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Home My WebLink AboutAU-12/18/2012 Fishers IslandFISHERS ISLAND FERRY DISTRICT VENDOR 001327 AIRGAS EAST, INC 12/18/2012 CHECK 870 FUND & ACCOUNT P . O . ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 116838947 (2}PROPANE FORKLIFT FUEL 78.68 TOTAL 78.68 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 827049 [Vendor No 1327 I Vendor Name Philadelphia, PA 19182-7049 Airgas East Vendor Telephone Number 860 ~?. ~. -3055 Vendor Contact Invoice Invoice Invoice ; Number Date Total Discount $78.68 Net Purch&~e Order Amount Claimed Number $78.68 Check No. Audit Date DEC 1 8 2012. De?cription of Goods or Services General Ledger Fund and Account Number 116838947 11/15/2012 SM5710.4.000.000 $78.68 $78.68! Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) docs 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 Toual is exempt are excluded. Company Name / Date Department Certification 1 hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Signature ~ ,~'-~ Title Date TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 216-642-1576 496115-00 I 116838947 02081 11/15/12 FISHERS ISLAND 465 841 812 ] CUST P'I~KUP ' NI=~- 30 DA¥~ 1 ~* LOCATION: B6 *~ 49611[11i~.~ PR 33A PROPANE 32LBS ALUMINUM CL 35.3404 70.68 N 49611 ~ 11,,1 ~AZHAZMAT 2 VOL: 64 HAZARDOUS MATERIAL CHARG EA 8.00 8.00 N ub _otal 78.68 TO~AL (YI,IND~ ~S SHIPPE[}: 2 RETUR ED TAX C~: 000000006 TAX >ESCRF CCNN~CT] ]U EXMPT CD: 0 EXMPT/CER'i : 4UNICIPALITY [ $.00 :~tS ~$O~E:: $18.68 Airgas www.alrgas corn Airgas East 17 Northwestern Drive Salem, NH 0307'9 SHIP TO: FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND NY 06390-0607 ORIGINAL INVOICE ACT. NAME AIRGAS EAST ACT, NO. 8606074799 PNC BANK- ABA NO. 031000053 REF. 116838947/02081 DELIVERY ORDER ITEM COUNT BY FILLED REVIEWED JSTAGING AREA TOTAL PKGS I Ts~pT~*ClYLINmD~I~S FREIGHT CHARGES SHIPPED: DELIVERED VIA ON , BL # DECL VALUE SOLD BY: P/O INTERNAL 9577 AIRGAS EAST NO: USE ONLY 130 CROSS RD NATERFORD CT 06385 CUS~NO: 02081 REL NO: SHIP TO: ORDER NO: 4 9 6 1 1 5 - 0 0 -- SOLD TO: ~SHERS ISLAND FISHERS ISLAND ORDDATE: 11/15/12 FtRRY DIS1RICT PO BOX H PAGENO: 001 OF 001 FISHERS iSLAND NY 06390-0607 15 NOV-12 10:16AM CRT:TNA3303 TRAN TYPE SLSM ERCH TERR UPS PFD COLL SHIP VIA ROUTING ~65 812 0X CUST SCHEDULEDSHIPDATE11/15/12_ REGION116 ENTEREDBY CHRG SEL 341 PICKUP WES SHIP ~ HRZRRD C[RSS ~UH6ER ~0 HUHBER ORDER SHIP RETH ~T R~OU~T 2 CI X U~1918 PROPRHE Z PR 33R P~G 2 2 2 64 50.0 (PROPRHE 32L8S RLUHI~U~) ~<<<<<Es[ imaged del Jvery:11/16>>>>>>>> ~[[R HRZRROOUS ~RTERIRL CHRR6E 3 HRZ HRZHRI PSG 1 0 .0 [otal ~eight: Customer phone number: 631-Z88-t463 I~HIPPED BY: THIS AGREEMENT SUBJECT TO AIRGAS' STANDARD TERMS PLACARDS OFFERED NY 06390-0607 [~HIP TO: FISHERS ISLAND FERRY DISTRICI PO BOX H FISHERS ISLAND £0 UPS SHIPPER NO. I ICUST UPS i 02081 I00 0 ORDER [DATE ISHIP VIA 496115-'00 11/15/12 CUST PICKUP '-NONE- SAFELY AND CONDITIONS' SEE REVERSE SIDE FOR IMPORTANT [--I F ACCEPTED FOR , Emer~n~ Co~ ~-7~-~8 Am~GAS PERSONNE~ ~ ~ / ' ¢~TE ~ l,O.D. FISHERS ISLAND FERRY DISTRICT VENDOR 019500 AT&T 12/18/2012 CHECK 871 FUND & ACCOUNT P.O, ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000,100 SM .5710.4.000.100 86044201651212 TEL/NL TERM 11/14-12/14 261.27 86044201651212 LATE FEE CHARGE 3.96 TOTAL 265.23 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Secufib' Number Vendor No. Vendor Address AT&T J P.O. BOX ~82 Vendor Name AT&T Carol Stream, IL 60197- Vendor Telephone Number 800-321-2000 Vendor Contact Invoice Number Date Invoice Total Discount Net ~,mount Claimed Purchase Order Number 19500 Check No. $'11 Entered by Audit Date DEC 1 8 2012 Description of Goods or Sep,'ices I General Ledger Fund and Account Number 8604420165 11115/2012 $261.27 $261.27 NL Terminal Tel i SM5710.4.000.100 I~l~ 11114112-12114112 11/15/2012 $3.96 $3.96 Late Fee Charge SM5710.4.000.100 I I ~ $265.23 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 Title Compan> Name Date Department Certification I hereby certify that the materials above specified have been received by me ~n good condition without subsfitution, the services properly performed and that the quantities thereof have been verified with the exceptmns or discrepanmes noted, and payment is approved Signature Title at&t FISHERS ISLAND FERRY DISTRICT Pn§e PO BOX H Account Numbor FISHERS ISLE NY 06390-0607 Billing Date 1 of 6 860 442-0165 078 Nov 15, 2012 Web Sits att.com Previous Bill 264.15 Payment .OO Adjustments 3,96 Past Due - Please Pay Immediately 268.11 Current Charges 261.27 Total Amount Due $529.38 * Current Charges Due in Full by Dec 14, 2012 · Thank you fora being an ALL DISTANCE® customer. Your ALL DISTANCE® savings includes: Promotions and Discounts Item No~ Date DescriotJq!~ Adiustments 1 11-15 LatePaymentChargel.5% 3.96~'" 2700 Questions? Call: Plans and Services 1 800 321-2000 Repair: 1 800 246-8464 Internet Services: 1 877 722-3755 Total Current Charges Page 1 · PREVENT DISCONNECT · CARRIER INFO · KEEP YOUR OISCOUNT · CENTRALINK 1100 See "News You Can Use" for additional information. 261,27 261.27 Promotions and Discounts 2. SaveElite SConn-$27ofiq2moterm 27.0~CR Monthly Senticn - Nov 15 thru Dec 14 Charges for 860 442-0165 3. Monthly Charges 12260 Charges for B65 443~851 4 Monthly Charges 2835 Charges for 860 444-03Z0 5. Monthly Charges 28.35 Charges for 860 447-9371 6. Monthly Charges 2835 Total Monthly Service 207.65 Call Charges Bus Block of Timo 700 II ZY Summary 670 Minutes Used 700 Minutes Allowed 7. Bus Block of Time 700 II 2Y Charges for 8~0 442-0165 Item No, ~ Time P!qC~ Itemized Calls 8.10-15 611A FISHERSIS 9 10-15 100A FISHERS IS 10.10-15 711A FISHERSIS 11.10-15 832A FISHERSIS Number Cod~ Mien 3000 NY 631 788-5550 2 1:16+ .00 NY 631 788-5550 2 1:39+ NY 631 788-7463 2 0:54+ O0 NY 631 788-7632 1 4:09+ ,00 "BASIC $302.58 NON BASIC $226.80 Return bottom porUon with your check in the enclosed envelope. at&t FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLE NY 06390-0~07 Page 2 of 6 , Account Number 860 442-OI65 078 . Billing Date Nov 15, 2012 Web Site att,com Call CharRes - Continued Item No. Date Time Place 1.10-15 839A FISHERS IS 2.10-15 923A ESSEX 3. 10-15 t118A FISHERS IS 4.10-15 1127A SANFORD 5. IO-15 1135A FISHERS IS 6.10-15 1237P FISHERS IS 7.10-15 117P FISHERSIS Number NY 631 788-7632 CT 868767-1768 NY 631 788-7345 FL 407 68~-4557 NY 631 788-5673 NY 631 788-7632 NY 631 788-5673 8.10-15 206P WINOSORLKS CT 860668-0~44 9.10-15 218P FISBERSlS 10.10-15 308P FISHERS IS 11.10-15 312P FiSHERSIS 12.10-15 363P FISHERS IS 13.10-16 917A FISHERS IS 14.10-16 940A FISHERS IS 15.18-16 946A FISHERS IS NY 631 788-7463 NY 631 788-7224 NY 631 788-5515 NY 631 788-7463 NY 631 788-5673 NY 631 788-7632 NY 631 788-7632 16.10-16 1114A SCHENCTADY NY 518243-9324 17,10-16 1227P FISHERS IS 18.10-16 1243P FISHERS IS 19.10-16 126P FISHERSIS 20.10-16 128P FISHERS IS 21.10 16 149P FISHERSIS 22.10 16 211P FISHERSIS 23.10-16 233P FISHERS IS 24.10-16 242P WlLLIMNTIC 25.10-16 251P FISHERS IS 26.10-16 329P HARTFORD 27.10-17 728A FISHERS IS NY 631 788-7463 NY 631 788-7463 NY 631 788-7463 NY 631 788-7345 NY 631 788-7463 NY 631 788-7463 NY 631 788-7463 CT 860 942-3685 NY 631 788-7463 CT 860 209-7500 NY 631 788-5550 D 2 28.10-17 744A NIAGARAFLS NY 716278-6600 2 29.10-17 810A NIAGARAFLS NY 716278-6600 I 30.10-17 816A PUTNAM CT 860923-9575 D 31.10-17 825A PUTNAM CT 860923-9576 D 32.10-17 908A PUTNAM CT 860923-9575 D 33.10 17 934A PUTNAM CT 860923-9575 D 34.10-17 938A NEWBRNSWCKNJ 908227-1515 35. IO 171015A FISHERS IS 36.10 17 1043A FISHERS IS 37.10-17 130P SEATTLE 38.10-17 147P STAMFORR 39.10-17 200P HARTFORD 40.10-17 230P HARTFORD 41.10-17 444P FISHERSlS 42.10-17 516P FISHERS IS 43.10q7 548P FISHERSIS NY 631 788-5550 NY 631 788-5550 WA 206 789-0944 CT 203 554-5595 CT 860521-2455 CT 860521 2455 NY 631 788-7632 NY 631 788-7264 NY 631 788-7899 44.10-18 845A POUGHKEPSl NY 845656-1677 45.10-18 850A FISHERSIS NY 631788-5655 46.10-18 911A POUGHKEPSI NY 845656-1677 47.10-18 913A FISHERSIS NY 631788-5550 48.10-18 918A FISHERSIS NY 631788-7345 49.10 ]8 935A OLD SAYBRK CT 860399 5266 Code 0:41+ 0:30+ 0:30+ 1:40+ 6:51+ 5:52+ 0:48+ 11:46+ 0:39+ 0:50+ 0:30+ 3:10+ 4:58+ 2:28+ 0:30+ 2:03+ 1:26+ 1:32+ 1:03+ 0:30+ 1:41+ 1:41+ 0:30+ 0:30+ ~3:29+ 0:30+ 2:14+ 0:30+ 6:05+ 6:56+ 1:13+ 3:56+ 3:01+ 2:06+ 1:16+ 1:04+ 2:10+ 0:30+ 0:56+ 1:35+ 2:07+ 0:30+ 0:30+ 0:30+ 0:30+ 1:09+ 1:39+ 0:35+ 0:45+ .00 .00 .00 .00 .00 .00 .00 .00 CaR Charges - Continued Item No. D~t~_te Time place 50,10-18 940A FISHERS IS 51.10-18 1041A FISHERS IS 52.10-18 1139A LINDENHST 53.10-18 1152A LINDENHST 54.10-18 122OP FISHERS IS 55.10-18 1232P LONDON 56.10-18 1240P POUGHKEPSl 57.10-18 129P FISHERSlS 58.10-18 130P FISHERSIS 59.10-18 131P FISHERSIS 60.10-18 144P STAMFORD 61.10-18 305P FISHERSIS 62.10-18 438P OLD SAYBRK 63.10-19 831A FISHERS IS 64.10-19 90lA FISHERS IS 65.10 22 844A POUGHKEPSl 66.10-22 928A FISHERS iS 67. 10-22 1044A FISHERS IS 68.10-22 1051A FISHERS IS 69.10-22 1105A FISHERS IS 70.10-22 1136A FISHERS iS 71.10-22 1147A LINDENHST 72.10-22 1209P FISHERS IS 73.10-22 1228P FISHERS IS 74.10-22 116P FISHERS IS 75.10-22 158P FISHERSIS 26.10-22 319P FISHERSIS 77.10 22 334P FISHERS IS 78. 10 23 715A FISHERS ES 79.10 23 841A FISHERS IS 80.10-23 1219P BRIDGEPORT 81.10 23 1231P NEWYORK 82. 10-23 1256P FISBERS iS 83.10-23 229P FISHERS IS 84.10-23 232P FISHERS IS 85.10-23 311P FISHERS IS 86.10-23 449P FISHERS IS 87.10-24 832A FISHERS IS 88.10-24 919A FISHERS IS 89.10 24 950A WATERBURY 90. 10-24 1OIOA FISHERS IS 91.10-24 1016A OLD SAYBRK 92.10 24 1053A FISHERS IS 93.10-24 1109A FISHERS iS 94. 10-24 1121A FISHERS IS 95.10 24 1149A FISHERS IS 96.10-24 1157A WINDSORLKS 97.10-24 1202P FISHERS iS 98.10-24 200P FISHERS IS 99.10-24 226P QUEENS 100.10-24 234P WlNDSOBLKS 101.10 24 406P HARTFORD 102.10-24 439P HARTFORD Number Code NY 631 788-7255 NY 631 788-7463 NY 631 225-3060 NY 631 225-3060 NY 631 788-5550 ON 226 663-6343 NY 845485-4033 NY 631 788-5673 NY 631 788-7345 NY 631 788-5673 CT 203554-5626 NY 631 788-7463 CT 860 575-9438 NY 631 788 7463 NY 631 788 5550 NY 845 656 1676 NY 631 788-7857 NY 631 788-7251 NY 631 788-7744 NY 631 788-7463 NY 631 788 7174 NY 631 225-3060 NY 631 788-7632 NY 631 788-7744 NY 631 788-7463 NY 631 788-5673 NY 631 788-7345 NY 631 788-7311 NY 631 788-7463 NY 631 788-7345 CT 203556-2964 D NY 917 566-6911 NY 831 788-7345 NY 631 788 5673 NY 631 788-7463 NY 631 768-1919 NY 631 788-7463 NY 631 788-7857 NY 631 788 7463 CT 203 754-5334 NY 631 780 7857 CT 860399-5266 NY 631 788-1463 NY 631 788-5673 NY 631 788 7876 NY 631 788-7463 CT 860 668-0044 NY 631 788-5673 NY 631 788-7919 NY 917 930-5665 CT 860 668-0044 CT 860 986-7634 CT 860986-7634 Mien 2:11+ .0~ 0:33+ .00 9:39+ .00 21:46+ .00 1:16+ .00 1:00 1.16 0:30+ .00 0:30+ 0:30+ .00 0:30+ .00 1:18+ .00 2:43+ .OO 19:15+ .00 0:52+ .00 0:30+ .00 0:30+ .00 0:30+ .00 0:30+ .00 1:11+ .00 0:45+ 0:40+ .00 4:18+ .00 0:37+ .00 0:30+ .00 0:49+ .00 1:02+ .00 0:30+ .00 2:35+ .00 3:11+ .00 8:43+ .00 5:38+ .0~ 0:50+ .00 0:30+ .00 0:30+ .00 1:33+ .00 12:17+ ,00 4:30+ .00 0:43+ 0:52+ .00 0:30+ .00 0:30+ .00 1:43+ .00 2:27+ 0:30+ .00 0:30+ .00 3:16+ .00 1:58+ .00 0:30+ .00 1:55+ .00 0:30+ .00 2:53+ .00 7:04+ 1:13+ .00 2884.007.013423.01.03.0000000 NNNNNNNY 41373.146973 FISHERS ISLAND FERRY DISTRICT Page 00[6 at t Po Box H Account Number 860 442-0165 078 FISHERS ISLE NY 06390 0607 Billing Date Nov 15, 2012 Call Charqes - Continued No. Date Tripe P!PC9 110 24 446P HARTFORD 2.10-24 513P HARTFORD 3 10-24 523P FISHERS IS 4.10-25 823A FISHERS IS 5 10-25 824A FISHERS IS 6 10 25 925A FISHERS IS 7 10 25 939A FISHERS IS 8.10-25 1001A FISHERS IS 9 10-25 1055A FISHERS IS 10 10 25 1111A FISHERS IS Number CT 860 986-7634 CT 860986-7634 NY 631 188-7463 NY 631 788-7345 NY 631 788-7857 NY 631 788-5623 NY 631 788 7463 NY 631 788 7463 NY 631 788-7463 NY 631 788-7463 11 10 25 112OA W BOYLSTON MA 508835-4446 12 10-25 1207P FISHERS IS 13 10-25 122P FISHERS IS 1410-25 131P FISHERSlS 15 10-25 332P FISHERS IS 16 10-25 346P FISHERSIS 17 10 26 648A FISHERS IS 18 10 26 916A FISHERS IS 19 10-26 ~046A FISHERS iS 20. 10 26 1046A FISHERS IS 2i 10-26 llITA FISHERSIS 22.10 26 1144A FISHERS IS 2310 26 1156A WRENTHAM NY 631 788-7463 NY 631 788 7463 NY 631 788 7251 NY 631 788 7463 NY 631 788-7463 NY 631 788-7335 NY 631 788-7463 NY 631 788-7463 NY 631 788-7744 NY 631 188-7345 NY 631 788 7255 MA 508 954-8380 241026 1200P PROVIDENCE RI 401742-5267 25 10 26 1223P FISHERS IS 26 10 26 144P FISHERS IS 27 10 26 204P FISHERS IS 28.1026 218P FISHERS IS 29 1026 231P LINDENOST 30 I026 257P FISHERS IS 31 I0 26 603P FISHERS IS 32. lO 27 124OP FISHERS IS 33.10 27 260P FISHERS IS 34 10 28 1244P FISHERS IS NY 631 788-5550 NY 631 788-5673 NY 631 788-5550 NY 631 788-7463 NY 631 225-3060 NY 631 788-7463 NY 631 788-7463 NY 631 788-5507 NY 631 788-5507 NY 631 788 5546 35.10-30 748A WINDSORLKS CT 860668-0044 36 10 30 810A WINDSORLKS CT 860668-0044 3710-30 857A POUGHKEPSI NY 845656 1617 3810 30 952A WASHINGTON DC 202372-1033 39.10-31 833A PLAINVlLLE CT 860747-9911 40 10 31 922A OLD SAYBRK CT 860388-1224 41.10 31 1023A HARTFORD CT 860 521-2455 42 10-31 1126A BOSTON MA617227 8116 4311-01 819A NARRAGNSTT RI 401789-39~4 4411 01 841A JEWETTClTY CT 8603766242 45 11-01 1007A FISHERS IS NY 631 788-7919 4611-01 1107A FISHERSIS NY 631788-5550 4711 01 1126A FISHERSIS NY 631788-7251 48 11 01 1146A FISHERSIS NY 6317887346 4911 01 1205P WINDSORLKS CT 860668 1671 Cod~e Call Charqes - Continued No. Date Time Place Number 50.11-01 133P FISHERS IS NY 631 788-7251 51 I10I 231P FISHERS IS NY 631 788-7345 Mien 52.11 OI 322P FISHERS IS NY 631 788-7919 0:39+ .60 53. I1 02 658A FISHERS IS NY 631 788-7919 2:45+ 00 54. I1 02 747A FISHERS IS NY 631 788-7345 2:42+ .60 55. I1 02 1028A FISHERS IS NY 631 788-7345 0:37+ .00 56. I1 02 1029A FISHERS IS NY 631 788-7444 2:17+ .60 57. I1 02 1055A FISHERS IS NY 631 788-7311 2:01+ 60 58. 11-02 1058A FISHERS IS NY 631 788 7343 8:51+ .60 59.11-O2 202P FISHERS IS NY 631 788 5508 0:41+ .60 60.11-O2 312P SIMSBURY CT 8606535095 0:53+ .0O 61.11 05 803A FISHERS IS NY 631 788-5673 1:55+ .60 62. I1 05 829A FISHERS IS NY 631 788-7227 4:20+ .60 6311-O5 843A PLAINVlLLE CT 860747-5242 4:50+ .60 64.11-05 904A LEBANON CT 860642 7351 0:30+ .(JO 65.11-O5 909A FISHERSIS NY 6317887343 0:39+ .60 66.11-05 912A EISHERSIS NY 6317887311 8:02+ .60 67.11-05 926A MOODUS CT 8608738687 1:60+ .60 68.11-05 930A FISHERSlS NY 631788-7227 0:30+ .60 69 11 05 1028A FISHERS IS NY 631 788-5515 2:37+ .60 70.11-05 1055A HARTFORD CT 860529-7474 0:30+ .60 71.11-05 1058A HARTFORD CT 860529-7474 4:28+ .60 72.11-05 1146A FISHERSlS NY 631788-7345 0:31+ .60 13.1i-05 10BP FISHERS IS NY 631 788-7762 0:36+ .60 74.11~05 211P KILLINGWTH CT 860663-2759 0:59+ .60 75. 11 06 824A FISHERS IS NY 631 288-2444 0:49+ .60 76.11 06 839A HARTFORD CT 860883-2647 0:44+ .60 77~ 11 06 1013A FISHERS IS NY 631 788-7227 7:55+ .60 78~ 11 06 1160A FISHERS IS NY 631 788-5515 0:30+ 60 79. 11 06 1136A FISHERS IS NY 631 788-7345 2:08+ .60 80 11-06 101P NEWPORT RI 401841 6042 2:19+ .60 81 11-06 126P NEWPORT RI 401841 6042 5:01+ .60 82.11 06 447P WINDSORLKS CT 8606686044 2:18+ .60 83.11 0l 843A FISHERSIS NY 631788-5573 1:53+ .60 84.11-07 918A ESSEX CT 860767 1768 1:O3+ .60 85.11-07 944A OLDSAYBRK CT 860399-5266 3:23+ OO 8611 07 1211P FISHERSIS NY 631788-7744 12:08+ .60 87.11-07 103P FISHERS IS NY 631 788-5573 2:48+ ,60 88. 11-08 744A FISHERS IS NY 631 788 2463 0:44+ .60 89. 11 08 1101A FISHERS IS NY 631 788-7135 0:39+ .60 90.11-08 1115A JEWETTCITY CT 860376 4119 7:23+ .60 91. I1 08 1148A FISHERS IS NY 631 788-7735 0:43+ .IX] 92.11-O8 109P FISHERS IS NY 631 788 7735 1:44+ .00 93 I1 08 258P FISHERS IS NY 631 788 5673 0:34+ 60 94.11-O8 313P FISHERS IS NY 631 788-5673 0:30+ .60 95 I1 08 333P FISHERS IS NY 631 788-7463 0:56+ .60 96 I1 08 337P FISHERS IS NY 631 788 5686 3:22+ .60 9711 08 342P EISHERSIS NY 6317885673 2:05+ 60 98.11-09 838A FISHERS IS NY 631 788-5673 0:30+ .60 9911-09 955A BALTIMORE MO410604-2071 0:30+ .60 100.11 09 1016A OALEIMORE MO 410804 2071 3:00+ .60 10111-09 1154A BRIDGEPORT CT 260650-9847 102 11 09 1242P FISHERS IS NY 631 788-7852 Cod~e Mien 0:30+ .60 1:18+ .60 0:40+ .60 1:38+ .00 0:30+ .60 0:43+ .60 0:60+ .60 1:32+ .60 0:47+ .60 0:32+ .60 1:13+ .60 3:50+ ,60 2:04+ ,60 1:55+ .60 3:36+ .60 0:30+ .60 0:34+ .60 0:30+ .60 2:46+ .60 0:56+ .60 6:47+ 60 3:43+ .60 0:47+ ~60 0:41+ .60 0:37+ ~60 1:36+ .60 1:20+ .60 1:45+ ,60 1:13+ .60 0:33+ .60 3:03+ .60 2:10+ .60 5:24+ .60 0:32+ .60 0:40+ .60 1:57+ 60 2:45+ .60 0:45+ 60 0:30+ .60 3:27+ 60 0:30+ .60 9:57+ .60 1:37+ 60 1:03+ .60 0:37+ 60 1:33+ .60 0:59+ .60 1:24+ .60 5:34+ .60 4:34+ .60 0:57+ 60 5:36+ .60 3:13+ .60 at&t FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLE NY C~390-0607 Page 4 of 6 Account Number 860 442 0165 078 Billing Date Nov 15, 2012 Call Charges * Continued Ne Hate Time Place 1.11-09 323P FISHERSIS 2.11-09 325P CAMBRIDGE 3.11-10 534P FISHERSIS 4.11-12 819A FISRERSIS 5.11-12 916A FISHERS IS 6.11 12 942A WATERBURY 7.11 12 10O~A EISHERSIS 8 II 12 IO42A FISHERS IS 9.11 12 121P FISHERSIS 10.1112 15OP MOODUS 11.11-12 206P FISRERSIS Number NY 631 788 7889 MA 617 201-~75 NY 631 788-7149 NY 631 288-7345 NY 631 788-7919 CI- 203754-5334 NY 631 788-7345 NY 631 788 7463 NY 631 788 7857 CT 860 873 8687 NY 631 788-7463 12.11-12 334P POUGHKEPSI NY 914475-7080 13.11 12 356P FISHERSIS 14.1112 4S7P MINEOLA 1S. 11 12 5OOP FISHERSIS 16.1112 5OOP FISHERSIS 17.1112 502P FISHERSIS 18.11 12 503P FISHERSIS 1911 12 5D4P FISHEBSlS 2011-12 505P MINEOLA 21.11-13 920A PLAINVILLE 22.11-13 933A FISHERS IS 23.11-13 943A FISHERS IS 24.11 13 958A FISHERSIS 25. 11-13 IO03A FISHERS IS 26. 11-13 1OI3A FISHERS IS 27 11-13 103lA FISHERS IS 28 II 13 1228P OLD SAYBRK 2911 13 206P FISHERSIS 3011 13 221P FISHERSIS 31.11 13 246P LINDENHST 32. 11-13 342P NEW HAVEN NY 631 788 2463 NY 516662 6816 NY 631 788 7221 NY 631 788 7919 NY 631 788 7919 NY 631 788 5564 NY 631 788 7149 NY 516662 6816 CT 860747-9911 NY 631 788-5515 NY 631 788-7455 NY 631 788-5623 NY 631 788-7~63 NY 631 788-7251 NY 631 788-7463 CT 860 227 2335 NY 631 788 7463 NY 631 788 5673 NY 631 225 3060 CT 203909 O421 33 11 13 351P BRIDGEPORT CT 203209-6951 3411-13 356P STAMFORD 35.11 14 708A FISHERSiS 3611 14 716A FISRERSIS 37 11-14 945A FISHERS IS 38.11-14 1143A COCOA 39.11 14 1147A FISHEflSIS Total Itemized Calls Total Cbarges for 860 442-0165 Charges for 860 44,3-6851 Itemized Calls 40 10-16 734A FISHERS IS 41 10-15 735A FISHERSIS 42,10 15 054A FISHERS IS 43. 10 15 I023A FISHERS IS 44.10 18 1118A FISHERS IS 4510 15 301P FiSHERSIS CT 203667-5103 NY 631 788 5550 NY 631 788 7345 NY 631 788-7463 FL 321 482 3186 NY 631 788-5546 NY 631 788-5523 NY 631 788-5523 NY 631 788-5522 NY 631 788-5522 NY 631 788 5523 NY 631 788-5522 Cod~e 0:30+ .00 3:26+ .00 0:30+ .00 0:30+ ,00 0:30+ .00 0:41+ .(10 0:40+ 00 1:48+ .00 1:10+ .00 0:36+ .00 0:55+ .00 4:11+ 00 4:34+ .00 0:41+ .00 0:30+ .00 0:30+ .O0 0:30+ .00 0:44+ .00 1:20+ .O0 1:20+ D 2:26~ 0:30+ 1:43+ .0~ 0:30+ 3:12+ .0~ 5:34+ 3:58+ .00 0:30+ 6:51+ .00 0:30+ 00 5:29+ 00 4:38+ .00 3:07+ 00 2:39+ ,00 2:36+ .00 0:30+ .00 5:07+ .00 1:07+ .00 0:34+ 00 2 0:30+ 2 0:32+ 1 0:44+ 00 1 0:38+ .00 I 0:35+ 1 0:31+ .00 Call Charqes - Continued No Bate Time Place Number 46 10 16 1008A FISHERS IS NY 631 788 5522 47.10 17 1005A FISHERS IS NY 631 288-5522 4&10 17 307P EISHERS IS NY 631 288-5522 49.10 18 1113A EISHERSIS NY 631788-5522 50 10-18 244P FISHERS IS NY 631 788 5522 51.10-18 256P FISFIERSIS NY 6317885522 52. 10-19 815A FISHERS IS NY 631 788 5522 53. 10-19 951A FISHERS IS NY 631 788 5622 54. 10-19 1006A FISHERS IS NY 631 788 5522 55. 10 19 308P FISHERS IS NY 631 788 5522 56.10 22 1112A FISHERSIS NY 631288-5523 57.1022 1126A EISHERSIS NY 6312885522 58.1022 300P FISHERSIS NY 6317885522 59.1023 1005A RSRERSIS NY 6317885522 601023 249P RSRERSIS NY 8317885522 6L1024 953A FISHERSIS NY 631288-5522 62.1024 326P FISHERSIS NY 6317885522 6310-25 826A FISHERSIS NY 6317885600 64.10-25 1017A FISRERSIS NY 6317885522 65 10 25 239P FISHERS IS NY 631 788 5522 66.10-25 306P FISHERSIS NY 6317885522 67.1025 327P FISHERSIS NY 6317885522 68.10-26 647A FISHERSIS NY 6317885522 691026 1033A FISHERSIS NY 631788-5522 701026 1258P FISHERSIS NY 6317885523 71.1026 316P FISRERSIS NY 6311885522 72.10-27 128P F[SHERSIS NY 631788-5522 73. I1-01 1125A FISHERS IS NY 631 788-5522 74. I10I 225P FISHERS IS NY 631 788-5522 75.11OI 319P FISHERSIS NY 631788-5522 76.11-02 1048A FISHERSIS NY 631788-5522 72.11-02 20OP FISHERS IS NY 631 788-5523 78 II 02 254P FISHERS IS NY 631 700 5522 29.11-05 1037A FISHERSIS NY 631788-5522 80.11 05 306P FISHERSIS NY 631788-5522 01.11-O6 1004A FISHERSIS NY 631788-5522 82. 11 06 235P FISHERS IS NY 631 788 5522 83 11-07 1004A FISHERS IS NY 631 788 5522 84. 11-08 103OA FISHERS IS NY 631 788-5522 85.11 08 244P FISHERSIS NY 631288-5522 86 11 08 312P FISHERS IS NY 631 788 5522 82. 11 09 1117A FISHERS IS NY 631 288-5522 88.11 09 245P FISHERSIS NY 6317885522 89 11 10 257P FISHERS IS NY 631 788 8522 90 11-12 917A FISHERS IS NY 631 788-7192 91.11-12 945A EISHERSIS NY 631788-5522 92.11 12 1012A FISHERS IS NY 631 788 5522 93 11-13 1010A FISHERS IS NY 631 788-5522 94 11 14 703A FISHERS IS NY 631 788-5522 95 II 14 705A FISHERS IS NY 631 788-5522 96 11-14 1017A FISHERS IS NY 631 788-5522 Total Itemized Calls Total Charges for 860 443-6851 Code Min 0:40+ 00 0:39+ 00 0:31+ 00 0:53+ .00 0:32+ .00 0:44+ .00 0:30+ .00 0:31+ .00 0:30+ .00 0:31+ .00 0:30+ 0:37+ .00 O:31+ .00 0:37+ .00 0:31+ 00 0:37+ .00 0:30+ .00 0:30+ .00 0:48+ .00 0:30+ 0:33+ 0:32+ .00 0:30+ 0:38+ 0:59+ .0~ O:31+ .00 0:30+ .00 0:38+ 00 0:33+ .00 1:01+ 0:36+ .00 0:34+ .00 0:31+ 0:35+ O0 0:31+ 00 0:53+ 00 0:30+ .00 0:35+ .00 0:53+ .00 0:31+ .0~ 1:24. O0 0:33+ 0:31+ 0:30+ 0~ 0:30+ .0~ 0:36+ 0:31+ 0:54+ .0~ 0:54+ I:11+ .0~ 0:52+ .00 .00 00 2884.007.073423.02.03.0~00000 NNNNNNNY 33327.112391 at&t FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISL~ NY 06390-0607 Billing Date 5of6 860 442-0165 078 Nov 15, 2012 Call Charges - Continued Charges for 866 444-0320 Item No Date Time Place Number Itemized Calls 1 10-18 1235P LINBENHST NY 63! 225-3064 2.10-25 341P FISHERS IS NY 631 788-5523 3 10-25 345P FISHERS IS NY 631 788-5523 4 10-26 247P LINDENHST NY 631 225-3064 5 11 12 05OA LINDENHST NY 631 225-7911 611 12 852A LINOENHST NY 631225-7911 Total Itemized Calls Total Charges for 860 444-0320 Charges for ~0 447-9371 Itemized Calls 7 IO-15 1020A FISHERS IS NY 631 788-7463 8.10-15 IO46A CLINTON CT 860664-9123 9 10-15 15dP FISHERS IS NY 631 788-7463 10.10-15 213P FISHERSIS NY 6317885550 1110-15 231P WlNDSORLKS CT 8606680044 12 10 16 226P FISHERS IS NY 631 788 7345 1310-17 1130A FALLRIVER MA 508558 9996 14 IO 11 1132A HUNTINGTON C1 203924 4998 t5 1017 1200P FALLRIVER MA 5085589996 16 10 17 145P HARTFORD CT 860521 2455 17 10 18 927A LINDENUST NY 631 225-3060 1810-18 942A OLDSAYBRK CT 860399-5266 19.10-19 408P FISHERSIS NY 631788-7899 20 10-22 913A FISHERS IS NY 631 788-7345 21 10-22 117P FISHERS IS NY 631 788-7851 22.10-23 841A FISHERS IS NY 631 788-7463 23 10-23 1239P BRIDGEPORT CT 203556-2964 24 10-23 311P FISHERS IS NY 631 788-2345 25. 10-24825A FISHERS IS NY 631 788-7463 26.10-24 1039A WlNDSORLKS CT 860668-0044 27 IO 24 1043A FISHERS IS NY 631 788-7463 28.1024 IIO~A FISHERSIS NY 631788-7345 29 10 24 1116A FISHERS IS NY 631 188-7345 30 IO 24 118P WlNDSORLKS CT 860668 0044 31 10-24 303P FISHERS IS NY 631 788 7463 32 10-24 303P FISHERS IS NY 631788-1345 33 1026 117P FISRERSIS NY 6317887463 34.10~26 238P FISHERS IS NY 631788-7345 35 10-31 1159A CLINTON CT 860669 5179 36.10-31 158P FISHERS IS NY 631 788-5545 31 10 31 159P MORRIST0WN NJ 973214 1506 381031 239P FISHERSIS NY 631788-5545 39 10 31 250P FISHERS IS NY 631 788-7345 40.11-01 1019A NARRAGNSH RI 401 789-3964 41.11 02 902A FISHERS IS NY 631 788-7343 42.11-05 818A FISHERSIS NY 631788-7343 43.11-06 133P OLOSAYBRK CT 8602272335 Code Mir~ 0:37+ .00 3:22+ .06 3:27+ 00 0:39+ .00 0:30+ .06 0:30+ .00 .00 .00 0:55+ .00 1:51+ .06 2:43+ 06 2:28+ 06 3:24+ .06 0:30+ 06 1:42+ .06 1:16+ 06 1:53+ 06 1:10+ O0 0:49+ 06 0:48+ .0~ 3:05+ .06 2:52+ 0~ 2:53+ .00 0:30+ .00 3:13+ .0~ 0:30+ .06 3:12+ 3:00+ 0:56+ 0:30+ .00 1:59+ 1:37+ .00 0:30+ .00 L32+ .06 1:30+ .06 0:35+ 00 1:00+ .00 0:30+ O0 0:33+ 00 0:37+ 00 0:32+ 0~ 5:01+ .06 0:31+ .06 1:29+ 0:30+ 00 Call Charges - Continued No Date Time Place 44.11 06 323P FISHERSIS 45.11 07 1157A FISHERS IS 4611 07 1214P ROANOKE 47 11 07 1240P FISHERS IS 48.11 07 225P FISHERSIS 49.11-12 958A FISHERSIS 50.11-12 1006A FISHERS IS Number NY 631 788 7345 NY 631 788-5673 VA 540 520 6277 NY 631 788-7345 NY 631 788 5590 NY 631 788-7632 NY 631 788-4334 51.11-12 106OA BRENIWOOD NY 631 433 434~ 52.11-12 246P FISHERSIS NY 631788-7528 5311-14 1026A FISHERSIS NY 63~ 788-7345 Total Itemized Calls Total Char~es for 860 447-9371 + - OpOonal Callm9 Plan Key to Calling Codes I Peak 2 Off Peak E Evening N Night/Weekend Total Call Charges Surcharges and Other Fees Code Mi,~ 0:33+ 06 5:06+ .06 0:46+ 06 1:13+ 06 0:44+ 06 L40+ 0:30+ 2:08+ 0:57+ 0:38+ .06 .06 Day 31.16 AT&T Connecticut 64 Cenue~ticutE9 1 1Surcharge-4Lines 55 Connec6cut Service Fund - 4 Unes 56. Universal Service Fund Local(4@$1.43) 57. Federal Subscriber Line Charge - 4 Lines Total AT&T Connecticut AT&T LD East 58 Federal Regulatory Fee 59. Universal Service Fund - luterstate Total AT&T Lon9 Distance East Total Sorcharges and Other Fees 160 .20 572 2384 31.36 ,31 260 2.91 3&27 60 Federal 61. State Sales Tax Total Taxes Total Plans and Services 347 11.72 15.19 261.27 PREVENT DISCONNECT If your bill shows a past due amount, BOTH the Past Due amount and Current Charges are due IMMEDIATELY, All of your bill charges must be paid each month to keep your account current and avoid collechon activities (See Terms and Conditions for furlfler inlorma0on). However, to avoid disconnection of local service, Basic Charges MUST be paid. For $148.85 for Current Basic Charges $153.73 for Past Due Basic Charges at&t EISHERS ISLAND TERRY DISTRICT Page 6 of 6 PO BOX H Account Number 860 442-0165 078 EISHERS ISLE NY 0G3~-0607 Billing Date Nov 15, 2012 CARRIER INFO Our records indicate that AT&E Connecticut is your carrier for instate calls. AT&T Long Distance East is your carrier for interstate and international calls. KEEP YOUR DISCOUNT You receive any discounts, reduced rates, or promotional credits de- scribed in the AT&T Benefits section of the bill because you subscribe to certain required services, for example, because you are an ALL DISTANCE® customer. If you remove any of fire services required for a particular discount, reduced rate, or promotional credit, your eRective rate for tile associated remaiuiug service will cbange. Please call your AT&T service representative if you have any questimls. CENTHALINK 1100 Effective 1/3/2013, tile monthly prices for Cent~aLiuk Month to Month services will iucrease by $7.50 per line. Cent~aLJuk 1100 your AE&T account executive or call AT&T at file toll-free number on your big. BiLL PAYMENT, LATE PAYMENT CHARGES AND OTHER FEES Failure to pay any portion of your hill may result in additional collection action. Any partial payment made will first be applied to Basic Cbarges, titan to Non-Basic Charges, Failure to pay your Basic £harges will result in ioterruption of your local service. If you fail to pay your Non-Basic Charges, your AT&T Connecticut local service will out be interrupted, but all of your Nog-Basic services will be terminated, AT&E Conuecticut may apply a late payment charge per month on any unpaid balance, excluding the previously assessed late payment charges. To avoid a late cbarge, we must receive payment for file total amount due no later thug the date specified on your bill statement. AT&T Connecticut will apply a $20.00 Collection Charge go an account where a termination notice bas been sent. Au explanation of these charges may be obtained by calling AT&T Connecticut at the uumber shown on your bill or accessing our website: h~p://www, attcom/ctbillglossary AT&T SERVICES Local and bi state long distance services, inside wire, rental sets, and voice mail services lexcept where shown as provided by AT&T Messaging) are provided by AT&T ConnecticuL Out of state long distance is provided by AT&T Long Distance East. Intemet services are provided by AT&T lutemet Services. Wireless services are provided by AT&T Mohility. BASIC CHARGES Basic Charges are charges for Basic Services. Basic Services ioclude ~ucal service and iu-state toll if you are an AT&T Connecticut local service customer, Basic Charges include: Monthly Charges for your local line and other services, sucb as Totalphone and Smartiiok; in-state Calli~)g Charges; iu-state Directory Assistance Cbarges; the Connecticut E-911 Surcharge; the Connecticut Service Fund fee; the Federal Subscriber Line Charge; and the Universal Service Fund - Local fee. NON-BASIC CHARGES Non-Basic Charges are charges for Non-Basic Services. These charges include: Call Charges for out of state calls, 900 calls and cails placed through alternative services providers; Call Charges for in state long distance provided by a company otber than AT&T Connecticut; out of state Directory Assistance Charges; cllarges for telephone equipment and inside wire maiutenauce, AT&T Voice Mail, AT&T Unified Messaging, AF&T High Speed Internet, Wireless, AE&T j DISH Network, AT&T I DIRECTV, Advertising ill the white page directories or other media; and tile Universal Service Fund - Interstate fee. CHARGES THAT MAY BE BASIC OR NON-BASIC Certain cbarges may be either Basic or Non-Basic, depending on tile associated service Tbese iuclude taxes, Late Payment Charges, Collection Charges, mid Additions and Changes to your service. 2884.007 073423.03.03.0000000 NNNNNNNY 33329.112393 FISHERS ISLAND FERRY DISTRICT VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 12/18/2012 CHECK 872 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 20840 207.3 GAL HTG OIL-NL TRM 793.45 TOTAL 793.45 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Securib' Number P.O. Box 602 Brodeur's Fuel Moosup, CT 06354 Vendor Telephone Number 860-564-2789 Vendor Contact Invoice i Invoice Number I Date 208401 11/2212012 Total I Discount Net Purchase Order Amount Claimed Number $793.45 $793.451 Vendor No. I 2644 Description of Goods or Services 207.3 gal Heating Oil New London Terminal , $793.4Si $793,4SI Payee Certification The undersigned (Claimant) (Acting on behalf&the above named claimant) I does herebv cerlif~, that the foregoing claim is true and correct, that no pari has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the To'~ is exempt are excluded Check No. Entered by ~ Audit Date DEC 1 8 2012 General Ledger Fund and Account Number SM5710.4.000.100 Companx Name ~ ~-~P Date // ?~' /~ Department Certification 1 hereby certi~ that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptmns or discrepancies noted, and pa~vrnent ~s approved Signature ACCOUNT NO O~u~40 CT [lC 303396 C F HOD# 46 · BRODEUR'$ OIL SERVICE, INC. 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 005414 ELECTRICAL WHOLESALERS, INC. 12/18/2012 CHECK 873 FUND & ACCOUNT P,O.# INVOICE DESCRIPTION AMOUNT SM .5710.2,000.200 S022109002,800 RP-E.R L~AMPS 75.81 TOTAL 75.81 [Vendor No. 5414 Town of Southoid, New York - Payment Voucher Vendor Tax ID Number or Social Securiky Number Vendor Address Lockbox 9761 Vendor Name P.O. BOX 8500 Electrical Wholesalers Inc. Philadelphia, PA 19178-9761 Vendor Telephone Number 800-622-3232 Vendor Contact Check No. Entered by Audit Date DEC 1 8 2012 Town Clerk Invoice Invoice Invoice Net I Purchase Order Number I Date Total I Discount Amount Claimedl Number Description of Goods or Services i General Ledger Fund and Account Number ~022109002.0001 11/12/20'12 $75.81! ~ $75.81 RP- E.R. Lamps I SM5710.2.000.200 i I ! , i , I $76.8a $?s.8a i The undersigned (Claimant) (Acting on behalf of tbe above named claimant) does hereb5 ceTXify 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 Compan5 Name ~ d? Date /// ~F~ I hereby certi~ that the materials above specified have been received by me ~n good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved ['ide /troy/%.-- Date ~ w /~] - ~N~N~ Elcdrical Wl.,dcsnlcr~ h.~ ORDER DATE CUSTOMER P.O NUMBER I SHIPVIA I FREIGHT(~HARGETYPE ] FREIGHT [DATE PRINTEDIN ] OUT S O L D T O EWPO NUMBERI CUSTOMER PHONE [ CUSTOMER NUMBER CUSTOMERJOBNAME.JOBNUMBER.RELEASENUMBER PSN TtME PRINTED Hs ~N~ I~.dri~l Wludt~altq~ h~ P T TOTAL ND. OF PIECES MESSAGES SHIPMENT ~PE FROM B/O # SIGNER ACKNOWLEDGES RECEIPT OF MATERIAL IN~ GOOD CONDITION & AGREES TO ,ERMS OF SALE ON REVERSE SIDE X SIGNATURE DATE SUBTOTAL TAX INVOICE Eleclrical Wholesalers. hie. ELECTRICAL WHOLESALERSINC. P.O. BOX 261797 HARTFORD, CT06126-1797 1-800-522-3232 Branch: 163 STATE PIER ROAD NEW LONDON,CT 06320 860/443-4381 2971MB0.404 EOO62X 10167D581647896P12495860001:O001 FISHERS ISLAND FERRY DI PO BOX H FISHERS ISLAND NY 06390-0607 Invoice #: S022109002.000 Invoice Date: 11/1212012 Account #: 28370 Ticket #: B01310 Please Remit All Payments To: Electrical Wholesalers, Inc Lockbox# 9761 PO Box 8500 Philadelphia, PA 19178-9761 VISIT US AT: www. usesi.comlew SHIP TO FISHERS ISLAND FERRY DI Customer COUNTER P/U at: NEW LONDON, CT 06320 6 MAINT MAINT COUNTER P/U HOUSE ALL BRANCHES CHARRON, KEVIN - 36 GEL 100A/RS-120V A21 RS LAMP *12PK* 1.98 E 71.2~ * PAYMENT IN FULL IS DUE BY DEC 25TH * SUB-TOTAL 71.28 REPRESENTATIVE s * 75.81 TERMS OF SALE SPECIAL ORDERED NON-STOCK MERCHANDISE CANNOT SE RETURNED FOR CREDIT. NO MERCHANDISE CAN BE RETURNED FOR CREDIT WITHOUT AUTHORIZATION, A MINIMUM 30% RESTOCKING CHARGE DEDUCTED FROM ALL RETURNED MERCHANDISE ORIGINAL INVOICE NUMBER MUST ACCOMPANY ALL CI.AIMS. A SERVtCE CHARGE OF 1-112% PER MONTH, WHICH iS THE EQUIVALENT OF 18% PER YEAR (OR AT SUCH A HIGHER RATE AS SHALL BE ALLOWED BY LAW) ON ALL PAST DUE BALANCES REASONABLE ATTORNEY*S FEES, COURT FEES, AND OTHER COLLECTION COSTS MAY SE ADDED TO DELINQUENT ACCOUNTS. NO DISTRIBUTOR WARRANTIES UNLESS OTHERWISE SPECIFIED IN WRITING AS VENDOR OF THIS ARTICLE(S), WB MAKE NO WARRANTIES OR REPRESENTATIONS, EXPRESSED OR IMPLIED, AS TO WORKMANSHIP, PERFORMANCE, QUALITY, DURABILITY, FITNESS, OR MERCHANTASILITY THE ONLY WARRANTIES APPLYING TO THE ARTICLE(S) SOLD HEREUNDER ARE THOSE SPECIFICALLY PROVIDED IN WRITING BY THE MANUFACTURER A BSE~ Page 1 of 1 Company 0001:0001'~ ................ INVOICEGATEWAY:http:llewinc.billtrust.com Web Enrollment Token: VMV DKX FVX FISHERS ISLAND FERRY DISTRICT VENDOR 006374 FISHERS ISLA/qD WASTE MANAGEMNT 12/18/2012 CHECK 874 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000.925 SM .5710.4.000.925 3426 3428 CARPETS,TWNMAT,CHAIR, CD 130.00 CARPET,ELECTRONIC 35.00 TOTAL 165.00 ~jll' Town of Southold, New York - Payment Voucher I Vendor No. 16374 Vendor Tax ID Number or Social Security Number FI Waste Management District Vendor Telephone Number 63t-788-7455 Vendor Contact Beth Stem Invoice Number 3426i Discount Vendor Address 2760 Whistler Avenue PO Box 22 Invoice invoice Date Total 8/31/2012 $130.00 9/302012 $35.001 $165.00 Payee Certification Fishers Island, NY 06390-0022 Net Purchase Order ~,mount C a med! Number I $13o.ool Check No. Entered by Audit Date DEC 1 8 2012 Description of Goods or Services General Ledger Fund and Account Number Carpets, TwinMatt, 1-112 Cubic SM5710.4.000.925 ;Yard, 3 stuffed chairs, 3428 $35.00 1 carpet, 1 electronics I! SM5710.4.000.925 I I The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certii5' that the foregoing claim is trae and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Department Certification I hereby cerd~ 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 Company. Name ~-~/~ [)ate Signature Title F1 WASTE MANAGEMENT DISTRICT PO BOX 22 FISHERS ISLAND, NY 06390-0022 Statement Date 10131/2012 To: Fl FERRY DRAWER H FISHERS ISLAND, NY 06360 Amount Due Amount Enc. $340.O0 Date Transaction Amount Balance ~/~ 08/30/2012 INV #3425. Due 08/30/2012. Orig. Amount $400.00. 175.00 ~ 175'.'00 --- CD, 1.25 ~ $40.00 = 50.00 --- FERRY I'O REIMBURSE, 2 (a) $175.00 = 350.00 08/31/2012 INV #3426. Duc 08/31/2012. ()rig. Amount $130.00. 130.00 305.00 --CARPETS $10.00 ~- -- FURNACE, 3 ~ $10.00 30.00~ -- TWNMATT $30.00 --- CD, 0.5 (4 $40.00 = 20.OOv/ -- CD $40.00 ,/ 09/19/2012 INV #3428. Duc 09/19/2012. Orig. Amount $35.00. 35.00 340.00 --- CARPETS $10.00 -- EWASTE $25.00 %30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 0.00 0.00 35.00 305.00 0.00 $340.00 I-ishers Island Waste Management P.O. Box 22 Fishers Island NY 06390 Office: 788-7455 Compost Station: 788-7227 Customer Visit Form Date & T(me / Total / Yard Waste Construction Pickup truck $10.00/Per Cubic Yd. $10.00 Debris Per cubic yard $40.00 Pallets each $5.00 Household Items Carpets over 5' x 8' $10.00 Stuffed chair, sofa, similar furniture $10.00 Twin mattress or box spring $30.00 Double, queen, king mattress or box spring $35.00 Appliances i.e. washer, dryer, stove $10.00 Freezer, icemaker, A/C, dehumidifier (freon) $25.00 Specialty items i.e. tire, furnace, water heater I S~n~at~__~AzARDOUS WASTE ACCEPTED Name Quality Printers · 443-2808 · Form 2071 rev 10/11 Fishers Island Waste Management P.O. Box 22 Fishers Island NY 06390 Office: 788-7455 Compost Station: 788-7227 Customer Visit Form Bill to / Date & Tim~ Total Yard Waste Pickup truck $10.00/Per Cubic Yd. $10.00 Construction Debris Per cubic yard $40.00 Pallets each $5.00 Household Items Carpets over 5' x 8' $10.00~ Stuffed chair, sofa, similar furniture $10.00 Twin mattress or box spring $30.00 Double, queen, king mattress or box spring $35.00 Appliances i.e. washer, dryer, stove $10.00 Freezer, icemaker, NC, dehumidifier (freon) $25.00 Specialty items i.e. tire, furnace, water heater NO HAZARDOUS WASTE ACCEPTED Sign~~)Neme~ Quality Printers · 443-2808 · Form 2071 rev 10/11 Fishers Island Waste Management P.O. Box 22 Fishers Island NY 06390 Office: 788-7455 Compost Station: 788-7227 Customer Visit Form Date & 'r/me ' Total Yard Waste Pickup truck $10.00/Per Cubic Yd. $10.00 Construction Debris / Per cubic yard $40.00 Pallets each $5.00 Household Items Carpets over 5' x 8' $10.00 Stuffed chair, sofa, similar furniture $10.00 Twin mattress or box spring $30.00 Double, queen, king mattress or box spring $35.00 Appliances i.e. washer, dryer, stove $10.00 Freezer, icemaker, A/C, dehumidifier (freon) $25.00 Specialty items i.e. tire, furnace, water heater N,O HAZ.~t/DOUS WASTE ACCEPTED Signat~ J,J,J,J,J,J,J,J,J,~ Name Quality Printers · 443-2808 · Form 2071 rev 10/11 Fishers Island Waste Management Office: 788 7455 Compost Station: 788-7227 Customer Visit Form Bill to Date & Time ' ' Total Yard Waste Pickup truck $10.00/Per Cubic Yd. $10.00 Construction Debris Per cubic yard $40.00 Pallets each $5.00 Household Items Carpets over 5' x 8' $10.00 Stuffed chair, sofa, similar furniture $10.00 Twin mattress or box spring $30.00 Double, queen, king mattress or box spring $35.00 Appliances i.e. washer, dryer, stove $10.00 Freezer, icemaker, A/C, dehumidifier (freon) $25.00 Specialty items i.e. tire, furnace, water heater E-Waste / Electronics (computers, printers, computer monitors, televisions, etc) $25.00 Signature NO HAZARDOUS WASTE ACCEPTED Quality Printers · 443*2800 · Form 2071 rev 8/12 FISHERS ISLAND FERRY DISTRICT VENDOR 006482 PAUL J. FOLEY 12/18/2012 CHECK 875 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 110112 REIMB.RX-NOV'12 94.41 TOTAL 94.41 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number I Vendor Address 690 Williams Street Vendor No. 6482 Paul J. Foley Vendor Telephone Number New London, CT 06320 Check No. Entered by ^uditDate ,- Q3 DEC 1 8 2012 Vendor Contact Invoice Invoice Invoice Net Purchase Order Number i Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 111112011 $94.41 $94.41 Anthem Retiree Prescription Plan 90% Reimbursement ;t04.90 less 10% ($94.41) Paul Foley ¢ # 2188 $94.41 i $94.41 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 Tov. n is exempt are excluded SM9060.8.000.000 Company Name . Date Department Certification I hereby certi~ that the materials above specified have been received by me tn good condition without substitution the services properb performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment ts approved Signature I 81ue MedicareRx' (PDP) Ih,rl,,,I,hl,,hldq,,dlql,d,,fll,dd,l,,d,mk,idlhl PAUL J FOLEY 690 WILLIAMS ST NEW LONDON CT 06320-4132 902640731 G0230330801 Balance Due $104.90 12/01/2012 Please retur, the top portion of this form with your payment. See reverse side for payment optio.s. Retai. the bottom portio, of this form for your records Per your Evidence of Coverage booklet, if you and your spouse are both enrolled in the plan, your monthly premium payments must be paid separately. We require one remittance advice and one oayment per account. The remittance advice is located on the reverse side of this statement. This will ensure each member account is credited appropriately and timely to prevent disenrollment from the plan, which will result in a lapse of coverage. If you are disenrolled from the plan, you may only re-enroll during a valid election period. Anthem . Participant ID: G0230330801 Date: 11/13/2012 I Blue MedicareRx'(PDP) Transaction Premium Balance Due Date Description Amount 11/01/2012 November 2012 104.90 104.90 PAUL J. FOLEy 6~0 WILLIAMS ST. NEW LONDON, CT 06320 2225 Pay to the ./~ ~_, ~ . ~~ Solimar Validahon Number G0230330801 PTSHERS ISLAND FERRY DISTRICT VENDOR 011056 KARDASLARSON, LLC 12/18/2012 CHECK 876 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 1290 HR CONSULT-Ii/12 605.00 TOTAL 605.00 Town of Southold, New York - Payment Voucher Vendor No. 11056 Vendor Tax ID Number or Social Security Number 45-0534566 KardasLarson LLC Vendor Telephone Number 860-739-8677 Vendor Contact 8 Bronson Street N ant c, CT 06357 Invoice Invoice Date Total 1290 11/29/2012 $606.00 Check No. Entered by ~(~ Net Purchase Order Amount Claimed Number $606.00 Audit Date DEC 1 8 2012 Invoice Number Discount Description of Goods or Services General Ledger Fund and Account Number Human Resource Consulting November 2012 SM5710.4.000.000 $605.00 $606.00 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named c{aimant) does hereby ccrfil~r that the foregoing claim is true and correct, that no par[ has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Toxxn is exempt are excluded Signature .~-- Title Compan3Name ~ ~),/ D.te /( 2 ~ ,/ ~ Department Certification I hereb~ ccrti[¥ that the materials above specified have been received b3 me m good condition without substitution, the set,ices properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment Is approved Invoice KardasLarson LLC 8 Bronson Street, Niantic, CT 06357 EIN#45-0534566 ] Date 11/29/2012 Invoice # 1290 Bill To I Bob Brooks, Chairman Fishers Island Ferr~ District Tovm of Southhold, Somhhold, NY Terms ~ J Net 15 ] Quantity Description Rate Amount 5.5 lluman Resource Consulting Services - November 2012 110.00 605.00 Total s ,o5.00 FISHERS ISLAND FERRY DISTRICT VENDOR 011745 12~ND, SEA & AIR CONSULT & TEST 12/18/2012 CHECK 877 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 SM .5710.4.000.000 SM .5710.4.000.000 237-1012 237-1012 237-1012 DRUG TEST-L.GLIDEWELL 57.00 DRUG TEST-D.LAMB-10/16 57.00 DRUG TEST-M.SMITH-10/19 57.00 TOTAL 171.00 [Vendor No. Town of Southold, New York - Payment Voucher 11 ?45 Vendor Tax ID Number or Social Security Number Vendor Address 2%1482752 910 Route 109 North Lindenhurst, NY 11757 Vendor Name Land Sea and Air Consulting & Testing Vendor Telephone Number 631-225-3060 Vendor Contact Check No. I Entered by Audit Date DEC 1 8 2012 Invoice Invoice Number Date 2~0328'~'~ 11/$/2012 Invoice Total i Discount Net Net Purchase Order Amount Clmmed Number Description of Goods or Services 'Logan G tdewe , Don Lamb $171.00 Marshall Smith testing General Ledger Fund and Account Number SM$710.4.000.000 Pay The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby cerd(xr that the tbeegoing claim is true and correct, that no pan has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Tox~"n is exempt are excluded Compan', Name /6-~ //~) Date Department Certification I hereby certit~x that the materials above specified have been received b~, me m good condition without substitution, the sep, ices properly performed and that the quantities there&have been verified with the exceptions or discrepancies noted, and pa3rment ~s approved Sign at ure *die ,'~/~'~ Date 11/'{}5/12 IRS # 27-1482752 FISHERtS, ISLAND FERRY ATT; NINA SCN}4IDT PO BOX H FISHER'S ISI~3qD, CT 06390 Page: 1 L~}ID SEA .~qD AIR CONSULTING &TESTI1 910 ROUTE 109 ~ :. LINDENHURST, NY 11757 Tel: 6312253060 Acci: 200003z8 /CO Tel: 860/442--0165 Date Diag Ref C.P.T Qt Patlen[ name AR P1 10/11/12 RANDOMDS1 3-GLIDE%,~LL, LOGAN O 57.00 57.C0 10/16/12 PREDRUGT1 137-l. AMB, DONALD O 57.00 57.00 10/19/12 PREDRUGT1 138-SMITH, MARShaLL O 57.00 57.00 Regular Total: $ 171.00 Previder: OFFSITE Operater: TW FISHERS ISLAND FERRY DISTRICT VENDOR 013012 MARINE SPECIAL PROD.GROUP, LLC 12/18/2012 CHECK 878 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 1389 RP-INSPT,RSLV NOISE VIB. 200.00 TOTAL 200.00 Town of Southold, New York Vendor Tax ID Number or Social Security Number 26-2924432 Vendor Name MARINE SPECIAL PRODUCTS GROUP, LLC Vendor Telephone Number 860-718-0100 Vendor Contact - Payment Voucher Vendor Address PO BOX 31 ESSEX, CT 06426 Vendor No. 13012 i Check No. Entered by ~ Audit Date OEC 1 8 2012 Invoice Number Invoice Date Invoice Total Net Amount Claimed Purchase Order Number Discount Description of Goods or Services General Ledger Fund and Account Number 1389 11114/2012 $2oo.ooI $2oo.oo Dive Services inspect & SM5710.2.000.200 I resolve noise/vibration I RP $200.00 ~ $200.00 Payee Certification The undersigned {Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is true and correct, that no part has been paid. except ~s therein stated, that the balance therein stated is actually due and owing, and tbat taxes from which the Town is exempt are excluded. Signature /~ ~ (~ Title Department Certification 1 hereby certif5 that the materials above specified have been received b,~ 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 Date Marine Special Products Group, LLC · [bO BOX 31 Essex, CT 06426 ElN:26-2924432 Invoice Date Invoice 11/14/12 1389 Bill To Fishers Island Ferry Capt. Stephen Burke v a e a I sburkc@fifcrrv.com P.O. No, Terms Project Due on receipt Description Oty Rate Amount Dive services to inspect and resolve noise/vibration starboard whecL 200,00 200.00 "Race Point" Subtotal $20o.00 '-- ~?: Sales Tax (6.35%) {', W ~4Ff'L~C I1 - I% - 1~ Total $200.00 Payments/Credits ~;o.oo Balance Due ,2oo.oo FISHERS ISLAND FERRY DISTRICT VENDOR 013682 PETER MROWKA 12/18/2012 CHECK 879 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.100 830 PROPERTY MANAGEMENT 162.99 TOTAL 162.99 ~own of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Pete's Plumbing and Heating Vendor Telephone Number 860-287-3782 Vendor Contact Invoice ] Invoice Number 630 Date 1112612012 Vendor Address 95 Meetinghouse Lane Ledyard, C~ Total Discount $162.99 Net Amount Claimed $162.99 i $162.99 $162.99 Payee Certification fhe undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby cerfi$ that the foregoing claim is true and correct, that no part has been paid, except as therein stated, that the balance therein stated is actuaU) due and owing, and that taxes from which the Town is exempt are excluded i Vendor No. ' 13682 Check No. Entered by .~', 1~ Audit Date ' DEC 1 8 2012 Purchase Order Number DescripPon of Goods or Services Property management General Ledger Fund and Account Number SM5709.2.000.100 Department Certification I hereby certify that the materials above specified have been received by me m good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and pa) ment is approved 95 Meetinghouse Lane Ledyard, CT 06339 860.287.3782 Date 11/26/2012 Invoice Invoice # 830 Bill To Fishers Island Ferry District annex building Description Labor-blocked of heat to all parts of building except for front room. moved T-stat into the front room. Tax Amount 150.00 12.99 Total $162.99 Pete's Heating & Plumbing. LLC 40126-MP FlSHERS ISLAND FERRY DISTRICT VENDOR 014421 O'CONNOR DAVIES, LLP 12/18/2012 CHECK 880 FUND & ACCOUNT P, O. ~ INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 SM .1310.4.000.000 SM .1310.4.000.000 SM .1310.4.000.000 155360 155360 155360 156847 COMPL AUDIT.FIN.STTMNTS 2,175.00 FERRY FEES-10/6 MEETING 38.00 PREP MNGT DISCSSN/ANALYS 1,425.00 SVCS-10/12 1,672.50 TOTAL 5,310.50 % [I· Vendor No. Town of Southoid, New York - Payment Voucher 14421 Vendor Tax ID Number or Social Secufit~' Number 27-1728945 100 Great Neck Road O'Connor Davies, LLP Suite 401 Vendor Telephone Number Wethemfield, CT 06109 860-257-1870 Vendor Contact Invoiii5360 Invoice Number Date 10/3t/2012 Total Discount $2'175'00 ~, , ~..~' $38.00 / il,425.oo/ Net Amount Claimed ~ $2.176.00 $38.00 $1,425.00; $1,672.501 : ~ $1,672.50 156847 10/31/2012 $5,310.50i $5,310.50i , 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 Signature ~ .~'~ Title t'ompal,5 Name /:j9 Date Check No. Entered by ~ Audit Date DEC 1 8 2012 Description of Goods or Services completion of audited [inancial statements Ferry Fees for 10/6 meeti~ Preparation of Managemet Discussion & Analysis October 2012 services General Ledger Fund and Account Number SM1310.4.000.000 SM1310.4.000.000 Department Certification I hereby certit},' that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities there&have been verified with the exceptions or discrepancies noted and payment ts approved O'CONNOR DAVIES PKF Date 10/31/2012 Fishers Island Ferry District P.O. Drawer H Fishers Island, NY 06390 For Professional Services Rendered DATE SERVICE 10/01/2012 Special (describe) budget transfers 10/01/2012 Special (describe) revised budget worksheet E.I.N. 27-1728945 STAFF HOURS AMOUNT Marien T 2.00 $ 570.00 Lathrop 2.50 137.50 10/02/2012 Special (describe) Lathrop budget 10/10/2012 Special (describe) set up final budet presentaion 10/16/2012 Special (describe) Updated budget transfers 2.00 110.00 Marien T 1.00 285.00 Marien T 1.00 285.00 10/23/2012 Special (describe) Marien T 1.00 285.00 $ 1.672.50 Client No. 475~4.000 ~nvoice No. lSO~4gase make your check payable to "O'Connor Davies, LLP" Putnam Park - 100 Grcat Meadow Road -Suitc 401 - Wethcrsfield - Connecticut - 06109 ph. 860-257-1870 - fax 860-25%1875 O'CONNOR DAVIES PKF Date 10/31/2012 Fishers Island Ferry District P.O. Drawer H Fishers Island, NY 06390 For Professional Services Rendered SERVICE E.I.N. 27-1728945 AMOUNT CompIetion of audited financial statements. Expenses - Ferry Fees for 10/6/12 meeting Assistance in the preparation of Management's Discussion and Analysis $ 2,175.00 38.00 1,425.00 $ 3,638.00 Client No. 475764.000 Invoice No. 155360 Please make your check payable to "O'Connor Davies, LLP" Putnam Park - 100 Great Meadow Road - Suite 401 - Wcthcrsfield - Connecticut - 06109 ph. 860-257-1870 - fax 860-257-1875 FISHERS ISLAND FERRY DISTRICT VENDOR 016659 PRINCIPAL LIFE GROUP 12/18/2012 CHECK 881 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .9060.8.000,000 H19730-1-12/12 LIFE PREM 12/1-12/31/12 114.55 TOTAL 114.55 Town of Southoid, New York - Payment Voucher Vendor Tax ID Number or Social Securi~j Number Vendor Address P.O. Box 14513 Vendor No. 16659 Principal Life Group Vendor Telephone Number 800-843-1371 Vendor Contact iDes Moines, IA 50306-3513 ' Check No. Entered by Audit Date DEC 1 8 201~ Town Clerk Invoice Invoice Number Date H19730-1 11/17/201; Invoice I Total Discount $114.55 I Net Amount Claim¢ $114.55 Purchase Order Number $114.55i $114.55 Payee Certification Description of Goods or Serx ices General Ledger Fund and Account Number Life Prem 1211112-12131112 SM9060.8.000.000 Department Certification ~he undersigned (Claimm~t) (Acting on behalfo£the above named claimant) does hereby certifs, that the foregoing claim is true and correct, that no part has been paid. except as therein stated that the baIance therein stated is actualk due and owing, and that taxes from which the ]o'~n ~s exempt are excludeci Compan5 Name I herebbf cer~i~ that the materials above specified have been received b5 me ~n good condition without substitution, the services properb pertbrmed and that the quantdies thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature Town of Southold, Ne~v York- Paymeut Vox~cher 16659 .......... Des Molnes, lA s0306.3~15 Ent,.,r ~-:I I~y ~ DEC 1 8 2012 i 'D~:lm rt,~e~t C ¢ rtili.: at k,-~ i Vendor No. Town of Southold, New York - Payment Voucher 16659 Vendor Tax ID Number or Social Securi~ Number I Vendor Address P.O. Box 14513 IDes Moines, IA 50306-3513 Principal Life Group Vendor Telephone Number 800-843-1371 Vendor Contact Check No. Entered by Audit Date DEC 1 8 2012 Invoice Invoice Invoice Net Purchase Order Life Prem Number Date Total Discount Amount Claime¢ Number Description of Goods or Services General Ledger Fund and Account Number H19730-t 1111712012 $121.04 $1'~1.04 $M5050.5.000.000 12/1/12-12/31112 $121'°41 i $121.04 Payee Certification The undersigned (Claimant) (Acting on bebalf 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 actualh' due and owing, and that taxes from which the Town is exempt are excluded Department Certification [ hereby certify that the materials above specified have been received by me m good condition without substitution, the services properly performed and lhta the quantities thereof have been verified with the exceptmns or discrepancies noted, and payment is approved C°mpam Name~3'~ .~9 Date litle Date 7nancia/ Group Principal Financial Group Des Moines, IA 50392-0001 IPrincipal Life Insurance Company IPREMIUM STATEMENT AccountNumber H19730-1 Lb. No. 0819730 00001 93 001404 DueDate 12/O1/12 StmtDate 11/17/12 BiRingPeriod 12/O1/12 - 12/31/12 FISHERS ISLAND FERRY ATTN J MILLER 261 TRUMBELL DR BOX 607 FISHERS ISLAND NY 06390 $ 121.04 PLEASE REVIEW ALL MESSAGES BELOW. THEY CONTAIN INFORMATION RELATED TO YOUR PREMIUM PAYMENTS AND THE ADMINISTRATION OF YOUR PLAN. IF YOU HAVE OUESTIDNS REGARDING ANY OF THESE MESSAGES, PLEASE CONTACT US AT THE NUMBER LISTED BELOW. IT IS IMPORTANT TO REPORT NEW ENROLLMENTS, TERMINATIONS, AND CHANGES IN DEPENDENT STATUS PROMPTLY TO OUR WEBSITE AT WWW.PRINCIPAL.COM DR NOTIFY OUR ADMINISTRATION AREA. WEB REPORTING REQUIRES A PIN. IF YOU DO NOT HAVE A PIN, PLEASE CALL 800 621-6280. REPORTING CHANGES PROMPTLY WILL RESULT IN A MORE ACCURATE PREMIUM STATEMENT. CHANGES SHOULD NOT BE SENT WITH YOUR PAYMENT. FOR ASSISTANCE, PLEASE CALL TOLL FREE: 1-800-843-1371 PROVIDING YOU WITH GOOD SERVICE IS IMPORTANT. PLEASE REVIEW YOUR STATEMENT EACH MONTH TO ENSURE PROMPT AND ACCURATE CLAIM PAYMENT. Group THZS TS YOUR COPY. Principal Financ,al Group Principal Life Des Moines, IA 50392-0002 Insurance Company PLEASE KEEP FOR YOUR RECORDS. PREMIUM STATEMENT ACCOUNT NO H19730-1 NAME 982893982 PARADIS dO 92009@292 TRAUB dANE FISHERS ISLAND FERRY LIFE/AD&D BNFT PREM LB. NO. 0919730 00001 93 DUE DATE: 12/01/12 STMT DATE: 11/17/12 CHARGE/ CREDIT F396GP-4 FOR ASSISTANCE, PLEASE CALL TOLL FREE ACCOUNT NO. H19730-1 1-800-843-1371 12/01/2012 033 3COO00 03C800 CG863'823221:4896533 302 333578 332 O: 002 FISHERS ISLAND FERRY DISTRICT VENDOR 014022 RING'S END, INC 12/18/2012 CHECK 882 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 410217 PAINT 120.79 TOTAL 120.79 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number ] Vendor Address ~ PO BOX 714 RING'S END 4Niantic' Vendor Telephone Number 860-739-5441 CT 06357 Vendor Contact Invoice I Invoice Number Date ' 11/16/2012 410217 Invoice Total Discount Vendor No. 14022 r $12°'79 I Net Purchase Order ~,mount Claimed Number $120.79 Paint $120.79 Check No. Entered by .~ Audit Date DEC 1 8 2012 Description of Goods or Services General Ledger Fund and Account Number $120.79 SM5710.2.000.000 Payee Certification Thc undersigned (Claimant) (Acting on behalf of the above named claimant) does hereb5 certify that the tbregoing 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 To~ is exempt are excluded Compan5 Name ~? Date Department Certification I hereby certif5 that the materials above specified have been received by me in good condition without substitution, the services properly peffor~ned and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature Title ' Page # 1 Bethel, CT Bmnford, CT Dmlen, CT Lewlsboro, NY (203) 797-1212 (203) 488-3561 {205) 655-2625 (914) 533-2517 308 8outh FrontAge ROad (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 New London CT 06385 New London, CT New MSford, CT Nl~tt]~, CT Wilton, CT T: 860-439-0156 (860) 439-0155 (860) 355-5566 (860) 739;5441 {203) 761-1000 F: 860-439-1368 (866) 439-0155 (888} 350-5966 {800) 303~8526 (866) 842-7883 r Ch~e Invoice * * * THANK YOU FOR SHOPPING RING'S END * * * New London, CT,, FISHERS ISLAND FERRY DIS P.O. BOX H FISHERS ISLAND NY 06390 860-442-0165 EFISHIS 11/16[2012 410217 109:22 284 - Al!~la;~ibble 0 '---- , 410217 I 2% Date Based Discoun¢ 6,~51 ' CT SALES TAX P220801 2 2 URETHANE ALKYD GLOSS SAFETY WH G 2.000 33.Sg~/F2%CH: * 67.98 P222B01 I i URETHANE ALKYD GLOSS BASE 2 1.000 35.030/~ACH 35.03 BUFF THII'~ER ' 2 2 PAINT THINNER C~!.~LON 2. 000 8 . 890/EACIt 17,79 SEE REVERSE SIDE FOR TERMS AND COND[TIONS I 120.79 0.00 0.00 120.79; CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 019503 SOUTHEAST ELECTRIC, LLC 12/18/2012 CHECK 883 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 5204 SECURITY LIGHTS-NL TERM 521.12 TOTAL 521.12 lVendor No. Town of Southold, New York - Payment Voucher 19503 Vendor Tax ID Number or Socia~ Security Number Vendor Address 35-3162215 882 Noank Ledyard Rd ~Ystic, CT 06355 Southeast Electric, LLC Vendor Telephone Number 860-536-7800 Check No. $521.12 Entered by ~ Audit Date DEC 1 8 2012 Invoice Invoice Invoice I Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 5204 11/29/2012 $521 12! Security Lights NL Terminal SM5709.2.000.200 Payee Certification Thc undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certii¥ that the foregoing claim is true and correct, thai no part has been paid. except as therein stated, that the balance therein stated is actually due and owing arid that taxes fforn which tbe Town ~s exempt are excluded Signature ~'-~ .~--- Title Compare Name Date Department Certification I hereby Celli~; 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 SOUTHEAST ELECTRIC~ LLC 882 Noank Ledyard Road Mystic, CT 06355 860-536-7800 CT License #E1-190523 MA License #E51751 Customer Name: ~-- ~ QtyDescription Amount /~ ~ ~. L/7, i Please p~ fiom this invoice. Sub-Total ~ ~/) '' Wa~ '~[.,~ FISHERS ISLAND FERRY DISTRICT VENDOR 019719 STAPLES CREDIT pLAN 12/18/2012 CHECK 884 FUND & ACCOUNT P.O. g INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 SM .5711.4.000.000 SM .5711.4.000.000 SM .5711.4.000.000 1398229001 FI OFFICE SUPPLIES 120.20 3015417001 FI OFFICE SUPPLIES 19.57 3015417003 FI OFFICE SUPPLIES 22.99 3491162001 FI OFFICE SUPPLIES 100.56 TOTAL 263.32 0 ,,' ~a a~qi,· Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Sccurib' Number Vendor Address Dept 51-7820667673 Vendor No. 19719 STAPLES CREDIT PLAN Vendor Telephone Number 800-767-1291 VendorContact PO Box 689020 Des Moines, lA 50368-9020 Check No. Entered by g~-- Audit Date DEC 1 $ 2012 ro~lerk ~, ~--. , Invoice ln'~oice Invoice Net I Purchase Order Number Date lotal Amount Claimed Number Description of Goods or Se~ices General Ledger Fund and Account Number $120.201 $120.201 $22.99 $19.57 FI Office Supplies FI Office Supplies FI Office Supplies FI Office Supplies $22.99 1398229001 10/11/2012 3015417003 10/22120t2 3015417001 1012212012, $19.57 3491162001 1116/2012 $100.561 $100.66 i ! $263.321 ! $263.32 Payee Certification The undersigned (Claimant) (Acting on behalf of tbe above named claimant) does hereb5 certif3 that the foregoing claim is true and correct, that no part has been paid except as therein sta ed that the balance therein stated is actualI5 due and o',~ing, and thal taxes from which the 'l'o~n is exempt are excluded Department Certification I hereby cenii~ 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 ~s approved SMfi711.4.000.000 Signature ~/x(~_.~f Title Compan5 Name ,,Z'-.,~ Date ,// that wss easy~. O Customer Service: staplee.account onllne.~om B Aooount Inquiri~: 1-800-767-1291 Fax 1-801-779-7425 Account Statement Commerc~ ~r~cmnt: FISHER ISLAND FERRY DIST Summary of Account Activity Previous Balance $724.35 Payments -$214.91 Credits -$0,00 Purchases .~63132 Debits +$0.00 FINANCE CHARGES +$0.00 Late Fees +$0.00 New Balance $772.76 Payment Information Current Due Past Due Amount Minimum Payment Due Payment Due Date Icredit Line Credit Available ClOSing Date Next clOSing Date Days in Billing Period $33.00 + $0.00 = $33.00 12/~3/12 $10,500 $9,727 11/08/12 12/09/12 0 ~ We are here to support our customers affected by Hurricane Sandy. Above all, we hope you and your family are safe. If --m yOU have been impacted by the storm and need assistance, please call us at the customer service number listed on your ~. statement. We will work to help with your individual needs during this challenging time. ~ TRANSACTIONS 10/22 ~'~2S30154'i7~i PUTNAJ~m CT 10/22 N)2S30154 i7-000.003 SEcAuc US NJ 11/06 ~'~9233491162-~00-~01 PUTNAM CT PAYMENTS, CREDITS, FEES AND ADJUSTMENTS FINANCE CHARGE SUMMARY PURCHASES I REGULAR REVOLVING CREDIT PLAN $ 19.57 $ 22.99 P91~IooMJOgNZ~-6F $ 214.91- Your Annual Pement.gll Rate (APR) is the annuallntere~ rate on your ~nt.I O.ooooeTo $o.oo so.oo o. OO% ~,~ NOTICE: SEE REVERSE SIDE FOR IMPOR3*ANT INFORMATION Page 1of 4 Tlfl~ Aeeeunt I~ Issued b~ C#lbank. N.A. INVOICE DETAIL BILL TO: SHIP TO: Ac. ct: 6035 5178 2065 7673 DEB DOUCETTE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY PRODUCT SKU # PO: I Store: 100088887, PUTNAM QUANI~TY UNIT PRICE TOTAL PRICE MANUALORDERS 000684530 1.O0O0EA Purchased b~ GORDON MURPHY SUBTOTAL TAX SHIPPING TOTAL $120,20 $120.20 SILL TO: SHIP TO: Acct: 6035517820657673 DEB DOUCEI IE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY PRODUCT SKU # Invoice #: 10/22/12 3~15417003 1 8tom: 100088887, PUTN~ QUAN~TTY UNIT PRICE TOTAL PRICE SpLS ~FT CAT 5E NET CBL 000397853 1~0000 EA $22.99 $22.99 Purchased by: GORDON MURPHY SUBTOTAL $22,99 TAX So.o0 SHIPPING $3,00 BILL TO: SHIP TO: Acct: 6035617820657673 DEB DOUCETTE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY PRODUCT SKU # $19.57 Invoice #: 10~12 3015417001 I Stere: 100088887, PUTNAM QUAN'n'rY UNIT PRICE TOTAL PRICE PEN BALL PT RND STIC MED 000123455 ~1~ LOTION HAND SOAP 000~ CLEANER NEUTRL FLR EP,CLR 000276188 Purchased by: GORDON MURPHY !.O000 DZ $2.79 $2.70 1.0000 EA $5.99 $5.99 1:O0O0 EA : $10.79 $10.79 SUBTOTAl. $19.57 TAX $0.O0 SHIPPING $0.00 TOTAL $19 87 BILL TO: SHIP TO: Acct: 6035 5175 2065 7673 DEB DOUCETTE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY PRODUCT SKU # $100.56 I 11/06/12 I I Invoice #: 3491162601 I Store: 10~:~8887, PUTNAM QUANITnf UNIT PRICE TOTAL PRICE SPLS 8.5Xll COPY CS 000135848 ASTRO 815Xii PU~AR PINK ~1620 BROTHER ~Z.I::-2312PK 12MM B 000917881 Purchased by: GORDON MURPHY 1.O0O0 CT $37.79 $37.79 2:~ RM $i2:14 $24.28 1:0000 PK $38:49 $38.49 SUBTOTAL $1O0.56 TAX $0.00 SHIPPING $3.00 TOTAL $100.56 Page 3 of 4 1-8O0-767-1291 staples.accountonline.com I This page intentionally left blank. Page4 of 4 1-800-767-1291 staples.accountonline.com I that was easy. INVOICE FISHERS ISLAND FERRY DISTRICT GORDON MURPHY · ~ 261 TRUMBULLDR FISHERS ISLAND, NY 06390-8021 21-AU6-~2 DO408Z828224 I 7000ZO~0S9 20-SEP-12 30 i $120.20 FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DR FISHERS ISLAND, NY 06390-8021 Staples Dotcom C~stomer SerVice Inq~lrzes: 877-878-3331 Invoice Inquiries: 666-996-9103 or DotComCredit@Staples.com Make checks payable to 'Sta~les Contract and Commercial, Inc.' PO BOX 414524, Boston, MA - 02241-4524 Bill to Account: DO4051825224 Ship to Account: DO4051825224 Invoice Number: 7000108089 P 0 Number: Order: 9231011001-000-001 Ordered by: DEB DOUCETTE Order Date: 21-AUG 12 i Order ........... ~ ~ -~ Ship" ' ~nit Ling. Item Numbe~_pesl:ription _ _ __ __Q.~Y 1 491620 ASTRO 9.5Xll PULSAR PINK P~M I REAM 2 135849 SPL$ 6.5Xll COPY CS I CA~TON 3 116657 3-TA~ FLDR LTR MANILA 100 I BOX 4 364836 HP 951 COLOR IRK 3 PA~K I EACH 5 853439 KCUP COFFEE PEOPLE DON~T SHOP i PACK 6 676748 ~JLYI~GSEPT 2012 PITNEY BOWES I PACK Freight: $0.00 TAX: QtL. M__ea__s Q t~{_. Price ......... P__r.i~c9 , $12.14 $12.14 $37,79 $37.79 $6,99 $6.99 $51.29 $51.29 $11.99 $11.99 $0.00 $0.00 $0. O0 .... S,/b-Total: ....... 8¥20': ~0] ...... T?t~ .a~].~ __ $120.20 I that was easy. 21-AUG-12 ] D04051825224 7000108089 20-SEP-12 I 30 $120,20 Please send payment to: Staples Contract and Commercial PO Box 414524 Boston, MA 02241-4524 DOT70001080890000120209 that was easy: 1 800-333 3330, or email at support@orders.staples.com. Order online, by phone or by fax 24 hours a day, 7 days a week. STAPLES that was easy FISHERS ISLAND FERRY DISTRICT DEB DOUCETTE Floor: 1 261 TRUMBULL DR DP~AWER H FISHERS ISLA/qD, NY 063908021 Contact: (631) 788-7463 - DEB DOUCETTE REFER TO THIS ORDER NO. FOR ALL INQUIRIES 4051825224 / 8/21/12 I 9231011001-000001 / SEIPPINGLOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 TOTAL PACKAGES: 2 PAGE: 1 Order Date: 08/21/2012 Coupons and other On large orders some 116657 135848 364836 491620 853439 Check your order statu1. tments are deducted after the Merchandise Total. may be arriving in separate shipments~ 3-TAB FLDR LTR MANILA 100 /116657 ~ SPLS 8.5Xll COPY CS /135848-WH ~/~ HP 951 COLOR iNK 3 PACK /CR314FN#140 W/~ ASTRO 8.5Xll PULSAR PINK RM /21031/21628 %/ KCUP COFFEE PEOPLE DONUT SHOP /00714/ 1 1 6.99 6.99 1 1 37.79 37.79 1 1 51.29 51.29 1 1 12.14 12.14 1 1 11.99 11.99 M~rc~andise D li ,er ..... T{~x. / ........ online by going to www. Staples.com and clicking on "My Ord~ Need to return something? Please call Customer Service to process a return. 120.20 .00 .00 OF ORDER: 120.20 oo~ Thank You For Your Order! Staples, Inc. THIS IS NOTAN INVOICE that was easy: For Customer Service, call 1-800-333-3330, or email at support@orders.staples.com. Order online, by phone or by fax 24 hours a day, 7 days a week. STAPLES that was easy FISHERS ISLAND FERRY DISTRICT f~!l DEB DOUCETTE Floor: 1 261 TRUMBULL DR FISHERS ISLJtND, NY 063908021 Contact: (631) 788-7463 - DEB DOUCETTE REFER TO THIS ORDER NO. FOR ALL INOUIRIE~ SHIPPING LOCATION: Putnam, CT FC CARRIER RO%~E:UPS/UPS /U2 TOTAL PA~GES: 1 Order Date: 10/22/2012 On large orders some bcx~s/~ay be arriving in separate shipments. 1 123455 ~'~EN~ALL PT P~ND STIC MED RD /20118/GSMllRD DZ 1 c 1 !2.79 2.79 Material Safety Data Skeet~F (MSDS) may be found by visiting http://msds.ce) ).com/m~ds/Staple~MSDS Ex~mptl pdf Material Safety Data Skeets (MSDS) may be found by visiting http://msds,ce> ).com/m~ds/822849.pdf The following are shipFed fr~m an alternate warehouse via UPS. They should arrive no later t~a/ 10/23/12 3 397853 ~PLS 25~T CAT 5E NET CBL GREEN/21927 EA 1 0 22.99 .00 The following items will be de~vered via UPS/Courier. Multiple items ay arrive separately by 0/24/1~F ~thm w~ ~s~ Illillllllillllli[illlllllllllllHIIIIIiJlll[[lllll I I I Continued... Thank You For Your Order! Staples, Inc. that was easy: For Customer Service, call 1-800-333-3330, or email at support@orders.staples.com. Order online, by phone or by fax 24 hours a day, 7 days a week. STAPLES that was easy FISHERS ISLAND FERRY DISTRICT DEB DOUCETTE Floor: 1 261 TRUMBULL DR FISHERS ISLkND, NY 063908021 Contact: (631) 788-7463 - DEB DOUCETTE REFER TO THIS ORDER NO. FOR ALL INQUIRIES SHiPPINO LOCATION:Putnam, CT FC CA~aIER 7UTE:UPS/UPS TOTAL PAC~AOES= /U2 1 Order Date: 10/22/2012 Check your order statu: online by going to www. Staples.com and that was easy~ Need to return something? Please call Customer Service to process a return. Total. 8.78 .00 .00 00~ Thank You For Your Order! Staples, Inc. THIS IS NO~ AN INVOICE STAPLES. COH 70 COMMUNITY AVE. FISHERS ISLAND FERRY DISTRICT 261TRUMBULL DR FISHERS ISLAND NY 063908021 2ANRN8 10/22/2012 OS3F7RN UTD Drop Ship Order CONTACT CUSTOMER SERVZCE AT 800-333-3330 UPS UPSUP SHIP VIA: UPS REF#:923301Sqi7-OOO-OOq Item Number Ordered As uescrmpuon UM AEP B180q-q CLEANER,NEUTEL FLR EP,CLR 005000 Quantity Ord Ship I i Unit Price Price THANKYOU FOR YOUR ORDER SEE REVERSE SIDE FOR RETURNS INFORMATION Items should be returned after obtaining a Return Authorization... · With this Packing List · To the Return Address noted on the front of the form · Free from markings · In the original carton and packaging that was easy: FOR CUSTOMER SERVICE, CALL 1-800-333-3330, OR EMAIL AT SUPPORT@ORDERS.STAPLES.COM. ORDER ONLINE, BY PHOME OR BY FAX 24 HOURS A DAY, 7 DAYS A WEEK. STAPLES that was easy FISHERS ISLAiFD FERRY DISTRICT DEB DOUCETTE FISHERS ISL~/qD, NY 063908021 Contact: (631) 788-7463 - DEB DOUCETTE REFER TO THIS ORDER NO. FOR A~L INOUIRIES 4051825224 10~22~12 9233015417-000003 SHIPPINO LOCATION: FC: SECAUCUS, NJ CARRIER ROUTE:UPS/UPS Order Date: 10/22/2012 COUPONS AND OTHER 397853 Check your order TMENTS ARE DEDUCTED AFTER THE SPLS 25FT CAT 5E NET CBL TOTAL. online by going to www. Staples.com and clickin( 1 1 22.99 22.99 "My s". 22.99 .00 .00 Need to return something? Please call Customer Service to process a return. OF OP. DER: 22. 99 00~ Thank You For Your Order! Staples, Inc. THIS IS NOT /IN INVOICE that was easy: For Customer Service, call 1-800-333-3330, or email at support@orders.staples.com. Order online, by phone or by fax 24 hours a day, 7 days a week. STAPLES that was easy FISHERS ISLAND FERRY DISTRICT 1 DEB DOUCETTE Floor: 1 261 TRUMBULL DR FISHERS ISLJ~ND, NY 063908021 Contact: (631) 788-7463 - DEB DOUCETTE REFER TO THIS ORDER NO. FOR ALL INOUIRIES 4051825224 11/06/12 9233491162-000001 I SHIPPING LOCATION:Putnam, CT FC C,~RIHR ROUTE:UPS/UPS /U2 Order Date: 11/06/2012 Coupons and other adjustments are deducted after the Merchandise Total. On large orders some bcxes may be arriving in separate shipments. 135848 SPLS 8.5Xll COPY CS /135848-W~ CT ~ 1 1 37.79 37.79 491620 ASTRO 8.5Xll PULSAR PINK RM /21031/21628 RM ~ 2 2 12.14 24.28 917881 BROTHER TZE-2312PK 12~ BKW~T /TZe-2312PK PK V 1 1 38.49 38.49 Material Safety Data SKeets (MSDS) may be found by visiting http://msds.ce) ).com/m~ ~s/917881.pdf M ~.rcl landise total ........ 100.56 D !li rery ................ 00 Ttx .................... O0 Check your order status online by going to www. Staples.com and clicking on "My Ord~ us". ~ Need to return something? Please call Customer Service to process TOTAL VALUE Pr.~i.w. a return. OF ORDER: 100.56 00~ Thank You For Your Order! Staples, Inc. THIS lS NOT /IN INVOICE Staples.corn® I Printable Order Summary Page 1,'~f 2 th~t wag e@~y:~ Printable Order Summary Thank You for Your Order For complete order details like sales tax, shipping info and Software Download instructions, keep an eye out for an email from Staples at the address below. Order confirmation will be sent to: ddoucette@fiferry.com Order number 1:923349:1162 Order date: November 6, 2012 You'll also find complete details of this order in the Order Status section of My Account on Staples.com~:~ Shipping Address Gordon Murphy Fishers [sland ferry District 26:1 Trumbull Dr Fishers Island, NY, 06390-8021 (631) 788-7463 Not going to be around to receive or sign for your order? Please fill out a Driver Release Agreement: http://www.staples.com/sbd/content/help/shipping/nothome popup.html Billing Address Gordon Murphy Fishers Island ferry District 261 Trumbull Dr Fishers Island, NY, 06390-0607 (631) 788-7463 Your order may be sent in different shipments. Tf it is, no additional charges will apply. For Software Download, an email containing download instructions~ software link(s) and activation code(s) will be sent following the email confirmation of your order. Order number: 9233491162 ,~ Item Brother® TZe-2312PK P-Touch® Label Expected business-day Qty: 1 Price: 917881 Tape, 1/2" Black on White, 2/Pack delivery: Thu 11/08 at $38.49 $38.49 2/Pack Item WausauTMAstrobrights® Colored Paper, 8 i Expected business-day Qty: 2 Price: 491620 1/2" x 11", Pulsar Pink, Ream :delivery: Thu 11/08 at $12.14 $24.28 : 500/Ream Item Staples® Copy Paper, 8 1/2" x 11", Case ..Expected business-day Qty: :1 Price: 135848 ~ldelivery: Thu 11/08 at $37.79 5,000/Case Subtotal: $100.56 :Coupons: $0.00 https://www.staples.corn/office/supplies/orderconfprnt?catalogId= 10051 &orderld= 161244... 11/6/L~12 Staples.corn® [ Printable Order Summary Page 2 of 2 Estimated Tax: [Tax Exempt Total :!$100.S6 Remaining Balance: [ $:1. OO.56 Remaining Balance will be applied to following: Staples Credit Card ending in 7673 Hold on to your Staples Rebate Visa Cards and Prepaid Gift Cards until your order has been received If you have any questions or concerns about your order, please call 1-800 STAPLES (1-800-782-7537) or email ~ support@orders.staples.corn Important information concerning coupons and sales tax can be found at: http://www.staples.com/salestax The tax shown is estimated. Your Order Confirmation Email will include shipment details, product availability and estimated tax, Important information concerning return policy can be found at: http://www.staples,com/sbd/content/help/using/returns_policy_popup.html For complete order details like sales tax, shipping info and Software Download instructions, keep an eye out for an email from Staples at the address above. You'll also find complete details of this order in the Order Status section of My Account on Staples,corn®. Sign up to receive Staples emails with great online and in-store offers and exclusive money-saving discounts. ~ This Web site is intended for use by US residents only. See Tnternational Sites. See our delivery policy for full details. Copyright 2012, Staples, Inc., All Rights Reserved. Questions? Call 1-800-333-3330 or email us. Site Map I RSS Feed I AdChoices htt~s://w~wv.stap~es.c~m/~f~ce/su~ies/~rderc~nf~rnt?cata~g~d~5~&~rder~d=~6~244... 11/6/2012 FISHERS ISLAND FERRY DISTRICT VENDOR 019813 SUPERIOR LAMP, INC. 12/18/2012 CHECK 885 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION ~40UNT SM .5710.2.000.000 S2811804 BULBS FOR BOATS 694.74 SM .5710.2.000.000 S2811804 CREDIT SALES TAX 55.16- TOTAL 639.58 Town of Southold, New York - Payment Voucher Vendor No. 119813 Vendor Tax ID Number or Social Security Number 91-2094903 Superior Lamp Inc. Vendor Telephone Number 8004374772 Vendor Contact Vendor Address P.O. Box 866 Moorhead, ~N 56561-0566 Check No. Entered by MO Audit Date l t EC 1 8 2012 ITown Clerk Invoice Invoice Invoice Number Date Total Discount Description of Goods or Services General Ledger Fund and Account Number $2811804 11/2012011 $694.74 Bulbs for boats Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby cerfi[5' that the foregoing claim is true and correct, that no part has been paid, except as therein statod, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Compan) Name ~f? Date Net Purchase Order :Amount Claimed Number $694.74 SM5710.2.000.000 Department Certification hereby cer~ifs, that the materials above specified have been received b5 me ~n good condition without substitution, the services properly pertbrmed and that the quantities there&have been verified with the excepuons or discrepancies noted, and payment is approved Signature ~ Idle Date ~J~ Time, Money, & Energy with SUPERIOR SAVE .EAW OUTY Lighting Products Mt. Laurel, NJ ~,i,~ LAMP FED ID# 91-2094903 Homewood, IL , / ~ ~ INC DATE 11-20-2012 Moorhead, MN PO BOX 566 MOORHEAD MN 56561~566 1~00437 4772INVOICE NO. S2811804 -01 DATE SHIPPED M~E CHECK PAYABLE ONLY TO SUPERIOR LAMP ~NC SHIPPED FROM CUSTOMER NO ORDER NO YOUR PO. NO 11-15-2012 PO BOX 566 MOORHEAD MN 56561-0566 5-NY 833047 S2811804 15 15 F96T12/FWX8550TC/lOYR ~ . R 39.48 592.20 FREIGHT NOT DEDUCTIBLE I **CASH TERMS** PAY BEFORE 11-30-2012 AND SAVE 5.92 I I FISHERS ISIMND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 12/18/2012 CHECK 886 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION D240UNT SM .5710.4.000.700 SM .5710.4.000.700 26639462 W/E ll/17/12-(2)PKGS 91.34 26639472 W/E ll/24/12-(2)PKGS 115.76 TOTAL 207.10 O0 ~50 ~ Town of Southoid, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 7247-024~ Vendor Name Philadelphia, PA 19170-0001 United Parcel Service ! Vendor No. 21506 Vendor Telephone Number 800-811-1648 Vendor Contact Check No. Entered by ~ Audit Date 0EC 1 8 2012 Town Clerk Number Dale Total Discount 26639462! 1111712012 $91.34 $91.34! 26639472 11/2412012 Net Purchase Order Amount Claimed Number Description of Goods or Services u16.76 lw,e 11,24,12 $115.76 General Ledger Fund and Accoun! Number SM5710.4.000,700 SM5710.4.000.700 $207.10 $207.10~ Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby cerViX' that the foregoing claim is true and correct, that no part has been paid, except as therein staled, that the balance therein stated is actually due and owing, and that taxes from x~hich the To¥*ql is eXClllpt are excluded Signature ( ~ ~.~/.,~ ~ Title_ Department Certification I hereby cerii(~ 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 excephons or discrepancies noted, and payment is approved litle Date Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date November 17, 2012 Invoice number 0000026639462 Shipper number 026639 Control ID 668V Page 1 of 3 0720A00000266392 77366300011753 FP 01 073964 71012Z235 A**3DGT IIl,,lllll,lUtll,.ihlHm~,U.ulhl.,u.l~,lhlgl,hll.uh FISHER ISLAND FERRY PO BOX 607 FISHERS ISLAND, NY 06590 Sign up for electronic billing today! Visit ups.com/billJng For questions about your invoice, call: Monday - Friday 8:00 a.m. ~ 9:00 p.m.E.T. or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Weekly Payment Plan Amount Due This Period $ 91.34 Amount Outstanding (prior invoices) $1,275.37 Total Amount Outstanding $1,366.71 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. Happy holidays Season's greetings from UPS. To view or print UPS operating schedules for Thanksgiving, Christmas and New Year's, visit compass,ups.corn/holidays. Thank you for using UPS. Summary of Charges Page Chmge Outbound 3 UPS WorldShip $ 3315 3 Adjustments & Other Charges $ 2.00 3 Fees $ 36 19 Service Charges $ 20.00 Amount due this period $ 91.34 UPS payment terms require payment of this invoice by November 28, 2012. Payments not received by December 12, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups. corn) Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is S. 5% for UPS Ground Services and 14.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Del~very Service Invoice Invok:e date November 17, 2012 Invoice number 0000026639462 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice N~umber Invoice Date Due 0000026639402 10/06/2012 $136 12 00000266;3;,)412 10/13/2012 $ 250.51 0000026639422 10/20/2012 $ 603.16 0000026639432 10/27/2012 $183.09 0000026639442 11/03/2012 $ 5297 0000026639452 11/10/2012 $ 49.52 Tolal $1,275.37 Outstanding balances reflect any payments received as of 11/16/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Outbound uPs WorldShip Delivery Service Invoice Invoice date November 17, 2012 Invoice number 0000026639462 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 11/t2 9121173806 1 9.55 11/15 9121173810 1 23 60 Total UPS WorldShip 2 Package(s) 33 15 Total Outbound 2 Package(s) 33 15 Adjustments & Other Charges Miscellaneous Explanation Charge WEEKLY PRINTER SERVICE FEE 200 FOR 1 PRINTERS AT $2 00 EACH FOR 16-NOV-2012 Total Miscellaneous 2.00 Total Adjustments & Other Charges 2oo Fees WeekEnding Unpaid Bilked Date Balance Rate Charge 10/20 Late Payment Fee 603 16 6 00 % 36 19 Pursuant to the UPS Ta~lf~ a late payment tee has been assessed. Total Fees 36 19 m 073B64 2/2 Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date November 24, 2012 Invoice number 0000026639472 Shipper number 026639 Control ID 1J33 Page 1 of 3 0720A00000266392 77366400010356 FP 01 063195 73994[206 A**3DGT FXSHER ISLAND FERRY PO BOX 607 FISHERS ISLAND, NY 06590 Account Status Summary Weekly Payment Plan Amount Due This Period $115.76 Amount Outstanding (prior invoices) $ 376.92 Total Amount Outstanding $ 492.68 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. HaDpy holidays Season's greetings from UPS. To view or print UPS operating schedules for Thanksgiving, Christmas and New Year's, visit compass .ups .com/hol idays. Sign up for electronic billing today! Visit ups.com/billing For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 a.m. - 9:00 p.m.E.T. or write: UPS P.O. Box 7247-0244 PhiledeIphia, PA 19170-0001 Thank you for using UPS. Summary of Charges Page Charge Outbound 3 UPS WorldShip $ 9277 3 Adjustments & Other Charges $ 2.00 3 Fees $10.99 Service Charges $10.00 Amount due this period $115.76 UPS payment re;ms require payment of this invoice by Decembe~ 5, 2012. Payments not received by December 19, 2012 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.corn} Note: This invoice may contain a fuel surcharge as described at ups. com. The published fuel surcharge is 8.5% for UPS Ground Services and 14.0% for UPS Air Services, UPS 3 Day Select, and Interna~fonal services. For more information, visit ups.cem. Delivery Service Invoice Invoice date November 24, 2012 Invoice number 0000026639472 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payment.,~ Applied Invoice Number Invoice Date 0000026639402 10/06/2012 0000026639412 10/13/2012 0000026639422 10/20/2012 Account ,'~atu s Weekly Payment Plan Amount Paid $136.12 $ 25051 $ 603.16 Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your p;~yment Balance Invoice Numbe~ Invoice Date Due 0000026639432 10/27/2012 $183 09 0000026639442 11/03/2012 $ 52.97 0000026639452 11/10/2012 $ 49 52 000002663'9462 11/17/2012 $ 91.34 Total $ 376.92 Outstandir~g balances reflect any payments received as of 11/23/2012, Please ignore this message if a recent payment has been made, lot any outstanding invoices. Outbound ups WorldShip Delivery Service Invoice Invoice date November 24, 2012 tnvoice number 0000026639472 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 11/20 9121173821 r 1 82 01 11/23 9121173832 1 10.76 Total UPS WorldShip 2 Package(s) 9277 Total Outbound 2 Package(s) 92 77 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2 oo FOR 1 PRINTERS AT $200 EACH FOR 21*NOV-2012 Total Miscellaneous 200 Total Adjustments & Other Charges 2 o0 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 10/27 Late Payment Fee 183 09 6.00 % 10 99 Pursuant to the UPS Tarif~ a late payment fee has been assessed Total Fees 1099 Invoice Messaging Code Message Dimensional weight applied O63195 2/2