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Home My WebLink AboutAU-10/22/2013 Fishers Island FISHERS ISLAND FERRYDIS7RICT VENDOR 001327 AIRGAS EAST, INC 10/22/2013 CHECK 1480 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 9019711865 (2)PROPANE-FORKLIFT FUEL 104.90 TOTAL 104.90 +p. e.£zii5*2.:i .y zia . , a a ~A " ~ ti e FI3T~~'RS~7S1.~1Nfl~1%~RR~'Y37.4I ~ ` ~ 53095 MAIN POAD Po 80X N]9 ~ ~~2'~`3 ~ ~ 9OUiMOLD, NY 11971A859 ~ C[t~CK ~]p.', 14$p w CViCH~E, NY~i 435 NHGBANK. _ so sasnta 1D/22J2O13 -$i D4 .'3O ONE HUNDRED FOURAND 90/100. DOLLARS „r~~r~r~ PAY AIRGAS EAST, IDIQ ' ~O~ ~ TO TElE ~ ~ PO BOX 827049 r ~ PHILA4ELPHIA PA 19182-7 04 9 r y ii'00 i480ii' ~:0 2 i40 5464: 68 00 i 50 2 iii' - ' y ',,.VendorNo. CheckNo.' Town of Southold New York - Pa merit Voucher 1327 I, Vendor'I'sx ID Number or Social Securih~ Number Vendor Address Entered by P.O. Box 827049 - _ - - - vendor Name Philadelphia, PA 19182-7049 Audit Date AirgasEast ~ OCT 2 2 2013 - _ _ Vendor Telephone Numher 860-444-3055 T lerk~ ~ ~ ~ i~ VendorContact _ _ _ " '~~.Iti.r / U ~ - Invoice Invoice Invoice Net Purchase Order i Number Date Total Diswum Amount Claimed Number ~ Description of Goods or Services ~ General Ledger Fund and Account Number 9019711865 9H2I20131 $104.90 $104.90 Forklift Fuel ~YQ SM5710.4.000.000 - _ _ i - - _ } - - - ! - j $104.90 $104.90 Payee Certification Department Certification The undersigned (Claimanq (Acting on behalf of [he above named claimant) i I hereby certify that the materials above specif ed have been received by me does hereby certifi~ that the foregoing claim is true and correct. that no part has in good condition without substitution, the sen~ices properl} been paid, except es [herein stated, that the balance [herein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing, an~d~t~hpat~~[a~Jx)es from~~which the town is exempt are excluded. or discrepancies noted. and pa~mtem is approved. Signature I-isle r~_ _ Signature Company Nente Date' _~r/? ~ "15t1e Date _ ~ ~C/ TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 -'RO IN NO INV I EDATE. 7i. T 1018256441 9019711865 09/12/2013 2576547 FISHERS ISLAND POt RELEASE RAN H SMIP YIA PAY 'TTERMS OROER OATS N329 NET 30 09/12/2013 [JELNERV N0. t QTY CYLmOER MAFERW. NUMBER UOM OTY 6/0 - UNIT PRICE UOM AMOUNT t3ESCRIPTION SHIP'O snPO aero 8070373'779 PR 33A 1 48.P5 CT, 96.'.10 N PI2CPANE INDUSTRIAL 33A CGA DLO (V:~, 64 LHS) CY-PR 33 1 0.00 Sale subtotal: 96.50 Ha r.ma t. Flat Ra Le 8.90 AMOUNT 104.90 SHIPro:2S76547 Airgas FISHERS ISLAND www-aurlas rom FERRY DISTRICT Airgas USA, LLC Airgas USA, LLC FO BOX H Acct No 8606074318 6055 Rockside Woods Blvd FISHERS ISLAND NY 06390-0607 PNC Bank, ABA No 031000053 Independence, OH 44131 sEr-~~+~~~ Page 1 of 1 Atr~aS DELIVERY ORDER FGRLOCATIONNEARESTY°~ VISIT WVJW.AIRGAS.COM SHIPPER: SOLD BY: DELIVERY ORDEib# 8020319366 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 131 CROSS f:,D ` 130 CROSS RD ORDER DATE: 0 911 212 0 1 3 WATERFORD, CT 06385-1204 r/1 ~ / WATERFORD, CT 06385-1204 SCH SHIP DATE: 09/1212013 ~7~./C~~ Mme'` 800-962-0285 PRINTED: 12:50 09/12/2013 ~ SALES ORDER: 1018256441 SHIP TO: 2576547 r FISHERS ISLAND SOLD TO: 2576547 CUST PO # FERRY DISTf21CT FISHERS ISLAND RELEASE # PO BOX H FERRY DISTRICT ORD BY PO BOX H ENT BY GARY,QUBATO FISHERS ISLAND, NY 06390-0607 US FISHERS ISLAND, NY 06390-0607 US 631-78&7468 Sales Sales Total Containers Order Type Payment Terms Incoterm Route Plant _ Office Org Ship Return Cash Front CASH/ CHECK/ Customer Pick Up Customer Pick U N329 N309 N000 I Counter CREDIT CARD P Qty UOM HM Description & Hazard Class OtY Containers Vol Unit Extend Shipped Type Order Ship Ret /Wt Price Price X UN1978 PROPANE 2.1 0 Lanett 10 Material# CY-PR 33 Stor. Loc. R001 0 0 1 000 2 CL X UN1978 PROPANE 2.1 L8 Llne# 20 Materialtt PR 33A Stor.Lo<. F001 2 2 1 64 48.25 96.50 PROPANE 32LR5 ALUMINUM /CL Hazmat Flat Rate S.4G ub[o[al 104.90 Total Sales 704.90 J S-~Ue ~ ~~7~/3 _ a EMERGENCY CONTACT:1-866-734-3438 P~ncgRpsoFFEREO THISAGREEMENrlssuaJwrroglRCgssrANOAROTERMSAN000NOIrIONs ? ? $EF REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION. PIIRLHASER AGREES TO OBTAIN MATERIAL SgFETY OATq SHEETS (MSDS) FROM ONE OF THE FOLLOWING SOORCI'S; POINT OF PURCHASE, AIRGAS WER SITE AT YIWWAIPGAS.C0590R BV ACCEPTED FOR CALLING THE A90VF LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION p] ACCEPT RFJECI THE ABOVE TnI515 TO GERTIFV'MgT THE ABOVE NAMED MATERIALG ARE PROPERLY CLASSIFIED, 0E5GRIBED. CUSTOMER PACKAGED MARHEDANOLABELEDgNOgftEIN PROPER CONDITIONFOR TRANSPORTATION CUSTOMER MUST AccoaDlNC ro rHF APPUCge[E PEGU~Arloes of rHE DEPgarMENT of TRgnsaoftrarveN INITIAL CHOICE NAME ' PLEASE PRINT AIRGAS PERSONNEL PATE T.O.D. INTERNAL USE ONLY Delivery # 8020319366 Fi~letl eY Staging Area TD~aI PKGS~ Tracking; Pro NumGer Fmlght Charges ~II IIIIIIIIIIIII II~IIIIIIIIIIIII'I~ I I~- ' TERMS AND CONDITIONS WARNINGTRANSPORT AND USEOFCOMPRESSEO GASES MAV BE EXTREMELY DANGEROUS. DO NOTTRANSPORTWITHOUT PROTECTIVE CAPS.IN LONFINEOSPACES OR IN ANY OTHER IMPROPER MANNER. ALWAYS TRANSPORT CYLINDERS INASECURED UPRIGHT POSITION. BUYER ACKNOWLEDGES THATIT HAS RECEIVEUA SAFETYINSTRUCTION SHEET FROM SELLER, SAFE HANDLING OFCOMPRESSED GASES. , I rI~ANr. AI aN I u"FS, I u rue.; ~aL EHL~ I, v.rEN or I II oN EL I I I IeeE IT I I er EHEI Ir zo L EN I c n F 1 r I rv, FT w r le ca a FLU Nr X11 c u ~ m Ir H=aTEO III ro av sELLEe I , aLVEN. Nr o u rsu~EE IFI I~ r-ECrn r Ir LLS~ c a I I rrea~ L ul Ir I H, PN r I u r. aEL I I e L rsr Fr ~c n rr, Pnoou ~ N , ruanlrr~r rv L I rl+ ~I FaeHr rt1r^N¢m NU IFS uT<T ' -1I uI EN. IHFN rvl nr; r sE TT. II II LL,I IrNE IF F'r ~ FI n.' IF aer IrIL I F F FAn. ruF p Nv NE'v a1 tti 1 s wE ~rssec Ir THr IaF ~ r1 IHcH rI rtnL .,r yr ~A:I Iw I r. sr r- +Fu 1¢L rI LFr r u I 'L.u cc,aor r I v. INOE1 LE11F_n1 'nrH <ds ..No I IY .MAV F I AV SEL [F Ill pI DEAN1NC lrE 1E1 'CE^1CJf ,EIFI ~ 4f1.1141 I YLINDC ( .I hi'II I I'~< v INl H.uO FI III FEC T~rSELI FF I1 H.N THRF 1(1N1 H5 F UII DAff (ESHIrM1FVI I(J IHE CLfLF ^,IHL TI 1 FlllftECC T IAJI E r^.I IFCd A311J 41f 14 1.111 rti':l 1 ff..ITH Hr L11. hll C41iH Itl 1111 RY1 EFiI R T H41(.,5°Cr f4'FD. LOST IW IJE`.IROY C.YL 1.rNe 511ALNl 1-M1 J t1'V'P?LII, IIhL I`r PII rll T-E CI r:I,tUIS Irl FCTLPf 1'pJF JIJYIT fJ ll1 `..p e.Yl llENB „(.Ixe F.. F. SCLIhiNL_FEFJVI HV 1dOUNT Pi. ir,ll:'.I- ETI rT I" I "dYa tUr ICJ n iH1 lie I$31H.C~T F3U~S 11 II II,.JCI CrI PICCNS 4NC I,J LeaS C`r LINCI H91 AT2 ACC9JI I: -0iFE iAll 01 ?ETDRN. >V°IP%V, IIALOSE.^. BY RDI 41 ru=CP fHF7 oCVC9a TMVI~I 1V.Y`J ~'I 11_SA~L L: Fr ..I: LC _I-~.,~~2_1>I rer.0 t~k1YFF INAJ_.II `N 1, HIJV(Nr9p rNICE. IIN hS IHI HN'I rF SPE IFILL If ~CONiN (,I hLV NSII I - +P91 f ll ~~l TI V I .Y, °IH I E CF SLI r 1 4 L TC Y1 [JI H H FOI 1 13 J'J IC I -JE L AL~Nt,.V ILLH ~F~SEUf NTHIYLN'VIU1 iJ CLLAH 5 ::N II LII I I -4J 11 L ?I 11HF hF F 1 ..I" N LJLCL'] M rF Sit UER MALL II IEr Il 1NEJVt;FN JJ11 FRS=UCH .+AAKEP YPiF JT FLLI II o-f. rENE'PIO U 151 E9'S AI rl ",M1PI TH Nt r IrE IF la NE Ufll 11TH IIrC `I FCVO II P H N51 IU11 r,I:Y . :L JV fARY R.J .I UNT'NY AI KHUPTCY IN CL+ U~° FE0. FiSYIf-OF DE I f PF PFtf II HY I 5 EF J BLYLH' 11,1h J( I N S ICI I II I,^, 1 RF IE'll C I I If H~ I' r I rN F`AF J .CELL I J N:'Y OH P NNEY I'} ' I I F. J i AN II 1T R.E "III I P[' I :'Y S H EP I Ih I V I L ,I'. PL I. I r E V OHN EES AN 1 F 'Jo a P f`ITICN I THE AOUNI IHF•1 of UNf IL it I I 1:Y HP 1, a I I JP I I I OA L f 1,~ 14'.I ,I. 1.,11 D:I ..I J .fI V_hl ,I I H `APY or F :I 4'1„EOONr SHAL_EF FClL116U IL SGU ~uT1-0U'SII~Ed "Ni 'li Al,'1"PZ T)I-. 5.h4 I.J 'nY FEI, a1'dL EV I ,?LIJP~CI rr3EGJ xelSHF IReF x51111 ,(('C~!OF Fr I LNNS PHCVIDED FCN UNrJFF SECT ON F. HERECF 5. SELLER SHALL BE LIABLE ONLY FORTNE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS' AND PRODUCTS, INCLUDINGTHE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFCATIONS WITH GASESTHAT DO MEET SUCH SPECIFICATIONS BUYER KNOWINGLY AND FULLY ASSUMESTHE RISKS OFTRANSPORTING AND USING COMPRESSED GASES. BUYER SHALL WARN AND PROTECT ITS EMPLOYEES AND OTHERS EXPOSEOTOTNE HAZARDS POSED BY BUYER'S STORAGE AND USEOFTHE PRODUCT. SELLER SHALL NOT BE LIABLE FOR ANY DIRECT (EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT, SPECIAL. INCIDENTAL, LONSEOUENTIAL AND/OR PUNITIVE DAMAGES, ARISING OR ALLEGED TO ARISE OUT OF Oli IN CONNECTION WITH ITS OBLIGATIONS HEREUNDER OR WITH ANY PRODUCT. OTHER ITEMS OF SALE. OR EQUIPMENT SOLO OR LEASED NEREUNDER,WHETHERSDCH DAMAGE RESULTS FROM ANV NEGLIGENT .OLT OR OMISSION OR IS' RELATEDTO STRICT LIABILITY OR OTHERWISE L. fRC 1IS. .'IHF91 11 nLCLVII Fi 'ID CII )I IVUS FNSHEC IrLi LI LEi i4eYJ V,rL C-1 UeSCPoFI OPo IrEr,.F-L0~15HIL6Y TIIC MANY vd4 Fh-°1 I1E SAL NIA MD_ P1CI I Sr. I EN'S SUFI „PE.JFICAI 4Ne F HILL GA, FFC~ IC ti SELLER SPECIFICALLY DISCLAIMS ANV OTHER EXPRESS OR IMPLIED STANDARDS. GUARANTEES, OR WARRAN?ES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY. FITNESS FORA PARTYCULAR PURPOSE OR HON-INFRINGEMENTANDANY WARRANTIES THAT MAV BEALLEGED TO ARISEASA RESULT OFCUSTOM Ofl USAGE L f1 III ,I YEN HAV NG MIttIING -O CL J9Y ANY PNCCUCI ON ECUI MLF- H.NNSJEF I CI f UN lEN 2'£E I I ~FALI BF F I ~ VJRIi "la I HVI TEN I IeFY$ AFTER II L Itrl IJFFY TI ICH SNO FA LFf k brP TCI C-iIVFSUC'Il.i(.!$4A_L CCN~I IIIr'~OA PIF-"/.11'JFF I1Y r'U F'1 „F }N'!,Jfi~ ST~I'I FFI I.`EI ON,I I'aGAIHS'A1 Y`I;I CL AIMS II ICIAI AI1C 1 lI CCF FN I I UYI 9 PA,1 1 I C 'AN U I III F C I N 11' Lp N( i F r` M 11 I i ff,. 'ir I r f .I. 1 11 it L AM1D I 1 I VC I AFL P[ I JS P'EnNl1 H]PDCLS'1 TE91L ~FAAt FII NCLII LI I I AV IIF II FNC IH 1 ,F'C FCII v'R FUI 1 1F F'~I I I F°NEF9LS 1 4T> ~FE LI II .H III I NY 11 . FFPAIF L LFIfY ND LI 4 iHF I N,L, +IE FEI INIUHI THE SEL LI -ILEN.I• 1 I4f (IFI Lr ) -'ffrE III I pI', `dJ I r FE'J 111 f'i „o FD 1~~ 1 L20SI, .SUED I I 1-LI FnC~ NH Cy Jl. 4Y 3r PFCC L.. N`/CF. -I11 NI °L?CC Al Fa.; HE9"1465 FF AIY i r 1 Up'll1 4RE U S lVFR1U Rli CONTNA L Va N l al P t i 12NS 411 lirt l l 11l ler EN 1 IT.]JIFCI L1 I r RCI P EkEC 1T I I J F3 d.D -I 1:UnIJT ILL ,:YETI ar TU11o.5 F.. F1e 41~1%e:'l I 'NCFH NCI III xp 1, ICI-I IJ C 11-JL .IC I.IIF >J?Ir 1 H VCJJS 11 Ile odAl. I- IrF h'<., L .EPD @11 ANY iF I'I~OpOITRI^ Ir`DF IV'Fr IIJrET IS IILIJ p.' -ILL ~IVn~r IY~r-I rl h~l' '.M 6-ILrll i~'If LONIJI la'~TIcIIF.L R+ILKII'11~k I.I IP.RiA141F1 iNC'. NADIFErCi. EMERGENCY RESPONSEINFORMATION AIF PROPANE AREOx ExFLOS~oN rvITROUS OXIDE LOa LIQUID COr ARGON NITROGEN HYDROGEN POTENTIAL NRZARGS ~ POTENTIAL HAZARDS OF uEN UIOUI00, ~ LIQU104RGON LIQUID Nr HELIUM Fln[ on exeiosorv OTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL MAIAROS q r~ rvFa)ix rv[ntTx I. ~ qe oP exemslorv Flneone roslox i , ~ PUBLIC SAFETY PUBLIC SAFETY cau ergenoy Fes cau emegenry Reaeonae relepnone rrrAa,rv ee~a. ulepnee xr,me=. ' PUBL., smee aaemlre~ _ rv .pp.v aeoerlre~ IC SAFETY. PUBLIC SAFETY ~ ~ - - I cau[merg..rpF:agave Telepno~. x.mmron smep ns • ear emergmev Feapo~ze )e eeh ne rvemee. en veg. e.n sA?P ^?vaMnnt r. I i i. • PUBLIC SAFETY i ~ cau vnugumyF kpnone x.n mror ~ ' mea.z vaeer r,re r eFmccnveaorxixc I. ,ox s.=a, ox ap,r I I ox • ,ogre .crv ,rer~ I ~neeATlox i • MERGENCY RESPONSE Erm rwe • vrre • ' '•'L` r EMERGENCY RESPONSE ,r vn[ EMERGENCY RESPONSE - + - ~ ~ ,pP[ ~ EMERGENCY RESPONSE Po xoreximGU SFaieamrvc ens FlR[urvtess EMERGENCY RESPONSE FlFS sroeeeP. rlFe ma rre. x FE .genre. i,.gaFKa ra m.m. ~e n~xa o,, _ I i .arse rre. ~ . _ mramea n... , ' rre mro.~a r,~~ I ~a u~x; r. • sera on)rae smu oFieax ~ ~ ~ saris of m-az ~Ferao uur w a aev en.n=„gore ~v mee~ ~ -w (c=ra,rverveee~~ mm - - e.,re are xervro Fsr m ' c.e,~. mem r~FS. uo - . FISHERS ISLAND FERRY DISTRICT VENDOR 019500 AT&T 10/22/2013 CHECK 1481 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 86044201651013 NL TERM TEL-9/15-10/14 265.94 TOTAL 285.94 o %i ~r ~u ~~s _c ~ xn g~ 4 . r FISC~RS ~.S'~~"~'~+R~~flI~'W Ap~?y..'i' ~1.fl~2v~/~3:.t ~.c~ ..e,.or'~~~~ 53085 MAIN ROAD PO eOX M11D ~ _ ~ rs~~ ea a e6 ~ha~ sourNOin, NV n47i-0asg CHECK 370.' l~}~$1 CVECHFO UE,W.jN93150NAL8ANK -:,fH1TE N7` - so-sacma lOj,22/2~13' 55.34 TW6HUNDRED EIGHTY FIVE AND 94/100 bOLLARS' r PAP ~.T&T ~ ~ ~T~ PO BOX .5082 ~ - o~ ~ s CAROL STREAM IL .60197-50.82 ~~'00 i48 1u• i:0 2 1405464: 68 00 i 50 2 1i~• Vendor No. Check No. Town of Southold, New York -Payment Voucher 195UU I ~ 1_ Vendor Tax ID Number or Social Security Number Vendor Address Entered by AT&T - vendor Name P.O. BOX 5082 Audit Date ATBT Carol Stream, IL sots?-__ _ OCT 2 2 2013 VendorTelephone Vumber 800-321-2000 own Clerk - VendorContea , e,A~ y~ ~e~ ~t . / 10,~' Invoice Invoice Invoice Nat Purchase Order Number Date Total Discount Amount Caimed~ Number ~ Description of Goods or Services General I,edgar Fund and Account Number 86044201658fi8 9N 5/2013' $285.94 $285.94' I NL Terminal Tel SM5710.4.000.100 I ' 9/15-10I14N 3 _ _ _ _ - _ - - ~ _ - - - _ _ t- - I_ _ $285.94 ' $285.941 Payee Certification Department Certification The unde~igned (Claimanq (toting on hehalioRhe ahove named daimantl I hereh~ ceniPo that the materials above specified have been rcceivcA b} me does hereh~ cenifb that the [nrceoing claim is true and comet. that no part has in good condition without subsoWUOn. the services properic been paid, except as therein slated- that the balance therein stated is actualK pertormsl and that the quantities thaeol have been cerifed with [he escepnons due and owing, and that taxes from which the'I'own is exempt as excluded. or discrepancies noted. and paymtm is approved. Sigoaturc _ _ Titlt~ ~ _ Signature,, L////¢~/~J-(yj~~'j//) ~ry- Compam \ame ~ Date ~ ~l title ~°V ~,~OU/ FISHERS ISLAND FERRV DISTRICT Page lof9 RO BDxH Account Number 860442-0165078 FISHERS ISLE NY 063900607 Billing Bate Sep 15, 2013 ~ Web Site att.com • l l ~~x..~ ''r't~4Vi ~"ti"Ft~,"YYI~'t;' Previous Bill 586.40 • Thank you for heiny an ALL DISTANCE®customer. Payment -Thank You! 586.40CR Your ALL DISTANCED savinys includes. Promotions and Discounts 27 yy Adjustments .00 Balance .00 a : r r r Current Charges 285.94 Total Amount Due $285.94 * Item No. Date Descriution Adiusnnents Payments I. B-19 Payment 275.26 Amount Due in Full by Oct 14, 2013 2. 916 Payment 311 14 Totals 586.40 • r - Questions? Call: Page Promotions and Discounts Plans and Services 1 285 94 3. Save Elite-S Conn-527 of(-12mc term 27.0008 1 800 321-2000 Repair: Monthly Service - Ses 15 thru Oct 14 1 600 246-8464 Charges for 860 492-0165 Internet Services: 4. Monthly Charyes 122.60 1 877 722-3755 Charges for 860443-6851 5. Monthly Charyes 28.35 Total Current Charges 265.94 Charges for 860444-0320 6. Monthly Charyes 28.35 Charges for 868447-9371 7. Monthly Charges 28.35 Total Monthly Service 207.65 Call Charges Bus Block of Ttme 700112Y Summary 1061 Minutes Used 700 Minutes Allowed Instate Lony Distance 2.37 Out of State Lony Distance 13.05 Call Plan Summary Total 15.42 e 8. Bus Block of Time 70011 2Y 30.00 Charges for 860 442-0165 Item •PREVENT DISCONNECT •CARRIER INFO No. Date Time Place Number Code Min • KEEP YOUR DISCOUNT • FUSE RATE Itemized Calls • CHANGE IN TERMS • CHANGE IN TERMS 9. 8-15 714A FISHERS IS NY 631 766-7632 2 0:30+ .00 •TERM PLANS •CONTRACT EXPIRATION See "News Vou Can Use" for additional information. Local Services provided by ATaT Connecticut. Services beyond *BASIC SI51.78 NON BASIC SI34.16 Connecticut provided by AT&T Long Distance East. Return bottom portion with your check in the enclosed envelope. GO GREEN ~ Enroll in paperless billing. R _ FISHERS ISUYNO FERRY OIST8ICT Page 2of9 PO BOXH Account Number 860 442-0165 078 , FISHERS ISLE NY 06390-0007 Billing Date Sep 15, 2013 , Web Site att.com r Call Charges -Continued Item No. Date Time ace Nub Cade Min Call Chargea-Continued 50. B-19 231P OLD SAYBRK CT 860399-5266 D 1:17+ .00 Item 51. 8-19 235P OLO SAYBRK CT 860399-5266 D 0:30+ .00 No. Date Time Place Number Cade Min 52. 8-19 340P FISHERS IS NY 631 788-7455 I 0:55+ .00 I. 8-15 714A FISHEflS IS NY 631788-7632 2 0:44+ .00 53. 8-19 355P FISHERS IS NY 631766-7463 I 1:23+ .DO 2. 8-15 711A SOUTHINGTN CT 860620-4322 N 1:04+ .00 54. 6-20 959A FARMINGDL NY 631414-5825 1 0:36+ .00 3. B-15 720A FISHERS IS NY 631788-7857 2 I:OI+ .00 55. 8-201246P HARTFORD CT 660883-4845 D 0:36+ .00 4. 8-15 939A STAMFORD CT 203223-8160 D 0:30+ .00 56. 8-20 146P FlSHERS IS NY 631788-7858 I 0:30+ .00 5. 8-15 944A HARTFORD CT 860573-1068 D 1:59+ .00 57. B-20 219P COLUMBUS OH 614456-1633 1 0:30+ .00 6. B-15 956A HARTFORD CT 860573-1068 0 0:56+ .00 58. 8-20 245P COLUMBUS OH 614429-7305 I 46:45+ .00 7. 8-15 958A HARTFORD CT 860863-4645 D 1:01+ .00 59. 8-20 355P BRIDGEPOflT CT 203520-3659 D 2:01+ .00 B. 8-15 lOlOA FISHERS IS NY 631 786-7224 1 0:30+ .00 60. 6-20 402P FISHERS IS NY 631 766-1345 1 1:56+ .00 9. B-15 1105A FISHERS IS NY 631 768-5550 1 2:20+ .00 61. 8-20 408P FISHERS IS NY 631 ]88-1463 1 1:00+ .00 10. 6-151108A HARTFORD CT Bfi0573-1068 D 0:30+ .00 62. 8-20 415P HARTFORD CT 860683-4845 D 0:36+ .00 11. 8-15 1202P FISHERS IS NY 631786-7174 I 0:36+ .00 63. 8-21 906A HARTFOflO CT 860269-0267 D 3:43+ .00 12. B-151203P FISHERS IS NY 631788-7224 1 0:30+ .00 64. 8-21 921A PLAINVILLE CT 860747-9911 D 6:44+ .00 13. 8-15 305P FISHEflS IS NY 631788-7463 1 1:39+ .00 65. 8-21 932A NEWTON MA 617775-8845 1 0:30+ .00 14. 8-15 322P FISHERS IS NY 631788-1463 I 0:50+ .00 66. 8-21 933A NEWTON MA 611775-8645 I 0:30+ .00 _ 15. 8-16 127A FISHERS IS NY 631 766-5546 2 0:55+ .00 67. B-21 ID03A FISHEflS IS NY 631 768-7463 1 0:30+ .00 16. 8-16 944A TOWSON MD 410377-8144 1 0:53+ .00 68. 8-21 IOITA HARTFORD CT 660289-0267 D 4:00+ .00 - 17. 8-16 1106A FISHERS IS NY fi31788-7463 1 0:30+ .IXl 69. 8-21 1O16A FISHERS IS NY 631788-7343 I 1:56+ .00 18. 8-16 1201P FISHERS IS NY 631 768-1463 1 1:15+ .00 ]0. B-21 1043A NARRAGNSTT RI 401 207-5947 1 0:30+ .00 19. 8-I6 102P FISHERS IS NY 631788-7715 1 1:51+ .00 71. 8-21 1044A NARflAGNSTT RI 401 207-5947 1 0:30+ .00 20. 8-16 105P FISHERS IS NY 631 788-7345 1 0:35+ .00 72. 8-21 1105A MT CLEMENS MI 586465-6108 1 2:58+ .!b 21. 8-16 145P RIVERHEAD NY 631206-0275 I 0:35+ .00 73. A-21 1109A QUEENS MY 718451-45^..6 I 12:13+ .00 22. 8-16 153P FISHERS IS NY 631788-7255 1 0:30+ .00 74. 8-21 1122A NWYflCYZN01 NY 212799-5555 1 1:13+ .00 23. 8-16 211P OLO SAYBRK CT 860399-5266 0 2:11+ .W 75. 8-211125A STAMFORD CT 203324-6222 D 5:09+ .00 24. B-16 228P FISHEflS IS NY 631766-7345 I 0:30+ .DO 76. B-21 111P FISHEflS IS NY 631766-5550 1 1:46+ .00 25. 8-1fi 251P HARTFORD CT 860241-7201 D 1:10+ .00 77. 8-21 127P HOPKINTON MA 508294-5556 1 0:32+ .00 26. 8-I6 334P FISHERS IS NY 631788-7255 1 0:50+ .00 78. 8-21 136P NWYRCYZN01 NY 646 109-1 7 7 4 I 2:21+ .00 27. 6-16 336P GUILFORD CT 203458-4128 D 0:43+ .00 79. 8-21 229P COLUMRUS OH 614456-1633 1 0:30+ .00 28. 8-16 608P SELDEN NY 631512-3149 2 0:32+ .00 80. 8-21 232P JEWETTCITY CT 860376-4119 D 0:42+ .00 29. 8-16 1202P HARTFORD CT 860126-8389 E 0:36+ .OD 81. 8-21 241P FISHERS IS NY 631 788-1345 I 1:43+ .00 30. 8-18 546P NWYRCYZNOt NY 646309-0565 2 0:52+ .00 82. B-21 405P HARTFORD CT 660638-4095 D 5:15+ .00 31. 8-18 551P FISHERS IS NY 631 766-7323 2 0:56+ .00 83. 6-21 424P OLD SAYBRK CT 860399-5266 0 0:40+ .00 32. 8-IB 602P FISHERS IS NY 631766-7514 2 0:46+ .00 84. 8-21 fi05P FISHERS IS NY 631 788-7723 2 0:30+ .00 33. B-19 725A FISHERS IS NY 631788-5550 2 2:30+ .00 85. 8-22 823A FISHERS IS NY 631788-7345 1 8:22+ .00 34. 8-19 BD9A HUNTINGTON CT 203929-6319 D 0:35+ .IXl B6. B-22 845A FISHERS IS NY 631766-7744 1 0:30+ .OD 35. 8-19 830A SOUTHINGTN CT 860919-3351 D 2:07+ .00 87. 8-22 850A FISHERS IS NY 631 788-7919 I 1:27+ .00 36. 6-19 846A FISHERS IS NY 631788-5550 1 4:29+ .00 88. 8-22 902A FISHERS IS NY 631 788-7744 1 6:07+ .00 31. 8-19 945A MIDDLETOWN CT 860632-1338 D 3:31+ .00 69. 8-22 909A FISHERS IS NY 631 ]BB-1345 1 0:30+ .00 38. 8-19 953A WATERBURY CT 203754-5334 D 0:49+ .00 90. 6-22 921A STAMFORD CT 203223-1328 D 5:07+ .00 39. 8-191029A GUILFORD CT 203458-4128 D 0:42+ .00 91. 8-22 1005A NWYRCYZN01 NY 212873-1965 1 0:37+ .00 40. B-19 1034A FISHERS IS NY 631788-7463 1 2:21+ .00 92. 8-22 1014A FISHERS IS NY 631786-1463 1 13:31+ .00 41. 8-19 1056A FISHERS IS NY 631786-7455 1 0:31+ .00 93. 8-22 1031A FISHERS IS NY 631188-1779 1 1:28+ .OD 42. 8-19 1235P FISHERS IS NY 631 788-7919 1 2:17+ .00 94. 8-22 1042A FISHERS IS NY 631188-7779 I 0:55+ .00 43. 8-191238P FISHERS IS NY 631788-7851 1 0:30+ .00 95. 8-221140A QUEENS NY 116457-4506 1 5:30+ .00 44. B-191240P FISHERS IS NY 631786-7255 1 1:35+ .00 96. 6-221149A RIVERHEAD NY 631208-0275 1 5:26+ .00 45. 8-191242P FISHERS IS NY 631768-7225 1 1:18+ .00 97. 8-22 1249P NWYRCYZNOI NY 212327-1144 1 5:04+ .00 46. 8-19 1244P FISHERS IS NY 631788-7323 1 1:22+ .00 98. 8-22 130P FISHERS IS NY 631 788-]770 1 T:13+ .00 47. 8-191246P FISHEflSIS NY 631188-7651 I 1:58+ .00 99. 8-22 245P FISHERS IS NY 631766-7345 1 1:45+ .00 48. 8-19 129P COLUMBUS OH 614458-1633 1 1:35+ .00 100. 8-22 256P FISHERS IS NY 631188-7463 1 0:30+ .00 49. 8-19 201P OLD SAYRRK CT 860399-5266 D 5:38+ .OD 101. 8-22 339P POTTSTOWN PA 610326-6619 1 5:04+ .00 102. 8-22 411P FISHERS IS NY 631786-7345 I 0:48+ .IXl ®3006 AT&T Knowledge Ventures. All rights reserved. 1944.007.064262.01.05.0000000 NNNNNNNY D093.126653 FISHERS ISIAND FEBBY DISTflICT Page 3019 PD BDx Fi Account Number 860442-0165078 FISOEfls ISLE NY 0s3ss-osm Billing Date Sep 15, 2013 Call Charaea -Continued Item No. Date Time Place Number Code Min Call Charyles-Continued 50. 8-26 120P HARTFORD CT 860289-0267 D 1:22+ .00 Item 51. 8-26 121P HARTFORD CT 860528-1030 D 3:45+ .00 No• Date Time Place Number Code Min 52 8-26 125P PROVIDENCE RI 401644-8488 1 0:56+ .00 1. 823 B02A FISHERS IS NY 631788-7345 1 3:13+ 00 53. 8-26 129P WINDSOR CT 860296-7950 D 2:21+ 00 2. 8-23 830A FISHERS IS NY 631 766-7345 1 P.18+ .00 54. B-26 133P NEW YORK NY 212838-7521 1 1:14+ .00 3. 8-23 832A ROANOKE VA 540520-6277 1 2:11+ .00 55. 8-26 156P GLASTONBY CT 660338-5974 D 1:42+ .00 4. 8-23 927A COLCHESTER CT 860537-3431 D 1:57+ 00 56. 8-26 231P FISHERS IS NY 631788-7345 1 0:56+ .00 5. 8-23 IOOBA QUEENS NY 718937-6800 1 0:57+ 00 57. 8-26 244P HINGHAM MA 761740-66(10 1 1:02+ 00 6. 8~231028A WPALMDEACH FL 561586-9331 1 2:28+ 00 58. 8-26 246P FISHERS IS NY 631788-7345 1 0:53+ .00 7. 8-23 1114A GUILFORD CT 203458-4128 0 1:07+ 00 59. 826 321P HINGHAM MA 781 740-6600 I 3:54+ .00 8. 8-231131A NWYRCYZN01 NY 212873-1965 I 23.23+ .00 60. 8-26 330P FISHERS IS NY 631766-7345 1 1:06+ .00 9. 8 23 1212P HINGHAM MA 781 740-66(10 I 1:33+ .00 61. 8-26 333P STAMfORD CT 203 223-1318 D 0:30+ .00 10. 8-23 1225P NEW YORK NY 2128387521 I 327+ .00 62 B-26 441P COLUMBUS OH 614456-1633 I 3:52+ .00 11. 8-231236P FISHERS IS NY 631766-7463 1 0:30+ 00 63. 8-26 446P ELIZABETH NJ 908400-1601 1 0:30+ .00 11. 823 1248P FISHERS IS NY 631 766-7744 1 Z46+ 00 64. 6-26 447P FISHERS IS NY 631188-1770 1 1:13+ .00 13. B 23 1251P FISHERS IS NY 631 766-7744 1 1:17+ 00 65. 8-26 603P HARTFORD CT 86(1129-9141 E 0:35+ .00 I4. 8-23 109P FISHERS IS NY 631 ]88-7224 I 0:33+ 00 66. 8-27 817A FISHERS IS NY 631 788-7463 I 0:53+ .00 15. 8-23 120P COLUMBUS OH 614458-1633 I 3.56+ W 67. 8-Z7 932A FISHERS IS NY 631788-1345 1 0:30+ .00 16. 8-23 125P PROVIDENCE RI 401 265-6925 I 1:00+ lb 66. 8-27 956A FISHERS IS NY 631 766-7647 I 1:20+ .00 17. 8-23 133P FISHERS IS NV 631 788-7345 I 0:30 ~ 00 69. 8-27 959A TEMPLETON MA 978895-2960 1 9:43+ .00 16. 8-23 141P WINDSOR CT 860667-1000 D 0:30+ 00 70. 8-D 1128A ELIZABETH NJ 908400-1601 I 0:30+ .00 19. 623 154P FISHERS IS NY 631766-1255 1 1:00+ 00 11. 6-27 1129A COLUMBUS OH 614458-1633 1 0:51+ .00 10. 8-23 200P FISHERS IS NY 631 768-1345 1 1:00+ 00 72. 627 1143A PROVIDENCE RI 401 965-9472 1 0:30+ .00 21. 8-23 207P FISHERS IS NY 631 768-7345 1 1:32+ 00 73. 8-27 1156A FISHERS IS NY 631 768-5655 1 9:18+ f10 72. 8-23 212P FISHERS IS NY 631188-7455 1 034+ .00 74. 8-271207P NWYRCYZN01 NY 212327-1144 1 3:31+ .00 23. 6-23 221P FISHERS IS NY 631788-7463 I 19:22+ 00 75. 8-21 141P FISHERS IS NY 631 788-7036 1 0:30+ .00 24. 8-23 242P STAMFORD CT 203223-1328 U 0'.30+ W 76. 8-27 150P FISHERS IS NY 631766-7463 1 102+ .00 25. 8-23 414P FISHERS IS NY 6317687240 I 0:30+ 00 77. 8-27 157P BROOKLYN NY 917665-0662 1 0:41+ W 26. 8.23 525P NEW YORK NY 917744-9740 2 0:41+ 110 78. 6-27 204P FISHERS IS NY 631 788-1224 I 104+ 00 77. B-24 551P PROVIDENCE RI 401450-9933 2 0:40F 00 79. B-27 206P HARTFORD CT 660270-0600 D 1:16+ .00 28. 8-24 622P SOUTNINGTN CT 860620-4322 E 0:35+ 00 80. 8-27 257P SOUTHINGTN CT 860919-3351 D 0:53+ .00 29. 8-24 632P SOUTHINGTN CT 860620-4322 E 0:52+ 00 81. 8-27 342P COLUMBUS OH 614458-1633 1 0:30+ .00 30. 8-251133A NEW YORK NY 646472-4657 2 0:35+ .00 82. 827 343P COLUMBUS OH 614458-1633 1 0:58+ .00 31. 826 850A FISHERS IS NY 631788-7444 I 0.54+ .00 63. B-26 926A CORNWALL CT 860248-9806 0 1:15+ W 32. 626 910A FISHEflS IS NY 631768-7345 I 0:55+ 00 84. B-28 956A FISHERS IS NY 631 766-7528 1 3:46+ 00 33. 8-26 915A WINDSORLKS CT 860623-9686 D 1:2 00 85. 6-281D25A HARTFORD CT 860670-1305 D 0:35+ .00 34. 8-26 924A OLD SAYBRK CT 860399-5266 0 1:02 [q 86. 6-281048A NEW YOflK NV 917751-1737 1 7:04+ .00 35. 8-261002A WOODBURY CT 2032667689 D Z56+ 00 87. 8-281129A HINGHAM MA 761740-6600 1 1:54+ .00 36. 8-26 IOOBA FISHERS IS NV 631 788-1215 1 0:30+ 00 88. 818 1133A NWYRCYZN01 NY 646102-0363 I 6:06+ .00 37. 8-26 1015A FISHERS IS NY 631 788-1345 I 0:30+ 00 89. 8-28 1141A FISHERS IS NY 631 788-7463 I 1:20+ .00 38. 626 tO16A FISHERS IS NY 631 788-7744 1 0:30+ 00 90. 8-28 1231P FISHERS IS NY 631788-7463 I 0:30+ .00 39. 8-26 1018A FISHERS IS NY 631 788-7919 1 1.28+ 00 91. 8-26 110P FISHERS IS NV 631768-7744 1 0:30+ 00 40. B-261027A EHAMPTON CT 860267-6102 D 2.09+ 00 92. 8-26 119P QUEENS NY 718457-4506 1 0:48+ .00 41. 8-261048A STAMFORD CT 203223-1318 O 0:36+ .00 93. B-28 153P COLUMBUS OH 614429-7305 1 C24+ .00 42. 8-2fi 1049A NEW YORK NY 917751-1137 1 0:301 00 94. B-28 323P TEMPLETON MA 978895-2960 1 423+ .W 43. 8-261051A HACKENSACK NJ 201476-3975 1 0:49+ 00 95. B-28 331P NWYRCYZN01 NY 646709-1774 I 0:30+ .00 44. 8-26 1054A TEMPLETON MA 978895-2960 1 0:55+ 00 96. 8-28 337P NWYRCYZN01 NY 646 109-1 7 7 4 I 0:30+ .00 45. 8~261134A FISHERS IS NY 631788-7251 1 0:30F 00 97. 828 336P BLOOMINGTN IN 812361-9675 I 0:30+ .00 4fi. 8-261134A FISHERS IS NY 631788-7520 I 1:42+ 00 98. 8-28 406P NWYRCYZN01 NY 212673-1965 I 3:36+ .00 4/. B-26 1157A FISHERS IS NY 631766-7644 I 2:00+ 00 99. 8-28 4I3P FISHERS IS NY 631 788-7526 1 0:43+ 00 48. 8-26 1242P FISHERS IS NY 631766-7401 I 0.30+ .00 100. 8-28 603P FISHERS IS NY 631788-5530 2 0:30+ .00 49 8-26 1253P FISHERS IS NY 631766-7528 1 0.49+ 00 101. 8-29 B59A NWYRCYZN01 NY 212799-5555 1 3131+ .00 102 8-19 942A FISHERS IS NY 631168-5686 I 0:34+ .tp ` FISHEflS ISUIND FEflflY DIST8ICT Page 4of9 PO HOXH Account Number 860442-0165078 FISHERS ISLE NY 06390-0607 Billing Date Sep 15, 2013 - , - Call Charges-Condnued Item No. Date Time Place Number Cade Min Call Cbargez-Continued _ 50. 9-031015A FISHERS IS NY 631788-1144 I 0:30+ .00 I[ein 51. 9-03 1151A FISHERS IS NY 631 788-7311 I 0:35+ .00 No. Date Tiine Place Number Code Min 52. 9-031159A FISHERS IS NY 631788-7345 1 0:30+ .00 I. 8-29 948A WINDSORLKS CT 860668-0044 D 1:57+ .00 53. 9-031212P FISHERS IS NY 631186-7345 I 0:30+ .00 2. 8-29 IOO6A FISHERS IS NY 631788-7744 I 0:30+ .00 54. 9-031244P NWYRCYZN01 NY 212327-1144 1 3:43+ .00 3. 8-291125A COLUMBUS OH 614458-1633 I 0:37+ .00 55 9-03 118P HOPKINTON MA 508294-5556 1 0:59+ .DO 4. B-29 1134A NEW YOflK NY 911693-1808 I 0:4N .00 56. 9-03 120P NEW YORK NY 917 751-1737 1 0:30+ .00 5. &291210P FISHERS IS NY 631788-7715 I 0:30+ .00 57. 9-03 121P DUEENS NY 118457-4506 1 2:16+ .00 6. 8-291210P FISHERS IS NY 631788-7715 I 0:30+ .00 58. 9-03 131P STAMFORD CT 203223-1328 D 0:45+ .00 7. 8-291212P FISHERS IS NY 631188-1115 1 1:10+ .00 59. 9-03 131P NWYRCYZN01 NY 212327-1144 1 1:48+ .00 8. 8-29 1241P OLD SAYBRK CT 860575-3187 D 0:38+ .00 60. 9-03 148P FISHERS IS NY 631 ]88-1343 1 0:51+ .00 9. 8-29 100P FISHERS IS NY 631188-1224 1 0:30+ .00 61. 9-03 250P HARTFORD CT 860841-2256 D 0:33+ .00 10. 8-29 212P FISHERS IS NY 631 788-7455 I 1:T3+ .00 62. 9-03 255P FISHEflS IS NY 631 ]88-1311 1 0:30+ .00 IL 8-29 319P HARTFORD CT 860838-4095 D 0:45+ .00 63. 9-03 323P FISHERS IS NY 631788-7224 1 0:30a .00 12. 8-19 325P FISHERS IS NY 631188-7463 1 0:47+ .00 64. 9-03 333P FISHERS IS NY 631 788-7463 1 0:30a .00 13. 8-29 326P FISHERS IS NY 631 788-7345 1 0:30+ .00 fi5. 9-03 335P HARTFORD CT 660986-7634 D 3:14+ .00 14. 8-29 339P FISHERS IS NY 631 788-7345 1 0:30+ .00 66. 9-03 354P HARTFOflO CT 660986-1634 D 4:25+ .00 15 8-29 350P FISHEflS IS NY 631788-7345 I 229+ .00 67. 9-03 359P STAMFORD CT 203324-6222 D 2:44+ .00 16. 8-29 446P NWYRCYZNOI NY 646691-7494 1 0:30+ .00 fib. 9-03 404P FISHERS IS NY 631788-7345 1 12:09+ .00 17. 8-29 518P NEW YORK NY 917 7146290 2 3:38+ .00 69. 9-04 129A flSHEflS IS NY 631 788-7345 2 1:11+ .00 18. 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B-30 200P FISHEflS IS NY 631 768-1463 1 0:30a .00 79. 9-04 1156A FISHERS IS NY 631 788-7744 1 0:33a .00 28. 6-30 327P NWYRCYZNOI NY 212327-1144 1 3:04+ .00 80. 9-04 1223P HOUSTON TX 713252-5525 1 0:47+ .00 19. 8-30 356P NWYRCYZN01 NY 212327-1144 I 1:58+ 00 81. 9-041232P HOPKINTON MA 508294-5556 1 3:56a .00 30. 8-30 430P NWYRCYZNOI NY 212327-1144 I 10:43+ .00 82. 9-04 1238P NWYRCY2N01 NY 212799-5555 1 2:18+ .00 31. 8-311042A FISHERS IS NY 631788-5546 2 206+ .00 83. 9-04 1241P COLUMBUS OH 614429-7305 1 0:33+ .00 32. 8-311046A FISHERS IS NV 631788-5546 2 0:40+ .00 84. 9-04 1242P COLUMBUS OH 614429-7305 1 0:50+ .00 33. 8-31 1048A FISHERS IS NV 631 788-7367 2 0:30+ .00 85. 9-04 141P FISHERS IS NY 631 788-7463 1 035+ .OD 34. B-31 1049A FISHERS IS NY 631788-5546 2 0:30+ .00 66. 9-04 143P FISHERS IS NY 631 788-7657 1 0:40+ .00 35. 8-31 1216P HUDSON MA 978618-9232 2 0:37+ .00 87. 9-04 148P FISHERS IS NY 631 788-7224 1 0:30+ .00 36. 9-02 1105A NEW YORK NY 917502-0806 2 0:45+ .00 68. 9-04 210P FISHERS IS NY 631 788-7224 1 0:30+ 00 37. 9-OZ 144P NEW YORK NY 347668-1675 2 0:30+ .00 69. 9-04 211P FISHERS IS NY 631788-7345 1 0:59a .00 38. 9-02 157P FISHERS IS NY 631788-7724 2 0:30+ .00 90. 9-04 212P FISHERS IS NY 631788-7345 1 2:15+ .00 39. 9-01 257P FISHERS IS NY 631188-7793 2 0:30+ .00 91. 9-04 215P FISHERS IS NY 631788-7225 1 0:30+ .00 40. 9-02 321P FISHERS IS NY 631 788-7124 2 0:3D+ .00 92. 904 216P GAROENCITY NY 516807-8732 1 0:48+ IXl 41. 9-02 516P NEWPORT RI 401662-2176 2 0:30+ .00 93. 9-04 221P FISHERS IS NY 631788-7345 I 0:42+ .00 42. 9-02 612P PONTIAC MI 2485200630 2 0:41a .00 94. 9-04 226P POUGHKEPSI NY 645656-1677 1 0:30+ .00 43. 9-03 801A WINDSORLKS CT 860752-0747 D 0:31+ .00 95. 9-04 229P FISHERS IS NY 631768-7433 1 0:36+ .00 44. 9-03 826A FISHERS IS NY 631788-7224 1 0:30+ .00 96. 9-04 251P STAMFORO CT 203223-1328 D 0:41+ .00 45. 903 842A WINDSOflLKS CT 860752-0747 D 0:30+ .00 97. 9-04 252P STAMFORO CT 203324-6222 D 0:57+ .00 46. 903 851A WINDSORLKS CT 860752-0141 D 0:30+ .00 98. 9-04 304P FISHERS IS NY 631788-7345 I 0:30+ .00 47. 9-03 927A HOUSTON 1X 713252-5525 1 200+ .00 99. 9-04 305P HOPKINTON MA 508294-5556 1 4:10+ .00 48. 9-03 940A NWYflCYZNl2 NV 347707-2557 1 148+ .00 100. 9-04 312P HOPKINTON MA 508294-5556 1 1:36+ .00 49. 9-03 950A FISHERS IS NV 631768-7444 1 0:34a .00 101. 9-04 404P COLUMBUS OH 614458-1633 1 1:21+ .00 102. 9-04 533P NEW YORK NY 646298-8698 2 3:T5+ .00 1944.007.064262.02.05.0000000 NNNNNNNY 12633.962]7 FlSHERS ISlANO FEflflY DISTRICT Page 5 of 9 PO BOxH Account Number 860 442-0165 016 FISHERS ISLE NY 06390-0607 Billing Date Sep 15, 2013 Call Chases -Continued Item No. Date Time Place Number Code Min Call Chases -Continued _ 50. 9-09 215P RUTLAND VT 802 282-6675 I 0:30+ .00 Item 51. 9-09 230P FISHERS IS NY 631766-7463 I 0:41+ 00 No. Date Time Place Num er Code Min 52. 9-10 730A FISHERS IS NY 631166-5550 2 2:22+ .00 1. 9-04 531P NEW YORK NV 911686-0201 2 0:30+ .00 53. 9-10 800A FISHERS IS NY 631 766-7330 1 0:33+ .00 2. 9-D4 538P NEW YORK NV 917686-0201 2 0:30+ 00 54. 9-10 905A FISHERS IS NY 631 788-5550 1 1:30+ 00 3. 9-04 538P NEW YORK NY 911666-0201 2 0:30+ .00 55. 9-10 913A FISHERS IS NY 631 788-7233 1 0:55+ .IX7 4. 9-04 654P FISHERS IS NY 631 766-7699 2 0:40+ .00 56. 9-10 920A FISHERS IS NY 631 788-7345 I 0:49+ .00 5. 9-05 635A FISHERS IS NY 631768-7889 2 0:46+ .00 57. 9-10 938A FISHERS IS NY 631766-5550 1 0:42+ .00 6. 9-05 813A POUGHKEPSI NY 845656-1617 1 0:56+ .OD 58. 9-10 947A HARTFORD CT 860836-4095 D 0:55+ .00 905 819A FlSHERS IS NY 631 ]88-7345 1 0:47+ .00 59. 9-10 1003A STAMfORD CT 203223-1328 D 17:30+ .00 8. 9-05 837A FISHERS IS NY 631788-7345 1 D:42+ .00 60. 9-101027A HARTFORD CT 060838-4095 0 1:43+ .00 9. 9-05 957A ROANOKE VA 540520-6277 1 0:44+ 00 61. 9-10 1158A FISHERS IS NY 631 788-7455 I 0:30+ .00 10. 9-05 1036A FISHERS IS NY 631 786-7345 I 2:20+ .00 62. 9-10 1200P FISHERS IS NY 631 768-7345 I 0:30+ .00 11. 905 1142A FISHERS IS NY 631786-5550 I 4:39+ 00 63. 9-IO I207P ATTLEBORO MA 508243-2443 1 1:09+ 02 12 9-05 133P FISHERS IS NY 631768-7029 1 0:56+ .00 64. 9-10 109P COCOA FL 321482-3766 1 1:00+ .04 13. 9-05 139P FISHERS IS NY 631788-7345 1 0:34+ 00 65. 9-10 258P NWYRCYZNOI NY 212873-1965 1 5:29+ .24 I4. 9-05 206P FAIRFIELD C7 203254-9800 D 1:59+ .00 66. 9-10 339P RIVERHEAD NY 631811-2885 I 22:23+ 06 15. 9-05 221P FISHERS IS NY 631788-7255 1 1:00+ .00 67. 9-10 M17P FISHERS IS NY 631780-7345 1 0:30+ .02 ' 16. 9-05 250P FISHERS IS NY 631788-7455 I 0:30+ .00 66. 9-11 B17A HARTFORD CT 860683-9499 0 0:34+ .02 I7. 9-05 302P FISHERS IS NY 631788-7345 I 0:42+ .00 69. 9-I1 646A HARTFORD CT 860243-0010 D 1:01+ .D4 18. 9-05 317P FISHERS IS NY 631766-7345 I 0:33+ 00 10. 9-11 925A FISHERS IS NY 631 766-7657 1 1:05+ .05 19. 9-06 810A LEBANON CT 860642-4377 D 8:53+ 00 71. 9-II 946A FISHERS IS NY 631188-7111 1 0:30+ .02 20. 9-06 917A FISHERS IS NY 631 788-7345 1 2:43+ 00 72. 911 lOT7A FISHERS IS NY 631188-1345 1 5:53+ .25 21. 906 921A FISHERS IS NY 631 788-7463 1 123+ .W I'3. 9-11 100P FISHERS IS NY 631 786-7744 I 0:34+ .02 22. 9-06 937A NEW YORK NY 212644-4858 I 0:43+ 00 ]4. 9-11 320P COLUMBUS OH 614429-7305 1 7:24+ .32 23. 9-06 947A FISHERS IS NY 631166-1463 I 0:37+ .00 75. 9-IT 60)A FISHERS IS NY 631 788-7919 I 0:33+ .02 24. 9-06 1048A FISHERS IS NY 631788-7345 1 0:40+ 00 76. 9-12 811A FISHERS IS NY 631 788-7345 I 0:30+ .02 25. 9-06 1136A FISHERS IS NY 631788-1896 1 0:56+ .00 77. 9-12 IO16A FISHERS IS NY 631188-1311 1 T:30+ .11 26. 9-06 1233P FISHERS IS NY 631 788-1463 1 0:30+ .00 78. 9-12 1113A FISHERS IS NY 631 788-7345 1 0:39+ .03 27. 9-061246P FISHERS IS NY 631788-7463 1 0:30+ 00 79. 9-121118A HARTFORD CT 860291-9448 0 C57+ 08 Z8. 9-06 130P FISHERS IS NY 631 766-7919 I 109+ .00 B0. 9-12 1143A FISHERS IS NY 631 788-7345 1 304+ .13 29. 9-06 251P BRONX NY 718636-0259 I 1:07+ 00 BT 9-12 1246P PROVIDENCE RI 401742-5267 1 0:41+ .03 30. 9-06 313P STAMFORD CT 203324-6222 D 0:54+ .00 82. 9-12 220P ACTON MA 978263-6600 I 1:57+ .OB 31. 906 343P FISHERS IS NY 631188-5613 1 1:15+ 00 83. 9-12 329P STAMFORD CT 203223-8160 D 0:30+ .02 32. 9-07 1041A MOUNTKISCO NY 914602-3027 2 C27+ 00 84. 9-12 331P RUTLAND VT 602282-6675 1 0:33+ 02 33. 9-01 1152A FISHERS IS NY 631168-1224 2 0:30+ .00 65. 9-12 359P FISHERS IS NY 631188J345 1 0:41+ .03 34. 9-07 1152A FISHERS IS NY 831788-7503 2 0:38+ .00 e6. 9-13 750A FISHERS IS NY 631 788-7345 2 301+ .13 35. 9-09 715A FISHERS IS NY 631766-7919 2 0:30+ .00 87. 9-I3 B17A BRISTOL VT 802453-5549 I 1:01+ .04 3fi. 9-09 903A MOUNTKISCO NY 914602-3027 1 0:30+ 00 88. 9-13 824A FISHERS IS NY 631766-7463 I 1:24+ O6 37. 9-09 904A MOUNTKISCO NV 914602-3027 1 2:30+ 00 89. 9-13 911A GUILFORD CT 203456-4128 D 1:53+ .08 38. 9-09 1012A FISHERS IS NY 631 788-7919 1 1:02+ 00 90. 9-13 1003A RICHMOND VA 604840-3656 I 1:50+ .OB 39. 9-091014A FlSHERS IS NY 631188-1919 1 0:30+ .00 91. 9~131215P STAMFORD CT 203223-8160 0 (1:30+ .02 40. 9-091021A FISHERS IS NY 631788-5550 1 2.4k .00 92. 9-131231P STAMFORD CT 203223-8160 D 1:18+ .O6 41. 9-09 1044A FISHERS IS NY 631766-5550 1 2:24+ .00 93. 9-13 100P NEW YORK NY 646265-9616 1 1:14+ .05 42. 9-091133A WILLIMNTIC CT 860428-7517 D 0:30+ .00 94. 9-13 109P HARTFORD CT 860836-1817 D 3:32+ .15 43. 9-09 1236P FISHERS IS NY 631788-7455 1 0:30+ 00 95. 9-13 220P FISHERS IS NY 631 786-1001 I 0:30+ .02 44. 9-09 110P FISHERS IS NY 631188-7463 1 0:30+ 00 96. 9-13 222P FISHERS IS NY 631 788-7251 I 2:45+ .12 45. 9-09 201P FAIRFIELD CT 203254-9800 D 0:30+ 00 97. 913 242P FISHERS IS NY 631788-7345 1 0:41+ .03 46. 9-09 201P FAIRFELD CT 203254-9600 D 2:05+ .00 96. 9-13 251P FISHERS IS NY 631188-7345 1 0:30+ .02 47. 9-09 210P FISHERS IS NY 631788-7224 I 0:31+ 00 99. 9-13 352P STAMFORD CT 203324-6222 D 4:31+ .19 48. 9-09 211P FlSHERS IS NY 631788-7225 1 2:09+ 00 100. 9-13 356P STAMFORD CT 203223-1328 D 0:44+ .03 49. 9-09 214P MANCHESTER VT 802362-2080 1 0:30+ .00 101. 9-13 731P FISHERS IS NY 631766-7036 2 t29+ .O6 Total Itemized Calls 3.71 Total Cllaryes for 860442-0165 3.71 _ ..r..- !i FISHERS ISlANO FEAAY OISTAICT Page 6 of 9 PO BOX H Account Number 660442-OI65076 FISHERS ISLE NY 06990-0607 Billing (late Sep 15. 2013 r Call Charges -Continued Item No. Date Time Place Number Code Min Call Chargez-CoWinued 48. 8-28 225P BALTIMORE MD 410545-2101 1 2:37+ .11 Chargez for 860443&51 49. 8-28 314P FISHERS IS NY 631788-5522 1 0:34+ .02 Item 50. 8-29 1029A FISHERS IS NY 631166-5522 I 0:35+ .03 No. Date Time Place Number Code Min 51. B-29 1045A FISHEflS IS NY 631 768-5522 1 0:51+ .04 Nemized Calls 52. 8-29 217P FISHERS IS NY 631188-5522 1 0:30+ .02 1. B-15 1005A FISHERS IS NY (131188-5522 1 0:34+ .02 53. 8-29 249P FISHERS IS NY 631188-5522 1 0:30+ .02 2. 8-15 1105A FISHERS IS NY 631 786-5522 1 1:16+ .O6 54. 8-30 956A FISHERS IS NY 631 788-5522 1 0:35+ .03 3. 8-15 I127A FISHEflS IS NY 631 788-5522 1 0:30+ .02 55. 8-30 1049A FISHERS IS NY 631 788-5522 I 1:13+ .05 4. B-15 313P FISHERS IS NY 631 788-5522 1 0:30+ .02 56. 6-30 1227P FISHERS IS NY 631 768-5522 1 0:30+ .02 5. 8-16 627A FISHERS IS NY 631 788-5522 2 0:30+ .02 57. 8-30 306P FISHEflS IS NY 631 768-5522 1 0:3M .02 6. 8-16 711A FISHERS IS NY 631 788-5522 2 4:38+ .20 58. 8-31 927A FISHERS IS NY 631 788-5522 2 0:31+ .02 7. 8-I6 11109A FISHERS IS NY 63I 786-5522 1 0:35+ .03 59. 8-31 117P FISHERS IS NY 631188-5522 2 0:30 .02 8. 8-16 1054A FISHERS IS NY 631 788-5522 1 t54+ .OB 60. 9-03 943A FlSHEflS IS NY 6311885522 I 0:31+ .02 9. B-16 1153A FISHERS IS NY 631 768-5522 I 0:3M .62 61. 9-03 10T4A FISHERS IS NY 631 788-5522 1 1:01+ .U4 10. B-I6 310P FISHERS IS NY 631 788-5522 1 0:43+ .03 62. 9-03 309P FISHERS IS NY 631 786-5522 1 0:33+ .02 11. 8-17 855A FISHERS IS NY 631 788-5522 2 0:31+ .02 63. 9-04 1000A FISHERS IS NY 631188-5522 1 0:32+ .02 12. 8-I7 245P FISHERS IS NY 631188-5522 2 6:32+ .02 64. 9-04 1130A FISHERS IS NY 631 788-5522 1 1:11+ .05 13. 8-19 939A FISHERS IS NY 631 788-5522 1 0:37+ .03 65. 9-04 323P FISHERS IS NY 631 788-5522 1 0:31+ .02 I4. 8-I9 1216P FISHEflS IS NY 631 786-5522 1 1:15+ A5 66. 9-05 I028A FISHERS IS NY 631 788-5522 I 1:33+ .O7 15. 8-19 1T52P FISHERS IS NY 631 788-5522 1 0:30+ .OT 67. 9-05 128P FISHERS IS NY 631 768-5522 1 0:31+ .02 16. 8-19 308P FISHERS IS NY 631 788-5522 1 0:33+ .02 fib. 9-05 301P FISHERS IS NY 631 788-5522 1 033+ .02 17. B-20 958A FISHERS IS NY 631 788-5522 1 0:36+ .03 69. 9-06 956A FISHERS IS NY 631 788-5522 1 0:30+ .02 16. 6-20 1049A FISHERS IS NY 63I 788-5522 1 t39+ .07 70. 9-06 1030A FISHERS IS NY 631 788-5522 1 0:34+ .02 19. $-20 325P FISHERS IS NY 631788-5522 1 0:33+ .02 71. S-CG IC57A FIBBERS IS iJY G31788-5522 I 0:56+ .04 20. B-21 956A FISHERS IS NY 631 ]88-5522 1 0:33+ .02 72. 9-06 11 T4A FISHEflS IS NY 631 768-5525 I 0:35+ .03 21. 8-21 1058A FlSHERS IS NY 631 788-5522 1 1:49+ .OB 73. 9-06 312P FISHERS IS NY 631 788-5522 1 0:31+ .02 22. 8-21 1248P FISHERS IS NY 631 788-5522 1 0:30+ .02 14. 9-07 1050A FISHERS IS NY 631 788-5522 2 0:30+ .02 T3. 8-21 255P FISHERS IS NY 631788-5522 1 0:30+ .02 75. 9-07 121P FISHERS IS NY 631788-5522 2 0:311+ .02 24. 8-21 307P FISHERS IS NY 631188-5522 1 0:33+ .02 76. 9-07 129P FISHERS IS NY 631766-5522 2 0:30+ .02 25. 8-22 IOOOA FlSHERS IS NY 631 786-5522 1 0:35+ .03 77. 9-09 1109A FISHERS IS NY 631 788-5522 1 1:16+ .05 26. 6-22 1046A FISHERS IS NY 631188-5522 1 C23+ .O6 78. 9-09 311P FISHERS IS NY 631 788-5522 1 0:32+ .02 21. 8-22 1252P FISHERS IS NY 631 788-5522 1 0:30+ .02 19. 9-10 IOOOA FISHERS IS NY 631188-5522 I 0:32+ .02 28. 8-22 1256P FISHERS IS NY 63I 786-5522 1 0:30+ .02 80. 9-10 1101A FISHERS IS NY 631 788-5522 1 1:14+ .05 29. 8-22 346P FISHERS IS NY 631 788-5522 I 0:43+ .03 BI. 9-10 259P FISHERS IS NY 631 788-5522 1 0:30+ .02 30. 8231002A FISHERS IS NY 631788-5522 1 0:37+ .03 62. 9-111039A FISHERS IS NY 631788-5522 1 033+ .02 31. B-23 1043A FISHERS IS NY 631 788-5522 1 1:07+ .05 83. 9-I 11054A FISHERS IS NY 631 788-5522 1 0:53+ .04 32. 8-23 1110A FISHERS IS NY 631 788-5522 1 2:32+ .11 84. 9-11 301P FISHERS IS NY 631 788-5522 I 0:30+ .02 33. 8-231117A FISHERS IS NY 631788-5522 1 1:20+ .O6 85. 9-12 951A FISHERS IS NY 631788-5522 1 0:34+ .02 34. 8-23 IOIP FISHEflS IS NY 631768-7163 1 1:10+ .05 86. 9-121114A FISHERS IS NY 631768-5522 1 I:I8+ .O6 35. 8-23 1I9P FISHERS IS NY 631 788-5522 1 0:30+ .02 61. 9-12 224P FISHERS IS NY 631 I88-5522 1 L51+ .OB 36. 8-23 303P FISHEflS IS NY 631 788-5522 1 0:31+ .OT 88. 9-12 256P FISHERS IS NY 631 788-5522 I 0:32+ .02 31. 8-24 9T4A FISHERS IS NY 631 786-5522 2 0:30+ .OT 89. 9-12 259P NEW HAVEN CT 203468-4445 D 0:59+ .04 38. 8-24 II7P FISHERS IS NY 631188-5522 2 0:32+ .07 90. 9-13 713A FlSHERS IS NY 631788-5522 2 0:42+ .03 39. 8-26 928A FISHERS IS NY 631188-5522 1 0:34+ .02 91. 9-13 717A FISHERS IS NY 631 766-5522 2 0:45+ .03 40. 8-26 II11A FISHERS IS NY 631 788-5522 1 1:13+ .05 92. 9-13 723A FISHEflS IS NY 631 788-5522 2 2:21+ .10 41. 8-26 310P FISHERS IS NY 631788-5522 1 0:33+ .02 93. 9-13 730A FISHERS IS NY 631788-5522 2 8:35+ .37 42- 8-21 1133A FISHERS IS NY 63I 188-5522 1 1:35+ .07 94. 9-13 741A FISHERS IS NY 631 788-5522 2 6:57+ .30 43. B-21 1231P FISHERS IS NY 631 788-5522 1 3:26+ .15 95. 9-13 754A FISHERS IS NY 631 786-5522 2 3:36+ .15 44. 8-27 149P FISHERS IS NY 631 788-5522 1 0:30+ .02 96. 9-13 756A FISHEflS IS NY 631 788-5522 2 1:21+ .O6 45. 8-27 257P FISHERS IS NY 631 788-5522 1 0:34+ .02 91. 9-13 1007A FISHEflS IS NY 631 788-5522 1 0:30+ .02 46. 8-28 10DBA FISHERS IS NY 631 788-5522 1 0:35+ .03 98. 9-13 1056A FISHERS IS NY 631188-5522 1 0:54+ 04 47. 8-281046A FlSHERS IS NY 631786-5522 1 t32+ .O7 99. 9-13 311P FISHERS IS NY 631168-5522 1 0:30+ .02 Total Itemized Calls 436 Total Charges for B60 443-6851 4.38 1944.007.064262.03.05.0000000 NNNNNNNY 12635.96279 FISHEflS ISLAND EEflflY DISTflICT Page 1019 PD BDxH Account Number 860441-0165076 F1s HEflS ISLE Nv 06390-osm Billing Dale Sep 15, 2013 Call Charges -Continued Item No. Date Tbne Place Number Code Min Call Chames-Continued 44. 8-23 751A FISHERS IS NY 6317B8~7345 2 2:49+ 12 Charges for 860994-0320 45. 823 835A THOMASTON CT 860263-9620 D 5:08+ .22 Item 46. 8-23 1136A FISHERS IS NY 631 7667082 1 0:50+ .04 No. Date Time Place Numher Code Min 47. 8-24 634P FISHERS IS NY 631 788-7432 2 1:34+ .07 Itemized Calls 48. 8-26 1132A FISHERS IS NY 631 768-7292 1 0:44+ .03 I. 8-20 935A FISHERS IS NY 631788-5532 1 0:35+ 03 49. 6261146A STAMFORD CT 203324-6222 0 L27+ .O6 2 9-04 141P FISHERS IS NY 631788-5523 1 2:06+ 09 50. 8-27 906A JEWETTCITY CT 860376-6242 D 0:30+ .02 3. 9-05 629A ALBANY NY 518466-1243 2 0:30+ 02 51. B-21 956A STAMFORD CT 203223-1328 D 0:30+ .02 4. 9-05 635A ALBANY NY 518466-1243 2 0:30+ D2 52 8-27 IOOIA FISHERS IS NY 631788-7847 1 1:30+ .O6 5. 9-05 918A ALBANY NY 518466-1243 1 0:30+ 02 53. 8-27 1007A MT CLEMENS MI 586465-6708 1 1:21+ .O6 6. 9-05 922A COLONIE NY 5184641243 1 0:34+ 02 54. 8-27 1138A FISHERS IS NY 631788-7449 I C21+ .O6 7. 9-05 924A ALBANY NY 518466-1243 1 0:30+ A2 55. 6-21 134P PITTSFIELD MA 413446-4788 1 2:03+ .D9 8. 9-06 1230P STILL POND MD 410348-0776 1 0:30+ 02 56. 621 226P FAIRFIELD CT 203254-9800 D 2:34+ .Il 9. 9-06 1232P WATCH HILL RI 401348-0776 1 0:31+ .02 57. 6-27 229P HARTFORD CT 860638-4095 D 0:44+ .03 10. 911 1052A FISHERS IS NY 631788-5523 1 0:30+ 02 58. 8-28 798A MIDOLETOWN CT 860754-2400 N 379+ .14 Total Itmnized Calls 2g 59. 8-28 627A CANONSBURG PA 724746-3100 1 1:35+ .07 total Charges for 860444-0320 28 fi0. 8-28 1231P FISHERS IS NY 631188-7744 1 7:24+ .32 61. B-29 1222P FISHERS IS NY 631 788-7323 I 0:50+ .04 Charges for 868447-9371 62. 6-301206P BLOOMINGTN IN 612361-9675 I 101+ .04 Itemized Calls 63. B-30 12IDP NWYRCYZNOI NV 212327-1144 I 1:23+ ,O6 11. 8-15 996A FISHERS IS NY 631 7667345 1 1:29+ O6 64. B-30 232P FISHEflS IS NY 631188-1345 1 1:47+ .08 12 8-151110A HARTFORD CT 860269-0267 D 4:15+ 18 65. 6-30 343P NWYRCYZN01 NY 212873-1965 1 1:02+ .04 13. 8-15 1130A FISHERS IS NY 631 768-7255 1 0:50+ 04 66. 9-03 1049A FISHERS IS NY 631 768-7345 1 3:53+ 17 14. 8-15 1240P HIMGHAM MA 761 740 8193 1 O:SE~ .04 67. 9-03 1244P NEW YORK NY 341668-1675 1 0:30+ .02 15. 8-15 1251P FISHERS IS NY 631788-7345 1 1:44+ 07 68. 9-03 1T45P TORONTO ON 647284-4581 D 3:00 3.48 I6. B-15 I11P NEWHAVEN CT 203466-4404 D 1:05+ 05 69. 9-03 228P MT CLEMENS MI 586465-6708 I 2:23+ 10 17. 8-15 113P NEW HAVEN CT 203466-4506 D 0:30+ .02 70. 9-03 350P FISHEflS IS NY 631 788-7345 1 0:45+ .03 18. B-15 119P NEWHAVEN CT 203466-4404 D 4:24+ 19 71. 9-04 214P FAIRFIELD CT 203254-9800 D 0:56+ ,04 19. 8-15 212P FISHERS IS NY 631788-7343 I 0:32+ .02 72. 9-05 720A MIDDLETOWN CT 860754-2400 N 0:30+ .02 20. 8-15 2I3P FISHEflS IS NY 631 788-7657 I 0:54+ .04 73. 9-05 836A FISHERS IS NY 631 786-7515 1 0:31+ .02 21. 6-15 215P MT CLEMENS MI 566465-6708 1 1:18+ f16 7q, 9-05 646A MIDDLETOWN CT 860754-2400 D 1:31+ .11 22. 8-I6 923A GUILFORD CT 203458-41 T8 D 4:09+ .I8 75. 9-05 850A BRIDGEPORT CT 203906-8137 D 0:30+ .02 23. 8-161103A MT CLEMENS MI 586465-6708 I 4:1L 18 76. 9-05 132P FISHERS IS NY 631788-1898 1 0:30+ D2 24. 8-I6 TT7P FISHERS IS NY 631788-7345 I 0.30+ .02 77, g-05 202P TEMPLETON MA 918895-2960 1 1:55+ .OB 25. 816 244P flIVEflHEAD NY 631208-0275 I 0:37+ 03 78. 9-05 206P FISHERS IS NY 631788-7444 1 0:30+ A2 26. 8-19 833A HARTFORD CT 8606176364 D 0:30+ .02 79. 9-05 207P FISHERS IS NY 631788-1444 1 5:09+ .22 27. 8-19 927A HINGHAM MA 781740-6193 I 37:20+ 161 80. 9-06 817A HOUSTON TX 713252-5525 1 0:30+ D2 28. B-20 924A HARTFORD CT 860617-8364 D 0-.40+ 03 g1. 9-06 818A HOUSTON TX 713251-5525 1 0:44+ .03 29. 8-201005A POUGHKEPSI NY 845656-1677 I 0.30+ .02 gp_ g-pg gOBA FISHERS IS NY 631788-7463 1 0:30+ .02 30. 8-201035A TORONTO ON 647284-4581 D 1.00 LI6 g3. 9-06 954A FISHERS IS NY 631788-7345 1 0:35+ .03 31. 6~201036A TORONTO ON 647284-4581 D 1.00 LI6 gq, g-pg 1102A FISHERS IS NY 631788-7455 1 1:36+ .07 32. 8-10 1038A FISHERS IS NY 631 766-7455 I P.20+ O6 g5. 9-07 1043A MOUNTKISCO NY 914602-3027 2 0:30+ .02 33. 8-20 III6A FISHERS IS NY 631 766-7345 I 1:10+ 05 B6. 9-09 1240P FISHERS IS NY 631 788J001 1 2:06+ .09 34. 8-20 103P FISHERS IS NY 631 766J857 1 t32+ .07 g7. g-09 212P FISHERS IS NY 631 788-7001 1 1:57+ .OB 35. 6-20 211P FERNDALE WA 3603844669 1 1.43+ 07 gg. 8-10 309P FISHERS IS NY 631788-7345 1 1:01+ .04 36. 621 tO1TA HARTFORD CT 860617-6364 D 0.47+ 03 gg, 9-10 347P COLUMBUS OH 614458-1633 I 0:57+ .04 31. 6211108A STAMFORD CT 203223-1328 D 0:50+ .04 gp_ g-10 355P NWYflCYZN01 NY 212873-1965 1 7:53+ .34 36. B-71 257P FISHERS IS NY 631788-7657 I 0:32r 02 g1. 9-11 1243P FISHERS IS NY 631 788-7444 1 2:03+ .09 39. B-22 748A FISHERS IS NY 631768-7345 2 0:30+ 02 gp, 8.12 929A FISHERS IS NY 631 788-7851 I 0:41+ .03 40. 8-T2 1245P MIDDLETOWN CT 860754-2400 D 1.33+ 07 g3. 9-12 1227P FISHERS IS NY 631788-7255 1 0:39+ .03 41. 8-72 234P FlSNERS IS NY 631788-7345 I 2:O7i 09 g4. 9-12 1259P FISHERS IS NY 631 788-7345 1 1:07+ .05 42. 8-22 315P NEW HAVEN CT 203466-4503 D 0:30+ 02 Total Itemized Calls 12.85 43. 822 316P NEWHAVEN CT 203466-4506 D 0:30r 02 Total Charges (or 860447-9371 12.85 y FISHEFS ISLAND FEpflY DISTPICT Page 8 of 9 PO BaxH Acrount Number 860 442-0165 078 FISI{E8S ISLE NY 06390-0607 Billing Date Sep t5, 2013 FUSF RATE The Federal Universal Service Fund (FUSF) Interstate charge, applicable to Interstate and internatmnal long distance service provided by AT&T - Call Charges -Continued Long Distance East, is calculated using a contribution factor (subject + -Optional Calling Plan to rounding) established by the FCC. This rate is subjectto change quarterly and is posted at http://www.fcc.gov/mnd/cantribution-factor. Key to Calling Codes hmd. Bills issued on or aher 10/1/2013 will reflect any change to the I Peak 2 Off Peak D Day rate. E Evening N Night/Weekend CHANGE IN TERMS Total Call Charges 51.T2 Effective November 12, 2013, the AT&T Business Calling 515 plan will no longer be available ro new customers. Existing customers may keep tltis Surcharges and Other Fees service until tlrey move locations and/or make changes to tlteir service AT&T Connecticut or until it is discontinued by AT&T, whichever comes first For more I. Connecticut E 9-1-I Surcharge - 4 Lines LG8 information about AT&T Long Distance plans, call us at the toll-tree 2. Connecticut Service Fund - 4 Lines .20 number on your hill or visitour website at www.attcont. Thank you for 3. Universal Service Fund - Locall4 ~ 51.25) 5.00 choosiny AT&T. 4. Federal Subscriber Line Charge -4 Lines 24.84 CHANGE IN TERMS Total AT&T Connecticut 31.12 Effective November 12, 2013, the AT&T Business Block of Time (SM120011 ATBT LD East plan will ng longer be available to new customers. Existing customers 5. Federal Regulatory Fee .68 may keep this service unfit tltey move locations and/or make changes to 6. Universal Service Fund -Interstate 4.99 tlteir service or until i[ is discontinued by AT&T, whichever comes Total AT&T Long Distance East 5.67 first For more information about AT&T Long Distance plans, callus at Total Surcharges and Other Feea 37.39 the toll-free number on your bill or visit our website a[ www.attcgm. Thank ygu for choosing AT&T. Taxes TERM PLARS 7. Federal 3.50 Effective Novemher 15, 2013, customers may not establish new term plans 8. State Sales Tax 13.18 greater tltan 36 montlts far OPT-E-MANIR) Service, and existing term plans Total Taxes 16.68 yreater tltan 36 montlts may not he renewed ar extended for a term greater tlran ?6 months. Customers currently on Leon plans may continue service Total Plans and Services 285.94 a[ tlteir existing rates until their [eon plan expires. If you have questions or wish to learn more about OPT-E-MANOR) term plans, please contact your AT&T representative at the numher listed on your bill. CONTRACT EXPIRATION The teen of your Digital Enhancer RSDN BRIT Service contract has expired. Effective witltin your next two hill cycles, the rate for the PREVENT DISCONNECT Digital Enhancer (ISDN BRU Service tltat was provided under the Digital If your bill shows a past due amount, BOTH the Past Due amount and Enhancer pSDN BRI I Service contract will he increased to the Curren[ Charges are due IMMEDIATELY. All of your bill charges must be montlt-to-month rate tlta[ is reflected in the applicable tariff. For more paid each montlt to keep your account current and avoid collection information, please call the number listed on your hill. activities (See Terms and Conditions for further inlonnafioml. However, to avoid disconnection of local service, Basic Charges MUST be paid. For PRICE INCREASE tltis account, that amowd is: Effective October 3, 2013, the month-[o-month price of Business Local 5151-78 for Current Basic Charges Calling (BLC) Unlimited A and Unlimited B packages will increase. BLC 50.00 for Past Due Basic Charges Unlimited A will increase frmn 546.20 to 55100 and BLC Unlimited B will increase frmn 540.10 to 545.00. Customers currently on a BLC teen plan CARRIER INFO will continue to receive tlteir current BLC term package price. For Our records indicatetltatAT&T Connecticut is your carrier for instate questions a6outthis change, please contact an AT&T Service calls. AT&T Long Distance East is your carrier for interstate and Representative at the toll-free numher on your hill. international calls. KEEP YOUR DISCOUNT You receive any discounts, reduced rates, or promotional credits de- scribed in the AT&T Benefits section of the hill hecause you suhscrihe to cenaiit required services, for example, because you are an ALL DISTANCED customer. If you remove any of the services required for a particular discount, reduced rate, or promotional credit, your eltective rate for the associated remaining service will change. Please call your AT&T sevice tepresentative if you have any questions. 1944.007.(164262.04.05.0000000 NNNNNNNY 12637.96281 's~. ~ FISHERS ISIAND FEggY DISTRICT page gpfg qO BOXH Account Number 660442-0165078 FISHERS ISLE NY 06390-0607 Billing Date Sep 15, 2013 - r r BASIC CHARGES Basic Charges are charges for Basic Services. Basic Services include local service and in-state toll if you are an AT&T Connecticut local service customer. Basic Charges include: Monthly Charges for your local line and other services, such as Totalphone and Smartlink; in-state Calliny Charges; in-state Directory Assistance Charges; the Connecticut E-911 Surcharye; the Connecticut Service Fund fee; the Federal Subscriber Line Charge; and the Universal Service Fund -Local fee. NON-BASIC CHARGES Non-Basic Charges are charges for Non-Basic Services. These charges include: Call Charges for out of state calls, 900 calls and calls placed through alternative services providers; Call Charges for in state long distance provided by a company other than AT&T Connecticut; out of state Directory Assistance Charges; charges (or telephone equipment and inside wire maintenance, AT&T Voice Mail, AT&T Unified Messaging, AT&T High Speed Internet, Wireless, AT&T ~ DISH Network, AT&T ~ DIRECTV, Advertising in the white page directories or other media; and the Universal Service Fund -Interstate fee. e CHARGES THAT MAYBE BASIC OR NON-BASIC Certain charges may he either Basic or Non-Basic, dependiny on [he d associated service. These include taxes, Late Payment Charges, Collection Charges, and AddiOOns and Changes [o your service. BILL PAYMENT, LATE PAYMENT CHARGES AND OTHER FEES Failure to pay any portion of your bill may result in additional collection action. Any partial payment made will first be applied to Basic Charges, [hen to Non-Basic Charges. Failure [o pay your Basic Charges will result in interruption of your local service. If you fail [o pay your Non-Basic Charges, your AT&T Connecticutlocal service will not be interrupted, but all of your Non-Basic services will be terminated. AT&T Connecticut may apply a late payment charge per month on any unpaid balance, excluding the previously assessed late payment ' charges. To avoid a late charye, we must receive payment for [he total ainoun[ due no later than the date specified on your bill statement. AT&T Connecticut will apply a $20.00 Collection Charge on an account where a termination notice has been sent. An explanation of these charyes may be obtained by calliny AT&T Connecticut at the number shown on Vour bill or accessing our website: http:!/www.att.com/ctbillglossary AT&T SERVICES focal and in state long distance services, inside wire, rmttal sets, and voice mail services (excep[where shown as provided by Ai&T Messaging) are provided by AT&T ConnecOCUt Out of state long distance is provided by AT&T Long Distance East Internet services are provided by AT&T Internet Services. Wireless services are provided by AT&T Mobility. FISHERS ISLAND FERRYDISTRICT VENDOR 002241 THE BELL SIMONS COMPANIES 10/22/2013 CHECK 1482 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.000 59215017-001 FI TERM HEAT SYSTEM 19.05 TOTAL 19.05 a i+T~ ~.4. r ' y`..`W. 3N geffib u~~. . ~ FISHERS ISL~'D`~'~RRI~177S7RTC1' ~fy~',~~~2~7~`~3~ ~ SOUSTHOLD~NYO7 ~~l~ 85617]8 ~ ~ ~ - ~.,t ~w~ CEiECK "ISO... ~1~182 4: THE SUFFOLK CO. NgiIONAL BANK I CUTCHOGUE, NY 11935 DAVE A ~ 1022 /2013 ~~.i 3 50 545/214. NINETEENANDOS/100 DOLLARS - m, ~y~ 9x 3rd "n; PAP THE HELL. SIMONS COMPANIES - ` 7YJ T776 PO SOX 261562 ORDfiR HARTFORD CT 06126-1567 ii'00 148 2~~' ~:0 2 1405464: 68 00 1 50 2 1~i' Vendor V"o. a Town of Southold, New York -Payment Voucher 2241 ~cne~kNo. Vendor Tan ID Number or Social Se<untc Number Vendor Address I Entered by P.O. Box 261567 _ vend~o Name 'Hartford, CT 06126.1567 Audit Date The Bell/SimonsCompanies ~I ~~T 2 2 2~~3 Vendor Telephone Number , ~ Town Clerk ~ Vendor Contact _ - ~ Qr.~A~~ / Inroice Invoice Im'oice Net Purchase Order i Number Date Total Discount '~Nnount Claimed Number ' Uescripunn of Goods or Sen'iccs Gensal Ledger Fund and Account Number S9215017-001 9N6/2013~ $19.05 I $19.05 'Fl Terminal Heat System SM5709.2.000.000 -I- I - _ - i i ~ _ --t- I i _ _ _ $19.05 $19.05 Payee Certification Department Certification The undeaigned (Claimanq (Acting on behallbl'the above named claimant) i I htrebc ctrtiPo that the materials above specuied have been recei~-ed he me does herehc certifi [hat the foregoing claim is mie and coaeQ. that no part has in good condition without substiLLnion_ thr services properh bin paid escept as therein s'ta[ed, that the balance therein stated is actualFc per(onned and that the quantities thereof have bxn ven lied with the exceptions due and owing and th/at~ta~es from which the Tom is a~mnpt art a~cluded. li or discrepancies noted. and pa~~ment is approved. Signature Tiuc_ ~ I Signature - - - 'J ~ ~ OcT Compao~Name ~~D¢e (G/_~/~ Title Dxte BeIlSimons zrrvozc:E C O M P A N I E S HVAC flEFR1G ER ATION PLUM 9ING - s...mq m.~~a..e.y,m,. rvaa- Customer Account Uate Invoice Number Page 41845 09/16/13 59215017.001 1 Sold To: Ship To: FISHERS ISLAND FERRY DIST. FISHERS ISLAND FERRY DIST. P.O. BOX 607 s WATERFRONT PARK FISHERS ISLAND, NY 06390 NEW LONDON, CT 06320 'wn Ter Customer PD Number Release Nuulber Order Datc Ship Date Terms EZOLDE maintinence 09/16/13 09/16/13 Net 30 days Guano ty Stock Number Unit necczipnio~ Urrit Price Extended 2 12002 EA GFI 9011 101 FILTER CARTRIDGE 2.047 4.09 2 8665 EA GFI 2605 GAR-BER R REFILL CART 6.910 13.82 Non Taxable Mdse Taxable Mdse -.Sales Tax Shi ppi nq Handling Invoice Total o.o0 17.91 1.14 0.00 0.00 19.os Customer Account Date Invoice Number 41845 09/16/13 59215017.001 PLEASE REMIT TO: The Bell/Simons Companies, P. O. Sox 261567, Hartford, CT 06126-1567, A Service Charge of 1.5% per month (APR of 18%) ui ll be added to all past due balances. Piease direct any questions concerning this invoice to the Branch of purchase. Customer will be liable for all collection costs inc Judi n9 at( attorneys fees. NO RETURNS AFTER 90 DAYS. Visit us on the web at hTT p://www.bei lsi mons.com or c-mail us at inf oabellsimons.com items purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 THE BELL/S1.MON8 COMPANIES Ship Ticket 59215017.001 Page # 1 BI FISHERS ISLAND FERRY BI S'1'. Ship FISHERS ISLAND FERRY DIST. To Y.O. BOX 6C7 'SO 5 WATERFRONT PARK FISH F.RS ISLAND, NY 06390 NEW 'LONDON, CT 06320 ...a COmer PO# Customer Re~# Wr1 '.cr Payment Terms Ship Via '.nainCi pence EZOI,llE Net 30 days PU PICK-UP Order Date Ship Date Batch Number Salesman Customer Phone 09/16/2013 09~16~13 516-788-7463 Quantity Stock # Item Description Unit Pre Net 2 12002 GFI 9011 10] FiifPFR CARTRIDGE 2.047 4.09 2 II665 GFI 2605 GAR-BER R ?2EFILL CARTRIDGE 6.910 13.82 Total 17.91 Sales tax 1.14 Invoice Amount 19.05 Y ~ ~ U~ Q f i7 ~i3 Reprint Reprint Reprint Reprint Customer Signature 1 terns on this order were purchased at: Che Bell Pump Company, New London, CT - Phone (800) 647-59'_6 FISHERS ISLAND FERRY DISTRIC%' VENDOR 002433 WILLIAM BLOETHE 10/22/2013 CHECK 1483 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5713.4.000.000 093013 MAIL TRANSPORT-3RD QTR 2,250.00 TOTAL 2,250.00 x.~::= y 7 t~ « a f.,,. ~ ~'~b, ,..e. a ~s ~ ~,e ~ ~ . s aw v ~ - - M~v; v ~ s ~ ~ s ~ ~ 'FISHY'RS~°5'1~~1r6:F"~ItRYT~I~G'I' e ~ ~v~z~ ~i+~z~ S~ ' ' ~ 53085 MAIN ROAD PO BOX 7179 , , ~ tia~, sourNOin, NVnd7i-0ase ~ CI~~CK NO. ~ 14$3 CVTCNOGl/E. NVO.1 jIA~50NAL BANK _{~,~,E '..~~u~ _ ' 50 549/Qt4' - 10 X22 )2013"' : $2 s 250 . tYO -TWO THOUSAND.TWO HUNDREDFIFTY AND QO/100 DOLLARS ~m e P.A3' WILLIAM ~LOETHE ~ - ~Tx~ PO SOX 445 FISHERS ISLAND NY 06390 - ~i•OOi483~i• ~:02i405464~: 68 OOi502 iii' r Vendor tio. Check No. Town of Southold, New York -Payment Voucher ' 2433 7-~`!--- Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. BOX 446 Fishers Island, NY 06390 Audit Date William Bloethe OC T 2 2 2013 Vendor Telephone Number Vendor Contact i. V , ~s w.:..- A v Invoica Im'oice Im~oicc Net Purchase Order Number Date Total Discount .Amount Claimed Number Description ofGoods or Services General Ledger Fund and Account Number La 3G l 9130/2013'', $2,250.00 I $2,250.O~Mail Transport SM5713.4.000.000 13rd Quarter 2013 _ i - i 4 _ _ _ _ _ _ - - _ ~ $2,250.00 $2,250.00 Payee Certification i Department Certification ~ The nndeaigned (C laiman[) (Acting on behalf nl the above named claimant) I heretic ctrtift that the materials ahove specifed haee been received br me does herehr ccrtit: that the (ongoing claim is trot and correct that no part has in good condition without suhstitulion. the serv-ices propedc been paid. except as therein stated- that the balance therein stated is actually i performed and that the yuan[ities thereof have been verified rcith the esrepuons due and owing. and that taxes from which the l'mrn is exampt~are^excl uded. or discrepancies noted and payment is approved- Cignaturc _ //pp~~ yy~~ Title W ' v/~/C/ Siguature_ i:'_~ ompam Name r~ Date Title- Date DST GyMur her Y / GSMurphy <gmurphy@fiferry.com> From: Wednesday, March 07, 2012 5:27 PM Sent: Debbie Doucette ~~~L Ta Margaret Dougherty (W) Mail Contract Subject: Debbie, Please be advised that Bill Bloethe has been given the island mail delivery contract. effective 1 Aprii 2012 for two years terminating on 31 March 2014. For services rendered Mr. Bloethe will be paid quarterly In arrears on an annual rate of $9,000.00. he will not be invoicing the District. Would Pe~ggV and you please set QB up to handle the next two years. I do not know how the current payment structure works, but recommend that we keep it in effect until the new contract goes live. Thanks, GSM Gordon 5. Murphy ~ ~ 2 L~ Assistant Manager J rl 631 788 7463 i;rnnf~li~i{u~l'lli'u~~,r~~iri ~ ~ ~ ~ FISHERS ISLAND FERRY DISTRICT VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 10/22/2013 CHECK 1484 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 30412 207.1 GAL #2 FUEL OIL 743.57 TOTAL 743.57 ;r'i, ri. y'Il. . v. i , FISHERS TSLv17Vt3 ~~RRY DISTRICT' ~ ' ~ ~ ~~f~` ~ 63085 MAIN ROAD, PO 60X 1 U9 ~ ~t~IT ~1o f 2~~~~~ o.,. ~ souTNOin. NV tte»ayss .CHECK NO.~' 1§@$" CVTC O UE, NYC 13835 NAL BANK. _~,j,E _ e sosasrzta,:. 10/22/2013 ~7 5'} -SEVEN HUNDRED FORTY THREEAND 57/100DOLLARS PAY BRODEUR'9 OIL SERVICE, INC. - TOTS 28 STERLING ROAD: PO BOX .602 MOOSUP CT 06354. ~i•00 i484ii• ~:0 2 L405464~: 68 00 i 50 2 i~i• V endor No. Check No. Town of Southold, New York -Payment Voucher 2644 I yg~ Vendor Tes ID Number or Social Securitc :Dumber Entered by - P.O. Box 602 - Audit Date Brodeur's Fuel Moosup, CT 06354 OCT 2 2 2013 - _ _ - Vendor Telephone Nwnber 860-564-2789 ,Town Clerk Vendor Contact Invoice Incoicc Invoice Net Purchase Order Nwnber Date ~ Total Discount Amount Claimed Number Description of Goods or San ices General Ledger Fund and Account Number t_ -T-._-_ 30412 9N 8/2013 $743.57 $743.57', 1207.1 gals @ $3.376 SM5710.4.000.100 J, New London Terminal i juil_C~I- $743.57 $743.57. i Payee Certification ' Department Certification The undersigned [C laimanq (Acting on behalf oftlte above named claimanq ~ I herehc certih that the materials above specified have been received hs me does hereby certi lj that the Rtrcgoine claim is trut and coma. that no part has in eoud cmtditiun ~cithnut whaitution. the services properh been paid c~cept as therein slated. that the balance thrrcin stated is actualk pedonntd and that the quantni's ther~nf har btcn Geri tied with the esceptions due and owing, and ghat races Gom which the Trnvn is' esempt as emluded. or discrcp/uo~ucs noted. and pannent is approved. Sgna¢ac Tit/le~ /tr`~r Signaturc_. _ Compam Vanre Dare ~ Title_ Da~c • LAST THREE DELNERIES once ~ ~ ROUTE FUEL DEVH.W. D.D. NEXT DATE D.D. GALLONS K. FACTOR FUEL DR TR ~ _ y N11NN b17t N917'1 '~7% t 141 f 1 .4 ~ ~ ~ - • OFFICE USE DDRO JULIAN 0 3 • t f3 73 - .3 ~ 9 ~ 7 l - 17 -GALLONS P E m (1 s y l I. 4 1 SI 't b A 7 9 ~ • o, CURRENT 30 DAY BO DAV 90 DAY BALANCE FWD. pEL ERV TOTAL ~ a. o Z H N . !7 N F7 N N J , C~. ~ ~ ~ ~ O. ACCOUNT NO. m m o I I`;H1.12 CSLAND f°EI2HY D15 9~TE ~L) L-~~~, t 4JAltKfHON~f PAkK F•~Nblb J~fll~ z • ~ NLbI L.ONOON, t;7 TAX U ~ n m i CT LIC. 303396 MISC O O • " 7 1 11. ON tl I l 1. t{1' GFtN t7l bl-; (y p T t3 F.HiNI) T17AIN ST"R T,TON ~ pA7D a. t. `F. 5. R 1. t. S l R X CT HOD# 46 ~ ~ z` • BRODEUR'S OIL SERVICE, INC. ~ ' rl~ I'~ r- ~ 28 STERLING ROAD, P.O. BOX 602, MOOSUP, CT 06364 °n 564-2789 859-5840 923-9628 If Payment Received By _ PAY ~ G ti • I~v~~~J Unmarker7 Naatl.nil Oil.. Not; Y•!r' It•sv In hi ghwaY, locun7<~t vc, of n7ari ue~ e•ngi rles.:. FLSHERS LSLAND FERRY DISIRIC""!' VENDOR 003443 COASTAL MARINE CONSTRUCT.,LLC 10/22/2013 CHECK 1485 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT H7 .5720.2.400.100 1059 INSPECT 4 DOLPHIN PILES 1,800.00 TOTAL 1,800.00 8a. ~'ia~,y's ..r r ~~w s ~FISI~ERSISLAld3~'~~3'DIS3'RICI~~~ ~~z~ ~,p~/z2~3 o~~~ - 5309b MAIN ROAD, PO BOX 1179 ~ 4 - v ss~ 60UTHOLD. NY 11971A959 CH~C3C ND. ~ 145 _ CUTCHOGUE;NO~iNB35 NAB BANK _~A,~/E AMDUN,~. 60548/214 I.D~ZZr 2~~.~ $I., $da .fl_~ ONE THOUSAND EIGHT HUNDRED AND 00/100 DOLLARS - - r~ PdY COASTAL MARINE CONSTRUCT.,LLC ' ~T~& PO BOX 2476 BRAMFORD CT 06405 ~ikyl cam. ~i•00 1485i~' ~:0 2 i405464~: 68 00 i 50 Z iii' Vendor No. Check No. b Town of Southold, New York -Payment Voucher .3'~yJ ' 4 b Vendor Tax ID Number or Social Security Number Vendor Address 13ntere(I by PO BOX 2476 BRANDFORD, CT 06405 Audit Date COASTAL MARINE CONSTRUCTION OCT 2 2 2013 Vendor Telephone Number 203-410-0881 Clerk Vendor Contact - : a4,~je~j'~ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Led er Fund and Account Number 1059 10/2/2013 $1,800.00 $1,800.00 Inspect 4 Dol hin Piles H7.5720.2.400.100 Fishers Island $1,800.00 $1,800.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby cettifc that the materials above specified have been received by me does herebv certiPo [hat the foregoing claim is tme and corrztt. [hat no part has in good condition without substitution. thz services properk bun paid. except as therein stated- that the balance therein stated is actually performed and the[ the quantities thereof have been venfied with the exceptions due end owing and that taxes from which the Town is exempt are excluded. or diserep/an~ciye~s n/jotted, end payment is approved. Signature Title ~ Signature / _ Compam Name ~ Date Ov / Title. Date_ COASTAL MARINE CONSTRUCTION Coastal Marine Construction, LLC Invoice P.O. Box 2476 Branford, CT 06405 Date Invoice No. 10/02/2013 1059 Terms Due Date Due on receipt 10/02/2013 Bill To Fishers Island Ferry District P.0. Box 602 Fishers Island, NY 06390 Activity Amount • Supply dive team to inspect (4) dolphin piles ~ Fishers Island 1,800.00 Thank you for your business! Total $1,800.00 Email: burrows.cmcC~gmail.com Phone: 203-410-0861 www.coasta Imari neconstruction Ilc.com FISHERS /BLAND FERRYD/STRIC"f VENDOR 014693 COMMIS.OF TAXATION & FINANCE 10/22/2013 CHECK 1486 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1960.4.000.000 093013 MTA TAX 7/13-9/30/13 390.51 TOTAL 390.51 4g:~~~d3g`<R",x°.bw `,.a ,`e~',. 18.g~,,> e'~. '.~s.~c X FISHERS7SL~ND F'EXRYDISTR7CI' ~ $UUIT ~ lsa~~~~g~ ~ ~ 63085 MAIN RbAD, PO BOX 1179 ' ~ w ° SOOTHOLD, NY ] 1971+0959 CHECK NO: iwkBb THE SUFFOLK CO: NATIONAL BANK CUTCHOGUE; NY 11935 ' {)AiE U 50-546/276 10/22/2013 •$3 StY.51 _ THREE HUNDRED NINETY AND. 51/100 DOLLARS PAY COMMIS;OF TAXATION & FINANCE ' ' THE MCTMT PROCESSING CENTER OORFUER PO BOX4139 BTNGHAMTON NY 13902-4139 ` 11.00 148611• ~:0 2 i405464~: 68 OD L 50 2 ill' Vendor No. ~;I Check No. Town of Southold, New York -Payment Voucher 14693 _ ~ S Vendor Tax ID Number or Social Security Number Vendor Address ~ ntered by II MCTMT Processing Center vendor Name h S GL1~Q ~h~ I~(.Y)[('~PO BOX 4139 Audit Date Commissioner of Taxation and Finance 'Bm hamton NY 13902 4139 Vendor Telephone Ntnnlxr I Town Clerk ' vendor contact ~ ' Invoice Invoice Invoice ~ Net Purchase Order Number ~ Dzte '(otal I Discount ~'.AmouN ClaimeA Number Description o(Goods or SCi~~iccs ' Gonerel lgdgcr Puma and ACeoum Number _ ~ `I .3C I J~ 1 0111 /2 01 3 1 $390.51 $390.51 MTA-305 SM79804.000.000 i I QuarteriyTransportation , i.. i i - - ~ _ Mobility Tax Return - __--I--~-- - - - $390.51'.. $390.51 Payee Certification Department Certiftcatioo The undersignrA (Claimant) (ACtine on behal(oCthe above named claimant) I hereby certify that the materials above specified have been received 6y me dons hereby cenlfy that the foregoing claim is true and correct, Omt no pzrt has in good condition eithout substinrtioq the sercices propedp been paid. except as' Iherein slzled, that the balance therein staled a adua0y performed and that the yuanti[ics thereof have bcen verilied with the exceptions due and owing, and that fasts from sshich [he T own is exempt are excluded. or discrepant les noted, and payment is approved. Sigmture _ Tltle_ ~ ~ Signzaire _ Company Name ' Date ' ~ - Title_ Date ~ ~ ~ Vendor No. ~ a (p ~ ~ CheckNo. Town of Southold, New York -Payment Voucher - O ' Vendor Tax ID Number or Social Security Number Vendor Address $gtCfCd by MCTMT Processing Center vendor Name S Q QXt1 C7 Y) ~ PO BOX 4139 Audit Date Fit~Q17C Binghamton, NY 139024139. OCT ~ ZQ13 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Dare To[aI Discount ..Amount Claimed Number Description otOoods or Services General [zd ipund and Account Number ~~C ~ 10H1/2013 $390.51 5380.51 3rd Quarter MTA Tax SM1990.4.000.000 ~ I3 - G 30 13 $390.51 ! $390.51 Payee Certification Ueparfinent Certification The undersigned {Claimant' (Acting on behaltof the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify chat the foregoing claim is true and correct, that ro pan has m good condition without subsitutioq the services properly been paid, except as therein stated, thetthe baience therein stated is actually perforated and that the quantities thereof have bean verified with the exeeptinns due and owing, and that taxes from which dre Town is ezcmpt are excluded. or discrepancies noted, and pa}ment is approved. Signature _ Title Signature Company Name_ Date Title Date_ _ Vendor No. Check No. Town of Southold, New York -Payment Voucher .14693 ' ~ Il Vendor Tax ID Number or Sodal Securiq~ Number Vendor Address Entered by r, ~ MCTMT Processing Center '(Tylw) Vendor Name PO BOx 4139 Audit Date Commissioner of Taxation and Finance Binghamton, NY 13902139 _ _ I ~I~~ Vendor Telephone Number I Town Clerk --------i. - Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Descripfion of Goods or Services General Ledger Fund and Account Number 10111/2013 $390.51 $390.51 MTA-305 SM1980.4.000.000 Quarterly Transportation Mobility Tax Return i i _ _ _ _ i_ i - t _ _ j _ $390.51 $390.511 Payee Certification Department Certification The undersi~ted (Clnimanp (Acting on behalfof the above named claimanp I hereby cent(. that the materials above specBled have heen received hp me does hereby certiPo Thal the (oregoing claim (s true and wrrect that no part has in good condition without substitution, the services properly been paid- except as thereto stated, that the balance therein slated fs actually performed and that the quantities thereof have been verified with the oxceprons due and owing, and that taxes from which the l'own is exempt are occluded. I or discrepancies noted, and pavmem is approved. Signan~re Tide_~ ~ Signature ~ _ Company Name _ Date _ 'Citle Date ~ ~ ~ New York State Department of Taxation and Finance Employer's Quarterly Metropolitan Commuter MTA-305 (4/12) Transportation Mobility Tax Return Amended return For help completing your return, see instructions, Form MTA-305-I. Legal name Employer identification number (EIN) Fishers Island Ferry District 11-6003307 Atldress (number and street or wal mute) Address change? YO BOX 117 9 , Route 25 Mark X Mark an X in only one box to indicate the quarter ( a (see lnstr)? separate return must be completed for each quaver) city, village, or post ofnce State ZIP code and enter the last two digits of the tax year. Southold NY 11971 Ja"'- Hurl- Jmrt-g oat- raa Mar 31 Jun 30 Sep 30 pet 31 year 13 Number of employees -Enter the number of covered employees whose wages are included in the 56 amount of payroll expense reported for the quarter Enter your 2-character special condition code, if applicable (see instructions) If you permanently ceased paying wages subject to the metropolitan commuter transportation mobility tax (MCTMT), enter the date (MMDDVVVV)...._........._ 1 Payroll expense subject to the MCTMT see instructions) 1. $355,010 30 2 MCTMT due for quarter (see instructions) 2. 390 51 3 Total prepayments including PrompTax payments and/or overpayments from previous quarter (see instruch'onsJ.... 3. 00 00 4 MCTMT balance due (i/line 2 is more than line 3, subtract line 3 from line 2; pay this amount) 4. 390 51 5 Total MCTMT overpaid (if line 2 is less than line 3, subtract line 2 from line 3; enter here and mark an X in box 6a or 66/ 5. , 6a. Refund or 6b. Credit to next quarter MCTMT Sign your return: I certify that the information on this return and any attachments is to the best of my knowledge and belief true, totted, and complete. Third-party Print designee's name Designee's phone number Personal identification designee? (see insrr) ( ) number (PIN) Yes Q No ? E-mail: ? Paid preparer must complete (see instructions) ? Date ? 7axp must algn h Preparer's signature ~ Preparer's NYTPRIN Taxpayer's signal e Firm's name (or yours, i/setl-employed) ~ Preparer's PTIN or SSN Print signer name Scott A'. Russell Atldress • Employer identification number The Su ervisor Preparer's a-mail Mark an X if D to Telephone number self-employed ~ la0/11 /2013 (631 ) 765-4333 Payroll service's name Payroll service's EIN E-mail Scott.Russell@town.southold.ny. us Note: If you are using a paid preparer or a payroll service, the section above must be completed. Make your check or money order payable to: Commissioner of Taxation and Finance Mail this return to: MCTMT PROCESSING CENTER PO BOX 4139 BINGHAMTON NY 13902139 0121120094 VJhitecavage, Diana From: Solomon,Connie Sent: Friday, October 11, 2013 3:38 PM To: J Miller; Gordon Murphy Cc: Whitecavage, Diana; Cushman, John Subject: 2013 MTA Payroll Tax Attachments: FIFD MTA Tax_20131011153559.pdf Importance: High Follow Up Flag: Follow up Flag Status: Completed Hi Jobina, The district will have to pay the MTA payroll tax for the third (3rd) quarter ending September 30, 2013. I have calculated the tax (see attached pdf file), which is due on October 31st. Please include a completed voucher for the 10/22 audit, made payable to the Commissioner of Taxation & Finance. We will hold the check here and remit payment on the district's behalf. If you have any questions, please feel free to contact me. Thanks. Connie t I lSHERS ISLAND FERRY DISTRICT VENDOR 003624 CREATIVE FORMS & CONCEPTS, INC. 10/22/2013 CHECK 1487 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 26033 112318 2013 W-2'S AND 1099'S 109.55 TOTAL 109.55 ,.:r.: : <xx~,~sg$ 3+'n " x3° <sa ?4~~k :t r Tw, . 4> ~ . v ~ ~ti o ~o ~ . ~FI,SHERS7SL~4fV©RR~DdSTRICT ~~~bl^r o1a/zg~2} 53095 MAIN ROAD, PO BOX 1178 sourNO~o, NV n9rin959 CH~C~C NO. 1487 ' "'~Ji~Sa~~~ CUTCHOGVE, NV 1N935~Al BANK ~A,~ A 50546Y114 102212013. y~'~~.JYS ONE HUNDRED NINE AND 55/100DOLLARS - -rte ~ ° PAY CREATIVE FORMS& CONCEPTS, INC. ~l iF a i 7i9 THE PO BOX 7456 ST CLOtrD MN 56302-7456 ~ II.OOi48711• ~:02i405464~: 68 OOi502 ill' Vendor No. Cheek No. Town of Southold, New York -Payment Voucher 3624 Vendor Tax ID Number or Social Secunrv Nwnber Vendor Address Emeled bV PO Box 7456 Vendor Name Audit Date Creative Farms & Concepts St. Cloud, MN 56302-7456 ~ 0122/2013 Vendor Telephone Number ~ , (320) 203-7327 Town Clerk Vendor Contact - ~ ~ ~ ~ ~ Immce Invoice Invoice Nel Purchase Order Number Date Total Discount Amoum Claimed Number Description of Goods or Sernces General Led et Fu6d and AceouM Number 112318 10/11/2013 5109.55 5109.55 26033 F) 2013 W-2's and 1099's StiI5711.4.000.000 Inx'oice "Co[al 1214.11 ~fr1.11 Payee Certification Department Certifca[ion The undersgned (NatiHany (Acnvg on behalf oC the above nvned elaimavp I hereby certify Ihnl the materials above specified have been reeerved b.' me does hereby certify that she foregoing claim is true and correct that no part has m Good condition without substitution, the sernces properly been paid, eccep~ as therein ~~thai tl ce therein stated is actually performed and that the quantities Cher f have been fled wnh the exceptions due and owin om ch ~Tjoum a exempt are excluded. ,and pa ~ approved Sion 6•~~- Title Town Comouoller Signature C peny Name Town Comptroller Date Title T at Com troller Date I Invoice eo. t3ox ~45~ Si. Clued, fo1N 56302-745( DATE INVOICE# 8~ Concepts cszal 2°3a3z~ 10/11/2013 112318 hx (320) 255-531 I IVC. I-s~~-~,> ~~zz~ F.m:iil: creatice(ormtG?doudnec.com BILL TO: SHIP TO: Town of Southold Town of Southold PO Box 1179 54375 Route 25 Southold, NY 1 1 971-0959 Southold, NY 11971 P.O. NUMBER TERMS REP SHIP VIA E0.8. 26033 Net 15 KJK 10/4/2013 I UPS ~ I~ QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 500 5028 Fold & Seal -Preprinted 4 up W2 0.28 ]40.00 200 5016 Laser 1099 Misc -Recipient Copy B - 100 0.19 38.00 1099's/pkg 100 5019 Double Window Envelope for 1099 Misc, 1099 0.26 26.00 INT and ] 099R 1 5010 W3 0.00 0.00 1 5011 1096 - 2 part 1099 Summary 0.00 0.00 1 5000 Shipping Charge 15.11 ~ 15.11 i Thank you for your business. Total $219.11 Creative Farms & Concepts, Inc • P.O. Box 7456 • St. Cloud, MN 56302-7456 • (320) 203-7327 FISHERS ISLAND FERRY DISTRICT VENDOR 018554 DIVERS COVE LLC 10/22/2013 CHECK 1489 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 31852 DIVER BOTH FERRIES 319.05 TOTAL 319.05 I e +~r sir ~i~ - :'~vrasa-~. ~,3,~.eg .~""ra*•'~'fia~$.,#e <.,a~. .,...a tea. . a. a a ~ FISH$RS'IS~N?~~1&`RRYbIS~°RIC3'~ AuDrr`i~/2~~~~~~~~ ' 53095 MAIN ROAD, Po BOX 1179 ~ _ sournoLO, wv n9~1tt959 CHECK NO. I4~9 • CUTCHO UEK ~~t 1930NAL BANK .,DATE N~ 505487214 10(22 ~20I3 $319.05 THREE HUNDRED NINETEEN AND OS/100 DOLLARS PAY DIVERS COVE LLC - ~ p" 7YJ 77i&- 7 ESSEX PLAZA O~ER ESSEX CT 06426 , ii•0O i489ii' ~:0 2 i4O 5464: 68 00 i 5D 2 i1i' Vendor no. '.Check No. Town of Southold, New York -Payment Voucher 18554 I 7~ - Vendorlax ID Number or Social Security Number Vendor AddressEntered by _ 7 Essex Plaza Essex, CT 06426 Audit Date Divers Cove OCT 2 2 2013 Vendor Telephone Numher 860-767-1960 T~rt, C Jerk Vendor Contact /1 .,f•A;~f - - ~ ~ I ~I Invoice Invoice Invoice ~ I Net Purchase Ordcr i Numher _ Da4 Total Discount Amoun[ Claimed Number Description of Goods or Sewiees General Ledger Pund and Account Nwnber i 31852 9/9/2013 $319.05 $319.05 ~ Diverforboth SM5710.2.000.000 _ - ~ ferries I _ _ _ - - - - - - - --r _ - ~ + - - ~ _ _ _ - I $319.05' $319.05 i Payee Certificatlon i Department Cerrification The undersigned (C laimanq (Acting on behall'of the above named claiman0 I herehc cenitj That the materials above specified hate been received he me does hcreh}' cemfi that the foregoing claun is true and eorrecL that no port has in good condition without substitution. the sen'ires properlc been paid, except as therein slated. that the balance therein stated is ac¢,allc performed and that the yuantities thereof bare been veri tied with the exceptions due and owlm_ and t//ha//t~~~~~laxes from which (he lbwn is exempt ere excluded. or discrepancies noted. and pacmcnl is approved. S igmature _E~ Title ~ Sienature r- Coinpam Name Dalc ~ Tillc " Dale ~ V~? _ - Di~rers Cove Invoice #31852 7 Essex Plaza 9/9/2013 8:52:11 AM Essex CT 06926 Pkone: 660-767-1960 Fax: 860-767-3356 Sales Person: 1 - ED R. COURSES S TRIPS - -CHECK OUT OUR WEBSITE: www.diverscove.com FISHERS ISLAND FERRY DISTRICT #4411 BOX H FISHERS ISLAND, NY 06390 Quantity Unit Extended Ord. Del. Description PC Tax Price Price 2 2 LABOR-BOAT INSPECTION/REPAIR- PER HOUR M 1 $150.00 $300.00 BOAT/DC3763: NON TAXABLE: $0.00 TAXABLE AMOUNT: $300.00 6.35 Sales Tax: $19.05 TOTAL DUE: $319.05 TOTAL PAID: $0.00 BALANCE DUE (This Invoice): $319.05 Cleaned/inspected boats Sunday 9/8/2013 X THANK YOU FOR SOPPORTING OUR BUSINESS! Page: 1 FISHERS ISLAND FERRY D/STRICT VENDOR .02376 DANIEL EAGAN 10/22/2013 CHECK 1490 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 072811-REIS-RE TWIG CARD REIMBURSEMENT 132.50 TOTAL 132.50 FlSHERSISLAM7FERRPDIS7RICT AuprT lo(22/i3 53095 MAIN NOAO, PO 50% 11 ]9 i ~ sourNOLO, Nv 1 tsn-osss CHECK NO. 14 ~0 THE SUFFOLK CO. NATIONAL BANK CUTCHOGUE, NV 11935 DATE AMOUNT. ' so-sasrzta 10/22/2013 $132 .50 j ONE HUNDRED THIRTY TWO AND 50/100 DOLLARS i I PAY DANIEL EAGAN - TO 7NE 20 LINCOLN AVENUE OORFDER NORWICH CT .06360 il•00 ~490ii• ~:0 2 i405464t: 68 00 i50 2 Lil• _ ~:~sSve , Vendor No. 2 Check No. Town of Southold, New York -Payment Voucher ~ + ~ ~ 7~~p ~ ~"f ~O Vendor Tax m Ntmtber a Social Sewriry Number E~~d by 20 Llneoln Avanua Audk Date Dankl Ea an Norwich, CT 06360 _ Q ~ T 2 ~ 2~~ 3 Vendor Telephone Number T vendor Contact - Invoice Invoice Invofa , Net Aachax Order n ~NQumber Date Ttstd Divmmt Amount Clai Number Ddcri afGoods or Service l3cttaral Pmsd and Acodml Numbs 7/28/2011 132.60 132.80 TWIC Card Ralmbursmnt tiN16710.4.000.000 V N' CI E 132.5 Payee Certitkatloo Dbpattmeat CertlfleaNm The undersigned (Claimtun) (Aping on beMlf of the shove nartxd clairnem) 1 hereby mtify NN the marerials above spai8ed have been received by me does hereby anify that the foregoing claim is true and career, Uwt no part has in condition without subsNnnion, the services properly ban paid, euept m therein stated, that the balance Herein staled is aatully pert Wet she gtuntrlie thetmf have ban verified with the exceptions due end owin dW taxes from which the To exempt are excluded. or disaepentiea'11aed, and pyment Is approved. Signature le Signor C ne Title Date CHECK 1491 ~ endor No. Check No. Town of Southold, New York -Payment Voucher 5414 149 Vendor l'as ID Nunber or Social Securiq Number Vendor Address Entered by Lockbox 9761 - _ - _ Vrndor Name P.O. BOX 5500 Audit Date ~ Electrical Wholesalers Inc. Philadelphia, PA 19178-9761 OCT 2 2 2013 Vendor Telephone Number 800-522-3232 Tgyy~Clerk ~ ~ ~ 'i Vendor Contact _ ~ / _.l v~. s ~ ~ ( ~,a Invoice ~ Invoice Invofee Net 'Purchase Order Number Date Total Discount Amount Claimd Number Uesenption of Goods or Scrcitts' General Ledger Rmd and Account Humber 5100968115.001 9/9/2013 $2,577.92 'i $2,577.92 MUNN Shore Power SM5710.2.000.100 S100987526.001 ~ 9111/2013 $58.90 $58.90 MUNN Electrical Supply SM5710.2.000.100 _ i 5100968115.003 9111/2013 $255.24 ' $255.24 MUNN Shore Power SM5710.2.000.100 5101012454.001 9119/2013 $23.99 $23.99 Emergency Gen Cord Adapter SM5710.2.000.000 - $2,916.05 $2,916.05 Payee Certification Department Certification the undersigned (Claimam) (Acting on 6ehalfo~ the above named elaimam I I hereb4 certitc that tl~e matenals above specified have been rece iced b} me does he~ch< cenifi that the Ibregoing Gaim is talc end correct that no part has in good condition without subsli¢aion, the sera lees peoperh been paid- except us therein staled. Oiat the balance therein sated is acwally perlbrtned and ~ha~ the yuantitits theregfhace hmn cerifiM wish the exceptions due'and owing and tlia~ tuxes Rom which the Ib~~T is exempt arc ced uded or discrepancies nn4d. and pacmem is approved Genawre tole- ~ Sign nurs - ~ 2 ( mq~am N sme Dale ~ GCT Iltl~ Dab 0 _O L ~ pp INVOICE , r.,`~ 6IC/al'IOill grI111IrsalCrs kr" CUSTOMER NUMBER SUB ACCOUNT # USESIS ,~-i.,~,...~.,..,,.. ELECTRICAL WHOLESALERS-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 5100968115.001 09/09/13 REMIT TO: ELECTRICAL WHOLESALES, INC _ LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 2391 MB 0.405 "E0001X 10010775012932 P1fi044720001:0001 SHIP TO: "II~IIIIII~~I'~I~I'I~~I~I~~~Irlll~l~llll~~~~'I~III~~~r~l~lll~~ll FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX H 5 waterfront park FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 CUSTOMER PO # JOB NAME I RELEASE # ORDERED BY SALESPERSON maintenance maintenance john HOI ISF ACCOUN? WRITER SHIP VIA TERMS SHIP DATE ORDER DATE SALLY LEWIS DIRECT MFG DISC 10TH, NET 15TH 09/09/13 09/05/13 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea HUBW HBL460MI9W PS IEC MECHINT 3P4W 1332.000E 1332.00 60A 3P 250V W!T Nonstock Item May Not Be Returnable lea lea HUBW HBL460P9W PS IEC PLUG 3P4W 60A 420.000E 420.00 3P 250V W/T Nonstock Item May Not Be Returnable lea lea HUBW HBL460R9W PS IEC RECP 3P4W 60A 380.000E 380.00 3P 250V W/T lea lea HUBW IN460DM PS IEC REPL INTERIOR 240.000E 240.00 4W 60A Nonstock Item May Not Be Returnable ~ 2ea tea HUBW LR60 PS IEC REPL LOCK-RING ALL 26.000E 52.00 60A Nonstock Item May Not Be Returnable SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE ' Choose from three easy ways to receive your invoices: email, fax or Invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new invoices are posted. You can search, sort, view, print, download and pay your bills on this site. With email and fax delivery, your invoices are sent once per day and you get an exact ' ~ ~ replica of your paper bill. Contact the Credit Department at 800-522-3232 and get setup today! Subtotal 2,424.00 If paid by 10/10/13 you may deduct $12.00 Invoice is due by 10/15/13 net of any cash discount. Shipping ChgS 0.00 Tax 153.92 For complete Terms 8 Conditions go to: Payments 0.00 http://www.ew-ct.com/CustomerEWTC. pdf Amount Due 2,577.92 A USE.S~ Company Visit us at www.usesi.com TO VIEW ONLINE GO TO: httpa/ew.billtrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 Of 1 0001:0001 INVOICE Electric~i \rholesalers lar' CUSTOMER NUMBER SUB ACCOUNT # USESt~s.: ELECTRICAL WHOLESALERS-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 St00987526.001 09/11/13 REMIT TO: ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 2201 MB 0.405 "E0001X 10010775858441 P16093400001.0002 SHIP TO: Ilrr~rll~r~~~lllllll~llr~l~~lll~lrrllll~'~II'I'll~l"'~'I~~II'I~I FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX H BOX H FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0475 CUSTOMER PO # JOB NAME /RELEASE # ORDERED BY SALESPERSON I MUNNTUCK MUNNITUCK MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 09/11/13 09/11/13 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea CLN E989UUN 12" X 12 X 4" PVC SCREW 4284.066c 42.84 COVER JUNCTION BOX Sea Sea ARL NMLT9075 3/4" NM 90 DEGREE 250.846c 12.54 LIQUIDTITE CONNECTOR it i I I ~ SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE ' Choose from three easy ways to receive your invoices: email, fax or Invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new invoices are posted. You can search, sort, view, print, download and pay your bills on this site. With email and fax delivery, your invoices are sent once per day and you get an exact ' ~ replica of your paper bill. Contact the Credi[ Department at 800-522-3232 and get setup today! L_ zolan~nl o? laae Pm stooeazezel Subtotal 55.38 If paid by 10110113 you may deduct $0.19 Invoice is due by 10/15/13 net of any cash discount. Shipping Chgs 0.00 Tax 3.52 I-or complete Terms & Conditions go to: 1~~~~ payments 0.00 h tt p //www. ew-ct. com/C usto me rE W TC. pdf Amount Due 58.90 A USESE;~-Company visit us at www.usesi.com TO VIEW ONLINE GO TO: httpa/ew.billtrustcom USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 Of 1 0001.00U2 III III IIIIIIIIIII II IIIIIIIIIIIIIIIIIIIIIIII III ~leetricr111'holec:~lcrs Shi Ticket USESk~ x t~ ei.~~n s,.,i x.-.~,~,. i„< < i. SHIP DATE ORDER NUMBER PAGE NO. ELECTRICAL WHOLESALERS-NEW LONDON 09/11/2013 5100987526.001 1 Of 1 163 STATE PIER ROAD NEw LONDON, cr os32o-ssn cusT Po#: MUNNTUCK 860-443-4381 Fax 860-443-4570 JOB/REL#: MUNNTUCK SOLD TO: SHIP TO' FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI BOX H BOX H FISHERS ISLAND, NY 06390-0475 FISHERS ISLAND, NY 06390-0475 CUSTOMER NUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27352 860-442-0165 MIKE HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 09/11/2013 No ORDER QTY SHIP QTY DESCRIPTION lea lea CLN E989UUN 12" X 12 X 4" PVC SCREW COVER JUNCTION BOX Sea Sea ARL NMLT9075 3/4" NM 90 DEGREE LIQUIDTITE CONNECTOR muU~/. cl~c~- s~;~p~~j a `'1-12~~ 3 Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due Pr ~ned 13y: CHAkEV on 9/11/2013 3.18.4& PM INVOICE Ell'l'tl'IC81 NtIt111CSallJ's Inr' CUSTOMER NUMBER SUB ACCOUNT # USESkr . ~ ELECTRICAL WHOLESALERS-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S100968115.003 09/11/13 REMIT TO: ELECTRICAL WHOLESALES, INC _ LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 220 1 MB 0.405 " E0001 1002 D776690020 P1fi09340 0062:6002 SHIP TO: Ilrr~rllrr~~~lllllll~lir~l~~lll~lrrllll~r~llrlrll~lrrr~'I~~II'I~I .:h"= FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX H 5 waterfront park FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 CUSTOMER PO # JOB NAME I RELEASE # ORDERED BY SALESPERSON maintenance maintenance john HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE SALLY LEWIS DIRECT MFG DISC 10TH, NET 15TH 09/11/13 09/05/13 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea HUBW IN460DF PS IEC REPL INTERIOR 240.000E 240.00 4W 60A Nonstock Item May Not Be Returnable SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE ' Choose from three easy ways to receive your invoices: email, fax or Invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new invoices are posted. You can search, sort, view, print, download and pay your bills on this site. With email and fax delivery, your invoices are sent once per day and you get an exact \"~lv ~ replica of your paper bill. Contact the Credit Department a1800-522-3232 and get setup today! i_.__. Subtotal 240.00 Invoice is due by 10/15/13. Shipping Chgs 0.00 Tax 15.24 For romplete Terms & Conditions go to: Payments 0.00 http.: /www. ew-ct. com/CustomerE WTC. pdf Amount Due 255.24 A U$E.S~-- Company Visit us at www.usesi.com TO VIEW ONLINE GO TO: h[tp:/lew.billtrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 6662:0002 INVOICE BIecINca111tiwlecalerc m~. CUSTOMER NUMBER SUB ACCOUNT # USES4s , ELECTRICAL WHOLESALERS-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S101012454.001 09/19/13 REMIT TO: ELECTRICAL WHOLESALES, INC LOCKBOX#9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 1280 1 MB 0.405 E0002% 1005 0781097697 P16171830001:0001 SHIP TO: III~II~IIIII~"VIII'I~~~rrr'III~III'llllllrl~ll~llll~'ll~l'll...I FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX H BOX H FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0475 CUSTOMER PO # JOB NAME I RELEASE # ORDERED BY SALESPERSON GENERATOR GENERATOR MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE MICHAEL GRESSLER PICK UP MFG DISC 10TH, NET 15TH 09/19/13 09/19/13 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea LEV 2711 LKG PLUG L14-30P 2255.853c 22.56 SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE Choose from three easy ways to receive your invoices: email, fax or Invoice Gateway, our secure online site. With Invoice Gateway, you are notified by email when new invoices are posted. You can search, sort, view, print, download ~ and pay your bills on this site. With email and fax delivery, your invoices are sent once per day and you get an exact replica of your paper bill. Contact the Credit Department at 800-522-3232 and get setup today! IL _ ~m3roana o~oo:ae ann smmr~asa.l Subtotal 22.56 If paid by 10/10/13 you may deduct $0.34 Invoice is due by 10115/13 net of any cash discount. ~ Shipping Chgs 0.00 ,r/j Tax 1.43 For complete Terms 8 Conditions go to: 1 (U~-_/ Payments 0.00 http://www. ew-ct.com/CustomerE WTC. pdf Amount Due 23.99 A USES Company Visit us at www.usesi.com TO VIEW ONLINE GO TO: http:/lew.billtrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 o961:a99 , . 1 iiimniinnnuiininiiiniiiimuiiiim Elcctric~l ~1'I~f~lc.?s~ler~ Shi Ticket ~~E~~ ts_ tt.~ttru.~~ t<r. is+~~ Inr. C.,wpam SHIP DATE ORDER NUMBER PAGE NO. ELECTRICAL WHOLESALERS-NEW LONDON 09/19/2013 5101012454.001 1 of 1 163 STATE PIER ROAD NEw LONDON, CT os3zo-san COST PQ#: GENERATOR 860-443-4381 Fax aso-aa3-as7o ~oBiREL#: GENERATOR SOLD TO. SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI BOX H BOX H FISHERS ISLAND, NY 06390-0475 FISHERS ISLAND, NY 06390-0475 CUSTOMER NUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27352 860-442-0165 MIKE HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED MICHAEL GRESSLER PICK UP Ship: NELO Price: NELO 09/19/2013 No ORDER QTY SHIP QTY I DESCRIPTION lea lea LEV 2711 LKG PLUG L14-30P muroana oavoee rmi sinio~zaaa_i Jll~~ ~ - ~ ~ m? - I " ~ -mot ~ r_ai t J ~ \ ~--f~U~. ~~~~i~ Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due Prated By: GREMIC on 9/19/2013 2 00:38 PM FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 10/22/2013 CHECK 1492 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 5242295 DENTAL PREMIUM-10/13 1,761.22 TOTAL 1,761.22 ~ g'°'1?^ ~._°.w`°h' ~m°y'°-~°ws..°.•..a air'~c:,w.u4'sF"ryio~.8~'.~.ei~`°..~.~~~ r' r r ~ ''~a~ z~ v FISHERS ISLAND ~'ERRYDISTRICT'' A[mlT~lo/zz/z3 53095 MAIN ROAD, Po BOX 1179 BOUTHOLD, NY 11971-0959 CHECK NO. 1492 CUTCHOGUE, N0.iN930NAL BANK so-5asizla 10/22/2013 $1, 761.22 ONE THOUSAND SEVEN HUNDRED SIXTY ONE AND 22/100 DOLLARS i PAY EMPIRE DENTAL TO THE DEPARTMENT 83703 ORDER p0 BOX 202837 OF DALLAS TX 75320-2837 i ii'00i4921i• 1:0 2 140 54641: 68 001502 iii• Vendor tin. Check No. Town of Southold, New York -Payment Voucher 5442 ' yQa Vendor Tes ID Number oc Social Security Number Ente[ed by - Empire CQ (;l(/ P.O.Box202837 Audit Date Empire Dental Department 83703 _ _ OC T 2 2 2013 b'endor Telephone Number Dallas, Tx 75320-2837 - y/~, eA !1 800-928-6459 T Clerks . < . ! ; Vendor Contact t Invoice Imoiee Invoice Net Purchase Order, Number Uare total Discount Amount Claimed Humber ~ Dexnpuon o(Goods or Semces Geneeal Ledger Fund and Account Number 5242295 9114/2013 $1,761.22 $1,761.22 10I1N3-10/31N3 SM9060.8.000.000 I ~ - ~'-1~!~G_~ ~_J:_Lt I~il~ - - - ~ - - - -_T_ _ _ i _ { ~ $1,761.22 $1,761.22', Payee Certification Department Certification the underiigned fCleimanq (ACtine on ~ehalfoRhe above named cluimanU I hereh~ certift that the materials above specifed have been recess ed h~ me does herehc certitc that the foregoing claim is tme and correct- that no pan ha, in eood condition ~crthout subniwtion. the sen ices properh been paid except as therein stated. that the balance therein sued is attualK performed and that the quantities thereo(hase been seritied ~sith the evn-ptimis I due and owing. and that lases from which the Trntin is sempt are evd uded. or discrpanci ~ noted-and pavmeor is approved. i Signanrtc lltle ~ Slgnanirc ~ _ _ Compam Same Date ~ _ ~J Tole ~~U.u: ~ O~~ Empi1 STATEMENT a_ C~~~ EMPIRE ACCOUNT NAME FISHERS IHLAND FERRY DISTRICT FO BOX 856 ACCOUNT 6NY4H61251 MINNEAPOLIS MN 55440-0856 BILLING DATE 09/14/2013 BILL/PYMT INOUIRIfi9 877-606-3409 ENAOLLMSNT INQUIRIES 800-928-6459 REMIT T0: PISHERS I6LAND PERRY DISTRICT-BROKER EMPIRE DENTAL ATTN: MARY CENTER Pp 80X 202837 261 TRUMBULL DR DEPARTMENT 83703 PO HOX 607 DALLAB TX 7532 D-2837 FISHERS ISLAND NY 06390 I2NOICB TRAHBACTSOB TAIHBeClIOB B1B pHyBpHHCg TWB4C1TOai TlfDUtli' BDI®ea waH BAxs AIgDIR Bos 5213586 08/14/2013 INVOICH 09/01/3013 O1 /9¢P/13-30/B¢P/13PREMIU 1,6¢].30 3.682.30 5292295 09/14/2013 INVOICH 10/01/2013 O1/OCT/13-31/OCT/13PREMIU 1,761.22 1,]61.5] CURRHNT DUE PREY DUB TOTAL AMDUNT OliB 1 - 30 DAYS 31 - 60 DAYS 61 - 90 DAYS OVER 90 DAYS 1 Jb1.22 1,683.30 O.DO D.00 0.00 3,993.52 AMDUNT RHMITT® YOUR BALANCE IS DUE BY THE FIRST OP THE MONTH. 9 PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. Bervi cec provl4eS by Hn@i[e Rea1tIICIIOf o6 aaeu[mce, Inc., a licevee of the Blue Croea aM Blue Shle14 Aveoeiation, m aeapciatim of Sntlepevdent Blue Croce aM Blus 9IIis16 plena. E1TT~11"e~ SUBSCRIBER LISTING PAGE 1 BfAIfC$099 EMPIRE ACCOUNT NAM% FISHERS ISLAND FERRY DISTRICT PO HOX 856 ACCOUNT ENY4561251 INVOICE 5242395 MINNEAPOLIS MN 55490-0856 BILLING DATE 09/19/2013 SUBSCRIBER PERIOD 10/01/2013 - 10/31/2013 ENROLLMENT INQUIRIES 800-928-6959 Rffi4IT ELIGIBILITY CHANGES TO: P ISBHR6 ISLAND PSARY DISTRICT-HROXEA HMPZRE ATTN: MARY CENTER PO BO% 838 261 TRVMBVLL DR MINNEAPOLIS MN 55440-0838 PO BOX 60T ATTN: ENROLLMENT DBPARTMENT FISHERS ISLAND NY 06390 CU6TOMBR REPORTING NUMBER 456125-0001-0001 PI SRERS ISLAND PERRY DISTRICT Y8Y 61Q IZGeT OIS ?R 9 H0H9CHIHR HVRCSSVQ NppAOS CypN@R pHSpp ypyy. m uxe rfpH ANOmrf axo9NY AI4)WI EARASTS PR8D8RICK N/A 883X11083 OS/OS/]011 EMPLOYES 39.9fi BRGNN WIIALD N/A $95X11083 OS/O1 /3 pll 8XP1/JYEEtSPOUSB 80.51 BpRRB STNP]LL'N N/A $98X11229 05/01/301] BNPIgYEE 39.46 BORNE RONALD N/A 481X11359 O1/01 /3013 BXPLOYEH+SPOUHE 80.51 DOUC81T0 DBBOAAB N/A 304X11540 03/01/3013 W4PIgYEE+SPOUSE 80.51 BAGAN DANI BL N/A 0]8X11')03 10/01/3013 6XPSgYSB 39.9fi F8M1'ON BC03T N/A 503X11683 10/O1/20D ENPLOYeS 39.96 FIORA MICNABL N/A 8]8X11083 05/01/3011 BMPLOYBE 39.46 DOLBY PAUL N/A 8]0X110$3 OS/O1/]011 @1PLOYHB 39.96 PORO FOLLY X/A 330X11320 09/01/2012 FANFLY 146.65 PRANCO NICBAB. X/A YSBN11635 08/01/2913 BNPPgYBE+BP0098 80.51 FANBY SOMTNAN N/A 63]X11545 09J01 /3013 EXPIUYBN+BPOLB6 80.51 fiILLBR OONAS'8AN M/A 26]X11092 OY/O1 /3011 BXPLOY80 J9.45 HOCii RICHARD N/A 883X51083 05/01/2011 6NPLOYEB 39.96 %NAOFP AOBHIYf N/A 884X13083 05/01/3011 BNPLOY88+BP006E 80.51 2AVIN ROBHRf N/A 956X11506 OS/OS /3013 @1PLOY$B+BPOp3$ 80.51 LBFBVRE RAYMOND N/A 881X11083 05/01/2011 BXPI/JY88 39.96 MARRB SABON N/A 636X1122) 09/01/3013 &tlPIgY86 19.46 XARBNai.i. J8888 N/A 896X13083 05/01/2011 BMPI.OY68+SPOU58 80.51 69xviw4 p[wlded by aepize Nea1[OCDOiw Ac4vzaPw, IPp.~ a liceveee oC tLe Blue Cmec ®d Hlw 6Gfeld As§aeiacim~ m sewciatim pf SndepeMeM elw Qa4 W Blw 9ESeld plw. Empires SUBSCRIBER LISTING °AGE 2 EMPIRE ACCODNT NAME FISHERS ISLAND PERRY DISTRICT PO BOX 556 ACCOUNT ENY9561251 INVOICE 5242295 MINNEAPOLIS MN 55440-0856 BILLING DATE 09/14/2013 SDBSCRIBHR PERIOD 10/01/2013 - 10/31/2013 ENROLLMENT INQUIRIES 800-928-6959 CUSTOMER REPORTING NUMEER 956125-0001-0003 FISHERS ISLAND PERRY DISTRICT uer N11at Pvex EAIY as • amenxau macxxva mvvua rnanmx vexed zBxar. m vAxa xne AMODFI AaWBP ANS®2 MDRDAN TOiiN N/A 89]M110B3 05/01/3013 PAMILY 346.65 I60RPHY OORDON N/A 095M11203 03 /O1/T012 PAMILY 146.65 PAR?pIS SOHN N/A {24N1163Y 0']/O1/SO1J FANILY 196.65 SCNMID NINA N/A 898M11083 OS/O1/TO11 ENP4CNILD(R8N) 96.10 1RAUB TAMES N/A 0]9M11083 05)01/2011 EMPIAYLB 39.46 11 INDIVIDON. 434.06 0.00 934.06 8 EIIPLOY8843POD3E 641.08 0.00 6{9.00 1 &IP4CRTLD (8lN1 96.48 0.00 96.98 4 FAMILY 586.60 O.DO 586.fi0 $DBSDAIBER 1OTAL POR TH8 A80V8 NS]'0603R RHPORTSNG 80M88R T4 1,]61.22 0.00 L,]61.22 11 IINIVIDWL 934.06 O. DO 134.06 B EMPLOY68a3lYJOHE 644.08 0.00 644.08 I 1 IDAP~6UL0(RBRI 96.48 0.00 9fi .48 i 4 FAMILY 636.60 0.00 6H6.fi0 I TVlAL IOR ALL TIffi CD81OM8R REPDRTIND POMBERS T4 1,]61.22 0.00 1,]61.33 ENROLLMII4T CIV N('ES MfIST BE RECEIVED AT LEAST 5 BVSINBSS DAYS PRIOR TO YOVR SCIIEDOLED BILL RUN DATE. I*~}OT~L-1 PAGE 1 Empn"e Lr 1 l.I ' EMPIRE ACCOUNT NAME PISHERS ISLAND PERRY DISTRICT ' PO BOX 856 ACCODNT ENY4861261 INVOICE 5242295 MINNEAPOLIS MN 55440-0856 HILLINO DATE 09/14/2013 SUHSCRIH ER PERIOD 10/01/2013 - 10/31/2013 BILLING/PYMT INQUIRIES 877-606-3409 CLAIM PEAI00 RHMIT TO: FISHERS ISLAND FERRY DISTRICT-BROKER EMPIRE DENTAL ATTN: MARY CENTER PO BOX 20283] 261 TRUMBULL DR DEPARTMENT 83703 PO BOX 607 DALLAS TX 75320-283] FISHERS ISLAND NY 06390 CUSTCIMER NUMBER OF NUPffiER OF CLAIM ADJUSTMENT RATg TOTpy REPORTING NUMBER CURRENT CLAIMS AMOUNT AMOUNT AMOVNT AMOUNT EMPLOYEES 456125-0001-0001-550 24 439.06 39.46/EE/MO 544.08 80.51/EE/MO 96.48 96.48/EE/MO 586.60 146.65/EE/MO 1 761.22 INVOICE TOTAL 24 0 $0.00 $0.00 $1,761.22 $1,761.22 YOUR BALANCE IS DUE HY THS FIRST OF TH8 MONTH, PLEASE INCLUDE A STATBMENT COPY NITx YOUR PAYMENT. Sezzicee providetl Iry Be¢ire aealchCboice Aecuzance. Ins., a 11<o~eee Of CM slue Cioae aM Blue Shield Aueel a[Sen, an saeocia[ion of Sndeperoen[ Blue cress aM 61ue Shiald ylam. FISHERS ISLAND FERRY DISTRICT VENDOR 006376 FIFD-CAPITAL PROJECTS 10/22/2013 CHECK 1493 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9901.9.000.000 ].059 H7.5031.00 N RAMP PROJCT 1,800.00 TOTAL 1,800.00 v s ~ , ,3. ..a. .a sr~a~.~:k~'~ a>:..« s,iL'. 'R AzF ~A.~".>. ,°~'P^~'b .saJi.~°': ~ FISHERSISGANDFERRYDISTRICT AUDIT 10/22/13 53095 MAIN ROAD, PO BOX 11 ]9 Sp1JTH0LD, NV 118]1 0959 CHECK NO. 1493 ~~p~]-_-__J~;•ru~ NTCH0GUE, NVD 1N935 NAL BANK DATE AeMOV~ 50-548/214 10/22/2413 $1, 800. 0Q I ONE THOUSAND EZGHT HUNDRED AND 00/100 DOLLARS - PAY FIFD-CAPITAL PROJECTS l~~C %l7 THE C/O TOWN OF SOUTHOLD OROF.R p0 BOX 1179 p/' SOUTHOLD NY 11971-0959 ii•OOi493~~• ~:02i405464~: 68 OOi502 1~i• Vendor No. Check No. ~ Town of Southold, New York -Payment Voucher 6376 1493 Vendor Tax [D Number or Social Securih Somber Vendor Address Entered 1]}' PO Box 1179 _ _ _ _ _ Southold NY 11971-0959 Audit Date Vendor Name s Fishers Island Fer District-Ca ital Pro'ects OC T 2 2 2013 _ Vendor Telephone Somber 631-765-4333 To Jerk ~ _ , Vendor Conlaet _ ~ - - ~ ' s)~ John Cushman ` Invoice Invoice Invoice \et Purchase Ordzr tiumber Dete Total Discount Amount Claimed Somber Description of Goods or Sen'ices General Led er Fund and Account Number 1059 10/212013 $1,800.00 $1 800.00 H7.5031.00-North Ram Pro'ect SM.9901.9.000.000 Coastal Marine Construction I 1 800.00 1 800.00 Pavee Certification Department Certifieafion The undersigned (Claimant) (Acting on behalf of the above named claimant) 1 hereby certify' that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct. that no part has in good condition without substitution, the services properh' been paid. emepl as therein stated, that the balanoe therein stated is acluallc performed and that the quantities thereof haca been verified with the exceptions due end owing, and that taxes from which the Town is e~x,~/e;/m./pt/(a~//r/e e~xe~laded. or discrepancies noted. and pacment is approved. Signature Tille_ 1~'~ - Signature _ p Cq ('ompem' Same Dale ~ ~ Title Dale 0 0~ ~ ~ / F'LSKF_RS ISLAND FERRY DLSTRICT VENDOR 006482 PAUL J. FOLEY 10/22/2013 CHECK 1494 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 100113 REZM RX-OCT'13 90.63 SM .9060.8.000.000 3324402872 REIMB 4TH QTR STND ALONE 459.95 TOTAL 550.58 ..,'3:~. s,s„„':~ak°9, .:5-d°~' . t ea'~,s;~< ~~a~s~'? s w3 s . : FISHERS7SLANDF$RRYDISTRICT AuD~T`IO/22(13 53095 MAIN FOAO, PO BOX 119 _ SOUTHOLD, NV 11911 X959 CHECK NO. 1494 ~95~ CUTCHOGUE, N~ 1193 ONAL BANK DATE. AMOUNT - . - to/aa/zo13 Ssso.Se 50-546/214 FIVE HUNDRED FIFTY AND 58/100 DOLLARS i PAY PAUL J. FOLEY ..~Jy/////,J - ' TO THE 690 WILLIAMS STREET ~L/. f~y~G~t o~ER NEW LONDON CT 06320 r~ 11.00 149411' ~:O 2 140 5464: 68 00 i 50 2 111' ~ Vendor ho. ;Check No. Town of Southold, New York -Payment Voucher 6482 'yqy I~ Vendor Tax ID Numher or Social Security-Number ~ Vendor Address Entered 17y '690 Williams Street _ _ New London, CT 06320 4udit Date Foley, Paul Vendor Telephone Number ~ ~ T 2 ~ 3 To Clerk y~ p,~/ Vendor Comaa _ ~ 'E Im'oice Im~oice Invoice Ner Purchase Order Number Date i Towl Discount Amount Claimed Numher Desenpnon of Goods or San ia-s Ganeral Ledger 4'und and AccounWumber . -1~C ti 10/1I2013~ $90.63 $90.63, jAnthem Retiree SM9060.6.000.000 ~ jPrescription Plan i 90% Reimbursement ~$100.701ess 10% ($90.63) Paul Foley Ck #2324 $90.63 $90.631 Payee Certification Department Certification The undeniened [C laimanq (ACnng on behalf ofrhe ahove named claimanll I hereto certifi that the mererials ahnve specilied have heen recaced hx tyre io _s hcnYrs .eni[ that the I~regoine claim is vuc and mrree~ that no pan ha, m eood °ondmon scirhour si,bsliurtion rh sere ias prep ~ri. ben paid. ~scept as therein stated. that tlr halanee therein stated is actualh pertonned and that the quantities thereof have been verified kith the exceptions due and oscing. and that nixes frznn ~tihich the'I-Doty is exempt are excluded. or discrepancies noted. and pacmenr is approved. Signature_ Tirlc_ _ Si enalurc _ _ - - ~ / _ Cnmpam Nama_ Date ~ I rtle ~ _ _ Dare ~ ~C iaozaa reo n?na 1 of 1 ~~'~nthemA ~ ~ 108 Lc~gus Rond 03947 Wallin ford, C'r 06492 c-0~„accm„c, nncnem swe an:: am sme snreia m a ,aee aame or n„mea, iteaim viao.,, m~., meepe~aent Bansee or me sire em:: ane eme sn;eia n:ronarn~, >vkeR;.,Preema~k,ormenwee.e„a~aai~esn;eian<,~~~aro~. INDIVIDUAL MARKET INVOICE n.ICI'I•'I'''P°II•I'n'•u'•'91dhP°lil'^•I•lul•d•lll•I Si necesita ayuda en espafiol para entender 09321/009143/011859 34 1 AGDPBS ooa 1 este dOCUmentO, puede sO11Cl[arla sin costo pCTBSA004RCT1M 003947 090213 090313 adicional, Ilamando al ndmero de servicio al PAUL J FOLEY cliente que aparece al dorso de su farJ eta 690 NILLIAMS ST tle identificacidn o en el follero de inscripadn. NEN LONDON CT 06320-4132 MEMBER No: 0864M20101 MEMBER: PAUL J FOLEY INVOICE No: 3324402872 BI~uNC accr No: 7010864920101 PRODUCT CLASS PERIOD COVERED AMOUNT MEDIGAP PLAN N,COPAY 520. 1 10/01/2013 - 12/31/2013 + 5511.05 1~ w ~ ~ TOTAL AMOUN DUE BY OCTOBER 1, 2013 5511.05 If you have any questions regarding this invoice or your coverage with Anthem Blue Cross and Blue Shield, please call our dedicated Customer Serviee Unit during normal business hours, Monday through Friday. The toll free number is 1-800-633-6673 . UU118793751603USUU4000U701086492~10130033244028720902130010950D00U511054 - - - - .F.:., - - PAUL J.FOLEY 2320 890 WILLIAMS ST, s izie2zn 111 NEW LONDON, CT 08320 _ ~ ~ ~ 139 a'y i / b (1~ / Date L~, Pay to the /t ~?~ry ~ - ~ ~ ~/l, d S I Order of _ ?Jyl_ - - ,{G , ~~~j~, ~/-K.l/.riJ~~ U~ Dollars 8 ir~;°::° ~l1/'L LI~ _ /~"U - peoDles.com ~ ~ ~ I. I'll For_~/a.~~~U~Q~ GvC~ - j ~ j` - - ;.;.mss L - y~-~ - - Plan Description'Blue MedicareRx6M Premier (PDP) E'ustomer Care: 1-888-620-1747 v ' ~ Dlue MedicareRx•• (PDP) AT 01 042688 092238145 A**3DGT °'luhl~hhlu~~nllPn,,,,III^hl~i°I~d,~in~l,i,~l,l~~,, PALTI, J FOLEY 690 WILLIAMS ST Payments received after 9/4 will appear on NEW LONllON CT 06320-4 1 3 2 your next invoice. AMOUNT DUE - ~ DUE DATE ~ MEMBER ID - - ~ m $100.70 ! 10/ 0l /2013 li G0230330801 - ' - - - _ Payment Options • For check payment or automatic withdrawal from your bank account (ACN), use the form below. • For credit card payment or withlwlding from your SSA%RRB check, call 1-888-620-1747. • For one time credit card payment through our automated system, call 1-877-358-6792. - _ - _ _ _ _ - - _ - Pre~~ous Balance $100.70 - - - Payment Activity Since Last Invoice -$100 70 ~ ~ _ Payment Type pate Received Amount Check Payment 00002311 08/26/2013 -$100.70 - - _ Activity Detail - _ - - - $100.70 - Transac__ tion_Twe Premium Month Amount Premium _ ~ OCTOBER 2013 $100.70 4mount Due _ - $1.00.70 XJ'V pl~~ by 1'lei~ce relOin /hr /nii rv,rl:.~., l;.r,,,,,,, -~f . _ PAUL J. FOLEY Z324~ 690 WILLIAMS ST. I 4- 51-0218/2211 i NEW LONDON, CT 08320 139 ~Y. a Deco Pay to Lhe ~ '.ICI Order nf.1~~«-~)or%~,jX _ ~ $ ~cd, J~ ? ~~~~Gz~~.- 7~`~ -_Dollars 8 VA s a • a.vN.v IavV 1 Bank l~or ~ M. II ~ i,, f _ s~- . ~ - _ 5 F/SHERS ISLAND FFRRYDISZRIC"l' VENDOR 019216 GRANITE GROUP WHOLESALERS, LLC 10/22/2013 CHECK 1495 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 6966901-00 GALLEY SINK FAUCET 61.87 TOTAL 61.87 a 'i. >..`s8&,4"e`pa~3o'ii aE.,'z.`.:.'S."~R'fiya-~+t<a~o~ .'c' x::: , FISHERSISb,4NDFERRYDISTRIC~' Aunlrlo/z2/i'3' 53095 MAIN ROAD, PO BOX 1179 90UTNOLD, NV 11971-0959 CHECX NO. 1495 CUTCMOGUEK NS 11935 NAL BANK DAB - AMOUNT 50-548/214 10/22/2013_ $1.87 SIXTY ONE AND 87/100DOLLARS PAY GRANITE GROUP iHOLESALERS, LLC ~ TO THE p0 BOX 2004 ORDF,R CONCORD NH 03302-2004 OF i i~'OOi495~i' ~:02i405464~: 68 OOi502 Lii' ~~~~,,ao~ n~ - - meek vo. ~ Town of Southold, New York -Payment Voucher 19216 Vendor Tas ID Number or Social Secumc Number Vendor Address Entered h1` I p. o. sox 2ooa lJ - _ _ vendor Name - Concord, NH 03302-2004 ,Audit mute The Granite Group ~ _ _ _ OCT 2 Z 2013 Vendor'I'clephone Number 660-442-0346 YRa Cle : ~ ~ . i; Vendor Contact - - - - ~ ~ b ' Invoice Invoice Invoice Nct Potthase Order Number ~ Dale Totel Discmmt Amount Claimed. Number Description o(Gwds or Sen icea Generelledger Fund and Account Number 6966901-OOi 9N 6/2013, $61.87 $61.87 Galley Sink Faucet SM5710.2.000.000 i _ _ $61.87 $61.87 Department Certification The undervgned iClaimantt t 4eune nn behalf o(the ahoce named cleimanti I hereby cenih ihm the metenal. ahme spcatied ha~c been mcciced h~ me does hereby certifr that the fiacgm ngelaim is true mrd curtect, That no pert has in good condition without mhslitmiUn, the servmes properk been paid. escepl ns theein stated. that the balance therein stated is actualh performed and that the yuantiues thereof hale been sen lied e'ith the csccptions due and o~sing_ end that rases from rch¢h the lbret is exempt arc c~cluded. or drccrepeneies not d. end pacmem is approved I Signature title SiynaWre _ Cc mpam Namc r/~~ Date ~ V~~~ Ille_._ Dale ~ • T„E Invoice r• ' • CsRANITE 09/16/13 696690,-00 Onaur - • sok.ro ns OUR MAME stock 1 of 1 6 Storrs Street • Concord NH 03301 The Granite Group (860) 442-4348 PO BOX 2004 Concord, NH 03302-2004 = • • COST 27698 httpalthegranitegroup.billtrust.com BILL TO: FDS TKS TXL 8861 M6 0.405 Eg070X 10144 g778439fi77 P1fi15153 ODg1:0001 r~~r~rrlr~~~~I~~~~~~~r~r~Irlrrl~r~~III~II~r~~~~~~~Ir~ll~rr~lr~~lr SHIP TO: "p FISHERS ISLAND FERRY DISTRICT CT PICK UP -DELIVERIES °f~ PO BOX H FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND NY 06390-0607 P O BOX H FISHERS ISLAND, NY 06390 • r ONLY STEVE TO CHRG New London 09116113 ar 2 % 10thN30 1 ger40110 1 1 0 EACH 54.97 54.97 40-110 CP LF MAXWELL SGL HDL KIT FCT L/SPRAY 3 WAT0298409 2 2 0 EACH 3.45 6.90 0298409 3IBX16 LAV SUPPLY Interchange Prod: fluid1f16 2 Lines Total Qty Shipped Total 3 Total 6,.87 Invoice Total 61.87 Cash Discount 1.24 If Paid By 10/10/13 GO FROM GETTING A STATEMENT TO MAKING A STATEMENT Receive your invoices taster and help save the environment by enrolling in our free e-billing invoicing service. i Invoices are sent by email or fax once per day. With email, you can even download your invoice data directly into your accounting package (such as QUIGkBOOkS or Peachtree). Save time. Save money. Save a tree. Make a statement. To sign up, contact Credit Department at • arquestions@thegranitegroup.com TERMS'. A 2 % per month service charge will be added to all invoices past due 30 days ur more. This is an annual rate of 24 % .All claims must be made within 20 days, no material may be returned without prior permission. Material must be accompanied by the invoice number and returned to original purchase location. Returns may be subject to restocking charges. 0001.0001 ~a i 1~~{ ~ ti~ ~~v~~ o I~ ~ j,~/i ~ FISHERS ISLAND FERRY DISTRICT VENDOR 011056 KARDASLARSON, LLC 10/22/2013 CHECK 1496 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 1494 HR CONSULTING-9/13 220.00 TOTAL 220.00 aa'~, x. F"x'"L.a. `~°~rv+~., ..::~~~~,...sa~u?~'a a.,. .ms's, r~ a: - s FoSHERS AohN©~E~tRYD7ST7tICl AvnIT`3o/2z/i~ souiNOio, Nv nv~l-os5e CHECK NO. 1496 THE SUFFOLK CO. NATIONAL BANK CUTCNGGUE, NV t 1835 GATE /{~(jUM7 - ~ 50-546/214 10 /22/2013 $220.00 TWO HUNDRED TWENTY AND 00/100 DOLLARS - _ - ~~~~,~~~~JJJJ _ ~ , PAY KARDASLARSON, LLC y - 7b 771E 8 BRONSON ST. ~~y7~/ ORDER NIANTIC.CT 06357 OF i~'00 i496ii' ~:0 2 L405464~: 68 00 i 50 2 ill' Vendor No. CheckVo. ' Town of Southold, New York -Payment Voucher 11 O56 ' 47~ Vuidor Tae ID Number or Social Security Number i ~ En$[ed by d5-0534566 8 Bronson Street Niantic, CT 06357 Audit Date KardasLarson LLC ~~T 2 2 2~~3 Vendor Telephone N umber 860-739-8577 drown CIeXk , - Vendor Contact i, _ Invoice Invoce Invoice Net Purchase Order Number Date ~ Total Ducouut iAmount Claimed Number D>criplion of Goods or Services Genzral Ledgzr Fund and Azcounl Number _ 1494 9/27/2013 $220.00, $220.00., _ _ Human Resource SM5710.4.000.000 i I Consulting Service Septemb~ ~ rl__- ~ taK ('t 1;5~ r~jl~G rr1~3 _ _ - - !i - - - _ $zzo.oo $zzo.oo~ Payee Certification Department Certification The undersigned (Claimant) (Acting on hehalf of the ahove named claimant) I here6~ cenih that the materials abovz specit ied have boon received be mz does hereby cartifv that the loregoing claim is true and correct, that no part has in good condition without substitution. thz sen ices properly been paid. cuept as therein stated. that the balance therein stated is actually performed and That the quantities thereof have been verified wlth the eacepuons due and owing. and that/ta.~c~zs from which rhz Town is exempt are zscludzd. or discrepancies noted, end payment is approved. Signature Title_~~_ ~ Signaturz______~~ ~ Q Cnmpam Nmne Date Title, ~ _ Date p ~ KardasLarson LLC . KardasLarson LLC Invoice P.O. Box 36 Berlin, CT 06037 DATE INVOICE NO. kardaslarson@aol.com 09/27/2013 1494 www. k a rd a s l a rs o n. co m TERMS DUE DATE Net 15 10112/2013 BILL TO Don Lamb Fishers Island Ferry District Don Lamb, Manager Town of Southhold, Southhold, NY AMOUNT DUE ENCLOSED $220.00 Plcese detach top portion and rclum wish your payment. SALES REP Margot Larson ACTIVITY QUANTITY RATE AMOUNT Consulting 2 110.00 220.00 • Human Resource Consulting -September 2013 Meetings and Calls with Don Lamb and Steve Burke Note new remittance address: roTAL szzo 00 P.O. Box 36, Berlin, CT 06037 FISHERS ISLAND FERRY DISTRICT VENDOR 011568 ROBERT KNAUFF 10/22/2013 CHECK 1497 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 091913 REIM DUP. DENTAL PYNINT 338.16 TOTAL 338.16 dz~w':~'fin::. x t w a y. 4 "'g~yy t eEa~~:a y.... ~ , FISHER3ISL~4ND,FERRI~DIS7TtICT AUDIT 1o/2zfi~ 53095 MAIN POAD, PO BOX 1 f ]9 SOUTHOLO, NY 119]1-0859 CHECK N0. 1497 I THE SUFFOLK CO. NATIONAL BANK ~ CUTCHOOUE, NY 11935 -DATE AM(1tdN7, ~ S054fi214. 10/22/2013- $~~8.16 THREE HUNDRED THIRTY EIGHT AND 16/100 DOLLARS i I PAY ROBERT KNAUFF 7Yl THP 12 WYCHWOOD ROAD y~~ ~ O~~R OLD LYME CT 06371 ~~'OOi497m ~:02i405464~: 68 OOi502 iii' Vendor No. ' Check No. Town of Southold, New York -Payment Voucher ~ ~ 5(c ~ Vendor 9'a,e ID Number or Social Security' Fumber Vendor Address ' EnteYed by 12 Wychwood Road Old Lyme, CT 06371 Audit Date Knauff, Robert OCT 2 2 2013 - Vendor'felephone Number i 86034-9481 wft~Cler~ ^,."l c~ - tom..-,~..~' Vendor C'antact - _ ~ L ~ st ~ ~5.. E Invoice Invoice Invoice Net I Purchase Order Number Datc total Discount Amount Calmed dumber I Description of Goods or Sen ices General Ledger Fund and Accoun[Number ~ _ 9/19/2013 $338.16_ $338.16'i Previous Employee paid SM9060.8.000.000 - tin his dental insurance 1{ (twice. Check#1760 - _ _ _ n KC~~I~~L:4(" - _ + ' _ - _ + _ $338.16, $338.16 Payee Certification Department Certification The undersigned IClaimaml fAcring on behalf of the above named cloiiunn0 I herehs rertitl that the matenels ahme spec if~ed have heen received h~ me does heretic tenth that the foregoing claim is true and coaecL that no part has in good condition without substitution. [he serv ices properh heen paid except as therein stated, that the halancc therein staled is attualh' performed and that the r~uentities ihereofhare been veriOCd with the exceptions due and owing and that tales from which the Tosco is exempt are excluded. i or discrepancies noted, end payment is approved. Sfgnature_~ Tille_ ~ Signature Cum pam Nanm. _ DaR~ ~ ~C~ ~ Title DaI~~C~ I, :3, Pm rtsneta turonu retry ~nsutct o/ov,s Customer QuickReport January through December 2013 Type Date Num Account Clr Split Debit Credit Knautf, Robert Invoice 09/01/2013 99008 1SM.380 - Account._ 5SM9060.8.00... 338.16 Payment 09I17I2013 1747 1499 ~ Undeposited... X 1SM.380 ~ Ac._ 338.16 Payment 09/19/2013 1760 1499 Undeposi[ed._ X 1SM.380 ~ Ac... 338.16 Pen Phill Knauff- Retiree Page I of 1 Phill Knauff -Retiree Gordon Murphy Sent: Monday, September 30, 2013 9:46 AM To: Deb Doucette; J Miller Debbie /Jo, We cashed two of Phil's payment checks for his annual dental policy. One check was in error. We need to refund a payment. Before we refund let's double check to see if his payment is at the proper rate. Thanks, Gordon Gordon S. Murphy Assistant Manager +1 631 788 7463 www.fiferry.com a_ .n,ww farebnnkr'nmfFiahertlatanrlrrrr~; i),<,~: hops://mail. fiferry.com/owa/?ae=l temc~t-IPM.Note&id=RgAAMDP W B6llCAdRZShvr... 10/ 1 /2013 F/SHERS ISLAND FERRY DISTRICT VENDOR 011557 ANN KOWALCZYK-BANKS 10/22/2013 CHECK 1498 NUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 093013 JANITORIAL-9/13 250.00 TOTAL 250.00 FISHERS ISLANDFERIZYDISTRICT' ~(mIT to/2z/13 ~ 53095 MAIN flOAD, PO BOX 11 Y9 SOUTHOLD, NV 119)1-0959 CHECK NO. 1498 CUTCHOGUE, NO."9310NAL BANK DATE AMOUNT so-saaizia 10/22/2013 - $250 .00 TWO HUNDRED FIFTY AND 00/100 DOLLARS - i i PAY ANN KOWALCZYK-BANKS To 77fE PO BOX 384 y~~_3!*.~ ORDER FISHERS ISLAND NY 06390 ~+3/ OF ii•00 L498ii' ~:0 2 L4O 5464: 68 00 L 50 2 iii' b'endor So. Check tio. Town of Southold, New York -Payment Voucher 11557 ~ Vendor Ta~ID Somber or Social Sccurits Number Vendor AddressEntered by P.O. Box 384 _ - - - - - vendorSame Fishers Island, NY 06390 Audit Date Kowalcryk Banks, Ann _ ~~T 2 2 2~~3 Vrndor Telephone 5umber _ Vendor Contact ~ ^^'~V'~.•'~ t~° Income Invoice Im~nice Net Purchase Order lumber Date Total Discount Amount Claimed. Somber Us<ription of Goods or Sen ices Cienernl Ledger fund and Account Number _ ___T - - I ~ ~3940'FY 9130/2013 $250.00 $250.00 Janitorial/September SM5710.4.000.600 $250.00 $250.00 Payee Certification Department Certification the undersiened (C laimanp (ACtine a~ behall of the uhoce named elaimanU I hereto certiic [het the materials above speci0ed hoc. been reccicrd by me does herchs cendl that the foreemne claim a true and axrec~ chat no pan has in eood condilron snthout wbso LLWOn. the sere Tres properlc been paid. escepl as theeem saied. that the balance thaeio stated is acwalh pertonncd and that the quannnes therrof have been verified m0i the e~ceplions due eod owing. and that lases IYnm which Ihr lbwn is escmpl'are erccluded. or dac~epanaes noted. and payment is approved. 5 ignulure _ Tine Sign;tl ore _ f ont yam \amc 0'~___ _ D n; ~ ~ Ti1k ! D,ur ~ 1'i f~ F'/SHERS ISLAND FERRY D/S7R/C"/' VENDOR 011564 THOMAS KRAFT 10/22/2013 CHECK 1499 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 21696 RP 4100.OGAL Q$3.138900 12,869.49 SM .5710.4.000.300 21696 CT EXCISE TAX-$.5490/GAL 2,250.90 SM .5710.4.000.300 21696 S-F COST RECOVERY.0019 7.79 SM .5710.4.000.300 21696 LUST TAX-$.0010/GAL 4.10 TOTAL 15,132.28 ~ FISLIERS LSL.riND~'ERRYDlSTRICT ry ~ AUDIT 10~22~-13 ' 53095 MAIN FOAD. PO BOX 11 ]9 tC^ SOUTHOLD, NY 11911-0959 CHECK NO. 1499 ` ' ~wgj%OR~~e~~ CUTCHO VE, N01N930NAL BANK DATE AMOUNT.. so-5a6rz14 -X10/22/2013 $15, 132.28 FIFTEEN THOUSAND ONE HUNDRED THIRTY TWO AND 28/100 DOLLARS ,PAY THOMAS KRAFT ~ j/'/'_~/ TD THE DBA DIME OIL COMPANY CQ~C7C~. ORDER PO BOX 11125 OF WATERBURY CT 06703 ~ ~~'00 i499~~' ~:0 2 i405464~: 68 00 i 5D 2 iii' f , Vendor>ro. (Check No. Town of Southold, New York -Payment Voucher 11564 ' 4~ Vendor Tax ID Numher or Social Security Number ( Entered by t ~ as-earns ~ ~1 'P.O. Box 11125 Audit Date Thomas Kraft dba Dime Oil Company 'Waterbury, cr os7o3 - OC T 2 2 2013 - - - bendor'Felephone Number 203-754-5334 Clefk ~p/'j r 1 Vendor Contatt - - - ~ _ 2.,~z,~ ~ ~ -~"t'' Im'oice Invoice Invoice Net Purchase Order V nmb 21696 9/1912013 $12,869.49 Disnwnt Nn$u~ Zssned number Doscnption o(Goods or Services ~ Genewl Ledear Fund and Account Vumber _-t _ 9.49 RP 4100.0 Gals ~ $3.138900 i SM5710.4.000.300 $2,250.90 $2,250.90 _ CT Excise Tax - $.5490/gal - - $7.79 $7.79 S-F Cost Recovery .0019 $4.10 $4.10 .LUST Tax - $.0010/gal - _ r-- _ _ _ _ i $15,132.28 ~ $15,132.28 Payee Certification ~ Department Certification l~he undersigned ICleimant] (Acting on behall o(the ahoce named2Fai~" ~ I hereto ceruh that the materials above specified hale 6ren reeei cod M me does herob~ certifc tltat the (oregolne claim is true end correct. that no pan has in good u>ndition withom suhsutuuoa the services properh born poid- eacepi a, therein slated. that the balance therein staled a acniallt perlbnned 'and that dte yuantiucs theetuf here been tended tt ith die exceptions due end otcing. and that races from tchich the lotcn is csempt aare~occluded. or discrepancies noted. and pacment is approved Signamra Title J ~~enature _ _ _ Compam Vame~ Date.__~? ~j Iltlo _ ~ ~ Date ~ ~CT TERMS: WE RESERVE THE HIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 1,5°k R MONTH WHICH ~ ~ IS AN ANNUAL PERCENTAGE RATE OF 1R % ON AMOUNTS PAST DUE 30 OATS OR MORE AND TO ADD OLLECTION FEES f r J ^ ^ ~ o~~ 2 0 063 0 100001 /N/C 09/17/13 aa~ y, c 3 3 Fishezs Island Ferry Dist ,.0165 - ~-TF19~13 ~n~. F=` 5 Waterfront Park-Race Point ~ - - V • 1 State Street FOR GPS 4'42-0165 ~la~~o ~J . New L©~don, CT 06320- 19635 J K Factor: 0.000 Last De1v:09;~05/13 ~ i S • JOHN 860-303-8311*I95n-ex83-strait-follw _E~ ysigns-L State St-ovr RR tracks to term PAY DISCOUNT AMOUNt x ORDERED 3500 G, FOR THURS 9:00 AM d3 PAY TNIS AMOUNT Taxes= $0.0019 $0.5490 $0.0010 AFTER onus o DIME OIL COMPANY, LLC ~ T~X - - ~ P.o. Box iiizs ~ ~ ' WATERBURY,CT06703 TM IM - AN{ MelNr~rrE, m 1 ~ ~ (203) 754-5334 D CASH H. CK EA I U ~ .CHARGE ~~1~~~ m FISHERS ISLAND FERRY DISTRICT VENDOR 013054 MAPLE PRINT SERVICES, INC. 10/22/2013 CHECK 1500 FUND & ACCOUNT P.O.H INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 2174 FALL/WINTER SCHEDULES 184.00 TOTAL 184.00 a_. ..I FISHERS ISLAND FERRYDIS7RIGT AImIT 10/22/13 53095 MAIN ROAD, PD BOX II]9CHECK NO. 1SOb SOUTHOLO, NY 119]1-0959 THE SVFFOLK CO. NATIONAL BANK - _ CUTCHOGUE, NV 11935 GATE AMOUNT ' 5o-5asrzla 10 /22(2013 $184.-00 ONE HUNDRED EIGHTY FOUR AND 00/100 DOLLARS - - I ' ''PAY MAPLE PRINT SERVICES, INC. 7YJ T7f8 255 ROUTE 12, SUITE 699 ~iG~~;:. ORDER GROTON CT 06340. - ~ w,~ ~ ii•00 i 500ii• 1:0 2 i40 54641: 68 00 i 5D 2 ii~• r Vendor ~o. '.Check \'o. Town of Southold, New York -Payment Voucher 13054 ' _ Vendor Tas ID Vumber or Social Security Number ,Entered by 255 Rt. 12, Suite 699 Groton, CT 06340 Audit Date Maple Print Services, Inc. OC T 2 2 2013 - _ _ _ Vendor TelephoneVomber 860-381-5470 Taw~Clerl~ ~ - - ~ Vendor Contact ?+~4~ ~ , `s ; r j Im~oice Invoice Im~oice Nct Purchase Order Somber Date Total Discount Amount Claimed Vumber Description of Goods or Sen ices Genaai Ledger Fund and Aeeount Number 2174 9/25/2013 $184.00 $184.00 ~Fall/WinterSchedules SM5710.4.000.000 i_ _ _ i - _ _ $184.00 $184.00 Payee Certification Department Certification l hr underigned I Oaimanq IActine on behalf of the abme named dmmann I herebs aendl that the materials above specified have baen received h. me does hereb} ceriPo that the loreeoing claim is true and correct. thus nu pan has in euod condmon ~snhom substitution. the services propedc been paid. eccept as therein staled. that the balance therein stared is actualk performed and thm the yuentitics (hereof hate been verified sviih the esceplions due and owing. and tlrat rases from rchieh the To~cn is esempt are~esd uud~ed. nr discrepancies norcd. and payment a approved. ~~i Signature 'Citle_ Si enanirc ' Conipenc M1ame__ ___~Uaie Title.. _ _ Dote I Maple Print Services Inc. INVOICE 255 Rt. 12 9/25/13 invoice#2174 Suite 699 Groton, CT 06340 Maple BinTo: CP~rint 7 Fisherslsland Ferry District SeTV1CeS~ InC. 261 Trumbull Dr. Fishers Island, NY 06390 Item Qty Description Amount printing 500 Fall/Winter schedules $184.00 Subtotal $184.00 Sales Tax (6.35%) $0.00 (out-of-state) Total $184.00 Thanks! o V~ We now accept Visa, MasterCard and Discover. l C i~"`~ Net terms 30 days. 1.5% interest monthly on invoices open over 30 days. Phone # 860-381-5470 F'/SHERS ISLAND FERRYDLSTRICT VENDOR 014421 O'CONNOR DAMES, LLP 10/22/2013 CHECK 1501 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 1.75284 ACCOUNTING SERVICES 6,006.25 ' TOTAL 6,006.25 kMx'` Ytiblvle ,.U fr.5f~y,. frk a;Y;.... . FISHERS ISLAND ~F"~'R~tY DISTRICT ~ AUbST lo/ 22 /-13 ' ~ 53095 MAIN ROAD, PO BO%11 ]9 - - SOUTHOLD,NV119~1-0958 CHECK NO. 1501 CUTCHOGUE,NYO1N935NALBANK lflA~. AMOUNT' so-546/314 10/22/2013. $6,-006.25 SIX THOUSAND SZX AND 25/100 DOLLARS i i ~ I I PAY O'CONNOR DAMES, LLP t~5~~ 7b TTIE 100 GREAT MEADOW RD. SUITE 401 ORDER WETHERSFIELD CT 06109 OF ii•OOi50i~i' ~:02i405464~: 68 OOL502 11i' V endor N o. Check V o. Town of Southold, New York -Payment Voucher 14421 ~ ~ r ~1~ - Vendor Tax ID Nmnher or Soaal Suuritc_ Number ~ Emered by 2 7-1 72 8945 100 Great Neck Road 'audit Date O'Connor Davies, LLP Suite 401 ' OCT 2 2 2013 vzndur Telzphone Vnmhzr'Wethersfield, CT 06109 860-257.1870 ~ Town Clerk - - _ _ _ r• _ Vendor Confect " ~ s s Incoicz Im'oiez 'I Ineolcz Nzt Purehasz Order I Number i Uate i Total Discount Amount Claimzd Number Dzscripumt of Goody or Sen'iczs Gznzral lzdger Fund and Accoum Number -f-____ 175284 9120/2013 $6,006.25 $6,006.25 .Accounting Services SM1310.4.000.000 - - _ - _ _ _ $6,006.25 $6,006.25 Payee Certification Department Certification 'rhe undeaiened IClaimentl (ACtin¢ rnt bchul(of the ahove named claiinantl I hereto ezrtifi that the niatzrials ubocc spa'ifid hate been received bs me dues heretic ecru It Ihai thz I~regomg claim a true and correct chat no pert has m eood amdilion scnhaul subsuwnon. Ihz seniczs propzrlc heen paid_ ecczpt as thzrem stated. that thz balanw therein stated is ecluelk pzrRrrmed and Thai the quantities iherzo~ havz hzzn cenlizd kith the zxceptions due and oscing and that taszs Ram uhieh the lben is esempl are zxcludzd. or discrepancies nated_ and papment is approvzd. Signature _ Iitlc ~ Signature Compom Namz _ Da1z ~ O~~ T¢la Daic ~ _Cl~ ~O'CONNOR PKF DAVIES Date 09/20/2013 Fishers Island Ferry District P.O Drawer H Fishers Island, NY 06390 Client No 475764.000 Invoice No. 175284 For Professional Services Rendered E.I.N. 27-1728945 SERVICE AMOUNT Completion of audited financial statements $ 2,250.00 Preparation of management's discussion and analysis 1,160.00 Ferry fees and parking 414.80 Reconciliation of Fishers Island's trial balance to John Cushman's trial balance 862.50 Assistance with how to get the OPEB figures for the actuary 142.50 Phone calls regarding the changes to the Chart of Accounts 611.25 Discussion and e-mails regarding the budget and 2013's budget 580.00 $ 6,006.25 . Wire Instructions: Account: 2933041929 ABA: 021000021 Swift Code: CHASUS33 Bank Name: JPMOrgan Chase Bank Bank address: 100 East 42nd Street, New York, NY 10017 Beneficiary: O'Connor Davies, LLP Beneficiary Address: 665 Fifth Avenue, New York. NY 10022 Please reference on your check or wire your Client No. and Invoice No. 6'CON NOR DAVIES, LLP 100 Great Meadow Road, Wethersfield CT 06105 'r~i 860 257.1870 Fax 860.257.1875 ~ www.odpkf com i or Daoi„ IP c abe ~ ~ u~~bc PKl I t Loren - dopnorr,l i. antl tlo.~. tcl~~_~Y r~IO ~ti lly or lint Icy `nnM1T, rb~~~ i on fl ~ d~iy of ~ dimdual m, b 1. I%ISHERS LSLAND FERRYDISTRICT VENDOR 011866 OCCUPATIONAL HEALTH CENTER 10/22/2013 CHECK 1502 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 151110 DRUG TEST-C.NEWELL 30.00 TOTAL 30.00 ~"+'~~aa~':.o ^'mo`.s+'c$H..~.~ < '~:ba r v~~ + §+t „Rfi~.. ` s?~ '6 ~ ~ ~oa y+m - f PIS$ERS ISI,tLVD.hER~ZI~~IST73I4T AL7DZT ~10[~2~~.3 _ 53085 MAIN ftOAO, PO 60% 11]9 SOUTHOID, NV 1 1 911-095 9 CHECK ND.~ 1502 THE SUFFOLK CO: NATIONAL BANK CUTCMOGUE, NY 11935 .DATE AMS3UNI 50-5461214 10~22~2011,. $30,6Q THIRTY AND 00/100 DOLLARS - - i i PAY OCCUPATIONAL HEALTH CENTER lO THE LAWRENCE & MEMORIAL. HOSPITAL ORDER 52 HAZELNUT HZLL ROAD OF GROTON CT 06340 i~'00~50~ii' ~:02i405464~: 68 OOi502 Ln' ' _ _ - Vendor No. Check No. Town of Southold, New York -Payment Voucher 11806 Vendor Tai ID Numbu or Social Secunn Nunber Vendor .Address Entered by' oeoase~oa ~ ~ fiOccupational Health Center - • _ . _ - - vrndDrName ' ' ~~C~1(~(~ 52 Hazelnut Hill Road Audi[ Daie Lawrence & Memorial Hospital Groton, CT 06340 ~ _ OCT 2 2 2013 Vurdor Telephone Number I 860-446-8265x7074 igayyClerk ~ -~i~ Vendor Contact C-i~/'/ ~;.r q I c InvDfce Invoice Invoice Net Purchase Order Number Dace ~ Total Discount Amount Claimed Nunber ~ Uescnprion of Goods or Services ~ General Ledger Fund and Account Number 151110,1., 9/10/2013 - 30.00 30.00 ',Drug Screen Collection SM5710.4.000.000 - j _ ' ~ - - - _ - - i - - I - $30.00'... $30.00 j- - Payee Certification Department Certification the undcrsi~ntd (Claiman0 (Acting on hehalfof the ahnre named daimanq I herehc ecnifi that the materials above specilied have hero recen'ed M me dues herehc cemfi that the ~nraeoine elann is true and correct. that no pan has in goad condition rr ithour substiwbon. the xn ices properh heen paid- asap[ as therein slated- that the balance therein stated is acmalk pertonned and that the quantities thereof have been rcrified rerth the rviceptimrs due and Drying. and That taws from ~yhich the To~cn is esempl are eaeludsi. or discrepancies noted. and payment is approytd. Signature Titlr ~///j~~~~ ~ Slgnawrc K- _ _ /'y Cmnlram Vem~~~ Uo2 ~ Gilc- - --y~~~~~~~~~~Dutr ~ (i' Occupational Health Center 52 Hazelnut Hill Road Groton, CT 06340 Phone: 860-446-8265 ext. 7074 • FEIN: 06-0646704 Invoice September 10, 2013 Bill to: Steve Burke For: Pisher Island Ferry Pisher Island Ferry Y.O. Box 607 Fishers Island, NY 06390 Invoice # 151110 Proc Code Date Description Q~t t~ Charge Receipt Adiust Balance 09/06/2013 Drug Scrccn Collection Only L00 30.00 30.00 Christopher Newell XXX-XX-6119 Balance Due: 30.OU Invoice # 151110 Balance Dur. 30.00 Effective April 2, 2012, $25.00 will be charged for all no-show physical appointments and for any physical exam that is cancelled with less than 24 hours notice. ~ l~ ~J~~ Cut and rcWrn with payment o„~-- FISHERS ISLAND FERRY DISTRICT VENDOR 016659 PRINCIPAL LIFE GROUP 10/22/2013 CHECK 1503 FUND & ACCOUNT Y.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 H19730-1-10/13 LIFE PREM 10/1-10/31/13 136.29 TOTAL 136.29 z.r~ ~sd-`k'~.~`tc 5~3.~~~ ~z x~s~ ~s vn~°" a:~'•` FISHERS LSLAIV~FERRYDIS7RICT AUDIT to/2~/i3 ~ 53085 MAIN NOAD, PO BOX 1119 sourHOLO. Nr nell~oB59 CHECK NO. I5~3 CUTCHOGUE, NO.1N93 ONAL BANK DATE AM1AC3tiNT I 50-546!214 10/22/2013 $136.29 ONE HUNDRED THIRTY SIX AND 29/100 DOLLARS I SPAY PRINCIPAL LIFE GROUP Ib THE GRAND ISLAND ORDER ~ gOX 14513. OF DES MOINES IA 50306-3513 i i i~'OOi503i~' ~:02i405464~: 68 OOi502 iii' ' Vendor \o. ' Check \o. Town of Southold, New York -Payment Voucher ~ 6659 ' O Vendor Tae ID Number or Social Settmtc Number !Vendor Address Hntered by P.O. Box 14513 Des Moines, IA 50306-3513 !Audit Date Principal Life Group ~~T 2 2 203 _ _ - VendorTClcphoneNmnbcr ' 800-843-1371 ToWj}~lerk~ y s~ : . J Vzndor Contact ~C..G r Invoice Im'oice Invoice Nzt I Purchasz Ordzr Sumher Uate Total Discount Ammmt Claimed Vumber Dexription o(Goods or Szn iczs Gzneml Ledger Fund and Account Number _ }{(4 ~ •~'I~139/17/2013_ $136.29 $136.29 LifePrem SM9060.8.000.000 1 0/1 /1 3-1 0131 /1 3 i i _ - _ - $136.29 $136.291 ' ~ Payee Certification Department Certification 'fhe undeaiened (Claimano (3dme on bzhalf oI the ehocz named daimnn0 ~ I hzreb~ certih that the materials aho~e spen0ed has bzzo reczned h~ mz does hzrehc certifj that thz loregmne dmrn a true mid correct- that no pan hay m good eondrtion e'uhouuuMtiwtion_ the serviczs propedc bezn paid. except as tlterein stated. that the balance thzrein stated Is actual b perlonned and that the quantities thereof' have been cultled r~ ith the z~ceptions duz and o~~me and that m~zs irom which tltc ltncn a eszmpt ar end uded. or discrepancies noted- and pa~mant is approved i Signature ~ l'itle_ ~ i Signature i Compao~ Aaitte _Uak Tille~_ _ DVe ~ PREMIUM STATEMENT financial Princq~al Financial Group I Principal Life I this s~aiemem is no way cnanges me Group Des Moines, IA 50392-0001 Insurance Company cnm ~acl nr wzives any ovn r~nie pay mnm Account Number H19730-1 Lb. NO. 0819730 00001 93 Due Date 10/01 / 13 Stmt Date 09/ 17/ 13 Billing Period 10/01 / 13 - 10/31 / 13 000381 FISHERS ISLAND FERRY ATTN J MILLER 261 TRUMBULL DR BOX 607 Please Pay Balance Due FISHERS ISLAND NY 06390 $ 136.29 PLEASE REVIEW ALL MESSAGES BELOW_ THEV CONTAIN INFORMATION RELATED TO VOUR PREMIUM PAYMENTS AND THE ADMINISTRATION OF VDUR PLAN. IF VDU HAVE OUESTIDNS REGARDING ANV OF rHFSE MFSSpGES PI FASF CONTACT iIS pT THE NUMBER LISTED BELDW. IT IS IMPORTANT TD REPORT NEW ENROLLMENTS, TERMINATIONS, AND CHANGES IN DEPENDENT STATUS PROMPTLY TO OUR WEBSITE AT WWW.PRINCIPA L_COM OR NOTIFY OUR ADMINISTRATION AREA. WEB REPORTING REQUIRES A PIN. IF YOU DO NOT HAVE A PIN, PLEASE CALL 800-621-6280. REPDRTING CHANGES PROMPTLY WILL RESULT IN A MORE ACCURATE PREMIUM STATEMENT. CHANGES SHOULD NOT 6E SENT WITH YOUR PA~MENT- FOR ASSISTANCE, PLEASE CALI TOLL FREE 1-800-843-1371 i~#t l~ik~•li##x_ki~~#t.+.*#+~#.xw4~l.#vlkmkf tkk~M<+vtxr#t~#+k~#a#+k'++k.t#iM~a #~k t##itxx? PROVIDING VOU WITH GOOD SERVICE IS IMPORTANT. PLEASE REVIEW YOUR STATEMENT EACH MONTH TO ENSURE PROMPT AND ACCURATE CLAIM PAYMENT. ° ' PiIIICI 31 FN8f1C131 ~ILUUp PEiNCI al LIAR PREMIUM STATEMENT f108/IC/2~ p p Tnls st to t ~ no way cha ages the Group Des Molnes, IA 50392-0002 Insurance Company ,.~~,1 ~ -1 wa ~ a,y ove~Jle pev~1,P~,1 THIS IS YOUR COPY. PLEASE KEEP FOR YOUR RECORDS. ACCOUNT N0. H19730-1 FISHERS i`LAND FERRV LB. N0. 0819730 00001 93 DUE DATE: '0/01/13 STMT DATE 09/17/13 _-___A _ CHARGE/ ID G BILL LIFE/AD&D CREDIT NUMBER NAME E MONTH BNFT PREM 971267311 BADNN-0ONA 52 t00Yi3 1000 6.99 6;49 975510634 fiUR1fE STEP 33 100113 10000 6.49 6.49 912050269 eUR NS RONA 53 100113 10000 6.49 6'49 934d46811 DOUCE TTE 0 50 100113 10000 6.49 6'49 904915399 EAGAN DANS EE CHANGE SUMMA AV NEW ENA OL IA-ENT 10/01/2013 24~100113~ 10000 6 49~ 6.49 945]36524 ESPINOSA N 30 100113 10000 6.49 9802652]8 FENTDN SCO EE CHANGE SUMMARY NEW ENROLL::+_NT 0:'O 1:2013 27 100113 100001 6.491 6 49 ' 956558752 FIOR4 M1C4 32 100113 `00001 6 49 5 49 997750697 FORD POLLY 44 100113 10000 6.49 6'49 936317936 FRANCD MIC 57 100113 10000 6.49 6'48 996223866 HANEY J ONA 31 100113 10000 6.49 6'48 955394736 HILLER JON 55 100113 10000 8.49 6'48 9014.59613 LAM6 DONAL 57 100113 10000 .6.49 6'48 966119634 LAVIN JR R 56 100113 10000 6.49 6.49 927276449 LE FEVRE R 60 100113 10000 6.49 6'49 935116920 MARKS JASO 25 100113 10000 6.49 6.48 966377308 MARSHALL J 38 100113 10000 6.69 6 49 957847586 MORGAN JOH 33 100113 10000 6.49 6 49 970433972 MURPHY GDR 66 100113 10000 8.49 6'49 982693962 PARA015 JO d7 100113 10000 6.49 6'48 920098492 TRAUB DAME 56 100113 10000. 6.49 6.49 FOR ASSISTANCE, PLEASE CALL TOLL FREE: 1-800-843-1371 ' F395GP-0 ACCOUNT ND. H19730-1 10/01/2013 - c~ooc 1 e3'a~26[ J~~o9s r,- Loy i.:4'. , Ali rt ~ Pfl fl C~I )7 F~INi3 fl C18 GrO LI PI'IOCI 81 Llfe PREMIUM STATEMENT f/O8/1G8~ ~ P Q This st to e t in no y ch iges it c Croup Des Moines, IA 50392-0002 Insurance Company ~o~t „o a~ es, r , e,tnvt,P~.~ THIS IS YOUR COPY. PLEASE KEEP FOR YOUR RECORDS. ACCOUNT N0. H1973O-1 FISHERS I'iLAND FERRY L8. ND. 0819730 00001 93 DUE DATE: 10/01/13 STMT DATE: 09/17/13 CHARGE/ A ID G BILL LIFE/ADHD CREDIT NUMBER NAME E MONTH BNFT PREM SUMMA kV TDTA LS - TOTAL COVERED 21 j LIFE / AD&P 2i0,o0o BAl DUE LAST.. 2a 6-62 PMT SINCE LAST 246.62 NET CREDITS 00 8AL FORWARD 00 CHARGES THIS STMT 136.29 TOTAL AMT DUE 136 29 lffE / AO&D PREMIUM TOTALS. $1.36.29 FOR ASSISTANCE, PLEASE CALL TOLL FREE'. 1-800-843-1371 F396G P-4 ACCOUNT N0. H1973O-1 1001/2013 000 000000 900909 rese3t eT2ec11/soTOCOl ont aaao9T3 903 of oos h7SHERS ISLAND FERRY D/STRICT VENDOR 017962 KENNETH RICKER 10/22/2013 CHECK 1504 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 080113 REIM MEDICARE SUP-8/13 216.75 SM .9060.8.000.000 083013 REIM MEDICARE SUP-9/13 216.75 SM .9060.8.000.000 100113 REIM MEDICARE SUP-10/13 216.75 TOTAL 650.25 FISHERS ISLAND FERRY DISTRICT AunrT 'lo/22/x3 53095 MAIN ROAD, PO BOX 1178 SOUTHOl0, NY 119]1-0959 CHECK NO. 1504 THE SVFFOIK CO: NATIONAL BANK i CUTCHOGUE, NY 11935 DATE - AM04JNT sa-sasma 10/22/2013 - $650.25 ~I SIX HUNDRED FIFTY AND25/100 DOLLARS I PAY KENNETH RICKER Tn77fE 46-2 BECKET HILL ROAD LYME CT 06371 ii'OOi504~i' ~:0 2 140 5464~: 68 OOi502 iii' Vendor No. Check No. Town of Southold, lYew York -Payment Voucher 17962 Entered by ~0~ {I Vcndor'Cax ID Number or Social Security Number Vendor Address ,46-2 Becket Hill Road - - - _ ~ Lyme, CT 06371. _ Audit Date - - Ricker, Kenneth Vendor felephanc Number OCT222013 - ' 860-575-9438 To Clerk Vendor Contact ~ - - _ - - - - - - ~ i - n F ~ 1 - Invoice Invoice Invoice Ncl Pnrehesc Order ' Kmn6er Date Total Discount Amoum Claimed Number Description m Goods or Sen9ces General Ledger Pund and Account Number ' -~D~ _ _ 3 - $216.75 ' $216.75 United Health Medicare SM9060.8.000.000 ~ r - cc. _ o C 1'~ 8/30/2013' $216.75 $216.75 Supplement August, Sept (,1 ~ j _ 10/1/2013 $216.75 $216.75 & October 85% Reimbursement _ _ ~ $255.001ess 15% ($216.75) ~ t-- - - - ~ , . ~ . , _ C. _ t ~ 2 - - 1~ _ _ _ _ - T+--.._ - It~~ _ - - _ _ _ ~ $650.25. 5650.251 Payee Certification Department Certification the undersigned (Claimen0 (toting on behalf of the shore named claiinanp ~I I herehv cenifr that the materials above specilied have heen received h~ me does hereby certily that the tixegoing claim is true rind wrrecL that no part has in good condition without substitution. the services properly been paid ~ecept as therein slaltd. that the halancc therein stated is actual h' performed and tltat the quantities thereof hate been verilicd with the exceptions doe and owing. and that/~awes..t~nnn which t-he Town is exempt ar///efffexduded. or dis'crepancies' noted. and pa}'ment is approved. Signatwe l/- 1~ Iltlc_ _ ~ Signature~ _ - _ _ Compam Name Date ~ l'itlc ~y~~ Da0. ~ 15/01/2013 13:16 8604436851 FZ-NL OFFICE PAGE 01/04 October 1„ 2013 T0: F15HERS ISLAND FERRY DISTRICT PO 8OX 607 FISHERS ISLAND, NY 06390 FR: KENNETH R[CKER 46-2 BECKET HILL RD LYM6, CT 06371 860 575 9438 RE: HEALTH CARE PREMIUM for Medicare Supplement Policy Member # 302307704-11 Enclosed are copies of premiums paid for August, September and October, 2013 totaling $765.00 Please submit for reimbursement of 85% on my behalf. Thank you Regards, /K nn~Ri~ke~~ Gi~%~~ 1©/0112013 13:16 8604x36851 FI-NL OFFICE PAGE 04/04 Pay Bills I Bill Detail https://paybil]s.citizensbankonline.com/cw--. Bill History Bill DetaAl Kilter Name Account Amoaul Pqy Date ConBrmndw Status UNITED HEALTH INSVRANCk. GREEN CHECKING 5755.00 0&01/2013 FZ388-SOKRD Poid COMPAY x6d491 SUPPLIMENTAL POLICY x7011 The funds for your payment to UNITED HEALTH INSURANCE COMPAY ware withdrawn from your GREEN CHECKING x64A31 account on OB/OJ 12013. IJNTTED HEALTH INSURANCE COMPAY wi0 receive your payment electronically on 0&0112013. Your paymem was pwted to your UNITED HEALTH INSURANCE COMPAY account on OSr01/2013. If you have a queahon about your bill or about c¢ditiog the payment to your biller account, please contact UNITED HEALTH INSURANCE COMPAY dirccUy. ff you have a quralion about this payment, you can Bond us a eaymcnt inguirv . For Customer Service please call us at 1-g00-636-6561 Member FD1C ~ Equal Nouaing Lender Privy v & ~ •.+tv I lkcma u[ Use I Citizens Bauk Opline Gaarantce ~b2013 Ci[izene Financial Oroup. All Rights ® Reserved. Citiuns Bmk is a brand ruune of RBS Citizens, N A. and Citizens Bank of Pennsylvania. Citizens Bank is a division of RBS Citizens, NA. and Citizens Bank accounts end outer RBS Gtiuns, NA. amounts ere not separately insured by the FDIC. Ci[i zcns Bank of Pennsylvania is ram part of RBS Citizens, NA. of 1 10/1/13 11:33 AM 3eieTi2e13 1x:36 e6e4a36es1 FI-rv~ OFFICE PAaE e3iea Pay Bills I Bill Detail https://paybil]s.citizensbankonline.com/ew... Bill History am net~a 8811r Name Account Amount Rey Date ConAtmatlou Sbtus UNITED HEALTH INSURANCE GREEN CHECKING $255.00 0&30/2043 G21CBI.05YX7 Paid COMPAY sb~431 SUPPLIMENTAL POLICY 27041 The funds for your p¢yment to UNITED HEALTH INSURANCE COMPAY were withdrawn from your GREEN CHECKING x64431 account on (18/30/2013. UNITED HEALTH INSURANCE COMPAY received your payment electronically on OS/30/2013. Your payment was posted to your UMTEU HEALTH INSURANCE COMPAY account on OSI30I2013. If you have a question about your bill or about crcdi4ng the payment to your biller account, please contact UMTEA HEALTH INSURANCE COMPAY directly. Tf you have a question about this payment, yw can send us a e men[ in ' For Cttbiomer Service pleas rill ue et 1.800-6515-661 Membar FDIC ~ Equ¢I Housing Lender PrSvaev & Security I Terms ¢f Use I SrJR ens Hank OnlineS.ua[[suSCf ®2053 Citircna Fnandal Grvup. All Rights ® Reserved. Citizere Bank is a brand name of RBS Citizens, N.A. and Citzens Bank of Pennsylvania. Citimns Bank is a division of RBS Cirlutu, NA. a¢d CVtizeos Bank accounts end other RBS Citizens, NA. ac<ounta em not sepazatrly insured by Iha FAIC. Citizeru Bank of Pennsylvania ie not pan of RAS CStizens, NA. l ~f 1 10/1/13 11:33 AM _ _ 1©/01/2613 13:16 8600436851 FI-NL OFFICE PAGE 02/04 Pay Bills I Bill Detail https://paybills.citizensbankoiline.com/cw... Bill Hisrory sal DctaB Biller Name Accooai Amount Pay Dale ConBrmatioa Status UNffED HEALTH INSURANCE GREET/ CHECKING 5255.00 10101/2019 GSHwL-FLQBN Paid COMPAY 264431 SUPPLIMENTAL POLICY x7o4-1 The funds for your payment to UNITED HEALTH INSURANCE COMPAY were withdrawn from your GREEN CHECKING s64431 account on 10/01/2013. UNITED HEALTH INSURANCE COMPAY will rrneive your payment electronically on 10/01/2013. You[ payment was posted td Your UNITED HEALTH INSURANCE COMPAY account on 10/01/2013. If you have a question shoal your bill or about crediting the payment to your biller account, please contact UNfpED HEALTH INSURANCE COMPAY directly. If you have a queaGon about this payment, you can send us a vavment invuirv For Crr5tOlPer Service please call n8 al 1.800.6N.6561 Member FDIC D Equal Housing Lender ~py~rl}y I Terms of flee- I j;j{j+pnc Bank Onl-ne. GnaranL ®2013 Citzens Financial Oroup. All Rlghta Reserved. Gtiure Bank is a brand name of RBS Citzens, NA end Citizens Bank of Pemeylvania. Citizens Bank le a division d RBS Citizens. N.A. and Citizens Bank accounts end omer RBS Cuizens, NA. accounts arc not separately insured by the FDIC. C`itiuna Bank of fbnnaylvania is not pad of RBS Citizens, NA. l of 1 10/1/13 11:33 AN h7SHERS ISLAND FH,'RRYDISTRIC'J' VENDOR 019272 SHETUCKET PAPER & SUPPLY CO. 10/22/2013 CHECK 1505 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 P7037 RAGS/TOWELS 83.00 TOTAL 83.00 FISHERS ISLAND FERRYD/S7t{IC7` AunzT to/zz/i3 53095 MAIN ROAD, PO BO% 1179 SOUTMOLD, NY 11971-0959 CHECK ND. 15OS CUTCHOGUEK N~ iN 935 NAL BANK :DATE AMOUNT so-sasrzla 10/22/20I3 $83.OD EIGHTY THREE AND 00/100 DOLLARS - ~ SPAY SHETUCKET PAPER & SUPPLY CO. //J/~J 7t7 THE DIV OF SHETUCKET IRON & METAL y- `k~~ PO BOX 349 tv/J NORWICH CT 06360 i~'OOi505~~• ~:0 2 140 5464~: 68 OOi502 lii' Vendor No. ~,Chcck ]o. Town of Southold, New York -Payment Voucher 19272 I v0~ Vendor/ qs lD Number o~5ocial SCavinNumbu Vendor Address ~Enlered by New Wharf, P.O. Box 349 _ vend„r Vamc - Norwich, CT 06360 - Audit Daic 9 Shetucket Iron & Metal Co., Inc. (Paper Prod. Div) - - OC T`~, 2 2013 Vendor TZlephonz Vumbcr t 860-887-1681 rk. ~ ; ~ bendor Con,ad r <-y ~-Cr ` ~ ~ 'i'. Invoice Inv Diet In. Dice Ne, Purchase Ordz[ ,Number Dn,e local Diseoum Amount Clain,zd Number Description ol'Goods or Sen ices General Ledges Fund and Account Number P7037 9/13/2013 $83.00 $83.00 Rags/Towels SM5710.4.000.600 $83.00 $83.00 Payee Certification Department Certification The undersigned IGaimanll t.Aciine an hchalf of the ahocc namzd cleimnn,i I hzreb~ ezmf tho, the ma,e[ials above specified have bzzn reczi~ d he me ~i does herchc ceni(c ,ha, Ihz lorepoing claim true and currec,_,hm nu pan has in eood condi,ion wilhom wbsli,ution_,he sere-ices pmfxdc bzen paid, zscep, as ,hzrein S,a,ed-,ho, the halence therein staff d is ec,ualh pcdo m,zd and tha, the c~uan,i,izc Ihzreo~hasz bzzn sonfizd mnh the c~cep,ions I, Jue and oscin_-and ,hal lases from ,ch mh the llnsn i.' ~semp, am esduded o, dis-c~~r~e~p~a~n/ciye/s no, zed,. a-nd~pa}m ~m i~apprn~td ~ S~ {yam ~amc_ ~l J7 Titlz-_~)a,~ ~I itl~alurc '~5~~_. D;Ve ~ ~~~3 C / !i ./s~~ / Shetucket Iron & Metal Co., Inc. Invoice Norwich, C'T 06360 Date Invoice # Telephone: (8611) 887-1681 9~ 13.2013 I'7037 Fax: (860)886-7333 Bill To Ship To Fishers Island fen~y District Fishery Island Ferry District P.U. I3os H fool Uf State Strcct I'ishcrs Island. NY 06390 Nc~a~ London, C"I~ 06320 r- F'.O. No. Terms Account # Ship Date Ship Via 5U 3U 9~ 13.3013 (lliK IRCCF: Quantity Product No. Description Unit Price Amount 100 Rae-Nedaime_ RedaimeJ rernalorce Rau,?0 It-02000-(."IT ILR3 R3.OU Subtotal Rx3.ou i i Sales Tax (6.35%) ~;o.or~ Please Pay This Amount ~tis3.ou Price; ~ublaet change ~ciihuul notice `JO'I ICI I'~1ti l UI:I .1(i nl!N I S N II J. 151. 111,4 K(d D .1N Mll!KI S I K;111_ UP 12'S-~ VI R M11(1N111. No nicrdiendisc acccplcd ~br return ~cilhnul aulhnriial inn our ¢~pnn,ihd n~ ¢un~s upon Jcli~er~ In wrricr. -111 dainU roust be nmJc to lYensportdlinn ('u. Shetucket Iron & Metat (;'o., Inc. No~;~n, cT o636o Delivery Ticket Telephone: (860) 887-168'i Fax: (860) 886-7333 Date Number en~i~oi~ P~o~~ Ship To Fishers Island Ferry District Y.l). 13oxt [ Fishers island. NY 06390 ~ L~ _ _ Account # Ship Date Ship Via Terms P.O. No. IQ'i'!3013 Net30 Quantity Product No. Description 100 Rag - Re.r..laimed Tory/Fle... Reclaimed Terry/Fleece Rags 50 b:-C2000-C'CN i f ~ , I i , c~_ , ~ I ~ i ~ Signature 1~7SIIERS ISLAND FERRY DISTRICT VENDOR 020151 TECHNICOLOR, INC. 10/22/2013 CHECK 1506 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 85730835 FILM DEL/PU-STAR TREK 40.22 TOTAL 40.22 t ,e. FISHERSISi.ANl~E'ERRYDIS7T21GT~ At~2T 10/22/~.a 53095 MAIN ROAD, PO 80% 11 ]9 I SOUTHOLD,NV119]1-0959 CHECK NO. 1SOG THE 9VFFOLK CO. NATIONAL 6ANK i ~qa, CUTCHOGUE, NV 11935 O~iTE P1M~UNT so~546ma 10/22/2013 $40.22 FORTY AND 22/100 DOLLARS PAY TECHNICOLOR, INC. ~//J~j ~ TECHNICOLOR CINEMA DIST _~jy~j`kye~ OF .DEPARTMENT 848498 :l•/+9. u+P _ LOS ANGELES CA 90084-8498 ~~'00 L 5061• ~:0 2 140 5464: 68 00 L 50 2 L~i• Vendor ~'o. Check Vo. . ~ Town of Southold, New York -Payment Voucher 20151 Vwidorlav ID Nwnber or Social Securiic Number Vendor Address ~ Eflleted b}' Po Box aaaa9s _ Los Angeles, CA 90084-8498 Audit Date TECHNICOLOR, INC. OCT 2 2 2013 Vendor Tdephonr 800-993-4567 ,Town Clerk Vendor Comad ~ ~ _ - 9~r i` ~l Inroicr Invoice Im'oice Net Purchare Order i V umber Ua~c Total Discount :Amount Claimed Vumher Description o~(ioads o~ Sea ices General Ledger Fund and Account lumhrr 85730835 8119/2013 $40.22 $40.22 Film Del/PU Fees SM7155.4.000.000 'Star Treklntothe Darkness - - $40.22 $40.221 Payee Certification Department Certification The undrrsignrd fClaimanO IAtting on hehall of the ahoce named daimunp I herrh} n•nitj that the materials uho~r specilled have horn recriad he me does hemha certifi ghat the toregumg claim is true and corrttt. that no part has m good condition ~ti i~huW mbstilution. the services prnpedc heen paid. ~'ep~ as therein sta~ed_ that the balance therrin stated is adualk ~ pslonned 'and that the quantities thereof hair Bern coritied ~ci~h the c~crptian~ due and o~cm=. :md that woes Gom ~.hid~ the Tm~r is rsem p/a~rejesd uded or Jiscrepanaes nmcd. and pannent iv appmced. 5 iena4i re Title ~ Si u~am re _ ~T ~ , Cnmpam Vame Dnw~ Title ? Uate ~ ~:'echnicolor REPRINT TERMS: NET 14 DAYS _c, ~ Page: 1 of 1 REMIT TO: PO Sox 848498, LOS ANGSLHS, CA 90084-8498 INVOICE TO: Shipped To: 1000448 Fisher Island Community Thir Fisher Fisher Island Community Thtr 261 Trumbell Dr Circuit or Fishers Island, NY 06390 Owner 1000448 08/19/13 85730835 09/02/13 4 PICTURE TITLE DESCRIPTIO QTY AMOUNT ~ ORDER NOMBSR SHIP DATE AIRBILL NUpIDER D/G/T,9L C/NEMA Star Trek Into The Darkness TOC 1 40,22 8512190 08/03/13 ~istribut ion Billing Subtotals: 0 00 0.0 0.00 0.22 40.22 Packag ng Mate ria Sales ax Shi ping Subtotal L FOR ADDRESS CORRECTIONS: 0.00 0.00 0.00 40.22 40.22 1-800-99-FILMS (34567) Packaging Materials Sales Tax Shipping PAY T825 AMOUNT FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 10/22/2013 CHECK 1507 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639383 W/E 9/21/13-(1)PKG 42.58 I SM .5710.4.000.700 26639393 W/E 9/28/13-(13)PKG 478.44 TOTAL 521.02 FISHERSISLANF3~FERRYDISIRICT'~, A~~q~'~pfz21i3 53095 MAIN 90AD, PO BOX 11]9 SOUTHOLD, NY 119]1-0959 CHECX ND. 1507 CUTCHOGUEKNY0~17935 NAL BANK DATE AMOUNT 5a548rz14. -10/22/2013 $521.02 - ~ FIVE HUNDREDTWENTY ONE AND 02/100 DOLLARS - i SPAY UNITED PARCEL SERVICE ~`~~e~'~~ 7YJ TTiE PO BOX 7247-0244 ~ yJ OO~ER .PHILADELPHIA PA 19170-0001 ~i•00 i 507~i' ~:0 2 i405464~: 68 00 i 50 2 L1~• - ~ _ • Vendor Vo. '.Check No. Town of Southold, New York -Payment Voucher 21506 ' 50~ Vendur Tax lD Number or Social Securit.Number Vendur Address Entered bY' P.O. Box 7247-0244 vendor Nmne Philadelphia, PA 19170-0001 - audit Datz ~ united Parcel service ACT 2 2 213 Vendor I elephone Number 800.811-1648 I Town Clerk ~ ~ ~ Vendor Contact - - ` r~, ~ Invoice i Imoice Inoice Net Purchase Order. Number Dale total Uiswum Amount ClefmM. Number Descriprwn o(Goods nr Services General Ledger Fund and Account Kumber _ _ - 26639383 9/21/2013., $42.58'. $42.58 ~WIE 9/21/13 ~ i~ SM5710.4.000.700 ' .26639393 9/28/2013 $478.44 $478.44 _W/E 9128113 I _ _SM5710.4.000.700 - _..__1.. - - - _ l__ _ _ $521.02 $521.02 Payee Certification Department Certification I he undersgned iClairnaml IAaing nn behal(ol'the ahoce nem d daimanl ~ I he26~ «mtc ~he~ the marenah above specif d have been rewned h_c me dots hembp mrtih char the ~oregmng cle,m is rme and correct. Ihal no pan has in good condition rci[hout mbstitulion. the scrcicae propedc been paid, c~cept es therein stated, char the halance therein gated is adualk pcrfonned and Thal the rµ,an~itics nc~rnif hart been vcri ficd ,vide the ucepiion± due and orcine. and that rases Irom rdtich [hc lbwn is esempl are eselud d. or discrepancies noted, end payment is approved. Sigoahim title N ~ SignaLLne i~ C rmpam Vaine Dare ~ ~ fide f~ _ ~ ,Dare ~ (J C~ I Delivery Service Invoice invoice date September 21, 2013 ' Shjpped from: Invelce number 0000026639383 FISHERS ISLAND FERRY Shipper number 026639 I STATE sT Oontrol ID 194U NEW LONDON. CT 08320 Page 1 of 3 Sign up for electronic billing today! - 0736A00000266394 nseeaoooss93o Visit ups.com/billing FP 01 065050 13431]211 A^"3Ue1 - For questions about your invoice, call: 'I'1111'lllllllllll'141111111111"I'I'I'lll'll"I"'ll'lllrl,l (80o)81t-1648 FISHER ISLAND FERRY Monday-Friday 8:00 a.m. - 9:00 p.m. E.T. _ PD BOX 607 - FISHERS ISLAND, NY 06390 or write: UPS _ P.O. Box 7247-0244 Philadelphia, PA 79170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $ 42.58 Summary of Charges Amount Outstanding (prior invoices) $ 742.38 age arge Total Amount Outstanding $ 784.96 Outbound Please include [he Return Portion of each outstanding invoiee rvith 3 UPS WorldShip $ 18.58 your payment. See Account Status for details 3 Adjustments & Other Charges $ 2 00 Service Charges $ 22 00 - Taking control of inbound. shipments UPS Import Controlx~. now available with UPS Worldwide. Amount due this period $ 42.58 F xpress Freightinn, helps you maintain control of your inbound shipments, manage your Shipping costs and ensure UPS payment terms require payment of this invoice by October 2. - confidentiality of your invoice and account intounation I;ontact 2013. your UPS account manager, call 1-800-782-7892 or visit ups_.COm/wOfldwldeeXpressffelght for rnofe mtonnation Payments nol received by October 16, 2013 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) _ ~ Note: This invoice may contain a luel surcharge as described a( ups.com. The published luel surcharge is 7.03b for UPS Ground Services and 10.8 for UPS Air Services, UPS 3 Day Select, and - International services. For more information, visit ups.cam. Delivery Service Invoice ' Invoice date September 21, 2013 Invoice nurnber 0000026639383 _ Shipper number 026639 n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000026639333 08/17/2013 $ 608.13 0000026639343 08/24/2013 $ 365 79 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000026639353 08/31/2013 $ 371 71 0000026639363 09/07/2013 $ 133 99 0000026639373 09/14/2013 $ 236.68 Total $ 742.38 Outstanding balances reflect any payments received as of 09/20/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice ' Invoice date September 21, 2013 Invoice number 0000026639383 Shipper number 026639 Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ~ Number of Billed Date Record Message Codes Packages Charge 09118 9121174716 1 18.58 Total UPS WOfldShip _ 1 Package(s) 1g 5g Total Outbound 1 Package(s) 18 58 Adjustments & Other Charges Miscellaneous Explanation Billed Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR i PRINTERS AT $2 00 EACH FOR 20-SEP-2013 Total Miscellaneous _ _ 2.00 Total Adjustments & Other Charges 2.00 Jfi SI]50 2i1 Delivery Service Invoice Invoice date September 28, 2013 ' Shipped from: hivoice number 0000026639393 FISHERS ISLAND FERRY Shipper number 026639 1 STATE ST Control ID 2Q32 NEW LONUON. Cf Oti320 Paye 1 of 4 Sign up for electronic billing today! 0736A00000266394 iBSSaooos>JOS Visit ups.com/billing FP 01 0>9827 161391197 A"'3UG'. For questions about your invoice, call: - ll~rll!~IIIPIu~l~hhlirh!l~!„lll,h!h,l.,il„°nhllll,l csoo>811-16as - Monday -Friday - FISHER ISLAND FERRY B:OO a.m.-9:OO p.m. E.T. PO BOX 607 FISHERS ISLAND NY 06390 or write: UPS P.O. Box 7247-0244 Philadelphia, PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summar of Char es Amount Due This Period $ 478.44 y 9 Amount Outstanding (prior invoices) $ 704.96 age arge Total Amount Outstanding $ 1,263.40 Outbound Please include the Return Portion of each ouLCtandinq urvoira vntlr 3 UPS WorldShip $ 423.60 your payment. See Account StBtUS for details. 3 Adjustments R Other Charges $ 21 S4 4 Fees $ 22 30 Takin~_control of inbound. shipments Service Charges $ 1t00 = UPS Import Controls, now available with UPS Worldwide cxp~ess Freightrv, helps you maintain control of yow inbound Amount due this period $ 478.44 = shipments, manage your shipping costs and ensure - ~ontidentiafity of your invoice and account in(orrnation_ Contact UPS payment terms require payment of [his invoice by October 9, your UPS account manager, call 1-600-762-7692 or visit 2013. ups.com/worldyvideexpregsfre~ht fog more mtorrnation. Payments no! received by October 23, 2013 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) Note: This invoice may contain a luel surcharge as described of / _ ups.com. The published luel surcharge is Z 0% /or UPS Ground - Services and 70.5% for UPS Air Services, UPS 3 Day Select. and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date September 28, 2013 ' Invoice number 0000026639393 _ Shipper number 026639 n Page 2 of 4 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000026639353 08/31/2013 $ 371.71 0000026639363 09/07/2013 $ 133.99 0000026639373 09/14/2013 $ 236.68 0000026639:383 09/21/2013 $ 42.58 Total $ 784.96 Outstanding balances reflect any payments received as of 09/27/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date September 28, 2013 ' Invoice number 0000026639393 Shipper number 026639 n Page 3 of 4 Outbound UPS WorldShip Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 09/23 9121174731 1 16 73 0924 9121174742 6 99.64 09125 9121174753 i 1 4055 09127 9121174764 r bu 5 266-68 Total UPS WorldShip 13 Package(s) 423.60 Total OUtbOUnd 13 Package(s) 423.60 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2 00 EACH FOR 28-SEP-2013 Total Miscellaneous 2.00 Residential/Commercial Adjustments - UPS WorldShip _ _ _ Shipped Pickup Recorded Billed Adjustment - Date Record Entry Tracking Number Corrected Charge Amount 0927 9121174764 3120266390342922964 Residential -43.01 Residential Surcharge -2.80 Commeraal 43.01 Fue15urcharge -0.20 -300 1st ref: Zoe Nelson 3245 W Fullerton AV 2nd ref : Chicaco IL 917 363 1703 4 120266390340482774 Residential -29.44 Residential Surcharge -2 80 _ Commenaeil '29.44 Fuel Surcharge -0 LO -3 00 1st ref: Zoe Nelson 3245 W Fullerton Av 2nd ref :Chicago IL 917 363 1703 5 120266390342370980 Residential -982 Residential Surcharge -2.80 Commeraal 9.82 Fuel Surcharge -0 20 -3 00 1st ref: Zoe Nelson 3245 W Fullerton Av 2nd ret :Chicago IL 60647 917 363 1703 Total UPS WorldShip 3 Package(s) -9.00 Total Residential/Commercial Adjustments 3 Package(s) -soo Sh~in~Charge COReCtionS Learn how to=void future shipping charge correcfions. Visit www.ups.com/avoidcharges. Pickup Tracking Original Services T_IF Billed Adjustment Data Number Corrected Service _ Code. Zone Weight Charge Amount 0975 120266390340453939 Ground x3898 6 37 26 83 Ground 33898 6 75 1 42 31 Audited Dimensions = 42 x 33 x 9 in Customer Entered Dimensions = 33 x 23 z 8 in Additional Handling Second Side 8.50 Fuel Surcharge 1.08 25.06 1s1 ref: Thomas Cashel FINY 06390 2nd ref :631 788 7419 Sendef :FISHERS ISLAND FERRY Receiver: Thomas W Cashel NEW LONDON CT 06320 LAKE WALES FL 33898 059821 112 Delivery Service Invoice Invoice date September 28, 2013 ' Invoice number 0000026639393 Shipper number 026639 n Page 4 of 4 Adjustments & Other Charges Shipping Charge Corrections (continued) Learn how to avoid future shipping charge corrections. Visit www.ups.com/avoidcharges. Pickup Tracking Original Service/ ZIP Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Amount 09/27 120266390340482774 Ground 60647 5 58 29.44 Ground 60647 5 70.0 32.69 Audited Dimensions = 38 x 34 x 9 in Customer Entered Dimensions = 36 x 33 x 8 in Fuel Surcharge 0.23 3.48 1st ref: Zoe Nelson 3245 W Fullerton Av 2nd ref :Chicago IL 917 363 1703 Sender :FISHERS ISLAND FERRY R@C01Ver: Zoe Nelson NEW LONDON CT 06320 CHICAGO IL 60647 Total Shipping Charge Corrections 2 Package(s) 2s.5a Total Adjustments & Other Charges 27.54 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 08/31 Late Payment Fee 37t.71 6.00 % 22.30 Pursuant to the UPS Tariff, a late payment fee has been assessed- Total Fees 22.30 Invoice Messaging Code Message _ r Dimensional weight applied ba Large Package Minimum Billable Weight Applied e %SHERS ISLAND FERRYD/SIR/CT VENDOR 021520 UNIVERSAL FILM EXCHANGES LLP 10/22/2013 CHECK 1508 FUND & ACCOUNT P.O.(t INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 ].00313 DESPICABLE ME 2(3D) 300.20 TOTAL 300.20 y~ &xy,}~. R_4.;3... ~ - a L .~$B'Aw :fi .5~'.: f . ~ FISHERS ISLAND FERRYDISTRIGT AUDIT Io{22/3 53095 MAIN 60AD, PO 60X 1179 r~ SOUTHOLD, NY 119]1-0969 CHECK NO. ISOB THE SVFFOLK CO. NATIONAL BANK CUTCHOGUE, NY 11935 DATE AMOUNT 60-546/214 10/22/2013 $300.20 THREE HUNDRED AND 20/100 DOLLARS pAY UNIVERSAL FILM EXCHANGES LLP 1~yeG- TO THE p0 BOX 848270 ORDER DALLAS TX 75284-8270 OF ~ ii•00 L508ii' ~:0 2 L405464~: 68 00150 ~ iii' s - Vendor ?v o. Check No. Town of Southold, lyew York -Payment Voucher 21520 ' 1508 Vendor Tas ID Number or Sncial Securitc Vumber Vendor Address En[eted by P.O. Box 848270 vendor Kama Ddllas~ TX 75284-8270 L4udit Date Universal Film Exchange LLC OCT 2 2013 Fendor Telephone VUmbtr _ _ _ _ Town Clerk _ l'endnr Contact ~ I r,q' L-~- Imoiee Immce Invoice Vet ~ lurchase Ordu lumher Dal Total Disamni Ammmt Claimed 'cumber Description n((ioods or Sen'ices _ General Ledger Fund and Account Number I t, ~ I,~ 10/3/2013 $300.20 $300.20 Despicable Me 2 (3D~ I SM7155.4.000.000 _1 ~ _ - I -----T - I r _ _ ' ! $300.20 ~ $300.20 Payee Certification Department Certification l he undem=ned fClaiman[~ (Acting on behalf afore above named elaimant~ I hemhc cenitl'that the mulerials abotc epeci~ed have been reeeiced b. me does hereh~ aeni~l that the brceoine claim is true ;md correct. that nn pan has in eood condition mrthoui suhsutution_ the sen'mes proped~ bwn paid_ except as therein sated_ that the halanee therein stated is actualh pertonnttl and shat the quam tries thereof hate 6mn ceri~ed with the escepunns due and owing and that rases Gum which the Down is c~e~mjp//Jt a~~r~e (esd uu_ded or dacrepancros noted. and pa}'mrnt is apprnmd. Signawrc Ilnc " " ' Sienature O Compam Vamr _ _ Date ~ ~C~ Trtk _ _ _Dnia Universal Pictures Distribution Statement of Account October 3, 2013 Universal Film Exchanges LLC P.O. Box 848270 Dallas, TX 75284-8270 Town of Southold P O. Drawer H Fishers Island, NY 06390 U k Statement Summary Film Rental 300.20 Total Amount Due 300.20 Less: On Account 0.00 Net Amount Due 300.20 Comments - Universal Pictures Distribution Statement of Account -Detail Page z gf 2 Circuit: Independent - Payer: Town of Southold Wk 5cr House Billetl Earnetl Detlucl Gross Billing Billetl Paitl Paitl Amount No Play Week Cnl Amount Percent Percent Cotle Amount Code Amount Amount Percent Due Northeast Division -NEW HAVEN Branch Community Theatre Fishers Islantl, NY Despicable Me 2 (3OJ terms: 90/70 Bkg: STD Ctr Wks: 1 Guarantee: 250 1 OBn4-00/14/13 1 35.00 1,572.00 B FR 550.20 250.00 15.90 300.20 Community Theatre Totals 550.20 250.00 300.20 NEW HAVEN Branch Totals 550.20 250.00 300.20 Grand Total 550.20 250.00 300.20 Rvrstlay l0/3/2013 400PM F/SHFRS ISLAND FERRY DISTRICT VENDOR 025038 Z & S FUEL & SERVICE, INC. 10/22/2013 CHECK 1509 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 18511 10 GAL GAS (2)CANS 47.97 SM .5710.4.000.000 18511 5 GAL DIESEL (1)CAN 22.33 SM .5710.4.000.000 18544 22.072 GAS 101.29 SM .5710.4.000.000 18544 5.044 GAL GAS 24.86 SM .5710.4.000.000 18544 5.044 GAL GAS 24.86 SM .5710.4.000.000 18565 10.367 GAL GAS 47.57 SM .5710.4.000.000 19787 6 DEX III MERCON 33.00 TOTAL 301.88 ' ':e a. 1^y~ a x ~ -"~~""~3, " spa , FISHERSISLANB~'E~RYDIS3RICT ; AIIDIT~10/2i/i~- 53095 MAIN FOAD, PO BOX 11]9 _ sourHOLO, rrv 119]1-os59 CHECK NO. 15b9 THE SUFFOLK CO: NATIONAL BANK CUTCHOGUE. NV 14935DATE AAACeDFINT 50-5481214 1022 /2013- $361.'$8 ~I THREE HUNDRED -0NE AND 88/100 DOLLARS - - PAP Z fr S FUEL &SERVICE, INC. ~ 7b TFIE DRAWER B ER FISHERS ISLAND NY 06390 i i~•00 i 509ii• 1:0 ~ i40 54641: 68 00 i 50 2 ii~• Vendor No. Check No. Town of Southold, New York -Payment Voucher 2503$ I 0 Vendor Tax ID Number or Sodal Securin~ Number Vendor Address Bntered by P.O. Drawer B vendor Name Fishers Island, NY 06390 Audit Date Z 8: S Fuel & Service, loc. ~ ~ T 2 20~ 3 ' - Vendor Telephone Number ' I 631-788-7343 ~¢~g-Clem ~ y^. , - 1 _ - _ _ ~ , Vendor Contact ~ ' ~r ~ t->; ~~<,(f.' ~c,p Invoice Invoice Invoice Net Purchase Order Nmnbe165111 176/1/13 To~IC ~ Discount .,,Amount^laimid M1umber -~29aScnann tl1eo~~rS7n ices General Ledgzr Fund and Account Number ~_'_1\) 7~!j17J q 1 W1. C f SM5710.4.000.000 18544'' 8/14113 $101.29 Ir ~ y $101.29 22.072 Gasoline SM5710.4.000.000 $24.86 $24.86 5.044 fork ft can ~U S SM5710.4.000.000 - $24.86. $24.86 5.044 fork lift can (yc':S f SM5710.4.000.000 - - 18565 08/22/13 $47.57 $47.57 2 cans for fork li t t' uU ~ SM5710.4.000.000 - - _ I ~'~8 I 8/30/131 $33.00 $33.00 6 Dex III Mercon MS 175 0.4.000.000 _ - . - _ ~ _ - I - - _ _ ~ ...$ze2:sa" ~ .3aezsS- - Payee Certification Department Certification l'he undersigned (Claimanq (Acting on behalt o(the above named claimant) I herehc eertiPo that the materials above spec ifed have been received by me does haeh~ certifi that the fbreeoing claim is true and cum-a. that no part has m eood condition ithuut substitution, the services proptrb been paid- eseept as therein stated- that the balance therein stated is aetualls performed and that the quantities thereof have been vended wish the receptions' due and o~cing. and that rases from "hich [he Toen is esempt arc tecludcd. or drscrepancies noted- and payment is approved Signature Title, Signature _ _ _ Compam ~~1L _ Dare ~ TiOa Datc ~{9 - _ CL / , ~'.J ~R: ~"[_r ~~.C i°'t Ci °r.l ~f. ~ 0.{n ikt.: r. ~~r t,. p ~ _ - ~ n- :!-Pd~3,.. RIi` O:i; F'HEn~ I q(4~7, I ~:r. I REGISTRgTION NO. E gEGISTRATION NO. DATE!. / % 1 _ ^ r1i 3 NAME ~ - r NAME ~ STREET , STREET - CASH C.O.D. CH GE ON . pET0. Mm OUT ACCT. FORWARD GASH CO.D CMARG ON ACCT MDSE. RETD. MID OUT ACCT.FORWARD Liters/Gals. Gas e x(.p?,j Liters/Gals. Ga~linErz'e.`-J ,k"oCk: j<s l .1 Liters/Ots. Oil Liters/Ots. Oil Lubrication Lubrication Oil Filter / Oil Filter c~~ ,-,k'~t ! 10~ `f f r 7 a/~ ~f ~ ~o/~,; l?.* f C r~r ,~~;.;s""~ „t , j L iF i _r! 1~J (7s- oq. ~ z. 69 4 r~J.~t' F ~ -t ' 1 ti t , ~1 i i ' ~ TA% ~ TAX ` ll % } j I CUSTOMER'S SIGNATUR / / T~ L ~ ~ a f CUSTO E ~~~U ~ - % / r 1 9i/) i J I. t c PRODUCT soa ql claims a returned goods MUST be accompanied by this hill. c PRODUCT BOB All claims and returned goods MUST 6e accompanied by [his bill. ~ ~ `Thank`You Y ~ ~ ~ 4 `Thank`You o~aeM~a ~ ,N '1 1-!5!iCuS iSt.ANi~, hY 06~ta, S~Yi, J? q3D tba~l) 3~8-3343 l:J1l/~n~'`1 I/'11/~1(1^1 It/~J,~ REGISTRATION NO. G ' Jr 1" / ~Y/VI ' `~/T 0~ ~ ! t S IllvvvWWW U NAME STREET ^TY' l F t? K CASH C.O.¢ CHAR ON ACCT.MDSE PET'D; PAID WT ACCT EpPN(ARD ~!).3c? Liters/fa4s.GacolineD~4 Liters/Ots.0i1 ~ Lubrication Oil Filter ~.~CYIS -~rC!" ~ TAX CUSTOMER'S SIGNgTUR TOTAL ~ I ~ C>~ c RROOUCT sos qll claims and retomed goods MUST be accompanied by this hill. a rI C r f' 'Z & S FUEL & SERVICE, INC. Invoice Drawer B Fishers Island, NY 06390 DATE INVOICE # 8/30/2013 19787 BILL TO FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS :Sl.~ 4ND, NY 06390 TERMS DEBBIE PICKED UP ITEM QUANTITY DESCRIPTION RATE AMOUNT ATF 6 DEX III/ MERCON 5.50 33.00 i I ~ q ii j PIC TOtaI $33.00 - ~ Statement Z & S FUEL & SERV ICE, INC. ' Drawcr B ' Fishers Island, NY 06390 Date 8/31/2013 To: FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND, NY 06390 Amount Due Amount Enc. $513.80 Date Transaction Amount Balance 07/31/2013 Balance forward 362.14 08/01/2013 GAS 71.30 433.44 08/14/2013 GAS 151.01 584.45 08/20/2013 PMT#1372. -151.22 433.23 08/22/2013 GAS 47.57 480.80 08/30/2013 INN #19787. DEBBIE DOUCETTE PICKED UP 33.00 513.80 1 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due DUE DUE DUE PAST DUE 269.88 ~ 33.00 210.92 0.00 0.00 $513.80 . - ~ Statement Pl ipa, c@ SP:RVICh:, CV C'_ DCavv:I l; Pishcn Island. NY 06390 Date 8/31/2013 To PISIIIiRS ISfAVD PI?RRY UISI'R ICT P.U. BOX II PISI IF: F2S IS~.~~. NN D. `JV 06390 Amount Due Amount Enc. $513.80 Date I Transaction Amount Balance 07/31/2013 13a,ancc Ibr~aird 362.14 08/01/2013 GAS 71.30 433.44 08/i4/2013 ,S 151.01 584.45 08/211/2013 PPaT N 1372. -15122 433.23 08/22/2013 G~1S 47.59 4RQ8U 08/30/2013 Ii: 919787. DI?BBIE UUU('h`fTP. PICI~LD l!P 33.00 513.80 i i I ( ~ I i i j 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 269.SR ~ 33A0 ~ 21Q92 Q00 Q00 $513.80