The URL can be used to link to this page

Home My WebLink AboutAU-01/29/2013 Fishers IslandFISHERS ISLAND FERRY DISTRICT VENDOR 001395 ADVANTECH CONSULTING CORP 01/29/2013 CHECK 952 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 966051 IT OUTSOURCING-1/13 1,000.00 SM .5710.4.000.500 966051 SPAM FILTERING-i/13-3/13 75.00 TOTAL 1,075.00 'x'~ ~IVendor No. Town of Southold, New York - Payment Voucher 1395 Vendor lax ID Number or Social Security Number Vendor Address P.O. Box 991 Suffield, CT 06078 Advantech Consulting Corp. Vendor Telephone Number 860-668-0044 Vendor Contact Invoice Number 966051 966051 Invoice ; Invoice Date Total 1/1/2013 $1,000.00 1/112013 $75.00 Discount 151,o76.oo Payee Certification The undersigned (Claimant) (Acting on behalf of tbe above named claimant) does hereb~ certi~/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 lovm ~s exempt are excluded Company Name ~ /~i~I/~ Date f/Z ~ //~ Net Purchase Order Amount Claimed Number $1,000.00 $75.00 !51,o75.oo Description of Goods or Services IT Outsourcing January Spam Filtering Jan-Mar 2013 Check No. General Ledger Fund and Account Number SM5710.4.000.500 SM5710.4.000.500 Department Certification I hereby certi~ 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 is approved Signature ~ ' Advan Tech Consulting P.O. Box 951 Suffield, CT 06078 Invoice DATE INVOICE # 1/1/2013 966051 BILL TO Fishers Island Ferry P.O. Box H Fishers Island, NY 06390 TERMS DUE DATE PROJECT Due on receipt 1/1/2013 QTY DESCRIPTION RATE AMOUNT IT Outsourcing - 1/1/13 thru 1/31/13 1,000.00 1,000.00 Spam Filtering: Jan-Mar 2013 75.00 75.00 Thank you for your business. Contact us at (860) 668-0044. Total $1,075.00 Unpaid invoices over 60 days past due date subject to late fee and interest charges. FISHERS ISLAND FERRY DISTRICT VENDOR 001327 AIRGAS EAST, INC 01/29/2013 CHECK 953 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 9011662715 2 CYL FORKLIFT FUEL TOT~kL 86.63 86.63 ~~Vendor No. Town of Southold, New York - Payment Voucher , Vendor Tax ID Number or Social Security Number Vendor Address Vendor Name Airgas East Vendor Telephone Number 860 ~.~.~..3055 Vendor Contact 1327 P.O. Box 827049 Philadelphia, PA 19182-7049 Check No. Entered by~ Audit Date~4''-~ ,Town Clerk Invoice Invoice I Invoice Net Purchase Order I Number Date I Total i Discount Amount Claime~ Number Description of Goods or Services Genera] Ledger Fund and Account Number 9011662715 119/2013 $86.63 $86.63 Forklift Fuel SM5710.4.000.000 ~ $86.63 $86.63 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is true and co~rect, that no part has been paid, except as therein stated, that the balance therein stated is actually dne and owing, and that taxes from which the Town is exempt are excluded Signature ~ ?~ Title Company Name Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. TO ENSURE PROPER ~ PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-642-1500 80119220]4 PP, 33A PRO[ANE INDUSTRIAL 33 CGA 510 CL 2 2 39.44 CL 78.88 64.800 NBS) SaLe subtela]: 18.88 '?, 75 SHIP TO: 2576547 Airgas FISHERS ISLAND wwwairgas,com FERRY DISTRICT PO BOX H Airgas USA, LLC FISHERS ISLAND NY 06390-0607 6055 Rock$ide Woods Blvd Independence, OH 44131 L ~OLINrT I 86.63 Airgas USA. LLC ACT. NO. 8606074318 PNC BANK, ABA NO 031000053 Page 1 of 1 .Airgas SHIPPER: AIRGAS USA, LLC 131 CROSS RD WATERFORD, CT 06385-1204 SHIP TO: 2576547 FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND, NY 06390-0607 US 63%788-7463 DELIVERY ORDER SOLD BY: AIRGAS USA, LLC 130 CROSS RD WATERFORD, CT 06385-1204 800-962-0285 SOLD TO: 2576547 FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND, NY 06390-0607 US FOR LOCATION NEAREST YOU VISIT VVWVV.AIRGAS.COM DELIVERY ORDER # 8011922014 PAGE 1 OF 1 ORDER DATE: 01/09/2013 SCH SHIP DATE: 01/09/2013 PRINTED: 07:39 01/09/2013 SALES ORDER: 1010621605 CUST PO # RELEASE# ORD BY ENT BY RANZARMSTR Sales N309 Order Type Payment Terms Incoterm Route Office Plant Acct Front NET 30 Customer Pick Up Counter Customer Pick U N329 Sales Total Containers Org Ship Return NO00 I Qty UOM HM Description & Hazard Class Qty Containers Vol Shippec Type Order Ship Ret /VVt 2 CL X UN1978PROPANE2,1 Llne¢ 10 Material# PR 33A Stor. Lo¢.F001 2 2 2 64 PROPANE 32LBS ALUMINUM LB EMERGENCY CONTACT: 1-866-734-3438 PURCHASER AGREES TO OI~AIN MA~E RIAL SAFETY DATA SHEETS (MSD$) FROM ONE OF THE I I FOLLOWING¢$OURCE$ ~ PO~T OF PL~ASE, AIRGAS WEB SITE AT ~,AIRG A$,C O~' OR BY A~RGAS PERSONNEL DATE T.O.O. PLACARDS OFFERED ACCEPT REJECT CUSTOMERMUST INITIAL CHOICE THIS AGREEMENT IS SUBJECT TO AIRGAS STANDARD TERMS AND CONDITIONS SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION ACCEPTED FOR THE ABOVE CUSTOMER NAME PLEASE PRINT , INTERNAL USE ONLY Delivery # 8011922014 TERMS AND CONDITIONS WARNING: TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS, DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS, iN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER. 'ALWAYS TRANSPORT CYLINDERS IN A SECURED UPRIGHT POSITION. BUYER ACKNOWLEDGES THAT IT HAS RECEIVED A SAFETY INSTRUCTION SHEET FROM SELLER, SAFE HANDLING OF COMPRESSED GASES · ~ 1 ~/Ny AND ALL PRODUCfS AND SUPplIES DELIVERI D [O B[JYER BY SELLER OR SELLER S REPRESE~JrA]IVE AHI COVERED By THIS DELIVERY il(Kb[ [HF [:YLINDERS FITTINGS AND CAPS COVERED BY THIS D(JCUMLNr ~\RE A$SL$$b[) AS OF THE LAST DA" OI ! ACH MONTH OR /~T THE START OF EACH ANNUAL I EASF PFRIOD A~ ApP[ICABLE B[JY F~ SHALL RETJRN IN GOOD COND TION ALt CYLtNDERS COMPI I 1~ WiTH CAPS AND F I]TIN(~S AND SHAI L PAY SE[ [ FR t JPON DEMAND THE REPLACEMEN l VA~ tip OF (I) ANY LOST OR DAMAGED CY[ INDI R~ CAPS OR FITTINGS OR (11) THOSF CY[INDERS NOT RETdRN[ D fO $bL LER WITHIN TI ]R£E (3) b,~)N ] dS EMERGENCYRESPONSEINFORMA~ON PROPANE HYDROGEN POTENTIAL HAZARDS ACETYLENE MAPP AIR NITROUS OXIDE OXYGEN LIQUID O= POTENTIAL HAZARDS POTENTIAL HAZARDS FISHERS ISLAND FERRY DISTRICT VENDOR 001788 BAIER MARINE COMPANY INC. 01/29/2013 CHECK 954 FUND & ACCOUNT P,O.# INVOICE DESCRIPTION AMOUNT SM .5710.2,000.200 BAI44317 RP DECK HATCH 662.57 TOTAL 662.57 Town of Southold, New York - Payment Voucher ' 1788 Vendor Tax 1D Number or Social SecuriW Number Vendor Address 2920 Airway Avenue C0~ CA 92626 Baier Hatch Company, Inc. Vendor Telephone Number 800-455-3917 Vendor Contact Invoice i Invoice Invoice Net Purchase Order Number I Date Total Discount Amount Claimer Number Description of Goods or Services BAI44317 114/2013 $662'671 i $662.57 RP Deck Hatch $662'571 i $662.57 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is trac and correct, that no pan has been paid, except as therein stated, that thc balance therein stated is actually due and owing, and that taxes from which the Town is exempt are exclodcd Signature e . __ Company Name ~/c~-~/~ Date ~//~ ~ !/~ General Ledger Fund and Account Number SM5710.2.000.200 Department Certification hereby ce~ti~/that the materials above specified have been received by me in good condition without substitution, the services properly performed and that thc quanti'tics them&have been verified with the exceptions or discrepancies noted, and payment is approved Signature ,.vo,o Costa Mesa, Ca 92626 Customer FIS18 Invoice BAI44317 Invoice Date 01104~013 Page Number I of I Marine Baier Marine Company, Inc. A UMC Company 2920 Airway Ave Phone: 800-455-3917 Fax:206-632-2441 B FISHERS ISLAND FERRY S FISHERS ISLAND FERRY I PO BOX H H 5 WATERFRONT PARK L FISHERS ISLAND NY 06390 I NEW LONDON CT 06320 L USA P USA T T 0 0 Shipment I Date Shipped Ship Via 04113 I 01/04/2013 FED EX PRIORITY Buyer Salesperson RYAN ext 212 F.O.B. I Incoterms SHIP POINT Freight Payment PREPAID BY U/B AND BILLED Payment Terms NET 30 Tracking Number 268224712-0 Customer P.O. Item Number Sales Order Description VERBAL STEVE BFHR20S/S BAILA BAILS036 HATCH ASSY. 20" ROUND. FLUSH Location Quantity Cluantdy Unit UlSCOUm Extended Ordered Shipped Pr~g{~ Percent I Line Amount 1.00 1.00 548.00 5,00% 27.40 520,60 EACH I ax uummar~ r Subtotal Nontaxable Freight Discount Net Subtotal I Tax Total Invoice Total J 548.00 14 ,97 27.40 662.57 0.00 662.57 I ** All returned products are subject lo a 16,% restocking t'ee. Currency: US DOLLAR KFAN 1/6/2013 10:38:18PM Marine Baler Marine Company, Inc. A UMC Company 2920 AirwayAve Costa Mesa, Ca 92626 Phone:800-455-3917 Fax:206-632-2441 Packing Slip Customer FIS18 Shipment 04113 Shipment Date 01/04/2013 Page Number 1 of 1 ROBERT 1/4/2013 10:52:49AM FISHERS ISLAND FERRY PO BOX H FISHERS ISLAND NY 06390 USA *SOL BA104113* S FISHERS ISLAND FERRY H 5 WATERFRONT PARK NEW LONDON CT 06320 P USA T O Purchase Order Ship Via F.O.B. Sales Order BAI 15036 VERBAL STEVE FED EX PRIORITY SHIP POINT NET 30 Sales Order Item Number Quantity UOM Customer P.O. Description Shipped BAI15036 / BFHR20S/S 100 EACH VERBAL STEVE HATCH ASSY, 20" ROUND, FLUSH Number of Containers Gross Weight 1 PALLET 118,00 LBS ** All returned products are subject to a 15% restocking fee. Tracking Number PICK UP IVN020588 Januap/1,2013 Dear Valued Customer, This letter is to inform you that our remit to address has changed for check payments. Checks: Baier Marine Company, Inc. 2920 Airway Ave. Costa Mesa, CA 92626-6008 As always, electronic payment methods are welcomed; our wire and ACH payment information remains the same. ACH/Wires: Bank: Bank of America Bank Address: 600 Anton Blvd., Suite 150, Costa Mesa, CA 92626 Account Name: Baier Marine Company, Inc. Account: 14597-35505 ABA: 026009593 SWIFT Code: BOFAUS3N CHIPS Address: 0959 Please call Accounts Receivable at 800-455-393.7, option 2, if you have any questions. Thank you for your assistance in making this change so quickly. Sincerely, Controller Baler Marine Company Inc. 2920 Airway Avenue Costa Mesa, CA 92626 800.455.3917 f.206.632.2441 sa[es®baiermarine.com www.baiermarine.com FISHERS ISLAND FERRY DISTRICT VENDOR 014223 BANK OF AMERICA 01/29/2013 CHECK 955 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 7335-1212 SM .5710.4.000.000 7335-1212 SM .5710.4.000.000 7335-1212 SM .5710.2.000.200 7335-1212 SM .5710.2.000.000 7335-1212 SM .5710.2.000.000 7335-1212 SM .5710.4.000,000 7335-1212 SM .5711.4.000.000 7335-1212 SM .5710,4,000,000 7335-1212 SM .5610.4.000.000 7335-1212 MONTHLY REPORTING FEE 15.00 FINANCE CHARGE 2.25 XMAS TREES 63.74 25%DOWN-RP(2)SEAL KITS 3,272.42 RP/MU MOB BAG 72.32 (3)FLinGS 76.38 FLOWER ARR/~GMNT-P.FORD 93.06 MICROSOFT OFFICE 2010 297.98 POSTAGE 100,00 ~WINDSOCKS AIRPORT 24.10 tOTAL 4,017.25 Town of Southold, New York - Payment Voucher Vendor Tax rD Number or gocial $ecudiy Number Vendor Address vendo, N.me ttd2n,3' E 19868-573, Bank of America Vendor Telephone Number 888-449-2273 Vendor Contact vend°r N°' 14223 Check No. Entered by ~ ;Audit Date JAN 2 9 2013 Nmmber 700274928 3~9006aa 112/2013 112/2013 12/3/2012 12117/2012 12119/2012 12/26/2012 12/3/2012 12/712012 ~12/1112012 12/1712012 Total $~8.001 $2.25 $63.74 $3,272.42~ $72.32 $76.38 $93.06 $297.98 $100.00 $24.10 $4,017.25 Net Discount ~mount Claimed $15.00 $2.25 $63.74 $3,272.42 $72.32 $76.38 $93.06 $297.98 $100.00 $24A0 $4,017.25 Payee Certification The undersigned (Claimant) (Acting on behalf oftbe above nmned claimant) does hereby certify that the 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 from which the Town is exempt are excluded. Signature Y~.,.~-~- Title~/ / °m a. Name Date Purchase Order Number Description of Goods or Services General Ledger Fund and Account Number .J Monthly Reporting Fee Finance Charge Xmas Trees RP-Seal Kit 25% do~v~~ ~ ~'~' SM5710.4.000.000 SM5710.4.000.000 SM5710.4.000.000 SM5710.2.000.200 RP/MUNN MOB Bag/Defender SM5710.2.000.000 Flags/Defender industries SM5710.2.000.000 Flower Arrangement for Polly Ford EvalueSoftware.com Microsoft Office 2010 Pitney Bowes Postage FI Windsock for Airport SM5710.4.000.000 SM5711.4.000.000 SM5710.4.000.000 SM5610.4.000.~00 Department Certification 1 hereby certify that the materials above specified have been received by me in good condition without substilmion, the services properly performed and that the quantities thereof have been yeti fled with the exceptions or discrepancies noted, and payment is approved. Bank of America Commercial Card FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 December 04, 2012 - January 02, 2013 Company Statement Mail Billing Inquiries to: BANKCARD CENTER PO BOX 982238 EL PASO, TX 7999B-2238 1 888449 2273 24 Hours TTY Hearing Impaired: 1 8002227365 24 Hours Outside the U.S,: 1 5093536656 24 Hours For Lost or Stolen Card: 1 888 4492273 24 Hours Statement Date .............. 01/02/13 Paymenl Due Date .................................... 01/22/13 Days in Billing Cycle 30 Credit Limit $40,000 Cash Limit $8,000 Total Payment Due ................................. $5,924.32 Previous Balance ................... $4,117.97 Payments -$2,210 90 Credits $000 Cash $000 Purchases $4.00000 Other Debits $000 Overlimit Fee $0 00 Late Payment Fee $0 00 Cash Fees $000 Other Fees $1500 Finance Charge $225 Current Balance ................ $5,92432 Your account is past due If payment has already been made, thank you and please disregard this reminder Account Number Purchases and Credit L/mit Credits Cash Other Debits Total Act/vity BURKE, STEPHEN XXXX-XXXX-XXXX-6137 10,000 0.00 000 3,484 86 3,484 86 MURPHY, GORDON XXXX-XXXX-XXXX-3048 10,000 0,00 000 51514 51514 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 will 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 800222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service, Bank's supervisory personnel may listen to and/or record telephone calls between Bank employees and any person acting on Company's behalt. Disclosure: We may furnish to your employer information concerning your use of your account To read more about our information disclosure, please visit ww'w.bankofamerica.com/corooratecarddisclosure 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 first 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, u5 For questions regarding transactions, general assistance, and reporting lost and stolen cards, call: Within the Outside_t h_¢~U.~ 1.888.449.2273 1 509.353.6656 (collect calls accepted) · Bank of America FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7535 December 04.2012 - January 02, 2013 Page 3 of 4 Post~n9 Transaction Date Date Description FISHERS ISLAND FERRY DIST Accounl Number: XXXX-XXXX-XXXX-7335 Reference Number MCC Char~te Credit Total Activity -$2,193.65 12/10 12/08 PAYMENT RECEIVED--THANKYOU 01/02 01/02 MONTHLYREPORTNGFEEC15 01/02 01/02 PURCHASE *FINANCE CHARGE* BURKE, STEPHEN Account Number: XXXX-XXXX-XXXX-6137 12/05 12/03 THE HOME DEPOT 62i5 WATERFORD CT 12/19 12/17 PROPULSION SYSTEMS INC 206-7890944 WA 12/20 12/19 DEFENDERINDUSTRIES,INC WATERFORD CT 12/27 12/26 DEFENDER INDUSTRIES,INC. WATERFORD CT MURPHY, GORDON Account Number: XXXX-XXXX-XXXX-$048 12/05 12103 TLF THAMES RIVER GREENERYNEW LONDON CT 12/10 12/07 EVALUESOFTWARECOMLLC 800-864-9843UT 12/12 12/11 PITNEYBOWES-POSTAGE 800-468-8454 CT 12/18 12/17 AIRPORTWlNDSOCKCORP 218-493-4307ND 34374405350000500869544 0008 0065 0063 24610432339010182372936 5200 24207852353163201723529 5551 24610432354004122103964 4468 24610432361004051061564 4468 24717052339733399033789 5992 24493982343286054600816 5734 24391212346985050007098 7399 24493982352207402100109 5046 2,210 90 1500 2.25 Total Activity 3,484.86 Total Activity 515.14 lo0 00,// 2410~ Your Annual Percentage Rate (APR) is the annual interest rate on your account Annual Balance Subject Percentage Rate to Interest Rate PURCHASES 925% V $294.78 CASH 925% V $0 O0 V = Vanabte Rate (rate may vary), Promotional Balance = APR for I~mited t~me on speci~ed transactions Finance Charges by Transaction Type $225 $0 00 BankofAmerica '~",~ FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 December 04, 2012 - January 02, 2013 Page 4 of 4 oo Bill To ~YS~E~IS, INC. 609 NW 45th Street - Seattle, WA 98107 Phone: 206-789-0944 -Fax 206-789.1071 Fishers Island Ferry 5 Waterfront Park New London, CT 06320 Final Invoice Date Invoice # 12/17/2012 11805 PSI Job# 7913 Ship To: Fishers Island Ferry 5 Waterfront Park New London, CT 06320 Iinvoice Customer P.O. Ship Via Ship Date FOB Shipped From Due Date C/C TransGroup 11/28/2012 Seattle Seattle I/I 7/2013 Item Quantity Description Rate Amoun~ 24648-SK 2 Seal kit for a 24" Mini Thruster 618.00 1,236.00 24648-PSI.923100 2 Vickers Motor Cartridge 5,828.00 11,656.00 Shipping I 197.68 197.68 Material -1 25% on Credit Card 3,272.42 -3,272.42 1 1/2% Late Fee Will Be Charged to all Past Due Accounts I TOTAL $9,817.26 Page 1 of 1 ~l~ To help protect your privacy, links to images, sounds, or other external content in this message have been blocked. Click here J to unb!ock content .3 Miller From: Thames River G~ener [TRGMAIL@SNET.NET] To: I Miller Cc: Subject: THAMES RIVER GREENERY - INVOICE 183321 Attachment~: Here are the details of your order 183321. Please do not reply to this e-mail - this is an outbound message only. For questions, please email TRGMAIL~SNET.NET or call 8604436817 and reference order 183321. THANK YOU ~ent: Tue 1/8/2013 10:15 AM THAMES RIVER GREENERY 70 SLATE STREET NEW LONDON, CT 06320-6323 8604436817 INVOICE Invoice No,: 183321 Invoice Date: 12/03/12 GORDON MURPHY POLLY FORD NEW LONDON, CT 5 WATERFRONT PARK FISCHERS ISLAND FERRY NEW LONDON, CT Order Date: 12/03/12 Ordered By: GORDON MURPHY Delivery Date: 12/03/12 Sales Clerk: CAH Merchandise I J Quantity Il Price ARRANGEMENT 1 $75,00 ** NOTES ** ARRANGEMENT FOR WIFE OF MAN IN THE HOSPITAL 1 $0.00 Enclosure Card Message: Delivery Charge $12.50 THE ENTIRE FERRY DISTRICT IS THINKING OF YOU AND PAUL. Sub Total $87.50 WE VVISH FOR A SPEEDY RECOVERY. Sales Tax $5.56 YOUR FRIENDS AND COWORKERS AT THE FERRY DISTRICT TOTAL $93.06 PAID BY VISA Visa XXXX X)OO( 3048 ** DO NOT PAY THIS INVOICE ** 0 0 0 https://mail.fiferry.com/exchange/jmiller/Inbox/THAMES Vo20RIVER Vo20GREENERY Yo2... 1/8/2013 cValueSoftware.com Page 1 of 2 lake a quick sul wy $250 Visa Gift Card! pricograbbor Manufacturers 800-864-9843 sales~evalu~Soffware.com Contact Us I Return Policy I Logoul My Account HUGE SAVINGS! Acrobat X Pro $99 Jew - Confirm Details and Click "Process Order" New Products Specials Bestsellers ActBSage .... Adobe ..... Apple AutoCAD EnFocus Computer Associates Corel Filemal~e~ ~ Order Results IBM/Lotus Intuit Order ID: 114448 ~l~ustomer Information >~ ~ >> ~'[~'avment >> L%~eview >~ I~omolete Product Microsoft Office 2010 Home and Business Retail Down©ed TESTEDDAJLY O?-DEC Qty Price Subtotal 2 $148 99 $29798 SuPtotal: $297 98 Shipping - Processing $0 00 USA (0%) $000 Total: $29798 KTSh.:rskya n~ Your order has been submitted for processing successfully A confirmation/receipt email has been sent to your email McAfee address which contains all the information on this page as well as impodant order notes. Please review those notes as Memeo there may bo additional actions needed to complete your order, If you have any questions about your order you can Native instruments contact us at any time. To track the status of your order, log in to your account and select 'Order History' Thank you for Nero your order and we appreciate your business .... Microsoft ..... Nuance ::adCenter:: Panda Peachtree Quark Roxlo SAP Business Objects Trend Micro ..... Symantec ..... Sale Item Desiqn & Web Premium CS8 Full Retail Download for Mac $999.99 Sale Items Corporate Government About US Contact Us Logout MyAccount Privacy Policy eValueSoftware com ©Copyright 2012 _eValueSoftware com https://www.evaluesoftware.com/checkout.php?l=process 12/7/20 l 2 · Gordon Murphy/ From: Sent: To: Subject: eValueSoftware.com < cs@evaluesoftware.com > Friday, December 07, 2012 9:11 AM Gordon Murphy eValueSoftware.com Order Confirmation Thank you for ordering with eValueSoftware.com. We really appreciate your business. Your eValueSoftware.com order #114448 is summarized below and has been forwarded to our staff for processing, billing and shipping. If you have any questions about order status, please feel free to contact customer service at ~@~!~Q~[e,gg~ or you can always get help through our online contact form. If you ordered a download product, you will receive download instructions and product key or serial number via a separate email. Download licenses are processed during business hours, M-F 9-5 Mtn and could take up to two hours to process. Download links are also located on each product information page on the website. Downloads are often presented as a trial by the manufacturer. You will be required to enter your purchased perpetual license number to activate the software permanently. eValueSoftware.com Order #114448 Details: Order Date: 12/07/2012 07:10am Order Total: $297.98 Purchaser e-mail address: g_m~u._rp_hy~fife~r_ry.com Billing Address: Gordon Murphy Fishers Island Ferry District 261 Trumbull Dr Fishers Island, NY 06390-0607 Shipping Method: Standard Shipping or Download Shipping Address: Gordon Murphy Fishers Island Ferry District 261 Trumbull Dr Fishers Tsland, NY 06390-0607 Order Summary: Microsoft Office 2010 Home and Business Retail Download 2 $148.99 $297.98 Subtotal: $297.98 Shipping: $0.00 Tax: $0.00 Total; $297.98 Order questions? We appreciate your business, and look forward to serving you in the future. If you have any questions, please visit the _contact fort)0 to email us, or call us at 800-864-9843. Once again, thank you for your order. Kind regards, The team at evq!L~o, ftware,~orn ~qm~ ] ~J~gP [ Rd~qy PptJcy I Copyright © 2012 eValueSoftware.com All rights reserved. Gordon Murphy, From: Sent: To: SubJect: eValueSoftware.com < cs@evaluesoftware,com > Friday, December 07, 2012 12:33 PM Gordon Murphy eValueSoftware,com Order Confirmation Update We wanted to inform you that your order status has been updated. Your updated information is located below. Also note that you can Iogin to your account at anytime to check the status of your order. If you have any questions about order status, please feel free to contact customer service at c~@ev~!~ftw~Fe,~;o, rn or you can always get help through our online contact form. eValueSoftware.com Order #114448 Details: Order Date: Order Status: Complete Payment Status: Payment Received Shipping Carrier: email Tracking Number: Tracking URL: emailed by emailed by tavish@evaluesoftware.com (Tavish t_.ayish~evaluesoftware.com (Tavish Brower) Brower) Order Questions? We appreciate your business, and look forward to serving you in the future, if you have any questions, please visit the contact fo~m to email us, or call us at 800~864-9843. Once again, thank you for your order. Kind regards, The team at _e_V~a_Lu~eS~oftware.com H~gm~e I Shop I Privacy PoI~Q( I ~9~ ~U~ Copyright © 2012 eValueSoftware.com All rights reserved. A!RPORT WINDSOCK CORPORATION 3130 FIECHTNER DRIVE S. UNIT A FARGO, ND 58103 1-800-579-5135 Bill To FISHERS ISLAND FERRY DISTRICT GORDON MURPHY 261 TRUMBULL DR #607 FISHERS ISLAND, NY 06390-0607 Date Invoice # 12/17/2012 31756 Ship To P.O. Number Terms Due Date Ship Via PrePaid 12/17/2012 12/17/2012 UPS Ground Quantity Item Code Description Price Each Amount AWCS36-144 36" X 144" WINDSOCK 99.95 99.95T Freight SHIPPING AND HANDLING 12.05 12.05T RETURNED (2) AWCSI8-96 WINDSOCKS -87.90 ~1~7.90 Sales Tax 0.00% 0.00 THANK YOU FOR YOUR BUSINESS! Total $24. 10 FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 01/29/2013 CHECK 956 FDND & ACCOLrNT P.O. ~ INVOICE DESCRIPTION AMOLrNT SM .5710,4,000.000 SM .5710.4.000.000 31151617 REFUSE RM%TL/NL-12/12 54.25 31151617-1 REFUSE R~DfL/NL-1/13 330.83 TOTAL 385.08 ~en~/dor No. Town of Southold, New York- Payment Voucher ; 3891 Vendor Tax ID Number or Social Securil¥ Number Vendor Address PO Box 416 ;: Plainville, CT 06062 CWPM, LLC Vendor Telephone Number 860-447-1473 Vendor Contact ~Check No. Entered by Audit Date Invoice Invoice Invoice I Net Purchase Order [ I Number Date lotal Discount Amount Claimer , ~ Number General Ledger Fund and Account Number $54.25 ~ ~ 31151617 12/17/2012 [ $54.25 December Refuse Service SM5710.4.000.000 i NL Terminal HL Te-'mi-a [ i$a85.08 ~ ~ I 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 Department Certification I hereby certify that the materials above specified ha~e 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 .12/17/12 12/17/12 12/17/12 01/01/13 01/01/13 Ol/Ol/13 01/01/13 Ol/Ol/13 01/01/13 STATE 8T FE RECYCLING SER RECYCLE SERVICE BOTTLES & CANS CONTAINER SER FE RECYCLING SER RECYCLE SERVICE BOTTLES & CANS FINANCE CHARGE FUEL SURCHARGE 12/13/12-12/31/1 12/13/12-12/31/1 01/01/13-01/31/1 01/01/13-01/31/1 01/01/13-01/31/1 11/01/12 01/01/13 Foryourconvenience, we accept Visa, Mastercard, American Express, and Discover. Tax INV# 31151617 DATE 01/01/13 o ACCT# 1007831 1.5Yopermonthlatechargeassessedonpastdueamounts PAGE 1 OF 1 25.33 22,17 195.00 40.00 35.00 3.52 41.28 22.78 PLEASE PAY THISAMOUNT 385.08 Vendor No. Town of Southold, New York - Payment Voucher 3891 Vendor Tax ID Number or Social Security Number CWPM, LLC Vendor Telephone Number 860-447-1473 Vendor Address ~_P a nvllle, CT 06062 Invoice Invoice Invoice Number Date Total Discount Net Number Check No. c/56, Town Clerk: [ ] 'z ] General Ledger Fund and Account Number 311516171/ 1/t/201: $330.83 $386.08 I Payee Certification The undersigned (Claimant) (Acting on behalf oftbe above named claimant) does hereby certify that the foregoing claim is true and correct, that no part h~ been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes fi.om which the Town is exempt are excluded L Terminal Janua~ NL Terminal Signature T~~tle Company Name~/ /~/~-~ $330.83 SM6710.4.000.000 Signature Title Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved~ ~2/17/12 12/17/12 ~2/17/12 01/01/13 01/01/13 01/01/13 01/01/13 Ol/Ol/13 Ol/Ol/13 STATE ST FE RECYCLING SER RECYCLE SERVICE BOI~LES & CANS CONTAINER SER FE RECYCLING SER RECYCLE SERVICE BOTTLES & CANS FINANCE CHARGE FUEL SURCHARGE 12/13/12-12/31/1 12/13/12-12/31/1 Ol/Ol/13-Ol/31/1 Ol/Ol/13-Ol/31/1 Ol/Ol/13-Ol/31/1 11/01/12 01/01/13 For your convenience, we accept Visa, Mastercard, American Express, and Discover. Tax I INV# 31151617 I DATE 01/01/13 IACCT# 1007831 J 1.5% per month late charge assessed 0n past due amounts PAGE 1 OF 1 25.33 22.17 195.00 40.00 35.00 3.52 41.28 22.78 CWPM, LLC I~0. Box 415 Plainville, CT 06062 Phone (860) 747-1335 www.cwpm.net New London County Phone (860) 447-1473 Rhode Island Phone (401) 348-3034 PLEASE PAY THIS AMOUNT 385.08 FISHERS ISLAND FERRY DISTRICT VENDOR 004085 DICK'S GAR3kGE, LLC 01/29/2013 CHECK 957 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.4.000.000 3878 AIRPORT RDS-CLR/REGR3kDE 9,870.00 TOTAL 9,870.00 endor No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Dick's Garage, LLC Vendor Address P.O. Box 676 Fishers Island, NY 06390 4085 Vendor Telephone Number 631-788-7249 Vendor Contact Check No. Entered by ~__ J Audit Date ~//~/~ ~/~_~ Town Clerk Invoice invoice Invoice I Net Purchase Order Number [ Date Total I Discount :Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number I 3878 111812016 $9,870.00i $0,870.00 Airport Roads Clearing i $M6610.4.000.000 ~ I & Regrading from , ! Hurricane Sandy : Pay ~p 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 I hereby certify that the materials abeve s~cified 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 r-'~ ~''~ Title Signature Company, Name~' t~P Date ~- ~ ~'~,,~ /,~ Title DICK'S GARAGE, LLC Box 576, No# Fox Avenue Fisherslsland, New York 06390 (631)788-7249/7326 TO: Fishers Island Ferry District Drawer H Fishers Island, New York 06390 Invoice No. 3878 Date: 01/18/13 Qty. Description of Goods or Services Amount AIRPORT ROADS - Clearing & Regrading ROADS - heavy equipment services & materials per quoted price per Work Order #3878 (attached) Total 9870.00 non-tax $ 9870.00 Serving the Fishers Island community for over 35 years... Thank youfor using DICK'S G:tPM GE for all your special needs and repair services! DICK'S GARAGE, LLC BOX S'7E, · FISHERS ISLANO, NEW YORK 06390 3878 CITY PHONE DATE PROMISED B, EST [IM~ F6--C~LL MAKE&MODEL SERIAL NO REPAIRFDIN I CONTRACT WARRANTY I FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 01/29/2013 CHECK 958 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 5035534 DENTAL PREMIUN-2/13 1,168.01 TOTAL 1,168.01 ~[Vendor No. Town of Southold, New York- Payment Voucher I $442 Vendor Tax ID Number or Social Security Number P.O. Box 202837 Empire Dental I Department 83703 Vendor Telephone Number Dallas, TX 75320-2837 Check No. Entered b.~ Audit Date Vendor Contact /(~ '~'~"~L C.< , . : .~ L Invoice ~ Invoice Invoice ~ Net Purch~e Order Number Date Total Discount Amount Claimed Number ~scription of Goods or Se~ices General Ledger Fund and Account Number 5035534 1/t412013 $1,168.01~ I $1,168.01 02/01/13-02/28/13 SM9060.8.000.000 I I Thc 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 t¥om which the Town is exempt are excluded Department Certification I hereby certify that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved. Signature LI,.pl ...... 6,~ 1.755.746S ,v.x: 631.788.,55~3 P.O. t~ox tl [?ISIIEtLS ISLAND, ND, v YOlt~. 06390 INVOICE 1, hl,h,,n,,: (i!l 1.788.7463 631.788.55523 P.O. t~ox t4 [lSillit~S [SI./~NIL ND, V Yot~I,5 06390 www.liferr§.com SUBSCRIBER LISTING I~I~,L,,.~: 631.788.7463 631.788.5523 t~.0. ,%× tt ]:~1':;111~1~5 lgl AND, N[W ¥Ott;~ 0639O SUBSCRIBER LISTING l,l~p] ........ 63 L~88.7463 [,~= 631.788.$5~3 P.O. ,~ww.t&rry.com FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 01/29/2013 CHECK 959 FUND & ACCOUNT P.O.# INAfOICE DESCRIPTION 3kMOUNT SM .5710.4.000.000 2-143-57889 AIRBILLS-PAYROLL,WARRANT 194.69 TOTAL 194.69 Town of Southold, New York - Payment Voucher V[Vendor No. 6155 Vendor Tax ID Number or Soca Secun y Number Vendor Name Fedex Vendor Telephone Number 800-622-1147 Vendor Contact Vendor Address P.O. Box 371461 Pittsburgh, PA 15250-7461 Check No. Entered b~... Audit Date town Clerk Invoice Number blvoice Date Invoice I Total [ Discount Net ~.mount Claimed Purchase Order Number Description of Goods or Services 2-143-57889 1114/2013 $194.69 $194.69 Airbills-Payroll,Warrant $194.69 $194.69 Payee Certification The undersigned (Claimant) (Acting on behalf of tbe above named claimant) does hereby certify 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 To~m is exempt are excluded General Ledger Fund and Account Number SM5710.4.000.000 Department Certification 1 hereby certify that the mater/als above specified have been received by me in good condition w~thota substitution, the services properly performed and lhat the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Express USA/rb/?I T'~ a'Cmk~n' ~r Ii Sender's FedB( Date J'~, ~~l~ AccountNumber 8758 1817 6869 2 Your Internal Billing Reference 3 To Recipient's HO~ Weekday HO~ Sa~rday 4 Express Package Service *,o.~ 5 Packaging ° D~l~e~ V~Ue liml~ ~ 6 Special Handling and Delivery Signature Options [ SATURDAY Delivery Indirect Si nacre 7 Payment Billta: L~ ~b~s~" ,,~ Recipient ~ ~irdPa~ ~d~Card ~ Ca Check Ex'press T'~¢m~it~ 8750 7143 0728 2 Your Internal Billing Reference 3 To Name Company 11771 OShip and track packages at fedex,corn $impli~ yoor shipping. Manage your account Access ail t~e tools you need. 6 Special Handling and Deliveq' Signature Options -- SATURDAY Delivery Ex~Tess 8750 7143 0739 Address HOLD Weekday HOLD Saturday OTry ~dEx* QuickShip at fedex.corn Access the shipping tools you need directly from Microsoft® Office Outlook? 5 Packaging 6 Special Handling and Deliver,/Signature SATURDAY DeNvep/ noes this shipment contain dangerous goods? Yes Yes Cargo AircraD Only Cash/Check F~X NEW P~c/~age Exl~ress USAmbill '~i 8758 1817 6870 Sender'sFedEx Accour~ Number 2 Your Inlemal Billing Reference Rbo.e~b ~ L 4 Expr~s Package Sewice Packaging F~dExEnve~ope* ~ FedExPak* ~ i~eodxEX ~ FedEx ~ Tube [ Other Address Special Handling and Delivery Signature Options SAIURDA¥ Deliver/ No Signature Require~ -- Direct Signature N~ ~ Shlp~sD.clare~n ·r~tmqulmSh~ ~(!Declafa.en Indirect Si nature HOLD Weekday HOLD Saturday 575 .................... L Invoice Number 2-143-57889 Invoice Date '~ Account Number Jan 14, 2013 1206-0334-5 FedEx~ax ID: 71-0427007 Page 1 of 6 Billing Address: FISHERS ISLAND FERRY DISTRICT DEB DOUCETTE PO BOX H FISHERS ISLAND NY 06390-0601 Invoice Summary Jan 14, 2013 Shipping Address: FISHERS ISLAND FERRYTERMINAL 5 WATERFRONT PARK NEW LONDON CT 06320 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M-Sa 7-6 (CST) Fax: (800) 548-3020 tnternet: www.fedex.com FedEx Express Services Transportation Charges Base Discount SpeciaJ Handling Charges Total Charges TOTAL THIS INVOICE You saved $14.31 iu discounts this period! Other discounts may apply. 176.50 -14.31 32.50 USD $194,69 USD $194.69 Deta ed desq.r:l~OO~:o~suE~h~rg:~.Ean b:~.lgc_9~e~::at ~ed~x. co~ ...... Adjustment Request Fax to (800) 548-3020 Invoice Number ~I Invoice Date Xi [ Account Number "~ Page 2-143-57889 Jan 14, 2013 1206-0334-5 2of6 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons, including service failures, should be submitted by going to ww~v.fedex.com or calling 800.622.1147. Please use multiple forms for additional requests. C Please complete all fields in black ink. o e Request°rNamel I I I I I I I I I I I I I I I I I I I I I I I I I I I Datel I Ill I Ill I I t a Phone I I I I-I I I I-I I I I I Fax#Il1 I-I I I I-I I I I I t E-mail Address [~ Yes, I wantto upda'te a¢ceunt contact with the above information. R Tracking Number Bill to Account $ Amount al I I I I J I I I I I I I I I I I I I I I I I I I I I I I I Iol I I ~ III I I I I I I I I I I I I I I I I I I I I I I I I I I I I Iol I I si I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Iol I I oC l ADR - Address Correction DVC - Declared Value ea lAN - Invalid Acct # INW -Incorrect Weight INS - Incorrect Service OCF- Grd Pick-up Fee OCS - Exp Pick-up Fee OVS - Oversize Surcharge RSU- Residential Delivery PND - Pwrshp Not Delivered SDR - Saturday Delivery For all Service failures or other surcharges please use our web site www.fedex.com or call (800) 622-1147 C Tracking Number Code $ Amount r I I I I I I I I I I I I I I I I I I I I I I I I Iol I Rerate information only (round to nearest )rich) LBS L W H I I II I I Ixl I I Ixl I I I I II I I Ixl I I Ixl I I · I I I II I I Ixl I I Ixl I I I I I I II I I Ixl I I Ixl I I 2-143-57889 | | Jan 14,2013 | 1206-0334-5 3of6 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments (Original) Rated SPecial weight Tra~po~ati°° paYorType ShiPmentS c~rges ;Chm. ges Cr~d~Other OisC0Unts To!a!Charges Shipper 4 19.0 68.20 18.89 -6.83 80.26 Recipient 4 2.0 108.30 13.61 -7.48 114.43 Totai FedF-x Express 8 21.Q $i76~ ,$14~Tt $1~1.66 Total This Invoice USD $194.69 Invoice Number 2-143-57889 FedEx Express Shipment Detail By Payor Type (Original) Invoice Date Jan 14, 2013 Account Number "~ Page . 1 206-0334-5/ 4 of 6 · Fuel Surcharge FedEx hasappliedafueFsurcha~geof1350%tothisshipment · Distance eased Pricing, Zone 2 · Package sent from 08340 zip code Automation USAB Sender Tracking ID 875818178869 FISHERS ISLAND FERRY TERMINAL Service Type FedEx Priority Overnight 5 WATEDFRONT PARK Package Type Customer Packaging NEWLONDONCT 06320 US Zone 02 Packages 1 Transpor~a6on Charge Rated Weight 50 lbs, 2.3 kgs Account Number Correction Delivered Dec 11, 2012 10:00 Courier Pickup Charge Svc Area A2 Fuel Surcharge Signed by R.ZABBIA Discount FedEx Use 034503342/0001486/ Total Charge Recipient H2 M LAI3S 575 BROAD BOLLOW RD MELVILLENY 11141 US USD FueISur~harge FedExhasappliedafuelsurchargeof1350%tothisshipment Distance eased Pricing, Zone 2 FedEx has audded this shipment for correct packages, weight, and service Any changes rnade are reflected in the invoice amount The package weight exceeds the maximum for the packaging type, therefore, F~dEx Envelope was rated as FedEx Pak Automation USAB Tracking ID 815071430728 Service Type FedEx Express Saver Package Type FedEx Pak Zone 02 Packages 1 Rated Weight 2.0 lbs, 0.9 kgs Delivered Dec 26, 2012 11:37 Svc Area AM Signed by J FOGLIA FedEx Use 035606299/0007167/_ Sender GS MURPHY FISHERS ISLAND FERRY TERMINAL 5 WATEDFRONT PARK NEW LONDON CT 06320 US Transpodation Charge FuelSurcharge Discount TotalCharge Recipient D WALTE MAYE TOWN S SOUTH 54375 MALA RD NA ARRALLY SOUTHOLD NY 11971 US USD 0.00 3.41 ~39.70 -- 1145 139 FueiSurci;arge FedExl~asappliedafueisurchargeot1350%tothisshiprnent Distance Based Pricing, Zone 2 Package sent from: 06390 zip code FedEx hasauditedthisshipmentforcorrectpackages, weight, andservice Any changesmadearereflected in theinvoicearnount Automation USAB Sender Tracking ID 875818176870 FISHERS ISLAND FERRY TERMINAL Service Type FedEx 2Day 5 WATI-RFRONT PARK Package Type Customer Packaging NEW LONDON CT 06320 US Zone 02 Packages 1 Rated Weight 10.0 lbs, 4.5 kgs Delivered Dec 27, 2012 09:53 Transporta6on Charge Svc Area A2 Fuel Surcharge Signed by R ZABBIA Discount FedEx Use 035901462/0~O5980/_ Tolal Charge Recipient H2M LABS INC 515 BI-CAD HOLLOW DD MELVILLE NY 11747 US USD 16.30 1.98 1.63 Inv°ice Number %]2-143-57889 Inv°ice Date/ Jan 14, 2013 Account Number11206-0334-5 5of6Page Pi~ked up; ~B / R~FERENCE tNFORMATi0N · FueISurcharge FedEx hasappged~f~elsurchar~eof~000%tothisshipment AutomaDon USAB Sender Recioient Tracking ID 875071430739 JOBINA MILLER DIONA WHITE CAVAGE Service Type FedEx Express Saver FISHERS ISLAND FERRY TERMINAL TOWN OF SAITHOLD Package fype FedEx Pak 5 WATERFRONT PARK 54375 ROUTE 25 Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 20 lbs, 0 9 kgs Transportation Charge Delivered Jan 10, 2013 10:55 Courier Pickup Charge Svc Area AM Fuel Surcharge Signed by D WDITECAVAGE Discount FedEx Use 000802481/0007167/_ Total Charge USD 12.35 0 O0 1.11 -C24 $1222 Shipper Subtotal USD $80.26 Automation USAB Sender Tracking ID 801403333443 JANICE L FOGLIA Service Type FedEx Priority Overnight TOWN OF SOUTHOLD Package Type FedEx Pak 53095 ROUTE 25 Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 10 lbs, 05 kgs Delivered Dec 14, 2012 09:28 Svc Area PM Signed by P FORD FedEx Use 034802914/0001466/ Dropped off: Den 19, 2012 Payor: Recipient · Fuel Surcharge -FedExhas applied a fuel surcharge of 13 50% to this shipment · Distance Based Pricing, Zone 2 AutomaDou USAB Tracking ID 801403333454 Service lype FedEx Priority Overnight Package Type FedEx Envelope Zone 02 Packages 1 Rated Weight N/A Delivered Dec 20, 2012 09:36 Svc Area A4 Signed by M JIM FedEx Use 035461872/0000186/ / Recipient DONALD LAMB FISHERS ISLAND FERRY DISTRICT FISHERS iSLAND NY 06390 US Transportation Charge Discount Fuel Surcharge Total Charge USO CusC Ref:i NO REFERENCE INFORMATION Ref,#2: Ref.#3: Sender DIANA WHITEDAVAGE TOWN OF SOUTHOLD 53095 ROUTE 25 SOUTHOLD NY 11911 4642 US Recipient DONALD LAMB F~ FERRY DISTRICT 5 WATERFRONT PARK NEWLONDON CT 06320 US TransportaDon Charge Discount Fuel Surcharge Total Charge USD Dropped ofii De~ 28i2012 CusC Ref~i N0 REFERENCE tNFORMAT!0 N Reft2: ROll#3: FtrelSurcharge FedExhasappliedafuelsurchargeof1350?ototSisshipment Distance Based Pricing, Zone 2 FedEx hasaudBed this shipment for correctpackages weightrand service Any changes made are reflected in tSeinvoice amoLmt The package weight exceeds the maximum fer the packaging ~pe therefore FedEx Envelope was rated as FedEx Pak Automation USAB Sender Recinient Trackiug ID 801403333465 JANIEL L FOGLIA DONALD LAMB Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedRx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971 4542 US Packages 1 Continued on next page 22 4O 272 $22.88 18.75 -300 213 $17.88 Tracking ID: 801403333465 continued Invoice Number ~ Invoice Date Xi [ Account Number~ Page 2-143-57889 Jan 14, 2013 1206-0334-5 6or6 Rated Weight 1.0 lbs, 0.5 kgs Delivered Dec 31, 2012 09:12 Transportation Charge Svc Area PM Fuel Surcharge Signed by P POLLY Discount Fed Ex Use 036301185/OO01486/_ Total Charge USD 2240 2.72 2 24 $22.88 · FuelSurcharge FedExhasappliedafuelsurchargeof13.50%tothisshipment · Distance Based Pricing, Zone 2 Automation USAB Sender Tracking ID 801403333476 DIANA WHITECAVAGE Service Type FedEx First Overnight TOWN OF SOUTHOLD Package Type FedEx Envelope 53095 ROUTE 25 Zone 02 SOUTHOLB NY 11971-4642 US Packages 1 Rated Weight N/A Delivered Jan 04, 2013 08:33 Svc Area /~ Transpor'Laflon Charge Signed by P.P Fuel Surcharge FedEx Use 000303082/06(]6~3, Total Charge Recipient DON LAMB FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PK NEW LONDON CT 06320 US 4475 -- U~D $50.79 Recipient Subtotal USD $114.43 Total FedEx Express USD $194.69 FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAiqD UTILITY CO 01/29/2013 CHECK 960 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 027700-12/12 ELEC-FREIGHT SHED-12/12 333.47 SM .5710.4.000.200 027750-12/12 WATER-WHISTLER AVE-12/12 23.10 SM .5710.4.000.200 027750-12/12 ELEC-WHISTLER AVE-12/12 11.95 SM .5710.4.000.200 027800-12/12 TELEPHONE-THEATRE-12/12 18.04 SM .5710.4.000.200 027800-12/12 ELECTRIC-THEATRE-12/12 82.92 SM .5710.4.000.200 027800-12/12 WATER-THEATRE-12/12 29.67 SM .5710.4.000.200 027900-12/12 ELECTRIC-AIRPORT-12/12 111.30 SM .5710.4.000.200 028000-12/12 TEL-FREIGHT OFFICE-12/12 105.88 SM .5710.4.000.200 028000-12/12 ~ ELEC-FREIGHT OFFCE-12/12 427.58 SM .5710.4.000.200 028000-12/12 ~.WATER-FRGHT OFFICE-12/12 30.03 SM .5710.4.000.200 028100-12/12 . PHONE-FI OFFCE-12/12 258.68 SM .5710.4.000.200 028101-~Jl I OFFCE COMP-12/12 35.99 ............ NE-A X-12/12 SM .5710.4.000.200 Q~ 8.~ ~/~ ~ 146.24 SM .5710.4.000.200 028~357! ~L~.~ ~2/12 197.30 SM .5710.4.000.20Q 028135-12/1~~. W~TERr~/xrNE~X-12/12 29.67 SM .5710.4~9~QQ 712/12 94.39 SM . 5710.4.6~6;i!!2~;~!~ ~:i~!i ~ LINE-12/12 89.43 SM .5710.4.000.200 028150-12/12 TELEPHONE-FAX LINE-12/12 167.84 TOTAL 2,193.48 e~~[~v~l~ Vendor No. '. Town of Southold, New York - Paym ! $412 Vendor Tax ID Number or Social Secubb' Number Vendor Address Vendor Name FISHERS ISLAND UTILITY COMPANY Vendor Telephone Number 631-788-7744 VendorContact Invoice Number 028135 r/z/z. 028135 028135 028145 028146-/~/z_ 028150-/~,~_. 0277007j~ 027800 I/~ 027800 Invoice Invoice Date lotal Discount 12/31/2012 $146.24 12/31/2012 $197.30 12/31/2012 $29.67 12/31/2012i $94.39 12/31/2012 $167.84! 12/31/2012i $333 47 12/31/2012 $18.04 PO BOX E Fishers Island, NY 06390 Net Purchase Order Amot;;~;.r~4~ Number $197'30~ ~Q~ $94.39 Description of Goods or Services Tel Annex-12112 Elec An nex-12/12 Water Annex-12/12 Tel Freight DSL 12/12 Tel UPS Line 12/12 Tel Fax Line t2/12 Frt Shed Elec 12/12 i Check No. Entered b~ Audit Date General Ledger Fund and Account Number SM5710.4.000.200 $89.43 $167.84 $333.47 $18.04 $82.92 $29.67 $106.81 $427.58 $30.03 SM5710.4.000.200 / SM5710.4.000.200 / SM5710.4.000.200 ~ SM8710.4.000.200 ~ SM5710.4.000.200 ~ SM5710.4.000.200 ~ Theater Tel 12112 I SM5710.4.000.200 ~ 12/31/2012i $82.921 Theater Elec-12112 , SM5710.4.000.200 027800 1213112012 $29.67 Theater Water-12112 SM5710.4.000.200 12/31/2012! $111.30 SM$710.4.000.200 12/31/2012 $105.88 12/31120t2 $427.58 027900~/z~_~ 028000-/~z~ 028000 Airport EI9c-t2/12 l Yee - Frt Shed-Elec-12/12 Frt Shed Water-12112 ' FI Office Te1-12/12 SM$710.4.000.200 -~ 028000 028100-/~-- $258.68~ $35.99~, $23.10~ - . , $2,193 48 028101~/~.~ 027760~/j//~ 027750 12/31/2012 $30.03 12/3112012i $258.68 12/3112012 $35.99 SM5710.4.000.200 SM57t0.4.000.200 SM5710.4.000.200 1213112012 $11.95 1213112012 $23.10 $2,193.481 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby cer[iCy 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 Tow~ ~s exempt are excluded. Compan5r Name Date__ Signature Department Certification I hcreb~r cer[i~ that thc materials above speci~ed have been received b~r me in good condition without substitution, the services properly performed and that thc quantities tbereof have been verified with the exceptions or discrepancies noted, and payment is approved FI Off Computer Tel-12112 I SM5710.4.000.200 ~ Whistler Ave Elec-t2/t2 ~ SM5710.4.000.200 / Whistler Ave Water-12/12 ~ SM8710.4.000.200 ~ BILLING SUMMARY TELEPHONE Balance From Previous Month · Total Payments . Total AdjustmenTs ELECTRIC Balance From Previous Month Total ~yments Total ~ajustments WATER Balance From Previous Month Total Paymeots Total Adjuszmen~s Current Account Activity ...... Current Balance. * DUE IMMEDIATELY .... OUTSTANDING BALANCE ;*~ ..... Current Telephone Charges - Current Electric Charges - See ~age 7 ...... Current Water Charges - See Page / ~ ~ i i ~ ~ Current Amount Due by 01125113 Total Amount Due 125.07 53.23 .00 71.84 159.14 22.00 .00 137.14 51.37 29.67 .00 21.70 230.68 146.24 197.30 29.67 373.21 603.89 11000982 T Fishers Island Utility Co., Inc. Since 1918 Management For; The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER COMPLAINTS General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who maybe reached at 788-7251 during business hours. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-754.3 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERSISLANDTELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERSISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 ' ~ FISI~RS ISL4ND UTILITY COI~PANY FISM~RS ISK41~, 1~ 06390 BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01/01/13 - 01/31/13 Descriotion Quantity BUSINESS LOCAL SERVICE ~ ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.20 .35 Total 9.20 .35 31.51 31.51 1.48 32.99 Detail of Current Non-Basic Charges Equipment for Period: 01101/13 - 01131113 DescriDtign INS. WIRE/JACK MAINT. BU ~ OFF PREMISE CHARGE 1 OFF PREMISE 1/4 MILE BUS 4 Total Equipment And Service Charges Total Non-Basic Charges .50 1.30 Total .50 5.20 6.45 6.45 6.45 11000983 BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Originating # 631-788-7744 No ua[e Time 1 11/21/12 11:36AM 2 11/21/12 12:51PM 3 11/25/12 11:53AM 4 11/26/12 9:46AM 5 11/26/12 9:49AM 6 11/26/12 9:50AM 7 11/26/12 11:33AM 8 11/26/12 11:40AM 9 11/26/12 11:42AM 10 11/26/12 11:44AM 11 11/26/12 11:51AM 12 11/26/12 12:04PM 13 11/26/12 12:12PM 14 11/25/12 12:32PM 15 11/26/12 12:33PM 16 11/26/12 3:23PM 17 11/26/12 3:27PM 18 11/26/12 3:28PM 19 11/26/12 3:36PM 20 11/26/12 3:38PM 21 11/29/12 10:56AM 22 11/29/12 11:57AM 23 11/30/12 9:54AM 24 11/30/12 12:11PM 25 12/07/12 9:25AM 26 12/07/12 11:33AM 27 12/07/12 12:19PM 28 12/07/12 12:37PM 29 12/08/12 9:25AM 30 12/08/12 10:11AM 31 12/08/12 10:45AM 32 12/08/12 10:49AM 33 12/08/12 11:48AM 34 12/08/12 12:00PM 35 12/08/12 12:13PM 36 12/08/12 12:58PM 37 12/10/12 9:24AM 38 12/10/12 10:46AM 39 12/10/12 11:33AM 40 12/10/12 12:52PM 41 12/10/12 12:52PM 42 12/12/12 9:25AM 43 12/13/12 9:19AM 44 12/13/12 9:35AM 45 12/13/12 9:48AM 46 12/13/12 IO:04AM 47 12/13/12 lO:lOAM 48 12/13/12 2:49PM 49 12/14/12 9:17AM 50 12/17/12 9:26AM 51 12/17/12 9:57AM 52 12/19/12 10:29AM 53 12/19/12 11:03AM 54 12/19/12 11:05AM 55 12/19/12 11:48AM Detail of Itemized Calls Min Loc Called Area-Number P T Amount 48 Hartford CT 860-257-1870 D 1 19.20 2 New London CT 860-442-0165 D 1 .80 1 New London CT 860-442-0165 N 1 .25 1 New London CT 860-442-0669 D 1 .40 1 New London CT 860-442-0165 D 1 .40 2 New London CT 860-442-0165 D 1 .80 5 New London CT 860-442-0165 D 1 2.00 2 New Haven CT 203-688-4242 D 1 .80 2 New Haven CT 203-624-4208 D 1 .80 3 Southold NY 631-765-1800 D 1 1.08 8 Hartford CT 860-714-4000 D 1 3.20 5 Worcester MA 508-368-3140 D 1 2.00 1 Norwich CT 860-425-5900 D 1 .40 1 Ansonidrby CT 203-732-1570 D 1 .40 1 Norwich CT 860-425-5900 D 1 .40 4 Worcester MA 508-425-7670 D 1 1.60 1 Worcester MA 508-459-2581 D 1 .40 2 Worcester MA 508-459-2581 D 1 .80 2 Bridgeport CT 203-373-7330 D 1 .80 3 Danbury CT 203-792-7246 D 1 1.20 2 Lyme CT 860-434-1788 D 1 .80 2 Farmingdl NY 631-694-2300 D 1 .72 1 New London CT 860-442-0165 D 1 .40 1 Pawcatuck CT 860-599-0444 D 1 .40 1 New London CT 860-442-0165 D 1 .40 15 Hartford CT 860-986-7634 D 1 6.00 4 Hartford CT 860-986-7634 D 1 1.60 2 Hartford CT 860-986-7634 D 1 .80 1 Scranton PA 570-903-4220 N 1 .25 1 New London CT 860-442-0165 N 1 .25 1 New London CT 860-442-0165 N 1 .25 19 New London CT 860-442-0165 N 1 4.75 12 New London CT 860-442-0165 N 1 3.00 11 New London CT 860-442-0165 N 1 2.75 13 New London CT 860-442-0165 N 1 3.25 1 New London CT 860-442-0165 N 1 .25 3 New London CT 860-442-0165 D 1 1.20 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-271-3472 D 1 .40 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-442-0165 D 1 .40 10 New London CT 860-442-0165 D 1 4.00 1 New London CT 860-442-0165 D 1 .40 5 New London CT 860-442-0165 D 1 2.00 4 New London CT 860-442-0165 D 1 1.60 13 New London CT 860-442-0165 D 1 5.20 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-442-0165 D 1 .40 4 New London CT 860-442-0165 D 1 1.60 11 New London CT 860-442-0165 D 1 4.40 1 New London CT 860-442-0165 D 1 .40 1 New London CT 860-442-0165 D 1 .40 1 Bridgeport CT 203-339-1441 D 1 .40 Subtotal 88.40 Total For 631-788-7744 88.40 at&t BILLING DETAIL AT&T PAGE 5 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges AT&T Total Itemized Calls Interstate Gross Receipts Tax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial 88.4O 4.46 13.94 106.80 11000984 PAGE 7 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 12/31/12 THE FISHERS ISLAND ELECTRIC CORPOP~ATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: ~nergy Charge uel Adiustment New York State Tax Total Current Charges $166.21 31.09 0.00 $197.30 Meter Readings Energy used Current Previous MASTER 35413 34750 REG. 663 KWH DEMAND 3.40 .01 DMD. 3.39 KW DATE 12/28 11/27 DMD. MIN. .00 METER MULT. 1 NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERGY CHARGE Amount 128.34 37.87 .00 $166.21 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 330 12/28 PREVIOUS 330 11/27 CUBIC FEET (CU FT x 7.5 = GALLONS) ~urrent Water Charg~ , ross Receipts Tax uredit (per PSC) Total Current Charges 29.67 0.00 $29.67 BASIC MINIMUM CHARGE: KWH (KILOWATTHOUR): FUEL ADJUSTMENT: UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. Covers maintenance of electric lines, meters and other costs· This charge will be billed whether or not you use any energy. A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. A charge that reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15·90 Demand charge $11.17 per KWH Energy charge $0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly· Your contract is on a non-transferable basis· Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $23.10 3,000 3/4 $30.80 4,000 1 $53.90 7,000 1 1/4 $77.00 10,000 1 1/2 $100.10 13,000 2 $161.70 21,000 3 $308.00 40,000 4 $508.20 66,000 6 $1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $29.67 3,000 3/4 $39.56 4,000 1 $69.24 7,000 1 1/4 $98.91 10,000 1 1/2 $128.58 13,000 2 $207.71 21,000 3 $395.63 40,000 4 $652.80 66,000 6 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total P~¥ments , Total AdjustmenTs WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges ...... Current Amount Due by 01125/13 Total Amount Due 188.08 95.02 .00 93.06 .00 .00 .00 .00 .00 .00 .00 .00 93.06 94.39 94.39 187.45 11000985 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 ' . FI,.~t~RS ISIAI~ l. rl'I£IlT CO~A~ FI,.~IF, ES ISIAI~, ~ 06~90 BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5522 ACCOUNT NUMBER 028145 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01/01/13 - 01/31/13 Descriotion Quant ltv BUSINESS LOCAL SERVICE ~ ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.2O .35 Total 9.20 .35 31.51 31.51 1.48 32.99 Detail of Current Non-Basic Charges Equipment for Period: 01101113 - 01/31/13 Descriotion Quant ltv AD,L+ 12 MOS.SERVICE Total Equipment And Service Charges Total Non-Basic Charges Total 59.95 59.95 59.95 11000986 BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-5522 ACCOUNT NUMBER 028145 BILL DATE 12131/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788-5522 No DaTe Time Min Loc Called 1 11/27/12 4:32PM 1 New London CT 2 11/27/12 4:33PM 2 New London CT AT&T Total Itemized Calls interstate Gross Receipts Tax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day T-Call Type 1-Direct Dial Total Area-Number P T Amount 860-443-6851 D 1 .40 860-443-6851 D 1 .80 Subtotal 1.20 For 631-788-5522 1.20 1.20 .06 .19 1.45 BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges ...... Current Amount Due by 01/25/13 Total Amount Due 151.84 61.92 .00 89.92 .00 .00 .00 .00 .00 .00 .00 .00 89.92 89.43 89.43 179.35 11000987 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 FI,.~I~RS ISLAM) bTILITY COMPANY FIEI~P.S ISIANI). ~1' 06390 BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5673 ACOOUNT NUMBER 028146 BILL DATE 12/31/12 Detail of Current Basic Charges Equipmentof°rDescriDtin Period: 01/01/13Quantity- 01/31/13 BUSINESS LOCAL SERVICE ~ ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.20 .35 Total 9.20 .35 31.51 31.51 1.48 32.99 1~000988 at&t BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-5673 ACCOUNT NUMBER 028146 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788-5673 No Dale Time Min Loc Called 1 11/21/12 1:40PM 1 New London CT 2 11/21/12 2:26PM 4 Tampacntrl FL 3 11/23/12 8:22AM 1 New London CT 4 11/23/12 9:57AM 9 Tampacntr! FL ~ 11/23/12 10:08AM 3 Tampacn~r~ FL 11/23/12 11:55AM 1 New London CT 7 11/23/12 2:38PM 10 Tampacntrl FL 11/23/12 2:51PM 4 Tampacntr! FL ~ 11/23/12 2:57PM 2 Tampacntr~ FL 10 11/26/12 8:20AM 4 New London CT 11 11/28/12 9:26AM 2 New London CT 12 11/28/12 2:02PM 2 New London CT 13 11/29/12 8:40AM 1 New London CT 14 11/29/12 3:§1PM 1 New London CT 15 12/01/12 4:42PM 1 New London CT 16 12/03/12 9:09AM 1 New London CT 17 12/03/12 1:44PM 1 New London CT 18 12/05/12 8:23AM 2 New London CT 19 12/05/12 9:20AM 1 New London CT 20 12/05/12 9:24AM 7 New London CT 21 12/07/12 9:09AM 1 New London CT 22 12/07/12 1:51PM 2 New London CT 23 12/08/12 12:37PM 2 New London CT 24 12/10/12 8:51AM 1 New London CT 25 12/10/t2 8:52AM 2 New London CT 26 12/12/12 7:59AM 4 New London CT 27 12/12/12 1:30PM 1 New London CT 28 12/13/12 10:08AM 1 New London CT 29 12/13/12 10:14AM 1 New London CT 30 12/13/12 3:02PM 5 New London CT 31 12/15/12 11:48AM 1 New London CT 32 12/17/12 9:41AM 2 Tampacntrl FL 33 12/17/12 9:45AM 1 New London CT 34 12/18/12 3:29PM 3 Warwick RI 35 12/19/12 8:57AM 1 Willimntic CT 36 12/19/12 8:58AM 4 New London CT 37 12/19/12 9:26AM 2 New York NY 38 12/19/12 9:30AM 5 New York NY 39 12/19/12 11:15AM 1 New London CT 40 12/19/12 11:17AM 1 Norwich CT 41 12/19/12 4:31PM 1 New London CT 42 12/20/12 10:13AM 1 New London CT 43 11/28/12 2:01PM 44 12/17/12 1:14PM 2 45 12/17/12 1:18PM 1 Area-Number P T 860-442-0165 D 1 813-289-6262 D 1 860-442-0165 D 1 813-289-6262 D 1 813-289-6262 D 1 860-442-0165 D 1 813-289-6262 D 1 813-289-6262 D 1 813-289-6262 D 1 860-442-0165 D 1 860-442-0165 D 1 860-447-3747 D 1 860-442-0165 D 1 860-442-0165 D 1 860-460-8950 N 1 860-442-0669 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 N 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-442-0165 D 1 860-912-8939 N 1 813-289-6262 D 1 860-442-0165 D 1 401-732-2547 D 1 860-208-6148 D 1 860-442-0165 D 1 212-396-9029 D 1 212-396-9029 D 1 860-442-0165 D 1 860-303-8311 D 1 860-235-5734 D 1 860-442-0165 D 1 Subtotal DIRECTORY ASSISTANCE Dir Asst CT 860-555-1212 Dir Asst Ri 401-555-1212 Dir Assr RI 401-555-1212 DIRECTORY ASSISTANCE Subtotal Total For 631-788-5673 AT&T Total Itemized Calls Interstate Gross Receipts Tax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dia Amount .40 1.60 .40 3.60 1.20 .40 4.00 1.60 .80 1.60 .80 .80 .40 .40 .25 .40 .40 .80 .40 2.8O .40 .80 .50 .40 .80 1.60 .40 .40 .40 2.00 .25 .80 .40 1.20 .40 1.60 .72 1.80 .40 .40 .40 .40 39.52 2.49 2.49 2.49 7.47 46.99 46.99 2.29 7.16 56.44 BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments . Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges Current Amount Due by 01125113 Total Amount Due 285.10 150.00 .00 135.04 .00 .00 .00 .00 .00 .00 .00 .00 135.04 167.84 167.84 302.88 11000989 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788- 7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERSISLANDTELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERSISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 · . FI,~II~ES ISLAM) I)TILITY COMPANY FI,.~t~ES ISLAM), ~ 06390 BILLING DETAIL Fishers IsLand PAGE 3 TELEPHONE NUMBER 631-788-5523 ACCOUNT NUMBER 028150 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01/01/13 - 01/31/13 Description Quant ltv BUSINESS LOCAL SERVICE ~ ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.20 .35 Total 9.20 .35 31.51 31.51 1.48 32.99 Detail of Current Non. Basic Charges Equipment for Period: 01/01/13 - 01/31113 Description Quant ltv ADSL+ 12 MOS.SERVICE ~ 'To~al Equipment And Service Charges Total Non-Basic Charges Total 59.95 59.95 59.95 11000990 BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-5523 ACCOUNT NUMBER 028150 BiLL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631.788-5523 No Date Time Min Loc Called 1 11/27/12 7:38AM 8 Salem VA 2 11/27/12 2:44PM 2 Omaha NE 3 11/28/12 10:42AM 2 New London CT 4 11/29/12 9:05AM 2 New London CT 5 12/12/12 3:21PM 5 Hartford CT 6 12/14/12 3:26PM 6 Southold NY 7 12/17/12 3:59PM 2 Salem VA Total Detail of Other Charges and Credits DescriPtion Federal Carrier Line Assessment @ Single Line AT&T Total itemized Calls Other Charges And Credits January ACC~ Chg - Interstate ~ross Receipts /ax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day Area-Number P T Amount 540-389-0093 D 1 11.12 402-933-1840 D 1 2.78 860-444-0320 D 1 2.78 860-701-3426 D 1 2.78 860-240-3155 D 1 6.95 631-765-9015 D 1 8.10 540-389-0093 D 1 2.78 Subtotal 37.29 For 631-788-5523 37.29 Total Occ's T-Call Type 1-Direct Dial 4.95 37.29 4.95 20.95 2.84 8.87 74.90 BILLING SUMMARY ,TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments . Total AdjustmenTs Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Electric Charges - See Page 3 ...... Current Amount Due by 01/25/13 Total Amount Due .00 .00 .00 .00 359.76 143.69 .00 216.07 .00 .00 .00 .00 216.07 333.47 333.47 549.54 11000965 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 PAGE 3 TELEPHONE NUMBER 631-188-0023 ACCOUNT NUMBER 027700 BiLL DATE 12/31/12 THE FISHERS ISLAND ELECTRIC CO POI TION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: ~nergy Charge uel Adjustment New York State Tax Total Current Charges $278.93 54.54 0.00 $333.47 Meter Readings Energy used Current ~revious MASTER 18664 17501 REG. 1163 KWH DEMAND 5.90 .01 DMD. 5.89 KW DATE 12/28 11/27 DMD. MIN. 2.39 METER MULT. 1 NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERGY CHARGE Amount 213.14 65.79 .00 $278.93 11000966 BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments . Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...................... 36.20 ...................... 18.10 .00 i i i i i iC~r~e6t'B~lan~el i i i i i i i i 18.10 ...................... 180.21 ...................... 82.92 .00 i i i i i iCor~e~t'B~l~n~el i i i i i i i i 97.29 * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges - Current Electric Charges - See Fage 5 ...... Current Water Charges - See Page ~ ~ i i ~ ~ i ...................... 48.32 ...................... 29.67 .00 i i i i i iCdr~e~t'B~l~n~el i i i i i i i i 18.65 134.04 Current Amount Due by 01125/13 Total Amount Due 18.04 82.92 29.67 130.63 264.67 11000969 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For; The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m, - 4:30 p.m. FISHERSISLANDELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERSISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 · FIEit~IiS ISIANI) IJTILITY COMPANY FI,.Cli~P.S ISLAND. NY 06390 BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 BiLL DATE 12/31/12 Detail of Current Dasic Charges ~quipment for Period: 01/01/13 . 01/31/13 escriDtion Quant ltv BUSINESS LOCAL SERVICE ~ TOLL RESTRICTION 1 ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Totar Basic Charges 2.00 9.20 .35 Total 1.00 4.60 .35 16.93 16.93 .74 17.67 Detail of Current Non-Dasic Charges Equipment for Period: 01/01/13 - 01131/13 Description Quant itv INS. WIRE/JACK MAINT. BU ~ Total Equipment And Service Charges Total Non-Basic Charges Total .37 .37 .37 11000970 PAGE 5 TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 BILL DATE 12/31/12 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge Fuel Adiustment New Yor~ State Tax Total Current Charges $82.92 0.00 0.00 $82.92 Meter Readings Energy used Current Previous MASTER 311 311 REG. KWH DEMAND .01 .01 DMD. 6.00 KW DATE 12/28 11/27 DMD. MIN. 6.00 METER MULT. 80 NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERGY CHARGE ABount 15.90 67.02 .00 $82.92 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 97178 12/28 PREVIOUS 97178 11/27 CUBIC FEET (CU FT x 7.5 = GALLONS) ~urren~ Water C~arg~ . ross Heceipts /ax uredit (per PSC) Total Current Charges 29.67 0.00 $29.67 11000971 BASIC MINIMUM CHARGE: KWH (KILOWATTHOUR): FUEL ADJUSTMENT: UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishem Island Utility Company office building. Covers maintenance of electric lines, metem and other costs. This charge will be billed whether or not you use any energy. A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. A charge that reflects changes in the actual cost of fuet purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand charge $11.17 per KWH Energy charge $ 0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $23.10 3,000 3/4 $30.80 4,000 1 $53.90 7,000 1 1/4 $77.00 10,000 1 1/2 $100.10 13,000 2 $161.70 21,000 3 $306.00 40,000 4 $508.20 66,000 6 $1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $29.67 3,000 3/4 $39.56 4,000 1 $69.24 7,000 1 1/4 $98.91 10,000 1 1/2 $128.68 13,000 2 $207.71 21,000 3 $395.63 40,000 4 $652.80 66,000 6 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. BILLING SUMMARY TELEPHONE Balance From Previous Month Tatal Payments . Total AdjustmenTs ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Electric Charges - See Page 3 ...... Current Amount Due by 01/25/13 Total Amount Due .00 .00 .00 .00 231.04 122.45 .00 108.59 .00 .00 .00 .00 108.59 111.30 111.30 219.89 11000972 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water ff the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p,m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 PACE 3 TELEPHONE NUMBER 631-188-0576 ACCOUNT NUMBER 027900 BILL BATE 12/31/12 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge Fuel Adjustment New York State Tax Total Current Charges $102.30 9.00 0.00 $111.30 Meter Readings Energy used Current Previous MASTER 5354 5162 REG. 192 KWH DEMAND 4.66 .01 DMD. 4.82 KW DATE 12128 11/27 DMD. MIN. 4.82 METER MULT. 1 NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERCY CHARGE Amount 48.46 53.84 .00 $102.30 11000973 BILLING SUMM Y TELEPHONE B§lance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments . Total AdjustmenTs Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges A _ · ..... Current Electric Charges - ~ee Page 7 ...... Current Water Charges - See Page / ...... Current Amount Due by 01125/13 Total Amount Due 223.09 108.00 .00 115.09 623.59 308.82 .00 314.77 40.41 23.10 .00 17.31 447.17 105.88 427.58 30.03 563.49 1,010.66 11000974 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788- 7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788~7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 BILLING DETAIL Fishers island PAGE 3 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01/01/13 - 01/31/13 DescriDtion Quant ltv BUSINESS LOCAL SERVICE ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.20 .35 Total 9.20 .35 31.51 31.51 1.48 32.99 Detail of Current Non-Basic Charges Equipment for Period: 01101113 - 01131/13 DescriDtign ' INS. WIRE/JACK MAINT. BU ALARM SVC MONTHLY CHARGE 1 Total Equipment And Service Charges Total Non-Basic Charges 30.00 Total 30.00 33.75 33.75 33.75 11000975 BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788-7345 No DaTe Time 1 11/21/12 8:41AM 2 11/21/12 10:16AM 3 11/21/12 11:06AM 4 11/21/12 12:47PM 5 11/21/12 12:53PM 6 11/21/12 2:04PM 7 11/21/12 3:06PM 8 11/26/12 8:18AM 9 11/26/12 8:36AM 10 11/26/12 11:03AM 11 11/26/12 12:33PM 12 11/26/12 2:40PM 13 11/27/12 8:05AM 14 11/27/12 10:15AM 15 11/27/12 10:24AM 16 11/27/12 11:18AM 17 11/27/12 11:47AM 18 11/27/12 12:22PM 19 11/28/12 12:49PM 20 11/28/12 1:17PM 21 11/28/12 1:28PM 22 11/28/12 2:09PM 23 11/28/12 2:28PM 24 11/28/12 3:44PM 25 11/28/12 3:46PM 26 11/29/12 8:15AM 27 11/29/12 8:24AM 28 11/29/12 10:33AM 29 11/29/12 11:09AM 30 11/29/12 11:25AM 31 11/29/12 11:47AM 32 11/29/12 2:24PM 33 11/29/12 3:39PM 34 11/30/12 7:58AM 35 11/30/12 8:26AM 36 tl/30/12 lO:lOAM 37 12/03/12 10:47AM 38 12/03/12 11:02AM 39 12/03/12 3:01PM 40 12/04/12 8:34AM 41 12/04/12 IO:30AM 42 12/04/12 1:46PM 43 12/04/12 3:59PM 44 12/05/12 10:27AM 45 12/05/12 11:39AM 46 12/05/12 12:48PM 47 12/05/12 2:05PM 48 12/05/12 2:48PM 49 12/06/12 10:28AM 50 12/06/12 11:47AM 51 12/07/12 2:04PM 52 12/07/12 2:17PM 53 12/10/12 8:44AM 54 12/10/12 3:43PM 55 12/12/12 11:00AM 56 t2/12/12 2:15PM 57 12/13/12 10:52AM 58 12/13/12 11:20AM 59 12/14/12 8:4tAM 60 12/14/12 9:02AM 61 12/14/12 IO:50AM 62 12/14/12 10:59AM 63 12/14/12 2:20PM 64 12/17/12 8:39AM 65 12/17/12 IO:09AM Min Loc Called Area-Number 1 Babylon NY 631-943-7487 1 New London CT 860-442-0165 1 Norwich CT 860-885-9622 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 2 New London CT 860-442-0165 1 Bridgeport CT 203-339-1441 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-941-4547 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 2 New London CT 860-912-1027 1 New London CT 860-442-0165 1 New London CT 860-941-4547 1 New London CT 860-912-2277 1 Norwich CT 860-885-9622 1 New London CT 860-442-0165 1 Deep River CT 860-790-5514 1 New London CT 860-442-0165 1 Norwich CT 860-885-9622 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 ~mityv,ille NY 631-264-5251 1 Norwich CT 860-885-9622 1 New London CT 860-442-0165 1 Keys FL 305-923-1817 2 New London CT 860-442-0165 1 Queens NY 347-730-2913 1 Babylon NY 631-943-7487 1 New London CT 860-442-0165 1 Queens NY 347-730-2913 1 New London CT 860-442-0165 2 New London CT 860-442-0165 2 New London CT 860-442-0165 1 Bridgeport CT 203-339-1441 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 2 New London CT 860-442-0165 1 Hicksville NY 516-728-6771 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 New London CT 860-442-0165 1 Norwich CT 860-885-9622 2 New London CT 860-442-0165 1 Old Saybrk CT 860-227-2335 1 New London CT 860-941-4547 1 Norwich CT 860-885-9622 1 Queens NY 347-730-2913 1 New London CT 860-442-0165 1 New London CT 860-442-0165 P T Amount D 1 .36 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .80 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .80 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 36 D 1 40 D 1 40 D 1 40 D 1 80 D 1 36 D 1 36 D 1 .40 D 1 .36 D 1 .40 D 1 .80 D 1 .80 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .80 D 1 .36 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .40 D 1 .80 D 1 .40 D 1 .40 D 1 .40 D 1 .36 D 1 .40 D 1 .40 at&t BILLING DETAIL AT&T PAGE 5 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BiLL DATE 12/31/12 Detail of Current AT&T Long Distance Charges ~riginat~ng # 631-788-7345 o uate Time Min Loc Called 1 12/17/12 10:46AM 1 New London CT 2 12/19/12 8:38AM 1 New London CT 3 12/19/12 10:12AM 1 Babylon NY 4 12/19/12 10:48AM 1 Norwich CT 5 12/19/12 11:36AM 1 New London CT 6 12/19/12 11:56AM 1 New London CT 7 12/20/12 7:54AM 1 New London CT 8 12/20/12 11:11AM 1 New London CT 9 12/20/12 2:13PM 1 Queens NY 10 12/20/12 2:29PM 1 Norwich CT 11 12/20/12 2:31PM 1 New London CT AT&T Total Itemized Calls Interstate Gross Receipts Tax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day Detail of Itemized Calls Total Area-Number P T Amount 860-442-0165 D 1 .40 860-442-0165 D 1 .40 631-943-7487 D 1 .36 860-885-9622 D 1 .40 860-442-0165 D 1 .40 860-442-0165 D 1 .40 860-442-0165 D 1 .40 860-442-0165 D 1 .40 347-730-2913 D 1 .36 860-885-9622 D 1 .40 860-941-4547 D 1 .40 Subtotal 32.84 For 631-788-7345 32.84 T-Call Type 1-Direct Dia 32.84 1.53 4.77 39.14 11000976 PAGE 7 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 12/31/12 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge Fuel Adiustment New York State Tax Total Current Charges $350.57 77.01 0.00 $427.58 Meter Readings Energy used Current Previous MASTER 43835 42193 REG. 1642 KWH DEMAND 5.04 .01 DMD. 5.03 KW DATE 12/28 11/27 DMD. MIN. 3.19 METER MULT. 1 NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERGY CHARGE Amount 294.38 56.19 .00 $350.57 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER READING/DATE CURRENT PREVIOUS CUBIC FEET (CU FT x 7.5 = GALLONS) 70700 12/28 70180 11/27 520 3,900 Current Water Charge Gross Receipts Tax Credit (per PSC) 30.03 0.00 Total Current Charges $30.03 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: KWH (KILOWATTHOUR): FUEL ADJUSTMENT: Covers maintenance of electric lines, meters and other costs. This charge will be billed whether or not you use any energy. A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. A charge that reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand charge $11.17 per KWH Energy charge $ 0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size (Inch) 5/8 3/4 1 1 1/4 1 1/2 2 3 4 6 Minimum Charge Minimum Usage (Gallons) ;23.10 3,000 ~30.80 4,000 ~53.90 7,000 ;77.00 10,000 H00.10 13,000 H61.70 21,000 ~308.00 40,000 ~508.20 66,000 ;1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size (Inch) 5/8 3/4 1 1 1/4 1 1/2 2 3 4 6 Minimum Charge Minimum Usage (Gallons) ~29.67 3,000 ~39.56 4,000 ~69.24 7,000 ~98.91 10,000 H28.58 13,000 ~207.71 21,000 ;395.63 40,000 ;652.80 66,000 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. BILLING SUMMARY ~TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Pre¥ious Month Total Payments Total ^djustments Current Account Activity ...................... 398.39 ...................... 224.34 .00 ...... Current Balance ......... 174.05 ...... Current Balance ......... .00 .00 .00 .00 * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges ...... Current Amount Due by 01/25113 ....................... O0 ....................... O0 .00 ...... Current Balance .......... O0 174.05 Total Amount Due 258.68 258.68 432.73 11000977 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERSISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 · . FI,~'I~F~ ISIANI) b'I'ILITY CO]IPANY FI,~l~ItS ISIANI), NY 0639O BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01/01/13 - 01/31/13 Description Quant ltv BUSINESS LOCAL SERVICE ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.2O .35 Total 9.2O .35 31.51 31.51 1.48 32.99 Detail of Current Non-Basic Charges Equipment for Period: 01/01/13 - 01/31113 Description Quant ltv BUSINESS MULTI HUNT SRVC ~ Total Equipment And Service Charges Total Non-Basic Charges Total 3.00 3.00 3.00 11000978 at&t BILLING DETAIL AT&T PAGE 4 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls ~riginat~ng # 631-788-7463 o ~a~e Time 1 11/21/12 9:17AM 2 11/21/12 10:18AM 3 11/26/12 3:18PM 4 11/27/12 9:03AM 5 11/27/12 9:48AM 6 11/27/12 9:58AM 7 11/27/12 IO:03AM 8 11/27/12 10:16AM 9 11/27/12 10:24AM 10 11/27/12 11:51AM 11 11/28/12 8:22AM 12 11/28/12 IO:20AM 13 11/29/12 9:35AM 14 11/29/12 10:13AM 15 11/29/12 10:14AM 16 11/29/12 10:36AM 17 11/29/12 11:01AM 18 11/29/12 11:13AM 19 11/29/12 11:21AM 20 11/29/12 11:49AM 21 11/29/12 11:50AM 22 11/29/12 1:11PM 23 11/29/12 1:12PM 24 11/29/12 4:17PM 25 11/29/12 4:17PM 26 11/30/12 9:53AM 27 11/30/12 IO:06AM 28 11/30/12 IO:07AM 29 11/30/12 lO:11AM 30 11/30/12 10:38AM 31 11/30/12 1:57PM 32 11/30/12 2:37PM 33 11/30/12 6:02PM 34 11/30/12 6:08PM 35 12/01/12 8:49AM 36 12/01/12 2:14PM 37 12/03/12 8:27AM 38 12/03/12 9:12AM 39 12/03/12 10:26AM 40 12/04/12 9:53AM 41 12/04/12 IO:02AM 42 12/04/12 IO:50AM 43 12/04/12 3:16PM 44 12/04/12 6:45PM 45 12/05/12 8:43AM 46 12/05/12 8:45AM 47 12/05/12 8:49AM 48 12/05/12 9:31AM 49 12/05/12 10:29AM 50 12/05/12 10:36AM 51 12/05/12 10:55AM 52 12/05/12 10:59AM 53 12/05/12 11:17AM 54 12/05/12 11:50AM 55 12/05/12 12:37PM 56 12/05/12 12:50PM 57 12/05/12 2:55PM 58 12/05/12 3:20PM 59 12/05/12 3:45PM 60 12/05/12 3:59PM 61 12/05/12 4:00PM 62 12/05/12 5:16PM 63 12/06/12 9:15AM 64 t2/06/12 10:16AM 65 12/06/12 10:58AM Min Loc Called Area-Number 2 Southoid NY 631-765-1939 12 New London CT 860-442-5349 2 New London CT 860-442-0165 3 Southold NY 631-765-1891 6 New London CT 860-442-0165 2 Clinton CT 860-669-5179 2 Southold NY 631-765-4333 6 Norwich CT 860-917-3197 8 Southold NY 631-765-4333 1 New London CT 860-442-0165 3 Southold NY 631-765-1891 21 New London CT 860-442-0165 3 New London CT 860-442-0165 1 New London CT 860-442-2016 5 New London CT 860-442-0165 3 New London CT 860-442-0165 1 Southold NY 631-765-1891 6 Southold NY 631-765-1891 1 Southold NY 631-705-4333 3 Southold NY 631-765-1891 21 New London CT 860-235-2846 1 Hartford CT 860-939-2277 1 New London CT 860-389-2277 1 New London CT 860-442-0165 2 New London CT 860-625-3939 1 Lyme CT 860-434-7224 1 Lvme CT 860-434-7224 3 Clinton CT 860-669-5179 1 Clinton CT 860-669-5179 1 Brentwood NY 631-834-4181 5 New London CT 860-912-9698 2 New London CT 860-442-0165 2 New London CT 860-442-0165 4 New London CT 860-442-0165 1 Brentwood NY 631-834-4181 1 New London CT 860-442-0165 1 Southold NY 631-765-1939 5 New London CT 860-443-6817 2 New London CT 860-442-0165 1 New London CT 860-442-0165 6 New London CT 860-442-0165 19 New London CT 860-442-0165 10 New London CT 860-442-0165 1 New London CT 860-442-0165 2 New London CT 860-442~0165 1 New London CT 860-442-0165 4 New London CT 860-625-3939 2 New London CT 860-442-0165 5 New London CT 860-439-1872 5 Hartford CT 860-986-7634 2 Mattituck NY 631-298-4718 17 Southold NY 631-765-1939 1 New York NY 212-734-1378 1 New London CT 860-235-2846 1 New London CT 860-235-2846 11 New London CT 860-442-0165 3 New London CT 860-625-3939 3 New London CT 860-442-0165 Jamesporf NY 631-722-3500 ~ Brentwood NY 631-834-4181 1 Yaphank. NY 631-924-4917 1 Stamford CT 203-921-5406 7 New London CT 860-442-0165 16 New London CT 860-442-0165 2 New London CT 860-442-0165 P T Amount D 1 .72 D 1 4.80 D 1 .80 D 1 1.08 D 1 2.40 D 1 .80 D 1 .72 D 1 2.40 D 1 2.88 D 1 .40 D 1 1.08 D 1 8.40 D 1 1.20 D 1 .40 D 1 2.00 D 1 1.20 D 1 .36 D 1 2.16 D 1 .36 D 1 1.08 D 1 8.40 D 1 .40 D 1 .40 D 1 .40 D 1 .80 D 1 .40 D 1 .40 D 1 1.20 D 1 .40 O 1 .36 D 1 2.00 D 1 .80 D 1 .80 D 1 1.60 N 1 .36 N 1 .25 D 1 .36 D 1 2.00 D 1 .80 D 1 .40 D 1 2.40 D 1 7.60 D 1 4.00 D 1 .40 D 1 .80 D 1 .40 D 1 1.60 D 1 .80 D 1 2.00 D 1 2.00 D 1 .72 D 1 6.12 D 1 .36 D 1 .40 D 1 .40 D 1 4.40 D 1 1.20 D 1 1.20 D 1 2.52 D 1 .36 D 1 .36 D 1 .40 D 1 2.80 D 1 6.40 D 1 .80 at&t BILLING DETAIL AT&T PAGE 5 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 12/31/12 Detail of ~riginating # 631-788-7463 o Dale Time 1 12/06/12 12:36PM 2 12/06/12 12:43PM 3 12/06/12 2:53PM 4 12/06/12 2:55PM 5 12/06/12 3:07PM 6 12/07/12 9:05AM 7 12/07/12 10:59AM 8 12/07/12 1:01PM 9 12/07/12 1:20PM 10 12/07/12 1:22PM 11 12/07/12 2:59PM 12 12/07/12 3:11PM 13 12/07/12 3:37PM 14 12/07/12 3:49PM 15 12/07/12 4:23PM 16 12/10/12 8:lOAM 17 12/10/12 9:41AM 18 12/10/12 1:33PM -19 12/10/12 2:14PM 20 12/10/12 4:42PM 21 12/11/12 8:52AM 22 12/11/12 11:24AM '23 12/11/12 12:34PM 24 12/11/12 12:51PM 25 12/12/12 9:52AM 26 12/12/12 11:49AM 27 12/12/12 3:14PM 28 12/12/12 3:51PM 29 12/13/12 8:39AM 30 12/13/12 9:06AM 31 12/13/12 9:41AM 32 12/13/12 9:47AM 33 12/13/12 10:04AM 34 12/13/12 10:40AM 35 12/13t12 11:06AM 36 12/13/12 1:44PM 37 12/13/12 2:11PM 38 12/13/12 2:40PM 39 12/13/12 2:52PM 40 12/13/12 3:31PM 41 12/14/12 11:35AM 42 12/17/12 9:03AM 43 12/17/12 9:06AM 44 12/17/12 10:14AM 45 12/17/12 12:02PM 46 12/17/12 1:48PM 47 12/17/12 2:03PM 48 12/17/12 2:08PM 49 12/17/12 2:14PM 50 12/18/12 8:32AM 51 12/18/12 8:55AM 52 12/18/12 8:58AM 53 12/18/12 9:32AM 54 12/18/12 12:12PM 55 12/18/12 12:48PM 56 12/18/12 1:38PM 57 12/18/12 2:06PM 58 12/18/12 3:37PM 59 12/19/12 8:29AM 60 12/19/12 9:39AM 61 12/19/12 9:40AM 62 12/19/12 1:55PM 63 12/20/12 9:11AM 64 12/20/12 9:25AM 65 12/20/12 9:59AM Current AT&T Long Distance Charges Detail of Itemized Calls Min Loc Called Area-Number 2 New London CT 860-442-0165 1 New London CT 860-442-0165 2 New London CT 860-442-0165 2 Old Saybrk CT 860-227-2335 3 Mattituck NY 631-298-4718 2 Ledyard CT 860-381-5470 3 New London CT 860-961-6736 1 New London CT 860-442-0165 2 New London CT 860-442-0165 4 New London CT 860-442-0165 12 Hartford CT 860-986-7634 1 New London CT 860-442-0165 4 New London CT 860-442-0165 1 Putnam CT 860-974-0394 2 Norwich CT 860-889-8331 1 New London CT 860-442-0165 6 Norwich CT 860-425-5900 3 Putnam CT 860-974-0343 6 New London CT 860-961-6736 1 New London CT 860-442-0165 1 New London CT 860-442-0165 2 Southold NY 631-765-4333 3 Hartford CT 860-372-4534 7 Southold NY 631-765-4333 1 New London CT 860-442-0165 8 Hartford CT 860-240-3152 2 Hartford CT 860-240-3152 ~ayville NY 631-589-6353 ~ ~imsbury CT 860-653-5095 2 New London CT 860-442-0165 2 Hartford CT 860-240-3152 2 New London CT 860-442-0165 1 Norwich CT 860-884-5453 1 New London CT 860-442-0165 1 Prosper TX 972-347-1855 9 Farmingdl NY 631-414-5825 8 New London CT 860-442-0165 1 Indepndnce OH 216-642-1576 15 Morristown NJ 973-214-1506 1 New London CT 860-442-0165 Farmingdl NY 631-694-2300 ~ New London CT 860-442-0165 1 New London CT 860-442-0165 4 Warwick RI 401-734-2809 2 Southold NY 631-765-4333 1 Seattle WA 206-789-0944 1 Norwich CT 860-334-3974 1 New London CT 860-442-0165 6 Seattle WA 206-789-0944 2 New London CT 860-442-0165 1 Huntington NY 631-827-5104 1 Huntington NY 631-827-5104 7 New London CT 860-442-0165 12 Norwich CT 860-334-3974 2 Seattle WA 206-789-0944 1 Lindenhst NY 631-225-3060 1 Putnam CT 860-928-7848 1 Southold NY 631-765-1939 1 New London CT 860-442-0165 1 Norwich CT 860-884-7725 2 New London CT 860-442-0165 5 New Haven CT 203-464-7722 3 Danbury CT 203-792-7246 6 Providence RI 401-368-2401 1 Norwich CT 860-884-7725 PT D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 D1 Amount .80 .40 .80 .80 1.08 .80 1.20 .40 .80 1.60 4.8O .40 1.60 .40 .80 .40 2.40 1.20 2,40 .40 .40 .72 1.20 2.52 .40 3.20 .80 .72 .40 .80 .80 .80 .40 .40 .40 3.24 3.20 .40 6.00 .40 .72 .40 .40 1.60 .72 .40 .40 .40 2.40 .80 .36 .36 2.80 4.80 .80 .36 .40 .36 .40 .40 .80 2.00 1.20 2.40 .40 11000979 BILLING DETAIL AT&T PAGE 6 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 12/31/12 Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-768-7463 No DaTe Time Min Loc Called Area-Number P T 1 12/20/12 12:51PM 1 New London CT 860-442-0165 D 1 2 12/20/12 12:53PM 1 Indepndnce OH 216-642-1576 U 1 3 12/20/12 2:36PM 2 New London CT 860-442-0165 D 1 4 12/20/12 2:47PM 1 New London CT 860-442-0165 D 1 Subtotal DIRECTORY ASSISTANCE 5 12/07/12 4:22PM 1 Dir Asst CT 860-555-1212 1 DIRECTORY ASSISTANCE Subtotal Total For 631-788-7463 AT&T Totat Itemized CalKs Interstate Gross Receipts Tax 4.44% Universal Connectivity Charge Total AT&T Long Distance Charges P-Rate Period Applied D-Day N-Night T-Call Type l-Direct Dial Amount .40 .40 .80 .40 186.97 2.49 2.49 189.46 189.46 8.06 25.17 222.69 BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments Total Adjustments WATER Balance From Previous Month Total Payments . Total AdjustmenTs Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Telephone Charges ...... Current Amount Due by 01/25113 Total Amount Due 72,22 36.11 .00 36.11 .00 .00 .00 .00 .00 .00 .00 .00 36.11 35.99 35.99 72.10 11000980 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 BILLING DETAIL Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7580 ACCOUNT NUMBER 028101 BILL DATE 12/31/12 Detail of Current Basic Charges Equipment for Period: 01101/13 - 01131113 Description ~ BUSINESS LOCAL SERVICE ENDUSER CHARGE ANNUAL (M 1 E-911 SURCHARGE 1 Total Equipment And Service Charges Federal Universal Service Charge Total Basic Charges 9.2O .35 Total 9.2O .35 31.51 31.51 1.48 32.99 Detail of Current Non-Basic Charges Equipment for Period: 01101113 - 01/31/13 Description ~ BUSINESS MULTI HUNT SRVC Total Equipment And Service Charges Total Non-Basic Charges Total 3.00 3.00 3.00 11000981 BILLING SUMMARY TELEPHONE Balance From Previous Month Total Payments Total Adjustments ELECTRIC Balance From Previous Month Total Payments . Total Adjustments WATER Balance From Previous Month Total Payments Total Adjustments Current Account Activity ...... Current Balance ......... ...... Current Balance ......... ...... Current Balance ......... * DUE IMMEDIATELY .... OUTSTANDING BALANCE *** Current Electric Charges - See Page 3 ...... Current Water Charges - See Page ~ ...... Current Amount Due by 01125113 Total Amount Due .00 .00 .00 .00 27.04 14.55 .00 12.49 46.20 23.10 .00 23.10 35.59 11.95 23.10 35.05 70.64 11000967 CONSUMER COMPLAINTS Fishers Island Telephone, Electric and Water If the Fishers Island Telephone, Electric or Water Company fails to "Satisfactorily" resolve a service or billing complaint within a reasonable period of time, customers may refer their problems to the Consumer Services Division of the New York State Public Service Commission by writing to: Consumer Services Division Three Empire State Plaza Albany, New York 12223 Or by calling 1-800-342-3377 If, however, you feel that your problems may be handled at the local level, please ask to speak with the President of The Utility Company, Robert Wall, who may be reached at 788-7251 during business hours. Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation General Office -- 788-7251 Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE .............. 788-7543 POWER PLANT ................. 788-7520 ELECTRIC EMERGENCY AFTER BUSINESS HOURS For Emergency Assistance ...... 788-7815 FISHERS ISLAND TELEPHONE CORPORATION DURING BUSINESS HOURS: Information & Assistance ....... 788-7001 Repair Service ............... 788-7001 AFTER BUSINESS HOURS Emergency ................. 788-7815 FISHERS ISLAND WATER WORKS BUSINESS OFFICE .............. 788-7251 SUPERINTENDENT Water Plant ................. 788-7422 Emergency .................. 788-7815 UTILITY COMPANY President's Office ............... 788-7251 Residence ..................... 788-7710 PAGE 3 TELEPHONE NUMBER 631-188-0122 ACCOUNT NUMBER 027750 BILL DATE 12/31/12 THE FISHERS ISLAND ELECTRIC CORPOP~ATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 1 CURRENT CHARGE: Energy Charge Fuel Adjustment New York State Tax Total Current Charges $11.67 0.28 0.00 $11.95 Meter Readings Energy used Current Previous MASTER 58518 58512 REG. 6 KWH DEMAND .00 .00 DMD. .00 KW DATE 12/28 11/27 DMD. MIN. .00 METER MULT. NY SURCHARGE FUEL ADJUSTMENT FACTOR .0469 PER KWH TOTAL ENERGY CHARGE Amount 11.67 0.00 .00 $11.67 FISHEgS ISLAND ~ATER WORKS COgP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER READiNG/DATE CURRENT 77010 12/28 PREVIOUS 77010 11/27 CUBIC FEET (CU FT x 7.5 = GALLONS) ~urrent Water Charg~ ross Receipts Tax uredit (per PSC) Total Current Charges 23.10 0.00 $23.10 110009B8 FISHERS ISLAND FERRY DISTRICT VENDOR 009682 GOOSE ISLAND CORP 01/29/2013 CHECK 961 FLrND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 SM .5710.4.000.200 25657 178.9 GALS 2 HTG OIL 892.71 25657A FUEL OIL ADDITIVE 20.00 TOTAL 912.71 x,~ / Vendor No. Town of Southold, New York - Payment Voucher 9682 Vendor Tax iD Number or Social Security Number Vendor Name Goose island Corporation I Vendor Address 1633 Central Avenue Box 49 sla.d, .¥ 05390 Vendor Telephone Number 631-788-7311 Vendor Contact Invoice ce Invoice I aA Net Purchase Order :e Total Discount mount Claimed Number Description of Goods or Ser,/ices ~2012 $892.71 ! $892.71 178.9 ~ $4.99 Fuel Oil '2012 $20.001 $20.00 Fuel Oil Additive ~ to extend life of burner ~H)+3- ~$a~ ~; $42!.6K 84.5 (~. $4.99 Fuel Oib.~ SL334.37i Sa,3~ Invoice Number Date Check No. Entered by~ Audit Date General Ledger Fund and Account Number 256571 12/1912012 SM5710.4.000.200 28657A 12/1612012 SM5710,4.000.200 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 '~ .~,.~3 Date Department Certification I hereby certi~ that the materials above specified have been received by me in good condition without substitution, the services properly performed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature ~oose Island Corporation , · 4633 Central Ave//49 Fishers Island, NY 06390-0049 Invoice Date Invoice # 12/19/2012 25657 Bill To FI Ferry District P.O. Box H Fishers Island, NY 06390 Description Qty Rate Amount #2 Ultra Low Sulfur Fuel Oil 178.9 4.99 892.71T / Sales Tax (0.0%) $o.00 Total $892.71 Balance Due $892.71 Goose Island Corporation ' :-1633 Central Ave #49 Fishers Island, NY 06390-0049 Invoice I Date I Invoice # 12/19/2012I 25657A Bill To FI Ferr5, District P.O. Box 14 Fishers Island. NY 06390 Description Qty Rate Amount 4 in 1 l'uel treatment ,will disperse water, controls waxing & gelling 20.00 20.00T cleans pump & filter, this will extend burner life & improve fuel efficiency. / //' ,~ Sales Tax {0.0%) $o.oo Total $20.00 Balance Due $20.oo GOOSE ISLAND CORP. P.O.'Box 49 RSHERS ISLAND, NEW YORK 06390 (631) 78~-731 ~, [] Dyed unmarked Heating Oil: Not for use in highway or non-highway, locomotive or marine engines. START OF I DELIVERY~ END OF GALLONS TENTHS DELIVERY~ METER READING DRIVER' [ rTRUCKNO ITIME. . A.M*P.M. 25657 PRODUCT GALLONS PRICE AMOUNT $ , I CASH [ cHEc,~ TAX ~$¥O.ER S Sla,A*URE TOTAL DELIVERY RECEIVED PER ABOVE METER READING FISHERS ISLAND FERRY DISTRICT VENDOR 010002 JAN ELECTRONIC SUPPLIES, INC. 01/29/2013 CHECK 962 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 70483 25-RP INDICATOR LIGHTS 59.24 TOTAL 59.24 Town of Southold, New York - Payment Voucher 10009 Vendor Tax ID Number or Social Security Number i Vendor Address Vendor Name 6 Truman Street Jan Electronic Supplies, Inc. Vendor Telephone Number 860-442-4386 Vendor Contact Invoice ! Invoice Number Date 70483 1/16/20t3 Invoice Total $59.24 Discount $59.24: Payee Certification The undersigned (Claimant) (Acting on behalf oftbe above named claimant) does bereby certify that thc foregoing claim is true and correct, that no part has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt arc excluded New London, CT 06320 Title Net Amount Claimed $59.24 $59.24 Purchase Order tR Number Description of Goods or Services P-Indicator Li§hts Check No. Entered b~/ ~ Audit Date General Ledger Fund and Account Number SM5710.2.000.200 Department Certification I bereby 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 the exceptions or discrepancies noted, and payment is approved Signature Title Date _t INVOICE JAN ELECTRONIC SUPPLIES, INC. 6 TRUMAN STREET o,NEW LONDON, CT 06320 (860) 442-4386 · FAX # (860) 447-8164 DATE ~ N 70483 EDGE ~ Q~. SHP'D : ALL claims a~d returned goods MUST be a~ompanied by this bill. T~ ~ ~ ~X ~,'~,,: ; '~ SHIPPING TOTAL RECEIVED BY pACKING SLIP FISHERS ISLAND FERRY DISTRICT VENDOR 011745 LAND, SEA & AIR CONSULT & TEST 01/29/2013 CHECK 963 FUND & ACCOUNT P,O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000,000 SM .5710.4.000,000 SM .5710.4.000.000 SM .5710.4.000.000 20000328-12/12 DRUG TEST-E.BRIDGMAN 20000328-12/12 DRUG TEST-J.TRAUB 20000328-12/12 DRUG TEST-J.TESTA 20000328-12/12 DRUG TEST-J.DAVIS 57.00 57.00 57.00 57.00 TOTAL 228.00 Vendor No. Town of Southold, New York - Payment Voucher I Vendor Tax ID Number or Social Security Number 27-1482752 Land Sea and Air Consulting & Testing Vendor Address 910 Route 109 North Llndenhumt, NY 11757 11745 Vendor Telephone Number 631-225-3060 Vendor Contact I Check No. Entered Audit Date Number 20000328~' Net Discount Amount Claimed Invoice Invoice Date Toml 12ll 112012 $57.00 1~ $57.001 $24-t$bZfft2 $57.00 ~ $57.00 $228.00 Purchase Order ] l Random Edward Bridgman General Ledger Fund and Account Number $57.00 SM5710.4.000.000 2oooo32e~0-I $57.00 lRandom James Traub SM5710.4.000.000 200003284~- i $57.00 Random John e-I~ta SM5710.4.000.000 200003281C~' I $57.00 Random Josh Davis SM5710.4.000.000 $228.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on bebalf of the above named claimant) does hereby certify that the foregoing claim is true and correct, that no pen has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Company Name /' fP Date I hereby certi$' 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 peyment is approved / - 01/09/13 IRS # 27-1482752 FISHER'S, ISLAND FERRY ATT; ACCTS PAYABLE PO BOX H FISHER'S ISLAND, CT 06390 Page: 1 LAND SEA AigD AIR CONSULTING &TESTI] 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 Pi ~nt Bal 12/11/12 RANDOMDS1 lll-BRIDGHAN, EDWARD O 57.00 57.00 12/11/12 RANDOMDS1 105-TRAUB, JAMES/ N O 57.00 57.00 12/18/12 RANDOHDS1 141-IESTA, JOHN{~PSF//} O 57.00 57.00 12/20/12 RANDOMDS1 7.-DAVIS,JOSH O 57 00 57.00 Regular Total: $ 228.00 Provider: OFFSITE Operator: PP FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 01/29/2013 CHECK 964 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 43651920 4 MUNN VAC GAUGES,FITTGS 102.69 TOTAL 102.69 ,"O00Clr=[.,· .:O;~t. OShr~[.i: ~.B D0~508~ Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address P.O. Box 7690 Vendor Name McMaster-Carr Supply Co. ;Chicago, IL 60680-7690 Vendor Telephone Number j Vendor No. 13564 Check No. Entered by 609-699-3000 Tow~, ~.7 Invoice Invoice [ Invoice ] Net Purchase Order Number Date I Total Discount Amount Claimec Number Description of Goods or Services General Ledger Fund and Account Numt 43651920 1/8/2013 $102.69 [ $102.69 MUNN-Vacuum gauges['/' 7/~z,J SM5710.2.000.100 I ' i , I $102.69i $102.69 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the fbregoing 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 Tovm is exempt are excluded Company Name fp Date Department Certification l 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 with the excepnons or discrepancies noted, and payment ts approved McMASTER,CARR® 609-689-3000 609-259~-3575 (fax) nj.sates@mcmaster.com Billed to FISHERS ISLAND FERRY DISTRICT P O DRAWER H FISHERS ISLAND NY 06390-0607 Invoice Purchase Order Total Invoice Invoice Date Payment Terms JOHN $102.69 4365192O 118113 2% 10, Net 30 Deduct $1.95 on merchandise if paid by 1/18/13 Shipped to Fishers Island Ferry District 5 Waten~ront Park New London CT 06320 Mail Payment to Your Account McMaster-Carr PO Box 7690 Chicago IL 60680-7690 260910000 John placed this order. Line Product Ordered Shipped Balance Price Total 4053K15 2 38465K31 3 4429K412 Stainless Stael-Case Liquid-Filled Gauge, 2-1/2" Dial, 1/4 Bottom Connection, 0-1500 PSI Vacuum Gauge, Plastic Case, 1/4 Center Back, 30"-0 Low-Pressure Brass Threaded Pipe Fitting, 3/8 Male X 1/4 Female Pipe Size, Hex Reducing Bushing 2 Each 2 Each 2 Each 2 0 25.14 50.28 Each 2 0 21.80 43.60 Each 2 0 1.91 3.82 Each Merchandise Shipping 97.70 4.99 Total $102.69 Packing List Shipped Weight Carrier Tracking 5740039-01 1/8/13 3 lb UPS Ground 1Z0835200348452721 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 014193 NORTHEAST UTILITIES 01/29/2013 CHECK 965 FI/ND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 51981034010122 NL NEW TERM SVCE-12/12 2,066.71 TOTAL 2,066.71 Town of Southoid, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address PO Box 150493 , HartfOrd, CT ~6t t5-0493 14193 Northeast Utilities Vendor Telephone Number 800-286-2000 Vendor Contact Check No. ce I Invoice Invoice,! il Net [ Purchase Order Description of Goods or Services )er Date Total ~ Discount 'Amount Claimed Number General Ledger Fund and Account Nun ;)34010/z& 1/2/2013 $2,066,71 $2,066.71 NL New Term Service SM5710.4.000.100 ; $2,066.71 i $2,066.71 Number Payee Certification Tbe undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim ~s 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 ~'rom which the Town is exempt are excluded Compan;v Name~ ~-~ Date Department Certification I hereby certify that thc materials above specified have been received by me m good condition without substitution, the set,rices properly performed and that the quanPttes thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature 0009902 ~ ~. Connect/cut A Northeast U61~es Compe~y Contact InformaUon Emergency: 1-800-286-20~ (anytime) Web Site: www.cl-p.com Emali: C LPCustome~ervice~cl-p.com Customer Service: 1-800-286-2000 860-947-2000 Hartford/Meriden (M-F T-7 & Sat 10-3:30 pm) Simplify your life Use eBgl and ePay at www.cl-p.com Or Pay by Phone 1-880-783-6618 Electricity Supplier Compare your electricity usage Average usage in Jan 2012 (32 F) 360 kWh Average usage in Jan 2013 (29 F) 397 kWh Energy Profile Due Date I Total Nnount Due Mar 3, 2013 $3,936.35 Your account summary Amount due on Dec 3 Payment Dec 7 FISHER ISLAND FERRY DISTRICT Statement date: Jan 2,2013 Customer name key: FiSH Account number: 51981034010 $3,383.87 -$1,514.23 Balance Forward The 'Balance forward' includes $1,117.69 generation charges New Charges/Credits Electricity Supply Services Delivery Services Total new charges $1,869.64 $1,266.77 $799.94 $2,066.71 Total amount due $3,936.35 Payment due upon receipt unless other arrangements have been made. Your acconnt is overdue. If payment has been made, thank you and please disregard this notice. Detail for Service at: 5 WATERFRONT PARK, NEW LONDON CT 06320-6310 Service reference: 952682001 Your meter reading for meter # 886118182 For billing period: Nov 30 - Jan 2 (33 days) Actual reading on Jan 2,2013 Actual reading on Nov 30, 2012 Billing cycle:01 No, read date on orabent:Jan 31,2013 84998 -83688 Difference = 1,310 Meter constant x 10 Billed usage = 13,100 Total demand use: 29.30 kW (continued on hex1 page) 0959902 PAGE 2 OF 4 Account number: 51981034010 Demand Profile 42 Max. kW Demand 30 _ J F M A M J J A S 0 N D J 2012 2013 Generation Rate .14 Dellars/l~Wh J F M A M J J A S 0 N D J 2012 2013 /lilocated use for 31 days Electricity Supply Detail Generation Srvc Chrg** (Nov 30 to Dec 31) CONNECTICUT GAS & ELEC 12306.10KWH x $0.096700 Subtotal CL&P Delivery Sentices Detail DISTRIBUTION RATE: 030 Transmission Dmd Chrg 27.30KW x $5.670000 x 0.9394 Distr Cust Srvc Chrg $38.500000 x 0.9394 Distr Chrg per KWH 8257.30KWH x $0.017800 4048.80KWH x $0.017800 Distribution Dmd Chr9 27.30KW x $6.060000 x 0.9394 CTA Demand Chrg ?7.30KW x $0,370000 x 0.9394 FMCC BeliveryChrg 12306,10KWR x $0.008880 Comb Public BenefitChrg* 12306.10KWH x $0,006280 Subtotal /~llocated use for 2 days Electricity Supply Detail Generation Srvc Chrg** (Dec 31 to Jan 2) CONNECTICUT GAS & ELEC 793.90KWH x $0.096700 Subtotal $1,190.00 $1,190.00 $145.41 $36.17 $146.98 $72,07 $155,41 $0.49 $109.28 $77.28 $752.09 $76,77 $76,77 (continued on nexf page) Account number: 51981034010 CL&P Delivery Services Detail Transmission Dmd Chrg Distr Cust Srvc Chrg Dlstr Chrg par KWH Distribution amd Chrg CTA Demand Chrg FMCC Delivery Chrg Comb Public Benefit Chrg* DISTRIBUTION RATE: 030 27.30KW x $5.780000 x 0.0606 $9.56 $38.500000 x 0.0606 $2.33 532.70KWH x $0.017800 $9.48 261.20KWH x $0.017800 $4.65 27.30KW x $6.060000 x 0.0606 $10.03 27.30KW x $0.550000 x 0.0606 $0.91 793.90KWH x $0.009380 $7.45 793.90KWH x $0.004330 $3.44 Subtotal $47.85 Sentice Account Messages Because the billing pariod spans a change in the rates, your usage has been calculated partiy on Ibe old rate and partly on the new rate. Explanation m your charges *The Combined Public Benefits Charge represents a combination of three 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 (BEMCC) have been combined into the "GSC Charge" listed in the Electricity Supply Detail section of your bill. The GSC reflects all of the cost of pmcaring energy from CL&P wholesale suppliers. The BFMCC portion of this line item is $0.0015/kWh. If you multiply this BFMCC rate by the number of kWhs on your bill, you can calculate the dollar amount associated with the BEMCC. ~ccount messages For tax purposes, your 2012 interest paid for late payment charges was $20.32. Scan this with your smartphone! It will simplify your life. ~ Go to your app store to get a list of barcode reader apps for your mobile device. ~.~ ~. (continuod on next page) Account number: 51981034010 Customer Billing Information Quecfions and complaints If you have a qecstioe or complaint about your hill or any payment arrangement, call the number listed on the front of the bill, or include a note with your payment on a separate abeof of paper. A complete explanation of your rights is available upon written request to the company or by calling customer semice at the phone number listed in the upper left corner of the bill. Termination of service and customer riifhts You have the right to dispute a termination notice. You may also have oemice continued between November 1st and May 1st if you qualify for hardship status or have a serious illness or fife-threatening condition. Third-party nonce You ca~ ask us at m~y time to notify u third party if your service is subject to being shot off. For additional informaNon, you should call the numbe~ liated off the front of the bill or include a note with your payment on a separate sheet of paper. Electric suppliers Information about licensed electric suppliers, including rates and charges, contract terms and conddions, energy sources and emission rates, is available from the Public Utilgies Regulatory Authority (PUflA), 10 Franklin Square, New Britain, Connecticut, 06051, by visiting www.ctenergyinfe.com Check processing By sending your check, you authorize CL&P to use the check information to create an electronic funds transfer. The electronic transfer, for the original check amount, will be processed on the day your check is received. The check will be destroyed and an image of your check will he stored for 2 years, if the electronic transfer cannot be completed, a demand draft of your check can be created and used in place of the original. Security Deposit PURA Regulation 16-11~105 allows the Company to collect a security deposit from commercial/industrial customem with either no credit or negative credit history with the Company. Commercial/Industrial customers with a timely bill payment history will not be assessed a security deposit. Security deposits, along with accrued interest will be refunded to the Customer after 12 consecutive months uf guod paymefl~ Idstmy. Information and quecNoos 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 PURA 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 sobfe su tactura o sobre alodn arre¢o de pago, Ilame al ndmero listado al frente de esta factura o incluya una nora separada cuando envie su pago. Una explicacion detallada de sus derechos como consumidor esta disponsible si Io pides por escrito a ia compadia o si llamas al centfo de se~vicios al consumidor al nQmero listado a~riba, a la izquierda en su factura. TerminaciOn de servicio y sus clerechos como consumidor Usted tiene el derecho de refuter la carte de terminaciOn. Tambi~n podrA continuer el servicio entre el 1 de Noviembre y el 1 de Mayo, si usted califica como consumidor con dificultad econ(~mica documentada o tiene Al§una enfefmedad sene, o una situacidn de vidA 0 muene existonto en su begat. Notificaci~n a una tercera persona Ustod puede solicitar en cualquler momenta quo nos comuniquemos con una tercera persona si su servicio estA en ries§o de ser desconectado. Para mas inlormaciOn, flame al ndmero listado en su factu~A incluya una note separada cuando envle su page. Proveedores de energia el~ctrica Informacidn acerca de proveedores de energia el~otrica licenciados, incluyendo clases de tarifas y cargos, {~rminos y condiciones de contratos, fuentos de energia y tarifas de emisidn, es disponible a tos consumidores a travbs de la Auloridad de Emprasas de Servicios Pdblicos (PURA), 10 Franklin Square, New Britain, Connecticut, 06051, o visitando www.oterlergyinto.oom. Procesamiento de cheques Al enviar su cheque, usted autoriza CL&P a user la informacidn de su cheque para orea~ transferencias de rondos electrdnicamento, La transferencia electrdnica par la cantidad origlnal dot cheque sera procesada el d~a quo su cheque es recibido. El cheque sera destruido y una copia electrdnica sera ouardada par 2 ados Si la transferencia electrdnica no puede ser completada podemos exiGir un retire de rondos y esto puede ser usado en lugar del original. D~posito de Seguridad Segdn ia regulaciOn 16 11 105 de la PUIRA, la quo pecmite a la Compad[a cobrar un se le cobrarA un depdsito de seBuridad Los depOsitos de seguridad, junto con el FISHERS ISLAND FERRY DISTRICT VENDOR 014121 NORTHERN SAFETY CO.,INC. 01/29/2013 CHECK 966 FLTND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.950 900264655 OSHA TRNG COMPLIANCE MNL 245.42 TOTAL 245.42 Town of Southold, New York - Payment Voucher [ 14121 Vendor Tax ID Number or Social Security Number Vendor Address PO Box 4250 Utica, NY 13504-4250 Northern Safety Co., Inc. Vendor Telephone Number 800-631o1246 Vendor Contact Check No. Entered b~ Audit Date Tow~ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number $245.42! 11t1/2013 $245.42 $245.42 $245.42I Payee Certification The undersigned (Claimant) (Acting on behalf oftba above named claimant) does hereby certify that the foregoing claim is true and correct, that no pan has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Signature Company Name OSHA Training compliance manual SM5710.4.000.950 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 there&have been verified with the exceptions or discrepancies noted, and payment is approved Signature Title PO Box 4250 · Utica, NY 13504-4250 Phone: 800 631 1246 · Fax: 800 635 1591 northernsafet¥.com Remember... We Always Offer Our Lowest Price When You Order. 100% Satisfac~'on Guaranteed[ PLEASE REMIT TO: NORTHERN SAFETY CO., INC. P.O. Box 4250 Utica, NY 13504-4250 SOLD TO: ~Fishers Island Ferry District PO Box H FISHERS ISLAND NY 06390-0607 USA YOURCUSTOMERID 3135829 SHIP TO (IF OTHER THAN "SOLD TO") Fishers Island Ferry District 5 Waterfront Park NEW LONDON CT 06320 USA JOHN 12/31/2012 YOUR PURCHASE ORDER NUMBER AND DATE PAYMENT DUE BY 02/10/2013 OUR INVOICE DATE SHIPPED VIA DATE SHIPPED INVOICE NO./ORDER NO 900264655 / 1O0146305 01/11/2013 IF PAID BY 01/31/2013 PAY $ 240,84 ORDERED SHIPPED ITEM NO UQM DESCRIPTION UNIT PRIDE EXTENDED AMOUN~ 1 1 6165 EA OSHA TRAINING COMPLIANC5 MANUAL FA-34-M 229.00 229.00 SALES TAX SHIPPING & HANDLING r.l,_,Im~ll ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1 ~/,% PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE $ 0.00 $ 16,42 $ 245.42 UNPAID BALANCE. Payments must be payable in US dollars only ** 2% discount does not c~pply to credit card payments Thank You for Your Orderl FEDERAL ID# 16-1214814 Gordon Murphy From: Sent: To: Cc: Subject: R J Burns Thursday, January 10, 2013 7:32 AM John Morgan Gordon Murphy; Steve Burke (sburke@fiferry.com) RE: ]NVOTCE REQUEST Hello John, Thank you for checking on this for me. Gordon, recently we ordered and received an OSHA compliance manual (+$200) with no electronic or paper inv~.e. John checked on its status for me. We will forward the invoice as soon as we receive it. RJ From: John I~lorgan [mailto:ljohnmorgan@qrnail.com] Sent: Wednesday, January 09, 2013 3:58 PM To: R .] Burns Subject: Fwd: INVOTCE REQUEST .......... Forwarded message .......... From: Gail Batson <GBatson~C_,northernsafety.com> Date: Wed, Jan 9, 2013 at 3:54 PM Subject: INVOICE REQUEST To: "1JOHNMORGAN~_,GMAIL.COM" < 1JOHNMORGAN~,_,gmail.com> HiJohn, Because this order shipped directly from the manufacturer, we won't be invoicing you until we get invoiced from them. After researching, I see that we have not been invoiced as yet. We will send that out to you as soon as we can. Thanks, John. Please let me know if you should require anything further. Regards, Gail Northern Safety Customer Care Specialist FISHERS ISLAND FERRY DISTRICT VENDOR 015887 OXFORD HEALTH PL3aNS 01/29/2013 CHECK 967 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 SM .9060.8.000.000 42994797 MEDICAL PREM-HIGH-2/13 8,888.04 42994798 MEDICAL PREM-LOW-2/13 5,047.68 TOTAL 13,935.72 ~ Vendor No. Town of Southold, New York - Payment Voucher I 1588? Vendor Tax ID Number or Social Security Number 06-1181200 Oxford Health Plans Vendor Telephone Number 888-20t-4216 Vendor Contact Invoice Number Invoice I Invoice Date t Total 42994798 1/112013 $5,047.68 ' $8,888.04 42994797i -~Jl/2013 Vendor Address PO Box 1697 Newark, NJ 07101-1697 Net Discount Amount Claimed $5,047.68 Purchase Order Number Description of Goods or Services Medical Premium for 2/13 Medical Premium for 2113 Entered Audit Date Signature ~Title Compan5 Name F/~ Date ~'~, $13,935.72i i $13,936.72 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 $8,888.04 SM9060.8.000.000 I SM9060.8.000.000 Department Certification I hereby certify that the materials above specified have been received by me tn good condition withoul 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 General Ledger Fund and Account Number UnitedHealthcare Oxford INVOICE SUMMARY Fishers Island Ferry District Group Number i Billing Group i Coverage Period FI9458 I, BG01 02/0112013 - 0212812013 We encourage you to contact your Dedicated Client Service Manager (DCSM) at 888-201-4216 with any questions regarding this invoice, Invoice Number Due Date of Payment 42994797 February01,2013 Previous Balance Payments Received Deb~t Memos (See Memo Detads on last page of this invoice ) Credit Memos (See Memo Details on last page of this invoice) Total Balance Forward ............. $ 8,888 04 8,888 04 0 00 0 O0 $ 0.00 Adjustments to Prior Bills .......... Totals by Contract Type - Currant Premium 7 Single 1 Couple 2 Family t0 Total Healthcare Contracts Current Premium ............... $ 0.00 4 034 38 1267 96 3 585 70 8888 04 $ 8,888.04 Total Balance Forward ......... Adjustments to Prior Bills ....... + Current Premium ............ Total Amount Due ......... $ 0.00 $ 0.00 $ 8,888.04 $ 8,888.04 JOBINA MILLER FISHERS ISLAND FERRY DISTRICT P O BOX 607 FISHERS ISLAND, NY 06390 THIS STATEMENT REFLECTS PAYMENTS RECEIVED BY OXFORD ON OR BEFORE 01/08/13. Please write your account number on your check when submitting payment. Thank you for choosing Oxford. ~~ ofor Membership activity are made automatically by our system. Please do not make any manual adjustments to the total due. Any financial adjustment for Membership activity not displayed in this invoice summasy will be reflected in a future invoice. If you would like your payment applied to a specific plan design, you must send the Remittance Advice for that plan design and indicate thc amount to be paid in the Amount Remitted field of thc Advice. NOTICE Failure to remit payment by the end of the grace period may result in termination of coverage by Oxford.* According to the terms of your Group Policy and Group Enrollment Agreement with Oxford, premium payments are due on the first of the month. The purpose of this notice is to advise you that your group coverage may terminate on the last day of the coverage period indicated on page one of this bill (the "Coverage Period") if we do not receive the required premium payment by the end of the grace period specified in your Group Policy and Group Enrollment Agreement. For New York groups, if we do not receive any payment by the end of the grace period, the termination date of coverage will be retroactive to the last paid date of coverage. If we receive a partial payment, the termination process described in the prior paragraph will apply. For all groups, it'termination occurs, your employees and their dependents will receive coverage for all claims incurred on or before the last day of the Coverage Period or, in the case of a New York employer who has made no payment before the end of the t~'ace period, the last paid date of coverage. No coverage will be provided for claims incurred thereafter. Any employee or dependent who has access to no other health insurance may be able to convert to an individual policy with Oxford. More information about this conversion option can be obtained by contacting your Oxford group representative directly. FOR NEW YORK EMPLOYERS ONLY In addition to the above, pursuant to section 217 of the New York Labor Law, you are required to inform your employees of the intended termination of their health coverage. This law requires that you do so by either hand-delivering or mailing to each of your employees, and by posting at conspicuous locations chosen as most likely to give notice to your employees, at least nine days prior to the intended termination date, a copy of this notice along with your own cover letter advising as to the intended termination of coverage. However, if your premium payment is sent to Oxford on or before the 20th day of the Coverage Period, or if you have arranged for similar replacement coverage for your employees provided by a different cartier (and filed affidavits to that effect with the Commission of Labor and Superintendent of Insurance), the law does not require that you provide your employees with notification as described above. The Contract Type on the Invoice Details list refers to the Contract Type of the core health care benefit, unless no such benefit exists for the Subscriber. Please refer to the Legend For Invoice Details above for an explanation of Contract Type, Benefit, and Code abbreviations. *Oxford HMO products are underwritten by Oxford Health Plans (NY), Inc., Oxford Health Plans (NJ), Inc. and Oxford Health Plans (CT), Inc. Oxford insurance products are underwritten by Oxford Health Insurance, Inc. Invoice Details may be continued on the other side. OUR GOAL IS HELPING PEOPLE LIVE HEALTHIER LIVES How do we do this? Better information. Better decisions. Better health. We're committed to providing better information to support better decisions that help drive better health for our members. A leading physician network, 24-hour health care guidance with Oxford On-Call®, a wealth of wellness resources, and online access at oxfordhealth.com, are just a few examples of our ongoing efforts to help our members live healthier lives,lilt UnitedHealthc Oxford Thank you for choosing Oxford. Pa e 1 INVOICE DETAILS Fishers Island Ferry District HIGH PLAN Coverage Period: 02/01/2013 to 02/28/2013 CURRENT PERIOD ADJUSTMENTS TO PRIOR BILLS TOTALS Social Subscriber Contract # of Coverage Current Subscriber Security# Name Type Members Type Benefit Premium Period Code Premium 1121732001 Barrett Frederick S 1 CSP01S HEALTHCR 57634 1121732601 Easter Mark S 1 CSP01S HEALTHCR 57634 1121907601 Ford Polly F 3 CSP01 HEALTHCR 1792 85 1121010001 Hiller Jonathan S 1 CSP01 HEALTHCR 57634 1121013701 Le Fevre Raymond S 1 CSP01 HEALTHCF~ 57634 1121011301 Marshall, Jesse C 2 CSP01 HEALTHCR 126796 1121078601 Morgan John F 3 CSP01 HEALTHCR 179285 1123283101 Ricker Kenneth S 1 CSP01S HEALTHCR 576 34 1121733601 Schmid N~na S 1 CSP01S HEALTHCR 57634 1121075501 Traub James S 1 CSP01 HEALTHCR 57634 Total .................................... $ 8,888.04 i ........... $ 0,00 TOTAL 576 34 57634 1792 85 576 34 576 34 126796 1792 85 576 34 576 34 576 34 $ 8,888.04 The Contract Type on the Invoice Details list refers to the Contract Type of the core healthcare benefit, unless no such benefit exists for the Subscriber Please refer to the Legend For Invoice Details on the back of the Invoice Summary for an explanation of Contract Type Benefit and Code abbreviations Invoice Details may be continued on the other side. UnitedHealthcare' Oxford INVOICE SUMMARY Fishers Island Ferry District We encourage you to contact your Dedicated Client Service Manager (DCSM) at 888-201-4216 with any questions regarding this invoice. Group Number I Billing Group Coverage Period FI9458 BG02 I 0210112013 -0212812013 Invoice Number Due Date of Payment 42994798 February 01,2013 Prewous Balance $ 7,669 00 Payments Received 7 669 00 E)eb~t Memos /'Z 0 00 (See Memo Details on last page of this invoice) Credit Memos ~/'' 0 O0 (See Memo Deta;Is on last page of th¢s invoice ) Total Balance Forward ............. $ 0.00 Adjustments to Prior Bills .......... $ 0.00 Totals by Contract Type - Current Premium 6 Single 2 67690 1 Couple 981 53 1 Family 1.389 25 8 Total Healthcare Contracts 5047 68 Current Premium ............... $ 5,047'.68 Total Balance Forward ......... Adjustments to Prior Bills ....... + Current Premium ............ Total Amount Due ......... $ 0.00 $ o.oo $ 5,047.68 $ 5,047.68 011GBILLL21601501 JOSINA MILLER FISHERS ISLAND FERRY DISTRICT P O BOX 607 FISHERS ISLAND NY 06390 THIS STATEMENT REFLECTS PAYMENTS RECEIVED BY OXFORD ON OR BEFORE 01/08/13. Please write your account number on your check when submitting payment. Thank you for choosing Oxford. the total due. Any financial adjustment for Membership activity not displayed in this invoice summary will be reflected in a future invoice. If you would like your payment applied to a specific plan design, you must send the Remittance Advice for that plan design and indicate the amount to be paid in the Amount Remitted field of the Advice. NOTICE Failure to remit payment by the end of the grace period may result in termination of coverage by Oxford.* According to the terms of your Group Policy and Group Enrollment Agreement with Oxford, premium payments are due on the first of the month. The purpose of this notice is to advise you that your group coverage may terminate on the last day of the coverage period indicated on page one of this bill (the "Coverage Period") if we do not receive the required premium payment by the end of the grace period specified in your Group Policy and Group Enrollment Agreement. For New York groups, if we do not receive any payment by the end of the grace period, the termination date of coverage will be retroactive to the last paid date of coverage. If we receive a partial payment, the termination process described in the prior paragraph will apply. For all groups, if termination occurs, your employees and their dependents will receive coverage for all claims incurred on or before the last day oftbe Coverage Period or, in the case ora New York employer who has made no payment before the end of the grace period, the last paid date of coverage. No coverage will be provided for claims incurred thereafter. Any employee or dependent who has access to no other health insurance may be able to convert to an individual policy with Oxford. More information about this conversion option can be obtained by contacting your Oxford group representative directly. FOR NEW YORK EMPLOYERS ONLY In addition to the above, pursuant to section 217 of the New York Labor Law, you are required to inform your employees of the intended termination of their health coverage. This law requires that you do so by either hand-delivering or mailing to each of your employees, and by posting at conspicuous locations chosen as most likely to give notice to your employees, at least nine days prior to the intended termination date, a copy of this notice along with your own cover letter advising as to the intended termination of coverage. However, if your premium payment is sent to Oxford on or before the 20th day of the Coverage Period, or if you have arranged for similar replacement coverage for your employees provided by a different carrier (and filed affidavits to that effect with the Commission of Labor and Superintendent of Insurance), the law does not require that you provide your employees with notification as described above. The Contract Type on the Invoice Details list refers to the Contract Type of the core health care benefit, unless no such benefit exists for the Subscriber. Please refer to the Legend For Invoice Details above for an explanation of Contract Type, Benefit, and Code abbreviations. *Oxford HMO products are underwritten by Oxford Health Plans (NY), Inc., Oxford Health Plans (NJ), Inc. and Oxford Health Plans (CT), Inc. Oxford insurance products are underwritten by Oxford Health Insurance, Inc. Invoice Details may be contInued on the other side. OUR GOAL IS HELPING PEOPLE LIVE HEALTItIER LIVES How do we do this? Better information~ Better decisions. Better health. We're committed to providing better information to support better decisions that help drive better health for our members. A leading physician network, 24-hour health care guidance with Oxford On-Call®, a wealth of wellness resources, and online access at oxfordhealth.com, arc just a few examples of our ongoing efforts to help our members live healthier lives.~}]j UnitedHealtheare' O~fotd Thank you for choosing Oxford. INVOICE DETAILS Fishers Island Ferry District HSA SINGLE - LOW PLAN / HSA FAMILY- LOW PLAN Coverage Period: 02/01/2013 to 02/28/2013 CURRENT PERIOD Social Subscriber Contract # of Coverage Current Subscriber Security# Name Type Members Type Benefit Premium 1121103501 Brown Donald C 2 CS02F HEALTHCR 981 53 1121083801 Burke Stephen S 1 CSP02 HEALTHCR 446 15 1121090301 Flora Michael S 1 CSP02 HEALTHCR 446 15 1125766701 Gl~dewell Logan S 1 CSP02 HEALTHCR 446 15 1121734601 Hoch Richard S 1 CSP02 HEALTHCR 446 15 1121093501 Lynch Matthew S 1 CSP02 HEALTHCR 446 15 1121094501 Marks Jason S I CSP02 HEALTHCR 446 15 1121096001 Murphy Gordon F 3 CS02F HEALTHCR 1389 25 ADJUSTMENTS TO PRIOR BILLS Period Code Premium TOTALS TOTAL 981 53 44615 446 15 446 15 446 15 446 15 446 15 1389 25 Total .................................. $ 5,047.68 ........... $ 0.00 $ 5,047.68 The Contract Type on the Invoice Details list refers to the Contract Type of the core healthcare benefit unless no such benefit exists for the Subscnber Please refer to the Legend For invoice Details on the back of the !nvoice Summary for an explanation of Contract Type E~eneflt and Code abbreviations Invoice Details may be continued on the other side, FISHERS ISLAND FERRY DISTRICT VENDOR 019272 SHETUCKET PAPER & SUPPLY CO. 01/29/2013 CHECK 968 FUND & ACCOUNT P.O.~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 P6997 RAGS/TOWELS 83.00 TOTAL 83.00 O0 ~ 50 ~ :Vendor No. Town of Southold, New York- Payment Voucher i 19272 Vendor Tax ID Number or Social Security Number Vendor Address New Wharf, P.O. Box 349 ~W. endor bJame .~ . I Norwich, ~-T~60 ~/~'~4,~f7'/5~'~,~. ~;~1 ~C~'o/Q.,Z~lnc.~Paper Prod. Oiv) Shetucket Iron & , Vendor Telephone Number 860-887-1681 Vendor Contact Check No. Entered Audit Date" *own Invoice Invoice Invoice Net I Purchase Order Number Date ' ~ 1312013 Total Discount Amount$83.00Claimed~ Number Description of Goods or Services General Ledger Fund and Account Number P6997 $83,00 Rags/Towels SM57~0.4.000.600 $83.00 , $83.00 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 purl has been paid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Toum is exempt are excluded Signature Company Name Department Certification I hereby ceftin, 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 with the exceptions or discrepancies noted, and payment is approved. Shetucket Iron & Metal Co., Inc. New Wharf* P.O. Box 349 Norwich, CT 06360 Telephone: (860) 887-1681 Fax: (860) 886-7333 Invoice Date Invoice # /3/2013 P6997 Bill To Fishers Island Ferry District P.O. Box H Fishers Island, NY 06390 Ship To Fishers lsland Ferry District Foot Of State Street New London, CT 06320 P.O. No. Terms Account # Ship Date Ship Via Net 30 1/3/2013 OUR I RtJCK Quantity Product No. Description Unit Price Amount 100 Rag- Reclaime... Reclaimed Ten'y/Fleece Rags 50 R-C20OO-C'FN 0.83 83.00 Delivery to [large A, F~urns Subtotal $83.00 Sales Tax (6.35%) $0.00 Please Pay This Amount $83.0o Prices sul~iect to change without notice NOTICE: PAST DUE ACCOUN IS WILL BE CItARGED AN INTERES'I RATE OF 15% PER MONIH No merchandise accepted for return without authorization Our responsibility ceases upon delivery to carrier All claims must be made to l ransportation Co Shetucket Iron & Metal Co., Inc. New Wharf* P.O. Box 349 Norwich, CT 06360 Telephone: (860) 887-1681 Fax: (860) 886-7333 Delivery Ticket rDate Number I/2/2013 P6997 Ship To Fishers Island Ferry District P.O. Box H Fishers Island, NY 06390 Account # Ship Date 2/I/2013 Quantity 100 Product No. Rag - Reclaimed Terry/Fie... Ship Via Terms Net 30 rP.O. No. Description Reclaimed Terry/Fleece Rags 50 R-C2000-CTN JSignature FISHERS ISLAND FERRY DISTRICT VENDOR 019719 STAPLES CREDIT pLAN 01/29/2013 CHECK 969 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 SM .5711.4.000.000 SM .5711.4.000.000 SM .5711.4.000.000 3275758001 FI OFFICE SUPPLIES 86.97 3390883001 FI OFFICE SUPPLIES 6.99 3390883002 FI OFFICE SUPPLIES 39.99 38285 NL OFFICE SUPPLIES 55.29 TOTAL 189.24 k,~ __-------~endor No. Town of Southold, New York- Payment Voucher 19719 Vendor Tax ID Number or Social Security Number Vendor Address Dept 51-7820657673 STAPLES CREDIT PLAN Vendor Telephone Number 800-767-1291 Vendor Contact PO Box 689020 Des Moines, IA 50368-9020 Check No. Entered by Audit Date ~ r : ' Invoice Invoice Invoice iNet Purchase Order Number Date Total Amount Claimed Number Description of Goods or Sen'ices General Ledger Fund and Account Number $55.29 NL Office Supplies FI Office Supplies $85.29 38285 12/1612012 $86.97 SM5711.4.000.000 3275758001 12/2012012 $86.97 SM5711.4.000.000 3390883002 1212612012 $39.99 ~ $39.99 FIOffice Supplies SM5711.4.000.000 3390883001 12/2612012 $6.991 I $6.99~ FIOffice Supplies SM571t.4.000.000 $189.24 $189.24 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimata) does hereby certify that the foregoing claim is true and co~ect, that no part has been paid, except as therein stated, that thc balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Department Certification I hereb~r certif~ that the materials above specified have been received by me in good condition without substitution, the services properly peH'ormed and that the quantities thereof have been verified with the exceptions or discrepancies noted, and payment is approved Signature Title that was easy: (~ Customer Service: staples.accountonline.com I~l Account Inquiries: 1-800-767-1291 Fax 1-801-779-7425 Account Statement i Account Number: 8035 5178 2065 7673 Summary of Account Activity Previous Balance $980.96 Payments -$263.32 Credits -$0.00 Pumhases +$169.24 Debits +$0.00 FINANCE CHARGES +$0.00 Late Fees +$0.00 New Balance $906.66 Send N(~ice o~ B~mg Em]~s a,.~d C~stm net Se~ice Inqu#ies to: STAPLES CREDIT PLAN PO Box 790449, St. Louis, MO 63179-0449 Payment InfoFmation Current Due Past Due Amount Minimum Payment Due Payment Due Date $38.00 + $0.00 $38.00 02/03~3 Credit Line Credit Available Closing Date Next Closing Date Days n B ~ng Period $10,500 $9,593 01/09/13 02/06/13 31 TRANSACTIONS Trans Date Location/Description Reference # Amount 12/19 OFFICE SUPPLIES NEW LONDON CT 12/20 #9235275758-00~-001 PUTNAM CT 12/'26 #9235390883-000-001 PUTNAM CT 12/26 W923539088,3-(X30-O02 MONTGOMERY NY PAYMENTS, CREDITS, FEES AND ADJUSTMENTS 12/26 PAYMENT THANK YOU -- IFINANcEType of BalanceCHARGESUMMARY /PURCHASES / REGULAR REVOLVING CREDIT PLAN 55.29 86 97 599 3999 P919400PS09SLNGDA $ 263.32- Annual Percentage Rate (APR) Your Annual Percentage Rate (APR) is the annual interest rate on your account. Daily Periodic Balance Subject to Rate Finmlce Charge Finance Charge 0.00% 0.0000~/o $0.00 $0.00 NOTICE: SEE REVERSE SIDE FOR IMPO F~l'~rr INFORMATION Page I of 6 This Account is Issued by Citibank, N.A. About Your Account. ~mportant Payment instructions. that was ~esy: INVOICE DETAIL BiLL TO: Acct: 6035517820657673 SHIP TO: FISHER iSLAND FERRY DIST PO BOXH FISHERS ISLAND, NY 0639~07 PRODUCT SKU # Amount Due: PO: $55.29 Trans Date; 12/19/12 Invoice I Stere: 100001872, NEW LONDON QUANTITY UNIT PRICE TOTAL PRICE 3*tab fldr Iff manila 1 O0 116657 5.TAB INSERT POLY DIVIDER 486110 5-TAB iNSERT POLY DIVIDER 486110 5-TAB INSERT POLY DIVIDER 486110 STPLS COMP BK BLKNVHT CR 919350 STPLS COMP BK BLKANHT WR 674330 STPLS COMP BK BLK/WHT WR 674330 STPLS COMP BK BLKANHT CR 919350 STPLS COMP BK BLK/WHT WR 674330 STPLS COMP BK BLK/WHT WR 674330 STPLS COMP BK BLKNVHT WR 674330 ACCENT TANK HIGHLIGHT YEL 356458 AVERY DURA VIEW 1.5 CHART 619838 2PKT POLY FLDR FROSTED AS 608081 lIN HEL C&N TRANSPARENT S 712369 3IN HEL C&N TRANSPARENT S 712359 BLACK DUCK TAPE ROLL 857387 1.0000 EA ~6.00 1.0000 EA ~2.49 1 0000 EA ~2.49 1 0000 EA ;1.00 I 0000 EA HO0 1.0000 EA H .00 1 0000 EA ~1.00 1.0000 EA k3.49 1.0000 EA ~6.49 3 0000 EA ~1.99 1 003O EA k3.29 1.0000 EA ~7.29 1.3O00 EA ~4.99 $2.49 $2.49 $2.49 ~1.00 ~1.00 [1.00 ~597 ~7.29 SUBTOTAL $51.99 TAX $5.3O SHIPPING $0.00 TOTAL $55.29 BILL TO: Acct: 6035 5178 2065 7673 SHIP TO: DEB DOUCET~E FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY 00000-0000 PRODUCT SKU# fAmount Due: 12/20/12 I Store: 100088887, PUTNAM 3275758001 QUANTITY UNIT PRICE TOTAL PRICE DURACELL COPPERTOP D 8PK 000503567 K-CUP ENGLISH BREAKFAST 1 000777826 PAPER TOWEL NON PERF 1PLY 000812360 Pumhasedby: GORDON MURPHY 1.0000PK $15.99 $15.99 1.0000BX $10.99 $10.99 1.0000CT $59.99 $59.99 SUBTOTAL $86.97 TAX $0.00 SHIPPING $0.00 TOTAL $86.97 BILL TO: Ac, ct: 6035517820657673 SHIP TO: DEB DOUCETrE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY O000~O00O PRODUCT SKU # Amount Due: PO: Tr;ms Date: $39.99 12/26/12 Stere: 100088887, PUTNAM QUAN3TrY UNIT PRICE TOTAL PRICE SEB BATH TISSUE 80/PK 000375681 Purchased by: GORDON MURPHY 1.0000 CT $39.99 $59.99 SUBTOTAL $39.99 TAX $0.00 SHIPPING $o 3o TOTAL $39.99 Page 3 of 6 1-800-767-1291 staples accountonline.com This page intentionally left blank. Page 4 of 6 t-800-767-1291 staples .accountonline.com that was eesy~ Remff paymen~ and make checks payable to: STAPLES CREDIT DEPT 51 7820657673 PO BOX 689020 DES MOINES IA ,50368~9020 INVOICE DETAIL BILL TO: SHIP TO: Ac. ct: 6035 5178 2065 7673 DES DOUCE~TE FISHERS ISLAND FERRY 261 TRUMBULL DR FISHERS ISLAND, NY Amount Due: PO: Trats Date: Invoice ~ 12J26/12 3390883001 I Stet*: 100088887, PUTNAM PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE COFFEE-MATE LIQUID CREAME 000470743 1.0000 BX $6.99 $6.99 SUBTOTAL $6.99 TAX $0.00 SHIPPING $0.00 TOTAL $699 Purchased by: GORDON MURPHY Page 5 of 6 1-800-767-1291 staples.acceuntonline.com This page intentionally left blank. Page 6 of 6 1-800-767-1291 staples.accountonline.com Staples.com® I Printable Order Summary Page I of 2 that was easy.~ Printable Order Summary lhank 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 number1:9235275758 Order date: December 20, 2012 You'll also find complete details of this order in the Order Status section of My Account on Staples.corn®. Shipping Address Gordon Murphy ~ Fishers Island ferry District 261 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/hel )/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: 9235275758 Item KIIVl01005 Kimberly-Clark Scott i Expected business- Qty: 1 ~ Price: Nonperforated Paper Towel Roll, 1 day delivery: Mon at $59.99 6/Carton $59.99 -Ply, White, 8"(W) x 1000'(L) '. 12/24 Item 503557 Duracell D Alkaline Batteries, Expected business- Qty: 1 Price: 8/Pack day delivery: Mon at $15.99 8/Pack !$15.99 ~ 12/24 Item 777826 ':Keurig® K-Cup® Celestial Expected business- Qty: 1 Price: Seasonings® English Breakfast day delivery: Mon at $10.99 18 K- $10.99 Tea, Regular, 18 Pack 12/24 Cups/Pack i Subtotah i: $86.97 https://www.staples.com/office/supplies/orderconfprnt?catalogld= 10051 &orderId= 16486... 12/20/2012 Staples.com® I Printable Order Summary Page 2~f 2 Estimated Tax: ::Tax Exempt Delivery: $0.00 Tota: $86.97 Remaining Balance: $86.97 Remaining Balance will be applied to following: Staples Credit Card endin9 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 su ppodr~orders.staptes.com 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 I~ly 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 International 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 https://www.staples.com/office/supplies/orderconfprnt?catalogld=10051 &orderId= 16486... 12/20/2012 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. REFER TO THIS ORDER NO. FOR A~L INOUIRIES 4051825224 12/20/12 9235275758 000001 I STAPLES that was easy FISHERS ISLAND FERRY DISTRICT ~!1 DEB DOUCETTE Floor: 1 261 TRUMBULL DR FISHERS ISLAND, NY 063908021 Contact: (631) 788 7463 - DEB DOUCETTE SHIPPING LOCATION:Putnam, CT PC CARRIER ROUTE:UPS/UPS /U2 TOTAL PACKAGES: 1 PAGE: Order Date: 12/20/2012 1 503557 /D,U~ACELL, ~ COPPERTOP D 8PK /M~13RT8Z PK 1 1 15.99 15.99 2 777826 ~K~P ENGLISH BREAKFAST 18/BX /15510/1731 00~ Thank You For Your Order! Staples, Inc. THIS IS NOT AN INVOICE Staples.com® [ Printable Order Summary Page 1 of 2 that was easy¢~ ~ Printeble Order Summery 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 number1:9235390883 Order date: December 26, 2012 ~ You'll also find complete details of this order in the Order Status section of My Account on Staples.corn®. Shipping Address Gordon Hurphy Fishers island ferry District 26! Trumbull Dr Fishers [sland, 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 Hurphy Fishers Island ferry District 261 Trumbull Dr ,~r Fishers Island, NY, 06390-0607 (631) 788-7463 Your order may be sent in different shipments, if 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: 9235390883 [tern 470743 Coffee-mate® Liquid Coffee Creamer IExpected business-day Qty: i Price: Singles, Original, 50/Box I delivery: Fri 12/28 at $6.99 50/Box $6.99 Item 375681'~Sustainable Earth by StaplesTM Expected business-day Qty: 1 Price: ilStandard Bath Tissue, 2-Ply, White, !delivery: Fri 12/28 at $39.99 80/Case:S39.99 80/Case Subtotal: $46.98 Coupons: $0.00 Estimated Tax: Tax Exempt l Delivery: i$0,00 https://www~stap~es~c~m/~£~ce/supp~ies/~rderc~nf~rnt?cata~~g~d=~~~5~&~rder~d=~65l~~~. 12/26/2012 Staples.com® [ Printable Order Summary Page 2 of 2 Remaining Balance: $46.98 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 su pport@orders.staples.com Important information concerning coupons and sales tax can be found at'. http://www.staples.com/salestax t~tax shown is estimated. Your Order Confirmation Email will include shipment details, product availability and estimated 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.com®. 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 International Sites. See our delivery policy for rl~ details. Copyright 20:1.2, Staples, Inc., All Rights Reserved. Questions? Call 1-800-333-3330 or email us. Site Map I RSS Feed I AdChoices https://www.staples.com/office/supplies/orderconfprnt?catalogld=10051 &orderId=16510... 12/26/2012 that was easy: For Customer Service, call 1 800 333 3330, or emaii at supporteerders.staples.com. Order online, by phone er by fax 2~ hours a day, 7 days a week. REFER TO THIS ORDER NO. FOR ALL INQUIriES STAPLES that was easy SHIPPING LOCATION: Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 DEB DOUCETTE TOTAL PACKAGES: 1 261 TRUMBULL DR Contact: (631) 788-7463 DEB DOUCETTE Order Date: 12/26/2012 Coupons and other adju! tments are deducted afte] the Merchandise Total. On large orders some b< xes may be arriving in s(~parate shipments. 470743 COFFEE MATE LIQUID CRE/d4ER /35110 . 1 1 6.99 6.99 The followihg are ship~ ed from an alternate warehouse via UPS. They should arrive no later than 12/27/12 375681 SEB BATH TISSUE 80/PK /SEB21989 CC 1 0 39.99 Total.. 6. 99 D f. .00 .00 Check your order statu: online by going te www. Staples.cem and clicking "My Orders". Need to return something? Please aCallreturn.CUSt°mer' Service to process TOTALoF ORDER:VALUE 6.99 Thank You For Your Order! Staples, Inc. THIS IS NOTAN INVOICE FISHERS ISLAND FERRY DISTRICT VENDOR 020167 TERMINIX PROCESSING CENTER 01/29/2013 CHECK 970 FUND & ACCOUNT P.O.g INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 321123279 PEST CONTROL-NL-1/4/13 52.11 TOTAL 52.11 ,~o00qTO,~ ~.O~l. O5~hl. 6;% OOi50~ ~, Il" Town of Southold, New York - Payment'V6h~c~er 20167 Vendor Tax ID Number or Social Security Number Vendor Name Terminix Processing Center Vendor Address P.O. Box 742592 Cincinnati, OH 45274-2592 Vendor Telephone Number 860-683-0012 Vendor Contact Invoice Invoice Number Date 321123279 114/201 Invoice Total Discount Purchase Order; Number Description of Goods or Services Check No. qTO Net Amount Claimed $52.11 Entered by Audit Date(~ ~ General Ledger Fund and Account Number $52.11 : Pest ControI-NL 1/4113 SM5709.2.000.200 $52.11 $52.11 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is true and correct, that no pert has been peid, except as therein stated, that the balance therein stated is actually due and owing, and that taxes from which the Town is exempt are excluded Department Certification I hereby certify that the mater/als above specified have been received by me in good condition without substitution, the services properly peril>treed and that the quantities thereof have been verified with the exceptions or discrepencies noted, and peyment is approved. TEIIMIffIIX PO. BOX 17167 FTSHER'S ISLAND FERRY* ^TTN: DEBRA DOUCETTE PO BOX H F~SHEflS ~SLAND NY 0639~0607 EASY WAYS TO PAY YOUR TERMINIX:~ INVOICE Paying your bill is easy. especiallyoniJne Justvls~tthe"NlanageN~yAccount" 4067323 and phone number to start pay;rig biiis online ACCOUNT INVOICE Please Pay By: O1/21/2012; Total Due: $52.11 PAY ONLINE Ter mlnlxCommercia[ corn PAY BY PHONE 1800 T ERNIlNIX QUESTIONS · Local Oifice 860 683 0012 · [oll Free 1800TERMINiX · Online: TermlnixCommer{:i~l 01/04/2013 Vax Charge Location 5 STATE SF/DOCK OFFICE NEW lONDON CT 06320 321123279 549 O0 $3 11 DUE DATE: 01/21/2013 TOTAL DUE: $52.11 BUSINESS REFER & SAVE REFER COLLEAGUES AND FRIENDS. SAVE ON YOUR TERI~IlNIX SERVICE, For each person or business you recommend who purchases an annual Terminix commercial or residential service, you'lr Siive $150 or more To learn more about Business Refer & Save, visit TermlnlxCommerclal.com or ask your Termlnlx Commercial representative. I OPERATOR 'S NAME & CERTIFICATION # TEIIMIJlIX TERMITE and PEST CONTROL SERVICE PROPERTYAT ~ TARGET PES~ '[M-gie C~i~ Dust 02263 5d5 PLUS XLO FO~M, II 02332 Haxf~rce FC 9elect ~ua~h eel IOTAL: __ SUPERVISOR'S COMMENTS: [~Treat for Infestation/Prevention or Inspect areas indicated. TREATED r.j u EJIUIP CUSTOMER'S SIGNATURE #31838 R/P 9/12 , CUS'FOMER COPY © 2012 THETERMINIX INTERNATIONAL COMPANY L.E FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 01/29/2013 CHECK 971 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 SM .5710.4.000.700 26639013 W/E 1/5/13-2 PKGS 83.67 26639023 W/E 1/12/13-2 PKGS 89.89 TOTAL 173.56 Vendor No. Town of Southold, New York- Payment Voucher 21506 Vendor Tax ID Number or Social Security Number [ Vendor Address [ P.O. Box 72474244 Vendor Name United Parcel Service Philadelphia, PA 19170-0001 Vendor Telephone Number 800-811-1648 Vendor Contact Check No. Entered~ Audit Date / Invoice Invoice [ Invoice i I Net Purchase Order Number Date { Total Discount Amount Claimed Number Description of Goods or Servmes General Ledger Fund and Account Number 26639013 1/5/2013: $83.67 $83.67 W/E 1/5/13-27 /5~/~ SM5710.4.000.700 26639023 1/12/2013 $89.89 I $89.89[ W/E 1/12H3- Z /~'~'~ SM5710.4.000.700 / I $173.56i $173.56 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby ce~i~ that the materials above s~cified have been received by me d~s hereby ce~if5 that the foregoing claim is true and co.act, that no pan has m good condition ~thout substitution, the se~ices pto~rl5 been paid, except as therein s~ted, that the balance therein stated is actmlly peffomed ~d that the quantities thereof have ~n verified with the exceptions Signature ~.~ Title C, mpany Name Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date January 5, 2013 Invoice number 0000026639013 Shipper number 026639 Control ID J949 Page 1 of 3 0720A00000266392 77366100009973 FP 01 063460 95449[205 A**3DGT FISHER ISLAND FERRY PO BOX 607 FISHERS ISLAND, NY ISign up for electronic billing today! Visit ups.com/billing For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 a.m. - 9:00 p.m.E.T. or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Weekly Payment Plan Amount Due This Period $ 83.67 Amount Outstanding (prior invoices) $ 670.92 Total Amount Outstanding $ 754.59 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details. K~ey advantages of new WorldShip With WorldShip~ 2013, you can customize UPS shipping labels with your company logo and promotional marketing messages. Plus, you'll have access to all UPS package, LTL freight and air freight service levels and 2013 UPS rates. For more information, visit Ups.com/worldshi;)sui)Dort. Thank you for using UPS. Summary of Charges Page Charge Outbound 3 UPS WoddShip $ 54 61 3 Adjustments & Other Charges $ 200 3 Fees $5 16 Service Charges $ 2200 Amount due this period $ 83.67 UPS payment terms require payment of this invoice by January 16, 2013. Payments not received by January 30, 2013 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available al ups.com) Note: This invoice may contain a fuel surcharge as described at upa.com. The published fuel surcharge is 7.5% for UPS Ground Services and 11.0% for UPS Air Services, UPS 3 Day Select, and Intamational services. For more information, v~sit ups.com. Delivery Service Invoice invoice date January 5, 2013 Invoice number 0000026639013 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000026639462 11/17/2012 $ 91 34 0000026639472 11/24/2012 $115.76 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Numbe~ Invoice Date Due 0000026639482 12/01/2012 $ 252 55 0000026639492 12/08/2012 $ 85 99 0000026639502 12/15/2012 $114 88 0000026639512 12/22/2012 $167.05 0000026639522 12/29/2012 $ 50.45 Total $ 670.92 Outstanding balances reflect any payments received as of 01/04/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. Outbound UPS WorldShip Delivery Service Invoice Invoice date January 5, 2013 Invoice number 0000026639013 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 01/02 9121173972 1 4057 01/04 9121173983 1 13 94 Total UPS WorldShip 2 Package(s) 54.51 Total Outbound 2 Package(s) 54.51 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.0O FOR 1 PRINTERS AT $200 EACH FOR 05-JAN-2013 Total Miscellaneous 2 oo Total Adjustments & Other Charges 2 oo Fees WeekEnding Unpaid Billed Date Balance Rate Charge ~2/08 Late Payment Fee 85 99 600 % 5 16 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 5 16 m m m m Shipped from: FISHERS ISLAND FERRY 1 STATE ST NEW LONDON, CT 06320 Delivery Service Invoice Invoice date January 12, 2013 Invoice number 0000026639023 Shipper number 026639 Control ID 39P2 Page 1 of 3 m 0720A00000266392 77366200o11636 FP 01 070800 99064[227 A**3DGT FISHER ISLAND FERRY PO BOX 607 FISHERS ISLAND, HY 06590 Sign up for electronic billing today! Visit ups.com/billing For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 a.m. - 9:00 p.m.E.T. or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Weekly Payment Plan Amount Due This Period $ 89.89 Amount Outstanding (prior invoices) $ 416.05 Total Amount Outstanding $ 505.94 Please include the Return Portion of each outstanding invoice with your payment See Account Status for details. _Key advantages of new WorldShip With WorldShip® 2013, you can customize UPS shipping labels with your company logo and promotional marketing messages. Plus, you'll have access to all UPS package, LTL freight and air freight service levels and 2013 UPS rates. For more information, visit ups.com/worldshil)suDl~ort. Thank you for using UPS. Summary of Charges Page Charge Outbound 3 UPS WorldShip $ 59 O0 3 Adjustments & Other Charges $ 2 O0 3 Fees $ 689 Service Charges $ 22.00 Amount due this period $ 89.89 UPS paymenl terms require payment of lhis invoice by January 23, 2013. Payments not received by February 6, 2013 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 7.5% for UPS Ground Services and 11.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date January 12, 2013 Invoice number 0000026639023 Shipper number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000026639482 12/01/2012 $ 252.55 0000026639492 12/08/2012 $ 85.99 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Invoice Number Invoice Date Due 0000026639502 12/15/2012 $114.88 0000026639512 12/22/2012 $167.05 0000026639522 12/29/2012 $ 50.45 0000026639013 01/05/2013 $ 83.67 Total $ 416.05 Outstanding balances reflect any payments received as of 01/11/2013. Please ignore this message if a recent payment has been made for any outstanding invoices, Outbound UPS WorldShip Delivery Service Invoice Invoice date January 12, 2013 Invoice number 0000026639023 Shipper number 026639 Page 3 of 3 Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 01/08 9121173994 1 4057 9121174005 1 1843 Total UPS WorldShip 2 Package(s) 5900 Total Outbound 2 Package(s) 5900 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2 oo FOR I PRINTERS AT $200 EACH FOR t 1-JAN-2013 Total Miscellaneous 200 Total Adjustments & Other Charges 2 oo Fees WeekEnding Unpaid Billed Date Balance Rate Charge 12/15 Late Payment Fee t 14.88 6 00 % 6 89 Pursuant to the UPS Tariff, a late payment fee has been assessed Total Fees 689 m FISHERS ISLAND FERRY DISTRICT VENDOR 024539 W.B. MASON CO.INC 01/29/2013 CHECK 972 FUND & ACCOUNT P.O. # INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 I09056504 1 VELCRO STRIP 8.65 SM .5711.4.000.000 I09075174 3 INK CARTRIDGES 106.32 TOTAL 114.97 ha 00~o~ ~,' Vendor No. Town of Southold, New York - Payment Voucher : 24539 Vendor Tax ID Number or Social Securib~ Number PO Box 981101 W.B. Mason Boston, MA 02298-1101 Vendor Telephone Number 888-WB-Mason Vendor Contact Invoice Number Date Invoice Total Discount Net ~mount Claimed 12/28/2012 $8.65 $8.65 109075174 12/31/2012 $106.321 $106.32 $114.971 $1t4.97 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 parl 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 .3 / ~4x Office Supplies-NL 2heck No. Entered Audit Date General Ledger Fund and Account Number SM$711.4.000.000 SM5711.4.000.000 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 ~ Company Name . Date Signature Title W.B. MASON CO., INC. 59 Centre St - Brockton, MA 02301 Address Service Requested 888-WB-MASON www.wbmason.cem '1AF17 6 011*H0***********ALL*FOR*2M~.DC* 0 60 FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND, NY 06390-0607 (Page 1) PM Delivery Address Invoice Number: 109056504 Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 Customer Number: C2024302 Reference Number: 109056504 Invoice Date: 12/28/2012 Due Date: 01/27/2013 Order Date: 12/27/2012 Order Number: S009085279 Order Method: PHONE II1,,,,11,,,,11,1,1,,11,,,11,,,,11,,11,,,I,,,11,1,,I,1,,,,,111 W.B. Mason Federal ID Cf: 04-2455641 Important Messsages J.Solomon Incorporated and W.B. Mason have joined forces!! The new J.Solomon Incorporated/W.B. Mason team looks forward to continuing to provide the outstanding products and service you have become accustomed to over the years with J.Solomon Incorporated. All future payments should be sent to the remittance address noted above. ITEM NUMBER VEK90812 DESCRIPTION STRIP,VELCRO, EXTRM,10/PK QTY ORDERED QTY U/M UNIT PRICE SHIPPED PK 1 8.13 SUBTOTAL: TAX & DEPOSITS TOTAL: ORDER TOTAL: EXT PRICE 8.13 8.13 0.52 8.65 TO ensure proper credit, p/ease detach and return below portion with your payment How to Reach W.B. Mason Customer Service · By Phone: 1-888-WB-Mason · For inquires by mail: PO Box 111 Brockton MA 02303-0111 · For payments by check: PO Box 981101 Boston MA 02298-1101 HOW TO READ YOUR INVOICE Customer Number - Your account number. It will be helpful to reference this number when calling customer service or in any other correspondence. Terms - Invoice must be paid within the terms period before becoming past due. Amount Enclosed - Please indicate the payment amount included with your remittance. Important Messages - Special notes from W.B. Mason about your account. Invoice Detail - Information pertaining to your order. Invoice Date - Date your invoice was printed. Total Due - Amount of this order to be remitted for payment. Remittance Address - Send your payment to this address with your remittance slip for proper credit to your account. wbm-103717 · ,o au'~ Bill To: FISHERS ISLAND FERRY DISTRICT POBOXH Fishers Isle, NY 06390 Packing Slip WB Mason PO Box 111 59 CENTRE ST BROCKTON, MA 02303 1-888-WBMASON www.wbmason corn Special Instructions: Page: 1 Route ........ : 00140 Warehouse: .... : NLO-CT Packing Slip# : 08972264ARPACK Customer # : C2024302 Sales Rep : Russell Sheikowitz Ship To: Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 Ship Date 1212812012 P O Number Sales Order # S009085279 Delivery Instructions: ITEM NUMBER VEK90612 Qty Order Qty Ship Bk Ord U/M Description Facility 1 1 PK STRIP,VELCRO,EXTRM,10/PK UNTD- WOB W.B. MASON CO., INC. 59 Centre St - Brockton, MA 02301 Address Service Requested 888-WB-MASON www.wbmason.com '14N06463 I*H0***********ALL*FOR*AADC* 060 FISHERS ISLAND FERRY DISTRICT PO BOX H FISHERS ISLAND, NY 06390-0607 (Page 1 ) PM Delivery Address Invoice Number: 109075174 FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON, CT 06320 Customer Number: C2024302 Reference Number: 109075174 Invoice Date: 12/31/2012 Due Date: 01/30/2013 Order Date: 12/28/2012 Order Number: S009104561 Order Method: PHONE II1,,,,11,,,,11,1,1,,11,,,11,,,,11,,11,,,I,,,11,1,,I,1,,,,,111 Important Messsages W.B. Mason Federal ID #: 04-2455641 J.Soiomon Incorporated and W.B. Mason have joined forces!! The new J.Solomon Incorporated/W.B. Mason team looks forward to continuing to provide the outstanding products and service you have become accustomed to over the years with J.Solomon Incorporated. All future payments should be sent to the remittance address noted above. ITEM NUMBER DESCRIPTION QTY ORDERED HEWCC654AN 140 INKCART,HP 901XL,BK 2 HEWCC656AN 140 INKCART,HP 901 ,COL 1 QTY UIM UNIT PRICE SHIPPED E~A 2 34.99 29.99 SUSTOTAL: TAX & DEPOSITS TOTAL: ORDER TOTAL: EXT PRICE 69.98 29.99 99.97 6.35 106.32 To ensure proper credit, please detach and return below portion with your payment How to Reach W.B. Mason Customer Service · By Phone: 1-888-WB-Mason · For inquires by mail: PO Box 111 Brockton MA 02303-0111 · For payments by check: PO Box 981101 Boston MA 02298-1101 HOW TO READ YOUR INVOICE Customer Number - Your account number. It will be helpful to reference this number when calling customer service or in any other correspondence. Terms - Invoice must be paid within the terms period before becoming past due. Amount Enclosed - Please indicate the payment amount included with your remittance. Important Messages - Special notes from W.B. Mason about your account. Invoice Detail - Information pertaining to your order. Invoice Date - Date your invoice was printed. Total Due - Amount of this order to be remitted for payment. Remittance Address - Send your payment to this address with your remittance slip for proper credit to your account. wbm-103717 Bill To: FISHERS ISLAND FERRY DISTRICT P O BOX H Fishers Isle, NY 06390 Packing Slip WB Mason PO Box 111 59 CENTRE ST BROCKTON, MA 02303 1-888-WBMASON www wbmason com Special Instructions: Page: 1 Route ........ : 00140 Warehouse: .... : NLO-CT Packing Slip# ..: 08988981ARPACK Customer # : C2024302 Sales Rep : Russell Sheikowitz Ship To: FISHERS ISLAND FERRY 5 WATERFRONT PARK NEW LONDON, CT 06320 Ship Date 12/31/2012 PO. Number Sales Order # S009104561 Delivery Instructions: ITEM NUMBER Qty Order Qty Ship HEWCC656AN 140 1 1 HEWCC654AN 140 2 2 Bk Ord U/M Description EA INKCART,HP 901 ,COL EA INKCART,HP 901XL.BK Facility BOS-MA BOS-MA FISHERS ISLAND FERRY DISTRICT VENDOR 025038 Z & S FUEL & SERVICE, INC. 01/29/2013 CHECK 973 FUND & ACCOUNT P.O. ~ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 17947 SM .5710.4.000.000 17959 9.607 GALS GASOLINE 42.26 10.277 GALS REG GASOLINE 45.21 TOTAL 87.47 Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Securib' Number Vendor Name Z & S Fuel & Service, Inc. Vendor Telephone Number 631-788-7343 Vendor Contact Vendor Address P.O. Drawer B Invoice Total Discount $42.28 $45.21 Fishem Island, NY 06390 Vendor No. 25038 Net Purchase Order I &mount Claimed Number I $42.26 $45.21 Check No. Invoice Invoice Number Date General Ledger Fund and Account Number 17947 12/11/12 SM57t 0.4.000.000 17959 12117/12 SM$710.4.000.000 $87.47 I $87.47 Payee Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) does hereby certi~ that the foregoing claim is true and correct, that no part has been paid, except as therein stated, thal the balance therein stated is actually due and owing, and that taxes t¥om which the Tow~ is exempt are excluded Company Name /~/~ Date i Description of Goods or Services 19.607 gals of Gasoline !10.277 gals of Gasoline 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 ~s approved Signature Title Z & S FUEL & SERVICE. INC. Drawer B Fishers Island, NY 06390 Statement Date 12/31/2012 To: FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISttERS ISLAND, NY 06390 Amount Due Amount Enc. $368.57 Date Transaction Amount Balance I 1/30/2012 Balance forward 774.94 12/07/2012 PMT #869. -493.84 22tLJ 0 12/I 1/2012 GAS - 4-'~.26 323.36 12/17/2012 GAS 45.21 368.57 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due CURRENT DUE DUE DUE PAST DUE 87.47 0.00 281.10 0.00 0.00 $368.57 & S FUEL & SERVICE, 1NC. DRAWER B FISHERS ISLAND, NY 06390 (631) 788-7343 ( CASH COD ~ CHARGE ~. ACC~ ~ M~E R.'D PAID OUT ACCT F.WARD I I I liters/Gals. Gasoline ~~ ~' 7,~, Liter~Qts. Oil Lubrication Oil Filter pRODUCT 6~8 All claims an/~ urned goods MUST be accompanied by this bill, 17 9 4 7 Z & $ FUEL & SERVICE, ~NC, DRAWER B FISHERS ISLAND, NY 06390 (631) 788-7343 ~'o}U~/ Liters/Gals. Gasoline~ ~--~_~/ Liters/Q~ts. Oil Lubrication Oil Filter CUSTOMERS S,G~ATUR TOTAL '~' C PRODUCT 60~ AIIc panied by this bill. 17 9 5 9