Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
AU-10/23/2012 Fishers Island
FISHERS ISLAND FERRY DISTRICT VENDOR 001395 ADVANTECH CONSULTING CORP 10/23/2012 CHECK 780 FUND & ACCOUNT P. O. # INVOICE DESCRIPTION SM .5710.4.000.500 SM .5710.4.000.500 SM .5710.4.000.500 965950 965950 965950 AMOUNT IT OUTSOURCING-10/12 1,000.00 SPAM FILTRING-OCT-DEC'12 75.00 SONICW~J~L TZ215 TOT~J~ SE 872.07 TOTAL 1,947.07 Town of Southold, New York - Payment Voucher Vendor No. I Vendor Tax ID Number or Social Security Number Advantech Consulting Corp. Vendor Telephone Number 860-668-0044 Vendor Contact Vendor Address P.O. Box 951 Suffleld, CT 06078 Invoice Number Purchase Order Number Invoice Invoice Date Total 101112012 $1,000.00[ $75.00 $872.07 $t,947.07 [ Payee Certification Discount Amount Claimer $1,000.00 $76.oo $872.07 $t ,947.07 1395 Check No. '/8'O Entered by Audit Date OCT 2 3 2012 Description of Goods or Services General Ledger Fund and Account Number 965950 IT Outsourcing ~ SM5710.4.000.500 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 owing, and that la.xes from which the Town is exempt are excluded. Signature ~itle ~ Company Na'~me /'-~ Date Spam Filtering Oct-Dec 2012 SonicWall TZ215 Total Secun Department Certification Signature I hereby certify that the materials above specified have been received by me in good condition without substiiution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Advan Tech Consulting P.O. Box 951 Suffield, CT 06078 BILL TO I Fishers Island Ferry P.O. Box H Fishers Island, NY 06390 Invoice DATE INVOICE # 10/1/2012 965950 TERMS DUE DATE PROJECT Due on receipt 10/1/2012 Q'FY DESCRIPTION RATE AMOUNT IT Outsourcing - 10/1/12 thru 10/31/12 1,000.00 1,000.00 Spam Filtering: Oct-Dec 2012 75.00 75.00 SonicWall TZ 215 TotalSecure 872.07 872.07 Thank you for your business. Contact us at (860) 668-0044. Total $1,947.07 Unpaid invoices over 60 days past due date subject to late fee and interest cha~ges. . : • ' . 1 • , . • . : . : . , 781 • CHECK MONTHLY POSTAGE-FlOE NS TC HR LI TOTAL TTA LRI AMOUNT _..,....-- FISHERS ISLAND FERRY DISTRICT AMERICA 15. 00 OF if INVOICE DESCRIPTION FEE 00 00 1 • p.O. 10/23/2012 165.85 VENDOR 014223 BANK & ACCOUNT 7335-0912 FUND -35-0912 MONEY BAGS 7 3 7335-0912 280. 85 1, .4 .000 7335-0912 SM .5710 .4 .000:000000 SM .8710 000 .... SM .5710.4 .000.000 SM .5710. 0.: :00000: BOOKS RESIDENT T 1, 000.00 ....._ ... ... . ... . ..,_... (cl • . I -.....- ...., ... ... ... ... ... -•... _ PAPER __...... THE ORIGINAL CHECK FEATURE AND WATERMARK VOID COPYID !',14:4:illiw?': H A S A C°I-- ''''`: "I ''V' ... SI III .-41,:--,-- '4 _,,qpj .41- ''.4 -w,-' /44;e; *646*P- t 4,e' ' c : -,--tOn':,,,: ,A..,.;1::::‘'' ":', z' )),;. ,o(k- Nkk,,,,fe,‘ :"}:‘``' ,4,'t k:‘' ‘‘', TZi jfl !, 'ae,,,,:'- 2,,,aPire 'Yet-<-''' - ,41ta°."'”(Cte.a"ill-irMrna..,,,H4tr'e\".14.\.4'N' 3/4. OEM - linbliAtte44";/ :tiri -'449.44.0". .gis*. )%tnr*" *tF44." .'''”sAt ' e ' ' - *A"' te t 11 1 /4.041,0:** ” ..s.,,,,y., ...., ..,'\\"‘,,, „S 4,"*"'14}0., ...-.'t n' , r ';',241<;,• "‘>,4,,,,--"\---,,r ,,,\te,,,,,,,-.t.ot•-..---r-„, t I k,•te-mik-,\\*.-.te,-,..0•-‘01-s t. EC • . -s,-, -.),,-,...-.-5,1/4t,..4.,.:4.*.«Oit'.4 *.9, ,- '.'4:9''.‘,,,\bott ,ins . .,,,,, ./..., ,..filtb 0, Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Vendor Name Bank of America Vcndor Tclcpbone Number 888-44g-2273 Vendor Contact Invoice Invoice Number Date 1335-0qlo3 mt:0t: g/11120t2 ~ 9114/2012 ~ 9127120t 2 Invoice Toml $15.00 Vendor No. $1,280.85! Payee Certification Discount PO Box 15731 Wilmington, DE 19886-5731 14223 Net Amount Claimed $15.00 Purchase Order Monthly Reporting Fee Number Description of Goods or Se~ices I postage for FI Check No. Audit Date OCT Z 3 2012 General Ledger Fund and Account Number SM5710.4.000.000 $100.00 $t00.00 SM5710.4.000.000 $165.85 $165.85 Money bags SM5710.4.000.000 $1,000.00 $1,000.00 Resident Ticket Books SM5710.4.000.400 $1,280.85 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 boen paid, except as therein stated, that the balance therein stated is actually due and owing, ami that taxes from which the Town is exempt are excluded. S~nat~re~ Title. Compeny Name Fi~ Dale 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 w/th the exceptions or discrepancies noted, and payment is approved Signature Title BankofAmerica" Commercial Card FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX.7336 September 04, 2012 - October 01,2012 Company Statement Mail Billing Inquiries to: BANKCARD CENTER PO BOX 982238 EL PASO, TX 79998-2238 Customer Service: 1.886.449.2273 24 Hours TTY Hearing Impaired: Statement Date ........................................... 10/01/12 Payment Due Date .................................... 10/21/12 Days in Billing Cycle ............................................ 28 Credit Limit ................................................. $40,000 Cash Limit ..................................................... $8,000 Total Payment Due ................................. $1,280.85 1.800.222.7365 24 Hours Outside the U.S.: 1.509.353.6656 24 Hours For Lost or Stolen Card: 1.888.449.2273 24 Hours Previous Balance ..................................... $1,277.61 Payments ............................................... -$1,277.61 Credits ............................................................ $0.00 Cash ............................................................... $0.(30 Pumhases ................................................ $1,265.85 Other Debits .................................................... $0.00 Overlimit Fee ................................................ $0.00 Late Payment Fee ........................................... $0.00 Cash Fees ...................................................... $0.00 Other Fees ................................................... $15.00 Finance Charge .............................................. $0.00 Current Balance ....................................... $1,280.85 Credit Limit Credits Cash MURPHY, GORDON XXXX-XXXX-XXXX-$048 10,000 0.00 0,00 Purchases and Other Debits Total Activit~ 1,265.85 1,265.85 Posting Transaction Date Date Description Reference Number MCC Char~le Credit FISHERS ISLAND FEK~Y DIST Account Number: XXXX-XXXX.XXXX-7335 10/01 09/30 PAYMENT RECEIVED -~ THANK YOU 27474405350000501917030 0006 TotalActivity -$1,262.61 1,277.61 10/01 10/01 MONTHLY REPORTNG FEE C15 0065 15.00 MURPHY, GORDON Total Activity Account Numbe~: XXXX-XYO(X-XXXX-3048 1~266.86 Posting payments: Payments received by mail at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received· If we receive your mailed payment on a non-banking day, we w~ll post it to your account on the next banking day. There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing address listed on the front of your payment coupon. Service for the hearing impaired (TTY/TDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service, Bank's aup~rviecry personnel may listen to and/or record telephone calls between Bank employees and any parson acting on Company's behalf. Disclosure: We may furnish to your employer information concerning your use of your account. To read more about our information disclosure, please visit wYA~.bankofamerica.com/corecratecarddisciesure or call the customer service number listed on your statement to request a copy. In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent you the tirst statement on which the error or problem appeared. Please mail this information to BANKCARD CENTER, PO BOX 982238, EL PASO, TX 79998-2238. Your letter must include the following information: · The company name, cardholder name and account number in question. . The dollar amount of the suspected error. . A written description of the error and why you believe there is an error· If you need more information, describe the item you are unsure about. o3 --I Customer Service: For questions regarding transactions, general assistance, and reporting lost and stolen cards, call: Within the U.S. Outside the U.S. 1.888.449.2273 1.509.353.6656 (collect calls accepted) BankofAmerica FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX*?335 September 04~ 2012 - October 01,2012 Page 3 of 4 Posting Transaction Date Date Description Reference Number MDC ~har~/~ ~/~ Credit 09/12 09/11 PITNEYBOWES-POSTAGE 800-468-8454CT 24391212255985050005778 7399 100.00~'/' 09/18 09/17 LLBEANMAILORDER 800-3414341 ME 24789302261262013951709 59~5 165.85~'/~ 10/01 09/28 WORLDWIDE TICKET 954-426-5754 FL 24431052273206899600087 5999 1,000.(30/ Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Subject Percentage Rate to Interest Rate PURCHASES 9,25% V $0.00 CASH 9,25% V $0.00 V = Variable Rate (rate may vary), promotional Balance = APR for#mired time on specified transactions, Finance Charges by Transaction Type $0.00 $0.00 Bank of America FISHERS ISLAND FERRY DIST GORDON MURPHY XYO(X-XXXX-XX.%X-7335 September 04, 2012 - October 01,2012 Page 4 of 4 O0 ,e' RIZ 4 080 Z__ 209181800 000001 17969164 WH01 N 12939 .., L.L.Bean GUARANTEED Our products are guarantee0 to give 100% satisfaction in every way, Return anything p~Jrchased from us at anytime TO LASTs" if it proves otherwise. We do not want you to have anything from k.k. Bean that is not completely satisfactory. Customer Order Number: 010116191097 000 CUSTOMER COPY TO212549 Hunter's Zippered Tote Large MONOGRAM: FI FERRY BLAOK 8E BLOCK UPPER TG132183 Monogram TG112637 Boat and Tote Large Reg MONOGRAM: FI FERRY TURKEY RED 8E BLOCK UPPER TC132183 Monogram 6161102775 Olive Drab Red Trim Date: 9/19/12 Return Tracking ID: 1Z2F79700604297247 ~'"~111[ ~l ,mm..~ ............ i $-6.00 MERCHANDISE VALUE 1 8.00 TAX $ ** 98.8.6 S&H ORDER TOTAL 5 2q. 00 PAYMENT VISA CH 165.85 FREE 165.85 TOTALPAYMENT .................. This top portion is for your records. If you have any questions about your order or a backordered tem, please call us anytime at Ordered By: L.L.BF_~ R[~ Fo~ Shipped To: FISHERS ISLAND FERRY DISTRIOT ATTN GORDON S MURPHY FISHERS ISLE, NY USA 06390 800-221-4221 .................. : 010116191097000 Order Entry Date: 9/14/12 0YN2953000 Hunter's Zippered Tote Large, Olive Drab MONOGRAM: PI PERRY BLACK 8E BLOCKUPPER 0L24000000 Monogram 0M19740001 Boat and Tote Large, Reg, Red THm MONOGRAM: FI FERRY TURKEY RED 8E BLOCK UPPER 0L24000000 Monogram See back of form for easy Return or Exchange instructions. Affix the label below to your paokage and return via UPS (see Mailing Options on the reverse side). L.L.Bsan Visa Cardmembers receive free return shipping by using this label; for all others, we will deduot $6.50 from your refund. 010116191097000 ARS SHIP LLBEAN RETURNS TO: 3 CAMPUS DRIVE FREEPORT ME 04034 Product Quality:. Satisfaction: 01 Unsatisfactory 31 Did not 02 Defective like styling construction 33 Did not like color Fit & Sizing: Service: 21 Toosmall 51 Shipping 22 Too large damage 23 Ordered 52 Wrong item wrong size shipped 25 Too short 36 Too long [] Refund original payment [] Send Gift Card [] Send exchange to me Recipient: [] Send Gift Card [] Issue Refund Check [] Send exchange to me ME 041 9-04 UPS GROUND TRACKING#: 1Z 2F7 97006 0429 7247 EASY RETURN OR EXCHANGE L.L.Bean Usg L.L.BEA~ QUICKEXcRANC~ AT 800-221-4221 We'll place your new order right away and ship your item(s) for free· VISIT ONE OF OUR STORES Returns and exchanges are accepted at any of our retail or outlet stores. For a complete list of stores, go to llbean.com/stores. SE~D BY MAre ~N TWO Easy STEPS: No need to call Customer Service for authorization. 1. HII out the front and back of the Exchange Order Form below: · Place a "Reason Code" next to the item(s) you are returning on the front of the form · Be sure to include the form in the package 2. For US returns, use our Prepaid UPS Return Label: · Pay nothing up front; your refund will be reduced by the return fee of $6.50 (return shipping fee is free for LLBean® Visa® Cardmeinbers) · Take your package to a UPS drop box or a UPS Store, or give to a UPS driver - For UPS locations, visit UPS.com/dropoff ALTERNATE SERVICE Return using your choice of carrier: · Follow Step 1 in the "Send by Mail in Two Easy Steps" section · Cut out the L.L.Bean return address label below, affix to package and take to carrier dropoff; you will be required to pay ail postage APO/FPO/Casa~a/IsTERSaTION~ On the reverse side, you will find a return address label to Mfix to your package. Return using a postal service and pay all postage required. TaAC~ YoUR REqtra~ OmNE AT t~S.COM: Use the Return Tracking ID on the Customer Copy top right comer. QUESTIONS? US AND CANADA Phone 800.221-4221 UK Phone 0800-891.297 Fax 207-552.4080 OmER Cowrrgu~s Phone 207.552.6879 Fax 207.552-4080 FREE RETURN SHIPPING with the L.L. Bean Visa Card Plus, enjoy exclusive Cardmember sales and more--and earn rewards everywhere you shop. Learn more at Ilbean.com or call 800.221.422t. EXCHANGE ORDER FORM ~f yoa have completed a QuickExchange by telephone, please do not t~ll out this section. SHIP EXCHANGE TO: (ff different from or. hal order) Name Address BE THE FIRST TO KNOW Sign up to receive L.L.Bean email, and we'll send you: · Exclusive offers and discounts - Invitations to online and in-store events - Sneak previews of NEW products · News of store openings near you and more City Phone (__) State Zip Email COMMENTS OR SUGGESTIONS We would like you to be completely satisfied with all your L.L.Bean purchases, and we welcome any suggestions for improvements. FROM: L.L.B,v ,s RETURNS 3 CAMPUS DRIVE FREEPORT, ME 04034 t& RLDWIDE TICKETCRAFT Worldwide Ticketcraft 3606 Quantum Bird Boynton Beach, FL 33426 www.wortdwideticketcra~t corn Toll Free: 877-426-5754 x400 Fax: 9,54-426-5761 Credit Card Payment Authorization / EVELYNE COOK - Sales Rep. I do hereby authorize Worldwide Tieketeraft to charge my credit card as follows: Credit Card Number: ~ 3048 Expiration Date: 06/15 Name on Credit Card: Gordon Murphy / Fishers Island Ferry Dist Billing Address: 261 Trumbull Drive, Box 607, Fishers lsland, NY 06390 (for Credit Card) CVV # (Last 3 Digits on Back of Card): 223 Amount: $1,000.00xxxxxxxxxxxxxxxx xxxxx Type of Card (Circle One):~SA~ Mastercard AMEX For (Specify Items Purchased or Service Performed): lntranet #32185 Two ticket book orders Authorized Signature: Telephone # ~ ~ ~~'~Fax Worldwide TicketCraft * 3606 Quantum Blvd. · Boynton Beach, Flodda 33426 I ;RLDWIDE TICKETCRAFT Worldwide Ticketcraft 3606 Quantum Blvd Boynton Beach, FL 33426 w~vw.wortdwideticketcraft.com Date: September 26, 2012 / Intranet ~_32185_ To: Fishers Island Ferry / Gordon Murphy Ph: (631) 788-7463 email: From: Evelyne Cook, ~.~;~..wwdcke~ corn, 877-426-5754 x 400 Worldwide Ticketcraft would like to confirm your order with the following speoifi~tions: BOOKS Ticket Stock: 110lb Index Individual Ticket Size: 2" x 4" Book Size: 2" x 4.5" VERSI@N I - 10 RES}DENT - ~OUND TRIP TICKETS I OFF-PEAK SEASON ADULT Front Covers: Book number on covers / 1101b WHITE with a YELLOW STRIPE 4 Front Ticket: 4 Color Process (due to YELLOW STRIPE) Rear of Ticket: N/A Rear Corem: 110lb index - YELLOW Index / NO printing Booking: Stitched (n/a - spine) Sort Order: (please specify) .~Book number order Book Number: Cf 5001__ -Cf 5500__ .... PRINT ON FRONT OF TICKETS: B~ok No, 5001 Ticket No. 0001 (to 0010) .... Front Covers: Front Ticket: Rear of Ticket: Rear Covers: Booking: Sort Order: Book Number: ****PRINT ON FRONT OF TICKETS: Quote for 1000 TOTAL BOOKS: Book number on covers / 1101b BRIGHT ORANGE / Black Ink Bi.ACK INK N/A 110lb index - BRIGHT ORANGE INDEX / NO printing Stitched (n/a - spine) (please specify) __Book number order Cf 5001 -# 5500 Book No. 5001 Ticket No. 0001 (to 0010) .... $1,200.00 plus freight Terms: ~ Payment in Advance Ready To Ship: _t5-t6 Business days from Receipt of Proof Approvals and Manifest *Please Fill Out Below & Return via Scan (fax copies are difficult p~ read) Purchase Order Number. *Email Invoice? YES ~ or NO __ *If Yes, Billing Contact Name & E-mail address: Bill To: ,,,,tr' /Z.- Approved By: '~i~ *Today's Dat~ Tickets needed by: WorkJwi(le TlcketCraft · 3606 Quantum Blvd. Boy.ton Beach, Florida 33426 FISHERS ISLAND FERRY DISTRICT VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 10/23/2012 CHECK 782 FUND & ACCOUNT p. 0. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 19070 127.'3 GAL HEATING OIL-NL TOTAL 479.12 479.12 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Bmdeur's Fuel Vendor Telephone Number 860-564-2789 Invoice Number 19070 Vendor No. P.O. Box 602 Moosup, CT 06354 Check No. Invoice Date t013/2012 Invoice Total $479.t2 Discount Net Amount Clalmec $479.12 $479.t2 $479.12 Payee Certification Thc undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby ce~ti~ that the foregoing claim is tr~e 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 thc Town is exempt are excluded Signature ~'~~I itle ~ Company Name Date /2 Purchase Order Number Entered by ~ Audit Date OCT ~. 3 2012 Description of~oods or Services 127.3 gal Heating Oil New London Terminal General Ledger Fund and Account Number 8M5710.4.000.100 Department Certification I hereby certify that the materials above specified have been received by me in good condition without subsfimtion, 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 LAST THREE DEDVERIES ROUTEI FUEL DEL/H,W. D.D, NEXT DATE D.D. GALLONS K. FACTOR FUEL DR ,,TR B__R_OD_E_UR_'_S_.O!L__SERVICE, INC. ~ "tcq. ~ · 28 STERLING ROAD, P.O. BOX 602, MOOSUP, CT 06354 564-2789 · 859-5840 · 923-9528 If Payment Received By PAY FISHERS ISLAND FERRY DISTRICT VENDOR 014225 BUSINESS CARD FUND & ACCOUNT SM .5710.4.000.000 10/23/2012 CHECK 783 P.O.# INVOICE DESCRIPTION 48026100-0912 FINANCE CHARGE TOTAL AMOUNT 8.25 8.25 Town of Southold, New York - Payment Voucher Vendor Tax iD Number or Social Security Number Ve.dor~me 15o6ine~5 C~ Bank of America Vendor No. Vendor Telephone Number 888-449-2273 Vendor Contact Vendor Address PO Box '1573'1 Wilmington, DE 19886-5731 14225 Iota] Discount $8.25 $8.25 Check No. Entered by .~ C~le ~Audit Date OCT 2 3 201! Invoice Invoice Number Date Description of Goods or Services General Ledger Fund and Account Number qgo~o~oo-OclE Net Purchase Order Amount Claimed Number $8.25 912712012 Finance Charge SM57"10.4.000.000 $8.25 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 par~ h~s been paid, except as therein stated, that the balance therein sta~ed is actually due and owing, and that taxes from which the Town is exempt are excluded Signature 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 Signat ur e~s~~D a~eD ~e I ank of America Business Card FISHERS ISLAND FERRY DST ,~S~:~ 0316 August 28, 2012 - September 27, 2012 Company Statement Account Information: www.bankofamerica.com Mail Billing Inquiries to: BANK OF AMERICA PO BOX 982238 EL PASO, TX 79998-2238 Mail Payments to: BUSINESS CARD PO BOX 15796 WILMINGTON, DE 19886-5796 Customer Service: 1.800,673.1044, 24 Hours TTY Hearing Impaired: 1.888,500,6267, 24 Hours Outside the U,S.: 1.509.353.6656, 24 Hours For Lost or Stolen Card: 1.800.673.1044, 24 Hours Business Offers: www. bankotemerica.com/mybusinesscenter New Balance Total ...................................... $302.30 Minimum Payment Due ..............................$11,18 Payment Due Date .................................... 10/24/12 Late Payment Warning: If we do not receive your minimum payment by the date listed above, you may have to pay a fee based on the outstanding balance: 19.00 tor balance less than $100.01 29.00 for balance less than $1,000.01 39.00 for balance less than $5,000.01 49.00 for balance greater than $5,000.01 lin~num Payment Warning: If you make only the minimum payment each period, you will pay more in rtterest and it will take you longer to pay off your 3alance, Previous Balance ..................................... $1,728.90 Payments and Other Credits .................. -$1,434,85 Balance Transfer Activity ............................... $0.00 Cash Advance Activity .................................... $0.00 Purchases and Other Charges ....................... $0.(30 Fees Charged ................................................ $0.00 Finance Charge ............................................. $8,25 New Balance Total ...................................... $302.30 Credit Limit .................................................. $10,000 Credit Available ........................................ $9,697.70 Stateme~ Closing Date ............................ 09/27/12 Days in Billing Cycle ............................................ 31 Posb~g Transac#on Date Date Desc~ption Reference Number Amount FISHERS ISLAND ~-c~,~y DST Account Number: 05t8 Payments and Other Credits 09/17 09/16 PAYMENT RECEIVED - THANK YOU 26074405350000500814648 - 1,434.85 TOTAL PAYMENTS AND OTHER CREDITS FOR THIS PERIOD -$1!434.85 Finance Charge 09/27 09/27 PURCHASE *FINANCE CHARGE* 8.25 TOTAL FINANCE CHARGE FOR THIS PERIOD $8.28 CUSTOMER STATEMENT OF DISPUTED iTEM (You must use a separate form for each dispute. Please print.) If you believe a transaction on your statement is an error, complete and sign a copy of this form using blue or black ink, or write a detai~ed letter on a separate sheet of paper. Then return it to: PO BOX 53'101~ PHOENIX~ AZ 85072-3'101 no later than 60 days after we sent you the first bill on which the transaction or error appeared. If you prefer to speak with a representative about your dispute, please call `1.866.601.44'10, 9am-Spm Est. You do not have to pay any amount in question while we are investigating, but you are obligated to pay the parts of your bill that are not in question. PLEASE DO NOT ALTER WORDING ON THIS FORM OR MAIL YOUR LETTER WITH YOUR PAYMENT. Provide copies of all documentation that help us investigate your dispute (e.g, contracts, invoices, detailed letter, sales slips, return receipts, or second opinions). Your Name: Account Number: Posting Date: Transaction Date: Reference Number: Amount: Disputed Amount: Merchant Name: Below tell us why you think the item noted above is in error. Check one box only. FJ 1. I certify that I do not recognize the transaction. I have attempted to [] contact the merchant to verify this transaction. [~} 2, I certify that the charge listed above was not made by me or a person authorized by me to use my card, nor were the goods or services represented by the transaction received by me or authorized by me. [] 3. Although I did engage in a transaction with this merchant, I was billed for transaction(s) totaling $ that I did not engage in. I have my card in my possession, if available, enclose ~ a copy of the sales slip for the valid charge. b~ 4. I have not received the merchandise that w~s to be shipped to me on -- / / (M M/DD/YY). I have asked the me rchant to credit my [~ [] 5, Merchandise shipped to me was not as described. Please explain in detail and if applicable provide proof of return, 7. Although I did engage in the above transaction, I dispute the entire charge or a port[on in the amount of $ . I have contacted the merchant, returned the merchandise on (MM/DD/YY) and requested a credit adjustment, I am disputing this charge because Please supply proof of return or if unable to return merchandise please explain. 8, I notified the merchant on I / (MMIDD/YY) to cancel the preauthorized order or reservation, Please note cancellation # and if available, enclose a copy of your telephone bill showing date and time of cancetlation. Reason fo r ca ncellatio n: 9. Although I did engage in the above transaction, I have contacted the merchant for credit. The services to be provided on / ./__ (MM/DD/YY) were not received. Please describe the services to be received and explain the merchants failure to provide the services. [] 6. Merchandise shipped to me arrived damaged and/or defective. I returned it on __/ /_.~(MM/DD/YY) and asked the merchant to credit my account. Please provide proof of return and describe how the merchandise was damaged and/or defective. [~ 10. I was issued a credit slip that was not shown on my statement. A copy of my credit slip is enclosed. If the merchant has agreed to issue a credd, be advised the merchant has up to 30 days to supply this credd to your account. J~ 11. The amount of the charge v~s increased from $ to $ or my sales slip was added incorrectly. Enclosed ut a copy of the sales slip that shows the correct amount. '1 12. Other: Please explain Merchants often provide telephone numbers with their names on your billing statement. If you do not recognize a transaction, attempt first to contact the merchant for transaction information. Cardholder Signature (required): Date: Home Telephone: (,~) Business Telephone: PLEASE KEEP A COPY OF BOTH SIDES OF THIS STATEMENT FOR YOUR RECORDS PAYMENTS We credit a payment as of the date we receive it if the payment is: 1) received by 5:00 p.m, (Eastern Time) Monday through Friday (except legal holidays). 2) received at the payment address indicated on the front of this statement. 3) paid with a check drawn in U.S. dolla rs on a U.S. financial Institution or a U.S. dollar money order, and 4) sent in the return envelope with only the bottom portion of your statement accompanying it. Payments received after 5:00 p.m. (Eastern Time) Friday, but that otherwise meet the above requirements, will be processed on the next business day, which is usually the following Monday. Saturdays, Sundays, and holidays are not business days. Credit for payments received in any other manner may be delayed up to five business days, during which time finance charges, if applicable will continue to accrue. We will reject any payments that are not drawn in U.S. dollars and those draw~ on a financial institution located outside of the United States. Please do not send cash, credit cards, correspondence, staples or paper clips with your payment. Mail your payment at least 7 days in advance of the payment due date to ensure timely delivery. SERVICE FOR THE NEARING IMPAIRED: 1.888.500.6207, 24 Hours CUSTOMER CORRESPONDENCE If you prefer to send a written inquiry regarding your account, please send the request to: BANK OF AMERICA, PO BOX 982239. EL PASO. TX, 79999-2238, USA. This address should not be utilized to dispute merchant transactions appeadng on your billing statement. Please see the paragraph above for instructions regarding dispute procedures. ,BankofAmerica FISHERS ISLAND FERRY DST August 28, 2012 - Se'ptbmber 27, 2012 Page 3 of 4 Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Subject Percenta? Rate _ to Interest Rate PURCHASES 8.24% V $1,178.65 CASH 19.99% V $0.00 V = Variable Rate (rate may vary), Promotional Balance = APR for limited time on specified transactions. Finance Charges by Transaction Type $8.25 $0.00 AS part of our continued commitment to the environment we announced a new 10-yesr, $50 billion envimnmantal business goal to help address climate change, reduce demands on natural resources and advance lower~carbon economic solutions. The new initiative, effective January 1,2013, will focus on energy efficiency, renewable energy and energy infrastructure, transportation, and water and waste, it will include lending, equipment finance, capital markets and advisory activity, carbon finance, and advice and investment solutions for clients. BankofAmerica FISHERS ISLAND FERRY DST 4802 6100 9990 0316 August 28, 2012 - September 27, 2012 Page 4 of 4 FISHERS ISLAND FERRY DISTRICT VENDOR 003281 CHERNOFF DIAMOND & CO.LLC 30/23/2012 CHECK 784 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 27832(TR) ACT.VAL.GASB 45 LIABILTY 6,350.00 SM ,1310.4.000.000 27832(TR) DISBURSEMENT 8.50 TOTAL 6,358.50 Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social S=cur thy Number ~ Vendor Address 3281 990 Stewart Avenue Suite 820 Chernoff Diamond Garden City, NY 11630-4869 Vendor Telephone Number 816-683-6100 Vendor Contact Entered by Audit Date Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number $6,360.00 Actuarial Vaulatlon of GASB 46 Liability $6,350.00 In Progress $8.50 $8.50 Disbursement 27832 (TR} 9130/2012 $6,358.80 $6,358.60 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 ~s 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 Date SM1310.4.000.000 Department Certification I hereby certify that the materials above specified have been received by me in good eondhion without substitution, the services properly performed and that t~ quantities thereof beve been verified with the exceptions or discrepancies noted, and payment is approved. Signature CHERNOFF DIAMOND gmurphy~fiferry.com Mr. Gordon Murphy Fishers Island Ferry District Post Office Box H Fishers Island, New York 06390 INVOICE #: 27832 (TR) DATE: 9/30/12 TOTAL: $6,358.50 Fishers Island Ferry District INVOICE #: 27832 (TR) DATE: 9/30/12 For Professional Services Rendered · Actuarial Valuation of GASB 45 liability (In Progress). HOURLY TIME PROFESSIONAL Principal Consulting Actuary Consultant Associate Benefits Consultant · Disbursement(s). RATE SPENT $545 3.25 $395 3.25 $250 14.50 $180 2.25 AMOUNT CHARGED $1,771.25 $1,283.75 $3,625.00 $405.00 TOTAL AMOUNT DUE * Not to exceed $5,500 plus $..~a~ reprogramming, plus disbursements. 30 DAY NOTICE We work hard to deliver qualliy sorvic~ on a limely basis We ~-sk that our cliema pay fe~ on a timely b~si$ Payment is due ,mt bin 30 days If you are experiencing 990 Stewart Avenue, Suite 520, Garden City, New York 11530-4869 Tel: (516) 653-6100 · Fax: (516) 683-6163 · ,,?ww,chernoffdiamond.com Investment Advisory Services offered through M Holdings Securities, Inc, A Registered Investment Advisor, Chernoff Diamond & Co., LLC is independently owned and operated, $7,085.00* $8.50 $6,358.50 FISHERS ISLAND FERRY DISTRICT VENDOR 014693 COMMIS.OF TAXATION & FINANCE 10/23/2012 CHECK 785 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1980.4.000.000 093012 MTA TAX 7/1-9/30/12 356.55 TOTAL 356,55 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Comm~lonsr of Taxeflon and Fineries Vendor Telephone Number Vendor Conlget Inv01oe Nur~ber Invoice Invoice Total Discount Vendor No. 14693 MCTMT Processing Center PO Box 4139 Binghamton, NY 13902-4139 Net Amount Claimed Purchase Order Number Description of Goods or Services Check No. Entered by ~ Audit Date OCT 2 3 2012 General Ledger Fund and Account Number $356.55 $356.55 MTA-30$ 8Mt980.4.000.000 Quarterly Transporation Mobility Tax Return $356.55 $356.55 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 Signature~e ~ (ompany Name F,~ Date 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 with the exceptions or discrepancies noted, and payment is approved. Signature Title New York State Department of Taxation and Finance Employer's Quarterly Metropolitan Commuter Transportation Mobility Tax Return For help completing your return, see instructions, Form MTA-305-1. Legal name ' Fishers Island Ferry District Add.ss (number aM street or ~1 mute) PO Box 1179, Route 25 Ci~ village, or post offi~ Southold Address c~ange MTA-305 (4/12) Amended return Employer identification number EIN Mark an Xin only one box to indicate the quarter (a separate return must be completed for each quarter) and enter the last two digits of the tax year. Jan1- Ap~l.[~' i Julyl-~ Octl.~ Tax Number of employees -- Enter the number of covered employees whose wages are included in the amount of payroll expense reported for the quarter ................... , .............. 50 Enter your 2-character special condition code, if applicable (see instructions) .......................................................................... If you permanently ceased paying wagee subject to the metropolitan commuter transportation mobility tax (MCTMT), enter the date (MMDDYYYy) ............................................................................................ 1 PayrollexpensesubjecttotheMCTMT(seeinstructions) ............................................................................. 1. 324,i33 .'~92 2 MCTMT due for quarter (see instructions) .......................................................................................... 2, 356 55 3 T~taiprepaymentsinc~udMgPr~mpTaxpaymentsand~r~verpaymentsfr~mprevi~usquarter(~eeinstrucU~ns)~ 3. 0 4 MCTMT balance due ( if line 2 is more than line 3, aubtractline3fromline2;paythisamount) .............. 4. 356 .55 5 T~taiMCTMT~verpa~d(if~ine2is~essthan~ine3~subtrsct~ine2fr~m~ine3;ent~rhere~ndm~rkanxinb~x6~~r$b) .. 5. 6a. Refund" or 6b. Credit to next quarter MCTMT Sign your return: I certify that the information on this return and any attachments is to the best of my knowledge and belief true, correct, and complete. designee? (seeinst~) I J Designee's phone number Personal identification ( ) number (PIN) YesE~ Nor'--~ J E-mail: ~ ! Date: Preparer's signature · Preparer's NYTPRIN Taxpayer's signature// Firm's name (oryou~, if sail. employed) · Preparer's PTIN or SSN I Pdnt Address · Employer identification number l~tie Supervisor Mark an Xif Preparer'se-mail J self-employed [] Date 20 12 J Telephone number October 9~ (631)765-4333 Payroll servlce's name Payroti eervlce's EIN E-mail Scott. Russe ll@town, southold, ny. us Note: if you are umng a paid preparer or a payroll service, the section above must be completed. Make your check or money order payable to: Commissioner of Taxation and Finance Mail this return to: MCTMT PROCESSING CENTER PO BOX 4139 BINGHAMTON NY 13902-4139 0121120094 Gordon Murphy From: Sent: To: Cc: Subject: Attachments: Solomon,Connie <Connie. Solomon@town.southold.ny.us > Tuesday, October 09, 201.2 1.2:59 PM Gordon Murphy Cushman, John; Deb Doucette; Whitecavage, Diana FIFD MTA Payroll Tax FIFD MTA Tax_20121009122833.pdf Hello Gordon, The district will have to pay the MTA payroll tax for the third (3®) quarter ending September 30, 20~.2. ! have calculated the tax (see attached pdf file), which is due on October 31st. Please include a completed voucher for the 10/23 audit, made payable to the Commissioner of Taxation & Finance. We will hold the check here and remit payment on the district's behalf. If you have any questions, please feel free to contact me. Thanks. Connie FISHERS ISLAND FERRY DISTRICT VENDOR 005504 NICHOLAS ESPINOSA 10/23/2012 CHECK 786 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 092012 REIM 226MI@.555/MI 125.43 TOTAL 125.43 Vendor No. Town of Southold, New York - Payment Voucher 5504 Vendor Tax ID Number or Social SeeuriW Number Vendor Address 163 Lakeside Drive Lebanon, CT 06249 Nicholas Espinosa Vendor Telephone Number lnvoi~ Total Discount $125.43 $125.43 Net Purchase Order Amount Claimed Number $125.43 '~ $125.43 Vendor Contact Invoice Invoice Number Date Oqo~C) [~,~ 9/20120t2 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 thc Town is exempt are excluded Company Name f,~ Date Check No. Entered by Audit Date Description of Goods or Services 226 miles ~ $0.555 General Ledger Fund and Account Number ~,5710.4.000.000 111/12 to 9/20/12 Department Certification 1 hereby certify that the materials above specilied 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 ,,% 0 }o~ Mileage Reimbursement Form Name: .4r.d(c_~ ~Off~_m~.. Dale [ Miles V,~ 7 Destination Purpose Total miles ~05 X per mile = date x~'~ ,a .BusinessFormTemplate.com Dale Miles Mileage Reimbursement Form Destination Purpose ? Lo~,es I I~ i (.,d eec~c, oo. e~e c Total miles 9~ X per mile = 5~gnature date w'x w. BusinessFormTemplate.con~ Mileage Reimbursement Form Name:/fY~a'~k ~'50ir/o~co. Date I Miles Destination Purpose .. T'_~Y', CoO. Total miles $0 X permile= signature x~',vw. BusinessFormTemplate.com Internal Revenue Bulletin - January 9, 2012 - Notice 2012-1 Page 1 of 2 g, IRS · SECTION I PURPOSE · SECTION 2 BACKGROUND · SECTION 2 STANDARD MiLEA~ RATES ·SECTION 3 BASIS REDUCTION AMOUNT ·SECTION 4 MAXIMUM STANOARO AUTOMOBILE COST · SECTION 5 EFFECTIVE DATE · SECTION 6 EFFECT ON OTHER DOCUMENTS · DRAFTING INFORMATION SECTION 1. PURPOSE SEC~]ON 2. BACKGROUND SECTION 2. STANDARD MILEAGE RATES SECTION 3. BASIS REDUCTION AMOUNT SECTION 4. MAXIMUM STANDARD AUTOMOBILE COST SECTIONS. EFFECTIVE DATE SECTION 6. EFFECT ON OTHER DOCUMENTS DRAFTING INFORMATION http://www.irs.gov/irb/2012-02_IRB/ar09.html 10/11/2012 Intemal Revenue Bulletin - January 9, 2012 - Notice 2012-1 Page 2 of 2 © 2012 IRS http://www.irs.gov/irb/2012-02_IRB/ar09.hlml 10/11/2012 FISHERS ISLAND FERRY DISTRICT VENDOR 007317 GNCB CONSULTING ENGINEERS,PC 10/23/2012 CHECK 787 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM ,5709.2.000,200 19382 CORNER RAMP REPAIR 330.00 TOTAL 330.00 Vendor No. Town of Southold, New York - Payment Voucher 7317 Vendor Tax ID Number or Social Security Number 130 Elm Street P.O. Box 802 GNCB Old Saybrook, CT 06475 Vendor Telephone Number Vendor Contact $330.00 $330.00 Net Purchase Order Amount Claimed Number $330.00 $330.00 invoi~ 9382 Invoice Number Date 913012012 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~__~~ Title ~ Company Name f~ Date/~' t~' /~--~ Cheek No. Entered by Audit Date OCT 2 3 2~12 Description of Goods or Services General Ledger Fund and Account Number Corner Ramp Repair SMfi709.2.000.200 Department Certification Signature ~ Title Date 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 with the exceptions or discrepancies noted, and payment is approved. P.O. Box 802/130 Elm Street Old Saybrook, CT 06475 Fishers Island Ferry District P.O. Drawer H Fishers Island, NY 06390 Mark Easter No. 19382 09/30/2012 FIFD Corner Ramp Repair 12029.00 For Services Rendered Through 9/30/2012 Docko, Inc. Total Outside Services Invoice 1112270.8 Unit Rate Qty Markup 330.00 1.00 1.00 Amount $330.00 $330.00 Invoice Amount $330.00 FISHERS ISLAND FERRY DISTRICT VENDOR 010583 JOHN DOUCETTE CONTR3~CTING 10/23/2012 CHECK 788 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT MOVE 2 CABINETS-FI OFFC 65,00 TOTAL 65.00 SM .5709.2.000.000 634 Vendor No. Town of Southold, New York - Payment Voucher 10583 Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 77 Fishers leland, NY 06390 ,John Douc~tte Contracting Vendor Telephone Number Vendor Contact Number 634 Invoice Invoice Date lotal 10110/20t2 66.00 65.00 Discount Payee Certification The 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 thc balance therein stated is actually due and owing, and that taxes fTom which the Town is exempt are excluded CompenyName Net Purchase Order Amount Claime~ Number 65.00 ;Check No. '155 Entered by Audit Date Description of Goods or Services Move 2 cabinets from upstairs FI office 65.00 Department Certification OCT 2 ~ 2012 I SM$709.2.000.000 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 with the exceptions or discrepancies noted, and payment is approved Title Date General Ledger Fund and Account Number John Doucette Contracting P.O. Box 77 606 Alpine Avenue Fishers Island, NY 06390 Invoice Date I Invoice # 10/10/2012I 634 Bill To F1 Fen'y District Drawer H F shers Is and, NY 06390 P.O. No. Te~rns Project Quantity Description Rate Amount Move (2) cabinets fi-om thc upstairs office. Labor 65.00 65.00 Total FISHERS ISLAND FERRY DISTRICT VENDOR 011564 THOMAS KRAFT 10/23/2012 CHECK 789 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 5438 5438 5438 5438 RP-5218.0 GAL @$3.406100 17,773.03 CT EXCISE TA~X-$.5~20/GAL 2,671.62 S-F COST RECOVERY.0019 9.91 LUST TAX-$.0010/GAL 5.22 TOTAL 20,459.78 Vendor No. Town of Southold, New York - Payment Voucher 11564 Vendor Tax ID Number or Social Security Number 454111778 ,~ P.O. Box 11125 Thomas Kraft dba Dime Oil Company Waterbury, CT 06703 Vendor Telephone Number 203-7544334 Vendor Contact Check No. Entered by Audit Date Invoice Number 6438 Invoice Date 1015/2012 Total $17,773.03 Discount Purchase Order Number Amount Claimed $17,773.03 $2,671.62 $9.91 $5.22 $2,671.62 $9.9t S-F Cost Recovery .0019 $6.22 LUST Tax - $.00101gal $20,459.78 ; $20,459.78 ( 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 Prom which the Town is exempt are excluded Signature ~ ~'"'~ Title Company Name~' F~ Date Description of Goods or Services RP-6218.0 Gal. At 3.4 ~6t00 Excise Tax - $.61201gal General Ledger Fund and Account Number SM67t 0.4.000.300 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 Dime Oil LLC PO Box 11125 Waterbury,CT 06703 Dime Oil LLC INVOICE Phone: 203-75~-533~ Date: 10/05/2012 Fishers Island Ferry District PO Box H Attn Accounts Payable Fishers Island, NY 06390- Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London ACCOUNT NUNBER: AMOUNT ENCLOSED: ~tl. 20165 Page : 1 Terms: NET 30 Days From Invoice Date Date Invoice Charges and Credits Amount 10/05/12 5~38 #20R Off Road Diese] 5218.0 GALS ~ 3.~06100 17773.03 O/ed Oiesel Feel for Off Road Use ONLY. S-F Cost Recovery ~ 0.0019 State Excise Tax DSL ~ 0.5120 LUST TAX ~ 0,0010 10/05/12 5&36 Fuel Invoice Total Amount Due 9.91 2671.62 5.22 20~59.75 20h59.78 **Please include account number wfth payment*** Fed ID# ~5~111778 DIME" LLC OIL COMPANY, .. P.O. BOX 11125 . WATERBURY,(~) CT 067~ 05438 '" ORDER DAT[0/04/12 F~sher. Island Fe_rry ])~et D~UVERYD^TE 5 W,~,rfront Pa=X kc, ~o*nt . ~o.?/~/~ ~A street _ 442 0165 New ~n~?n. ~ 06320 · 74098 5at~ E Factor. 0.000 Last Delv.09/21/12 ~u~.n,cE.~.a~o. J~ 860-303-8311*195n-~83-s~ral[-follw si~s-L state St-ovr ~ tracks to te~ o,scou....,c~.~.~. DIME OIL COMPANY, LLC P.O. BOX 11125 TMST__ WATERBURY, CT 06703 (203) 754-5334 TMFI __ TRUCK ~_ TAX DRIVER i~CAgH []CHECK [] CHARGE FISHERS ISLAND FERRY DISTRICT VENDOR 011745 LAND, SEA & AIR CONSULT & TEST 10/23/2012 CHECK 790 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 237-091112 DRUG TEST-M.FIORA-9/ll 57.00 TOTAL 57.00 Vendor No. Town of Southold, New York - Payment Voucher 11745 Vendor Tax ID Number or Social Security Number Vendor Address 27-1482752 910 Route 109 Vendor Name North Llndenhurst, NY 11757 Land Sea and Air Consulting & Testing Vendor Telephone Number Vendor Contact Invoice Invoice Number Date Total Discount $57.00 Check No. Entered by Audit Date OCT 2 3 2012 Net Purchase Order Amount Claimed Number $57.00 Description of Goods or Services General Ledger Fund and Account Number ~ 911t/2012 Michael Flora Testing SM5710.4.000,000 $57.00[ $57.00 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is true and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Signature ~ Title t~~-'' Company Name ~ t.~f~Date ~, /'~L ,t~'~.~- Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitation, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature ~ Title ~ Date 10/0~I/12 IRS % 27-1482752 FISHER'S, ISLAND FERRY ATT; NINA SCH~4IDT PO BOX H FISHER'S ISLAND, CT 06390 Page: 1 LAND SEA AND AIR CONSULTING &TESTIl 910 ROUTE 109 LINDENHURST, NY 11757 --~ Tel: 6312253060 ~' Acct: 20000328 /CO Tel: 860/442-0165 Date Diag Ref C.P.T Qt Patient name AR P1 Amt Bal 09/11/12 RANDOMDS 1 50-MICHAEL, FIORA O 57.00 57.00 Regular Total: S 57.00 Provider: OFFSITE Operator: PP FISHERS ISLAND FERRY DISTRICT VENDOR 007984 BERNkRD W. MACFARLAND 10/23/2012 CHECK 791 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000,200 24035 RP ST~RTER 840.17 TOTAL 840.17 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number ~[~ Harley's Auto Electric Vendor Telephone Number 860-443~.~.~.$ Vendor Contact Vendor Address $65 Broad Street New London, CT 06320 Vendor No. 7984 Check No. Entered by ~ Audit Date OCT 2 3 2012 Invoice ~nvoice invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2403-; 9/28/2012 $840.17 $840.17 RP Starter SM5710.2.000.200 $840.17 $840.17 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certif~ that the foregoing claim is rme and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Signature~ Title ~ Company Name ~:l~p Date /~ ~' ~, / ~,- Department Certification I hereby certify that the materials above specified have been received by me m good condition without substitution, the services properly performed and that the quantities thereof have been vcdficd with the exceptions or discrepancies noted, and payment is approved Signature ~ Title g~5~'~%.-.~-~ Date HARLEY'S AUTO ELECTRIC 666 BROAD STREET · NEW LONDON, CONN. 06320 TELEPHONE 1-860.-443-4445 ALTERNATORS · STARTERS · GENERATORS · MARINE CUSTONER~ ORDER NO DATE SOLDBY I CJJH I CHECK QUAN. DESCRI~ION PRICE AMOUNT ~' v TOTAL ~0 (~ ALL PRODUCT8 GUARANTEED 90 DAYS AGAINST DEFECTIVE MATERIAL OR WORKMANSHIP. OUR LIABILITY FROM ALL CAUSE8 LIMITED TO THE VALUE OF THE GOODE 8OLD OR FUR- NIEHED. IF GOOD8 ARE DEFECTIVE WE WILL NOT BE RESPONSIBLE BEYOND THE VALUE OF THE DEFECTIVE PRICE AT OUR PLANT NON WILL WE IN ANY WAY BE RESPONSIBLE FOR ANY DAMAGES OR EXPENSE80CCASlONEO BY DEFECTfVE DOe08. A flnenoe oha~ge oornputed by a Periodio Rate of 1-112% per month which I; en ANNUAL PERCENTACE RATE OF 18% on amountl pa.t due 30 day~ or mom and to add all oatle~dan and legal fee. to the balanoe due. t FISHERS ISLAND FERRY DISTRICT VENDOR 013045 SAP~AH MALINOWSKI 10/23/2012 CHECK 792 FUND & ACCOUNT SM .5710.4.000.000 P. O. ~ INVOICE DESCRIPTION 080912 ELEC. INSP-FI ANNL CMMSNR TOTAL AMOUNT 61.80 61.80 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Sarah Malinowskl Vendor Telephone Number Vendor Contact Invoice Number Invoice ] Invoice Date Total Discount 819120t~ ~$~.80 Vendor Address P.O. Box 402 $61.80 $61.80 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 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. Signature ~ Title ~ ~ Company Name ~p Date ~' /Z / Fishers Island, NY 06390 Net Purchase Order ~mount Claimed Number $6t.80 Vendor No. 13045 Check No. Entered by ,~ Audit Date OCT 2 3 2012 Description of Goods or Services Election Inspectors for FI Annual commissioner General Ledger Fund and Account Number SM$710.4.000.000 Department Certification Signature ~ Title Date I hereby certify that the materials above specified have been received by mc ~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. Election Inspectors Sarah Malinowski Harry S. Parker Leslie Tombari Hours Rate 6 $ 10,30 7 $ ~o,3o 7 $ 10.30 Total Check Gross $ 72.10 $ 206.00 $ 206.00 .Gordon Murphy/ From: Sent: To: Cc: Subject: Cushman, John <John.Cushman@town.southold.ny.us> Friday, October 05, 201.2 8:37 AM Gordon Murphy Alyson Mathews RE: Election Inspectors Sounds good. Send them over. From: Gordon Murphy [mailto:GMurohv@fiferry.coml Sent: Thursday, October 04-, 201.2 2:41. PM To: Cushman, John Cc: Alyson Mathews Subject; Election inspectors John, I have queried counsel, our accounting firm and Gall at civil service and no one seems to have an issue if the FD p~"ys the three election inspectors as one time W-9 contractors. Our last conversation that we had on this subject you voiced some concern. If you are aware of an issue that we have missed please advise me otherwise I will process them for payment (roughly $72.00 each) on the next warrant run. Thanks, Gordon Gordon S. Murphy Assistant Manager +1 631. 788 7463 o2W-9 (Rev. December 2011 ) Department of the 'treasury internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Name (as shown on your income tax return) Business ~ame/disregarded entity name, if different from above Check appropriate box for federal tax classification: [~ Individual/sole proprietor [] C Corporation [] S Corporation [] Partnership [] Trust/estate [] Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) · [] Other (see instructions) I' Address (number, street, and apt. or suite no.) P.O, 6o7. City, state, and ZIP code Requester's name and address (optional) .~,List account number(s) here (optional} · lB Taxpayer Identification Number (TIN) Enter ' our TIN in the appropriate box. The TIN provided must match the name given on the "Name" fine to avoid backup withholding. For individuals, this is your social security number (SSN), However, for a resident alien, sole proprietor, or disregarded entity, see the Pad I instructions on page 3, For other entities, it is your employer identification number (EIN). ff you do not have a number, see How to get a TIN on page 3, Note, if the account is in more than one name, see the chad on page 4 for guidelines on whose number to enter, [] Exempt payee Certification Social security number j Employer Irientificatio n number Under penalties of perjury, I certify that: 1. The number shown on this form ia my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the iRS has notified me that i am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification instructions, You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. · Here u.s, person · General Instructions Section references are to the internal Revenue Code unless otherwise noted Purpose of Form A pe?~n who is required to file an information return with the IRS must obtaln your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it {the requester} and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued}, 2. Certify that you are not subject to backup withholding, or 3. ~:~aim exemption from backup withholding if you are a U.S. exempt payee.'~f applicable, you are also certifying that as a U.S. person, your allocabte share of any padnershtp income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially simitar to this Form W-9. Definition of a U.S. person, For federal tax purposes, you are considered a U.S. person if you are: · An individual who is a U.S. citizen or U.S. resident alien, · A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, · An estate (other than a foreign estate), or · A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnemhips. Padnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business, Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S, person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U,S. status and avoid withholding on your share of padnership income. Cat No 10231X Form W-9 (Rev 12-2011 ) FISHERS ISLAND FERRY DISTRICT VENDOR 013554 MONTVILLE HARDWARE & SUPPLY 10/23/2012 CHECK 793 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION SM .5710.4.000.000 J008379 HOSE NOZ,DRY BAR,BLDS,SN TOTAL AMOUNT 70.69 70.69 Vendor No. Town of Southold, New York - Payment Voucher 13554 Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 607 venaor Name Uncasville, CT 06382 Montville Hardware & Supply Vendor Telephone Number 860-848-3616 Vendor Contact Check No. Invoice $70.69 4/1112012 $70.69 Net Purchase Order amount Claimed Number $?0.69 Invoice Number Entered by Audit Date OCT 2 3 2{}12 Discount Description of Goods or Services General Ledger Fund and Account Number J00837' Hose Nozzles Dry Bar SM57'10.4.000.000 Saw'zall Blades Bress Snaps $70.69 Payee Certification Tim 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 halanee therein stated is actually due and owing, and that taxes from which the To~vn is exempt are excluded Signat ure~ Title ~ Company r~' Date__ Department Certification I hereby certify that the materials above specified have been roceived by me in good condition without substitution, the se~4ces properly performed ~tnd that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Title Date Montville Hardware & Supply PO Box 507 907-A Route 32 UNCASVILLE, CT 06382 Phone: (860) 848-3616 Fax: (860) 848-0858 To: FISHERS ISLAND FERRY DISTRICT P.O. Box H Fishers Island, NY 06390 Statement Date 9/27/2012 Account # FISHERS Due Date Amount Due Amount Enclosed 9/2712012 $70.69 Date Description Amount Balance 08/25/2012 Balance forward 70.69 oi4 5 ~ PAST DUE CURRENT 1-30 Days Past Due 31-60 Days Past 61-90 Days Past Over 90 Days Past Amount Due Due Due Due 0.00 0.00 0.00 0.00 70.69 $70.69 MONTVILLE HARDWARE AND SUPPLY, INC. 907A ROUTE 32 · P.O. BOX 507 · UNCASVILLE, CT 06382 PHONE (860) 848-3616 FAX (860) 848-0858 Cuslomer's y // /~.~ Order No, Da!e Address ...... Phone: I ~ol I I I I ~11 clain~s and returned goods~ ~n~a~d ~ tl~,s bill J008379., ~.-v' TOTAL I FISHERS ISLAND FERRY DISTRICT VENDOR 01402~ NATIONAL AUTO PARTS SVCE,INC. 10/23/2012 CHECK 794 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 SM .5710.2.000.200 SM .5710.2.000.200 SM .5710.2.000.200 SM .5710.2.000.200 SM .5710.2.000.200 200017 200555 920641 920843 921095 922349 RP-ALTERNATOR 58.99 CREDIT-CORE DEPOSIT 11.00- RP-SWTCH,DRP LT,BAT FILL 247.58 BOAT BATTERY FILL 19.69 RP-BATTERY 247.99 RP-V BLT,SOLENOID,SIGLMP 186.37 TOTAL 749.62 Vendor No. Town of Southold, New York- Payment Voucher 14091 Vendor Tax ID Number or Social Security Number Vendor Address 106 Boston Post Road Vendor Name Waterford, CT 06385 NAPA Vendor Telephone Number Vendor Contact Invoice Total Net Purchase Order aanotmt Claimed Number $247.58 Check No. Entered by Audit Date OCT 2 3 2012 Discount Description of Goods or Services General Ledger Fund and Account Number 911212012 $247.58 RP switch, Bat Fill Shop SM5710.2.000.200 J Supplies, RP Drop Light Frieght Shed's 6 foot tie 920843 911312012 $19.69 $19.69 Boat Battery Fill j 200017 911512012 $58.99 $58.99 RP-Alternator J 9115~2012 921095 $247.99 -$11 ~ .00 $186.37 $749.62 $247.99 -$11.00 $186.37 $749.62 200555 922349 9/20/2012 912512012 Payee Certification Tbe undersigned (Claimant) (Acting on behalf of the above named claimant) docs hereby certify that the foregoing claim is frae and correct, that no pan has been paid, except ~ 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/ ~d~ Date RP-Batte~ No charge Core Deposit RP-V Belt, Solenoid, SigLamp Department Certification I hereby certify that the materials at~ve specified have been received by me in good condition without substitution, the services properly performed and that the quantifies thereof beve been verified with the exceptions or discrepancies noted, and payment is approved Title ~'~'~-'~"~ Date NATIONAL PARTS SERVICE, INC. 150 BRIDGE STREET, GROTON, CT 06340 GUILFORD, CT 06437 WATERFORD, CT 06385 OLD SAYBROOK, CT 06475 PHONE: (860) 445-8181 FAX: (860) 445-6414 BILL TO Fishers Island Ferry District PO Box 4H Fishers Island, NY 06390 STATEMENT 1297 09/12/2012 09/13/2012 09/15/2012 09/15/2012 09/20/2012 09/25/2012 Summary as of Previous Balance 4(+) Payments +/(-) Purchases Current Balance Future Dated rNV 920641 247.58 INV 920843 19.69 INV 336-200017 58.99 INV 921095 247,99 INV 336-200555 11,00 Cr INV 922349 186.37 09/30/2012 0.00 0.00 749.62 749.62 0.00 John 749.62 [ 0.00 DATE 09/30/2012 749.62 TERMS Net 20th 0.00 STORE 200001180 749.62 B iNational Parts Service Inc. i150 Bridge Street Croton, Ct. 03640, CT 06340 · (868) 445-8181 Time: 11:85 Date: 09/12/2012 Page: 1/1 Invoice Number 920641 1297 Fishers Island Ferry District PO Box 4H Employee: 33 Sales Rep: 1] Accounting Day: 9 Joe Bill Part Number STB2 700 95/5 BKMATi520UM 110408 '7825005 755 2125 ECH SWITCH '~.~ ~;~ ~ ~'~ ~ 2,00 14.19 8.4900 BK BAT FILL REPLACE TIP ~U~, 1.00 13.71 11.4900 NCB NEW PIG MAT PADS 3~CF $uPPL~I 1.00 168.00 89.9900 WD WD40 20 BONUS CAN~[4~[~] 2.00 15.98 8.4900 BK DROP LIGHT [-~r~,~_.~>~ ,/~ 2.00 31.70 24.5800 B~ 6 ~00~ ~I~ DO~ ~'<%~0~ ~ ~'S ~.00 ~.~ ~.~00 Total 16.98 11.49 89.99 16.98 49.16 62.98 Promised Time: Attention: Tax Exemption: PO%: Terms: Net 20th Customer signature ALL GOODS RETURNED MUST B~ ~COM PAN~ED BY THIS INVOICE NAPA NOW STOCKING CARLYLE PROFESSIONAL HAND TOOLS CUSTOMER COPY Subtotal 247.58 TABLE 1 6.3500% 0.00 T0~ai 1247:58 Charge Sale 247.58 700 l16t National Parts Service Inc. 150 Bridge Street Groton, Ct, 03640~ CT 06340 (860) 445-8181 Time: 10:54 Date: 09/13/2012 Page: 1/1 Invoice Number 920843 i297 Fishers Island Ferry District Fishers Is]arid, NY 06390 Employee: 35 , Erik Sales Rep: il , Bill Accounting Day: 10 Part Number Line Description Quantity ~rice BK BAT FILL 1.00 24.41 Net : Total 19.6900 19.69 Promised Time: Attention: Tax Exemption: PO#: Terms: Net 20th Customer Signature NAPA NOW STOCKING CUSTOMER COPY Subtotal 19.69 TABLE 1 6.3500% 0.00 TOtal 19.69 Charge Sale 19.69 200001336 ~~ NATIONAL pARTS SERVICE INC 82 Boston Post Road · Waterford, CT 06385 -- (860) 447-3211 Time: 10:35 Date: 09/15/2012 Page: 1/1 Invoice Number 200017 ~%~ers Island Ferry District PO Box 4H Fishers Island, NY 06390 Employee: 2 , A1 Sales Rep: 0 , Salesman Accounting Day: 12 213-401~ ~ ~~ ~:00 81.00 ~7.9800 47.99 213 4010 iRAY ~Core Deposit 1.00 11.00 11.0000 ll.00 D Promised Time: Attention: Tax Exemption: PO#: John Terms: Net 20th Customer Signature GOODS RE~RNED MUST BE ACCOMPANIED BY ~$ iNVOICE CUSTOMER COPY Subtotal 58.99 T~XTABLE 1 6.3500% 0.00 Charge Sale 58.99 200001180 National Parts Service Inc. 150 Bridge Street · Groton, Ct. 03640, CT 06340 (860) 445-8181 Fishers island Ferry District PO Box 4H Fishers Island, NY 06390 Time: 08:55 Date: 09/15/2012 Page: 1/1 Invoice Number 921095 Employee: 9 , Chet Sales Rep: 11 , Bill Accounting Day: 12 Part Number DescriPtion BAT Core Deposit Quanti~y P~i~e !!iii N~t I Total 1.00 292.60 199.9900 199.99 1.00 48.00 48.0000 48.00 D Promised Time: Attention: 2 Tax Exemption: Terms: Net 20th Customer Signature NAPA NOW STOCKING CARLYLE PROFESSIONAL RAND TOOLS CUSTOMER COPY Subtotal 247.99 TABLE 1 6.3500% 0.00 Charge Sale 247.99 200001336 NATIONAL PARTS SERVICE INC 82 Boston Post Road Waterford, CT 06385 (868) 447-3211 4H Island, NY 06390 Time: 13:43 Date: 09/20/2012 PaGe: 1/1 Invoice Number 200555 Employee: 10 , Eric Sales Rep: 0 , Salesman Accounting Day: 16 213 4010 POky Core Deposit -1.00 11.00 11.0000 ll.00CRD This item was purchased on invoice # 200017 09/15/2012 Promised Time: attent ion: Tax ExemptiOn:po#: 5s~o~e~ature RNED MUST ME ACCOMPANIED By THIS INVOICE CUSTOMER COPY Subtotal ll.00CR T~DfTABLE 1 6.3500% 0.00 Credit Memo 11.00 CR 200001180 National Parts Service Inc. 150 Bridge Street Groton, Ct. 03640, CT 06340 (860) 445-8181 Fishers Island Ferry District PO Box 4H F4shers Island, NY 06390 Time: 11:24 Date: 09/25/2012 Page: 1/1 Invoice Number 922349 Employee: 29 , Jeffrey Sales Rep: 11 , Bill Accounting Day: 20 Part Number Line 25 7417 NBH V-BELT ST89 ECH SOLENOID 7440 LMP SIG LAMP Description Quantity Price 1.00 20.92 2.00 116.77 10.00 5.16 Net Total 13.4900 13.49 69.9900 139.98 3.2900 32.90 Promised Time: Attention: Tax Exemption: Terms: Net 20th Customer Signature NAPA NOW STOCKING CARLYLE PROFESSIONAL HAMD TOOLS CUSTOMER COPY Subtotal 186.37 TABLE 1 6.3500% 0.00 Total 186.37 Charge Sale 186.37 FISHERS ISLAND FERRY DISTRICT VENDOR 014193 NORTHEAST UTILITIES 10/23/2012 CHECK 795 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 51981034010912 NL NEW TRM SVC 8/31-10/1 TOTAL 1,372.41 1,372.41 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor No. 14193 Northeast Utilities Vendor Telephone Number 800-286-2000 Vendor Contact Invoice Number Date 51981034010' 1011/2012 lnvoice Total Discount $1 $t,$72.4t Vendor Address PO Box 150493 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is true and conect, 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 Towa is exempt are excluded Company Name I ~' Date Hartford, CT 06115-0493 Net Purchase Order Amount Claime~ Number $1,372.4t $1 ,$72.4'1 Description of Goods or Services Check No. Entered by Audit Date OCT Z 3 2012 General Ledger Fund and Account Number NL New Term Service 8M$710.4.000.100 8/3t/12 - 10/112012 Department Certification I hereby certify 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 thc exceptions or discrepancies noted, and payment is approved. Title Date ' 0065122 Connecticut Light & Power A N~'~h~ast Utilities Company Contact Information Emergency:. 1-800-286-2000 (anytime) Web Sile: www.cl-p.com Ematl: CLPCustomerService@cl-p.com Customer Service: 1-800-286-2000 860-947-2000 Hartford/Meriden (M-F 7-7 & Sat 10-3:30 pm) Simplify your life Use eBIII and ePBy at www.cl-p.com Or Pay by Phone 1-888-783-6618 Electricity Supplier Compare your electdclty usage Average usage In oct 2011 (52 F) 252 kwh Average usage In Oct 2012 (56 F) 302 kwh Energy Profile 0 N O J F M A M J J A S 0 2011 2012 Due Date Nov 30, 2012 Total ~mount Due $1,372.41 Your account summary Previous balance on Aug 31 Payment Sep 5 Payment Oct 1 FISHER ISLAND FERRY DISTRICT Statement date: Oct 1,2012 Customer name key: FiSH Account number: 51981034010 $3,128.09 -$1,603.31 -$1,524.78 Balance Forward New Charges/Credits Electricity Supply Services Delivery Services Total new charges $0.00 $692.64 $679.77 $1,372.41 Total amount due Payment due upon receipt unless other arrangements have been made. Detail for Service at: 5 WATERFRONT PARK, NEW LONDON CT 06320-6310 Service reference: 952682001 Billing cycle: 01 Your meter reading for meter # 886118182 For billing period: Aug 31 - Oct 1 (31 days) Actual reading on Oct 1,2012 Actual reading on Aug 31,2012 $1,372.41 NeAmaddate on orabout: 0ct30,2012 81615 -80679 Diffemnce = 936 Meter constant x 10 Billed usage = 9,360 Total demand use: 29.50 kW Electricity Supply Detail CONNECTICUT GAS & ELEC Generation Srvc Chrg** 9360.OOKWH x $0.074000 $692.64 Subtotal $692.64 (continued on next page) ,~:count number: 51981034010 Demand Profile O N D J F M A M J J A S O 2011 2012 Generation Rata 0 N D J F M A M J J A S 0 2011 2012 CL&P Delivery Services Detail Transmission Dmd Chrg Distr Cust Srvc Chrg Distr Chrg per KWH Distribution Dmd Chrg CTA Demand Chrg FMCC Delivery Chrg Comb Public Benefit Chrg* DISTRIBUTION RATE: 030 27.50KW x $5.670000 $155.93 $38.50 8850.OOKWH x $5.017800 $157.53 510.OOKWH x $5.017800 $9.08 27.50KW x $9.060000 $166.65 27.50KW x $9.370000 $10.18 9360.OOKWH x $9.008880 $83.12 9360.OOKWH x $5.006280 $58.78 Subtotal $979.77 Explanation of yot~r charges *The Combined Public Benefits Charge represents a combination of throe charges formerly known as: "Conservation and Load Mgmt Charge, Renewable Energy Investment Charge, and Systems Benefits Charge." **Effective January 1, 2007, the Generation Services Charge (GSC) and the Bypassable Federally Mandated Congestion Charge (BFMCC) have been combined into the "GSC Charge" listed in the Electricity Supply Detail section gl your bill. The GSC reflects all of the cost of procuring energy from CL&P wholesale suppliem. The BFMCC portion of this line Item is $5,0015,~Wh. I[ you muttipiy this BFMCC rate by the number of kWhson your bill you can calculate the dollar amount associated with the BFMCC. Account messages Scan this with your smartphone! It will simplify your life. Go to your app store to get a list of bamode reader appe for your mobile device. (continued on next pa~e) N:count numben 51981034010 Customer Billing Information Qucoficos and complaints If you have a question or complaint about your bill or any payment urTongeurent, cog the numpor listed on the front of the bill, or include a note with your payment on a separate sheet of paper. A complete explanation of your rights is available upon written request to the company or by calling customer service at the phone numpur listed in the upper left corner of the hill. Termination of service and customer rights You have the right to dispute a toruricotion notice. You may also have sur'dce continued between November 1st and May 1st if you qualify for h~dship status or have a serious illonon or life-throntening condition. Third*party notice You can ask us at any time to ont~y a third party ir your service in subject to being shut off. For additional intsrmaUon, you should call the number listed on the front of the bill or include a note with your payment on a separate sheet of paper. FJe~xio suppliers leformation aboof liceaned electric suppliers, including raton nad charges, conblct tsrms and conditions, energy nourcas and enlission rates, is avaiisble from the Public Utilities Regulatory Authority (PUPA) 10 Franklin Square New Britain, Conancticut, 06051, by visiUng www.otenergyinfo.com Check processing check, authorize CL&P to use the check intermaticn to oneding your you create an electronic funds fraanfer. The elonironic fransfer, for the original check amount, will be processed on the day ycor check is roneived. The check wig be dantioyed and an image of your check will be stored for 2 years, if the eleciranic twmofer caonst be completed, a demand drait of yonr check can be orcoted and ucod le place of the original. Security Deposit PURARegulatian 16 11- -105ailowstheCompanytecoliect aoncoritydeposir from commorcisi/tsdanblai custourem with either no credit or negative credit history w~Ulthe Company. Cour nlurciai/lnd ontriai customers with a timely bill payment history will not be assessed a security deposit. Security deposits, along wdh accrued inturont will be refunded to the Customer after 12 consecutive months of good payment history. Information and quesUons For information or questions regarding your account, please contact CL&P at 860-947-2000 or 1-800-286-2000. For other consumer questions and unresolved complaints, you may call PUPA Consumer Services toll free at 1-800-382-4586. Informaci6n en la Factura para el Consumidor Preguntas y quejas Si usted tiene alguna pregunta o queja sabre su factura o sabre alg[~n arreglo de page, flame al ndmero listado al frenta de esta factura o incluya una nora separada cuande env[e su page. gna explicaciOn detallada de sun detaches como consumidor est~ disponsible si Io pides par escrita a la compa~la o si llamas al cetaro de servicios al consumidor al n~mero fistado arriba, a la izquierda en su factura. Terminaci6n de servlcio y sus derechos como consumidor Usted tiene el derecho de refutar la curia de terminaci(~n. Tambi~n podra cotainuar el servicio entre e] 1 de Noviembre y el 1 de Mayo, si usted caJJfica como consumidor con dificultad econ6mica documentada o tiene alguna enfermedad sofia, o una situaci6n de vida o muerte existenta en su hogar. Notificacibn a una tercera persona Utaed puede solicitar en cualquier momenta que nos comuniquemos con una tercera persona si su servicio esta en riesgo de ser desconectado. Para mas informacidn, llama al ndmero listado en su factura incluya una nora separada cuando envle su page. Proveedores de energia el~ctrica Informacipa acerca de proveedores de energia el~ctrica licenciados, incluyendo clases de taritas y cargos, t~rminos y condiciones de contratos, fuentos de energia y tadfas de emisidn, es disponible a Ins consumidores a tray,s de la Autoridad de Emprasas de Servicios Pdblicos (PURA), 10 Franklin Square, New Britain, Connecticut, 06051, o visitando www.ctenergyinfo.com. Procesamiento de cheques Al enviar su cheque, usted autoriza CL&P a usar la informaci0n de su cheque para crear transferenci~s de fondos electr0nicamente. La transferencia electr(~nica par I~ cantidad original del cheque sera procesada el dia qua su cheque es recibido, El cheque sera destruido y una copia electr(~nica sera guardada par 2 ados. Si la transferencia electr(~nica no puede ser compietad~ podemos exigir un retire de fondos y esta puede set usado en lugar del original. D~posito de Seguridad Segdn la regulaciOn 16-11-105 de la PU RA, la qua permite a la Compadla cobrar un ddp~sito d~ seguridad para cliontes comerciales o industriales con o sin crbdito o histodal de cr~dito negative con la Compadia, Clientas comerciales o industriales con un historial de page de facturas a tiempo no se le cobrara un depdsito de seguridad. LOS dep(~sitos de seguridad, junto con el interns qua hah acumulado seran retomados al clienta despu~s de 12 mesas consecutivos de buen historial de page. Para informaci~n 0 preguntas Para informaciOn o preguntas relacionadas con su cuenta par favor llama a CL&P al 860-947-2000 e 1-800-286-2000. Para mas in formaci6n y para asistancia sabre disputas no resueltas, flame a PURA al ndmero 1-800-382-4586. FISHERS 1S~ FE~Y D~ICT VENDOR 014232 NYS DEPT OF LABOR-UI DIV 10/23/2012 CHECK 796 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .9050.8.000.000 04-64309-4 UNEMPLOYMENT~RICKER 756.00 TOTAL 756.00 Town of Southold, New York - Payment Voucher Vendor No. Vendor Tax ID Number or Social Security Number New-Yorte~ate Unemployment Insurance Vendor Address P.O. Box 4301 Binghamton, NY 13902-4301 14232 Vendor Telephone Number Vendor Contact Invoice Number Discount Description of Goods or Services Check No. Invoice $756.00 Invoice Date Total 101112012 $756.001 Entered by .~ Audit Date Net Purchase Order ~mount Claimed Number $756.00 $756.00 OCT 2 3 2012 General Ledger Fund and Account Number 04-64309-4 Unemployment for SM9050.8.000.000 Ricker 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 lown is exempt are excluded Signature m~"~~-e ~,~ Title ~ Company Na Date Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, thc services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Signature ~ Title Date NEW YORK STATE UNEMPLOYMENT INSURANCE PO BOX 6501 BINGHAMTON NY 15902-6501 For office Use Only Dist. Ii~e, A=slgn, Type Form Type X U Received Cate D] Al Employer Reg, No, Account Status as of 0~-66309 fi 10/01/12 For Completion by Employer FISHERS ISLAND FERRY DISTRICT PO BOX 1179 SOUTHOLD NY 1[971-0959 Notice of Reimbursable Billing .A. ny amount now due for Unemployment Insurance Benefit Reimbursement charges, inlerest or penalty is shown below as Current Balance" preceded by the word "Underpaid." A check for this amount plus any additional inlerest should be mailed prompUy. Enter the payment amount in the employer box above and return this form with your paymenl. If the amount shown as "Current Balance" is preceded by the word "Overpaid" you will be receiving a refund of this overpayment. Payment on current quarter charges shown as "BR" is due by the end of the month following the end of the quader or 15 days from the billing date, whichever is laler. This notice does not Include amounts assessed for Failure to File PeBalties or Benefit Claim Penalties. If you have penalties due you will be advised by separate notice. Interest is assessed on late paymenl of benefit reimbursement charges at the rate of 12 percent per year. Charge Notices, IA 96R, included in billing are dated: .......................................... Your Previous Balance Was 1Q12 02/03/12 through 04/06/12 2Q12 05/04/12 through 07/06/12 3Q12 08/03/12through 10/05/12 4Q12 11/02/12 through 01/04/13 NONE ~'0.D0 'f'he symbols in Column 1 show Claimant tile Iyps o~ S.S Acct # Reimbursement Interest PE- Penalty questions, please c~ll (518) 457-10S0 for assistance. IA 126R (08-12) Date Period Ool 1 Type kiab SR Column 2 Column 3 Amount Due Amount Paid .~756.00 UNDERPAID ~756.00 Carl N. Boorn, Director Unemployment Insurance Division NEW YORK STATE DEPARTMENT OF LABOR Unemployalent Insurance Division PO Box 15122 ALBANY,N.Y. 122i2.$122 www.labo r.stata.ny.as NOTICE OF BENEFIT REIMBURSEMENT CHARGES FISHERS ISLAND FERRY DISTRICT PO BOX 1179 SOUTHOLD NY 11971-0959 DATE MAILED 08/05/12 EMPLOYER REG. NO, 04-64509 4 THZS ES NOT A BELL PLEASE REVZEW PROMPTLY BENEFIT PAYMENTS MADE TO Tile CIJ',IMANTS LISTED HAVE BEER CHARGED TO YOUR ACCOUNT EACH PAYMENT IS FOR FOUR EFFECTIVE DAYS(ONE WEEK) UNLESS OTHERWISE INDICATED, TO HELP PROTECT YOUR ACCOUNT AND THE IlNEMPLOYMENT INSURANCE FUND: 1 Verify that eaclt claimant was employed by yoq. 2 If yea have any informatio~ that might affect the claimant's benefit rights, please write to the NYS Departcnent o[ Labor, PC) Box 15130, Albany, NY 12212-5130 or lax to (518) 485-7377, 3 If you have work available, please contact the claimant directly Should tho claimant re[use the job or- not report to work, please wrile Io the address ia #2 or notify the DeL office indicated below, If you are unable to coatacl the claimant [or recall or woulU like assistance in meetil~g your hirieg needs, contact the DeL Employment Service nearest you. 4. t~, (P) printed next to the amount of benefits paid shows that a pension reduction is already being made If you are awm e that a claimant is receiving a pension to which you contributed 50% or more and ag reductioa is showl~, please wrde to ti~e NYS Department of Labor, PO Box 15130, Albany, NY 12212-5130 or* fax to (510) 485-7377. 5, if you (~bjeet lo any of these c ~arges for ott~er reasons, write to the Liability and Determination Section at the address in the he~de~ or fax; (518) 485~6172 Provide claimant's name, SS//, week ended dates, and leason(s) you believe tho cl~arges ale incorrect IF YOU DISAGREE WITH THI~ DETERMINATION, YOU MAY APPLY FOR A HEARING WITHIN 30 DAYS FROM THE MAILING DATE OF THIS NOTICE. PAGE 1 SOCTAL SEC:. :WK ENDED EFF DeL Soc'rAL SEC, WK ENDED EFF Del ACCOUNT If NAME MO DY YE AMOUNT DAY OFF ACCOUNT If NAME MO DY YR AMOUNT DAY OFI ! , ' _~[~--~-qSZq AC RICKER 710112 65.00 2 801 ~-~-65Zq AC RICKER 7,08,2 63.00 2 80: ~-~-qSZq~AC RICKER 7[15~2 65.00 2 801 ~-~-qSZq AC RICKER 7~2212 63,00 2 go~ HE NILL SEND A BILL AT THE ENO OF THE QUARTER FOR THE TOTAL AMOUNT DUE, A CR SYMBOL CANCELS A PREVZOUB CHARGE. AN ASTERZSK [~) ZS AN ADdUSTMENT. IA 96R(11-05) $252,00 TOTAL CHARD MARINe, DIRECTOR UNEMPLOYMENT NSURANCE D~lSON FOR THE COMMISSIONER OF LABOR FISHERS ISLAND FERRY DISTRICT PO BOX 1179 SOVTHOLD NY NEW YORK STATE DEPARTMENT OF LABOR PO Box 15122 ALBANY N.Y. 12212-5122 www.labor,st.te.ny.ua NOTICE OF aENEFIT REIMBURSEMENT CHARGE~j DATE HALLE A(,rEHPL~OYER REG,?q'qO. 10/05/12 .... Oq-6qS09 q 11971-0959 THIS IS NOT A BILL PLEASE REVIEW PROMPTLY BENEFIT PAYMENTS MADE TO TBE CLAIMANTS LISTED HAVE BEEN CHARGED TO YOUR ACCOUNT EACH PAYMENT IS FOR FOUR EFFECTIVE DAYS[ONE WEEK) UNLESS OTHERWISE INDICATED. TO HELP PROTECT YOUR ACCOUNT AND THE [~NEMPLOYMENT INSURANCE FUND; 1 Verify that each claimant was employed by you. 2. I1 you have any information thai might affect tile claimant's benefit rights, please write to tile NYS Departmenl of Labor, PO Box 15130, Albany, NY 12212-5130 or fax ID {518) 485-7377. 3. If you have work available, please contact the claimant directly. Should the claiFnant refuse the job or not report to work, please wrde t~ tile address in #2 or notify the DOL office iedicatod below, If you are unable to contact the claimant for recaU or would like 4 A {P) printed next to the amount el benefita paid shows that a pension reduc:don is ah'eady being made, If you are aware that Department of Labor, PO Box 15130, Albany, NY 12212-5130 or fax to (518) 485~7377. § It you object to any of these charges for other reasons, write to the Liability and Determination Section at the address in the header or fax: (518) 485-6172. Provide claimant's name, SSt/, week ended dates, and reason(a) you believe the charges are blcorrect. IF YOU DISAGREE WITH THIS DETERMINATION, YOU MAY APPLY FOR A HEARING WITHIN 30 DAYS FROM THE MAILING DATE OF THIS NOTICE. PAGE 1 SOCIAL SEC, WK ENDED EFF DOL SOCIAL SEC. WK ENDED EFF DO ACCOUNT tt NAME MO DY YR AMOUNT DAY OFF ACCOUNT It NAME MO DY YR AMOUNT DAY OF )~-~-qSgq AC RICKER 910212 51,50 1 801 ~-~-q52q AC RICKER 9,0912' 63.00 2 80 ~D[-~l(-q52q AC RICKER 9~1612 65,00 2 801 ~-~-fi52q AC RICKER 912512 65,00 2 gu · ~220,50 TOTAL NE HILL SEND A BILL AT THE END OF THE QUARTER FOR THE TOTAL AMOUNT DUE, A CE SYHBOL CANCELS A PREVTOUS CHARGE' AN ASTERISK (~} IS AN ADJUSTMENT. IA 96R(11-05) UNEMPLOYMENT INSURANCE DIVISION FOR THE COMMISSIONER OF LABOR FISHERS ISLAND FERRY DISTRICT PO BOX 1179 SOUTHOLD NY NEW YORK STATE DEPARTMENT OF LABOR Unemployment Insuraece Division PO Box 15122. ALBANY.N.Y~ 12212-5122 www,labor.state.ny.qS t NOTI~;:OF ~E~F~$ ~Emgu~s~l,l~T CHARGES 11971-0959 EMPLOYER REG, NO. THIS IS NOT A DILL PLEASE REVIEW PROMPTLY BENEF T PAYMENTS MADE TO THE CLA MANTS L STED AVE BEEN CtlAROED TO,OUR ACCOUNT EACrt PAYMENT IS FOR FODR EFFECTIVE: DAYS(ONE WEEK) UNLESS O'rBERWISE INDICATED. TO HELP PROTECT YOUR ACCOUNT AND THE [~NEMPLOYMENT INSURANCE FUND: Verily that each claimant was employed by you. If you have any ieformalion thai might affect the claimant's benefit rights, please write to the NYS Dep;u'tment of Labor, PO Box 15130, Albany, NY I2212-5130 or fax to (§18) 485-7377, if you have work available, please contact the claimant directly, Sboald the claimant refuse the job or not report to work, please write t the address in #2 or notify the DeL office indicated below. If yeu are unable to cor~tact the claimant for recall or would like assistance in meetin~l your hiring needs, contact the DeL Employment Service nearest you. A (P) printed next to the amount of benefits paid shows that a pension reduction is already being made. B' you ara aware a claimant is receivin,g a pensioa to which you contributed 50% or more and no reduction is shown, please write to the NYS Department Gl Labor, PO Box 15130, Albany, NY 12212-5130 or [ax to (518) 485~7377. If yoo object to any o( these charges for other reasoes, write to the Liability and Determination Section at tile address ie tile he~d~ or (ax (518) 485-6172. Provide claimant's name. SS~,~, week ended dates, and reason(s) you believe the cl;arges are Hlcorrect IF YOU DISAGREE WITH THIS DETERMINATION, YOU MAY APPLY FOR A HEARING WITHIN 30 DAYS FROM THE MAILING DATE OF THIS NOTICE. PAGE SOCIAL SEC. WK ENDED EFF DOL SOCTAL SEC, WI( ENDED EFF DE ACCOUNT # NAME MO DY YR AMOUNT DAY OFF ACCOUNT # NAME MO DY YR AMOUNT DAY OF _-_-52q AC RICKER 7129i2 65,00 2 801 ~.-~. ~52q AC RICKER 8~05~2 65.00 2 8[ ~-q52q AC RICKER 8112~2 65.00 21801 ~-:~,452q AC RICKER BI19~2 65.00 2 8( ~-q52q AC RICKER 8126~2 51.50 1 801 ] [ ~283.50 TOTA NIt, L SEND A BILL AT THE END OF ACR SYNIIOL CANCELS A PREVIOUS CHARGE.. ~ AN ASTERI'SK 1~) 'rS AN ADJUSTMENT. IA 96R(11-05) RD MARINe, DIRECTOR UNEMPLOYMENT INSURANCE DIVISION FOR THE COMMISSIONER OF LABOR Gordon Murph~ From: Sent: To: Subject: Attachments: Cushman, John <John.Cushman@town.southold.ny.us> Thursday, October :].1, 2012 ].].:55 AM Gordon Murphy 3rd Quarter Unemployment Bill FIFD UNEMPLOYMENT.pdf Gordon, Attached please find the District's 3rd quarter unemployment Notice of Reimbursable Billing and backup materials. I urge you to process this for payment as soon as possible to avoid penalties. John John Cushman Town Comptroller Town of Southold 63~.-765-4333 htt p://southoldtown.northfork.net/Acct-Fin.htm THIS DOCUMENT 15 INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED.AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED ANO CONFIDENTIAL, OR THAT CONSTITUTES WORK PRODUCT AND IS EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY USE, DISSEMINATION, DISTRIBUTION, OR COPYING OF THE COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED T~IS COMMUNICATION IN ERROR, PLEASE NOTIFY US BY TELEPHONE 63~.-765-4333 AND DESTROY THE DOCUMENT. THANK YOU. FISHERS ISLAND FERRY DISTRICT VENDOR 016028 HARRY S. PARKER 10/23/2012 CHECK 797 FUND & ACCOUNT P.O.$ INVOICE DESCRIPTION AMOUNT SM .5710.4,000.000 080912 FI ELECT.INSP.ANNL CMMSN 72.10 TOTAL 72,10 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O, Box 426 Fishers Island, NY 06390 Harry $ Parker Vendor Telephone Number Vendor Contact Invoice Invoice Number Data 819/20t2 Invoice Total $72.10 Discount Net ~.mount Claimed $72.10 Vendor No, 16028 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 Purchase Order Number Description of Goods or Services ;Check No. Entered by Audit Date OCT 2 3 2012 Election Inspectors for FI Annual commissioner $72.10 $72.10 Department Certification Company Name P~"~ Dar /~' / ~' LI General Ledger Fund and Account Number SM$7t0.4.000.000 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 ~ Title Date Election Inspectors Sarah Malinowski Harry S, Parker Leslie Tombari Hours Rate 6 $ 10.30 7 $ 10.30 7 $ 10.30 Total Check Gross $ 61.8o $ 72.10 $ 72,10 S 206.00 $ 206.00 From: Sent: To: Cc: Subject: Cushman, John <John.Cushman@town.southold.ny.us> Friday, October 05, 2012 8:37 AM Gordon Murphy Alyson Mathews RE: Election Inspectors Sounds good. Send them over. From: Gordon Hurphy [mailto:Gl',lurphy(~fiferry.com] Sent: Thursday, October 04, 2012 2:4:~ PH To: Cushman, .John Cc: Alyson Mathews Subject: Election Inspectors John, I have queried counsel, our accounting firm and Gail at civil service and no one seems to have an issue if the FD pays the three election inspectors as one time W-9 contractors. Our last conversation that we had on this subject you voiced some concern. If you are aware of an issue that we have missed please advise me otherwise I will process them for payment (roughly $72.00 each) on the next warrant run. '- Thanks, Gordon Gordon S. Murphy Assistant Manager +1 63:1 788 7463 FISHERS ISLAND FERRY DISTRICT VENDOR 016170 H.O. PENN MACHINERY,INC. 10/23/2012 CHECK 798 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 PSCE4612764 RP-(1)SHAFT(4,CI~Mps TOTAL 154.12 154.12 Vendor No. Town of Southold, New York - Payment Voucher '16170 Vendor Tax ID Number or Social Security Number Vendor Address t22 Noxon Road Vendor Name Poughkeepsie, NY 12603-2940 H,O. Penn Machinery Co. Vendor Telephone Number 645-462-1200 Vendor Contact Number Invoice $t fl4.12 Data Total 9/28/2012 $154. t21 Discount Net ~.mount Claimed PSCE4612764 $154.t 2 $t54.12 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 pan has been paid, except as the~in stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Signatore~ Title ~ Company Name F~ Date Purchase Order Number Check No. Entered by ~ Audit Date OCT 2 ;t 2012 General Ledger Fund and Account Number $M5710.2.000,200 Department Certification i hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Signature~ Title Date I H.O. PENN CUSTOMER INVOICE H. O. PENN MACHINERY COMPANY, INC. BLOOMINGBURG, NY 783 BLOOMINGBURO RD, 12721 845-733-6400 BRONX, NY 699 BRUSH AVENUE, 10465 718-863-3800 HOLTSVlLLE, NY 660 UNION AVENUE, 11742 631-758-7500 NEWINGTON, CT 225 RICHARD STREET, 06111 860-666-8401 POUGHKEEPSIE, NY 122 NOXON ROAD, 12603 845-452-1200 SOLD TO: 000057 * 000057 FISHERS ISLAND FERRY DISTRIC PO BOX H FISHERS iSLAND NY 06390 001 SHIP TO: 5 WATERRONT DR PSCE4612764 09-28-12 18692 JOHN 04 C 2 1 04C706560A 09-25-12 10 UPS COHPLETE PARTS SALES PERSON: HICHAEL A. SILVEY 1 6N-4241 SHAFT N 39.40 39.40 4 4W-6548 CLAHP A N 21.53 86.12 TOTAL PARTS 125.52 T 1 FREIGHT OUT 11.81 TOTAL HISC CHARGES 11.87 T FRT iN 7.53 T CONN SALES TAX 9.20 T ' NOT RETURNABLE H.O.PENN H. O. PENN MACHINERY COMPANY, INC. BLOOMINGBURG, NY 783 BLOOMINGBURG RD 845-733-6400 BRONX, NY 699 BRUSH AVENUE 718-863-3800 DANBURY, CT 30 OLD MILL PLAIN RD 203-798-8644 HOLTSVILLE, LI 660 UNION AVENUE 631-758-7500 NEWINGTON, CT 225 RICHARD STREET 860-666-8401 POUGHKEEPSIE, NY 122 NOXON ROAD 845-452-1200 CUSTOMER BACKORDER SHIPPING LIST SOLD TO CUSTOMER NO. FISHERS ISLAND FERRY DISTRIC 18697 PO BOX H FISHERS ISLAND NY 06390 STORE 04 SHIP TO PACKING LIST *CHARGE* FOR INQUIRIES PLEASE REFERI~ICE THIS NUMBER [ DOCUM~TNO 04C706560A ] 5 WATERRONT DR ] ORDERED BY TELEPHONE CUST. ORDER NO. INSTRUCTIONS D~VERY lOCATION SHIP VIA 631-788-7463 JOHN SSI UPS COMPLETE AA Y UNKN 099Z00001 9/25/12 16:11:51 MAS ITEM .... QUANTITY--- GROSS NO. ORDER SHIP B/O PART NUMBER LOCATION N/R TR SOS WEIGHT UNIT PRICE EXTD PRICE PARTS SALES PERSON: MICHAEL A. SILVEY 2 1 1 6N-4241 S07 62 000 .1 39.40 39.40 SHAFT 3 4 4 4W-6548 YRK 62 000 .3 21.53 86.12 CLAMPA TOTAL G~OSS WEIGHT OF SHIPPED I'I'~MS 1.3 FRT IN SAVE MONEY ON ~'~I~H'I',PLA~q~ ~'1'O~ O~D~! ~ALL P~.'I'~ M~ b'O~ U~'l'Alb~ 7.53 CONN SALES TAX U~ ,.'E,~I,L 'I'U'I'.a~L~ 8.45 ITEMS MARKED ' ' ' ARE NOT-RETURNABLE **SIGNATURE REQUIRED** PERMISSION MUST BE OBTAINED TO RETURN PARTS AFTER 15 DAYS, 15% HANDUNG CHARE DEDUCTED INVOICE NUMBER COVERING BILUNG OF PARTS MUST BE GIVEN. CUSTOMER OR HIS AGENT ACKNOWLEDGES RECBPT OF THE WEMS INDICATED AS SHIPPE~ ABOVE AND AGREES THAT THE TERMS. CONDITIONS AND LIMITATIONS PRINTED ON THIS DOCUMENT WILL APPLY TO ALL rTEMS LISTED HEREON. RECEIVED BY DATE B37FPBO w/o 04/11/11 FISHERS ISLAND FERRY DISTRICT VENDOR 019267 DEBORAH S. SHILLO 10/23/2012 CHECK 799 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 081212 RECORD MINUTES-8/12 681.25 TOTAL 681.25 Town of Southold, New York - Payment Voucher Vendor Tax iD Number or Social Security Number Deborah Shillo Vendor Telephone Number 860-242-2614 Vendor No. 26 High Wood Road Bloomfield, CT 06002 19267 Check No. Entered by ~.~ Audit Date OCT Z 3 2012 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claime~ Number Description of Goods or Services General Ledger Fund and Account Number $681.25 $68t.26 $681.25 $681.26 8112/2012 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is ~ruc 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 Recorder of minutes Comm. Mtgs 27.25 hm ~ $ 25.00 August SM5710.4.000.000 Department Certification I hereby certify that the materials above specified have been received by me 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 is approved Signature Title 2012 Deborah Shillo 26 High Wood Rd. Bloomfield, CT 06002 860 242 2514 $25.00 Hr. AUGUST TOTAL $681.25 v'~ Date 7-Aug 8-Aug 8-Aug 9-Aug 11-Aug 16-Aug 15-Aug 16-Aug 17-Aug 28-Aug 29-Aug 7-Sep 7-Sep 12-Sep Description 8/7 meeting 8/7 minutes 8/7 resolutions 8/7 minutes tape 8/11 special emails 8/7 & 11 final emails 8/15 meeting 8/15 minutes 8/17 minutes 8/28 meeting 8/28 resolutions & min 8/15 and8/17 fnal 8~28 tape 8/28 finish minutes draft 27-Sep adjustment to 8/28 minutes 3-Oct final 8/28 Hours TL 1.5 $37.50 2 $50.00 2 $5O,OO 4 $100.00 1 $25.00 1 $25.00 2 $50.00 4.5 $112.50 1.5 $37.50 2,5 $62.50 1 $25.00 0.5 $12.50 2 $50.00 1 $25.00 0.5 $12.50 0.25 $6.25 FISHERS ISLAND FERRY DISTRICT VENDOR 019503 SOUTHEAST ELECTRIC, LLC 10/23/2012 CHECK 800 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 5151 SECURITY LIGHTS-NL 360.00 TOTAL 360.00 Vendor No. Town of Southold, New York - Payment Voucher 19503 Vendor Tax ID Number or Social Security Number Vendor Address 35-3162215 882 Noank Ledyard Rd Mystic, CT 06355 Southeast Electric, LLC Vendor Telephone Number 560-636-7800 Vendor Contact 515t Invoice Date Total $360.00 $360.00 Discount Net Pumhase Order Amount Claimer Number $360.00 $360.00 Number 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 par~ 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~ fP Date CheckNo. Entered by Audit Date OCT ~. ;~ 2017 Description of Goods or Services Security Lights NL Terminal General Ledger Fund and Account Number SM5709.2.000.200 Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Signature ~tle SOIrTHEAST EI.ECTI{IC~ LLC 882 Noank Ledyard Road Mystic, CT 06355 860-536-7800 CT License #E 1-190523 MA License #E51751 CustomerName:~.~/ffj/~: [~j~'q2/ / ~ /:'/'/~' '''~ Date: ?/'~/~Z~__~ lnvoiceNo. 5151 Qty Description Amount Total FISHERS ISLAND FERRY DISTRICT VENDOR 020151 TECHNICOLOR, INC. 10/23/2012 CHECK 801 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 85664708 FILM DEL/PU FEES 50.00 TOTAL 50.00 Town of Southold, New York - Payment Voucher Vendor No. 20151 Vendor Tax ID Number or Social Security Number Vendor Address Department 848498 Los Angeles, CA 90084-8498 Check No. Entered by Audit Date TECHNICOLOR INC. Vendor Telephone 800-993-4567 Vendor Contact Invoice invoice Number Date 85664708 913012012 Invoice Net Purchase Order Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number $50.00 $50.00 $50.00 $50.00 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 ~s tbevein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Company Name Film DeI/PU Fees SM7155.4.000.000 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 ~s approved. Signature Title technicolor ~? TERMS: NET 14 DAYS INVOICE TO: Shipped To: 1000448 Community Thtr New London, CT 06320 Community Thtr Po Box 607 Circuit or Fishers Island, NY 06390 Owner 1000448 09/30/12 85664708 10/14/12 ~!TLE ~E~CRI~TION QTY ~ ~HI~ DATE PRINT MANAGEMENT THE DARK KNIGHT RISES Print Return 1 25.00 8194459 09/07/12 1Z8R7Y657823363279 DIARY OFA WIMPY KID 3:DOG D Print Return I 25i00 8194458 09/06/12 1Z8R7Y657823375159 (PM) Subtotals: 0.00 0. ~ 0 30 i0.00 50.00 Packaging Materials Sales ~x Shi ~ping Subtotal FOR ADDRESS CORRECTIONS: OiOC 0~00 O!OC 50i00 50.00 1-800-99-FILMS ( 34567 ) FISHERS ISLAND FERRY DISTRICT VENDOR 020547 LESLIE B TOMBARI 10/23/2012 CHECK 802 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 080912 ELECT.INSP-FI-ANNL CMSNR TOTAL 72.10 72.10 Town of Southold, New York - Payment Voucher Vendor Taxx ID Number or Social Security Number Vendor Address P.O. Box 357 Fishers Island, NY 06390 Leslie Tombarl Vendor Telephone Number Vendor Contact IVendor No. 20547 Check No. Audit Date OCT 2 3 2012 Invoice Invoice Invoice Number Date Total Discount Description of Goods or Services General Ledger Fund and Account Number $72.t0 N~ Pumhase Order Amount Claimed Numar $72.10 $72.10 Election Inspectors for FI Annual commissioner Department Certification 8/912012 $72.10 Payee Certification SM6710.4.000.000 The undersigned (Claimant) (Acting on behalf of the abeve named clalmam) does hereby certify that the foregoing claim is tree and correct, that no pan 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. Signature ~e,~/ Title ~ Company Name ~'-F~ Date 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 ~s approved. Signature Title , Election Inspectors Sarah Malinowski Harry S. Parker Leslie Tombari Hours Rate 6 $ 10.30 7 $ 10.30 7 $ 10.30 Total Check Gross $ 61.80 $ 72.10 $ 72.10 $ 206.00 $ 206.00 Gordon Murphy From: Sent: To: Cc: Subject: Cushman, John <John.Cushman@town.southold.ny.us> Friday, October 05, 2012 8:37 AM Gordon Murphy Alyson Mathews RE: Election Inspectors Sounds good, Send them over. From: Gordon Murphy rmailto:GMurDhv@fiferry,com] Sent: Thursday, October 04, 2012 2:41 PM To: Cushman, .lohn Cc: Alyson Mathews Subject: Election 1Inspectors John, I have queried counsel, our accounting firm and Gail at civil service and no one seems to have an issue if the FD pays the three election inspectors as one time W-9 contractors. Our last conversation that we had on this subject you voiced some concern. If you are aware of an issue that we have missed please advise me otherwise I will process them for payment (roughly $72.00 each) on the next warrant run. Thanks, Gordon Gordon S. Murphy Assistant Manager +l 631 788 7463 icmurohv@fiferrv.com FISHERS ISLAND FERRY DISTRICT VENDOR 021503 UNITED OIL RECOVERY, INC. 10/23/2012 CHECK 803 FUND & ACCOUNT P.O,# INVOICE DESCRIPTION AMOUNT SM .5710.4,000.925 111907 HAZARDOUS WASTE DISPOSAL 917.16 TOTAL 917.16 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number United Industrial Services Vendor Telephone Number 203-238-6757 Invoice Invoice Date Total 9127/2012 $917.16 Vendor Contact Invoice Number Discount Vendor Address P.O. Box 845033 Boston, MA 02284-$033 Vendor No. Net ClaimedII PumbaseNumar Order Amount $917.16 21503 Check No. Entered by Audit Date OCT ~. 3 2012 Cie k ~ . Description of Goods or Services Hazardous Waste General Ledger Fund and Account Number 907 SM5710.4.000.925 Disposal $9t7.16 $917.t6 Payee Certification Thc undersigned (Claimant) (Acting on behalf oftbe 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 Department Certification I hereby certify that the materials above specified have been received by me tn good condition without substitution, the services properly performed and that the quantities thereof have been verified vx4th the exceptions or discrepancies noted, and payment is approved. Signature Invoice Remit To: United Oil Recovery. Inc PO Box 845033 Boston. MA 02284-5033 Sold To: FISHER8 ISLAND FERRY DISTRICT POBOXH FISHERS ISLAND, NY 06390 Contact: ACCOUNTS PAYABLE FIS017/B0037718 Page: 1 Number: 111907 Date: 9/27/2012 FISHER'S ISLAND PARK DISTRICT 5 WATERFRONT PARK NEW LONDON, CT 06390 Please detach and return this portion With your payment Invoice Total: 91716 Total Due 91716 UNITED INDUSTRIAL SERVICES Due [)ate Customer iD Invoice # Terms 10/27/2012 9:35:00 AM 004FIS 111907 Net 30 Work Order#: J0918120080-101 Service Date:9/20t2012 Description fisher island ferry / oil and water (0483HLHLMSD) - Man# UISA0352661 VAC - TRUCK 4,000GAL CAPACITY FUEL SURCHARGE MANIFEST PREPARATION FEE Recovery & Security Surcharge ............................................................ LAST ITEM PO Number: john Tax Quadily Unit Unit Price Line Total Y 787 Gallon $0.400 $314.80 Y 1 TRIP $340,000 $340.00 Y 340 EACH $0.280 $95,20 Y 1 EACH $20000 $20.00 1 Surcharge $92.400 $92.40 Subtotal $862.40 Sales Tax $54.76 Payments $0.00 Pay This Amour~t $917.16 TERMS: INTEREST SHALL ACCRUE AT THE RATE OF 1 1/2% PER MONTH ON ALL AMOUNTS NOT PAID IN 30 DAYS CUSTOMER AGREES TO PAY ALL COSTS OF COLLECTION INCLUDING A REASONABLE ATTORNEY'S FEE IN THE EVENT THIS ACCOUNT IS TURNED OVER TO AN ATTORNEY FOR COLLECTION CONTACT INFO: UNITED OIL RECOVERY, INC. 47 GRACEY AVENUE, MERIDEN, CT 06451 PHONE: (203) 238-6757 FAX: (203) 238-6776 UNITED INDUSTRIAL SERVICES CORPORATE OFFICE 47 GRACEY AVENUE MERIDEN, CT 06451 TELEPHONE (888) 276-0887 FAX (203) 630~.415 "An Equal Opportunity Employer" Re: Manifest received at Bridgeport United Recycling, Inc. Bridgeport, CT To Whom This May Concern: Enclosed is a completed copy ora Uniform,[tazardous_Waste Manifest or a Non-Hazardons Waste Manifest regarding waste received at our facility on ~- 210'/~--.~ This copy, together with the copy of the manifest you retain when the waste was initially shipped, must be retained in your files as proof that the waste was transported and received by an authorized, designated facility. Our storage and lreatment methods are as follows: · H141 Storage · }!135 Water Treatment · }t061 Fnel Blending* *All products of our t~,ml blending process are burned for energy recovery. Thank you for choosing a United facility for your treatment and recycling needs. For additional information, please visit our website at x~ ww.unitcdiudustrialscrvices.com. To schedule a tour of our facility, please call (888) 276-0887 or email us at csa!~ unitedindustri~dscr~ices.com. Very lruly yours, William C. Morris [~:nvironmental Director WCM/chn NONHAZARDOUS WASTE MANIFEST i P!ease type (or print) 1 Generator's US EPA ID No Manifest 2. Page 1 Document No 3 Generator's Name and Mailing Address A. Nonhazardous Waste Manifest Document Number FI F.F ISLN FERRYDlSTRICT UIS l 0552861 P 0 ~ H - FISHER8 I,~1..,~, ~ 0r~10 B. 6.SI. (Gen. Site Address) 4 Generator's Phone ( ~0 '14201~ FlliI..IER~ I~L~ND PARK DIBT 5 Transporter 1 Company Name 6 US EPA ID Number 5 WAI~FROI~r P.~i/IK _ UNn~]NDU~ll~L~L~S let ~) o .~ ,~ . t ~e "~* C S.T.l.(Trans Lic. Plate#)~if~/~F 7 Transporter 2 Company Name 8. US EPA ID Number I D. Tran Phone ( 9 Designated Facility Name and Site Address 10. US EPA ID Number E.S.T.I (Trans Lic, Plate BRIDOEPORT UNtieD ~ F. Tran, Rhone ( ) ~ ~ ~ G. State Facility's ~D (Not Required) ~~,~0 I~TD0 02 5~ 3~ ~7. H.~ao~,tyTsPhone ~12 Containers 13 ,~b~ I ; 11 US DOT Description (Including Proper Sh~pp/ng Name, Hazard Class and ID Number) Total ~ No Type Quantity I Waste No STATE 0 c EPA I S~ATE d I i EPA O hddibon~l Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above Interim ~ Final : Interim ~ Final 15. Special Handling Instructions and Additional Information ~y ~ ~~ ~) ~ ~A - ~ Point of Depadure: ~6 GENERATORrS CERTIFICATION: ~ hereby declare that the contents of this consignmeat are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for transpod by highway according to applicable international and national government regulations, and all applicable State laws and regulations I Printed~yped Name Signa~u~ ~'~ Month O,sy Yrar : 17 Transpoder 1 Acknowledgement of Receipt of Materials ~ o[18 Transpoder2AcknowledgementofReceiptofMaterials TR h ...... Printed~yped Name ~Signat,re ............................ Month Da)~ ........ Yea' ~ I 19 Discrepancy Indication Space A~ I 0 Fac y Owner or Operator Co.cation of receipt o haza dous materials covered by this man ~ excep as ~ ed ~ em 9.. y P n e~yped Name ~ Sgnau e , ~ / Mo/~¢~ p~, Yea, COPY 2 FACILITY MALLS T~) GENERATOR