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HomeMy WebLinkAboutAU-11/06/2013 Fishers Island FISHERS ISLAND FERRYDISTRICT VENDOR 001395 ADVANTECH CONSULTING CORP 11/06/2013 CHECK 1510 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 966300 IT OUTSOURCING-10/13 1,000.00 SM .5710.4.000.500 966300 SPAM FILT'ING OCT-DEC'13 75.00 TOTAL 1,075.00 e $k i .r FISHERSIAMDFEAR YHISTRIC'T ~~DIT ep3 " 53995 MAINAOAO, ED BOX 1179 SOUTHOLD, NY 11971-0959 CHECK NO. 1iu10 THE$UFFOLK CO. NAVONAL BANK - CUTCHOOUE, NY 11935 ' DATE AMOIJ f 50-5461214 _ 11./06/2013 ,..$1,07$.~O.O ONE THOUSAND SEVENTY FIVE AND 00/100 DOLLARS iPAY ADVANTECH CONSULTING, CORP TO TM PO BOX 951 DOER SUFFIELD CT 06078 u500 1 5 IDu5 i:0 2 140 54641: 68 00 150 2 1115 ` Vendor No. Check No. Town of Southold, New York - Payment Voucher 1395 1510 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 961 Suffield, CT 06078 Audit Date Advantech Consulting Corp. _ NOV Q 6 2013 Vendor Telephone Number I 860-668-0044 Town Clerk i Vendor Contact VC. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 966300 10/1/2013 $1,000.00 $1,000.00 IT Outsourcing October SM5710.4.000.600 10/1/2013 $75.00 $75.00 Spam Filtering Oct-Dec 2013 SM5710.4.000.600 l $1,075.00 $1,075.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature ar Title L~ ? _ /T}}..~1~11? Signature Company Name Date Title Date AdvanTech Consulting Invoice P.O. Box 951 Suffield, CT 06078 DATE INVOICE # 10/1/2013 966300 1 BILL TO Fishers Island Ferry P.O. Box H O/< Fishers Island, NY 06390 1 TERMS DUE DATE PROJECT Due on receipt 10/1/2013 QTY DESCRIPTION RATE AMOUNT IT Outsourcing -10/1/13 thru 10/31/13 1,000.00 1,000.00 Spam Filtering: Oct-Dec 2013 75.00 75.00 Thank you for your business. Contact us at (860) 668-0044. Total $1,075.00 Unpaid invoices over 60 days past due date subject to late fee and interest charges. FISHERS ISLAND FERRY DISTRICT VENDOR 001327 AIRGAS EAST, INC 11/06/2013 CHECK 1511 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 9020126028 (2)PROPANE-FORKLIFT FUEL 104.90 SM .5710.4.000.000 9912942746 LEASE RENEW-11/13-10/14 143.00 TOTAL 247.90 THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY o ~yo ~ as FEATURE oil moo' FlSZI RS'lMAAD FF({kYDInWC~': AO I 3 6 33 , SOUTHOLD, NY 11911IM59 CHECK No. THE SUF{04K M, NATIONAL BANK CClT N~GVE, NY 113 5 = N 5o-5k8t21a 11/06 (2013 ` ,49 9t TWO HUNDRED FORTY SEVEN AND 901100 DOLLARS _ / b, i p r PAY AIRGAS EAST, INC ~i TO WE PO BOX $27049 ORDER PHILADELPHIA PA. 19182-7049 "OOOLSLI'lo 1:02140S46?.l: 68 OOLS02 Lill Vendor No. Check No. Town of Southold, New York - Payment Voucher 1327 1511 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 827049 Vendor Name Philadelphia, PA 19182-7049 Audit Date Airgas East NOV Q 6 2013 Vendor Telephone Number 860-444-3055 To Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number i i 9020126028 9/26/2013 $104.90 $104.90 Forklift Fuel (a)p(o Pane SM5710.4.000.000 9912942746 10/1/2013 $143.00 $143.00 Lease renewal 4 13 /0 Iq SM5710.4.000.000 $247.90 $247.90 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct, that no part has in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature Title Z/ OGT Signature n Company Name Date Title Date Z_li ~G~ ~3 i TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL. 216-520-6000 1 i 1018680327 9020126028 09/26/2013 2576547 FISHERS ISLAND ASE !$W VIA PAY STEVE 09/26/2013 N329 NET 30 09/26/2013 CITY 4dC3A1 42TY 87@ C~Y~LIt VN4T PFI~E,`;!, SCI -A HUNT DE Yf* / twMi~i~Ud. NUAX R 9t1 8020789658 PR 33A 2 CL 2 1 48.25 CL 96.50 N PROPANE MUSTRTAL 33A CGA 510 (Vol: 64 LBS) ('Y-PR 33 0 1 0.00 Sale subtotal: 96.50 Hazmat f7.at Pate 8.40 SHIP TO. 2576547 AMOUNT 104.90 FISHERS ISLAND A¦~ Ai f~ www.airgas.com FERRY DISTRICT Airgas USA, LLC Airgas USA, LLC PO BOX H Acct No 8606074318 6055 Rockside Woods Blvd FISHERS ISLAND NY 06390-0607 PNC Bank, ABA No 031000053 Independence, OH 44131 REV 1 1.13 SEL, 0010M Page 1 Of 1 Airgas. DELIVERY ORDER FOR LOCATION NEAREST YOU VISIT WWW.AIRGAS.COM SHIPPER: SOLD BY: DELIVERY ORDER # 8020789658 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 131 CROSS RD 130 CROSS RD ORDER DATE: 09/26/2013 WATERFORD, CT 06385-1204 WATERFORD, CT 06385-1204 SCH SHIP DATE: 09/26/2013 800-962-0285 PRINTED: 9:41 09/26/2013 SALES ORDER: 1018680327 SHIP TO: 2576547 SOLD TO: 2576547 FISHERS ISLAND FISHERS ISLAND CUST PO # STEVE 09/26/2013 FERRY DISTRICT RELEASE # PO BOX H FERRY DISTRICT ORD BY FISHERS ISLAND, NY 06390-0607 US PO BOX H ENT BY RANZARMSTR 631-788-7463 FISHERS ISLAND, NY 06390-0607 US EAoctF11npt8 Type Payment Terms Incoterm Sales Sales Total Containers Route Office Plant Ong Ship Return NET 30 Customer Pick Customer Pick Up N329 N309 N000 City UOM HM Description 8 Hazard Class City C tainiars Vol Shipped Type Order Ship Rat IWt 2 CI_ X UN1978 PROPANE 2.1 Llne# 10 Materlal# PR 33A Stor. Loc. F001 2 2 1 64 PROPANE 32LBS ALUMINUM LB X UN1978 PROPANE 2.1 / 0 Line# 20 Materlal# CY-PR 33 Stor. Loc. R001 0 0 EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AiRG S' STVDARD TERMS AN CONDITIONS ? ? SEE REVERSE SIDE FOR IMPORTANT ~~FETV FOf~htAilON. PURCHASERAGREE TO OBTAME RIALSAFETY OATASHEETS(Mass) FROM ONE OF THE / FOLLOWING SO -S;paINT CNASE,AIRGASWEBSITE AT§yyy(AIRGAS.COW OR BY ACCEPTED FOR ZALLINGHE LISTE ONTACT PHONE NOMBER A NO3ELELTING OPTION#] X TH'A` THE AB EO MATERIALS ARE PROPERLY CLACSIFIEOOESCRIBEOCUD LABEL RE IN PROPER ONDTION FOR TANSPORTATION PPLICAB TONS of THE EPARTMENT OF TRANSPORTATON NAME PLEASE PRINT "'C`-". AIRGAS PERSIiNNEL DATE T.O.D. INTERNAL USE ONLY Filled ex Delivery # 8020789658 Staging Area Total PKGS Tracking / Pro Number Freight Charges TERMS AND CONDITIONS WARNING: TRANSPORT AND USE OF COMPRESSED GASES MAY SEEXTREMELYDANGEROUS. DO NOTTRANSPORT WITHOUT PROTECTIVE CAPS, IN CONFINED SPACES OR IN ANYOTHER IMPROPER MANNER. ALWAYS TRANSPORT CYLINDERS IN A SECURED UPRIGHT POSITION. BUYER ACKNOWLEGGESTHAT IT HAS RECEIVED A SAFETY INSTRUCTION SHEET FROM SELLER, SAFE HANDLING OF COMPRESSED GASES., 1. ANY AND ALL PRODUCTS AND SUPPLIES DELIVPBED TO BUYER BY SELLER OR SELLERS REPRESENTATIVE ARE COVER EU BY I HIS DELIVERY TICKS. IHE CYLIKNEES . FITTINGS AND CAPS COVEHE D BY THIS DOCUMENT ARE RENTED OR LEASED BY SELLER TO BUYER. NOT SOL D. BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FUHNISHE D HEREUNDER TO BE FIL LED WITH ANY PRODUCT NOT FURNISHED BY $,LLER OR SELLERS AUTHORIZED REPRESENTATIVE ALL CYLINDERS (OTHER THAN THOSE SUBJECT TO AN ANNUAL LEASE) ARE RENTED AT CUHREN F DAILY RATES. BEGINNING WITH THE DATE OF DELIVERY. RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD AS APPLICABLE. BUYER SHALL IETURN IN GOOD CONDITION. ALL CYLINDERS. COMPLETE WITH CAPS AND FITTINGS ANDSHAEL PAY SELLER UPON DEMAND THE REPLACEMENT VALUE OF T9 ANY LOST OR DAMAGED CYLINDERS. CAPS OR FITTINGS OR (DI) THOSE CYLINDERS NOT RETURNED TO SELLER WITHIN THREE (A) MONTHS FROM DATE OF SHIPMENT TO THE BUYER (OTHER THAN THOSE SUBJECT TO AN ANNUAL LEASE) OR. IF DAMAGED AND THE DAMAGE CAN BE REPAIRED. THE COST OF MAKING SUCH REPAIR PAYMENT BYiHE BUYEROF CHARGES FOR DAMAGED, LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER. UPON SUBSEQUENT RETURN OF ANY PURPORTEDLY LOST OR DESTROYED CYLINDERS SO PAID FOR SELLER WII I. REFUND THE AMOUNT PREVIOUSLY PAID WITH RESPECT TO Il S LOSS OR DESTRUCTION TO THE BLIYEP. LESS THE COST LADY . OF PUTTING SUCH CYLINDERS IN REPAIR AND LESS CYLINDERRFNTAI ACCRUEDTOTHE DATE OF HFIUHN. 2. ANY TAXES IMPOSED BY FETE FIAT STATE.OR OTHER GOVERNER TOTAL A U T NOR ITY O N THE SAL E. USE ON POSSESSION OF GOODS SHALL BE PAID ITV RDYER IN ADD ITION TO THE PUHCHASE PRCE 3 UNLESS OTHERWISE SPECIFIED IN A CONTRACT, BUYER SHAT I. MAKE PAYMENT IN FULL WITHIN 39 DAYS AFTER THE DATE OF SELLERS INVO CE A LATE PAYMENT CHARGE OF 1 6% ON THE UNPAID. PAST DUE BALANCE WI LL BE ASSESSED MONTH LY I M I NIMUM TWO DOLLARS S,00), OR THE MAXIMUM LAWFUL HAT E ALLOWABLE I N THE STATE WH ERE T H E GOO US ARE DELI VERED. WHICHEVER I S LESS. BUYER SHALL BE IN DEFAULT HEREUNDER UPON BUYFH'S FAILURE 10 MAKE PAYMENT AS REQUIRED HEREIN OR UPON BUYERS FAILURE IO COMPLY WITH ANY OF THE TERMS AND CONDITIONS CONTAINED HEREIN OR UPON THE INSTITUTION OF ANY VOLUNTARY OR INVOLUNTARY FALSE I I LUCY. INSOLVENCY. RECEIVERSHIP OR DEBTOR RELIEF PROCESSING BY OR AGAINST BAYER OR UPON BUYERS MAKING OF AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS. IF SELLER FEE OYS ANY COLLECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER, AND/OR TO RFPOSSFSS ANY GOODS. BUYER SHALL PAY ALL COLLECTION FEES. ATTORNEYS' FEES. AND COURT COSTS IN ADDITION TO THE AMOUNT OTHERWISE ONPA10. SELLER MAY REING SUIT FOR THE COLLECTION OF ANY SUCH AMOUNT IN ANY JURISDICTION OR JENUE SET. LER MAY SELECT. A. NO GOODS SHAT _L BE RETURNED TO SELLER WITHOUT SELLERS WRITTEN AUTHORIZA I I ON BUYER SHALL PAY A RFIFFN PERCENT IT5",l) RESTOCKING CHARGE ON ALL GOODS RETURNED FO SELLER. EXCEPT FOR RETURNS PROVIDED FOR UNDER SECTION S HEREOF S. SELLER SHALL BE LIABLE ONLY FOR ME REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THE REPLACEMENT OF GASES THATDO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THATDO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLYASSUMES THE RISKS OFTRANSPORTING AND USING COMPRESSED GASES. BUYER SHALL WARNAND PROTECTITS EMPLOYEES AND OTHERS EXPOSED TO THE HAZARDS POSED BY BUYER'S STORAGEAND USE OFTHEPRODUCT. SELLER SHALL NOT SE LIABLE FOR ANYDIRECTREXCEPTAS EXPRESSLY PROVIDED HEREIN), INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL AND/OR PUNITIVE DAMAGES, ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS OBLIGATIONS HEREUNDER OR WITH ANY PRODUCT, OTHER ITEMS OF SALE, OR EQUIPMENT SOLD OR LEASED HEREUNDER, WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY, OR OTHERWISE. 6. AT I PRODUCTS. OTHER ITEMS OF SALE, CYL IND[ RS AND OTHER CONTAINERS FURNISHED HEREUNDER SHALL CONFORM TO THE DESCRIPTION THEREOF PUBLISHED BY THE MANUFACTURER AT THE TIME OF SALF AND WILL MEET SELLERS PURITY SPECIFICATIONS FOR ALL GAS PRODUCTS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. ALL CLAIMS BY BUVFR HAVING ANYTHING TO DO WITH ANY PRODUCT OR COOIPA T FURNISHED HEREUNDER BY SELLER SHALL BF MADE IN WRITING WITHIN TEN (10) DAYS AFTER THE DELIVERY THEREOF AND FAILURE OF BUYER-0 GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER ANN VSF ANY SUCH CLAIMS. 7 THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES. INCLUDING: CHARGES JOEL THE HANDLING OF HAZARDOUS MATERIAL AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATFRIAI S: CHARGES FOR HANDLING. DELIVERY, AND SHIPPING. BODICE CHARGES FOR ENERGY DR FUEL NONE OF THE CHARGES REPRESENT A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY, AND ALL OF THE CHARGES ARE RETAINED BY THE SELLER SELLER HAS NOT SPFCIFTCALLY GUANINE'. ED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHANGES WHICH CAN VARY BY PRODUCT, SFRVICL TIME AND PLACE. AMONG OTHER THINGS. 8 CERTAIN AIRGAS COMPANILS ARE U S GOVERNMENT CONTRACTORS AND SUBCONTRACTORS AND ARE SUBJECT TO AND ADHFRE TO THE REQUIREMENTS OF FEDERAL LAWS. EXECUTIVE ORDERS AND ATTENDANT RULES AND REGULATIONS. SPFCIHCALI Y I XECUT V E ORDER NO 1']46. THE REHABILITATION ACT OF 1973. ANT, TELL VIETNAM ERA VETERANS RFADJIJSTMENT ASSIETANCF ACT 01 1974 ALL AS AMENDED. 9. IF ANY TERM OR CONDITION OF THIS DELIVERY TICKET IS HE 1 0 INVALID. THEN SUCH INVALIDITY SHA L NOT AFFEC I ANY OTHER TERM AND CONDITION OF HER DELIVERY TICKET WHICH SHAT L REMAIN IN FULL FORCE AND RPFC' EMERGENCY RESPONSE INFORMATION PROPANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID COT ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUIDO, LIQUID ARGON LIQUID NT HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS fIRSON YPL ON EON O50 All L FIRE OR EFORPOPPEN IT I T cli'll EXPLON't FROSION e...n I rwe .rv r , . m OSON co cr -:s PUBLIC SAFETY PUBLICSAFETYn HEALTH ' • - "LL ETHISETv RENT"HE M1ke"T"INUmw• CI I r It, it,', b r , t 11 k < . I ppln Num ~RrrPo N Ni PUBLIC SAFETY , , PRLICSAFETY PALL II NUmMion51, p , r O CALL " ill rPanre Telpnem NUmOn on L, , , .r, ,el1m.G vRrrpenee, f, Em m, n ...,a v,. v I'll In9 P^M IN- 1, : once I 1 +.ca o . I I'll . "I .511 I, F-11i f .I.. e 1 rr r In: PUBLIC SAFETY me T' r'°° OALLFnnpvnry Rrrponu ielronene NUmmron Ita a n. 11, "1 I r I. n, er. I", seal a Lr, clv PROTECTINHAPOTERNS NG Px0 C LOfN G Ti I I'll "I 11., 411, 1 ,1 11 1 I'll I Ilk- I PROACTRE CLOTHING I C.C. CON 1, CROTTAIRSH n le, it I I,, W ro . I I.. ui. E.G.., LPERP, star I re -e I .In . ,it - r II r.a., ` `EI"' I kill k ' O - EMERGENCY RESPONSE 1 ,I FIRE . n ns mI - . EMERGENCY RESPONSE FIT EMERGENCY RESPONSE It III All I It 12 ~k :I~ IF Tr n ins PRE ~c o era ESP -n. L. INC o NOTEanrvcrosNALEARRIGGASFIREUR ESE EMEfl ENCYRESPONSEr r EMERGENCY RESPONSE FIRE 1, r, LINGY s CPH GEETGPPEG. FINE 1-111 sre ennin • GO NOT EXELOGRSx A LEARINGGAE FIRE FRUITS 1 I Ilk v I ' LEARCANIFERTOPPED •h n,„ ~ Do IN ~ccv Y Hnl I 6mtll Ine, TSCrrn T n, e Ill I'll, . ly I pr Hn rol_ rlnp III "Ple "I 11111"t "It fill, Il o I r.., c: vTI.,.I, x. ,Ge r 1 T v,I _ i.s .nn.c rX ...P "n r, lr 'I` roI LMT a .I. ,..r n^•. I T - v, 5 .ma . nwi. cn r. c AE LL OR LEAK I :I a . -11T• J' I -Irk v 15.x1 av~1 xir n, ~r rn.,m nn r .,,it ,~I e.x..,,nrn. yp, ORLE< v1. k r,,, 1' 11 Ill LOPTICHISAR ~,v. n-.wnna„a SPILL OR LIAR 1 r, It "I ^ awn 11 nn .own. "ll, 11 I. n r. oa 1 ....s as Tm...pos '.n ' MEr ha, I "N. mo mk A- m a=n 11 V arv n NEENTHISTSIThe : , n, urNwlwaMm e 1 1 N-1 11 Y r wnr NP r Greene e. unox. wro. K, P. ° naour m..rm xN woome e,mN.,,arrenxrlYmw.. TAR. Mrk wlMeNwrrnln9. r'e ev. - 5 AIO . n~ x:. 11 r ...I. . i.,.. ~.I 'Ill, ill-, TDIG nflsc . aan . 11 ' 1 -1 T l, I Ilk It t INS r , Fil IN kr ,I -,all 11 F- -I I TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL. 216320-6000 ORDER IN M I E DA T' 7013367830 9912942746 10/01/2013 2576547 FISHERS ISLAND P I REL 8 §t]P VIA PA " . R DATE Lease Renewal N329 NET 30 09/06/2013 DeE~ei(ERYNOll MATERIAL {dt~A46ER QTY UQM OTY 610 CYEINfoER UNIT PRICE UOM AMpEJN`T DIE"IPTHON SRIP'D snrp aera 7013367830 LSECYL 3 CL 42.00 YR 126.00 N LEASE, CYL LEASE RENEWAL 11/01/2013 TC 10/31/1014 Sale subtotal: 126.00 Hzmat Flat Rate M L 17.00 SHIP To: 2576547 AMK3UNT 143.00 Airgas FISHERS ISLAND www.airgas.com FERRY DISTRICT Airgas USA, LLC Airgas USA, LLC PO BOX H Acct No 8606074318 6055 Rockside Woods Blvd FISHERS ISLAND NY 06390-0607 PNC Bank, ABA No 031000053 Independence, OH 44131 RFV 1 1 i3 SEL 001000 Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 014223 BANK OF AMERICA 11/06/2013 CHECK 1512 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 '7335-9/13 MONTHLY REPORTING FEE 15.00 SM .5710.2.000.200 7335-9/13 RP RADIO ANT 123.55 SM .5710.2.000.000 7335-9/13 JUMP STARTER 12V 150CAM 397.77 SM .5710.2.000-200 7335-9/13 RP RUNNING LIGHTS 375.11 SM .5710.2.000.100 '/335-9/13 MU-ELECTRIC SUPPLY 38.36 SM .5710.4.000.000 7335-9/13 SHOP TOOLS 184.16 SM .5710.4.000.000 7335-9/13 GALLEY SILVERWARE 28.02 SM .5710.2.000.100 7335-9/13 MU-PASS CABIN 27.31 SM .5710.2.000.100 7335-9/13 MU-ENGINE ROOM 69.32 SM .5710.2.000.200 7335-9/13 RP-ENG FEED WATER 44.03 SM .5710.2.000.100 7335-9/13 -MU.-IRE-WIRE BW-T 74.31 SM .5710.4.000.950 7335-9/13 SA0F',TY DVD 242.53 SM .5710.4.000.000 733 9(13 NO PARKING SIGNS 85.00 SM .5711.4.000.000 7335-9/13 THERI AL.RECE3PTIPAPER 83.90 SM .5710.4.000.500 7335-9/13 UPGRADE ON' MEMORY 82.53 +e?v, .Fnr'4 k*ss:.;,r 2'~'8.d','` ~;,r? a'a'y9k -e a+^: TOTAL 1,870.90 THE ORIGINAL CHECK HAS A COLORED BACKGROUND, . COPY FEATURE AND WATERMARK PAPER , F13hYERS 1ST o{YD F RRYDISTRIGT 1 C IT', 1/6/1 53085 MAIN 717 OM 11 SOUTHOLD, 9S MAI NY Y 11AQ,9PQ 66 CHECK NO . v 1512 THE SUFFOLK CO. NATIONAL SANK CUTCHOGUE, NY 11935 DATE WNW, 70.90 50-5461214 11/0612013 -`$1,19 ONE THOUSAND EIGHT HUNDRED SEVENTY AND 90/100 DOLLARS PAY BANK OF AMERICA TO 771E PO BOX 15731 ORDER 04 WILMINGTON DE 19886-5731 11.00i5i2110 1:0214054E41: 68 001502 Lu0 Town of Southold, New York - Payment Voucher Vendor No. 14223 Check No. Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 15731 Vendor Name Wilmington, DE 19886-5731 Audit Date Bank of America O Vendor Telephone Number - - j O f `r ~O C 888-449-2273 Vendor Contact - Invoice Invoice Invoice Net Purchase Order ' Number Date Total Discount 'Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ~1 X335- 101112013 $15.00 $15.00 Monthly Reporting Fee SM5710.4.000.000 709340918 914/2013 $123.55 $123.551/ Defender RP Radio Ant SM5710.2.000.200 990513J9 29 9/5/2013, $397.77 $397.77 / National Tool Jump Starter 12V 1500 A g SM5710.2.000.000 499974486 9/5/2013 $375.11 $375.11 Defender RP Running Lights SM5710.2.000.200 496344578 9/11/2013 $38.36 $38.36 Defender MUNN Electric Supply SM5710.2.000.100 9/12/2013 $184.16 $184.16 Lowe's Shop Tools SM5710.4.000.000 9576} 9112/2013 $28.021 $28.02 / Walmart Galley Silverware SM5710.4.000.000 9/1812013 $27.31 $27.31 Defender MUNN Pass Cabin SM5710.2.000.100 Z0024?i65' 912412013 69.32 69.32 Defender MUNN Engine Room M5710.2.000.100 -e2 902291.1 9/27/2013 $44.03 $44.03 Home Depot RP Eng Feed Water SM5710.2.000.200 706343961 9/30/2013, $74.31 74.31 Defender MUNN Re-wire BW-T M5710.2.000.100 9/9/2013 $242.53 $242.53 National Safety DVD on safety SM5710.4.000.950 23427.9 9/251`2013 $85.00 $85.00 / Compliance Signs No Parking Signs SM5710.4.000.000 9/25/2013 $83.90 $83.90 Paper Rolls Plus Thermal Receipt paper, SM5711.4.000.000 -96696-467354 9/2712013 $82.53 $82.53 Crucial.com upgrade on memory SM5710.4.000.500 i $1,870.90 $1,870.901 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 I in good condition without substitution, the services properly been paid, except as therein stated that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded or discrepancies noted, and payment is approved. Signature - v Title 2,1 Signature Company Name/ Date Title Date _ C, C-7 Bankof America FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 Commercial Card September 03, 2013-October 01, 2013 Company Statement it :Account Information i~ Payment Information Account Summary Mail Billing inquiries to: Statement Date 10/01113 Previous Balance $8,043.21 BANKCARD CENTER PO BOX 982238 Payment Due Date 10/21/13 Payments -$2,530.96 EL PASO, TX 79998-2238 Days in Billing Cycle 29 Credits $0.00 Customer Service: Credit Limit $40,000 Cash $0.00 1.888.449.2273 24 Hours Cash Limit $8,000 Purchases $1,855.90 TTY Hearing Impaired: Total Payment Due $7,383.15 Other Debits $0.00 1.800.222.7365 24 Hours Overlimit Fee $0.00 Late Payment Fee $0.00 Outside the U.S.: 1.509.353.6656 24 Hours Cash Fees $0.00 Other Fees $15.00 For Lost or Stolen Card: $0.00 1,888,449.2273 24 Hours Finance Charge Current Balance $7,383.15 ~d g551a•a5 io102) CV-#(LIL45- e)dJaJXf e 11 T-76,12 Important Your account is past due. If payment has already been made, thank you and please disregard this reminder. Cardholder Account Number Purchases and Credit Limit Credits Cash Other Debits Total Activity BURKE, STEPHEN XXXX-XXXX-XXXX-5137 10,000 0.00 0.00 1,361.94 1,361.94 MURPHY,GORDON XXXX-XXXX-XXXX-3048 1 0,000 _ 0.00 0.00 493.96 _ 493.96 r I Posting payments: Payments received by mail at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received. If we receive your mailed payment on a non-banking day, we will post a to your - account on the next banking day. There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing address listed on the front of your payment coupon. Service for the hearing impaired (TTY/TDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service, Banks supervisory personnel may listen to and/or record telephone calls between Bank employees and any person acting on Companys behalf. C $ Disclosure: We may furnish to your employer information concerning your use of your account. To read more about our information disclosure, o please visit www.bankofamerica.com/corporatecarddisclosure or call the customer service number listed on your statement to request a copy. $ In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent o you the first statement on which the error or problem appeared. Please mail this information to BANKCARD CENTER, PO BOX 982238, EL PASO, TX 79998-2238. Your letter must include the following information: The company name, cardholder name and account number in question. The dollar amount of the suspected error. A written description of the error and why you believe there is an error. If you need more information, describe the Rem you are unsure about. Customer Service: For questions regarding transactions, general assistance, and reporting lost and stolen cards, call: Within the U.S. Outside the U.S. 1.888.449.2273 1.509.353.6656 (collect calls accepted) II~~ Bank of America FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 September 03, 2013 - October 01, 2013 Page 3 of 4 Transactions Posting Transacfion Date Date Descnption Reference Number MCC Charge Credit FISHERS ISLAND FERRY DIST Total Activity Account Number: XXXX-XXXX-XXXX-7335 42,515.66 09/03 09/01 PAYMENT RECEIVED - THANK YOU 244744053501X10500330513 0008 2,530.96 10/01 10/01 MONTHLY REP ORTNG FEE C15 0065 15.00 _ BURKE, STEPHEN - Total Activity Account Number XXXX-XXXX-XXXX-6137 1,361.94 09/05 09/04 DEFENDER NDUSTRIES INO.WATERFORD CT 24610433247004098142466 4468 123.55 J 09/06 09/05 NATIONALTOOLWAREHOU 417-358-1919 MO 24492153248849798228858 5533 39777 / 09/09 09/05 DEFENDER INDUSTRIES INC 800-435-7180 CT 24610433249004043005238 5965 375.11/ 09/12 09/11 DEFENDER INDUSTRIES,INC. WATERFORD CT 24610433254004097143341 4468 38.36// 09/13 09112 LOWES#02263' WATERFORD CT 24692163255000236236957 5200 184.16// 09113 09/12 WAL-MART#2331 /19 09118 DEFENDER NDUSTRIES,INCEWATERFORD CT 2460433261004096138863 4468 287.311 09 09/25 09/24 DEFENDER INDUSTRIES INC WATERFORD CT 24610433267004106150696 4468 69.32 09/30 09/27 THE HOME DEPOT 6215 WATERFORD CT 24610433271010182074936 5200 44.03 10101 09/30 DEFENDER INDUSTRIES INC WATERFORD CT 246104332730040SW14672 4468 74.31 J MURPHY, GORDON Total Activity Account Number: XXXX-XXXX XXXX-3048 _ 493.66 09%1U 09/09 NATIONALSAFETYCOMPL 417-869-2944M0- 244921532528496W3-W662 5085 _ _242.53// 09/27 09/25 COMPLIANCESIGNS.COM 800.578.1245 IL 24733093269200992700113 5099 85.00// 09/30 09/26 PAPER ROLLS PLUS 913-492-7861 KS 24323003270123844010014 5111 83.90/ 09/30 09128 CRUCIALCOM 800-336-89151D 24692163271000903671528 5045 82.53 Finance Charge Calculation Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Subject Finance Charges by Percentage Rate to Interest Rate Transaction Type PURCHASES 9.25% V $0.00 $0.66 CASH 9.25% V $0.00 $0.00 V - Variable Rate (rate may vary). Promotional Balance = APR for limited time on specified transactions. Bank of AmericaFISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 September 03, 2013 - October 01, 2013 Page 4 of 4 o o ~ 8 } pdismbp;t.10813674 V 1/,/ Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SJL Jaclyn LaM Cust 100202676 Fishers Island Ferry Dist 261 Trumball Draw H Fishers Isle NY 06390 ek SHAKESPEARE VHF-GALAXY SERIES ZZ251525 1 @ 116.17 116.17 Subtotal .....136. Tax 7.38 Total 123.55 - Items are taxable) Payments Credit Card Visa *******6137' 123.55 Auth: 025683 X Signature { Invoice Order Reg. Date Time 700310918 100312796 1 -0 09/04/2013 01:04pm NATIONAL TOOL WAREHOUSE Shop NationalToolWarehouse.com Where it's our Job to make your jab easier! NATIONAL TOOL WAREHOUSE 221 W- 47H STREET. SUITE4 CARTHAGE. MO 64836 DATE: September 5, 2013 PHONE: 8 6 63 58-1 91 9 (US) 417-358-1919 (OUTSIDE) FAX: 417-358-1915 BILLING ADDRESS: FISHER ISLAND FERRY DISTICIT SHIPPING _ STEVEN BURKE ADDRESS: R J BURNS C/O FISHER ISLAND FERRY 261 TRUMBULL DRIVE 5 WATREFRONT PARK FISHER ISLAND, NY 06390 NEW LONDON, CT 06320 PHONE NUMBER: B60-442_0165 FAX NUMBER: _ ORDER NO SALESPERSON P.O. III SHIP VIA SHIP DATE PAID BY 090513JD-20 JOHNNA 0 FED-EX GROUND 91512013 CREDIT CARD QTY IEMB DESCRIPTION UNITPRICE LINETOTAL 3 TCBES5000 JUMP STARTER 12 V 1500 AMP $ 124.94 5 374.82 0 - S - g 0 $ - 0 - $ - E - g a $ $ 0 - E - E 0 - - $ $ 0 o - $ S o $ $ o $ $ o $ S - NOTES'. SUBTOTAL: $ 374.82 SHIPPING COST: $ 2295 MINIMUM ORDER $ FEE SUBTOTAL- $ 397.77 SALES TAX (MO) 7.638% AMOUNTPAID $ 397.77 THANK YOU FOR YOUR BUSINESS! custom erservice@nationaltoolwarehOuse. com L'd 9L6L296L1,17 esnoyefeMiool euoi)eN f Defender Invoice 42 Great Neck Road Waterford, CT 06385-3336 CUSTOMER NO: 100202676 PAGE: 1 B Fishers Island Ferry District S Defender Outlet Pick-up 1 261 Trumball Draw H H Mike Franco L Fishers Isle, NY 06390 P 860-367-4414 Waterford, CT 06385 T T C O INVOICE DATE INVOICE NO. ORDER DATE ORDER NO. TERMS 09/05/2013 400974486 08/29/2013 1413637 Credit Card PURCHASE ORDER NO. SHIP VIA FOB SLS/IS SLS/OS Store Pick UP Jaclyn LaMoth ORDER SHIP B/O PART NUMBER DESCRIPTION PRICE DISC EXTENDED f 1 1 0 SP112SA00BLK PERKO MASTHEAD LIGHT - BLACK $153.33 0 $153.33 L ne Notes ' 08/29/ 3 12:09pm JL commer ial prici 6 6 0 SP0374003CLR PERKO 32V 30W DC BAYONET BULB $33.23 0 , 5199.38 L ne Notes * 08/29/.3 12:09pm JL commer ial+prici y Iti~ fUNN1N6j ~1GCtTS oiC Sr~cut JG -R-i f SUB-TOTAL TAX FREIGHT $0.00 TOTAL $375.11 t f . YMIfTAl/EXRA pOPOR _ , TO RAG 3 SIAL ORM Our reproves WE be1mppy m assist you ~rX ~ CX t with all your spacial orders. Plane supply us with all man lactu er information pertaining to the product you wish to order (Le.. model Go m . . ALOG . number, name, and color} Many namafacanere phone numbers and web or small ctrbavQddeedraem or taleplsare 800.628400 addresses are Biased in our catain for tts purpose. Defender is not Plsse allow S-10 dqs fordelivery. Syou need your atalog facer d era. Witlfewa phone,Spe®ll)Awsmaynobbeaaroe8ador retuned. 00T1f0NPOlsCr 6 . RETURN POCKY We want you to be a satalied cutomr, and we nevi v 6 Pl9lGtla6OA0Blf _ your help to rtaimairh our wide selecton, name brads, low prices, and TO PLACE AN ORDER Plana have rsdythe kern mmhbw,natal Wp orkwal inventory. We reserve the right to ram returns or assess nmbr, stre, style, color, crack card idormadon, rams and address Where addMond few at our discretion R the merdandne is not in the orWw = the audit card is bled, sepraoe dhil i~ address (dappk"b daytkne DKictgYhB and readyoo-be-sold eorhdkiorh. and evw tg phone numbers, anal address for alecrahic cordamdor and Hew to Re I on lesser al odor a1h1pp1 inlorration. $25 mihinarh orderreq irad I.Requen a Raarn hlerdwAss Audrori d= (RMA) Wunber by BACKORDERS: Ran kern is tarbjact to a maradamaar's delay; a Defender contacting Customer Service: CuKServ@d&Iimder:=m, 800.435-7180) Cusmnw Swvm PApraaersatve WE no* you. Defender WE not dharge or 860-701-3400, or go to www4efimdercom/nna %M,4ap. The you forthe kem(s) until sliPPad. with dre exception of katre shippd rsurmhsd product mrant be poanwwiaad widdn 15 days of RMA nmhbeq directly from the mradsauar (sea below). katrance or the R14A number WE expire. I 2. Repack the product in the or *W packaging and piece mite a boot ° D=CTMCfO1K01111P!@IBSPVShipklowns ippeddieetlyfran suitable foralhtpp1 with AtheorVirralenclosures, pw%andacoaa risL rheayp0er/nanhufacarerwebilled acthetimed order, aarafI - iharan 3.WikedwFMnmberdsryandcompiahmaycntheaaa7dedtopadoge additional service fee' mposed bytbe suppler. Shipping daw from the 4. Return is to us poste8e pre-pald (we do not accept eQD.).with the location may apply for drese ch up-9 items, induft dKm hipped directly co DDahodeesOutac Store for customer pkk-W ~ Please "O0e Supperg costs are PRICING AND AVABABILITY: Plane note that prices are subject to 0 1 11e boats, outboard ntooors ISara0 trailers, opened sofavera, 61011 ahdh . and thsdora may c awe wkbout , foe Calain pnogra...--- gromfas, acgoods, produ=w k h abichn seal, motif Products maybewithdrawnfrom sobscanrytmeorraynabe aotksforsofa+sera,orotheraaoonwsped0cproducts, time= isma,f f aarisandyiniweraory. ClwJtonSrheatwwwAsladercomforthemost do=.o.dimndnu@cL*eUalyardsediraraardgt7ceartiioosarencc chamerr pricing ad ava666ty. raanaMa. Wthse learn arefuund m be daragad ordefactve, you mum notifyuwtdin10daysforrmokdmLLkiav =Wyweannotatoept 1 iiftyOiOFt y@If. nim olderd=30days. Returns: METHODS OF NOftEMr We accept Vow MasterCard. American Express fgKpp " UNOPENED software, and electronic chars in dww n ow orders, wire tmander 1 and persoml dada in US Buda on1). There is a I P Tf and raadyto.be-sold condidon may be rerun S2511110fordor11 icw1retradasad$4511orkn11 11,r-wars,-, 1 10, widiln 10 days from receipt gxafull refudofinerdandaeprice. I e avoiciverEara andapprovaldekysoncedreardordis besretoprovide 364)W Raftemso 9 der exact addresstowhkhyawcard IsbEed. Exeeptasnoss above. products in the SALESTAX-Defenderisnot: IISttedtocolect a"taconaryordo be-wideondriorh ~^dpadoging and forexdwVt or r slipped directyfmm err Ccrrectarwarehotne se bmdm mttidw stase r of of mar dandbe returned within 30 days for a afiLg furl dw ore price. Unused items not returned in they original I of Comea3ar ~ ~ rep ad gy and be elm up to a e ® rareockmV di W6 reserw vethe IL nigiht to refine returns or sea additional fees at our discretion Kthe nrr. tacks is missing parts or is not in new condition. f Defective Products / Warranty Mformado o astBOYtsioNl A1~Hi90FRi Oq tltli Moat ions Wesel are covered by ma ufacnrare wrrmhts. If yeu coal ORDERS SHIPPING TO A FREIGHT S a showith & e and product, pine coned the appropriate mww FORWARDpC Place trolublachoo" help or small frtigixforwarder andprovide oawith thefo0owirhghdon.wicn-freight cusberv@d9landarxemorcall 800,435-7180. Wewill work with you forwarder; hrl name, concert person, address, phone narnbr fax umber and the men lectrrer to resolve any isnnm and oral akxWwkh the Baal dwI I arse, adtkew phone munber or octal address. Shipments by Delahder we insured to she frejghmforwarcWs z Io , - only. If you require, nnrrahce to the Dal de:timion, yam nut DAMAGED OR MISSWG GOODS SFERPED By pARM CAIN Vie re*nwdwfreVeforwarder tokmreyorrmardurmfissInUtodie&W txxougiiyimiryectaliomapriorooslipnarrNEaggsttatyeuako dest6a. wreplaceasnowdneowant s dwou ykapsettheisenabeforeaooeptingdelver)tRdwagis eLsTOks. DJIRe3, AND640OTFEES: Defender wEasistyou, halloo deliver y or fyor pared b dwidaa appavtn, f asWrwtw a and damage bf:% h t however, assume procedures vary from country to country. and agarrc to Piss contact Defender Cnamnar servio s imradsyyat 800.435-7180. Do riot agem.Please, dwkwith local ofl'nmisreprdlrgcost andpiWar 3tardtheboxcrarypaclogingmaoer.1. Monrisk= nmbeRedWith the procedursforlaI Ig.Sometimes- alfI yoerordwa-adubTrast" car am within 10der; ofroom" ofdelivery. or appytng for a CnA ft Permit nsy red or help to avoid anmrn s- DAMAGED GOODS SHRhPED BYTRUCK Al trek shiPnhsn nut be daegesand/or dudeLDefender cnprovide aprolov i ekafneeded kWB=dWith dodriver presmI If aeompleseimpaction arxnpasabkwkhde Defender is not ragior.11 ' for cusorm clan and dubs or delays by drlw i' "m V fOres'P"O$ k"PecdW ad note aysigm of dwW to arrwad Defender WE bill foray duties ~ dw am din ged driver aooepctirp ant and concrot Defender E Cmurces. Swtoe / o back to usdwtheInitial siip ant; kmadatelyag00.435-7180. Crack card arhoriation for International order a s n acne a delay. In- $H.WVM SYMMSUM IN Otrta?Tt M to national orders pald by w ire b a sla wlInot experierroe a debt)c goris arebeadoathepdides art bythe arriaThere s = tate SECURIT fAt DMIlliAC1fET/MMM M = Lrgrat=Pvductslipsat&nndmWwdglw whidh'is 0- ad'edmimp312 111a = Security: Your personal kdonraton.is prooertad, and your crack cad in. ® = f~vbtrtrdc . formation is encrypted. When you shop on-line with Delenhdeceom, your A = Haar w Ma trap .1 we encoded uingAAE5128-W encrypted SSL twhrWOc . Mst*Jpbygocndo*. OR1Bf f Privacy: We respars yam privacy. M persoal Information you Pratte us is kept , n 6 le PI I. We do not lair, trade, or sell yam personal itfor- MISTAKES DO HAPP9t: TypogrepHcrf, piwoogrepthtc, puking and ecitlng E rnaton. Ever. Period. errors in OwOWO ,flyers.wKwdngandwebsiseare umaahtordandwe t reserve the rk tx to correct tam. MUNA1 elm rwfp~ O K aJR/l, OK eve ql/>113 bK S+me INalmart `'00 Save money. Live better. 01,17-13 pdismbprt.27984116 rLdWEL~m ( Defender Industries 860 ) 447 - 3646 N + MANAGER ALAN CENTAZZO 42 Great Neck Road f~i= 155 WATERFORD PARKUAY N0. WATERFORD CT 6385 LOWESS HOME CENTERS, INC. $TN 2331 OPN 00005986 TEN 90 TRn 03570 Waterford CT 06385 167 WATERFORD PARKWAY NORT SLT TURNER 002413118462 1.97 X (860) 701-3400 WATERFORD, IT 06385 (860) 701-2000 SSPOON D06 0TY 1 3.97 X Ent. By: SEJ Ellen John TURNER 007675333719 2.47 X ICE CAN SCP 002413117454 7,97 X Oust 100202676 - SALE - 48P FLATWARE 087521700131 9.97 X SALESC S2263CL3 1479471 TAANS#: 2003115 09-12-13 SUBTOTAL 26.35 Fishers Island Ferry Dist TAX 1 6.350 % 1.67 261 Trumball Draw H v TOTAL 28.02 sh v~ i VISA TEND 28.02 280611 4FT TO TUBE GUARD WITH EN 7.36 Fishers Isle NY 06390 2 8 3.68 ACCOUNT N 6137 S 155030 BOSCH 5.7 AMP JIGSAW KIT 99.00 APPROVAL N 063438 2142 BOSCH i-SHANK 10PC SET W/ 15.91 REF N 325500308481 n TRANS ID - 003255625293177 C1?,EPj 3 FTZ CLEAR SEAL RING # 8 STUD 165656 32W 4FT T8 OFFICE 8 PRFS 17.96 VALIDATION - 69ZF (S-4 7D201992 1 @ 9.78 9.78 * 2 B 8.98 TERMINT SERVICE -41 E >1 BLUE SEA TERMINAL BLOCK 271069 4-FT HD TREADPLATE ALUM S 32.81 50 wr44"C 7D201476 1 @ 6.46 6.46 BLUE SEA TERMINAL BLOCK 09/12/13 13:22:15 7D201476 1 @ 6.46 6.46 * SUBTOTAL: 173.16 CHANGE DUE 0.00 BLUE SEA JUMPER TERMINALS TAX: 11.00 70201483 1 @ 3.31 3.31 * INVOICE 02801 TOTAL: 184.16 # ITEMS SOLD 5 BLUE SEA JUMPER TERMINALS VISA: 184.16 7D201483 1 @ 3.31 3.31 * TCN 5022 7550 1621 0194 081 ANCOR FLANGED SPADES 16-14 #8 UISA:XXXXXXXXXXXX6137 AMOUNT:184.16 AUTHCD:061187 IIIIIIII IIIIII IIII 11111111111 III 1111111111 IIII IIIIII III 70200388 1 @ 6.75 6.75 * SWIPED REFID:003133226302 09/12/13 12:25:33 I Saue even more with coupons! Visit coupons.ualmert.cam Subtotal 36.07 09/12/13 13:22:15 Tax 2.29 STORE: 2263 TERMINAL: 02 09/12/13 12:25:47 ***CUSTOMER COPY*** n OF ITEMS PURCHASED: 7 Total 38.36 EXCLUDES UIII~FEEIUESSII, SERVICES AND SPECIAL ORDER ITEMS taxable) Items-are Payments III IIIIIIWI'IP1Alu~ IIIII uI~~II ~I~IIIbJ~~~uIVV ~a d THANK YOU FOR SHOPPING LOWESS. Credit Card Visa *******6137 38.36 SEE REVERSE SIDE FOR RETURN POLICY. Auth: 007343 STORE MANAGER: GARY BOYLE ~Q E&5 F>°Cd In>q~r- X WE HAVE THE LOWEST PRICES, GUARANTEED! O 1/ s4ft< IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 108. Signature SEE STORE FOR DETAILS. 1 -7 - i~ Invoice Order Reg. Date Time * YOUR OPINIONS COUNT! 700311576 100313456 2 -0 09/11/2013 02:50pm * REGISTER FOR A CHANCE TO VIM A * More saving. * $5,000 LANE'S GIFT CARD! * - * iAEGISTRESE PARA TENER LA OPORTUNIOAD DE GANAR UNA * o More doing:„ * TARJETA DE REGALO DE LOWE'S DE $5000! * 816 HARTFORD TPK. WATERFORD, CT 06385 O JG }e~ * * JOHN COURNOYER,STORE MGR.(860)437-1900 REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY * 6215 00002 25151 09/27/13 02:10 PM pdismbprt.10682482 lIl -1 * WITHIN ONE WEEK AT: www.loues.com/survey * CASHIER ELIZABETH - EAC6898 * Y 0 U R I D N 02801 2263 255 Defender Industries * * 611942117048 1-1/4X2FT <A- 1-1/02FT PVC SCH 40 PIPE 42 Great Neck Road * NO PURCHASE NECESSARY TO ENTER OR WIN. * 202.83 5.66 611942112555 3/4INX2FT PV <A- Waterford CT 06385 3/4"X2' PVC PIPE 1.34 (860) 701-3400 ~9+0-ve 611942112579 1/21NX2FT PV <A> 2.68 Ent. By: SJL Jaclyn LaM 1/2"X2' PVC PIPE Cost 100202676 parsmoprc.4oz3s3zo ~ J ZCP.f 3 032888646360 PVC UNION <A> 2.28 1-1/4" PVC UNION SLIPXSLIP SCH80 Fishers Island Ferry Dist 206.27 12.54 Defender Industries 041193089151 SINK DRAIN -A- 6.69 261 Trumball Draw H 42 Great Neck Road U n~' 1-1/4" PLASTIC S-TRAP 012871620669 1 TEE SSS <A- Fishers Isle NY 06390 Waterford CT 06385 rn~1 0 e I" PVC TEE SXSXS 400.86 3.44 c~Y (860) 701-3400 ?-'00 rq 012871625015 1 PVC CPLG <A> Ent. By: SJL Jaclyn LaM 1" PVC COUPLING SXS MMM HP-156 PETROLEUM SORBENT 300.46 1.38 7D754252 10 @ 1.40 14.00 * Cost 100202676 012871626234 3/4X1/2 MADP <A- 0.77 SEAD DOOR HOOK STAINLESS STEEL 1/2"X3/4" PVC MALE ADAPTER SXMPT Fishers Island Ferry Dist 012871626517 1 PVC BUSH 40.76 70401119 1 @ 5.84 5.84 * 261 Trumball Draw H 1"X3/4" PVC BUSHING SPGXS SEAD DOOR HOOK STAINLESS STEEL 012871624575 1 PVC EL45 <A> 7D401119 1 @ 5.84 5.84 Fishers Isle NY 06390 4I" P 00.9 EL 450 SXS 3.88 012871623356 1 PVC 90 EL -A- r yr 1" PVC EL 90D SXS 200.66 1.32 Subtotal 25.68 10,f -!Z.< e-A /ti ANCOR FLAT SAFETY DUPLEX CABLE Tax 1.63 ZZ200307 1 @ 30.59 30.59 * SUBTOTAL 41.40 COLE PUSH BUTTON SWITCH 1 CIR. SALES TAX 2.63 Total 27.31 TOTAL $44.03 ZZ204597 1 @ 13.53 13.53 * XXXXXXXXXXXX6137 VISA 44.03 COLE PUSH BUTTON SWITCH 1 CIR. AUTH CODE 028898/4026317 TA Items are taxable) ZZ204597 1 @ 13.53 13.53 * P.O.N/JOB NAME: MAINTENANCE Payments ANCOR PRIMARY WIRE 14 AWG 18' Credit Card Visa *******6137 27.31 ZZ204663GRN14-- 1 @ 7.53 7.53 * Ruth: 084382 I IIIIIIIIIiIIIIIIIII IIIIIIII IIII IIIIII 6215 02 2115151 09/27/2013 5469 Subtotal 65.18 Tax 4.14 RETURN POLICY DEFINITIONS X A POLICY ID DDAAYS POL12%2EXPIRES ON ' Total 69.32 THE HOME DEPOT RESERVES THE RIGHT TO Signature LIMIT / DENY RETURNS. PLEASE SEE THE - Items are taxable) RETURN POLICY SIGN IN STORES FOR Invoice Order Reg. Date Time Payments DETAILS. - r 700312125 100314014 1 -0 09/18/2013 12:09pm Credit Card Visa *******6137 69.32 Auth: 036683 X Signature Invoice Order Reg. Date Time 700312565 100314460 1 -0 09/24/2013 11:04am , IIr pdismbprt.51970198 i o--7-1 3 Defender Industries 42 Great Neck Road Waterford CT 06385 r Qi (860) 701-3400 ~p Ent. By: SJL Jaclyn LaM I } Cust 100202676 / Fishers Island Ferry Dist 261 Trumball Draw H Fishers Isle NY 06390 I COLE PUSH BUTTON SWITCH 1 CIR. ZZ204597 1 @ 13.53 13.53 * COLE PUSH BUTTON SWITCH 1 CIR. ZZ204597 1 @ 13.53 13.53 * COLE PUSH BUTTON SWITCH 1 CIR. ZZ204597 1 @ 13.53 13.53 * FTZ CLEAR SEAL RING # 8 STUD ZZ201992 1 @ 9.78 9.78 * FTZ CLEAR SEAL RING # 10 STUD ZZ201993 1 @ 9.78 9.78 * FTZ CLEAR SEAL RING # 8 STUD ZZ201990 1 @ 9.72 9.72 * Subtotal 69.87 Tax 4.44 Total 74.31 - Items are taxable) Payments Credit Card Visa *******6137 74.31 Auth: 087479 X Signature Invoice Order Reg. Date Time - 700313087 100314987 1 -0 09/30/2013 01 36pm 0. .Thank You for Your Order - National Safety Compliance Secure Checkout Page 1 of 1 National Safety Compliance Thank You for Your Order Order # 2297-8939-0360 Your Shipping Information Your Billing Information I Gordon Murphy Please print this page for your records. Fishers Island Ferry A confirmation message will also be entailed 261 Trumbull Dr. to the address that you provided. #607 Fishers Island, NY 06390 Billing Method: US visa xxxxxxxxxxxx3048 Expires: 06 / 2015 631 788 7463 Gordon Murphy Fishers Island Ferry Dist 261 Trumbull Dr. #607 Fishers Island, NY 06390 US 631 788 7463 gmurphy@fiferry.com Your order Product Description Unit Price Quantity Total Workplace Violence DVD Item Number: D024 $129.00 1 $129.00 Safety Orientation DVD (English) Item Number D08-006 $99.95 1 ea $99.95 Subtotal: $228.95 Shipping [UPS God Residential]: $13.58 Tax: $0.00 TOTAL: $242.53 Order # 2297-8939-0360 Return to National SafetyCo_mnliance [If~~ McAfee SECURE, TESTED E?$Y J'~-SEi^' littps:Hsecure.cartserver.com/conlirined/ 09-Sep-13 . ' FW: Thank you for your National Safety Compliance Order 2297-8939-0360 Page 1 of 2 FW: Thank you for your National Safety Compliance Order 2297-8939-0360 Gordon Murphy Sent: Monday, September 09, 2013 10:19 AM To: J Miller Cc: Don Lamb -----Original Message----- From: National Safety Compliance [rr,ai~ t o: sa._ es( n scen.a i 1. coral Sent: Monday, September 09, 2013 10:16 AM To: Gordon Murphy Subject: Thank you for your National Safety Compliance Order 2297-8939-0360 Hello, Thank you for your order with National Safety Compliance. Below are your order details. Order Number: 2297-8939-0360 Order Date: 2013-09-09 10:19:10 PAYMENT INFORMATION Purchase Billing Method: Credit Card Name on Card: Gordon Murphy CC Type: visa BILLING INFORMATION Company: Fishers Island Ferry Dist First Name: Gordon Last Name: Murphy Address 1: 261 Trumbull Dr. Address 2: #607 City: Fishers Island State: NY Postal Code: 06390 Country: US Phone Number: 631 788 7463 SHIPPING INFORMATION Company: Fishers Island Ferry First Name: Gordon Last Name: Murphy Address 1: 261 Trumbull Dr. Address 2: #607 City: Fishers Island State: NY Postal Code: 06390 Country: US Phone Number: 631 788 7463 Shipping Method: UPS Gnd Residential [06390] Shipping Weight: 5.40 https://mail.fiferfy.com/owa/?ae=Item&t=IPM.Note&id=RgAAAADP WB61ICAdRZSFvr... 9/10/2013 FW: Thank you for your National Safety Compliance Order 2297-8939-0360 Page 2 of 2 Special Instructions: ORDER SUMMARY Item Subtotal: 228.95 Sales Tax: 0.00 Shipping Cost: 13.58 GRAND TOTAL: 242.53 ITEMS: Qty - Price - Part# - Dose 1 - 129.00 - D024 - Workplace Violence DVD 1 - 99.95 - D08-006 - Safety Orientation DVD (English) Thank You. https://mail.fiferry.com/owa/?ae=Item&t=1 PM.Note&id=RgAAAADP W B6IICAdRZSFvr... 9/10/2013 Thank you! Pagel of 2 OComplianceSigns.com SHOPPING CART Blll t SNIP -PAYMENT RECEIPT ORDER PROCESSING COMPLETEThank you! Order Number: 2312'9 Shipping Address: Billing Address: Gordon Murphy Gortlon Murphy Fishers Is" Ferry Distend Fishers Lateral Ferry CoMict 261 Tmmbull Drive gmurphyQNeny.oom Fishers saal 251 Thurmuil Chas NY Fishers Island 06390 NY United States 08390 8317887483 Undel Stales 8317887483 ORDER COMMENTS. PAYMENT DETAILS: Additional Order Instructions: Payment:-caedn Grd [PAID by CC: Visa """"^963006] Paymem type: Visa Card Number ...........3018 Card VeniPKabon Value Name on Card Gordon Murphy Business Name Fishers Island Ferry Dist Expiration Dees "I ORDER RECEIPT : Quantity Nsma (~l ¦~~/I/~ SKU. Each. Tota( 2 .I I [ No Parking Symbol A. Left I No Panting sign WKE-20020 pi $1900 $38.00 LPA.R O Aluminum,Retie rive (80 me) Aluminum Sign 18x12 in $19.00 KIN G 1 2 [ No Paring SYmW A. Right) No Poring agn %PKE-20025 PKE-20025 $1900 $06 or Aluminum>Renecbve I80 mitt Aluminum Sign 18x12 in. $1900 IIII n. nvlur~ nnl~ Subtad $7800 Shipping: STANDARD Shipping-[Ground) $9.00 Tax Total: No Tax (0.0196) $0.00 Toth $8.5.00 Estimabd Shipping Dale: 8/2&2013 - 917712013 https://www.compliancesigns.com/cgi-compliancesigns/sb/thankyou.cgi 25-Sep-13 Gordon Murphy From: Polly Ford Sent: Wednesday, September 25, 2013 9:26 AM To: Gordon Murphy Subject: green receipt rolls Gordon, We are 1/2 through our last box of thermal receipt paper. The address on the box states that we ordered through a company called Paper Rolls Plus. Web address is www.paperrolisp[us.com and phone is 1.877.971.1010. Side of the box has 318XHI 50 GREEN ROLLS printed on it, no packing slip though. / I Thanks, Pol J 04 5:" jwig& agent 96Rm Jataan gmW Diohclct 86U-4442-CI65 t Paper Rolls Plus www.paperrollsplus.com 17501 West 98th Street #35-47 Lenexa, KS 66219 INVOICE Toll Free: 1-877-971-1010 Sold To: FISHERS ISLAND FERRY Ship To: 5 WATERFRONT PARK FISHERS ISLAND FERRY NEW LONDON CT 06320 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390 Account # Invoice Date Invoice # PO # Terms Shipped Via PRP Invoice # 7887463 9/25/2013 114829 C== Pre-Paid UPS Ground QTY BACKOR'D SHIPPED PART NO. DESCRIPTION PRICE/UNIT AMOUNT I I 46-175G 3 1/8" x 230' 55 gm Green 69.95 69.95 ATTN: GORDON MURPHY Email gmurphy@fiferry.com Subtotal: 69.95 Tax: 0.00 • W 'i~ s F:liil II't 14 Shipping: 13.95 . TOTAL 83.90 PaperRollsPlusxom PHONE: 1-877-971-1010 THANK YOU FOR YOUR ORDER WE DO APPRECIATE YOUR BUSINESS! Gordon Murphy From: crucial.service@micron.com Sent: Friday, September 27, 2013 11:20 AM To: Gordon Murphy Subject: Order Receipt Thanks • your order Your Web Order Request Number is 99625-407354 An e-mail was sent to with • order details. This is an automated message. Please do not reply to this email. Thank you for ordering from Micron Consumer Products Group. We'll begin to process your order right away. Print this file or save it on your computer. You will receive another e-mail when your order ships. • Check Order Status NOTE'. Our order system updates on a regular basis, however you may not be able to track it immediately. • Get Answers Fast at the New Cr,jmat Commtmity Forams • Installation Instructions • Cusiomer Service • Before your memory arrives. optirni/e your computer Shipping details Shipping Address: Fishers Island Ferry District Gordon Murphy 261 Trumbull Dr FISHERS ISLAND New York 06390-0607, USA 6317887463 Shipping method: Free shipping (5-9 business days.) Order date/time: 09/27/2013 09:18:57 Days are calculated on business days which are considered Monday through Fnday and exclude Federal Holidays within the United States. Check Order Status Payment details Address: 261 Trumbull Dr Address: FISHERS ISLAND New York 06390-0607, USA g m u rohv(aD,fife rrv. co m Payment Method: Credit card number: 3048 (For your security we are only displaying the last four digits) Purchase Order Number: FIR 1 Your Cart Detail Part Description Price ea. Qty Total CT657134 2GB kit (1GBx2), 240-pin DIMM Upgrade for a Dell OptiPlex GX280 (Desktop and Mini-tower Models) System $37.99 2 $75.98 Line item subtotal: $75.98 Estimated tax: $6.56 - - - - - - - - - (Free shipping (5-9 business days.)) Shipping charges: $0 aa Estimated order subtotal: $82.54 Y g a J 3 - Chanc~ecl ~ . , , http /Iw .crucial.com/support/salestaxstates.aspx Order acceptance policy r 2 FISHERS ISLAND FERRY DISTRICT VENDOR 002241 THE SELL SIMONS COMPANIES 11/06/2013 CHECK 1513 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.000 S9230693-001 NL TERM REC.PMP-HEAT SYS 844.46 TOTAL 844.46 hr THE ORIGINAL CHECK HAS A COLORED • COPY FEATURE AND WATERMARK PAPER I,SLANLT F'EPRY'PIPIC7, ~t3bIT 1 6 3 , 6308¢ NIYJN fl0A0 PO BOX 798 a~ eat sourHOLG. ur 11471a954 CHECK NO. 1513 THE SUFFOLK CO. NATIONAL BANK _ CiUT AM~~ CHOGUE, NY 11835 E 505461214 11/06/2013 yh`$ -4.4 EIGHT HUNDREDFORTY FOUR AND 46/100 DOLLARS PAY THE OX BELL 2 1567 S COMPANIES WE PO SOX 261567 TO ORDFR HARTFORD CT 0612.6-1567 OF 11.00 i S 13ii' i:0 2 140 S?.GLo: 68 00 150 2 111' t Vendor No. Check No. Town of Southold, New York - Payment Voucher 2241 151 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 261667 Vendor Name Hartford, CT 06126-1667 Audit Date The Bell/Simons Companies NOV O 6 2013 Vendor Telephone Number Town Clerk Vendor Contact J Invoice Invoice Invoice Net Purchase Order C Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number S9230693.001 10/1/2013 $844.46 $844.46 NL Terminal Recycle Pum SM6709.2.000.000 for Heating System $844.46 $844.46 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature ~f Title Signature VO Company Name ~f Date Title Dale ~L G~ BellSimons INVOICE C O M P A N I E S HVAC • REFRIGERATION • PLUMBING s„w.a,h. r.a..Hy,mo, IM Customer Account Date Invoice Number Page 41845 10/01/13 59230693.001 1 Sold To: Ship To: FISHERS ISLAND FERRY DIST. FISHERS ISLAND FERRY DIST. P.O. BOX 607 5 WATERFRONT PARK FISHERS ISLAND, NY 06390 NEW LONDON, CT 06320 Writer Customer PO Number Release Number Order Date Ship Date Terms EZOLDE maintence 10/01/13 10/01/13 Net 30 days Quantity Stock Number unit p ription Unit Price Extended 1 295737 EA ARMSTRONG 816141-002 MOTOR 679.377 679.38 1 60138 EA ARMSTRONG 816999-041 BEARING M 90.440 90.44 1 27078 EA Incoming Freight Charges 24.220 24.22 Non Taxable Mdse Taxable Mdse Sales Tax Shipping Handling Invoice Total 0.00 794.04 50.42 0.00 0.00 844.46 Customer Account Date Invoice Number 41845 10/01/13 59230693.001 PLEASE REMIT TO: The Bell/Simons Companies, P. 0. Box 261567, Hartford, CT 06126-1567, A Service Charge of 1.5% per month (APR of 18%) will be added to all past due balances. Please direct any questions concerning this invoice to the Branch of purchase. Customer will be liable for all collection costs including all attorneys fees. NO RETURNS AFTER 90 DAYS. Visit us on the web at http://www.bellsimons.com or a-mail us at infoabellsimons.com Items purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 THE BELL/SIMONS COMPANIES Ship Ticket 59230693.001 Page # 1 Bill FISHERS ISLAND FERRY DIST. Ship FISHERS ISLAND FERRY DIST. To : P.O. BOX 607 To : 5 WATERFRONT PARK FISHERS ISLAND, NY 06390 NEW LONDON, CT 06320 Customer PO# Customer Re14 Writer Payment Terms Ship Via maintence EZOLDE Net 30 days PU PICK-UP Order Date Ship Date Batch Number Salesman Customer Phone 09/27/2013 10/01/13 516-788-7463 Quantity Stock # Item Description Unit Pro Net 1 295737 ARMSTRONG 816141-002 MOTOR 679.377 679.38 1 60138 ARMSTRONG 816999-041 BEARING MODULE 90.440 90.44 1 27078 Incoming Freight Charges 24.220 24.22 Total 794.04 Sales tax 50.42 Invoice Amount 844.46 NpL mar, tx 13 Reprint Reprint Reprint Reprint Customer Signature Items on this order were purchased at: The Bell Pump Company, New London, CT - Phone (800) 647-5916 FISHERS ISLAND FERRYDISIRICT VENDOR 002929 C & S ENGINEERS, INC. 11/06/2013 CHECK 1514 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.4.000.000 211015001 EMERG.REPAIR SVC-AIRPORT 2,500.00 TOTAL 2,500.00 3i f THE ORIGINAL COLORED BACKGROUND, COPY FEATURE AND WATERMARK PAPER FISHERS I F RIZYDISM o W 53095 MAIN ROAD 9OX 1179 SOUTHOLD, NY 11699 CT3ECt~ NO. 1313 THE SOEFOLKGO. 19710NAC BANK Cl7fCNO0UE, NY T1935 _ 50646J214 11/06/2013- $24~1~0.Ut3 TWO THOUSAND FIVE HUNDRED AND 00/100 DOLLARS PAY C & S ENGINEERS., INC.. - TO THE - 499 COL. E1IEEN. COLLINS BLVD ' ORDER SYRACUSE NY 13212 OF F 33•00IS14112 1:0 2 140 54641: 68 OOi502 in• Vendor No. Check No. Town of Southold, New York - Payment Voucher 2929 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 499 Col. Eileen Collins Blvd. Vendor Name Syracuse, NY 13212 Audit Date C&S Engineers, Inc. NOV 0 6 2013 Vendor Telephone Number 315-466-2000x4422 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 211016001 10/10/2013 $2,500.00 $2,500.00 Emergency Repair SM6610.4.000.000 i Service at Airport i $2,500.00 $2,500.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is /exempt are excluded. or discrepancies noted, and payment is approved Signature Title Signature z OIL Company Name l Date N/y' _ Title Date Z ~ f ® Send Payment to: C&S Engineers, Inc. ~ PO Box 64366 Baltimore, MD 212644366 Proddb INCSLS - C&S Custom Lump Sum Invoice, w/o Phase Breakdown, w/ Backups Randy A. Wyrofsky Invoice # : 000 Town of Southold Project : 211015001 Fishers Island Ferry District Invoice Date : 10/10/2013 PO Box H Fishers Island, NY 06390 For Professional Services Rendered through 10/412013 Emergency Repair Services- Elizabeth Field Airport Total Project Fee Authorized 3,000.00 Percent Complete as of 10/4/2013 100.00 Fee Earned To Date 2,500.00 Less Previous Billings 0.00 Current Billing Amount 2,500.00 Amount Due this Invoice 2,500.00 C&S wants your feedback. Visit http://www.cscos.com/contact Invoice Contact Person: Lisa Ware, Account Manager Telephone: (315) 455-2000 Ext. No. 4253, (ware@cscos.com Net 30 Days - 1 1/2% Interest per Month FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 11/06/2013 CHECK 1515 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 3A180041 REFUSE RMVL/NL-10/13 441.64 SM .5710.4.000.000 39102349 REFUSE RMVL/NL-9/13 441.64 I. TOTAL 883.28 BACKGROUND, THE ORIGINAL CHECK HAS A COLORED A VOID COPY FEATURE AND WATERMARK PAPER FISHERS ISLANX1170 3 DISTRICT'.. cHECX ND. i IS 53095MAIN flDAqPO BOOX 1108 - jai v SDOTHDLD THE SUffOLK . NY 11871 CIO. CUTCHOGUE, NY 74835 NATIONAL BANK 50546x214 11/06/2013 y~BS3.2B EIGHT HUNDRED EIGHTY THREE AND',28/100 DOLLARS j i PAY CWPM, LLC a° TO M DBA S.TINNERELLO &:SONS ORDER PO BOX 415 ` PLAINVILLE CT'06062 11500 15 15ii' 1:020-,,051,,[A1: 68 00 150 2 Io Vendor No. Check No. Town of Southold, New York - Payment Voucher 3891 5 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 416 Vendor Name Plainville, CT 06062 Audit Date CWPM, LLC Vendor Telephone Number NOV 0 6 2013 860-447-1473 Town Clerk Vendor Contact Invoice 1 Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger Fund and Account Number P.C ~.m~l p/L-Q 13 39102349' 9/1/2013 $441.64 $441.64 Sept'emVber Ref se 2013 SM6710.4.000.000 NL Terminal ?x s~Vl NL 1c 3 3A180041 1011/2013 $441.64 $441.64 October Refuse 2013 SM6710.4.000.000 NL Terminal 1 1 $883.28 $883.28 Payee Certification Department Certification 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are exclluudded. or discrepancies noted, and payment is approved. Signature Title y Cl Signature Company Name Date Title Date Z Z 0~ UAIC STATE ST PRIOR BALANCE 968.46 09/03/13 38102187 PAYMENT RECEIVED (Thank you)1382 <526.82> 10/01/13 CONTAINER SER 10/01/13-10/31/1 204.75 10/01/13 FE RECYCLING SER 10/01/13-10/31/1 78.75 10/01/13 2.00 RECYCLE SERVICE 10/01/13-10/31/1 84.00 10/01/13 BOTTLES & CANS 10/01/13 FUEL SURCHARGE 10/01/13 47.78 For your convenience, we accept Visa, Mastercard, American Express, and Discover. Tax 26.36 INV# 3A180041 CURRENT 30 DAY 60 DAY 90 DAY DATE 10101113 ACCT# 1007831 441.64 441.64 PAGE 1 OFi 1.8% per month late charge assessed on past due amounts PLEASE PAY 883 2H CWPM, LLC New London County THIS AMOUNT P.O. Box 415 Phone (860) 447-1473 Plainville, CT 06062 Rhode Island Phone(860)747-1335 Phone(401)348-3034 www.cwpm.net DATE AMOUNT STATE ST 09/01/13 CONTAINER SER 09/01/13-09/30/1 204.75 .09/01/13 FE RECYCLING SER 09/01/13-09/30/1 78.75 09/01/13 2.00 RECYCLE SERVICE 09/01/13-09/30/1 84.00 09/01/13 BOTTLES & CANS 09/01/13 FUEL SURCHARGE 09/01/13 47.78 Tax 26.36 INV# 39102349 DATE 09/01113 ACCT# 1007831 1.5% per month late charge assessed on past due amounts PAGE 1011 CWPM, LLC New London County P.O. Box 415 Phone (660) 447-1473 PLEASE PAY 441.64 Plainville, CT 06062 Rhodo Island THIS AMOUNT Phone (860) 747-1335 Phone (401) 345-3034 W WW.cwpm.net - FISHERS ISLAND FERRY DISTRICT VENDOR 004443 DOCKSIDE ELECTRONICS SVCE,LLC 11/06/2013 CHECK 1516 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 6861 (2)SW COMPACT RADIO-22CH 750.00 TOTAL 750.00 THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER e a -777 FISHERS ISLAND' FERRY DISMCT SOInHGIANN ~tt §7~09BOX 59 1119 CHECK NO. 1516 THE SUFFOLK C. CUTCHOGUE, NS 11935 ATIONAL BANK DATEAMOUNT 50-546n14 11/06/2013 %750.00 SEVEN HUNDRED FIFTY AND 00/100 DOLLARS SPAY DOCKSIDE ELECTRONICS SVCE,LLC ORDER PO BOX 12 ORDER MYSTIC CT 06355 ua001SISill 1:02L4054641: 613 OOLS02 IV - 'Vendor No. ! Check No. Town of Southold, New York - Payment Voucher 4443 151 Vend, Tm ID Numb,, m Social Sewriti Number Vendor Address Entered be 118 Stafford Street i Vendor Name Mys4-T OTb355 I A~ udit Daze Dockside Electronics Service LLC Vendor Telephunc Number _ t NO 2013 _ 860 536-191 9 Town Clerk ,r^ I Invoice I Im,vice Imnex Net Purchase Ord" Numta" i Date Total Uisoeum jAmaunt ClaimW~ Number j peon of Goods m Scrvices G¢a:m11AdW Ft"d and Acwww Number I h 8861 912012013 750.00 750.00 5w o mpact radio with SM5710.2.000.000 22 programmable channel - it I i 750.00 750.00 Pavee Certification Department Certification The underngaed(Claeami f Acu ka m behalf of 9w abca namedclawtaim) i Ihemb)ceni5' tint the materials above sp:eitled twvc been received by are does he,etrv certify [h" to foreicingclaim is awe and emrect that no pan has in gaW wridiaen wmimw su ini,ution, theservices Property been paid. uxcepl s'herein srakd, hhat tlu balance meroin stmetl is ac:ualiy' ptdm-,,d and that dw qn stns thereofhmti been emfied wnh tine ewepiom due an?owing,andthazriver from whhiiis the Tovi is Hemp, are excluded. - or discrepmce. noted, and Mmiem is 2ppwed Sigharurcv //r'f~ _jJ Title Sici`hadure Company Va:n,T,~-~ Date Title Vendor No. Check No. Town of Southold, New York - Payment Voucher 4443 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 18 Stafford Street Vendor Name Mystic, CT 06355 Audit Date Dockside Electronics Service LLC Vendor Telephone Number NOV U c 2013 860-536-1919 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 8861 912012013 750.00 750.00 5w compact radio with SM5710.2.000.000 22 programmable channel i i 750.00 750.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. J or discrepancies noted, and payment is approved. Signature Title `^xe aC~ ~J Signature Company Name~ Date Title Date I DOCKSIDE ELECTRONICS SERVICE LLC Invoice 18 Stafford Street Mystic, CT 06355 DATE INVOICE # (860) 536-1919 9/20/2013 8861 BILL TO SHIP TO FISHERS ISLAND FERRY DISTRICT BOX H FISHERS ISLAND, N.Y. 06390 PROJECT P.O. NO. TERMS SHIP VIA FOB RJ BURNS ON RECEIPT ITEM QTY DESCRIPTION SERIAL NO. RATE TOTAL IC-M88 2 5W compact radio with 22 programmable channels 01056073,010 375.00 750.00 56078 Cfa)KE Fax # E-mail Subtotal $750.00 860-536-9272 DOCKSIDE@SNET.NET Sales Tax (6.55%) $0.00 FINANCE CHARGE OF 1-1/2% PER MONTH WILL BE CHARGED ON ALL Total $750.00 OVERDUE ACCOUNTS FISHERS ISLAND FERRY DISTRICT VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 11/06/2013 CHECK 1517 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 S101029827.001 MU-P&S REWIRE 73.64 SM .5710.4.000.000 5101044251.001 SHOP SUPPLIES 51.44 SM .5710.2.000.100 S101052873.001 MU-ENGINE ROOM 45.56 TOTAL 170.64 t , mom, 1:5 es w -.o ~lw Al ^a - r THE wORIGINAL CHECK HAS A COLORED BACKGROUND A VOID COPY FEATURE AND WATERMARK PAPER 77, RR.. tYDI RI1 4 . CYiECTC N~O~ a 6HOHS AIN MO~~-117H R NY $pU "YHOLO it971,OB6B THE SUEMDK WKATIONAL BANK _ CVtCHOWE, NY41836 11 ~,"06j 01 - W 50-t461214 ONE HUNDRED SEVENTY AND 64/100 DOLLARS - '6v P, a~.v mrxot PAY ELECTRICAL WHOLESALERS, INC. To 7m LOCKBOX 9761 ORDER PO BOX 5500 OF F PHILAfSELPHIAPAi917$-9761 85001S17115 1:02140S4641: 68 00 1502 1111, Vendor No. 'Check No. Town of Southold, New York - Payment Voucher 5414 ' Vendor Tax ID Number or Social Securib' Number Vendor Address Entered by Lockbox 9761 Vendor Name P.O. Box 8500 Audit Date Electrical Wholesalers Inc. Philadelphia, PA 19178-9761 NOV p 6 2013 - - - - Vendor Telephone Number 800-522-3232 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed' =.Number Description of Goods or Services General Ledger Fund and Account Number I S101029827.001 9/25/2013 $73.64 $73.64 'MUNN P&S Rewire SM5710.2.000.100 I S101044251.001 9/3012013 $51.44 $51.44 11 Shop Supplies SM5710.4.000.000 101212013 $45.56 $45.56 MUNN Engine Room SM5710.2.000.100 S101052873.001 $170.64 $170.64 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf'of the above named claimant) I hereby certify that the materials above specified have been received by me does herebc cenifr that the foregoing claim is true and correct, that no part has in good condition without substitution. the services properh- been paid. except as therein stated. that the balance therein stated is actuallt performed and that the quantities thereof have been renfied with the csceptions due and owing. and that taxes from which the Town is exempt are excluded. or discrepancies noted. and payment is approved. nature Signature Title-- Sie Compan}Name _ -Date - Title _ Date ^ INVOICE Electrical Wholesalers 6a. CUSTOMER NUMBER SUB ACCOUNT # USES110 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 S101029827.001 09/25/13 REMIT TO: ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 15061 MB 0.405 E0065X 101230785079718 P162838400010001 SHIP TO: 11~~~~~11111111r1~111~~1rr~11~l~1~1'1~1~111111~1~III~'l1~1111~11~ 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 MAINTENANCE MAINT. HOUSEACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE MICHAEL GRESSLER PICK UP MFG DISC 10TH, NET 15TH 09/25/13 09/25/13 ORDER CITY SHIP CITY DESCRIPTION UNIT PRICE EXT PRICE 12ea 12ea GEL 100A/RS-120V A21 RS LAMP'12PK` 1.959E 23.51 12ea 12ea ARL NMLT50 1/2" NM STRAIGHT 132.804c 15.94 LIQUIDTITE CONNECTOR 4ea 4ea ARL NMLT9050 1/2" NM 90 DEGREE 193.966c 7.76 LIQUIDTITE CONNECTOR 4ea 4ea ARL NMLT9075 3/4" NM 90 DEGREE 250.846c 10.03 LIQUIDTITE CONNECTOR Sea Bea ARL NMLT75 3/4" NM STRAIGHT 149.988c 12.00 LIQUIDTITE CONNECTOR 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! 2013N9a502'. 12: 35 PM 5101029827.1 Subtotal 69.24 If paid by 10/10/13 you may deduct $1.04 Invoice is due by 10/15/13 net of any cash discount. Shipping Chgs 0.00 Tax 4.40 For complete Terms Com go to: Payments 0.00 http:/Iwww.ew-ct.com/ CustotomerE erEWTC.pdf Amount Due 73.64 A USESLoR Company Visit us at www.usesi.com ,.,_,...,..<.,0001 0001 TO VIEW ONLINE GO TO: http://ew.bilitrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 : W'I Electrical Wholesalershk,. Shi Ticket USES ,a L S. P3era t. il Srrvtera I < t alllp o SHIP DATE ORDER NUMBER PAGE NO. ELECTRICAL WHOLESALERS-NEW LONDON 09/25/2013 5101029827.001 1 of 1 163 STATE PIER ROAD NEW LONDON, CT 06320-5817 COST Pe#: MAINTENANCE 860-443-4381 Fax 860-443-4570 JOB/REL#: MAINT. 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 HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDERDATE FREIGHTALLOWED MICHAEL GRESSLER PICK UP Ship: NELO Price: NELO 09/25/2013 No ORDER QTY SHIP QTY L DESCRIPTION 12ea 12ea GEL 100A/RS-120V A21 RS LAMP *12PK* 12ea 12ea ARL NMLT50 1/2" NM STRAIGHT LIQUIDTITE CONNECTOR 4ea 4ea ARL NMLT9050 112" NM 90 DEGREE LIQUIDTITE CONNECTOR 4ea 4ea ARL NMLT9075 3/4" NM 90 DEGREE LIQUIDTITE CONNECTOR 8ea Bea ARL NMLT75 3/4" NM STRAIGHT LIQUIDTITE CONNECTOR 2DOMO 6021235PM $1010]401]1 7-13 Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due Printed By. GREMIC on 912512013 2'.12.3] PM MW INVOICE MW Electrical Wholesalers int. CUSTOMERNUMBER SUBACCOUNT# 11=1e . EW - NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S101044251.001 09/30/13 REMIT TO: ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178.9761 1374 1 MB 0.405 E0002X 1002 0789400324 P1630977 0001:0001 SHIP TO: ill~rullnllulrPlrmllllrlrllldlulrrlllr~IrlrIrIIII~II x 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 7 RELEASE # ORDERED BY SALESPERSON MAINT MAINT JOHN HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 09/30/13 09/30/13 ORDER CITY SHIP CITY DESCRIPTION UNIT PRICE EXT PRICE 12ea 12ea GEL 100A/RS-120V A21 RS LAMP'12PK` 1.959E 23.51 48ea 48ea GEL 60A-120V IF A19 MED LAMP+ 0.518E 24.86 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 ID 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! 2013MM 02:00 m Pn S1010 4251.1 Subtotal 48.37 If paid by 11170113 you may deduct $0.72 Invoice is due by 11115113 net of any cash discount. Shipping Chgs 0.00 / Tax 3.07 For complete Terms & Conditions go to: 7y.U Payments 0.00 http://www.ew-ct.com/CustomerEWTC.pdf a Amount Due 51.44 A U• ESQ Company Visit us at www.usesi.com 0001 9BB TO VIEW ONLINE GO TO: http:/Iew.bilitrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 1 R Electrical Wholesalers toc.. Ship Ticket USES F A (.S. LlMmA S,1.1;... e, (oalpaar SHIP DATE ORDER NUMBER PAGE NO. ELECTRICAL WHOLESALERS-NEW LONDON 09/30/2013 5101044251.001 1 of 1 163 STATE PIER ROAD NEW LONDON, CT 06320-5817 CUST PO#: MAINT 860-443-4381 Fax 860-443-4570 JOB/REL#: MAINT 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 JOHN HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 09/30/2013 No ORDER QTY SHIP QTY DESCRIPTION 12ea 12ea GEL 100A/RS-120V A21 RS LAMP *12PK` 48ea 48ea GEL 6OA-120V IF A19 MED LAMP+ 201 MOM 02 U0.95 PM SI01094261I IN~C/ lo- `r O I% S--r v<- l0 7-13 Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due Printed By, CHAKEV on 9I30I2013 2'.00:5] PM INVOICE F %V Electrical Wholesalers 4e. CUSTOMER NUMBER SUB ACCOUNT # uBESEa- EW - NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S101052873.001 10/02/13 REMIT TO: ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 1287 1 AB 0.384 E0402X 10878 D792137112 P1639557 00010001 SHIP TO: ~1111~I11"'I~I'~IIIIIIII~I'~~'I'II'I"'I~'ll~l~rrr~ll1~11111~11~ 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 MINNETUCKET MINNETUCKET MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE BRUCE DEFREHN PICK UP MFG DISC 10TH, NET 15TH 10/02/13 10/02/13 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea CILIA E989UUN 12" X 12 X 4" PVC SCREW 4284.066c 42.84 COVER JUNCTION BOX 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! 2013/1 DM202:01:a PM S101052873A Subtotal 42.84 Invoice is due by 11/15/13. Shipping Chgs 0.00 1 Tax 2.72 For complete Terms Conditions go to: http://www.ew-ct.com/CustomerEWTC.pdf Payments 0.00 Amount Due 45.56 A OSES company Visit us at www.usesi.com 0001:0001 TO VIEW ONLINE GO TO: http:/Iew.bilitrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 11/06/2013 CHECK 1518 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 5277825 DENTAL PREMIUM-11/13 1,603.38 TOTAL 1,603.38 tir.. tas.. .Way ~t THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER a V 777777 WERS ,9pyM p~iAO. 1k`K'Y"1~~`>>`.r ~e\O SOUTHOLD, NY 11 971 -0284 H~'SCA Nb: `i 'i, THq~nOLi(~COINAC BANK CUTCry0". NY it 5 ONE THOUSAND SIX HUNDRED THREE AND 38/100 DOLLARS - F' ' c ds'~ifiSt" st PAY EMPIRE DENTAL - ~'k/ . - e 7YJ T7fG DEPARTMENT 83703 ORDER PO SOX 202837 OF DALLAS Ti 75320-2837 y oaf 11"0015L8110 1:02140S46 41: 68 00 i 50 2 Iv Vendor No. iCheck No. Town of Southold, New York - Payment Voucher 5442 5 8 Vendor Tax ID Number or Social Security Number Entered by rtn~ir2 tfPt11'/'h~hCi(C 5~~:~1+~C~ P.O. Audit Date Empire Dental Department 83703 NOV O 6 2013 Vendor Telephone Number Dallas, TX 75320-2837 600-928-6459 In i ( ~ i) C -w Vendor Contact Invoice Invoice 1 Invoice Net ' purchase Order V Number Date Total Discount Amount Claimed, Number Description of Goods or Services General Ledger Fund and Account Number 5277825 10114/2013 $1,603.38 $1,603.38 11/1/13-11/30/13 SM9060.8.000.000 $1,603.38 $1,603.38 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby cerbfv that the materials above specified have been received b} me does herebN certdv that the foregoing claim is true and correct_ that no part has in good condition without substitution. the sernces properlq been paid. except as therein staled. that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing and that taxes from which the Town is exempt are excluded. or discrepancies noted, and pa}ment is approved. Signature Title- 21- GC~ Signature _ ~ Companx Name Date_ Title Date li Z - - Empire STATFPENT PAGE BNS[enU EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT 20 BOX 856 ACCOUNT ENY4561251 MINNEAPOLIS MN 55440-0856 BILLING DATE 10/14/2013 HILL/PYMT INQUIRIES 877-606-3409 ENROLLMENT INQUIRIES 800-928-6459 REMIT TO: FISHERS ISLAND FERRY DISTRICT-BROKER EMPIRE DENTAL ATTN: MARY CENTER PO BOX 202837 261 TRUMBULL DR DEPARTMENT 83703 PO BOX 607 DALLAS TX 75320-2837 k'ISHERS ISLAND NY 06390 rEwlo +rus+t7:4oe ma®a~.TTw ~Q >•+a~x.-na aloes 5242295 09/14/2013 INVOICE 10/01/2013 0I/OCT/13-311OCT/13PREMIU 1,761.22 1,761.22 5277825 10114/2013 INVOICE 11/01/2013 0l/NOV/13-30/NOV/13PRENIU 1,603.36 1,603.38 CURRENT DOE PAST DUE TOTAL AMOUNT DUE 1 - 30 DAYS 31 - 60 DAYS 61 - 90 DAYS OVRR 90 DAYS 1,603.38 1,761.22 0.00 0.00 0.00 3,364.60 AMOUNT REMITTED YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. S I =)g PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. ` Servirrus provLNQ by Zuplro BealthCMlce Assurance, inc., a li Nnem of the al. Cross and Blue Shield Aanoniatien, an enunciation of independent Bice Cross aw Blue Shield plan. EmpireO INVOICE PAGE 1 &ufCfloss EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 5277825 MINNEAPOLIS MN 55440-0856 BILLING DATE 10/14/2013 SUBSCRIBER PERIOD 11/01/2013 - 1:/30/2013 BILLING/PYMT INQUIRIES 877-606-3409 CLAIM PERIOD REMIT TO: FISHERS ISLAND FERRY DISTRICT-BROKER EMPIRE DENTAL ATTN: MARY CENTER PO BOX 202837 261 TRUMBULL DR DEPARTMENT 83703 PO BOX 607 DALLAS TX 75320-2837 FISHERS ISLAND NY 06390 CUSTOMER NUMBER OF NUMBER OF CLAIM ADJUSTMENT RATE TOTAL REPORTING NUMBER CURRENT CLAIMS AMOUNT AMOUNT AMOUNT AMOUNT EMPLOYEES 456125-0001-0001-550 23 394.60 39.46/EE/MO 644.08 80.51/EE/MO 96.48 96.48/EE/MO 586.60 146.65/EE/MO -118.38/RETRO 1 603.38 INVOICE TOTAL 23 0 $0.00 $O." $1,603.38 $1,603.38 YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. i Services provided by Empire RaalthCboica SasurR, Inc., a heaves of the Blue Cruse and Blue Shield ,Association, an association of mdapanaent Blue Creae and Bice Shield plane. Empire SUBSCRIBER LISTING PAGE 1 &u cficss EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 5277825 MINNEAPOLIS IM 55440-0856 BILLING DATE 10/14/2013 SUBSCRIBER PERIOD 11/0112013 - 11130/2013 ENROLLMENT INQUIRIES 800-928-6459 REMIT ELIGIBILITY CHANGES TO: FISHERS ISLAND FERRY DISTRICT-BROKER EMPIRE ATTN: MARY CENTER PO BOX 838 261 TRUMBULL DR MINNEAPOLIS MN 55440-0838 PO BOX 607 ATTN; ENROLLMENT DEPARTMENT FISHERS ISLAND NY 06390 CUSTOMER REPOR^_ING NUMBER 456125-0001-0001 FISHERS ISLAND FERRY DISTRICT LAST O101 rim YAMS w 0 BO86GIBM 6I1PCTM COVDAR CIBRAW Reran TORAL IS CASH Tvn wamrt women wood BARRETT FREDERICK N/A 883M11083 05/01/2011 EMPLOYEE 39.46 BROWN DONALD N/A 89SM11083 05/01/2011 EMPLOYEE,SPOUSE 80.51 BURKE STEPHEN N/A 64SM11229 05/01/2012 EMPLOYEE 39.46 BURNS RONALD N/A 484M11357 01/01/2013 EMPLOYEE-SPOUSE 60.51 DOUCETTE DEBORAH N/A 304MI1540 03/01/2013 EMPLOYEE+SPOUSE 90.51 EAGAN DANIEL N/A 028MI1702 10/01/2013 EMPLOYEE 39.46 FENTON SCOTT N/A 572MI1683 10/01/2013 EMPLOYEE 39.46 FIORA MICHAEL N/A 878M11083 05/01/2011 EMPLOYEE 39.46 FOLEY PAUL N/A 877MI1083 05101/2011 EMPLOYEE 39.46 FORD POLLY N/A 337MI1227 04/01/2012 FAMILY 146.65 FRANCO MICHAEL N/A 738MI1635 08/01/2013 EMPLOYEE+SPOUSE 00.51 HANEY JONATHAN N/A 622MI1545 04/01/2013 EMPLOYEE+SPOUSE 00.51 HILLER JONATHAN N/A 262MI1092 07/31/2013 EMPLOYEE AOG13-OCT13 -1_8.38 HOCH RICHARD N/A 882M11083 05/01/201': EMPLOYEE 39.46 KNAVFF ROBERT N/A 884M11083 05/01/2011 EM.PTAYEE+SPOUSE 60.51 LAVIN ROBERT N/A 456MI1586 05/01/2013 EMPLOYEE+SPOUSE 80.51 LEFEVRE RAYMOND N/A SBINI1083 05/01/2011 EMPLOYEE 39.46 MARKS JASON N/A 626M11227 09/01/2012 EMPLOYEE 39.46 Serviee& provided by empire Beal LbChoice Assurance, Inc., a of CAe Blue Croat and Blue Shield Association, an aeeoaietlau of independent Blue Cross and Blue Shield Bland. Empire SUBSCRIBER LISTING PAGE 2 BIUECAOf6 EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 5277825 MINNEAPOLIS MN 55440-0856 BILLING DATE 10/14/2013 SUBSCRIBER PERIOD 11/01/2013 - 11130/2013 ENROLLMENT INQUIRIES 800-928-6459 CUSTOMER REPORTING NUMBER 456125-0001-0001 FISHERS ISLAND FERRY DISTRICT lass Ran xxsas san us 1 xwaIAxua urEeciYS cov4u~ eoeoaree usao swat ID un rrn aNwNe aEwrc aNxn MARSHALL JE996 N/A 896M31003 05/01/2011 EMPLOYEE-SPOUSE 80.51 MORGAN JOHN N/A 897MI1083 05/01/2013 FAMILY 146.65 MURPHY GORDON N/A 095MI1203 03101/2012 FAMILY '_46.65 PARADIS JOHN N/A 424M11632 03/01/2013 FAMILY _46.65 SCHMID NINA N/A 898MI1083 05/01/2011 EMPaCHILD(REN) 96.48 TRAUB JAMES N/A 879Mn083 05101/2011 EMPLOYEE 39.46 10 INDIVIDUAL 394.60 -118.30 276.22 0 EMPLOYEE-SPOUSE 644,08 0.00 644.08 1 EMPf HI]D(RRN) 96.48 0.00 96.48 4 FAMILY 566.60 0.00 586.60 DESCRIBER TOTAL FOR THE AHOVE CU9TCMER REPORTING NOMBER 23 1,721.76 -118.38 1.603.30 1 7 10 INDIVIDUAL 399.60 -118.38 2I6.22 8 EMPLOYRS-81015E 644.08 0.00 644.08 1 EMPICHILD(REN) 96.48 0.00 96.48 4 FAMILY 586.60 0.00 506.60 D TOTAL FOR ALL THE CUSTO R REPORTING NUMBERS 23 1,721.75 -118.38 1,603.38 ENROLLMENT CHANGES MUST BE RECEIVED AT LEAST 5 BUSINESS DAYS PRIOR TO YOUR SCHEDULED BILL RUN DATE. FISHERS ISLAND FERRY DISTRICT VENDOR 006398 FISHERS ISLAND TELEPHONE CO 11/06/2013 CHECK 1519 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.000 2553 REPLACED PHONE-STATIC 135.00 TOTAL 135.00 P,y THE s ORIGINAL CHECK HAS A COLORED VOID COPY FEATURE AND WATERMARK PAPER M 53p,86 A Pp M M. t"~"~ '<t~ ~ sovnsxw + xdYtw es ECK ~JCi: i ] D1 txr~ecrfuuaAL c~rtnscuE trr+§ L ilf6}6f2013~ l io`1$aenv4 . ONE HUNDRED THIRTY FIVE AND 00/100 ~zrz =~3?/a wet PAi FSS ERS„SLAND TELEPHONE CO y odes i rO 7* DRAWER t O~~ER FISHERS ISLAND NY 06390.. _ P- ~vr~ ~wa~ i tm° 11200 1, 5 19i1• i:0 2 i40 SLl 68 001,S0 2 In, Vendor No. Check No. Town of Southold, New York - Payment Voucher 6398 Vendor Tax ID Number or Social Security Number Vendor Address Entered by i Drawer E Fishers Island, NY 06390 Audit Date i Fishers Island Telephone Corp. Vendor Telephone Number 631-788-7001 Town Clerk Vendor Contact l Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 25531 7/5/2013 $135.00 $135.00 Static on outside phone SM5709.2.000.000 replaced with used phone i i $135.00 $135.00 Payee Certification Department Certification 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing. and that taxes from which the Town is exempt are excluded. or discrepancies noted, and pavment is approved- , Signature 'I itle Signature Compam-Name f!~ Date Title Date 7(7 aC1 Fishers Island Telephone Corp. Invoice Drawer E Date Invoice # Fishers Island, NY 06390 2553 (631) 788-7001/s/zo13 Bill To F.I. Perry District Drawer H Fishers Island, NY 06390 P.O. No. 213128 Terms Due Date 30 days 81412013 Quantity Description Rate Amount 6/6/13; report of "static on outside phone"; replaced with used phone 85M 85.00 used outdoor phone 50.00 50.00 PLEASE MAY CHECKS PAYARLE TO " F.I. TELEPFIONE " .......TIIANK YOU Tota I $135.00 fitelephone a>fishersistand.net FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 11/06/2013 CHECK 1520 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 027700-9/13 ELECTRIC-FRGHT SHED-9/13 155.04 SM .5710.4.000.200 027750-9/13 ELECTRIC-WHISTLER-9/13 19.61 SM .5710.4.000.200 027750-9/13 WATER-WHISTLER AVE-9/13 23.10 SM .5710.4.000.200 027800-9/13 TELEPHONE-THEATRE-9/13 38.01 SM .5710.4.000.200 027800-9/13 ELECTRIC-THEATRE-9/13 84.22 SM .5710.4.000.200 027800-9/13 WATER-THEATRE-9/13 29.67 SM .5710.4.000.200 027900-9/13 ELECTRIC-AIRPORT-9/13 37.76 SM .5710.4.000.200 028000-9/13 TELEPHONE-FRT OFFC-9/13 140.68 SM .5710.4.000.200 028000-9/13 ELECTRIC-FRT OFFC-9/13 341.52 SM .5710.4.000.200 028000-9/13 WATER-FRT OFFC-9/13 35.23 SM .5710.4.000.200 028100-9/13 ~i'EIfiF.PHONE-MGR OFFC-9/13 179.71 IT,.FLHONE-MGR COMP-9/13 38.26 SM .5710.4.000.200 028101-9./13 , SM .5710.4.000.200 02=3- 9/1f TFrLN NE-ANNEX-9/13 95.79 SM .5710.4.000.200 028135 9/13 ELEC f-,ANNER^9/13 24.88 SM .5710.4.000.200 028135-9/13"` WATER`ANNEX-9/13 29.67 SM .5710 4 OOQ. ,x P,.UTER-9/13 95.57 - o SM .5710.4.00`0=-20a'- ',"2 , 9•- `CJp5 LINE-9/13 63.50 SM .5710.4.000.200 028150-9/13 TELEPHONE-FAX MACH-9/13 149.44 SM .5710.4.000.200 028200-9/13 TELEPHONE-PUB PHONE-9/13 37.26 TOTAL 1,618.92 ORIGINAL THE COLORED COPY FEATURE AND WATERMARK PAPER FISHERS ISM'111,/13°AGM Y DISTNCT ' ::n xT xi s. 53095 MAIN ROAD, PD 0 7( 1179 v • d SOUTHOLD, NV 11971A9°94 3 NAl BANK CHECK i.]0• THE UTCHHOM N49i96 OiHydl,I: C W-94W214 11/0612013 $1 xe. ONE THOUSAND SIX HUNDRED EIGHTEEN AND 92/x:.00 DOLLARS - PAY FISHERS ISLAND' UTILITY CO TO TM PO BOX DRAWER E ORDER or FISHERS ISLAND NY 06390-0604 11000 IS 20,10 1:0 2 VO SL r.L X 68 00 ISO 2 iii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6412 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO BOX E Vendor Name Fishers Island, NY 06390 Audit Date FISHERS ISLAND UTILITY COMPANY NOV 0 6 2013 Vendor Telephone Number 631-788-7744 T Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount 'Ammo rt Claimed Number Description of Goods or Services General Ledger Fund and Account Number 028135 9/3012013 $95.79 495.79 Tel Annex-9113 SM5710.4.000.200 028135 913012013 $24.88 $24.88 Elec Annex-9/13 SM5710.4.000.200 028135 9/30/2013 $29.67 $29.67 Water Annex-9/13 SM5710.4.000.200 028145 9/30/2013, $95.57 $95.57 ,Tel Freight DSL 9113 SM5710.4.000.200 028146 9130/2013 $63.50 $63.50, Tel UPS Line 9/13 SM5710.4.000.200 028150 9/30/2013, $149.44:$149.441, Tel Fax Line 9/13 SM5710.4.000.200 027700 9/30/2013 $155.04', $155.04 Frt Shed Elec 9/13 SM5710.4.000.200 027800 9/30/2013 $38.01 $38.01 Theater Tel 9/13 SM5710.4.000.200 027800 9/30/2013 $84.22 $84.22' Theater Elec-9113 SM5710.4.000.200 027800 9/30/2013$29.67 $29.67 Theater Water-9/13 SM5710.4.000.200 027900 9/30/2013' $37.76 $37.76 Airport Elec-9/13 SM5710.4.000.200 028000 9/30/2013 $140.68 $140.68 Frt Shed Tel - 9113 - SM5710.4.000.200 028000 9/30/2013 $341.52 , 028000 9/30/2013 $35.23 $341.62 Frt Shed Elec-9/13 SM5710.4.000.200 $35.23 Frt Shed Water-9/13 SM5710.4.000.200 028100 9/3012013' $179.71 $179.71 FI Office Tel-9113 SM5710.4.000.200 028101 9/30/2013 $38.26 $38.26 FI Off Computer Tel-9/13 SM5710.4.000.200 027750 9/30/2013 $19.61 $19.61 Whistler AveElec-9/13 SM5710.4.000.200 027750 9/30/2013 $23.10 $23.10 Whistler Ave Water-9/13 SM5710.4.000.200 028200 9/30120131 $37.261 $37.26 Public Dock Phone 9113 SM5710.4.000.200 $1,618.921 $1,618.92 - Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certifv 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 properly been paid, except as therein slated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted. and payment is approved. Signature rifle- G""' GC, Signature. rpm, Name _ Datc 11 ~ Rife Date li y OG~ FISHERS ISLAND UTILITY - VENDOR #6412 INVOICE# SUFFIX DATE AMOUNT DESCRIPTION FUND/ACCT# 027700- 9/13 9130/13 155.04 Electric-Frght Shed- 9113 SM.5710.4.000.200 027750- 9113 9130113 19.61 Electric-Whistler Ave 9113 SM.5710.4.000.200 027750- 9/13 9/30/13 23.10 Water-Whistler Ave 9113 SM.5710.4.000.200 total - $42.71 027800- 9/13 9/30/13 38.01 Telephone-Theatre- 9/13 SM.5710.4.000200 027800- 9/13 9/30/13 84.22 Electric-Theatre- 9/13 SM.5710A.000.200 027800- 9/13 9/30/13 29.67 Water-Theatre- 9/13 SM.5710.4.000.200 total-151.90 027900- 9/13 9/30/13 37.76 Electric-Airport- 9/13 SM.5710.4.000.200 027950- 9/13 9/30/13 Electric-Annex #2 9/13 SM.5709.2.000.100 028000- 9113 9/30/13 140.68 Telephone-Fr ht Offc- 9/13 SM.5710.4.000.200 028000- 9113 9/30/13 341.52 Electric-Frght Offc- 9/13 SM.5710.4.000.200 028000- 9/13 9/30113 35.23 Water-Frght Offc- 9/13 SM.5710.4.000.200 total-517.43 028100- 9/13 9/30113 179.71 Telephone-Mgr Offc- 9/13 SM.5710.4.000.200 028101- 9/13 9130/13 38.26 Telephone-Mgr Comp- 9/13 SM.5710.4.000.200 028102- 9/13 9130113 0.00 Telephone-ATM Line- 9/13 SM.5710A.000.200 028135- 9/13 9130/13 95.79 Telephone-Annex- 9/13 SM.5710A.000200 028135- 9/13 9/30113 24.88 Electric-Annex- 9/13 SM.5710.4.000.200 028135- 9/13 9/30/13 29.67 Water-Annex- 9/13 SM.5710.4.000.200 total-150.34 028145- 9/13 9/30/13 95.57 Telephone-Computer- 9113 SM.5710.4.000.200 028146- 9/13 9130/13 63.50 Telephone-UPS Line- 9/13 SM.5710.4.000.200 028150- 9/13 9/30/13 149.44 Telephone-Fax Mach- 9113 SM.5710.4.000.200 028200- 9/13 9/30/13 37.26 Telephone-Public Phone 9/13 SM.5710.4.000.200 TOTAL 1,618.92 - - BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . .Current Balance. . . . . .00 sLECTRIC Balance From Previous Month 358.54 Total Payments . . . . . . . . . . . . . . . . . . . . 176.61 Total Adjustments . . . . . . . . WATER . . . . . .Current Balance. . . . . . . . . 181.93 Balance From Previous Month 00 Total Payments . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . Current Balance. . . .00 DUE IMMEDIATELY ' OUTSTANDING BALANCE ' " 181.93 Current Electric Charges - See Page 3 . . . . . . 155.04 Current Amount Due by 10/25/13 155.04 Total Amount Due 336.97 11000977 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS For Emergency Assistance ......788-7815 a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: b Wrltln Information & Assistance .......788-7001 Commission by 9 t0: Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT by Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. GE 3 TELEPHONE NUMBER 631P188-0023 ACCOUNT NUMBER 027700 BILL DATE 09/30/13 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $154.41 Fuel Adjustment 0.63 New York State Tax 0.00 Total Current Charges $155.04 Meter Readings Energy used Amount Current Previous MASTER 26779 26258 REG. 521 KWH 104.26 DEMAND 4.50 01 DMD. 4.49 KW 50.15 DATE 9/27 8/30 DMD. MIN. 2.39 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $154.41 11000978 BILLING SUMMaY Current Account Activity TELEPHONE Balance From Previous Month .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 To,cal Adjustments . . . . . . . . . . . . . . . . . . .00 EiJCTRIC . . . . . .Current Balance. . . . . . . . . .00 Balance From Previous Month 107.33 Total Payments . . . . . . . . . . . . . . . . . . . . . . 71.82 Total Adjustments . . . . . . . . . . . . . . . .00 WATER . . . . .Current Balance. . . . . . . . . 35.51 Balance From Previous Month 46.54 Total Payments . . . . . . . . . . . . . . . 23.10 Total Adjustments Current Balance. . . . . . . 23 .44 DUE IMMEDIATELY OUTSTANDING BALANCE " ' 58.95 Current Electric Charges - See Page 3 . . . . . . 19.61 Current Water Charges - See Page 3 . . . . . . 23.10 Current Amount Due by 10/25/13 42.7 Total Amount Due 101.66 11000979 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday- Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS For Emergency Assistance ......788-7815 a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information & Assistance .......788-7001 Y 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT Y 9 Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. TELEPHONE NUMBER 631P188-0122 ACCOUNT NUMBER 027750 BILL DATE 09/30/13 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 1 CURRENT CHARGE: Energyy Charge $19.55 Fuel Ad'ustment 0.06 New York State Tax 0.00 Total Current Charges $19.61 Meter Readings Energy used Amount Current Previous MASTER 59764 59714 REG. 50 KWH 19.55 DEMAND 00 00 DMD. .00 KW 0.00 DATE 9/27 8129 DMD. MIN. .00 METER MULT. NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $19.55 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER PREVIOUS ATE CURRENT 80260 9/27 CUBIC FEET 10 (CU FT x 7.5 = GALLONS) 75 Current Water Charge 23.10 Gross Receipts Tax Credit (per PSG) 0.00 Total Current Charges $23.10 11000980 BILLING SUMMARY Current Account Activity TELEPHONE .Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 378.29 Total Payments . . . . . . . . . . . . . . . . . . . . . . 262.79 Total Adjustments . . . . .00 . . . . . .Current Balance. . . . . . . . . 115.50 -ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 385.21 Total Payments . . . . . . . . . . . . . . . 158.62 Total Adjustments . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 226.59 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 59.78 Total Payments . . . . . . . . . . . . . . . . . . . . . . 29.67 Total Adjustments . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . . 30.11 DUE IMMEDIATELY OUTSTANDING BALANCE 372.20 Current Telephone Charges . . . . . . 38.01 Current Electric Charges - See Page 5 . . . . . . 84.22 Current Water Charges - See Page 5 . . . . . . 29.67 Current Amount Due by 10/25/13 151.90 Total Amount Due 524.10 11000981 Fishers Island Utility Co., Inc. Since 1918 dli~ Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS y Assistance ......788-7815 For a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information & Assistance .......788-7001 y 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT Y 9 Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISIZIM ISLAND UTILITY COMPANY FISMS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 4E~~~ BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 10/01/13 - 10/31/13 Quantitv RRaattee am~oouunntt A NYOLERY CHARGE 2 2.00 BUSINESS LOCAL SERVICE 1 21.96 21.96 TOLL RESTRICTION 1 2.00 2.00 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 35.51 Total Equipment And Service Charges 35.51 Federal Universal Service Charge 1.75 Total Basic Charges 37.26 Detail of Current Non-Basic Charges EEpegqu,ipment for Period: 10101113 - 10131/13 riolion TWS ACK MAINT. BU Qua ADSL+ 4 MONTH SERVICE 1 .00 .00 INTERNET RECONNECT FEE 1 Tota00 .00 Total Equipment And Service Charges .75 Total Non-Basic Charges .75 11000982 TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 BILL DATE 09/30/13 THEINFISHERSEI(63ANDBgELECTRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $83.74 Fuel Adjustment 0.48 New York State Tax 0.00 Total Current Charges $84.22 Meter Readings Energy used Amount Current Previous MASTER 353 348 REG. 400 KWH 83.74 DEMAND 00 00 DMD. .00 KW 0.00 DATE 9/27 8/30 DMD. MIN. .00 METER MULT. 80 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $83.74 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 241 9/27 CUBICOFEET 2383 8130 (CU FT x 7.5 = GALLONS) 23 Current Water Charge 29.67 Gross Receipts Tax Credit (per PSG) 0.00 Total Current Charges $29.67 11000983 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines, meters and other costs. This charge will be billed whether or not you use any energy. KWH (KILOWATTHOUR): A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. FUEL ADJUSTMENT: A charge that reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand charge $11.17 per KWH Energy charge $ 0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $23.10 3,000 3/4 $30.80 4,000 1 $53.90 7,000 11/4 $77.00 10,000 11/2 $100.10 13,000 2 $161.70 21,000 3 $308.00 40,000 4 $508.20 66,000 6 $1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $29.67 3,000 3/4 $39.56 4,000 1 $69.24 7,000 11/4 $98.91 10,000 11/2 $128.58 13,000 2 $207.71 21,000 3 $395.63 40,000 4 $652.80 66,000 6 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . .00 LECTR1 C . . . . .Current Balance. . . . . . . . . .00 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . 81.19 Total Payments . . . . . . . . . . . . . . . . . . . . . . 39.63 Total Adjustments . . . . .00 . . . . . .Current Balance. . . . . . . . . 41.56 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . .00 Current Balance. . . . . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE 41.56 Current Electric Charges - See Page 3 . . . . . . 37-76 Current Amount Due by 10/25/13 37.76 Total Amount Due 79.32 11000984 Fishers Island Utility Co., Inc. Since 1918 dli~ Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 A COMPLAINTS Office Hours: (Monday - Friday) r 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission b writing to: Information & Assistance .......788-7001 by g Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Or by calling 1-800-342-3377 SUPERINTENDENT Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. GE 3 TELEPHONE NUMBER 631P188-0576 ACCOUNT NUMBER 027900 BILL DATE 09/30/13 HE FISHERSEI(63ANDBgELECTRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $37.61 Fuel Adjustment 0.15 New York State Tax 0.00 Total Current Charges $37.76 Meter Readings Energy used Amount Current Previous MASTER 6613 6485 REG. 128 KWH 37.61 DEMAND 00 00 CIVIC. .00 KW 0.00 DATE 9/27 8/30 DMD. MIN. .00 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $37.61 11000985 BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 254.11 Total Payments . . . . . . . . . . . . . . . . . . . . . . 126.74 Total Adjustments . . . . .00 . . . . . .Current Balance. . . . . . . . . 127.37 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . 796.68 Total Payments . . . . . . . . . . . . . . . . . . 398.53 Total Adjustments . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 398.15 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 70.89 Total Payments . . . . . . . . . . . . . . . . . . . . . . 29.05 Total Adjustments . . . . . . . . . . . . . .00 .Current Balance. . . . . . 41.84 DUE IMMEDIATELY " OUTSTANDING BALANCE " " 567.36 Current Telephone Charges . . . . . . 140.68 Current Electric Charges - See Page 7 . . . . . . 341.52 Current Water Charges - See Page 7 . . . . . . 35.23 Current Amount Due by 10/25/13 517.43 Total Amount Due 1,084.79 11000986 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS For Emergency Assistance ......788-7815 a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: COmmISSIOn b writing to: Information & Assistance .......788-7001 Y 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT Y 9 Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISWRS ISLAND UTILITY COMPANY FIS9BRS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges EEgquuiipment for Period: 10/01/13 - 10/31/13 RRaattee ount AGGE~VERY CHARGE 2 Qua 2.00 am2. DID BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 33.51 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges EEpquipment for Period: 10/01/13 - 10/31/13 gg~~qq~~pp~~ T~~ACK MAINT. BU Quantity -3.75- .10 ALARM SVC MONTHLY CHARGE 1 30. 00 30.00 Total 33.75 Total Equipment And Service Charges 33.75 Total Non-Basic Charges 33.75 11000997 a &t TELEPHONE NUMBER 631-7AE 4 88-7345 ACCOUNT NUMBER 028000 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788.7345 No Date Time Min Loc Called Area-Number P T Amount 1 8/21/13 9:48AM 1 New London CT 860-235-9638 D 1 .40 2 8/21/13 12:25PM 1 New London CT 860-442-0165 D 1 .40 3 8/21/13 1:27PM 1 New London CT 860-442-0165 D 1 .40 4 8/22/13 1:27PM 1 Norwich CT 860-303-2960 D 1 .40 5 8/22/13 2:02PM 1 New London CT 860-442-0165 D 1 .40 6 8/22/13 2:24PM 1 New London CT 860-442-0165 D 1 .40 7 8/22/13 2:24PM 3 New London CT 860-442-0165 D 1 1.20 8 8/22/13 2:53PM 7 New London CT 860-442-1201 D 1 2.80 9 8/22/13 3:OOPM 6 Boulder CO 303-946-8933 D 1 2.40 10 8/22/13 4:05PM 1 Norwich CT 860-705-0024 D 1 .40 11 8/23/13 9:33AM 6 New London CT 860-442-0165 D 1 2.40 12 8/23/13 10:11AM 2 New York NY 917-576-5106 D 1 .72 13 8/23/13 11:03AM 1 New London CT 860-442-0165 D 1 .40 14 8/23/13 2:02PM 2 New London CT 860-442-0165 D 1 .80 15 8/23/13 3:30PM 1 Hicksville NY 516-728-6771 D 1 .36 16 8/23/13 3:31PM 1 Queens NY 347-730-2913 D 1 .36 17 8/26/13 2:27PM 2 New London CT 860-442-0165 D 1 .80 18 8/26/13 2:34PM 1 Norwich CT 860-303-2960 D 1 .40 19 8/26/13 2:42PM 1 New London CT 860-442-0165 D 1 .40 20 8/27/13 12:08PM 1 New London CT 860-442-0165 D 1 .40 21 8/27/13 12:27PM 3 New London CT 860-442-0165 D 1 1.20 22 8/27/13 1:09PM 2 New London CT 860-442-0165 D 1 .80 23 8/27/13 1:13PM 1 New London CT 860-442-0165 D 1 .40 24 8/27/13 1:48PM 1 Hicksville NY 516-728-6771 D 1 .36 25 8/28/13 11:03AM 1 Poughkepsi NY 845-656-1677 D 1 .36 26 8/28/13 3:08PM 1 Hartford CT 860-796-1539 D 1 .40 27 8/28/13 3:18PM 1 Mattituck NY 631-298-3850 D 1 .36 28 8/28/13 3:18PM 3 Mattituck NY 631-298-4700 D 1 1.08 29 8/29/13 8:04AM 1 Poughkepsi NY 845-656-1677 D 1 .36 30 8/29/13 8:52AM 2 New London CT 860-442-0165 D 1 .80 31 8/29/13 12:31PM 1 New London CT 860-442-0165 D 1 .40 32 8/29/13 12:43PM 1 New London CT 860-442-0165 D 1 .40 33 8/30/13 9:07AM 1 New York NY 917-502-0806 D 1 .36 34 8/30/13 2:12PM 1 Hartford CT 860-212-6704 D 1 .40 35 8/30/13 2:25PM 5 New London CT 860-442-0165 D 1 2.00 36 9/03/13 11:01AM 2 New London CT 860-442-0165 D 1 .80 37 9/03/13 3:12PM 1 New London CT 860-442-0165 D 1 .40 38 9/03/13 4:52PM 4 New London CT 860-446-8085 D 1 1.60 39 9/04/13 7:57AM 1 New London CT 860-442-0165 D 1 .40 40 9/04/13 12:07PM 1 Newrochlle NY 914-246-9174 D 1 .36 41 9/05/13 7:26AM 1 Mystic CT 860-536-4931 D 1 .40 42 9/05/13 8:13AM 1 Mystic CT 860-536-4931 D 1 .40 43 9/05/13 8:47AM 3 New London CT 860-442-0165 D 1 1.20 44 9/06/13 9:55AM 1 New London CT 860-442-0165 D 1 .40 45 9/06/13 10:40AM 1 New London CT 860-442-0165 D 1 .40 46 9/06/13 2:04PM 3 New London CT 860-442-0165 D 1 1.20 47 9/09/13 9:23AM 4 Mystic CT 860-536-2666 D 1 1.60 48 9/09/13 10:02AM 3 Mystic CT 860-572-0618 D 1 1.20 49 9/10/13 8:58AM 6 Pittsburgh PA 412-681-6375 D 1 2.40 50 9/10/13 9:18AM 2 New London CT 860-442-0165 D 1 .80 51 9/10/13 11:39AM 2 Mystic CT 860-572-0618 D 1 .80 52 9/10/13 12:57PM 1 New London CT 860-442-0165 D 1 .40 53 9/10/13 3:02PM 1 New London CT 860-442-0165 D 1 .40 54 9/11/13 9:29AM 2 Lyme CT 860-434-7224 D 1 .80 55 9/11/13 11:39AM 1 Babylon NY 631-943-7487 D 1 .36 56 9/11/13 2:38PM 1 Newrochlle NY 914-246-9174 D 1 .36 57 9/12/13 8:OOAM 1 New London CT 860-442-0165 D 1 .40 58 9/12/13 9:17AM 1 Hicksville NY 516-728-6771 D 1 .36 59 9/12/13 11:48AM 1 New London CT 860-235-9233 D 1 .40 60 9/12/13 11:51AM 1 Mystic CT 860-572-0618 D 1 .40 61 9/12113 11:52AM 2 Mystic CT 860-536-2666 D 1 .80 62 9/13/13 9:18AM 2 New London CT 860-442-0165 D 1 .80 63 9/13/13 9:22AM 3 New London CT 860-442-0165 D 1 1.20 64 9/13/13 11:48AM 1 New London CT 860-912-9123 D 1 .40 65 9/13/13 2:34PM 2 New London CT 860-442-0165 D 1 .80 aW TELEPHONE NUMBER 631-78GE 5 8-7345 ACCOUNT NUMBER 028000 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Originating # 631-788.7345 Detail of Itemized Calls No Date Time Min Loc Called Area-Number P T Amount 1 9/13/13 2:39PM 1 New London CT 860-442-0165 D 1 .40 2 9/13/13 2:52PM 1 Newrochlle NY 914-246-9174 D 1 .36 3 9/16/13 12:20PM 2 Hobe Sound FL 772-545-9021 D 1 .80 4 9/16/13 2:39PM 4 New London CT 860-442-0165 D 1 1.60 5 9/17/13 10:44AM 1 New London CT 860-442-0165 D 1 .40 6 9/17/13 2:36PM 1 New York NY 917-572-9993 D 1 .36 7 9/18/13 11:00AM 2 Mystic CT 860-536-2666 D 1 .80 8 9/18/13 12:39PM 1 New London CT 860-442-0165 D 1 .40 9 9/18/13 1:10PM 4 New London CT 860-442-0165 D 1 1.60 10 9/18/13 2:15PM 1 New London CT 860-442-0165 D 1 .40 11 9/18/13 2:16PM 1 New London CT 860-442-0165 D 1 .40 12 9/19/13 3:27PM 1 New London CT 860-442-0165 D 1 .40 13 9/19/13 3:43PM 1 Newrochlle NY 914-246-9174 D 1 .36 14 9/19/13 3:44PM 1 Newrochlle NY 914-246-9174 D 1 .36 15 9/20/13 7:39AM 3 Brattlebo VT 802-254-1564 D 1 1.20 16 9/20/13 10:18AM 1 New London CT 860-326-8347 D 1 .40 17 9/20/13 10:54AM 2 New London CT 860-442-0165 D 1 .80 18 9/20/13 11:04AM 1 Newrochlle NY 914-246-9174 D 1 .36 19 9/20/13 12:40PM 1 New London CT 860-442-0165 D 1 .40 20 9/20/13 1:45PM 1 Queens NY 347-730-2913 D 1 .36 21 9/20/13 3:02PM 1 New London CT 860-442-0165 D 1 .40 Subtotal 60.72 Total For 631-788-7345 60.72 AT&T Total Itemized Calls 60.72 Interstate Gross Receipts Tax 4.44% 2.71 Universal Connectivity Charge 8.24 Total AT&T Long Distance Charges 71.67 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial 11000988 AGE 7 TELEPHONE NUMBER 631-788-7345 BILLU DATE UMBER 09/028000 30/13 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $339.56 Fuel Adjustment 1.96 New York State Tax 0.00 Total Current Charges $341.52 Meter Readings Energy used Amount Current Previous MASTER 59599 57964 REG. 1635 KWH 293.20 DEMAND 4.16 01 DMD. 4.15 KW 46.36 DATE 9/27 8/30 DMD. MIN. 3.19 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $339.56 FISHERS ISLAND WATER WORKS CORP. BUSINESS OFFICE (631) 788-7251 Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER READING/DATE CURRENT 74710 9/27 PREVIOUS 74100 8/30 CUBIC FEET 610 (CU FT x 7.5 = GALLONS) 4,575 Current Water Charge 35.23 Gross Receipts Tax Credit (per PSG) 0.00 Total Current Charges $35.23 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines, meters and other costs. This charge will be billed whether or not you use any energy. KWH (KILOWATTHOUR): A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. FUEL ADJUSTMENT: A charge that reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand charge $11.17 per KWH Energy charge $ 0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $23.10 3,000 3/4 $30.80 4,000 1 $53.90 7,000 11/4 $77.00 10,000 11/2 $100.10 13,000 2 $161.70 21,000 3 $308.00 40,000 4 $508.20 66,000 6 $1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $29.67 3,000 3/4 $39.56 4,000 1 $69.24 7,000 11/4 $98.91 10,000 11/2 $128.58 13,000 2 $207.71 21,000 3 $395.63 40,000 4 $652.80 66,000 6 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. - - - - BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . 391.41 Total Payments . . . . . . . . . . . . . . . . . . . . . . 216.15 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 175.26 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 .Total Payments . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . .Current Balance. . . . . . . . . .00 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . .00 Current Balance. . . . . . . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE " ' 175.26 Current Telephone Charges . . . . . . 17 Current Amount Due by 10/25/13 179.71 Total Amount Due 354.97 11000989 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office2 nours: oon (Monday & 1- Friday) 8.00 l p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information 8 Assistance .......788-7001 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Or by calling 1-800-342-3377 SUPERINTENDENT Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISHERS ISLAND fAILITY G70AlPANY FISHERS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges Equipment ~~oofnnor Period: 10/01113 - 10131113 aa_u amount A~l=IVERY CHARGE 2 Quant~ty 2.00 1.0~ BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 Total5 33.55 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges Equipment for Period: 10/01/13 - 10131/13 ~3un~t Quantity BaI2 REWH MULTI HUNT SRVC Total 3.00 Total Equipment And Service Charges 3.00 Total Non-Basic Charges 3.00 11000990 a l8(l AT&T PAGE 4 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631.788-7463 No Date Time Min Loc Called Area-Number P T Amount 1 8/21/13 10:03AM 9 Providence RI 401-368-2401 D 1 3.60 2 8/21/13 11:29AM 1 Plainville CT 860-351-0100 D 1 .40 3 8/22/13 2:22PM 2 New London CT 860-442-0165 D 1 .80 4 8/22/13 2:25PM 1 New London CT 860-442-0165 D 1 .40 5 8/26/13 8:27AM 1 Norwich CT 860-884-6396 D 1 .40 6 8/26/13 9:01AM 91 Coopersbg PA 610-214-0000 D 1 36.40 7 8/26/13 12:12PM 14 Farmingdl NY 631-694-2300 D 1 5.04 8 8/26/13 4:10PM 31 New London CT 860-442-0165 D 1 12.40 9 8/27/13 9:43AM 23 Norwich CT 860-608-2812 D 1 9.20 10 8/27/13 10:20AM 1 New London CT 860-442-0165 D 1 .40 11 8/27/13 10:34AM 12 Old Saybrk CT 860-388-1224 D 1 4.80 12 8/27/13 11:27AM 2 Southold NY 631-765-1891 D 1 .72 13 8/27/13 11:42AM 1 Hartford CT 860-594-2132 D 1 .40 14 8/27/13 4:02PM 2 New London CT 860-442-7519 D 1 .80 15 8/28/13 11:37AM 1 New London CT 860-442-0165 D 1 .40 16 8/29/13 10:55AM 1 New London CT 860-442-0165 D 1 .40 17 9/02/13 7:29AM 1 New London CT 860-442-0165 D 1 .40 18 9/03/13 10:13AM 2 Salem VA 540-389-1533 D 1 .80 19 9/03/13 3:15PM 3 Fincastle VA 540-473-8270 D 1 1.20 20 9/05/13 9:48AM 4 New London CT 860-442-0165 D 1 1.60 21 9/05/13 4:22PM 2 New London CT 860-442-0165 D 1 .80 22 9/06/13 10:06AM 1 New London CT 860-910-6280 D 1 .40 23 9/06/13 11:14AM 7 New London CT 860-442-0165 D 1 2.80 24 9/09/13 3:31PM 3 New London CT 860-442-0165 D 1 1.20 25 9/09/13 3:34PM 2 Southold NY 631-765-4333 D 1 .72 26 9/10/13 9:12AM 1 New London CT 860-442-0165 D 1 .40 27 9/10/13 9:13AM 2 New London CT 860-447-5222 D 1 .80 28 9/10/13 10:43AM 1 Windsor CT 860-298-3021 D 1 .40 29 9/10/13 11:05AM 2 Norwich CT 860-886-5508 D 1 .80 30 9/10/13 11:07AM 2 New London CT 860-443-2191 D 1 .80 31 9/10/13 11:22AM 8 New London CT 860-701-9113 D 1 3.20 32 9/10/13 12:11PM 1 New London CT 860-701-9113 D 1 .40 33 9/10/13 2:18PM 7 New London CT 860-701-9113 D 1 2.80 34 9/10/13 3:13PM 1 Jewettcity CT 860-376-4277 D 1 .40 35 9/12/13 11:13AM 3 Salem VA 540-389-1533 D 1 1.20 36 9/12/13 11:23AM 1 Windsor CT 860-298-3021 D 1 .40 37 9/13/13 9:28AM 3 New London CT 860-442-0165 D 1 1.20 38 9/13/13 2:10PM 1 Southold NY 631-765-4333 D 1 .36 39 9/16/13 11:21AM 1 New London CT 860-442-0165 D 1 .40 40 9/16/13 11:39AM 1 New London CT 860-460-3881 D 1 .40 41 9/17/13 9:02AM 3 Southold NY 631-765-4333 D 1 1.08 42 9/17/13 10:01AM 3 Troutville VA 540-992-4100 D 1 1.20 43 9/17/13 10:22AM 1 New London CT 860-447-8709 D 1 .40 44 9/17/13 11:53AM 4 New London CT 860-447-8709 D 1 1.60 45 9/17/13 12:04PM 4 New London CT 860-447-3835 D 1 1.60 46 9/18/13 12:34PM 1 New London CT 860-442-0165 D 1 .40 47 9/18/13 3:49PM 1 New London CT 860-445-8549 D 1 .40 48 9/19/13 9:45AM 10 Niantic CT 860-739-8700 D 1 4.00 49 9/20/13 11:00AM 3 New London CT 860-442-0165 D 1 1.20 50 9/20/13 2:50PM 2 Prescott AZ 928-830-0165 D 1 .80 51 9/20/13 3:05PM 2 Syracuse NY 315-455-2000 D 1 .72 52 9/20/13 3:08PM 12 Prescott AZ 928-830-0165 D 1 4.80 Subtotal 118.64 Total For 631-788-7463 118.64 w^T a W l TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges AT&T Total Itemized Calls 118.64 Interstate Gross Receipts Tax 4.44% 5.65 Universal Connectivity Charge 17.16 Total AT&T Long Distance Charges 141.45 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial iiooossi BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . 76.80 rotal Payments . . . . . . . . . . . . . . . . . . 38.20 otal Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 38.60 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . .00 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . .00 Current Balance. . . . . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE 38.60 Current Telephone Charges . . . . . . 38.26 Current Amount Due by 10/25/13 38.26 Total Amount Due 76.86 11000992 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information & Assistance .......788-7001 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Or by calling 1-800-342-3377 SUPERINTENDENT Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISHERS ISLAND VTILITY 01191 ltrS' FISHERS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7580 ACCOUNT NUMBER 028101 BILL DATE 09/30113 BILLING DETAIL Detail of Current Basic Charges EEDquipment for Period: 10101/13 - 10/31/13 RRaattee AAmmoouunntt ]I, ~LERY CHARGE 2 Qua" 2.00 BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 33.51 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges Equipment for Period: 10/01/13-y~1t0~/t311113 Rate Ire ~TI HUNT SRVC Quantijty 3Rate Amount Total 3.00 Total Equipment And Service Charges 3.00 Total Non-Basic Charges 3.00 11000899 - - - - BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month 195.45 Total Payments . . . . . . . . . . . . . . . . . . . . . . 122.21 Total Adjustments . . . . . . . . . . . . . . 00 ELECTRIC . . . . . .Current Balance. . . . . . . . . 73.24 Balance From Previous Month 59.64 Total Payments . . . . . . . . . . . . . . . . . . . . . . 29.45 Total Adjustments . . . . . . . . . . . . 00 WATER . . . . . .Current Balance. . . . . . . . . 30.19 Balance From Previous Month 59.78 Total Payments . . . . . . . . . . . . . . . . . . . . . . 29.67 Total Adjustments . . . . . . . . . . . . .00 Current Balance. . . . . . . . 30.11 DUE IMMEDIATELY * OUTSTANDING BALANCE 133. 4 Current Telephone Charges . . . . . . 95.79 Current Electric Charges - See Page 5 . . . . . . 24.88 Current Water Charges - See Page 5 . . . . . . 29.67 Current Amount Due by 10/25/13 150.3 Total Amount Due 283.88 11000994 Fishers Island Utility Co., Inc. Since 1918 dlg~ Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday- Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission b writing to: Information & Assistance .......788-7001 Y 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT by Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISIZIM ISLAND UTILITY COMPANY FISIRM ISL4ND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 09//3030/!13 13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 10/01/13 - 10131/13 Rate ACCESS RECOVERY CHARGE 2 Quan~t tv 27F IPW BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 33.51 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges [Equ a§c ipment for Period: 10/01113 - 10/31/13 amount Amount I~ACK MAINT. BU 7- .1D OFF PREMISE CHARGE 1 .50 .50 OFF PREMISE 1/4 MILE BUS 4 1.30 5.20 Total 6.45 Total Equipment And Service Charges 6.45 Total Non-Basic Charges 6.45 11090995 a M TETT AGE 4 LEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631.788.7744 No Date Time Min Loc Called Area-Number P T Amount 1 8/22/13 1:18PM 2 Wallingfd CT 203-284-8800 D 1 .80 2 8/22/13 1:25PM 1 Hartford CT 860-724-4935 D 1 .40 3 8/22/13 1:28PM 1 Hartford CT 860-709-9949 D 1 .40 4 8/22/13 1:31PM 1 Cornwall CT 860-248-4176 D 1 .40 5 8/23/13 9:37AM 2 New London CT 860-442-0165 D 1 .80 6 8/25/13 9:20AM 1 New London CT 860-442-0165 N 1 .33 7 8/25/13 9:25AM 1 New London CT 860-442-0165 N 1 .33 8 8/28/13 9:14AM 5 New London CT 860-442-0165 D 1 2.00 9 8/28/13 10:57AM 3 New London CT 860-444-3704 D 1 1.20 10 8/28/13 11:55AM 4 WPalmBeach FL 561-818-7798 D 1 1.60 11 8/29/13 9:23AM 1 New London CT 860-442-0165 D 1 .40 12 8/29/13 9:33AM 8 New London CT 860-442-0165 D 1 3.20 13 8/29/13 9:43AM 5 New London CT 860-442-0165 D 1 2.00 14 8/29/13 10:56AM 1 Hartford CT 860-995-5649 D 1 .40 15 8/29/13 10:58AM 2 Hartford CT 860-995-5649 D 1 .80 16 8/29/13 12:39PM 2 WPalmBeach FL 561-586-9331 D 1 .80 17 9/01/13 10:14AM 2 New London CT 860-442-0165 N 1 .66 18 9/04/13 9:41AM 2 New London CT 860-442-0165 D 1 .80 19 9/04/13 9:55AM 2 New London CT 860-442-0165 D 1 .80 20 9/04/13 10:25AM 2 New York NY 917-558-0782 D 1 .72 21 9/04/13 10:35AM 2 New London CT 860-442-0165 D 1 .80 22 9/04/13 11:10AM 6 Hartford CT 860-986-7634 D 1 2.40 23 9/04/13 12:OOPM 1 New London CT 860-501-1599 D 1 .40 24 9/04/13 1:50PM 19 New London CT 860-442-0165 D 1 7.60 25 9/05/13 8:52AM 1 New London CT 860-333-4360 D 1 .40 26 9/05/13 12:41PM 2 New London CT 860-444-3704 D 1 .80 27 9/05/13 2:31PM 11 Staten Is NY 718-477-4820 D 1 3.96 28 9/09/13 8:30AM 1 New London CT 860-910-6280 D 1 .40 29 9/11/13 9:27AM 3 New London CT 860-443-5281 D 1 1.20 30 9/12/13 1:30PM 1 New London CT 860-442-0499 D 1 .40 31 9/12/13 1:31PM 5 New London CT 860-442-0499 D 1 2.00 32 9/12/13 1:36PM 1 New London CT 860-442-0165 D 1 .40 33 9/13/13 8:59AM 3 New London CT 860-442-0165 D 1 1.20 34 9/13/13 10:23AM 5 Westport CT 203-216-5913 D 1 2.00 35 9/18/13 2:08PM 1 New London CT 860-442-0165 D 1 .40 36 9/18/13 2:09PM 1 New London CT 860-442-0165 D 1 .40 37 9/18/13 2:11PM 1 New London CT 860-442-0165 D 1 .40 38 9/19/13 11:19AM 1 New London CT 860-442-0165 D 1 .40 39 9/20/13 8:59AM 2 New London CT 860-442-0165 D 1 .80 40 9/20/13 12:47PM 1 Norwich CT 860-312-4558 D 1 .40 Total For 631-788-7744 45.60 AT&T Total Itemized Calls 45.60 Interstate Gross Receipts Tax 4.44% 2.10 Universal Connectivity Charge 6.38 Total AT&T Long Distance Charges 54.08 P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial PAGE 5 / TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 09/30/13 THE FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE (631) 788-7251 Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $24.86 Fuel Adjustment 0.02 New York State Tax 0.00 Total Current Charges $24.88 Meter Readings Energy used Amount Current Previous MASTER 35653 35639 REG. 14 KWH 18.27 DEMAND 60 01 DMD. .59 KW 6.59 DATE 9/27 8/30 DMD. MIN. .00 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0012 PER KWH TOTAL ENERGY CHARGE $24.86 BISHERSDISLAND3WATE 7WORKS CORP. Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 510 9/27 PREVIOUS 490 8/30 CUBIC FEET 20 (CU FT x 7.5 = GALLONS) 150 Current Water Charge 29.67 Gross Receipts Tax Credit (per PSC) 0.00 Total Current Charges $29.67 11000995 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines, meters and other costs. This charge will be billed whether or not you use any energy. KWH (KILOWATTHOUR): A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. FUEL ADJUSTMENT: A charge that reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $ 0.1790 All KWH $ 0.3237 All KWH $ 0.2255 Over 1,000 KWH $ 0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand charge $11.17 per KWH Energy charge $ 0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $23.10 3,000 3/4 $30.80 4,000 1 $53.90 7,000 11/4 $77.00 10,000 11/2 $100.10 13,000 2 $161.70 21,000 3 $308.00 40,000 4 $508.20 66,000 6 $1001.00 130,000 Water usage over the minimum is billed at $7.70 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $29.67 3,000 3/4 $39.56 4,000 1 $69.24 7,000 11/4 $98.91 10,000 1 1/2 $128.58 13,000 2 $207.71 21,000 3 $395.63 40,000 4 $652.80 66,000 6 $1,285.81 130,000 Water usage over the minimum is billed at $9.89 per thousand gallons. BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 192.16 iotal Payments . . . . . . . . . . . . . . . . . . . . . . 96.59 Total Adjustments . . . .00 . . . . . .Current Balance. . . . . . . . . 95.57 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . 00 . . . . . .Current Balance. . . . . . . . . .00 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . .00 Current Balance. . . . . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE 95.57 Current Telephone Charges . . . . . . Current Amount Due by 10/25/13 95.57 Total Amount Due 191.14 L~ 11000997 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) v 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS For Emergency Assistance ......788-7815 a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: COmmisslOn b writing to: Information & Assistance .......788-7001 Y 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT by Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility Presidents Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FI9IERS ISLAND OTILITY COMPANY FISEERS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5522 ACCOUNT NUMBER 028145 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 10/01/13 - 10/31/13 Ratia amount ACCESS RECOVERY CHARGE 2 2.99 BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 33.51 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges Equipment for Period: 10/01/13 - 10/31/13 RRaattee am~oouunntt ADSL+ 12 SERVICE Ila" 59.9b 59.95- Total 59.95 Total Equipment And Service Charges 59.95 Total Non-Basic Charges 59.95 11000998 a W TELEPHONE NUMBER 631-788-5522 ACCOUNT NUMBER 028145 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631.788.5522 No Date Time Min Loc Called Area-Number P T Amount 1 8/21/13 2:37PM 1 Southold NY 631-765-1366 1 .36 Total For 631-788-5522 .36 AT&T Total Itemized Calls .36 Total AT&T Long Distance Charges .36 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial BILLING SUMMARY Current Account Activity TELEPHONE ^Balance From Previous Month . . . . . . . . . . 117.84 Total Payments . . . . . . . . . . . . . . . . . . . . . . 57.45 Total Adjustments . . . . . . . . . . .Current Balance. . ' 60.39 kLECTRIC Balance From Previous Month .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . 00 Total Adjustments . . . . . WATER . . . . . .Current Balance. . . . . . . . . .00 Balance From Previous Month Total Payments . . . . .00 Total Adjustments . . . . . . . . . . . . . Current Balance. . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE 60.39 Current Telephone Charges . , , , , 6$_50_ Current Amount Due by 10/25/13 63.5 Total Amount Due 123.89 i~ooosss Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS For Emergency Assistance ......788-7815 a service or billing complaint within a reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission b writing to: Information & Assistance .......788-7001 by 9 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Orb calling 1-800-342-3377 SUPERINTENDENT Y 9 Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility Presidents Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISFMRS ISLAND UTILITY COMPANY FISFERS ISLAND, NY 06390 F TELEPHONE NUMBER ishers Island 631 PAGE 5673 ACCOUNT NUMBER 028146 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 10/01/13 - 10/31/13 A~p~~~ Ba-u A~5 RECOVERY CHARGE 2 2.00 IPW BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 33.51 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 11001000 ' a W TELEPHONE NUMBER 631-788-5673 ACCOUNT NUMBER 028146 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788-5673 No Date Time Min Loc Called Area-Number P T Amount 1 8/21/13 1:53PM 1 Norwich CT 860-303-2960 D 1 .40 2 8/21/13 2:58PM 1 New London CT 860-442-0165 D 1 .40 3 8/22/13 8:58AM 7 Leavenwth KS 913-682-9000 D 1 2.80 4 8/23/13 11:57AM 1 New London CT 860-442-0165 D 1 .40 5 8/23/13 1:47PM 1 New London CT 860-442-0165 D 1 .40 6 8/23/13 2:16PM 1 Norwich CT 860-303-2960 D 1 .40 7 8/26/13 1:53PM 1 Poughkepsi NY 845-656-1677 D 1 .36 8 8/28/13 8:49AM 1 Norwich CT 860-303-2960 D 1 .40 9 8/28/13 1:58PM 1 Norwich CT 860-303-2960 D 1 .40 10 8/29/13 1:33PM 1 Norwich CT 860-303-2960 D 1 .40 11 8/29/13 2:40PM 1 New London CT 860-910-6174 D 1 .40 12 8/29/13 3:04PM 1 New London CT 860-442-0165 D 1 .40 13 8/29/13 3:16PM 1 New London CT 860-235-9233 D 1 .40 14 8/30/13 1:47PM 1 Norwich CT 860-303-2960 D 1 .40 15 8/31/13 10:57AM 3 New London CT 860-442-0165 N 1 .99 16 8/31/13 11:24AM 4 New London CT 860-442-0165 N 1 1.32 17 9/03/13 10:OOAM 1 New London CT 860-442-0669 D 1 .40 18 9/05/13 8:20AM 3 New London CT 860-442-0165 D 1 1.20 19 9/06/13 9:58AM 2 New London CT 860-442-0165 D 1 .80 20 9/06/13 2:08PM 5 New London CT 860-442-0165 D 1 2.00 21 9/09/13 10:12AM 1 Norwich CT 860-303-2960 D 1 .40 22 9/10/13 8:21AM 1 Poughkepsi NY 845-656-1677 D 1 .36 23 9/10/13 8:23AM 1 Gardencity NY 516-790-5381 D 1 .36 24 9/10/13 1:47PM 1 Deep River CT 860-790-5514 D 1 .40 25 9/10/13 2:04PM 1 New London CT 860-442-0165 D 1 .40 26 9/11/13 11:23AM 2 New London CT 860-442-0165 D 1 .80 27 9111113 1:36PM 1 New London CT 860-442-0165 D 1 .40 28 9/12/13 3:27PM 1 New London CT 860-442-0165 D 1 .40 29 9/16/13 1:07PM 1 New York NY 212-695-2988 D 1 .36 30 9/17/13 10:07AM 1 New London CT 860-442-0165 D 1 .40 31 9/18/13 9:35AM 1 New London CT 860-442-0165 D 1 .40 32 9/18/13 9:40AM 1 New London CT 860-910-6174 D 1 .40 33 9/18/13 1:38PM 1 Queens NY 347-730-2913 D 1 .36 34 9/18/13 1:41PM 1 Columbus OH 614-288-0257 D 1 .40 35 9/18/13 1:42PM 1 Hicksville NY 516-728-6771 D 1 .36 36 9/20/13 3:14PM 1 Langhorne PA 215-630-3250 D 1 .40 Subtotal 21.27 DIRECTORY ASSISTANCE 37 8/21/13 2:17PM 1 Dir Asst CT 860-555-1212 1 2.49 DIRECTORY ASSISTANCE Subtotal 2.49 Total For 631-788-5673 23.76 AT&T Total Itemized Calls 23.76 Interstate Gross Receipts Tax 4.44% 1.11 Universal Connectivity Charge 3.37 Total AT&T Long Distance Charges 28.24 P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial - BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . 396.96 . Total Payments . . . . . . . . . . . . . . . . . . . . . . 174.32 total Adjustments . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 222.64 ELECTRIC -Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . .00 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . .00 Current Balance. . . . . . .00 DUE IMMEDIATELY * OUTSTANDING BALANCE * 222.64 Current Telephone Charges . . . . . . 149.44 Current Amount Due by 10125/13 149.44 Total Amount Due 372.08 11001001 Fishers Island Utility Co., Inc. Since 1918 dg~ Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information & Assistance .......788-7001 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Or by calling 1-800-342-3377 SUPERINTENDENT Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISWES ISLAND WILITY COMPANY FISHERS ISLAND, NY 08390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5523 ACCOUNT NUMBER 028150 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges EEquipment. for Period: 10/01/13 - 10/31/13 gals amount A~~/ERY CHARGE 2 2.00 I% BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 Totals 33.55 Total Equipment And Service Charges 33.51 Federal Universal Service Charge 1.75 Total Basic Charges 35.26 Detail of Current Non-Basic Charges Equipment L~QfJ~oor Period: 10101/13Qu-a10/31/13 5A9mo9un~t ~12 1r10S. SERV I CE Tote 59.95 Total Equipment And Service Charges 59.95 Total Non-Basic Charges 59.95 11001002 a W AT&T PAGE 4 TELEPHONE NUMBER 631-788-5523 ACCOUNT NUMBER 028150 BILL DATE 09/30/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating # 631-788-5523 No Date Time Min Loc Called Area-Number P T Amount 1 8/27/13 7:32AM 1 New York NY 212-556-8606 D 1 1.05 2 8/27/13 1:58PM 1 Tucson AZ 520-844-6302 D 1 1.39 3 8/27/13 2:41PM 2 New London CT 860-443-6851 D 1 2.78 4 8/28/13 8:32AM 1 Tucson AZ 520-844-6302 D 1 1.39 5 8/29/13 8:16AM 2 New York NY 212-556-8606 D 1 2.78 6 8/29/13 1:49PM 1 Tucson AZ 520-844-6302 D 1 1.39 7 9/04/13 2:08PM 3 Southold NY 631-765-1366 D 1 4.17 8 9/12/13 11:16AM 1 New London CT 860-444-0320 D 1 1.39 Subtotal 16.34 Total For 631-788-5523 16.34 Detail of Other Charges and Credits e era arrier Line Assessment @ Single Line ~~~ogun~t Total Occ's 4.95 AT&T Total Itemized Calls 16.34 Other Charges And Credits 4.95 October Acct Chg 25.00 Interstate Gross Receipts Tax 4.44% 1.97 Universal Connectivity Charge 5.97 Total AT&T Long Distance Charges 54.23 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 74.42 Total Payments . . . . . . . . . . . . . . . . . . . . . . 37.20 Total Adjustments . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 37.22 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 .Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . .00 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . .00 .Current Balance. . . . . . .00 DUE IMMEDIATELY OUTSTANDING BALANCE 37.22 Current Telephone Charges . . . . . . 37.26 Current Amount Due by 10/25113 37.26 Total Amount Due 74.48 11001003 Fishers Island Utility Co., Inc. Since 1918 Management For: The Fishers Island Electric Corporation The Fishers Island Telephone Corporation The Fishers Island Water Works Corporation CONSUMER General Office 788-7251 COMPLAINTS Office Hours: (Monday - Friday) 8:00 a.m. - 12 noon & 1:00 p.m. - 4:30 p.m. Fishers Island Telephone, Electric and Water FISHERS ISLAND ELECTRIC CORPORATION BUSINESS OFFICE 788-7543 POWER PLANT 788-7520 If the Fishers Island Telephone, Electric or ELECTRIC EMERGENCY AFTER Water Company fails to "Satisfactorily" resolve BUSINESS HOURS a service or billing complaint within a For Emergency Assistance ......788-7815 reasonable period of time, customers may FISHERS ISLAND TELEPHONE CORPORATION refer their problems to the Consumer Services Division of the New York State Public Service DURING BUSINESS HOURS: Commission by writing to: Information & Assistance .......788-7001 Repair Service ...............788-7001 AFTER BUSINESS HOURS Consumer Services Division Emergency 788-7815 Three Empire State Plaza FISHERS ISLAND WATER WORKS Albany, New York 12223 BUSINESS OFFICE 788-7251 Or by calling 1-800-342-3377 SUPERINTENDENT Water Plant 788-7422 Emergency ..................788-7815 If, however, you feel that your problems may be handled at the local level, please ask to UTILITY COMPANY speak with the President of The Utility President's Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISHERS ISLAND UTILITY CONY FISHERS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5559 ACCOUNT NUMBER 028200 BILL DATE 09/30/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 10/01/13 - 10/31/13 Rate 0~ U~t ~ERY CHARGE 2 Qua 2.00 BUSINESS LOCAL SERVICE 1 21.96 21.96 TOLL RESTRICTION 1 2.00 2.00 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 .35 .35 Total 35.51 Total Equipment And Service Charges 35.51 Federal Universal Service Charge 1.75 Total Basic Charges 37.26 11001004 FISHERS ISLAND FERRY DISTRICT VENDOR 006419 FISHERS ISLAND VILLAGE MARKET 11/06/2013 CHECK 1521 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 135 4 BOXES OF ICE MELT 87.80 TOTAL 87.80 " I'll MWI FI FERRO 03 AITT ,Dis SCT fr124 s 53095 SOUTHOLD. NY 11971-095e CSiEC3C NO. 1621 THE SUFFOLK CO A77bNAl BANK CUTCH0GUE, NV1 9G5 SOS aI4 11ffl6}Z~i3- `7i~. EIGHTY SEVEN':AND 80/100 DOLLARS.. PAY FTS#kRSISLAND. VILLAGE MARKET TOnM PO BOX 446 ORDER ,FISHERS:ISLANDNY 06390. 11'001521ii' i:021L.05L.CJX 68 OOLS02 I"' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6419 la Vendor Tax ID Number or Social Securits Number Vendor Address Entered by P.O. Box 446 Fishers Island, NY 06390 - Audit Date, Fishers Island Village market NOV 6 2~~3 - - - - Vendor Telephone Number .Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount (Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 135 1/3/2013 $87.80 $87.80 ~4 Boxes of Ice Melt SM5710.4.000.000 - I $87.80', - $87.80' - Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received b,, me does hereby certify that the foregoing claim is true and correct that no part has in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved_ Signature Title Signature Company Name Date. Title Date Z C.-ltq FISHERS ISLAND VILLAGE MARKET PO BOX 446 FISHERS ISLAND, NEW YORK 06390 January 3, 2013 To: F.I. Ferry District Invoice # 135 4 Boxes of Ice Melt 87.80 Thank you G rr/or2 , / ju" This GUas ,~~~a' C'~X.c1v~ 6111 FISHERS ISLAND FERRYDISTRICT VENDOR 010002 JAN ELECTRONIC SUPPLIES, INC. 11/06/2013 CHECK 1522 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 73391 MU BW-T RE-WIRE 26.88'. TOTAL 26.88 k. THE ORIGINAL CHECK HAS A COLORED a COPY FEATURE AND WATERMARK PAPER 7 FISHHERS I MI FERRYDIS TCT 53095 MAIN ROAD, PO BOX 1179 SOUTHOLD, NY 11971-0959 CHECK NO. 1522 - THE SUPPOIR CO NATIONAL BANK,.. ' ouYCHOGUE, NY 11916 b~ J - 50-545/214 11/06[2013- TWENTY SIX AND 88/100 DOLLARS n.PAY JAN ELECTRONIC SUPPLIES, INC. ~T i TO WE 6 TRUMAN STREET ORDER NEW LONDON CT 06320 , 1110 0 1 5 2 2nd i:0214054641: 613 OOi502 Ilim ' Vendor No. Check No. Town of Southold, New York - Payment Voucher 10002 ' ~aa Vendor Tax ID Number or Social Security Number Vendor Address Entered by Vendor Name 6 Truman Street Audit Date Jan Electronic Supplies, Inc. New London, CT 06320 NOV 0 6 2013 Vendor Telephone Number 860-442-4386 To n clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 73391 10/2/2013 $26.88 $26.88 MUNN BW-T Re-wire SM5710.2.000.100 1- ~I $26.88!, $26.88 Payee Certification Department Certification 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 I in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and o" mg. and that taxes from which the To is exempt are e clud d. or discrepancies noted, and pa) vent is approved. Signature Title 21 Signature_ Cori Name 1119 tat Title Date I? G ~~~~~3~ INVOICE N 73391 Q El JAN ELECTRONIC SUPPLIES, INC. w 6 TRUMAN STREET NEW LONDON, CT 06320 EDGE V A ( 860) (860) 442-4386 FAX # (860) 447-8164 DATE S S nt> 9o CUSTOMER'S ORDER NO. AR MDSE RET'D SHIP VIA SALES HER • • = • DESCRIPTION QTY. SHP'D • IL1` F G,~) 16 . p~ 2 68 r o 2- L b - 3d ' . 8a D g ALL claims and return etl g ds MUST be accompanied by this bill. TAX i SHIPPING RECEIVE BY TOTAL QQ 00 CUSTOMER FISHERS ISLAND FERRY DISTRICT VENDOR 011564 THOMAS KRAFT 11/06/2013 CHECK 1523 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 3334 RP 5213.0 GALS@$3.113200 16,229.11 SM .5710.4.000.300 3334 CT EXCISE TAX-$.5490/GAL 2,961.94 SM .5710.4.000.300 3334 S-F COST RECOVERY.0019 9.90 SM .5710.4.000.300 3334 LUST TAX-$.0010/GAL 5.21 TOTAL 19,106.16 wd - THE • COPY FEATURE AND WATERMARK PAPER FISHF Y <c ~F r~ 11 6 ,~1 a . ooh 5309 OUTHOLD MAIN R AD, PO BOX 1179 , NY 11971-0959 S „cube C No. 1'$23 THE SUFFOLK CO. N/T"AL BANK ~c CUTCHOGUE, N.Y 11595 `es~ayiiF° - ~ =3 50:546/214 11/ 6/ 013' 14,# 4 NINETEEN THOUSAND ONE HUNDRED SIX AND 16/100 DOLLARS PAY THOMAS DAFT e TO tVE ABA DIME OIL COMPANY ORDER BOX 21125 OF PO WAtERBUR3: CT 46703 11.00152311' 1:020,OSUAI: 68 001502 Lit' Vendor No. Check No. Town of Southold, New York - Payment Voucher 11564 a Vendor Tax ID Number or Social Security' Number Entered by 45-4111778 y *W PA -Box 11125 Audit Date Thomas Kraft dba Dime Oil Company Waterbury, CT 06703 N O V 0 6 2013 Vendor Telephone Number 203-7545334 _ nc Vendor Contact - - Invoice Invoice Invoice Nel Purchase Order - Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 333410/812013 $16,229.11 $16,229.11 RP 5213.0 Gals @ $3.113200 SM5710.4.000.300 $2,861.94 $2,861.94 CT Excise Tax - $.5490/gal $9.90 $9.90 S-F Cost Recovery .0019 $5.21 $5.21 LUST Tax - $.0010/gal - $19,106.16 $19,106.16 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein staled is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded or discrepancies noted, and pavment is approved. Signature_ _ Title Signature _ i G Companc Name Dale 2l OC~ Title Date Z Z C~ 1,3 TERMS: WE RESERVE THE RKIHT TO MAKE A FINANCE CHARGE COMPIIml) BY A PERIODIC RATE OF 1.5% PER MONTH WHICH 03334 A AN FUEL ! 0 D NEXT ZONE TANK LOCATION - ANNUAL PERCENTAGE RATE OF 18% ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD L COLLECTION FEES. IV6i ;-TA LA r.1 ORDER DATE 10/07/13 J; / ~ c8 3 Fishers Island Ferry Dist DELIVER/ 'AE 5 Waterfront Park-Race Point V • 1 State, Street FOR GPS GALLONS O d New Lon, CT 06320- 34768 ~a FULL PRICE PER L K Factor. 0.000 Last Delv:09/19/13 GALLON JOHN 860-303-8311*I95n-ex83-strait-follw U , ao E DISCOUNT PRICE PER GA signs-L State St-ovr RR tracks to term $5200 for tuesday 9am R ,m Taxes= $0.0019 $0.5490 $0.0010 TRUCK DIME OIL COMPANY LLC T TAX _ DRIVER P P.O. BOX 11125 TMST r WATERBURY,CT06703 TIME I M PAYMENT RECEIVED 3 r t TMP~ OF DEL. • SD ? PM (203)__. 754-5334 ? CASH ? CHECK m I ?CHARGE `~l. $ THIS IS YOUR INVOICE Dime Oil LLC Phone: 203-754-5334 APO Box 11125 :Waterbury,CT 06703 Date: 10/08/2013 ACCOUNT NUMBER: 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box H Attn Accounts Payable Fishers Island, NY 06390- - Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Page : 1 Terms: NET 30 Days From Invoice Date Date Invoice Charges and Credits Amount 10/08/13 3334 #20R Off Road Diesel 5213.0 GALS @ 3.113200 16229.11 Dyed Diesel Fuel for Off Road Use ONLY. S-F Cost Recovery @ 0.0019 9.90 CT EXCISE TAX DIESEL @ 0.5490 2861.94 LUST TAX @ 0.0010 5.21 10/08/13 3334 Fuel Invoice Total 19106.16 Amount Due 19106.16 **Please include account number with payment*** Fed ID# 454111778 Dime Oil LLC 203-754-5334 Account: 4420165 - FISHERS ISLAND FERRYDISTRICT VENDOR 011745 LAND, SEA & AIR CONSULT & TEST 11/06/2013 CHECK 1525 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 20000328/CO PRE-DRUG-WEAVERS. 57.00 SM .5710.4.000.000 20000328/CO PRE-DRUG-NEWELL,C. 57.00 SM .5710.4.000.000 20000328/CO PRE-DRUG-BOEHM,M. 57.00 TOTAL 171.00 >r. THE ORIGINAL CHECK HAS A COLORED • A VOID COPY FEATURE AND WATERMARK PAPER 77 Y FEATURE AND WATERMARK PAPER 77 7'=[YL 2IRS AIN AD PO SOX t t ~B „a d -AUDIT ` `O T S . NA _ sourNOw, $gxU{aae7t-0ss CHEC Np.: 2'525"CUTGHOfiUE, 'CO 11835 NAL HeWK '©A SW,6467714 ills6j2013 ` _ 1 ~ ONE HUNDRED SEVENTY ONE AND 00/100 DDLL,IR$ PAY LAND, SEA & AIR. CONSULT. & TEST 70 THE 910 ROUTE 109 ORDER NORTH LINDENHURST NY 11757 OF v 1i'0OLS25ii• 1:021405L.641: 68 OOLS02 iii' ~ Town of Southold, New York - Payment Voucher Vendor No. 11745 Check No 525 Vendor Tax ID Number or Social Security Number Vendor Address Emere by 27-1482752 910 Route 109 Vendor Name North Lindenhurst, NY 11757 Audit Date Land Sea and Air Consulting & Testing NOV Q 6 2013 Vendor Telephone Number 631-225-3060 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number to Total Discount (Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number b ti pr~ 20000328/CO $57.00 $57.00 :Weaver, James SM5710.4.000.000 9/6i201S $57.00 Vrt-l,CDfhUri9 $57.00 Newelstopher SM5710.4.000.000 ' - - - pt e W27iiW" $57.00 _ ark $57.00- Boehm , Mark SM5710.4.000.000 $171.00 $171.00( Payee Certification Department Certification The undersigned (Claimanp (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated. that the balance therein slated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are ex_clluuded. or discrepancies noted. and payment is approved. Signature- G~ Tide-- !/Cr Signature - Companc Name Dare ~ Tide Dal ~G~ 10/03/13 Itemized Statement Page: 1 LAND SEA AND AIR CONSULTING &TES' 910 ROUTE 109 IRS # 27-1482752 LINDENHURST, NY 11757 Tel: 6312253060 FISHER'S ISLAND FERRY,. Acct: 20000328 /CO ATT; ACCTS PAYABLE PO BOX H Tel: 860/442-0165 FISHER'S ISLAND,CT 06390 Date Diag Ref C.P.T Qt Patient name AR P1 Amt Bal 09/05/13 PREDRUGTI 151-WEAVER, JAMES O 57.00 57.00 09/06/13 PREDRUGTI 152-NEWELL, CHRISTOPHE 0 57.00 57.00 09/27/13 PREDRUGTI 153-BOEHM, MARK O 57.00 57.00 Regular Total: $ 171.00 Provider: OFFSITE Operator: PP FISHERS ISLAND FERRYDISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 11/06/2013 CHECK 1526 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 60435623 MU BOW THRUSTER REWIRE 69.40 TOTAL 69.40 Ni. v I:, NAL CHECK HAS A v a,Siw,a:: COPY FEATURE AND WATERMARK PAPER COLORED \ pew ~ ~ ~ III 4 0, T FFSI RS JS IVi T2R=1 DISTIbICT I3 g ~~yy o 59p85 AIN ROAD, NO BoM~ f 178 a: ~k!'~F `M'~t8~ +r SOUTHOLD, NY 1T971~'Y959 CHECK NO 1 n THE 9UFFOL$Cb. NATWIRAL-BANK CU'TCHOGUE,NYTT~"5 - - llft76~2fl18 g 6054sn14 SIXTY NINE AND 40/100 DOLLARS - PAY MCMASTER-CARR SUPPLY CO, T FO BOX 7690 O"R OF CHICAGO IL 60680-7690 11000 I5 26il• 1:0 2 140 54641: 68 00 i 50 2 1#i' Vendor No. Check No. r Town of Southold, New York - Payment Voucher 13564 501 Vendor Tax ID Number or Social Securit} Number Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago IL 60680-7690 Audit Date McMaster-Carr Supply Co. NOV Q 6 2013 Vendor Telephone Number 609-689-3000 Xyr Clerk ll _ n Vendor Contact O {"j~/'N~ fr•/. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 60435623 9/20/2013 $69.40 $69.40 MUNN Bow Thruster SM6710.2.000.100 rewire $69.40 $69.40'. Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf ofthe above named claimant) 1 hereby certify that the materials above specified have been received by me does herebc certify that the foregoing claim is true and correct. that no part has in good condition without substitution. the services properly been paid. except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are emluded. or discrepancies noted, and payment is approved. ricT ~ Signature Title 2/ / ~ Signature, Company Name 1T 9 Date Title, - Date !Q / wAMASTERORR® invoice 609-689-3000 609-259-3575 (fax) nj.sales@mcmaster.com Purchase Order JOHN Total $69.40 Invoice 60435623 Billed to Invoice Date 9120113 FISHERS H ISLAND FERRY DISTRICT P D Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct $1 29 on merchandise if paid by 9/30113 Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John placed this order. Line Product Ordered Shipped Balance Price Total 1 60645K45 Steel Ball Joint Rod End, Linkage, 7/16"-20 4 4 0 6.79 27.16 Right-Hand Thread Female Shank with Each Each Right-Hand Thread Stud 2 60645K43 Steel Ball Joint Rod End, Linkage, 5/16"-24 8 8 0 4.66 37.28 Right-Hand Thread Female Shank with Each Each Right-Hand Thread Stud Merchandise 64.44 Shipping 4.96 Total $69.40 Packing List Shipped Weight Carrier Tracking 8131814-01 9/20/13 3lb UPSGround 1ZO835200366961085 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 959 FISHERS ISLAND FERRYDISTRICT VENDOR 014021 NATIONAL AUTO PARTS SVCE,INC. 11/06/2013 CHECK 1527 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 233958 SILICONE SPRAY 6.02- SM .5710.2.000.000 963269 GAUGE LITES AND GASKET 43.10 SM .5710.4.000.000 964432 SHOP SUPPLIES 58.00 SM .5710.4.000.000 964444 SHOP SUPPLIES 34.90 SM .5710.4.000.000 964445 SHOP SUPPLIES 58.00 SM .5710.2.000.100 964568 MU TEMP SENDER 62.86 TOTAL 250.84 i1. THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER r "All FIS~RS' IU' 4M~ \AW'Y'DJrS2)IC;r ~ i~ t 3 ; 6 95 MAIN ROAD PO BOX 1179 ~ ~ w• RF C SOUTHOLD,NY41971.0869 CTEc NO. • 7HQCHDG SUFFOLK NY 11935 NATIONAL BANK CUTCH0CwE, NY 995 -WE 50-54 612 1 4.. 11/0612013. . ; TWO HUNDRED FIFTY AND 84/100 DOLLARS v PAY ' NATIONAL AUTO' PARTS SVCE,INC. TO 7M 150 BRIDGE STREET ORDER or GROTON CT 06340 or o. 1110015270 i:021405464o: 68 OOLS02 1111 Vendor No. Check No. Town of Southold, New York - Payment Voucher 14021 I a Vendor Tax ID Number or Social Security Number Vendor Address Entered by 150 Bridge Street Vendor Name Groton, CT 06340 - ,Audit Date NAPA 2013 Vendor Telephone Number N O V 0 6 860-445-8181 Town Clerk q Vendor Contact _ ~ - ~ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number I Description of Goods or Services General Ledger Fund and Account Number 233958 9/3/2013 -$6.02 -$6.02 Silicone Spray SM5710.2.000.000 963269 9/1612013 $43.10 $43.10 Guage Lites and Gasket SM5710.2.000.000 964432 9125/2013, $58.00 $58.00 'Shop Supplies SM5710.4.000.000 964444 9/25/2013 $34.90 $34.90 ,Shop Supplies SM5710.4.000.000 9644451 9/25/2013 $58.00, $58.00 Shop Supplies SM5710.4.000.000 - - t - 964568 /26/2013 62.86 $62.86 MUNN Ternp sender SM5710.2.000.100 , $250.841 $250.84_ Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received b_v me does hereby certify that the foregoing claim is true and correct, that no part has in good condition without substitution, the services propedv been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and pavment is approved. 192, Signature Name / Title` Signature- Com p Date- Title Date Z 2- / _ 200001336 NATIONAL PARTS SERVICE INC Time: 08:40 Invoice Number 233958 AMINO 82 Boston Post Road A Waterford, CT 06385 Date: 09/03/2013 111111111 IN Now (860) 497-3211 Page: i/1 1297 Employee: 10 Eric Fishers Island Ferry District Sales Rep: 0 Saiesman PO Box 4H Accounting Day: 1 Fishers Island, NY 06390 Part Number Line Description Quantity Price Net Total 213-4010 RAY Core Deposit- --.-r -1.00 11.00 11.0000 11.0008 D is ire was purchas. on invoice d 233653 08/29/2013 8300 C SILICONE SPRAY 1002 2.00 7.34 2.4900 4.98 Above Item on Sale Delivery: T~ / Subtotal 0.0 CR Attention: IY\JTl TAXTAHLE 1. 6.3500$ 0.00 0 Tax Exemption: PO#: 9-5-1.7 Terms: Net 20th Total 6.02 CR Customer Signature Credit memo 6.02 CR ALL GOODS RETURNED MUST BE ACCOMPANIED BV THIS INVOICE CUSTOMER COPY 200001180 National Parts Service Inc. Time: 13:16 Invoice Number 963269 NAPA AMA= Groton, Ct. 03690, CT 06340 Date: 09/16/2013 150 Bridge Street LIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIIIIII. (860) 445-8181 Page: 1/1 1297 Employee: 33 , Jae Fishers Island Ferry District Sales Rep: 0 Salesman ' PO Box 4H Accounting Day: 12 Fishers Island, NY 06390 - - - Pert Ni tt3?er Lizte p~}OGGY 1Y tiOfr OdMi3ty PrioD get Total` 1815 LMP BULB 1`•\• C~"); 20.00 2.78 1.6900 33.80 5119 FIE NAPA FILTER GASKET ..11 Y~. ~le 5.00 4.23 1.8600 9.30 Delivery: Subtotal 43.10 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: Terms: Net 20th Total 43.10 Customer Signature Charge Sale 43.10 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE ~1,K\ ,.l I PICKUP IN STORE °v CV / 3 QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 10:22 Invoice Number 964432 150 Bridge Street Nppp AM R= Groton, Ct. 03640, CT 06340 Date: 09/25/2013 IIIIIIIIIIIIVIIIIIIIIIIIIIVIIIIIIIIIII (860) 445-8181 Page: 1/1 1297 Employee: 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 20 Fishers Island, NY 06390 1Part Number - Line Description Quantity Price .'.Net Total 732502 BEL PRIMARY WIRE 100.00 0.54 0.2900 29.00 732510 BEL PRIMARY WIRE 100.00 0.54 0.2900 29.00 Shy S~ Vry)U00 Delivery: Subtotal 58.00 Attention: / TABLE 1 6.35008 0.00 Tax Exemption: PO#: Terms: Net 20th-r{I ~3 Total 58.00 Charge Sale 58.00 Customer Signature ALL GOODS RENRNED MUST BE ACCOMPANIED BY T GINVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 11:02 Invoice Number 964444 N ppp Groton, Ct. 03640, CT 06340 Date: 09/25/2013 150 Bridge Street IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIII aft (860) 445-8181 Page: 1/1 1297 Employee: 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 20 Fishers Island, NY 06390 Part Number Line Description Quantity Prue Net Tote 75-600 NOL NAPA EP GREASE CART 10.00 6.08 3.4900 34.90 Delivery: Subtotal 34.90 Attention: TABLE 1 6.35006 0.00 Tax Exemption: 2ly PON: Terms: Net 20th Total. 34.90 Charge Sale 34.90 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PTCKDP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 11:02 Invoice Number 964445 Groton, Ct. 03640, CT 06340 Date: 09/25/2013 NAPA AMR= 150 Bridge Street IIIIIII VIII VIII III II II III VIII III II'I (860) 445-8181 Page: 1/1 1297 Employee: 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 20 Fishers Island, NY 06390 - Part MBBtler Line UesdriPtion Quantity Pride Net - Total.. 732502 BEL PRIMARY WIRE 100.00 054 0.2900 29.00 732510 BEL PRIMARY WIRE 100.00 0.54 0.2900 29.00 Delivery: Subtotal 58.00 Attention: ~/J TABLE 1 6.35006 0.00 Tax Exemption: qCC CP PO&: Terms: Net 20th Total 58.00 Charge Sale 58.00 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 08:10 Invoice Number 964568 150 Bridge Street IIIIIII II III VIII III II VIII VIIIIIII IIII Nppp AM Groton, CIT. 03640, CT 06390 Date: 09/26/2013 mw 1 (860) 445-8181 Page: 1/1 1297 Employee 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 21 Fishers Island, NY 06390 Part Number Line ' Description {'want ty Price `'Nat Total. 321478 LMS VDO TEMP SENDER 2.00 41.58 31.4286 62.86 UP _ mUN ti OK !J rVe Delivery: Subtotal 62.86 Attention: C TABLE 1 6.3500% 0.00 Tax Exemption: POk: Terms: Net 20th Total 62.86 Charge Sale 62.86 Customer Signature ALL G0005 RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY NATIONAL PARTS SERVICE, INC. NAPA 150 BRIDGE STREET, GROTON, CT 06340 GUILFORD, CT 06437 WATERFORD, CT 06385 AMIMBOLD SAYBROOK, CT 06475 0 PHONE: (860) 445-8181 FAX: (860) 445-6414 BILL To Fishers Island Ferry District PO Box 4H STATEMENT Fishers Island, NY 06390 ACCT# SM# PAGE 1297 0 1 DATE TYPE REFERENCE AMOUNT P.O./CHECK/J.E. 08/02/2013 INV 336-230726 45.55 08/06/2013 INV 958471 176.62 j 08/09/2013 INV 958857 358.99 08/14/2013 INV 336-231958 49.50 08/20/2013 INV 960251 183.04 08/26/2013 INV 336-233224 44.39 08/27/2013 INV 336-233381 12.90 08/29/2013 INV 336-233653 62.98 08/30/2013 INV 961460 155.83 09/03/2013 INV 336-233958 6.02, Cr 09/16/2013 INV 963269 43.10 09/25/2013 INV 964432 58.00 09/25/2013 INV 964444 34.90, 09/25/2013 INV 964445 58.00` 09/26/2013 INV 964568 62.86 Summary as of 09/30/2013 Previous Balance 1,232.84 Payments 143.04 Purchases 250.84 Current Balance 1,340.64 Future Dated 0.00 CURRENT PAST DUE 30 PAT DUE 60 PAST DUE 90 250.84 1,089.80 0.00 0.00 DATE 09/30/2013 Total Owed 1,340.64 TERMS Net 20th Total Dating 0.00 o STORE 200001180 Total Due 1,340.64 FISHERS ISLAND FERRY DISTRICT VENDOR 014193 NORTHEAST UTILITIES 11/06/2013 CHECK 1528 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 51981034010913 NL NEW TERM SVC 9/3-10/1 1,324.82 TOTAL 1,324.82 e a w_ THE w ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER FIS~I R A Ems` $ t~lS1 IG 53095 MAIN D, ROAD, B j1~e7 - ~ sourHOwNrrrs 1-bas CHECK NO. 152 - THE SUKipLJ(Q0.'N'' 341BNALBANK ` ` - cUT(kRD LV')yi,B s AT p 3- ©6 2013 -sa-sarrera , ~ $1i- ONE THOUSAND THREEHUNDRED -TWENTY FOUR AND $2/100 DOLLARS le" PAY NORTHEAST UTILITIES TOR PO BOX 150493 ORDER -HARTFORD CT 06135-0493 110001S28110 1:0 2 140 54641: 68 00 1 50 2 1u• Vendor No. Check No. Town of Southold, New York - Payment Voucher 14193 l 5a Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 150493 Hartford, CT 06115 0493 Audit Date Northeast Utilities Vendor Telephone Number 800-286-2000 "Q- Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date lowl Discount Amount Claimed/ Number Description of Goods or Services General Ledger Fund and Account Number 51981034010 10/1/2013 $1,324.82 $1,324.82 NL New Term Serv ice SM5710.4.000.100 CA j' 913-10/1113 I $1,324.82'' $1,324.82 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalfof the above named claimant) I hereby' certify that the materials above specified 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 services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the town is exempt {aarre~excluded . or discrepancies noted, and payment is approved_ Signature 'title Signature Compam' Name - Date G~ Title Dare 7~ ~/ri~~ PAGE 1 OF 0 0066010 FISHER ISLAND FERRY DISTRICT FDue Date Total Amount Due Statement date: Oct 1 , 2013 Connecticut No 30, 2013 $2,864.19 Customer name key: FISH Light & Power Account number. 51981034010 A Nu thh t Utilities Company Your account summary Amount due on Sep 3 $3,129.59 Contact information Payment Sep 6 -$1,590.22 Emergency: 1-BDO-286-2000 (anytime) Web Site: www.cl-p.com Balance Forward $1,539.37 Email: CLPCustomerServlce0cl-p.com The 'Balance forward' Includes $787.44 generation charges Business customers: New Charges/Credits Customer Service: 1-888-783-6617 Electricity Supply Services $659.56 (M-F 8-5) Delivery Services $665.26 Simplify your life Total new charges $1,324.82 use e8111 and spay at www.cl-p.com - - Or Pay by Phone 1-888-783-6618 Total amount due $2,864.19 Electricity Supplier Payment due upon receipt unless other arrangements have been made. CONNECTICUT GAS & ELECTRIC INC 290 NW 165TH ST Your account Is overdue. If payment has been made, thank you and please disregard this pH 5 notice. NORTH MIAMI BEACH FL 33169-645 1-866-568-0289 Detail for Service at: 5 WATERFRONT PARK, NEW LONDON CT 06320-6310 Service reference: 952662001 Billing cycle: 01 Your meter reading for meter # 886118182 For billing period: Sep 3 - Oct 1 (28 days) Next read date on or about: Oct 30, 2013 Actual reading on Oct 1 , 2013 93734 Actual reading on Sep 3, 2013 -92785 Difference = 949 Meter constant x 10 Billed usage . 9,490 Total demand use: 28.00 kW (continued on next page) 0060010 PAGE 2 OF 4 Account number: 51981034010 Compare your electricity usage Electricity Supply Detail CONNECTICUT GAS & ELEC Average usage in Oct 2012 (54 F) 302 kWh Generation Srvc Chrg" 9490.OOKWH x $0.069500 $659.56 Average usage in Oct 2013 (56 F) 339 kWh Subtotal $659.56 Energy Profile 399 A kWhida 342 CL&P Delivery Services Detail DISTRIBUTION RATE: 030 zes Transmission Dmd Cling 26.OOKW x $6.590000 $171.34 zz9 Distr Cost Srvc Chrg $38.50 m Distr Chrg per KWH 8400.OOKWH x $0.017800 $149.52 1090.OOKWH x $0.017800 $19.40 114 Distribution Dmd Chrg 26.OOKW x $6.060000 $157.56 57 CTA Demand Chrg 26.0OKW x $0.550000 $14.30 ° FMCC Delivery Chrg 9490.OOKWH x $0.009810 $93.10 0 N D J F M A M J J A s o Comb Public Benefit Chrg' 9490.OOKWH x $0.004330 $41.09 2012 2013 DOE Credit'*' 9490.OOKWH x- $0.002060 -$19.55 Actual , Estlmate Subtotal $665.26 Demand Profile 42 rAa4. M Demand 36 30 24 18 12 fi 0 O N O J F M A M J J A S O 2012 2013 (continued on next page) I 0000010 PAGE 3 OF 0 Account number: 51981034010 Generation Rate Explanation of your charges 21 On 110" Wk 'The Combined Public Benefits Charge represents a combination of three charges formerly 11 known as: "Conservation and Load Mgmt Charge, Renewable Energy Investment Charge, and .10 Systems Benefits Charge." .12- H- "Effective January 1, 2007, the Generation Services Charge (GSC) and the Bypassable Federally Mandated Congestion Charge (BFMCC) have been combined into the "GSC Charge" .Y3 1111 listed in the Supplier Services section of your bill. The GSC reflects all of the cost of N procuring energy from CUP wholesale suppliers. The BFMCC portion of this line Item is o N o J F M A M J J A s o $0.0015/kWh. If you multiply this BFMCC rate by the number of kWhs on your bill, you can 2012 2013 calculate the dollar amount associated with the BFMCC. *"The DOE Credit Is a raiund from the federal Department of Energy (DOE) for money that had been paid to build a centralized storage location for nuclear fuel. That location was not built by DOE, and therefore, DOE is refunding this money to customers. Account messages N1 2 Scan this with your smarlphone! list it will simplify your life Go to your app store to to get get a list of baroode reader apps for your mobile device. L I7P (continued on next Page) PAGE 4 OF 4 Account number: 51981034010 Customer Billing Information Informacl6n an to Factura parts of Consumidor questions and complaints Preguntas y quejas - g you have a question or complaint about your bill or any payment arrangement, Si usted fiene alguna pregunta o queja sobre su factura o sabre agbn arreglo de pago, call the number listed on the front of the bill. A complete explanation of your [lame at nomero lislado at frente de esta facture. Una explicaci6n detallada de rights is available upon written request to the company or by calling customer sus derechos como consumidor esla disponsible si to pide por escrito a la companla service at the phone number listed in the upper left comer of the bill. o si llama at centro de servicios al consumidor al nomero listado amba, a la izqulerda an su factura. Termination of service and customer rights You have the right to dispute a termination notice. You may also have Terminaci6n de servicio y sus derechos como consumidor service continued between November 1st and May tat If you qualify for Usted here at derecho de refuter la carta de terminaci6n. Tambi6n podia continuer hardship status or have a serious illness or lee-threatening condition. el servicio entre el 1 tie Noviembre y el 1 tie Mayo, si usted califica como consumidor Third-party notice con dificultad econ6mica documentada o tiene alguna enfermedad seria, You can ask us at any time to notify a third party it your service is subject to o una situaci6n de vida o muerte existente an su hogar. being shut off. For additional information, you should call the number Notificacl6n a una tercere persona listed on the front of the bill. Usted puede solicitor an cualquier momento qua nos comuniquemos con una Electric suppliers tercera persona si su servicio esta an riesgo de ser desconeclado. Para mss Information about licensed electric suppliers, including rates and charges, informac6n, Ilame al nomero listado an su facture. contract terms and conditions, energy sources and emission rates, is available Proveedores de energfa eleclrica from the Public Utilities Regulatory Authority (PURA), 10 Franklin Square, Informaci6n acerca de proveedores de energia el&ctrica licenciados, incluyendo New Britain, Connecticut, 06051, by visiting www.EnergizeCT.conitsuppliers closes de tarifas y cargos, tdrminos y conditions de contratos, fuentes de Check processing energfa y tarifas de emisi6n, estan disponibls a Ios consumidores a (raves de la By sending your check, you authorize CL&P to use the check information to Autoddad Reguladora de Sewicios Poblicos (PURA), create an electronic funds transfer. The electronic transfer, for the original 10 Franklin Square, New Britain, Connecticut, 06051, o visitando check amount, will be processed on the day your check is received. The check www.Energ[zeCT.comtsuppliers. will be destroyed and an image of your check will be stored for 2 years. N the Procesamlento de cheques electronic transfer cannot be completed, a demand draft of your check can be Al enviar su cheque, usted autoriza a CL&P a user Is informacon de su cheque created and used in place of the original. Para crear transferenclas de fondos electr6nicamente. La transferencia Security Deposit electr6nica por Is canfidad original del cheque sera procesada el die que su PURA Regulation 16-11-105 allows the Company to collect a security depose cheque as recibido. El cheque sera destruido y una copia electr6nica sera from business customers with either no credit a a negative credit history with guardada por 2 aflos. Si to transferencia elecu6nica no puede set completada the Company. Business customers with a timely bill payment history will not podemos exigir un retno de fondos y este puede set usado an lugar del original. be assessed a security deposit. D6posito de Saguridad PURA Regulation 16-262j-1 allows the Company to collect a security deposit SegGn Is Regulaci6n 16-11-105 de TURA," a la Companfa se le permite celectar un from a residential customer who has either no credit or a negative credit dep6sito de seguridad de aquatics clientes comerciales o industriales qua no tengan history with the Company. Customers who can verify that they lack the cr6dito, o qua tengan crodito negativo con la Compahfa. A bs clientes comerciales financial ability to pay a security deposit will not be required to pay o industriales qua tengan un historial de cr6dito con paqos herchos a tiempo, a security deposit. no se les cobrara un dep6sito de seguridad. Security deposes, along with accrued interest, will be refunded to the customer La Regulaci6n de PU RA 16-262j-1 permite qua la compania cotecte un dep6sho de after 12 consecutive months of good payment history. seguridad de aquellos clientes residenciales qua no tengan cr6dko, o qua tengan Information and questions cr6dho negativo con Is companfa. Los clientes qua puedan verificar qua no tienen la For information or questions regarding your account, please contact CL&P at habilidad financiera Para pager su dep6silo de seguridad no tendran qua pagarlo. 860-947-2000 or 1-800-286-2000. For other consumer questions and Los dep6snos tie seguridad, junto can el inter6s qua se hays acumulado, lea saran unresolved complaints, you may call PURA Consumer Services devuehos a loo clientes despu6s tie qua hayan cumplido 12 meses consecutivos tie buen historial con sus pagos. tall free at 1-800-382-4588. Para Informacl6n o Preguntas Para information o preguntas relacionadas con su cuenta por favor llama a CL&P at 860-947-2000, o 1-800-286-2000. Para mss informacl6n y Para asistencia sobre disputes no resuelms, llama a PURA al nomero 1-800-382-4586. FISHERS ISLAND FERRY DISTRICT VENDOR 015887 OXFORD HEALTH PLANS 11/06/2013 CHECK 1529 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 44879597 MEDICAL PREMIUM-11/13 18,660.48 TOTAL 18,660.48 a ANN V M r. kv r 77!7 :7. THE ORIGINAL CHECK HAS A i COLORED BACKGROUND A VOID COPY FEATURE AND WATERMARK PAPER 63085 MAIN ROAD pp 9 nr FrsRS 1, Z Di{ 'xrcr "CYiECX No 'i's,~~ ~SOUTMOLD, NY 918]9-0,868 r ,y, ,a i z CUTCHFOLK CO' 1AL BANK - - - CUTHOGUE, W 94$352r"` w lljti6,j2813 ls, . 500461214 EIGH'T'EEN THOUSAND SIX HUNDRED SIXTY AND 48/3,00 DOI,~,, S r/~o ,uia9 Asa, 14 u PAP OXF,120 U*ALTH PLANS ~r $0 T2 PO 'SOX 1697 F - ORDER OF NEWARK NJ 07101-1697 Fr 11'00152911• i:021I40SL LLo: 68 OOL502 I"' 'Vendor No. ..Check No. Town of Southold, New York - Payment Voucher 15887 5d Vendor Tax ID Number or Social Security Number Vendor Address Entered by 06-1181200 PO Box 1697 Audit Date Oxford Health Plans Newark, NJ 07101-1697 NOV 06 ZQ~3 Vendor Telephone Number 888-201-4216 Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 44879597 11/1/2013 $18,660.48 $18,660.48 (Medical Premium for 11/13 SM9060.8.000.000 I ~ $18,660.48 $18,660.48' Payee Certification Department Certification I he undersigned (Claimant) (Acting on behalf of the above named claimant) I 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 properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified wills the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature Title Signature Com amp Name Date ~ ~ d~ Title- -Date ~G I l IlnitedHealtheare' I..... JA I 17umbrIl r'I nhhl l 40We encourage you to contact your - Dedicated Client Service Manager (DCSM) at 888-201-4216 with any ° questions regarding this invoice. THIS STATEMENT REFLECTS 283G BI LLL21703401 PAYMENTS JOBINA MILLER w RECEIVED BY OXFORD ON OR BEFORE FISHERS SL AND FERRY DISTRICT ~O 10/07/2013. Please write your account P BOX 60/ z number on your check when submitting FISHERS ISLAND NY 06390 payment. Do not include any correspondence, including group or - Thank you for choosing Oxford. INVOICE SUMMARY Group Number Billing Group T Coverage Period Invoice Number Due Date of Payment F19458 BG01 11/0112013 -11/30/2013 44879597 November 01, 2013 'rewous Balance S 'l 536 17 Adjustments to Prior Bills . . . . . . . . . . $ 1,380.28 Payments Received 16 961 01 Totals by Contract Type - Current Premium Debt Memos 000 9Single 5,175.99 bee Memo Details on last page of this invoice) 5 Couple 6 326 25 Credit Memos 0 00 4 Family 7 158 24 (See Memo Details on last page of this invoice) 18 Total Healthcare Contracts 1866048 Total Balance Forward $ 2,575.16 Current Premium . . . . . . . . . . . . . . (:!16:,660.48' Total Balance Forward $ 2,575.16 Adjustments to Prior Bills $ 1,380.28 + Current Premium $ 18,660.48 Total Amount Due . . . . . . . . . $ 22,615.92 Please detach and return the remittance below with your payment MS-12-139 LEGEND FOR INVOICE DETAILS CONTRACT TYPE CODE CODE (continued) S Single BGXFER Billing Group 1"ransfer SBCA Add Benefit Coverage to Subscriber D Double CTERM Contract Tenn SBCT Terminate Subscriber Benefit Coverage C Couple CTIER Contract Tier Change SUBA Activate a Subscriber PC Parent/Child DBCA Add Benefit Coverage for a Dependent SUBT Terminate a Subscriber _ PCH Parent/Children DBCT Terminate Benefit Coverage for F Family a Dependent DEPA Activate a Dependent or a spouse BENEFIT DEPT Terminate a Dependent or a Spouse HEALTHCR Healthcare Benefits DOB Date of Birth Change DENTAL Dental Benefits DTCG Member Date Change LIFE Life Insurance MLCT Member Life Class Termination ADSD Accidental Death and PREM Premium Change Dismemberment Insurance SALARY Salary Change All adjustments for Membership activity are made automatically by our system. Please do not make any manual adjustments to the total due. Any financial adjustment for Membership activity not displayed in this invoice summary will be reflected in a future invoice. If you would like your payment applied to a specific plan design, you must send the Remittance Advice for that plan design and indicate the amount to be paid in the Amount Remitted field of the Advice. NOTICE Failure to remit payment by the end of the grace period may result in termination of coverage by Oxfmi According to the terms of your Group Policy and Group Enrollment Agreement with Oxford, premium payments are due on the first of the month. The purpose of this notice is to advise you that your group coverage may terminate on the last day of the coverage period indicated on page one of this bill (the "Coverage Period") if we do not receive the required premium payment by the end of the grace period specified in your Group Policy and Group Enrollment Agreement. For New York groups, if we do not receive any payment by the end of the grace period, the termination date of coverage will be retroactive to the last paid date of coverage. If we receive a partial payment, the termination process described in the prior paragraph will apply. For all groups, if termination occurs, your employees and their dependents will li coverage for all claims incurred on or before the last day of the Coverage Period or, in the case of a New York employer who has made no payment before the end of the grace period, the last paid date of coverage. No coverage will be provided for claims incurred thereafter. Any employee or dependent who has access to no other health insurance may be able to convert to an individual policy with Oxford. More information about this conversion option can be obtained by contacting your Oxford group representative directly. FOR NEW YORK EMPLOYERS ONLY In addition to the above, pursuant to section 217 of the New York Labor Law, you are required to inform your employees of the intended termination of their health coverage. This law requires that you do so by either hand-delivering or mailing to each of your employees, and by posting at conspicuous locations chosen as most likely to give notice to Your employees, at least nine days prior to the intended termination date, a copy of this notice along with your own cover letter advising as to the intended termination of coverage. However, if your premium payment is sent to Oxford on or before the 20th day of the Coverage Period, or if you have arranged for similar replacement coverage for your employees provided by a different carrier (and filed affidavits to that effect with the Commission of Labor and Superintendent of Insurance), the law does not require that you provide your employees with notification as described above. The Contract Type on the Invoice Details list refers to the Contract Type of the core health care benefit, unless no such benefit exists for the Subscriber. Please refer to the Legend For Invoice Details above for an explanation of Contract Type, Benefit, and Code abbreviations. Thank you for choosing Oxford. Page 1 of 2 INVOICE DETAILS Fishers Island Ferry District ALL ELIGIBLE EES o Coverage Period: 11/01/2013 to 11/30/2013 CURRENT PERIOD ADJUSTMENTS TO PRIOR BILLS TOTALS _ Social Subscriber Contract If of coverage Current Subscriber Security# Name Type Members Type Benefit Premium Period Code Premium TOTAL 1121732001 Barrett, Frederick S 1 CSP06C HEALTHCR 575.11 575.11 1121083801 Burke, Stephen C 2 CSP06 HEALTHCR 1265.25091012013-09/302013 DEPA 690.14 1 0101201 3 - 10/31/2013 DEPA 690.14 2645.53 1144936701 Doucette, Deborah C 2 CSP06 HEALTHCR 1265.25 1265.25 1162995401 Eagan, Daniel S 1 CSP06 HEALTHCR 575.11 575.11 1121732601 Easter, Mark S 1 CSP06C HEALTHCR 575.11 575.11 1162923801 Fenton, Scott S 1 CSP06 HEALTHCR 575.11 575.11 1121090301 Fiora, Michael S 1 CSP06 HEALTHCR 575.11 575.11 1121007601 Ford, Polly F 3 CSP06 HEALTHCR 1789.56 1789.56 1156744601 Franco, Michael C 2 CSP06 HEALTHCR 1265.25 1265.25 1145570401 Haney, Jonathan C 2 CSP06 HEALTHCR 1265.25 1265.25 1121013701 Le Fevre, Raymond S 1 CSP06 HEALTHCR 575.11 575.11 1121094501 Marks, Jason S 1 CSPO6 HEALTHCR 575.11 575.11 1121011301 Marshall, Jesse C 2 CSP06 HEALTHCR 1265.25 1265.25 1121078601 Morgan, John F 3 CSP06 HEALTHCR 178956 1789.56 1121096001 Murphy, Gordon F 3 CSP06 HEALTHCR 1789.56 1789.56 1156179401 Paradis, John F 3 CSP06 HEALTHCR 1789.56 1789.56 1121733601 Schmid, Nina S 1 CSP06C HEALTHCR 575.11 575.11 1121075501 Traub, James S 1 CSP06 HEALTHCR 575.11 575.11 Total. $ 18,660.48 $ 1,380.28 $ 20,040.76 N O V m O n N J J J_ m (7 M W N The Contract Type on the Invoice Details list refers to the Contract Type of the core healthcare benefit, unless no such benefit exists for the Subscriber Please refer to the Legend For Invoice Details on the back of the Invoice Summary for an explanation of Contract Type, Benefit, and Code abbreviations. Invoice Details may be continued on the other side. FISHERS ISLAND FERRYDISTRICT VENDOR 018553 ROME SPECIALTIES, INC. 11/06/2013 CHECK 1530 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 3 GRANT APPLICATION 406.25 TOTAL 406.25 w THE e ORIGINAL COLORED Farr rs ND r rat r q 59095 MAIN ROAD, fM 90X 117e CHEClad K NO. 1$3b...,,... SOVTMOLO, NY 11951-0959 - - Tk$UFFDLkC0. NA100NAL$ANY, , DUYCHODUE, NY 1400 T}R'~ - _ ! ~ 11/013' . $4F 25 50-546/214 FOUR HUNDRED SIX AND 25/3.00 DOLLARS - e PAY ROME SPECIALTIES INC. TO 77M AARON ROME ORDER 290 SNCIF F MILL RD. 7 O NORTH .t4-llidnSTOWN RI 02874 11.001530110 1:02L4054641: 68 OOL502 1110 j Vendor No. Check No. Town of Southold, New York - Payment Voucher 18553 5 ~0 Vendor Tax IDNumber or Social Security Number Vendor Address Entered by --i 18 Triton Drive East Wakefield, RI 02879 Audit Date Rome Specialties, Inc. NOV 0 6 2013 Vendor Telephone Number rk 401-368-2401 *C` Vendor Contact - - - - I / /y Aaron Rome Inv oice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3! 10/1012013! 406.25 406.25 Grant Application SM5710.4.000.000 T 406.25 406.25 ' Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been recen ed h_v me does hereby certify that the foregoing claim is true and correct, that no part has in good condition without substitution, the services properly been paid. except as therein stated, that the balance therein stated is actual] performed and that the quantities thereof have been verified with the exceptions due and owing. and that taxes from which the Town is exempt are e~xclluuded. or discrepancies noted. and payment is approved. Signature Title Signature Companc Name Dare Z/ 1 itle Date. ?I Z OGj Rome Specialties, Inc. AaronRome 18 Triton Drive East, Wakefield, RI 02879, 401-368-2401 a grant writer thal cares! aaron.rome@gmail.com, www.aaronrome.com Invoice #3, October 10, 2013 Organization Name (Client): Fisher Island Ferry District (FIFD) Authorized Representative Name(s): Gordon Murphy Address: 261 Trumbull Drive Fishers Island, NY 06390 Contact Name: Gordon Murphy, Donald Lamb Contact Phone: 631-788-7463 Cotnact Email: gmurohy a fiferry.com, dlamb@fiferry.com Website: www.fiferry.com This agreement is between Aaron Rome, Grant Writer (Rome Specialties, Inc.) and FIFD Work Performed The following work has been performed since submittal of invoice #2: Completion of Map-21 grant application (submitted by Chuck Beck), research of DERA grant, research of and review of the FTA 5307 grant requirements, various phone calls, and emails with FIFD staff and DOT staff. Due: 5.42 hours * $75/ hour = $406.25 After that date please send payment to: Aaron Rome 290 Snuff Mill Road North Kingstown, RI 02874 / Date: October 10. 2013 FISHERS ISLAND FERRY DISTRICT VENDOR 019621 STEWART & STEVENSON PWR PROD. 11/06/2013 CHECK 1531 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 2267516 MU-BT ALARM & STOP SOLEN 422.57 TOTAL 422.57 u ss: I THE ORIGINAL CHECK HAS A h COLORED BACKGROUNDA VOID COPY FEATURE AND WATERMARK PAPER ~FIS 1WpRS IS kR)? 53095 K1AIN ROAD P09OXII179 "'^^r ggpeyg.,~ ~..m $ourHOLO. NV 1aeTaa95a ..CHECK NO. 3:51 THE $UFFOLI(CO: NATMNAL BANK CUTCHOGUE,NY11.935 NOW x _ 17.J06~ 013 2E 505461214 FOUR HUNDRED-TWENTY,. TWO AND 57/100 DOLI,A128... - - - a~ PAP STEWART & STEVENSON PS7R PROD. ` TO 7M PA BOX 950 a a - ORDER 1~1 LODI NJ-07644 u'00L53Lli• I:02L405464o: 6B OOL502 Lila Vendor No. Check No. Town of Southold, New York - Payment Voucher 19621 ' 531 Vendor Tax ID Number or Social Securitv Number Vendor Address Entered by PO Box 950 Vendor Name Lodi, NJ 07644 Audit Date Stewart & Stevenson Power Products N Q 6 2~ 3 DBA Atlantic Detroit Diesel Allison Vendor Telephone Number To A - 201-489-5800 - - Vendor Contact - - / Invoice Invoice Invoice Net urchase Orde Number Date Total _-Discount Amount Claimed Number - Description of Goods or Services General Ledger Fund and Account Number 2267516' 10/2/2013 $422.571 1 $422.57! MUNN BT Alarm & Stop Soleneind SM5710.2.000.100 $422.57 $422.57 Payee Certification Department Certification the undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that thematerials above specified have been received by me does hereby certify that the foregoing claim is true and correct, that no pan has in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing.aannddd that taxes from which the 'I own is exempt are excluded or discrepancies noted, and pave ear is approved. Signature l/ Titlc Z/ pC/ Signature 61 Compam Name~~ Date Title Date 7 L 0~ 1- ATLANTIC DETROIT DIESEL-ALLISON ' ® • • • Stewart gStov son sRNr Power P oducts LLC 0:50 226751 G ATLANTIC POWER SYSTEMS ne rgAr ~ e Please make allchecks payable andremit to: STEWART & STEVENSON POWER PRODUCTS LLC Invoice P.O. Box 950 • Lodi, New Jersey 07644 1It 5i:1:Tl=:a Phone: (201) 489-5800 : BILLED TO SHIPPED TO F ISII1r.ftS3 16L.-AND I L1--cRY D13TRIC:t *SAME P .O. BOX ft F1 .'.:31-ERS ISI...AND, NY 06390 011TH INVDICED DATE SHIPPED PURCHASE ORDER NO. "L OF LADING NO. REFERENCE NO. 10/02/15 P689143M SERME NO. MODEL NO. CUSTOMER I.D. NO. FREDNT VIA TERNS PICKUP NET DUE ;';O DAYS 051.46219 RI.E.L.AY :1. 1 197..4 197.43 A`'.'iO4197 SOL-E::NOID L 1 176.99 1.76.99 F'REIC:iFLT 24..7 24.75 R' MORE INFO ABOT.I'T OUR PRODUC:T9,PARTS AND 3ERV:[ :3 V1: TT WW .ATLANT:[C DA.CON .E.'ASE, RF::K["T" 'T'O: £iTP_WARI' FN STEVENSON f'(7WER "'RODI.I S P BOX 9':iO LOI}I r NJ' 07644 SUB O'TA].-- 3*74..42 TAX • 2:',*.. 40 TOTAL..: 422,1 FORM NO. 005 WE HEREBY CERTIFY THAT THESE GOO WERE PROAJGIG Irv cDMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS R, ) AN12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATER DEPARTMENT OF LABOR ISSUED TINDER SECTION 11 THEREOF SEE TERMS AND CONDITIONS OF REVERSE SIDE_ CUSTOMER COPY ATLANTIC DETROIT DIESEL -ALLISON' s~ Stewart & Stevenson Power Products LLC ATLANTIC POWER SYSTEMS ~m ons y ener DA"rE 1.0/02./1:: r4Tl_ANTIC.: DDA iiE:L.EASEL F'AGE. I. 'TIME:.1. 3-20.47 362 EL.N ESI bEPT.PARTS 'UNIT 1.2 ~ DOCUME:NTN. F'6891l4t, M 0:3010 MARI...BOFU:)UGH r' MA 01752 (800) :5 ORDER I ff"E. STOCK. SOL..D TOWISHERS ISLAND FERRY DISTRICT ~iaWIP TO.-)(-SAME: +~x••x~t~**•xx~r#xx~tatxnanx~r~r~u~r I''.O„ BOX 11 P I C K: T :i: C K E 'T' ye # ri•rrvrarxxxxxx ~c~cx~t•xx ~cxuxx• FISHERS ISLAND. NY 06,5'90 L.IM.UIED CREDJ:T ;CUSTOMER F,O##. C/C:...... C:ASH.....CUD. SHIPPED. 1.0102113 ROUTI'NG.F'I(-,#::UF' FIL-LA;-1) BY. Iii/I_ NUMBER. PPD COI_ PU ENTERED BY. CHARLES ILIRC:IO MIDD°I'C:F14 x x•xa~# /:I. 2 :LN/C(')D UNIT SERIAI._N PRIMARY. CUSTOMER CONTACT" JOHN PHONE ( 61:1) 7R8... /463 PC ITEM IECH## GR(:l(.ll'' BIN QTY (rr'Y CTTY UN11 EXTENDED NUMBER DESCRIF'TION LOC ORD SHP B/0 PRICE: f:1RICE. J.9?,.4Z 1.4 0514621.9 REL.AY 0000 fI' A' TFAN:31°E.I fO DOC:## 1784 1196 W`L1(~'~• I ~IYw- 1.4 25:`:i04J.97 SOI._F:'NOID 0000 074519 S 1. 1 1.76.99 1.76.99 TRANSFER TO DOC## 1"7841165 VV~VVW` ' S~v Sole+.<j 999058P F RE I GI-IT 0000 24. 7::i ATLANTIC: IS NOW THE ONE STOP SHOP FOR AL.L. OF YOUR T'RUCK:.BUEi GENERAIOR AND M6)RINE: r PART'S AND SERVICE. NEE::DS..,...F10'T' DEAL..S ON Al...L AIR CONDITIONING FARTS AND SERVICE: ASK: ABOUT OUR F''REON SF'EC:IAI_.......FOR MORE: INFO VISIT WWW.AI'LAN'I'ICDDA.COM I i 01/ ?o-iy-,3 •ar•x•~txxa~xxxac #x xntttt~c•x en SUB-1UlAL.. ::174.4:' * HOLD FOR COM'°I_E I .ION x I AX. 2:;;. 40 1°'609143M x..x.x.x.x.x..xx•xx~xxarxatxx.ai..xx..x.x. ':iFIIF'P]:NC r, 4. /BY #4 24../5 RECEIVED BY. 422.':;7 FISHERS ISLAND FERRY DISTRICT VENDOR 020167 TERMINIX PROCESSING CENTER 11/06/2013 CHECK. 1532 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.000 328827297 PEST CONTROL NL-1.0/3/13 52.11 j TOTAL 52.11 N THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER FISHERS ISLAND 'FERRY DISTRICT , . ~pp~q J 61 ~ 3 53095 MAIN ROAD, PO BOX 1179 ~e WUTMOLD. NY 11971-0959 CHECK NO. 1532 CUTCH GUE, NY 11935 BANK DA1M AMNUNT THE 50-5461214 11/96/2013- 152.11 FIFTY TWO AND 11/100 DOLLARS SPAY TERMINIX. PROCESSING CENTER j ~T PO BOX 742592 OF CINCINNATI OH 4.5274-2592 11.00153211' 1:021405464o: M3 OOIS02 iii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 20167 15 Vendor Tax ID Number er Soual Secunt_v Number Vendor Address Entered b4 P.O. Box 742592 i Vendor Name Cincinnati, OR 45274-2592 Audi[ Date Terminix Processing Center q Vendor Telephone Number ~~0U 0 201J I 860-683-0012n Clc~k eA~l 6~ Vendor Contact - 4. (-Ce[ K _ /~fy {n I Invoice Invoice Invoice Net Purchase Order' Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 328827297 10/3/2013 $52.11 $52.11 Pest Control NL 10/3/13 SM5709.2.000.000 I $52.11 $52.11 Payee Certification Department Certification The undervpned l Claimant) (Acting on behalfof the above named elaimanti Iherebv certfs that the materials above specified have been rereised by me does hereby certify that the foregoing claim is tmc and correct, that no part has in good condition without substitution. the services properly been paid. except as therein stated that the balance therein stated is actualh performed and that the quantities thereof hate been .erieed teith the exceptions due end owimg_ and that taxes from which the Town is exempt aarrre( eycluded or discrepaneem, no~otesd. tad-pm,uenl is appmced Signature Irtle 11 ~ Signature mpam Name Datc Co Title?' Dale 1oN ORE 1 AWIM. ACCOUNT INVOICE /COMMERCIAL P70. BOX 17167 My Customer Number: 4067323 MEMPHIS, TN 38187 7534 0100 NO RP 07 10072013 YNNNNNNN 0001741 S1 T36 Please Pay By: 10/21/2013 6"741 1 MB 0.402 Total Due: $52.11 FISHER'S ISLAND FERRY* yr. ATTN: DEBRA DOUCETTE PO BOX H ®PAY ONLINE FISHERS ISLAND NY 06390-0607 TerminixCommercial.com I~~Il~l~llll~rll'I'~'~'I~II'11111'~~"~~I~~'ll'I~~Il~rll~~ll~l 0 PAY BY PHONE 1.800.TERMINIX QUESTIONS EASY WAYS TO PAY YOUR TERMINIX® INVOICE • Local Office: 860.683.0012 • Toll Free: 1.800.TERMINIX Paying your bill is easy, especially online. Just visit the "Manage My Account" • Online: TerminixCommercial.com portal at TerminixCommercial.com and sign up with your Customer Number: 4067323 and phone number to start paying bills online. SERVICE DESCRIPTION OF SERVICES & INVOICE i PAYMENTS NET SERVICE ADDRESS NUMBER CHARGES CREDITS AMOUNT Pest Control 328827297 $49.00 10/03/2013 Work Order 11584769091 Tax Charge $3.11 Location, 5 STATE ST/DOCK $52.11 OFFICE, NEW LONDON CT 06320 DUE DATE: 10/21/2013 TOTAL DUE: $52.11 TMs Invoice reflects payments received by 10/07/2013. It ypu have not paid your previous balance, please make your payment tod•y- Any Year in Advance payment received will be applled to any previous balance on this aprsomeat Business License: 0151. N3-0219 cA4 4C'•7.`:5i` OCq Date Printed..: 1.0,0 OPERATORS NAME & CERTIFICATION # 10-i3 TERM[TE86d PEST CONTROL Preleier R 0001.113020 Regular ?i?,6 /..Ot,T?23 i] tR601n,'-01 C C3 I MT C 449.00 :H6114Aa 015 TH 1T,"(J~J r s, . SWME PROPERTY AT CENTER !l'?HtiR'5 .'''.AND TERRY TER?":(Ni?: I1IFRiY11fI0P1Al. 5-0279 STATE. 3T-1!II:;K OP-ICE 425-A 4AYDEN STATUIN RO0 NF.kI L04+'rOh+-CC 06.+20 WINDSOl?.CT 0669;1 f@601 0(.12 TAR BEST. Ar,h.s ,J ryi 2 r u "e~ Wasps - - SERVICE IMTRUCTIONS LTimm INSPECTED I'CILEk RO')M ° 02411-C 022110-1 i.°OTa S :}03x'-C C 1 INKNT - 9ES1 02411-C 02263-C 15028-S C ] I nU. SPEt.~ 0'21411-C 022K -C 15,029-S 02332-0 .e,?---f`` ~ r., 3S ' 02411'C 02263-C 15028-9 ' 02332'-C PCkfryf_lc? G24"_7-1 150213-g 7YhC50j-0 C 7 11; AREAS 02411-C 02263-C 15028-S 02332C . C 3--k Ph"-I GOtD.: 0 vi4 02163-C 150,28-5 023x2-r. ~ C:-i--- AREA 3-C 02411-C 1502'8-5 i , 0? ll C 02263-C ° 6332-C iTt'Ri5i1171 i(Y Ga^= AREAS 02411-C 02263-C 15428-5 02332-C C I A110iJ1t7 4 ? rl-Die D uii; Dist PYRETHR'NS1':,P$01117.SILN 499-429 -02 63 565 PLUS XL0 PDRH.II PYRETHRIRS.S,T PIP€ROHYL 8 499-290 1 ,f 'S Slap. TYnp Worce FC Select Roach Gel FIPRORIL .01X 4321259 BAYER. C d1,S±)5 ,,-uiclr CS 055 CYFL'JTHRIN 0.057. 499-304 TOM: j~ P4 I 1fl- " t-5 SUPERVISOR'S COMMENTS: ?Treat for Infestation/Prevention or Inspect areas indicated. Arr # _ '(y~y , SPECIAL SERVICE INSTRUCTIONS , - Prior R,l anrN.: Charge.......::., ; 4 Ta,, Charq r...... CUSTOMER'S SIGNATURE PAS? SERVI N , RFl r DoATE L" j 3 5 Total Due,...,: 1G «31898 R/P01/13 CUSTOMER COPY 02013 THETERMINIX INTERNATIONAL COMPANY L.P. FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 11/06/2013 CHECK. 1533 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639403 W/E 10/5/13-(7)PKGS 240.17 SM .5710.4.000.700 26639413 W/E 10/12/13-(11)PKG 357.64 TOTAL 597.81 THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER FISHERS ISLAND FERRY DISTRICT A13P2 11 Erb- a 53095 MAIN ROAD, PO BOX 1179 'MA SOUTHOLD, NY 11971-0959 CHECX N O. 1533 THE SUFFOLK CO. NATIONAL BANK SA~`~e~'k•ee}e CUTCHOGUE, NY 11935 = OAT AWN# 50-5461214 11/06/2013. ~fi5'37.$1 FIVE HUNDRED -NINETYSEVEN AND 81/100 DOLLARS PAY UNITED PARCEL SERVICE TO THE PO BOX (ORDER PHILADELPHIA PADELPH 4 IA PA - 1-9170-0001 OF VD01533n• i:021405464l: 68 001502 Lila Vendor No. Check No. Town of Southold, New York - Payment Voucher 21506 3 7 Vendor tax ID Nuu beror Social Serums Number Vendor Address Entered b.N P.O. Box 7247-0244.x/ Vendor Name Philadelphia,PAl 91164W Audit Date United Parcel Service N0 0 E 2013 Vendor Telephone Nmube, 'f rowWfl Cler 800-811-1648 `X. Vendor t=omact ^ ~ - ' ~ ' Imoicc Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Seri ices 1 General Ledger Fund and Account Number 266394031 10/5/2013. $240.17, $240.17 ME 10/5/13 ('7) SM5710.4.000.700 26639413 10/12/20131 $357.64, $357.64 W/E 10/12/13 (11) P SM5710.4.000.700 -_I , i $597.81 $597.81 Payee Certification Department Certification The undersignedfClaimantlIActine on behalfof the ahoyc named daimantl [,,,,b, an,[, that the materials above spcctf d hale heen received M me duce, herab, cemb that the I'oregamng claim istrue and correct. that no pan has to goad condition without substitution. the services properly heart paid, eseept as therein slated. that the balance therein stated is actually perlonned and that the quantities thercoi have been erified t,oh the exceptions dueandnano,. and that tales I runt which the loan is exempt are excluded. or discr"p--ncies noted, and paonient is approved. Signaturelidc - Signature Componc Same ~~Datc q G ~/G';7 L.IIe_ _-._Dale Delivery Service Invoice Invoice date October 5, 2013 Shipped from: Invoice number 0000026639403 FISHERS ISLAND FERRY Shipper number 026639 n 1 STATE ST Control ID 095U NEW LONDON, CT 06320 Page 1 of 4 Sign up for electronic billing today! 0736A00000266394 77366100038033 Visit ups.com/billing FP 01 089097 209391288 A-*313GT For questions about your invoice, call: ll'IIIII'II'1'IIHIII '1111111. 11111--111111,1 - I. 1I 11'I1I1I'I (800) 811-1648 Monday - Friday FISHER ISLAND FERRY 8:00 a.m. - 9:00 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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $246.17 Summary of Charges Amount Outstanding (prior invoices) $1,263.40 age Charge Total Amount Outstanding $1,503.57 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $ 145.01 your payment. See Account Status for details. 3 Adjustments & Other Charges $ 76.12 Holiday season around the corner 4 Fees $ 6.04 - UPS's busiest shipping season is almost here. Please consult Service Charges $ 11.00 the UPS operations schedule for the weeks surrounding Amount due this period $ 240.17 - Thanksgiving, Christmas and New Year's Day at comoass.ups.com/holidays. UPS payment terms require payment of this invoice by October 16, 2013. Payments not received by October 30, 2013 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, L//!~ available at ups.com) Note: This invoice vace may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.0% for UPS Ground Services and 10.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date October 5, 2013 Invoice number 0000026639403 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 0000026639383 09/21/2013 $42.58 0000026639393 09/28/2013 $ 478.44 Total $ 1,263.40 Outstanding balances reflect any payments received as of 10/04/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice ' Invoice date October 5, 2013 Invoice number 0000026639403 - Shipper number 026639 n Page 3 of 4 Outbound UPS WorldShip Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 09/30 9121174775 2 40.69 10/01 9121174786 2 31.52 10/02 9121174790 1 13.79 10/03 9121174801 r 1 26.25 10/04 9121174812 1 32.76 Total UPS WorldShip 7 Package(s) 145.01 Total Outbound 7 Package(s) 14501 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2.00 EACH FOR 04-OCT-2013 Total Miscellaneous 2.00 Residential/Commercial Adjustments UPS World Ship Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected Charge Amount 09/30 9121174775 21ZO266390342476607 Commercial -2304 Residential 23.04 Residential Surcharge 2.80 Fuel Surcharge 020 3.00 1st ref: Hall-FINY 06390 2nd ref : Hall-FINY 06390 Total UPS WorldShip 1 Package(s) 3.00 Total Residential/Commercial Adjustments 1 Package(s) 3.00 Shipping Charge Corrections Learn how to avoid future shipping charge corrections. Visit www.ups.coMavoidcharges. Pickup Tracking Original Service/ ZIP Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Amount 09/27 1Z0266390341684545 Ground 28560 4 55 22.72 Ground 28560 4 62.3 24.09 Audited Dimensions = 38 x 34 x 8 in Customer Entered Dimensions = 38 x 34 x 7 in Fuel Surcharge 0.10 1.47 1st ref: Diana Sargent FINY 06390 2nd ref : 631 788 7417 Sender : FISHERS ISLAND FERRY Receiver: Gary Gowans NEW LONDON CT 06320 NEW BERN NO 28560 170266390342922964 Ground 60647 5 90 43 01 Ground 60647 5 122.6 6137 Audited Dimensions = 64 x 53 x 6 in Customer Entered Dimensions = 52 x 48 x 4 in Over Maximum Size 50.00 Fuel Surcharge 1.29 69.65 1st ref: Zoe Nelson 3245 W Fullerton AV 2nd ref : Chicaco IL 917 363 1703 Sender : FISHERS ISLAND FERRY Receiver: Zoe Nelson NEW LONDON CT 06320 CHICAGO IL 60647 Total Shipping Charge Corrections 2 Package(s) 71 12 Total Adjustments & Other Charges 76 12 089097 2l2 it Delivery Service Invoice Invoice date October 5, 2013 1 Invoice number 0000026639403 Shipper number 026639 n Page 4 of 4 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 09/07 Late Payment Fee 133.99 6.00% 8.04 Pursuant to the UPS Tariff, a late payment tee has been assessed. Total Fees 8.04 Invoice Messaging Code Message r Dimensional weight applied 6 Delivery Service Invoice Invoice date October 12, 2013 ' Shipped from: Invoice number 0000026639413 FISHERS ISLAND FERRY Shipper number 026639 1 STATE ST Control ID 5U48 NEW LONDON, CT 06320 Page 1 of 4 Sign up for electronic billing today! _ 0736A00000266394 77366200035277 Visit ups.com/billing FP 01 089640 239281297 A"3DGT For questions about your invoice, call: ' l l l l l l l l l' l I I I J J' 1 1 1 1 1 1 1 l'III' I' l l' 1 1 l' 1 1 1 1 1 1 l' 1 1"I I I I l l l l l (600) 611-1646 Monday - Friday FISHER ISLAND FERRY 8:00 &m.-9:00p.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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $357.64 Summary of Charges Amount Outstanding (prior invoices) $1,503.57 age arge Total Amount Outstanding $1,861.21 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $ 255.55 your payment. See Account Status for details. 3 Adjustments & Other Charges $ 76.89 Holiday season around the corner 4 Fees $14.20 UPS's busiest shipping season is almost here. Please consult Service Charges $ 11.00 the UPS operations schedule for the weeks surrounding Amount due this period $ 357.64 Thanksgiving, Christmas and New Year's Day at compass.ups.com/holidays. UPS payment terms require payment of this invoice by October 23,2013. Payments not received by November 6, 2013 are subject to a late tee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) Note. This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.0% for UPS Ground Services and 11.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. I Delivery Service Invoice ' Invoice date October 12, 2013 Invoice number 0000026639413 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 0000026639383 09/21/2013 $42.58 0000026639393 09/28/2013 $ 478.44 0000026639403 10/05/2013 $ 240.17 Total $1,503.57 Outstanding balances reflect any payments received as of 10/11/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date October 12, 2013 ' Invoice number 0000026639413 Shipper number 026639 n Page 3 of 4 Outbound UPS WorldShip Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 10/07 9121174823 2 79.17 10/08 9121174834 4 75.66 10/09 9121174845 1 10.64 10/10 9121174856 1 29.69 10/11 9121174860 3 60.39 Total UPS WorldShip 11 Package(s) 255.55 Total Outbound 11 Package(s) 255.55 Adjustments & Other Charges Address Corrections Number of Billed Tracking Number Service Packages Charge 1Z0266390340898030 Ground 1 12.00 tat ref: JESSE RICHARDS FINY 06390 2nd ref : S. JEFFERIES 631 788 76 08 Recorded: JARRETT HEDBERG Corrected: JARRETT HEDBERG 811 ALDEN DRIVE, #11 8811 ALDEN DR Floor: Suite 11 LOS ANGELES CA 90048 LOS ANGELES CA 90048 Total Address Corrections 1 Package(s) 12.00 Undeliverable Returns Return Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 10/09 9121174786 1 IZO266390342566019 Ground Undeliverable 06320 8 5 10.32 Return Fuel Surcharge 0.72 Total 11.04 Reason for Return: Consignee requested package to be returned to shipper tat ref: Jessie Richards FINY 06390 2nd ref : 614 288 0257 / 631 788 76 08 Returned From: JOSEPH SCHAMET Returned To: FISHERS ISLAND FERRY DEB DOUCETTE 2549 N BEACHWOOD DR 261 TRUMBULL ST LOS ANGELES CA 90068 NEW LONDON CT 06320 Total Undeliverable Returns 1 Package(s) 11.04 Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2.00 EACH FOR 11-OCT-2013 Total Miscellaneous 2.00 Residential/Commercial Adjustments UPS WorldShip Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected Charge Amount 10/08 9121174834 1 1Z0266390341951694 Commercial -12.52 Residential 12.52 Residential Surcharge 2.80 Fuel Surcharge 0.20 3.00 1st ref: Bannister-FINY 2nd ref : Bannister-FINY 089640 212 Delivery Service Invoice ' Invoice date October 12, 2013 Invoice number 0000026639413 Shipper number 026639 n Page 4 of 4 Adjustments & Other Charges ResidentialiCommercial Adjustments UPS WorldShio (continued) Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected Charge Amount 10/08 9121174834 21Z0266390342548708 Commercial -11.47 Residential 11.47 Residential Surcharge 2.60 Fuel Surcharge 0.20 3.00 1st ref: Bannister-FINY 2nd ref : Bannister-FINY 31Z0266390341282112 Commercial -10.12 Residential 10.12 Residential Surcharge 2.80 Fuel Surcharge 0.20 3.00 let ref: Bannister-FINY 2nd ref : Bannister-FINY 41Z0266390342447924 Commercial -20.71 Residential 20.71 Residential Surcharge 2.80 Fuel Surcharge 020 3.00 1st ref: Bannister-FINY 2nd ref : Bannister-FINY Total UPS WorldShip 4 Package(s) 12.00 Total Residential/Commercial Adjustments 4 Package(s) 12.00 Shipping Charge Corrections Learn how to avoid future shipping charge corrections. Visit www.ups.com/avoidchargss. Pickup Tracking Original Service/ ZIP Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Amount 10/08 120266390342447924 Ground 92663 8 19 20.71 Ground 92663 8 85.2 57.95 Audited Dimensions = 34 x 32 x 13 in Customer Entered Dimensions = 33 x 31 x 4 in Fuel Surcharge 2.61 39.85 1st ref: Bannister-FINY 2nd ref : Bannister-FINY Sender :FISHERS ISLAND FERRY Receiver: Lindsey Fox NEW LONDON CT 06320 NEWPORT BEACH CA 92663 Total Shipping Charge Corrections 1 Package(s) 39.85 Total Adjustments & Other Charges 76.89 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 09/14 Late Payment Fee 236.68 6.00% 14.20 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 14.20 6 FISHERS ISLAND FERRY DISTRICT VENDOR 025038 Z & S FUEL & SERVICE, INC. 11/06/2013 CHECK 1534 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 18593 10.232 GAL GAS 46.95 SM .5710.4.000.000 18597 23.601 GAL DIESEL 113.03 SM .5710.4.000.000 18605 10.547 GAL GAS 48.40 SM .5710.4.000.000 18625 10.367 GAL GAS 47.57 SM .5710.4.000.000 18625 4.992 GAL DIESEL 23.48 TOTAL 279.43 THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER "71 FISHERS ISC; AD FERRY DISTRICT AtfDIT l1/s/i3' 53095 MAIN R PO BOX SOUTHOLD, NY011167109591199 CHECK NO. 153+1 THE SUFFOLK CO. NATIONAL BANK CUTCHOGUE, NY 11935-DATE 505461214 11/06/2013 27,9.43 TWO HUNDRED SEVENTY NINE AND 43/100 :DOLLARS IPAY Z & S FUEL & SERVICE, INC. TO THE DRAWER B yam'. OO~P.R ..FISHERS ISLAND NY 06390 11100153L,"m 1:0 2 140 54641: 68 OOL502 loo Vendor No. 1. Check No. Town of Southold, New York - Payment Voucher 25038 1534 Vendor I a, ID Number or Social Security Number Vendor Address Entered by P.O. Drawer B Vendor Name Fishers Island, NY 06390 Audit Date Z & S Fuel & Service, Inc. - - NOV 0 6 2013 Vendor "telephone Number 631-788-7343 own Clerk r - - - - Venid dor Contact / ~~,y{p -r i ~r ^s,J Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 185931, 9/4/13 $46.95 $46.95 2 Gas cans 10.232 gals SM5710.4.000.000 23.601 Diesel gals backhoe SM5710.4.000.000 18597 9/6113 113.03 113.03 i - 18605' 9/9/131 $48.40 $48.401 , 2 gas cans 10.547 gals SM5710.4.000.000 18625 9/18/13 $47.57 s $47.57 2 gas cans 10.367 gasoline SM5710.4.000.000 $23.48'', $23.48 1 can diesel 4.992 gals SM5710.4.000.000 9. Pave $279.43 $279.43 e Certification Department Certification 'I lie undersigned (Claimanp (Acting on behalf of the above named claimant) I herchp reins, that the materials above specified have been received h, use does herchv ce,16 that me torernrine claim is true and correct. that no part has in eood condition without suhstilution. the services properly been paid, escept as therein stated. that the halancc therein stated Is acmalk pcrtormed and that the quantities thereof hm e been verified with the exceptions due and otnnp, and that tales from which the Totm is exempt are excluded. or discrepancies noted, and payment is approved Signature title Signature - Compam Namc_... Date 0 1 itle Dale Z Z GCS 117 I & S FUEL & SERVICE, INC. Z & S FUEL. & SERVICE, INC. t DRAWER B DRAWER 3 FISHERS ;BLAND. NY 063-40 FISHERS ;SAND, NY 06390 (631) 788.7343 (631) 788-7343 REGISTRATO NO. WT ! REGISTRATION NO. NAME / NMAE STREET STREET -Iy TIMk1FCP ON d.a3 LiterstGals sollne/Ic I/ 4 ~ Liters/$ials. Ga line Liters/Ots.Oil Liters/Ots.Oil Lubrication Lubrication \ Oil Filter Oil Filter a )A5 cfit\JS II TAX CUSTOMERS s . TAX 11 TOTAL 6$"" CUSTOMER56XiNA E i TOTAL C R cum ace A and returned goods MUST be accompanied by ft bill. C RRooUOT eoe All claims and renamed goods MUST be accompanied by this bill. 18593 `'171ank"W 18597 `fhank`You f Z & S FUEL & SERVICE, !NC. Z & S FUEL & SERVICE, INC. DRAWER B DRAWER B FISHERS ;BLAND, NY 063' FISHERS !SLAND, NY 06390 (631) 789.7343 (831) 788.7343 REGISTRATION NO REGISTRATION NO. ~E t / ~ Se NAME~~ r NAME ~ ~J r r STREET 81REET ^ R KID' 1~5E KK W ,S Liters/Gals G~l[Woee b•31-~ Liters/G s. Gasol e? Hsu & u.clb t 47 S7_ Liters/Qts. Oil iD, e5e.,k oZ 3 y Liters/Ots. Oil C-k Lubrication Lubrication Oil Filter Oil Filter TAX TAX I USTOMER5 SIG T CUSTOMERS W TOTAL TOTAL k-l U C Raoucr eae All cWima and returned C °fl00~Ta08 and rmumed goods MUST be accompanied by this bill. 18605 goads MUST be accompanied by this bill. G~s_ 7 7mak You 18625 / /l nk"YOu t _ . Z & S FUEL & SERVICE, INC. , Statement Drawer B Fishers Island, NY 06390 Date 9/30/2013 To: FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND, NY 06390 Amount Due Amount Enc. $582.31 Date Transaction Amount Balance 08/31/2013 Balance forward 513.80 09/04/2013 PMT#1397. -210.92 302.88 09/04/2013 GAS 46.95 349.83 09/06/2013 GAS DIESEL 113.03 462.86 09/09/2013 GAS 48.40 511.26 09/18/2013 GAS 47.57 558.83 09/18/2013 GAS DIESEL 23.48 582.31 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 279.43 269.88 33.00 0.00 0.00 $582.31