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Home My WebLink AboutAU-01/03/2017 Fishers Island Vendor No. Chedk No. Town-of Southold, New York - Payment Voucher 18458 37917 Vendor Tax ID Number or Social Security Number Entered by 12400 Collections Center Drive Audit Date Accountemps A Robert Half Company Chicago, IL 60693 JAN 0 3 2017 Vendor Telephone Number 800-533-8435 FY 16 Town Clerk Vendor Contact i • Invoke Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 47294726 12/13/2016 $357.34 $357.34 Jeannine Trinque 'SM1310.4.000.000 WE 12/9/16 10.50 hr5 ' 357.341 1 357.34 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 Namey Date �� (�N Title Date -71 �j Accountemps Page: 1 Invoice Date- 12/13/2016 A Robert Half Company `" Invoice Number 47294726 Customer Number 00700-101844000 Fed Tax ID 94-1648752 I Labor Invoice—DUE UPON RECEIPT Personal&Confidential Please Remit To: Gordon Murphy Accountemps FISHERS ISLAND FERRY 12400 COLLECTIONS CENTER DRIVE BOX 607 CHICAGO IL 60693 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390-0607 Line Employee Name Wk End Dt "Report-To"Supervisor Qty UOM Bill Rate Amount 1 Tnnque,Jeannlne ___ ____ __ _.12/09/2016 --Murphy,Gordon_ _ -- - - 10 50 _HBS REG $ -- 32.00 -$- --336.00r,- Subtotal -336.00TxSubtotal for Week-Ended 12/09/2016 10.50 HRS $ 33600 Invoice Subtotal: $ 336.00 Total Taxes: $ 21.34 TOTALAMOUNT DUE: $ 357.34 We provide more timely and accurate information to the business community by sharing our accounts receivable information with National Credit Reporting Agencies. Any questions regarding this invoice,please call or email For qualified temporary accounting and finance professionals please call (800)533-8435/Inquiries bos@roberthalf.com (800)803-8367 Please detach and return this remittance stub with your payment RES-2016-1089 FIFD -Adcountemps-Town of Southold,Long Island,NY Page 1 of 1 4�suF��rtk�o Town of Southold Long Island, NY Resolution RES-2016-1089 FIFD - Accountemps Information Department: Fishers Island Ferry Sponsors: District Category: Contracts, Lease & Functions: Supervisor Agreements Body _ RESOLVED that the, Town'Board,of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island Ferry District Board of Commissioners dated December 2, Z016 in regard to Robert Half International/Accountemps E Public Discussion " Add Comment Powered by Accela-Legislative Management, http;//soutlioldtown.igm2.conVCitizens/Detail_LegiFile.aspx?ID=12565&highlightTerins... 07-Deo-16 FISHERS ISLAND FERRY DISTRICT December 2,2016 The following resolution was approved at the Fishers Island Ferry District Board of Commissioners meeting on December 2nd, 2016 t Resolution 2016-230 Whereas the Ferry District has several short term bookkeeping projects to complete and an unfilled part-time accounting position. Therefore it is RESOLVED with effect December 7,2016;the Ferry District contract the services,of Robert;Half International/Accountemps to supply a bookkeeper to assist Diane Hansen on-several short term special projects and to assist the Ferry District in a search for the unfilled Account Clerk Typist(FIFD) position. It is further RESOLVED to authorize Gordon Murphy to execute all documents reiating,to the services of Robert Half/Accountemps subject to the review of the Finance Committee and legal counsel. Moved by: Commissioner W.Bloethe Seconded by: Commissioner D.Shillo Ayes.A.Ahrens,W.Bloethe and D.Shillo Nays:None , , ' FISHERS ISLAND FERRY DISTRICT t 1 VENDOR 001318 AIRGAS USA, LLC 01/03/2017 CHECK 3728 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 9058068682, (2)PROPANE—NLT FORKLIFT 94.13 __ SM .5709.2.000.200 9941242975 CYL LEASE RENEW 2017 153.70 =, %J �I TOTAL ( 247.83 / t J 4. t .<4.v <,: . ..,..v.. .wr_. .,xws„�.,.*.1,.�1F x.,x .�5.� .fit<� • �i.T' ry� / ' .. f�SeC. ,YEw w]�S •.Lda .,.w r"� 't•• �,�£.:..,j`,�` - .r1,..+-• _ 'Ag><xA..•Y.+�..y'..,,�.„�••'N�'q"..•,'S.�a�.�a:e .tL°�'ti^M1 i •- r i -- - -�-- -- --- -- - __'--- - ----' -- - - ------- -- ---- ------ - -- ---'-- - ----- --- - -- -- - _'- 1 - l , I I -_ _ _ - _ -___ - .i l'n •i>` --- ` -- _ - •if,•vg zi d°,`U',� '1,'IJf ip a;tf�y _-e - - _ - -- _ -- -a'`$ �` y'R,Ji� -?� -:€y ��' Fi•< w4` k.o- F ':'" ya,pt-. .• , t7.,<•,,�S>,; .._ ,,,..i'� :i'k `> �i,4 ,,: '�q t.,_ .FISH&RS IS�AIVD,FE ,�" .,:'AUDTT.at 1/_'3/'2`0 :o E •',,.a,3 3 �y,.,a-'• #�c,�, .'_v'.:!`•> `-"t� .i: °`ai`v'.s'�`->:,1,=`i-`::53095.MAIN-ROAD:.POBOX,1.1'79`.,•n!_,'re'n ..y`= _ .; .,J `a., �, ,Y� >< "•v :J,x it d sF'.;r• "' `Y .'v e %`w t,'l. 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'd"�J<„t p s;it r F uAs tJz. s'3 k I -''2 s� ,3.3' :>`4'^ it;33' ''f� �'F, '?•. y,J, i•lb f'' 'Sit 'f, [.f.� t' '¢,n�!Vr,>” S ,t. -``ti.i, +'�� ii,s`n, ,J6';-: `!. ,J t',` ,4�" ''t� {� v`i T•,1:!'41•^' +t£ iri' "9 ,;,js%` ;'rt'; v r ','r, h<; .r,;,° - i'�; ,•t",' :<`y?.�° n°a ::x-': ✓'�..:;Lr" :a:. ,,; " - - - -- 'a 'dl' a�',dr`pi "I'';i4"< - -- __ __ ..I,;t;' `I`• "S, >•1�.'P "•d4 +, s _ _ __- _ '1 ;'I•,r ;I 'F'I'e, ,l',,. _ _ - _ __ _ 'x31 It,�.� ,1 -*.f- - 'e2„ ,I. l+al P . J"5 _'r_ - 4 - '',11',111,t,i'i i„ :Ir 1,.131`•s,I,','.I,1 - --_ •/ ,'f ul, 1! •,l 1 a Ili - lin. :'m' - - 0_'.1.. ,a1t ✓" _ -_ _. - 000''3 28'ii•` i.'0'2i'405'464i• 6"8 00`150 'Vendor No- Check No. Town of Southold, New Fork - Payment Voucher 1318 3799 Vendor Address Entered by P.O. Box8025_76 Vendor Name Chicago, IL 60680-2576 Audit Date .Airgas USA, LLC JAN 0 3 2017 Vendor Telephone Number 860-444-3055 800-962-0285 FY 16 Town Clerk Vendor Contact 0 6 Invoice Invoice Invoice ( Net Purchase Order Plumber Date Total Discount ;Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9058068682 1216/2016 $94.13 $94.13 Propane c 1 Z SM5709.2.000.200 NLT Forklift a f 1 i i , 1 � $94.13, $94.13i Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above namexl 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 property 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 tares from which the Town is exempt -are excluded or discrepancies noted,and payment is approved. Signature 4 _ "`yI Titled Signature e: J Company Name Fishers Island Ferry District Date 12/29/2016 Title Date 1 t� TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER No INV I N kNVOIC DA1E LCOT No. 0 :To.N tsA 1053345448 9058068682 12/06/2016 2576547 FISHERS ISLAND FERRY DISTRICT PO i RELEASE ORDERED BY.' I., SHIP VJA PAYMENT TERMS... I ORDER DA'C'E POLLY FORD ARGTRK NET 30 12/05/2016 DELk}lERY NO.f QTY CYLINDER MATERIAL NUMBER UQM'; QTYwo UNIT PRICE UOM AMt)1JNT DESCRIPTION SHOD. ioo 8058630072 PR 33A 2 CL 2 2 27.54 CL 55.08 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) (H) Sale subtotal: 55.08 Delivery Flat Fee 25.49 Fuel Surcharge Flat 7.66 Airgas Hazmat Charge 5.90 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 94._13 13 Airgas FISHERS ISLAND FERRY DISTRICT an Air Liquide company 261 TRUMBULL DRIVE Airgas USA,LLC FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA, LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to,ndiv.returnedmad@airgas.com REV 6 1 16 0012835 Page 1 of 1 or call 2165205000 Disclosure Terms of Sale; Each sale of Goods or services by an AsgasT11 company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http•//www airgas com/terms-of-safe(collectively the"Terms of Sale").Each Contract for the sale of Goods or services between Seller and-Buyer("Contract')shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contractor otherwise provided by Seller to Buyer. Notice Regarding Cylinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i.e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(it)pays Seller the replacement cast thereof. Refrigerant Cylinder Returns/Deposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors. Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants). Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty, All products, other items of sale, cylinders and other containers furnished by an Airgas company 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- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET 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 AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. ' - Terms of-Pam. Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 1.5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharg-gs: Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel. Title to Equinment. Title to all rental equipment shall remain in Seller's name, Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes, Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. Itemized Charges- (a)The total amount due from the Buyer may include various itemized charges,including'charges for the handling of hazardous materials 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 government authority,and all of the charges are retained by the Seller The 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.. (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts- Certain Airgas companies are U 5 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 Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:/t www.airgas.com. Visit us online today to see how www.airgas.com can save you time and money R FOR LOCATION NEAREST YOU AM DELIVERY ORDER VISIT WWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8058630072 AIRGAS USA,LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 12/05/2016 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:12/05/2016 800-962-0286 800-962-0285 PRINTED: 15:38 12/05/2016 SALES ORDER: 1053345448 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3276021 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND, NY 06390 US 261 TRUMBULL DRIVE ORD BY POLLY FORD 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY GARYDUBATO J Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers StandOffice Org Ship Return Orderard NET 30 Airgas Truck Airgas Truck N329 N309 N000 Z 7-1 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UN1978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 2 PI i 64 LB PROPANE 32LBS ALUMINUM 136.000 LB .s EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGA%STANDARD TERMS AND CONDITIONS SEE REVERSE SIDEIFOR IMPORTANT S FETY INFORM�ION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING [:] ❑ // SOURCES POINT OF PURCHASE,AIRGAS WEB SITE AT 4VVMIRGAS.COW OR BY CALLING THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#31 ACCEPTED FOR ACCEPT REJECT THE ABOVE ( f THIS IS TO CERTIFY TEAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MARjCEB HN BELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST i I ACCORDING TO,T�BLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE _j NAME I W PLEASE PRINT AIRGAS PERSONNEL DATE T O.D ❑',� . .D INTERNAL USE ONLY Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8058630072 ❑ :� 136 LB III IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII AIRGAS TERMS AND CONDITIONS OF SALE IVARNING TRANSPORT AND USE OF COMPRESSED GASES AIRY BE EXTREMELY DANGEROUS DO NOT TRANSPORT 11'ITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREA MILABLE AT AIRGAS CONI EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COM/1'ERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS-UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S 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 NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT:UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 OD))OR THE HIGHEST RATE PERMITTED BY LAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES.TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTYAND CLAIMS SELLER WARRANTS THAT,ATTHE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS 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 ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS 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 6 LIMITATION OF LIABILITY.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INC]DENTAL,CONSEQUENTIALAND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUTPM ENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7 REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8.COXIPLIANCE/SDS•BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(U)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)ATAIRGAS COM 9.ITEMIZED CHARGES-THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS 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 REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Oa LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELYFLAMMABLE EXTREMELY FLAMMABLE Substance tloesngl bull,bulwli support combustion Vaporsmay cause tliulness w asphyx'auon wnhotlt Vapors moycause mumess or asphyxlatc, •W,11 be easily Ilimited by heal,sparks or flamos Wit bra eamry Ignited by heat sparks or Ilamos Soma may react esploslvey with fuels seeming w'lllout wanting •Wtll form eoploswa rtutlures ch mr Will form exploswo mistures with vu May,gnus conbusublas(xmd paper al clothing me) vapors ham hque0d gas era'Nally haawer Nan as, Vapors lam liquefied Bas ere lmuri y heavier Nan arr •Vepas hent I.qucl d gas ere InmaVy hearer tical mr thread elan Saone win rgnlle spmlaneously In air Vaors from Lquefid gas are mrually howler Nan arr spread ontl Bpra.d elan d end sproad 0long ground ground and may V 11.scarce of�gmr—c!nvh back Thoso Bubslmces doslgnatd with a(P)may polymeriza along ground and may bevel w source of lgeirn,and flash back .Contact with grl Sfietl bums FIRE OR EXPLOSION Baso,nue gas may cause CAUTION Hytlog(UN19 ),,Ommeos(UNIs5R,1Ighten, oaporslfro whenhega eIrmvatl metre Ruollmay create ayalplsde,hmhenhezartl cavitis XFLOSIlof frostbite Non aammdlegamea aMgwetetl liquid(UN19a6)snd Methane(UNIB]t)erelighter tun l,q,,I,ed emniallywe rNanfir •Contaiorelayea my,ohm heated FI REOREXPLl.g.s •Contemersmay en;hodirwhenmy heated mr ontl wdl dse Mytlmgm end Deuterium Brea ora d,mmlt to diM spreatlma,g Br�untlmtl may Vavetmsource elignmm •Ruptured rylintlersmay racket •Non llammoble •Rupture cylinders may rocket mrnm Hey bumwihmnlmimble game Uwan oMmam method al dfashback. HEALTH galea detectlon(thermal cal boom hadls,ete) Cyl,,d,,,expaed to fire ma vernturd elesso flammable ver diumess a asphYNahon waroul warm Commnms mayesploda�en heard PUBLIC SAFETY •CImdersex d1,fire may t cI release flammable ] pore mat cause eve n9 RupNrd cylindersPUBLy kat Isolate spat (leak area lmmed�leyfor al least t00 y pose yuan goo gas through relieltlw,es •Contact with gas or M1quafid gas moycause burnss emryry PUBLIC SAFETY meters(3301eet)ineuair eclion, through preasun,islet dentes Containers meyexplode wren heated end/or frestWe .Iselstesplll o,ack,rea lmmdiately fmallesl,o0 Keep unauthonzd personnel away •Con",rumi may explode when heated Ruptured c,shc rs may rocket Fre may produce mmung there,mxip gases meters(330 feat)in all a serche Stay upward •Ruplured Lylmders may rrsekat HEALTH PUBLIC SAFETY totally Bows ere h—man arr era will Spread •Keep p.,nd zeO permnnm axay HEALTH •Vapors may caeca dluiness er esplryxlalim wihout wanting .Isolate spin or leak area Immedmtely for al least 100 metros(3T0 along groundontl collect In lav a confined areas •Va dimness or as n lien wiihoul wamm M,nyglave er pars may muSo p high B Contra may be msor if inhaletl oo,my cuum,burns leap lh muchon,ms •Many d and oree,a I man err tined ares sew imp (sex s beI-mein tanks) •Camestwth asor11gefied ammy cause ons Contact with gases llquefietl gas may cause burns severe Stay--uthorizetl perwnneleway groundandconed in lour or confined ereos(sewers VanneK"Poutolsedareas •Conlan with gaswliquelidpas may cause burns severe lnlury inluryentllor lrosiblla Stay upwind basements tanks) Vmiital9 cbso0 spaces beforeentering cordl•F or inamduce mnaur,g enrfla tout gases Fire may Weduce mtlaung ends,los,gases Marry gases nVan surare heaar u ora wilpr l sead almg Braune and �p out pf�y areae PROTECTIVECLOTNING PUBLIC SAFETY collect m low a cont d areas(,await basements use)s) .Vent mwod spaces betas-,long •Wear posuve pressure wllcomened breathing PUBLIC SAFETY .Isciatt spolor leak erealmmetliately farm lesm,co malas Keep out of ow meas PROTECTIVECLOTIIING appamlue(SCBA) •isolem,oilier leak area Mmetllalely lore)ieeslf00 meters (3301ee1)inell erectims •Venlimo closed spaces beloreenunnit .Wall positwe preswre sallconlamed brotmmg •Structural firefighters protscirve ciothingw,It only (030 feet)lost daemons Keeouraumorrzselperwnnelaway PROTECTIVE CLOTHING apparatus(SCBA) Ponies limited protection •Keep unamhwaed pmsonnel away Stay uwmul •\Year poslwe pleace smlcarlanmd brmNrng apparatus Structural freighters prwwuve cblmng will only EVACUATION •May upwind Mitral roan ort as veil sWeea Siid and Many gases ere reaY s,Iran sir ontl win spread slang (ISCBA) A rondo limted orweoem Large Spill-CmStler mitral tlmvmxintl macuatim for arty gasam era g g,w grad and cwlPcl to low or cmInod meas(sewers ear cnemical prmecevo a,chr g which is cpeciemay trays wait mermal pmmctiva claming when at least led mmiws(330 few) collect in IS,a confined areas(saxers basements lanXa) basements tanks) recnrvnended by the manufacturer It may prwde litho dr no handling refdgSrated/Cryogenic)quids ,,kd, r]ra-Il rank railcar or conk luck is inroivca Ina lire •Keepoutoflesmeas Keepout ofloweras, mermsl protection EVACUATION ISOLATE for 800 meters(112 mile)In all kre,sons PROTECTIVE CLOTHING PROTECTIVE CLOTHING •Structural mergmers protacuvn clothing,,racc,mmendod for lire Lerge Spol-Cmsdar lnital—.no wacuanvl la et am,l icer Initial avacuauon la 600 meters •Wear comaYs prcuro sdfcuvaved breamieg apparatus(SOBA) Wear Wsiure preswre se—iter etl breathing apparatus mtuatmns ONLY ens not all—in spill&I.—where direct lett 100—,—(330 feet) (IR mile)In all dveeuons •Structural row,ghiars prolectivecfothog will any pronEe limited (SCEA) conWd with the surninm is passible Fire-Illank ontarortankVwklsmroNdmalea EMERGENCYRESPONSE prpl h •structure l rcfigmers prcaclva clothing will only provide •Alxayewear thermal proloors emthmgwhen handling refr,aanv ISOLATE for 000 metem(112 mile)in all directionsaca FIRE •Always ,or thermal plots—clothing when hanelryni iog limited protecum cogec lwlnlV q.Id. nslder e0 m l svec,,Lon for 130etee V2 mile)InUs,mdrgu,mI,gegantsutable for type of relrigImm(cryogenic liquid, EVACUATION EVACUATION o11 dvecuoo mnd,,g are EVALUATION Lame spm-Consder real dwnwind avacualim fes m lmst Large spm-Conmusu mmal downwind snacesuch fes at leas1500 EMERGENCYRESPONSE •Mwa enuenea hem Ivs areas d ya,can d It Large spill-Cormear,nmal doxnvnnd eyacumim for at least 800 800 metersT2,mo) meters(lydmde) vmMul ask ars(12 mile) Fire-II lank rail car or tank truck m InwNed fin a fro ISOLATE Fire-II terk rail car or tank muck m inwlyd�n a fic ISOIATE FIRE Damaged eylders should be hantl'od only by F/a-Iflt,k rate rartankweklsimoNedinerm ISOIATEW for 1600 arm,(1 mlle)inall wreclbns mwcnsider mmol for Bw house(112 m,I,).n,Ti tla,vonso nsitlerimlai •Usextmg,.m,,gag,m m1able for type of speciarms 1600meters lmae mail tlaections else cenetler intra?me'llon Surrounding ire ( 1 acuatim for 1600 meters(I mile)In ell Ortectlons ar.mom for 800 m nars(12 miie)in all d,reclons Mevaconminoa Iran lrosreli you can do a F/re Involving Tanks for tsps mesas U mile)m an IS—— w EMERGENCYRESPONSE w EMERGENCY RESPONSEy„pnp„t nslr •Fehl r a hap maximum instance or use unmanned EMERGENCYRESPONSE FIRE-DO NOTEXIINGUISHA LEAKING GAS FIRE UNLESS FlRE-Use axtingmshing agent suadblo la type of Sorroundir,g fire Dentan I rylmders sMulddM1anrlld only by hose holders or rmnilar muleS FIRE-DONOTEXTINGUISN A LEAKING GAS FIRE UNLESS LEAK CAN BESTOPPEO SmellFlres-Dry ehemiem orCO, Cell mmainers with flooding quamcce of walerunta LEAK CAN BE STOPPED Small Ftree-Dryehamieelor CO, Lome F/rem spoaiists we 11 color lire m out CAUTION Hydrogen(UNI.9),DBPmdul(UN1957)and Le Flrem Waters fog lar loam F/For,h ving ienks Do rat direct water at sou,ce of leak o safety Hydrogen,rehl0rofed liquid UN1966 burn wIM a^InWslblo ms Prey goolege •Fight lire Ilam maximum ruedostruee or use unmannetl 9 qtr ( ) Wmer spray w log Mwa gmlembrs from Iv^mea A you ten only b wigmm ask hes¢holders onsamerS rtcntor nozzles donees long may mmr I y Hydrogen end MM,,,11 mlr(vre,rompressetl(UN3034) Mese mmamart from(rte areal you can d a x,VwAask Damage c Tanks Should be hantlbd only by specl0lista .Gail ammmms with flooding quantvies m water anal WNdrow t coerceons,m rase of nsmg sora Iran Small Rn,- ry invisible Rome FlFi Inro.fro Tenke -Fire Fiinvolving Tents well did Iva isput v.rnggLWAY maydevicesatliscoWmion of tank Small Fires-Ory chemical or COr •F.lose ,meniaximumdistance dr use unmanned M1aae F,,on,tlmouf,, mtlistance vruSo unmannetl nosq holtlers Domarraci water at source of leak er salary devices 'ALWORLE may away from tanks engulfed in tae Loma Flans holders or monitor reales or monitor noules Icing may occur SPILL OR LEAK •Water spray mfog Cool Sontainers with llodingquantitiesofwater unlJ well Comcmminas vnth hoeingquanimes of water untilweneller WMdrawfetydatel Irisin tlirom Doo:muchwwalk on wihoutritlmaterial •Mave conianers hon Treenail you can do It wmroul ask ober Iva is out fee m vel y in case o B Sound .Slop leak it you can do rt w,IMw ask and If possible FIm Invo/ving ranks po not tlnml water et source of Mak a salary tlw,es icing Do not II wafer It source of leak a Soley us—icingvLWAY.ftr y�evxes a imus discoloration m lank :urn leaking containers so The,gas—jets rather •ALWAYS stay ylrom mnksenguild In lve Fight fire iron maximum distance or use unmanned hose holtlers may occur may Wind,.tar SPILL ORLEAKucha than titer onitorreales •Wdnticl.,etdtateymcasemrising sound from venting WlM1cew lmmedal0lymista elnsmg sountl ham venting salary SDo tep smuchorwalkthrough spinis motorial Lisawaterco spreytorducs vapors orff to vapor •Cool mniarnas xim lliwtling quanuues of water anal wall Still Solary tlevices or dnmlomtion of lank tlemces or tliswlprsuon of tank Step leak if You—don wlmoui ask and If poa�bie cloud dnh Avoltl allowing water mnoll tp contact fin is out ALWAYS stay away from the rods of him Lank ALWAYS may away from Lanka engulfed In fire tum leaking contanea so Val oils azcapes rather spilled mwenal .Co aAduectwauralsuavedl®kaalmty(h crag^oYeaoa FormasWfire useunmanndhoseheldersamonitor For massive lire use unmanned hose holders w mence,mules rl Ven liquid Doral de,ect avatarmspill a Source of leak •Wlhdre so rnematey m rase of nsmg sound from venting Safety oules If this is vnpossibte"draw hon area and lel Nis is impossible wiNdrew Irma ares ontl lel Iva burn Use water spray m ueduco vapors or liven vapor Present.mryImo wumnxays sewer.basements a tlw,esa tliscoloralanof lank rro bum SPILL OR LEAK cloud tlnh Avoltl allowing water runoff to contact sort,ad areas •ALWAYC may away from the endsol the lank SPILL OR LEAK •Neap corrousubles(weed paper oil-)axay Iran spill.matard spilletl matorlat Allow substance to evaporate •Fa massrvo fvs taw unmanned hose holders monitor nitor rroules d ELIMINATE 0 Igmlien sources(no smoking flares spw lk through spitted maternal Do not tlirecl wale,at soil or source of Mak Venulmo me mea this b enpossbb wino,-from arca and let fa bum Ilamaa m tmmatlmto mea) Slop Iaak d you can do a wV,ut risk and if possible han:aaking Nonsel entry..valerways serer.basi:ments a FIRSTAID SPILL OR LEAK AlI equipment used when hadling 1M prduct mull be =,Lo ,So that gas cl oapa rather than Iigad canine meas Move victim to fresh air •ELIMINATE en lgnnion wurces lnq smoking flares sparks or grountletl Do not nrdtwater at spill or source al leak pilaw substance to waporelo Ca11911 or emergency mdicalsarwege lames inimmadlale areal •Stop leaklf you can do 11 without risk and it Possible turn Use wate,spay toccuce vapors or dlven vzpordk,d tlnh Avoltl •Give emficalrespirallm llviclim is notbremnng •Mrpui lusd wfim had' tM product grounded VenLmte the area Wren ng W groun Icakng containers that gasowaparatherlhan liquitl allowing water mod to contact spilled material CAUTION Wheninconfecfw/ihnelrigareleal Ada"nistmdxygen li breathing is tlAllmlL •Do not)such err xah WOugh spine mmertal W o1 touch a walk though spdted mateol Prevml entry mm waterways sauna.bacements a cmlined Ic ll Ude,roan Pedals become br/Ne antl Keep'netim warm ontl qw • Step, do o wshoa risk end d Ibl,Wrn Ieakin area, o Bogan qtr yma Ensure that medical 1 era aware of me comumma you can pea g Do not direct water el spill a mune m leak likely o break wlfhdW wanting an= w mat gaeesespesralhe,man lurid .Use r spray to reduce rmpore or d,ert whir cloud tlnh Ali—substance l—Wal. FIRSTAID mwerial(mmwelYed antl take prerautters to protect •Use woos spray to reduce vapors or diyd vapor cloud tlnh And vl mg water runoff to contact splued material •Isolate mea until gas has displaced Mwe victim Lo hamor lhomselves A,cdmlowng wafer runoff to Conlacl spied ,Ien,l PrwmtenWihrowmerways sewme hasemanisa CAUTION When/n—tell wIlh mhigerefedycryogenle llqulds, Cal 911 or emergency mal semces •Do of dwales et spill or scarce of leak cmimd areas Illy materials become bdnle and,ma llksly Is brook wimpul Gwe su if,Wl respiration d-Lm is of breathing •Prevm:spreading of"apes Wanoh secants narni mul aysts ns, .Iw1a:o area ftI gas has dispersed naming AtlmmWer oxygen d broahing is difficult and confined areas FIRSTAID FIRSTAID CLOW ng baler to the skin Bhould be thd awbefore •Isolate area until gas has dispersed Move yclim to fresh m, •Mozevlllmlefeche'r being removed CAUTION When In mneres mblgerah 4kryoganlc llqultls,many Co11911oremen¢ncymdicalsmvices Call 911 or emomency mM atlical sece, In case of contact won squelietl gas thaw frosted assushelm baromm bridle antlse,may m break wlmouf wamhV .Give aNfialoScmtonif v,limis of breahog •Give aruhcml rmossetmilv,limis of oretthing panswihlukewmmwatw FlRSTAID •Administer oxygen 11 breathing is eM,urt Adesucar orygm,f breathing m tlifrcult Keep v,lim warm and quiet •Mwe",hm tD hmh err R,moY,ad,wall cmiamunmd cloWng and shoes Rerro+v and I501me consen rtated clothing and stases 5hthat medical personnel are aware el he •Cat,at t err emergency medical semces In case of contact with himselfgas Naw frosted pans will m I Clothing Irozthe skin Should be mawul aterial(e)before being remeYeel mInvowed and take prsceusons to wotew •G_smlcimmspintu...I victim is not breathing lAlwar—W, In case of contact xnln fiquefetl gas mawlrostedome.ith themselves •Administer oxygen it breahingls mf/wlt incase ofbums lmmdimelycmlotlell.dsWntorss lukwarm xatar •Rgmwe antl,,elate comb mmald cloihmg end shoes long es poalblo with cold wale,Do of remove coming d Keep victim warm ad gaei •Cbewghazm m the des,lead M Putwetl balite been ren,ved to nermg to scan Ensure mdm at mreal persoma mam l are aware of rnm(s) •In case of contact with 4W,fied gas maw frosted pans w1h Keop,cfm wane and quiet mwNd and take Wwauwns to protect hmt¢etves Iukewarmwal0r Ensure that modicel personnel are ewme of the melenal(s) •IncaseNburta trmretliately cad ahead skin la OS lith aeWsbie Involvdanduskapreceuub...protect themselves —cold ware mmtrermw ctxnirgartg ms,an. •Kacp Y,wn seam,and aim •Ensure mat of are axare of am mataral(el Iwvd and Ilk,pcoausoto protect IM1emwlves go)7 _ Vendor No. _ W Cheek No. Town of Southold, New York - Payment Voucher 1318 37-949 Vendor Address Entered by P.O. Box 802576 Vendor Name Chicago,lL 60680-2576 Audit Date .Airgas USA, LLC JAN ® 3 2017 Vendor Telephone Number 860-444-3055 800-962-0285 FY 17 Town Clerk - L_ VendorContact _ _____________._m.„.,.....,._......_....�.. _. __.M..............__._.. ._. ____ __--__ _ -- ; •,' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number i 3 9941242975 1211/2016 $153.70' $153.70 111117-12131117 SM5709.2.000.200 Cylinder Lease Renewal E t E € 3 � $153.70 $153.70; Payee Certification Department Certification The undersigned(Claimant)(Acting on behall'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 perforated 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_ eO_ sTitle Signature Company Name Fishers Island Ferry[District Date 12129/2016 Title Aare TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER NO INVOICE NO. INVOICE DATEI SOLD TO NO. I 'SOLD TO NAME 7041388743 9941242975 12/01/2016 1 2576547 1 FISHERS ISLAND FERRY DISTRICT PO!RELEASE ORDERED BY I SHIP VIA PAYMENT TERMSORDER DATE Lease Renewal NET 30 10/21/2016 DELIVERY NO./ MATERIAL NUMBER QTY POM_ QTY 810 CYLINDER UNIT PRICE` UOM AMOUNT DESCRIPTION SH{P,D sHrxo a�rtr 7041388743 LSECYL 3 CL 45.00 YR 135.00 N LEASE CYL (H) LEASE RENEWAL 01/01/2017 TO 12/31/2017 Sale subtotal: 135.00 Airgas Hazmat Chg ML 18.70 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale (Z,0 SHIP To 2576547 AMOUNT 153.70_ Airgas. FISHERS ISLAND FERRY DISTRICT IrGIMMISEN -,IRM982MMUIX11:1211M VE Airgas USA,LLC an Air Liquide company FISHERS ISLAND 261 TRUMBULL DRINY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockslde Woods Blvd Independence,OH 44131 For change of address email to ndiv returnedmail@airgas com REV 6 1 16 0012619 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Safe: Each sale of Goods or services by an AirgasT"i company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http-//www airgas.com/terms-of-sale(collectively the"Terms of Sale') Each Contract for the sate of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seiler to Buyer. Notice Regarding Cylinder Rentals/Leases and Responsibility: This document shows the total-number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown,The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(it)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants), Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time. Airgas all refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shali'be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of safe 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- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARiSE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET 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 AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH iTS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of,Sellor's invoice. Continued open account credit is subject to Seller's assessment.of Buyer's financial condition and ability to pay.-A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars(S2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less SurCharg_es Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel Title to Equipment: Title to all rental equipment shall remain in Seller's name. Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. Itemized Charges: (a)The total amount due from the Buyer may include various itemized charges,including,charges for the handling of hazardous materials 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 government authority,and all of the charges are retained by the Seller The Seller has riot 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 (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government Contract: Certain Airgas 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 Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http://www.airgas.com. Visit us online today to see how www.airgas.com can save you time and money. f FISHERIS ISLAND F,ERRYDISTRICT VENDOR 002437 ANTHEM BLUE CROSS BLUE SHIELD 01/03/2017 CHECK 3729 1 ' I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 444M81629-0117-N SCHMID 1/17 MEDICAL 1,2,70'.48 TOTAL 11270.48 N zwwo 'ria^`a .5. 'C.m ....... c?T., 5 .. MKIM-- `� r- I { '- \ ( I 1 i I . 1 • j 1 o • e o • • e • e • -1 FISHERS'.ISlA1�D FERRY.DIS7'RICT` -- �; _ AUDIT ,l' 53095,NIAIN ROAD,PO 80X;1;17,9`:'; y :. $OUTHOID:,NY IIsi"i=oss9. C3ECTC •t°�. r - THE�SUFFOL'r+'G0:"NATIONAL BA.K. CVTCHdGUE;,NY•JT19A 'ti°. _ �_�T� ^'.AMO,uNT ,11'1 .r. .1. �,•4•P''1p• - .t,.^ '�t, I ,'dI,.I'.'.1"„I;` ,•s` - NE- f4 ' .:48 10`0 DOVI�IR`S. O1f03/ 1-7 '546/ 14 025o IN Ty-AMD" THOUS "1' 04, 1 "- " , I, I.It�j SII Li, Y:''It ANTHEMt,BLUE QSS'=BLUE.'SHIELD '',, o,7 p� du „111' �7AI.F�tl1 ,pli .i, ''•N'EWAI2TC.+NJ"07S10ITl- 792•' ;_° " or. - - 1, - - - •'p" 7Vh I, ,:,p,rl,.1 '�Pe 't•' 01,it -- 1 _ `;r ___ 1I,dl' 4✓,i':i �I,( ,I ,�,. rA�'a `I d(` 11� ',t' 't,�'tti r�..�i1• ii�0'0 3`7`2'9 �'0 ,2.,,14°0'S'4'6 4 i;:.--r3'8' D 0 _S02' iii■... -: - aO )-7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 v37(Qq Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O.Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem JAN Vendor Telephone Number ® 3 2017 FY 17 Town Clerk Vendor Contact " &�Ssd 0. Ll (I Invoice Invoice Invoice ( Net Purchase Order Number Date "notal Discount ; Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number s "4M81629 12/24/2016 1,270.48 1,270.48 Medical Insurance Premium SM9060.8.000.000 011-7 Nina J Schmid 1101117-2101/17 i t 1,270.48 11 1 1,270.48 Payee Certification Department Certification The undersigned(Claimant)(Acting on behairof 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 property been paid,except as therein stated,that the balance therein slated is actually petfomied 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 TiiJe rf ! '�- Signature — Company Name Fishefs Island Ferry Date 12/29120161 Titie Date r Page 1 of 2 12/24/2016 AntMember �e171� ©tea' � BiueCross B1ueShield R ` . Nina J Schmid ID 444 M 81629 Plan Medical 6% 1 '70 .48 Please pay 9 by due date January 1, 2017 Bill summary ; Coverage from 01/01/2017 to 02/01/2017 , Previous balance $0.00 Payments received $0.00 Amount due from previous bill $0.00 Current premium charges $.1,270.48 ' e - * � �. • • rR x �»,.�, .'c i•,"' i1r, c.o x�. '. g..=�'#�s,, �='`- '�bs�; �sa`� More ways to pay: Online at anthem.com or by phone. TRAI-D•000079/030045ACUBJBSI-ET-Ml-C000oi 4 V Please detach and return the bottom portion with your payment. V ___________________-----------------------------'--"----_----------_-------------...------_--.-_-----------------------------------. La Member ID 444M81629 Aniffiem. °eov Amount due $1,270:48 Due date January 1, 2017 B1ueCross BlueSWeld (W. Amount P.O.BOX 11792 Enclosed NEWARK,NJ 07101-4792 Please make check payable to Anthem Blue Cross and Blue Shield Did you move? Enter your address on the back. and don't forget to write your ID#on your check,send back to, 11111(1111'I'I'lllllllrhllrllll9'lllllllllLlllulnJlulhlli 000079 1 MB 0.416 0062651000079103004500104ACU0J6 rr'll"I"Jill gill 11l1il1 111111 1111111111011111111111111111111511 WPT130 IND 12/22/2016 12/23/2016 ANTHEM BLUE CROSS AND BLUE SHIELD NINA J SCHMID PO BOX 11792 UNIT 2 NEWARK,NJ 07101-4792 72 WILSON LANE VERNON ROCKVILLE, CT 06066-2313 002005501993120502000000000444M816290000000000000D101172J6UOOD0001270485 r - _ 1 , FISHERS ISLAND FERRY DISTRICT ! } VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 01/03/2017 CHECK 3730 i i FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i Ir SM .5710.4 x000.100 63134 225.3 GAL #2 OIL'-12/14 479.94 TOTAL 479.9;4 i S'L?C Jr- _ r- ' I ,i \ i I , f- ,�k" .l'. ==i`.=,?° - _ eknh",,... II•,u,-I`„ ,4A'7i '..f. A:"-- `�;;;- -"1'a`-� - _-.,,"`�1,• fl; 0°11�.'-'l. .,. - =:f^`_ ?"9,0'.. i, a',r,:,J;<, ';a:i'_� ;f'' .�,:• >E:" -1<, IS ERS-ISLANDs'FERR' 'D`ISTRICT'..:} t: �;n1` ;AUDIT-`1 '2.017'; V,_ ,53095-MAIn�ROAD-Pp.BOX'1179,` ;':'a >:: -' a` �.` I ySr~', 'i`%'•:��de` w7r ;i° - '-T ,s ter;'° 1 SOUTHOLD,NY,'1197t=0959; =�', C�IEGK^NO:' 3'T3',0, 1 r 'THE S FFOLK''CO...PPATIOaAL 6B NK, S._ _ J V .7� „Ie„ y.. _ -ic .r 1'•935; -_ -4 _ ;AMOUNT 'CUTCHOGUt'<'NY;' 1' f",.,�� - = HATE-__ ___ - y I ii'y ''l+" - - " •'A�' I, 1, ,1 P' `J 'd n b ''1 -_ - `1 u ilius Sl'JI x ,'J i, J<C _ _ __ - aFgF• °I' :1 dlt pl,,:';`d n;10,E ''1+r s" -- t?�' 'o�,'k,: `"'1,. 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"I;'f`.' - - -' `_ low 0'1-7'3011 -"'1!:0'21 0 546`4 . '6"8: 001 Sx, 2 °Lu'. Vendor No. Check No. Town of Southold, New York - Payment Voucher 264437-30, - Entered by P.O. Box 602 Audit Date Brodeur's Fuel Moosup, CT 06354 JAN 0 3 2017 Vendor Telephone Number 860-564-2789 FY 16 Town.Clerk Vendor Contact E .0 �. Invoice Invoice Invoice Net Purchase Order �-,, Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number, 63134 12/14/2016 $479.94 $479.94 225.3gil @$2.003—N, SM5710.4.000.100 e 4 j $479.94 $479.94 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 v4 Title Signature f Company Name Fishers Island Ferry District Date 12/22/2016 Title Date ��/Y LAST THREE DELIVERIES` DATE/Jco a 'ROUTE FUEL DEL/H.W. D.D.NEXT DATE --D_.D.; GALLONS Kr FACTOR FUE - D TR = �' 2 3' 01/00 13214 11231. 5 74 5 1781 . 93 v � --I I t •. ,aY OFFICEUSE.11 -'DDRO JUL'114N. r GALLONS, " PRl mA : 0`091, r 490 I. 2:33 . G :1. . 6° —1 - �i _ o 7•= CURRENT = 30 DAY s"-60 DAY -90.DAY BALANCE FWD. =DELIVERY TOTAL-- C 4- - FT e i i "ACCOUNT NO. " cQy;;� � M m• s FTS iFR �'3 �3LAiVto 1 1 f�l3'c 1a:l'S STATE �U' � w ,� � -° 5 t•1/1TFRFR' NT I"III<K Thank ES 4srhf,tc, TAX z � { NEW LONDON , CT �� 9 r Ctj 'FED ," � D � T �o u o .4 TAX ,� Cl) 0 m m i N 1`a I. I. {)N1-11.L i E� GRN Cil U t; ti Cr CT.LIC.303396 ' MSC Q Q f s -� `fr :R BEHIND TRAIN S`I'A`I'a:'UN �`� �� ``PAID" N Q: 6 b,% `,AUS TAX CT HOW 46 = I BR�`DEUR'S OIL SERVICE, INC. °®�) o • e ✓ e '.0 28 STERLING ROAD, P.O. BOX 602, MOOSUP, CT 06354 564-2789 • 859-5840 • 923-9528 If Payment Received By PAY y I)y d unmarke-d Hear:i,,ng 0i 1. . i�a�t: i or ll,,r c: Sri highway, loccrnoti,vo , or ffmI^irle! ongi.rwE-- , rx 4 ' -------------- --------- --------- ----------- 'I 21 FISHERS ISLAND FERRY DISTRICT VENDOR 0'02776 %CHARLES BURGESS 101/03/2017 CHECK 3731 I _ FUND & ACCOUNT / P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 103116 ANTHEM MED� RX-10/16 \ 108.46 -- SM .'9060.8.000.000 113016 \ ANTHEM MED RX-11/16 108.46 - SM .9060.8.000.000 j 120116 ANTHEM MEDIGAP-4TH QTR 358.10 SM .9060.8'.000000 123116 ANTHEM MED RX-12/16 108.46 TOTAL 683,.48 r- a.•�y w a. ••ins•-j >'} +.. ..'k> c a,2•• .. sem• ,n ,.,. >'.`.,,i a`t 1 i I I 1 'r. =�3". -7: .P-•-'t` ',{'"g";`t 7i r# •7 s>` .< t• .a a'aa -<f+`e f s i 1,,�*�f"`;'ff`.'-'-f,4y'trE`x`sL" '_ ISLAND:�FERR,YDISTRI�'T° '�� I , '_ /3./2Q17m• k, i• 'd, ";x:;ry:%,•a {' ''53095`MAIN'ROAD.'•PaBox),179;vx "' `b's '°° _u,�'„ v°/ .,*s:,w�.',. '/�ti.L„'- `rs•ti'- yf�R� z't': ^•rtz°z 1 :;;t. �Yla.3.”i' 4, Fi Y•a rf g.`'"€«q.6T'z .,3.' .,1 4,` t. t° 5, ra E,' _ °�f;` :,en, a- ':a•z ra'-#,_"' 'SOUTFfOLD'•N, d` ."e, Fs._ _ z.r{" 1 i -r °>,' �i•" -- _ -- _ _ Yi:1J971•;0959h6",;,�:;;".,a°`'. -_ <�'-`�' ---_ ':`.CEiECK#;NO,: ::3,"7:3;1t,,,:, - ,.r°' ",r' �� — — _ .1, ;1a-,;,r, 1,r"+„•'a v'` '- ”—a: - _- -— ,m, ,r.,,1.,.a;- '--^I„t _` 4 •,t',•'^,P�' _ _ -_- _ __ __ .l 19 °,5'111�,I',Ilq',Itr•'1•„ '1,11'1 ?"1Y di 14" 's4� `L- �i 5t.`•P'-=,;i"_ - „y', t !' ^I _ - _ - ',.I c II THEZU�FOLk CxO,NATIOf�A�•BANK'i�`. _ -_ _ �yD.TE AMOUNT; r•,,,;:” A _ -_- I' 13,U° 'tfh' ;Es' I;'P; I''f•b J, t"4• `.th - - - - as:•'==,- :1'.di"d^E;#t I d '1 ,V e•- - - ,1 -E• tit 'd,y ,t s'a,• Y5b=54612a14''T.,'aigx •`�°�'S'�-:t'�FUN-zD!•2E_D"t"E:=I1;Opye DO_ L7ALSg;''. _tM__"_' ,,+da°„.ri•,;•I�,,�t�,Ei�fi i,td V,d•€,',`i�,'d{. `'��,;''a`+k..Y•,•3',,x'_•_<-qr x-i-y,.s°- _,-c€.�:�=_r,.,>;_:x`-__^��:r k,"�',I,,;r„�„'•,I'I 1;,: It:�H” - %;_ _adaY` •{''t Y' - - - _ __ _ 'l'I+',+i�� I P,I,g'j1,,,, _ _ •� _ nl, 'h-_ -_ � - .'y mt lY,'m ,1,•,. .,1_'31'''” ._ _.f,. -- -' ____ - 4" ��'"� ,e• - - 52'-->- " - - __ a;4, :;tl. _!. 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"•A,.•` ,<t, va•':_ 'ax°V'' "Z` __ _ __ ',f .f..i 1, "Fpt�,s,F'":J�Y2=4f:4�?>':": I - i•Se e3`' s# 1 s# h•'t (' `9i„`'.'�`*� -”t :S Jl:y. 1,, E 'I,1'1'i`I ;1; +,,'� 1.- t°' tru• 6 G'J''•,f+db l,;d,; d„ a, d,l nn.l I, d„I•"I as 1t�lltrd a��C '�iE E`'dBURGE5�_�a:��s,:-,,,., ,"'-,•,. - � ,,' .;•,,�� I,.�, -- -- = -- -- -- �Ji'%•'1'.,I i'.;'..I'�': +t,`nV:x S.Y.1S`,_ - - A _y,{_ U < j -=i- t,IIJh`; r3:r=- 3'rt•t; u,d dl+ll• dI' MEL':;dCORT _-= -- " = -- - - _-_- ,'.it'' ,elj• .I,, ;;.Zr;<'�r3"_._- :�,-_--_ - "°;;,,.n l' >4i'-,v ;l"'I,,• In." -=Yi:a = - _' , "11�' 6.:�r�.,,t1;°,1' u'I,"'p z,,,111;`,j'a,<F rt• - 'fri/�/' t IJ ;',t'' yal'+4.±'';',d•04 y4;";t+s'I `;3'. >r q :r,d;i:. s'FrV�1TE�RN'bRD''•'GT'::�06.3'85°;�'.,''�'�'>~'- -"S•�, �... x�` - - :� �.t° •r, r:�'K< OFt`f, `'>°,dr' ,.t` 'E. �?''S>' �t°§..,t'zd�:. n :ra'" s i. sr., "�,t:r,;,;y ta.=••'� �C, `,ri ct<,ar°+3.-e,"sg,? I 'tit '•;1 .Fl ri'yx'•*S'i€" 'rd,•a:'.✓. "dy'. t,d _ ,.t .;S x#d'Er,.; qs!a y ,a1 •; `S >tt�, .�ts,o`'d't�.4' ¢+a.'s., ,'a' 'i3' `ti• �•1�' xa,.!`__ t�-- .�,:r'S,',1' .f 1.•i ',.�-_.=_. _ - _ _ •.y. k _ i.4`a -�,.. a, •t'.Y 'tin`,€,1, _ 4i - " -f -:3r� ',I'�i.'+ j `1 I,r �r s•'I,f1 i;;4 "-_- - +1 t a` 17. = >F I d,\IrJ 11 t'aI ' z "s£'rc�-- - _ _ `Ir s•, 0 4• d1t u 11'''''•l�,'..�"�',i, _ Je• , - •F•-= - -=-, ds 11 l,t.'In .d'• -I+ a, - ='t- =3� _ -_ - is „dA P,r�+t, - __', - £•- i*/,' •'! 1 �? t' +1 ___ _ - 14x•.I s ___ >., _ _ " __ Ir �'.3r1 ,1;1'1 I,I�-I: _ ,5z - - - __ `+• �'I 4rI >dtl'' W 411';d' `v - " �'4v' _ d"_= - .'1 1, Iq,1`d',y d 1.. -%• _ - ; .F-_ - _ - - _;r_¢_ -'{'e-h _-n.n '-- <r-_ ':-`�e''1„ ,'1,`4f',n li,„ �•1`` -- r'k•e.«... ,.a;y;"t,1.,'B•',, J1 _-_ __ v .-_ .- . , ,,'�' t0 "2,1' 4"0 5 4'�`4'i -.5 B- '0 0 i'S 0 2° Vendor No. Check No: Town-of Southold, New York - Payment Voucher 2776 1- 3731. Vendor Address Entered by 01 4 Hamel Court 4. Waterford, CT 06385 Audit Date Burgess, Charles - Vendor Telephone Number • JAN 0" 82011 -� FY 16 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, ` y LO116 MED REIMB 12/1/2016 $421.29 $358.10 Anthem Medigap Plan N 1011-12/30/16 `SM9060.8.000.000 ($63.19 $421.29 @ 85% reimbursement - i MED REIMB 10/12/2016 $127.60 $108.46 Anthem Blue Medicare Rx Oct 2016 SM9060.8.000.0K' a $19.14 $127.60 @ 85% reimbursement MED REIMB 11/8/2016 $127.60 $108.46 Anthem Blue Medicare Rx Nov 2016 SM9060A000.000 $19.14) $127.60 @ 85% reimbursement MED REIMB 12/8/2016 $127.60 $108.46 Anthem Blue Medicare Rx Dec 2016 -SM9060.8.000.000-' $19.14 $127.60 @ 85% reimbursement $683.48 $683.48 Payee Certification tment 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 Uy ` Signature / Company Name Fishers Island Ferry District Date 12/21/2016 Title Date Ciftens Bank Ongne(D I - �, ptcwMD9MW view sWwnenls D I Doan Tmnsaala- vaEwga Your Recetlt Adiwi y DATEPOSTED TRANSACOOteDESOWWN AIKOW PCRM RANSRCrKW alb � ow-MAW VOW t sow - 12MM6 PBaaLilortwd Deb1t $42125 "Y" Anthem-dorfte Plat 12/14/2016 Discover Card:Printable Search Transaction ® CHARLES W BURGESS,KAREN BURGESS DISCOVER Acct.Ending 4 HAMEL CT,WATERFORD,Cr,06385-2008 (860)442-8383 Search Transactions:We found 3 matches. i Note: Please re%iew your statements for interest charge information. � l Transactions I Trans.Date. Post Date Description Amount Category i ❑10/10/16 10/12/16 BLUE MEDICARERX PREMIUM $ 127.60 Medical NASHVILLE TN Services ❑11/08/16 11/08/16 BLUE IVIED ICARERX PREMIUM $ 127.60 Medical NASHVILLE TN Services ❑12/08/16 12/08/16 BLUE MEDICARERX PREMIUM $ 127.60 Medical NASHVILLE TN Services Results Total =$ 382.801 j tj FISHERS ISLAND FERRY DISTRICT : VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 01/03/2017' CHECK 3732 FUND & ACCOUNT P.O.# INVOICE! DESCRIPTION AMOUNT SM .5710.2.000.200 S106935009.001 RP—LED CABIN LIGHTING 138.26 r SM .5710.2.000.200 S10'6965728.001 RP=LED LT FIXySCRWS,WSHR 1,261.42 ;L SM�.5710.2.Q00.100 S1069824716.001 MUNN—LIGHT SWITCH 18J03 f TOTAL 1,41 f7_.71 r'- •.3 , .- - eek+.r' `t• , ; r ' 1 � I t'` -r -_r' r-= _._ _ nl°, ,J'16 „1a.t u''1;ll^ --- _.` _.` __" - `d'' "id• ``" rp'i,l�'� F,i-__= - —__ >__ '_—_ t E• YDISTRICT`.;`-° -- ;• �°'. y'FISIIDRS�'SLAND:sF' R7� _ , '53095 MAIN ROAD,R'"BOX'1179 r pu'; '. SOUTHOLD,'NY 77977. 9,59, #+ 's' _ - F` 4 :u" 'CHECKc O'. 317.32't 'a r ® N — _ LBA NK' - -: CUTCHQGUItiNY,r'.�,195' =4 `7 ;7i :'71 0�' OL ON "IHOLTSP;N'L! FOi7R :,HUNDRED, SEVENTEEN AND,,, 10 D T,AAR^ -- "�' '4'A 11" / _ _ ,lr:, - - __ - it P•ii' "f^'�'i�� ','v'ir,„'o,°6""� - - --- - _ -"- a�,I•: '�'„' ,•.'y==' _ - - - - 'd ,•d.` .nL,,.t0'W - -_ •'t•' 'ax”'°,nae�,i,l, .I;I�i. ',Dr'Iip,:• - -- is - ., f- 'II 1'i 'l„ _ _ J X 12L Citi — — • ' :,;+,'l+ ''Q 'Y - A 1I1� I' .'0' __ _ _ __ __ - _ ,:L(aC�C'B`OX," /7 61,. -- - -__ __- P_I-�T VADE•�PE�IZ�_;'PA`°1.91;'7 8. 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 5414 3 7 Vendor Address Entered by Lockbox 9761 Vendor Name P.O. Box 8500 Audit Date _ Electrical Wholesalers Inc. Philadelphia, PA 19178-9761 JAN 4 3 2017 Vendor Telephone Number 800-522-3232 FY 16 Town Clerk - E Vendor Contactd4oliA_ 1� fCX�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 S106935009.001 12/8/2016 $138.26 $138.26 RP LED Cabin lighting •SM5710.2.000.200° { S106982476.001 12/13/2016 $18.03 $18.03 Munn light switch SM5710.2.000.100 S106965728.001 12/14/2016 $1,261.42 $1,261.42 RP LED cabin lighting(9)screws 100 Washers 100 SM5710.2.000.200 ° $1,417.71 $1,417.71 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 Fishers Island Ferry District Date 12/23/2016 Title Date INVOICE MR Electrical Wholesalers lieG CUSTOMER NUMBER` SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S106935009.001 12/08/16 REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 4302 1 AB 0 399 E0030X 10067 02071384764 S2 P3743046 0001 0001 SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO# JOB NAME/RELEASE# ORDERED BY SALESPERSON RACE POINT'- RACE POINT - — - MIKE _ __ HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE SALLY LEWIS WILL CALL MFG DISC 10TH, NET 15TH 12/08/16 12/06/16 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea LITH LBL4-LP835 41W 120-277V LED 130.000E 130.00 LT FX 1!TAGGED ITEM 11 P/ SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE Choose from three easy ways to receive your invoices:email,fax or Invoice Gateway,our secure online site.With Invoice Gateway,you are notified by email when new invoices are posted.You can search,sort,view,print,download and pay your bills on this site.With email and fax delivery,your invoices are sent once per day and you get an exact \"�Zv replica of your paper bill. Contact the Credit Department at 800-522-3232 and get setup today! • 2016112x08 02 40 14 PM SIO6936009 1 Subtotal 130.00 Invoice is due by 01/15/17. Shipping Chgs 0.00 Tax 8.26 For complete Terms&Conditions go to. Payments 0.00 http://www.ew-ct.com/wp-content/uploads/2014/07/toc-sales.pdf Amount Due 138.26 A Electrical Company Visit us at www.usesi.com � Se;wces Inc 0001:0001 TO VIEW ONLINE GO TO: HrrP:HEW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 a INVOICE' Mei Electrical Wholesalers 6ic' CUSTOMER NUMBER SUB ACCOUNT# a us�auu sere:ce EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S106982476 001 12/13/16 REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 1831 MB 0.419 E01 BOX 10476 D2080529642 S2 P3753922 0001:0002 SHIP TO: MFISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO# JOB NAME/RELEASE# ORDERED BY SALESPERSON MU CAR DECK JESSE -HOUSE-ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE- KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 12/13/16 12/13/16 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea CLN E98TSCN-CAR 1 GANG 692.000c 692 WEATHERPROOF VERTICAL MOUNT TOGGLE SWITCH BOX COVER GRAY lea lea CLN E9801 1 GANG DEEP BLANK FD BOX 921.000c 9.21 W/MOUNTING FEET lea lea LEV 1451-21 SP 15A 120V IV AC SW 82.000c 0.82 MADE IN USA SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE Choose from three easy ways to receive your invoices email,fax or Invoice Gateway,our secure online site.With Invoice Gateway,you are notified by email when new invoices are posted You can search,sort,view,print,download and pay your bills on this site.With email and fax delivery,your invoices are sent once per day and you get an exact replica of your paper bill. Contact the Credit Department at 800-522-3232 and get setup today! • 2016112/13 09 58 20 AM S108982476 1 Subtotal 16.95 If paid by 01/10/17 you may deduct$0.01 Invoice is due by 01/15/17 net of any cash discount. Shipping Chgs 0.00 Tax 1.08 For complete Terms&Conditions go to- Payments 0.0 http://www ew-ct.com/wp-content/uploads/2014/07/toc-sales.pdf Amount Due 18.03 A Electrical Company Visit us at www.usesi.com �+o...Services Inc TO VIEW ONLINE GO TO: HTTP:/IEW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 0001:0002 Electrical Wholesulers Inc. Ship Ticket '• •k U.S.I.Ieetvicil Siwvlre¢Ine.Conlpan� SHIP DATE ORDER NUMBER PAGE NO. EW-NEW LONDON 12/13/2016 S106982476.001 1 of 1 163 STATE PIER ROAD NEW LONDON,CT 06320-5817 OUST PO#: MU CAR DECK 860-443-4381 Fax 860-443-4570 JOB/REL#: SOLD TO: SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 CUSTOMER NUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27352 860-442-0165 JESSE HOUSE ACCOUNT WRITER I SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 12/13/2016 No 860 443-4381 ORDER QTY SHIP'QTY ❑ DESCRIPTION lea lea CLN E98TSCN-CAR 1 GANG WEATHERPROOF VERTICAL MOUNT TOGGLE SWITCH BOX COVER GRAY lea lea CLN E9801 1 GANG DEEP BLANK FD BOX W/MOUNTING FEET lea lea LEV 1451-21 SP 15A 120V IV AC SW MADE IN USA vrn �J 2018!12113 08 58 20 FM 8100982478.1 I Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax For complete Terms & Conditions go to: http://www.ew-ct.com/wp-content/uploads/2014/07/toc-sales.pdf Payments Amount Due Printed By CHAKEV on 12/13/2016 9 58 21 AM EST INVOICE Electrical Wholesalers otic. a USElec&ica7s—esCo. CUSTOMER NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S106965728.001 12/14/16 . REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 183 1 MB 0.419 E0180 10477 D2083303960 S2 P3753922 0002:0002 SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI 9M PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER POV JOB NAME/RELEASE# ORDERED BY SALESPERSON. RACE PT RACE PT MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS. r SHIP DATE ORDER DATE KEVIN CHARRON WILL CALL MFG DISC 10TH, NET 15TH 12/14/16 12/09/16 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE,' EXT PRICE 9ea 9ea LITH LBI4-LP835 41W 120-277V LED 130.000E 117000 LT FX !!TAGGED ITEM !! 100ea 1 00e MET JTEKD8 12X1 HEX TEK SCREW 12.600c 12.60 1 00e 1 00e MET JSW72#10 FLAT SAE WASHER 3.500c 3.50 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 e�/ 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 todayl • 2016112/14 03 09 54 PM 5106965728 1 Subtotal 1,186.10 Invoice is due by 01/15/17. Shipping Chgs 0.00 Tax 75.32 For complete Terms&Conditions go to: Payments 0.00 http://www ew-ct.com/wp-content/uploads/2014/07/toc-sales.pdf :Amount Due 1,261.42 A Electrical Company Visit us at www.usesi.com ...�Services Inc TO VIEW ONLINE GO TO: HTT!"JI .BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 0002:0002 III III 111111111111 11 IN IIIIIIIIIIIIIII11111 II III Efechricil wholexalors Inc. Ship Ticket USiES6-::z' A U.S.l:tectrieal Ser+:ice4 Inc.Company SHIP DATE ORDER"NUMBER- PAGE NO.- EW-NEW LONDON 12/14/2016 S106965728.001 1 of 1 163 STATE PIER ROAD - NEW LONDON,CT 06320-5817 CUST PO#: RACE PT 860-443-4381 Fax 860-443-4570 JOB/REL#`. RACE PT SOLD TO: SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 'CUSTOMER NUMBER CUSTOMER PHONE# 0RDE REID.BY SALESPERSON ' 27352 860-442-0165 MIKE HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT,ALLOWED KEVIN CHARRON WILL CALL Ship: NELO Price: NELO 12/09/2016 No 860 443-4381 ORDER QTY SHIP QTY+ DESCRIPTION 9ea 9ea LITH LBL4-LP835 41W 120-277V LED LT FX !! TAGGED ITEM !! 100ea 100ea MET JTEKD8 12X1 HEX TEK SCREW 100ea 100ea MET JSW72#10 FLAT SAE WASHER 2018/12114 03 09 54 PM $108885728.1 v Tote: Picker: GREMIC Loc: CART BxBg PcBu ReCo Skid 1* J� S Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax For complete Terms &Conditions go to: http://www.ew-ct.com/wp-content/uploads/2014/07/toc-sales.pdf Payments Amount Due Printed By CHAKEV on 12/14/2016 3 09 56 PM EST FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 01/03/2017 CHECK 3733 FUND & ACCOUNT P.O.# INVOICE -DESCRIPTION AMOUNT SM .9'060.8.0'00.000 6729425{ DENTAL PREM(28) -1/17 2,084.95 1 ;+ -- TOTAL \ 2,084.95 jj •.$ii t l I -_- �=--..a;J_- -_-`,°s`x Ua'�� ,;€";'4,.y�"k� "I„^ _ -�_ _ _: _ -__.> __ ,t'.'W-t;1."y•1.a-'��L.,.vi<<:�ti•`?„s'•f,:-,�S:�Ffi:-a. - zyw� .,;\,L'' .1 -- .t• .'q. :��,'t>el', €, .e:A, Ex{E'!t , E;�.s��. a'�ISHERS rS�A•ND��FERR:Y: { _,AUDITa;1:./,3•/2;017',=.,,: {•... 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"__ a:s .» it"p 0'3`7 3°�3`ai0''`''i:0`�e"L`'IX SA;"r' = Gk =0 0 L 5.0 2�,' I'ii,' ,F �o �� Vendor No. Check No. Town of Southold, New York - Payment Voucher 5442 3"7303 Vendor Tax ID Number or Social Security Number Entered byy� PO Box 202837 4kaf'H-)cho 1'ce Asst)f"cc, Department 83703 Audit Date Empire-Dentai- Dallas, TX 75320-2837 J AN 0 3 2017 Vendor Telephone Number 877-606-3409 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount jAmount Claimed Number Description of Goods or Services General Ledger Fund and Account Number aol� 6729425 12/14/2016 2,084.95 2,084.95 Jan 20,WDental Premiums 28 BM9060.8.000.000 1111-31/17 2,084.95 2,084.95 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 Fishers Island Ferry Date 12/21/2016 Title Date 2, PAGE 1EmpireINVOICE s EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 6729425 MINNEAPOLIS MN 55440-0856 BILLING DATE 12/14/2016 SUBSCRIBER PERIOD 01/01/2017 - 01/31/2017 BILLING/PYMT INQUIRIES 677-606-3409 CLAIM PERIOD REMIT TO: FISHERS ISLAND FERRY DISTRICT EMPIRE DENTAL ATTN: ACCOUNTING SUPERVISOR DIANE HANSEN 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 28 703.36 43.96/EE/MO 627.90 89.70/EE/MO 106.45 106.45/EE/MO 647.24 161.81/EE/MO 084.95 INVOICE TOTAL 28 0 $0.00 $0.00 $2,084.95 $2,084.95 + YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. Services provided by Empire HealthChoice Assurance, Inc a licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans r , , 1 1 1 i 1 FISHERS ISLAND FERRY DISTRICT VENDOR 006008 FAIRHAVEN SHIPYARD COMP. , INC. 01/03/2017; CHECK 3734 � FUND & ACCOUNT I\ P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.0,.,00.200, TB1031 978731 RP YARD PRD-12/5-12/12 13,370.70 SM .5710.2.000.200 ' TB1031 9788441 RP YARD PRD-12/7-12/17 18, 070.57 TOTAL 31,441.27 rl r;ti•. '.3 , .,. l..:.•, :vp rt,.r ., aT�,. `,�.°i c V-a'-ti':y:�,. .,.C::=�i,�."°O�'w: 5 rig-.`i� - r , tl r 7 1111 9„/,Sy='far`--_-_ ,y...y __:_ ,-q,,y,"'1, ."ly•• ):1 'U!° — � __=-.•E_3�1'_3-3-- f•`t".3:'f'Ir,'1.-�-<Sa-p`U„14>,II�:. ';Y'Ip syr ,ta•p�i�E_Kf,'P'---=_ �__f,_ __\_nk',� �, FISI�EPS-ISL-BIND= Y.'DlS7R��C °.�='£' AUDIT •s., :Ya„ q7,;e; ct,?^ :53095 MAIN flOAD,`PO BOX 1,179;,•j:; •:'' 3-e,0"a^:i - ;r"'f y/! "/-,; t.�;," 9;;y'^ �Fo .P\' ?- S sr, 5f �'�<}4'°• r g, "'iii.,'r •S ?`(' tt r I'S. 'g .1_;Ej ' $OUTH04D,NYb1,197T-0959: 3^7'34'. .I ';� ,t a fu d, e„{a dlc, ,w•a'=_: "3�---:_�-`y;-:_ - --__”- -=_-.ny_cr- >�Tg'HCISIH.WftOF aG.OU,LEKr.•,`NC0N.'I 1 Ni•As,1'T3'I51O1'NALBP,A,esK ."¢.'---, D-AT-�- q•fl4I'1 OAU'CUT r - -cc ' 's:c' ',w•`• ;:. r• "=a" +]:s~44`1""2; 7, "�'4, 50=546/214' - .'IF r 1,.•r, / ,. _ i•'rf, ;•i° n�';,`.' ,'liar,;;" �l� �E O, _ as'' ,,F.0 D.;FoP<.I'Y„ONE'`AND`_” THIR Y NE=_ HOLT ANp 0 RI;;'HUNDRE R, _ ; - _ _ _ _ _ __ _ '�t1`^ l�i,l'i' leis- I,.,t: ____ _ _ __ ___ _ _ _ /t.' 4.•'2'.'�r,l Iri,•.�i _ _ - _ -- - -- - - - - - r.l`,,{�, I, ,ti U�rl`''d•I - - - - ,e _- - ,t,d 'o. +a''' �r ,a3;tt` _ -_ _- _ - r �r�''' i v' ;t,''.o,z ,e"ail^' ii s'f.`I 'ri •"sr r•, ':i`'-er, a - ---= a ,t`-__ •<It`t` 1p:ri'�" .r,rnl.l, zlr - -.Y" __- - -_- 'la,r e. �it�.- �'(d,� 1 ``i a" i' -- ;�„•:}a,.y,.. FP,IRHAVEN='rrS�'HT_=PYARD'=C0_MP-:= _INC`.' 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CED�VendorNo. Check No. Town of Southold, New York - Payment Voucher 6008 03 7 0 Vendor Address Entered by —".0 50 Fort Street Fairhaven, MA 02719-0191 Audit Date Fairhaven Shipyard Companies, Inc. 01 Vendor Telephone Number 508-999-1600 FY 16 Town Clerk Vendor Contact � G Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 978731 12/12/2016 $13,370.70 $13,370.70 `r 163 1 RP 2016 yard period SM5710.2.000.200 12/5/16-12/12/16 la 978844 12/ /2016 $18,070.57 $18,070.57 T pg RP 2016 yard period SM5710.2.000.200 12/7/16-12/17/16 f E $31,441.27 $31,441.27 i 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 j 7 ll Company Name Fishers Island Ferry District Date 12/23/2016 Title Date s Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/19/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 .WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 978844 Job Code Job Description Job Amount -------- --------------- ---------- 7 Foredeck & vestibule blast and co 6940 . 00 11 Build new prop shaft 8743. 00 16 Keel cooler service 1265. 00 17 Paint car deck 427 .55 SALES TAX : 0.00 ENVIRONMENTAL : 347.51 MISC SUPPLY : 347.51 TOTAL AMOUNT : 18070.57 V Page :1 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/12/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI' FISHERS ISLAND, NY 06390 Invoice # : 978731 Job Code Job Description 3 Painting ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/08/16 30842 986-QML170 LACQUER THINNER QUARTS ea 1.00 7.85 7.85 Parts 7.85 JOB TOTAL: 7.85' Job Code Job Description , 5 Sea Valves ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/09/16 30095 GASBFF18 8" RED RUBBER GASKET FU EA 3.00 10.78 32.34 Parts r 32.341 JOB TOTAL 32.34 Job Code Job Description 6 Weld repair Water Tight door on foredeck ---------------------- Labor ------------------------ ' Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/06/16 30085 repair water tight door threshold 8.00 80.00 640.00 Labor 640.00 JOB TOTAL 640.00 Job Code Job Description 7 Foredeck and vestibule blast and coat ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/05/16 30764 cut plywood to cover holes 6.50 80.00 520.00 12/05/16 30021 SET UP FOR WATER BLASTER. 5.00 80.00 400.00 Labor 920.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- ' 12/09/16 30003 6969 3M HIGHLAND DUCT TAPE Ea 2.00 20.64 41.28 Parts 41.28 ------------------- Other Charges ------------------- Date Description - Amount -------- ---------------------------------------------------------------------------------- ---------- 12/05/16 1/2 plywood and screws 87.04 Other Charges 87.04 JOB TOTAL 1048.32 Page .2 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/12/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 978731 Job Code Job Description 10 Renew strut and stern tube bearings ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/09/16 30055 install cutlass bearings 3.00 80.00 240.00 12/09/16 30080 put in cutlass bearing 3.25 80.00 260.00 Labor 500.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/07/16 30095 DRAFT 4 x 5-1/2 x 16 FLANGED EA 1.00 1139.35 1139.35 Parts 1139 35 ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 12/07/16 INBOUND FREIGHT ON CUTLASS BEARINGS 25.50 Other Charges 25.50 JOB TOTAL 1664.85 Job Code Job Description 15 Bullwark modification ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/06/16 30846 cut off steel around vent tubes. grind plates on 6.50 80 00 520.00 vents aft portside Labor 520.00 JOB TOTAL 520.00 Job Code Job Description 16 Keel cooler service ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/05/16 30055 REMOVE KEEL COOLERS 8.00 80.00 640.00 12/05/16 30787 drop engine coolers,cleaned coffer dams finished 8.00 80.00 640.00 cleaning valves 12/06/16 30055 CLEAN KEEL COOLER AREA 8.00 80.00 640.00 Labor 1920.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/12/16 30095 GD10-2C FERNSTRUM GASKET KIT D1 EA 2.00 115.38 230.76 Parts 230.76 i Page .3 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/12/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 978731 ------------------- Other Charges ------------------- Date Description Amount � -------- ---------------------------------------------------------------------------------- ---------- 12/12/16 INBOUND FREIGHT ON COOLER GASKETS 12.10 Other Charges 12.10 JOB TOTAL 2162.86 Job Code Job Description 17 Paint car deck ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/07/16 30085 repair water tight door 8.00 80.00 640.00 12/08/16 30842 prime deck 3.50 80.00 280.00 12/08/16 30011 prime deck 1st coat 3.50 80.00 280.00 12/09/16 30842 clean and prime deck 5.50 80.00 440.00 12/09/16 30011 prime deck 2.75 80.00 220.00 12/10/16 30011 prep deck for primer 3.50 100.00 350.00 12/10/16 30863 used crane to remove Mems off deck 1.00 100.00 100.00 Labor 2310.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/07/16 30899 DIESEL/LOW DIESEL LOW SULPHUR DYED GAL 78.00 2.29 178.62 12/09/16 30009 DIESEL/LOW DIESEL LOW SULPHUR DYED GAL 80.00 2.29 183.20 12/09/16 30028 ENA310/ENA313-5U INTERSHIELD 300V BRONZE 5-GA 5.00 377.00 1885.00 12/09/16 30026 ENA311/ENA313-5U INTERSHIELD 300V ALUMIN 5-GA 5.00 377.00 1885.00 12/10/16 30842 ENA310/ENA313-1U 300V BRONZE INTERSHIELD GAL 1.00 85.00 85.00 Parts 4216.82 ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 12/12/16 CRANE CHARGE/PER HR 160.00 Other Charges 160.00 JOB TOTAL 6686.82 Job Code Job Description 18C Renew zincs ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- __________ 12/07/16 30085 ZSS-12 ZINC SGL WELD ON Ea 4.00 23.35 93.40 Parts 93.40 JOB TOTAL 93.40 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date 12/12/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # 510160 DISTRICT (508) 999-1600 Category CC P.O. BOX 607 Boat Name RACE POI FISHERS ISLAND, NY 06390 Invoice # 978731 Job Code Job Description Job Amount -------- --------------- ---------- 3 Painting 7 . 85 5 Sea Valves 32 .34 6 Weld repair WT door foredeck 640 . 00 7 Foredeck & vestibule blast and co 1048 .32 10 Renew strut and stern ,tube bearin 1664 . 85 15 Bullwark modification 520 . 00 16 Keel cooler service 2162 . 86 17 Paint car deck 6686. 82 18C Renew zincs 93 . 40 SALES TAX : 0.00 ENVIRONMENTAL : 257.13 MISC SUPPLY : 257.13 TOTAL, AMOUNT : 13370.70 Pte. �� Page :1 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/19/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 978844 Job Code Job Description 7 Foredeck and vestibule blast and coat ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/12/16 30021 SET UP FOR WATER BLASTER. 2.50 80.00 200.00 12/12/16 30927 SET UP FOR WATER BLASTER 2.00 80.00 160.00 12/13/16 30842 power blast 7.00 80.00 560.00 12/13/16 30021 WATER BLASTER 8.00 80.00 640.00 12/13/16 30927 WATER BLASTER 8.00 80.00 640.00 12/13/16 30010 water blast 2.00 80.00 160.00 12/14/16 30842 POWERWASHED & PRIME FOREDECK 6.50 80.00 520.00 12/14/16 30927 PRIMER ON DECK 8.00 80.00 640.00 12/14/16 30010 PRIME DECK 2.00 80.00 160.00 12/14/16 30021 power wash bow deck 4.00 80.00 320.00 12/15/16 30842 CLEANED PAINT CHIPS FROM WATERBLAST ONGROUND 1.50 80.00 120.00 12/15/16 30021 NEEDLE GUN ON BOW DECK. 8.00 80.00 640.00 12/15/16 30927 NEEDLE GUNING ON BOW DECK 8.00 80.00 640.00 12/16/16 30021 NEEDLE GUN, CLEAN UP AND PRIMER. 8.00 80.00 640.00 12/16/16 30927 NEEDLE GUNING AND PRIMER ON BOW DECK 8.00 80.00 640.00 12/16/16 30010 PAINT 2.00 80.00 160.00 12/17/16 30010 PAINT 1.00 100.00 100.00 Labor 6940.00 JOB TOTAL 6940.00 Job Code Job Description 11 Build new prop shaft ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 12/12/16 30055 install shaft 0.50 80.00 40.00 12/12/16 30095 install prop shaft 1.00 80.00 80.00 Labor 120.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/17/16 30505 AQ17-4X26MIN 4 INCH AQ-17 AQUAMET SH ea 1.00 8073.00 8073.00 Parts 8073.00 ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 12/17/16 INBOUND FREIGHT ON SHAFT FROM VIRGINIA 550.00 Other Charges 550.00 JOB TOTAL 8743.00 Job Code Job Description 16 Keel cooler service ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 12/07/16 SERVICE- CLEAN KEEL COOLERS-\TEST FOR LEAKS WHEN COMPLETE 1265.00 Other Charges 1265.00 7 Page :2 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 12/19/16 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 978844 JOB TOTAL 1265.00 Job Code Job Description 17 Paint car deck ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ------------------------------------ ------ ------ -------- 12/12/16 30863 move containers for painting prep 1.00 80.00 80.00 12/12/16 30899 move containers for painting prep 1.00 80 00 80.00 Labor 160.00 ----------------------- Parts ----------------------- Date Tech Part N Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 12/13/16 30009 DIESEL/LOW DIESEL LOW SULPHUR DYED GAL 50.00 2.29 114.50 12/14/16 30003 6969 3M HIGHLAND DUCT TAPE Ea 2.00 20 64 41.28 12/14/16 30003 1011OG WD-40 GALLON GAL 1.00 26.77 26.77 12/16/16 30927 ENA310/ENA313-1U 300V BRONZE INTERSHIELD GAL 1.00 85.00 85.00 Parts 267.55 JOB TOTAL 427.55 I 1 --•-.mss— � � � � ! / ' '�- FISHERS ISLAND FERRY DISTRICT _ VENDOR 006155 FEDEX — 01/03/2017 CHECK 3735 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4000.000 5-638-95408 AP(4) ,PAYROLL(1) 119.37 TOTAL 119.37 W111K 11M111!Mi A`- k'i�:'' .-r,�,•�" r°•r�,'�a� 4$�J":v :`:•'J:C ak ... iS»F`•'"ys �.x`<F«`y``•''�:'i:�?S:q.;.gai :{Sr:�r?»,&Fv;°Jii':.` F.. tea. � 1 . I —adzR-- I , e e u e e s <' ;PERRY'DIS.7'RICT< z F'ISIIERS"ISLAND .\ AUDIT'>1 ^3`e;201°7.=,;>;;,;.r.:.i MAIN ROAD P.O,BOX>1179' ' . "�' < it SOUTHOLD NY%1.971= 959 1 P 'a`•" - - - - �CHRGK<NO"a.a ,.f,ti3' `,I'" - B - - "ON'L FKI, '00�1ATS .dr,l° - THE,SU ,OLK N A A, = o a --- - - - _ --_ �CUTCH \ --'{)f�� I `s �"YI" '1 xl ,4. 61101/2. 017' x`50=5451214. 3 7 O O..DOI;L`ARS ONE'.HtTNDR'ED'NIN'ET��EN,i,P;IIT, „/•� d - " - - - -- - - '1,'t''I�,,�" 1,1`�4"',I' I"1,•' 111 I'i,l'I�a - - - - - •I Y,i , - - - - - '-!'�.i,aa� iYr. '1 f.-,, .,�f IT; 'J I .1;1',:", 11'tfi' - — i' "1' - - - - - ':,r' ,VI',. ,11 ,l_ "{, - =- - _-_a '•k d'• ',�,1 1711, ill' ':f,ll. 'Ig',," 14`61 '/4( R, 'U�I - -' - __ � •'!iu'i1�,�1'.:�'I,�1��'i{b.a:�.i�'VI`'+�1�'ll'r ,.R,'-" - -_ - y, I1 BURGH;PA, 15250<-`74;�<7 g ; - - 'l'' 11' 'lll, .xl d;l'•I A•1."l,- _ - _ ,rl'1 li" it Iain .,�'�ni�•� - -__ _ __ _- , 1 - I iY' 1 ail' d IIPIi" n1 s l.l:' — - __ - ,',11,f,'• ,1,17 lo"yl iii00 34'''0'S'4'6'4 : 68`-"=00=150 '2, i°u� y' - Vendor No. Check No. Town of Southold, New York - Payment Voucher 6155 5 Vendor Address Entered by P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Audit Da e' Fedex J AN 0 3 '29V Vendor Telephone Number t3 4 800-622-1147 FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice - Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goads or Services General Ledger Fund and Account Number 5-638-95408 12/12/2016 $119.37 $119.37 AP 4 Payroll 1 SM5710.4.000.000 $119.371 1 $119.37 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 Fishers Island Ferry District Date 12/22/2016 Title Date ■ 'VmInvoice Number In Account Number Page 5-638-95408 Dec 12.20.16 1206-0334-5 -,_ 1 of FedEx Tax ID: -71-0427007 Billing Address: Shipping Address: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Invoice Questions? ACCOUNT PAYABLE ,5 WATERFRONT PARK Contact FedEx Revenue Services PO BOX607 NEW LONDON CT 06320 Phone: (800)622-1147 FISHERS ISLAND NY 06390-0607 M-F 7 AMto 8 PM CST Sa 7 AM to 6 PM CST Fax: (800)548-3020 Invoice Summary Dec 12,2016 Internet: www.fedex.com FedEx Express Services Transportation Charges 129.53 Base Discount -12.96 Special Handling Charges 2.80 _- Total Charges USD $119.37 TOTAL THIS INVOICE USD, $119.37 �►►-� You saved$1296 m discounts this periods _ 1 Other discounts may apply. - Detailed descriptions of surcharges can be located atfedex.com Invoice Number InvoiceDate Account Number Page 5-638-95408 Dec 12 2016 11 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 www.fedex.com or calling 800.622.1147. Please use multiple forms for additional requests. G Please complete all fields in black ink. Requestor Namel I I I I I I` I I I I I I I I I I I I I 1 - 1 1 1 1 1 1 1-Datel i I/ W/ W In a Phone WWW -WWJ -I I I I I Fax# C E-mail Address ❑Yes,I wantto update account contact with the above information K_ Tracking Number BIII to Account $Amount el l l l l l l l l l l l l l l l � I I "I 1 1 1 1 1 1 1 I I I I I I• W � IIIIIIIIIIIIIIII 1111111111 IIIIII• W � IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W 11111111111111111 IIIIIIIIII IIIIII� W ellllllllllllllll IIIIIIIIII III 'III• W ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other C DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) C Tracking Number Code $Amount LBS L W H r I I l l l l l l l l l l l l l l l l l l l l l l l t• W I I I IIWXI I I 1X1 I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I• W WW-1WWWx1 I I x1 I I f l I I I I I I I I I I I I I I I I I I I I I I I I I• W WWWI I I 1X1 I I 1X1 I I I e l I l l l l l l l l l l l l l l l l l l l l l l l t• W L-1 W-1 I I I X1 I I X1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I• W I V I I I X1 I I X1 1 1 1 3 � Invoice,Number Invoice Date Account Number Page` 5-638-95408 Dec 12,2016 1206-0334-5 3 of 5 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated special welgbt Transportation Handling Ret ChglTax Payor Type Shipments lbs Charges urges Credits/Other Discounts Total Charges Shipper 1 2.0 25.17 0.51 -2.52 23.16 Recipient 3 3.0- _ 78.27 1.76 -7.83 72.20 Third Party 1 1.0 26.09 -0.53 -2.61 24.01 Total FedEx Express 5 fi 1- $1299,53 Wo $1ZA $11937 'Total This Invoice USD $119.37 1346-01-00-0013138-0002-0034112 Invoice Number . Invoice Date Account Number Page 5-638-95408 Dec 12,2016 1206-0334-5 4 of 5 FedEx Express Shipment Detail By Payor Type (Original) Ship date:Nuv 26,2016 Oust,fief.:NO REFERENCE INFORMATION Ref#2: Payer:,Shipper Ref,#3: • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 2 25%to this shipment • Distance Based Pricing,Zone 2 • FedExhas audited this shipmentfor correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum forth e packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation USAB Sender Recipient Tracking ID 875071428100 DIANE HANSEN DIANA WHITECAVAGE Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD ACCOUNTING Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs,0 9 kgs Transportation Charge 2517 Declared Value USD 10000 Declared Value Charge 000 Delivered Nov 29,201614:29 Discount -252 Svc Area A8 Courier Pickup Charge 000 Signed by AARENA Fuel Surcharge 051 FedEx Use 033389132/12831_ Total Charge USD $23.16 Shipper Subtotal USD $23.16 Ship Date:Nov23,2016 Cust,Ref.:NO REFERENCE INFORMATION- Ref12: Payer:Recipient Ref.#3 • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 25%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 Recipient Tracking ID 809408689149 LAURAARENA GORDON MURPHY ` Service Type FedEx Priority Overnight TOWN OF SOUTHOLD A FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 5 WATER FRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 10lbs,05kgs Delivered Nov 25,2016 09 25 Transportation Charge 2609 Svc Area A4 Discount -261 Signed by R PERRY Fuel Surcharge 053 FedEx Use 032865643/1486/_ Total Charge USD $24.01 Ship date:Dec 01,2016 Cust,Ref,:NO REFERENCE I NFORMATI ON Ref..#2: Payor:Recipient fief.#3 • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 25%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 Recipient Tracking ID 809408689138 DIANA WHITECAVAGE GORDON MURPHY 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 10 lbs,0 5 kgs Delivered Dec 02,2016 12 18 Transportation Charge 26.09 Svc Area A9 Discount -261 Signed by B BOB Fuel Surcharge 053 FedEx Use 033669629/1486/_ Total Charge USD $24.01 1346-01-00-0013138-0002-0034112 ® Invoice Number Invoice Date Account Number Page 5-638-95408 Dec 12 2016 1206-0334-5_ _ 5 of 5 Ship vate.'Dec07,2016 Cost.Hof.,NO REFERENCE INFORMATION Refiz; V Payor;Recipient Ret#& • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 306%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipmentfor correctpackages,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 809408689127 DIANA WHITECARAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 5 WATERFRONT PK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 1.0 lbs,0 5 kgs Delivered Dec08,"201609,47 Transportation Charge 2609 Svc Area A4 Discount -261 Signed by B BOB Fuel Surcharge 070 FedEx Use 034269374/1486/_ Total Charge USD $24.18 Recipient Subtotal USD $72.20 Ship Oate:Nbv 16,2016 Cost.Rol.;NO REFERENCE INFORMATION R012; Payor Thlyd Party ReLft. • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 25%to this shipment • Distance Based Pricing,Zone 2 • FedEx 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 809408689150 JANICE LFOGL8IA GORDON MURPHY Service Type FedEx Priority Overnight TOWN N SOUTHER FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 MAIN ST FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971 US Packages 1 Rated Weight 1 0lbs,0.5 kgs Delivered Nov 21,2016 09.23 Transportation Charge 26.09 Svc Area A9 Discount -261 Signed by D.EGAN Fuel Surcharge 0.53 FedEx Use 032380779/1486/_ Total Charge USD $24.01 Third Party Subtotal USD $24.01 Total FedEx Express USD $119.37 1346-01-00-0013138-0001-0034111 FISHERS ISLAND FERRY DISTRICT 1 i VENDOR 019540 FRONTIE� LONG DISTANCE 01/03/2017 CHECK 3736 FUND & ACCOUNT P.OI.# INVOIC` DESCRIPTION AMOUNT SM .5710.4.000.100 86003757641216 INTERNET SVC-12/15-1/14 64.57 SM 15710.4.000.100 86044201651216 NL TERM TEL-12/15-1/14 224.83 ', TOTAL 289.40 t , �"'<x�rtr� � >uMv+...:>.x w. ....- ...»...::Y� ....evw.�v��'•�'�' ' F n Y:' 1 / , ' , I t _ ' 1 � ■ - � e - a - o a o o c � •:*':�t._,iw _°Y, _;✓• ,/�, '"�.` he Vti, '�y" .'s, I.SI.lA .>4'«'A;r,''ti,,,,'.;i...`�1•a, ND`xERRYDIS7RIGT`_;' .FrSHERS - ,... , `-' UDIT `1`/�3=%t2"0':1�7,-f;��"�:, „"+, '�•,>, ._ y<: Fj;< :i�,a'4,` ;z` s"a"`` 'ts•- 53095,MAIN R`O:A11D9„7P1O-0,B9O5X9i,+1SOUTHOLD,. 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Y Vendor No. Check No. Town of Southold, New York - Payment Voucher 19540 37 3G Vendor Address Entered by Frontier Vendor Name PO Box 20550 Audit Date Frontier Long Distance Rochester, NY 14602-0550 AN 0 3 2017 Vendor Telephone Number FY 16 Town Clerk Vendor Contact �n 6� a U f,� Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number j 8604420165-011484-5 12/15/2016 $224.83 $224.83 NL Terminal Tel SM5710.4.000.100 12/15-1/14/16 z 8600375764-111413-5 12/15/2016 $64.57 $64.57 NLT Internet Service SM5710.4.000.100 12/15-1/14/16 1 i E k i $289.40 $289.40 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 Fishers Island Ferry District Date 12/22/2016 Title Date �7 �� 0- • FISHERS ISLAND FERRY DISTRICT Page 1 of 7 Ftontier Your Monthly Invoice COMMUNICATIONS Account Summary New Charges Due Date 1/09/17 Thank you for choosing Frontier. Visit Billing Date 12/15/16 business.frontier.com to get the latest information on Account Number 860-442-0165-011484-5 products, special offers and resources available to your PIN 3876 business. Previous Balance 218.35 Payments Received Thru 12/15/16 .00 Balance Forward 218. 5 New Charges 24.83 Tufa! Amount Due $443.18 -Textyourcustomers' . • ® • • before your.competitors.do. o"Send and'recejve texts on`your •® T® Pay Your r ®Ill computer or.-mobile-device .. '. ; pf Use your existing business � l 2 mf Online:Frontier.com 1.800.801.6652 landline number,- P • .No new equipment required. Pay by Mail Frontier Textir%; for.Business stditin�at just - with qualifying" 3•,I business phone and To Contact Us Internet package 3.666.4®6.®7961 FrontierTexting.com/Priomo' - � �Chat: Frontier.com Online:Frontier.com/helpcenter A one-time$20 activation fee applies TBXes, -governmental and Frontier-imposed surcharges and other terms and conditions apply.Frontier-, ®1.800.921.8102 Email:ContaetBusiness@ftr"•com reserves the right to withdraw this offer at any time. m2016 Frontier Communications Corporation. a 0 0 ° Page 2 of 7 r Fr- ontier Date of Bill 12/15/16 COMMUNICATIONSAccount Number 860-442-0165-011484-5 For Billing and Service Questions,Call 1-800-921-8102,7 am-7 prn Monday-Friday,9:30 atn-4 pm Saturday or visit www.Frontier.corn. HOW TO PAY YOUR BILL Pay online,by phone,by mad or at any Authorized Payment Location.Paying by check authorizes Frontier to make a one-time electronic funds transfer from your account,which could be transacted as early is the day your check is received. You can also set up recurring electronic payments to streamline your bill payment Visit Frontier com for payment locations and more information. PAST DUE BALANCE You are responsible for all (egitirriate,undisputed charges on your bill If your payments are not made on time,your service may be interrupted and you may have to pay a reconnection charge to restore service Continued nonpayment of undisputed charges(incl.900 and long distance charges)may result in collection action and a referral to credit reporting agencies,which may affect your credit rating LATE PAYMENT and RETURNED CHECK FEES-- A fee may be charged for payments received after the due date or for a check that is returned by the bank for any reason. IMPORTANT CONSUMER MESSAGES •Frontier periodically audits its bills to ensure accuracy which may result in a retroactive or future billing adjustment. Your basic local service may be disconnected if you don't pay basic service charges. Your basic service won't be disconnected if you don't pay other Frontier charges but this may cause other services to be terminated Frontier Bundles may include charges for basic and non-basic services.900 Information services are provided over telephone numbers beginning with the prefix 900. Your local and long distance telephone service cannot be disconnected for nonpayment of 900 charges Be certain that you are only being charged for services you authorized.You can call Frontier or the service provider's representative at the toll-free numbers provided in thus bill with any questions about charges If you want only charges from Frontier on your bill,call us to ask for a block on your account at no charge to you Any changes to your service(s)will affect any discounts,reduced prices or promotional credits you receive In addition,your rate will change when your promotional period expires. SERVICE TERMS Visit Frontier com/terms, Frontier com/tariffs or call customer service for information on Frontier's applicable tariffs or price lists and other important Terms,Conditions and Policies("Terms")related to your Frontier Services-Local, Long Distance, High Speed Internet and/or TV- including limitations of liability and early termination fees In addition,as part of our Terms, Frontier has instituted a binding arbitration provision to resolve customer disputes(Frontier.com/terms/arbitration) By using or paying for Frontier services,you are agreeing to these Terms and that disputes will be resolved by individual arbitration. Hard of Hearing, Deaf,Blind,Vision and/or Mobility Impaired customers may call 1-877-462-6606 to reach a consultant trained to support their communication needs. 1 _T ® FISHERS ISLAND FERRY DISTRICT Page 3 of 7 ®ate of Bill 12/15/16 COMMUNICATIONS Account Number 860-442-0165-011484-5 CURRENT BILLING SUMMARY CUSTOMER 'TALK Local Service from 12/15/16 to 01/14/17 Qty Description 860/442-0165.0 Charge Basic charges If your bill reflects that you owe a Balance Forward, you 4 Centrex Bus Line 84.00 must make a payment immediately in order to avoid 3 Ace Ree Chrg Multi-Ln DCS 5,28 collection activities. You must pay a minimum of$330.25 Ace Rec Chrg Multi-Ln Bus 1.76 by your due date to avoid disconnection of your local 3 Federal Subscriber Line Charge 17.52 service. All other charges should be paid by your due date Multi-Line Federal Subscriber Line Charge 5.84 to keep your account current. 4 Inside Wire Protection 29.40 Other Charges-Detailed Below 3.28 The Federal Communications Commission (FCC)and the Federal Excise Tax 3.45 Federal Trade Commission (FTC)have established a 4 CT Service Fund .20 National Do-Not-Call Registry for consumers who do not CT State Tel Sales Tax 7.61 want to receive various types of telemarketing calls. CT State Sales Tax 2.09 4 911 Surcharge 1.12 Federal USF Recovery Charge 5.32 If you previously registered a telephone number on a State Total Basic charges 166.87 Do Not Call Registry, it should be included in the National Do-Not-Call Registry To verify if a number is included on _ Non Basic charges the National Registry, or to sign up for the National Rental - Gong 2.25 Do-Not-Call Registry,visit www.donotcall.gov or call the CSF1 Common Equipment 5.00 FTC's toll-free number at 1-888-382-1222 (TTY users, Federal Excise Tax .22 1-866-290-4236) from the number to be registered A CT State Sales Tax .46 telephone number stays on the National Do-Not-Call Total Non Basic Charges 7.93 Registry until a customer proactively removes it or Toll/other disconnects the line. If you change your telephone Business Block of Time 700 II - MTfP 35.00 number, you must re-register it. The National Do-Nat-Call FRONTIER LONG DISTANCE OF CT -Detailed Below 6.96 Registry is updated monthly. CT State Tel Sales Tax 2.98 Federal Regulatory Fee .71 Registration on the Do-Not-Call Registry will not stop all Frontier Long Distance Federal USF Surcharge 4.38 calls. Political groups and not-for-profit organizations are Total Toll/other 50.03 exempt from the law. In addition, unless you ask them not to,the law generally permits businesses with whom you have an established business relationship to call you. TOTAL 224.83 ------------------------------------ ___ ___________________________ Telemarketers who call consumers who have placed their telephone numbers on a State or the National Do-Not-Call ** ACCOUNT ACTIVITY ** Registry are subject to substantial fines. In addition, the FCC requires, among other things, that telemarketers Qty Description order Number Effective Dates transmit their Caller ID information and to unblock their 1 Late Payment Fee 12/12 3.28 numbers.There are also express rules that restrict and e60/442-0165 subtotal 3.28 govern the use of automated calling devices, unsolicited text messages and calls to wireless numbers unless the company obtains express written consent to place such Subtotal 3.28 calls and messages. Customers who do not wish to receive occasional calls about Frontier's products and services should contact Frontier to be added to our internal Do Not Call List,which is different from the State and National Do-Not-Call Detail of FrontierCharges registries Toll charged to 860/442-0165 If you have any questions or concerns about this matter, Ref # Date Time Min *Type Place and Number Called Charge please contact Customer Service. 1 NOV 14 2:23P .7 DO LEBANON CT (860)642-4377 .00 2 2 NOV 15 10:24A .7 DO MIDDLETOWN CT (860)301-4172 .00 2 3 NOV 15 2:24P 1.9 DO NEW HAVEN CT (203)410-8311 .00 2 4 NOV 16 1:55P 1.4 DO DEEP RIVER CT (860)790-5514 .00 2 5 NOV 16 2:08P .5 DO LEBANON CT (860)642-4377 .00 2 6 NOV 18 8:23A .9 DD NEW HAVEN CT (203)641-0215 .00 2 7 NOV 18 10:42A .6 DD NEWBRITAIN CT (860)828-6007 .00 2 8 NOV 18 2:04P 3.9 DD HARTFORD CT (860)810-7566 .00 2 9 NOV 18 3:14P 3.1 DD DEEP RIVER CT (860)526-9836 .00 2 10 NOV 20 10:56A .8 DD MIDDLETOWN CT (860)301-2496 .00 2 11 NOV 20 11:41A 1.4 DO STAMFORD CT (203)253-3975 .00 2 12 NOV 20 12:03P 3.2 DO CANTON CT (860)693-2828 .00 2 13 NOV 22 1:41P .8 DO BRIDGEPORT CT (203)650-0327 .00 2 14 NOV 22 2:23P 5.0 DO NEW HAVEN GT (203)645-1619 .00 2 15 NOV 23 10:32A 1.3 DD HARTFORD CT (860)573-3957 .00 2 16 NOV 28 1:20P 3.4 DD GUILFORD CT (203)453-1200 .00 2 17 NOV 28 1:49P .7 DD WILLIMNTIC CT (860)208-1005 .00 2 18 DEC 02 10:09A 2.3 DO GUILFORD CT (203)453-1200 .00 2 19 DEC 02 1:01P 2.1 DD MIDDLETOWN CT (860)347-7409 .00 2 20 DEC 05 8:33A 1.6 DO JEWETTCITY CT (860)376-2047 .00 2 21 DEC 05 10:20A 9.3 DO JEWETTCITY CT (860)376-2047 .00 2 . • • FISHERS ISLAND FERRY DISTRICT Page 4 of 7• ffler, Date of Bill 12/15/16 COFr' ov MUN �4TIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 22 DEC 05 3:09P 2.0 DD WATERBURY CT (203)754-5334 .00 2 23 DEC 06 1:36P 8.6 DO TORRINGTON CT (860)482-9642 .00 2 24 DEC 06 2:26P 8.0 DO LEBANON CT (860)642-4377 .00 2 25 DEC 12 9:54A .8 DO NEW HAVEN CT (203)640-1513 .00 2 8601442-0165 Subtotal .00 Detail of Frontier Charges Toll charged to 8601443-6851 Ref # Date Time Min *Type Place and Number Called Charge 26 DEC 02 9:58A .9 DD GUILFORD CT (203)458-5089 .00 2 27 DEC 12 10:38A 1.0 DD MILFORD CT (203)306-0052 .00 2 8601443-6851 Subtotal .00 --------------------------------------------------------------------- Detail of FrontierCharges Toll charged to 860/447-9371 Ref # Date Time Min *Type Place and Number Called Charge 28 NOV 16 1:55P .9 DD DEEP RIVER CT (860)526-9836 .00 2 29 NOV 16 2:21P 2.0 DD WATERBURY CT (203)754-5334 .00 2 30 NOV 17 9:43A .7 DO MIDDLETOWN CT (860)301-2496 .00 2 31 NOV 18 9:59A 1.0 DD OLD SAYBRK CT (860)399-3668 .00 2 32 NOV 21 2:22P .6 DD NEW HAVEN CT (203)410-0861 .00 2 33 NOV 22 10:58A 6.4 DD HARTFORD CT (860)278-7170 .00 2 34 NOV 23 8:45A 5.3 DD MIDDLETOWN CT (860)301-2496 .00 2 35 NOV 23 8:52A 2.0 DD NEW HAVEN CT (203)410-0861 .00 2 36 NOV 23 9:49A .5 DO NEW HAVEN CT (203)468-4509 .00 2 37 NOV 23 9:50A .5 DO NEW HAVEN CT (203)468-4503 .00 2 38 NOV 23 9:51A 1.1 DD NEW HAVEN CT (203)468-4501 .00 2 39 NOV 29 1:04P 1.0 DO NEW HAVEN CT (203)468-4503 .00 2 40 DEC 06 8:42A 1.6 DO MIDDLETOWN CT (860)301-2496 .00 2 41 DEC 06 10:21A 3.4 DO NEW HAVEN CT (203)239-5678 .00 2 42 DEC 06 5:51P .5 DO HARTFORD CT (860)803-1603 .00 2 43 DEC 08 2:53P 1.5 DO HARTFORD CT (860)250-9733 .00 2 44 DEC 09 2:08P 11.4 DD NORWALK CT (203)613-7181 .00 2 45 DEC 13 8:54A .5 DD OLD SAYBRK CT (860)575-4390 .00 2 8601447-9371 Subtotal .00 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/442-0165 Ref # Date Time Min *Type Place and Number Called Charge 46 NOV 15 9:50A 1.6 DO FISHERS IS NY (631)788-7744 .00 2 47 NOV 15 12:13P 1.7 DO FISHERS IS NY (631)788-7444 .00 2 48 NOV 15 1:05P .8 DD FISHERS IS NY (631)788-7857 .00 2 49 NOV 16 9:22A .5 DD FISHERS IS NY (631)788-7345 .00 2 50 NOV 16 1:53P 1.0 DO FISHERS IS NY (631)788-7345 .00 2 51 NOV 17 7:57A .8 DD RIVERHEAD NY (631)727-0170 :00 2 52 NOV 17 9:18A 5.4 DD FISHERS IS NY (631)788-7345 .00 2 53 NOV 17 9:25A 1.5 DD FISHERS IS NY (631)788-7345 .00 2 54 NOV 17 2:05P .5 DD FISHERS IS NY (631)788-7345 .00 2 55 NOV 17 2:31P 1.4 DO FISHERS IS NY (631)788-7345 .00 2 56 NOV 17 2:44P 1.5 DD FISHERS IS NY (631)788-7345 .00 2 57 NOV 17 3:00P 1.9 DO FISHERS IS NY (631)788-7463 .00 2 58 NOV 18 2:47P 2.4 DD FISHERS IS NY (631)788-7919 .00 2 59 NOV 20 11:37A 1.1 DD FISHERS IS NY (631)788-7855 .00 2 60 NOV 20 11:39A .5 DD ROCHESTER MA (508)789-3469 .00 2 61 NOV 20 11:42A 1.1 DD FISHERS IS NY (631)788-7940 .00 2 62 NOV 20 11:44A 2.0 DD CENTREDALE RI (401)349-5366 .00 2 63 NOV 20 11:48A 1.8 DD MCLEAN VA (703)893-9533 .00 2 64 NOV 20 12:20P 2.1 DD FISHERS IS NY (631)788-7919 .00 2 65 NOV 20 12:30P .5 DD MCLEAN VA (703)893-9533 .00 2 66 NOV 21 8:11A 2.5 DD FISHERS IS NY (631)788-5673 .00 2 67 NOV 21 10:04A 1.8 DO FISHERS IS NY (631)788-5546 .00 2 68 NOV 21 3:12P 2.1 DO BABYLON NY (631)943-7487 .00 2 69 NOV 21 3:19P 2.1 DO BABYLON NY (631)943-7487 .00 2 70 NOV 22 11:58A .5 DO FISHERS IS NY (631)788-7345 .00 2 71 NOV 22 12:27P .8 DO FISHERS IS NY (631)788-7857 .00 2 72 NOV 22 12:35P 1.5 DO FISHERS IS NY (631)788-7345 .00 2 73 NOV 22 12:37P 2.1 DO SOUTHOLD NY (631)765-3140 .00 2 74 NOV 22 12:58P 1.9 DO NEWPORT RI (401)239-8378 .00 2 75 NOV 22 1:55P 5.9 DD FISHERS IS NY (631)788-7857 .00 2 ® FISHERS ISLAND FERRY DISTRICT Page 5 of 7 Fr' onbw&%r Date of Bill 12/15/16 COMMUNICATIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 76 NOV 23 8:56A 1.6 DD FISHERS IS NY (631)788-7345 .00 2 77 NOV 23 9:17A 1.1 DD FISHERS IS NY (631)788-7345 .00 2 78 NOV 23 10:43A 1.8 DD FISHERS IS NY (631)788-5550 .00 2 79 NOV 23 1:06P 8.4 DD FISHERS IS NY (631)788-7345 .00 2 80 NOV 23 1:21P .5 DD FISHERS IS NY (631)788-7463 .00 2 81 NOV 23 1:33P 1.2 DD FISHERS IS NY (631)788-7919 .00 2 82 NOV 23 3:32P 1.2 DD FISHERS IS NY (631)788-7116 .00 2 83 NOV 25 9:58A 3.0 DD FISHERS IS NY (631)788-5546 .00 2 84 NOV 26 9:31A 4.2 DD FISHERS IS NY (631)788-7744 .00 2 85 NOV 28 8:52A .7 DD FISHERS IS NY (631)788-7455 .00 2 86 NOV 28 9:31A 1.1 DD FISHERS IS NY (631)788-7345 .00 2 87 NOV 28 12:41P 1.8 DD SOUTHAMPTN NY (631)377-6442 .00 2 88 NOV 28 12:45P 7.1 DD QUEENS NY (917)288-5896 .00 2 89 NOV 28 1:52P 7.9 DD FISHERS IS NY (631)788-7345 .00 2 90 NOV 28 3:40P 5.7 DD SOUTHAMPTN NY (631)377-6442 .00 2 91 NOV 28 3:54P 1.4 DD SOUTHAMPTN NY (631)377-6442 .00 2 92 NOV 28 4:04P .5 DD FISHERS IS NY (631)788-7463 .00 2 _ 93 NOV 28 4:29P 18.0 DD VENICE FL (941)202-0284 .00 2 94 NOV 29 8:44A .7 DO FISHERS IS NY (631)788-5550 .00 2 95 NOV 29 10:03A 1.5 DD SOUTHAMPTN NY (631)377-6442 .00 2 96 NOV 29 10:35A .9 DD SOUTHAMPTN NY (631)377-6442 .00 2 97 NOV 29 11:06A 2.9 DD FISHERS IS NY (631)788-7251 .00 2 98 NOV 29 12:10P .5 DD FISHERS IS NY (631)788-7919 .00 2 99 NOV 29 12:19P 10.1 DD FISHERS IS NY (631)788-7463 .00 2 100 NOV 29 3:19P .5 DD FISHERS IS NY (631)788-5673 .00 2 101 NOV 30 7:38A .8 DD FISHERS IS NY (631)788-7345 .00 2 102 NOV 30 8:58A 3.0 DD FISHERS IS NY (631)788-7345 .00 2 103 NOV 30 9:57A 1.5 DD FISHERS IS NY (631)788-7345 .00 2 104 NOV 30 10:55A 1.1 DD RIVERHEAD NY (631)727-0170 .00 2 105 NOV 30 12:04P .6 DD FISHERS IS NY (631)788-7683 .00 2 106 NOV 30 12:05P 1.2 DD FISHERS IS NY (631)788-7601 .00 2 107 NOV 30 1:31P .5 DD GROVE OK (918)314-4276 .00 2 108 NOV 30 1:31P 1.8 DD NWYRGYZN06 NY (718)314-4276 .00 2 109 DEC 01 8:24A .5 DD SOUTHAMPTN NY (631)353-8385 .00 2 110 DEC 01 2:02P 2.1 DD RIVERHEAD NY (631)727-0170 .00 2 111 DEC 02 1:09P .7 DD ITHACA NY (607)279-0178 .00 2 112 DEC 05 8:39A .6 DD FISHERS IS NY (631)788-5515 .00 2 113 DEC 05 8:40A 1.4 DD FISHERS IS NY (631)788-7227 .00 2 114 DEC 05 1:48P .6 DD BARNEVELD NY (315)896-6106 .00 2 115 DEC 06 10:38A 4.1 DD CHARLTON MA (508)248-9393 .00 2 116 DEC 06 12:40P .5 DD PROVIDENCE RI (401)952-7554 .00 2 e?ri 117 DEC 06 2:53P 2.0 DD FISHERS IS NY (631)788-7251 .00 2 s 118 DEC 06 3:34P 1.0 DD ALLENTOWN NJ (609)259-8900 .00 2 ,•.` 119 DEC 07 8:19A 1.7 DD FISHERS IS NY (631)788-5550 .00 2 120 DEC 07 2:16P 2.0 DD FISHERS IS NY (631)788-7444 .00 2 121 DEC 07 2:51P 3.2 DD RIVERHEAD NY (631)727-0170 .00 2 122 DEC 07 3:07P 2.5 DD BRONX NY (718)292-7911 .00 2 123 DEC 09 8:51A .5 DO FISHERS IS NY (631)788-7047 .00 2 124 DEC 09 8:54A 1.3 DD FISHERS IS NY (631)788-7716 .00 2 125 DEC 09 9:09A (631)765-2600 - - .5 DD SOUTHOLD NY 00 2 126 DEC 09 9:12A .5 DD FISHERS IS NY (631)788-7828 .00 2 127 DEC 09 9:13A .5 DD FISHERS IS NY (631)788-7318 .00 2 128 DEC 09 9:13A 3.1 DD FISHERS IS NY (631)788-5674 .00 2 129 DEC 09 9:28A 3.8 DD FISHERS IS NY (631)788-5674 .00 2 130 DEC 09 9:32A 1.0 DD BRENTWOOD NY (631)767-7180 .00 2 131 DEC 09 9:36A .7 DO FISHERS IS NY (631)788-7001 .00 2 132 DEC 09 11:48A 1.2 DO FISHERS IS NY (631)788-5550 .00 2 133 DEC 09 3:18P 15.5 DD NEW YORK NY (917)207-3559 .00 2 134 DEC 12 9:16A .8 DD FISHERS IS NY (631)788-7345 .00 2 135 DEC 12 11:57A .6 DD FISHERS IS NY (631)788-7345 .00 2 136 DEC 12 11:57A .9 DD FISHERS IS NY (631)788-7744 .00 2 137 DEC 12 12:11P .6 DD FISHERS IS NY (631)788-7744 .00 2 138 DEC 12 4:32P 85.5 DD LAKE PARK IA (712)432-0490 .00 2 139 DEC 13 12:27P .8 DD FISHERS IS NY (631)788-7251 .00 2 140 DEC 13 12:28P 1.3 DD FISHERS IS NY (631)788-7251 .00 2 141 DEC 13 12:34P 1.3 DD ST CLOUD MN (320)258-8097 .00 2 142 DEC 13 6:31P .5 DD FISHERS IS NY (631)788-7899 .00 2 143 DEC 13 6:36P .6 DD FISHERS IS NY (631)788-7889 .00 2 144 DEC 13 6:40P .5 DD FISHERS IS NY (631)788-7788 .00 2 145 DEC 13 6:41P .6 DD FISHERS IS NY (631)788-7889 .00 2 860/442-0165 Subtotal .00 o ® Fr- ontler FISHERS ISLAND FERRY DISTRICT Page 6 of 7- Date of Bill 12/15/16 Account Number 860-442-0165-011484-5 COMMUNICATIONS Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/443-6851 Ref # Date Time Min *Type Place and Number Called Charge 146 DEC 02 7:22A 1.0 DD FISHERS IS NY (631)788-5523 .00 2 147 DEC 08 9:45A .7 DO CONGERS NY (845)268-1802 .00 2 148 DEG 08 1:21P .6 DO NEW YORK NY (212)825-8153 .00 2 149 DEC 09 3:32P 1.0 DO FISHERS IS NY (631)788-7192 .00 2 8601443-6851 Subtotal .00 -------------------------------------------------------------------- Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/444-0320 Ref # Date Time Min *Type Place and Number Called Charge 150 DEG 05 11:19A .6 DO SEDGWICK ME (207)359-8920 .00 2 860/444-0320 Subtotal .00 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 8601447-9371 Ref # Date Time Min *Type Place and Number Called Charge 151 NOV 23 11:55A 6.0 DO VICTORIA BC (250)661-9229 6.96 152 NOV 15 12:20P 8.3 DO TIVERTON RI (401)816-5400 .00 2 153 NOV 15 1:54P 5.3 DO FISHERS IS NY (631)788-7463 .00 2 154 NOV 16 9:22A 37.1 DO SVFG GNTRL CA (415)363-0833 .00 2 155 NOV 16 2:58P .5 DO FISHERS IS NY (631)788-7116 .00 2 156 NOV 17 1:52P .5 DO WARWICK RI (401)736-1775 .00 2 157 NOV 17 1:53P .5 DO PROVIDENCE RI (401)829-5046 .00 2 158 NOV 21 3:25P 1.1 DO ALLENTOW'N NJ (609)259-8900 .00 2 159 NOV 23 9:46A .7 DO EPROVIDNCE RI (401)435-2379 .00 2 160 NOV 23 9:47A .9 DO EPROVIDNCE RI (401)435-2335 .00 2 161 NOV 23 10:07A 2.0 DO FISHERS IS NY (631)788-7345 .00 2 162 NOV 23 2:42P 10.9 DO FISHERS IS NY (631)788-7463 .00 2 163 NOV 28 12:12P 1.0 DO FISHERS IS NY (631)788-7345 .00 2 164 NOV 28 3:38P .5 DO NWYRCYZN01 NY (917)519-1376 .00 2 T, 165 NOV 28 3:41P .5 DD FISHERS IS NY (631)788-7463 .00 2 166 NOV 30 10:47A 4.5 DO RIVERHEAD NY (631)727-0170 .00 2 167 NOV 30 2:05P 4.8 DO LAWRENCEVL NJ (609)213-0781 .00 2 168 DEC 01 4:47P .5 DO FISHERS IS NY (631)788-7345 .00 2 169 DEC 02 12:01P 6.4 DO CHARLOTTE NC (704)941-8038 .00 2 170 DEG 02 12:32P .6 DO FISHERS IS NY (631)788-7444 .00 2 171 DEC 02 12:38P .5 DO NO PHOENIX AZ (602)279-0178 .00 2 172 DEC 02 12:47P .6 DO FISHERS IS NY (631)788-7444 .00 2 173 DEG 02 12:50P .8 DO ITHACA NY (607)279-0178 .00 2 174 DEG 02 1:03P .5 DO FISHERS IS NY (631)788-7632 .00 2 175 DEG 05 10:07A 5.1 DO FISHERS IS NY (631)788-5673 .00 2 176 DEC 06 10:26A .5 DO CHARLTON MA (508)248-9393 .00 2 177 DEG 06 11:00A .5 DO FARMINGDL NY (631)694-2300 .00 2 178 DEC 06 11:16A .5 DO OSSINING NY (914)762-1512 .00 2 179 DEG 06 1:44P .7 DO NEW YORK NY (212)549-0221 .00 2 180 DEG 06 3:13P 4.3 DO NEW YORK MY (212)549-0221 .00 2 181 DEG 07 11:30A .9 DO POUGHKEPSI NY (845)656-1676 .00 2 182 DEC 07 3:06P .9 DO BRONX NY (718)292-7911 .00 2 183 DEG 08 9:22A 3.1 DO VENICE FL (941)202-0284 .00 2 184 DEC 08 9:43A 75.0 DO VENICE FL (941)202-0284 .00 2 185 DEG 08 3:16P .9 DO FISHERS IS NY (631)788-7345 .00 2 186 DEG 09 8:55A 2.2 DO FISHERS IS NY (631)788-7345 .00 2 187 DEG 13 9:13A 2.0 DO FISHERS IS NY (631)788-7345 .00 2 188 DEC 13 11:09A .5 DO W CONMIACK NY (631)462-0039 .00 2 189 DEG 13 11:10A 1.2 DO W GOh1MAGK NY (631)462-0030 .00 2 190 DEC 13 11:55A .9 DO FISHERS IS NY (631)788-7345 .00 2 860/447-9371 Subtotal 6.96 ------------------------------------------------------------------ 700 MIN BOT 11 Summary 592 Mins. 0 $ .00/hiin. .00 Total Charges .00 Legend Call Types: DO - Day ® m ® ®®®%in ® FISHERS ISLAND FERRY DISTRICT Page 7 of 7 r° ' Date of Bill 12/15/16 COMMUNICATIONS Account Number 860-442-0165-011484-5 Caller Summary Report Calls Minutes Amount Main Number 125 356 .00 860/443-6851 6 5 .00 860/444-0320 1 .00 860/447-9371 58 235 6.96 ***Customer Summary 190 597 6.96 --------------------------- --------------------------- Caller Summary Report Calls Minutes Amount Intra-Lata 45 107 .00 Interstate 144 483 .00 International 1 6 6.96 ***Customer Summary 190 597 6.96 ='re •:3k 1 F�®ntie�� FISHERS ISLANDFERRY DISTRICT Page 1 of 3 Your Monthly Invoice COMMUNICATIONS Account Summary New Charges Due Date 1/09/17 Thank you for choosing Frontier. Visit Billing Date 12/15/16 business.frontier.com to get the latest information on Account Number 860-037-5764-111413-5 products, special offers and resources available to your PIN 1245 business. Previous Balance 55.00 Payments Received Thru 12/15/16 .00 Balance Forward 55.00 New Charges �6457Total Amount Due $ Text your customers--., • • ® � ® ® O before your,comPetitors.do. • Send dnd,re'ce'ive texts on your -<. ®, Pay Your Bill computer or mopi le device , ` 'r—1 , •., 1A t Useyourexistingbusiness' 2Pm; - Oniine:Frontiercom 1.800.801.6652 landline iiUmber, No"new equipment required FA Pay by Mail Frontier Texting, for Business,. G startin cit ust withqualiNing' 0 -', businessphV oneand T® Contact s Intemefpk6ge " F_rontierTextin •com/Promo Chat:Frontier Frontiercom/helpcenter ='I A one-time$20 activation'feo applies.Taxes„ governmental and Frontier impgsed surcharges 1.800.921.8102 Email:ContactBusiness@ftr com and otherterms and conditions apply.Frontier" • reserves the right to vvithdfaw this offer at any time ' 02016 Frontier Communications Corporation. Ewae Page 2 of 3 p Date of Bill 12115/16 COMMUNICATIONS Account Plumber 860-6337-5764-11113-5 For Billing and Service Questions,Call 1-800-921-8102,7 am-7 pm Monday-Friday,9:30 am-4 pm Saturday or visit wvvw.Frontier.com. HOW TO PAY YOUR BILL Pay online,by phone,by mad or at any Authorized Payment Location Paying by check authorizes Frontier to make a one-tone electronic funds transfer from your account,which could be transacted as early as the day your check is received. You can also set up recurring electronic payments to streamline your bill payment Visit Frontier.com for payment locations and more information PAST DUE BALANCE You are responsible for all legitimate, undisputed charges on your bill If your payments are not made on time,your service may be interrupted and you may have to pay a reconnection charge to iestoieservice Continued nonpayment of undisputed charges(incl.900 and long distance charges)may result in collection action and a referral to credit reporting agencies,which may affect your credit rating. LATE PAYMENT and RETURNED CHECK-FEES A fee may be charged for payments received after the due date or for a check that is returned by the bank for any reason IMPORTANT CONSUMER MESSAGES •Frontier periodically audits its bills to ensure accuracy which may result in a retroactive or future billing adjustment. Your basic local service may be disconnected if you don't pay basic service charges. Your basic service wont be disconnected if you don't pay other Frontier charges but this may cause other services to be terminated Frontier Bundles may include charges for basic and non-basic services 900 Information services are provided over telephone numbers beginning with the prefix 900. Your local and long distance telephone service cannot be disconnected for nonpayment of 900 charges. Be certain that you are only being charged for services you authorized You can call Frontier or the service provider's representative at the toll-free numbers provided in this bill with any questions about charges If you want only charges from Frontier on your bill,call us to ask for a block on your account at no charge to you Any changes to your service(s)will affect any discounts,reduced prices or promotional credits you receive. In addition,your rate will change when your promotional period expires. SERVICE TERMS Visit Frontier com/terms, Frontier.com/tanits or call customer service for information on Frontier's applicable tariffs or price lists and other important Terms,Conditions and Policies("Terms")related to your Frontier Services-Local,Long Distance,High Speed Internet and/or TV- including limitations of liability and early termination fees In addition,as part of our Terms,Frontier has instituted a binding arbitration provision to resolve customer disputes(Fiontier.com/terms/arbitration) By using or paying for Frontier services,you are agreeing to these Terms and that disputes will be resolved by individual arbitration. Hard of Hearing, Deaf, Blind,Vision and/or Mobility Impaired customers may call 1-877-462-6606 to reach a consultant trained to support their communication heeds. r ® ®®°® FISHERS ISLAND FERRY DISTRICT s Fr' iontier Pae 3 of 3 Date of Rill 12/15/16 COMMUNICATIONS Account Number 860-037-5764-111413-5 CURRENT BILLING SUMMARY CUSTOMER TALK Local Service from 12/15/16 to 01/14/1 Qty Description 860/037-5764.0 Charge Basic Charges If your bill reflects that you owe a Balance Forward, you B Other Charges-Detailed Below 9.00 must make a payment immediately in order to avoid CT State Sales Tax .57 collection activities. You must pay a minimum of$119.57 Total Basic Charges 9.57 by your due date to avoid disconnection of your local service. All other charges should be paid by your due date Non Basic charges to keep your account current. Frontier UV Max Broadband 120.00 High Speed Internet - Static IP - Business 15.00 The Federal Communications Commission (FCC)and the Other Charges-Detailed Below -80.00 Federal Trade Commission (FTC)have established a Total Non Basic Charges 55.00 National Do-Not-Call Registry for consumers who do not want to receive various types of telemarketing calls. TOTAL 64.57 If you previously registered a telephone number on a State --------------------------------------------------------------------- Do Not Call Registry, it should be included in the National _ Do-Not-Call Registry. To verify if a number-is included on ** ACCOUNT ACTIVITY ** the National Registry, or to sign up for the National Qty Description order Number Effective Dates Do-Not-Call Registry,visit www donotcall.gov or call the FTC's toll-free number at 1-888-382-1222 (TTY users, 1 Late Payment Fee 12/12 9.00 1-866-290-4236) from the number to be registered. A Frontier High Speed Internet Discount telephone number stays on the National Do-Not-Call AUTOCH 12/15 -80.00 Registry until a customer proactively removes it or 660/037-5764 subtotal -71.00 disconnects the line. If you change your telephone number, you must re-register it. The National Do-Not-Call Subtotal -71.00 Registry is updated monthly. Registration on the Do-Not-Call Registry will not stop all calls. Political groups and not-for-profit organizations are exempt from the law In addition, unless you ask them not to,the law generally permits businesses with whom you have an established business relationship to call you. Telemarketers who call consumers who have placed their telephone numbers on a State or the National Do-Not-Call Registry are subject to substantial fines. In addition, the FCC requires, among other things, that telemarketers transmit their Caller ID information and to unblock their numbers. There are also express rules that restrict and govern the use of automated calling devices, unsolicited text messages and calls to wireless numbers unless the company obtains express written consent to place such -` calls and messages. Customers who do not wish to receive occasional calls -- about Frontier's products and services should contact Frontier to be added to our internal Do Not Call List,which is different from the State and National Do-Not-Call registries. If you have any questions or concerns about this matter, please contact Customer Service. 1 1 , 1 1_________x_1 a_ 1_______ 1___._ - 1 1_..__._.___1 _..__..___1 ______-____ 11 ' FISHER,51SiAND FERRYDISTRICT VENDOR 007237 GILBERT ASSOCIATES, INC. 01/03/2017 CHECK 3737 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.400.100 2016-278) PROF.SVC-11/14-12/2"—RP 8-1-0.00 TOTAL 810.00 1 co _Ki• • r..<s�r�^.>a" - w<,..F. .-,. �_.,...am<r«.ac nx, .N .;az.-L;:; -_ .�.oy 1 ... �> :tit•: `�� .t�. Y r yw�5�" '�,)°.:w\':'P.c , m•VF<,,_',. "i<� !�•''-�y -• + Ji I 1 1 - f l I! EMU]. • • - - • • • • • e - -- -'-'- -___ `Y. YD RIM'� g,. '120 yes;✓rf,. fr1 ji.„ , kISHE1�S rM AND,FERR ' UDIT,, 1/3 r -530951W IN"ROAD:R0 BOX11;179'w•< r fA. f1a"rt.7, t'' `,r. 0 LO', Ya11971 _ _ ?r` '' �s LITHO ,.N, s �. `I;;}8,',',r7 :, .C1IECYC,';�`lU.•'i,r 7;3;7' - L AN „ ' r •THE�SUFFOLK CO..NATIONA Jnr -CUT,CHOGUE;�N.Y,+�1'J935t",:c:if':'"I,.�.,�.:`:•:;-- _ -_ -DATE_._-_ -_ _ .%AMO.UNT':.1';�;`:�:'1;•,ti`+ t . 1 ^d t�lu:;Ir� a Gl. ,vr.` _-e =e z_" __ §;�` :IN :.S+,t;2'7 'I,\.N SNI°,'?r' <, --_ - __ > _ •a C V pl ;,t`!7l�te,'fs' - pl,ai p,. ;�d ,I., ;:b d• 1 zi".a.° ', z; _ _ _ =Qt _ •r%,1',;J1`a�u ,1 ,I , d��:,. -"- -- - _ - r vp'w 1.°'''9``9e xq•.`.;' \�,� 1:C��; Vii:l� 8`l Os.O,O.Y •E�'; - -' •;9 ,•�r q ~n,5."= ;-s;'v-„�,, .1:' �_�. �. O1/;03``/,2�03>7- -.f ri i' µt! ;i„ .r? •� �'L,ws ;%i 1 }t l ah, :f» ':7• Vis• VI 9, ;r, °.4 >•4:^;t,.F EIG .T _T3 DRE_D,�.T'EN”"AND "�x0<):100 DOLLARS H UN _ 1' t 1./.. - _ -� - - '''1" A '1'�(' .T:`=l __ - -- -- _- t,} F'; -;1`�i •J+� I`?`` - xi - _ _ 1+'_.'y - - - " - fi - -_x ____p; .,.y, 'I - r11' _N t„' 1'fil� - '•'2' -; - - _ __” ,'§.;' „1 � - _ _ - ""- - ntr "-§ ,,r' ..r,Jn 1„:",•,;,r,'h` y%�'i.�. f.,.. �ti`cs. ir.i t y�.}i, 5r'' F t.` 4s( s1: I I al'. - <';ii, ,lat, _ _ - - - I d'`,t°Ilb•I u�"`t%'ll: a),ttr'h n.i. -- I .41.1-�1f`'t"1. .�7 �l, i=1" ..1' - _ _= _ �(�, ,FiL.:,u} fy1�`�h.t,•I�:� .1.'� ^-��_ - '_ _ _ sf�.'\f'i,l,�' r"Soro' _ ,,,', '„I+. M, - - - - �- - - -- "r•i 5^ "-_ ��'' s -- - - -"-t 'It" ,Y't f ”,.a`4 'I„'1•`y�%¢ TH�R�E' 4`z,:r,t:f10'O"IJYq.?G�R,1rO1.,SSM.AvN'_1.=D=-R 'sc_"5--SLIa`TEs2'i0';.;.,rL.^l-�' :d'{`i ,,.'tsrascOV�.�'.,„a�`, " ==-'-;•f;ra�ta,``_�z —__-_-- - -_tf`�ii�rsY,j9;'i hl,•i yp'4'`'.,1nXeal,�,,,yl`Ilh:,itBRAINTfZE&!MA+1 02184+ t I ¢2' .4yY ..a.r `I}�-A. •q= :,P.0,r,, :5"; "! „1'.,"`v'.f^`' {l• �?,1.;, i� 1' `'�' �`F,+ :t} ''i. 'd`f.4": .i;.•,,..1� .'s'� l •'s'+f "_ _ - .f;.y `at '.1. Ygv___ _" - - ;Y'�'!x�`'` bl�I'<'a •`Iv 'I:±'1'�4 � - - �Yt 3 -_ - c t}i: ___ 'i�r. "fel} iFJ�np,i° 'IY��iN: li - - _ __ _ _ _ r< "rel. {l,f 't` �:1 •t•. __ _ 1 -'vi'- =5'w -�_ -__ '.y, 'il'i t- y:i 1 l'i., I '-f "- _ _ 'i^n'_ _ _.}a ..j' -��1•'r t x,` .y iglt�;•,i��l 'd. _ _ _ _ __ �''-_ 1. _" _ >_ "-_ _-_ F ',1„ tg�' Trp, d - '•f,y..- - - __ - "-_-_ yE „n d, d ,$1,-�1 --_ ___ -"__- �->i --- t" --.i'"- - w"Y,i :I, -j",n'-�'r1�- '4+�'•r'' �- -.- _- --� - q f ,.. ,�� .> -- � � --- � --> , 1 12'p,p'3-7 3a7ii� +,x;0''2"i`4'0r54'E,4�: 1 '- DoiG Vendor No. Check No. Town of Southold, New York - Payment Voucher 7237 '373"7 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 100 Grossman Drive, Suite 205 Braintree, MA 02184 Audit Dat Gilbert Associates, Inc. J AN Q 3 2017 Vendor Telephone Number 781-740-8193 FY 16 Town Clerk '� �) Vendor Contact "4 a "`"y `S/� M, Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2016-278 12/7/2016 $810.00 $810.00 11/14-12/2/16 Prof Services SM5710.4.40O.1O0 Follow up on MSC, provide data for model, dead weight $810.001 1 $810.00 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 zn� Title Signature Company Name Fishers Island Ferry District Date 12/22/2016 Title / �" Date �Gci Gilbert Associates,Inc. 100 Grossman Drive Suite 205 Braintree,MA 02184 Invoice Bill To Date Invoice# Fisher's Island Ferry District PO Box 607 12/7/2016 2016-278 Fisher Island,NY 06390 P.O. No. Project No. Due Upon Receipt C-1147 Race Point 12/7/2016 Description Hours/Days Rate Amount For professional services rendered from November 14,2016 through December 2,2016 including:follow up with MSC on submittal and provide supplemental data for model,dead weight survey submittal Time: Karyn Cox 9 90.00 810.00 Total $810.00 '` 1 I " - I, I I• I 1 I I I - , I FISHERS ISLAND FERRY DISTRICT t � • VENDOR 019216 GRANITE GROUP WHOLESALERS, LLC 01/03/2017 -/CHECK I 3738 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ) AMOUNT ' SM :5710':2.000.100 9649766-00 MUNN-RUBBER COUPLING 8.32 -- TOTAL J I , 10 `aF$• c 'r `N a.".a".' s n> :tK^ /•�.<'.,... .w gib:'',` i4..�' , - I i I r— ' 1 r- I ` I „ I ,.n, P•,'. w1r, p.1 „ql ia�p'y'b�`lia,f""o- d-_=_` I yp•,"-`h s"�„ �, �4<<t 3, `I�' - r -- « <r{ "< =F�SHERSI�ISIANDFERR:YDISTRIGT.:', ITi1: ''3 'z`o"i� , , ,r`,6 d' s}` 53095'MAI N'ROAD,rPO BOX-1179:)","'?:; r ;<` <r.,v 'ri e y" "'q„\#L �d�ri ,. :CHECK - .i<, -- - -" il•1;10 f,a1 �I' j,�'4\;`_e a - -�- - °� .'I(1'r`[ K c v' "A-IOf�A B'ANK•° i U�F''OLCO.N,T ,Ls CHOGUEJ"dNYr11,1•935,}; 4' - = ✓_ "'�'~' I ••i y 'a, a,'` `_ = - -_'��:�;::_�_= cr. 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''de, „4; '<•t ".j,g4;�,t,.�,rr}'•;yr,., x} 't<!i, •t: >t`�I� ,},,I? a,y. �t," y,,.,(., 3: 'td:.a.e _- .spy], - J.'' rl• ',I -_ - f` ___ -__ -_- ii` fti:yii�3 "P�� ,i s"k (r'1'1` ! I '3'„_ 1''I7!, _-_i 'I•, _t` ',�'-” 1,5, 11� ,in'P•,q k''' oln 1`i .UI', =',i'= -_ _ _ __ ,I d'a,:1,L '1M"�``'<1' _ -_ _ _ !U __ t F;___ __ - tY. ,11111I I e. 'III tl N' I .I'' "!._{-�-., -_ _ - yrs'- '+I°r,{• I, I I;IS'd'„I;�,,( _ -- _ - 1'a I •�<,__-_=",�•.-..'i_ - D- '3-"___-:.F:1b 31•.P'1> ;'�Ix''t1.` >H.,s', ;r•,__ :'v:_ ' 1 :_ 2,L4-' 54641Ei,• 7381G __ _='f•”.-_--{.'_L•e•Rf' 'M r,s,y""�I' . :", 1'.I> ,,f I i.'t r;,` .,r's.--,/a�-',__--'.�(; _ .--_„_ 1, -_-004 S0. 2:,,>-aii;. ., ' S Vendor No. Check No. Town of Southold, New York - Payment Voucher 19216 "37:31? �--- Vendor Address Entered by P. O. BOX 2004 Vendor Name Concord, NH 03302-2004 Audit Date , Granite Group,The .J AN. 0 3 2017 Vendor Telephone Number 860-442-4348 FY 16 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 9649766-00 12/9/2016 $8.32 $8.32 Munn rubber coupling SM5710.2.000.100 ' 1 • = j i . 3 $8.32 $8.32 3 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 G%'' Signature Company Name Fishers Island Ferry District Date 12/22/2016 Title Date InvoiceNUMBER THE 12/09/16 9649766-00 GRANITE . • NO, SOLID AS OUR NAME Munn. 1 of 1 6 Storrs Street ' Concord,NH 03301 The Granite Group (860)442-4348 PO BOX 2004 Concord,NH 03302-2004 •VIEW ONLINE GO TO: CUST#: 27698 http://thegranitegroup.biIItrust.com ENROLLMENTUSE THIS • BILL TO: FDS TKS TXL 882 1 AB 0.399 E0248X 10407 D2073193192 S2 P3746418 0001:0001 SHIP TO: FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES PO BOX 607 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND NY 06390-0607 P O BOX 607 FISHERS ISLAND, NY 06390 INSTRUCTIONSPOINT ONLY STEVE TO CHRG New London PICK UP 12/09/16 ar 2%10thN30 LINE PRODUCT QUANTITY QTY. QUANTITY QTY UNIT AMOUNT NO. AND DESCRIPT(ON 0 RDERED SHIPPED B.O. U/M PRICE (NET) i "1 ';FER1056125 ( 2 - 2 '. _0 EACH E " "" 416 832 11056-125 1-1/4 Cl X CI/PL COUP 1 ' ;Interchange Prod*fern 1056125 ! � !•1 j Lines Total Qty Shipped Total 2 i Total ; 8.32, t Invoice Total 8.32 11 i Cash Discount 0 17 If Paid By,01/10/17 � 8 I I t i I Tired of All, The ClutterM ( Enroll in The Granite Group's Invoice Portal ( r� where you can view,print,download&pay your bills. ',,5. 1 y..' f=497-.13. t.'. ,`r Visit us at, htt //the ranite rou billtrust corn ! QUESTIONS?Contact us at. arquestions@thegranitegroup corn TERMS.A 2%per month service charge will be added to all invoices past due 30 days or more This is an annual rate of 24% All claims must be made within 20 days,no material may be returned without prior permission Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking charges THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,"LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS/ THE"TERMS AND CONDITIONS"LOCATED AT WWW THEGRANITEGROUP COM/1'ERMSANDCONDITIONSH ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE 0001:0001 yr. xr' THE GRANITE Ship From ; PICK TICKET ? GROUP The Granite,Group BR 44 x SOLID AS OUR NAME 75 JeffersonlAvenue www.thegranitegroup.com New London, CT 06320 www.ultimatebathstore.com (860)442-4348 Order# 9649766-00 Page # 1 Ship Point The Granite Group BR 44 Via PICK UP Terms ar 2%10thN30 Bill To: 27698 Ship To D Entered 12/09/16 FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES Promised 12/09/16 P O BOX 607 FISHERS ISLAND FERRY DISTRICT A Picked 12/09/16 FISHERS ISLAND, NY 06390-0607 P O BOX 607 T hipped 12/09/16 FISHERS ISLAND, NY 06390 E Request 12/09/16 S Printed 12/09/16 08:34 44c2 STEVE BURKE Instructions ONLY STEVE TO CHRG Taken By I eee I Sales In 44c2 I Sales out 41 1 Placed by I I Customer Plo I Munn. Staging Line Product Bin Quantity Quantity Quantity Qty Unit # Amount # And Description Location Ordered B.0. Shipped UOM Price Cartonz, (Net) 1 FER1056125 AB/07!001/002 2.00 0.00 2.00 EACH 4,1.6 8.32 1056-125 1-1/4 CI X CI/PL COUP Line Total 8.32 Invoice Total 8.32 dtjJ(5 THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS LLC'S STANDARD'TERMS AND CONDITIONS,LOCATED AT WWW.THEGRANITEGROUP COMITERMSANDCONDITIONS/THE'TERMS AND CONDITIONS'LOCATED AT WWW.THEGRANITEGROUP.COMITERMSANDCONDITIONS/ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE'TERMS AND CONDITIONS'AND AGREE TO AND INTEND TO BE BOUND BY THE'TERMS AND CONDITIONS'LOCATED AT WWW THEGRANITEGROUP.COM/TERMSANDCONDITIONS.BOTH PARTIES AGREE THAT THESE'TERMS AND CONDITIONS'ARE SUBJECT TO CHANGE. 1 Lines Total #of Lines Not Printed 0 Qty Shipped Picked By: Packed By. Checked By. Cube: Weight: Pallets Cartons Bundles Reels 0.00002 0.42000 Received By: Date Received: Customers Copy Page 1 of 1 ------------ ` FISHERS ISLAND FERRY DISTRICT VENDOR 008081- HARVARD PILGRIM HEALTH 01/03/2017 ` CHECK 3739' r" FUND & ACCOUNT' P.O.# INVOICE, ,/ DESCRIPTION AMOUNT SM 9060.8.000.000 074705134216 MED PREM RETRO NOV,DEC 781.44 G SM .9060.8.000.000 074705134216A MEDICAL PREM(21)'—JAN'17 16,151.91 TOTAL 16,933.35 V. XI W- � i{�•" .n.e.x,<p..a_,.'c. vs . n,-..a-wvu,.r,��" .,n .,. .•.K F••3•A:.•:?<ef.<s•',v.::.Lt•ary<:y�� ~I� .- I m , Ir. 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FY 16 -ct� cleik h Vendor Contact — - - - r Invoice Invoice Invoice Net Purchase Order .{.sa; :Number Date Total Discount Amount Claimed Number Description of(hoods or Services Geitcral t cdgcr FYutd Bnd Accouni NumbCr i 074705134216 _ 121712016 $781.44 ? $781.44 Med Prem Retro Hoyt Nov, Dec -5M90601.000.000`:." + $781.44 $781.44 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 die 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. /' r Signature 1<%'rr�''_ Tide Zill4 Signature G-�'" __.,_ �^ — Company Name Fishers island Fere District Date 12/29/2016 Title ✓��"'f Date -� Harvard Pilgrim HealthCare 000570 IMPORTANT:INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705134216 FISHERS ISLAND FERRY DIS INVOICE DATE: 12/07/16 261 TRUMBULL DR BILL PERIOD : 01/01/17-01/31/17 PO BOX 607 PAYMENT DUE ON/BEFORE: 01/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 37 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 37 PREVIOUS BALANCE $ 33,085.26 MEMOS $ 0.00 ADJUSTMENTS $ 781.44 AMOUNT PAID $ -16.542.63 ��- BALANCE FORWARD $ CURRENT PREMIUMS $ TOTAL AMOUNT DUE $ 34,257.42 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company F- FOLD AND DETACH AT PERFORATION FISHERS ISLAND FERRY DIS 261 TRUMBULL DR INVOICE#: 074705134216 PO BOX 607 INVOICE DATE: 12/07/16 FISHERS ISLAND,NY 06390 BILL PERIOD : 01/01/17-01/31/17 PAYMENT DUE ON/BEFORE: 01/01/2017 PLEASE MAIL PAYMENT WITH THIS STUB TO: CUSTOMER ACCOUNT#: 0150930000 HARVARD PILGRIM HEALTH CARE P.O.BOX 970050 PLEASE PAY THIS AMOUNT $34,257.42 BOSTON,MA 02297-0050 Enter Payment Amount Here 16, 133,35 PLEASE DO NOT WRITE BELOW THIS LINE 0150930000 0747051342168 0001693335 0003425742DC �1r7 Vendor No. Check-No. " Town of Southold, New York- Payment Voucher 8081 . 3739 " - • . Vendor Address _ Entered b}r PO Box 970050 Audit Date Harvard Pilgrim Health Care Boston, MA 02297-0050 ?.'JEAN 0 3 2017:-' - Vendor Telephone Number ---- FY 17 Town Clerk Vendor contact -- - - - -- — -- —---- Invoice Invoice hivoue 1 Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services 'General 6dgeir t=und'and ,count Num'bcar F , 074705134216 12/7/2016 $16,151.91 $16,151.91 Jan Medical Premium 21 sM9000.8:000.000 $16,151.91 $16,151.91 i 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 property been paid,except as therein stated,that the balance therein stated is actuativ 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 � /r J- Title_ Signature �- f Company Name Fishrrss Island Ferry District Date 12129/2016 Tttte f Date .l�z r Haryard Pilgr1.l:Y1. HealthCare 000570 IMPORTANT:INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705134216 row— FISHERS ISLAND FERRY DIS INVOICE DATE: 12/07/16 261 TRUMBULL DR BILL PERIOD : 01/01/17-01/31/17 PO BOX 607 PAYMENT DUE ON/BEFORE: 01/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 37 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 37 PREVIOUS BALANCE $ 33,085.26 MEMOS $ 0.00 +l ADJUSTMENTS $ 781.44 AMOUNT PAID $ -16.542.63 i BALANCE FORWARD $ CURRENT PREMIUMS $ TOTAL AMOUNT DUE $ 34,257.42 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company FOLD AND DETACH AT PERFORATION . I FISHERS ISLAND FERRY DISTRICT VENDOR 008140 HAYES SERVICES, LLC 01/03/2017 CHECK 3740 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 14836 SNOW PLOW�NG-PYMNT #3 1,4501`00 TOTALJ` 1,450.0'0 I <rana.+," .r�-•rw•...✓.�A v.F" ,....vasraw„>j.x>v,^ _ •.-�'..'" .,..ij•, sT' ' �� -... l 1 'e'4-i'• , Sc,s -•ate. r- -_ r f- i 1 J __ ,° •,°„3s�, ;E=., :'.�;; .;, ,t=„"�_°>}fx: r.fFtSF1��S�,ISIA1VDt=�`ERRY;7�l'5{TRTCTP,{ .... s, 6+ ''�•:.i4t:;,,3, '''° 53095.MAINROAD;.P,O,BOXt'1,779<:° .;1;`,''; >�.' q-��i r+eifa'v' '••i` .'�> ^C`r,^;.�;<; - ';I $,a. °,;;, e§, ".,'€'r• ;' t,si,<,r,rjt,. ;'SOUTHOLD„NY;1,1971=9,9,59° >,I;t. r- - :a #. 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''h�11 1, _`t'x - - - _ ' ,p'§. ,Ih' 11a I,ai y= HAY'ES='�"SER< ICESLC: _ �1' ` ,'. ;znt„a, `=' ` - - + , A �.- .- C„Iw,l ,�'I:i _ _ U-�-.• - _ yf p _ __ __ 'til Y'a -- O.�,4HE,�A"b`li,flhb'?.I'B'O�„nd'U; I - --- - _ - --- _- _- +1,,'t l',:�'ill's '"4lil, .l.r�`bI,;l"il'a^,P''a'l,p'ad f°dpr.,�,•' - __ _-_fy'"_= -- _ - _��tY t"'s F, if u1'I'a°l,l.i<p'„s I' ',iur,a'lV an�,1ilP r, r 1., =_- '- - _� ----- _ :s ,,f•:p".,',ail f, - _' <-_ - _ aJ1 ''d' ,'b° "r`" --;3.: - 'f, -,S`r" F't,'.: .l''c .1.--.L.{ fl NIANTIC� CT° 06'357t, -�_;i.;z;3 ,,,E ;•< - f I �" ,',',y xis.i' 0! a,1vY ."d:'i7,r4 •4,,y"S"^tai1,^, '.i�e4.f, t% ,:r. :<„iS 1.�'a ':.y.. �# .'I°° ,h`,"a>,.;,fr%t,''.a, t{' Jri;�:,a ''1.5' ,1, q$•n pr;i'i�x x.. <ia,;f xbl,.,- ,'ia': ,£,.y f;,-,S X1,1 Ef'�,: '21'bx-a „(, ^!`<i` 'f'`F.•x's":4 ':i'r,:<v n x°h a3;< •t' "fi ,'�°� - � a�ien�a;R+fn"<a��n'+/ -vla- •R d _ ••'e,r": 1�.1 x1•r lYl u - _ --.s._' -t "'r'a.. ,"a",4"q;'' 'Ye'I,,I "1,At 't' - - - ^s - >t --- = --- -?' {�S' - -- "• ';d` `r,'1,1a1a, �1';t -- _ _.i '4,•", '�J 1""-r�.-�"_.' - -cud-_ s'.''•' '`w: = - - _ _ _ __ wl: 11 'np�'' "1''•:.' _ _ -_� -____ _ _ ,'I°,1 °,al I•'-3 PI} 1'x''1;'11°Ib.d;'t =_ _ � _•1,` _ •.3,`_ __ ___ _ 'I ,I'i ll'' ull. 7i 11 s1UP'I`%,.t _ _ _ _=i�-_ ,I 11-d ail _ � :'.> _ _ ___ - __ ___ - - _ '75`- = 1;'. `,Ir .'11 ,rrl �„ t t-_ - __ __ .,u` �"1 al,, Id dl'1 nll', 1-','•1 - _ _ - -t`` ii•OD"3-74bii'l =i,;�:0\2p�a Iy.`l0'S''4;64i. _ 6Sg ;C70:L B 2)= =Vi' 00 Vendor No. Check No. Town of Southold, New York - Payment Voucher 8140 3740 , Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 635 Audif Date Hayes Services, LLC Niantic, CT 063571 Vendor Telephone Number FY 16 Town Clerk Vendor Contact 6,24 &'�& Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number s . ° 1 14836 12/20/2016 $1,450.00 $1,450.00 Pmt#3 Snow Plowing Contract SM5709.2.000:200 i 11/1/2016-3/31/2017 Per Contract 2016-2018 E ' d • Y $1,450.00 $1,450.00 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 exclude-d. or discrepancies noted,and payment is approved. Signature Title //Y — Signature Company Name Fishers Island Ferry District Date 12/22/2016 Title Date 21-(: n Hayes Services, LLC invoice PO Box 635 Niantic,CT 06357 Date Invoice# 12/20/2016 14836 BN To Kurt Hayes 860.625.5243 Fishers Island Ferry www.-hayesservicesile.com Distric 5 Waterfront Park kurthayes04@sbcglobal.net New London, CT 06320 email Billing Dept 860.444.6844 Terms For Month ... January(3) Due upon receipt Description Qty Rate Amount Snow Plowing Contract: November 1,2016 to March 31,2017 0.25 5,800.00 1,450.00 Fishers Island Ferry—District 5 Waterfront Park,New London 4 equal payments Please note that snow removal prices are additional as per contract; $125.00/hr Loader $115.00/hr Dump Truck 1 �_ $200.00/hr Loader Snow Blower /✓`�J You can now pay us online at:www.hayesservicesllc.com Subtotal $1,450.00 Locate the [PAY NOW] button located on our home page or Sales Tax(0.0%) $0.00 contact us page. Total $1,450.00 Click and you will be directed to a secure paypal link. Payments/Credits $0.00 Any invoice not paid within 30 days of issuance will he assessed a finance charge of 11/2%or a$5.00 fee (which ever is greater). Balance Due $1,450.00 FISHERS ISLAND FERRY DISTRICT VENDOR 012153 LIFE RAFT & SURVIVAL EQUIP', INC 01/03/2017 CHECK 3741 FUND & ACCOUNT f ' P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 61884 RP=LIFE RAFT INSP.RENTAL 3,750.65 TOTAL, 3,750.65 '�' 4:• ter:: :>��*; .,a'�jr. 'E t ::S.0 F.1•: .vx •a rY--� ^... a..,. ,•<..x-%" R w. af,n .1...•'``t:'"Y Y.-- f..ro+ •.v a^%1'i• <C'✓✓' w -- I I - -- - - ---- - -- -- - -- -- --- - -- -- - - - - r- -- I -`-" _ - - -_"-_ '�,„ 4 x---== ----` �.`--_ _-- 'r`e'r" .'u„i �',,p' ns'7oe'1•,In iaF ---.;J;' - _ - - _ !” tt�t 'A�:Li Cy. FISHERS 7aS•�NDi FERRY DIS7RrCT ,.. D' I ,'AU , MAIN ROAD.. 't:`y `a.a, nz v •w„y. ,,. 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JAN 0 3 2017 Vendor Telephone Number 401-816-5400 FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order z Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 61884 12/12/2016 $3,750.65 $3,750.65 RP Life raft inspection SM.'5710.2.000.200 Rental t t t $3,750.65 $3,750.65 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 7 Company Name hers Island Ferry District Date 12/22/2016 Title Date s Life Raft&Survival Equipment Invoice 590 Fish Road r . Tiverton,RI 02878 401-816-5400 Phone Date Invoke# 401-816-5411 Fax LIFE RAFT+SURVIVAL EQUIPMENT 12/12/2016 61884 LRSE.com Bill To Ship To Fisher's Island Ferry District Fishers Island Ferry District PO Box 607 Attn RJ Burns Fisher's Island,NY 06390 5 Waterfront Park New London,CT 06320 Customer Phone 860-442-0165 Work Order P.O. Number Terms Boat Name Rep Via Mfr. 24666 Net 30 RACE POINT SI LRSE V Elliot 50P&T 'Qty SIN Item Code Description Price Each Amount _ _1 PU/DEL ACCT PICK UP&DELIVERY- ACCOUNT 90.00 w 9000 1 R4866 XLR150I 50 PERSON IBA INSPECTION 998 00 998.00 l 2408633 QRFDELLIOT... ELLIO'T LIFE RAFT ONLINE CERTIFICATE 130.80, .._. 130.80 OF RE INSPECTION 1 L17-009926 µ QSU07770001 2017 USCG STICKER 990 990 _. :._:... - ._. ._. ... _.._ ' QSU3RA15271 LABEL ELLIOTLOGO' 8:24 ._:_.._.. ..16°48 1 QSU2RAI 1961 DECAL,THIS SIDE UP 3 00 3 00 2 QSU20883001 BLOCK,FQAM.FOR PAINTER EXIT -ffbo m 20.00 WIHOLE ' 8 QSU41423001 STRAP&CRIMP(RED TIP) 995 7960 _... . W 2. QSU062570Q9 CAP, aidSAFETY 15.96 31.92 6 QBR7520 D CELL BATTERY,DATED 1.45 870 QSU084130094 PU CEMENT40Z(TUBE) _ 24.95 24:95 2 QSU06729009 BATTERY,RFD CANOPY LIGHT M 21343 42686 1 C99195 QFGIMAR HAMMARHYDROSTATICRELEASEFOR 110.00 1.10.00 _-_._... _.. _. . ..__ w_.. __. :.__ LIFERAFT ..1 P8678&P8677 XLR150T TWIN 50 INSPECTION 1,30000 1,300.00 1 .2408637 QRFDELLI,OT... EI l IOT LIFE RAPT ONLINE MR CA I30.80 130.80 -OFWRE-INSPECTION —2 L17-009924& QSU077700012017 USCG STICKER � � -- 9 90 _ 1980 QSU42088011 LABEL,PAINTER 8.65128 8.65 2 QSU20883001 BLOCK,FOAM FOR PAINTER EXIT 10.00 20.00 WHOLE 8 QRFDBLACKI... STRAPS%CR11vtPS=WHT ONBLK TAB (1001? 10.00571 80.05 Subtotal Sales Tax (0.0%) Total Payments/Credits Balance Due Page 1 Life Raft&Survival Equipment Invoice 590 Fish Road Tiverton,RI 02878 , Date Invoice# 401-816-5400 Phone 401-816-5411 Fax LIFE RAFT+SURVIVAL EQUIPMENT 12/12/2016 61884 LRSE.com Bill To Ship To Fisher's Island Ferry District Fishers Island Ferry District PO Box 607 Attn RJ Bums Fisher's Island,NY 06390 5 Waterfront Park New London,CT 06320 Customer Phone 860-442-0165 Work Order P.O. Number Terms Boat Name Rep Via Mfr. 24666 Net 30 RACE POINT SI LRSE V Elliot 50P&T Qty r s` S/N, lterti'Code Description Price-EachAmount' 4 QSU06257009 CAP,RED SAFETY 15.96 63 84 1 QBR7520A„ D.CEI.LBATTER, DATED 4 17.40 2 Q3U08413009 PU CEMENT 40Z(TUBE) 24 95 "4-990 i E58431r QHAMMAIt IIAMMAR HYDROSTATIC RELEASE FOR 11'0.00 110.00 _. �. LIFERAFT 20P LRSE LOANER �S Subtotal $3,75065 Overdue accounts are subject to a SERVICE CHARGE of 1 1/2%PER MONTH of 18% PER ANNUM The purchaser agrees to pay all costs of collection including attorney fees Sales Tax (0.0%) $000 Total $3,750.65 Payments/Credits $000 Balance Due $3,75065 Page 2 I I• I I I -I 1 ' 1 I I I I / I FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY/CO. 01/03/2017 'CHECK 3742 FUND & ACCOUNT (1 P.O.# INVOICE DESCRIPTION , �` AMOUNT, SM .5710.2.000.200 91980759 RP- W SLIDE-BOLT LATCHES 143 .14 1. 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'Is'P' _ - =- ' .. .q, .1 .t .r"I, ,r4. _ _ _ __ - „11,.,•,4,” 'i f "=.J`.. - - - -_ I `'__ "1,f fe°.-`��I''9 fi r'`.F' ,F'r• ''il� `,Vt li'�1'i=1"I'" if I i'` -•'.3- '4�'7r.� 'Irl'.•.,1,",ez'' 1 t II _ - _� - _ _ _ _ ^,P' •tl ,f�' rl 1 ..,x,.`;,. _ - §.`2 _ ','tt. I°J1.J' 751f tan L,flulh ,i-.> ..1's=`J --'.i,•; _ - :+C - -_- ,f.;',t; tp'I{'} u1': ta''t Id",r`l1',I"J J,.,l sli - _ --_ _ z1.,'!{'' „ =.h .-N. - -`'J;� - tf'l,I�• .I',1'115"l� '.li'I..S t.t <,j, _ lost.__ <_ ,✓.-.a, -- iqJ i:•b y'i Id'! vF._ V •a RFs +� 3 4• 3£ II• O't3:7 42111":°,'r`,.0`2.,'Lt4"0 5 4`6'4'1. 6 8' 0 015 0 '2" '"i ; Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 374 Vendor Address Entered by��/��''" , P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. JAN 03 2017 Vendor Telephone Number 609-689-3000 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 91980759 12/6/2016 $143.14 $143.14 RP Slide-Bolt Latches 4) SM5710.2.000.200 I F $143.141 $143.14 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 l% � Signature Title Date Z'6 Company Name Fishers Island Ferry District Date 12/23/2016 %(/ �' MCMASTERmCARR.� Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order MUNN. Total $143.14 Invoice 91980759 Billed to Invoice Date 1216116 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$2 75 on merchandise if paid by 12/16/16. 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 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 10635A85 Lift-and-Drop Barrel Padlockable Latch Easy-Grip, 4 4 0 34.40 137.60 Slide-Bolt,304 Stainless Steel,3-3/8"Wide x Each Each 1-13/16"High Merchandise 137.60 n Shipping 5.54 Total $143.14 Packing List Shipped Weight Carrier Tracking 4199559-01 12/6/16 41b UPS Ground 1 ZO835200346093480 2 -,2A�( ! CJ 1jf s / h/ S i Iv) � oLOe2 L-,7 oL.1,0Z cry/3 -TC) L 2 70 r 1`� ,y Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 569 -------- = - FISHERS ISLAND FERRY DISTRICT I 1 I 1 VENDOR 013282 MORRIS & MCVEIGH LLP 01/03/2017 CHECK 3743 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 00010-50641 PROF.SVC.10/4-10/31/16 889.21 SM .1420.4.000.000 00010-50852 PROF.SVC.11/1-11/14/16 976.25 TOTAL 1,865.=46 o F. \ r- " - 1 _a ' f -_ _______ _ __ ____ __________ ___ I 1 , 1 . I - __Dasa � - , •r; > IShERS ISLAND FERRY DISTRICT AUDIT Y 1, •`2 017 53095 MAIN R 'AD,PO$QX�1.179 /' `/ S=OUTHOCD;, 0 59'' - �CHECIC' NO- ',', N i r ._ T.HtSU OLk'CO.NATIbNAL NK,`, F AM 'UNC"` _ •CUTCHOGUE;'1'NY�,19'S35" , -_ �A��_ _ _- Q 1„ 1^; t _ 01 X03.2bT",7, $1,865''46 50=5$61714' / / „e EWHOUSAND,•EYGHT'.HUND ;E SIXTY`.FIVE_ AND. 46/1Q0 'DOIsL}1RS - -- - - '�t''•r+�" r'I — ~�-_ - = __ - I "J;, � ^ - - - - _�•n":. tea,, ,tf•`• � .' �ra _ ,, r'Mb GH"I,hP ri'' f r',Ill 7 'DI — __'_ _ ,'I,';';''J +0, '.1'`,1, {,';','t'f '1 — +-- — — — — — '> ,4., ,i,;.'•„t 7,11,I'7yr. ,al, �HZRD 'AVENUE': M�''9:it�^; °,it".. —= _--_ _—- _——— •:'1{Y. Ai l� � _ —__—— r_#�'�'�• / ,�,v OF, NEW.-"'YORK;NY:'510017 , ,t , ,. ••S- a f.`,aE ' r:f S r }'� i E, % —— = 1.i' 'I+',;i'P, I�'°�,"• �" -1p'„1.,, I`• — — ,�I+„ ,1 - - _- l.- I , .1, �,�� ,I,'i 1,.t,' Ip, ,t�• - ___ - -- __ n 000 ' 14054'64�: E8 0'0=` 502' 1 � DrVendor No. Check No. Town of Southold, New York - Payment Voucher 13232 3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by- 767 Third Avenue ya- Vendor Name New York, New York 10017-2023 _ Audit Date Morris &McVeigh LLP JAN 0 3 2017 Vendor Telephone Number (212)418-0500 FY 16 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 239940^00010-50641 11/10/2016 $889.21 $889.21 Professional services from 10/4-31/16 SM1420.4.000.000 2299'40=00010-50852 12/9/2016 $976.25 $976.25 Professional services from 11/1-14/16 SM1420.4.000.000 $1,865.46 $1,865.46 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature1�5 Title ii�� Signature Company Name /f�D/� ate 12/23/2016 Title Date 2— ' C'G /q MORRIS & MCVEIGH LLP ATTORNEYS AT LAW 767 THIRD AVENUE TELEPHONE(212)418-0500 TAx ID#13-5519786 NEW YORK,NEW YORK 10017-2023 FAX(21 2)755-4476 FAx(212)421-0922 November 10, 2016 Billed through 10/31/16 BILL NUMBER 229140- 00010- 50641 RJMN FISHERS ISLAND FERRY DISTRICT MR. PETER RUGG, COMMISSIONER P.O. BOX 607 FISHERS ISLAND, NY 06390 FISHERS ISLAND FERRY DIS -GL FOR PROFESSIONAL SERVICES RENDERED: 10/04/16 RJM EMAILS WITH MR. RUGG REGARDING STATUS OF 0.25 hrs "WORK SESSIONS" . 10/07/16 RJM FOLLOW UP ON RETAINER AND REGISTRATION. 0.25 hrs 10/26/16 RJM TELEPHONE CONFERENCE WITH P. RUGG REGARDING 0.50 hrs STATUS AND PROCEDURE. 10/27/16 RJM TELEPHONE CONFERENCE WITH B. MURPHY AT S. 0. 50 hrs LAVELLE' S OFFUCE; TELEPHONE CONFERENCE WITH P. RUGG. 10/28/16 RJM ATTENTION TO PROPOSED LEGISLATION AND 0. 50 hrs POSITION PAPERS. 10/31/16 RJM CONFERENCE WITH JOHN VERO REGARDING POSITION 0 .25 hrs PAPER. TOTAL FEES FOR THIS MATTER $888 .75 DISBURSEMENTS 10/31/16 POSTAGE CHARGES 0. 46 TOTAL DISBURSMENTS FOR THIS MATTER $0. 46 BILLING SUMMARY TOTAL FEES $888.75 TOTAL DISBURSEMENTS $0.46 TOTAL CHARGES FOR THIS BILL $889.21 NET BALANCE FORWARD $0. 00 ft � TOTAL BALANCE NOW DUE (CORRECTED BILL) $889.21 �I" PLEASE REMIT PAYMENT TO: MORRIS & MCVEIGH LLP; 767 THIRD AVENUE; NEW YORK, NY 10017 ------------------------ FED WIRE PAYMENT OPTION: THE BANK OF NEW YORK MELLON; ABA # 021000018; CR: MORRIS & MCVEIGH LLP; A/C 4 090201-8647 ------------------------- FINANCE CHARGE OF 1% WILL BE APPLIED TO YOUR UNPAID BALANCE AFTER 60 DAYS MORRIS & MCVEIGH LLP ATTORNEYS AT LAW 767 THIRD AVENUE TELEPHONE(21 2)41 B-0500 TAx n#13-5519786 NEW YORK,NEW YORK 100 17-2023 FAx(21 2)755.4476 FAx(212)421-0922 December 9, 2016 Billed through 11/30/16 BILL NUMBER 229140- 00010- 50852 RJMN FISHERS ISLAND FERRY DISTRICT MR. PETER RUGG, COMMISSIONER P.O. BOX 607 FISHERS ISLAND, NY 06390 BALANCE FORWARD FROM LAST BILL DATED 11/10/16 $889.21 PAYMENTS APPLIED SINCE LAST BILL 0.00 CR NET BALANCE FORWARD ` $889.21 FISHERS ISLAND FERRY DIS -GL FOR PROFESSIONAL SERVICES RENDERED: 11/01/16 QJGF REVIEW OF BACKGROUND MATERIALS RELATING TO 1.75 hrs PROPOSED REVISIONS TO ENABLING ACT AND FERRY DISTRICT. 11/03/16 RJM ATTENTION TO FILING/REGISTRATION. 1. 00 hrs 11/14/16 TAD TELEPHONE CALL WITH P. RUGG; ONLINE 0.25 hrs 11 APPLICATION FOR CLIENT USER / ID IN ORDER TO �N COMPLETE MANDATORY NYS ETHIC'S FILINGS TOTAL FEES FOR THIS MATTER C$976; BILLING SUMMARY U TOTAL FEES $976.25 TOTAL CHARGES FOR THIS BILL $976.25 NET BALANCE FORWARD $889.21 TOTAL BALANCE NOW DUE (CORRECTED BILL) $1, 865. �" PLEASE REMIT PAYMENT TO: MORRIS & MCVEIGH LLP; 767 THIRD AVENUE; NEW YORK, NY 10017 ------------------------ FED WIRE PAYMENT OPTION: THE BANK OF NEW YORK MELLON; ABA # 021000018; CR: MORRIS & MCVEIGH LLP; A/C # 090201-8647 ------------------------- FINANCE CHARGE OF 1% WILL BE APPLIED TO YOUR UNPAID BALANCE AFTER 60 DAYS Arena, Laura From: Gordon Murphy <gsmurphy@mac.com> Sent: Wednesday, December 28, 2016 4:51 PM To: Arena, Laura Subject: Fwd: Morris & McVeigh Laura, Please see below. Going forward they will be broken out. Foster$525 Miller$395 Daley$56.25 Thanks, G GSMurphy +1860 389 2277 Begin forwarded message: From: "Corey, Laurie"<Ilc@mormc.com> Date: December 28,2016 at 16:42:03 EST To: 'Gordon Murphy'<gmurphy@fiferry.com>,`gsmurphy@mac.com`<gsmurphy@mac.com> Cc: "Miller, Richard J."<rim@mormc.com>, "Daley,Tina"<tad@mormc.com> Subject: FW: Morris&McVeigh Mr. Murphy, Attorney Miller (RJM)has a rate of$395.00 per hour Tina Daley(TAD) Paralegal, has a rate of$225.00 per hour James G. Foster(QJGF) is an Associate,his rate is $300.00 per hour I hope this helps clarify things. Best, Laurie Laurie L. Corey,Legal and Personal Assistant to Richard J. Miller, Jr.,Esq. Morris & McVeigh LLP 540 Broadway, 70'Floor Albany, New York 12207 Telephone: (518) 426-8111 Facsimile: (518) 426-5111 Email: llcna,mo rmc.com www.morrisandmcveigh.com i Confidentiality Disclosure: The information in this email and in attachments is confidential and intended solely for the attention and use of the named addressee(s). This information may be subject to legal professional or other privilege or may otherwise be protected by work product immunity or other legal rules. It must not be disclosed to any person without our authority. If you are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are not authorized to disclose, and must not disclose, copy, distribute, or retain this message or any part of it. 2 AMENDED RETAINER AGREEMENT (Retainer period 911/16-12/31/17) This Agreement dated as of September 1, 2016 confirms that Fishers island Ferry District ("The Corporation"), has engaged the law firm of Morris & McVeigh LLP ("M & M"), to represent and advise it in connection with matters before the New York State government and assist The Corporation in the following areas: • Provide strategic advice and work closely with The Corporation to achieve favorable consideration of its interests in Fishers Island, Town of Southold, Suffolk County,New York; • Establish and maintain close communication with key government officials on relevant legislative and regulatory issues and keep The Corporation informed of the status of such issues; • Assist The Corporation in tracking key issues of interest and other activities as directed; • Prepare for and accompany The Corporation or others The Corporation may designate,at any meetings with government officials; • Render any other lobbying or other professional assistance that is appropriate, including assistance with the preparation of any reports or other filings as directed by The Corporation. M & M. agrees to maintain regular communication with The Corporation. The Corporation agrees to support the efforts of M&M,as necessary,including the assistance of The Corporation in drafting the legislation as well as focused contact by The Corporation members with appropriate governmental representatives. The charges for M & M's set vices will be billed monthly pursuant to the hourly billing rates attached. Richard J.Miller,Jr. will be the lawyer principally assigned to these matters. This Agreement shall be effective for the period of time of September 1, 2016 until December 31, 2017, payable monthly by invoice. This Agreement may be extended by mutual, written agreement. In any case, if this agreement has not been re-negotiated as of the expiration of the retainer term hereinabove mentioned, the terms of this agreement shall control until either a written termination letter or new retainer letter is received. During the course of M&M's representation, M &M will incur out-of-pocket expenses on behalf of The Corporation from time to time,which shall be charged to you as disbursements. When the amount incurred for any outside vendor service exceeds$1,000,which is not currently anticipated,M&M may forward the vendor's invoice for direct payment. M&M will forward an invoice monthly (around the 1" of the month) for all professional services rendered and disbursements made on behalf of The Corporation during the preceding month. The parties agree that tasks,projects or work may arise that could require greater effort of M&M than conternplatcd by this Agreement,in which case this Agreement may be amended in writing by the parties. The Corporation retains the right to terminate this Agreement upon thirty days written notice. This retainer'agreement may be executed by the undersigned in separate, identical counterparts,all of which taken together shall be deemed to constitute one original. FISHERS ISLAND FERRY DISTRICT By: Gordon S phy,Assistant Manager MORRIS&MoVEIGH LLP By: Richard J AMENDMENT TO RETAINER BETWEEN MORRIS&MCVEIGH LLP AND FISHERS ISLAND PERRY DISTRICT HOURLY BILLING RATES Regular hourly time charges are billed on a portal-to-portal basis and currently are as follows; Attorneys $395 per hour Paralegals/Clerks $225-$350 per hour Regular hourly time charges are subject to periodic increase upon written notice, Out-of-pocket expenses that may be incurred include, without limitation, photocopying (@ 0.12 to 0,25 per page), computerized legal research fees, express courier or messenger service charges, postage charges, including specialty mail services, facsimile and long-distance telephone charges and fees for service of process and other papers. You agree to make payment directly to third parties for costs in excess of$200, upon request. The fees and expenses of expert witnesses and accountants are outside the scope of this retainer and are subject to the approval of the client and to separate agreement. This amendment may be executed by the undersigned in separate, identical counterparts,all of which taken together shall be deemed to constitute one original. Agreed to this Z(fHay of December,2016. Ric and J, iller,Jr. Go .Murphy,Assistant Manager , I I ' 1 I 1 _ - _ I I I' I I r 1 .I I FISHERS ISLAND FERRY DISTRICT VENDOR. 016492 PITNEY BOWES, INC. r 01/03/2017 CHECK \ 3744 1 FUND & ACCOUNT r P.O.# INVOICE DESCRIPTION` , "AMOUNT SM .5711.4.000.00'0 100271485 PSTG METR RNT 1/'1-3/31 85.24 TOTAL _ 85.24 �_ � .°.�,�``:+r,�a"as.;-- � •.-moo-- E' . , r `t _ 1 M1 t , ".__- o=_-_ fd',(Ix 'd. d'tiln''ll`'a ,A ,aae•x�`.Y:a_-."'A�; - _ .A<_ i.y'I'J t f- 'Y w" '>kc "?2.4; ,4• t° ,t'' _ "f°'� IS'ZA1VD`=FRRYDIST`RIC'Z'`': 'i$FIS i d 1,/'<3'l2'0']:`7 'P,O:BOX+1,179,'°'', `�iJ�u,�r;s'{.f`s•:+`:rw:t;-'� -:i'� - �f,, ''i> v�S'r53095,MAlIV'ROAD,r .3,a;,: " S., `fr CK,.IQ,OO ;Y a;i,,i`,3;'74;,4;'+jG�r,,,f t;• 'r- '�rd'r.' .!' - '€_ THE,SUF`FOLK CO.NQT,IONAL B','NK '' AMOIINT. ri' .I`^i::;.•„� rll"•,1, _ "��'#'�"- - r.{”n 'I IY i ,� E,4 11'..1. ✓£ _ .1,. __ - -_" _ _rj - .f°, .l x •l, fi"11. ,v I ,al• -a' "i - ;1,I'1✓1 of IIL,1'fta rf LIP N ¢' Y`91 la� _�•bl- - - 'd ,U ,J,} :; :0:1;03`;2017 �`•` 5;`. , r i">S ? 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JI '',1"r'`-= � x��- .a ,a°�`t 1,1;, .1 11�' :-- 11('0_0 -- llf�, f;+Id;J1 J's{� - '{'_ _ s`_.{i - .�]'t't�` ,[ ,1 ,J.khl'{"{r•J,`t li - -r`}'_ i-- - ;, 1 •e:'r la >Ilt'ad J a•< - - _ "--6s _ii,`€'• rr`. M1P-__- - � _-_ ;Y¢„ah q%:a.,l'. ,,,'< ;.is h,;; __ _ _ __ __ S',J`' S;`,y;' �'t, ,:},'” .`I.3's''t'1�>.'y _ '}'�.--e•--' _ _- 1.'`. �Y Ix a d 9. `1i` 0=0^3-7 i�' �.0 2 i 4 0'5 4 6 4'�: "'6 8'r 00150'2-111'rJ � { C IQ -7 : 7) Vendor No. Check No. Town of Southold, New York - Payment Voucher _ 16492 , 7144 . Vendor Address Entered by�./��—" PO Box 371896 Pittsburgh, PA 15250-7896 Audit Date Pitney Bowes JAN 0 3, 2017 Vendor Telephone Number 800-228-1071 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 �6-6Q 1002714585 12/12/2016 189A8 Postage Meter Rental SM5711.4.000.000 - �ss,aLf 01/01-03/31/17 ! • r k Lf a 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 Date Company Name Fishers Island Ferry District Date I�- J�,3 l 16 Title � �/ Account number: 0015132475 .�pitney bowes �ll� Account name: . FISHERS ISLAND FERRY Page 1 raf 4 Rental invoice# 1002714585 December 12, 2016 SUMMARY OF YOUR CHARGES PAYMENT INFORMATION Current charges $85.24 Payment of$92.59 is due by January 11, 2017 Pay online [;;Z4 Pay by mail with Total tax $7.35 pitneybowes.us/sigmn attached coupon TOTAL DUE 01/11/2017 Pay by Phone a 800-228-1071 See reverse side for invoice details. I Clients with rental meters may see postage refill charges from Questions on your Invoice? prior billing periods that were not billed. Going forward,your •Please see the dine item details on the following pages. postage refill charges will appear on your next Pitney Bowes •Oryou can ca11800-228-1071 Monday-Friday 8AM-8PM EST invoice. Additional important information follows the invoice details. Manage your account online for 24/7 access to view and pay bills -Ensure on time payments by signing up for automatic payments. -It's efficient,easy,secure and the best part about it-there's no extra charge. Get started at pitneybowes.us/lignin To pay by trait,please cIOMplete and send the toulpan below,Please-41(aw 7-10 days for Mail and PrOce4sJ49 time. DUNS 00116- Page 1 of 4 1793,TAX ID 06-049 50 50 Tearall here N-006465 — Account number Invoice number Invoice date itneybowes (W 0015132475 1002714585 December 12,2016 Page 2 of 4 DETAILS OF YOUR CHARGES Contract 4 0040360520 Billing pertaM 01/01/2017-03/31/2:1F47 Totals Location account: 0015133256 Location: FISHERS ISLAND FERRY,261 TRUMBULL DR,FISHERS ISLAND,NY 063908021 pesiriptioa 'fatal CD Subscription Service for K7M0 $0.00 N Product#i:K7TT N K7M0-Mailstation2rm Meter $77.25 Product##:K7M0 0 0 Product f6: K7M0 ,Ca Serial q: 0594495 v 0 0 Wire Transfer $0.00 0 Product#i:WIRETRANSFER 0 h Postage Advance Fee $0.00 Product##:ADVANCE Postage Refill Fee $7.99 Product##:RESETS Activity dates: 12/01/16 State tax P$3.4County tax District tax $0.32 Contract## 0040360520 Total $92.59 TOTAL DUE $92.59 Page 2 of 4 continued next page �� Account number Invoice number Invoice date pitney bowel (� 0015132475 1002714585 December 12,2016 Page 3 of 4 Ili Important information Access the following activities On our website: This transaction is governed by the terms and conditions of the applicable Pitney Bowes agreement,current as of the date of this invoice unless otherwise agreed -View and pay bills to in writing by the parties -Order Supplies -Update account information Payment -Access technical support If we do not receive your payment by the Payment Due Date,late fees will apply. It's easy. Go to pitneybowes.us/siinin If your payment is returned,you're liable for any charges we incur If you make a partial payment of the payment due,it doesn't change your contract or obligations to us. 1 I� i I - J� I� 1 I I I Account number Invoice number Invoice date pitney bowes 0015132475 1002714585 December 12,2016 Page 4 of 4 This page intentionally left blank 0 N N N_ N O O N O O O Ln 'O i � v .o 0 0 0 0 n 0 J J I l FISHERS ISLAND FERRY DISTRICT VENDOR 014156 READYREFRESH BY NESTLE 01/,03/2017 CHECK 3745 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710:4.000',.000 06LO441584661 5GAL WATER(9)11/11-12/10 100.74 TOTAL 100.74 t -- , >d<`...♦..Y.'..�; .... ti1`Ax'3^.'::Ger•^ ••�'�`��`.a-;«w,�°,i.';•.PT'a I , I a..:,en ... ...nx „v.n..e:.I. _, u« xn.x K ......u.„. "x...T�.iY..•F.s.Ntf`.:�.4+. ..1.r. r .a..•p.•n-!.Y> r� I �',. F+�,•FeS , I I I I ' r I , I , - - __ :.-. o[`_t 'ilnx•4'tl'Y'u 1pi=1';d. '�i„glyl Z.1 :r`� _ - _- _-,�S��K moi.' 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"2a::: ,iii I CPO I Vendor No. Check No. Town of Southold, New York - Payment Voucher 14156 Z745 Vendor Address Entered by Vendor Name PO Box 856192 ReadyRefresh by Nestle Audit Date Div of Nestle Waters North America Inc. Louisville,KY 40285-6192 JAN 0 3 201 Vendor Telephone Number 800-950-9396 FY 16 Town Clerk Vendor Contact n" Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 06L0441584661 12/12/2016 $100.74 $100.74 11/11-12/1.0/16 water 9 SM6710.4.000,000 delivery, rent, CT sales tax $100.74 $100.74 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 are excluded or discrepancies noted,and payment is approved Signature Title Signature L� Company Name Fishers Island Ferry District Date 12/22/2016 Title Date Rqad y - eservice.readyrefresh.com = • • Refresh #215 6661 DIXIE HWY,SUITE 4 11/11/16-12/10/16 06LO441584661 NUMBER LOUISVILLE KY 40258 AND QUENCH _ I s I ADDRESS SERVICE REQUESTED UPCOMING UNTINIUMBER IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THE- DEC 29 0441584661 TUE- JAN 31 THU- ` MAR 02 Access your delivery calendar FRI- MAR 31 at eservice.readyrefresh.com I ' FISHERS ISLAND FERRY Customer Service: 1-800-274-5282 GORDON MURPHY Did you forget about us? Kindly pay upon receipt. PO BOX 607 Remember,past due accounts are subject to a late fee. FISHERS ISLE NY 06390-0607 Your prompt payment is appreciated. For your I�'�IIII""III'�I�I�IIIIII'��II��II'lll��'ll'I'll'1��11'I'��II convenience,you can pay your bill online. If payment has been made,we thank you. ----�:-_-�-�-_--_�� Customers=that=re—istec=at=KC Refresh:com en'o:aezcltin:ieaturesdand=iienefits-=,�dana ewanii=track-orde�sl g_iv-_�r _ wy� Wim= ;- =.y:= g Check out the latest offers! Enroll for__text alertsabQU rQurdellv_e. !_ _ Y _ _!_Y ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274.5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPTION Delivery address: FISHERS ISLAND FERRY,5 WATERFRONT PARK, FERRY OFFICE,NEW LONDON CT 06320 PREVIOUS BALANCE 65.21 11/29 4554154437 9 5 GAL PS HANDLE SPILL PROOF 61 92 BOTTLE DEPOSIT 9 CHARGED, 5 CREDITED 2000 12/10 4563442757 1 DELIVERY FEE. /Ij 3.95 L9684195 RENT r.;f, ✓ I 1" 1398 SALES TAX ' ' `� �' '` } ',� 89 TOTAL "">> G a 16595 AND GUENCH ".`°•� --! �- ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENTURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 65.21 0.00 10074 = 165.95 - BILLING RIGHTS SUMMARY , Date range of this; IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR s invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: Yp ESERVICE.READYREFRESH.COM OR WRITE US AT: Ready 00/00100-0,0100/00�-- — Your Account Number 23456789 READYREFRESH BY NESTLE _` TRR-D a M.*OCT W29 Watch here for a #216 TUE- EC 21 ✓personalized account Important ,�tpt�r��pG1'QwGtGtait'ttt9'dtntSlG'@�tvm NE-DEC IB 6661 DIXIE HWY.,SUITE 4 message Customer SeNice 1-BW-274-5282 LOUISVILLE,KY 40258 news and Cry 50eSt Thank You tot using RoOdyRetmsh Prod" offers Duy 5"�ZIPand services a�tp,n,qlf'mW'Gdtatpatthtp'p!d'pq'atpw' Pay electronically If you think your bill is wrong, or if you need more information about a transaction oni our bill,write us on a }' aaam ,e��ya Make sure this separate sheet of paper.We must hear from you in writing no "`:_'': "amount has been later than thirty(30) days after we sent you the first bill on Activity - bYo wea eaemeeReadyRetreehmmo byPhana ^p y' ACT VRY —Pay paid in full to since your AccODM"_ avoid late fees which the error or problem appeared.You can telephone us, last invoice Debvery Address John Doe,123'"'54�Y9tale0W00 w kx ' xxxk but doing so will not preserve your rights.In your letter,givek,a Previous Balance g6r898 s Payment-ThankYou ter.,'•; us the following information: 09/» 3»BBTt^^° s sGanon NaNral sp gw-E J r? k 0 n, 31]BBSraaN s 5Ga11on0ePa:!�( ,-,-, OW 09111 3170B514µ 1 5G00DRetom tIPL 064 09n2 1' 97 OeIN¢ryEee Y G�`�"' Iii`i+ AUDI • Your name,address,telephone and account numbers. !t< Teta • The dollar amount of the suspected error. • Describe the error and explain if you can,why you 00.PT?wAN - PAIM believe there is an error. ACCOUNTSUMM�Y �� xx a RR Payment ,�. - ------------ BAV TRis M30UNT o_un•-oNd,mBmAMr.a^"^Tv'y", m ACCOUNE NUMBER 00100100 -.I You are obligated to pay the parts of your bill that are not 2"5DIEE BIWNG DATE AMT u nusE B4vNUMBER 00J001oo 6]890 in question. You do not have to pay the disputed amount 12345 00407018 y" while it is being investigated. During the investigation,we 0420096307 04282712619 °0°391049 `Amount due cannot report your account as delinquent or take any action = e^^ 123 Mam Ss to collect the amount in question. = E'"'$Ld1e 00000 FOP NSTO MTA SQi`AEE(ALL 18'A"27b5381 5 o6tpmgplat!4upalalgignlq'Pld'Pq'dtprr ❑„1a D"9ho s9a1roF�DnPeKx "y`Submit your GENERAL INFORMATIONwwPR�aAo� payment by 1. Past due invoices(not paid within 30 days of billing - this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. ® V twaikkwr Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh , . 1 FISHERS ISLAND FERRY DISTRICT VENDOR 018571 DEANNA L ROSS01/03/2017 CHECK 3746 ' t FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.1000 4 SVCS TO BOC 11/2-11/29 245.00' TOTAL 245.00 1 el A 1 I - m , a ,.<¢°� M':•.:: - - gt-^. .�.•;3:s Y.;s?.::>.�j`v jy.'N..'v? `v,:;P'i _... ..__ -?:$:�i :+:ee. ;,,::•8'6^ ri`s:va eY4s oh 4 ,y''G::�a,', v.++::'•: - ` 3:`•'�'}art 1 t 1 ___ -"_ - _-- - ,'N', ,0 O;J 1 gid'..'"R `__� �•<- - = F. ._- _,. _ ICT, :_; • =:g. F1SHL�hS`SSI AIVD; -EMV,D,�S7R 5.3095,MA1N ROAD,PO,'BOX.1.179 ' SOUTHOLD,. Y.11971`- 9,59. `�. N , A, r- = T E S FFOL CO.,NATION�'L'! °NK, CUTCH OGUE'�NY,1;193;5. �• - ,ll' 61',1 i�,•l ,li, _;____. __`__ _`_ ___- __- _- {�',,i°;,,, tA,j.,.'i L', 01 1 Z 03/20 ' $245:.0'0, 50,546/214 ,� < •K' , ' D 0 0 J 10"0 .'DOLLARS= HUNDRED-:FORTX,;,k ZVE'rAN /,- _- ' 'innu"1,'p' __-� _ - --- -'-" •�, ;�� „'�V;,S. "l; _ - - - - - 'S - 'f' - - ,'„ t� -•It�r4,� ,F.� _- _ - - b'I,�il_ 1 1,',I,,.,19�t� ,"�i'i�o,, 1 .li, - - - -_ - - --- -_ - - _ ,,„�ei;�,.,,' n�c'h'r°1x:1',' 'r Y • ,'„114�b',Q'"„,=M4INSION�=I-�C�USE'F'=DR �S_4•=1= , ;��;,',� �:. -_ - - - ,•fx"` 341 Qx" S.i: ``s :> ,,• ' . ,-�'`aye: FISHERS ISLAND,`NY` :0.6.3 9,0> -- ___ -•” _ -_ __' ___ -.- i"1;,;�,.11,ori n.l„„ - __ - -__ _- _ ” __ - - - __ __ t `i'_- _ - -- a•; `',I�I�Flu' ?J'; I,, ''I' ,f i°' - - -_- _- _ ta',� ,'IP. fll'��i �,d,,,,,,l - -- -- _-_ _ _ -400`3=7^4'6'i .'0 2,'y<40 5",464 :. -�8- 0.0-:1 'b"2' .: .,0 •4 Vendor No. Check No. Town of Southold, New Fork - Payment Voucher 18571 4.6 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 341 Fishers Island, NY 06390 Audit Date DEANNA L. ROSS �{ Vendor Telephone Number JAN 0 FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Clauned Number Description of Goods or Services General Ledger Fund and Account Number 4 11/30/2016 $245.00 $245.00 Secretary services to BOC 11/2-29/16 SM5710.4.000.000 t i $245.00 $245.00 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 armee excluded - or discrepancies noted,and payment is approved /�" G Signature Title Signature rr�� "" JJ Company Name Fishers Island Ferry District Date 12/21/2016 Title Date C/� //��G 4C 1 DEANNA ROSS INVOICE PO BOX 341 FISHERS ISLAND,NY 06390 INVOICE#4 DATE:11/30/2016 TO: FOR: FISHERS ISLAND FERRY DISTRICT FIFD SECRETARY SERVICES 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 DESCRIPTION HOURS RATE AMOUNT 11/2—PREPARE MINUTES FROM 10/24 BOC MEETING 3 20.00 60.00 11/8—REVIEW BOARD PACK 0.5 20.00 10.00 11/8—BOC MEETING 2.25 20.00 45.00 11/22—PREPARE MINUTES FROM 11/8 BOC MEETING 3 20.00 60.00 11/28—REVIEW BOARD PACK 0.5 20.00 10.00 11/28—BOC MEETING 2 20.00 40.00 11/29—PREPARE AND SUBMIT APPROVED RESOLUTIONS FROM 11/28 1 20.00 20.00 TOTAL 245.00 Make all checks payable to DEANNA ROSS CVVJ THANK YOU FOR YOUR BUSINESS! e •, I I FISHERS ISLAND FERRY DISTRICT VENDOR 019751 SCIALABBA REMODELING 01/03/2017 CHECK \ 3747 \ FUND &(ACC OUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1 NLT—INSTALL- PVC GRAB BAR 650.00 i +' t t TOTAL 650.00 `y\ y> M.< ro.v.x... r✓e. r, .r. a �i,'S:Y:ai^ _•.'',ti±w'➢1"4'.f,'>�'• , 3> .v:Ye ai•: ''iS' .. `5 J` _ K , ... - ,f',;,�o,' x >, -,^•td�"wC:"".. 9,:r`i • ` .r.0 l 1 t / r - (If_. 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Ja.a,` <ttTz,.: i1u,,'I'�(,i:` _ -_ - `ice' - -- =_ - '' _ 'r•r•.7.!r 7�; aN• _ _- - =t' -_ .,lrtn'ie"'J"t, ,d:. i4t},nIt@:,n��'�`wsay0,. t''4Yzv:tbI',b. 1„', ' 110; .` 4,-i,•,�.--��_---_6`'�<8r"___"-'.',_;�er;•_�_-_-_--__-•;- _- _-.:wt:'"•':s'13..tf: 4 1'50 2' 502° d£iPn,:f,=•r'gSa>t•,I,,�IItaa,.'4'an.•i}6,d;1.g',.'A'•4,,r�,'ri.P'I^,'',,,,I,dr,a£,'�!,,iwltd„�',Td`'I'°ti�S bi.•is z,f';F),�,t.;-"t4'�C J--.---=-_^__`r-'."4P„--_-'-._t'=-_t.,�l,”----:.*____ Ri c)(A _ Vendor No. � G. �� Check No. Town of Southold, New York Payment Voucher 1 Vendor Tax ID Number or Social Security Number Vendor Address Entered by�� 1 Garfield Ave ext New London, CT 06320 Audit Date Scialabba Remodeling AN 0 3 2017 Vendor Telephone Number FY 16 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 1 1 12/13/2016 $650.00 $650.00 NLT install grab bar SM5709.Z000.200 i E $650.001 1 $650.00 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 z -- Signature % ^ Company Name Fishers Island Ferry District Date 12/22/2016 Title Date Invoice 0000001 Scialabba Remodeling Hic. 0635404 Page 1 of 1 Scialabba Remodeling Hic. 0635404 INVOICE 1 Garfield ave ext New London 06320 Fishers Island Ferry District Invoice # 0000001 5 Waterfront park New London, ct Invoice Date 12/13/2016 06320 Due Date 12/13/2016 Item Description Unit Price Quantity Amount Installation of pvc grab bar system -650.00 1.00 -650.00 el— Subtotal -650.00 Total -650.00 Amount Paid 0.00 Balance Due $-650.00 http://www.aynax.com/printlnvoice.php 12/13/2016 - S 1 r FISHERS ISLAND FERRY DISTRICT } VENDOR 012315 SHELTERPOINT LIFE INS.CO. 01/03/2017 CHECK 3748 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 23817-0117 (24)LIFE INS PREM-1/17 67.20 TOTAL 67.20 I 11 - ., ;i, ;i:gW� a,'•iH:;"�:a',:"",-'f<'rsf,.y�y`•:'i':;:;i??.',:ew.3;r,•N:»:::v;? ` tti -- r- __ _____________ 'r- • • • D • • • NX6191' • _ PIM Ism' -__ "a4.'�x,s,h: tin'R,x�n,n�il,ry. ;t;`�'n��l r`O nnr'.' 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'i'- - -'}3.-.� - °'a <y1,,!1},'jpi lx�•',1 lu,',V 'i,1c ,n l�l'',I. - _ - a - >'• __ - ____ '�, "'4;• '.i ,�';Y G.4 = - __ - - - '�'>,'y,v'b i.•v l•,,In 1°n�, u�.°'' _ _�'"t - - i"P; i1,741: P II ;1y1'f1 _ __ _ _- -- - 14 �•PI I,t I I'g~ _ ,I1 f111'p �:p '0'S'I 4}"Ti8ii�` ,ift0 21 ' i- `B` 2 ..; 'l"l• Vendor No. Check No. Town of Southold, New York - Payment Voucher 12315 S748 Vendor Address Entered bye./�`-''— 600 Northern Blvd Suite 310 Great Neck, NY 11021 Audit Date ShelterPoint Life Insurance Company JAN 0 3 2017 Vendor Telephone Number 800-365-4999 _Y 6 Town Clerk---- Vendor Contact f Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number -i: Q7 23817 12/2/2016 $67.20 $67.20 Jan 21148 Life,AD&D Ins Premiums SM9060.8.000.000 0117 24 participants $67.20 $67.20 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 therem stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature y Title 15 � Signature Company Name Fishers Island Ferry District Date 12/22/2016 Title Date t Shelter Point Life Insurance Co. Monthly Billing for 1/1/2017 MPBR0003 OperNo-2 'i Run 12/02/2016 0126 PM Page:5 Premium- 23817 FINAL FISHERS ISLAND FERRY DISTRICT(Grp:23817/Loc:10) PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390-0607 Location Totals Total Due Volume Totals for Location Life: $240,000 Sup Life: ADBD: Sup ADBD: Salary. Sps Life: Dep Life: STD- LTD: Misc Vol 1. Misc Vol 2: Misc Vol 3: Misc Vol 4: Misc Vol 5: Insureds Billed: 24 Balance Forward- $13440 New: 0 Payments* - $67.20 Termed, 0 Adjustments: + $0.00 Make Check Payable To: Shelter Point Life Insurance Co. Beginning Balance: $67.20 600 Northern Boulevard,STE#310 � 3N Great Neck,NY 11021 Current Amount Due: + Current Adjustments, + $000 Total Amount Due: $134.4tl� This is a premium invoice for the above mentioned policy. Please remit payment by the 25th of this month to avoid a lapse in coverage It is very important that you remit your premium as shown on this billing statement. Any enrollment/roster changes should be reported to us under separate cover,and will be credited accordingly on the next months' billing statement Delinquent payments and outstanding balances may result in the suspension of claim payments to your employees If you have any questions regarding this invoice or your insurance coverage,please call our customer service department at 1-800-365-4999 or email us at customerservice@shelterpoint corn Please return this entire form with your payment in the envelope provided - t I I :• I t I 1 ' ' ' I FISHERS ISLAND FERRY DISTRICT ,VENDOR 019537 SNE BUILDING SYSTEMS, INC. 01/03/2017 CHECK 3749 FUND & ACCOUNT 1 P.O.# INVOICE DESCRIPTION / AMOUNT _ r r- SM .5709.2.000.200 \ 4162 NLT—HEATING SYSTEM RPR _ 275.00 `SM .5709.2.000.200 4204 NLT—HEATING SYSTEM RPR 220.00 _ TOTAL 495.00 r- ..<:.e.x .: wn ..aa a,n .s .,•a >,x7+�s.zz xaa ve ^^e ro+ e.r> ..r 3<:.✓-:Y.kti '.'i�w.,f ^n�'Y..e'<""'eve ' ' -.. reu•-ar - :r FY• ....im;'; e'r3kk✓ {.;.:r:a .... d ....> .p�.•" <»,,• X. <,f.• _. >�°.�.pk•.. :� �4z��r•-�`_ < "�:'.:�'zztwrr' , . 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Box 575 Audit Date SNE Building Systems, Inc. East Granby, CT 06026JAN 0 3 2017 Vendor Telephone Number 860-653-5095 Fl( 16 Town Clerk Vendor Contact Susan Kennedy x318 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 4162 12/8/2016 $275.00 $275.00 NLT heating system repair SM5709.2.000.200 4204 12/14/2016 $220.00 $220.00 jNLT heating system repair SM5709.2.000.200 4 S $495.00 $495.00 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 i 0' 4� y Signature Title Signature Company Name Fishers Island Ferry District Date 12/22/2016 Title Date a SNE Building Systems, Inc. Invoice No. 4162 29H Kripes Road, P.O. Box 575 N East Granby, CT 06026 E Page 1 (860) 653-5095 Fax: .SNE l .wilding.Systems B,. L Fishers Island Ferry District I` Fishers Island Ferry District L PO Box 607 T5 Water Front Park Fishers Island NY 06390 E New London CT 06320 T O Invoice Date 'Invoice,No. Customet-No: Payment-Terms C6ntrut;No6, 12/08/16 4162 3FIS01 Net 30 days 15958 Unit Unit Extended Ticket# Qty Was Description Price Price W/O # - B61115004 REASON FOR CALL: Relocate OA Temp Sensor closer to the OA Intake in the Duct work. 11/28/16 Relocated AHU-1 OAT sensor. Checked and tested operation. OK B61115004 .50 HR 11/21/2016 Narvaez Emilio 110.00 55.00 2.00 HR 11/28/2016 Hardy Christophe 110.00 220.00 We now accept VISA and Mastercard If you have any questions concerning this invoice, call Steve Paquette. Direct Line 860-413-3111, or email me at steve.paquette@snebuildingsystems.com Gross Tax Net Amount 275.00 .00 275.00 SNE Building Systems, Inc. Invoice No. 4204 29H Kripes Road, P.O. Box 575 N East Granby, CT 06026 E Page- (860) . 1 653-5095 Fax: -,SNE .Building.Systems B L,. Fishers Island Ferry District SFishers Island Ferry District L, PO Box 607 I' 5 Water Front Park Fishers Island NY 06390 E` New London CT 06320 T O 'Invoice Date , Invoice`No.'- Customer.No. Payment Terms Contract No., 12/14/16 4204 3FIS01 Net 30 days 15958 Unit Unit Extended Ticket'# Qty Meas" Description' Price ;P-rice W/O # - B61207003 REASON FOR CALL: 2nd Floor Unit not heating. Sensor in the Lunch Room control .the ,unit and it's not indcating heat mode. 12/8/16: Upon arrival to site gained access to building and got boiler room unlocked and up stairs hatch open to gain access to air handlers. Went up stairs to see if the hot water valve was calling to be open and noticed that the actuator for the hot water valve had come loose and was actually forcing itself to stay closed due to the way the actuator slipped off the linkage kit. Pulled power from the controller and re linked the actuator. Tied power back into 1� the controller to ensure that the valve was able to reset along with the thermostat. Waited a few minutes to see the hot water valve open up. Went down to the registers that serve the break room and they were putting out 63 degrees when I got to the site and after re linking the actuator they are now discharging 89 degree air. Made the front desk aware of what I found and told them the area would be back to temperature set point shortly. B61207003 2.00 HR 12/08/2016 Trapp Adam 110.00 220.00 We now' accept VISA and Mastercard If you have any questions concerning this invoice, call Steve Paquette. Direct Line 860-413-3111, or email me at steve.paquette@snebuildingsystems.com Gross Tax Net Amount 220.00 .00 220.00 "-_ , al ._ ". I I til I (• - - I. _ __ _ _ I " FISHERS ISLAND FERRY DISTRICT ` VENDOR 019719 STAPLES CREDIT PLAN 01/0,3/2017 CHECK 3750 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.00`0.200 1686976181 FIT-7 OUTLET SURGEMASTER 25.19 r SM .5709.2.000.200 1687272551 NLT— (2)CHAIRS 199.98 r f TOTAL 225.17 n - L. i�d....x..• �w,- ,..... :..... v ..:...>,,.x"`�+ 6e a,P ., vda5^ •¢+:C:F eN:r�-' -.-,s�r 4 I,I 1 _.! ..s•:,r.-. :{:°sty's 3f3$� ...r4"o ^t v w:Y:• a:�F?k •F:'• ... 'x ... 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Ip I'1. rl! <.ir,5"=- - -_ - _ �= - t t•':d' u;'!•�dP�,ia1F> ',ul - - - - - 4>"- - - - - - __ 's•> 'd 1 Id J�d d 1-n'�P d" E_=__-<'-�=-ar< _- __ -_- _ 1;'0',, f �d' ,d.aoe5•:•;,•_ _ -_ _- - - -_y rl;rk, y,,, I -, -.# -_-'_'•,' �._ 't,t,d•''`;esw`,,.m, �a r M1IL ,r ' e..-n.x,1,u n_ .,. .• .. .-_ . - - _• r .,e ' �I 7`50'u•` ''i, `•0'- 14'ON54'E"4�. 648 .0-0:.i,c5--0''2'� yl°Ila` �° DOf G D Vendor No. Check No. Town of Southold, New York - Payment Voucher 19719 Ll 3750 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept 51-7820657673 PO Box 78004 Audit Date ' STAPLES CREDIT PLAN Phoenix,AZ 85062-8004 J AN Q 3 201 Vendor Telephone Number 800-767-1291 FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General L.edgex Fund and Accounthlumber 1686976181 11/9/2016 $25.19 $25.19 FIT surgemaster 7 outlet SM5709.2.000.200 1687272551 11/10/2016 $199.98 $199.98 NLT chair 2) SM5709.2.000.200 $225.17 $225.17 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 pard,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 Fishers Island Ferry Date 12/22/2016 Title Date Remit payment and make checks payable to INVOICE D ETA I L � STAPLES CREDIT PLAN DEPT.51-7820657673 ��a U[My PO BOX 78004 M O reAPHOENIX,AZ 85062-8004 BILL TO: SHIP TO; ; Acct: 6035 5178 2065 7673 JAMES MOORE Amount Duet', Trans:Daie::,, Invoice#: NONE 1686976181 5 WATERFRONT PARK $25.19 11/09/16 NEW LONDON,CT 06320 PO: Store: 100088887,PUTNAM,CT - PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE BELKIN SURGEMASTER 70UTLE 380981 10000 EA $2519 $25.19 n Purchased by:, GORDON MURPHY SUBTOTAL $25.19 C/ �) TAX $0.00 U SHIPPING " $0.00 - TOTAL $25.19 3IJ BILL TO: SHIP TO: Acct. 6035 5178.2065 7673 JAMES MOORE AIIIOUIIt Due: Vans Date:, Invoice#o NONE 1687272551 5 WATERFRONT PARK $199.98 11/10/16 NEW LONDON,CT 06320 PO: Store: 100088887,PUTNAM,CT PRODUCT SKU# QUANTITY 'UNIT PRICE TOTAL PRICE tr STAPLESREG HAZEN MESH TAS 1058246 _ 2 0000 EA $17999, $359.98 _j COUPONDISCOUNT 558100 1.0000 ST $160.00- $16000- W_ C3 Purchased by: GORDON MURPHY SUBTOTAL $199.98 TAX $0.00 SHIPPING $0.00 TOTAL $199.98 Page 5 of 6 1-800-767-1291 staples.accountonllne.com This page intentionally left.blank. N Er n M 1� - w M LL O M a N ` p N N ry J W Page 6 of 6 1-800-767-1291 staples accountonline com STAPLES DIRECT 500 STAPLES DR NEED TO RETURN SOMETHING? STAPLES ORDER/REF FRAMINGHAM MA 01702 RETURN OR EXCHANGE ITEMS ONLINE AT #:1-9746282844-001-001 WWW.STAPLES.COM/RETURNS. WHEN MAKEC71018HAPPEN RETURNING IN A STAPLES STORE, PLEASE BRING THIS PACKING SLIP. JAMES MOORE NONE 5 WATERFRONT PARK NEW LONDON CT 32 11/09/2016 UPS GROUND VVZMH6 VVZMH6 2 Nbr Orcfer SQh'iy Item It Description/Model No. 1 1 1 SURGEMASTER 70UT STRIP$75K CEW 6FT CORD 885J*JANUARY2015 ETA* r CHECK THE STATUS OF YOUR ORDER BY VISITING NG 1 3,9(� 'MY ACCOUNT'ON WWW.STAPLES.COM. IF YOU HAVE K J QUESTIONS ABOUT YOUR ORDER,PLEASE VISIT W W W.STAPLES.COM/H ELP-CENTER. RETAIL ASSOCIATE:PLEASE USE SORT SYSTEM TO OBTAIN — INFORMATION SPECIFIC TO THIS ORDER. G� l Trk Nbrs: 1Z1836810395448487 Total Quantity Shipped: 1 Total Cartons Shipped: 1 Page: 1 Dest: USJTSHCD02L SID: 60-1-644R-11 PC: 1 Questions about your order? REFER TO THIS ORDER NO. FOR ALL INQUIRIES Visit our Help Center at C'()',STOMM vo. SHIP AAS 09DER 110_ www.staples.com/help-center 4051825224 111109416 9746282844-000001 STA A VoRciagE OiDER xo. AgLPA' ,,S13 Nth MO HAPPEN" COST CONTE�t REQUISITIONS. MAKE M Staples Make More Happen r SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:XMR/COU /01 + JAMES MOORE 5 WATERFRONT PARK TOTAL PACKAGES: 2 NEW LONDON, CT 06320 L Contact: (860)442-0165 - JAMES MOORE UIT T PAGE: 1 SPECIAL INSTRUCTIONS 0.00 XTM ts:eE arm nN t� TY M Kx Dmmm HTY IPPED p 3�fes m obAt� 1 1058246 Staplesreg Hazen Mesh Task Cha/26680D EA 2 2 179.99 359.98 M rc andise Total. . . . . . . . 359.98 D li ery. . . . . . . . . . . . . .00 C up n Credit. . . . . . . . . . . . 160.00CR T x. . . . . . . . . . . . . . . . . . . .00 ----- ------- Coupon discounts are p orated across all items purchased.Applicable refimdf will n t includE the prorated coupon amount. !j 1A� Check your order statu online by going to www.Staples.com and clicking on "Track rder°. Need to return something? Visit News www.staples.com/returns. For store & pack slip. TOTAL VALUE Previews returns, bring this P P• PAYMENT METHOD: OF ORDER: 199.98 001 Thank You For Your Order! Staples, Inc. THIS IS NOT ANINVOICE ---- — ------------- ,; - ' TISHERS ISLAND FERRY DISTRICT VENDOR 019823 SULLY'S MOBIL MART 01/03/2017 CHECK 3751 , 4 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION l` AMOUNT SM .5710.2.000.200 558658 11 GAL RENTAL MINIVANAN 24.00 r SN! .5710.2.000.200 55$742 7.466 GAL RENTAL MINIVAN 18.51 _ _ t SM .5710.2.000.200 571139 16.096 GAL RNTL MINIVAN 40.87 SM .5710.2'.00'0.200 571210 18.3 GAL RENTAL MINIVAN �' 45.50 — TOTAL 128.88 r N f , l -:•:ti. _a io .. ��s� w ... • c- ''fit:'•',`, .l<.. nN ,..'rq: y3'„wi-'".< +:4C`''�.�•x�,`:•..�e,�•" _``�•. •:5�•n;,>��'�:��-';;g�'-`�^,...""t>" `;,'rr,s'' .. , I It ' 1 , n J r- - 1 N tel I LIP -" _- `- _- --`-: :w. ",}: _-_ __ __ ry i'•r'47wt - - x-[3 ,4. S•' i, i-` `,; 4 s; :/t -- _<` :f2 ISHEZS''7STANDFERItY,DIS7RrC7',:' �'°UDz� '1. 13 7, Crn>, n3,{,}x'd�tr`5, :fro .is. .`+ ,/,„/.. " '' -3095eMAIN ROAD;:PO 80X'1179:^.;°° y'; _J . 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Ts-l'�u•,:.c'l:,o-•2,,• '4,,p•514 6;4 ;6.8,_..�0150 2"x. 1nll 2-91n LVendorNo. Check No. Town of Southold, New York - Payment Voucher 19823 3751 Vendor Address Entered by 382 Vauxhall Street Vendor Name New London, CT 06320 Audit Date Sull 's Mobil J AN 0 3 � Vendor Telephone Number 860-443-5938 FY 16 Town Clerk_, Vendor Contact u f/ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General-Ledger Fund and Account Number 558658 12/11/2016 $24.00 $24.00 11 gal Rental Mini Van gas SM5710.2.000.200 571139 12/19/2016 $40.87 $40.87 16.096gal Rental Mini Van gas SM5710.2.000.200 . 558742 12/14/2016 $18.51 $18.51 7.466gal Rental Mini Van gas SM5710.2.000.200 571210 12/15/2016 $45.501 $45.50 18.3gal Rental Mini Van gas SM5710.2.000.200 t t $128.88 $128.88 _ 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 Date Company N e Fishers Island Ferry District Date 12/23/2016 Tale ✓� �z�G / r+� n•"1 `I;,� 382 Vauxhaif Street tiVU-1��J6 New Lorded, CT 06320 --- (360) SUMPS P400.1, SOLD BY TE DA :"• nn�r t"�C 332 Vauxha!i Street •, �- New London, - { �• CT NAME `_'�Irq, 4& (860) N3,5938 I - ADDRESSf F'�I SSS(fff�1C SOLD BY,4' DATE ,< 6 CASH I C O IX "CHARGE' NAME I ON ACCT f--? e .`JCTP4 B P i1 t/I ADDRESS n z P, # CASH I CODI CHARGE I ON ACCT Stock G.als.-Ga-soline Ao... � Pr9CSEIVED BY — Alf claims and returned goods MUST be accompanied by this bill. _. Thank r -, j �ou — 1 RECEIVED BYt L(O Pja ---- -� I All clalms_andreturned goods MUST�6e accompanied by this bill. ff - Thank ---- - - ---- = - -------- -- f 571139 `You UL ►qc„V London, CT 06320 f ” (860) 443-69,38 SOLD BY DATE e� NAME a0!" �r �•'�-rte �.;J� ADDRESS 6 +/+ I. CASH CHARGE 20—N ACCT _ P.O. --7,Ajbh . .-" Stock # RECEIVED B (r � All claims and r' urned goods MUST be accompanied by this bill 558742 Thank `You SULLY'S L1f OSO ?82 Vauxhall Street flew London, CT 06320 (860) 443-5938 SOLD BY DATE Z (f NAME f ADDRESS -[- CASH COD. CNARGE I ON ACCT Gals..Gasollne. . . r . _ Stock - AIN RECEIVED BY . All claims and returned goods MUST be accompanied by this bill Thank . 57 12 10 GYM 1 , 1 1 FISHERS ISLAND FERKYDISTRICT VENDOR 020264 THE TOLDO COMPANY 01/03/2017 CHECK 3752 FUND- & ACCOUNT P.O.# INVOICE DESCRIPTION —' AMOUNT SM .5709.2.000.200' �16035 FIT—RMVE,RPLC LIGHT FIX 350.00 TOTAL 350.00' J , E bS: �Lx 1 1 J , I 1 ;1 r- _ I __ ,t:y< .,p,n, yt;a- ;u r,:y: S'•s'___a d;5 ,. >./"u;= -' '..i",:_-J,i"=F�", .;L��',i,, 4"Ib,y'1"• ',l,p -D_ - -E - s:;'!,'•tv ,1.,�°•�,' a°%% :Cs�.i.. ' �•4 �S�AN � RR'�':DI&TRXT*,:', >�' .3a{ dna �L" i{..�i•L:, +'l;i+ „Sµ3 <,,,'`;`, ,'AUDIT,°1`/-3-/n2017, t°:�°r?a s#,.,, 453095NIAINROAD:>BO,90X,_1;179;.^�•�`_:y:t;;s."•'.`a�'`"�"ti'�.':s-<•, ::�'1>:� t„ :.r� .;fi.;..,_.v, '�`:l"d` •,,• .�;:a' _ ::r +`'+r �, ,• °?:' H P,'rN. ,1t,,° ,'Ati,:^,," ;;p,"rt t;,s,_: §;r EC x N0' 3,75;21"h`.Y•J it rf,:fi r Y,';1',1971,=0959,dy,,:, a` s,w°� _ =t,,, a? 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ILI '.1'7• __ - _ "-- ':'1` '^I• ':1 :IA• --_ - - -- 1 __ _ 'f�•il'� "�':'rt 'Gi 'I'+r"£>_r _ _ _ ,t' •,Pr,�: ,'t - - 1 ''J M1"t I •{''"n•J Ys_- d. - <!'"t 0 tl `!1 "1" .,I - _ ; _ 0`0..:3 ' 5'.2 110`141'0'�,,iw�,0'Sd4>6':4N��4:—-618` p`p�L�5 p' 2' I'll- ? , Vendor No. Check No. Town of Southold, New York - Payment Voucher �� 375Q Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 164 Fishers Island, NY 06390 Audit Date Toldo Company JAN 0 3 2017 Vendor Telephone Number FY 16 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 16035 12/8/2016 $350.00 $350.00 FIT take down old and hang new light fixtures SM5709.2.000.200 E t i $350.00 $350.00 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 thereofhave 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 Fishers Island Ferry District Date 12/22/2016 Title Date �� 41 The Toldo Company Inc PO Box 164 Fishers Island, NY 06390 THE (631)377-6442 jtoldo@thetoldocompany.com �® ®® www.thetoldocompany.com COMPANY I IN'\v/O I BILL TO INVOICE# 16035 Fishers Island Ferry DATE 12/08/2016 261 Trumbull Dr DUE DATE 12/08/2016 Fishers Island, NY TERMS Due on receipt 06390 ACTIVITY QTY RATE AMOUNT Machine and operator 1 350.00 350.00 Man-lift and operator to take down old light fixture and hang new. Re adjust lights on top off ferry office building. Thank you for the business. BALANCE DUE $350.00 J 1 r 1 1 a FISHERS ISLAND FERRY DISTRICT VENDOR 020737 TRI—TOWN MECHANICAL LLC 01/03/2017 CHECK 3753 FUND & ACCOUNT P.O.#/ INVOICE iDESCRIPTION AMOUNT SM .5710.2.000.200 1210,124—REIS RP OIL BURNER REPLACED 8651.0'0` r TOTAL 865.00 t , tI I , , I ^ K°..,i•£r•'. :Y' .>£t•'<",y' a'<c.: v. .,,...:,.''2 :,,:•^4•.,,... 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C Vendor No. CheckNo.-- --—•----__- Town of Southold, New York - Payment Voucher 90-7 5-703- Vendor Tax ID Number or Social Security Number Vendor Address�7 Entered by_,-- - -- P.O.Box,4 r Vendor Name Jewett City, CT 06351 Audit Date Tri Town Mechanical t_L-C JAN--0-3- Vendor Telephone Number — 20Yp7 - 860-376-4277 T_ov_v_n Clerk Vendor Contact _ .��,�j.�, Invoice Invoice Invoice Net Purchase Order — Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1210-124 11/14/2016 $865.00 $865.00 RP oil burner replaced SM5710.2.000.200 i a 1 $865.00 $865.00 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 Signator itle Signature Company Name Fishers Island Ferry Date 11/21/2016 Title Date v l , , I , FISHERS-ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 01/03/2017 CHECK 3754 ; FUND & ACCOUNT i P.O.# INVOICE DESCRIPTION AMOUNT— •, -- - - - - - -- - - --- -- ' - - - - - - - - _ l ' SM .5710.4.'000.700 26639506 WE 12/09/16 89.\13 r SM .5710'.4.000j700 26639516 WE 12/16/16 139.48 TOTAL r 22'8.61 'A cli ;msj LIN; z'r:•" •:... - ..,.:.. ,:s .3 .,sv:•;.,,.<., ,.''^`a' .:,( / .;z I. 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W a.,"', ',!e`". - _ 'i. __ __ - ”- - a•1'.' ,t)i° tit A,:`"Qi' Cs 1"x .,: q= - ”- __ - - _ :.};' :•l' ia,. r;',ti 1 is*I'i ,It".ir'I ''', .:R.,: _ _ _ _ I t,, _y4. ix y` _=`ys. ya1.i 7''IAl,r 1>''°r', 'iP1, , IA171 iY • s"_ __ - -__,t._ _ .i•` 1. .A,,1'f ie I,I{i``ti „A1 1_, _ _ _ -_ __ _ __ y'tk a '3T5`4ii;'` "i:01121ni 4"0111,00 5:4"644`i: 6,8%_:C7., -,i,5. ,•2.':.:L"ii '.. , , a ,. ,. — a , , Vendor No. Check No. Town of Southold, New York - Payment Voucher 21506 751A Vendor Address Entered by P.O. Box 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date United Parcel Service JAN 0 3 2017 Vendor Telephone Number 800-811-1648 FY 16 Town Clerk Vendor Contact &4nLad 0. "-- Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 26639506 12/10/2016 $89.13 $89.13 WE 12/9/16 SM5710.4.000.700 26639516 12/17/2016 $139.48 $139.48 WE 12/16/16 SM5710A.000.700 • _ i 4 i }F $228.61 $228.61 t 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 Fishers Island Ferry District Date 12/23/2016 Title Date Delivery Service Invoice Invoice Date December 10, 2016 ' Shipped from: Invoice Number 0000026639506 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID 003P NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366020023458 Visit ups.com/billing AB 01 030868 23216 H 96 A For questions about your invoice,call: (800)8114648 Monday-Friday FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.E.T. PO BOX 607 or write: FISHERS ISLAND, NY 06390-0607 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $89.13 Summary of Charges Amount Outstanding(prior invoices) $543.95 Page Charge Total Amount Outstanding $633.08 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $57.72 your payment.See Account Status for details. 3 Adjustments&Other Charges $6.41"6.41" — Announcing New Rates Service Charges $25.005k-;=1L=- 5.00 Effective December 26,2016, UPS®Ground,Air, International Amount due this period $89.13 and UPS air freight rates within and between the U.S.,Canada and Puerto Rico will increase. For additional changes and UPS payment terms require payment of this invoice by January 1, information,and to review these new rates,visit 2017• ups.com/rates. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) _ Note:This invoice may contain a fuel surcharge as described at (f V v upscom.The published fuel surcharge is 5.259.for UPS Ground Services and UPS Standard Services,4.759.for UPS Domestic Air = Services and UPS 3 Day Select,and 4.759.for US Export Worldwide Services.Ground Fuel Surcharge does not apply to UPS Ground packages originating in the 48 contiguous states when subject to Retail rates.For more information,visit upscom. Delivery Service In voice Invoice Date December 10, 2016 Invoice Number 0000026639506 Shipper Number 026639 n Page 2of3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portionof each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639456 11/05/2016 $120.78 0000026639466 11/12/2016 $284.36 0000026639476 11/19/2016 $-32.38 0000026639486 11/26/2016 $39.45 0000026639496 12/03/2016 $131.74 Total $543.95 Outstanding balances reflect any payments received as of 12/09/2016.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date December 10, 2016 UIPT Invoice Number 0000026639506 Shipper Number 026639 Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 12/05 9164170735 1 IZO266390344357689 Ground Commercial 60714 5 16 13.18 Customer Weight 9 Fuel Surcharge 0.69 Customer Entered Dimensions= 20 x 14 x 9 in VV Total 13.87 1st ref:FINY-DICK GREBE 2nd ref:FINY-DICK GREBE Sender Receiver:AMERICAN SCIENCE&SURPLUS 7410 NORTH LEHIGH AVENUE NILES IL 60714 Message Codes:r Total for Pickup Number: 9164170735 1 Package(s) 1387 12/08 9164170746 1 1Z0266390344584497 Ground Residential 98122 8 33 38.41 Customer Weight 8.8 Residential Surcharge 3.25 Fuel Surcharge L/ 2.19 Customer Entered Dimensions= 22 x 19 x 13 in Total 43.85 1st ref:FINY-BROCK 2nd ref:FINY-BROCK Sender Receiver:Hill House James Brock 911 26th Ave SEATTLE WA 98122 Message Codes:r — Total for Pickup Number: 9164170746 1 Package(s) 43.85 =_ Total UPS WorldShip 2 Package(s) 57.72 Total Outbound 2 Package(s) 5772 Adjustments &Other Charges Miscellaneous Billed Explanation i Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 09-DEC-2016 Total Miscellaneous 3.00 - ResidentiaUCommercial Adjustments — UPS WorldShip o Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected n D Charge Amount 12/02 9164170724 11Z0266390343094054 Commercial -29.74 Residential 29.74 Residential Surcharge V U ( `- 03.25 Fuel Surcharge 0.16 3.41 1st ref:FINY-THE BEACH PLUM 2nd ref:FINY-THE BEACH PLUM Total UPS WorldShip 1 Package(s) 3.41 Total Residential/Commercial Adjustments 1 Package(s) 3.41 Total Adjustments&Other Charges 6.41 Invoice Messaging Code Message r Dimensional weight applied 030868 2/2 i Delivery Service invoice Invoice Date December 17,20 6 Shipped fr®rte. Invoice Number 0000026639516 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID 2P60 NEW LONDON,CT 06320 Page 1 of 4 Sign up for electronic billing today! ® 0736A00000266394 77366030024503 Visit ups.corrB/btlfirlg AB 01 034174 28751 H 108 A For questions about your invoice,call: ® (800)8114648 _ °llllllll°II111°°llfllll.°lllllll°11°1111alllly°°IIIIIIIIIII°Il°1° Monday-Friday ® FISHERS ISLAND FERRY 8:60 am.-9:00 p.m.E.T. PO BOX 607 or write: FISHERS ISLAND,NY 06390-0607 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS Weekly Payment Plan Amount Dace This Period $139.48 Summary of Charges Amount Outstanding(prior invoices) $227.94 Page Charge Total Amount Outstanding $367.42 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $123.98 your payment See Account Status for details. 4 Adjustments&Other Charges $3.00 Announcing New Rattus ` Service Charges $12.50 Effective December 26,2016, UPSO Ground,Air, International Amount due this period $139.48 ®_ and UPS air freight rates within and between the U.S.,Canada and Puerto Rico will increase.For additional changes and UPS Payment terms require payment of this invoice by January 8, information,and to review these new rates,visit 2017- ups.com/rates. Payments received let®are subject to a let®payment tee of 6%of the Amount Due This Period.(see Tariff(Terms and Conditions of Service at ups.com for details) Note.This invoice may contain a fuel surcharge as described at ups.com.The published fuel surcharge is 5.25%for LIPS Ground Serveices and CIPS Standard Services,4 751Y.for LIPS Domestic Air Services and CIPS 3 Day Select,and 4 759,.for CIS Export Worldwide Services.Ground Fuel Surcharge does not apply to CIPS Ground packages originating in the 48 contiguous states when subject to Retail rates.For more information,visit ups.com. ®elivery Service Invoice Invoice Date December 17, 2016 1 Invoice Number 0000026639516 Shipper Number 026639 - Page 2 of 4 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639456 11/05/2016 $120.78 0000026639466 11/12/2016 $284.36 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment Invoice Number Invoice Date Balance Due 0000026639476 11/19/2016 $-32.38 0000026639486 11/26/2016 $39.45 0000026639496 12/03/2016 $131.74 0000026639506 12/10/2016 $89.13 Total $227.94 Outstanding balances reflect any payments received as of 12t1612016.Please ignore this message it a recent payment has been made for any outstanding invoices. t- Delivery Service Invoice Invoice Date December 17, 2016 Invoice Number 0000026639516 Shipper Number 026639 TM Page 3 of 4 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 12/12 9164170750 1 1Z0266390343454101 Ground Residential 94610 8 7 12.96 Customer Weight 3 Residential Surcharge 3.25 Fuel Surcharge 0.85 Customer Entered Dimensions= 12 x 11 x 8 in Total 17.06 1st ref:FINY-LINDA MROWKA 2nd ref:FINY-LINDA MROWKA V Sender Receiver:JESS&BILL FARRELL 617 CAPELL STREET OAKLAND CA 94610 Message Codes:r 2 1Z0266390343630518 Ground Residential 33455 6 52 38.60 Customer Weight 32.4 Residential Surcharge 3.25 Fuel Surcharge 2.20 Customer Entered Dimensions= 25 x 19 x 18 in Total 44.05 1st ref:FINY-MALONE 2nd ref:FINY-MALONE Sender Receiver:RoAnn Costin 133 South Beach Road I/ HOBE SOUND FL 33455 Message Codes:r Total for Pickup Number: 9164170750 2 Package(s) 61.11 —_ 12/13 9164170761 1 1Z0266390343097720 Ground Commercial 66763 6 18 17.05 —_ Customer Weight 11.4 Delivery Area Surcharge 2.30 Fuel Surcharge 1.02 Customer Entered Dimensions= 18 x 15 x 11 in Total 20.37 1st ref:FINY-PATTY FAULKNER 2nd ref:FINY-PATTY FAULKNER Sender Receiver:Lisa Lusker 452 South 210th Street FRONTENAC KS 66763 Message Codes:r Total for Pickup Number: 9164170761 1 Package(s) 20.37 12/16 9164170772 1 120266390344759736 Ground Residential 14895 3 17 11.93 Customer Weight 4.2 Residential SurchargeL .-/3.25 Delivery Area Surcharge-Extended (/ 4.00 Fuel Surcharge 1.01 Customer Entered Dimensions= 20 x 14 x 10 in Total 20.19 list ref:FINY-DEB DOUCETTE 2nd ref:FINY-DEB DOUCETTE Sender Receiver:Donna Cole 2431 Meservey Hill Road WELLSVILLE NY 14895 Message Codes:r 034174 212 i Delivery Service In voice Invoice Date December 17, 2016 UCTM Invoice Number 0000026639516 Shipper Number 026639 Page 4 of 4 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 12/16 9164170772 2 1Z0266390345040545 Ground Commercial 66763 6 21 18.90 Customer Weight 9 Delivery Area Surcharge 2.30 Fuel Surcharge 1.11 Customer Entered Dimensions= 15 x 15 x 15 in Total 22.31 1st ref:FINY-PATTY FAULKNER 2nd ref:FI NY-PATTY FAULKNER Sender Receiver:Lisa Lusker 452 South 210th Street FRONTENAC KS 66763 Message Codes:r Total for Pickup Number: 9164170772 2 Package(s) 42.50 Total UPS WorldShip 5 Package(s) 123.98 Total Outbound 5 Package(s) 123.98 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3 00 EACH FOR 16-DEC-2016 / Total Miscellaneous V 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied s I t I I I I - I I" FISHERS ISLAND FERRY -DISTRICT VENDOR 024539 W.B. MASON CO.INC' \\ 01/03/2017 CHECK 3755 I " FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SI .5710.4.000.600 I40038875 NLT—PPR TWL,TRSH LNR,GLV 98.74 SM .57' 0.4.000.000 I40038875 NLT—AA & AAA BATTERIES 27.57 SM, .5710.4.000.600 I40140772 NLT—TWLS,PNE—SL,AIR FRSH 64.36 SM' .5711.4.000.000 7240140772 NLT—STAPLER ' — 10.41 t I TOTAL 201.08 r I co _ ':.its •:•'<-.- w,,,n.,>.a .. .... AC.".". ,:.3... ^,QCt'i Vii• , 4 FLr. , I • - I< .r t , 4 .I 11 ` • - • • eMew• e • e • e -_ 3.°d'r'tr!`^''. ..y`'•`t s,'+"i'i.; " '"°`^°''.:a 1' 't:° -,°.•,>`-- 4.=: '_ '. , t ..r°> _ID°i2 SC't'? 'fi.b,v`i'''' ry°> :' , .de >d:„4` 7',i ".,'°,•,- "1; t' ._ 15LAND=FERRY,bISTR2'CT=,:'`Jif `AUDIT<;`l .3 I'2:o17• , - . ,` ` .MA1N POAD'POB -- >tr•? t. 'r ,Y°'.• ^•`e ';y' .. r" : • > y ;1""sg'• •ii'530950X1 ,," r:-' `t: ,`i" ,`/i, `•'r,'r'' - "Q; }SOUTHO LD..NY'•11971-0959' , yf" , a v C TE`CK`N0, f '1' - 'rw• - F' L • AT^'ONAL' BA'N - n1 T Ei,SU,fib KfCb. 1 GU7GHOGUE;MY 11935'' -- =4 DATE a<,'•,_->AMOUNT'" .d'v6 Al „P'P, e BF Ise :;s - d d'>. , '•''d d..'> _ f's?aa ;1 d6 r`r Ip d'ti g. ,- : ;r w `,: s°,':'t; °.P r';OS 03`;2'077- <"= "t't•o 2:`0 08'. H' :Y,r .'i,', .f,r` .50-546/214• };• r, ,/t /„ t,> ,,t 7 .'' may''_ ,TWO HUNDR'ED "ONE, e,D, '0'8;f l'00„c`Ij•O,T7 LAR'g . _ - rer 1, 1t /p,n, f-t, - s- , i!'r,,"`s', - -=J '- 1t; y:^t.P ' '•¢,,,=, ,?f:4r..-" i ' __ r_ i,'< _ - rYi"I^, P° <f,1r' i"{I,°1";ahi t- 5 _=£4';,4; q'Id'i `'rP;'E ttE lo%,4 to +ul td, _ : _ _ _=.eC- ', 3` rJz tp•I .p},;}, ,i=`,ritnr 'r,.it J'.tsi`a _ - - ''^ _ IR ';L. :1,1`':•-` .=a' ,_ _ [_ __-- ,{-.y r t nt ,' ”, il. -'> F. -'_-_- '_ - -_- '___ aF'o "r' xt if>.`i0r"t.a'tiyii =" __- >rr' _ : =.4 }>J `'li-'','I Ap'T{ , P,`"I1r" r'•It{+zt',t -'_- -: - _ __-.P,,+^t a't:` I^,'t", 1, i1t'P:`.,y,„t A.,,l„yt;,,_ :'f,- --- - r;. - .d” -f•.;-,,< .".l,j'" .'y`"; :a `i<" _ , -+;°..;r -- ,1.a ..{' , 'lei. •'`%" }Jr „ 'ui-- 'z-' ktS-, r,t, a't.' ,C ?• 'r-. ,i, r,i` .5+44s Yk i. .i ti, ,. '{.}"• ,I , - I tl't 1 ' to - - is' t^'{',;-,'1' I`,1e `°,I; il? .1 "1' . ',,, 'ir :.t*-- _ _ _ s' t•,t I+ {' ;dW3'`:>B.1,sMASON CO .fNG_= 1,- s1: , ,' 4'L: - - - -__ `.,`d h,,,t', "y,'+•::',•.'7"',''- z•'•:r.-,_- - - - '. __ _ f• ,.P, ir ',e.< ,,'t"4,,:'I,"k'' + J" 'r l,,. - - -P!>_c :1,• 'Lr.,, _ :f`' - ,Si s:4iN"f 0 d,s- 11,' µl:I 11 Pt` 0 H' , t' _:z"` :-,- ?,•_ - ..II ,ql ',!°ctel'lP,ili t5'Sf lrt;d,.ij, ,I, =B'OX.t`9'81=x01 „?,d P, _" ;d!- _'' =,tal^•1°r,l o J"a u en's,+U- r•v „1„r', r-. >;r,G. ,a:4 E%>'q; -_ _ -_-_"S' '' °u.'Sf,' •,',<. R',DPR 1;, N,,I. si` '-:,rP' `,lyn4cr, yu^Ip.<%;1 q, I'r> :f. _:” „u'v°'=BOSTON>.NIP,° 022'98=-1101 :dt: ;.,..r,` ;,i. '`,t, ,Ssy' ';'t`':s t a a•r, ti:c'?'e =s`, ;}5t, ; ;, ''i;e`s`';;` )ge',P} ..{r..` t`'t.. ,,''.' y Y.,;" I;e, ,.Qs,§ti, It,.r'n)t ,fb`..-f,r ' r'{-..,:. , ,ra„",. 'J`u':."'•tis:, `a, t,a: ?'f' `-. ,t.v '-t1,'."`.°1' ;' - ,e,,,`+,'t;',' .f".•_s _r>= '-' '>• - t _ 'H. - :.?.. - 'I' •'fps'_, - - - <,' r', ..r,t I !s' "r- a'-"- _' '"r'• ,t-•` t- --- _.SP -c .Oi Terl`E .,}P npw ',,:;011ip` - - - -_ - .{y `a tp, 'I_'Yivl .It 4': -.! --_ -__ __ y" :{=` - - - ___ 'f .t,i iPs rP"p ,if p,,,1a t;>•} P .ti: _ :_ _ es.-:'t' t q I •.}I' Pr,` I,11 [•,.4 - -_ _ _ _c-y's ' ,II"d'':+.,I,d<,'.dl l;,i., '1"rpl'd1, -.p<5, __ - _ -.- =s t Pq• xP,dq i,` Ie. if A +jn vds I? 5 5ii''> is0`21 410"S 4 6'4 i:'` 6`g 0 01 S'0 2"-1 n• I Vendor No. Check No. Town of Southold, New York - Payment Voucher 24539 / Entered by �� PO Box 981101 Audit Date W.B. Mason Boston, MA 02298-1101 J AN 0 2017 Vendor Telephone Number 888-WB-Mason FY 16 Town Clerk Vendor Contact a. m`JJ� Invoice Invoice Invoice Net Purchase Order �, Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 140038875 12/9/2016 $126.31 $98.74 NLT Towel,trash liner(3),gloves 2 SM5710.4.000.600 $27.57 NLT batteries AA,AAA SM5711.4.000.000 140140772 12/14/2016 $74.77 $64.36 NLT towel, pine-sol, air freshener 2 SM5710.4.000.600 $10.41 NLT stapler SM5711.4.000.000 $201.081 $201.08 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 11 Title Signature U /f Company Name Fs iers Island Ferry District Date 12/23/2016 Title Date G/ � �H� gAMA asof (Page 1) PM WUDelivery Address Invoice Number: 140038875 W.B. MASON CO., INC. Fishers Island Ferry District Customer Number: C2024302 59 Centre St-Brockton, MA 02301 ATTN.:JAMES Reference Number: 140038875 Address Service Requested 5 Waterfront Park Invoice Date: 12/09/2016 New London,CT 06320 Due Date; r 01/08/2017 , 888-WB-MASON www.wbmason.com '- PO Number: „i'r NLT Order Date.` 12/08/2016, *598609981*HO***********ALL*FOR*AADC*060 Order Number: S043614046. FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN.ACCOUNTING PO BOX 607 FISHERS ISLAND,NY 06390-0607 W B Mason Federal ID#.04-2455641 Important Messages _._ Sign up'for Pap e- rless'lnvoicing at wbmason.com/paperless:YourARegistration Code:-5637419782 ` Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and-easy at www.wbmason.com/paperless ITEM NUMBER!-•1!`` DESCRIPTION CITY_.;z; /M „UNIT PRICE -EXT PRICE-- PGC92970 TOWEL,BOUNTYBASIC,12/CT 1 CT 2099 2099 HERX6639AK LINER,REPRO,33X39 1.5ML,BK 100/CT 3 CT 2199 65.97 CSWVECPFGL VINYL EXAM GLOVERFA MIL,LARGE 2 BX 589 1178 DURAACTBULK36 BATTERY,ALKALINE AA,36/PK 1 PK 14.88 14.88 DURMN24RT12Z BATTERY,ALKLN,AAA,I2PAK 1 PK 586 5.86 SUBTOTAL: 119.48 TAX&BOTTLE DEPOSITS TOTAL: 6.83 ORDER TOTAL: 126.31 Total Due: 126.31�� To ensure proper credit please detach and r eturn below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 0® ". Packing Slip "itwTURE&PRINTING Mode of Delivery: 00140 F W B. Mason F ©ICEs6PP� PO Box 111 Warehouse:.............. OLE-CT Delivery Number:...... 30612330DEL •�ti ^+tiN �C' 59 CENTRE Customer Number:..... C2024302 B , MA 02303 MPhone Number•. ........ 8604420165 1-888-WB N88-WBMASON Sales Rep: Russell Sheikowitz www.wbmason.com ti Special Instructions. Ship To: Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 r Sales Order ## SO43614046 Ship Date:: 12/9/2016 P.O. Number:: NLT Attention Name::James Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HERX6639AK 3 3 0 0 CT LINER,REPRO,33X39 1.5ML,BK 100/CT BOS-MA 0. Cl TOWEL, 12/CT BOS-MA CSWVECPFGL 2 2 0 0 BX VINYL EXAM GLOVE,PF,4 MIL,LARGE bos-maw PK BATTERY,ALKALINE _ _.__w__- DURAACTBULK3E 9. '...1" - �� AA;36/P"K DURMN24RT1221 1 0 0 PK BATTERY,ALKLN,AAA,1 2PAK UNTD-WOB V I N Delive Number 30612330DEL I IIII II I II IIIIIIIIIII II II IIII III II I III ___ (Page 1) NIS o PM � Delivery Address Invoice Number: 140140772Neu W.B. MASON CO., INC. Fishers Island Ferry District Customer Number, C2024302 59 Centre St-Brockton, MA 02309 ATTIC:JAMES Reference Number: 140140772 Address Service Requested 5 Waterfront Park Invoice Date: 12/14/2016 New London,CT 06320 Due Date: 01/13/2017 888-WB-MASON www.wbmason.com PO Number: NLT Order Date:, 12/13/2016 *6 6 93 21151*HO***********ALL*FOR*AADC*0 6 0 Order Number: SO43728514 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLAND,NY 06390-0607 1'111111'1111'111111'111'1111111'11'111"1111111111111111"'111'1 W.B Mason Federal ID# 04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your-Registration Code: 563741-9782— Now 637419782Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER - DESCRIPTION QTY; U/M UNIT PRICE - EXT PRICE - HVN410112 TOWEL,NATURAL,CONFIDENCE,6/CT(41500) 1 CT 3699 36.99 CLO97301EA CLEANER,PINE-SOL,LAV,144 1 EA 14.99 1499 PGC97567EA FRESHENER,AIR,HVY DUTY 2 EA 6.19 12.38 SW140501 I STAPLER,ECONOMY,405,BK B515BK 1 EA 5941 5941 SUBTOTAL: 70.30 TAX&BOTTLE DEPOSITS TOTAL: 4.47 ORDER TOTAL: 74.77 Total Due: 74.77 P/,.?, To ensure proper credit,please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — FISHERS ISLAND FERRY DISTRICT ` VENDOR 025038 Z & S FUEL & SERVICE, INC. O1/03)/2017 CHECK 3756 ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT t 14— SM .5709.2:000.200 i 21530 F-350-11.19;7,FKLFT-10GAL 36.49 _ SM .5709.2.000.200 21555 F-350-20.557,FKLFT-10GAL 67.00 SM .5709.2.000.200 21556 (2)WASHER FLUID F-350 '6.50 t ' TOTAL 109'.99 r ' v"k I iF• 1 tt I ________ ____ _ ___ I _ I r- ' • ' • • '141• • ® • • ' p Jt ti,':,'-_ - _ - _ -- "y-_ __ ".i:, °,y'g uP`i -_=-' -:< =_'6`` _- - __..t'.. .Y°Il„< !it ,I• ib„ .,,i „d,ihb:-,ti y.yG:,- -_- -_ - - . P• !,' `z::'a,`:4, _ td "i"r` '4'- 'sQ €i' ,•9r to "Yi• 'c* ,£J`'4,"•j•'u,a-' s`' s f•= 't...- WY,.< ,,>_ . SH S'IS 'NDt<FE Y,D STRrC '''t, .<it•P;UDIT'atil ,'2017.x y u; .;r•_, 53095,,MAIN ROAD,`.P,O BOX;11'79`,t; ;;. ' ".i x:". ;''`- ?a _ - !:/ /` ' ,i3. i 0UTF10LD; Yg151971 .N. .;Y; `'<F•.Pr - _ _ _ .l - __}___ is "L P ATIONAL BAN - - - ' SUF,FO C G0 N, 14°% - „+C• 'A, `CUT.CHO,GUE;,NY'1; 1835.,5„r' ”-- - "— sp- _ _ .a,t M u"€T',:,y,t°t -", '1 P ll@ 5 11.S 'U• 't^:.}+ -_ _ = it. t<a9 p'S2 0 n1, 'S'•4; '11 ' - - €'t u'•`fi`al 'a € tui{ i "-€'• - ==ra'- - - ';!'';a6,{,p`:I JS" I€t`{ I F,J ,,, - - '4fi - ' „':;ai;IIG's `se"a',„t,I,',,,a;;p''•,: ;.s" ,_ - 01` OA3``<2`0 l'7R YFp a;'x;`y ;5'Ot546/214' , , tb i,' fi,. ;d ,• 4ik(`, 1, ;1,'.4' `'5 b 'k' >"{< 9;P tl "`} fY•: t}c5 4'•"t ' 3 ' '9`” it > ONE>`HUNDRED_ 'Id'INE >AND'.,99' 1;0-0`• ,'DOLIP:RS' ` t' , _ _- r,,}, - _ _ _ _ - __: -_ .( 'i ,,iJ, :1', 'll l•,z• -G =_.t Gr_e - tf_ _- ,tet,,n P;qi", tC"'"i'd,+'i%'? !'}^' ' : j1i] '=[.e}-_ __ ___ _____ - - $h +ar, 1,v 'i'nII',, of - - :•__- _ ke _ _ - r y'y• _ _ _ _ _ - - _ - - - 1, 4 "ii` 3:: -- - - _ ' •<'•4 `i° `! 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' - 'r; t<'.';t 7,1 •f a >;, '.,":, ` fx•,''Y<'`, _ ) ,ut•.•`1,;, a'.(`'i,f ,ta;".jf,,s<,' t 4" r 3,' ,1•a • 2,,. v€. ,;,” L" <{ a,ti. - id ib.'iPtfi ."i' '/P,!<7 E,> aiPtl t'3 `Y:3•Y ' ,,r,,,, t ,.;r klv, t4 ki' f• ;. =i>T '>is:,".hr `_ :,, 'i,1. ,j <,'i:..js',°Ji ti '}'}' 4t,e"etav .;'s 533 p:,x,`{,'if:s',"y''t't li >'P"ti`ly'P:'*i li ri i.,P ni St q P:€ i-tr x:: ;P''- .,• `, , }°p .t\idl Fiup1",ilo- -- I'' V - -- "e,lt" 'Pr"C ,f it '17• ,1 I =r`r:-•,Y: ,Y" h1 :,5- '4 lo - - '.i+- -- ,tr tX, I`M:i. ,•t, - - - - !' '"Y w i < > e ', , , _• a air 0 0:3-7 5`6°i • ,il.' ',,2,.,y 4, .5;4;6 4 i,,:'==6 8 =-0 0`15 0'2 ,. lli. .., Vendor No. Check No. Town of Southold, New York- Payment Voucher 250385 Vendor Address Entered br� P.O.Drawer B Vendor Name' Audit Date Z&S Fuel &Service, Inc. Fishers Island, NY 06390 JAN 0 3 2017 Vendor Telephone Number 631-788-7343 FY 16 Town Clerk .� . Vendor Contact Invoice Invoice Invoice_ Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Rind and AceoumtNimtber 21530 11/2/16 $36.49 $36.49 F-350 11.197 al Forklift 10 al SM5709.2.000.200 21555 11/15/16 $67.00 $67.00 F-350 20.557 al Forklift 10 gal SM5709.2.000.200 21556 11/15/16 $6.50 $6.50 washer fluid for F-350 2 SM5709.2.000.200 $109.99 $109.99 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 therem-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 Fishers Island Ferry District Date 12/22/2016 Title w' -- Date Statement Z&S FUEL&SERVICE,INC. P.O.Box 601 Fishers Island,NY 06390 Date 11/30/2016 To FISHERS ISLAND FERRY DISTRICT P.O.BOX H ' FISHERS ISLAND,NY 06390 Amount Due Amount Enc. $218.00 Date Transaction Amount Balance 10/31/2016 Balance forward 287.01 11/02/2016 GAS 36.4 323.50 11/07/2016 PMT#3616. -179.00 144.50 11/15/2016 GAS 67.00 211.50 11/15/2016 INV#26860 WASHER FLUID X 2 6.50 218.00 V 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 103.49 114.51 0.00 0.00 0.00 $218.00 z & S FUEL 8z SERME, INC. Z & S FUEL & SERVICE, Wc. DRAWER D DRAWER B FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390 (631) 788.7343 (631) 788-7343 REGISTRATION NO DATE r- REGISTRATION NO DATE NAME {�. V I/ NAME STREET STREET CASH C O D CHARGE ON ACCT MDSE RET'D PAID OUT ACCT FORWARD CASH C O D. CHARGE ON ACCT MDSE RETD PAID OUT ACCT FORWARD Liters/Gals. Gasoline 3(o. e� c,0„$S°j Liters/Gals. Gasoline o C7. Liters/Qts. Oil Liters/Ots. Oil Lubrication Lubrication Oil Filter Oil Filter I TAX TAX 11CUSTgRAE-'f3'S` e l�RE }� � TOTAL L/J^/ CUST R'S SI ATURE C PRODUCT 608 All claims end returned goofi 0u ST be accompanied by this II i C PRODUCT 608 All �d returned goods MUST be accompanied by this bi N 21530-- `Thhank`You 1 555 55 claims `?hanlr`You � f —_ .I � rn m Z i fi"'e o �,_ n K m > )6 !d c to m m 0 !�" m N - -1 !"" O M � M 8' ° O u 3c O ' y m ^ rn Q o , x a f o - M a y , y m > © m �2 v m cCn 1 "` t3 o W G W x a co 1D lJ3 � U� 0 Val