14 349P FISHERSiS Total Itemized Calls Total Charges for 860 444-0320 Charges for 850 447-9371 Itemized Cells 91. 4-16 1039A NEWHAVEN 92. 4-16 1040A NEWBAVEN NY 631 788-5523 NY 631 788-5523 NY 631 788-5523 NY 631 454-3840 NY 631 788-5523 Cod~e Mien 1:01+ ,04 2:39+ .11 0:30+ .02 0:51+ .04 0:33+ .02 0:37+ .03 1:00+ ,04 0:32+ .02 0:30+ .02 1:00+ .04 0:32+ .02 0:33+ .02 0:51+ .04 1:23+ .06 1:03+ .05 1:34+ .07 0:31+ .02 0:33+ .02 1:40+ .07 0:59+ .04 0:32+ .02 0:30+ .02 0:32+ .02 0:30+ .02 0:30+ .02 1:19+ .06 0:37+ .03 0:42+ ,03 0:32+ ,02 2.96 2,96 0:30+ .02 0:41+ .03 0:43+ .03 0:33+ .02 0:30+ .02 0:30+ .02 0:30+ .02 0:30+ .02 1:00+ .04 0:34+ .02 0:51+ ,04 0:30+ .02 .30 .30 CT 203468-4509 D 0:30+ .02 CT 203 408 4441 D 0:40+ .03 at&t FISHERS iSLAND FERRY DISTRICT Pngn PO BOX H Account Numbar FISHERS ISLE NY 06390 0607 Billi,g Date 8 ofl0 860 442-0165 078 May 15, 2012 Call Charges - Continued Item ~ Date T~ Place Number I. 4-16 1109A FISRERSIS NY 631768-7463 2, 4-16 1148A COECRESTER CT 860537-8270 3. 4-16 437P FISHERSIS 4. 4-17 737A FISHERSIS 5. 4-17 1OOlA CLEVELAND 6. 4-17 124P FISHERS IS 7. 4-18 814A FISHERSIS 8, 4-18 819A FISHERSIS 9. 4-18 1000A NEWHAVEN 10. 4-18 100lA NFWHAVEN 11. 4-18 1004A FISBERSIS 12. 4-18 1055A FISHERS IS 13. 4-18 1103A FISHERSIS 14. 4 18 1123A FISHERSIS 15. 4-18 1227P FISHERS IS 16. 4-16 124P SEARSPORT 11. 4-18 433P FISHERSIS 18. 4-19 920A CAMBRIDGE 19. 4-19 114UA FISHERSIS 20. 4-19 1204P NORFOLK 21. 4-19 144P ESSEX 22. 4-20 741A E HAMPTON 23. 4-20 757A FISHERSIS 24. 4-20 809A FISHERSIS 26. 4-20 1035A HARTFORD 26. 4-20 1052A HARTFORD 27. 4-20 1053A HARTFORD 28. 4-20 1054A HARTFORD 29. 4-20 201P FISHERS iS 30. 4~20 203P NORFOLK NY 631 788-7463 NY 631 788-7463 OH 216 812-5659 NY 631 788-7463 NY 631 788-7463 NY 631 788-7857 CT 203410-6997 CT 203 410-6997 NY 631 788-7632 NY 631 788-7345 NY 631 788-7345 NY 631 788-7345 NY 631 788-7463 ME 207 548 6302 NY 631 788-7463 MA 617 290-1596 NY 631 788-7919 VA 252 353-9842 CT 860662-3013 CT 860 267-6264 NY 631 788-7433 NY 631 788-7326 CT 860916-9666 CT 860424-3620 CT 860 424-3674 CT 860 424-3674 NY 631 788-7851 VA 757 353-9842 31. 4-20 327P ALEXANDRIA VA 703244-0385 32. 4-20 338P SOUTHOLD 33. 4-20 466P NEW HAVEN 34. 4 23 1021A FISHERS IS 35, 4-23 1146A FISHERS IS 36. 4-23 1149A FISHERSlS 37. 4-23 1158A FISHERSIS 38. 4-23 1205P FISHERS iS 39. 4-23 220P FISHERSIS 40. 4-23 314P FISHERSIS 41. 4-23 333P FISHERSIS 42. 4-23 513P ROANOKE 43. 4-24 745A FISHERSIS NY 631 765-1891 CT 203468-4404 NY 631 788-7632 NY 631 788-7463 NY 631 788-7455 NY 631 788-7632 NY 631 788-7345 NY 631 788-7345 NY 631 788-7632 NY 631 788-7345 VA 540 520-6277 NY 631 788-7463 44. 4-24 859A POUGHKEPSI NY 845656-1676 45. 4-24 903A QEEPRIVER CT 860938-4260 46. 4-24 231P SEARSPORT ME 207548-6302 47. 4-24 330P FISHERS IS NY 631 788-7919 48. 4-25 1138A FISHERS IS NY 631 788-7345 49. 4-25 218P BABYLON NY 631943-7487 Cod~ M_jo 4:42+ .20 4:16+ .18 18:11+ .78 0:30+ .02 0:30+ .02 2:05+ .09 2:47+ .12 1:51+ .08 0:30+ .02 0:30+ .02 2:~3+ .10 0:30+ .02 0:30+ .02 0:30+ .02 0:48+ .03 1:15+ .05 0:46+ .O3 0:54+ .04 4:12+ .18 1:17+ .06 1:27+ 0:30+ .02 0:41+ .03 2:06+ .09 0:30+ .02 0:30+ .02 0:38+ .03 0:30+ .02 1:37+ .07 0:42+ .03 0:36+ .03 2:50+ .12 O 4:10+ .18 11:27+ .49 2:52+ .12 0:44+ .03 1:02+ .04 0:40+ .03 323+ .15 3:08+ .13 1:17+ .06 0:48+ .03 0:49+ .04 0:30+ .02 1:58+ 2:02+ .09 5:18+ .23 1:09+ .05 2:28+ .11 Call Charges - Continued Item No. Date Time Place Number 50. 4-26 1236P ANSONIORBY CT 203906-6161 51. 4-26 156P FISHERS IS NY 631 788-7463 52. 4-26 439P FISHERSi$ NY 631 788-5673 53. 4-27 943A FISHERS IS NY 631788-7456 54. 4-27 95OA PLAINVlLLE CT 860747-9911 55. 4-27 1020A NEWHAVEN CT 203710-4410 56. 4-27 318P ESSEX CT 860662-3013 57. 4-30 825A FISHERS IS NY 631788-5673 58. 4-30 1233P FISRERSIS NY 631788-1311 59. 4-30 152P FISHERSIS NY 631788-7343 60. 4-30 214P FISHERS IS NY 631788-7463 61. 4-30 325P FISHERS IS NY 631788-7463 62. 4-30 327P FISHERS IS NY 631788-7857 63. 4-30 44OP FISHERS IS NY 631788-7463 64. 4-30 442P FISHERS IS NY 631788-7463 65. 5-01 801A FISHERS IS NY 631788 7463 66. 5-01 945A FISHERS IS NY 631 788-5673 67. 5-01 1009A HARTFORD CT 860760-3952 68. 501 1033A HARTFORD CT 860986-7634 69. 501 118P PLAINVILLE CT 860747-9911 70. 5-01 403P FISHERS IS NY 631788-7460 71. 5-02 839A FISHERS IS NY 631788-5545 72. 5-02 846A FISHERS IS NY 631 788-7345 73. 5-02 849A FISHERS IS NY 631 788-7857 74. 5-02 850A FISHERS IS NY 631788-5644 75. 5-02 852A FISHERS IS NY 631 788-7343 76. 5-02 854A HARTFORD CT 860986-1634 77. 5-02 910A FISHERS IS NY 631 788-7345 78. 5-02 918A ATTLEBORO MA 5(]8 222-0787 79. 5 02 1052A FISHERS IS NY 631 788-2632 80. 5-02 I05P FISHERS IS NY 631 788-7345 81. 5-02 114P FISHERSlS NY 631788-7463 82. 5-02 154P JEWETTCITY CT 860376-7636 83. 5-02 314P NEWHAVEN CT 203488-4401 84. 5-02 317P FISHERS IS NY 631788-7251 85. 5-02 319P FISHERS IS NY 631 788-7422 86. 5-03 919A NEWBRITAIN CT 860828-6007 87. 5-03 1154A FISHERSlS NY 631788-7345 88. 5-03 1243P HARTFORD CT 860 263 5700 89. 5-03 128P FISHERSIS NY 631788-7463 90. 5-03 259P FISHERS IS NY 631188-2345 91. 5-03 313P FISHERS IS NY 631788-7646 92. 5-03 425P FISRERSlS NY 631788-7311 93. 5-04 944A FISHERS IS NY 631 788 7463 94. 5-04 1207P HARTFORD CT 860986-2634 95. 5-04 1218P QUEENS NY 718726-6154 96. 5-04 213P FISHERS IS NY 631788-7463 97. 5-04 234P FISHERS iS NY 631788q463 98. 5-04 247P HARTFORD CT 860883-9499 99. 504 522P HARTFORD CT 860986-7634 100. 5-07 902A FISHERS IS NY 631788-5550 101. 5~07 1251P FISHERS IS NY 631788-7463 102. 5-08 905A FISHERS IS NY 631788-5673 Code 3:24+ .15 0:59+ .04 0:30+ .02 0:39+ .03 1:46+ .08 0:30+ .02 0:59+ .04 1:52+ .08 0:30+ .02 2:34+ .11 0:30+ .02 1:43+ .o7 2:29+ .11 1:09+ .06 0:53+ .04 0:55+ .04 0:30+ .02 3:25+ .15 0:30+ .02 1:17+ .06 0:59+ .04 1:06+ .05 0:46+ .03 0:30+ .02 0:38+ .03 0:30+ .02 0:30+ .02 7:25+ .32 4:58+ .21 2:32+ .11 2:01+ 2:13+ .10 2:17+ .10 1:29+ .06 0:37+ .03 0:30+ .02 1:36+ .07 0:30+ .02 0:30+ .02 lffT+ .06 0:30+ 0:35+ .03 1:22+ .06 4:35+ .20 3:32+ .16 5:48+ .25 5:41+ .24 0:30+ .02 0:30+ .02 1:37+ .07 0:30+ .02 3:06+ ,13 2:17+ .10 8748.008.080458.04.05.0000000 NNNNNNNY 47695.127623 FISHERS ISLAND FERRY DISTRICT Pe~ 9 of 10 a PO BOX H Account Number 860 442-0165078 FISHERS ISLE NY 06390-(3607 Billin~ Data May 15, 2OI2 Cull Charges - Continued Item ~ ~ i~ Place Number I. 5-0e 1009A FISHERS IS NY 631 788-7528 2. 5-0e 121P FISHERSIS NY 63178&7919 3. 5-0e 129P QUEENS NY 718247-2065 4. 5-0e 234P QUEENS NY 718247-2065 §. 5-0~ 339P FISHERS IS NY 631 78~-7919 6. 5 0~ 413P WESTHAMPTNNY 631 288-5100 7. 6 09 1003A FISHERS IS NY 631 788-7463 8. 5~09 1118A FISHERS IS NY 631788-7444 9. 5-09 1133A FISHERS IS NY 631 788-7444 10. 5-09 1143A FISHERS IS NY 631 788-7345 11. 5-O9 1146A FISHERSIS NY 631 788-7311 12. 5-09 133P FISHERSIS NY 631788-7433 13. 5-09 224P FISHERS tS NY 631 788-7645 14. 509 225P FISHERSIS NY 631788-5673 15. 5-09 344P FISHERSIS NY 631788-7345 16. 5-10 828A FISHERS IS NY 631 788-7225 12. 5-10 843A FISHERSIS NY 631 788-7255 18. 5-10 912A FISHERSIS NY 63178~-7463 19. 5-10 938A FISHERSIS NY 631 788~7919 20. 5-10 1023A WESTBURY NY 516523-3879 21. 5-10 1134A FISHERS IS NY 631 788-5515 22. 5-10 1143A FISHERSIS NY 631788-~673 23. 5-10 1204P PUTNAM CT 860928-7848 24. 5-10 1214P WlNDSORLKS CT 860623-9e86 25. 5-10 1215P FISHERS IS NY 631788-7463 26. 5-10 1218P WlNDSORLKS CT 86o623-9ee6 27. 5-1o lOlP MARYSVILLE WA360659-2700 28. 5-10 119P FISHERSIS NY 631788-7463 29. 5-10 159P FISHERSIS NY 631788-7857 30. 5-10 213P FISHERSIS NY 631788-7463 31. 5-10 249P FISHERS IS NY 631 788-7345 32. 5 10 328P FISHERS IS NY 631788 7463 33. 5 10 357P FISHERS IS NY 631788-7857 34. 5-10 442P FISHERS IS NY 631788-7452 35. 5-11 815A FISHERSIS NY 631788-7463 36. 5-11 100la MORRISTOWN NJ 973214-1~06 37. 5-11 1232P FISHFRSIS NY 631788-7463 38. 5-11 310P FISHERSIS NY 631788-7528 39. 5-14 916A FISHERSIS NY 631788-7345 40. 5-14 1123A FISHERS IS NY 631 788-7345 41. 5-14 127P NEWBAVEN CT 203410-6997 42. 5-14 238P FISHERSIS NY 631788-7463 Total Itemized Calls Total Charges for 860 447-9371 + - Optional Calling Plan Key to Calling Codes I Peak 2 Off Peak E Evening M Multiple Rate Periods Total Call Charges Code D D I D 1:42+ .07 0:39+ .03 1:09+ .05 5:00+ ,21 0:30+ .02 0:30+ .02 2:18+ .10 2:20+ .IO 1:45+ 0:36+ .03 5:04+ .22 0:30+ .02 0:30+ .02 0:30+ .O7 0:30+ .02 0:30+ .02 h10+ .06 0:55+ .04 0:30+ .02 2:27+ .11 0:30+ .02 0:58+ .04 0:47+ .03 0:56+ .04 0:53+ .04 0:30+ .02 0:36+ .03 4:06+ .18 1:11+ .05 0:42+ .03 0:35+ .03 1:06+ .05 0:30+ .02 1:12+ .05 0:33+ .02 1:10+ .05 0:45+ .03 0:30+ .02 2:52+ .12 0:39+ .03 0:30+ .02 0:52+ .04 I0.67 10.67 O Day N Night/Weekend 58.48 Surcharges and Other Fees AT&T Connecticut 43. CoflnecticutEg-l-t Surcharge -4Unes 44. Connecticut Service Fund - 4 Lines 45. Universal Service Fund - Local(4 @ $1.32) 46. Federal Subscriber Line Charge - 4 Lines Totel AT&T Connecticut AT&T LD East 41. Federal Regulatory Fee 48. Universal Service Fund - Interstate Total AT&T Long Distance East Total Surcharges end Other Fees Taxus 120 20 5.28 23.08 29.76 .52 6.27 6.79 36.55 49. Federal ~O. State Sales Tax Total Taxes Total Plans and Services 13.62 17.06 292.74 PREVENT DISCONNECT If your bill shows a past due amount, BOTH the Past Due amount and Current Charges are due IMMEDIATELY. All of your bill charges must be paid each month to keep your account current and avoid collection activities (See Terms and Conditions for further informabon). However, to avoid disconnection of local service, Basic Charges MUST be paid. For this account that amount is: S154.01 for Current BAsic Charges SO.00 for Past Due Basic Charges CARRIER INFO Our records indicate that AT&T Connecticut is your carrier for instate calls. AT&T Long Distance East is your carrier for interstate and international calls. KEEP YOUR DISCOUNT You receive any discounts, reduced rates, or promotional credits de- scribed in the AT&T Benefits section of the bill because you subscribe to certain required services, for example, because you are an ALL DISTANCE® customer. If you remove any of the services required for a pa~cular discount reduced rate, or promotional credit, your effective rate for the associated remaining service will change. Please call your AT&T service representative if you have any questions. PRICE INCREASE Effective 07/15/2012, the following price increases will take effect: Local Directory Assistance from $1.89 to $1.99; Exb'a lines, Foreign Listings, Joint User Additional Listings from $5.0~ to $5.50. For more information, please visit us mi line at www.atLcom or call the toll-free number on your bill. at&t FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLE NY 06390-~07 Page 10 of 10 Account Number 860442-0165078 Billing Date May 15, 2012 CENTRALINK 1100 Effective 7/3/2012, the monthly prices for Cen~aLink Month-to-Month services will increase by $3.00 per line. Conga Link 1100 customers under term plans are not impacted. If you have any questions or wish to consider other price plans for your business, please contact your AT&T account execuhve or call AT&T at the toll-free number on your bill. 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 Smarflink; in-state Calling Charges; in-state Directory Assistance Charges; the Connecticut E-911 Surcharge; the Connecticut Service Fund fee; the Federal Subscriber Uno 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; Cal~ Charges for in state long distance provided by a company other than AT&T Connecticut; out of state Directory Assistance Charges; charges for telephone equipment and inside wire maintenance, AT&T 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 t~e Universal Service Fund - Interstate fee. CHARGES THAT MAY BE BASIC OR NON-BASIC Certain charges may be eitfler Basic or Non-Basic, depending on the associated service. These include taxes, Late Payment Charges, Collection Charges, and Additions and Changes to your service. BILL PAYMENT, LATE PAYMENT CHARGES AND OTHER FEES Failure to pay any portion of your hill 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 local 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 aoy 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 notice 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.att, com/ctbillglossary AT&T SERVICES Local and in state long distance services, inside wire, rental sets, and voice mail services lexcept where shown as provided by AT&T Messaging) are provided by AT&T Connecticut Out of state long distance is provided by AT&T Long Distance EasL Internet services are provided by AT&T Intarnet Services. Wireless services are provided by AT&F Mobility. 8748.008.080458.05.05.0000000 NNNNNNNY 47697.127625 FISHERS ISLAND FERRY DISTRICT VENDOR 001765 AXTELL'S, INC. 06/19/2012 CHECK 501 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5610.2.000.000 SM .5610.2.000.000 8581 CRACK RPRtSEALING-PH.II 6,172.07 8607 CRACK RPR,SEALING-PH.II 25,820.75 TOTAL 31,992.82 Town of Southold, New York - Pa~ Vendor Tax ID Number or Social Security Number Axtell's, Inc. Vendor Telephone Number 'ment Voucher 1586 Heart Lake Road Jermyn, PA 18433 Vendor Contact 8607 Date 71112011 5/31/201t Invoice Total Discount Net Amount Claimed 25,820.75i 25,820.75 Vendor No. 6,t72.07! 6,t72.07 Parchase Order Number Description of Goods or Services Elizabeth Field Runway Crack Repair and Sealing- Phase II Check No. Audit Date JUN 1 9 2012 General Ledser Fuml and Account Number 8M5610.2.000.000 ti Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) docs hereby certify that thc foregoing claim is tree and correct, that no part has been paid, except as therein stated, that the balance therein stated is aetua]ly due and owing, and that taxes ~om which the Town is exempt are excluded Department Certification l hereby ceriify that the materials above specified have been received by me in good condition without substitution, the se~ices properly parformexl and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Title , Date ~' t~.~f~---~ Axtelrs Inc. 1586 Heart Lake Rd Jermyn, PA 18433 Phon... 570-254-9999 Fax # 570-254-6193 w~wv,axtelis.com Bill To Elizabeth Field Airport Invoice Date Invoice # 7/1/2011 8607 P.O. Number Quantity item Code ~ Description Price Each ! Amount Line painting i Line Stripe specified area using laser technology for 25,820.75 ! 25,820.75 precision and accuracy f Total Pay online at: https://ipn.intuit.com/q9sd4328 Balance Due $25,820.75 $25,820.75 Invoice Date Invoice # 5/31/2011 8581 Axtell's Inc. 1586 Heart Lake Rd Jermyn, PA 18433 Phon... 570-254-9999 Fax# 570-254-6193 www axtells,com Bill To Elizabeth g~[d Aii~pC~ ...................... P.O. Number Quantity Item Code Description Price Each i Amount Crack Repair 139,411.00 139,411 O0 Total $139,411 O0 FISHERS ISLAND FERRY DIS1RICT VENDOR 002241 THE BELL SIMONS COMPANIES 06/19/2012 CHECK 502 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 S8619296.001 MU-HTG SYS.SMOKE PIPE 14.90 TOTAL 14.90 Town of Southold, New York - Pa' Vendor Tax tD Number or Social Security Number Vendor Name The Bell/Simons Companies Vendor Telephone Number Vendor Contact ~ment Voucher Invoice Invoice Invoice Vendor Address P.O. Box 261567 Hartford, CT 06126-1567 Net Purchase Order Vendor No. 2241 Check No. Entered by ~ Audit Date JUN 1 9 2012 S8619296 Date 511712012 Total 14.90 Discount Amount Claime( 14.90 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 pant has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded 14.90 14.90 Signature ~T~b ~ Company Name Detl ~ ~,~/Z Number Description of Gonds or Services MU-Heattin~ Sytem Smoke Pipe General Ledser Fund and Account Number 5H, 5310, g, bO0. I00 Department Certification 1 hereby certify that the materials above specified have been received by me m 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 Town of Southold, New York - Pa Vendor Tax II) Number or Social Security Numb=r The Bell/Simons Companies Vendor Telephone Numbm Number S8619296 511712012 Vendor No. 'ment Voucher 2241 P.O. Box 261567 ' HartfOrd, CT 06126-1567 14.90 14.90 14.90 Payee Certificution Number Description of Goods or Services MU-Heattin~ Sytem Smoke Pipe Check No. Entered by Audit Date JUN 1 9 2012 Clerk ~ General I~i~er Fund and AccountNumber , ,, Department Certification 1 hereby, cerviX, that thc mat~rial~ atmve specified hav~ been received by mc in good condition without substitutmn, Ibc services properly The Bell~Simons Companies ViSit Us on the web at http://.ww.bel[simo~s.com or e-mail us at info@bellsimons.com INVOICE Customer Account Date invoice Number Pa_g~ 41845 05/17/12 S8619296. 001 1 Sold TO: FISHERS ISLAND FERRY DIST. P.O. BOX H FISHERS ISLAND, NY 06390 Ship To: FISHERS ISLAND FERRY DIST. P.0. BOX H FISHERS ISLAND, NY 06390 Writer Customer PO Number Order Date Ship Date Batch Terms EZOLDE maintinence 05/17/12 05717/12 Quantity Stock Number Unit Description Net 30 days Unit Price Extended 1 90649 EA 97 26GA 8IN FULL LGTH PIPE 6.521 2 90160 EA 90 26GA 8IN 90D ELBOW 3.744 6.52 7.49 Non Taxable Mdse Taxable Mdse Sales Tax Shippin9 Hand[in9 Invoice Total 0. 89 0 . 00 0 . 00 14 . 90 0.00 14.01 Customer Account Date 41845 05/17/12 S8619296 . 001 PLEASE REMIT TO: The Bell/Simons Companies, P. O. Box 261567, Hartford, CT 06126-1567, A Service Charge of 1.5% per month (APR of 18%) wit[ be added to alt past due balances. Please direct any questions concerning this invoice to the 8ranch of purchase, Customer will be liable for all collection costs including all attorney's fees. *** NO RETUP, NS AFTER 90 DAYS. *** Items purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 Page 1 of 1 'Whitecavage, Diana .Crom: Gordon Murphy [GMurphy@fiferry.com] Sent: Tuesday, June 12, 2012 9:04 AM To: Whitecavage, Diana Cc: Deb Doucette; Craig Gilbert; Jeanne L. Neubelt Subject: RE: vouchers - 6/19/12 Audit Diana, See below: From: Whitecavage, Diana [mailto:diana.whitecavage@town.southold.ny.us] Sent: Tuesday, .lune 12, 2012 8:50 AH To: Gordon Murphy Cc: Deb Doucette; Craig Gilbert Subject: vouchers - 6/19/12 Audit Good morning Gordon, Upon entering the vouchers yesterday I have come across a few questions. 1) Admiral Custom Embroidery for "crew shirts" is being charged to SM.5710.4.000.000 should this have been charged to SM5710.4.000.800 (uniforms)? Please advise which account to use. We should use SM.5710.4.000.800 and will update our records here. 2) I never received the W-9 for Atlas Companies that was requested on 5/18/12. We were told that the company was sending it directly to you. We will call them today. 3) The Bell/Simons Companies for "MU heating system smoke pipe" is being charged to SM.5709.2.000.100 (Repairs Rental Buildings). Please advise of the correct account to be charged. This should be MU repairs. 4) Lamb & Barnosky - FYI there is still a balance due of $4889.12 last payment made was only for $1312.50. we have a call into them as we do not have an invoice for the difference. 5) Niantic Lumber - I will send this back for approval (no signatures on voucher). Our mistake. 6) NYS Unemployment- I had e-mailed you a copy of the invoice for "interest due" on 6/4/12 and do not see a voucher for this so I will continue to hold. I processed that here. I will look into asap. 7) The Depository Trust & Clearing Corp.- Please see the attachment - John had e-mailed you back in May regarding this and I am still holding this pending approval (and voucher). I will see where it is. Thank you/ Diana H/hifecavage Account Clerk Town of 5outhold 6/12/2012 FISHERS 1SL4ND FERRY DISTRICT VENDOR 002929 C & S ENGINEERS, INC. 06/19/2012 CHECK 503 FI/ND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5610.2.000.000 SM .5610.2.000.000 125270 A~LP UPDATE 2,800.59 127833 RW CRACK REPAIR-PHASE II 23,005.99 TOTAL 25,806.58 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Securit~ Number IVendor Address Vendor Nwae C&S Enl~lneers, Inc. Vendor Telephone Number VcndorContact ~voice Number 125270 127833 Date 3/3/20 t I 811912011 499 Col. Eileen Collins Blvd. Syracuse, NY 13212 Invoice Net Total Discount Amount Claimed $2,800.58 $2,800.59 23,005.99 23,005.99 Payee Certification $25,806.58 lhc undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that thc 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 ~xes from which the Town is exempt are excluded Vendor No. 2929 Purchase Order Number Description of Gonds or Services Consultin~ Fees for ALP 5 year plan work Entered by Audit Date JUN 2012 Ge~ral Lndser Fund and Account Number SM5610.4.000.000 Final Invoice Run Way Crack Repair Phase II SM56t0.2.000.200 Department Certification I hereby certify that the materials above specified have been received by me ~n good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment ~s approved. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Securiiy Number Vendor Address Vendor Name C & S Companies Vendor Telephone Number Vendor Contact Vendor No. 2929 Check No. Entered by &udit Date Town Clerk~ Invoice Number 125270 127833 Invoice Invoice Date Total 31312011 2,800.59 8/19/2011 23,005.99 Net Discount 2,800.59 23,005.99 Payee Certification The undersigned (C!a!mant) (Acting on behal£ofthe 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 from which the Town is exempt are excluded. Signature Title Company Name Date Purchase Order Number ALP Update RW Crack Repair- Phase II General ~dger Fund ~d Account Number $M.5610.2.000.000 SM.5610.2.000.000 Department Certification Title Dale Signature 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. C&S Companies 499 Col. Eileen Collins Blvd. Syracuse, NY 13212 p: (315) 455-2000 f: (315) 455-9667 www. cscos.com Tom Doherty Town of Southold PO Box H Fishers Island, NY 06390 Invoice #: 0125270 Project: 211011001 Invoice Date: 03/03/2011 Send Payment to: C&S Engineers, Inc. PO Box 64366 Baltimore, MD 21264-4366 For Professional Services Rendered from 10/t6/20t0 through 211812011 ALP Update Total Project Fee Authorized Percent Complete as of 2/18/2011 Fee Earned To Date Less Previous Billings Current Billing Amount Amount Due this Invoice 80,01700 100.00 80,017.00 77,216,41 2,800.59 2,800.59 C&S wants your feedback. Visit http:llwww.cscos.comlcontact Invoice Contact Person: Susan Loewer, Account Manager Telephone: (315) 455-2000 Ext. No. 4422 sloewer@cscos.com Net 30 Days I 1/2% Interest per Month C&S Engineers, Inc. Send Payment to: PO Box 64366 Baltimore, MD 21264-4366 Thomas Doherty Town of Southold Fishers Island Ferry District PO Box H Fishers Island, NY 06390 Invoice #: 0127833 Project: 211013002 Invoice Date: 8/19/201~i Est. Cost: 24,671.00 Fixed Fee: 3,701.00 Total: 28,372.60 For Professional Services Rendered from 411612011 through 81112011 RW Crack Repair - Phase II (CA/CO) Analysis of Costs Direct Salaries Overhead % 160.00 Total Regular Labor Expense Premium Labor Cost Total Direct Personnel Total G & A % 0.00 Total Costs Fixed Fee Total This Invoice Total This Invoice (Total Exceeded) Amount Due This Invoice ** This Invoice 7,677.21 12,283.54 19,960.75 115.20 20,075.95 0.00 20,075.95 3,001.02 23,076,97 -70.98 23,006.99 FINAL INVOICE Cumulative 9,472.03 15,155.25 24,627.28 115.20 24,742,48 0.00 24,742.48 3,701.00 28,443.48 -70.98 28,372.50 C&S wants your feedback. Visit http:llwww.cscos.comlcontact Invoice Contact Person:Susan Loewer, Account Manager Telephone:(315) 456-2000 Ext. No. 4422, sloewer@cscos.com Net 30 Days - 1 112% Interest per Month Project: 211013002 -- RWCrackRepair-Phasell(CAJCO) Invoice # :0127833 Multiplier Labor Class / Employee Name Hours Cost CHIEF ENGINEER MOCYK, JEFFREY M. 8.00 46.90 Total: CHIEF ENGINEER 8.00 GRANTS ADMINISTRATOR MARKS~ TRACEY L. 3.00 22.25 Total: GRANTS ADMINISTRATOR 3.00 RESIDENT ENGINEER VERBANIC, MARK P. 1.50 31~80 Total: RESIDENT ENGINEER 1.50 SENIOR INSPECTOR OAKLEY, ELIZABETH J 200,00 25,60 OAKLEY, ELIZABETH J 9.00 38.40 Total: SENIOR INSPECTOR 209.00 SR. CONSTRUCTION SUPERVISOR CERRETANI, LAWRENCE J. 19.00 57.50 Total: SR. CONSTRUCTION SUPERVISOR 19.00 SR. TECHNICAL ADMINISTRATOR REGAN, BARBARA E. Total: SR. TECHNICAL ADMINISTRATOR 26.50 2810 26.50 Multiplier Labor Total Project: 211013002 ~- RW Crack Repair- Phase II (CA/CO) Amount 375.20 375.20 66.76 66.76 47.70 47.70 5,120.00 345.60 5,465.60 1,092.50 1,092.60 744.65 744.65 7,792.41 Page 1 FISHERS ISLAND FERRY DISTRICT VENDOR 003035 CARBOLINE COMPANY 06/19/2012 CHECK 504 FI/ND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 20855918 PAINT,THINNER-BOTH BOATS 776.24 TOTAL 776.24 Town of Southold, New York Vendor Tax ID Number or Social Securiiy Number Carbollne Company Vendor Tetephonc Number Vendor Contact - Payment Voucher Vendor No. 3035 b.O. BOx 931942 Cleveland, OH 441934)004 Ch~kNo. 5oq Entered by ~ Audit Date JUN 1 9 2012 Invoice Number 2085591 414/2012 Invoice ; Net Total ! Discount Amount Claime~ 776.24 = 776.24 Purchose Order Number Description of Goods or Services Paint for both ferries General Ledser Fund and Account Number 8M5710.2.000.000 776.24 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 and owing, and that taxes from which the Town is exempt are excluded Signature Company Name Department Certification I hereby ccrti~ that the materials above specified have been received by mc in good condition without substitation, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment ts approved :caro oun_ 2{50 Schuetz Road · St. Louis, MO 63146 · 314-644-1000 · FAX 314-587-2695 Original INVOICE Fishers Island Ferry SHIPTO 5 Waterfront Park New London, CT 06320 SLS/ 20855918 04-04-2012 SOLD TO Fishers Island Ferry 5 Waterfront Park New London, CT 06320 CLEVELAND, OH 44193-0004 PLEASE PAY FROM INVOICE TERMS: NET 30 DAYS-NO DISCOUNT ALLOWED EIN # 52-1167514 www.carboline.com SALES ORDER CUSTOMER RD, NUMBER 843318- 1 VERBAL STEVE DATE ENTERED CUSTOMER NUMBER SHIPPED VIA Fedex Frt PRIOR [Ground] EO.B, SHIPPING POINT 050 Linden~ NJ SHIPPING DATE INVOICE DATE 04-04-2012 214866000 Prepay and Add 04-04-2012 04-04-2012 6.00 6.00 6.00 2.00 1.00 GALLON GALLON GALLON GALLON EACH IState 10200700901D Carboguard 655 Grey 102007009010 Carboguard 635 Grey 102005009010 Carboguard 635 Red 051O091OO010 Thinner 10 FREIGHT Freight & Handling Ihority TAX SUMMARY I Rate Amount I 6.350 46.37[ 6.00 Gals 6.00 Gals 6.00 Gals 2.00 Gals 1.00 Units 35.0000 35.0000 35.0000 15.0000 69.8700 210.00 210.00 210.00 30.00 69.87 INVOICE AMOUNTP, 776.24 FISHERS ISLAND FERRY DISTRICT VENDOR 019809 CCS MARINE, INC. 06/19/2012 CHECK 505 FI/ND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 32499 DECKPAINT-BOTH BOATS 1,165.00 TOTAL 1,165.00 i Vendor No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address 124 Turnpike street, Unit t2 ~CS ~ ~l~i ~ ) '~-I~. West Bridgewater, MA 02379 19809 Check No. 505 Entered by .~ Audit Date Surfaceworx Vendor Telephone Number Vendor Contact Invoice Invoice Invoice Number Date Total Discount 32499 6/8/2012 1,t65.00 Net Purchase Order ,JUN 1 9 2012 Amount Claimed 1,165.00 Number Description of Goods or Services Deekpalnt - Both Boat~ General Ledger Fund and Account Number SM5710.2.000.000 1,165.00 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 from which the Town is exempt are excluded Signature ~ Title_ Company Name ~'~ _~.~'p 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 Signature 124 Turnpike Street, Unit 12 West Bridgewater~ MA 02379 INVOICE Phone # 508-587-8877 Fax # 508-587-4583 Bill To: 002236 Ship To; 002235 FISHER ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND NY 06390 FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320 I Date I Customer PO~ 05/08/12 STEVE I I 001 001 MARK 32499 27618.00 E~S~IANTIfY 4 ORDERE 1PPE~BACKORDE PRODUCT ID 15J 19 1PHAO44-ZU DESCRIPTION [NTERTHANE 990 ULTRA DEEP BASE T[NT TO L274-OX]DE RED U/+NiT PRIC~E×T. PRIC[ ~U] 76.0000~ 1140.01 SUB-TOTAL 1140.0( FREIGHT 25 O( TERMS NET DUE ON 06/07;12 DISCOIJNT TERMS J IF PAID BY J DEDUCT TOTAL DUE I 1165.00 CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 003285 CHESTERFIELD ASSOCIATES, INC. 06/19/2012 CHECK 506 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 11810 REPAIRED THE SOUTH RAMP 16,800.00 TOTAL 16,800.00 Town of Southold, New York - Pa, Vendor Tax ID Number or Social Security Number : Vendor No. rment Voucher Vendor Address P.O. Box 1229 Westhampton Beach, NY 11978 Cheek No. Entered by ~ Audit Date JUN 1 9 2012 C hesterflekl~ Associates, Inc Vendor Telephone Number Vendor Contact Invoice Invoice Invoice Net Purchase Order , ~ Cl?rk Number Date Total 11810 513012012 16,800.00 Pa ,ee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is t*ue and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing~ and that taxes from which the Town is exempt are excluded Discount Amount Claimed 16,800.00 t6,800.00 $ignature~~~. Company Name Number Description of Goods or Services Repaired the South Ramp as per perposal General Ledser Fund and Ac~unt Number 8Mfi709.2.000.200 Department Certification I hereby certi~ that the materials 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 or discrepancies noted, and payment is approved Signature ~ Title Date Contractors & Engineer Since 1968 56 South Country Road P~O. Box 1229 WesthmnptonBeach. New York 11978 Phone; 63t-288-51 O0 Fax: 631-288-516 l ww~v, ca-inc, net Email: info~,~¢a-in¢.net Inc. & EN NEERS To: Docko, Inc, Contact: Keith Neilson Address: PO Box 421 Phone: (860) 572-8939 Mystic, CT 06355 Fax: (860) 572-7569 Project Name: Fisher Island Ferry Terminal Bid Number: Project Location: Fishers Island, NY Bid Date: 4/13/2012 Attachments: CheSterfield Associates Company Ove~¥iew.pdf Item # Item Description Estimated quantity Unit J 102 t03 Mobilization/Demobilization Demolish 2' 6" Of Existing Bent C12x Support Beam, Replace With 2 MC8 X 22.8 Channel Beam. C12's To Be Ground Down To Bare Steel For The Welding Of New Channels. New Steel And Welds To Be Epoxy Coated Total Bid Price: 1,00 LS 1,00 LS $16,800.00 · Costs Based On Non-Union Labor And Non-Prevailing Wage Rates · Proposal Is Valid For 30 Days From The Date Stated Above · Proposal Based On Access For Material And Equipment By [.and , Proposal Based On Drawings By Gibble Norden Champion B~own Consulting Engineers, Inc Dated 03/05/2012 Payment Terms: Work Shall Be Invoiced Upon Completion, Net 30 Days ACCEPTED: The above prices, specifications and conditions are satisfa~ory and are hereby accepted. Buyer: Signature: Date of Acceptance: CONFIRMED: Chesterfield Associates~ Inc. Authorized Signature: Estimator: Chris Keane (631) 288-5100 chrisk@ca-inc.net FISHERS ISLA~ FERRY DISTRICT VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 06/19/2012 CHECK 507 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 S021756282 MU-TIE WRAPS & SCREWS 32.95 SM .5710.2.000.100 S021771638 MU-LIGHT BULBS 32.03 TOTAL 64.98 Vendor No. · Town of Southold, New York - Pa,. rment Voucher i 5414 Vendor Tax ID Number or Social Security Number Vendor Address Lockbox 9761 P.O, Box 8500 Philadelphia, PA t 9178-9761 Vendor Telephone Number Vendor Name Electrical Wholesalers Inc. VendorCon~ct Number Invoice Date 6/9/2012 5/17/2012 Invoice I Net Total [ Discount Amount Claime 32.96 32.95. 32.031 32.03 S02t756282 S021771638 64.98 i Pa ;ee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is trae and corcect, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Tow~a is exempt are excluded Company Name 84.98 Check No. 5o'1 Entered by Audit Date ,JUN i ~) 2012 Purchase Order Number Description of Gonds or Services MU - Tie Wraps & Screws MU-Li~lht Bulbs General Lnd[er Fund and Account Number SM5710.2.000,100 SM5710.2.000.100 Department Certification I hereby certify that the materials above specified have been received by me m good condition without substitution, the services properly performed and that the quantities thereof have been verified w~th the exceptions or discrepancies noted, and payment is approved Signatare ~ 0 !*1;, iS ;!; NO OF STEVE 654 CT 6 ~3972080].~4 2 C Wi2 ;4MM CTSBK50-C 81N WY BLK C~L TIF' 10( 051 ~ ')°~9 I TAX MESSAGES TERMS OF SALE SPECIAL ORDERED NON-STOCK MERCHANDISE CANNOT BE RETURNED FOR CREDIT NO MERCHANDISE CAN BE RETURNED FOR CREDIT WITHOUT AUTHORIZATION 30% RESTOCKING CHARGE DEDUCTED FROM ALL RETURNED MERCHANDISE ORIGINAL iNVOICE NUMBER MUST ACCOMPANY ALL CLAIMS. A SERVICE CHARGE OF 1-1 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 COLLECTION COSTS MAY BE ADDED TO DELINQUENT ACCOUNTS. NO DISTRIBUTOR WARRANTIES UNLESS OTHERWISE SPECIFIED IN WRITING AS VENDOR OF THIS ARTICLE(S) WE MAKE NO WARRANTIES OR REPRESENTATIONS. EXPRESSED OR IMPLIED. AS TO WORK- ,MANSHIP PERFORMANCE QUALITY, DURABiLIFY FITNESSOR MERCHANTABILITY TRE ONLY WARRANTIES APPLYING TO THE ARTICLE(S/ SOLD HEREUNDER ARE ZHOSE SPECIFICALLY PROVIDED iN WRITING BY THE MANUFACTURER. ATTENTION: CASH RETURNS 1 ALL RETURNS MUST BE WITHIN 7 DAYS AND BE ACCOMPANIED BY THE INVOICE 2. A 30% HANDLING CRARGE OR $3 00 WHICHEVER iS GREATER ON ALL MERCHANDISE NO SPEC!AL ORDERS OR CUT WIRE CAN BE RETURNED 3 MERCHANDISE REFUNDED ONLY NO CASH. Klcclrical Wlu,lt ml(.q-:, ORDER DATE t CUSTOMER P.O NUMBER SHIP VIA FREIGHT CHARGE TYPE [ O EW P O NUMBER I CUSTOMER PHONE CUSTOMER NUMBER CUSTOMER JOB NAME · JOB NUMBER · RELEASE NUMBER D TOTAL NO OF PIECES TIME PRINTED I "~ ?F-~ I . " '~'.~ -~ ;~'., ~ ' - MESSAGES PACKING SLIP SIGNER ACKNOWLEDGES RECEIPT OF MATERIAL IN GOOD CONDITION & AGREES TO TERMS OF SALE ON REVERSE SIDE X SIGNATURE DATE ~UBTOTAL TERMS OF SALE SPECIAL ORDERED NON-STOCK MERCHANDISE CANNOT BE RETURNED FOR CREDIT NO MERCHANDISE CAN BE RETURNED FOR CREDIT WITHOUT AUTHORIZATION. 30% RESTOCKING CHARGE DEDDCTFR FROM ALL RbTURNED MERCHANDISE. OR!GINAL INVOICE NUMBER MUST ACCOMPANY ALL CLAIIVlS A SERVICE CHARGE OF 1-1 1/2% PER MONTH. WHICH 1S 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 COLLECTION COSTS MAY BE ADDED TO DELINQUENT ACCOUNTS NO DISTRIBUTOR WARRANTIES UNLESS OTHERWISE SPECIFIED IN WRITING, AS VENDOR OF TH!S ARTICLE(S). WE MAKE NO WARRANTIES OR REPRESENTATIONS. EXPRESSED OR iMPLiED AS TO WORK MANSHIP, PERFORMANCE QUALITY. DURABILllY, ,FITNESS OR MERCHANTABILITY. THE ONLY WARRANTIES APPLYING TO THE ARTICLE(S) SOLD HEREUNDER ARE THOSE SPECIFICALLY PROVIDED IN WRITING BY THE MANUFACTURER ATTENTION: CASH RETURNS 1. ALL RETURNS MUST BE WITHIN 7 DAYS AND BE ACCOMPANIED BY THE INVOICE 2. A 30% HANDLING CHARGE OR S3.00 WHICHEVER IS GREATER ON ALL MERCHANDISE. NO SPECIAL ORDERS OR CUT WIRE CAN BE RETURNED 3 MERCHANDISE REFUNDED ONLY - NO CASH FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 06/19/2012 CHECK 508 FLrND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 4853206 DENTAL PREMIUM-6/12 1,440.67 TOTAL 1,440.67 2012 68, OO I 5D 8 'Town of Southold, New York - Pa,, ~ment Voucher Vendor Tax ID Number or Social Security Number Empire Dantal Vendor Telephone Number Date 5/14~20 t 2 Vendor No. P.O. Box 202837 Department 83703 Dallas, TX 75320-2837 Invoice Net Total Discount Amount Claimec Purchase Order Number Vendor Contact Invoice Number 4853206 1,440.67 1,440.67 Check No. 5o8 Entered by ~,~% Audit Date JUN 1 9 2012 · ,T, ownClerk ~, ~ Description of Goods or Services June Dental General l~er Fund and Account Number SM9060.8.000.000 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 pert has been peid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes bom which the Town is exempt are excluded Department Certification I hereby certify that the malerials above specified have been received by me In good condition without substitution, the services properly performed and that the quantities thereoPhave been verified with the exceptions or discrepancies noted, and payment is approved Signature Title INVOICE ,AGE EMPIRE PO BOX 856 MINNEAPOLIS MN 55440-0856 ACCOUNT NAME ACCOUNT # BILLING DATE BILLING/PYMT FISHERS ISLAND FERRY DISTRICT ENY4561251 INVOICE# 4853906 05/14/2012 SUBSCRIBER PERIOD 06/01/2012 - 06/30/2012 877-606-3409 CLAIM PERIOD FISHERS ISLAND FERRY DISTRICT ATTN: ASSISTANT MANAGER DEBgIE DOUCETTE 50 TRUMBULL ST PO BOX H FISHERS ISLAND NY 06390 REMIT TO: EMPIRE DENTAL PO BOX 202837 DEPARTMENT 83703 DALLAS TX 75320-2837 NUMBER OF NUMBER OF CLAIM ADJUSTMENT RATE TOTAL CUSTOMER CURRENT CLAIM~ AMOUNT AMOUNT AMOUNT AMOUNT REPORTING NUMBER EMPLOYEES 456125-0001 -0001-550 18 375,80 3?.58/ER/MO 383.40 76.68/EE/MO 91.89 91 .B9/EE/MO 279.34 139.67/EE/MO 310.24/RETRO 1,440.67 INVOICE,, IOTAL 18 0 $0.00 $0.00 $1,440.67 d $1,440.67 YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. SUBSCRIBER LISTING PA E 1 EMPIRE PO BOX 856 MINNEAPOLIS MN 55440-0856 ACCOUNT NAME ACCOUNT # BILLING DATE ENROLLMENT FISHERS ISLAND FERRY DISTRICT ENY4561251 INVOICE # 05/14/2012 SUBSCRIBER PERIOD 800-928-6459 4853206 06/01/2012 - 06/30/2012 FISHERS ISLAND FERRY DISTRICT ATTN: ASSISTANT MANAGER DEBBIE DOUCETTE 50 TRUMBULL ST PO BOX 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 ISLAND FERRY DISTRICT SUBSCRIBER EFFECTIVE COVERAGE CURRENT RETRO TOTAl. LAST NAME FIRST NAME REF # ID DATE TYPE AMOUNT AMOUNT AMOUNT BARRETT FREDERICK N/A 883M11083 05/01/2011 EMPLOYEE 37.58 BROWN DONALD N/A 895M11083 05/01/2011 EMPLOYEE+SPOUSE 76.68 BURKE STEPHEN N/A 648M11226 05/01/2012 EMPLOYEE 37.58 MAY 12 37.58 DOHERTY THOMAS N/A 886M11083 05/01/2011 EMPLOYEE+SPOUSE 76.68 DUMOUCHEL ROBERT N/A 885M11083 05/01/2012 EMPLOYEE+SPOUSE MAY12 -76.68 FLORA MICHAEL N/A 878Ml1083 05/01/2011 EMPLOYEE 37.58 FOLEY PAUL N/A 877M11083 05/01/2011 EMPLOYEE 37.58 FORD POLLY N/A 337M11227 04/01/2012 FAMILY 139~67 APR12-MAY 12 275.27 HILLER dONATHAN N/A 262Ml1092 07/01/2011 EMPLOYEE 37.58 HOCH RICHARD N/A 882M11083 05/01/2011 EMPLOYEE 37.58 KNAUFF ROBERT N/A 884M11083 05/01/2011 EMPLOYEE+SPOUSE 76.68 LEFEVRE RAYMOND N/A 881M11083 05/01/2011 EMPLOYEE 37.58 LYNCH MATTHEW N/A 880M11083 05/01/2011 EMPLOYEE 37.58; MARKS `JASON N/A 626M11227 04/01/2012 EMPLOYEE 37.58 APR12-MAY12 74.07 MARSHALL ,JESSE N/A 896M11083 05/01/2011 EMPLOYEE+SPOUSE 76.68 MORGAN dOHN N/A 897Ml1083 05/01/2011 EMPLOYEE+SPOUSE 76.68 MURPHY GORDON N/A 095Ml1203 03/01/2012 FAMILY 139.67 SCHMIO NINA N/A 898Ml1083 05/01/2011 EMP+CHI LD(REN) 91.89 TRAUB `JAMES N/A 879M11083 05/01/2011 EMPLOYEE 37.58 10 INDIVIDUAL 375.80 111.65 487.45 5 EMPLOYEE+SPOUSE 383.40 -76.68 306.72 1 EMP+CHI LD(REN) 61.89 0.00 91.89 2 FAMILY 279.34 275.27 554.61 SUBSCRIBER TOTAL FOR HE ABOVE CUSTOMER RE 'ORTING NUMBER 18 1,130.43 310.24 1,440.6! SUBSCRIBER LISTING EMPIRE PO BOX B56 · MINNEAPOLISMN 55440-085B ACCOUNT NAME ACCOUNT # BILLING OATE ENROLLMENT FISHERS ISLAND FERRY DISTRICT ENY4561251 INVOICE # 05/14/2012 SUBSCRIBER PERIOD 800-928-B459 4853206 06/01/2012 - 06/30/2012 CUSTOMER REPORTING NUMBER 10 INDIVIDUAL 375.80 111.65 487.45 5 EMPLOYEE+SPOUSE 383.40 -76.68 306.72 1 EMP+CHI LD(REN) 91.89 0.00 91 .SB 2 FAMILY 279.34 275.27 554.61 GRAND TOTAL FOR ALL TFE CUSTOMER REPORTING NUMBERS 18 1,130.43 310.24 1,440.6t ENROLLMENT CHANGES MUST BE RECEIVED AT LEAST 5 BUSINESS DAYS PRIOR TO YOUR SCHEDULED BILL RUN DATE. FISHERS ISLAND FERRY DISTRICT VENDOR 005440 EMPIRE HEALTHCHOICE, INC. 06/19/2012 CHECK 509 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .9060,8.000.000 SM .9060.8,000.000 598599D2-0612 HEALTH INS.PREMIUM-6/12 598599H1S-0612 HEALTH SAV.ACCT-6/12 9,096.48 2,277.53 TOTAL 11,374.01 06/&~[2012 $21o ~ P.4y INC. ToTHE 44 · ORDER OF NJ 07101-4744 Town of Southold, New York - Payment Vendor Tax ID NumBer or Social Security Number Empire HealthChoice, Inc. Vendor Telephone Number Vendor Contact Invoice NumBer Invoice Date 598599 $/12/2012 D~-O~12 Invoice Total Discount Vehdor No. Voucher I 5qq~ P.O. Box 11744 Newark, NJ 07101-4744 Net Amount Claim~ ParcBese Order NumBer 9,096.48 ' 9,096.48 , 9,096.48 i Payee Certification The undersigned (Claimant) (Acting on Behalf of the above named claimant) does hereby certify that the foregoing claim Is true and correct, that no part has Been paid, except ~s therein stated, that the balance therein stated is actually due and o'*Sng, and that taxes from which the Town is exempt are excluded ~ 9,096.4~ Signature ~g'~ Title D~te~ ~~ Description of Goods or Services June1 - Jul~ 1 D2-Empire Prism EPO Entered by ~ Audit Date JUN 1 9 2012 Town Clerk General Ledger Fund and Account Number SM9060.8.000.000 Department Certification l hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved COMMUNZTY RATED ~ROUP NUMBER SUB GRP. 598599 ~ILLING TYPE REGULAR BZLL BILLING FREQUENCY MONTHLY ~ENEFITS CONSU~ANT COMMERCZAL ACCTS iOATE BILLED I BILLED PERIOD I 05/12/12 106/01/12 07/01/].2 PAYMENT DUE DATE o6/oz/z2 GORDON MURPHY FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLE, NY 06390 PRIOR BILLING PERIOD PRIOR AMOUNT BILLED PAYMENTS / RECEIVED DATE PAGE: 1 ITHE PREMIUM BILLED I$ sUeJECT TO CHANGE UNDER APPLICABLE LAW FOR BILLING INFORMATION: (866) 422-2583 g STATUS 05/01/12 - 06/01/12 11,369.46 0.00 UNPAZD ADJUSTMENTS PROCESSED AFTER THZS DATE HZLL BE REFLECTED ON A SUBSEQUENT ZNVOZCE. M Gu~a/~T UK Yuug GDNTRACT NZLL BE TERHZNATED. ~ PLEASE SEE THE REVERSE SZDE OF THIS PAGE FOR MORE ZMPORTANT NOTZCES. To receive proper crc=Eilt, please return the BOTTOM PORTION of thts page w~th your payment. Group Number: 598599 D2 Group Name: FISHERS ISLAND FERRY Bill Period: 06101/12 To 07/01/12 Payment Due Date: 06101/12 Prepared Date: 05112112 INDIVIDUAL DETAIL EXPLANATION OF CHANGE TYPE CODES: PAGE SUB INDIVIDUAL'S ~ON~ CHANGE INDIVIDUAL'S NAME GRP IDENTIFICATION NO'KG WPE TYPE ADJUSTMENT PERIOD AMOUNT DUE Empire HealthChotce Assurance, BARRETT FREDERZCK 88886607 001 12 568.82 BROWN DONALD 85377836 001 15 1,136.48 BURKE STEPHEN G 85515734 001 12 568.82 DOHERTY THOMAS 88240378 001 15 1,136.48 DUNOUCHEL ROBERT N 85785679 001 15 TERN 05/01/12 - 06/01/1~ 1,136.48- 85785679 OOX 15 REXNST 05/01/12 - 06/01/12 1,136.48 85785679 001 X5 TERM 05/01/12 - 06/01/1; 1,136.48- EASTER MARK B 88955198 00] 12 568.8; HZLLER JONATHAN Z 84838644 00! 12 568.82 HOCH RICHARD 88742559 001 22 568.82 LEFEVRE RAYMOND 86638861 001 12 568.82 MARSHALL JESSE 89420041 001 15 1,136.48 MORGAN JOHN E 87023977 001 14 1,704.14 R~CKER KENNETH H 88006302 001 12 568.82 SCHM/D NZNA 89633561 001 12 568.82 TRAUB JAMES G 82517144 001 12 568.82 PAGE TOTAL: 9,096.48 TOTAL CURRENT ANOUNT PLUS CHANGES: 9,096.48 BALANCE DUE FRON PRZOR BZLL(S): 0.00 TOTAL AMOUNT DUE: 9,096.40 Group Number: 595599 D2 Gr?up Name: FISHERS ISLAND FERRY Bill Period: 06101/12 To 07101112 Paynmnt Due Date: 06101112 Prepared Date: 05112/12 PAGE CONTRACT / RATES I COUNTS SUMMARY GROUP / PACKAGE CONTRACT TYPE RATE COUNT 598599 D2 / 001 12 S68.82 8 14 1,704.14 1 15 1,136.48 3 22 568.82 1 PACKAGE SUB TOTAL GROUP TOTAL 13 PLEASE SEE REVERSE OF THZS PAGE FOR A SUNNARY OF COVERAGE DESCRZPTZONS CONTRACT TYPE TOTALS CONTRACT TYPE SZNGLE TNO PERSON FANZLY GRAND TOTAL NO. OF CONTRACTS 9 3 Town of Southold, New York - Pa,~ Vendor Tax ID Number or Social Security Number ,ment Voucher p.O. Box 11744 Vend~r No. ' Check No. Entered by Audit Date Empire HealthChoice Assurance, Inc. Vendor Telephone Number Vendor Contact Newark, NJ 07101-4744 Net Purchase Order Invoice Invoice Invoice Number Date Total Discount Amount Claime( Number 598599 511212012 2,277.53 I 2,277.53 t-tlS JUN 1 9 2012 TOWn Clerk Description of Goods or Services Health Savin~ls Accounts 6/1/2012 Hsl $M9060.8.000.000 Z Z ~. ~ 2,277.53 Payee Certification The undersigned (Claimant) (Acting on behalf of tbo above named claimant) does hereby certify that tbe foregoing claim is true and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Sign at u re ~"~--~'-~ ,.,~TM ~~ j~.~ Company Name ~ ~P Date Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified wrth the exceptions or discrepancies noted, and payment is approved Signature Title Date / COMMUNZTY RATED 3ROUP NUMBER SUB GBP. 598599 HIS ~ILLING TYPE REGULAR DXLL BILLING FREGUENCY MONTHLY BENEFITS CONSU~ANT COMMERCXAL ACCTS DATE BILLED BILLED PERIOD FROM TO 05/12/12 06/01/12 07/01/12 PAYMENT DUE DATE 06/01/12 GORDON MURPHY FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLE, NY 06390 PAGE: 1 ~L~ ~ EE IL~INUDI~ ~ I~ pL~ ,~SA~ ~ Ji.~C~ TOI FOR BILLING INFORMATION: (866) 422-2583 PRIOR BILLING PERIOD PRIOR AMOUNT BILLED PAYMENTS / RECEIVED DATE STATUS 05/01/12 - 06/01/12 5,008.71 0.00 UNPAXD CURRENT BILLING PERIOD CURRENT AMOUNT BILLED NET ADJUSTMENTS THROUGH 05/12/12.~..AN'/ SUBSEQ~E, 06/01/12 - 07/01/12 2,277.53 0.00 THXS XNVOXCE REFLECTS ALL PAYMENTS AND ADJUSTMENTS PROCESSED 05/12/12. ADJUSTMENTS PROCESSED AFTER THX$ DATE HXLL BE REFLECTED ON A RATES XNCLUDE AN EMPXRE TOTAL BLUE(SM) ADMXNXSTRATXON FEE FOR ALTERNATE FUNDXNG ARRANGEMENTS (HRA/HSA). # URGENT: PRZOR AMOUNT BXLLED XS PAST DUE AND YOUR GRACE PERXOD XS ABOUT TO # EXPZRE. REHXT XMMEDXATELY OR YOUR CONTRACT WXLL BE TERMZNATED. PLEASE SEE THE REVERSE SZDE OF THZS PAGE FOR MORE ZHPORTANT NOTXCES. NOTICE: As required by Labor Law, Section 217, Insurance Law, Section 4235 and Codes, Rules and Regulations of the State of New York, Title 11, Insurance, Section 55.2, Empire HealthChoice Assurance, Inc. hereby advises you of certain r~ghts and obhgations set Ior~h in these sections. A. All covered membors, subscribers and their covered dependents shall be afforded the tollowing rights under the terminating policy: 1. Any claims incurred during the directive dates of the group contract will be processed and adjudicated in accordance with the terms, conditions and provisions ot said group contract. 2. Additional penetits boyond the termination date of the contract may be available under the termination contract for conditions which result in a total disability, pursuant to the terms, conditions and prows~ons of the terminating group contract. 3. Rights to convert to a direct pay contract between Empire HealthCbeice Assurance, Inc. and the covered member, subscriber or certificate holder, providing for coverage which is currently offered a direct pay basis, may be available provided the group does not obtain replacement coverage. B. Further, as required by the prowslons cited above, you, as the policyholder, may be required to meet the following obligations: 1. The policyholder, must g~ve written notice of the intended terminabon to each certificate holder resident ~n New York State insured under this group policy by hand-delivering of mailing to the certificate holder a copy of the notice ot termination and covering letter advising the certificate holders of the intended termination. 2. The policyhoIder's notice to the certificate holder shell be either: a) hand-delivered by the policyholder to the certificate holder at the certificate holder's place ot employment (e.g. by including the notice in the certificate holder's pay envelope) at least nine days pr*or to intended'al.ate of termination: or: b) mailed by the policyholder to each certitpcate holder at the certificate holder's last known residential address at least nir'~ days prior to the intended date of termination. 3. The policyholder must also POSt a copy of this notice of intent to terminate and the required covering letter in conspicuous locations chosen as most likely to give notice to the certihcate holders. The notice shell be posted at least nine days prior to the intended date of termination. 4. In accordance w~th the prows~ons of Labor Law, Section 217 (4), the prowslons of the Codes, Rules and Regulations of the State of New York, Title 11, insurance Section 55.2 and Labor Law, Section 217 (3) shell not be deemed to apply it, at least 10 days prior to the date of the intended termination, as specitied in the notice of intent to terminate, the policyholder has: a) taken necessary steps whereby the intended termination is rendered null and void: or: iD) contracted with another insurer to replace the existing insurer for the providing of similar coverage for the same certificate holders, and flied an 12, State Off, ce Buacling Campus-Albany, New York, 12240. York State Insurance Department*Agency Buacling 1-AlOany, New York 12223. IMPORTANT NOTICES Full payment of this invoice is required in order to avoid termination of your coverage. If you have any individual adjustments that require processing, please use the attached Adjustments Worksheet. Do NOT increase/reduce your payment of this invoice on the basis of the adjustments detailed on the worksheet. Your next invoice will show any credits allowed or additional charges due as a result of processing the adjustments. Payment of this invoice is due upon receipt. Please pay promptly, as no reminder notice will be sent. If payment is not received within the 30-day grace period, your coverage will AUTOMATICALLY BE CANCF~IJLED as of the date to which premiums have been paid. Empire is not fmancially responsible for claims incurred beyond the premium paid to date. In order to ensure proper crediting of your payment, you must mail your remittance to the address appearing on the face of this invoice. Sending payments to any other address may delay processing and cause your coverage to be terminated. Group Number: 598599 HIS Group Name: FISHERS ISLAND FERRY INDIVIDUAL DETAIL Bill Period: 06101112 To 07101112 Payment Due Date: 06101112 EXPLANATION OF CHANGE TYPE CODES: P~epared Date: 05112112 TER, - Termination CF~OUT - Contra¢~ Chanle Ou~ PAGE: 2 SUB INDIVIDUALS ~ONT :HANGE INDIVIDUAL'S NAME GRP iDENTIFtCATIO# NG)KG WPE ~YPE ADJUSTMENT PERIOD AMOUNT DUE Empire HealthChoice Assurance, Znc FXORA NXCHAEL 8305&186 001 12 455.97 LYNCH HATTHEN B 88138034 001 12 455.97 NURPHY GORDON 89539930 002 14 1,365.59 PAGE TOTAL: 2,277.53 TOTAL CURRENT ANOUNT PLUS CHANGES: 2,277.53 BALANCE DUE FROH PRIOR BILL(S): 0.00 TOTAL AHOUNT DUE: 2,277.53 Group Number: 598599 HIS Group Name: FISHERS ISLAND FERRY Btli Period: 06101112 To 07101/12 Payment Due Date: 06/01/12 PAGE; Prepared Date: 05112112 CONTRACT I RATES I COUNTS SUMMARY GROUP / PACKAGE CONTRACT TYPE RATE COUNT 598599 HXS / OOX Z2 4~5.97 PACKAGE SUB TOTAL 2 598599 HXS / 00~ 1~ 1,365.59 PACKAGE SUB TOTAL 1 GROUP TOTAL 3 PLEASE SEE REVERSE OF THXS PAGE FOR A SUHHARY OF COVERAGE DESCRXPTXONS CONTRACT TYPE TOTALS CONTRACT TYPE SXNGLE FANZLY GRAND TOTAL NO. OF CONTRACTS 2 Z 3 3 ALL PACKAGES CONTAXN HSA PARTZC~PAT~ON GROUP / PACKAGE DESCRIPTION OF COVERAGE 598599 HXS / 001 CDHP PPO SG CARVEOUT CDHP PPO SG HANAGED CARE DRUG AND VZSXON 598599 HXS / OOZ CDHP PPO SG CARVEOUT CDHP PPO SG HANAGED CARE DRUG AND VXSXON FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 06/19/2012 CHECK 510 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 788765421 AIRBILLS-PAYROLL,WARR3kNT 216.56 TOTA~ 216.56 Town of Southold, New York - Pa~,ment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 311461 Vendor Name Pittsburgh, PA 15250-746t Fedex Vendor Telephone Number Vendor Contact Vendor N~i 6155 Check No. '10 Invoice Invoice Invoice Number Date Total [ Discount Description of Goods or Services 5114/2012 216.56 216.56 Airbills-Payroll,Warrant Entered by Audit Date JUN 1 9 2012 Town Clerk SM5710.4.000.000 216.56 216.56 Payee Certification T'ae 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 and owing, and that taxes from which the Town is exempt are excluded Signature ~ Title Company Name ~"- F~'.~ Date Department Certification I hereby cer tff,/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 ~vith the exceptions or discrepancies noted, and payment is approved Title ,~e,~~'~-''~ Date Invoice Number 7-887-65421 Invoice Date '~ Account Number ~ Page May 14, 2012 1206-0334-5 1 of 6 FedEx Tax ID: 71-0427007 Billin,] Address: FISHERS ISLAND FERRY DISTRICK NINA SCHMID/TOM DOHE PO BOX H FISHERS ISLAND NY 06390-0607 Invoice Summary May 14, 2012 ShiDpino Address: FISHERS ISLAND FERRY TERMINAL FERRY TERMINAL NEW LONDON CT 06320 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M-Sa 7-6 (CST) Fax: (800) 548-3020 Internet: www.fedex.com FedEx Express Services Transportation Charges Base Discount Special Handling Charges Total Charges TOTAL THIS INVOICE You saved $21.51 in discounts this period! Other discounts may apply. 273.45 -21.51 66.89 USD $318.83 USD $318.83 D~pi!Fd d~ri@~!90~ O~ ~[Fharges can be located at fedex.com Invoice Number 7-887-65421 FedEx Express Shipment Summary By Payor Type Invoice Date May 14, 2012 ~ Account Number 1206-0334-5 Page 3of6 Shipper 3 7.0 Recipient 6 5.0 Third Party 1 2.0 73.00 20.20 -7.31 130.75 16A1 -14.20 69.70 30.28 85.89 132.96 99.98 Total This Invoice USD $318.83 Invoice Number '~ Invoice Date '~ [ Account Number '~ Page 7-887-65421 M ay 14, 2012 1206-0334-5 4 of 6 FedEx Express Shipment Detail By Payor Type (Original) Fuel Surcharge - FedEx has applied a fuel surcharge of 14.00% to this shipment Distance (]ased Pricing, Zone 2 FedEx has audlted thls shipment for correct packages, weight, and service Any changes made are reflected in the invoice amount The package weight exceeds the maximum for the packaging b/pe, therefore, FedEx Envelope was rated as FedEx Pak Automation USAB Tracking ID 899364278021 Service Type FedEx Priority Overnight Package Type FedEx Pak Zone 02 Packages 1 Rated Weight 1,0 lbs, 0.5 kgs Delivered Apr 19, 2012 10:44 Svc Area AM Signed by A. DIANA FedEx Use (]10901824/0001486/ Sender DEBBIE DOUCETTE FISHERS ISLAND FERRY TERMINAL FERRY TERMINAL NEW LONOON CT 06320 US Recioient ATTN ACCOUNTING DEPT TOWN OF SOUTHOLD 54375 MAIN RD SOUTHOLD NY 11971 US Transportation Charge Discount Fuel Surcharge Courier Pickup Charge Total Charge USD Fuel Surcharge-FedExhasapplied a fuel surcharge of 14.00Yotothisshipment. Distance Based Pricing, Zone 2 Package sent from: 06390 zip code Automation USAB Sender Recioieo/ Tracking ID 875818176917 FISHERS ISLAND FERRY TERMINAL H2M LABS INC Service Type FedEx Priority Overnight FERRY TERMINAL 575 BREAD HOLLOW RD Package Type Customer Packaging NEW LONDON CT 06320 US MELVILLE NY 11747 US Zone 02 Packages 1 Transportation Charge Rated Weight 4,(] lbs, 1.8 kgs Account Number Correction Delivered Apr 25, 2012 10:21 Courier Pickup Charge Svc Area A2 Fuel Surcharge Signed by R.ZAOBIA Discount · FuelSurcharge FedExhasappliedafuelsurchargeofl400%tothisoh~pmont · Oistance Based Pricing, Zone 2 · FedEx has audited this shipment for correct packages, weight, and sunice Any changes made are reflected ~ethe invoice amount · The package weight ~xc~ds the maximum for the packaging Npe, therefore, FedEx Envelope was rated as FedEx Pak 22.4(] -2.24 2.82 0.00 $22,9S Automa6on USAB Sender Recioient Tracking ID 875071430095 DEBBIE DOUCETTE ATTN ACCOUNTING DEPT Service Type FedEx Priority Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHORD Package Type FedEx Pak FERRY TERMINAL 54375 MAIN RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs, 0.9 kgs Transporta6un Charge Delivered May (]3, 2012 11:(]§ Courier Pickup Charge Svc Area AM Discount Signed by D.DIANA W Fuel Surcharge FedEx Use 012301982/0001486/ Total Cha~ge USD 22.85 0.00 2.29 2~88 Shipper Subtotal USD $85.89 1133-01.00-0014477-000,-0038045 I InvoiceNumber '~ InvoiceDate'~[ 7-887-65421 M ay 14~ 2012 Account Number ~ Page 1206-0334-5J 5 of 6 EuelSurcharge FedExhasappliedafuersurchargeofl400%tothisshipment Distance Eased Pricing,Zone 2 FedEx has audited this shipment for correct packages, weight, and service Any changes made are reflected in the invoice amount The package weight exceeds the maximum for the packaging type, therefore, FedEx Envelope was rated as FedEx Pak Automation INET Sender Tracking ID 793426847409 John Cushman Service Type FedEx Priority Overnight TOWN OF SOUTHOLD Package Type FedEx Pek 54375 Route 25 Zone 02 SOUTHOLD NY 11971 US Packages 1 Rated Weight 1,0 lbs, 0.5 kgs Delivered Apr 09, 2012 09:08 Transporta6on Charge Svc Area PM Discount Signed by NICK ESPINOSA Fuel Surcharge FedEx Use 000000000/0001486/_ Total Charge Recinient Gordon Murphy Fishers Island Ferry District Fishers Island Ferry Terminal FISHERS ISLAND NY 06390 US 2240 2.24 2.82 USD $22.98 · FueISurcharge FedExgasappliedafuelsLirchargeof1400%tothisshipment Distance Based Pricing, Zone 2 FedExhasaudgedthisshipmentforcorrectpackages, weight, andservice An¥changesmadearerePectedinthegwoiceamount The package weight exceeds the maximum for the packaging ~pe,therefore, FedEx Envelope was rated as FedEx Pek Sender DIANA WHITECAVAGE TOWN OF SOUTHOLD 53095 ROUTE 25 SOUTHOLD NY 11971 4642 US Automation USAB Tracking ID 875366961190 Service Type FedEx Priority Overnight Package Type FedEx Pak Zone 02 Packages 1 Rated Weight 10 lbs, 05 kgs Delivered Apr 12, 2012 09:37 Svc Area A4 Signed by M.FULLER FedEx Use 010202291/0001486/_ Recioient RANDY WYROFSKY FIFERRY DISTRICT 5WATER FRONT PARK NEW LONDON CT 06320 US Transporta6on Charge 22.40 Fuel Surcharge 2.82 Discount -2.24 Total Charge USD $22.98 Dropped oti: AP~ 19; 20!2 ~st. n~fj NO REFEREN¢~ IN~oFIMA~ioN Ref--~i PaYor: ROCi~ ant : ReL#3i ; : · FuelSurcharge FedExhasappliedafuelsurchargeof1400%totgisshipment · Distance gased Pricing, Zone 2 · FedExhasauditedthis shipmentforcorrectpackages, weight, and service Anychangesmade are reflected in the invoice amount · The package weight exceeds tge maximum for the p~ckaging type, therefore, FedEx £nvelope was rated as FedEx Pek Sender JANICE L FOGLIA TOWN OF SOUTHOLD 53095 ROUTE 25 SOUTHOLD NY 11971-4642 US Automation USAB Tracking ID 875366961204 Service Type FedEx Priority Overnight Package Type FedEx Pak Zone 02 Packages l Rated Weight 1.0 lbs, 05 kgs Delivered Apr 20, 2012 09:54 Svc Area PM Signed by M.TTRAUB FedEx Use 011001911/0001486/_ John Cushman TOWN OF SOUTHOLD 54375 Route 25 SOUTHOLD NY 11971 US Recipient RANDY WYROFSKY FISHERS ISLAND FERRY OlSTRICT FISHERS ISLAND NY 06390 US USO Recinient Randy Wyrofsky Fishers Island Ferry DistNct Fishers Island Ferry Terminal FISHERS ISLAND NY 06390 US 22.40 2.82 $22.98 16.75 Transporta6on Charge Discount Fue! Surcharge Total Charge payor: R~ciP[e~: · Fuel Surcharge FedEx has appliedafuelsurchargeof1400%tothisshipment · Oist~nce Based Pricing, Zone 2 Automa6on INET Tracking ID 193493718~0 Service Type FedEx Priori~ Overnight Package Type IndEx Envelope Zone 02 Packages 1 RateG Weight N/A Delivered Apr 26, 2012 09:~ Transpo~a~on Charge Continued on next page Invoice Number 7-887-65421 Tracking ID: 793493718040 continued Svc Area PM Fuel Surcharge Signed by M.TRAUO Discount Fed Ex Use 00000000(]/0000186/ Total Charge Invoice Date May 14, 2012 Account Number 1206-0334-5 Page 6of6 . 2.21 USD $17.96 __ FuelSurcharge FedExhasappliedafuelsurchargeof1400%tothisshipment Distance Based Pricing, Zone 2 FedEx hasaudgedthisshlpmentfor correctpackages,weight, and service Anychangesmade are reflected in the invoice amount. The package weight exceeds the maximum for the packaging type, therefore, FedEx Envelope was rated as FedEx Pak. Automation USAB Sender Tracking ID 875366961215 JANICE L FOGLIA Service Type FedEx Priority Overnight TOWN OF SOUTHOLD Package Type FedEx Pak 53095 ROUTE 25 Zone 02 SOUTH.OLD NY 11971 4642 US Packages 1 Rated Weight 1.0 lbs, 0.5 kgs Delivered May 04, 2012 O9:51 Transportation Charge Svc Area PM Discouut Signed by M.JIM Euel Surcharge FedEx Use 012401274/0001486/_ Total Charge Recinient RANDY WYROSKY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND NY 06390 US USD 2.82 Szz.es · FuelSurcharge FedExhasappliedafuelsurchargeof1450%tothisshipment Automation USAB Semler Tracking iD 875366961226 DIANAWHITECAVAGE Service Type FedEx PrioriP/Overnight TOWN OF SOUTHOLD Package Type FedEx Pak 53095 ROUTE 25 Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1.0 lbs, 0.5 kgs Delivered May 10, 2012 09:47 Transportation Charge Svc Area A4 Discount Signed by JIM Fuel Surcharge FedEx Use 013001213/0001486/_ Total Charge RANDY WYROFSKY FI FERRY DISTRICT 5 WATER FRONT PARK NEW LONDON CT 06320 US 22.40 -2.24 2.92 USD $23.08 Recipient Subtotal USD $13Z.96 Fuel Surcharge - FedEx has applied a fuel surcharge of 14.CO% to this shipment. Distance Based Pricing,Zone 4 Package Delivered to RecipientAddress - Release Authorized Automation USAB Sender Tracking ID 899364278411 REID Service Type FedEx First Overnight MYSTIC ISLE REALTY Package Type FedEx Box BOX 475 Zone 04 FISHERS ISLAND NY 06390 US Packages 1 Rated Weight 20 lbs, 0.9 kgs Transportation Charge Delivered Apr 07, 2012 08:47 Courier Pickup Charge Svc Area A2 Fuel Surcharge Signed by see above Residential Delivery FedEx Use 009703316/0000010/02 Saturday De!ivory Total Charge Recioient MARY DENNY WRAY 6 JOHN CHRISTOPHER CT RICHMOND VA 23226 US 69.70 0.00 12.28 300 1500 USD $99,98 Third Par~ Subtotal USD $~1.98 Total FedEx Express USD $318.83 FISHERS ISLAND FERRY DISTRICT VENDOR 008021 HAROLD'S, LLC 06/19/2012 CHECK 511 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 273381 SLIDER WINDOW-TICKETS 710.00 TOTAL 710.00 iVendor No. Town of Southold, New York - Pa~,ment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 661 Vendor Name Fishers Island, NY 06390 Harold's LLC Vendor Telephone Number 8021 Number Invoice Total Discount Net Amount Claimed 273381 51t4/2012 $710.00 710.00 Reservation office $710.00 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named clmmant) does hereby certify that the foregoing claim is tree and correct, that no pact has been paid, except as therein stated, that the balance therein stated is actually due and ouang, and that taxes from which the Town is exempt are excluded. $710.00 Company Nam~ '~'~ ~ ~ Date_ Description of Goods or Services New Slider in to sell tickets through Check No. Entered by Audit Date JUN 1 9 2012 SM5709.2.000.200 Department Certification I hereby cernfy 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 vath the exceptions or discrepancies noted, and payment is approved. Signature Title P. O. BOX 661 FISHERS ISLAND, NY 06390 .]ntw/c.e DATE INVOICE # 5/14/2012 273381 BILL TO FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND, NY 06390 DESCRIPTION QTY RATE AMOUNT NEW SLIDER WINDOW FOR TICKET 710.00 710.00 SELLING Total $71o.oo FISHERS ISLAND FERRY DIS~IR1CT VENDOR 010583 JOHN DOUCETTE CONTRACTING 06/19/2012 CHECK 512 FUND & ACCOUNT P.O,~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 596 DRILL HOLES-COMP,CABLES 130.00 TOTAL 130.00 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number John Doucetta Contracting Vendor Telephone Number Vendor Contact Vendor Address VendorNo. P.O. Box 77 Fishers island~ NY 06390 Check No. Entered by ~ Audit Date JUN ! 9 2012 Invoice Number Invoice Invoice Date Total 596 5/10/2012 130.00 Payee Certification Net Discount Amount Claime( 130.00 130.00 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 and owing, and that taxes from which the Town is exempt are excluded Company Name~ Date ~" '~ ~' Purchase Order Number Description of Goods or Services Drill holes for computer cables with Jim Traub General Ledger Fund and Account Number 8M$709.2.000.200 Department Certification I hereby certify that the materials above specified have been received by me in goed condition wrthout substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature John Doucette Contracting P.O. Box 77 606 Alpine Avenue Fishers Island, NY 06390 Invoice Date I Invoice # 5/10/2012 596 Bill To Fl Feny District P.O. No. Terms Project Quantity Description Rate Amount Close thc window that would not shut. ~'/~ Drill holes and help Jim Tmub mn the cable for the computers. Labor 130.00 130.00'I' NYS Sales Tax ~ Total FISHERS ISLAND FERRY DISTRICT VENDOR 011394 K & S DISTRIBUTORS, INC. 06/19/2012 CHECK 513 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 258545 JANITORIAL SUPPLIES 1,007.09 TOTAL 1,007.09 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number K&S Distrlbutom Vendor Telephone Number Vendor Contact Vendor No. 50 Oakland Avenue East Hartford, CT 06108 Check No. Entered by 5~ Audit Date JUN I 9 20]2 ,~,wn I Invoice Invoice Number Date 258545 511512012 Invoice Net Total ~ Discount Amount Claimed 1,007.09 , 1,007.09 el~o'i 1,007.09 Payee Certification The undersigned (Claimant) (Acting on behalf of tbe above named claimant) does hereby ccrti~ that the foregoing claim is true and correct, that no pa~t has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that ~xes from which the Tovm ts exempt are excluded Purch~e Order Number Description of Goeds or Services Janitorial Supplies General Ledger Fund and Account Number 8M5710.4.000.600 Department Certification I hereby ceriify 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 Invoice 258545 Customer FIS02 K & S Distributors 50 Oaklar~'J Avenue East Hartford, CT 06108 Telephone: 860/528-3860 Bill To: Fishers Island Ferry District P.O. Box H Fishers Island, NY 06390 Ship To: Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 05/15/12 DELIVERED Net 30 Purchase Order Number Verbal I OrderDate 105/15/12 Salesperson JP I Our Order Number None Quantib/ Item Number Description Tax Unit Pric~ Amount Req. Ship B.O. 1 ¢ ~F500S ToiletTissue-2ply 500sheets 96/cs N 42.0c 42.0(; 6 MS31-1 Latex Glove GenPurpose Lrg 100 N 5.3(; 31.8(; 5 PT493 C-Fold Towel-White Std 2400/cs N 20.5(; 102.5{: 1~ 1 DP68841-6 Hand Sanitizer Foam~2% Alcohol 6/1000ml case N 72.0(; 72.0£ 5 5 TT619 Toilet Tissue-865 Sheet 2Ply 36/cs N 48.9~ 244.7 6 6 PT313 BayWest 8" Roll Towel Kraft 6/800'/cs N 41.9.~ 251 1 1 PT710 Roll Towel-2Ply Kitchen 30/cs N 23.50 23.5C 4 4 RM6112 Floor Sign - Wet Each N 8.50: 34.0( 2 2 0 BK35400-1 PineSoI-Cleaner/Deod 144oz Each N 14.92 29.8z 2 2 0 MS67 Nitrile Exam Glove-P/F LRG 1000/cs N 85.0£ 170.0C 1 1 0 FUEL Fuel Surcharge N 5.00 5.0£ Thank you for your order Jesse* Business is Greatly Appreciated!!!! Please Pay from Invoice-No Statement Issued! CHECK OUT OUR NEW WEBSITE: WVVW.KSDISTRIBUTORSINC,COM NonTaxable Subtotal 1007.09 Net due on 06/14/12 Taxable Subtotal 0.00 Tax 0.00 Total invoice 1007.09 Customer Original Page 1 FISHERS ISLAND FERRY DISTRICT VENDOR 011557 AN/q KOWALCZYK-BANKS 06/19/2012 CHECK 514 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 SM .5710.4.000.600 SM .5710.4.000.600 053112 JAMITORIAL-3/12 250.00 053112 JJ~glTORIAL-4/12 250.00 053112 JANITORIAL-5/12 250.00 TOTAL 750.00 Town of Southold, New York - Pa,. Vendor Tax ID Number or Social Security Number Vendor Name Ann Kowalczyk Banks Vendor Telephone Number Vendor No. ~ment Voucher 1 'l $57 Vendor Address P.O. Box 384 Fishers Island, NY 06390 Vendor Contact Invoice Invoice Number Total Discount Net Purchase Order Number Entered by Audit Date dUN 1 9 20t2 Description of Goods or Services General Ledger Fund and Account Number SM67t 0.4.000.600 750.00 750.00 Payee Certification The undersigned (Claimant) (Acting on behal£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 and owing, and that taxes from which the Town is exempt are excluded. Signature~ Title 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 Signature ~ Title Date ~ /~ / ~ FISHERS ISLAND FERRY DISTRICT VENDOR 011564 THOMAS KRAFT 06/19/2012 CHECK 515 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 SM .5710.4.000.300 50549 50549 50549 50549 50624 50624 50624 50624 MU-5210.0 GAL @$3.074700 16,019.19 CT EXCISE TA$.04620/GA 2,407.02 S-F COST RECOVERY .0019 9.90 LUST TAX-$.0010/GAL 5.21 RP-4500.0 GAL @ $3.0259 13,616.55 CT EXCISE TAX-$.04620 2,079.00 S-F COST RECOVERY .0019 8.55 LUST TAX-$.0010/GAL 4.50 TOTAL 34,149.92 Town of Southold, New York - Pal ~ment Voucher Vendor Tax ID Number or Social Security Number Thomas Kraft dba Dime OII Company Vendor Telephone Number Vendor Contact P.O. Box 11125 Waterbury, CT 06703 Vendor No. 11564 Eheck No. Entered by ~_udit Date JUN 1 9 2012 Clerk Invoice Number Invoice Net Total Discount Amount Claimed 50549 5117/2012 t6,0t9.t9 50624 16,019.19 2,407.02 ~ 5.21 t3,616.55-~ 2,079.00? 8.55 I 4.~o/ 2,407.02 9.90 5.2t $13,616.5~ 2,079.00 8.55 4.50 34,149.92 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 and owing, and that taxes from which the Town is exempt are excluded Signature ~~*~a ~l~ Company Name te. /~ 34,149.92 Parchase Order Number Description of Goods or Services MU -5210.0 gal ~ 3.07470( CT Excise Tax - $.04620/g; S-F Cost Recover/,0019 LUST Tax - $.0010/gal RP-4500.0 gal ~ 3.0259 CT Excise Tax-$.04620 S-F Cost Recover~ .0019 LUST Tax - $.0010/gal 8M5710.4.000.300 SM5710.4.000.300 Department Certification I hereby certi~ that the matehals above specified have been received by me m 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 Signature Phor~e: (203)754-533~ Date: 05/17/2012 Fishers Island Fer'r'v D~str'~ct P O B o x H Attn Accounts F'ayabie ir r s;i~dr:: Islan:!. NV 08390 Wkte;'I[ <:)[~1 F'ai k l{:s,::. F'oirit, N-zw Londol ACCOUNT NUi,,IBER: AMOUNT ENCLOSED: 6/~20185 I Terms: NET 30 Os~vs F~ om Invoice Date ~nvoice C'n,~,~qe~ ,¼snd , i'<J~.s AraoLliqt I ? / I ? ~2OtB5 -A Fishers Island Ferry 5 ,~atarfront Rk-Munnatawket f~2nR )fl Road ?~iesel 57'IO,0 6.&LS ~ 3~07a790 bred ~iesel Fuel for Off Road Use O~ILY, F s~ Rec:o,/erv ¥~ 0~0019 ?taLe Excise Tax DS~. i~,,0.a620 LUSI 1AX a~ 0,0010 q06~9 Amount Due Total 18919 19 9,90 07 , 02 5,21 18aaI,72 I . 32 · $~ P I ease 1 nc I t!de ~CCC,,UF~t IlL[fflbc I Wi 51i [3,:e~qT~eiflt $~ ~Fed ID~ 060967353 ;~' : }IL COiqPANY ,'8165 ?hone: (?03)754- 53)q Da~e: 05/18/2012 Alan ,acCou n ~' 3 F i:qh~l's ~: l,.;nd, kl¥ 08390 Poi/-,( ~ New Loi3do~ ACCOUNT NUNBER: AMOUNT ENCLOSED: ~20165 ~ Tel'ms: NE7 30 Days Fr'om Invo~c:e Date t Invoice Char'ges and Ct'edits Amount : ','18/ i? 5062L, Fur. 1 Invoice Tota! 50824 ~2OR Off Road D'iesel !4500,0 GALS @ 3.025900 13616.55 Dyed Diesel Fuel for Off Road Use S F Cost Recover'y ,~ 0.0019 8,5S State Exc~se Tsx DSL a 0.4820 2079,00 LUST ]AX a O.001O a.5O 15708,60 15708.80 Amount Due *Fed ID~ 0C;0987353 ,~i'iE (:iL COHF'ANY ,5 Waterfront Pk-Mu~atawket ~,,o,ss~.?O State Street 442-0165 ~ ~ New London, ~ 06320- '- 0 ~ K Facto~: 0.000 Last Delv:01/13/~20.0197 ~ ~ ~ ~, x~s-~x,)-.t=~t-~o~ow .~.-~ St~t.-o~r ~.~o~.~.~.~o~ o?~ s~oo ~, ~s ,,oo ~~ ~' ~ · ~,s= $o.o0~ ,o.~o ,o.oo~o ~'~-- TRUCK DIME OIL COMPANYTMsT 47 SADDLE ROAD ' D~V~ TiME WO~CO~,CT 06716 ~FI / OFDELH'¢ (203) 754-5334 OR 879-6504 :~,s~ ~OR 0 06320 10000 [ # N/C 05/17/12 FlsIlers Iszand Ferry D&st I ~ ~ ~ w~t~ront ~-Race Po*nt I ~ state street ' 4~0165 ~~) ~ ~ _._. , New London, CT 06320 19548 K ~actor: 0.000 Last Delv:05/04/12', Ma~ ~60-460-8864*I95n-ex83-str~lt-~ollw ~ 0 ~s ~ s~a~e ,s~-ovr ~ tracks ~o ~,~ DIME OIL COMPANY~ ~ ~j, /' T~ L 47 SADD~ ROAD .~ ~. -~ & Payment Due Upon Receipt Interest at the iate of 1% per month will be charged on any statement 30days past due FISHERS ISLAND FERRY DISTRICT VENDOR 016194 PGP GROUP, LLC 06/19/2012 CHECK 517 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1136 NL GATE REPAIR 250.00 TOTAL 250.00 ?,,' ,:02 Vendor No. · ' ' Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address 30 Northeast Industrial Road Check No. -~nV~nd°rName PGPQ,eup: ccc_ 'Atlas Companies Vendor Telephone Number Vendor Contact Branford, CT 06405 Number Total 1136 250.00, Net Discount Amount Claimed 250.00 250.00 250.00 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is true and correct, that no part has been paid, except as therein stated, that the balance therein stated Js actually due and owing, and that taxes from which the Town is exempt are excluded Signature O'"" ~ Title Company Name~' ~'/~ Date al'lit~ Purchase Order Number NL Gate Repair Description of Goods or Services Entered by ~M~ Audit Date MAY 2 ~ 2012 General Ledger Fund and Account Number $Mfl709.2.000.200 Department Certification I hereby certi~ 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. Signature Ti,,e a,e_ 1136 ATLAS COMPANIES A DIVISION OF PGP GROUP LLC 30 NORTHEAST INDUSTRIAL RD BRANFORD, CT 06405 (800) 462-8527 FAX (203) 483-9985 · License # 583892 e'C~.~tomer P.O. Phone # ( ) Address Town, State, Zip Code ~fifl ~o~ ~d 1st ho~ on job site: ~h ~fio~ ho~ ~ $75: ( ~ ~ x $75.) Subtotal day one: Tax: Total day one: 2nd day drive time to job site and 1st hour: Each additional hour ~ $75: ( __ hfs x $75.) = Pans: (-'-) ~(). Pans: ( ) = (). = Subtotal day two: C ' zC/c ax: Total day two: TOTAL DAY ONE AND DAY TWO: $ $ $ $ 75.00 $ $ $ $ $ $ By signing below I am acknowledging that I have inspected the gate/operator being serviced and it is fixed to my satisfaction, or that the serviceman spent one hour attx~fing to diagnose and/or repair the problem. THE PAYMENTIS DUE UPON cOMPLETION OF THE SERVICE. I/paying by credit card I authorize Atlas Companies to charge the card below the amount shown above. Please use my MC/VISA__ Exp __/ Customer ~ Signature Date __/__/ white - office yellow - service pink - customer FISHERS ISLAND FERRY DISTRICT VENDOR 016724 PROF.ACCOUNTING SOLUTIONS, LLC 06/19/2012 CHECK 518 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 1288 ASSIST CONNECTIVITY ISS. 375.00 TOTAL 375.00 Vendor No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Professional Accounting Solutions, LLC Vendor Telephone Number Vendor Contact i88 Mullefi .tll goad Windham, CT 06280 Check No. Entered by ~ Audit Date JUN 1 9 2012 Invoice Invoice Invoice Net Number Date Total Discount Amount Claimed 1288 312612012 375.00 375.00 Purchase Order Number Description of Goods or Services ~ssist Gordon & Polly with connectivity issues. General Ledser Fund and Account Number SM8710.4.000.800 375.00 Payee Certification T~e 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 and owing, and that taxes from which the Town is exempt are excluded Company Name Department Certification l 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 Signatare ~ Professional Accounting Solutions, LLC 158 Mullen Hill Road Windham, CT 06280 Phone: (86o)234-2o59 Fax: (860)986-6309 Invoice Bill To: Date Invoice # Fishers Island Ferry District 3/26/2012 1288 5 Waterfront Park New London, CT 06320 Terms Duc on receipt Date Description Hours Rate Amount 2/28/2012 Work with Gordon on adding new employee, adding 0.75 150.00 112.50 reports to icon bar, discussion around add-on apps to produce output. 3/8/2012 Log onto server to check out emailing for Polly Ford. 0.75 150.00 112.50 Me~t with Gordon, go over reports mad questions including Polly Ford and report without a usemame. 3/I 3/2012 Troubleshooting Polly Ford usemame and p~ssword for I 150.00 150.00 emailing freight tickets. Worked with her for an hour, determined it must be associated with her computer. E-mail: dawnbrolin~gmaiLcom Subtotal $375.00 Website: www.dawnbrolin.com Sales Tax (6.35%) $o.oo Payments/Credits $o.oo Total Due $375.00 Thank you so much for your business! It means a lot to me, I truly enjoy working with you! FISHERS ISLAND FERRY DISTRICT VENDOR 016735 JAMES PRZYBOROWSKI 06/19/2012 CHECK 519 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 052812 REPAIR NORTH P~AMP APRON 3,570.00 TOTAL 3,570.00 00~50~ Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social S~cudty Number Jim Ski Construction Vendor No. 3t Chestnut Hill Road Colchester, CT 06415 Vendor Telephor~ Number Vendor Contact invoice Invoice Invoice ! Net Purchase Order Number Data Total : Discount Amount Claime~ Number Check No. Entered by Audit Date JUN 1 9 2012 Town Clerk 5/28/2012 3,570,00 I 3,570.00 3,570.00 3,570.00 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is tree and correct, that no pert has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded. Compeny Name ( ,r--- ~r g,~ Date Description of Goods or Services Repair North Ramp Apron General Led$er Fund and Account Number $M5709.2.000.200 Department Certification I hereby certify that the matarials above specified have been received by me m good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepencies noted, and peyment is approved. Signature Title From the desk Jim ski Construction 31 chestnut hill rd. Colchester ct. 06415 Cell (860) 334-39?4 Fax (860) 557-8300 /immyski~rocke£mail. com Complete Site Work~Road Work/ La~d Clearing~ General Contracting 3"/lS72012 Ouote: fipsla'constfuction, com Scope of work; From the desk off Jim ski Construction ~1 chestnut hi]ltd Colchester c~. 06415 Cell (860) $$4-3974 Fax (860) 537-8300 ./immvski~rocketmaiZcom Complete Site Work/Road Work/Land Clearing/General Contracting 5/28/2012 Bill to: Fishers Island ferry / north ramp repair 1. Cut and remove black top 2. Excavate material to expose sheeting 3. Repair crack in sheeting with patch 4. Install fabric, backfill and compact stone and processed gravel 5. Replace plates on top Scope of work has been completed amount due= $2,500.00 Materials used: 4yds stone/2yds proc. Fabric Scope of work 6yds total @ $120.00py = $720.00 : $350.00 =$2,500.00 Total amount due = $3,570.00 Jimskiconsrruc£ion. com FISHERS ISLAND FERRY DISTRICT VENDOR 014022 RING'S END, INC 06/19/2012 CHECK 520 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 SM .5710.2.000,000 834014 PAINT 234.48 836263 PAINT TRAYS 14.28 TOTAL 248.76 Ye.dob No, Town of Southold, New York - Payment Voucher ~ 4022 P.O. Box 714 \1 '" Nlanflc, CT 06357.07~4 Niantic Lumber/Div of Rin~fs End Lumber Check No. Entered by Audit Date JUN 1 9 2012 836263 3/812012 14.28 i 14,28 234.48 234,48 834014 3/6/2012 DescriDtion of Goods or Scr~iccs 'alnt Trays 'aint G~meral Led[er Fund and Account Number 8M5710,2,000,000 248.76 248.76 Payee Certification . /W"---- Signature ~' ~"~ 'ntlo ~v , ~ ~ Department Certification 1 bercb~ ceCti~ that the materials above spcdltcd have ~en reccivod by mc in good condition without substitution, the ~ices pro~rly or disc~pancies not~, and pa~em is ap~ovod Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Nlantic Lumber/Div of Rin~l'S End Lumber Vendor Telephone Number Vendor Contact Vendor Address 14022 P.O. Box 714 Niantlc, CT 06367-0714 Entered by Audit Date JUN 1 9 2012 Town Cler~ ~ ~ ~ Invoice Invoice Invoice Net Purchase Order Number Date Total i Discount Amount Claimc~ Number 836263 3/8/2012 t4.28 14.28 834014 3/612012 234.48 234.48 248.76 248.76 Payee Certification The undersigned (Claimant) (Acting on behalf of thc above named claimant) does hereby ceftin, that the foregoing claim is true and correct, that no pact has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded. Signature Title Company Name Date Description of Goeds or Services Paint Trays Paint General Ledger Fund and Account Number SM$7t0.2.000.000 Department Certification I hereby eeC0 fy that thc materials 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 or discrepancies noted~ and payment is approved Signature Title Date Page # Betel, CT ~anford, CT Darien, CT Lewltboro, NY {203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 308 6ottt;h Fz'ont;agm Road (800) 797-6511 {866) 758-3551 (800) 390-1000 (888) 533-2517 New [,ondon CT 06385 New London, CT New Milford, CT Nlantlc, CT Wilton, CT ?: (860) 438-0155 (860) 439-0155 {860) 358-5566 {860) 739-5441 {203) 761-1000 F: (860) '~39-1369 (866) 439-0155 (888) 350-8966 {800) 303-6526 (866) 842-7883 Charge Invoice * * * THANK YOU FOR SHOPPING RING'S END * * * New London, CT FISHERS ISLAND FERRY DIS P.O. BOX H FISHERS ISLAND NY 06390 860-442-0165 CbSTOMER : :::~ii=:?: EFISHIS 03/06/2012_~ 834014 10:26 , 104 - Bob ThOmas 0 834014 2% Date Based Discount 6.35% - CT SALES TAX P067001 4 4 S/S H/P ALKYD METAL PRIME GRAY G 4.000 30.150/EACH 120.60 2 RED PRIMER 2 GRAY PRIMER P221B01 4 4 URETHANE ALKYD GLOSS BASE i GL 4.000 28.470/EACH 113.88 2 WINTERSCAPES 2 NEWPORT BLUE ~CE~ I~ ;~ ~IC~ SEE REVERSE SIDE FOR TERMS AND CONDITIONS X 234.48 0.00 0.0(~ 234.48 CUSTOMER COPY The following terms and oondltfonc govern the sales of Tho Seller. whether pursuant to oral or written orders to its repreeentatlves or salespeople,. RETU~ED GOODS Stock items, in original units or full packages, will be accepted for credit or exchange when returned in good condition. Within 30 days of purchase, AND ACCOMPANIED BY ORIGINAL SALES TICKET. A restocking charge will be assessed by the Seller on all returned goods. No special o~ers will b~ accepted for return or credit. ' · TAXES Buyer shall pay to Seller the amount of any and all taxes, excises or other charges which Seller may be required to pay or to collect for any government, national, state or local, upon, or measured by the production, sale transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Deley in delivery or non-delivery in whole or in part by Seller shall not be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contlnganclee; the non-occurrence of which is a basic assumption on which the agreement is mede: {a) Fires, Floods, or other cesueities; (b) WarS, Riots, Civit C0mmotion, Embargoes, governmental regulations or martial law; (o) Seller'a icebillty th ohtain cecessery materials (finiShed or otherwise) from its usual sources of Supply; {d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other leb~r troubles affecting production or shipment, whether involving employees of Seller or employees of others and regardless of rsepensi~ility or fault on the pert of the employer; .and (f) Other contingencies of manufacture or shipment, whether Or hot of a class or kind mentioned herein and not reasonably within Seller a control. WARRANTY Seller agrees that any merchandise delivered hereunder found to be defective in material or workmanship Wlli be repaired or replaced by the Seller witheut additional cherts for the merchandise. This warranty iS mede in lieu of any Other warranties or conditions including morch,~nteblllty or fitness for e Partio01er purpose. The remedies under this warranty are exclusive ~nd by accepting this merchandise the Buyer agrees to theSe conditions sod waives any other warranties conditions expressed or implied. All plelms for demaged or defective material must he mede within 5 days and we are limited tO the Purchase Price of the materials sold or the replace~nant thereof at our?option. We are not responsible for extra costs, indirect damages or consequcntial damages. Buysr ~s~d~n~ff~k';)~l liability'With respect to leeults obtained by the ~ao of such merchandise whether ~r~tn a'c~0~, ~r~tY,~n with other products. NO elaims of any kind whatsoever, whether based on breach of warranty; the alleged negligence of seller, or otherwise, with respect to merchandise delivered or for failure to deliver any merchandise shall be greater in ;)mount than the purchase price hereunder of the merchandise in respect of which damages are claimed; and failure of buyer to give written notice clam within 30 days after delivery of merchandise shall constitute a waiver of buyer of all claims with respect to such merchandise. '* ~ TERMS AND CONDITIONS TO GOVERN THIS INVOICE CONSTITUTES THE ENTIRE CONTRACT WTH RESPECT TO THE~ALE AND~. RCHASE OF THE MERCHANDISE SPECIFIED HEREIN. No modification of this sale Shall be effected by'the acceptance or ac knowledge~n~nt of pu)Chese order forms specifying different cOnditiona~ and no modifications shall be effective unless in writing signed by the party claimed to b~ bound thereby. STATE OF JURISDICTION This sale shall be deemed to have been made in, and shall be construed in accordance with the laws of the State shown in the Seller's address. DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Title to the materials shell pass from tho Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter cheil ~ Buyer's risk. Claims for shortages, breakages or for any nonconformance with the terms and conditions of the order shall be noted on the Seller s delivery receipt by the Buyer at the time of delivery, otherwise, the Seller shall not be responsible for any such claims. If delivery is by common carrier, delivery by the Seller to the carrier at point of origin shall constitute delivery to the Buyer and thereafter the shipment shall be at Buyer's risk. and claims for loss or damage must be filed by tho Buyer against tho carrier. Title to goods loaded onto Buyer's conveyance at Seller's warehouse passes to the buyer at the Seller's seeding dock. if upon delivery at job site, there is not present at the ob site an employee of the Buyer authorized to accept delivery and sign a delivery document evidencing delivery of materials as listed on this invoice document, then the Seller reserves the right to deposit the material at the delivery area previously designated, by the Buyer without obtaining a signed receipt therefore, and the Buyer agrees to liability for payment of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the Seller not to deposit material at the des snared de very area without obta n ng· A gned de very race pt from an author zed employee of tho Buyer. FINANCE All bills are ;)aysble on the 15th of the ~onth following billing date and are past duo after 30 days. Past due accounts ore subject to a FINANCE CHARGE of 1 114% PER MONTH on the past due unpaid balance (which ia an ANNUAL PERCENTAGE of 15%). MATERIALS SAFETY DATA SHEETS (MSDS) The occupational ;)e~ety and Health Admi~letr;)tion Hazard Communication Standard, the Superfund Amendments and RoouthmtZ~tinn Ac'~of 1986 and many state ;i~-tO~know laws redu~re that a h~atariel safety data sheet (MSDS) be provided with products containing hazardous chemicolo~ As a manufesturer~ impeztor or distributor, you m~e required by Iow to ascertain which of your products require sn accompanying MSDS and provide such. Aa o oonditlen of this sale, you expressly warrant that ~ou will comply with the provisions of the foregoing right-to-know-lows, HAZARD COMMUNICATION LABEL Alkaline Copper Quaternary (ACQ) Pressure Treated Wood Hazard warnings for treated wood are similar to those for untreated wood. · Airborne wood dust con cause respiratory, eye, and skin irritation. · Breathing exceSsive ernounts of treated or untreated wood dust (primarily hardwood) has been associated with nasal concer in some industries. · Handling may cause ~plinters. · High elr~30me iavele of wood dust may burn rapidly in the air when exposed to an ignition source. · Some forrfm of components of the liquid preservative used to manufaCture this product {arsenic and chromium) have caused lung, skin, and possibly o~her cancem in humans occupationally or environmentally overexposed. ~UCH EXlK)BURE~ HAVE NOT OCCURRED WITH TREATED WOOD. NOTE: Conauit the Material Safety Data Sheet for additional information on this product. Thle infomtMJon le dselgned to eddreee tho lobe[ roqulremente of tho OSHA H~zerd Commonlostloo Stenddrd with respect to trseted lumber. DELIVERY All deliveries are priced and urtclerstood to be on a first floor/tailboard delivery basis. Page # 1 Bet~, CT B~mf~d, CT D~i~, CT ~, NY (203) 797d212 (203) 488-3881 (203) 66~2625 {914) 533-2817 308 Sou~h Frontage Road (800) 797.6511 (866) 758-3551 (8~) 3~-1~ {8~) 633-2517 N~ L~ ~ 06385 T: (860) 439-0155 (8~) 439-0165 (860) 355.5566 (8~) 739-~1 (203) 761-1~ · ~ (860) 439-1369 {866) ~9~155 {888) 35~8966 (~) 303~526 (8~) ~2-7883 Cha~e In'ice * * * T~ YOU FOR SHOPPING RING'S ~ * * * New ~ndon, CT 'F~S~ IS~ FE~Y D~S P.O. BOX H FISHE~ IS~ ~ 06390 860-~42.0165 0 [ 836268 ~ 2% Da~e Based DiSco~t 6.35% , ~ ~S~ T~ ~NC00075 12 12 ENCO~E 3QT D/W T~Y LIaR 12.00( 1.190/~ 14.28 SEE R~RSE SIDE FOR TE~S ~ ~S X 14.28 0~0~ 0.0~ 14.28 CUSTOMER COPY The foficwlng terms ned conditions govern the sales of The Seller, whether pursuant to oral or wrflton orders to Its reprs~.~tGb~vea or esl~paople.. RETURNED GOODS Stock items, in original un ~ or full packages, will be accepted for credit or exchange when returned i~ good coedition. ~thio SOL day8 of,purchase, AND ACCOMPANIED BY ORIGINAL 8ALES TICKEI'. A restocking charge will be assessed by the Seller one returned goods. No apaolel orders will accepted for return or credit. TAXES Buyer shall pay to Seller tho amount of any and ali taxes, excises or other cbergea which Sailer may be required to pay or to collect for any government, nationat, atato or local, upon, or measured by the production, eoie transportation, delivery or use of the merchandise sold horsunder. FORCE MAJEURE Delay in delivery or nan-delivery in whole or in part by Seller shall not be a breach of this sale if performance is madeJmPtantloable by the occurrence o~ ,ny one or more ~f m* fo,owing cunti .ngo _~._.le,, me no~<ccurt.noa of which ia a bes.~c' es: _u~. ption on ~.h~?,h. Floods, or other cesunltk~ th) Ware Riots. C~vil Commotion, Embarg..o?a, governmanta: re;[cumona or man~m !aw, ~c,~ ?e.or.,s. ~,_na~.V~.o_u~.~.! re neoesesry materisis ifiniabed or otherwise) from its usual aoutces of Supply; {d) Shortage or cars or trucks or omay~ m transit, un ~=natmg or zulu strikes or other isbor troubles affecting production or a.h. ipment, wl~t., her involving employees of Se!ler ~ emp. lo..y~ea of other.~ a~. reger.d~a of resbone bi ity or fault on the part of tho employer; and {fl Other cont:ngencloe of manufantute or shipment, wnemer or not or a cmos orxm. mentioned bersin aed not rdenonably within Seller's control. WARRANTY Seller agrees that any mortise delivered hereueder found to be defoc.t, ive in mats~i.al or work .m. anahip wi~..b,a ra?_a~l~,or r~e~_.~._ed_._~,..,t~. _S?licr without additional charge.:the marchoedise. ThiS warranty iS made in hau of any omar warranties or con=mona m~,u~ng rne~O[tl~m~;~¥ fltnmm for a pertk3d/jr ~'~. The remedies under this warranty ar.e exclusive., a~.d. by .aoce.pting__=t=hi~. ~h~,n.d~_e_.tt~__._,B~_?..~_~_,_ .t~_._sei_ coeditlone and waived-any ot~ wertantise condltlone expressed or ~mplled. All Claims ret oamage~ or oerac.ve nm~rla, mu~ ?.?=, w?t,!, deya aed We are I~'~ the purchsae price of the materials sold or the replacement thereof at out option. We are not responaible fOr e~ indirect damagse ~ o~naequentlel damages. ~er ~'~nd iide lily with respect to results obtained by the use of such mer(~.hand!.se w. heth? used a!oe~..or ~n a ~c~__~,?~_tlon.:w~ith other produetL No =lelms of any kind wh.at~..oever, whether b.e.sad.on..b, rseoh of w. arranty, me. alle.geo to merchaedies del ve~l or fo~. failure to delnmr any mercbendme aha, na greater :n amount man tne pu~cnese .p, nco n?~u.~. ~ u: ~,,. respect of wh~h damages are claimed; and failure of buyer to give written notice claim within 30 days after deovery or mercnenmsa Bna, co a waiver of buyer of all claims with rsepaut to such merchaedise. TERMS AND CONDITIONS TO GOVERN THIS INVOICE C4:~?ITUTEB THE ENTIRE CONTRACT WTH RESPECT TO THE SALE A. ND P. URCHA.SE .OF THE M .~..CHA.,.~. E SP .ECB~.D.. ?~.R ~EIN. ~1o modification of this aalo shall be effected by the acceptance or acknowledgement or putcneSa oroer forms apuc~n, nng onrsrect conanmna, arm nc ~odificstione aholl be effective unless in writing signed by the party claimed to be bound thereby. STATE OF JURISDICTION This sale shall be deemed to have been made in, and shall be construed in accordance with the laws of the State shown in the Seller's address. DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Tit e to the matoris}~ shall pass from the Sailer to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, breakage, or for any nonconformance with the terms aedco, nditiona of tbe.ord, e.r Shal!.b? ,,noted .on.~ Seller's de .l~e.w.~r ~ece~i~ hb~ ttk~ Buyer at the time of de very, otherwise .the Sol!er shall.nat be responmble for any SUCh c~:me... :r =exve. ry. ~s~_r)y. c_omm~n c.a,r?er, ?e~.:~: Seller to the carr~..r, at point of origin ~a. II ~onstitute deh.v, ery to the Bu, yer aed thereafter, the al~pment m~a~ ~ .a,t uuyer.'p na~, ana c:a._~n~l ,o~ ~oa~ ~tr damage must be filed bytbe Buyer ~ainat the carrier. Title to goods loaded .onto .Buyer a conve._yanoe .at.~e~r s_ w~r~_e_n?,u__sa~ ._l~_l_a_s_~ th~ ~lZ~r'= ~Sdirm dnck If UeOf~ delivery at lob site, there s not present at the icc a~a an eml~oyee or ;ne =uyar au~n~rr~au u~ .~,~u~,,.., y at the o~livery .e.r..e~. ptavlo.uldy designated by the Buyer w~tho~u~ obtaining a .s~gne.o r _e~e~pt .tbermore., an? ~ wa .y?r~ .a~r_ee~ ~o this invoice aa if it Were etgnad by an authoriz.ed em.ployse of.the Buyer., unmes tna uuyer nas prev.~oumy i.n..strus_m~3 me ce.er no[ to =ep~.. at the designated delivery area without obtaining a mgned dehvary race:pt from an authorize= amp:oyes ct me uuyor. FINANCE All bills are payab4e on the 15th of the month following billing date and er.e past due after 30 days, Past due accounts are subject to a FINANCE CHARGE of I 1/4% PER MONTH on the past due unpaid balance {which m an ANNUAL PERCENTAGE of 16%). MATERIALS SAFETY DATA SHEETS (MSDS) The occupational safety and Health Administration Hazard CommUnication Stand_ard, the S .Ul~.Hued. Amen~. merits a._n~l. ,Rea ~uth?_r?~a_~i.?r~ ~A_~ ,o~ ,1_986~ and mm-e/'~tato right-to.know laws require that a material safety data abent {MSDS} be promded with pr ..o~uat~ co~ .;R~he.~l~.a.l~: a manufacturer, m~r or diatrlbutor~ you ara recluired by law to ascertain which of your pr,0ducts requfr~an aec-..-.--. ~: .~_~ .~-.-. -: - - such. Aa a cond'~/on of this sale, you expreoaly ~mrrant that you will comply with the proviSions of the foregoing r'~nt-to~ '~now~~ HAZARD COMMUNICATION LABEL Alkaline Col~par Quaternary {ACQ) Ptasaurs Treated Wood Hazard warnings for treated wood are aimller to those for untreated wood. · Airborne Wood dust can cause respiratory, aye, aed skin irritation. . · Breathing excseaive amounts of treated or untreated wood dust {primarily hardwood) has been asaocmtod with nasal cancer m some industries, · Handling may cause ~plinters. · High airborne levelS of wood dust may burn rapidly in the air when exposed to an ignition source. · Some forms of componant~ of the liquid preservative used to manufacture th~s product {arsenic aed chromium) have caused lung, akin, and p0saiblv ~ oanoerl id humana be~upedonally or environmentally overexposad, ~UCH~0SURE~ HAVE NOT OCCURRED WITH TREATED WOOD. NOTE: Co~ the Mntorlel Safety Data Sheet for additional information on this product. __.. Thic Infon~ le dseigned to address the label requlremen~ of the OSHA He~Jud Commenlratlun Standard with re~ to tresto~ lunmer. DELIVERY All daiiverle~ ara r)riced and understood to be on a first floor/tailboard delivery basis. FISHERS ISLAND FERRY DISTRICT VENDOR 018533 ROYBAL & SONS FIRE EQUIPMENT 06/19/2012 CHECK 521 FI/ND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 223907 THEATR MAINT/SVC-FIRE EX 142.00 TOTAL 142.00 50~ Town of Southold, New York - Pa:/ment Voucher Vendor Tax ID Number or Social Security Number Roybal & Sons Fire Equipment Co. Vendor Telephone Number Vendor Contact Vendor No. ~ P.O. Box 204 Middlefield, CT 06455-0204 Check No. Entered by ~ Audit Date JUN 1 9 2012 Invoice Number 223907 Invoice Date 5/17/2012 Invoice Net Total Discount iAmount CIaime~ 142.00, 142.00 P~rchase Order Number Description of Goods or Services Movie Theater-Annual Service/Maintenance $M7155.4.000.000 t42.00 142.00 Payee Certification ~ae 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, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the lown is exempt are excluded. - z~.~,'..~itle Company Name ~' Data ~"~ ~ 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 ~- /~-~/~"~' ROYBAL & SONS FIRE EQUIPMENT 223907 "A Full Service Fire Equipment Company" P.O. Box 204 '~ ~"-* MIDI~LEFIELD, CONNECTICUT 06455-0204 _ ~'~ CT Lic# F30004 -" (860) 347-2189 " MA Lic# CR1088 Fax (8~0) 343-5479 R~ Lic# 55J309A/B Email roybal@ roybalfire.com ' ~ TERMS: NET ~ DAYS PRICE AMOUNT Q~.DESCRIPTION ~. ~.,~ ~r.,~,cC~' ,~ . 'r~V~'"' ,. FINALE CHARGE of 1 1~ ~r month wNch Is an All ~ts am due ~ln ~ ~y . Sub Total ANNUAL PERCENT~E ~TE ~ 18% cha~ed on alt unl~ s~lfl~ ~ w"~ co~m~ ~: T~ ~a d~ ac~un~. . '. SIG' ATURE ' ' ~ PRI~ED NAME THAN~ YOU ~' A_Bi This ' ' r ' ' ~' ~ FISHERS ISLAND FERRY DISTRICT VENDOR 019282 SHIPMAN'S FIRE EQUIP CO. 06/19/2012 CHECK 522 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 184632 MU-FIRE EXTINGUISHERS 239.70 TOTAL 239.70 · Town of Southold, New York - Payment Voucher Vendor Tax iD Number or Social Security Number Shipman's Fire Equipment Co., Inc. Vendor Telephone Number Vendor Contact Number 184632 5/4/2012 Invoice Total i Discount 239.70 i 239.70 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is Ume and corcect, that no pan has been paid, except as therein stated, that the balance therein stated is actually due and or, rog, and that taxes from which the Town is exempt are excluded Vend;~No. 19282 Vendor Address P.O. Box 257 Waterford, CT 06385-0297 Net Purchase Order Amount Claime¢ Number 239.70 239.70 Signature Tttle. CompenyName g~'-~- ~"'~/ Oate .~%~/t~_..~ · Check No. Entered by ~.~ Audit Date Description of Go~s or Services MU- Fire Extln~luishers 8M5710.2.000.100 Department Certification I hereby certify that the materials above specified have been received b~ me m good condition without substitution, the services properly performed and that the quantities thereof beve been verified w/th the exceptions or discrepancies noted, and payment is approved Signature ~ · ,t,e ,,ate /; /~/~-~ SHIPMAN'S FIRE EQUIPMENT CO., INC. 172 CROSS ROAD P.O. BOX 257 WATERFORD, CT 06388-0257 PH. 860-442-0678 1-800-775-7332 FAX 1-860-444-7395 email: info@shipmans.com INVOICE INVOICE NUMBER: INVOICE DATE: PAGE: 184632 May 04, 2012 SOLD TO: SHIP TO: Fishers Island Ferry District P.O. Box H Ordered By: Fishers Island, NY 06390 Fishers Island Ferry District P.O. Box H Fishers Island, NY 06390 (~181617 PLEASE REMIT PAYMENT TO P.O. BOX 257 WATERFORD CT 06385 ... ~1~ ID . CUSTOMER PO ; : ,; PAyM~NTTERMs F6040 MUNNATAWKET Net 30 HOUSE KC OUR TRUCK este4/12 ec/ D3/12 [.~ ~25e Rmerex 2.5 Ga[Ion flFFF FiFe [98.~ [98.~ Extinguisher P~oud[y ~ade in ~he US~ [ [.~ es[e ~merex Ze,[5,& 2e Lb. Truck 36.75 36.75 Bracke~ 7" Diameter ~.~ H~Z~AT Hazardous ~a~er[a[ Compliance 4.95 4.95 Cha~ge. PLEASE REMIT PAYMENT OR CORRESPONDENCE SUBTOTAL 239.7~ T0 P.0. BOX 257, ~ATERFORD, CT e6385 SALES TAX FREIGHT ANOUNT P~YNENT RECEIVED ~~ ~~ ~. TOTAL DiJE 239.70 ORIGINAL ~NVO)CE FISHERS ISLAND FERRY DISTRICT VENDOR 020167 TERMINIX PROCESSING CENTER 06/19/2012 CHECK 523 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 10892613754 PEST CONTROL-NL-5/12 47.86 TOTAL 47.86 Vendor No. Town of Southold, New York - Pa~'ment Voucher i 20167 Vendor Tax ID Number or Social Sec urily Number Vendor Address P.O. Box 742592 Vendor Name Cincinnati, OH 45274-2592 Terminix Processing Center Vendor Telephone Number Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Clalmel Number Description of Goods or Services General Ledfler Fund and Account Number 10892613754 51312012 47.86 , 47.86 Pest ControI-NL SMST09.2.000.200 May 2012 Check No. ~ Entered by ~,~ Audit Date JUN 1 9 2012 47.86 Payee Certification The undersigned (Claimant) (Acting on bebalf of the above named claimant) docs hereby certify that the foregoing claim is true and correct, that no part has been paid, except ~s therein stated, that the balance therein stated is actually due and owing, and lhal taxes from which the Town is exempt are excluded 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. I OP%RATOR'S~. NAME & CERTIFICATION # TEIlI II#IX TERMITE and PEST CONTROL SERVICE PROPERTY AT SERVICE CENTER TARGET PEST: TR~TME~ CODES: C = Cr~k& Cr~ S=~ B =3' B~d G = Genii T = ~eTreat~nt - EQUIPMENT CODES: A = A~I ~G = Comp. Air F = ~ HD = ~nd Du~ T = Tr~ B= B~ St~t, s~ s~ CUSTO~ER S ~J~U~URE '" / / AMOUNT PND SE~¢EYE~AN S G~TM~E., I D ,: #31838 R/~'2./12 © 2012THE~bRMINIX INTERNATIONAL COMPANY L.R FISHERS ISLAND FERRY DISTRICT VENDOR 021304 ULINE 06/19/2012 CHECK 524 FUND & ACCOUNT P.O.g IN-VOICE DESCRIPTION AMOUNT SM .5710.4.000.000 44176485 SHRINK WRAP-NL 158.21 TOTAL 158.21 06/19/20t2 Town of Southold, New York - Pa'~ Vendor Tax ID Number or Social Securit~ Number UMNE Vendor Telephone Number Vendor Contact ~endor No. ~ment Voucher ~ I ~0c} iVendor Address kttn: Accounts Receivable Z200 $~ Lakeside Drive INaukegan~ IL 60085 Check No. Entered by Audit Date Invoice Number 4417648 invoice Invoice Date Total 511512012 158.21 Net Discount IAmount Claimel 188.2t Payee Certification T~e undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is true and correct, that no per[ has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town ts exempt are excluded Signature T~tle Company Name ~"~ ~D Date Purchase Order Number Description of Goods or Services Shrink Wrap-NL 8M5710.4.000.000 Department Certification I hereby certify that the materials above specified have been received by me in go~d condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and peyment is approved. Signature Title 1-800-295-5510 uline.com 2200 S, Lakeside Drive · Waukegan, IL 60085 SHIPPING SUPPLY SPECIALISTS THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2005 SOLD TO: MDG201000017128 1 AB 0374 flllll,il,fl,f,l,il,l,l,fh,fhf,l,,il,llfh,hlhffifli,i,,,hll FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND NY 06390-0607 INVOICE NO. E 44176485 INVOICE ULINE FED ID#: 36-3684738 YOUR ORDER # 47667857 SHIP TO: FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320 2461167 JESSE UPS GROUND 5/15/12 5/15/12 NET 30 DAYS 5/15/12 8 S-642 18X1500 80GA ULINE BLOWN WRAP 16.00 128.00 JENGLISH /I 128.00 .00 30.21 158.21 FISttERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 06/19/2012 CHECK 525 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 SM .5710.4.000.700 SM .5710.4.000.700 SM .5710.4.000.700 SM .5710.4.000.700 26639172 W/E 4/27/12 24.70 26639182 W/E 5/4/12- (5)PKGS 96.93 26639192 W/E 5/11/12 23.96 26639202 W/E 5/18/12 22.00 26639212 W/E 5/25/12-(3)PKG 59.87 TOTAL 227.46 TO THE Town of Southoid, New York - Pa~'ment Voucher Vendor Tax ID Number or Secial Security Number United Parcel Service Vendor Talephonc Number Vendor Contact Invoice Vendor No. 21506 Vendor Address P.O. BOX 7247-0244 Philadelphia, PA 19170-0001 Net Purchase Order Check No. Entered by Audit Date JUN 1 9 2012 I Nttmber 26639192 26639202 26639212 Date 5112/2012 5119/2012 5126/2012 Total Discount ;Amount Claime¢ $23.96i $23.96 22.00: $22.00 $59.87 $59.87 Number Description of Goods or Services #le 511112012 #1e5/1812012 #1e 512512012 ~--~ ~)/~3 SM5710.4.000.700 $105.83 $105.83 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the fomgothg claim is [rue and correct, that no part has bc~n paid, except as therein stated, that the balance therein stated is actually due and orang, and that taxes from which the Town is exempt are excluded Date _ ~" ~'~d~ Company Name Department Certification I hereby certify that the materials above specified have been received by me m go~d condition without substitution, the services pmparly performed and that the quantities thereof have been verified with the exceptions or discrepancies ~ted, and payment is approved Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date May 12, 2012 Invoice number 0000026639192 Shipper number 026639 Control ID 2S12 Page 1 of 3 0720A00000266392 77366200011354 AB 01 059138 75592H181 B**3DGT ~ lllll'll IlllI I lll I II II I --- Illll'l'llll IIII '11' I1' IIIII IIII IIh' d,,, -----'FISHER ISLAND FERRY '-- PO BOX H '-' 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. - g:o0 p.m.E.T. or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Weekly Payment Plan Amount Due This Period $ 23.96 Amount Outstanding (prior invoices) $ 272.83 Total Amount Oulstanding $ 296.79 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. Questions about your charges? To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. Thank you for using UPS. Summary of Charges Page Charge 3 Adjustments & Other Charges $ 2.00 3 Fees $196 Service Charges $ 20.00 Amount due this period $ 23.96 UPS payment terms require payment of this invoice by May 23, 2012. Payments not received by June 6, 2012 are subject to a late les of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups~com) Note: This invoice may contain a fuel surcharge as described at ups. oum. The published fuel surcharge is 8.5% for UPS Ground Services and 14.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, vfait upa.com. Delivery Service Invoice Invoice date May 12, 2012 Invoice number 0000026639192 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Numbe~ Invoice Date Due 0000026639142 04/07/2012 $ 74.19 0000026639152 04/14/2012 $ 32.67 0000026639162 04/21/2012 $ 44.34 0000026639172 04/28/2012 $ 24.70 0000026639182 05/05/2012 $ 96.93 Torsi $ 272.83 Outstanding balances reflect any payments received as of 05/11/2012. Please ignore this message if a recent payment has been mede for any outstanding invoices. Adjustments & Other Charges Miscellaneous Delivery Service Invoice Invoice date May 12, 2012 Invoice number 0000026639192 Shipper number 026639 Page 3 of 3 Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 200 FOR 1 PRINTERS AT $2 00 EACH FOR 11-MAY-2012 Total Miscellaneous 2.o0 Total Adjustments & Other Charges 2.00 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 04/14 Late Payment Fee 32.67 6.00 % 1 96 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 1.96 059138 2/2 Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date May 19, 2012 Invoice number 0000026639202 Shipper number 026639 Control ID 389N Page 1 of 3 0720A00000266392 77366300011960 AB 01 063490 789091192 B**3DGT FISHER ISLAND FERRY PO BOX H FISHER ISLAND, NY 06590-0607 Sign 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 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Weekly Payment Plan Amount Due This Period $ 22.00 Amount Outstanding (prior invoices) $145.59 Total Amount Outstanding $167.59 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. Questions about your charges? To get a better understanding of the charges on your invoice, visit our invoice guide and g;ossary of billing charges at ups.com/invoiceguide. Thank you for using UPS. Summary of Charges Page Charge 3 Adjustments & Other Charges $ 2.00 Service Charges $ 20.00 Amount due this period $ 22.00 UPS payment terms require payment of this invoice by May 30, 2012. Payments not received by June 13, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups. corn) Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is S.5% for UPS Ground Services and 14.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date May 19, 2012 Invoice number 0000026639202 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date 0000026639142 04/07/2012 0000026639152 04/14/2012 0000026639162 04/21/2012 Account Status Weekly Payment Plan Paid $74.19 $ 32.67 $ 44.34 Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000026639172 04/28/2012 $ 24.70 0000026639182 05/05/2012 $ 96.93 0000026639192 05/12/2012 $ 23.96 Total $145.59 Outstanding balances reflect any payments received as of 05/18/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Adjustments & Other Charges Miscellaneous Delivery Service Invoice Invoice date May 19, 2012 Invoice number 0000026639202 Shipper number 026639 Page 3 of 3 Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2 (30 EACH FOR 18-MAY-2012 Total Miscellaneous 2.0o Total Adjustments & Other Charges 2.00 063490 2/2 Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date May 26, 2012 Invoice number 0000026639212 Shipper number 026639 Control ID 207T Page 1 of 3 .-. 0720A00000266392 77366400011206 AB 01 057818 82132[177 B**3DGT ~ FISHER ISLAND FERRY = PO BOX H ~ F[SHER ISLAND, NY 06590-0607 Account Status Summary Weekly Payment Plan Amount Due This Period $ 59.87 Amount Outslanding (prior invoices) $167.59 Total Amount Outstanding $ 227.46 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. Questions about your charges? To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. ISign up for electronic billing today! Visit ups.corn/billing For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 ~Lm. - 9:00 p.m.E.T. or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Thank you for using UPS. Summary of Charges Page Chmge Outbound 3 UPS WoddShip $ 36.39 3 Adjustments & Other Charges $ 2.00 3 Fees $1.48 Service Charges $ 20.00 Amount due this period $ 59.87 UPS payment terms require payment of this invoice by June 6, 2012. Payments not received by June 20, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups. com) Note: This invoice may contain a fuel surcharge as described at ups. com. The published fuet surcharge is S.5% for UPS Ground Services and 1,[5% for UPS Air Services, UPS 3 Day Select, and Intsmational services. For more information, visit ups.rom. Delivery Service Invoice Invoice date May 26, 2012 Invoice number 0000026639212 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Numb~ Invoice Date Due 0000026639172 04/28/2012 $ 24.70 0000026639182 05/05/2012 $ 96 93 0000026639192 05/12/2012 $ 23.96 0000026639202 05/19/2012 $ 22.00 Total $167.59 Outstanding balances reflect any payments received as of 05/25/2012. Please ignore this message if a recent payment has been mede for any outstanding invoices. Outbound UPS WorldShip Delivery Service Invoice Invoice date May 26, 2012 Invoice number 0000026639212 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 05/22 9121173073 2 22.85 05/23 9121173084 r 1 13.54 Total UPS WorldShip 3 Package{s) 36.39 Total Outbound 3 Package{s) 3639 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2 0o FOR 1 PR[NTERS AT $2.00 EACH FOR 25-MAY-2012 Total Miscellaneous 2.0o Total Adjustments & Other Charges 2.00 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 04/28 Late Payment Fee 2470 6.00 % 1.48 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 1.48 Invoice Messa n~l Cede Message r Dimensional weight applied 057818 - Town of Southold, New York - Pal 'ment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Vendor Name United Parcel Service Vendor Telephone Number Vendor Contact Vendor No. 21506 P.O. Box 7247-0244 Philadeiphi% PA 191 70-000~ Check No. Entered by ~ Audit Date ~ JUN 1 9 2012 Invoice Invoice Invoice Number Date Total Discount 26639182 515120t2 $96.93 Net Amount Claim 26639172 4/2812012 24.70 $24.70 $121.63 Payee Certification The undersigned (Claimam) (Acting on behalf of the above named claimant ) docs hereby certify that the foregoing claim is true and correct, that no pan has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that t~xes from which the Town is exempt are exclude& Purchase Order Number Description of Goods or Services wle 514/2012 - (¢) ¢~¢ wle 4/2712012 - General Ledser Fund and Account Number $M6710.4.000.700 Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitutton, the services properly performed and that the quantities thereof have been verified w~th the exceptions or discrepancies noted, and payment is approved Signature Title Shipped from: FISHERS ~SLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Defivery Service Invoice Invoice date May 5, 2012 Invoice number 0000026639182 Shipper number 026639 Control ID 7N64 Page 1 of 3 ~ 0720A00000266392 77366100011396 '--" AB 01 062864 72119H194 B**3DGT --- lllhll,,lllllllll,llhlllllhlll,hl,hlll,,lllll,lhhl,llh,ll FZSHER ZSLAND FERRY PO BOX H FISHER ISLAND, NY 06590-0607 Account Status Summary Weekly Payment Plan Amount Due This Period $ 96.93 Amount Outstanding (prior invoices) $175.90 Total Amount Outstanding $ 272,83 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. Questions about your charges'?. To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. Sign up for electronic billing today! Visit ups.corn/billing For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 a.m. - 0:00 p.m.E.T. or write: UPS P.O. Box 7247~244 Philadelphia, PA 10170-0001 Thank you for using UPS. Summary of Charges Page Charge Outbound 3 UPS WorldShip $ 68.72 3 Adjustments & Other Charges $13.76 3 Fee~ $ 445 Service Charges $10.00 Amount due this period $ 96.93 UPS payment terms require payment of this invoice by May 16, 2012. Payments not received by May 30, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at upa.corn) Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 8.0% for UPS Ground Services end 14.0% for UPS Air Services, UPS 3 Day Selsct, and International services. For more information, visit ups.com. Delivery Service Invoice invoice date May 5, 2012 Invoice number 0000026639182 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000026639132 03/31/2012 $ 45.05 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 0000026639142 04/07/2012 $ 74.19 0000026639152 04/14/2012 $ 32.67 0000026639162 04/21/2012 $ 44.34 0000026639172 04/28/2012 $ 24.70 Total $175.90 Outstanding balances reflect any payments received an o! 05/04/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Outbound UPS WorldShip Defivery Service Invoice Invoice date May 5, 2012 invoice number 00000266391 82 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 04/23 9121173036 2 18.19 04/25 9121173040 1 20.81 04/30 9121173051 1 22.79 05/02 9121173062 1 6.93 Total UPS WorldShip 5 Package(s) 68 72 Total Outbound 5 Package(s) 68 72 Adjustments & Other Charges Packages Delivered but not Previously Billed Delivery Btiled Date Tracking Number Service Zone Weight Charge 03/30 1Z0266390345178184 Gmand Residential 6 5 8.39 Residential Surcharge 2.55 Fuel Surcharge 0.82 Total 11 76 Receiver: 215 NE ELM JENSEN BEACH FL 34957 Message Codes: m Sender : FISHERS ISLAND FERRY I STATE ST NEW LONDON CT 06320 Total Packages Delivered but not Previously Billed 1 Package(s) 11 76 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2.00 EACH FOR 04-MAY-2012 Total Miscellaneous 2.00 Total Adjustments & Other Charges t376 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 04/07 Late Payment Fee 74.19 6.00 % 4.45 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 445 Invoice Messaging Code Message m Median weight for service based on last six weeks 062864 2/2 Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice invoice date April 28, 2012 Invoice number 0000026639172 Shipper number 026639 Control ID 837R Page 1 of 3 0720A00000266392 77366400011655 AB 01 060239 689931181 B**3DGT 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 75265-0580 Account Status Summary Weekly Payment Plan Amount Due This Period $ 24.70 Amount Outstanding (prior invoices) $196.25 Total Amount Outstanding $ 220.95 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. A ;)a;)er alternative Choose a UPS electronic billing solution as an alternative to receiving a paper bill You can view, manage and pay your UPS bills electronically. Choose the format that best suits your company's needs. Learn more at www.ups.com/billillg Thank you for using UPS. Summary of Charges Page Charge 3 Adjustments & Othe~ Charges $ 2.00 3 Fees $ 2.70 Service Charges $ 20.00 Amount due this period $ 24.70 UPS payment terms require payment of this invoice by May 9, 2012. Payments not r~:eived by May 23, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.corn) Note: This invoice may contain a fuel surcharge as described at ups.corn. The published fuel surcharge is 8.0% 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 April 28, 2012 Invoice number 0000026639172 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000026639132 03/31/2012 $ 45.05 0000026639142 04/07/2012 $ 74.19 0000026639152 04/14/2012 $ 32.67 0000026639162 04/21/2012 $ 44.34 Total $196.25 Outstanding balances reflect any payments received an of 04/27/2012. Please ignore this message if a recent payment h~s been made for any outstanding invoices. Adjustments & Other Charges Miscellaneous Delivery Service Invoice Invoice date April 28, 2012 Invoice number 0000026639172 Shipper number 026639 Page 3 of 3 Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2.00 EACH FOR 27-APR-2012 Total Miscellaneous 2.0o Total Adjustments & Other Charges 2.00 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 03/31 Late Payment Fee 45.05 6 0O % 2.70 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 2.70 060239 212 Page 1 of 1 Whitecavage, Diana From: Whitecavage, Diana Sent: Friday, May 16, 2012 3:42 PM To: 'Gordon Murphy' Subject: RE: United Parcel Service Ok, that will go on the next audit as well then From: Gordon Hurphy [mailto:GHurphy@fiferry.com] Sent: Friday, Hay 18, 2012 3:41 To: Whitecavage, Diana Subject: RE: United Parcel Service That's embarrassing. Sorry about that. Hold for our research. From: Whitecavage, Diana [mailto:diana.whitecavage@town.southold.ny.us] Sent: Friday, May 18, 2012 3:18 PM To: Gordon Murphy Subject: United Parcel Service See attached Is there reason that we are only paying $32.67 and not the full $96.93 on invoice #26639182? Diana 5/18/2012 FISHERS ISLAND FERRY DISTRICT VENDOR 023013 WALArUT HILL ASSOCIATES, INC. 06/19/2012 CHECK 526 FUND & ACCOUNT P. 0. ~ INVOICE DESCRIPTION DlqOUNT SM .5710.4.000.000 SM .5710.4.000.000 SM .5710.4.000.000 SM .5710.4.000.000 SM .5710.4.000.000 D.GILBERT BACKGROUND CHECK 127.62 EDDY BACKGROIIND CHECK 127.62 H.STONE BACKGROUND CHECK 127.62 M.EDWARDS BACKGROUND CHECK 127.62 PELUSO BACKGROUND CHECK 127.62 TOTAL 638.10 Vendor No. 23013 Town of Southoid, New York - Pa', ~ment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 543 Vendor Name Waterford, CT 06385 Walnut Hill Associates, Inc. Purchase Order Vendor Telephone Number Vendor Contact invoice Invoice Invoice Net Check No. Entered by ~) Audit Date dUN 1 9 2012 Number Date Total Discount Amount Claimel Number Edd 5126/2012 127.62 I 127.62 Dean Gilbert 5116/2012 127.62 I 127.62 t27.62 Peluso 6116/2012 127.62i M. Edwards 611612012 $127,62 i 127.62 H. Stone 512212012 $127.621 t27.62 638.t0 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is true and corn:et, tbat no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from ~vhich the Town is exempt are excluded 638.10 Company Name Description of G~ds or Se~ices Background Check Background Check Background Check Background Check Background Check Genffal Ledger F~d ~d Account Number 8M5710.4.000.000 SM6710.4.000.000 SM5710.4.000.000 SM$710.4.000.000 8M57t0,4.000.000 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 verified with the exceptions or diserepencies noted, and payment is approved WAL.NLrr HICL ASSOCIATES, I.LC P.O. BOX 543 WATEI~OI~3, CT O6:~5 Invoice DATE I iNVOiCE 5/22/12 i stone BILL TO Fishers Island Ferry Mr. Steve Bu~e Fisher~ Island Fer~y New London, CT 06320 IBackground Investigation DESCRIPTION AMOUNT 120.00T RE: Heather Stone - Background Investigation - twv SubtO~ 120.00 6.35% Tax 7.62 Total 127,62 Invoice RE: ~ Eddy- Bl~komund I~lig~l~ - twvv ~ 120.00 WALNUT HILL .ILqSOCIATES, L.I.C P.O. BOX 543 WATERFOI~, CT' 0(~5 BILL TO Fishers Island Fern/ Mr. Steve Burke Fishem laland Ferry New London, CT 06320 rDATE Invoice INVOICE # gilbert DESCEIFTION AMOUNT Backgmung InveetJgation 120.00T RE: Dean Gilbert - Background Investigation twv Subtotal 120.00 6,35% Tax 7,62 Total 127.62 800-442-9775 Walnut Hill IIC PO BOX 543 WMm~d, CT 063~ Fax: t MIOM42-eTT5 ReW: 05/16/12 Printed: 05/1W12 ComplMid: 05/16/12 SS #: XXX-XX~)OG4 DOB: 01/16~93 End OfReport WALNUT HE ASSOCIATES, LLC P.O, BOX ~ WATERFOI=ID, CT 0~3~ BILL TO Fishers Island Ferry Mr. Steve Burke Fishem Island Fern/ New London, CT 06320 Invoice r DATE INVOICE # 5116/12 peluso DESCRIPTION AMOUNT Backgmundcl InVe%gation 120.00T RE: ~i[[hew Peluso - Ba(~kgmund Investigation - twv subsoil 120,00 6.35% Tax 7.62 Total 27.62 Phone: 860-442.9775 Walnut Hill LLC PO Bo~ 643 Wmor',e~, ~J' 063~ Fax: 1860-442.9775 Rmlue~ed: 05/16/12 iBackground Report SubJ~.'t: Potu~o, Matthew Address: CT Printed: 05/16/12 Comp!~ 05/16/12 85 #: XXX-XX-O943 DOB; 07/12/95 End Of Repod WALNUT HlU. ASSOCIA't'ES, M.C P.O. BOX 543 WATERFOI~D, ~ 06~5 BILL TO FIshem 181and Fer;y Mr. ,Steve Burke Fishers Island Fen'y New London, CT 06320 Invoice DATE INVOICE # 5/16/12 edwards '~ac. kgmund InvestS&,%. DESCRIPTION AMOUNT 120,00T RE: ~;-~,ew D. Edwards - Background Investigation - twv Subtotal 120.00 6.35% Tax 7.62 Total 127.62 Walnut Hill LLC Fro: 1860-442-9775 Requited: 0~/16/12 ~ubjeet: Edwards, Michael Addrm~: CT I:¥!.-.*_=d: 05/16/12 8S it: XXX-XX-5417 D(~: 02/18~74 __ End Of Report