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HomeMy WebLinkAboutAU-12/03/2013 Fishers Island FISHERS ISLAND FERRYDISYRICT VENDOR 001395 ADVANTECH CONSULTING CORP 12/03/2013 CHECK 1561 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 966328 IT OUTSOURCING-11/13 1,000.00 TOTAL 1,000.00 oN f ~`i *Y l.: x 14 MOP- THE ..:w'a. VOID COPY FEATURE AND WATERMARK PAPER r a ~ x ~ ~ ~ oe~+• w , ~ i` i u m4NM1t~°^ NVU~WVi OWY ]did 1 .c e' p _ .a +19 _ E~ ANDr ALIb Uhl/3k1O ~y r~ Y3 T~ tV < d. T 114, 5i ~ ss ~ ar ~ r arse ew i zn r s s +km S~b°. ii''00 5G iri• X1:0 2 i405464l:~ 68 d0 i 5o2 iI,• x Vendor No. Check No. Town of Southold, New York - Payment Voucher 1395 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 951 Suffield, CT 06078 Audit Date Advantech Consulting Corp. DEC 0 3 2013 Vendor Telephone Number 860-668-0044 To rk Vendor Contact i Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fond and Account Number 966328 11/112013 $1,000.00 $1,000.00 IT Outsourcing November SM6710.4.000.500 SM5710.4.000.500 $1,000.00 $1,000.00 Payee Certifcation 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 wrrect, 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_ le 7l \ Signature Company Name Date Title Date Aq - / I AdvanTech Consulting Invoice P.O. Box 951 Suffield, CT 06078 DATE INVOICE# 11/1/2013 966328 BILL TO Fishers Island Ferry P.O. Box H Fishers Island, NY 06390 TERMS DUE DATE PROJECT Due on receipt 11/1/2013 QTY DESCRIPTION RATE AMOUNT IT Outsourcing -11/1/13 thru 11/30/13 1,000.00 1,000.00 Thank you for your business. Contact us at (860) 668-0044. Total $1,000.00 Unpaid invoices over 60 days past due date subject to late fee and interest charges. FISHERS ISLAM) FERRY DISYRICT VENDOR 001327 AIRGAS EAST, INC 12/03/2013 CHECK 1562 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 9021193522 (2)PROPANE-FORKLIFT FUEL 107.50 SM .5710.4.000.000 9021570116 (2)PROPANE-FORKLIFT FUEL 111.85 TOTAL 219.35 -Am . • . . . ~i?s^ dft dp ro ar nw.[ h er- w. +A ^st• 11,1- did" JIIA irv~M ^^~W4~+'M1W", YRri ,vyµ~,u I'd did Sr 4eir} n' v k ~~I S0i~~~ nY~'t7O HI N3les1" Ate- 3~ " > m . F 1-1- ' o ~II"411 t~mdi t t t i W u'.i '2",_- F~LD}!lf ss.3t~L~{{--_~~y~~~]~ T¢{ p{5}~ ~i^~~ j~'~p <`etl .a.Qk "@ av Y F£~- Y IM, 71 Y; h` d la 3 s g 04' W. ..,a v.. -.~,..-...~.r ~:(Jc~1t.054t1. 68 Oi'SQ~ '111 ~ Vendor No. Check No. Town of Southold, New York - Payment Voucher 1327 5V~ 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 DEC 0 3 2013 Vendor Telephone Number 860-444-3055 ! 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 9021193522 10/2912013 $107.50 $107.50 Forklift Fuel 63) Pa nP SM5710.4.000.000 9021570116 1118/2013 $111.85 $111.85 Forklift Fuel 9) Pro an( SM5710.4.000.000 $219.35 $219.35 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 Tile yy " Signature_ Company Name 110~ Date V Title Date - - TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 216.520-6000 '0 J37 _ 1019688289 9021193522 10/29/2013 2576547 FISHERS ISLAND PAYMENT TOM-, DATE N329 CUPU NET 30 10/29/2013 DELIVERY hJ0:1 A4A7ERIAL NUR19ETi S -qTy UGNM 47Y;9E0"CYfNtj~2 ° 13N1 PRICE .1G1M ~YNi ` C1E^a09~P'f#C1N 8021700659 PR 33A 2 CL 2 2 49.55 CL 99.10 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) Sale subtotal: 99.10 Hazmat Flat Rate 8.40 SHIP TO: 2576547 AMOUNT ~ 107.50 A~''vg& FISHERS ISLAND a 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 Sep-001000 Page 1 of 1 Discioswe k`an r r c r h ),•r rt I f ,he "1" 1 antU s U . Jlscl „u the le r At silo a5ix,:d I, X, ~III, A, , It "onc..lc enneb n: np t>: r; found At htt,,:, a,,, c.a<nr sonyerLel <ernl5.a3,wx 64,,Jvary9e Ter ms I I i,de - ,-r r nr r i~cifor c o' o'uo f,. ,^r.I„o ,-f t n< Ia, tShallir ,e Ihc>, R Sale TrioUer ,,III arty cthor natcr:a cr, - DnolIx > v,as r ~ id.thelin, S,Iry rr Ca.; )1, br. to q, 1 tlI toes l It (4) ei ly d, sat bC J ary GC h:o4 .)I 1 ii~ ,rr r t w p,oNC c1 r Huyer Iggt:,R•g,,nl ngCl ii nd,r Zo I s, Ire„~ apd!.,sDm r, 1, I it I m.,-r „tit Cl x,ofc ii!uro charges t, H u ye r(ie rf crs mnl rr Seller has rc,ed o. _a oc Ie Bhy, , anh "It "d Buyei t , o, ietwne of wx rldmg to x . tor""I , . If e n i G date shcnn. The n Tao, of cyloabe .IL I d to 8,ryer Khali be .l", to ed co rnG to a C ^cact. , ,o es Ue xeen Buyer and cc ;r uulG x , r I "I, 'I, t 'T(- m antra. an" enrol, Buyer c <Pnns , t ray„fte 1-c date nrrorrf RuA, i to o rontlr. r to ay n ; I I ^ narged to Fu,, i i' P I. ,.het I,d s n f hr dens F, Se er r IJO.I r.o k rr r II mays ;ae , reol r=tccst tt,,ul 2c1 el r, tC `ic v.,r I f.f;r be ir IC'. ni I, or re r'II, rr a- .xi S, , arty ve tr c 3cahe,,d, ,31,11 IA ~ ,(-;I,': ('.et icr'apnrpn... I,podu,J,, p.,' i (,I I I, i izJ: ofco,t:I I, Ia g.-,.;'t)„UI, Ea,h r_iaLIe < oe S, I) v c. ca , n,o.,: t •=e.. Ct, nshoA v A ,a, vu' r t,,, I! i '!ui t tee, when the Gu, c c ^4 r t, the "ongorHnt yd cz;The y ci., vcc, m,Irt;a un'i+ tar =i „tee^0 a^,c i,., do"pr'nmthon shall h, uF iIi)c xt, eft. i IIit c,Indor wTs eW C,c ,vaimnt} All ~uocn, r ut' r it,t, IT s, urel: 2n i r he aneniner a curl ty u," ,"I" rf d9 coniorn, to the fe ',IiII fiPlFef rubli,hed ov to niar .C , t „r at It, r . of sale . nriei S II, uu'.ty s4 _ I t en„ 1n. R. 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 - ).:i , of I ahL }q: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THF_ REPLACEMENT OF GASES THAF DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MFET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES. SELLER SHALL NOT BE LIABLE FOR ANY DIRECT (EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL. ANDtOR PUNITIVE DAMAGES. ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY ORLIGAI IONS ORANY PRODUCT. OTHER ITEMS OF SALE. OR EQUIPMENT SOLD OR LEASED BY SELLER, WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGEN T ACT OR OMISSION OR IS RL LATED TO STRICT LIABIL Y U 2 JT HER.h ISE. ,;u, r, led aC.,nt r~t B er 11 tl rn,vh p m la ']dI'i cltc tredate cIf a, @ra nr. r a.i . [r t thane A ecn.li on al ;y10.1, te^`i„or Ihi, q,d a:.'dc ...'e rev , O°t 'V n , ,aP or - tell) ni I<I If ile i 011n , , ine 11 ~ ,I .,I, II : re ,C hovel s e . ~V 11 cc ,If ci e , re., r ry t .,m sniet o 6 ~r shil I), I Er t cc , he even. If 90, AYtCIdlil=1iy c'ger"re A,", n the rCt .e I3t III I),, O..eatot If Pru ait, ix reel t qp; , It t,, d r„ xw0 rotiiain In,r I rs III 'c B shalli )I „r -icdl ,wtovo, 1, la:bn is i',rnr w,MLf )t oq:or Rdiva •'4 x'> ~y':z.s i, .e: ,fe„<. ,Iicof.n„r ,.en,-Innelll .'1roh rr,.. =es-s,rof,,,,re'.CIJ'. ?'e orle, •ral,N Ol ,2r+ qy anA gas r),,, , _I , „ , :i e ;hasc pnco Ire' z ' C l,ii, , tc i 'it v., r o "ei m", <IU!i,.. r eha-gc_ t>" ho Wane lift .,f h.t.areo,l5 ma,crlaiS and fa eoI UI : oA', c , - e ,t c .,Io,m s n d, is hai ,es o e W i ; and 111 nmg. :Ind or ,I m 7es to, I ryy or fie Nn e o+ the rA lnrVOs xelx; Sr )„v l ,x ; % .f n x , 7 rvcramer t ai l , d ,t Ma tre 'tri51 ne 1 f'p the S,I C r t he Seller f r' apgr 9caily Quamilied the r ala en,r n r a.u<, true r.. I ",I I, r ',I', sn n;Iat r wiln the (I I ry pro n CT1 , . co. I ne and plea a rn ithi r tong, fb) No "uch Ch:. yl I re;,; e O t It "t VII t Y r„3ed `At , II' ITI [dal CC `rr , (,g ,i , rn C a . ,h ,in .pan, x ,re U.S- qu.r -cr ,onu nc , u si ' r sc,hicc, .c arc ac )cre to the require nr nIS n( federal hwa, ew. c vl= r, s a it, J< It 'i'lk", _ vq,il ~f ccfi; Inc 4c,, Av. !Ir. , it trr Act o, 19!3 Id theVr,II , 'ieAc terns Readjust I( A, mot A,tof I,/4 rr"nux;d Atrgas eBusmees t sir e11 U•: rs 1,-, hill i' ww, III, gas car, . , t s o"line .oath a see how www.awgas com I in s<oo Jbu hn,.,, i ",pnrv r us Airgas, DELIVERY ORDER FOVISITWWW.AIRGAS.COMOU SHIPPER: SOLD BY: DELIVERY ORDER # 8021700659 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 131 CROSS RD 130 CROSS RD ORDER DATE: 10/29/2013 WATERFORD, CT 06385-1204 WATERFORD, CT 06385-1204 SCH SHIP DATE: 10/29/2013 800-962-0285 PRINTED: 08:24 10/29/2013 SALES ORDER: 1919688289 SHIP TO: 2576547 SOLD TO: 2576547 FISHERS ISLAND FISHERS ISLAND CUST PO # FERRY DISTRICT RELEASE # PO BOX H FERRY DISTRICT ORD BY FISHERS ISLAND, NY 06390-0607 US PO BOX H ENT BY DWAYGAWRON 631-788-7463 FISHERS ISLAND, NY 06390-0607 US Order Type Payment Terms Incoterm Route Sales Office Plant OroSales Total Containers I Ship eturn Acct Front NET 30 Customer Pick Up Customer Pick Up N329 N309 N000 Counter City UOM HM Description & Hazard Class Qty Containers Vol Shipped Type Order Ship 1wt 2 CL X UN1978 PROPANE 2.1 Urt 10 Material# PR 33A Stor. Loc. F001 2 2 2 64 PROPANE 32LBS ALUMINUM LB c L)c O Y S-~-Pv~ EMERGENCY CONTACT: 1-866-734-3438 PLACARDS THIS AGREEMENT IS SUBJECT AIRGA'S ST NDAR E MSAN CONDITIONS OFFERED /SAFETNFO ATION. ? ? SEE REVERSE SIDE FOR IMPOR ANT PURCHASER AGREES TO OBTAIN MATERIAL SAFETY DATA SHEETS fMBOS) FROM ONE OF THE FOLLOWING SOURCES; POINT OF PURCHASE, AIRGAS WEB SITE AT W AROASCOW OR BY ACCEPTED FOR CALLING THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION i] V ACCEPT REJECT THE ABOVE X THIS IS RTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED , CUSTOMER PACKAGE , RKEO AND LA AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST t/ Y ACCOROIN THE BLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME J v l 1,"' 3 25 1 3 I PLEASE PRINT G AIRGAS PERSONNEL DATE T.O.D. INTERNAL USE ONLY Delivery # 8021700659 Filled By Staging Area Total PKGS Tracking I Pro Number Freight Charges III IIIIIIIIII IIIIIIIIIIIIIIIIIIII IN III TERMS AND CONDITIONS WARNING: TRANSPORTAND USE OFCOMPRESSED GASES MAYSEEXTREMELYDANGEROUS. DO NOTTRANSPORTWITHOUTPROTECTIVECAPS, IN CONFINED SPACES OR INANYOTHER IMPROPER MANNER. ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHTPOSITION. BUYER ACKNOWLEDGES THAT IT HAS RECEIVED A SAFETYINSTRUCTION SHEET FROM SELLER, SAFE HANDLING OF COMPRESSED GASES. - I. ANY AND ALL PRODUCTS AND SUPPLIES DELIVERED TO BUYER BY SELLER OR SELLERS REPRESENTATIVE ARE COVERED BY THIS DELIVERY TICKET. THE CYLINDERS FITTINGS AND CAPS COVERED BY THIS DOCUMENT ARE RENTED OR LEASED BY SELLER TO BUYER, NOT SOLD. BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR SELLER'S AUTHORIZED REPRESENTATIVE. ALL CYLINDERS (OTHER THAN THOSE SUBJECT TO AN ANNUAL LEASE) ARE RENTED AT CURRENT 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 RETURN. IN GOOD CONDITION. ALL CYLINDERS, COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER UPON DEMAND THE REPLACEMENT VALUE OF (B ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS OR (II) THOSE CYLINDERS NOT RETURNED TO SELLER WITHIN THREE (3) 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 BY THE BUYER OF 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 WILL REFUND THE AMOUNT PREVIOUSLY PAID WITH RESPECT TO ITS LOSS OR DESTRUCTION TO THE BUYER, LESS THE COST. IF ANY, OF PUTTING SUCH CYLINDERS IN REPAIR AND LESS CYLINDER RENTAL ACCRUED TO THE DATE OF RETURN. 2. ANY TAXES IMPOSED BY FEDERAL, STATE, OR OTHER GOVERNMENTAL AUTHORITY ON THE SALE, USE OR POSSESSION OF GOODS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE. 3. UNLESS OTHERWISE SPECIFIED IN A CONTRACT BUYER SHALL MAKE PAYMENT IN FULL WITHIN 30 DAYS AFTER THE DATE OF SELLER'S INVOICE. A LATE PAYMENT CHARGE OF 1 5% ON THE UNPAID, PAST DUE BALANCE. WILL BE ASSESSED MONTHLY (MINIMUM TWO DOLLARS Q2 00), OR THE MAXIMUM LAWFUL RATE ALLOWABLE IN THE STATE WHERE THE GOODS ARE DELIVERED, WHICHEVER 15 LESS. BUYER SHALL BE IN DEFAULT HEREUNDER UPON BUYER'S FAILURE TO MAKE PAYMENT AS REQUIRED HEREIN OR UPON BUYER S FAILURE TO COMPLY WITH ANY OF THE TERMS AND CONDITIONS CONTAINED HEREIN OR UPON THE INSTITUTION OF ANY VOLUNTARY OR INVOLUNTARY BANKRUPTCY, INSOLVENCY, RECEIVERSHIP OR DEBTOR RELIEF PROCESSING BY OR AGAINST BUYER OR UPON BUYER'S MAKING OF AN ASSIGNMENT FOR THE BENEFIT OF CREDI I ORS. IF SELLER EMPLOYS ANY COLLECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER AND/OR TO REPOSSESS ANY GOODS, BUYER SHALL PAY ALL COLLECTION FEES, ATTORNEYS' FEES, AND COURT COSTS, IN ADDITION 10 THE AMOUNT OTHERWISE UNPAID. SELLER MAY BRING SUIT FOP THE COLLECTION OF ANY SUCH AMOUNT IN ANY JURISDICTION OR VENUE SELLER MAY SELECT. 4 NO GOODS SHALL BE RETURNED TO SELLER WITHOUT SELLER'S WRITTEN AUTHORIZATION. BUYER SHALL PAY A FIFTEEN PERCENT (15%) RESTOCKING CHARGE ON ALL GOODS RETURNED TO SELLER. EXCEPT FOR RETURNS PROVIDED FOR UNDER SECTION 5 HEREOF 5. SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENTOF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THE REPLACEMENT DEBASES THATDO NOTMEETITS PURITYSPECIFICATIONS WITH GASES THATOO MEETSUCH SPECIFICATIONS. BUYER KNOWINGLYAND FULLYASSUMES THE RISKS OFTRANSPORIING AND USING COMPRESSED GASES. BUYER SHALL WARNAND PROTECTBES EMPLOYEES AND OTHERS EXPOSEDTO THE HAZARDS POSED BYBUYER'S STORAGEAND USE OFTHEPRODUCT. SELLER SHALL NOTBE LIABLEFOR ANYDIRECT(EXCEPT AS EXPRESSLYPROVIDED HEREIN/, INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL ANOAJR 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. ALL PRODUCTS, OTHER ITEMS OF SALE. CYLINDERS AND OTHER CONTAINERS FURNISHED HEREUNDER SHALL CONFORM TO THE DESCRIPTION THEREOF PUBLISHED BY THE MANUFACTURER AT THE TIME OF SALE AND WILL MEET SELLER'S PURITY SPECIFICATIONS FOR ALL GAS PRODUCTS. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OFMERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NOARINFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCT OR EQUIPMENT FURNISHED HEREUNDER BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (101 DAYS AFTER THE DELIVERY THEREOF AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS. 7. THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES, INCLUDING. CHARGES FOR THE HANDLING OF HAZARDOUS MATERIAL AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS. CHARGES FOR HANDLING, DELIVERY, AND SHIPPING, AND/OR CHARGES FOR ENERGY OR 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 SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES. WHICH CAN VARY BY PRODUCT, SERVICE, TIME AND PLACE. AMONG OTHER THINGS. 8. CERTAIN AREAS COMPANIES ARE U S GOVERNMENT CONTRACTORS AND SUBCONTRACTORS AND ARE SUBJECT TO AND ADHERE TO THE REQUIREMENTS OF FEDERAL LAWS. EXECUTIVE ORDERS, AND ATTENDANT RULES AND REGULATIONS, SPECIFICALLY EXECUTIVE ORDER NO 11246, THE REHABILITATION ACT OF 1973, AND THE VIETNAM ERA VETERANS READJUSTMENT ASSISTANCE ACT OF 1974, ALL AS AMENDED. 9. IF ANY TERM OR CONDITION OF THIS DELIVERY TICKET IS HELD INVALID. THEN SUCH INVALIDITY SHALL NOT AFFECT ANY OTHER TERM AND CONDITION OF THIS DELIVERY TICKET WHICH SHALL REMAIN IN FULL FORCE AND EFFECT EMERGENCY RESPONSE INFORMATION PROFANE ACETYLENE AIR NITROUS OXIDE co, LIQUID co, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O• LIQUID ARGON LIQUID NI HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS LOEA, FIREOREYPLOyICN NOUPAFYPRes. ASUR` Adoadds •3.111,1111 11.1 "1 f l-OWS., slass, a,ue berme.. IS a'p,ddmnsr,ino. wnau El. py ion ila,ar oz 111. III, n a v 11 xavu Ea "ay ea.e a ac ay cpvp aa .no ec go.le 1 11 e/ as a a-a atlaYe I'd5pa., ong groa11l a rea0apng gosw 11 p vcyvela asatlo •Cariscw.lgmoo L"IrAycizeom. g-c''A.eal sa av u+ c1 ~ baal -Al ga m me oo 11 aY acre the, 1 I'S ."A I'll 'SO VykYIAI III- s I I PRIFOREYVL04lON REOREXPLOSMN y ae ey ill o,"I e,gI nl 111 Oe y m. 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FOR UESTIONS ON YO R ACC UNT PLEASE CALL: 21 -520- 0 1020056134 9021570116 11/08/2013 2576547 FISHERS ISLAND 124 s RJ 11/08/2013 N329 CUPU NET 30 ~ 41YBRYb~A 11/08/2013 1 ~P !¢e~+. t. ee.. a, 11~ W as e s ~ 4a e e ~ s€e eps ~;xi. 8022296282 PR~33A 2 CL 2 2 51.10 CL 102.20 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) Sale subtotal: 102.20 Hazmat Flat Rate 9.65 SHIP To: 2576547T"f 111.85 AIryfAQ FISHERS ISLAND Ja s www.airgas.com FERRY DISTRICT PO BOX H Airgas USA, LLC Airgas USA, LLC FISHERS ISLAND NY 06390-0607 Acct No 8606074318 6055 Rockside Woods Blvd PNC Bank, ABA No 031000053 Independence, OH 44131 REV 1.I 13s L-WIM Page 1 Of 1 Disu,._a ne i ml AE ~I' =N, ~cLe; .suc he Tem st a ~ ,r'T~mie ..u, 'J LI }..,r ro„eC.i_t, cn lyRx twrrylLe 'Lrr ()I 3,)k i `Sa t' I^uR ar rCv ,c t 101a ;I; 24, oqc hel ,.rihflL sire t6, i~cc g'Fe 1~ !I ,Ir „ .ry i i'l LLI:p,,. s./tac,~or„enouelll tert;J JS .I }t;o'IZ..i~ i t _ a ii nl j I iL. i c o' c r ce< I e_ t : 7 u'.q IC t'n ..,,gat. ~I ,e.n he a t., i of ~lu I ,I, ,•.nl t 'sh, ~.d., a ..m F E•„ ~'si e~aii. Il,r, u)II) I ,it L ml rl arnn13 ctr. P, t o i'.rvI„ Bu:I t I I, r t. at balers L, Fr );ad EI 1, V, a na' ,r r n t. :.r t r r ' r w lu f c rrvl fe r e <; I .~'.t . v, L.. Up'. .a..vt0 r N.,..ft' p "h 911E ..L1 , _ n ^~s ec r<il .~a' ~ ul eot t- d,- n ec.•f G .I ;,il i a ~A I, , '>r SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS ON IMPLIED STANDARDS. GU!RANFC LS. OR WARRANTIES. INCLUDING ANY WARFEANI EE of 'AERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE OR NON- iNFF NGE NIENT AN^ ANY 4VAI?RANT7ES THAT MAYBE ALLEGED TO ARISE A8 A RES.,LT QF CUSTOM OR USAGE. 1 SFI -FR 4 AL, PF t IABLE ONLY FOR THE REPAIR OR REPI k t MEET OF DEFECI IVE GAS CYLINDERS AND PRODUCTS, INCLUDING GIT 'LPi ACE MEN QF GAS ! ?HAT DO NOT MEET ITS PURITY SPECIFICAt IONS W H GASES THAT GO MEET SUCH SPEGIFWADONS. BUYER KNOW INCGI Y AND FULLY ASSUMES THE RISKS OF 1 i ANSPORTING AND USING COMPRESSED OASES- SELLER SHALL NOT BE LIABLE FOR ANY DIRECF (EXCEPT A5 EXPRESSLY PROVIDED HEREIN). INDIRECT. SPECIAL INCIDENTAL. CONSEQUFFITIAL ANLVOR PUNITIVE DAMAGES. ARISING OR ALLEGED TO ARISF_ OUF OF OR IN CONNECTION WITH it"S PERFORMANCE OF ANY OBLIGAUONS ORANY PRODUCE OTHER ITEMS OF SALE. OR EQUIPMENT 0OI D OR LFASEID BY JI I I ER. WRITHE R 6UCH DAFIAGt RESULTS FROM ANY SEGEIGENI r CI CR )UHSS -iN (O'S fil I 'G 5 1 -1, hf 7 ,rrr. r, ,a a IhonlY 1s. c r s or f,_r, I t r" , w <t r i,:...ietC • li if h _ Lny I..i .t L,<, 0. d9~1 i„ M1a..f2 V, n5 . a iS l~, lam. 'tl?f a . .JI `i 2f1:3 J1 5101 5 y c s I'r J~ ;:I II<1~.. ,"il t 1 <„.r 11 A... )Eos vI, n re~u Sh;awwwnirg is enm ~i,. hYt IleI 1.I 'Ili VISIT WWW.AIRGAS.COMOU All gaS DELIVERY ORDER FOR As - SHIPPER: SOLD BY: DELIVERY ORDER # 8022298282 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 131 CROSS RD 130 CROSS RD ORDER DATE: 11108/2013 WATERFORD, CT 06385-1204 WATERFORD, CT 06385-1204 SCH SHIP DATE: 11/0812013 800-962-0285 PRINTED: 12:26 1110812013 SALES ORDER: 1020056134 SHIP TO: 2576547 SOLD TO: 2576547 FISHERS ISLAND FISHERS ISLAND CUST PO # RJ 11/08/2013 FERRY DISTRICT RELEASE # PO BOX H FERRY DISTRICT ORD BY `P FISHERS ISLAND, NY 06390-0607 US PO BOX H ENT BY RANZARMSTR 631-788-7463 FISHERS ISLAND, NY 06390-0607 US Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Acct Front NET 30 Customer Pick Up Customer Pick Up N329 N309 N000 Counter Qty UOM HM Description & Hazard Class Qty Containers Vol Shipped Type Order Ship Ret IWt 2 CL X UN1978 PROPANE 2.1 Llne# 10 Materlal# PR 33A Stor. Loc. F001 2 2 2 64 PROPANE 32LBS ALUMINUM LB S AND CONDITIONS EMERGENCY CONTACT: 1-866-734-3438 P ACAROS OFFERED STHIS AGREEMENT IS SUBJECT TO EE REVERSE SIDE FOR IMPOR ANTRSAFETY INFORMATION PURCHASERAOREES TO OBTAIN MATERIAL SAFETY DATA SHEETS IMSDSI FROM ONE OF THE ? ? - FOLLOWINGSOURCESIPOINTOFPURCHASE, AIRGAS WES SITE AT•Vlff ARGASOOW OR BY ACCEPTEDFOR V - ) CALLING THEAB LISTEOEM NCY CONTACT PHONE NUMBER AND SELECTING OPTION #3 ACCEPT REJECT THE ABOVE _A=y r(\'`. ~~t'P CUSTOMER THI'IS TO TIFY TH T EABO AMED MATERIALS ARE PROPERLY CLASSIFIED ,DESCRIBED , C.U$TOMER MUST ~T PACIUG ,MAR LABEL D ARE IN PROPER CONDITION FOR TRANSPORTATION ACCOR G T ZF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME PLEASE PRINT /v T u AIR 5 ER NNEL D T.O.D. INTERNAL USE ONLY Delivery # 8022298282 Fit By Staging Area Total PKGS Tracking / Pro Number Freight Charges III IIIIIII IIIIIIIIIIIIIIIIIIIIIIIII~I III TERMS AND CONDITIONS WARNING: TRANSPORTAND USE DECOMPRESSED GASES MAYBE EXTREMELYDANGEROUS. DO NOTTRANSPORTWITHOUT PROTECTIVE CAPS, IN CONFINED SPACES OR INANY OTHER IMPROPER MANNER. ALWAYS TRANSPORT CYLINDERS IN A SECURED UPRIGHT POSITION. BUYER ACKNOWLEDGES THAT IT HAS RECEIVED A SAFETY INSTRUCTION SHEET FROM SELLER, SAFE HANDLING OF COMPRESSED GASES. 1 ANY AND ALL PRODUCTS AND BURP[ IFS DELIVERED TO BUYER BY SELLER OR SELLER'S REPRESENTATIVE ARE COVFRFD BY THIS DELIVERY TICKET. THE CYLINDERS. FITTINGS AND CAPS COVERED BY THIS DOCUMENT ARE RENTED OR LEASED BY SELLER TO BUYER. NOT SOLD. BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR SELLER'S AUTHORIZED REPRESENTATIVE. ALL CYLINDERS (OTHER THAN THOSE SUBJECT TO AN ANNUAL LEASE) ARE RENTED AT CURRENT 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 RETURN, IN GOOD CONDITION. ALL CYLINDERS, COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER UPON DEMAND THE REPLACEMENT VALUE OF (I) ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS OR (11) THOSE CYLINDERS NOT RETURNED TO SELLER WITHIN THREE (3) 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 BY THE BUYER OF 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 WILL REFUND THE AMOUNT PREVIOUSLY PAID WITH RESPECT TO ITS LOSS OR DESTRUCTION TO THE BUYER LESS THE COST, IF ANY, OF PUTTING SUCH CYLINDERS IN REPAIR AND LESS CYLINDER RENTAL ACCRUED TO THE DATE OF RETURN. 2. ANY TAXES IMPOSED BY FEDERAL. STATE, OR OTHER GOVERNMENTAL AUTHORITY ON THE SALE, USE OR POSSESSION OF GOODS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE. 3. UNLESS OTHERWISE SPECIFIED IN A CONTRACT BUYER SHALL MAKE PAYMENT IN FULL WITHIN 30 DAYS AFTER THE DATE OF SELLERS INVOICE. A LATE PAYMENT CHARGE OF 15% ON THE UNPAID. PAST DUE BALANCE, WILL BE ASSESSED MONTHLY (MINIMUM TWO DOLLARS 7$2.00), OR THE MAXIMUM LAWFUL RATE ALLOWABLE IN THE STATE WHERE THE GOODS ARE DELIVERED. WHICHEVER IS LESS. BUYER SHALL BE IN DEFAULT HEREUNDER UPON BUYER'S FAILURE TO MAKE PAYMENT AS REQUIRED HEREIN OR UPON BUYERS FAILURE TO COMPLY WITH ANY OF THE TERMS AND CONDITIONS CONTAINED HEREIN OR UPON THE INSTITUTION OF ANY VOLUNTARY OR INVOLUNTARY BANKRUPTCY. INSOLVENCY. RECEIVERSHIP OR DEBTOR RELIEF PROCESSING BY OR AGAINST BUYER OR UPON BUYERS MAKING OF AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS IF SEL I ER EMPLOYS ANY COLLECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER, AND/OR TO REPOSSESS ANY GOODS, BUYER SHALL PAY ALL COLLECTION FEES. ATTORNEYS FEES. AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID. SELLER MAY BRING SUIT FOR THE COLLECTION OF ANY SUCH AMOUNT IN ANY JURISDICTION OR VENUE SELLER MAY SELECT 4. NO GOODS SHALL BE RETURNED TO SELLER WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYFH SHALL PAY A FIFTEEN PERCENT (15%) RESTOCKING CHARGE ON ALL GOODS RETURNED TO SELLER EXCEPT FOR RETURNS PROVIDED FOR UNDER SECTION 5 HEREOF 5. SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS, INCLUDING THE REPLACEMENT OF GASES THATDO NOTMEETITS PURITY SPECIFICATIONS WITH GASES THATDO MEETSUCH SPECIFICATIONS. BUYER KNOWINGLYAND FULLYASSUMES THE RISKS OFTRANSPORTING AND USING COMPRESSED GASES. BUYER SHALL WARN AND PROTECTITS EMPLOYEES AND OTHERS EXPOSEDTO THE HAZARDS POSED BY BUYER'S STORAGEAND USEOFTHEPRODUCT. SELLER SHALL NOTBE LIABLEFORANY DIRECT IEXCEPTAS EXPRESSLY PROVIDED HEREIN), INDIRECT SPECIAL, INCIDENTAL, CONSEQUENTIAL AND/OR PUNITIVE DAMAGES, ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WI 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 ALT PRODUCTS. OTHER ITEMS OF SALE CYLINDERS AND OTHER CONTAINERS FURNISHED HEREUNDER SHALL CONFORM TO THE DESCRIPTION THEREOF PUBLISHED BY THE MANUFACTURER AT THE TIME OF SALE AND WILL MEET SELLER'S 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-INFRINGEMENTAND ANY WARRANTIES THAT MAYBE ALLEGED TO ARSE ASA RESULT OF CUSTOM OR USAGE. ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCT OR EQUIPMENT FURNISHED HEREUNDER BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10) DAYS AFTER THE DELIVERY THEREOF AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY SILVER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS. THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES. INCLUDING. CHARGES FOR THE HANDLING OF HAZARDOUS MATERIAL AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS, CHARGES FOR HANDLING, DELIVERY AND SHIPPING, AND/OR CHARGES FOR ENERGY OR 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 SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES. WHICH CAN VARY BY PRODUCT SERVICE, TIME AND PLACE, AMONG OTHER THINGS. 8 CERTAIN AIRGAS COMPANIES ART U.S GOVERNMENT CONTRACTORS AND SUBCONTRACTORS AND ARE SUBJECT TO AND ADHERE TO THE REQUIREMENTS OF FEDERAL LAWS, EXECUTIVE ORDERS AND ATTENDANT RULES AND REGULATIONS. SPECIFICALLY EXECUTIVE ORDER NO 11246, THE REHABILITATION ACT OF 1973. AND THE VIETNAM ERA VETERANS READJUSTMENT ASSISTANCE ACT OF 1974. ALL AS AMENDED. 9 IF ANY TERM OR CONDITION OF THIS DELIVERY TICKET IS HELD INVALID, THEN SUCH INVALIDITY SHALL NOT AFFECT ANY OTHER TERM AND CONDITION OF THIS DELIVERY TICKET. WHICH SHALL REMAIN IN ITT I FORCE AND EFFECT EMERGENCY RESPONSE INFORMATION PROPANE ACETYLENE AIR NITROUS OXIDE COP LIQUID COI ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID OI LIQUIDARGON LIOUIONP HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FPLOSION FIRE OR OSWN NEONEIDLOpgN CLY pBLt .ros usion Aooanryca.retli/nmo o. oep^ Poai v co y aao r x xxx "I'll, g naz Soma wa ^ np v. 9 I", IS lplo I I bo-ol.... -lib,", All .,I I'll "I I Il, Its I SALL PIT " ~ t I VIP", mr, III I', P o", . . I.. 1 1- 1 IRI All Is", I IS' rn1. .1n.x._11 Its, ,qa ex e, aro oaoo 9B' 11 Is A 1 11 1 1 11 AI 11 PIT p PA I'll I'd- I-D,I ay9owi v o-Ah Co a ;e. At P o o p, 1, 1, 1 1 Is Is I P" c n-FUe r. . aa.. menz ono vP. vi PLOSION 'It' l n , r i or - vz Nu. 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A'INl••^yl:.n le .a rvar : List HRSUm 11 1 'A-,, - A, - ho IF All, I Is ..nMwl '!r wmMp c o qae r" n w 4 ok o oo. r. PAR FISHERS ISLAND FERRYDISMICT VENDOR 001297 ALARM DESIGN, LLC 12/03/2013 CHECK 1563 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 22691 ALARM REPORT 86.14 TOTAL 86.14 0 `C°`M`d".t:-. ,.Y.rT#.`E, •~a_,.r.L .F+ a..5i..y. Y=.~.::rl THE ORIGINAL CHECK HAS A COL08ED F y. ; e > I J ~I f I _ pr is~ d ~ezs ,gym' it 4 IN pull ° a L ANN .O o~aA ac!in e~~ S~{ k wep.d w0 F ' 'Yk r H9 ~IyW rAi b ~W,~ it , iii Y W lil I~ "1 1: mE .10 -14 110, ra+~ t *e?s x Li Pu Ian i~ 'rF? s„$.~ mee%s vii ff I'll : yNI ~MPNA Yf.i 561 -z~ zvlis - & o -~bz~' ;io3,"~?/' r Ev e x °~?n~ ~ ~ -NI ^~e?!o u w ' 'ate _ aw iw+"" biJ ~ a+s/ffi w? S+ o'i ?zoJ < 4 ems m~°w' a? e"d+' e/?d ~ oar ~ ~ s xa!~ offaa~ sus y",>~3n~aa~~„ ' ~ - fir= " & x ~x ~ a? ~ ~ ~a try` ?~co i ' ~•iJII~~S~i~ ~~:CI ~i4~54~t. 6~ 'CfC715C1 2~" Ln¦ _~:--off o~~, f Vendor No. Check No. Town of Southold, New York - Payment Voucher 1297] 3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 69 Case Street Norwich, CT 06360 Audit Date Alarm Design LLC Vendor Telephone Number DEC 0 3 2013 860-889-7576 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 22691 1111/2013 $86.14 $86.14 Alarm report SM5710.4.000.000 i $86.14 $86.14 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 we excluded. or discrepancies noted, and payment is approved. Signature Title v - Signature Company Name Date ZGO Arl/41/~ Title Date t ALARM DESIGN LLC Invoice 69 CASE ST NORWICH, CT 06360 DATE INVOICE # CT LIC#105999 TEL 860 889-7576 022691 11/l/2013 BILL TO FISHER ISLAND FERRY DISTRICT PO BOX 607 FISHER ISLAND, NY 06390 TERMS DUE DATE ACCT NUMBER SERVICE DATE Due on receipt 11/1/2013 107-3177 & 6W 908 JUNE DESCRIPTION RATE AMOUNT Alarm Report 81.00 81.OOT SALES TAX 6.35% 5.14 REMEMBER TO TEST YOUR ALARM MONTHLY & CLEAN YOUR SMOKE DETECTORS TWICE A YEAR Total $86.14 FISHERS ISLAND FERRY DISTRICT VENDOR 014223 BANK OF AMERICA 12/03/2013 CHECK 1564 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 7335-10/13 MNTHLY REPORTING FEE 15.00 SM .5710.4.000.000 7335-10/13 FINANCE CHARGES 13.93 SM .5710.2.000.100 7335-10/13 MU BW-T REWIRE 20.64 SM .5710.4.000.000 7335-10/13 CONFINED SPC ENTRY TOOL 606.79 SM .5710.4.000.000 7335-10/13 TERMINAL SUPPLIES-NL 68.53 SM .5710.4.000.000 7335-10/13 CONFINED SPC ENTRY TOOL 359.56 SM .5711.4.000.000 7335-10/13 OFFICE SUPPLIES 29.86 SM .5710.2.000.200 7335-10/13 RP FRESH WTR FEED FITTNG 45.17 SM .5710.2.000.000 7335-10/13 OIL CHANGE PUMP 930.75 SM .5710.2.000.000 7335-10/13 lt"t OIL PRESSURE GAUGE 63.39 SM .5710.2.000.000 7335-10/13 TRICAL SUPPLY-WIRE 20.42 SM .5710.2.000.000 7335 109' 13 RICAL SUPPLY,CLEANG 113.17 SM .5710.2.000.000 'u E4 S/SUPPLIES 40.34 SM 5709.2.000.000 7,335-10/13 FAN ,I~~'- R57 ,TERMINAL 340.32 Q,Q„_•,,,_ _ x'7335-10/13 Mb & R'P SU'PPLLS 467.03 SM .5710.2.000.Q y DOWN 71.38 ` SM .5710.2.000 _ SM .5709.2.6 ~b?-0~(~.`^"':~"`4 'V- 12EP.IR 382.86 SM .5710.4.000.000 7335-10/13 POSTAGE 100.00 SM .1930.4.000.000 7335-10/13 DAMAGE TO CAR-GLASS RPR 337.97 SM .1930.4.000.000 7335-10/13 DAMAGE TO CAR-SCRAPES 1,069.36 TOTAL 5,096.47 ORIGINAL THE COLORED BACKGROUND. VOID COPY FEATURE AND WATERMARK PAPER y w kp ~ w 14u«^. x II ryJ~ I V c x'°tiu~x 8". I~If k III Lk' Y f- t xl ry~17-=• _fz 3x7E THO 4, 3gw r. k s a r d rx ra~° rt hr WWI y~+ rv aX 4s ?pzrky`V~ ~ s k, f rtrh 9i a rz/sn ~ d' -a~ r r x < ~ s r w z r l:oA ~i,.s- v~ bra i~{~". r = r irOC1°rss?i. i '2ii,bs4sL, r. 13 0'0L502~ Lug ~ , Vendor No. Check No. 4fown of Southold, New York- Payment Voucher 14223 sNndor 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 Vendor Telephone Number DEC 0 3 2013 888-449-2273 Vendor Contact S-7,12~,' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number `7335- I 11/1/2013 $15.00 $15.00 Monthly Reporting Fee SM5710.4.000.000 4 4;4 020 $13.93 $13.93 Finance Charges SM5710.4.000.000 $20.64 $20.64 / Defender MUNN BW-T Rewire SM5710.2.000.100 285" - 79t3f20t3 $606.79 $606.79 / AJ AbramsREQ Confined Space Entry Tool SM5710.4.000.000 4A B43 $68.53 $68.53 ? Bennys-Tenninal Supplies New London SM5710.4.000.000 28547 3 $359.56 $359.56 AJ AbramsREQ Confined Space Entry Tool SM5710.4.000.000 $29.86 $29.86 Staples Office Supplies SM5711.4.000.000 26611094 - 46145"401$ $45.17 $45.17 r Lowest RP Fresh Water Feed Fitting SM5710.2.000.200 4489214. 49M51260 $930.75 $930.75 Depco Oil Change Pump for maintenance SM5710.2.000.000 63063.39 C. .Beckman it Pressure Guage SM5710.2.000.000 1Dl4946 $20.42 $20.42 Defender-Electrical Supply - UjiYe SM5710.2.000.000 7968944344 113.17 113.17 ? Defender-Electrical Supply and Cleaning SM5710.1000.000 BOUSTS75UZ 1011812043. $40.34 $40.34 Benny's materials/supplies SM5710.2.000.000 34930 $340.32 $340.32 Buckley Fan motors in NL Terminal SM5709.2.000.000 $467.03 $467.03 Defender Munn & RP supplies SM5710.2.000.000 teninirif $71.38 $71.38 Lowes Munn & RP air blowdown SM5710.2.000.000 382.86 382.86 American Truck FIFD Plow Repair S5709.2.000.000 AWBAIM, $100.00 $100.00 - Pitney Bowes Postage SM5710.4.000.000 -9465f", tOt"12M $337.97 $337.97 Glass America Damage to Cars SM1930.4.000.000 TG 1 $1,069.36 $1,069.36 Girard Motors Damage to Car Y S SM7930.4.000.000 $5,096.47 $5,096.47 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 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, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature Title '4 Signature Company Name~ Datev Title Date l f ~vV i Bank of America '100' FISHERS ISLAND FERRY DIST L~ GORDON MURPHY XXXX-XXXX-XXXX-7335 Commercial Card October 02, 2013- November 01, 2013 Company Statement Account Information Payment Information Account Summary Mail Billing Inquiries to: Statement Date 11/01/13 Previous Balance $7,383.15 BANKCARD CENTER PO BOX 982238 Payment Due Date 11!27173 Payments 45,512.25 EL PASO, TX 79998-2238 Days in Billing Cycle 31 Credits $0.00 Customer Service: Credit Limit $40,000 Cash $0.00 1.888.449.2273 24 Hours Cash Limit $8,000 Purchases $5,067.54 TTY Hearing Impaired: Total Payment Due $6,967.37 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: Finance Charge $13.93 1.888.449.2273 24 Hours Current Balance $6,967.37 Important Messages Your account is past due. If payment has already been made, thank you and please disregard this reminder. Cardholder Activity Summary Account Number Purchases and Credit Limit Credits Cash Other-Debits- Total Activity BURKE, STEPHEN--- XXXX-XXXX-XXXX-6137 10,000 0.00 0.00 3,560.21 3,560.21 MURPHY, GORDON XXXX-XXXX-XXXX-3049 10,000 0.00 0.00 1,507.33 1,507.33 U3 t Posting payments: Payments received by mail at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received. If we receive your mailed payment on a non-banking day, we will post it to your account on the next banking day. There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing address listed on the front of your payment coupon. Service for the hearing impaired (TTYrTDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service, Bank's supervisory personnel may listen to and/or record telephone calls between Bank employees and any person acting on Company's behalf. Disclosure: We may furnish to your employer information concerning your use of your account. To read more about our information disclosure, please visit www bankofamerica com/corporatecarddisclosure or call the customer service number listed on your statement to request a copy. 8 In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent you the first statement on which the error or problem appeared. Please mail this information to BANKCARD CENTER, PO BOX 982238, EL PASO, TX 79998-2238. Your letter must include the following information: O The company name, cardholder name and account number in question. O m The dollar amount of the suspected error. A written description of the error and why you believe there is an error. If you need more information, describe the item you are unsure about. 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) i BankofAmerica'01" FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 October 02, 2013 - November 01, 2013 Page 3 of 4 Transactions Posting Transaction Date Date Description Reference Number MCC Charge Credit FISHERS ISLAND FERRY DIST Total Activity Account Number: XXXX-XXXX-XXXX-7335 45,183.32 10114 10/12 PAYMENT RECEIVED THANK YOU 28574405350000500068485 0008 5,512.25 11/01 11/01 MONTHLY REPORTNG FEE C15 0065 15.00 11/01 11/01 PURCHASE *FINANCE CHARGE` 0063 13.93 BURKE, STEPHEN Total Activity Account Number: XXXX-XXXX-XXXX4137 / 3,560.21 16J-03 10/02 DEFENDER INDUSTRIES,INC. WATERFORD CT 24610433275004104147421 4468 20.64 10/04 10/03 A J ABRAMS CO INC W ESTPORT CT 24755423276172767627552 5085 606.79 10/08 10/07 BENNY'S#8 WATERFORD CT 24431063281206188100291 5533 68.53 10/09 10108 A J ABRAMS CO INC W ESTPORT CT 24755423281172814163141 5085 3 SU~ 10114 10/12 STAPLS9244684238000 800-3333330 CA 24164073286105112712105 5111 86 10/16 10115 LOWES#02263" WATERFORD CT 24692163288000521576159 5200 45.17?/ C71~'V 10/17 10115 DEPCO PUMP 727.4461656 FL 24073143289900018972995 5085 930.75 10/17 10/15 C.E. BECKMAN CO. 508-9949674 MA 24639233289900012142500 4468 63.39 10/18 10/17 DEFENDER INDUSTRIES INC WATERFORD CT 24431063290083742065727 5999 20.42 10/21 10/18 DEFENDER INDUSTRIES INC WATERFORD CT 24431063291083721209543 5999 113.17 10121 10/18 BENNY'S #8 WATERFORD CT 24431063292206188100272 5533 40. 10/28 10/25 BUCKLEY ASSOCIATES INC 781-8785000 MA 24755423299132995723824 1711 340.32 10129 10/18 DEFENDER INDUSTRIES INC WATERFORD CT 24431063301083721083268 5999 11/01 10131 LOWES#02263` WATERFORD CT 24692163304000543315560 5200 71.38 / 11/01 10/31 AMERICAN TRUCK_& MARINE WATERFORD CT 24270743304445600235517 5533 382.86 MURPHY, CORDON Total Activity Account Number: XXXX-XXXX-XXXX-3048 _ _ _ 1,507.33 10/08 10/07 POSTAGE REFILL _800-468-8454 CT 24430993280083337310188 7399 100.00 10/18 10/17 GLASS AMERICA (034) NEWLONDON CT 24765013290200210596055 7538 337.9T? 10/21 10/18 GIRARD TOYOTA BMW NEW LONDON CT 24755423291172914238361 5511 1,069.361 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 $1,772.09 - $13.93 CASH 9.25% V $0.00 $0.00 V = Variable Rate (rate may vary), Promotional Balance = APR forlimited time on specified transactions. i Bank of AmericaFISHERS ISLAND FERRY DIST GORDON MURPHY , XXXX-XXXX-XXXX-7335 October 02, 2013 - November 01, 2013 Page 4 of 4 o 8 o °m oI S LR lb--7-13 pdismbprt.9306286 pdismbprt.9306290 Defender Industries 42 Great Neck Road jZe Waterford CT 06385 (860) 701-3400 Ent. By: SKA Kaitlin Mo Cust 100202676 Fishers Island Ferry Dist 261 Trumball Draw H Fishers Isle NY 06390 BLUE SEA TERMINAL BLOCK ZZ201476 1 @ 6.47 6.47 * BLUE SEA TERMINAL BLOCK ZZ201476 1 @ 6.47 6.47 * BLUE SEA TERMINAL BLOCK ZZ201476 1 @ 6.47 6.47 * Subtotal 19.41 Tax 1.23 Total 20.64 - Items are taxable) Payments Credit Card Visa *******6137 20.64 Auth: 053317 X Signature Invoice Order Reg. Date Time 700313238 100315143 2 -0 10/02/2013 02:44pm RE: Defender invoice Page 1 of 1 R Reply Reply All Forward RE: Defender invoice R1 Burns To: 1 Miller, Steve Burke Cc: Don Lamb; Gordon Murphy Tuesday, November 12, 2013 11:11 AM You replied on 11/12/2013 2:19 PM. Hello Jobina, Replacement exhaust fan motors for both bathrooms in lobby at New London. Neither exhaust motor had been working (seized) for years. RJ -----Original Message----- From: J Miller Sent: Tuesday, November 12, 2013 10:40 AM To: RJ Burns; Steve Burke Cc: Don Lamb; Gordon Murphy Subject: RE: Defender invoice Thanks RJ, Attached is the Buckley Associates invoice also. Thanks, Jo Jobina Miller Accounting Clerk Fishers Island Ferry District Tel: 631-788-7463 From: RJ Burns Sent: Tuesday, November 12, 2013 9:48 AM To: J Miller; Steve Burke Cc: Don Lamb; Gordon Murphy https://mail.fiferry.com/owa/?ae=Item&a=Open&t=IPM.Note&id=RgAAAADP"6IIC... 11/12/2013 A. J. Abrams Co. Inc. Invoice P.O. Box 5171 Westport, CT 06881 Date 1`NO~ 10/38013 28534 B7 TO Ship To Fisher's Island Ferry District Fishers Island Ferry Co. Attn.: R J_ Burns clo R. J_ Bums 261 Tnmrbull Drive 5 Waterfront Park Fishers' Island NY 06390 New London, CT 06320 P.O. No. Terms Rep Ship Via FOB R. J. Brans VISA KC UPS Ground 4595 port CT i QTY Item Code pescripbon Price Each Amount I MC2-XWHM-Y-NA BW MicroClip XT, SIN KA413-1091300 595.OOT I Backorder Backordered item - one (1) CG-Q34-4 cal O.OOT 1's I Backorder Backordered item - one (1) REG-0.5 0.00 O.OOT regulator I Shipg (I) Shipping 11.79 11.79 • UPS tracking # IZ 033 411 03 9659 8986 Out-of-state sale, exempt fiom sales tax 0.00% 0.00 C, C°Wf, e ~ JXI C. 5? RC m- m o l: 5+-rue U O m- W \O rarmm m Icy--7-i3 m m v7 v~C2 W )m V W CO 9 7 r ° cc o 1-1^ Q N ° ~ N ~r •ai ON :E~ ~m J U9r ~W_om Q r _ ~a om r Total ;606.79 Phone # Fax t E MaA Wee Sile 203-226 3010 203 226 8289 ajabmrnsao ajat rns_com www.ajabrams-Dom Your Favorite, e,aS Cgla ~ j cr,~,~t I Crrw oK S+CuC io-7--13 Store #8 40 Boston Post Road Waterford, Connecticut 06385 860-447-1025 0eceipt Required For Returns Normal sale INV NO 8039623 011171322617 (013355) DISHWASH BRUSH 4,99 tx 071691249566 (034332) LG DISH DRAINER-WHT 12.99 tx 071691249695 (034321) LG DRAIN BOARD 14.99 tx 053200061203 (036428) 6PK SPONGE-SCRUBBERS 1.00 tx 03708008 (039425) DAWN DISH LID. 14 OZ 2.49 tx 079223056002 (030868) 5GAL ENRFLO GASCAN 13.99 tx 079223056002 (030868) 5GAL ENRFLO GASCAN 13.99 tx SUBTOTAL 64.44 TAX 2 6.35% 4.09 TOTAL 68.53 VISA 6137 68.53 077287 THANK YOU FOR SHOPPING AT BENNY'S STORE HOURS: Monday - Friday 9am-9pm Saturday 9am -9pm Sunday 9am - 5pm Find A Store Nearest You At: www.hellobennys.com II II III III III I III III III I IN 1111111111111 9623100713 0008 003 20 9623 10/07/13 12:12:28 A. J. Abrams Co. Inc. Invoice P.O. Box 5171 Westport, CT 06881 Date Invoice # 10/8/2013 28547 Bill To Ship To Fisher's Island Ferry District Fisher's Island Ferry Co. Attn.: R.1. Bums c/o R. J. Bums 261 Trumbull Drive 5 Waterfront Park Fishers' Island NY 06390 New London, CT 06320 j P.O. No. Terms Rep Ship Via FOB R- J. Bums VISA KC UPS Ground Westport CT Quantity Item Code Description Price Each Amount 1 CG-Q34-4 34L BW Calibration Gas Mixture - CH4 170.00 170.OOT (2.5%),02 (18.0%) 1-12S (25 ppm) CO (IOOppm) I REG-0.5 Calibration gas regulator 0.5 LPM 150.00 150.OOT I Shipg (N) Shipping - hazardous 39.56 39.56 s UPS tracking 0 1Z 033 411 03 5138 3649 Out-of-state sale, exempt from sales tax 0.00% 0.00 _ o ~S_ I 0" N all Y1 Nr-O7Co ~m U .d m _ WO O m® o j ~LrIN m M e v ¢a mm J ln~ a5 ~5~~ O N~ g m - Total $359.56 Phone # Fax # E-Mail Web Site 203-226-3010 203-226-8289 ajabramsco@ajabrams.com www.ajabrarns.com Whitecavage, Diana From: J Miller <jmiller@fiferry.com> Sent: Tuesday, November 26, 2013 2:03 PM To: Whitecavage, Diana Subject: FW: Defender invoice Hi Diana, RJ had the email. I couldn't find it. Let me know if you need anything else. Regards, Jobina Miller Accounting Clerk Fishers Island Ferry District Tel: 631-788-7463 From: RJ Burns Sent: Tuesday, November 26, 2013 1:18 PM To:1 Miller Subject: FW: Defender invoice Hello Jobina, Will this work? -----Original Message----- From: RJ Burns Sent: Tuesday, November 12, 2013 2:33 PM To: J Miller; Steve Burke Cc: Don Lamb; Gordon Murphy Subject: RE: Defender invoice I cannot find a receipt. I am sure its office supplies. RJ -----Original Message----- From: J Miller Sent: Tuesday, November 12, 2013 2:19 PM t To: RJ Burns; Steve Burke Cc: Don Lamb; Gordon Murphy Subject: RE: Defender invoice Is the Staples bill just office supplies? Do you have a copy of the receipt for that? Thanks, Jo Jobina Miller Accounting Clerk Fishers Island Ferry District Tel: 631-788-7463 From: RJ Burns Sent: Tuesday, November 12, 2013 11:11 AM To: J Miller; Steve Burke Cc: Don Lamb; Gordon Murphy Subject: RE: Defender invoice Hello Jobina, Replacement exhaust fan motors for both bathrooms in lobby at New London. Neither exhaust motor had been working (seized) for years. RJ -----Original Message----- From: J Miller Sent: Tuesday, November 12, 2013 10:40 AM To: RJ Burns; Steve Burke Cc: Don Lamb; Gordon Murphy Subject: RE: Defender invoice Thanks RJ, Attached is the Buckley Associates invoice also. Thanks, Jo Jobina Miller Accounting Clerk z 2F -d F c~ '64s 0K 5+((/( )o_iG-)3 rLOWEV "IMVING LOWE'S HOME CENTERS, INC. 167 WATERFORD PARKWAY MORT WATERFORD, CT 06385 (860) 701.2000 - SALE - SALESM: S2263RH2 1416508 TRANS: 2867034 10-15-13 144214 DURACELL C B CT 23.94 2 8 11.97 188233 1-1/4-IN PVC UNION SOCKET 6.27 23912 1-1/4-IN SCH40 BSHNB 4381 2.36 2 8 1.18 24041 3/4-IN K 3-IN GALU PIPE N 4.26 2 8 2.13 23860 1.1/4-IN SCH40 ADPTR 4360 0.97 23854 1-1/4-IN SCH40 COUP 42901 0.66 s A p''" O DEL NCO PUMP COMPANY I PUMP COMPANY P.O. BOX 6820, CLEARWATER, FL 33768-6820 2146 CALUMET ST., CLEARWATER, FL 33786 PH. (727) 446-1868 FAX 1727) 446-7867 PH. 1727) 446-1666 FAX (727) 448-7887 iNVtltC~ NUMBEHieFR#EH iNYtitcE StUMgE413NtA MISCCC 1139293-0001-01 1139293-0001-01 BILL SHIP TO: MISC ACCT TO. FISHERS ISLAND FERRY ATTN JOHN 5 WATERFRONT PARK NEW LONDON CT 06320 CUSTOMERP.O.No. FISHERS ISLAND CUSTOMERP.O.NO. FISHERS ISLAND .I[dMOlEE NVMBEFf8H1 R Sl,SMN . O[7IZER DATE TAIf[dt OUSTOMER? O. Yd13MBER DATE FREIGHT CODES: 1139293-0001-01 101 10/15/13 11 FISHERS ISLAND 10/15/13 F-B.p. Pow n . Z.-Add c-cmam IN&T#tktC714NS NRT, 9A.6€ N4, T - Taken by GROUND UPS *PAY BY CC* 860-442-0165 B 1 :-c PU~~ 00DE[1E0 9.0.711 .SNN~P£D': STEM GORE AND AEE,GREPTEON U(N1 <UNET PRICE AM$I[BTT 1 1 P OB N993N-F36 EA 888.25 888.25 +PUMP & MOTOR a-Ei p L„( ~w Mc.Aoma« ©K ~-tvC do-LEI - t3 0•c 888.25 ~ v- 4 + 930.756* **SHIP ORDER****SHIP ORDER**** SUBTOTAL 888.25 nrEn T.'CwLeR o n owECl.E 'Eh MISC CHARGE. .€>L91T#. Pl'8HTF1yT sicKSDZr w~cK®8v:' we .r~ix aRxReo n ~~oen Ry n r~`.• TELE. CHARGE /V~`E-~-• U FREIGHT TOTAL 10151 31355 FEDJOTHER TAX 0.00 10151 ORDER COMPLETED STATE TAX 0.00 ALL ACCOUNTS 30 DAYS PAST DUE WILL BE WBUECT'TO. SERVICE PAYMENT RECD. 0.00 FEES, COLLECTION 004TA, AND COO STATUS. ALL RETURNS MUST BE PREAUTHOMZSD AND ARE SVIWSCT TO RESTOCKING CHANGES. XLOPTS 8188 PACKING LIST Page: 1 C. E. Beckman Co. Original Invoice 11-35 Commercial St. New Bedford, MA 02740 REMIT TO: PO BOX 971 Phone: 508-994-9674 Fax: 508-990-2785 NEW BEDFORD.MA 02740 www.cebeckman.com Bill To: Ship To: Fisher Islands Ferry District Fisher Islands Ferry District 5 Waterfront Park 5 Waterfront Park New London, CT 06320 New London, CT 06320 Customer P.O. Order Date: Shi VIA Customer Number Invoice Date: Invoice No: 10/15/2013 UPS Ground 0003780 10/15/2013 0219393-IN Item No/Description Unit Ordered Shipped Back Ord Price Total MURP-05703164 EA 2.00 2.00 0.00 26.8000 53.60 20BPG-300 Pressure Gage Retail Price Ea: 33.50 b%) I~CPSSV~ Gt~~c C) Y< Tracking Number(s): 1 Z0127630345696966; Net Invoice: 53.60 Less Discount 0.00 -Please present a copy of Invoice with all returns Freight: 9.79 -Pricing subject to change without notice Sales Tax: 0.00 PAID $63.39 VISA xxtoooooootxx6137 Invoice Total: 63.39 ec -q~ sv,pp y [01-17-/3 poismoprt.35372598 Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SEJ Cust 100202676 Fishers Island Ferry Dist 261 Trumball Draw H Fishers Isle NY 06390 ANCOR RING TERM.NYL12-10 5/16 ZZ200371 1 @ 9.60 9.60 * ANCOR RING TERM.NYL 12-10 WIRE ZZ200370 1 @ 9.60 9.60 * Subtotal 19.20 Tax 1.22 Total 20.42 - Items are taxable) Payments Credit Card Visa *******6137 20.42 Auth: 051058 X Signature Invoice Order Reg. Date Time 700314279 100316190 2 -0 10/17/2013 09:55am Defender Invoice 42 Great Neck Road Waterford, CT 06385-3336 CUSTOMER NO 100202676 PAGE: 1 B Fishers Island Ferry District S Fishers Island Ferry District 1 261 Trumball Draw H H 261 Trumball Draw H L Fishers Isle, MY 06390 1 Fishers Isle, MY 06390 L P T T O O INVOICE DATE INVOICE NO. ORDER DATE ORDER NO. TERMS 10/18/2013 700314341 10/18/2013 100316253 Credit Card PURCHASE ORDER NO. SHIP VIA FOB SLS/IS SLS/OS Jaclyn LaMoth ORDER SHIP B/O PART NUMBER DESCRIPTION PRICE DISC EXTENDED 50 50 0 002120 SAMSON PRO-SET 3-STRAND 1/4" $0.16 0 $8.00 1 1 0 204597 COLE PUSH BUTTON SWITCH 1 CIR. $13.53 0 $13.53 1 1 0 751080 MARY ON & OFF HULL & BOTTOM $29.84 0 $24.84 1 1 0 751080 MARY ON & OFF HULL & BOTTOM $24.84 0 $24.84 1 1 0 200388 ANCOR FLANGED SPADES 16-14 #8 $6.75 0 $6.75 1 1 0 200473 ANCOR HEATSHRINK RING TERMINAL $14.92 0 $19.92 1 1 0 204597 COLE PUSH BUTTON SWITCH 1 CIE. $13.53 0 $13.53 $106.41 SUB-TOTAL TAX 8000 FREIGHT $113.17 TOTAL Your Favorite Store. Store #8 40 Boston Post Road Waterford, Connecticut 06385 860-447-1025 *Receipt Required For Returns Normal sale INV NO 8057502 079062608080 (030519) TELESCOPIC SQUEEGEE 7.99 tx 079062608060 (030519) TELESCOPIC Sr;L,6FE 7.99 t't 011171030444 (040024) POLY BOWL BRUSH 2.99 tx 011171030444 040024, POLY BOWL BRUSH 2.99 tx 011171030413 (013366) HAND & NAIL BRUSH 2.99 tx 011171030413 (013366) HAND & NAIL BRUSH 2.99 tx 043318130144 (033921) SIMPLE GREEN 67 OZ. 9.99 tx SUBTOTAL Gprao^4S 37.93 TAX 2 6.35% ~,g7cG 2.41 TOTAL P ^aWW / 40.34 VISA 6137 ~Fi ,,0 '-do 40.34 005574 THANK YOU FOR SHOPPING AT BENNY'S STORE HOURS: Monday - Friday 9am-9pm Saturday 9am -9pm Sunday 9am - 5pm Find A Store Nearest You At: www.hellobennys.com II IIIIIII III EIIIIIIIIII~IIIIII IIII VIII III IIIIIIIIIIIIII 000800507502101813 0008 005 15 7502 10/18/13 11:19:22 Fax Server 11/12/2013 8:38:25 AM PAGE 2/002 Fax Server PAST INVOICE 'a~efeaaartatss. ?ale. ~5 waia~.as xra 030930 ttmwAp:an, CT.',6151 934563 (ewt ea-0-sf Fajaw; see-rns5 10/314013 1 FISHER ISLAND F 1020113 090 CONNECTICU DEPOSIT APPLIED CT 934505 02 PREPAID BEST WAY &1RI6 STEVEN FMS ISLAND FERRY DISTRICT 5 WATERFRONT PARK PO BOX DRAWER H NEW LONDON, CT 06320 FISHERS ISLAND, NY 000" Tag 0: FCrNt¢on' -r:EtUered SI~pP@d = RkX- ifE}. --Rare ##F Ex6m5ioFi ift Oniend By BURKE, STEVEN R 303010 MOTOR 303040 WD82861 ADAPTER 2 2 0 EA 160.011 EA 320.00 TOTAL DUE: 34032 PAYMENTS: OopodtAppbod 34032 DEPOSITS: Oepow 31032 Apphod -340.32 Ro inig Dop PO:N39106 SOADO93 Pimm Rwnit To: Buckley Associates, Inc. 320." 2032 .00 P.O.Bcx 845365 Boston, MA, 022845365 ua Omer opy a age .,anoprt. )4942442 Defegder 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 NIKO ACULON BINOCULAR 9D800618 1 @ 123.63 123.63 * NIKO ACULON BINOCULAR 9D800618 1 @ 123.63 123.63 * RACOR T-HANDLE 90303703 1 @ 95.94 95.94 * RACOR T-HANDLE 90303703 1 @ 95.94 0O95.94 * Subtotal 439.14 "a1`" Tax 27.89 r?tj r in pot Total 467.03 n^~ - Items are taxable) Payments Credit Card Visa **..***6137 467.03 Auth: 055722 X Signature Invoice Order Reg. Date Time 700315019 100316936 1 -0 10/28/2013 02:55pm J r LOWE-sl7' wImVIHG LOWE'S HONE CENTERS, INC. 167 WATERFORD PARKWAY NORT WATERFORD, CT 06385 (860) 701-2000 - SALE - SALESN: S2263BSI 1442646 TRANSIT 88232218 10-31-13 4162 3/8-IN X 50-FT CPR REFRO 58.90 57186 10-CT 116 CLAMP 8.22 r SUBTOTAL: 7 67.12 TAX: / 4.26 ' INVOICE 01617 TOTAL: 71.38 VISA: 71.38 VISA:XXXXXXXXXXXX6137 AMOUNT:71.38 AUTHCD:011950 SWIPED REFID:232236226301 10/31/13 11:10:36 CUSTOMER CODE: recenint 5~2-- r~~m STOlk:2263 TERMINAL: 01 10/31/13 11:10:52 p OF ITEMS PURCHASED: 2 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS THANK YOU FOR SHOPPING LOWE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANABER: GARY BOYLE American Truck & Lawn Depot Invoice No. Page 1 132 Crdss Road 000002892 Order Date 10/31113 11:40 am Waterford, CT 06385 Paid: 10/31/13 11:48 am Phone: 860439-0030 FAX: 860-439-0316 ' - } pA t 12 IF HSMISLAND PERRY DISTR Quotes 5'waterfrontpark 1 10131/13 11:48am 382.86 New London CT 06320 J FISHERS ISLAND F in person. Home Phone 860-367-4414 Work Phone: 1jaboijparts; sale Labor. .fl 20117K ram assy. 1-1/2x10-N 2.0 @ 120.00 240.00 20116K ram assy. 1-1/2x10-N 1.0 @ 120.00 120.00 360.00 Pavrnents to American Truck & Lawn Depot Cost Summary Status: Paid Work Order Labor 0.00 Parts 360.00 Payments: $382.86 Tax 22.86 1 10131113 382.86 Visa Total $382.86 Payments 382.86 Bal Due 0.00 Thank you for choosing American Truck & Lawn Depot AMERICAN TRLK , MARINE 132-CROS: MAD WATERFORD. L 06385 860-439-.030 39300980126063 M.r.hant ID: 300980126063 L Ref 4, 0002 Sale XXXXXXXXXXXX6137 VISA Entry Method: Swiped Total: g 382.9 I 10/31/13 11:48:07 Inv 4: 000002 AW Code: 042893 Transaction I0: 003304568873916 Apprvd:Online Batch#:000152 Customer Coo, c. Postage in Meter: 51u8.4_,~ Refill Amount. s~oo o:;u Prepaid on Account: ,soli. co:i C Credit Line Available: i jo~, 1' m Account No.:.i5c"dv,1.3v Meter No.: W r Fishers Island Ferry District Damage/Accident Report Date of Occurrence: 3 Time of Occurrence: 3 30 Vessel: /?11- PtV`-- Captain: / v Crew Involved: S /YL- Weather and sea conditions: r4 Vehicle Descriptions: Manufacturer: Year: Model: Color: Owner Identification: Name: M; NL Address: Phone: Email: Provide a detailed account of the incident including an accurate description of damage, how the accident occurred, burden of blame, witnesses, etc. Ve rho C~rt 0-r F11ee, L ion 7GC~ Cad Ow•ui ~~C..C /o"-d` Z r (a 1 K v p~ee~r' 1r;C. \\fiservl\d$Vd network directory\general ops\templates\vehicle accident report.docx 3 VA t8 444-6 ~ ? M ~ j e f Scheduled-104 720131.7 Order: 0034-657466 Sold To- Date: 10/16,2013 FISHER ISLAhD FERRY I3LBI3IE FISHERS LL LAND FISHERS UAND NY 06390 H (611)718-7345 C:5r:034WnB TechUNA ~PO TemtsC.O.D Ir Z Aude2003 DODGE DAKOTA PICKUP 4 DOOR CREW CAB l+iy Pmt/D@5 cription % UIL&LE b3idmill ~ 1 DEQ96EQYPY - Bask Windor Gray Tint Privacy- 631,:5 317.7 9 :CQ 31?: 1:02 HAHG00004 -1'ffliesive(Napj... G,I}q 0,r141 Note5:P.0.:72190 10,10013 - - --~=--J Job Lucation Mobde F S9HERS 15SLAND FERRd DOCK NEW LONDON CT 05320 Was the vehicle's eond6m suflicient for proper applirMtion of retention systew Y'es No (If No, cmVlete and attach Vehicle Diagnostic Forst) / L'IU 1 ~~~Plnee 3 lat # stickers ea stare "file copy" 1) C;lsss Aktivuter 2idctioveld Primer 3)UPe6 me SAFE DFJVE AWAY TIME IS! stainer lndials:_LL6LL Far wmdsluelds only, the sealaet niamsfacturer recorattends you wait 1 hour'af~ r metailatioa to drive your vehicle. Ma1C~8& 1;tI laws ~tukthle Pamn~ets ---B yc l 317.74 0.00 20.18 33?.97 0.00 0.00 337.97 f 14 I am satisfled with the above work and authorize my insurance company to directly pay Glass America. Signature: / GLASS AMERICA LIMITED WARRANTY Glass America (the "Company") warrants that its installation of automobile glass to be of good workmanship and material for as long as you own the automobile in which the glass is installed. The Company's obligation under this limited warranty is expressly limited to, at the sole discretion of the Company, the reinstallation, repair or replacement of the glass, by the Company, which in the Company's opinion was defectively installed; The costs of the reinstallation repair or replacement of the glass shall be covered in full by the Company under this limited warranty, except that the Company shall not be responsible for any sales, use, excise or other tax incident to the reinstallation, repair or replacement of the glass, which taxes shall be solely your responsibility. If the Company is unable to make the reinstallation, repair or replacement, the Company will refund the original purchase price of the glass. In the event of replacement by the Company, the defective glass shall become the property of the Company. If you believe you have a problem that is covered by this limited warranty, please contact your nearest Glass America store. In order to exercise your rights under this limited warranty, you must provide an invoice at the time of your claim evidencing the installation of the glass by the Company. WINDSHIELD REPAIRS You have requested that the Company repair certain minor windshield chips or cracks. On occasion, the attempt to repair a windshield may result in the -chip" or "crack" becoming larger. The Company is not responsible for such damage. In those occasions, you may need to replace your entire windshield. This will be at your expense. However, the repair cost will be deducted from the price of any replacement windshield purchased from and installed by the Company. This limited warranty is good for as long as you own your vehicle. However, this warranty is not transferable or assignable. In the event you are dissatisfied with the repairs, then you should bring the vehicle to the Company along with the invoice reflecting the repair work. Your insurance company may require that you pay a deductible as a portion of the charges associated with any replacement window. The credit which we offer for the repair work will be applied to that deductible. The warranty set forth above is limited. That is to say, the Company will not be liable for any other or additional damages associated with the repair work (including incidental or consequential damages). DISCLAIMER This limited warranty does not apply to (a) any glass that is not installed by the Company, (b) any glass that is modified or repaired by anyone other than the Company (c) any damage arising out of any leakage around the glass that is not caused directly by the Company's installation of the glass, or (d) any damage arising out of any rusting of the automobile around the glass that is not caused directly by the Company's installation of the glass. Further, the Company is not liable for any incidental, consequential or special damages or expenses. Some states do not allow the exclusion or limitation of incidental or consequential damages and therefore, the foregoing exclusion or limitation may not apply to you. THE FOREGOING WARRANTIES APPLY ONLY TO THE ORIGINAL PURCHASER AND ARE IN LIEU OF ALL OTHER WARRAN- TIES EXPRESS, IMPLIED OR STATUTORY. INCLUDING WITHOUT LIMITATION IMPLIED WARRANTIES OR MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THESE WORDS. -Purchaser agrees that should it become necessary to employ an attorney to enforce the terms of this contract on the purchaser, purchaser agrees to reimburse seller all costs of collections, including attorneys fees, court costs and other applicable expenses, including appeal. Purchaser agrees to pay finance charges of 1'F,$ per month on all overdue accounts." Check Acceptance Policy: If your check is returned or rejected for any reason, you expressly au- thorize your account to be electronically debited for the amount of the check plus a processing fee of $25 or the maximum allowed by law. The use of a check for payment is your acknowledgment and acceptance of this policy and it's terms, and conditions. FISHERS ISLAND FERRY DISTRICT DAMAGE/ACCIDENT REPORT Date of Occurance: B 1 el 13 Time of Occurance: $ M~A Vessel: MU Trip: 10QALr~ ~ 8:l5Ann Np 6t F I +d NL- Captain: }}(Qt{~(,Y S-('M Crew Involved: Rpd 6(70wv\- Weather and Sea Conditions: fIm was., 6V6rCas1'Sktc& ~ U)KI fy WLK Vehicle Description: Manufacturer: DOdcV- Year: 201Z Model: Jcoe n Color: Owner Identification: Name:A0~~h ~~r"l ~~csCh~e Address:' wok L k%- City: ~,g1„ecs~sla~ . N~ Phone: WO-,q 1 o - 61 `C 3 Cce\l) FI Phone: 1. t • ~ _ 5(06 0 Provide detailed account of incident including accurate description of damage, how it occurred, burden of blame, witnesses, etc.. Scrraped stbcl side of bu.(wavlcc wht;n l=Ck L' 4) to l0une 4- 'il~ty fctt it and htgrd i avid s+oppell Rod, uWIw wQQ b0.G1~ hcm un . $r?~q ll sera pcs on a6vJU's side, bacpff pa el op C0.r axi& pa-cn-1 scrap<d W1CY?CSs: L.OO~oun Glidev~l At MLI Carol K. Hirschfeld P.O. Box 48 Fishers Island, New York 06390 September 20, 2013 Fishers Island Ferry District Commissioners Fishers Island Ferry District Drawer H Fishers Island, New York 06390 Dear Commissioners, On August 18, 2013, my new 2012 Dodge Journey was damaged while boarding the ferry. The deck hand while directing us failed to observe how close we were to the side of the ferry causing the vehicle to scrape the side of the ferry. We notified the captain of the ferry and were told to wait until off loading and an accident report would be made. This was done. On August 27, 2013, I took the vehicle to Car Service Collision for an estimate to have the damage repaired. On August 28, 2013, I hand delivered the estimate to Gordon Murphy at the Ferry District Office. He located the accident report and said that he felt the estimate was excessive and asked to see the vehicle as soon as possible. The vehicle was there so I had him come downstairs to look at it at that time. Upon looking at the vehicle he again said that he felt the estimate was excessive and would get back to us shortly. On August 8, 2013, when getting in line for the morning ferry, Gordon was checking in cars for reservations and relayed to us that he would be calling us that week. Again saying that "they" felt the estimate was excessive. We told him we also were shocked at the estimate, but that it was explained to us that the amount was because of painting that needed to be done because of the different areas effected. We still have not heard from Gordon or anyone else from the ferry. This is a new vehicle and the damage was done because while loading the deck hand misjudged the distance and angle at which he was loading us causing the vehicle to scrape the side. I have had to take time off from work to get the estimate, pay for a ferry ride to get the estimate, lose time from work to deliver the estimate and still face having to pay for the ferry to get the car over for the work to be done and picking up the vehicle when done losing more time from work, also the prospect of having to rent a vehicle as it was said to take 3 or 4 days for the work. This is the first time we have put in a claim for damages done by ferry personnel, even though we had many other times damage was done. We would like this matter solved. Please get back to us as soon as possible as further delay may cause increases in cost. Sincerely, "OV4 Carol K Hirschfeld 17/2013 20:23 FAX @001/001 CAR SERVICE INC. dba GIRARO MOTORS ` 543 Colman Street NEW LONDON, CT. 06320 Tel. (880) 437.2455 N47 / N cIIGIDNLR ND. AMIEOR TAO NO INVOpCL' DAfL 3 25078 19451 CAROL HIRSCHFIELD rEnN!NnkL! n nEINEAY ATE CELIVERTWLEE Po sox 46 9/S 13S977 12/08 W. LD.NO. SCWNGDEALEn NO-- YRW&6091W FISHERS ISLAND, NV 06390 ..f. P.: N0. P.O. MTE RE mY CL MIONE RURINEER PHONE CnNEQN IS No, .:1215T011ER STATESREPAtR KR • ESTINATE. thank you FISHERS. ISLNID DAM1lf,:Ra:'n.°.;"; i,ti c>r-`.y1!ttpCi:y rr=,,, wl ^ fiY~• for your business. vArtt« ,2r, appreciate your ESTNTTG .1.... a: :.;'r:;-':,:~{~,;;•:;::';•.;A!,'!:':''!;k';~''s;;`~:'„'{, GtlSTONER'NEREBYACI010ML.FAffSRECEIVING ORIGINAL ESTIMATE OF $1069.36 (4141 ' .fit , , f• patronage and. CORK19TS------------------------ 357 weiCOme your 4's 'a:•F':';'~+.:'K-:pjyYpF'Y:">.V ;-questions, comments 1! n .clnosi 6lrera Toyota / alyl of Npw ioiMOn ; and suggestions. Ileisees on providing Truly Exceptinal Sg~:I$t fteIM Seti sfled with your. serviceexbJoplease Service N5tott or our'Caaer Care: Center at (860)326'-SfBd ' . M Tf ypur vehicle'ia appraehing the End of its aainteAanc~ ' I lei\V~~S+` M1x ^s {N ht„'S < / werpartty,, please see your,Cl,ient Advisoror Seryice Adri.wK `„.I~i" _..?y^.,.,.;, 4 ` . . about':up2radlhq for: eontim{ed NaiMenence ooYeraye,.: ~'•ti;'. "i,<. I LL t A v.r~ u p ww_EaeeBook.cpi/6lrardfoyotaCT ~ " . " „ v wwt:f'ace8ook;con/BNiINeNLondwE www. Twi tter, CeaA9MYNkidOndpd y ;s I L I G.AT E ' I N'Y O'~!`~C,''E;r .?y ~+~'.~:.:C:•;:.!.: LA-p P I R°c~se. Serlol e-~L~• c~x~ec~.~-1'., n; V ' PAGEI OF1 CUSTOM. NBNORN: uN:Apn:<\rvvtv.ui:vwN:E IC I1EdF0ERM'LRC.TEC(bn YE4Ye S4851S3 pUAN. GIA55 UESCPIPTICN PRICE AMOUNT 0 Q. 0)I; t~ll~ OA E AOTMORWTION t IG-I lr 1-_Ca Co TOTAL I 0 -'I REFERENCE NO. REGIME". I o TAX Y' FOLIOICHECK NO. 8ME9 i CLERK _r. PURCHASER SIGN HERE SALES SLIP I UL~`1 1 X l-4 not'c I_( Ir1 Cardholder acknowledges recelpt of poode andlor services In the IMPORTANT. RETAIN THIS COPY FOR YOUR RECORDS amount of the Total shown hereon and sprees to petform the obllpNlons set forth In the Cardholder's agreement with the Issues. yr CAR SERVICE INC. dba GIRARD MOTORS 543 Colman Street NEW LONDON, CT. 06320 Tel. (860) 437-2455 64?1a0LlZ Wrr Ve r>?Alvieelate ST"&C" CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE Irv 3 SE NO. MILEAGE COL TQgg?16755 rAgMWATF- CAROL HIRSCHFIELD YEAR I MAKE I MODEL R PTE DELIVERY MILES PO BOX 48 B/S 135977 12/08 SELLING DEALER NO PRODUCTION DATE FISHERS ISLAND, NY 06390 E. O. R.O. DATE - 10/14/13 RESIDENCE PHONE BUSINESS PHONE COMMENTS 6-41-788-5660 1 1 MO. 9001 LABOR & PARTS CUSTOMER STATES REPAIR PER ESTIMATE ThankyOu FISHERS ISLAND DAMAGE for your business. JOB N 1 TOTAL LABOR & PARTS 1005.51 ESTIMATE We appreciate your CUSTOMER ORHEREBY IGINAL EESMATE OF RE$1069.336 (+TAX) patronage and COMMENTS 35? welcome your TOTALS questions, comments Thank you for choosing Girard Toyota / BMW of New London TOTAL LABOR.... 1005.51 We pride ourselves on providing Truly Exceptional Service TOTAL PARTS.... 0.00 and suggestions. If you do not feel 100% Satisfied with your service TOTAL SUBLET... 0.00 experience, please contact our Service Nanager Scott Higgins TOTAL G.O.G.... 0.00 or our Customer Care Center at (860)326-5484 TOTAL MISC CHG. 0.00 TOTAL MISC DISC 0.00 TOTAL TAX...... TOTAL INVOICE $ 1069.36 If your vehicle is approching the end of its maintenance warranty, please see your Client Advisor or Service Advisor about upgrading for continued maintenance coverage. www.FaceBook.com/GirarcFroyotaCT /p1 D www.FaceBwook.com/BMWNeBMWNewLondon ndon www.Twitter.com/BMWNewLondon IL.I;J,B..5Q~? D U P L I C A T E I N V O I C E PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE I 10:23am Msna4241 MICAI SUPPLY HARDWARE TO RE ORDER MICRO TER ALR"IBus42 FISHERS ISLAND FERRY DISTRICT VENDOR 003371 CITY OF NEW LONDON 12/03/2013 CHECK 1565 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 27360-1013 QTLY WTR USAG 6/18-10/3 567.83 TOTAL 567.83 IMP. THE r. z CKGOUND. A VOID COPY FEATURE AND WATERMARK PAPER ORIGINAL CHECK HAS A COLORED • ~x + } y i ,tea 9r `a {yea `,~"'P # mm -am rwo p,iim pill l% '109, Mill i i x'~t .e i ~ 3 nT~W~'vwly AP' e V ir.; - - - - ' u?Wwdli Aol s °^+a' x+ ` X~ `^.flt' ?i°+^ gym'' •w " appBf a' ms's' a5. ,a= °>O ib 'i`° ! " 'All mew,. _ d _ ..a--x\? =sky. ibi a .;w\a'. Y' '>°""s ;ill wl1, 'Will Vendor No. Check No. Town of Southold, New York - Payment Voucher 3371 15 d Vendor Tar ID Number or Social Security Number Vendor Address Entered by P.O. Box 4127 ikz Vendor Name Woburn, MA 018884127 Audit Date CI of New London/De t. of Public Utilities DEC 0 3 2013 Vendor Telephone Number Town Clerk Vendor Contact / J Invoice Invoice Invoice Net Purchase Order ~C Number Date Total Discount Amount Claim Number Description of Goods or Services General Ledger Fund and Account Number 111712013 $181.72' $181.72 Quarter) Water Usage SM5710.4.000.100 NL Terminal 8/18/13-10/3/13 1117/2013 $282.57 $282.57 Quarter) Sewer Usage SM5710.4.000.100 INL Terminal 6/18/13-10/3/13 1117/2013 $103.4011 $103.40 Fire Service SM5710.4.000.100 11/7/2013 $0.14 $0.14 Balance forward SM5710.4.000.100 $567.83 $567.83 161 SG 10 1,3 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 curtect, 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. i Signature Title Signature / Company Name yU Date l y~~ Title Aell~ Date /;r n ,h.u' 1 tS Prc?c£7 n :"mr,I t n.u,11 'ail c :,W If Puoa'l uI t 0 "C rl'I I I fl.ponlA' VO4)I ~I I Al t~19 It-099 NNA 111 vII [o H"punl-Ito(I naMItII'o"„ "11111-7[ lfl ni Zo'f I ) lopuu I IK PU011 tf I c,il'IOl1 ollgncl w lu'xwu'h(1 uopucrl "sV to 1[ ) m ne.i'?III yU •ul,u,t OlI nn]~1nmdR1 I(I ' pna, "IIZ A ill t t Pl)9 F0 }-OIt %1TI I I-isIRF"1 .u n.l x~rwv,y InUL4111 UC-IP <?I?II. LI "tl itA0161 I H I_UI ZZ, thWtK,u. wp itoloq t: 571:)AI`))CIU M3 "A% V M I. IN aaln.iag aawolsnJ prillo;) o) w)[I I qM0 I "w\ IN Pro IlOT I"t'")mugV OT rOMwpl " ,Y wio Pon, 2v, UmMMOOil11 I,:o, I~c?u'pw c m.;'ulo'u ""I \0"I Id \1 I N% ) to on%J'I, 'I 1 101 col a: u. ,q uo,laicl il.,e oc>I',q( u~~l o.._r mapgxunl 110, nu)II 'Oil i.; _.,1 .n.., v(I .iuh id111i 11t, I,,,iro.Iy;,I I IA11AO a,I "Y Iq,1 ,rm,ncciO'n~"WOPn uIy Oro; r(,..ci,, 1 tc1 oPla or 7, MWO" o d~nrv ,I1 I, on c! is hAn in l ilu,m N'~')e")na,l,tu,l vu i;,t In "I" -v.intt5l 1 i'n.,4 ~+iS,I „Iu - 1 ~ ) wnnisnq am 1 _xomwd wy) q\ x I&'„'rW4f;-boy 4"1wdnu"I~ .I c' \q too U%d Olylk)1 "Al 1 KO1Id7~I.II '.on-ni I t 'r'l q I`-' I t^I)(INi.).Llnil N.). ill 1 u,t to ~,,;P ;cd VOSNad AI " n c IA It"I li . If ll,41 o q.i .,l,nloM'I pkI IPw I l n I Cu oI I'!, nc pm": ino u~- .t I ,i'.pump:- Ii , wo o3 nw A )AII.) W n~•~eo tiro r, a>Ir[{ of aiuli Last Bill Amount $302.00 5 WATERFRONT PARK Payments $-311.05 Adjustments $9.19 Balance Forward $0.14 39337-27360 06-01 11/07/13 12/07/13 Last Payment Amount $9.05 Last Payment Date 10/18/13 Service Period Meter Reads From To Days Meter Number Multiplier Units Current Previous Usage 6/18/13 10/03/13 107 60421510 1.000 CF 155050 147200 7850 Service Description Consumption Charge Total Water CUST FACILITY CHARGE 21.18 Water CUBIC FEET 7,850.00 137.87 Water REPLACEMNT FUND SURC 7,850.00 22.67 TOTAL WATER SERVICE 181.72 Sewer CUST FACILITY CHARGE 15.11 Sewer CUBIC FEET 7,850.00 267.46 TOTAL SEWER SERVICE 282,57 Fire Service FIRE SERVICE 4" 10/01/13 1/01/14 103.40 103.40 Total Current Charges 567.69 Balance Forward .14 Total Amount Due 567.83 f K O VEOLIA FISHERS ISLAND FERRY DISTRICT VENDOR 003562 HAROLD COOK 12/03/2013 CHECK 1566 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5712.4.000.000 093013 '13 COMM MTG JUL-SEP-(2) 100.00 TOTAL 100.00 #a~ AS, , - 14 ilk a a . a THE s r ORIGINAL COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER s r k.. a oti fey.` 1a \i P ©k HVNMED AND UO/jo ?4L7., np } % a o'` h'iY 4 WIT ISLoIn m U63 'WQ3a s u m~ I t r y. 1 u\ 'v i:0 2 i405464i6H 001002 Ln' Vendor No. Check No. Town of Southold, New York - Payment Voucher 3 txo r 15` Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 661 UZ) Fishers Island, NY 06390-0661 Audit Date Cook, Harold D E C 0 3 2013 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 30 ? 3 9130/2013 $100.00 $100.00 Commissioner Meeting SM5712.4.000.000 July-September 2013 2 Mtgs @ $ 50 Mtg $100.00 $100.00 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 r Company Name / / Date /y Title Date Sheet1 $50.00 a meeting Meeting Date Brooks, Robert Edwards, Christopher Rafferty, Christopher Rugg, Peter Wall, Robert Burnham, D Cook, Harold 07/01/13 1 1 1 07/15/13 1 1 1 08/06/13 1 1 1 08/16/13 1 1 1 1 08/26/13 1 09/03/13 1 1 09/23/13 1 1 1 1 Total Meetings 0 7 6 3 0 2 2 3rd Quarter 0 350 300 150 0 100 100 OU Page 1 . FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 12/03/2013 CHECK 1568 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 54408 REFUSE RMVL/NL-11/13 441.64 TOTAL 441.64 N ° n ~ °a c THE ORIGINAL CHECK HAS A COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER td a o y , ~ ~w G ,40off" ~ i ' ^ a4 h f 1&- Wi 4,' ~ M u N OQ- w t+ qa'^ m p~„ i ~.o B 6 M 9 x707 mow:`=~~ wUTwtm,na;yf°~4ee9 "F\~~'d141NAt91~, = g~~~ v -v a a -41 3 ~C7R wlimta-pom ow AND- 641/ y~y~ ''§b v s ? rs if k.y« "T& ' lmmp ) JA' 12 Div f - M gr 63?' <llh is 'e?n4ea i:. v3 - ~ ~t esp gpp say 0001566,18 i:O2L4054~4lC 68 OOL502e ~ma Vendor No. Check No. Town of Southold, New York- Payment Voucher 3891 1541 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 415 Vendor Name Plainville, CT 06062 Audit Date CWPM, LLC Vendor Telephone Number 0 E C 0 3 2013 860.447-1473 own Clerk Vendor Con[ac[ /1 i/ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger Fund and Account Number 54408 11/1/2013 $441.64 $441.64 November Refuse 2013 SM5710.4.000.000 NL Terminal Re~'ust L- n)r3 $441.64 $441.64 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 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 v ' \ Signature Company Name Date Title Date /e1 ~yu~ l~ CWPM, LLC INVOICE % Plainville, CT 06062 =1up Box 415 Phone: 1-888-966-C W P M Fax: 860-793-2624 Account Number 7$441.64 www.ewpm.net Invoice Date Invoice Number Date Due Invoice Total Invoice Balance TOTAL DUE $1,324.92 Y DIST. FISHERS ISLAND FERR BOX 607 FISHERS ISLAND, NY 06390 QQ ~D November Services -----------PLEASE DETACH HERE AND RETURN ABOVE PORTION WITH YOUR PAYMENT. USE REVERSE SIDE WITH ENVELOPE---------- 1 110#: Description: Units: $/Unit: Subtotal: 1176130OSiteName: FISHERS ISLAND FEPRYDIST STATE ST NEW LONDON, CT 11/01/2013 RCY MONTHLY SERVICES 1.00 $78.75 $78.75 11/01/2013 MONTHLY SERVICES 2.00 1!, $42.00 $84.00 11/01/2013 MONTHLY SERVICES 1.00 $204.75 1 $204.75 III il II I III I III II I I I Charges: $367.50 $ 441.6 $ 441.64 $441.64 $ 0.00 Taxes: $26.36 Fuel Surcharges: $47.78 Invoice Total: $441.64 ~a ~~Iblj3 TOTAL DUE: $92~'I FISHERS ISLAND FERRY DISTRICT VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 12/03/2013 CHECK 1569 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 5101129574.001 MISC SERVICE CHARGE 44.84 SM .5710.2.000.000 5101135722.001 RP,MU SUPPLIES 51.44 SM .5710.2.000.000 5101139383.001 LIGHT BULBS-BOATS,RAMPS 54.59 TOTAL 150.87 tit, THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER y7$x .q 7~ ' ' anaaa+} i~ ,4- 511, lluoru~ ~'~d! INA .aa w.x v. v v b ^,\axia'p MT` o • N, - ; low Aft- © 0O0= a., k'7°''961 s t ` r><+l2 ",$#s« v s"^' ° v s vi -s= r c V~ li \„v t V yv±s* ^~'\xv „nlp v vv ~ i v ~ cajA ~a a3 "Y>i `nnY\3'e A~%'. w.gv.. 5 .o bY% ' xN ~ ep i. .Q s 7 '"b 0a o S;9ll•~~:021405464o: 6 8 001502 tits • Vendor No. Town of Southold, New York - Payment Voucher 541 Check No. 4 150 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Lockbox 9761 Vendor Name P.O. Box 8500 Audit Date Electrical Wholesalers Inc. Philadelphia, PA 19178-9761 Vendor Telephone Number DEC 0 3 2013 800-522-3232 Town Clerk Vendor Contact K . Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fond and Account Number 5101129574.001 10/25/2013 $44.84 $44.84 Misc Service Charge SM5710.4.000.000 S101135722.001 10/29/2013 $51.44 $51.44 RP & MUNN Supplies SM5710.2.000.000 S101139383.001 10/30/2013 $54.59 $54.59 Ligh Bulbs for Boats & ramps SM5710.2.000.000 $150.87 $150.87 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 fyyrommJ which the Town is exempt aarreeeexclu~ded. or discrepancies noted, and payment is approved. Signature Title Signature Company Name Date zyj Title Date i s p INVOICE EleCfil Wbolemilelri int. CUSTOMER NUMBER SUB" COUNT#' KFF nva u,.,,kns,.r.,iv. io.v.... a... ELECTRICAL WHOLESALERS-HSS 27352 27352 701 MIDDLE STREET INVQIC NUMBER: 'v"fNyfCE DATE' :7. PO BOX 2786 MIDDLETOWN CT 06457-2786 S101129574.001 10/25/13 e 860-522-3232 Fax 860-548-3548 1 ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 1140 1 AB 0.384 E0301X 10452 D808063418 P1666912 0001:0001 SHIP TO: iu~irrul~hh~lhr,ip~~u~q~dn~ldd~ghp~~ii~iu~ld~ 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 #..,u''.'S^r JOBNAME /RELEASE# ORDEREDBY SALESPERSON Serv Chrg WRITER, SHIP VIA < TERMS SHIP-DATE m ,'T'.=.ORDER DATE'' Service Charge 10/25/13 10/25/13 ORDER QTY' SHIP QTY 'I ' _ DESCRIPTION "U14100ICE x:.EX..TPRICE.- lea lea MISC: SERVICE CHARGE 44.840E 44.84 This Finance Charge is being assessed to your account due to invoices that are outstanding beyond our terms LTax 44.84 Invoice is due by 11/25/13. s 0.00 0.00 For complete Terms & Conditions go to: 0.00 http://www.ew-ct.rom/CustomerEWTC.pdf ~ 44.84 A USESLoF- Company Visit us at www.usesi.com .e...........~.. TO VIEW ONLINE GO TO: http://ew.bilitrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 0001:0001 INVOICE ISM Electrical Wimiesalers Inc. CUSTOMER NUMBER SUB ACCOUNT # EW-NEW LONDON 27352 27353 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER; INVOICE DATE 860-443-4381 Fax 860-443-4570 S101135722.001 10/29/13 REMIT TO ELECTRICAL WHOLESALES, INC LOCKBOX # 9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 5721 AB 0.384 E0377X 10641 0808998176 P16687100001:0001 SHIP TO: uIII~~~dlrllu~In1~I~JIJ~IL~II~Jd~~l~gl'~I~"I~~I~IIIIII "NU FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY TER PO BOX H FOOT OF STATE ST FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 CUSTOMER PO# JOB!.NAME /RELEASE # ORDERED BY #L;<u x1,. SALESPERSON MAINT MAINT JOHN HOUSE ACCOUNT . WRITER SHIP VIA TERMS SHIP DATE -ORDER DATE KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 10129/13 10/29/13 ORDERQTY SHIP. QTY?'. DESCRIPTION' =:',UNtTPRICE EXT PRICE 12ea 12ea GEL 10OA/RS-120V A21 RS LAMP `12PK* 1.959E 23.51 48ea 48ea GEL 60A-120V IF A19 MED LAMP+ 0.518E 24.86 SAVE TIMEAND 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 ~I~ 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! • 201VIV29113103AA S101135722.1 Subtotal 48.37 If paid by 12/10113 you may deduct $0.72 Invoice is due by 12115/13 net of any cash discount. Shipping Chgs 0.00 n Tax 3.07 For complete Terms 8 Conditions go to:`~ payments 0.00 http:/hvww.ew-ct.com/CustomerEWTC.pdf AMOU`M~De 51.44 A USES Company Visit us at www.usesl.com TO VIEW ONLINE GO TO: http://ew.billtrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 0001:0001 l Electrical Wholesalers hw. Shi Ticket USESLOF .A L.S. Uccnical 5ervtcen Inc. Compan} SHIP DATE ORDER NUMBER PAGE NO. EW - NEW LONDON 10/29/2013 S101135722.001 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 TER BOX H FOOT OF STATE ST FISHERS ISLAND, NY 06390-0475 NEW LONDON, CT 06320 CUSTOMERNUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27353 JOHN HOUSE ACCOUNT WRITER SHIP VIA . WAREHOUSE ORDER GATE FREIGHTALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 10/29/2013 No ORDER OTY SHIP CITY, ? DESCRIPTION. 12ea 12ea GEL 100A/RS-120V A21 IRS LAMP *12PK* 48ea 48ea GEL 60A-120V IF A19 MED LAMP+ ADnonc naive snn slouonn.l Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due Pnntetl By: CHAKEV on 7012912013 71:31:05 AM INVOICE Electrical 1Pltekaalm hw. duSTOMER NUMBER ';'SUB ACCOUNT a EW-NEW LONDON ,f 27352 27353 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER` INVOICE DATE 860-443-4381 Fax 860-443-4570 S101139383.001 10/30/13 ~ REMIT ELECTRICAL WHOLESALES, INC LOCKBOX#9761 PO BOX 8500 BILL TO: PHILADELPHIA PA 19178-9761 675 1 AB 0.384 E0245X 10431 0810083968 Pl6700840001:0001 SHIP TO: ~~I~~IJ~"~~II~'IIIII~'ll"II'1~711111~i11~'~II~n11111Jn1111~ FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY TER PO BOX H FOOT OF STATE ST FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 CUSTOMER JOB NAME / RELEASE # ORDERED BY 5 ~ SALESPERSON: BOATS BOATS STEVE HOUSE ACCOUNT ^T~; WRITER SHIP VIA TERMS - SHIP DATEV,.- : ORDER DATE' KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 10130/13 10/30/13 ORDER QTY s4_S,HIP QTY`' v=r DESCRIPTION-l""4 """UNIT PRICE . EXT PRICE 10ea 10ea WES 500T3Q-120V-4478 QTZ 4-1/2" 2.647E 26.47 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 \(I/ 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! 2013/10W 09:58:14 AM S101139393.1 Subtotal 51.33 If paid by 12/10/13 you may deduct $0.77 Invoice is due by 12115113 net of any cash discount. Shipping Chgs 0.00 Tax 3.26 For complete Terms & Conditions go to: Payments 0.00 hftp://www.ew-ct.oom/CustomerEWTC.pdf Arnouri 54.59 A V$E$Lo=- Company Visit us at www.usesi.com TO VIEW ONLINE GO TO: hftp://ew.bilitrust.com USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 0001:0001 iii III 1111n111n111111111111111111111111111 EN Electrical Wholesalers iw. Shi Ticket A U.S. Electrical Servi"t Inc. Company SHIP DATE ORDER NUMBER PAGE NO. EW - NEW LONDON 10/30/2013 S101139383.001 1 of 1 163 STATE PIER ROAD NEW LONDON, CT 06320-5817 CUST PO#: BOATS 860-443-4381 Fax 860-443-4570 JOB/REL#: BOATS SOLD TO: SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY TER BOX H FOOT OF STATE ST FISHERS ISLAND, NY 06390-0475 NEW LONDON, CT 06320 CUSTOMER NUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27353 STEVE HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 10/30/2013 No ORDER QTY SHIP QTY ? DESCRIPTION 10ea 10ea WES 50OT3Q-12OV-4478 QTZ 4-1/2" 48ea 48ea GEL 60A-120V IF A19 MED LAMP+ 30I3n0.nD 00.814 MA SI0IIM83.1 t ramp s 0als b4s~ b 0/1 Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax Payments Amount Due PnnleC 13y: CHAKEV on 1013012013 9:58:15 AM FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 12/03/2013 CHECK 1570 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 5306332 DENTAL PREMIUM-12/13 1,721.76 TOTAL 1,721.76 8F w *.u :'3 .Prv4 sr S" 4.a". d _ d -i • - ~u d z_..w:e'`',r~`r ORIGINAL THE BACKGROUND, a La s. ~ ~ r + x~-~ap i vow w ~ Qa~ IM 11 9 ua so V~Yt7 7t{!9 CSI TC9*~" r«a t er, t.• s(( rq Ck CA:7~~4 06 4 Wk Tfftl NY~ E_ V EN HUNDI ..Q a#F ] 3~ 8 "Am 138E y~° @.~i'3`f~3 - a ,•3~;~.d~'~?P~C 3~?T < - t ~ ,'a ~ ~ "lava -a oa fig- 'ao2it.bs4r4l:" 68 0015C12 Vendor No. Check No, rr Town of Southold, New York - Payment Voucher 5L(q CQ1 510 Vendor Tax ID Number or Social Security Number Entered by Crnpire e0 0f(,e Ut QP P.O. Box 202837 Audit Date Empire Dental Department 83703 ~E~ Q 3 203 Vendor Telephone Number Dallas, TX 75320.2837 T Clock Vendor Contact a Invoice Invoice Invoice ! Net Purchase Order Number Date Total li Discount Amount Claimed Number Description of Goods or Services General Lodger Fund and Account Number 5306332 11/14/2013 $1,721.76 $1,721.76 12/1/13.12/31/13 8M8060.8.000.000 I $1,721.76' $1,721.76 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 Company Name/ Date Title L~~ Date Empires STATEMENT PAGE I amcwm EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 MINNEAPOLIS MN 55440-0856 BILLING DATE 11/14/2013 BILL/PYMT INOUTAIES 877-606-3409 ENROLU 9NT 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 FISHERS ISLAND NY 06390 » ~ma ~ ens aw•v~ ae~ aam eo< 5277825 10/14/2013 INVOICE 11/01/2013 01/NW/13-30/NW/13PR3DU 1,603.38 1,603.38 5306332 11/14/2013 INVOICE 12/01/2013 011OTC/13-31/0EC/13PRENW 1,721.16 1,721.76 C0101HNT DUE PAST 006 TOTAL ANDUNT DUE 1 1 - 30 DRYS 31 - 60 RATS 61 - 90 DRYS fBA1R 90 DATE 1,721.76 1,603.38 0.00 0.00 0.00 3,325.14 AMOUNT RNNLTTBD YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. 6 PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. 8ecviaf PaovldM by Bspim B 1t6C6oiw B{~n[Spy, Sx., a 14, qp of . B1 cm an4 Blw mia Nsooiatl o a - of in6epe t S1 Caws W 31w p lal4 P1 . EaRke0 INVOICE PAGE I mcRos EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 5306332 MINNEAPOLIS MN 55440-0856 BILLING DATE 11/14/2013 SUBSCRIBER PERIOD 12/01/2013 - 12/31/2013 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 23 394.50 39.46/EE/MO 644.08 80.51/EE/NO 96.48 96.48/EE/MO 586.60 146.65/EE/MO 1 721.76 INVOICE TOTAL 23 0 $0.00 0.00 $1,721.76 $1 721.76 YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. 8enlu. prodded by Sell. b..1thc viu Aeevsmu, fna., . llnen.ea of the blve Cyou end 21w Shield b..ovl•eion, .n e..eni•ffen of independent Slue Ceoem and blue Shield pLne. Empire! SUBSCRIBER LISTING EMPIRE ACCOUNT NAME FIBBERS LAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4562251 INVOICE 5306332 MINNEAPOLIS MR 55440-0856 BILLING DATE 11/14/2013 SUBSCRIBER PERIOD 12/01/2013 - 12131/2013 ENROLLMENT INQUIRIES 800-928-6459 REMIT ELIGIBILITY CHANGES TO: FISHERS ISLAND FERRY DISTRICT-BROKER EMPIRE ATTN: NARY CENTER PO BOX 838 261 TRUMBULL DR MINNEAPOLIS MN 55440-0838 PO BOX 607 ATTN: ENROLLMENT DEPARTMENT FISHERS ISLAND NY 06390 CUSTOMER REPORTING NUMBER 456125-0001-0001 FISHERS ISLAND PERRY DISTRICT LAN! NAME lCORT NINA AV 1 6NAICAIENA 3111K=0E OOVWY m MANS f!NA 76NACOmMT 40TA4 ANCONT •HMO9R SAIMTT FREDERICK N A e13Milo1] 05/01 2011 EXPLOYBE 39,46 BRONN DONALD N/A 195X11083 03/01/2011 EMPLOYED+SPOUSE 80.51 BURKI ST&PREN N/A 648M11229 03/01/2012 EMPLOYEE 39.46 BURMB RONALD N/A 484X11337 01/01/2013 EMPLOYES+SPOU9E 80.51 DOUCETTE DEBOMN N/A 304HII540 03/01/2013 EMPL0YEE+9POU90 80.51 EAOAN DANIEL M/A 028MI1702 10/01/2013 EMPLOYEE 39.46 FENTON SCOTT N/A 372MIL983 10/01/2013 EMPLOYED 39.46 PIORA MICHAEL N/A 87011D83 05/01/2011 EMPLOYEE 39.46 FOLEY PAUL R/A 877MI2003 03/01/2011 AMPLCY1E 39.46 FORD POLLY N/A 337MI1227 04/01/2012 FAMILY 146.65 FMNCO MICRM6L N/A 73SKII635 08/01/2013 EMPL0M+SPOUSE 80.51 HANEY JONATHAN N/A 622M31343 04/01/2013 EMPLOYEE+BPO061 90.51 ROCK RICHARD N/A B82M11033 05/01/2011 EMPLOYEE 39.46 KMAUFF ROBERT M/A 614M11063 05/01/2011 ENPLOY08+9POUeE 00.31 LAM ROBERT N/A 436X11586 05/01/2013 lMPLOYXE+IPOUBE 10.51 LIFIVRE NAYMOMD N/A 181X11083 03/01/2011 EXPLOYIE 39.46 NAME CASON N/A 626MI1227 04/0112011 EIOLOYBE 39.46 WMEALL JESSE M/A 494MI1063 03/01/2011 E4PIAYEE+BPOUEE 00.31 MORGAN JOHN R/A 897Mi1OB7 03!01/201] FAMILY 146.65 a cva Provided by fapin MalthMaiaa Meunnoe, Ina., • SiMMaa of tM a1M CKea W ALae SMleld Naaoiat , an aaaoalation of indepnM t Elul Cewa end %L" WOW Plana. Empire SUBSCRIBER LISTING PAGE 2 EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT EMY4561251 INVOICE 5306332 MINNEAPOLIS MN 55440-0856 BILLING DATE 11/14/2013 SUBSCRIBER PERIOD 12/01/2013 - 12131/2013 ENROLLMENT INQUIRIES 800-928-6459 CUSTOMER REPORTING NUMBER 456125-0001-0001 FISHERS ISLAND FERRY DISTRICT LYR IRIY RRa4 M41m 14V 1 IW6GIfER QlaOlM COYEIIA9 ConRaNIT 911R0 1OlV1L m OA3E TM ANDOIIT AIMm1T 1Y0a11R MURPRY GORDON N A - 095MI1203 03101/2012 FAMILY 146.65 PARADIS JOHN N/A 424MI1632 07/01/2013 FAMILY 146.65 FONKID NINA R/A 89aMI1083 05/01/2011 7044+CMILD(REN) 96.48 TPAUB JAMES N/A 07WI1093 05/01/2011 EMPLOYEE 39.46 10 INDIVIDUAL 394.60 0.00 394.60 a ENOLOYBE+BPOUBE 644.09 0.00 644.08 1 ENP+CNSLD(REM) 96.42 0.00 96.42 4 FAMILY 586.60 0.00 $86.60 UBSCRIBER TOTAL FOR THE ABOVE CUSTOMER REPORTING NUMBER 23 1,121.7t 0.00 1,721.76 SO INDIVIDUAL 794.60 0.00 394.60 6 EMPLOYEE+aP00aE 611.Oo 0.00 644.08 1 EIO+CMILD(RBN) 96.48 0.00 96.48 ED rOT" 1*9 ALL 4 TAMILY 365.60 0.00 716.60 TSB CO R MPORTI 723 1,721.74 0.00 1,721.74 ENROLLMENT CHANGES MOST BE RECEIVED AT LEAST 5 BUSINESS DAYS PRIOR TO YOUR SCHEDULED BILL RUN DATE. FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 12/03/2013 CHECK 1571 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 2-461-30451 AIRBILLS-PAYROLL,WARRANT 132.09 TOTAL 132.09 S RA r4 40 ~g mm p{v ~tb Xd3 awdQr THE ORIGINAL CHECK HAS A a ,n as COLORED BACKGROUND COPY FEATURE AND WATERMARK PAPER 'L~ 53 o a. it 9 59~ ;1)Y71o O CK cu)BHOWE;SY €19d3 ~ L14 OI& HUNDRED THI*TY TWO AND 09/i901^~>8', s, a lit 001571,10 57 i,1' 1:0 2 iLO 5464~CGt 68 00 ISO 2 iii' Vendor No Che* Na Town of Southold, New York - Payment Voucher 6155 1 1 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 AU(Ut Date Fedex DEC 0 3 2013 Vendor Telephone Number 800-622.1147 C k a. Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Le r Fund and Account Number 2.461.30451 7/1112013 $132.091 $132.09 Alrbllls-Pa roll Warrant SM$710.4.000.000 1 1 1 $132.09 $132.01 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 awing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature Title Signature ~f xav J Company' Name I Date / _ Title Date l/ ~I After printing this label: I. Use the'Pnnl' button on this page to pnnl your label to your laser or inkjet penter. 2. Fold the printed page along the hoi¢onlai line. 3. Piece label in shipping pouch and aft it to your shipment so that the baicode portion dI f the label can be read and scanned. Waming: Use only the printed anginal label for shipping. Using a photocopy of his label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your Fed& account number. From: (860) 442-0165 Origin ID: SKKA Ship D a 220CT113 JIM TRAUB MANI ERR= FISHERS ISLAND FERRY TERMINAL a CAD: 0 75185/CAFE2808 1 5 WATERFRONT ARK LONDON, CT 06320 E Delive7lAddress VIIIBIIIr Code J12131210[HP6 NEW lllllllllllIIIII IIIIIIIIIII II IIII IIIIIIIIII I IIII III III III IIIII SHIP TO: (631( 765.4333 BILL SENDER Ref# DIANA WHITECAVAGE Invoice# TOWN OF SOUTHOLD PO# TOWN OF SOUTHOLD-ANNEX-ACCT'G Depl#! 54375 MAIN RD. SOUTHOLD, NY 11971 WED - 23 OCT 12:OOP 5645 23215270 PRIORITY OVERNIGHT TRK#i ( f 4 NY-US K 1 E L WS HA 1JF ( + I ( 512CUABIBIOW x A ij~ 11, I'll pte"M Express FeCEX. US Airbill 8750 7143 0 810 P t From PMwsPrnKrWwaceMrLL K , . A Date Acmum Number ""~(O: el _ )y 3,y ~ExpmPaukkapSemim xrr~m / Fed&PriartyOvemi h[p 9ro15B%s _ ? =99 /S+Y~~. nnd::.Oa.gM Fed ExFast Ovemigln sende E] j~S)-~ ` u+mwuwra.:«r's.i..ea a.a+rnurmx ^~a rs 1 ~ ` ?m. 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Dry lce NUM W.Nb Yrwkrtli.MOW b.aupn.Wm b ` t~ ,.11Zr 6LAxW0 t°„bPlefw4 p.r.gq WYan41x IBS _~N e.VWq.EG'm. P / / / / 7 pnYmem &Akc El Cargo AircrzROnly S~ I Smtle( f-- ~r'bsax.. o.trwx.ra. .i1 mx`ea"ee$° E] Recipient: ED Third Pant L] Cred¢Cam ? CasNrCheck ~ oMaara ~ TOWFadcanes T.Wvmgld TatalD-I red%kk., zfr s-. ~ s m _ r prw~„:~.,.awow®w..a...udr.ra~nrws~...~~+en.etlw 606 .t„~_ Y,! ~mavsm+.u.ndrsxr.ebo. - vaixrmwusn mr i j4a recLx- Invoice Number Invoice Date Account Number Page 2-461-30451 Nov 11 2013 1206-0334-5 1of5 FedEx Tax ID: 71-0427007 Billing Address: Shipping Address: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL DEB DOUCETTE 5 WATERFRONT PARK PO BOX H NEW LONDON CT 06320 Invoice Questions? Contact FedEx Revenue Services FISHERS ISLAND NY 06390-0607 Phone: (800)622-1147 M-Sa 7-6(CST) Fax: (800) 548-3020 Invoice Summary Nov 11, 2013 Internet: www.fedex.com FedEx Express Services Transportation Charges 134.35 Base Discount -14.64 Special Handling Charges 12.38 Total Charges USD $132.09 TOTAL THIS INVOICE USD $132.09 You saved $14.64 in discounts this period! Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 2-461-30451 Nov 11 2013 1206-0334-5 2of5 Adjustment Request Fax to (800) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons, including service failures, should be submitted by going to wwwJedex.com or calling 800.622.1147. Please use multiple forms for additional requests. C, Please complete all fields in black ink. nRequestor Name I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Date W/ W/ W t a' Phone LI I I -LI I I -I I I I I Fax# IWW -I I I I -I I I I I c 't. E-mail Address QYes, I wantlo update account contactwith the above information. N Tracking Number Bill to Account $ Amount 01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I•I I I "_IIIIIIIIIIIIIIII IIIIIIIIII IIIIII•W j,LLllllllllllllll L111111111 IIIIII•W ILt IIIIIIIIIIIIII IIIIIIIIII IIIIII•III '`IIIIIIIIIIIIIIII LIIIIIIIII IIIIII•W c ADR -Address Correction INW -Incorrect Weight OVS - Oversize Surcharge For all Service failures or other DVC - Declared Value INS - Incorrect Service RSU - Residential Delivery surcharges please use our web IAN - Invalid Acct # OCF - Grd Pick-up Fee PND - Pwrshp Not Delivered site www.fedox.com or call OCS - Exp Pick-up Fee SDR - Saturday Delivery 1800) 622-1147 Rerate information only (round to nearest inch) G Tracking Number Code $Amount LBS L W H r d 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I L I I I I- I I I WWI I I I I x WWJ x I I I I I I I I I I I I I I I I I I I WWJ I I I I I I• W WWJWJxI I I IxIWW t L_L l l l l l l l l l l l l l l I I I I I I I I I I• W WJWJxWJxI I I I S?I I I I I I I I I I I I I I I I I I I I• W Ll l IWWJxLI I IxI 1 1 1 I I I I I I I I I I I I I I I I I I I I• W WJWWJxI I I IxIWW Invoice Number Invoice Date Account Number Page 2-461-30451 Nov 11 2013 1206-0334-5 3ot5 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments (Original) Rated Special Weight Transportation Monolog Rot C6gRart Payer Type ! Shipments lhs charges charges Cradits/other Discounts Total charges; Shipper 2 3.0 43.90 4.06 -4.39 43.57 Recipient 4 3.0 90.45 8.32 -10.25 88.52 Total EedExExpress 6 CO $13435 $1230 -$14A4 $13209 Total This Invoice USD $132.09 1313-01A W12(V7M)2-0031743 Invoice Number Invoice Date Account Number Page- 2-461-304 1 Nov 11 2013 1206-0334-5 4af5' FedEx Express Shipment Detail By Payor Type (Original) Pickod up,.Oct22, 2013 Gold. Rei« NO REFERENCE INFORMATION ROW: Payer. ShipperReti3: Fuel Surcharge- FedExhas applied a fuel surcharge of 10.50% to this shipment. - • Distance Based Pricing,Zone 2 Automation CAFE Sender Recipient Tracking ID 564523215270 Jim Traub Diana Whitecavage Service Type FedEx Priority Overnight FISHERS ISLAND FERRY TERMINAL Town of Southold Package Type FedEx Pak 5 WATERFRONT PARK Town of Southold-Annex-Acctg _ Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 Its, 0.9 kgs _ Declared Value USO 20.00 Transportation Charge 24.00 Delivered Oct 23, 201312:18 Fuel Surcharge 2.27 - Svc Area A8 Declared Value Charge 0.00 Signed by A.JANICE Discount -2.40 FedEx Use 000000000/0001486!_ Total Charge USD $23.87 Pitted up: Nov 05, 2013 Cost. Rei.: NO REFERENCE INFORMATION NOW: Payer: Shipper, Retd3: Fuel Surcharge FedEx has applied a fuel surcharge of 1000% to this shipment. • Distance Based Pricing, Zone 2 • FedEx has audited this shipmentfor correct packages, weight, and service. Any changes made are reflected in the invoice amount. • The package weight exceeds the maximum for the packaging type, therefore, FedEx Envelope was rated as FedEx Pak. Automation USAB Sender Recjpient Tracking 10 875071430810 G S MURG D WHITELALURGE Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWNM SOUTHOLD Package Type FedEx Pak 5 WATERFRONT PARK 54375 MIEIN RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 1.0 Its, 0.5 kgs Delivered Nov 06, 2013 10:40 Transportation Charge 19.90 Svc Area A8 Fuel Surcharge 1.79 Signed by F.FOSTER Discount -1.99 FedEx Use 030951442/001 Total Charge USD $19.70 Shipper Subtotal USD $43.57 Dropped of: Oct 17,2013 Cud. Rei.: NO DEFERENCE INFORMATION R$fJM* Payer: Recipient ROM3: • Fuel Surcharge- FedEx has applied a fuel surcharge of 10.50% to this shipment. • Distance Based Pricing, Zone 2 • Fed Ex has audited this shipment for correct packages, weight and service. Any changes made are reflected in the invoice amount. • The package weight exceeds the maximum for the packaging type, therefore, FedEx Envelope was rated as FedEx Pak. Automation USAB Sender Incipient Tracking 10 801403333763 JANICE LFOGUA MR DONALD LAMIS Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1.0 lips, 0.5 kgs Delivered Oct 18, 201309:49 Transportation Charge 2155 Svc Area A9 Discount -2.36 Signed by M.POLLY Fuel Surcharge 2.22 Fell Use 029041473/0001486/_ Total Charge USD $23.41 1313 01 00-001znm-000? 0031743 Invoice Number Invoice Date Account Number Page 2-461-30451 11 Nov 11 2013 1206-0334-5 5ot5 Dropped off: Oct 23,2013 Cost. Rel.: No REFERENCE INFORMATION Refit Payer: Recipient Ret,#,#: • Fuel Surcharge -Fed Ex has applied a fuel surcharge of 1050% to this shipment • Distance Based Pricing, Zone 2 • Fed Ex has audited this shipment for correct packages, weight, and service. Any changes made are reflected in the invoice amount. • The package weight exceeds the maximum for the packaging type, therefore, Fed Ex Envelope was rated as Fed Ex Pak. Automation USAB Sender Recipient Tracking ID 801403333785 DIANA WHITE COVAGE DONALD LAMB Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 5 WATER FRONT PK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 1.0 lbs, 0.5 Inge Delivered Oct 24, 201310:44 Transportation Charge 23.55 Svc Area A4 Discount -2.36 Signed by TTRAUB Fuel Surcharge 2.22 FedEx Use 029657657/0001486/_ Total Charge - USD 523.41 Dropped off: Oct 31,2013 Cost. Ref.: NO REFERENCE INFORMATION' Refit, Payer: Recipient flil • Fuel Surcharge- FedEx has applied a fuel surcharge of lO 50% to this shipment • Distance Based Pricing, Zone2 • Fed Ex has audited this shipment for correct packages, weight and service. Any changes made are reflected in the invoice amount. • The package weight exceeds the maximum for the packaging type, therefore, FedEx Envelope was rated as FedEx Pak. Automation USAB Sender Recipient Tracking ID 801403333774 JANICE LFOOLIZ MR DONALD LAMB Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1.0lbs, 0.5 kgs Delivered Nov 01, 2013 11:02 Transportation Charge 23.55 Svc Area A9 Fuel Surcharge 2.22 Signed by P.FORD Discount -2.36 FedEx Use 030449959/0001486/_ Total Charge USD 523.41 Dropped off. Nov 07,2613 Cost, Ref.: NO REFERENCE INFORMATION Rem: Payer: Recipient Rein • Fuel Surcharge- FedEx has applied a fuel surcharge of 1000% to this shipment • Distance Based Pricing, Zone 2 Automation USAB Sender Recipient Tracking ID 803002499813 DIANA WHITECAVAGE DONALD LAMB Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT Package Type FedEx Envelope 53095 ROUTE 25 5 WATERFRONT PK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages I Rated Weight N/A Delivered Nov O8, 2013 10:19 Transportation Charge 19.80 Svc Area A4 Fuel Surcharge 1.66 Signed by P.FORD Discount -3.17 FedEx Use 031184859/0000186/_ Total Charge - - USD $18.29 Recipient Subtotal USD $88.52 Total FedEx Express USD $132.09 1313 01,00-0012007-0001 .0031742 1313-0100-0012007-0001-00317 12 FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 12/03/2013 CHECK 1572 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 027700-10/13 ELECTRIC-FRT SHED-10/13 188.15 SM .5710.4.000.200 027750-10/13 ELECTRIC-WHISTLER-10/13 11.79 SM .5710.4.000.200 027750-10/13 WATER-WHISTLER-10/13 23.10 SM .5710.4.000.200 027800-10/13 TELEPHONE-THEATRE-10/13 36.01 SM .5710.4.000.200 027800-10/13 ELECTRIC-THEATRE-10/13 106.67 SM .5710.4.000.200 027800-10/13 WATER-THEATRE-10/13 29.67 SM .5710.4.000.200 027900-10/13 ELECTRIC-AIRPORT-10/13 42.75 SM .5710.4.000.200 028000-10/13 TELEPHONE-FRT OFFC-10/13 134.92 ` SM .5710.4.000.200 028000-10/13 ELECTRIC-FRT OFFC-10/13 439.32 6 SM .5710.4.000.200 028000-10/13 ~'WATER-FRT OFFC-10/13 23.10 SM .5710.4.000.200 028100-10/13 s F~_PHONE-MGR OFFC-10/13 149.43 SM .5710.4.000.200 028101.10/13 cT HONE-MGR COMP-10/13 38.26 SM .5710.4.000.200 Ot?~x~'& r+aF`ml'E'~NE-ANNEX-10/13 82.70 ' SM .5710.4.000.200 028 35-10 13 EIECT ANN&X-710/13 24.17 SM .5710.4.000.200_,__• ?"028135-10/13" WATER='ANNEX-10/13 29.67 SM .5710 4.y~ UTER-10/13 95.21 ~P w SM .5710.4.OdOt~c ir0` `x.',''^ ti~a' - .Q-•' t-.. ,'EE+ =IIPg'L INE-10/13 57.79 ac SM .5710.4.000.200 028150-10/13 TELEPHONE-FAX MACH-10/13 162.53 SM .5710.4.000.200 028200-10/13 TELEPHONE-PUB.PHN-10/13 37.26 TOTAL 1,714.50 ORIGINAL THE COLORED p, BACKGROUND, VOID COPY FEATURE AND WATERMARK PAPER IN, D 09t, )AS A e1j A 0 Ol q AA 9'I3ISTl~IQ' ^x 0 . a 96 MAIN FHE StFRU(~"tiiiTfONPl dXNJC - . i _ - . a 4UTCHOWE. M1`il ~~B - ~ ti o gs pae~z 4 1j~JQ3' ~i~tW ONE THdUSAND SEVEN HUNDRED FOt3RTEEL? AND Sq)100, DOLLARS ' A` y PAT "SHERIVISL70m UTILITY co HO'"SOX 121~Ai4ER ~ ~ p, FISHERS ISLAND NY` 0¢390.0604, 0 ab>' 'des f fair .aK A ati T yOr ni00i572110 i:021LoSL64e: b8 OOLS02 ii~• . ~ Town of Southold, New York - Payment Voucher Vendor No 6412 Check No. i 37 ' - Vendor Tax ED Number or Social Security Number Vendor Address Entered by PO BOX E Vendor Name Fishers Island, NY 06390 Audit Date FISHERS ISLAND UTILITY COMPANY DECO 3 1013 Vendor Telephone Number 631-788.7744 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 028135 10/31/2013 $82.70 $82.70 Tel Annex-10/13 SM5710.4.000.200 028135 10/31/2013 $24.17 $24.17 Elec Annex-10/13 SM5710.4.000.200 028135 10/31/2013 $29.67 $29.67 Water Annex-10113 SM5710.4.000.200 028145 10/3112013 $95.21 $95.21 Tel Freight DSL 10113 SM5710.4.000.200 028146 10/31/2013 $57.79 $57.79 Tel UPS Line 10/13 SM5710.4.000.200 028150 10/31/2013 $162.53 $162.53 Tel Fax Line 10/13 SM5710.4.000.200 027700 10/31/2013 $188.15 $188.15 Frt Shed Else 10/13 SM5710.4.000.200 027800 10/31/2013 $38.01 $38.01 Theater Tel 10/13 SM5710.4.000.200 027800 10/31/2013 $106.67 $106.67 TheaterElec-10/13 SM5710.4.000.200 027800 10/31/2013 $29.67 $29.67 Theater Water-10113 SM5710.4.000.200 027900 10/31/2013 $42.75 $42.75 AirportElec-10/13 SM5710.4.000.200 028000 1013112013 $134.92 $134.92 Frt Shed Tel -10/13 SM5710.4.000.200 028000 10/31/2013 $439.32 $439.32 Frt Shed Elec-10/13 SM5710.4.000.200 028000 10131/2013 $23.10 $23.10 Frt Shed Water-10N3 SM5710.4.000.200 028100 10/31/2013 $149.43 $149.43 FI Office Tel-10H3 SM5710.4.000.200 028101 10/31/2013 $38.26 $38.26 FI Off Computer Tel-10/13 SM5710.4.000.200 027750 10/31/2013 $11.79 $11.79 Whistler Ave Elec-10/13 SM5710.4.000.200 027750 10/31/2013 $23.10 $23.10 Whistler Ave Water-10/13 SM5710.4.000.200 028200 10/31/2013 $37.26 $37.26 Public Dock Phone 10113 SM5710.4.000.200 $1,714.50 $1,714.50 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 cortect, 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 aexxeem2pptt we excluded. or discrepancies noted, payment is approved. Signature - Title Signature ~dv Company Name U 1~ Date r % Title Date 1 FISHERS ISLAND UTILITY - VENDOR #6412 INVOICE9 SUFFIX DATE AMOUNT DESCRIPTION FUND/ACCT# 027700- 10/13 10/31/13 188.15 ElectricF ht Shed- 10/13 SM.5710.4.000.200 027750- 10/13 10/31/13 11.79 Electric-Whistler Ave 10/13 SM.5710.4.000.200 027750- 10/13 10/31/13 23.10 Water-Whistler Ave 10113 SM.5710.4.000.200 total - $34.89 027800- 10/13 10/31/13 38.01 Telephone-Theatre- 10/13 SM.5710.4.000.200 027800- 10/13 10/31/13 106.67 Electric-Theatre- 10/13 SM.5710.4.000.200 710.4.000.200 total-174.35 027800- 10/13 10131/13 29.67 Water-Theatre- 10/13 ESM..5710.4.000.200 027900- 10113 10/31/13 42.75 Electric-Airport- 10/13 710.4.000.200 027950- Electric-Annex #2 709.2.000.100 028000- 10/13 10/31113 134.92 Telephone-F ht Offc- 10/13 028000- 10/13 10/31/13 439.32 ElectricF ht Offc- 10/13 SM.5710.4.000.200 028000- 10/13 10/31/13 23.10 Water-F ht Offc- 10113 SM.5710.4.000.200 total-597.34 028100- 10/13 10131/13 149.43 Telephone-Mgr Cffc- 10/13 SM.5710.4.000.200 028101- 10/13 10/31/13 38.26 Telephone-Mgr Comp- 10113 SM.5710.4.000.200 028102- Telephone-ATM Line- SM.5710.4.000.200 028135- 10/13 10131/13 82.70 Telephone-Annex- 10/13 SM.5710.4.000.200 028135- 10/13 10/31/13 24.17 Electric-Annex- 10/13 SM.5710.4.000.200 028135- 10/13 10/31113 29.67 Water-Annex- 10/13 SM.5710.4.000.200 total-136.54 028145- 10/13 10131/13 95.21 Telephone-Computer- 10/13 SM.5710.4.000.200 028146- 10/13 10/31/13 57.79 Telephone-UPS Line- 10/13 SM.5710.4.000.200 028150- 10/13 10131/13 162.53 Telephone-Fax Mach- 10113 SM.5710.4.000.200 028200- 10/13 10/31113 37.26 Tele hone-Public Phone 10113 SM.5710.4.000.200 TOTAL 1,714.50 BILLING SUMMARY Current Account Activity TELEPHONE 'Balance From Previous Month . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . .00 ELECTRIC • • • • . .Current Balance. . . . . . . . . .00 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . 336.97 Total Payments . . . . . . . . . . . . . . . . . . . . . . 181.93 Total Adjustments . . . . . . . . . . . . . . . . . . .00 WATER • • • • • .Current Balance. . . . . . . . . 155.04 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . . . .00 * DUE IMMEDIATELY ' OUTSTANDING BALANCE 155.04 Current Electric Charges • See Page 3 . . . . . . 188. Current Amount Due by 11/25/13 188.15 Total Amount Due 343.19 11000968 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: on ( & 1d p,m rida 30 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 & 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. TELEPHONE NUMBER 631P188-0023 BILLUDATEUMBER 10/31%103 BUSINESS oEFRSEIS AND$gELE51TRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energ Charge $177.17 Fuel d1"ustment 10.98 New York State Tax 0.00 Total Current Charges $188.15 Meter Readings Energy used Amount Current Previous MASTER 27342 26779 REG. 563 KWH 111.38 DEMAND 5.90 01 DMD. 5.89 KW 65.79 DATE 10128 9%27 DMD. MIN. 3.67 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0195 PER KWH TOTAL ENERGY CHARGE $177.17 11000969 BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month .00 'Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . .00 ELECTRIC • . . • • .Current Balance. . . . . . . . . .00 Balance From Previous Month 55.12 Total Payments . . 35.51 Total Adjustments . . . . . . . . . . . . . . . . . . .00 WATER • • • . • .Current Balance. . . . . . . . . 19.61 Balance From Previous Month 46.54 Total Payments . . 23.44 Total Adjustments . . . . . . . . . . . . . 00 ' DUE IMMEDIATELY OUTSTANDINGIBALANCE " ' 23.10 Current Electric Charges - See Page 3 . . . . . . 11.79 Current Water Charges - See Page a . . . . . . 23.10 Current Amount Due by 11125/13 34.69 Total Amount Due .60 11000970 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. TELEPHONE NUMBER 631P188-0122 ACCOUNT NUMBER 027750 BILL DATE 10/31/13 BUHE F IS off RS E I S AND88ELE51TR I C CORPORATION Detail of Current Electric Charges Electric Class - 1 CURRENT CHARGE: EnergyY Charge $11.67 Fuel Adjustment 0.12 New York State Tax 0.00 Total Current Charges $11.79 Meter Readings Energy used Amount Current Previous MASTER 59770 59764 REG. 6 KWH 11.67 DEMAND 00 00 DMD. .00 KW 0.00 DATE 10/28 9/27 DMD. MIN. .00 FUELRADJUSTMENT FACTOR .0195 PER KWH NY SURCHARGE 00 TOTAL ENERGY CHARGE $11.67 FISHERS oISLAM WATER7WORKS CORP. Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER READING/DATE CURRENT 80280 10/28 PREVIOUS 80270 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 11000971 BILLING SUMMARY Current Account Activity TELEPHONE ` Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 153.51 Total Payments . . . . . . . . . . . . . . . . . . . . 115.50 Total Adjustments . . . . . . . . . . . . . . . . . . .00 ELECTRIC • • • • . .Current Balance. . . . . . . . . 38.01 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 310.81 Total Payments . . . . . . . . . . . . . . . . . . . . . . 226.59 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 84.22 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 59.78 Total Payments . . . . . . . . . . . . . . . . . . . . . . 30.11 Total Adjustments . . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . . . . 29.67 DUE IMMEDIATELY'*' OUTSTANDING BALANCE 151. Current Telephone Charges . . . . . . 38.01 Current WaterrChargesg- SeeSPageaggSe 5 . . . . . . 129.67 Current Amount Due by 11125113 74. Total Amount Due 326.25 11009972 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. F19ZM ISL4ND WILITY COMPANY PISEMS ISL4N0, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 11/01113 - 11130/13 Bate ~ERY CHARGE 2 27n IppW 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 Equipment for Period: 11/01/13-11t1~/t30113 RRaatt am~oouunntt TR~JACK MAIN[. BU Quantiity UD -7~ ADSL+ 4 MONTH SERVICE 1 .00 .00 INTERNET RECONNECT FEE 1 Total 05 Total Equipment And Service Charges .75 Total Non-Basic Charges .75 11000973 A TELEPHONE NUMBER 631-788-7031 ACCOUNT NUMBER 027800 BILL DATE 10/31/13 HE FIS ERSEIS AND88ELE51TRIC CORPORATION OFFI (631) Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energy Charge $97.31 Fuel Adjustment 9.36 New York State Tax 0.00 Total Current Charges $106.67 Meter Readings Energy used Amount Current Previous MASTER 359 353 REG. 480 KWH 97.31 DEMAND 00 00 DMD. .00 KW 0.00 DATE 10/28 9/27 DMD. MIN. .00 METER MULT. 80 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0195 PER KWH TOTAL ENERGY CHARGE $97.31 ISHNERSoISLEND3WAT3ER7WORKS CORP. Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 241 10/28 PREVIOUS 241 9/27 CUBIC FEET (CU FT x 7.5 = GALLONS) Current Water Charge 29.67 Gross Receipts Tax Credit (per PSG) 0.00 Total Current Charges $29.67 11000974 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 i 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 3,000 314 $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 .00 Total Payments . . . . . . . . . . . . . . ' ' . . . ' e Total Adjustments . . . . . . . . . . . . . . . . . . . . . ELECTRIC • • . . • .Current Balance. . . . . . . . . .00 .00 Balance From Previous Month 79.3E Total Payments . 41.56 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . .Current Balance. . . . . . . . . 37.76 WATER Balance From Previous Month .00 Total Payments . .00 Total Adjustments . . . . . . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . . . . .00 DUE IMMEDIATELY - OUTSTANDING BALANCE " ' 37.76 Current Electric Charges • See Page 3 . . . . . . 42.75 Current Amount Due by 11/25113 2.75 Total Amount Due 80.51 11000975 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 a COMPLAINTS Office2 nours: on (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 & 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 Presidents Office 788-7251 Company, Robert Wall, who may be reached Residence .....................788-7710 at 788-7251 during business hours. TELEPHONE NUMBER 631P188-0576 ACCOUNT NUMBER 027900 BILL DATE 10/31/13 THE FIS HERSE IS AND88ELE51TRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: EnergyY Charge $39.98 Fuel Ad ustment 2.77 New York State Tax 0.00 Total Current Charges $42.75 Meter Readings Energy used Amount Current Previous MASTER 6755 6613 REG. 142 KWH 39.98 DEMAND 00 00 DMD. .00 KW 0.00 DATE 10/28 9/27 DMD. MIN. .00 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0195 PER KWH TOTAL ENERGY CHARGE $39.98 J 11000976 BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month 268.05 Total Payments . . . . . . . . . . . . . . . . . . . . . . 127.37 Total Adjustments . . . . . . . . . . . . . . . . . . .00 ELECTRIC . • • • . .Current Balance. . . . . . . . . 140.68 Balance From Previous Month 739.67 Total Payments . 398.15 Total Adjustments . . . . . . . . . . . . . . . . . . .00 WATER • • • • . .Current Balance. . . . . . . . . 341.52 Balance From Previous Month 77,07 Total Payments . . 41.84 Total Adjustments . . . . . . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . . . 35.23 DUE IMMEDIATELY OUTSTANDING BALANCE " ' 517.43 Current Telephone Charges 134 .92 Current Electric Charges - See Page 7 439.32 Current Water Charges - See Page . . . . . . 23.10 Current Amount Due by 11/25/13 597.34 Total Amount Due 1,114.77 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 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 t0: 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 Presidents Office 788-7251 Company, Robert Wall, who maybe reached Residence .....................788-7710 at 788-7251 during business hours. FISIE6S ISLAND UTILITY COMPANY FI9Z8S ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges EEQgqpuipment for Period: 11101 /13Q u--ap11t1__~~/_~3yy0/13 ggggl~~ am~oouunntt AL~VERY CHARGE 2 T " 2.00 IFW BUSINESS LOCAL SERVICE 1 21.96 21.96 ENDUSER CHARGE ANNUAL (M 1 9.20 9.20 E-911 SURCHARGE 1 Tot.35 33.31 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. yf7for Period: 11/01/13 - 11/30/13 BUR amount TNS.ACK MAINT. BU Du" .10 ALARM SVC MONTHLY CHARGE 1 T3 otal 0.00 330.00 Total Equipment And Service Charges 33.75 Total Non-Basic Charges 33.75 11000978 a W TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 10/31/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originatingg # 631.788.7345 No Daie Time Min Loc Called Area-Number P T Amount 1 9/23/13 2:02PM 1 New London CT 860-442-0165 D 1 .40 2 9/24/13 8:19AM 1 New London CT 860-442-0165 D 1 .40 3 9/24/13 9:13AM 2 Brattlebo VT 802-254-1564 D 1 .80 4 9/24/13 10:16AM 1 Ithaca NY 607-351-1117 D 1 .36 5 9/24/13 11:46AM 2 New London CT 860-442-0165 D 1 .80 6 9/24/13 2:10PM 1 Providence RI 401-524-4181 D 1 .40 7 9/24/13 2:40PM 8 New London CT 860-442-0165 D 1 3.20 8 9/24/13 3:19PM 1 Hicksville NY 516-728-6771 D 1 .36 9 9/25/13 10:15AM 4 Ledyard CT 860-464-7286 D 1 1.60 10 9/25/13 10:49AM 1 New London CT 860-442-0165 D 1 .40 11 9/25/13 11:23AM 1 New London CT 860-442-0165 D 1 .40 12 9/26/13 10:56AM 7 Staten Is NY 718-966-6155 D 1 2.52 13 9/26/13 11:03AM 7 Staten Is NY 718-477-4820 D 1 2.52 14 9/26/13 11:24AM 3 Reisterstn MD 410-833-2699 D 1 1.20 15 9/26/13 11:59AM 1 New London CT 860-442-0165 D 1 .40 16 9/26/13 2:58PM 2 New London CT 860-442-1201 D 1 .80 17 9/26/13 3:07PM 2 Hartford CT 860-760-3983 D 1 .80 18 9/27/13 11:56AM 1 New London CT 860-442-0669 D 1 .40 19 9/30/13 11:16AM 1 Bedfordvlg NY 914-234-6138 D 1 .36 20 9/30/13 12:35PM 1 Gardencity NY 516-790-5813 D 1 .36 21 10/01/13 9:30AM 1 New London CT 860-442-0165 D 1 .40 22 10/01/13 10:07AM 1 New London CT 860-442-0165 D 1 .40 23 10/02/13 8:59AM 1 New London CT 860-442-1201 D 1 .40 24 10/02/13 12:06PM 1 New London CT 860-442-0165 D 1 .40 25 10/02/13 12:51PM 3 New London CT 860-442-0165 D 1 1.20 26 10/03/13 7:26AM 6 New London CT 860-442-0165 D 1 2.40 27 10/03/13 2:55PM 4 New London CT 860-442-0165 D 1 1.60 28 10/03/13 3:24PM 1 Hartford CT 860-883-9499 D 1 .40 29 10/04/13 7:28AM 2 New London CT 860-442-0165 D 1 .80 30 10/04/13 11:29AM 1 New London CT 860-326-8347 D 1 .40 31 10/04/13 11:35AM 1 New London CT 860-442-0165 D 1 .40 32 10/04/13 1:15PM 2 New London CT 860-442-0669 D 1 .80 33 10/04/13 1:37PM 4 New London CT 860-442-0165 D 1 1.60 34 10/05/13 12:35PM 1 New London CT 860-442-0165 N 1 .33 35 10/07/13 9:41AM 3 New London CT 860-442-0165 D 1 1.20 36 10/07/13 12:12PM 2 New London CT 860-442-0165 D 1 .80 37 10/08/13 11:51AM 1 New London CT 860-442-0165 D 1 .40 38 10/08/13 11:52AM 1 New London CT 860-442-0165 D 1 .40 39 10/08/13 11:53AM 1 New London CT 860-442-0165 D 1 .40 40 10/08/13 12:06PM 1 New London CT 860-442-0165 D 1 .40 41 10/08/13 12:15PM 1 Newrochlle NY 914-246-9174 D 1 .36 42 10/09/13 2:47PM 1 Newrochlle NY 914-246-9174 D 1 .36 43 10/10/13 8:29AM 2 New London CT 860-442-0165 D 1 .80 44 10/10/13 8:35AM 3 New London CT 860-442-0165 D 1 1.20 45 10/10/13 9:16AM 1 New London CT 860-326-6993 D 1 .40 46 10/10/13 12:06PM 2 New London CT 860-442-0165 D 1 .80 47 10/10/13 3:10PM 1 Poughkepsi NY 845-656-1677 D 1 .36 48 10/11/13 7:31AM 2 New London CT 860-442-0165 D 1 .80 49 10/11/13 9:56AM 1 New London CT 860-442-0165 D 1 .40 50 10/11/13 10:28AM 1 New London CT 860-442-0165 D 1 .40 51 10/11/13 10:28AM 1 New London CT 860-442-0165 D 1 .40 52 10/11/13 10:58AM 1 New London CT 860-442-0165 D 1 .40 53 10/11/13 2:29PM 8 New London CT 860-442-0165 D 1 3.20 54 10/11/13 2:38PM 1 New London CT 860-442-0165 D 1 .40 55 10/15/13 7:35AM 2 New London CT 860-442-0165 D 1 .80 56 10/15/13 7:49AM 1 New London CT 860-442-0165 D 1 .40 57 10/15/13 10:34AM 1 New London CT 860-442-0165 D 1 .40 58 10/15/13 4:05PM 1 New London CT 860-442-0165 D 1 .40 59 10/16/13 1:11PM 4 New London CT 860-333-8180 D 1 1.60 60 10/16/13 1:24PM 5 New London CT 860-442-0165 D 1 2.00 61 10/17/13 9:16AM 3 Norwich CT 860-889-3848 D 1 1.20 62 10/17/13 10:08AM 3 New London CT 860-444-7360 D 1 1.20 63 10/17/13 2:19PM 5 New London CT 860-442-0165 D 1 2.00 64 10/17/13 3:51PM 3 New London CT 860-442-0165 D 1 1.20 65 10/18/13 11:49AM 2 New London CT 860-442-0165 D 1 .80 at&t TELEPHONE NUMBER 631P788-7345 Zi ACCOUNT NUMBER 028000 BILL DATE 10/31/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originating if 631.788.7345 No Date Time Min Loc Called Area-Number P T Amount Subtotal 55.89 Total For 631-788-7345 55.89 AT&T Total Itemized Calls 55.89 Interstate Gross Receipts Tax 4.44% 2.48 Universal Connectivity Charge 7.54 Total AT&T Long Distance Charges 65.91 P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial 11000979 ~A~ PAGE 7 TELEPHONE NUMBER 631-788-7345 ACCOUNT NUMBER 028000 BILL DATE 10/31/13 BUSINESS HERiSEISLANj D E LE51TRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energyy Charge $400.94 Fuel Adjustment 38.38 New York State Tax 0.00 Total Current Charges $439.32 Meter Readings Energy used Amount Current Previous MASTER 61567 59599 REG. 1968 KWH 349.67 DEMAND 4.60 01 DMD. 4.59 KW 51.27 DATE 10/28 9/27 DMD. MIN. 3.56 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0195 PER KWH TOTAL ENERGY CHARGE $400.94 ISIHEERSoIScLAND3WAT8R7WORKS CORP. Detail of Current Water Charges Water Class - 11 CURRENT CHARGE: METER READING/DATE CURRENT 75070 10/28 PREVIOUS 74710 9/27 CUBIC FEET 360 (CU FT x 7.5 = GALLONS) 2,700 Current Water Charge 23.10 Gross Receipts Tax Credit (per PSC) 0.00 Total Current Charges $23.10 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 . . . . . . . . . . . . . . . . . . . . . . 354.97 Total Payments . . . . . . . . . . . . . . . . . . . . . . 175.26 .Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 179.71 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 179.71 Current Telephone Charges Current Amount Due by 11125113 149.43 Total Amount Due 329.14 11000980 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. FISMW ISLAND VPILITY COMPANY FIS MS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7463 ACCOUNT NUMBER 028100 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 11/01/13 - 11/30/13 gg~g gg~~~~~~~~~~ A ~/ERY CHARGE 2 Qua 27n Ire 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: 11/01/13 - 11130/13 BaI2 MHO lA[ILT I HUNT SRVC 3791f Irw Total 3.00 ,Total Equipment And Service Charges 3.00 Total Non-Basic Charges 3.00 11000981 at&t TELEPHONE NUMBER 631P788-7463 ACCOUNT NUMBER 028100 BILL DATE 10/31/13 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 9/23/13 12:52PM 1 New London CT 860-443-1893 D 1 .40 2 9/23/13 4:07PM 13 New London CT 860-437-2455 D 1 5.20 3 9/23/13 4:12PM 1 New London CT 860-442-0165 D 1 .40 4 9/23/13 4:13PM 1 New London CT 860-442-0165 D 1 .40 5 9/23/13 4:15PM 5 New London CT 860-442-0165 D 1 2.00 6 9/24/13 8:02AM 1 New London CT 860-442-0165 D 1 .40 7 9/24/13 8:03AM 1 New London CT 860-442-0165 D 1 .40 8 9/24/13 8:05AM 1 New London CT 860-442-0165 D 1 .40 9 9/24/13 8:07AM 1 New London CT 860-442-0165 D 1 .40 10 9/24/13 8:20AM 1 New London CT 860-442-0165 D 1 .40 11 9/24/13 9:10AM 1 Southold NY 631-765-4333 D 1 .36 12 9/24/13 9:12AM 1 Hartford CT 860-257-1870 D 1 .40 13 9/24/13 10:50AM 2 Southold NY 631-765-4333 D 1 .72 14 9/24/13 11:51AM 1 Southold NY 631-765-4333 D 1 .36 15 9/24/13 12:41PM 4 New London CT 860-442-0165 D 1 1.60 16 9/24/13 3:20PM 1 New London CT 860-447-5217 D 1 .40 17 9/24/13 3:31PM 4 New London CT 860-447-1621 D 1 1.60 18 9/25/13 9:42AM 2 New London CT 860-442-0165 D 1 .80 19 9/25/13 12:40PM 6 New London CT 860-447-5205 D 1 2.40 20 9/25/13 2:07PM 2 New London CT 860-442-0165 D 1 .80 21 9/25/13 2:34PM 8 Southold NY 631-765-1802 D 1 2.88 22 9/25/13 4:11PM 2 Windsor CT 860-298-3021 D 1 .80 23 9/26/13 10:08AM 5 Southold NY 631-765-1800 D 1 1.80 24 9/30/13 8:04AM 2 Windsor CT 860-298-3021 D 1 .80 25 9/30/13 12:50PM 4 Southold NY 631-765-4333 D 1 1.44 26 9/30/13 2:30PM 12 Centraislp NY 631-853-6416 D 1 4.32 27 10/01/13 9:45AM 1 New London CT 860-442-0165 D 1 .40 28 10/01/13 9:59AM 1 New London CT 860-442-0165 D 1 .40 29 10/01/13 9:59AM 1 New London CT 860-442-0165 D 1 .40 30 10/01/13 10:45AM 7 Southold NY 631-765-4333 D 1 2.52 31 10/01/13 12:24PM 5 New London CT 860-442-0165 D 1 2.00 32 10/01/13 2:05PM 1 Farmingdl NY 631-414-5825 D 1 .36 33 10/01/13 3:31PM 1 New London CT 860-442-0165 D 1 .40 34 10/01/13 3:51PM 2 New London CT 860-442-0165 D 1 .80 35 10/01/13 4:04PM 1 New London CT 860-442-0165 D 1 .40 36 10/01/13 4:06PM 6 New London CT 860-442-0165 D 1 2.40 37 10/02/13 9:47AM 1 Windsorlks CT 860-752-0747 D 1 .40 38 10/02/13 2:27PM 3 Centraislp NY 631-853-6033 D 1 1.08 39 10/02/13 3:30PM 3 Lynchburg VA 434-237-5656 D 1 1.20 40 10/03/13 10:15AM 2 New London CT 860-442-0165 D 1 .80 41 10/03/13 2:19PM 1 New London CT 860-442-0165 D 1 .40 42 10/03/13 2:39PM 36 New London CT 860-442-0165 D 1 14.40 43 10/03/13 3:30PM 2 Plainville CT 860-351-0100 D 1 .80 44 10/03/13 3:45PM 2 Hartford CT 860-594-2132 D 1 .80 45 10/03/13 3:58PM 3 New London CT 860-447-1621 D 1 1.20 46 10/07/13 7:41AM 3 New London CT 860-442-0165 D 1 1.20 47 10/08/13 9:48AM 2 Cartha a MO 417-358-1919 D 1 .80 48 10/08/13 10:OOAM 1 Southo~d NY 631-765-4333 D 1 .36 49 10/08/13 10:02AM 2 Plainville CT 860-747-1335 D 1 .80 50 10/08/13 10:44AM 3 Centraislp NY 631-853-6416 D 1 1.08 51 10/08/13 11:24AM 1 New London CT 860-447-9232 D 1 .40 52 10/08/13 3:33PM 2 New London CT 860-442-0165 D 1 .80 53 10/08/13 3:40PM 4 New London CT 860-442-0165 D 1 1.60 54 10/09/13 9:53AM 7 New London CT 860-442-0165 D 1 2.80 55 10/09/13 10:01AM 1 New London CT 860-442-0165 D 1 .40 56 10/09/13 10:49AM 1 New London CT 860-442-0165 D 1 .40 57 10/09/13 10:52AM 2 New London CT 860-442-0165 D 1 .80 58 10/09/13 4:01PM 2 New London CT 860-447-5263 D 1 .80 59 10/11/13 12:42PM 1 New London CT 860-442-0165 D 1 .40 60 10/11/13 2:30PM 11 Centraislp NY 631-853-6416 D 1 3.96 61 10/15/13 12:58PM 2 New London CT 860-442-0165 D 1 .80 62 10/15/13 2:34PM 1 New London CT 860-442-0165 D 1 .40 63 10/15/13 3:51PM 6 New London CT 860-442-0165 D 1 2.40 64 10/16/13 10:32AI+ 1 Southold NY 631-765-4333 D 1 .36 65 10/16/13 1:28PM 2 New London CT 860-444-6344 D 1 .80 a W TELEPHONE NUMBER 631-788-7463 ~i ACCOUNT NUMBER 028100 BILL DATE 10/31/13 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 10/17/13 8:02AM 16 New London CT 860-442-0165 D 1 6.40 2 10/17/13 12:06PM 4 New London CT 860-442-0165 D 1 1.60 3 10/18/13 10:17AM 2 New London CT 860-437-2455 D 1 .80 4 10/18/13 10:32AM 2 Norwich CT 860-822-8457 D 1 .80 5 10/18/13 10:41AM 6 Albany NY 518-473-0006 D 1 2.16 Subtotal 96.16 Total For 631-788-7463 96.16 AT&T Total Itemized Calls 96.16 Interstate Gross Receipts Tax 4.44% 3.72 Universal Connectivity Charge 11.29 Total AT&T Long Distance Charges 111.17 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial 11000982 BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 76.86 Total Payments . . . . . . . . . . . . . . . . . . . . . . 38.60 Total Adjustments . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 38.26 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 38.26 Current Telephone Charges . . . . . . 38 1~ "Ilk Current Amount Due by 11125113 38.26 Total Amount Due 76.52 11000983 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. FISMS ISLAND WILITY COWPANY FISMS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7580 ACCOUNT NUMBER 028101 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 11/01/13 "U" BaIQ - 11/30/13 amount 2 00- ACCESS RECOVERY CHARGE 2 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: 11/01/13 - 11/30/13 Quantity Bale ~TI HUNT SRVC Quantity 3.00 Total 3.00 Total Equipment And Service Charges 3.00 Total Non-Basic Charges 3.00 11000984 BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 169.03 Total Payments . . . . . . . . . . . . . . . . . . . . . . 73.24 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 95.79 ELECTRIC Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 55.07 Total Payments . . . . . . . . . . . . . . . . . . . . . . 30.19 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 24.88 WATER Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 59.78 Total Payments . . . . . . . . . . . . . . . . . . . . . . 30.11 Total Adjustments . . . . . . . . . . . . . . . . . . .00 .Current Balance. . . . . . 29.67 DUE IMMEDIATELY''' OUTSTANDING BALANCE 150.34 Current Telephone Charges . . . . . . 82.70 Current Electric Charges - See Page 5 . . . . . . 24.17 Current Water Charges - See Page 5 . . . . . . 29.67 Current Amount Due by 11/25/13 136.5 Total Amount Due 286.88 11000985 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. FISHMS ISLAND UTILITY OWANY FISHM ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-7744 ACCOUNT NUMBER 028135 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 11101113 - 11130/13 Rate amount A~~VERY CHARGE 2 2.00 1*1 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 Equipmennnttt~~oofnnor Period: 11101113pu-an1t1'13V0113 ~~yp ~TRMACK MAINT. BU Quan~tlty_ - 7~ OFF PREMISE CHARGE 1 .50 .50 OFF PREMISE 1/4 MILE BUS 4 To1.30 5.45 Total Equipment And Service Charges 6.45 Total Non-Basic Charges 6.45 11000986 at&t TE&EPHONE NUMBER 631P788-7744 ACCOUNT NUMBER 028135 BILL DATE 10/31/13 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 9/21/13 9:10AM 4 New London CT 860-442-0165 N 1 1.32 2 9/21/13 11:10AM 1 New London CT 860-442-0165 N 1 .33 3 9/23/13 8:51AM 1 New London CT 860-442-0165 D 1 .40 4 9/23/13 8:52AM 2 Hartford CT 860-986-7634 D 1 .80 5 9123/13 12:04PM 1 New London CT 860-442-0165 D 1 .40 6 9123/13 12:06PM 58 Hartford CT 860-986-7634 D 1 23.20 7 9/30/13 9:55AM 1 New London CT 860-442-0165 D 1 .40 8 9/30/13 9:56AM 6 Hartford CT 860-986-7634 D 1 2.40 9 10/02/13 9:02AM 1 New London CT 860-442-0165 D 1 .40 10 10/05/13 11:11AM 1 Riverhead NY 631-655-2772 N 1 .36 11 10/07/13 10:53AM 1 New London CT 860-442-0165 D 1 .40 12 10/10/13 9:25AM 1 New London CT 860-442-0165 D 1 .40 13 10/11/13 8:50AM 2 New London CT 860-442-0165 D 1 .80 14 10/11/13 12:26PM 1 New London CT 860-442-0165 D 1 .40 15 10/15113 9:37AM 1 New London CT 860-442-0165 D 1 .40 16 10/15/13 9:59AM 2 New London CT 860-442-0165 D 1 .80 17 10/17/13 9:45AM 1 New London CT 860-326-6993 D 1 .40 18 10/18/13 8:37AM 1 New London CT 860-442-0165 D 1 .40 Subtotal 34.01 Total For 631-788-7744 34.01 AT&T Total Itemized Calls 34.01 Interstate Gross Receipts Tax 4.44% 1.73 Universal Connectivity Charge 5.25 Total AT&T Long Distance Charges 40.99 P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial PAGE 5 \ . , ACCOUNTT TELEPHONE NUMBER 631 78028135 BILL DATE 10/31/13 THE FISHERSEIS AND88ELE51TRIC CORPORATION Detail of Current Electric Charges Electric Class - 5 CURRENT CHARGE: Energyy Charge $24.17 Fuel Adjustment 0.00 New York State Tax 0.00 Total Current Charges $24.17 Meter Readings Energy used Amount Current Previous MASTER 35653 35653 REG. KWH 15.90 DEMAND 20 01 DMD. .74 KW 8.27 DATE 10/28 9/27 DMD. MIN. .74 METER MULT. 1 NY SURCHARGE .00 FUEL ADJUSTMENT FACTOR .0195 PER KWH TOTAL ENERGY CHARGE $24.17 eISHERSoISLAM WAT8R7WORKS CORP. Detail of Current Water Charges Water Class - 21 CURRENT CHARGE: METER READING/DATE CURRENT 520 10/28 PREVIOUS 510 9/27 CUBIC FEET 10 (CU FT x 7.5 = GALLONS) 75 Current Water Charge 29.67 Gross Receipts Tax Credit (per PSC) 0.00 Total Current Charges $29.67 11000987 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 . . . . . . . . . . . . . . . . . . . . . . 191.14 Total Payments . . . . . . . . . . . . . . . . . . . . . . 95.57 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 . . . . . . 95,1 Current Amount Due by 11/25/13 952 Total Amount Due 190.78 ~ nooses Fishers Island Utility Co., Inc. i 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. FISHERS ISLAND UTILITY QWANY FISHERS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5522 ACCOUNT NUMBER 028145 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges EE(~gqypuui~(i~,pment for Period: 11/01113n~ u-a 1t1~/t3v0/13 Rate A~~~ IF AGGE~/ERY CHARGE 2 1 2. Bale 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 Eq Djiasu lot ion uipment for Period: 11101/13 - 11/30/13 Quantity ggumg g~p~ SERVICE 59-92 NT Total 59.95 .total Equipment And Service Charges 59.95 Total Non-Basic Charges 59.95 11900989 - BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 123.89 Total Payments . . . . . . . . . . . . . . . . . . . . . . 60.39 .Total Adjustments . . . . . . . . . . . . . . . . . . .00 ELECTRIC . . . . .Current Balance. . . . . . . . . 63.50 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . .00 WATER • • • . . .Current Balance. . . . . . . . . .00 Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . .00 Total Payments . . . . . . . . . . . . . . . . . . .00 Total Adjustments . . . . . . . . . . . . . . . . . . . .00 Current Balance. . . . . .00 ' DUE IMMEDIATELY OUTSTANDING BALANCE 63.50 Current Telephone Charges . . . . . . 57.79 Current Amount Due by 11125/13 573 Total Amount Due 121.29 11000990 Fishers Island Utility Co., Inc. i 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 1p.m. Friday) 8.00 a.m. - 12 noon - 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. ;p,1=RS ISLAND UTILITY MANY F79I8RS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5673 ACCOUNT NUMBER 028146 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment. for Period: 11101/13~ u-a n1t1i/t3v0/13 Bate Amount ERY CHARGE 2 7 277 I.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 11000991 at&t ` TELEPHONE NUMBER 631P788-5673 BILL DATEUMBER 10/0311/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originatin # 631-788-5673 No Da a Time Min Loc Called Area-Number P T Amount 1 9/23/13 11:18AM 4 New London CT 860-442-0165 D 1 1.60 2 9/24/13 8:41AM 3 New London CT 860-442-0165 D 1 1.20 3 9/24/13 10:34AM 4 New London CT 860-442-8333 D 1 1.60 4 9/25/13 2:08PM 1 New London CT 860-442-0165 D 1 .40 5 9/25/13 3:38PM 2 New London CT 860-442-8333 D 1 .80 6 9/30/13 8:58AM 1 New London CT 860-442-0669 D 1 .40 7 10/02/13 10:18AM 2 New London CT 860-442-0165 D 1 .80 8 10/02/13 2:57PM 1 Babylon NY 631-943-7487 D 1 .36 9 10/03/13 9:32AM 1 New London CT 860-442-0165 D 1 .40 10 10/03/13 11:48AM 1 New London CT 860-442-0669 D 1 .40 11 10/03/13 1:19PM 2 New London CT 860-442-0165 D 1 .80 - 12 --10/03/13 - -1:48PM 2 - New London CT -860-442-0165- D 1-- .80 - 13 10/03/13 3:50PM 1 New London CT 860-442-0669 D 1 .40 14 10/05/13 7:28AM 2 New London CT 860-442-0165 N 1 .66 15 10/05/13 10:33AM 1 New London CT 860-442-0165 N 1 .33 16 10/05/13 11:08AM 1 New London CT 860-442-0165 N 1 .33 17 10/10/13 11:47AM 1 New London CT 860-442-0165 D 1 .40 18 10/10/13 1:10PM 1 Poughkepsi NY 845-656-1677 D 1 .36 19 10/10/13 1:20PM 1 Hicksville NY 516-728-6771 D 1 .36 20 10/12/13 7:32AM 5 New London CT 860-442-0165 N 1 1.65 21 10116/13 2:08PM 1 Columbus OH 614-288-0257 D 1 .40 22 10/17113 1:58PM 1 New London CT 860-442-0165 D 1 .40 23 10/18/13 9:01AM 1 New London CT 860-857-7670 D 1 .40 24 10118/13 9:02AM 1 New London CT 860-442-0165 D 1 .40 25 10118/13 1:34PM 7 New London CT 860-442-0165 D 1 2.80 26 10/18/13 3:25PM 1 Willimntic CT 860-208-6148 D 1 .40 Subtotal 18.85 Total For 631-788-5673 18.85 AT&T Total Itemized Calls 18.85 Interstate Gross Receipts Tax 4.44% 91 Universal Connectivity Charge 2.77 Total AT&T Long Distance Charges 22.53 P-Rate Period Applied D-Day N-Night T-Call Type 1-Direct Dial BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 372.08 Total Payments . . . . . . . . . . . . . . . . . . . . . . 222.64 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 149.44 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 149.44 Current Telephone Charges . . . . . . 162.53 Current Amount Due by 11/25113 162.53 Total Amount Due 311.97 11000992 Fishers Island Utility Co., Inc. Since 1918 Management For: AL 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 t0: 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. FISFRW ISLAND UTILITY MANY FI9IRRS ISLAND, NY 06390 Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5523 ACCOUNT NUMBER 028150 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment for Period: 11/01113 - 11130113 Rate ACCESS RECOVERY CHARGE 2 " 27F amount 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 EEgquuiipfineDnYtOffior Period: 11101/13 - 11/30113 Rate AOL T2MO5.SERVICE 59?ub 59 9~ Total 59.95 Total Equipment And Service Charges 59.95 Total Non-Basic Charges 59.95 11000993 at&t TELEPHONE NUMBER 631P788-5523 ACCOUNT NUMBER 028150 BILL DATE 10/31/13 BILLING DETAIL Detail of Current AT&T Long Distance Charges Detail of Itemized Calls Originatingg # 631-788-5523 No Date Time Min Loc Called Area-Number P T Amount 1 9/30/13 4:28PM 6 Southold NY 631-765-1366 D 1 8.34 2 9/30/13 4:34PM 6 Southold NY 631-765-1366 D 1 8.34 3 10/01/13 9:15AM 1 New London CT 860-444-0320 D 1 1.39 4 10/02/13 4:12PM 6 Southold NY 631-765-1366 D 1 8.34 5 10/07/13 7:35AM 1 New London CT 860-443-6851 D 1 1.39 6 10/16/13 11:18AM 2 Albany NY 518-457-9378 D 1 2.78 Subtotal 30.58 Total For 631-788-5523 30.58 Detail, of Other Charges and Credits e era - 75-frier tine Assessment -0 Single Line - - - - - AF W Total Occ's 4.95 AT&T Total Itemized Calls 30.58 Other Charges And Credits 4.95 November Acct Chg 25.00 Interstate Gross Receipts Tax 4.44% 1.68 Universal Connectivity Charge 5.11 I Total AT&T Long Distance Charges 67.32 P-Rate Period Applied D-Day T-Call Type 1-Direct Dial BILLING SUMMARY Current Account Activity TELEPHONE Balance From Previous Month . . . . . . . . . . . . . . . . . . . . . . 74.48 7Qtal Payments . . . . . . . . . . . . . . . . . . . . . . 37.22 Total Adjustments . . . . . . . . . . . . . . . . . . .00 . . . . . .Current Balance. . . . . . . . . 37.26 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 37.26 Current Telephone Charges . . . . . . Current Amount Due by 11125113 225 Total Amount Due 74.52 11000994 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 1-500-342-3377 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 Presidents Office 788-7251 Company, Robert Wall, who may be reached Residence .....................788-7710 at 788-7251 during business hours. RISIORS ISLAND VTILITY COWANY FI3DSRS IN", NY 063W Fishers Island PAGE 3 TELEPHONE NUMBER 631-788-5559 ACCOUNT NUMBER 028200 BILL DATE 10/31/13 BILLING DETAIL Detail of Current Basic Charges Equipment ffnor Period: 11101/13 - 11/30/13 peRate am~oouunntt 9=9971 VERY CHARGE 2 Qua 2-0F Ire 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 11000995 FISHERS ISLAND FERRY DISTRICT VENDOR 006482 PAUL J. FOLEY 12/03/2013 CHECK 1573 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 110113 REIM RX-NOV'13 90.63 TOTAL 90.63 S St THE • COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER r~ .3Y€46a„ `~i 9511 Q~fT r4 ~ y fwaodv,-a P "46TVAik. SANK' aatt14 3,2f03 20 'T ' RI't`IETY ADD 631100 DOLLAR$ - t ~ s a arr ~Jirr ~ G" ~ ;;er gaaiyyy4~ffY~ry..C/~~ ~ ~q2~ T$yII,,yy . .yyyy yyVV~~yyrrii 4 err ia~ r~r r_ ` -00- Am, izT 64320 Za " r rr ~ rz 6> ro _ e x r§z a. ~?lf•00 573110 1:0 2 1 40 54641: S8 001502 Ilia Town of Southold, New York - Payment Voucher Vendor No. 6482 Check No. Vendor Tax ID Number or Social Security Number Vendor Address Entered by 690 Williams Street New London, CT 06320 Audit Date Foley, Paul DEC 0 3 2013 Vendor Telephone Number Vendor Contact V Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number A64SO32087" 11/1/2013 $90.63 $90.63 Anthem Retiree SM9060.8.000.000 0 3 Prescription Plan 90% Reimbursement $100.70 less 10% ($90.63) Paul Foley Ck #2338 RUM fix- $90.63 $90.63 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 ~~f Company Name Date /O ~ Title Date _ AT 01'04262q 235188142 A**3DGT Medicarek (PUP) 1od1111 nln411.I1,1111 lNlllh'Ilrl1 l.Il,u,ol,lln,q„IPI . PAUL J FOLEY 690 WILLIAMS ST Payments received after 10/2 will appear on NEW LONDON CT 06320-4132 your next invoice. AMOUNT DUE DUE DATE - - - - MEMBER ID $100.70 - - - - - 17/01/2013 G0230330801 Payment Options • For check payment or automatic withdrawal from your bank account (ACH), use the form below - • For credit card payment or withholding from your SSA/RRB check, call I-888-620-1747. • For one time credit card payment through our automated system, call I-877_358-6792. j I Previous Balance - - - - Payment Activity Since Last $100.70 Invoice Payment Type Date Received -$100.70 Check Payment 00002324 Amount - - 09/212013 $100.70 - - - Activity Detail - - Transaction Type $100.70 Premium Month Amount Premium M NOVEMBER 2013 Amount Due - 1' - $100.70 - - k1 \ - - - _ $100.70 YJ PAUL J. FOLEY 690 WILLIAMS ST. •133$ NEW LONDON, CT 06320 51-7218rz211 139 d Pay to the Date Order of,. C~ -Dollars 8 Bank peoples.com 1 - For [U 3 U 3 y ~i L>_-1 / 1.221 L7 a 1Ar A. it1n", _ FISHERS ISLAND FERRYDISTRICT VENDOR 011557 ANN KOWALCZYK-BANKS 12/03/2013 CHECK 1574 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 103113 JANITORIAL-10/13 250.00 TOTAL 250.00 m ~k l #n xr"W4~ i d THE °a ORIGINAL COLORED BACKGROUND, VOID COPY FEATURE AND WATERMARK PAPER >Yw* i.'o.. t Cw A y ° ww r i r W _ .K ~y a 911 ~ c ~ ' SUULq~(lf, N'Y: UhB7ar~y5 ~w~'~~ ww .~y~" . . P11P HUNDRED FZFTY AND OQf300 Da7,L t r i a - .~_y' e nv a " ~'ac6. q t,G, *x 6 d zr r//* IFOyC?i'Kr.eL' 3y at m Sox ,F`Zf'zF,18R.+a, d 1131 8390 " w - ~ , l('00157?ai' 1:02140546 Lee: 68 0~01S02~ Lus ~ ~ Vendor No. Check No. Town of Southold, New York- Payment Voucher 11557 I J7 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 384 Ito Vendor Name Fishers Island, NY 06380 Audit Date Kowalczyk Banks, Ann DEC 0 3 2013 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 10 3t i 3 0302042-10/31/2013 $250.00 $250.00 Janitorial/October SM5710.4.000.600 I $250.00 $250.00 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) 1 hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct, that no part has in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt are excluded. or discrepancies noted, and payment is approved. Signature G/ Title Signature Company Name Date ZT Title Date / ! fi; ~UV FISHERS ISLAND FERRY DISTRICT VENDOR 013054 MAPLE PRINT SERVICES, INC. 12/03/2013 CHECK 1575 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.400 2250 TICKET AGENT PADS 197.00 SM .5710.4.000.400 2257 FALL/WINTER SCHEDULES 232.00 TOTAL 429.00 Aft r. THE C- ORIGINAL COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER ORR, n~ a, v \ u.~ , ~SOU^Y"N4WYMwv 1 w,$ww X55'» r ;^O'..<.,A,`;,, z4~ 1~3~D~ ~ 4 40tR HREk} TWENTY NiN$ AUiP ' 60{16~YrDaL~: 4- LY z _ E, 3 I 2, St7IT r .,i f e offoO 57X110 no 21405464:" 60 00 15 2~ 1110 t ' Vendor No Check No, c Town of Southold, New York - Payment Voucher 13054 1515 Vendor Tax ID Number or Social Security Number Entered by 266 Rt. 12, Suite 699 Groton, CT 06340 Audit Date Maple Print Services, Inc. DEC 0 3 2013 Vendor Telephone Number A ~O. n'Cletk 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 2260 11/12/2013 $197.00 $197.00 ticket agent ads SM5710.4.000.400 2267 11/12/2013 $232.001 $232.00 Fall/winter Schedules SM6710.4.000.400 it I $429.00 $429.00 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 snoted, ~ and payment is approved. Signature Title Signature Company Name rQ Date / Title Date /Ip ' Maple Print Services Inc. Invoice 255 Rt 12 Maple Date Invoice No. Suite 699 11/12/13 2250 Groton, CT 06340 Print Services, Inc. Bill To: Ship To Fishers Island FenyDistdct Fishers Island FenyDistrict 261 Trumbull Dr. 261 Trumbull Dr. Fishers Island, N.Y. 06390 Fishers Island, N.Y. 06390 P.O. Number Terms Due Date REP 11/12/13 Item Description Quantity Amount Printing ticket agent pads 50 197.00 Total $197.00 Payments/Credits $0.00 Balance Due $197.00 Maple Print Services Inc. Invoice 255 Rt. 12 Maple Date Invoice No. Suite 699 11/12/13 2257 Groton, CT 06340 Print Services, Inc. Bill To: Ship To Fishers Island FerryDistrict Fishers Island Ferry District 261Trumbull Dr. 261 Trumbull Dr. Fishers Island, N.Y.06390 Fishers Island, N.Y.06390 P.O. Number Terms Due Date REP 11 12 13 Item Description Quantity Amount Printing fall/winter schedules 1,000 232.00 Total $232.00 Payments/Credits $0.00 Balance Due $232.00 FISHERS ISLAND FERRYDISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 12/03/2013 CHECK 1576 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 62713383 MU MAIN ENG REHOSE 224.75 SM .5710.2.000.100 62757664 MU MAIN ENG REHOSE 87.16- SM .5710.2.000.100 62911050 MU MAIN ENG REHOSE 54.06 TOTAL 365.97 • THE n ORIGINAL CHECK HAS A COLORED BACKGROUND, f souR•S ~teyvcnsg~'1~T ~ ~"1 q r ~ - 680 AIM RtlAla Yb % 11 - ~ 4 i SILK t10. N,~RAL 9Ai1K~, ~ . Cf(~GUE ,NY l9$~6 "n. ~ ~mr ~ . .sozGsgma 12~@3~2if~.3~ ~ THREE HUNDRED= SIXTY. FIVE ANp 47 jo <i..c5 'mss , • a ^xt ?!,y4~ `PAY MCtAF~~'1'~-CT~R3t. $U?,PLY'~.'O., O"r'R CHICAGO ZL 60680-7690 'OF 119001576il• 1:02i405464o: 68 00 i502 ili• Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 11511W Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. DEC 3 2~~3 Vendor Telephone Number 609-689-3000 CI /J~ Vendor Contact l.C . Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 62911050 10/21/2013 $64.06 $54.06 MUNN main Eng Rehose SM5710.2.000.100 62713383 10/21/2013 $224.75 $224.75 MUNN main Eng Rehose SM5710.2.000.100 62757664 10/2112013 $87.16 $87.16 MUNN main Eng Rehose SM5710.2.000.100 $365.97 $365.97 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 excluded. or discrepancies noted,~and payment is approved. Signature ~i T Signature Company Name d Date !/F- Title Date if !mow MURMUR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN Tota 1 $54.06 Invoice 62911050 Billed to Invoice Date 10121/13 FISHERS ISLAND FERRY DISTRICT P O DRAWER H Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct $0 98 on merchandise if paid by 10131/13. 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 5296K471 High-Temperature/Medium-Pressure Coolant 2 2 0 24.49 48.98 Hose, 2-3/4" ID, 3-1/6' OD, 30 PSI, Blue Feet Per Foot Merchandise 48.98 Shipping 5.08 Total $54.06 Packing List Shipped Weight Carrier Tracking 1417571-11 10/21/13 41b UPS Ground 1ZO835200369053551 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 co 782 r!r WMASTER•CARR® invoice 609-689-3000 609-259-3575 (fax) nj.sales@mcmaster.com Purchase Order JOHN Total $224.75 Invoice 62713383 Billed to Invoice Date 10/21/13 FISHERS ISLAND FERRY DISTRICT P O DRAWER H Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct $4.37 on merchandise if paid by 10/31/13 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 54235K54 301 Stainless Steel Worm-Drive Clamp for Soft 1 1 0 14.09 14.09 Hose & Tube, 1" to 1-1/2" Clamp Diameter Pack Per Pack Range, 9/16' Band Width, Packs of 10 2 54235K58 301 Stainless Steel Worm-Drive Clamp for Soft 1 1 0 14.40 14.40 Hose & Tube, 1-9/16' to 2-1/2" Clamp Diameter Pack Per Pack Range, 9/16' Band Width, Packs of 10 3 54235K61 301 Stainless Steel Worm-Drive Clamp for Soft 2 2 0 10.13 20.26 Hose & Tube, 2-1/16' to 3' Clamp Diameter Packs Per Pack Range, 9116' Band Width, Packs of 5 4 54235K63 301 Stainless Steel Worm-Drive Clamp for Soft 2 2 0 10.13 20.26 Hose & Tube, 2-9/16" to 3-1/2" Clamp Diameter Packs Per Pack Range, 9/16" Band Width, Packs of 5 5 5325K34 304 Stainless Steel Constant-Tension Clamp with 10 10 0 9.62 96.20 410 Stainless Steel Screw, 3-3/4" to 4-5/8" Clamp Each Each Diameter Range, 5/8" Band Width 6 5296K481 High-Temperature/Medium-Pressure Coolant 2 2 0 26.61 53.22 Hose, 3" ID, 3-3/6' OD, 25 P31, Blue, 2' Length Feet Per Foot Merchandise 218.43 Shipping 6.32 Total $224.75 Packing List Shipped Weight Carrier Tracking 1417571-01 10121113 11 lb UPS Ground 1ZO835200369045631 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 cc 7BB I MAASTERORR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 102113 Tota 1 $87.16 Invoice 62757664 Billed to Invoice Date 10121/13 FISHERS ISLAND FERRY DISTRICT P O DRAWER H Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct s1.64 on merchandise if paid by 10/31/13. 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 Order placed by phone. Line Product Ordered Shipped Balance Price Total 1 52375K18 High-Pressure PVC Tubing, Food, 1-1/4" ID, 1-518" 5 5 0 3.60 18.00 OD, 3116" Wall, 5'L Feet Per Foot 2 48315K94 Barbed Dark Gray PVC Pipe Fitting, 1-1/4 Pipe 4 4 0 1.88 7.52 Size, 1.41" OD, Male Adapter Each Each 3 4506K43 PVC Ball Valve, 1" NPT Female Connection, 2 2 0 24.88 49.76 EPDM Seal Each Each 4 5435K24 Single Pinch Stainless Steel Hose & Tube Clamp, 1 1 0 6.53 6.53 1-1/8" to 1-1/4" Clamp Diameter Range, 9/32" Pack Per Pack Band Width, Packs of 25 Merchandise 81.81 Shipping 5.35 Total $87.16 Packing List Shipped Weight Carrier Tracking 1448222-01 10/21113 6lb UPS Ground 1ZO835200369101909 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 cc 781 FISHERS ISLAND FERRY DISTRICT VENDOR 014021 NATIONAL AUTO PARTS SVCE,INC. 12/03/2013 CHECK 1577 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 237252 MU BW-T REWIRE 12.48 SM .5710.2.000.000 237389 ABSORB SM.OIL SPILLS 17.78 SM .5710.2.000.000 238693 ALT CONNECTOR 3.99 SM .5710.2.000.200 966594 RP MAIN ENGINE 127.84 SM .5710.2.000.200 966887 RP MAIN ENGINE,GEN SET 417.03 SM .5710.2.000.000 966959 OIL FILTER 157.50 SM .5710.2.000.000 967222 PRIMARY WIRE 62.10 SM .5710.2.000.100 967245 MU BOW THRUSTER REWIRE 3.02 TOTAL 801.74 "2 y: •`iY?. ""F THE ORIGINAL CHECK HAS A COLORED BACKGROUND. {ut COPY FEATURE AND WATERMARK PAPER u I ~ x- ~ u ~ i r~""nutl i ~ ,SOUTHfuY MNxaQ A~ta tT- HUNDRED` ONE AND 7$/3°00" POLL ~ s X31 N~4T E3N1# i C> ~ !~VC IN r _ 35#f $~I~N eSTF~`£1` ` _ CT Ob _ or ~rinb0157'70 1:0 '2'1 405464o: 68 001502 iu• Vendor No. Check No. Town of Southold, New York - Payment Voucher 14021 150707 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 150 Bridge Street Vendor Name 011d Groton, CT 06340 Audit Date NAPA DEC 0 3 2013 Vendor Telephone Number 860-445-8181 Clerk Vendor Contact j Invoice Invoice Invoice Net Purchase Order G Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 237252 10/312013 $12.48 $12.48 MUNN BW-T Rewire SM5710.2.000.100 237389 101412013 $17.78 $17.78 To absorbed small oil spills SM5710.2.000.000 966594 10/11/2013 $127.84 $127.84 RP Main engine SM5710.2.000.200 966887 10/1512013 $417.03 $417.03 RP Main Engine & Gen Set SM5710.2.000.200 966959 10/1512013 $157.50 $157.50 Oil Filter SM5710.2.000.000 238693 10/1712013 $3.99 $3.99 Alt Connector SM5710.2.000.000 967222 10/1712013 $62.10 $62.10 Primary Wire SM5710.2.000.000 967245 10/1712013 $3.02 $3.02 MUNN Bow Thruster Rewire SM5710.2.000.100 $801.74 $801.74 Payee Certification Department Certification The undersigned (Claimant) (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct, that no part has in good condition without substitution, the services properly been paid, except as therein stated, that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing, and that taxes from which the Town is exempt an: excluded. or discrepancies noted, and payment is approved. Signature Title 114 Signature Company Name aJ yz Date Z~~` y Title Date /f /V~" f/ NATIONAL PARTS SERVICE, INC. NAPA 150 BRIDGE STREET, GROTON, CT 06340 AMIM3 GUILFORD, CT 06437 WATERFORD, CT 06385 OLD SAYBROOK, CT 06475 Q PHONE: (860) 445-8181 FAX: (860) 445-6414 BILL TO Fishers Island Ferry District PO Box 41-1 STATEMENT Fishers Island, NY 06390 PAGE 1297 0 1 DATE R E P.OJGHE J:E. 09/03/2013 INV 336-233958 6.02 Cr 09/1612,013 INV 963269 43.10 09/25/2013 INV 964432 58.00 09/25/2013 INV 964444 34.90 09/25/2013 INV 964445 58.00 09/26/2013 INV 964568 62.86 10/03/2013 INV 336-237252 12.48 Z/ 10/04/2013 INV 336-237389 17.78Xp 10/11/2013 INV 966594 127.84 V 10/15/2013 INV 966887 417.03 v/.: 10/15/2013 INV 966959 157.50 V'e 10/17/2013 INV 336-238693 3.994/// 10/17/2013 INV 967222 62.10 10/17/2013 INV 967245 3.02 Summary as of 10/3112013 Previous Balance 1,340.64 Payments 1,089.80 Purchases 801.74 Current Balance 1,052.58 Future Dated 0.00 lnl } 3 Pa. u~ RREN 250 PAST E 90 801.74 .84 0.00 0.00 DA /31/2013 Total Owed 1,052.58 TERMS Net 20th4ta1 Dating 0.00 1, STORE 200001180?t, 1a #1$ ^ 052.58 200001336 - - - ~¦NATIONAL PARTS SERVICE INC Time: 10:34 Invoice Number 237252 AUT ART W 82 aterford, Post O y38a Date: 10/03/2013 IIIIIII VIII VIII IIII~IIIII VIII IIIIIIII NAPA (860) 447-3211 Page: 1/1 1297 _ Employee: 10 Eric Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 3 Fishers Island, NY 06390 - Part Number Line 'Description Quantity Pxii'::.e Net 7'bbal120 WH FITTING 1.00 14.06 8.4900'. 8.49 13325 X 6 X 4 WH FITTING 1.00 5.92 3.9900'. 3.99 ly, v Delivery: ...7f~Vl Subtotal 12.48 Attention: TAXTABLE 1 6.35008 0.00 Tax Exemption: POk: Terms: Net 20th Total Customer Signature Charge Sale 12.48 ALL GOODS RETURNED MUST BE ACCOMPANIED BY T IS INVOICE CUSTOMER COPY 200001336 - - T---, NATIONAL PARTS SERVICE INC Time: 10:02 Invoice Number 237389. AM J~= Waterford, CT 06385 Date: 10/09/2013 M82 Boston Post Road IIIIIII VIII VIIIIIIIIIIIII VIIIIIII IIII ftw (860) 997-3211 Page: 1/1 1297 Employee: 10 Eric Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 4 Fishers Island, NY 06390 - - - - Part.Number Line ' Description 77 Quantity Price Net TOta1, 8822 NFD MOLTAN 25 DIAT EARTH 2.00 0.00 8.8900 17.78 ~D 6.So2.9 ~ i~ Oi ~ S pill s~ Delivery: ? 1~ \ Subtotal 17.78 Attention: c~ K TAXTABLE 1 6.3500% 0.00 Tax Exemption: PO#: io-9- Terms: Net 20th Total 17.98 Charge Sale 17.78 Customer Signature &L GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE CUSTOMER COPY 200001180 A~//~~(/\ National Parts Service Inc. Time: 14:33 Invoice Number 966594! NAPA - - 150 Bridge Street Groton, Ct. 03640, CT 06340 Date: 10/11/2013 IIIIIII VIIIIIIIIIIIII VIII VIII IIII IIII (860) 445-8181 Page: 1/1 1297 Employee: 35 Erik Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 10 Fishers Island, NY 06390 - - Part Number Line feacrigtib; Quantity price Net Total 3384 FIL NAPAGOLD FUEL FILTER'Rn'?e 4.00 37.55 16.5200 66.08 3210 FIL NAPAGOLD FUEL FILTER 4.00 35.09 15.4400 61.76 Anticipated Time: Subtotal 127.84 Attention: ® I/,ry n TABLE 1 6.35008 0.00 Tax Exemption: Y 5.J ff POR: Terms: Net 20th 1 0--1 (0 - I Z J - Charge Sale 127.84 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY STORE COPY 200001180 AMP National Parts Service Inc. Time: 10:59 Invoice Number 966887 ARJS BAPA 150 Bridge Street r„ Groton, Ct. 03640, CT 06340 Date: 10/15/2013 ,_II~IIII VIII VIII IIIIIIII'l l'lll llll llll ~'ft (860) 445-8181 Page: 1/1 1297 Employee: 19 Michael Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 13 Fishers Island, NY 06390 - - ?fie; Nwabs Lin' ' ,is ' asx Eri{0 .,;q~al 17.92 FIL NAPAGOLD OIL FILTER 4.00 52.25 22.9900 91.96 701-1576 BK SWITCH 2 4.00 54.091 44.7900 179.16 701-1608 BK SWITCH 'L~ GeNSCf 4.00 38.04: 31.4900. 125.96 'FRT Freight M?Nto Z ,T 1.00 0.00 19.9500: 19.95 D Anticipated Time: Subtotal 417.03 Attention: Q V\ S Vf TABLE 1 6.3500% 0.00 Tax Exemption: PO#: io-icy-~3 Terms: Net 20th Charge Sale 417.03 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY STORE COPY 200001180 - National Parts Service Inc. Time: 14:19 'Invoice Number 966959 Groton, Ct. 03640, CT 06340 Date: 10/15/2013 NAPA AM150 Bridge Street IIIIIIIIIIIIVIIIVIIIIIIIIVIIIIIIIIIII' (860) 445-8181 Page: 1/1 1297 Employee: 35 Erik Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 13 Fishers Island, NY 06390 - - `i '£,:NuiYbek' L#»8. ;beBC # tto ;Net ry+o-tal' 1133 IFIL NAPAGOLD OIL FILTER 2.00 22.23 9.7800, 19.56 1970 FIL NAPAGOLD OIL FILTER 6.00 52.25 22.9900 137.94 r, l< S ~tve Delivery: i0-ho-13 Subtotal 157.50 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: POB: Terms: Net 20th Charge Sale 157.50 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY TNIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001336 - NATIONAL PARTS SERVICE INC Time: 09:21 Invoice Number 238693; Waterford, CT 06385 Date: 10/17/2013 NAPA ~??nP 82 Boston Post Road IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII' w (860) 447-3211 Page: 1/1 1297 Employee: 10 Eric Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 15 Fishers Island, NY 06390 - Part Number Line Desoriptiot~" Ouantity Price Not Total VRC148 "TECH VR CONN 1.00 6.50 3.9900. 3.99 (~I~, cotic~f OK She 10- (7-13 Delivery: Subtotal 3.99 Attention: TAXTABLE 1 6.3500% 0.00 Tax Exemption: PO#: Terms: Net 20th Customer Signature Charge Sale 3.99 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE CUSTOMER COPY 200001180 - National Parts Service Inc. Time: 12:03 Invoice Number 967222 150 Bridge Street Nunn AMR= Groton, Ct. 03640, CT 06340 Date: 10/17/2013 lllllll IIIIIIIII IIIII IIIII IIIII IIII IIII! „r„ (860) 445-8181 Page: 1/1 1297 Employee: 19 Michael Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 4H Accounting Day: 15 Fishers Island, NY 06390 - - Part lh r Line - Description OMB t ty Pride '.N#t 'S~rta1 , 73 2702 2 BEL PRIMARY WIRE 90.00 1.08 0.6900'. 62.10 O? S~CV~ 10-18 13 Delivery: Subtotal 62.10 Attention: TABLE 1 6.35008 0.00 Tax Exemption: PO#: Terms: Net 20th Total 62;10 Charge Sale 62.10 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY IRIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 13:19 'Invoice Number 967245 Groton, Ct. 03640, CT 06340 Date: 10/17/2013 NAPA 150 Bridge Street III'IIIIIIIIIIIIIIIIIilllllllllllllllll AMR= l (8601 945-8181 Page: 1/1 1297 Employee: 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Sox 4H Accounting Day: 15 Fishers Island, NY 06390 Part Number Line Description Quantity Price fat 'PDtdl 4395 5 NW RING TERMINAL/ 1.00 5.48 3.02003.02 78 Delivery: Subtotal 3.02 Attention: G t~ S~--wv TABLE 1 6.35006 0.00 Tax Exemption: PO#: tO~~ ~3 Terms: Net 20th Total 3.02 Charge Sale 3.02 Customer Signature ALL DODOS RETDRNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 014505 NORTH ATLANTIC POWER PRODUCTS 12/03/2013 CHECK 1578 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 CQ131121816 RP PARTS REDUCTION GEARS 100.01 TOTAL 100.01 'r fAF- Itr .K- x a THE ORIGINAL CHECK HAS A COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER ' u ' :~ouT~41T rJV,ta~'Yi.pa~ CFSECiC NO. ONE HUPWRED AND fl1/}.06 UptLARS " w r SAX ON ti IU~;20 'IM 'A 0DUCTS MINE Actolm- Ts 'wa 74-tS Tk BLVD, r 40 t~ " _ ~ it ~ vo ~ ta9p 11100 15 7811' i:0 21405464e: 68 00 1 50 2111' Vendor No. Check No. Town of Southold, New York - Payment Voucher 14505 5,9 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Exeter Branch Vendor Name 15 Continental Drive Audit Date North Atlantic Power Products Exeter, NH 03833 DEC 0 3 2013 Vendor Telephone Number 603-418-0470 To Clerk Vendor Contact 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 CQ131121816 11/5/2013 $100.01 $100.01 RP Parts reduction Gears SM5710.2.00.200 $100.01 $100.01 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 we eexclu~ded. or discrepancies noted, and payment is approved. Signature Title 1l" - Signature Company Name Date / Title bate North Atlantic Power Products INVOICE • Exeter Branch w! 15 Continental Drive Exeter, NH 03833 Invoice Date Customer CQ131121816 111512013 101065 561,1M W (603) 418-0470 (603) 418-0471 Page 1 of 1 Sold to : Shipped to : FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY P O BOX 607 EMAIL ACCOUNT 5 WATERFRONT PARK 261 TRUMBULL DR NEW LONDON, CT 06320 FISHERS ISLAND, NY 06390 Salesperson : Exeter Salesman Registration : Notes : Quantity Product Id Description Unk Price Total Price Delivery: CQ30788-1 Entered by : Dan Snook Shipping Method: Will Call Order: CQ30788 11/04/2013 Cust PON : Verbal John 6 TD A2916EH RING, O 7.75 46.50 3 TO B1974 GASKET 183 11.49 1 TO XM2080B PLUG ASSY 17.35 17.35 HC Handling Charge 3.00 FO Outbound Freight 21.67 Due dots Payment Amount Paid Tax Basis Tax rate Tax Amount 11/15Y2013 On Account 100.01 Non-Taxable 100.01 0.0000% 0.00 FISHERS ISLAND FERRY DISTRICT VENDOR 014193 NORTHEAST UTILITIES 12/03/2013 CHECK 1579 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 51981034011013 NL NEW TERM SVC-TO 10/30 1,396.05 TOTAL 1,396.05 j xms `H..a r THE ORIGINAL CHECK HAS A COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER e~~•, ..x.R§ e, <a a ,17 " pM PO Bb 71 5 c vx P v . ' cNE, U'TF~4 d)9'7YA'~ c "T v ~SCHC3@HEs'~8~5HAf'eANICr _ 4 SAS THOUSAND tj, j ~ zoo ~ HA~t~~D f°I 45 II4S3 o, . }moo. ~ ~n w lie 00157q+r C:0 2 1L O 5464o:~ 68 '0'0 LSO 2 Lo' - Vendor No. Check No. Town of Southold, New York - Payment Voucher 14193 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 150493 flu Hartford, CT 06115-0493 Audit Date Northeast Utilities DEC U 3 2013 Vendor Telephone Number 800-286-2000 T Jerk 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 51981034010 10/30/2013 $1,396.05 $1,396.05 NL New Term Service SM5710.4.000.100 101 10/1.10130/13 $1,396.05 $1,396.05 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 Company Name Date / ¢ (J Title Date L f / dv PAGE 1 OF t 0052527 FISHER ISLAND FERRY DISTRICT Due Date Total Amount Due Statement date: Oct 30, 2013 Connecticut Dec 29, 2013 $2,720.87 Customer name key: FISH Light&Power ® Account number: 51981034010 A Northeast Utilities Company Your account summary Amount due on Oct 1 $2,864.19 Contact Information Payment Oct 15 -$1,539.37 Emergency: 1-800.286-2000 (anytime) Web Site: www.cl-p.com Balance Forward $1,324.82 Email: CLPCustomerService0cl-p.com The 'Balance forward' includes $659.56 generation charges P4, i) 110 l7j Business customers: New Charges/Credits Customer Service: 1-888-783-6617 Electricity Supply Services $710.29 (M-F 8-5) Delivery Services 5.76 Simplify your life Total new charges $1,396. Use eBlll and ePay at www.cl-p.com Or Pay by Phone 1-888-783-6618 Total amount due $2,720.87 Electricity Supplier Payment due upon receipt unless other arrangements have been made. 290 NW 165TH NW :ST GAS 6 ELECTRIC INC 290 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: 952682001 Billing cycle: 01 Your meter reading for meter # 886118182 For billing period: Oct 1- Oct 30 (29 days) Next read date on or about: Dec 2, 2013 Actual reading on Oct 30, 2013 94756 Actual reading on Oct 1 , 2013 -93734 Difference =1,022 Meter constant x 10 Billed usage =10,220 Total demand use: 27.90 kW (cenrmued on next Pagel 005252] PAGE P OF 9 Account number. 51981034010 Compare your electricity usage Electricity Supply Detail CONNECTICUT GAS & ELEC Average usage In Nov 2012 (38 F) 320 kWh Generation Srvc Chrg" 10220.OOKWH x $0.069500 $710.29 Average usage In Nov 2013 (0 F) 352 kWh Subtotal $71029 Energy Profile 399 A 9WhNa 34CL&P Delivery Services Detail DISTRIBUTION RATE: 030 Yes Transmission Dmd Chrg 25.9OKW x $6.590000 $170.68 222 Distr Cust Srvc Chrg $38.50 177 Distr Chrg per KWH 8370.OOKWH x $0.017800 $148.99 1e 1850.OOKWH x $0.017800 $32.93 1 Distribution Dmd Chrg 25.90KW x$6.060000 $156.95 s] CTA Demand Chrg 25.9OKW x $0.550000 $14.25 2 FtdCCCelivcr/C;ag 'C22O.OCY,C~'F; x$0.0;,9810 $100.26 N D J F M A M J J A S 0 N Comb Public Benefit Chrg' 10220.OOKWH x $0.004330 $44.25 zott 2013 DOE Credit" 1022O.OOKWH x- $0.002060 -$21.05 Mini , Estlma[e Subtotal $685.76 Demand Profile a2 Ma x. MW Demand 32 30 Y2 1 11 fi 0 N 0 J F M A M J J A S 0 N 2012 2013 (continued en next page) 0052527 PAGE 3 OF 0 Account number: 51981034010 Generation Rate Explanation of your charges .zt o HNMAwe `The Combined Public Benefits Charge represents a combination of three charges formerly 'ti known as: "Conservation and Load Mgmt Charge, Renewable Energy Investment Charge, and .t5 Systems Benefits Charge." AL ® "Effective January 1, 2007, the Generation Services Charge (GSC) and the Bypassable oA Federally Mandated Congestion Charge (BFMCC) have been combined Into the "GSC Charge" e3 listed In the Supplier Services section of your bill. The GSC reflects all of the cost of 01 procuring energy from CUP wholesale suppliers. The BFMCC portion of this line Item Is x o J F M A M J J A s o e $0.0015/kWh. If you multiply this BFMCC rate by the number of kWhs on your bill, you can 2012 2113 calculate the dollar amount associated with the BFMCC. '"The DOE Credit is a refund 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 net built by DOE, and therefore, DOE Is refunding this money to customers. Account messages Maintaining your systems and equipment helps to keep your business running smoothly and your energy costs under control. We're here to help - with programs that can Identify opportunities for you to get more efficient with your HVAC and industrial production systems and your energy use. Visit www.cl-p.com or call our Business Center at 1-888-783-6617 to learn more. Rill ID Scan this with your smartphone! it will simplify your life Go to your app store to get a list of barcode reader _ o apps for your mobile device. ~t (continued on next Pme) PAGE 4 OF 4 Account number: 51981034010 Customer Willing Information Informaci6n on to Facture Para of Consumldor Questions and complaints Preguntas y quejas N you have a question or complaint about your bill or any payment arrangement, Si usted lien alguna pregunta o queja sabre su factura o sobre algun arreglo de pago, call the number listed on the front of the bill. A complete explanation of your llama at numero listado at fronts de esm factura. Una explicaci6n detallada de rights is available upon written request to the company or by calling customer sus derechos Como consumidor ester disponsible at to pide por escrito a Is compafiia service at the phone number listed in the upper left comer of the bill. o si llama al centro de servicios at consumidor at n6mero listado arriba, a Is izquierda an su facture. Termination of service and customer rights You have the right to dispute a termination notice. You may also have Terminact6n de serviclo y sus derechos como consumidor service continued between November tat and May lot If you qualify for Usted fiene at derecho de refuter Is carta de terminaci6n. Terri)& pods confinuar hardship status or have a serious illness or life-threatening condition. of servicio entre el 1 de Noveembre y at 1 de Mayo, si usted califica como consumidor Third-party notice con dificultad econ6mica documentada o tiene alguna enfermedad sera, You can ask us at any fine to notify a third party if your service is subject to o una shuaci6n de vida o muerte existente an su hogar. being shut sit. For additional information, you should call the number Notificaci6n a una tercere persona listed on the front of the bill. Usted puede solicitar an cualquier momenlo qua nos comuniquemos con una Electric suppliers tercera persona of su servicio estA an riesgo de ser desconectado. Para mas Information about licensed electric suppliers, including rates and charges, informaci6n, llama at n6mero listado an su factura, contract terms and conditions, energy sources and emission rates, is available Proveedores de energia el&irlca from the Public Utilities Regulatory Authority (PURA), 10 Franklin Square, Informaci6n acerca de proveedores de energia el6ctrica licenciados, incluyendo New Britain, Connecticut, 06051, by visiting www.EnergizeCT.cumtsuppliers closes de mrifas y cargos, t6rminos y condiciones de contratos, fuentes tie Check processing energia y tarhas de emisi6n, estan disponib[s a los consumidores a trav6s de to By sending your check, you authorize CL&P to use the check information to Autoridad Reguladora de Servicios 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.EnergizeCT.com/suppliers. will be destroyed and an image of your check will be stared for 2 years. If the Procesamlento de cheques electronic transfer cannot be completed, a demand draft of your check can be At envier su cheque, usted autoriza a CL&P a user to informaci6n de su cheque created and used in place of the original. pars crear transferencias de tondos electr6nicamente. La transferencia Security Deposit electr6nica por Is confided original del cheque sera procesada at d(a qua su PURA Regulation 16-11-1D5 allows the Company to collect a security deposit cheque as recibido. El cheque sera destruido y una copia electr6nica sera from business customers with either no credit or a negative credit history with guardada par 2 anos. Si Is transferencia electr6nica no puede set completada the Company. Business customers with a timely bill payment history will not podemos exigir un refiro de rondos y este puede ser usado an lugar del original. be assessed a security deposit. D6posito de Seguridad PURA Regulation 16-262}1 allows the Company to collect a security deposit Seg6n la Regulacbn 16-11-105 de "PURA," a Is Compania as Is permits colectar un from a residential customer who has either no credit or a negative credit dep6sito tie seguridad de aquelbs clientes comerciales o industriales qua no tengan history with the Company. Customers who can verity that they lack the cradito, o que tengan cr6dito negafivo con Is Companfa. A los clientes comerciales financial ability to pay a security deposit will not be required to pay o industriales qua tengan un historial de cr6dito con pagos hechos a tiempo, a security deposit. no se les cobras un dep6sito de seguridad. Security deposits, along with accrued interest, will be refunded to the customer La Regulaci6n de PURA 16-262)-1 permits qua Is compania colecte un dep6sito de after 12 consecutive months of good payment history. seguridad de aquellos clientes residenciales qua no tengan cr6dho, o qua tengan Information and questions cr6c ito negativo con to compania. Los clientes qua puedan verificar que no tenon la For information ar questions regarding your account, please contact CL&P at habilidad financiers Para pager su dep6sito de seguridad no tendran qua Pagano. 860-947-2000 or 1-800-286-2000. For other consumer questions and Los dep6sitos de seguridad, junto con el inter6s que se hays acumulado, les seran unresolved complaints, you may call PURA Consumer Services devueltos a los clientes despuas de qua hayan cumplido 12 meses consecufivos de buen historial con sus pagos. toll free at 1-80D-382-4586. Para inforrnacl6n o preguntas Para informacion o preguntas relacionadas con su cuenm por favor )lame a CL&P al 860-947-2000, o 1-800-286-2000. Para mss informad6n y pare asistencia sobre disputes no resueltas, [lame a PURA at n6mero 1-800-382-4586. FISHERS ISLAND FERRY DISTRICT VENDOR 014290 NYS & LOCAL EMP RETIREMENT SYS 12/03/2013 CHECK 1580 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9010.8.000.000 3002OB121315A ERS PAYMENT DUE 12/15/13 145,753.00 SM .480 3002OE121315A ERS PAYMENT DUE 12/15/13 46,781.00 TOTAL 192,534.00 Sx N O MIN ~ THE 1p "te ORIGINAL i rr+ :a.6bpg~~ IN AN S ©}(1 Y l Df , ! t S ` h ~ ' a\v goutmow Nk 1'471;dpgg , f}y"'K NO. I ' • 1HCOiAt SANK ONE HUNDRED NWmEw, INETY TWO "lliOtTSMD FTVZ RTC POUR At~'~14I0 I3O'L'ItS ~ g„alb wo & "TII~~MENT SYS ` STAGE SM At NY `32=244~t340'1 b 11000 L580us 1'C0 2140546Lo: 68 00 L50 211i' Vendor No. Check No. Town of Southold, New York - Payment Voucher 14290 Vendor Tax ID Number or Social Security Number Vendor Address Entered, by I LI~ C 110 State 5 L Vendor Name AUd1L I]3LC New York State & Local Retirement System Albany, NY Vendor Telephone Number T wn Clerk Vendor Contact - _ _ \ v/"N a~~~ • ~i- i1,1) ~ ~ 0 C Invoice Invoice Invoice Net Number Date Total Discount Amount Claim, In P~ -Cie,ftniI edger Fund and Recount Number V I( Zllf,t)30.0 l- A.480 t:R3-Pa-y-M-WH!DUe1 15113 semommi*eset.- -414161204a 1--494,q64.ee W, 64-M ERS Payment Due 3002OE121315ACS01 11/6/2013 145,753.00 145,753.00 ERS Payment Due 12/15113 SM.901o.8.000.000 30020EI21315ACS01 11/6/2013 46,781.00 46,781.00 ERS Payment Due 12/15113 SM.480 Payment ue A Q 5m.002..U e1~60 Payee Certificatio Department Certification The undersigned (Gaimaatj (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. Sign ?nyNam - le Town Comptroller Signature o eTown of Southold Date / Title 0 Com holler Dale New York State Comptroller - Employer Invoices on Internet Page 1 of 2 TOWN OF SOUTHOLD 30o2o ERS - 2014 Annual Invoice Payment of this invoice must be received by the Retirement System on or before February 1, 2014. If paying the prepay amount, payment must be received on or before December 15, 2013. Unpaid balances accrue interest at the rate of 7.5%. If you have questions, contact Beth Wicks at 518-474-9236 or the Employer Billing Unit at 518-486-3921 or 518-474-7573. Payment Due F Prepayment Due February 1, 2014 December 15, 2013 Total Amount Due: $2,578,015 $2,554,814 Original Contribution Stabilization Program (Ch. 57, Laws of 2010) Minimum Amount Due Under This Program: $1,622,938 $1,599,737 Maximum amount to amortize: $955,077 Alternate Contribution Stabilization Program (Ch. 57, Laws of 2013) Minimum Amount Due Under This Program: $1,563,562 $1,540,361 Maximum amount to amortize: $1,014,453 Tier Plan ID Options Projected Salary Rate Regular Pension Contribution GTLI 1 751 413 $242,740 28.8% $68,938 $971 3 A14 41J $559,548 21.0% $115,267 $2,238 4 A15 413 $9,608,579 21.0% $1,979,367 $38,434 5 A15 413 $817,941 16.9% $134,960 $3,272 6 A15 4111 $56,218 11.4% $6,184 $225 6 A15 4112 $590,077. 11.5% $65,498 $2,360 Sub Totals $11,875,103 $2,370,214 $47,500 ' Regular Pension 8111 without GTU - uses Estimated Salaries with Final Rates 2014 Regular Pension Contribution, Including GTLI $2,417,714 Due February 1, divide b Pre Pay December 2014 Payments I factor 15, 2013 Payments Reconciliation Based on actual March 31, 2013 salaries $70,965 1.009081 = $70,326 Adjustments Prior Years Adjustment $17,408 1.009081 = $17,251 Payments https:Hnysosc9.ose.state.ny.us/product/inv.nsf/Summary?OpenForm&lkupKey=30020ERS... 11/6/2013 New York State Comptroller - Employer Invoices on Internet Page 2 of 2 2010 Incentive, Part A, Installment 3 of 5 $71,928 1.009081 = $71,281 Total Adjustments and Installments $160,301 $158,858 2014 Regular Pension Contribution $2,417,714 1.009081 = $2,395,956 Total Amount Due $2,578,015 $2,SS4,814 https:Hnysosc9.osc.state.ny.us/product/inv.nsf/Summary?OpenForm&lkupKey=30020ERS... 11/6/2013 Office the New York State Comptroller Thomas P. DiNapoli New York State and Local Retirement System Employees' Retirement System Police and Fire Retirement System 110 State Street, Albany, New York 12244-0001 Phone: 518-474-9236 Fax: 518474-2142 Email: ewicks@osc.state.ny.us Beth Wicks, Supervisor of Agency Accounts Web: www.osc.state.ny.us/retire Member & Employer Services November 6, 2013 Dear Employer: Our Annual Employer Invoice application gives you access to the 2014 Annual Invoice of your contributions owed for State Fiscal Year 2013-14. The invoice shows the optional discounted prepay amount due on December 15, 2013, and the full amount due on February 1, 2014. If you choose to pay the discounted amount, your payment must be received on or before December 15, 2013. Please be advised that December 15 falls on a Sunday this year. Payments sent certified mail with a postmark date on or before December 15, 2013 will be accepted as December payments. Payments received offer December 15 will be applied to the full amount due February 1, 2014. Please also note that February 1, 2014 falls on a Saturday. Payments sent certified mail with a postmark date on or before February 1, 2014 will be considered on time. Payments received after February 1, 2014 will be subject to delinquency interest of 7.5 percent. Instructions for wiring payments are available on the "How to Pay" page. Contribution Stabilization Program (Chapter 57, Laws of 2030) The maximum amount that can be amortized for 2014 is provided on your Invoice. If you choose to amortize that amount in 2014 under this program, the first installment payment is shown on your 2015 Projection and will be due with the February 1, 2015 invoice. You may also choose to amortize less than the maximum amount. If you wish to amortize less than the maximum, enter the amount on your payment coupon and pay the revised amount as calculated. The interest rate on 2014 amortizations under this program is 3.67 percent. If you do not yet participate in the Contribution Stabilization Program and wish to opt in, you must complete the Employer Contribution Stabilization Program election form available on the "How to Pay" page and return it with your payment. If you do not opt into the program this year, you may elect to do so with a future invoice. Once you have elected to participate and have amortized an amount, you cannot withdraw from the program; however, you are not required to amortize each year and you may amortize less than the maximum amount. If you chose to amortize on any of the three previous annual invoices, then you have already opted into this Contribution Stabilization Program. You may, therefore, choose to amortize up to the maximum amount on this invoice or not amortize at all this year. If you choose to amortize, you do not need to complete another form. Alternate Contribution Stabilization Program (Chapter 57, Laws of 2013) When paying the 2014 Invoice, certain participating employers can make a one-time election to enroll in the Alternate Contribution Stabilization Program for any future amortizations that they intend to make. The maximum amount that can be amortized under this program for 2014 is provided on your 2014 Invoice. If you choose to amortize that amount in 2014 under this program, the first installment payment is shown on your 2015 Projection and will be due with the February 1, 2015 invoice. You may also choose to amortize less than the maximum amount. If you wish to amortize less than the maximum, enter the amount on your payment coupon and pay the revised amount as calculated. The interest rate on 2014 amortizations under this program is 3.76 percent. If you wish to opt in to this program, you must complete the statutorily required Alternate Employer Contribution Stabilization Program election form available on the "How to Pay" page and return it with your payment on or before February 1, 2014. If you do not submit the statutorily required form by February 1, 2014, you have not opted into the program, and your payment will be applied against the full payment due or you may opt into the original contribution stabilization program. Once you have elected to participate and have amortized an amount, you cannot withdraw from the program; however, you are not required to amortize each year and you may amortize less than the maximum amount. If you already participate in the original Contribution Stabilization Program under the laws of 2010, you may continue to participate in that program or opt in to the alternate program this year. If you opt into the alternate program, you cannot return to the original program in the future. Information about both programs is available on our website at www.osc.state.ny.us/retire/employers. If you have any questions regarding either program or your Invoice, you may contact the Billing Unit at NYSLRS_Billing@osc.state.ny.us or 518-473-4132. You may also contact me at 518-474-9236 or ewicks@osc.state.ny.us. Sincerely, 6~W~ Beth Wicks Supervisor of Agency Accounts Member & Employer Services FISHERS ISLAND FERRY DISTRICT VENDOR 016170 H.O. PENN MACHINERY,INC. 12/03/2013 CHECK 1581 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 PSCE4651356 RP,MU-GASKET 249.25 SM .5710.2.000.200 PSCE4651827 RP PME 58.35 TOTAL 307.60 r jr A" THE ORIGINAL CHECK HAS A COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER mil 0~ir THREE HUU#i3JREf-3 $EVE37 ANj} -fi IOV r zx MCFiR7Y,'ti Pwi . $i12Fs43~ ' ra -zz n mo'w' t zs ~ rv zh ~iai//r lots a*€~-. k ~ ~r00 L 58 Lip' ':6 2 L4054941: 6B 001 50 2' Lug Vendor No. Check No. Town of Southold, New York - Payment Voucher 16170 Ubf Vendor Tax ID Number or Social Security Number Vendor Address Entered by 122 Noxon Road 40 Vendor Name Poughkeepsie, NY 12603-2940 Audit Date H.O. Penn Machinery Co. Vendor Telephone Number DEC 0.3 2013 845-452-1200 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 PSCE4651356 10/28/2013 $249.25 $249.25 RP & MUNN Gasket SM5710.2.000.000 PSCE4651827 10/31/2013 $58.35 $58.35 RP PME SM5710.2.000.200 $307.60 $307.60 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 /taarreeexcluded. or discrepancies noted, and payment is approved. Signature Title v' - Signature Company Name Date ` Title Date CUSTOMER INVOICE HAPENNIM H. O. PENN MACHINERY COMPANY, INC. Since '1923 BLOOMINGBURG, NY 7838LOOMINGBURG RD, 12721 845-733-6400 BRONX, NY 699 BRUSH AVENUE, 10465 718-863.3800 HOLTSVILLE, NY 660 UNION AVENUE, 11742 631-758-7500 NEWINGTON, CT 225 RICHARD STREET, 06111 860.666.8401 POUGHKEEPSIE, NY 122 NOXON ROAD, 12603 845-452-1200 SOLD TO: SHIP TO: 00005e ooaose oai FISHERS ISLAND FERRY DISTRIC PO BOX H 5 WATERFRONT PARK FISHERS ISLAND NY 06390 NEWLONDON CT 06320 HIVOIGB:NUMBBR RIYP DAT CUSTOMER".] ASE 090B11 NUMBERS -STOR :.3X' S RHOS: PSCE4651356 10-28-13 18697 JOHN 04 C 2 1 PsoAwwo: DOC. DATE oc MQ: SHIP vw 04C762593 10-28-13 101 1 10 UPS COMPLETE 3953829 a idL HUMBEH - UIOMENT NUSNIBH UsTalt It"wNt : fD #Mk AA UNKN 099200001 QUANTITY . ' .i:. TTEM +NH pE$$RWMIM INITEUICB BYTIMMCW. PARTS SALES PERSON: MEL J."FENN 2 5B-9079 NUT S .20 .40 1 6N-4241 SHAFT S 40.20 40.20 1 9X-1413 *SOLENOID A S 185.25 185.25 4 BL-3873 *GASKET S 2.13 8.52 TOTAL PARTS 234.37 T CONN SALES TAX 14.88 T NOT RETURNABLE H. O. PENN MACHINERY COMPANY, INC. M BLOOMINGBURG, NY 783 BLOOMINGBURG RO 845-733-6400 ' H.O.PENN BRONX,NY 699 BRUSH AVENUE 718-863-3800 PACKING LIST S, 1e2s HOLTSVILLE, LI 660 UNION AVENUE 631-758-7500 NEWINGTON, CT 225 RICHARD STREET 860-666-8401 POUGHKEEPSIE. NY 122 NOXON ROAD 845-452-1200 FOR INQUIRIES PLEASE CUSTOMER SHIPPING LIST *CHARGE* REFERENCE THIS NUMBER SOLD TO CUSTOMER NO. SHIP TO DOCUMENT NO. 04 C762593 FISHERS ISLAND FERRY D I STRI C 18697 FILLED BY PO BOX H 5 WATERFRONT PARK FISHERS ISLAND NY 06390 STORE WIC LOC. 04 NEWLONDON CT 06320 WIS PC/S ORDERED BY TELEPHONE CUST. ORDER NO. INSTRUCTIONS DELIVERY LOCATION SHIP VIA 631-788-7463 JOHN SSI UPS COMPLETE MAKE PIC MODEL SERIAL NUMBER EQUIP. NO ARRANGEMENT NO DATE TIME ENT BY REFERENCE NO. AA Y UNKN 099200001 10/28/13 15:02:29 MJF ITEM ----QUANTITY--- PART NUMBER/ GROSS NO. ORDER SHIP B/O DESCRIPTION LOCATION N/R TR SOS WEIGHT UNIT PRICE EXTD PRICE PARTS SALES PERSON: MEL J. FENN 3 1 1 9X-1413 BE 164A * 000 4.3 185.25 185.25 SOLENOID A 1 2 2 5B-9079 D 20C 2 000 .1 .20 .40~ NUT - .1 2.13 8.52 GASKET 2 2 1 1 6N-4241 D329C 2 000 .1 40.20 40.20 SHAFT SAVE MONEY ON FREIGHT, PLACE STOCK ORDERS! CALL PARTS MGR FOR DETAILS USD SELL TOTAL 249.25 ITEMS MARKED ARE NOT-RETURNABLE **SIGNATURE REQUIRED** B37FPBOw/a 04111/11 PERMISSION MUST BE OBTAINED TO RETURN PARTS AFTER 15 DAYS. 15% HANDUNG CHARE DEDUCTED - INVOICE NUMBER COVERING BILLING OF PARTS MUST BE GIVEN. CUSTOMER 04 HIS AGENT ACKNOWLEDGES RECEIPT OF THE ITEMS INDICATED AS SHIPPED ABOVE AND AGREES THAT THE TERMS, CONDITIONS AND LIMITATIONS PRINTED ON THIS DOCUMENT WILL APPLY TO ALL ITEMS LISTED HEREON. - - RECEIVED BY DATE u CUSTOMER INVOICE H¦ PENH H. O. PENN MACHINERY COMPANY, INC. Sake 1923 BLOOMINGBURG, NY 783 BLOOMINGBURG RD, 12721 845733-6400 BRONX, NY 699 BRUSH AVENUE, 10465 718.8633800 HOLTSVILLE, NY 660 UNION AVENUE, 11742 631-758.7500 NEWINGTON, CT 225 RICHARD STREET, 06111 860-666-8401 POUGHKEEPSIE, NY 122 NOXON ROAD, 12603 845-452-1200 SOLD TO: 000066 * 000066 001 SHIP TO: FISHERS ISLAND FERRY DISTRIC PO BOX H 5 WATERFRONT PARK FISHERS ISLAND NY 06390 NEWLONDON CT 06320 INVOICE NUMBER INVOICE . DATE CUSTOMER NO. CUSTOMER PURCHASE: ORDER NUMBER'. STORE I' DIV- SALESMAN' ?TERMS PAGE'-: PSCE4651827 10-31-13 18697 JOHN 04 C 2 1 PSOAVO NO. OOC. DATE. PC LC MC SHIP VIA 04C762593A 10-28-13 101 1 10 UPS COMPLETE 3957629 MAKE MODEL.: '$ERIALNUMBER EQUIPMENT NUMBER ' METER READING MACH. ID NO. A-A UNKN 0992"00001 QUANTITY ITEM' 4 DEE :RIPTIONr UNIT PRICE EXTENSION PARTS SALES PERSON: MEL J. FENN 1 6N-4241 SHAFT S 40.20 40.20 TOTAL PARTS 40.20 T 1 FREIGHT OUT 12.26 TOTAL MISC CHARGES 12.26 T FRT IN 2.41 T CONN SALES TAX 3.48 T NOT RETURNABLE H. O. PENN MACHINERY COMPANY, INC. BLOOMINGBURG. NY 783 BLOOMING'BURG RD 845-733-6400 H.O.PENN BRONX. NY 699 BRUSH AVENUE 718-863-3800 PACKING LIST - - 5 ^Ce's23 HOLTSVILLE, LI 660 UNION AVENUE 631-758-7500 NEWINGTON, CT 225 RICHARD STREET 860-666-8401 POUGHKEEPSIE, NY 122 NOXON ROAD 845-452-1200 FOR INQUIRIES PLEASE CUSTOMER BACKORDER SHIPPING LIST *CHARGE* REFERENCE THIS NUMBER SOLD TO CUSTOMER NO. SHIP TO DOCUMENT NO. 04C762593A FISHERS ISLAND FERRY DISTRIC 18697 FILLED BY PO BOX H 5 WATERFRONT PARK FISHERS ISLAND NY 06390 STORE WIC LOC. 04 NEWLONDON CT 06320 W/S PCIS ORDERED BY TELEPHONE COST. ORDER NO. INSTRUCTIONS DELIVERY LOCATION SHIP VIA 631-788-7463 JOHN SSI UPS COMPLETE - - - MAKE P/C MODEL SERIAL NUMBER EQUIP. NO ARRANGEMENT NO DATE TIME ENT BY REFERENCE NO. AA Y UNKN 099200001 10/29/13 4:01:13 MJF ITEM ----QUANTITY--- GROSS NO. ORDER SHIP B/O PART NUMBER LOCATION N/R TR SOS WEIGHT UNIT PRICE EXTD PRICE PARTS SALES PERSON: MEL J. FENN 2 1 1 6N-4241 YRK 000 .1 40.20 40.20, SHAFT TOTAL GROSS WEIGHT OF SHIPPED ITEMS .1 - - FR1 IN 2 SAVE MONEY ON FREIGHT, PLACE STOCK ORDERS! CALL PARTS MGR FOR DETAILS - - - -ZONN SA-LES iAX 2. /1 USC SELL TOTAL 45"32 i - - I 1 ITEMS MARKED "•"ARE NOT-RETURNABLE **SIGNATURE REQUIRED** B37PPBOw/o 04/11/11 PERMISSION MUST BE OBTAINED TO RETURN PARTS AFTER 15 DAYS. 15% HANDUNG CHARE DEDUCTED - INVOICE NUMBER COVERING BILLING OF PARTS MUST BE GIVEN. CUSTOMER OR HIS AGENT ACKNOWLEDGES RECEIPT OF THE ITEMS INDICATED AS SHIPPED ABOVE AND AGREES THAT THE TERMS, CONDITIONS AND LIMITATIONS PRINTED ON THIS DOCUMENT WILL APPLY TO ALL ITEMS LISTED HEREON. - - RECEIVED BY DATE FISHERS ISLAND FERRY DISTRICT VENDOR 016200 PIELA ELECTRIC, INC. 12/03/2013 CHECK 1582 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 140529 RP HEATING SYSTEM 206.66 TOTAL 206.66 Tin ro 4 9~ r a s THE ORIGINAL CHECK HAS A w...x;= C •a=- ux - y, a w..~ i3M nn COLORED BACKGROUND A VOID COPY FEATURE AND WATERMARK PAPER q~ a. fool MAIN Ap U94 11 0 m ua'4 `e aRw.3A $oU'FHQ119 MTGa1`i~99'+'0919 ~E~.pti +m _ ~S$l7E 4#N§~5 flAt6lliiK~, 4 1164flWts 1 3 f 2II 3 -i9t WIN DEd e= 4146 HUNDRED STX P ,AND £6/100 4 r a s ~>Jt N ~ ~I7~ ~ +llv~dc a /O s ~ z or ,bw/J'f -`A" 'tea "/"HAMS emf NI, Rdt$STQN t3b365 ° 11'00158211' 1:0214054641: 68 00LS02 Ln• ill Vendor No. Check No. Town of Southold, New York - Payment Voucher 16200 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 16 Halls Mill Road Vendor Name Preston, CT 06365 Audit Date Piela Electric Inc C Vendor Telephone Number DEC U 3 2013 To Clerk Vendor Contact 'e Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 140529 11/4/2013 $206.66 $206.66 RP Heating System SM5710.2.000.200 I $206.66 $206.66 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 A/ ~v / v / Company Name Date /f- / Title If 71c- Date !f Piela Electric, Inc Page:1 1.6 Halls Mill Road INVOICE Preston, CT 06365 Phone 860.889.8476 140529 Fax 860.886.2757 CUSTOMER No FISHE01 SOLD TO SHIP TO Fishers Island Ferry Fishers Island Ferry Attn: Accounts Payable Attn: Accounts Payable Box H Box H Fishers Island, NY 06390 Fishers Island, NY 06390 USA USA VOICE DATE SHIP VIA. FOR PAYMENT TERMS 11/04/13 Balance Due in 30 Days PURCHASE ORDER NUMBER ..ORDER DATE SALESPERSON' OUR ORDER NUMBER JOHN Fitzgerald, Sean QTY QTY QTY ".ITEM UNIT EXTENDED !ORDERED SHIPPED 60 -NUMBER DESCRIPTION '.PRICE DISC % PRICE 2.00 2.00 P Parts US Motors 8000 Motor 97.16 194.32 *f Ely"I" Subtotal 194.32 Taxable 194.32 CT tax 12.34 Non-Taxable 0.00 , , Total 206.66 0.00 206.66 FISHERS ISLAND FERRY DISTRICT VENDOR 017991 RACE ROCK GARDEN CO. 12/03/2013 CHECK 1583 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.100 17242 BUCKET TRUCK WORK 165.00 SM .7155.4.000.000 17242 BUCKET TRUCK WORK 165.00 TOTAL 330.00 x .41 THE a ORIGINAL CHECK HAS A COLORED BACKGROUND. V @ 98 WVA6M P©Aq, Yi ryc~ ~^pt~y ,@OVTlM4W NY 11~71.G1p¢9 NQ. '~'f~j~".t~1K" G~fi~~9 M 6ANK _ _ k^~ sasrr ~i~zr. SEE H'OVIEIAEA. THIRTY II /1;O0 F ~i a: ly vvrq `j~_ gq 6 :,;k i O a?a _ .O'%/% 4/ Y HI/Afi~"` y~91 +y/~}~ ttyyp z $ s p,~I NT3RSP SLAt D NY Ofa3 1. 'a~i/r te MAK" 0400158319 '1:0 214054641: 68 do I IS02~ 111,. w ' ` Vendor No. Check No. Town of Southold, New York - Payment Voucher 17991 1 58 3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 517 Vendor Name Fishers Island, NY 06390 Audit Date RACE ROCK GARDEN COMPANY, INC. DEC 0 3 2013 Vendor Telephone Number T terk ~ Y Vendor Contact i' V Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 17242 10/3112013 $165.00 $165.00 Bucket Truck Work per Gordon SM5709.2.000.100 $165.00 $165.00 Bucket Truck Work per Gordon SM7155.4.000.000 i $330.00 $330.00 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 2 Signature q Company Name~~~ Dates Title Date 4 / ~w Race Rock Garden Company, Inc. Invoice PO Box 517 / Date Invoice # Fishers Island, NY 06390 ` 10/31/2013 7242 Bill to: FI Ferry District I / Drawer H Fishers Island, NY 06390 Project Terms Account# Net 30 Qty Serviced Description Rate Amount 10/17/2013 Bucket truck work as per Gordon. $ 330.00 Sales Tax- 8.625% $ - Phone # Fax # Email Total $ 330.00 (631)788-7632 (631)788-7634 rtgarden@fishersisland.net FISHERS ISLAND FERRY DISTRICT VENDOR .02679 PAUL ROGAN 12/03/2013 CHECK 1584 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1930.4.000.000 TOCS217258 DAMAGE CLAIM-MIRROR 417.20 TOTAL 417.20 6 rra~ ~ • sasme~~. THE ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER aa* % ram `3x i+~'" 01 B ad J R1 yv;r. 53g6AJN NY7~ 89P1.99 14 .LlYY,CH9UCFNAf 8A41K'- wl, FOUR :HUNDRED SEVENTEEN AND 20/100,,llOI,I,ARB PAY PAM, P400M ?TOYYiB PA"$OX OF, $1SHb`~ g$ ISIMW DAL 0639U+0531 a 11'00L58411' 1:0214054r 4i7 M 00L502 111' Town of Southold, New York - Payment Voucher Vendor No. Check No. 1594 Vendor Tax ID Number or Social Security Number Entered by PO Box 531 Audit Date Rogan, Paul Fishers Island, NY 06390-0531 Vendor Telephone Number DEC 0 3 2013 631.788-7074 CI k Vendor Contact j ter. _ q~ V 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 TOCS217268 11/5/2013 417.20 417.20 Damage Claim: On the SM1930.4.000.000 mirror while on the boat 417.20 417.20 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 excluded. or discrepancies noted, and payment is approved. /mpptt Signature Title Signature f~~A q A ' Company Name Date Title Date (I)TOYOTA GIRARD TOYOTA SCION ' 543 Colman Street NEW LONDON, CONN. 06320 Tel. (860) 447-3141 www.girardtoyota.com www.girardscion.com Ell n1c 01 TAG NO. INVOICE DATE •INV 31 CUSTOMER NO. ADVISOR ' LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO. PAUL ROGAN YEAR/MAKE/MODEL 2383 IDY13EACH DELIVERY DATE DELIVERV MILES PO BOX 531 VEHICLE I.E. NO. SELLING DEALER NO. PRODUCTION DATEl 0 e/5 151244 11/09 FISHERS ISLAND, NY 06390-0531 1 EtE. NO. PO. NO. R. o. DArE 10 24 13 RESIDENCE PHONE BUSINESS PHONE COMMENTS MO: 860 631-788-7074 1 1 LABOR & PARTS CUSTOMER STATES INSTALL SOP PIS MIRROR Thank you COMPLETED REMOVED AND REPLACED PASSENGER SIDE MIRROR PARTS------CITY---FP-NUMBER-----------•---DESCRIPTION-------•------------UNIT PRICE- for your business. JOB # 1 1 87910.48353 MIRROR ASSY, OUTE 225.10 225.10 JOB 1 1 87915-OE020-EO COVER, OUTER MIRR 53.90 53.90 We appreciate your JOB # 1 TOTAL PARTS 279.00 JOB # 1 TOTAL LABOR IS PARTS 383.90 patronage and welcome your PERFORM WORLD CLASS INSPECTION questions, comments COMPLETED PARTS------QTY---FP-NUMBER---------------DESCRIPTION--------------------UNIT PRICE- and suggestions. JOB # 2 TOTAL PARTS 0.00 JOB # 2 TOTAL LABOR & PMTS 0.00 MISC------CODE....----DESCRIPTION----------- -------------------CONTROL NO--------- JOB # A SS SHOP SUPPLIES/HAZARDOUS WASTE 8.39 TOTAL - MISC 8.39 ESTIMATE CUSTOMER HEREBY ACKNOWLEDGES RECEIVING ORIGINAL ESTIMATE OF $417.20 (+TAX) TOTALS---- Thank yoy for,choosing Girard Toyota / BMW of New London TOTAL LABOR. 104.90 We pride olY e'tnes l,prgvt' M _Tf' ^p Iiq Service TOTAL PMTS. 279.00 If yowl do e*d O Tat fli0 th s 3dce TOTAL SUBLET 0.00 experiiuke le a ntki; our Ser I arlliye_t'*'S 9tt Higgins TOTAL G:O.G.... 0.00 or our Custt*ei Care Center at (860)326,5484 TOTAL MISC CHG. - 8.39 TOTAL MISC DISC 0.00 TOTAL TAX..::.. 24.91 TOTAL INVOICE; 4i7.20 If your vehicle is approching the end of its maintenance warranty, please see your Client Advisor or Service Advisor about upgrading for continued maintenance coverage. www.FaceBook.com/GirardioyotaCT www.FaceBook.com/BRAewLondon www.Twitter.com/BMWNewLondon PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE I 09:64am MPH- 052241 MICRO TED SUPPLY HARDWARE TO RE ORDER MICRO TER I401I 488-0842 Fishers Island Ferry District U l~ Damage/Accident Report Date of Occurrence: Time of Occurrence: )S )S Vessel:'Ry Trip: ~-~1>3D Captain: VNv-, Crew Involved: V\o,cyG (cr, ~C~rS F2 Weather and sea conditions: Lc'\~ f Vehicle Descriptions: Manufacturer: \olo~ Year: Model: jU V Color: q~ Owner Identification: Name: Address: Phone: Email: Provide a detailed account of the incident including an accurate description of damage, how the accident occurred, burden of blame, witnesses, etc. 710 6~ 6T7Y c:\users\rburns.fif\appdata\lowl\microsoft\windows\temporary internet files\content.outlook\fb5f26pO\vehicle accident report.cm r I _ yet ~l l t~i~S e k Lid i ~ 1 14 ~s ~ Yoti ~ ~a +I549-~CLMAN [ . lt-1 W L00014, CT. 06320 860-447-3141 iEXruea~ lu.; OOOSS601992O17E09960DY MERCHAPI 0: 199201760998 PIASTERCARD 4444444444447691 ERP:44744 SWIPED SALE RECORD: 6 IHU: 000006 DATE: Nov 05. 13 TIME: 1101 BATCH: 080421 TRH: 1185151221 AUTH:O15212 VISA IRAN ID: MCWOZWOCB TICKET 0: 217258 APPROVAL 015212 f llfa~iljtil t PAUL I R06AII CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 019621 STEWART & STEVENSON PWR PROD. 12/03/2013 CHECK 1585 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 2269899 MU-ME REHOSE 34.71 SM .5710.2.000.100 2271660 MU SWITCH & RELAY 230.48 SM .5710.2.000.100 2272499 MU-ALARM SWITCHES CENS 654.14 TOTAL 919.33 S h i t' .44¢rm a ; u t r MAIN ~ it ii f"~• 66p~yy IMY NY C*rrw ~s 50~4as 12 3 I -i HUNDREA IZNETEEN'ANP 33/i- 4~, # ' . P STEYJR1 Pw, PRODS " xajb mom. iwW PD AWC 9 g 1BR „SDI 9 J, 0'7644, /oup < saw 11'00 1585110 1;'0 2 14054641: 68 0b 1502 1I'm ~ ~ ~ Vendor No. Check No. Town of Southold, New York - Payment Voucher 19621 50 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 950 Vendor Name Lodi, NJ 07644 Audit Date Stewart & Stevenson Power Products DEC 0 3 2013 DBA Atlantic Detroit Diesel Allison Vendor Telephone Number am Clerk 201.4895800 Vendor Contact Invoice Invoice Invoice Net ~urchasae Orde Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Food and Account Number 2269899 10/17/2013 $34.71 $34.71 MUNN ME Rehose SM5710.2.000.100 2271660 10/2912013 $230.48 $230.48 MUNN Switch & Relay SM5710.2.000.100 2272499 10/31/2013 $654.14 $654.14 MUNN Alann Switches Cans SM5710.2.000.100 $919.33 $919.33 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 Ad*-~ Signature Company Name Date 'le / `-~V Title Date / ~ N~ ~J bell Stewart a Stevenson ATLANTIC DETNO/T DIESEL-ALLISON ® (l • • • Power Products LLC ATLANTIC POWER SYSTEMS ®,e°Onei9y {)"'C):I. t) <'.?Ft9(3<i'fi' ~1 , Please make all checks payable and remit to: STEWART&STEVENSONPOWERPRODUCTSLLC Invoice P.O. Box 950 • Lodi, New Jersey 07644 T(:)S~ ri:i:TE:; Phone: (201)489-5800 BILLED TO sNIVVED TO 1=iEil-11=:Fi5 If3L_F~NTi F'I:i:Fd14Y D7:~'T'Ft:[GT' T'IE>I-11_:Ft :C~il_.f-1~1U F'EaiF{1` P' I;)„ k:10X I-i Li W~t'T'Eial= Fifli\'T' I='flFik: I T$1-IIF?£iS :f.;iiLr~iN!!).I iJY 063'x'O i11:W i_.(:1N7)Cii~l., C1" Otr~i:_'G OAIE tNV01CED DI17E Sei1PPED PURCNASE ORDER NO. eR.L OF I/IDINO NO. REFERENCE NO. LOi j:7/]."; 9.0,x'1.7/a.:; VI_:I~:F:cr"tl._ F'c>'.'Ori'E:3~)+~i 9EMAL NO. MODEL NO. CUSTOMER I.D. NO. FREIOXT VIA lERMB l{F'::i 4i-T T)ur aC} )~(-7Y::i C)fi:C:L"l':i;:1.7 Ci(lfilai"7 j' ,-'~,.4^i rr:l:::zt;l-Il" a.a,.GCt :L,::I.cr> i-f~EC:Ct:il-fT' 9.:.`..7Ei :t:',..'E.i ''(aFi MOf{[_ :Ci~lF'(a F3E:Oll7 (:IUFi F'Fif]T)LIC'T'::irl'-'f1Pi'T'F.i rddl Ei[:F{V:IC[..ii V:I:iia:T W W~.F1T'L..fii~'i':1:( T)T)Fl.t::(]I`=i 'I_Er=t;i>I::: ltF._Wi'LT' T'(3e ETG:WFtI~'T ~r'T1i::Vl_:Pd.;~(:1i~! I"'i:ihll_:F I'FiO:DI('.'T's I'.L?.. I3CI; `r':°it) L_OCiI: t11s7 Oi'«~Fsd >l T3'T'Ci"CAL : ''r ..~?O 'T'A. :?..:J ri FORM NO. 005 wE HEREpr cERnrv rx4 i11[pE c x COMPLLNNEE wrX Nu wvucpecE REOVIPEMENip OF SECilOH3 p. 1 aN0 Oit Of iNE FPIR 1RB00.18i6NOI.R06 I.Ci AS NMEHOEO 410 OF REGVL/.iIONB NNO ORDER9 OF LXE VNIiEO BiRlE6 OEVMIrNEXT Of LPfiO0.18pVED VHDER 9ECilON 11 iXEREOF SEE TERMS AND CONORIONS OF REVERSE SIDE II AFR Ili, IISRVIS AND OADI IIONS D F;PIVIl1O1S. 1Ac u,ed in lhe,e ("PaII I,nn* and (\mdlth m,. the Inm 'Good:' shall mean (he produets, j)II(I and ICCnsuries (includIn, Ilul l otICled III cal, hr Seller. The I"III "P,(,",, dnlll nle:nl the luhi 1 I'll di;ICno,1,. rcpnii and n ant cuance to rchicIen and other equijmlenl inn n1cd P~ Seller. "Sclln- ,,hull mc;m Stegal l l Sll I tl10ll I'nt, In III o( All, 1, I.L( (also deb/a Atlantic Detroit Dieeel-Allison and Atlantic Pn,U'If S, arl'Inpl and - l'In or shall in, uu the eUSl nej I Ir, I- III to 1 .1, ( nod, or Ssn ices 1, sold ur (111 In C, L V('C F:PT:1l (:p„,. 1, .,?t.:1nCe Sitter, icon . - u1 1cl:n~. 1 ,.:111.11 Inn-clcise order IOr (JoI or Sell lees i, cCpress[, CUnditiuli0d rl Ll1c- 1.. -I 1 .IC it 1111\ n,1.I'lln [lid„1 1ncr~ 1 ^i I h1h, doII1I'I Iced I rOt he rIll iIC Supplema[I td m.,11111\1111,`1[111. 10 (II. r,' , r, %,1) 11 .1011.1\1 [1 11111 theline , I , .e [I IlI 1 1 I,';I , 1 1,,, t,Ala 't op, dIXrepwncC orCyIalowd he S,Ila in ,crili lL PRU FS AAD I' \A 111. 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S in, 11 1., S r .1111111 nn uurri "0 ,.,1\/l n„ -uu J ill I Ill 1HIII„n1/1 m- J;~l, Ill a nnlriIll, 1\l` n-iit,I i, ills/ zr rod It I'll 1 ,L1.i Lc PI it 'd ,f '10 1,11,..1 1, I 1 1i1.'.ill . Melt uoi I I1npl, r, 1.. l r r I - , 111,1 111 J;.el1, illr,l 1171,/61 11 Nerot if?, Rlncl s (0ADiliO1, of i.111j l)11 IRR -IAIF. In h<'r.'n 1\i 1111 1 1:„li hl pnrggruin 6 Ill....[ r,/i St ill? ,rlll/tdLll it, limit id LI;uP, _ Io .1111, e /l I .,/I! 1111 I'a/Fr1h~ S,'ll, r, Il( ,uru9o11 1\l Si'lic„ 121 rP, 1I u1 Irnd11g1n b 1 r-1'c ,L l", dl, a i r J<r „ I.i1,. , 11i.1,1? 61 unr nllI1 I,1„/ 1111, rows, , nli h n/,G1\ 11\111\1 11/ 1 1 ,111/ 1 1 1 1 . 1 1 1 , , . 1 1 1 1 , / 11 nrr i)1\", 1uIJ 1111 r,/i 1 ,1 Ill 1 ~11 r( r I1 1I 1,, r.„ in,1u n pn i1 011l,.1I 1.a 1,,, r„ ill 1 /it ,1 111 1 oI!,r/, l 1 1,. 1111/1 1 i, n M ghur r1\ r, 'I'll/ 161 q l1L dh/;- .1. rrtune III /,r'im1 1\1\11 1,1 1 1111111 11 I „rn'd ,..1. <.n, eiL/, 1111111 unl r/ 1111 a,r,. 1111 ,.11L1~1 u„I, ,h 1111 r, .,111 1. 1:111611 bill 1111 Iil,rr, , n 1, I /lil nn~l2,I 1p.A tut. 111 hl, 11IRRIAT) IVAI.I/VICR. IBI: It IRRI.,TIES PROIll1) /[LRifI IR/ I'//E 0 L1 11 IRR, IA IIES . (/1111. I('_ IRI E /(L 1ILE 1'l l)(I11N,/'.IR1S,I.ND ORAL RI It hS PROI IDLD li) SL I I. VR, 411.1.AR V.IALS'.VO(LT11ERIIARR.I.A1/ES,I:APRL:S.S, 11IPLIEI) OR A/ lit IORP IA1).4/'E(Ili( ILLI-DLS(1,ILVS I>1IIli,/.if 0141/712Of .IIER(YI,I.A'/;Ill "OR 17TNI-ItSI'OR I I'12T/(Z7 IR III RPOW ,um ,-ie'u uui ,111 1 !1u; 1 .,Min 11\1,1\1\1,Inn! '.4rvlor u1u 1I 1.u:; 11 o>.cl union, of 111\1111\ .,.I;1\ 1111 I Ili r. ,I/n alh1\11,1 1 I'n,II"t" le(Ill (1) ill" 1 /1 NI IF IKI V I IWI 1 tINF.It f11 „1 ,t 1\,l and WIl't Ih"T,,. el s,lcpr„una,i, C, ltd cmp[owec ,11:III Inn h..61C I, hle I u n,,Ca r1 1 i,.-r„e .1° o(;I Ihn,n ul lore h.l11111!, I olio nnilm 1\r lailure k, ae. in Ill 1:n[" :I :I,or„ orln nIp;11T 1 1, a.. . MIN( I VV)I U OI I A ( IDLN I IF OR (OASL(ICFV I I U I I . lint I I 1 In1 , of "v 01 111101 1\,l u;lIn m.1\ llflCILIna,, [trilled 111, 1 lie, . ,1 1_ 1 I dm In' Id 1\h[ u1 , i 1 ici iconnn 1, I t,ac; of an kind idlipP le,CL inchldin,' ,n Ili .11I 1:11,1 d_h,hrlL J, t1niC. ineom Cmcnc. eecrlimc. 1 I'd"111,111 or I ncI C.1p1 n I, ill I, I111r1 d, Ii1; i,pliad?le „'dn'an1,_ 1.31111.AIH IN OF I.LSBIi_II l~. h 1~ mA I,,, 1, d! 1 1 S,'{ICrur is I C.r, Lod n plo,cc, 1,1 anti :md ell 10„5. ,,,.I r1",u'Ilne lioln the 111, Ill h:m 11111,: d m1\ ( „ 1 , 101,111, pro, idcd 1\r pcrlonned h, tidlcr hull bo liln.(ed 11, i - IL, ;)LnCh 1 _ a: id 6, 11,,11 ill,r,Irh (rno or >nn I, 01 IM, R III A11.IMF% (I IF] I FR I Itc limn d "dnd tli, P", -W 1 yin moil nn h0,,nw cllceliee tntd, !h, i 1n,r pslcn tidlcr !hr the ( .1\d, or ill 11 .,.C1 C _n a,nO: Un,c %nh IIn: ni'r_a! [1 1" r:1. !ilhC lilac( (1\i[, Ili 1 n I PI-11 -Cl hall hl t .d! 1110 rauedie, 111 , r,-,l 1: 1,,. I da1e„I,, , the I, It,, . 1 .111,-, 11.)[ hold „hut till, are, I,IC, I tit n Ih' oee clr.vllC o1- I '1 .,.SI 11 1 y 1\l -'I , 1\I p!, t J .n . , 1111\ , 1 I... Zinn , 1n,Iw, , , wCI r" 4 In i, in YO MW W , _ 111, 11 _I :n lure,', n "flIP ,100 „lilt rl I ,1 m, InnOL)ln, Jlie linen kind' l0 4J O Iflwn 1 rent t, pill -r]Itt 1 it ail,nll,l-,,1.1, CUSTOMER COPY ATLANTIC DETROIT DIESEL-ALLISON ~~vEnson Stewart & Stevenson r srE'n"" Power Products LLC ATLANTIC POWER SYSTEMS De,T13:„:I.C)/1.7J I.:'.: ^rrl...f11NTTC I):t)rr 'F•;.Lr~l' t:: 1)I:.I I i'r I T'i UN.l 1 1. ' 1]L;L11+ilN(4*:: I >.'t)7t3C)i`'i F"'01:6.13CpRl:)t.ll'Ji-1 1"IfI V l : ;:f : .kif\)'UJ ,..1-",J,= Y CH 1)ta'~ ,F)L_[') T'l.l•1 :L':-Fliiil i :ISI...AN1) Il:Fk,) VIl1i1.G SlII:F T 1::1.iI11-1 J ;I )ND !!'!':I";t 9(1 'S fl'}IOtigl ll);t')l'Ol'IC.I'illflt'tlE)1- y; q!; 9@ I-I !JJIIIl 10. 'i 'rIII•,I', sp 1' ')l F4 f_: ? , " 1 :.i -iliil L 4i?I_hINI) h! 't ..r NI. i,+J I . ON" trtiiican t ; ;rn(=_riiriEx t US ; I.Omi 1 l P04 'AFT S.AI... 1-1 !i7i 1-. I.... G I.IG... 1.4) 11. 11.1, 1 I:L li , II JiI`t I IF.i• 1 "61 (V4 00, i.r11 I- Ii;; Nt MBF.T., n it t)I i::•1, .1 1~ 1:. I,f; _:nl i. UN II C.4-1 k:IA1..5-i'(T:(i•1;'IitY:: (.:a.11,T()Id.::f't i. EFTA.,. .IOHN 1.) i 1:m iVIA 1R# 1 li'IY OI JNi.l NUM1.11 r;: J)l::.B 14T'T 1ON 1.)F:; l ! t:;ll1-' !.a%t:i 3C:i::. F II:F: 1. 4<d 0000 04-1212 0,;J.11.2.9 J'S t ) :1.11 UUt U v: i. . I 'k Wlutitv~, Y-_ I\e~oSe TI-ANTIC. IS NuW '(!H: LWL 81Oi "110 I-Ok; ()LA., HI F; II.t)+;P:: Cttl; LiEi.r 6l+if!_)Fi r+?t)_r I,Ir:+i,.i. f.'i_. (1ND ,SI.::1{+,J .C NI.L-T).:;,... , 11111- I)Ii:I II u q f-ii...l- F1:I1 C;Ot4!U I I i:Ciid:i.irl. I r1(2I', I'd P,? L I li li;la.., ABI.: (11A)U1 OUR ! hi:::IN .I .O! .........FOR 110iJ 1-N! u V,l:i.l.i kkWW••Iaii...r=ii'~1!.i 01~ s-~rue -13 ai 9i')th iu t A A A A)( X'A)( X A A 1')(-iiA (A-.41 t:) 1 (ll..:: ,•:.:G u hl1)10 I1, 1;0 iil`'I L. i II,Jf•i I(IX:: -.i), )'...;A A)t)(,. .~,:u:9t .11'.1 .'-'..j tl.:i i• !t :I. i.)., •.Jt; GENERAL TE:RNIS AND CONDITIONS I_ DEFINITIONS. As used in these Gcnenl "terms and Conditions, the tenon "Goods" shall mean the products, parts and accc„ovies oneludunn tluids7 offered for sale by Seller. The term `Services" shall mean the labor- for diagnosis. repair and maintenance to s ehicIo, and other uluipnent provided he ScIIet . "Sellei" shall mean Stessart & Stevenson Power Products LLC (also tllbla Atlantic Posner Systems) and "Buyer' shall mean the customer (person or entity) to svhont Goods or Sets ices is old or oflcred. 2. ACCEPTANCE. Upon acceptance by Seller, Buyer'< request for quotation and.'or purchase order for Good, or Sets ices is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherwise supplemented in wilting by Seller. All offers by Seller expire 30 days loom the date 01 issue unless terminated earlier by Seller before acceptance or extended by Seller in writing. 3 PRICES AND PAYDIE N'E. All prices are In tl 5 Dollars. Scher reserves the right to adiust prices if chanrc are made in specifications,lali, ere or scope of work loo Goods or Services. Unless otherwise agreed in writing, any linter with pre-approved credit tams shall pay the purchase price for Goods or Sets ices within thirty (30) oars of the dine of invoice Occ o terms are provided only to Buyers whose credit is approved in advance by Sellers crrdu depomnesnt Seller reserves the right to change credit terms and to require payment in arch or other loon of (mtnediatc payment acceptable to Seller. Buyer will be innoicod till the applicable sales tax or other taxes due in connection with Huy,er's purchase of Uoo<s and Scarce, unless Buyer provides an acceptable tax exemption certfllcate_ r. FICTORY AUTHORIZED RARRAVTY REPAIRS. If "Wnewi Sellrr Intovides of a Buffer's r,qn, +r fastir, awhe's-zed repair rert ices or iepts, moat parts to Goods ,meted to it inanulocturer x limited uarrarav, the manala furer's uenrants, apple, first over the limited uarrano= or Seller in p r.r,raph 6 and ilte respousihiligfor the repair and or replacement Cost shill( be apportioned between the Buser, cand the rnanulactiarer according, G) ,die teems oad enndinons of the applicable nxuu.Ja,'lioct, s u ananty. Lille" otherq tie afire eel h, rill r. the Bitter shall he hable fill the coo n r loins or renlacentenas m,rde. on all Gouda to the c u tit that. the mwnlac un, i dorms irotp it jor Souse r, loon , and'or e lacenrenu umlu r Ns a art (air LIMITED WARRANTY OE IL4Y FACTURERS. {When S, tier relit li~ucdr III the Buren Gooch cohered 6r cr ntanutacture, h"wed I, it rant) the teens and condition, of the nrmruale tune, lowled wonnnty only shall apple. A copy of the inanofacriaer's ircuranry shall be provided upon request. 0 LIMITED WARRANTY OF SELLER. {When Sellrr- provides at it Barcr's request anp Set noes or 1 cphrcernero pmts to rote Good.. the Ixellou,-ing limited nvrrasows apply to the Bit) cr a. For new, remarnlfnehn ed or used parts and carnpmanto supplied in , cnrne, non ovule Services, the maludac onrr's linated nurrawi on sie It parts and components shall apple. b. Seller ,oorrants that its .Sec rues shall he performed bt a good, irorlcnranlilce moonlit and shall he 1) ce= filan dole, is tit ewl,riats or xor-Lmareship hr a period of 181) (far i b-em na, dote vita It itWil is completed n) 'I" it nmkn-ial is provided Seller iiarrants that uto es, hang, cnmponewe ar asseurbliee rebuilt L_r Seller that ore it,, d ur ".iii= repou icTlarcill( n shall b,, at c Ilixrm del(,( f) in materials or ivorkmmerlri), fin it period of 1 fill dgss firm the date such tank ii completed. d Substandard ur inconrelcte repairs nr(adr at the Hater , request andof parts fio'nished be Bit),,, and instailcel I, .4ei'e, d the Bill ,I rc quest are not ,rarroraed htSeller. CO;VDITIO VS OFLLNITED IfARRAA'T I'. In thr event the limited irm-rann or .Seller in pan agr,rph 6 ahnye applies JeNer a zit lulu! III Crested earrmrty ohliganons to correcting any nnalhaa Boor er a gg die ow,itiivoi period nails the lolioi,mle conditem,. ,t_ 11 am= repairs or I eplacerrrent penis ided /ail In e ntlb. t r io tl-c Limited If or, a nit r,I Se fte r is Ikr +t at <i l.,. atl.,n, -q 5,I , hill, <u.d ,all:ng normal oriiiii, onus, mplace am deter -tire parts or correct ate doilekncie, i,r a=orkirim,hip Ire, if, harge to the Bit Pr-ifsueh driias in parfli or let.i ten: Ors i*n i rrktnortihin are reroiled in irrium, hi cony atrthari-ed .Soria entphwee .`!~a h rrpkrcerneet olparts w c onzetion ui dU„ n racier in uznAman. h..ii hill be conrnrenri•d , .soil, as "mrinorrrr and xu ry pm9s and eequtpnent are re.nan tl h available to Sella: I)- Ashen, art the Bever'i request repair work is peraemcd otmi,he otS,hler's not vial bushels holes, or, is performed on , rrkends ur holido}s. the /3u~ er shall be r esymmrble,lnr-the di/lerenrr benveea regalor tint, labor rates mid the aly,tr ahic rn°c,mile or prime tint, labor rates, 1 Siaesx the original repair,er vices trere peryornted in the field, d aarraalI repair scr,-icc, are performed outside of(S,tler s hodlities_ the Honer shall he responsible,hn the cost at oarel dine, nahage and other travel erprnsrc. der nanspor&nion cuzst to pick up and or deliver tool, and machinery Io Btvia I job site in order to perform anrrantable repairs will be changed to the Buyer at prevailing airs. unless the original i,pairs nrchided pick up and delivery lm Seller. ,4_ 1114RRA,VTY DI.SCLALVER. THE WARRANTIES PROVIDED HERELV ARE THE ONLY If'4RRANTIES APPLICABLE TO THE PRODUCTS, PARTS A.VD/OR SERG'ICES PROI'IDED BY SELLER SELLER MAKES NO OTHER IVIRR-4AT1ES, EXPRESS, LIIPLIED OR STATUTORY A.VD SPECIFICALLY DISCLALMS AAT IMPLIED WARRANTIES OI' NF•.RCHANT,4BILITY OR FITNESS FOR A PARTICUL4R PURPOSF,. Sane ,states do not allow the limitation olhoa long certain wanvanties nap last nr liraiuuiau or ar,lu.Sions_of certain damages. so some timi4tlioris mqt not he applicable. The battled warool gn e Buyer,spe<ifh( 1,gal rights which may tart from state to state. 9. NEGLIGENCE DISCLAIMER. Buyer understands and agrccs that Scllcr and Seller's officers, agents, representatives, and employees shall not be hable for injury to property, whether based on negligence, strict liability, or any other theory of tort liability, for any action or failure to act hi respect to the repair, replacement of parts or workmanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQL ENTLSL LIABILITY. The limited stir my of Seller and other manufacancrs' limited warantics described herein do not cover any incidental or consequential damages or other economic losses of any kind w6atsocver. including without limitation, communication expenses, locals lodging, loss of use of equipment, loss of time, doecotlme. inconvenience, overtime, transportation costs or any other cost or expense resulting fiam a defect covered by the applicable warranty. IL LEVITATION OF LIABILITY. fn any and all events, the limitation of liability of Seller or i t s agents and employees for any and a l l loss,,, injuries or damages resulting from the use o r b andling of rate Goods, equipment, parts or Services provided or pernminad by Seller shall be limited to the porch rs price pair) by Buyer for such Good of Services. 12. 01 HER REMEDIES OF SELLER, The limited warranties provided herein shall not become effectroc unless the Buyer Plies Seller for doe Goods or Screice, when due in accordance with rile agreed terms of payment. It the Buyer fails to pay a agreed, Scl let shall have all the remedies provided under the lases of fine state isahere the Goods or Services are provided. Invoices not paid when due are subject to a finance change of I.5°-o per month ( IA°-o per annum}. Equipment not picked up h} Huger within i business days of completion is subject to a 5100 per day lot ape charge. In the event Seller retains an anomey in connection with rile collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable aeon ncy's fees and expenses and all wort costs. ATLANTIC DETROIT DIESEL-ALLISON & I a m Stewart & Stevenson sRV'8 Power Products LLC I ®,ans g O'7.r0.L0 :'2716'60 ATLANTIC POWER SYSTEMS "erg f Please make allchecks payable andremit to: STEWART& STEVENSON POWER PRODUCTS LLC Invoice P.O. Box 950 • Lodi, New Jersey 07644 Phone: (201) 489-5800 JOB SITQ~ BILLED TO SHIPPED TO FISHERS :Cf.31...f;i*!li FI::a?fiY ):7:Lci'T'Fi:f.C:.'T' F.i:`i>I-J:Pi ISLAND FERRY FISHERS ISLAND, NY 06390 1'!1_:W L.t'fi )H)l:iND LA O S:{ii tlATE SIVOICE0 DATE SHIPPED PURCHASE ORDER NO. BILL OF LADING NO. REFERENCE NO. ;L (S: 10/29/13 UI'.i:fik'>AI P692705M SERIAL NO. MODEL NO. CUSTOMER I.D. NO. FREIGHT VIA TERMS UPS NET :DUE 30 DAYS JUIYNUTY DESCRWTION SHIPPED 05146080 SWITCH 7 0 JJ 81.15 .00 05146219 RELAY :1 1 197.43 !T7.=' 90S43 1(700W :L:.'.OLJ 1):I:f;:i:::C"f :I:hlM i-i 0 51.97 FF'tl_::L GI-1 1 14.75 14.75 I OR 44(:)RE INF(:) ldBfX1T OLA PRODUCTTS,PftRTS f'tNI `:iiE4iVICf::`: VISIT W W:,F°1'111-`NTI(`1}DA.COi*i L..iiifY1 ;L F-ai_'041:T TOT STEWi' RT << STEVENSON 1-`OWEF PRODUCTS P, O. BO) 950 i._C1DI NJ 07644 A DTOTAL 19 7. 07, TOTAL 230., 48 FORM NO. 005 HEREBY CERTIFY THAT THESE GOODS W EBB ROOOCEO IN COMPLIANCE WITH APPLICABLE ECUIRENENTS OF SECTIONS F 1 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEFMRTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF SEE TERMS AND WND91ONS OF REVERSE SIDE (;1 111(k AI.l I,kNIS V11 11 (()ADII IO\S I. 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I/III. R. 110 11 IRR.IlIII S PRM 1,41 P 1111'.) it~ IRIf ///F ONE) IF IRR. I.A IOV, IPPIP IMP If) IIII PROD: I /S, P I R ]_S I NO) (OR M I If 6S PROI /111(1 Rh AI i I 1 K. W 11.ER V 111 5 A'O 01 HI R If JRR I A III S, L \PRhXT I.IIII it 0R ST ITI 10R) IA/).4PE(I/ 1( IEE ) /)/,I(IMEN IA)I.IIII 11: I) If IRR I I I/ES01 11E14 N: II LIBI1/IOR/El NVI'R iOR 1 1' I/?1/( f_7 f7i T'( RPf)51 .1 L m '.;o ; evl/rs u ~ , 1„ c,el,Inllm, I . :;n and ll1 111 ti,lL , :1111 _ N1 (A IGI:A(I-. DISC'LAIN)IR. 13o.,de Ilea, nlda„ _ ;ucr, i n:. r; pr: 111,ii-,', :Inilimp.o:ecz 11,11!n.v , , ichc xi,vd of 1 c 7 _ 1._ , ,1 . ;eon c t ,1 1 11 tbilll: 1 n arlil n I 'l fnlme r ,la in ~nl, ul. „1'i. nrl. tr InpIt Wv(I AIAIl k Oh IM 1DEtiI.%L OR (UVY QI 10 11%L I.I%HH I I I n d "Man!, SIlLi and other nt:tuufuelulen Iinliitd .,IT:IDtw. „,.1 :I III .,I , ,i 1 run IIILI,IJ1LLn In „1 L. LI. !l)" -ml Lli 1 n,JZ i 1 L1111 hind iv hul loci Cr. InAu'ling 11 . '.Il Il 1 I It 1 1.11,11 :v11111,. 1111 . lndIt iI I I!Il I, II_ 1,,, JI nni:_ d"gIit."Ic_ ILL Ill A C it lcnc c. I Icrliulc n.llolI'll i(11 , y I-11,:1..1 I, p,1, 1l dll oli(1"! i,. IIb, :1 cehle Ii ill IIIIy I IN" I I I U)A M I I.IIII LII 1.. In on ,1nd a . , 11-. 1 _ 1X1 m f, 1 _.uh and 'n 111.,~u hl 91i Lind 111 I ,-C?. .uloril:~ 111,1 nrr C, 1c, 1 Iwil Ihi "i ,n !I,[ IIn of 1T , 111 „1 liri 1- Illli 1.d:d ur ]),l 1rlned hr 1,C11el hall he Ilnold Ill 1118 p1aY 11J„ 1111220,1 1h, hair, .Tel) Lo,rtl. 4111, OTIIER RI AIYJHl OI SUI.I ISk 11 e lima ,d , 1 .1111.11 p ,1 1 d hs,lnnr ulie(,e !1111111 I'ui iilnel pay. tieller f"r the [ , d. 1v Sup I. .i 11,.'1 1111 , mee a ill) Ih 1, 1 _ I , p , epmid tioller,hLill hdie all the rental e, _ xlnle i 1 i:c the (311 11. 1 "I' „ "ild iI11cn duc;nr;nhlicl l" a (ml ln, c :hll ll td I."I1 11 n it ".1 I-1'11. ]i 2111 It'll pl:6id an !it I;,%,i.,. , 11,1,.., .,u6jcct In Li iIIII0~1+1 JLI, ,h lrly, i lec 411 . _ 11 ,111 I. n .anrc, .ItII t 1,. , ,.-1, ILL, II1,n, 1 . in Sli 1l, l Iio..1 I,., . 111,1, 'Ill" 11~ a cLi~ Lind all it CUSTOMER COPY f Stewart & Stevenson ATLANTIC DETROIT DIESEL-ALLISON Power Products LLC 0V ATLANTIC POWER SYSTEMS f" ffer c, :1 , .!::.i , j~09. nlfll ~I .laLll 171_i!:il'1 M F, .1 /02 (Y "301,.D ifin 1 1:!Ill. ..'=,1 ta;JFi 1-.l y DI.S, 1T 1.(.;T it L.' kULI ISL.r'd u I I.i'14: p' ec-n; ae ,e Yi ri >,iac ).x ur ii ei e, vut iar I`., fl rit.;1-1 , iIJ I,t1Pd"i 1-i1. il; "t Lil I. ilF,;:'r''r; - -i+it e49k t) L_U! .UllH., e. §i 1.,t i'i.i. I l::. t.a 1.! I. i Tf.1M .R I1O t'E 1,1A. Ila u. J. Una. i ;i'FR i;u 11(,1.Y P'l A L Scnlr, _ f -l k l: I -i;! :i1011,4 0 ! i.:! 1'Y j l q,4 I. I idk.hiAtC:a~' hl. t:i2a.l i l:(]i•.' !_t.iti; !f'.)? _;4'i.- is I~ I..;Ei (Y`i'i 46i 000 `,.31W.1 ("I -I ~ tir~-t.j tij d`. •.it:. +d. t.; 1.'..i'..1 ,1,) ,....i}i) 1t.L1 1..x..,:1 I{) I,:`.i l::. :.i !t.!1' ! d..L.. i.ll I rt1'.'-iSi ,tip:; v ty , I ~ , , kJ:, ,tl S.i bi N. l ~ i i,iP=' i r"-4~ i~~tl\li I ,1 i':. :';it •l li 1.7t i. I 1.i::.ih ,A n i , 'JI'-:,., :!hL OAU ~xlt-atlTnl ! Yi GENERAL TE.RNIS AND CONDITION'S I. DEFINITIONS. As u,cd in these Cencral -term, and Condition,. the term "(tools" shall mcsn the products, parts and ac:::nr~rics (includnr, lhnd>) offered for vale he Seller. The term `Servico ' hall noun the labor for diagnosis. repair and maintenance to , ohldv, and other equipment provided by Seller- Seller" shall mean Stewart & Stevenson Power Products LLC (also d/b/a Atlantic Power Systems) and "Buyer" shalt mean the customer (person or entity) to whom Good, or Services is sold or offered. 2. ACCEPTANCE. Upon acceptance by Seller, Buyer's request for quotation andor purchase order for floods or Services i, expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherstise supplemented in writing by Seller. All offers by Sella expire 30 days from the date of issue unless terminated earlier by Seller before acceptance or ec(endcd by Seller in writing. 3. PRICES AND PAYMENT. All panes arc iu h 5. Dollars. Setlu'rczerae, the right w adjust prices if changes are made in :pccilication::. ddisen- or scope of work lox Goods or Services. Unless otherwise agreed m wring, tiny Buyer with pre-approved credit to ors shall pap the purchase price tot (;ooda or Serviccs within thirty (311) days of the date of invoice. Credit terns are provided only to Buyers whose credit is approved in adcanee b Seller's ?rdit department. Scher re.erves the right to change credit terms and to require paymen iu cash or other form of immediate payment acceptable to Scllcr. Buyer skill he invoiced tin the applicable sole, tex or other taxe> due in comtcetion with Butia(s purchase UP Goods and Services unless Buycr provides an acceptable tea exemption certificate. ,I Eff TORYA17310RITLD IF IRRANTY REPAIRS 61=& nei c, loYe, provider at,i 1311yer raga, st fa Twr, a uhurr7ed vertu ai iirs or ieplaccm<nt parts to Goods corned hi a manulacnll*(" . limited eanann; the maniy<rc-lwsrr'c rrar'ranrr applies first o,er the limited Irma-ronn of Salter in p,aograph o mat Nic re,por„tnilio Im the repair end-,n replacenreni coil shaft he apportioned beti+een the Baer told the nunndwaaer according to the Irony avid coualidons of he applieablr manefacaaa'r', iaornnr(c. I nla „ odtrru ne agreed to st,flet fill f3urer slui(l he liahrrjon_ the tort. of r cpairam' replacements made on all (loads to the event lhgt the maniJaed{n 'r doer nr>t tun Jar ,aid rytarr a atnrl=or ref 14ien fc r:¢> urrdc its rv,ru auto. 5. LIMITED BARR4N'TY OF JLI NrUFACTURERS. When Seller Ills doe-ctll to file Bihar Goods corned br er nrarag e it,,ci , linrdrd nxurantp. die terms and condition, of the aranu ,arlere, limned worrarr(v only shall apply. I cope of file ntanufacuu cr s nor riciri Ihall he prodded upua regaesr. 6. LLIFITED BARRA.VTY OFSELLER. t5"hen Seller provides at a Hut cr's request all y Set ricks or replacement pmts to am Goods, fill, folfmi;Ie, limited I, airantica apply to the Buycr: a. For new, remarur/hctrued or used parrs and cnmpofr,fdr nttiviied m c»nn,, lion with Servo rcr the noun factor cr's /united ;iariowi in fit If parts and contponantc shall appA, h. Seller ,win turfs that ie' Sei vacs shnfl he performed ni a good, norkmanlikc manner and shall he p cc it orn dcJerts- or unaerialy ar rvorkrnans hip for a period of 180 davs hum the date such uvrk is completed fit-dick material is provided- r. Scllcr iturrmns that on,i ex, hmiue conrponenb or a,unrblies rebuilt hr Seller that m e used in arn= repair or rcgilaranicni shall b,, free front d0cr I, rn ina wliuls or- workmanship In' a period of t fi0 daes I? tan the date such e ork i, completed. d_ Substandard or incomplete repa(re made at the But'cr , i c°rfue,t ,md'or parts far nahed hr Bqr z?' and invalteat hI 't, //,,1, q fire I3ar er S ret"r, a err orn o mranw,I hV Seller. CO.VDITIOXV OFLIbIITED If4RRAtVTh. to iii event the /,rrti tual'I,.rrv ano o/.Stller in parz/grarph 6 above appln.a. Se/let oiII Inifill its hooted tarrfill r ohiinotrons hit (oflcefal", n e mallanetion afar irik the n:arrawv p<riad under they follonin coraiitiono; a. It mm repairv or replacement parts plot rded lriil e, entdbrm to the Limited tf"iunim w 1, Her lc. "e" e „f Sc4u + choirs ,r ,t ae, ing nonaal uor$ qe 110"1, ryilaf t ant deftn are peas or correct air deJicicnf ter in n orkmamvtr%p free of charge to the Buyer ifsua 1, dri, ens ire /,art, "r dune to n l's ,n uorkm,wr hip are reviled In l" ain,g hr am aath"I Lca' Seller oaplol ee. Srah icidw ernew olparts or a oll, coon of acto intcie,e in xorlonanshpi to// he conananred a, so„n as ntaro oiwi acrd recessarr peril ai d t,quipnrcat arc reasonahh ao ailahie to t,"Fel. 1, It lien, if the Buyer's request repair Hurl, ie perJooned outside q/Sefler's mental hurinees Lours, 01-l' pet'liirrnrd on areekend, hulidas, the Hier, shall be icspolloh&' Iii' the alter cnce hetrocen regrdar time labor r-ales lord the applicxrbl(' overtime or prone tittle labor ralec LSdeo,c the original repair ,,,I t ices r ere porybnned ire the field, It oarnintr repair sett iced arn per'farmed mitsirle ofSeller , taailfne%. Hie Btp ershall he re"ponsible for the crew, of na,:el time, aides ce and other t-at el erpen,er. fill lialoportation cost to pick up ana/'oi deli er tool, and inai lunerv to Bfn-err fob :Ate in order to perform warrantable repairs trill be charged to the Buyer at prevailing rates, unla ss the ortic n d repairs included pick up and delivi I.r Ili Seller. 3. IYARRA,NTY DISCLALYIER. THE N ARR4,NTIES PROVIDED HL'REIN ARE THE ONLY If4RR4.NTIES APPLIC ABLE TO THE PRODECTS, PARTS.4ND/OR SERIICES PROVIDED BY SELLER SELLER ;VIAIfES NO OTHER IYARRAAMYV, EXPRESS, IMPLIED OR STATUTORY AA'D SPECIFIC41.Lk" DISCLMILES JAY IMPLIED IfARRAtNTIES OF ,4nERCM.W.ABILITY OR FIENESS FORA PARTICUI AR PURPOSE Sane stares do not allem are tinwalion of hou (,rig ceruun u-arranitei trial Iasi or li nitation, or ow fu anoi of tertain damages. so cane limitations ma} not he applicable. The limited o'le, anoe"i give Hgcet s epe'lfic legal itZlus xha h rear cans dram sate to wale 4. NEGLIGENCE DISCLAIMER. Buyer understands and agrees that Seller and Sellers officers, agents, representnhscs, and aurploceea shall not be liable for injury to property, whether based on negligence, strict liability, or any other theory of tort liabilih, tot ant action or failure to act ill respect to the repair. replacement of parts or xorkinanship involved as to any Services. I or DISCLAIMER OF INCIDENTAL. OR CONSEQI ENTIAL LIABILITY. The limited it arraoty M SelIce and other manufacturers' limited warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever. including without imitation, communication expenses, meals, locigine, loss of use of equipment, loss of time, downtime, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty. 11, LIMITATION OF LIABILITY. In any find all events, the limitation of liability of Seller or its agents and unplovices for any and all lose.. injuries or damages resulting from the use or handling of airy Goods, equipment, parts or Services provided or performed by Sellcr shall be limited to the perch ue price paid by Buycr for such Good or Services. 12. OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment If the Buyer fails to paw a. agreed. Seller shall have all the remedies provided under the lass of the state where the Good> of Services are provided. f ll oices not paid "lien due are subject to a finance charge of per month (18°'6 net annum). Equipment not picked up by Buyer within > business days of completion is subject to a $100 per clay storage charge. In the ex fit Seller retains an anomey in connection vvith the collection of any amounts due from Buycr to Seller. Buser rnrecs to pay Scllcr s reasonable atone ac's fees and expenses and all court cost,. Stewart & Stevenson ATLANTIC DETROIT DIESEL-ALLISON ® ® B srE~r` Power Products LLC ensue ? ''j;7.¢F~~7 ATLANTIC POWERSYSTEMS ®AF `-,.."01 C. ®Ieneryy Pkiaseinakeallchecks payable andremit to: STEWART & STEVENSON POWER PRODUCTS LLC Invoice P.O. Box 950 • Lodi, New Jersey 07644 Phone: (201) 489-5800 7{Jai; _;:I: TE:. BILLED TO SNIPPED TO ).:I ("I~.fll'..:...~ . I;.L;:;IhL..Lt.:Y r.L;i9-Il:ai :LF.iI._F>+i^t!+ I-fiia~a.'Y I"`1:14.1?, I'I :i (AIfyLI::.I'i( r.L ;::•I-IIS: Fiii3 :C ii+l...,^i t~a~., i~1Y t)F;~~"Q i••il:::i,l L..t:ii•-i 7_ilJ(4H is ~l" L:i•:i;:S;:'G tNTE NNON'ED DATE SHIPPED PURCHASE ORDER NO. BILL OF LADING NO. REFERENCE NO. t1ERWL NO. MODEL NO. CUSTOMER 1.0. NO. FREIGHT VIA TERMS ICI::.) U(.II::. :i{) V(i 1'S DESCRIPTION r • t?Ili.(. I' i 01:*t 41)81: T. 1,_.... I (•I l.) iak;i;?i.! (JitiR 'f{[)):il..ll:; T `3„P'i'tFi T" i iti4a) S'1 :..RV.L t..(::.t:ti V.1 , E:: .:.l.) ld{: (.Al.. rl IN T.f* D..M., laa±•1 L( ri,-•Li: f I t>T'f tU.: c..f..1.'ulI'iIAT l(::i!I::al:('!3A/ I•(_Qell.ai I'-ROXAt..'IS P'..C.. T-4, 950 NO 2i I- :I: F:' f' , 01 s :i. i ? „ ...:1:.. FORM NO. 0055 WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WIT. ILL APPLICABLE RGOUIREMENTS OF SECTIONS 6 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED ADD OF REG ULATRINE AHD ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF SEE TERMS AND CONDITIONS OF REVERSE RIOF GENER%I, IIIR31S ,%%D(ONDI"I10A9 I. LIF IV111OAS_ ;A, u ,,'d in duusc ('ncral loins and (ondiir n" the loin "Gu„d ,'hull mcni the product. parts and accessories (including hKd,l obacd fur We by Seller. The lain Acn ouci shall nm M dw 1ubm not diacuosi,. repair and maintenance to vehicles and other equipment pruvidcd he Sclml "Scllel- shall mean StexNal t S "Icvcocoll Pincer Products IVA (also d/b/a Atlantic Detroit piesel-Allison and Atlantic Poteer Sc'um') and -Wq ,hall men the caste ua y,avm oa on" i, Win Goods or Services is th or olicrcd. 1( `EPTAM 1 n- r,, ,WSC by Seller. lim u-< raque't a quotniuu an, a pmchose order for Goods or Sm"u, 0 expa"N conditioned upon Buyc , ui a: r. t. ]:e Numbly term;; am! condition .,n„ M i,a nnksr aulhol"M of othcm isc supplcrnuitud in erltir. e. oc Seller. \ It oilers , e . al d qv hor t th, date of i.ae: Winn , rmmawc , n by S, leer hekwe acecptance or ewndrd t Seller in ,cm ng. PRICES AND P Al )?l I AII pries, an m 1 4 t) AU, 4j" ,no, a; ~ iyht to adpol pikes it -hangvs ilia made in 1jIMfia4i0ns, dcliven ,O ,pc n I. o; ; Ser. I d", ul r., ne .=,:ir J ii..' n Baja linh pre-apprucud credit Icnrn shall pas Iha purchase price QroK,q 4, ,1, "q"" ,him. ( to , ,:e fl it - laic, inr ur , ,cabal ar p n lIIcl only to Eloce, M n.c credit is appiorcd in adruacc r . S,:IIc n'C" o, th, n.,h", c!nn, i .c a ad to nN"c payment in lash or other form A immediate pavmcnt cy l6t 4_ ~c,. 111 I~ hd 11110 neld I, I h: applletll lr, r.1, II ILSes nrI! in utmtdClion with IlLi CI S pa C I I A o of Goods and c a. c.; m _ I p ['I, n a( -lp l,Wc La\ c `rllGrf c..,lla0.;te. I RTORf IT WRT11'1) !1' IRR LNTY REPI/RS. W V& , a „ a3aar tcp,glin[ a u 9urc„ ¢uu ,rrrirocnr .rmr+11 1, - rdit unu n.+/a, 1l, Iiml,d "'o f ;a Imam,!IIWI.tuarmut',applir /iral parr the ilimic,l rrrurunli,,/ a Ili, . 1 - 111 lull ,1 "'N r, , ryvui ul i'Ir/nr d ~ rrp,tir CIO , pill. ' n, ,n( )hall br dppurllr+nrd /win c, n I@r f?urer and ate nunarlhltur,'r rn,'i/mil Io ll 1,; 112, , nd <ondflfnrtr u, Ili( app,nu(,lr mnla,lt,uu',1 , n, ,1 4 der , alholIris, ajjilaal lrr S,11,t 1/c Bill ,t 'hall be hsblefol r, loll 41 (u1„nr lrPall mutt,. nal,i, ono11Go 3,tr i,- ll, ll r'lr', r„di,rnnrr 3,(, iol po)jor vud l rpo„, mdol l,plu,anic,11, nndrr n'alnlrln - 1.1.WED it IRR,0 11 OF V.4\1 / 11 RER5 Olin 40, , ' 1111 n , rr mdv , o errd hr a munull' oli ci , Now nvtrroall'. ,lr torn. m nr aloe I +(111„'s I lilt 1, ,1 i II,( 1 n 1,1 ' of the olrnm a ooi, A fur r,lnn' xholl ill prorid,ld upon 11 I Oa o. L0 Ill If .IRRI A II' 0/ YFL11IT if'brn S, N, t, t _ ;zi n o!'1111 kIII, c, at l pill, x-un~r,l) u'(I u,'1rn Guilds, the J,lllor Ing, a,,,'d rlll r~ i,virl'. .,;1 p,1n , .,urp- ,,,n,</,ut uItb .S'run " thr m ill ,<+1urr , ['nulyd nnrnmPr nn /ILIli ,a1gl1... _ , Sna ernlh l . , rslr„ laalmrr nndahn7/ be 1, i,(,;r in lllal l!uls or 'p 1 nu,i n lul,blrrl , "a 1 , c,(,,a s¢tll mao,ild n pr,ride,i. I~N -:1t , ,1 ,ir , con , r 1, . „ 011`11') , (Iraq aw u,ed m rtny' r 0'a; or 1vp ,r, mt'11a ;hall he /ire 1av 1.rda',-sla17n,)r/lc romplrka/ 1 4r ,,,u,<.1 1 u}hr, 'n nirl.,al IN r 8II ,!!,bill I,IIli lh a Seller II t 1hr 13v_t'cr . , 1rr 111 1 anal!!. (Yd\01770.A 11)1IT I.11 LD II"1RR-I ATY. A hr r<nt 0, t 11 4 a! I/, - `!lam nwh h r16,nr ql na c. Wh i aril(,ii UM qtr limned .=1 unr„ viu~ o n ,rtilunrti l ..ir p„ 11nri,-,111, h1lLnrin~ rondflln2c n. Ir rr. ,r„,.n, tt tai, 1vm , .11 fn m I -1111,1 1 11 , 1 „11111 of S'em 1. Sail, I' a l cl ¢ Ineol nn , ,1 l 1lal Y r/Iuirr <1 l n:' in -a Ail ~ 6 u, :'rn/.., n. d<~G o>, ! ,111 /iii, m G'a in arannn,lt me. Ir,r, ,t1 rfr,lvgr at lhr Hurcr it < I <I<n, /1,1,.!1, as n1.Lail!1, o , !~hr IIII on/h, 1,.,i .Sall,r..... Ior. 'Al, h lrplnr, ,nrnl ill / r ' I I <u,;,-, 111 I, r,. dIIII I 1, 1; 1 / . 1111 1 , 111,111/X,111 (111J llr,t ¢11111 "aoII On,i c,l1Ji"on,all :Ii a' II n,1r `,e B, .are. c, rry sal ,rot, it peilllu, , ,,,,;lt )II/ iI v 11o1v1rtl Arntarr .a honrt'. rr p,rl(,rutrd on u,cfcrzdN or /roil', 11 x ,f ,all I, nmoli i„ ir„ 'Oc 1inrc labor rubs'11131he apldicobie oceltfmr nr on/m till!,' , (.1.11 111, ur n n„ir 1, I r.,,,:, rtcu 1 "N' ,1.' i ,llama 1,71,111"1 1 i r, n, ' I` /in iucd (111/11,11 ill yr1/11 ' L , i'1:,, ,1v 'ulil, 1r ,:,111 . , (1,11, 1 'fi11, 1 ,.,n ~r7 attar (1111 I,rprnn,tr. Its 9rn>purt„iiuli curl In g, rl, , 1111 .Ill, m,al, 1„ll II .1,1L,IC ,'i'F ,a lr 11 ,1, 1Ill, rrl) Ili, 1,i 11/1 ,.l, ,,,'i L'1 Ili, 111.1'^,11p,1 IlII4 I! 1 ,ll I, NW, l w d a t1 IRR.IN TI OLSCL,!IV/R. ITT I 1,017,1\1100 PR{)101110 TII811.1 IRL: 771t ILYLY UARR-I TWO WITICIBLL 10 FAIL PROtI6'C'Ib. P IRI T POR SI B ES PROF"1DED BI STI LF,R. 4011W VMS AO OTLILR Ii:,UtX ] A'"ILE.S'. 1,.Y/'KCBs, 1.1/PL/[iD OR S117t IOR) M) SPL-(IF1(~-ILTY O/SCL 1/iT.S ~ 11 11/1,1 (lit) 11 IRR LVITS OP :IILRCTT J A EV,` L17)OR FT7 NL 6 FOR I p I RTICI 14R PI_ RP114/. So1n,'s[,n,-aIll) +1nl,rl'na l',/im^r e, ^h.u11 rdrr onlier qua a I,o I nr,rr„ lba, 01 ccclusiar N of 1urmru , V1 "I I;, I . , ur 11"I l _ opp/i<'uu,. "6c lunr r 11c 1. g 1 :hi.: n'hn /I „i r ur! Irum seal, In name Wil1Gl\(I DIX('i WILR. Bwlnr undo fluids and, , l;i I'l,'Ahvn. a it :opn ..l ,aieo .uul emplm.es'hull not 11, aide IL' rr{te hu ,lased nt n Iv~~re. t i- till , , icoa'v irf! r li, lnhnl Ili.mr action or rnIzire to :Icl in rt to INC ,n n. npl .c anent of part ur soikm,u anp imp r l ro Il IU_ DO( 1AIAII R OF IS( IDP:SIAt, OR C0ASLQL L:Sl1A1 IAlBII I I l .,ta I~ ;d rearms, ci Sealer loll other manuLiCILI " limited 11 tics hcr,S d" n,n 1 m r ;mc incidcrnei or i.1 n,_y , III, it I, r" , or olhcr ccoin u c lo,Nc< of am Kind whatsocacr, including nui liirl iia, m al" lodein ,.s of i ,,;uiptent. Inns of lime. dorcntimc, incoocenicncq ncertimc. _npo[Lnin srst.a111.1 arilm 1%if nset ,ulti116; l ion dclc,t,,, „o the .a pplicable,carrdn[y. I. ill Vll A FK)V OF L %B111.11 N I nn and all mane, the hmnation a , dw al Seller or in agcots and ctinpluvcc, Liam and all We,, Iuric, Or ? nn,, re oh n¢ IMm the me a h:u0mi; Wall MAN. ,y.wu t pxA , a sawn pro, dad or performed b_W Seller,hall he limited hc purcl a sae pmd e Ifuvcr toi ;uah Gnud. m Ben wNs. 01111(0 RI MIDIS Of Si LI.ER. the limned ,larralonc, )o,caled n -I„dl n,a! 6lc011e cil~ciirc ;[!Ili:" dW BIvci JIM, Seller Re 1111 t .sod, in Gil u,. 11 en , a , u. sccnrdancc rr 1111 Ili ago°zd Ili of parmcnt 11 the liu,ei !ails to 1 ar n u,nrttt. Seller .,toll have all the remedies t a i,ied m . _ r, c l _c late vilicn the G ed, or Scn ice. a , ;xori. ..d I wecs 1111[ paid ghen due arc s,'njeel Ion 1!11,1111 charge of 1.50. .r *,unt!i i a ,naj~ I i yuip ua tat picked up hr Into'cj 1, 1111111 i a .'t_r, s of cumplcti..n IN .obje(t ?1 n Clilo I'm cLry storage charge. _ 1 nhnu : ai c, uccnnn rent the a lkol oc , am,nu 1, due I)nna Buvci I,, S,Iler. Ifo,cr ,paces to par Seller 1„•ie i,: rli: rvt ~xt,c,a ~xl ;11 c,w„u:,ts_ CUSTOMER COPY ATLANTIC DETROIT DIESEL-ALLISON STE~pRi~~~venson Stewart & Stevenson Power Products LLC ATLANTIC POWER SYSTEMS ffAr ffAFan qV Of) f F:::. 10/Z7 /1-', f} I I...AN f lC: :DDA }h=; .Lt:i.1.NF')l.. I'b1tiL. L T: I:P~F.::r.'.L'Lt:a.:: i...M ;:,f t i f'Fd f S UN C 1 I UI e( i li•ii:: td-I ' I n>' U';~iM ;7.:;11:1.'5 i'St1! -i .1?t Jlit}LJ(3!-I Mi.) 0:1.12,J2 1 3001 J i ....3 t/'? UItUi:.K I Y t I:i:!; t UCJ f)fit_i::i 'ff 1 f.'3i111 `:3l l1N1) I Ei:f hr' !).1I1 .1. T 1'.1.F fF I.IJi!.R :f':A...AND F I.fi:fiY dE i4)@d4)Fd[n9f)E9E'N-itn)ilidE3.iiUiiuk:ti F1,101. 13Ox II UlC i':I'i:h I~i1Nf I"ltK fE I- I 1: i - t' I I. I' 1:(:.III:i1,:.; .(.)I._AND.. 'N'i )():'Y') h!I (p i (:1NDUH., CT 06,,::?•:.) x,e OEk)i-]OE)ttkd4)Y)E#)E (k)El4dOidEH-)6 L.. 1. hiI 11 C1) t ICI .1):f I Fit:ILIT:I:NGi,^,l.lf'Si f :I: L..L..1i::1) IiY'll (:;(.A i `U iii:N'(L kE 1) By:: uif llo. U: -I (.1RC::f Ci h'CL UA) i ( >eaeararaE')e :':I. :LN/Ci:i1) UN I: f 31--: P;.I.Al._# Pft:[ M6al2Y C;l1Ffuml:::P;: (:;(:iNCFI(::T:: J01I(\!NY M!i:: 1.iby f'110N.F. (6:1) £3E:' Z461!1 Ila,:m i I;. (.A.41 (:iRO(.if' S:l:i: N U f`Y' Q I'r f i l.1N a.l X I I..::N 1) 1:i. 1) N1N41;F;;Fi 171:_',3C:FtLI'I I:(:1i'd t Of:l) S HP I,KJ.C!::: F'P? J.4 01,J.1. d60SJ SW:L . (.,I I t'.1,, vvr dt`:,'..i ~ 81." 'JO,., l.::i F T1. AN f 7 ( • 1 +3 N(:IW T1 IL Ch+i:: `S i O I IOF, F Ofl fl l.,. i._ OF V -301-t" l i t 4,P:: I:ti t , t i'8::.1't't CC1k FvP2A) hlr:,;;: 11'1.15: AND S F..:.RVIt-I::: Ul::.(11 ..i i:)N A L. ol't t:;(:Jtd1)i I LC1N.i. i•it., f tifi f-:; ;1N1) ASI:: ADOUf ("(.lit f I.1:::Uf: , I fl.la7:fti.......... ,.F (ali :1N4 U WWtki„n.t tlt f is 1U.)ri Z.1 '1 ~AE J s cam, .5, kov,w S~ '4 fnn;; `;:i GENERAL TERMS AND CONDITIONS 1. DLFINIIIONS _ As used in thc,e Gcieral Turns and Conditions, the term "(food,' shall mean tile products, parts and accessories (including fluids) ortncd for sale by Seller. The terra' Services' shall mean the labor for diagnosis, repair and maintenance to vehicles and other equipment provided by Seller. 'Seller' shall mean Stewart & Stevenson Power Products LLC (also ddb/a Atlantic Power Systems) and "prover" shall mean the customer (person or evilly) to whom Goods or Services is sold or offered. ACCEPTANCE. Upon acceptance by Seller. Buyer's request for quotation and or purchase order for Goods or Services is expncssly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otheryvise supplemented in welting by Seller. All offers by Seller expire 30 days from the date of issue unless icrininated earlier by Seller before acceptance or extended by Seller in writing. PIUCES AND P4Yb.IFN"Y. All prices are in U S. Dollars, Seller icscrvcs Tire right to adjust prices if chances n e made in specifications detivery or ,cope of vsork for Goods or Services. Ui less oflencise armed in tswim,, any Buver with pea-approved cretin tams shall pas the pmehasc price for Goods or Sexy secs within thirty (30) days of the date of invoice. ( iedii terms arc provided only to Buc~crs whose credit o, approved in advance b,, Seller's credit departrncnt. Seller lose yes the right io change credit terms and to require payment in cash of oticr Rnan of immediate payment .uceprable to Seller. Buser mll be t troiced for the applicable sales tas or other taxes due ua connection with Buyer's purchase of Goods and Sus ices unless Buyer provides an acceptable tax commption orldicate J. FACTORY 4L'TI1ORI7FD WARRANTY REPAIRS. t1'heur t Selleri,owule, et a Bayer's rcr lio,t fuctorv rxuthoiired repao reruces a wj,1acemenr parLv to Goods covered he a mailloral ov er',v Gillu'd xarraint. the manvco tare, , ivarianh applies fo o over the limited l'orl"for ofSaucer in paraKrnplt G told die r".,ponslbiho for the repair and=or rwlo(arnew euet shall he oPPoitroned between the Buser and fire maursfrctarer accrsnliag to tke tarns amt conditumr of the app/resole manufh"turer's tear ramp. L ntesc ntherwr c agreed ht 4e flee, the &r3er ,halt he hablc for /h" <o" ,If repots, ra_, epla,em(rata made oil <t(,1 Goods ill llre (rn•ut Char ales mmnu insurer does rroi Ira} {or staid w1mits andror r tplac enecnh under its warraoti J. LMLITED WARRANTF OF 1,14vL F4CTURERS Boren Seller seRa direcdlp to the Barger Goods covered by a nutnufact oar , limited wariaaPo, the terms and conditions of the waauim mi" v tinsited war rant ortln droll apple. A ropy ofthe manufacturer's roan ante shu17 be provided upon request m. LIMITED WARRANTY OFSELLER, 14'hcn Sellerln'oridea-al a Buyer's request am Stria ev of rY°pharenrem parts to airy Goods, !h"following limited wurrarrtie., apply to the Bin= vi, a- For new, r-en:anufaciered or used part, and components supplied in connection ,ith Services, the manufacturer's limited ivarrant on such parts and , oruponenti .chahl arpplp. h, .Seller warrant, that its Serrues steal/ be perfunned in a good, worlmia orike manner arid shalt he-fi-ee from defects in materials or worlouanship for a nrriod t?(l80 dui, from the tar, such work is coinl,lca'd m Such material is provided. c Seder n-arants liras arnv ",change components or a,>endrhes rebuilt br 4e11"r dial are tired in aavrepmr ur replacement shalt lie tree,froro defct, ill mater ia1v or workmanship fur a period of LPQ da)m Brien the date such work is completed. d Suhsknrdard nr itrconiplere repairs made at the Burt i s rerjuest umYor parts Jinnishrd h}• Buser surf Lnfaller( b} Seller ui the Barer reque_rt an z not •e l" anted br Scfier, CU,YDITIOhs OF LIIIITEIT WARRANTY. In the event the limit<rh,zar anrt of Serka' ir, par ograph fi moor e vippiiev, Seller will filfll ire hra iced roar roam ohligatroe+ b= con-'me, am matTrnctiorr during the unrrutrn pc,l iod under the lbliwwing corr(iil oni a, ff ant- repairs or repho "Iii nt parts prorid(rd aril to conform to the L(n ind fi arrant; of Seller Seiler mil, at a location of,lufh r s (ands, mid durin<= normal rtwA ns, hwvrI, rcolw r ern detective pare n, ('oireet anv defawroves in notti nrumi Alifree ofciuol"C w the But<r ifsurh defect" in parts or defdcienetev in rrorlmianship are crilied ai rerun, hi ads ueJr.rri r d Sc liar empfgvice. Such rrplaccniem ofparfe to c-nrrertinn oideficicncies in 't orknran,hry will be ccnnmenr rd ae soon as manpower' and nwi ecsar°vl arts ~n=.d ryuipment err rcnizoolihh a1 Jr'abin' to Seller: 1, When. of the Rao re's reaucsi repair work ri prrjormrd outside ofSelier's normal business hours, or is performed on weekends or holidnnv, the Baer shall be respons~l le Jirr the lift' i"WO heta e'en regular tune lahm. rate, areal dre applicable otertime or prince tune labor rute.r ! elves the anginal repair services seer" performed in the 1ie&1, if n illYant) rcprrir icntt es me perfrrmed oul,ide of .Seller , fa(dities tar Bi{car shall he responsible for the cost of n-mml time mileage and other travel expernes. Alm trzmapor7atiort cast to picf, up and%ot deliver toots and machinery to Buver's job vile in order to per'famr warrantable repairs will he charged to the Buver at prevailing rates, unless the onginul repairs included pick ap and delis-"rj he .Seller. N. Br7RRANTY U/SCLA/MER. THE WARRANTIES PROJA`DED HEREIN ARE THE ONLY WARRANTIESAPPLICABLE TO THE PRODUCTS, P4RTSAND/OR SERVICES PRO6'IDED BY SELLf_R. SELLER ALI ES NO OTHER WARRANTIES, EXPRESS, LIHILIED OR STATUTORY AND SPECIFICALLY DISCL4LNS ANY LM1H'LH3D WARRANTIES OF MERCHANTABILITY OR FITA'ESS FOR .4 PARTICULAR PURPOSE. Some slates do not alfoethe lowfulion of how long certain ivarrmities miry last or hieiadlons or ercbr,,8rns_gf certain dranages, no owe limitations mar not be applicable. The loaned tcaYrantic, give Buver, v.pCoth legal rights is {rich atilt rcr};from state to state. 9_ NEGLIGENCE DISCLAI AIER. Buyer understands and agrees that Seller and Scull's officers, agents, representatives, and employees shall not be liable for injury to property, whether based tot negligence, strict liai or any other theory of tort liability, for any action or Aallurc to act in respect to the repair, replacement of parts or workmanship incolvcd as to rill Services. 10. DISCLAIMER OF IMADENTAL OR CONSEQUENTIAL LIABILITY. The limited w,strait} of Seher and other manufacturers' lunited warranties described herein do not cover am incidental or consequential damages or other economic losses of anv kind whatsoever, inclndin_¢, without limitation, communication expenses, meals, lodging, lot; of use of equipment, loss of time, downi inconvenience, oveutimc, nan.4)ot4ahon costs or anv other cost or expense resulting from a defect covered by the applicable warranty. 1 I. LIMITA ION OF LIABILITY. In any and all everts. the htnltatiou of humility of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handluig of any (roods, equipment, parts or Sery ices provided or performed by Seller shall be limited to the purchase price paid by Buyer her such Goods or Service,, 1^_. OTHER RF RI[,IM,S OF SELLER the limited warantics provided herein shall not become effective Unless the Buyer pats Seller for the Good, or Services when cite it) accordance with the agreed terms of pnymont. If the Buser fails to pay as agreed, Seller shall hate all the remedies provided under the laws of the state where the Goods or Senses are provided. im-vices not paid m~hen due arc aumjaci to a finance charge of 1.5"N, per month (I80b per annum). F.quipmwi riot picked up by Buyer within S business days of completion is object to a S 100 per day storage charge. In the event Seller retains ar attorney in connection with the collection of any amounts due from pnycr to Seller. Buver agrees to pav Seller's reasonable attorney s Ices and expenses and all count costs. FISHERS ISLAND FERRY DISTRICT VENDOR 019823 SULLY'S MOBIL MART 12/03/2013 CHECK 1586 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 531273 9.6 GAL GAS 36.85 TOTAL 36.85 2 ° Kx~ ?€,u )-AV& -0 A. THE ORIGINAL CHECK HAS A COLORED BACKGROUND A VOID COPY FEATURE AND WATERMARK PAPER an r4lr,lilil, po X'" SD .LD N'(,;9,1 71+0:48$ M.A^i ON' 13 THIRTY S3R AND @5/100=D0,LUAR0 --=-F I' a / a t 1kS"' _ AWklkftdV CT 4120 OF w- ffi., as ~ y4 _ a, e e5 < cvn pia `k It'00 158611" 1:0 2 & 0°54640: ~8 00 ISO 2 Lei- Vendor No. Check No. Town of Southold, New York - Payment Voucher 19823 1151 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 382 Vauxhall Street Vendor Name New London, CT 06320 Audit Date Sully's Mobil DEC 0 3 1013 Vendor Telephone Number 860-4435938 C~~l,e~~r 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 631273 1017/2013 $36.85 $36.85 Emergency Generator Fuel SM6710.4.000.000 $36.85 $36.85 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, payment is approved. Signature Title / Signature y ? r Company Name / Date /1a / Title Date ld Sully's Mobil Mart Statement 382 Vauxhall Street New London, CT 06320 Date Phone: 860 443-5938 10/30/2013 Fishers Island Ferry Dist. Box H Fishers Island N.Y. 06390 Terms Amount Due Amount Enc. Net 30 $36.85 Date Transaction Amount Balance 09/30/2013 Balance forward 20.00 10/07/2013 INV #531273. 36.85 56.85 10/12/2013 PMT -20.00 36.85 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE AMOUNT DUE 36.85 0.00 0.00 0.00 0.00 $36.85 All accounts are due in 30 days. Please pay promptly. SULLY'S MOBIL Mobil" 382 Vauxhall Street New London, CT 06320 (860) 443-5938 D BY DATE N E ~A yK? DORESS r *k rG~~/'~ CASH C.O.D. f CHARGE Gals. Gasoline ~p 3rt P.O. # Stock # RECEIVED B All claims and return goods MUST be accompanied by this bill. T531273 hank c-I'ou FISHERS ISLAND FERRYDISTRICT VENDOR 020715 TOWN OF SOUTHOLD GF-WT 12/03/2013 CHECK 1587 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 161811 CRAIG GILBERT LGL MATTER 4,558.00 TOTAL 4,558.00 m a re t •o- a w e+ ',yp',.8aad ~Poffis ' 3.' ax~'tlnxvytlit'aar SU" g C C H ~ K n y: THE • COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER 01 7, VAM pu M1 A6 ~11'5 SA... MO'kProi1~YR6611T ~.r,.... 3" "y ae 1 r a.,.-if1ESUfIF xnwiii 9ANK ~ Q, CUt,C'H06L1~1393g rr5. ` ~ eg4 07nr # R TH€7€ PgWEi IiUNI)RED F~~ e . - 1„, - r _ v i s `"iQ~7;~ aim i~XC ( s!'. r, g ~ 1`~J. ~r are ~ Jim b0X58?~~• ~:02i4t75664~ 6A 00150"2 Ills Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Entered by Town Hall Vendor Name P.O. BOX 1179 Audit Date eo a wn C Southold, NY 11971 DEC 0 3 2013 Vendor Telephone Number 631-765-1800 Town Clerk Vendor Contact 7 9 'r Elizabeth Neville Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 161811 11/1/2013 $4,558.00 $4,558.00 Craig Gilbert Legal SM1420.4.000.000 Matter i $4,558.00 $4,558.00 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 y Company Name 7V12 Date Title Date XC 41 11 Pt,bllc Risk CIA~ I /0 /DO UpUykc C o ourt, Auburn Hlllz. M¢hlyan 48116 r40 ni.tin 248 311 3100 1 800 225 6561 W11hpilp 248 3/I 3091 INVOICE Date: November 1, 2013 To: John Cushman Town Of Southold 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Claim 161811 Carrier: U.S. Specialty Insurance Company Terms: Due upon receipt Insured: TOWN OF SOUTHOLD Policy # /Eff. Date CPKG80320109 / January 1, 2012 Date of Loss October 1, 2012 Claimant: GILBERT, CRAIG Loss Description: GILBERT•ALLEGES AGE DISCRIMINATION; EMPLOYEE TERMINATION. Billing Item: Amount Deductible Recovery 161811 4,558.00 Subtotal 4,558.00 Invoice Total $4,558.00 1'111 sarvift, kw. Copy to: CORIERI Et ASSOCIATES, INC. Questions Regarding This Invoice: Contact Mark Salomon at 248-371-3088 or Main Office: 800.225.6561 ,1 mh+idw, .,I l It '1 Inalmllae l luldin,,, lua HLC Public Risk Claim Service, Inc. ir40 HCC 1700 01Mykn loiv[, Auburn Mills. M1chlgan 4N 476 main 248 371 1100 / 800 275 6561 Iarslmilr 748 171 W91 November 1, 2013 John Cushman Town Of Southold 53095 Route 25 P.O. Box 1179 Southold, NY 11971 - FPT _ j Claim 161811 Insured: TOWN OF SOUTHOLD Program: HCC Public Risk Carrier: U.S. Specialty Insurance Company Policy#: CPKG80320109 Effective Date: January 1, 2012 to January 1, 2013 Date of Loss: October 1, 2012 Claimant: GILBERT, CRAIG Description: GILBERT-ALLEGES AGE DISCRIMINATION; EMPLOYEE TERMINATION. Dear John Cushman: HCC Public Risk Claim Service administers the insurance claims for U.S. Specialty Insurance Company ("USSIC") on behalf of the HCC Public Risk program. We have completed our investigation and handling of the above-referenced claim. Please be advised that the above-referenced policy has a $10,000 deductible applicable to the coverage under this claim. The deductible applies to both loss and expense payments. We have incurred expense payments of $4,558.00 in resolving this file. At this time, we are requesting reimbursement of $4,558.00 under your deductible for the handling of this matter. Please see the attached invoice for the deductible owed. Please forward a check in the amount shown on the invoice made payable to HCC Public Risk Claim Service, Inc. If you have questions regarding the invoice, please do not hesitate to contact our office. Sincerely, Mark Salomon 0K3u ,ut Claims Attorney msalomon@hcc.com cc: CORIERI & ASSOCIATES, INC. (via regular mail) 1527 FRANKLIN AVENUE, MINEOLA, NY 11501 A wd,,A nrv or 11('(' 111.1 of ILIdlnu•. k. FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 12/03/2013 CHECK 1588 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639443 W/E 11/2/13 (7)PKGS 448.25 SM .5710.4.000.700 26639453 W/E 11/9/13 (3)PKGS 103.23 TOTAL 551.48 ~k S x &rt 't aw scs Ya `^5.~,." .r~w rY`' ~ sr`F s=..+ r . ~7 as,.. g•- 'is?'w5 ':.:j4~L. :'~rv»' - . COLORED BACKGROUND. A VOID COPY FEATURE AND WATERMARK PAPER S060 NY 7 SoB :row~~Nx xif 119950 r n a fd CR 00, "E AEBAW Y s a PINE HUNDRED FIPW ONE AND 418/1010 LAFtY31F Y e t ` . MELL?H?A~ PA 59170 36Qtl1 11.00 1588111 1:0 2 140 54 6 41: 68 00 150 2 111' Vendor No. Check No. p Town of Southold, New York - Payment Voucher 21506 5D Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 7247-0244 Vendor Name Philadelphia, PA 19170-0001 Audit Date United Parcel Service DEC 3 203 Vendor Telephone Number 800-811-1648 C rk Vendor Contact V Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 26639443 11/212013 $448.25 $448.25 WE 11/2/13 7, P NS SM5710.4.000.700 26639453 11/9/2013 $103.23 $103.23 WE 1119113 3 PK S SM5710.4.000.700 $551.48 $551.48 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 excluded. or discrepancies noted, and payment is approved. Signature Title Signature /~p Company Name Date /,I ~W Title Date / Delivery Service Invoice Invoice date November 2, 2013 ' Shipped from: Invoice number 0000026639443 FISHERS ISLAND FERRY Shipper number 026639 1 STATE ST Control ID 584Q NEW LONDON, CT 06320 Page 1 of 4 Sign up for electronic billing today! 0736A00000266394 77366100037855 Visit ups.com/billing AB 01 065995 326831-1213 A**3DGT For questions about your invoice, call: u IIIdIdPIIuI 1111 ,111 ld^ 111111111 IPlll,lll (890)811-1648 FISHER ISLAND FERRY 8:00 Monday am. Friday . - 9:00 p.m. E.T. PO BOX 607 FISHERS ISLAND, NY 06390-0607 or write: UPS P.O. Box 7247.0244 Philadelphia, PA 19170-0001 Account Status Summary Thank you for using UPS. Amount Due This Period $448,25 Summary of Charges Amount Outstanding (prior invoices) $ 896.41 age arge Total Amount Outstanding $1,344.66 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $ 358.34 your payment. See Account Status for details. 3 Adjustments & Other Charges $ 64.50 Paying too much to accept credit cards? 4 Fees $14.41 Have you heard about the UPS Capital Merchant Services Service Charges $ 11.00 program? Our best-in-class credit card processing features Amount due this period $ 448.25 - great rates, next day funding and mobile payment options. For details, visit upscaoital.com/merchantservices or call UPS payment terms require payment of this invoice by November 1-855597-4387. We also offer sign-up incentives of up to 13, 2013. $1,500 and don't forget about the Meet or Beat Rate Guarantee available through UPS Capital Merchant Services. Payments not received by November 27, 2013 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) Note., This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is ZO% for UPS Ground Services and 11.09K for UPS Air Services, UPS 3 Day Select and 40~~ International services. For more information, wait up$ corn F Delivery Service Invoice Invoice date November 2, 2013 Invoice number 0000026639443 Shipper number 026639 Page 2 of 4 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000026639383 09/21/2013 $ 42.58 0000026639393 09/28/2013 $ 478.44 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 0000026639403 10/05/2013 $ 240.17 0000026639413 10/1212013 $ 357.64 0000026639423 10/19/2013 $ 7744 0000026639433 10/26/2013 $ 221.16 Total $ 896.41 Outstanding balances reflect any payments received as of 11/01/2013. Please ignore this message if a recent payment has been made for any outstanding invoices. r Delivery Service Invoice Invoice date November 2, 2013 1 Invoice number 0000026639443 Shipper number 026639 Page 3 of 4 Outbound UPS WorldShip Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 10/29 9121174930 r 1 18-09 9121174941 r 5 328.59 11/01 9121174952 1 11.66 Total UPS WorldShip 7 Package(s) 358.34 Total Outbound 7 Package(s) 358.34 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 2.00 FOR 1 PRINTERS AT $2.00 EACH FOR 02-NOV-2013 Total Miscellaneous 200 Residential/Commercial Adjustments UPS WorldShip Shipped Pickup Recorded Billed Adjustinent Date Record Entry Tracking Number Corrected Charge Amount 10/29 9121174941 1 1Z0266390241008125 Commercial -187.95 Residential 187.95 Residential Surcharge 3.20 = Delivery Area Surcharge 7.70 _ Fuel Surcharge 0.47 4.77 _ tat ref: Sanger FINY 06390 21Z0266390341870334 Commercial -9.11 Residential 9.11 Residential Surcharge 2.80 Delivery Area Surcharge 0.75 Fuel Surcharge 0.25 3.80 1st ref: Sanger-FINY 06390 2nd ref : Sanger-FINY 06390 31Z0266390342596942 Commercial -28.13 Residential 28.13 Residential Surcharge 2.80 Delivery Area Surcharge 0.75 Fuel Surcharge 0.25 3.80 tat ref: Sanger-FINY 06390 41Z0266390340403957 Commercial -17.19 Residential 17.19 Residential Surcharge 2.80 Delivery Area Surcharge 0.75 Fuel Surcharge 0.25 3.80 1st ref: Sanger-FINY 06390 5 1Z0266390341747361 Commercial -35.54 Residential 35.54 Residential Surcharge 2.80 Delivery Area Surcharge 0.75 Fuel Surcharge 0.25 3.80 1st ref: Sanger-FINY 06390 Total UPS WorldShip 5 Package(s) 19.97 Total Residential/Commercial Adjustments 5 Package(s) 19.97 065995 2/2 I Delivery Service Invoice Invoice date November 2, 2013 1 Invoice number 0000026639443 Shipper number 026639 n Page 4 of 4 Adjustments & Other Charges Shipping Charge Corrections Loam how to avoid future shipping charge corrections. Visit www.ups.mm/avoidcharges. Pickup Tracking Original Service/ ZIP Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Amount 10/29 120266390241008125 2nd Day Air 33957 206 52 187.95 2nd Day Air 33957 206 60.9 218.60 Audited Dimensions = 38 x 19 x 14 in Customer Entered Dimensions = 38 x 15 x 15 in Additional Handling - Not encased in cardboard 8.50 Fuel Surcharge 3.38 42.53 tat ref: Sanger FINY 06390 Sender :FISHERS ISLAND FERRY Receiver: Kandi Sanger NEW LONDON CT 06320 SANIBEL FL 33957 Total Shipping Charge Corrections 1 Package(s) 4253 Total Adjustments & Other Charges 6450 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 10/05 Late Payment Fee 240.17 6.00 % 14.41 Pursuant to the UPS Tank, a late payment tee has been assessed. Total Fees 14.41 Invoice Messaging Code Message r Dimensional weight applied i 6 Delivery Service Invoice Invoice date November 9, 2013 1 Shipped from: Invoice number 0000026639453 FISHERS ISLAND FERRY Shipper number 026639 1 STATE ST Control ID H242 NEW LONDON, CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366200034751 Visit ups.com/billing AB 01 067088 35564H225 A''3DGT For questions about your invoice, call: III IIIIIIIII~ ~I ICI II I ~II~I~IIIIII.III ITIII111'II"Iv (800) 811-1648 Monday - Friday FISHER ISLAND FERRY 8:00 am.-9:00 p.m. E.T. PO SOX 607 FISHERS ISLAND, NY 06390-0607 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 $103.23 Summary of Charges Amount Outstanding (prior invoices) $1,344.66 age Charge Total Amount Outstanding $1,447.89 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $ 5777 your payment. See Account Status for details. 3 Adjustments & Other Charges $ 2,00 Important news from UPS 3 Fees $ 21.46 - Effective December 30, 2013, the UPS Service Terms and Service Charges $ 22.00 Conditions will require binding arbitration of claims. For details, Amount due this period $ 103.23 - visit _ ups.com/contenUus/en/resources/ship/terms/shipping/ind UPS payment terms require payment of this invoice by November ex.html?WT.svl=Footer 20, 2013. Payments not received by December 4, 2013 are subject to a late ° fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.5% 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 November 9, 2013 ' Invoice number 0000026639453 Shipper number 026639 n Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000026639403 10/05/2013 $ 240.17 0000026639413 10/1212013 $ 357.64 0000026639423 10/19/2013 $ 77.44 0000026639433 10/26/2013 $ 221.16 0000026639443 11102/2013 $448.25 Total $1,344.66 Outstanding balances reflect any payments received as of 11/0812013. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date November 9, 2013 1 Invoice number 0000026639453 Shipper number 026639 n Page 3 of 3 Outbound UPS WorldShip Pickup Pickup Number of Billed Date Record Message Codes Packages Charge 11/04 9121174963 r 2 45.77 11/05 9121174974 1 12.00 Total UPS WorldShip 3 Package(s) 57.77 Total Outbound 3 Package(s) 57.77 Adjustments & Other Charges Miscellaneous Explanation Billed Charge WEEKLY PRINTER SERVICE FEE 200 FOR 1 PRINTERS AT $2.00 EACH FOR 08-NOV-2013 Total Miscellaneous 200 Total Adjustments & Other Charges 200 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 10/12 Late Payment Fee 357.64 6.00% 21.46 Pursuant to the UPS Tariff, a late payment tee has been assessed. Total Fees = 21.46 - Invoice Messaging _Code Message r Dimensional weight applied 06r08B 2/2 FISHERS ISLAND FERRY DISTRICT VENDOR 025038 2 & S FUEL & SERVICE, INC. 12/03/2013 CHECK 1589 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 18659 10.493 GAL GAS-CANS 48.15 SM .5710.4.000.000 18685 9.935 GAL GAS-CANS 45.59 SM .5710.4.000.000 18707 10.027 GAL GAS-CANS 48.02 TOTAL 141.76 0 v R`+Aaa- n Vii, a $ ti+ aV ACM ~ b s THE +<<•~k 7 n K9 5 +~YY. ~ T `i 'fin t„ _..<s+'."Z q„a r .r 4 .ya a.,+ `.°+N~"'. k ORIGINAL CHECK HAS A COLORED BACKGROUND, A VOID COPY FEATURE AND WATERMARK PAPER G ,w .w rv o{~, mmmmmu!, t e° t v' i w .3! a'ky. 01 vt A+"I1~~`ex i "Rttk ~nAi w~ki k~ wo IN R{3 RIB 5~•L t`'. 00 'o NY FUCK Np G1T;CAip01'!E'KV e OX9 HUNI)R$D FORTH ONE AD 7B%1$0 H~I? ~ ~ o d _ ~ --40 YBmo-, gffl~ ,A y w a~ 4 4io- nw*w -s 1 orsLA M NT 39 mo c~ a~y~p r 411 ..o ~ t 0 11'00158411• 1:0 2 140 54641:" 68 001502 111' Vendor No. Check No. Town of Southold, New York - Payment Voucher 25038 58 Vendor Tan 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. Vendor Telephone Number DEC 0 3 2013 631-788-7343 own 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 18659 1012/13 $48.15 $48.16 2 Gas cans 10.493 gals SM5710.4.000.000 18685 10/21/13 $45.59 $45.59 2 Gas cans 9.935 gals SM5710.4.000.000 18707 10129/13 $48.02 $48.02 2 gas cans 10.027 gals SM5710.4.000.000 $141.76 $141.76 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 Company Name erD Date / y a ~w Title Date ` Z & S FUEL & SERVICE, INC. Statement Drawer B Fishers Island, NY 06390 Date 10/30/2013 To: FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND, NY 06390 Amount Due Amount Enc. $421.19 Date Transaction Amount Balance 09/30/2013 Balance forward 581.31 10/02/2013 GAS 48.15 629.46 10/21/2013 GAS 45.59 675.05 10/29/2013 PMT#1509. -301.88 373.17 10/29/2013 GAS 48.02 421.19 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due DUE DUE DUE PAST DUE 141.76 279.43 0.00 0.00 0.00 $421.19 nSi,l'n" E DRAWER 5 ;^itn.'jl.,a, `1 l!ta'?{~ FY ~l iti^•ro .LAf~!i: ..v ($M) 198 732 4 1,631) Ise, 'ij REGISTRATION NO. DATE'., J t •J % '0001 REGISTRATION NO. DA 1 ,n NAME ' I I NAME - 1' y.. STREET `J CASH C.O.D. CH RGE ON ACCT MDSE. AE U PAID OUT ACCT FORWARD FL-k t< CASH C.O.D. CHARGE O ACCT MDSE: RET'O. PAID OUT ACCT FORWARD Liters/Gas. Ga Im " Y tI Liters/ 'ia1s. Gasn?itLelt Liters/Qts. Oil Liters/Qts. Oil Lubrication Lubrication Oil Filter Oil Filter I TAX TAX CUSTOMER'S SIGNR \ - TOTAL '4 ( CUSTOMER'S SIGNATURE` 1 1\ TOTAL ~ C PRODUCteoe All clai and returned goods MUST be accompanied by this bill, C PRODUCT sae \ AI Elaims a3 eturnetl goods MUST be accompanied by this bill. ' ~i `Thank`You ' c} 6 S J `?hank`You Z & S FUEL & SM3,C E, IN'-" DRAWER fj r!SHERS iSLA 4 • u 05?9G (631) ?8 T3~.9 RFGISTRATION NO. DATE NAME STREET w c Vi CASH COQ E ONACCT MD$$ REPO.- RMDGUT AGS EGE,,RO' . Liters/Gals. Gasoline',. Liters/Qts. Oil Lubrication Oil Filter i 1 \ TAX CUSTOMER'S SIGNATUR J Y~ ~ TOTAL C PRODUCT sae All claims and returned goods MUST be accompanied by this bill. 8 7 I TI `?hank`You