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AU-01/17/2017 Fishers Island
_-_________y ___________ r__-________ ___. ______- ______-__ t ' l FISHERS ISLAND FERRY DISTRICT VENDOR 018458 ACCOUNTEMPS 01/17/2017 CHECK 3757 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION), AMOUNT SM .1310.4.000.000 47349`890 J.TRINQUE—W/E 12%16/16 910.3'6 SM .1310.4.000.000 47394184) J.TRINQUE—W/E. 12/23/16 680.64 TOTAL 1 1,591.00 t- — ' J.•'•`. •.:•Yi. v':a Fr.:'`f-lAYif es''_e.'. <.x✓t" l ' : .r,e/ar..=- 'y'...•...t.n_.....s.,._. ..nu>ennA.-.. . • -.Sr r:. ; r •.}:•`D :• i: - r: a^ - .:_. - _ - _ fit:•'}:.:: r'•k .. Y .v-- a; i R p F. rt r5 s•. L - ! i t 1 i r .F. i :=__-_- E__ _._ _ ,& .,Uwu' • il'n Yp :.TF x'h 3--_.,c. • iShIEh-SrISLwo,BERRY DI TRIC F AUDIT o T'• ' 'is%? _ ;,' .y t - - _ a ;53095 MAINrROAD,,P0:B0X,1-079-,%—,m °l;u i.v ; ; ''i'SOUT OLD'N 1197 - 'i:"= ',.`tl>✓ .r":;'. ' N ,r,,,Y<. ?:-os5s,;•,,,; : ,=,t' of C ECR,tNO''° ,317 5',7;. «5_- - '.,'` Tw'SyPfOLWCO;NA'TI'ONAL BANK„ _ 1935'<'e'r7. _-„ :DATE:``=:• _s, ,x •' , __-° :AMOUNT, _ 17qr .Y19 Y;:0, 0: (( 5W546/214' ;:t ' .r' -O_NE_`.',THOUSAND.`FIVE`HUNDRED'rNINETY `ONE.4,AND<<'0.0' l`0:0':`:DOLI;ARS'; ;,•, '>:: ,`' ': -•`' '°'. ' . _ ____ :I 4 i yr_ dlyn0 ,+^lS„ti, __ ___ /- - _ ” ,'y '•;,;J,`d 71 'll'V ;,1"y0,y P e- tir t ( `ej5p = e-, `Y}iu,. •'ni I+o 'yti" a,t'a s'_-- _ _ ':BI',s u-+'r•1.',l,':P.t - - ' _ - _ - _- [}'- y ___ B•Y-- - _ }, `'I '/ `'`'S "✓f' 'E_ - If , - k•' .,t`' C4' ,.t .. :5:i". t.. <;1-_ .S;' T/f:` .i . ^'`- _ r t: •'bl.s., - r-i rl.i .t., t•', ,a: :i .d:r6 , "y ,{: 4. ge" aVBt:'„ 'd., .q I -A'Y„!s ,;yi='3', C 0 T S, _ - - - - n; :;• ,,,y;'; : ', -_ _ _ id{, •,u,,t y`I °Ib'''1 r t t',r , 1 „yt, - _ ___ ___ _ ' ff'S`k• , n'i;, ,J,Sr, _ _ - _ __ _ qi ,,,•,I't,i 4 lr -_y _ _ - -- ` 'f _- -_-1.`__ - --_' - _ r, ..:f tt,y Is;” ,r.•,y,^,,f',t `I" --O'•' s, .!Y:ir',.,p, Ider i 4 `.,'• _}_ ! _ :.5; 1-0 ;rr, .t"r .\ a ;a12 40s0.'',COLLECT.LONS___;CE_NT_ER_-'DRIVE" ,'ah•.=crl' '.1• ',tt"_" ,„ Isl.,, _-_ -__ -_-_-_- - " „ '' rb ° ' 'o ` ;'fl+oP.<"i` IK „1„'. ,R;"•' I',p` ;tt,' CHICAGO `>I=I,<16r0 6.91<OF al.. of":i i`.'•' `f= '.;rr :,5t :t°u „Y,r ,I _ rdd - : _ i<'t 'S s°t i` 1• `ice'! °r• 't ',ter-:. r,l - -__ - - :i ,{E irn _--T°•, --- __-'t• 'tr - - - ?'S - - 4, - __ ._ may.'F a±„'•." _ - ,' ,,//dd _ r - - -- Ili' •/ .i'',r.'' - - - - , 0`0 3 7 5 7 ii'' 1:0'2 1`4'0 S`'4 6 6S 4 i. - ' '0 0 5-T2' i"ii■ ` l 0 Vendor No. Check No. _ Town of Southold, New York - Payment Voucher 18458757 Vendor Tax ID Number or Social Security Number Entered by 12400 Collections Center Drive Audit Date Accountemps A Robert Half Company Chicago, IL 60693 Vendor Telephone Number 800-533-8435 ` FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claims Number Description of Goods or Services General Ledger Fund and Account Number 47349890 12/20/2016 $910.36 $910.36 Jeannine Trin ue SM1310.4.000.000 ! WE 12/16/16 26.75 hr 47394184 12/26/2016 680.64 680.64 Jeannine Trinque f WE 12/23/16 20 hr 3 " F 1,591.00 1,591.00 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 CLJ ``a^"�"� Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date Accountemps- Page. 1 Invoice Date. 12/20/2016 • A Robert Half Company Invoice Number 47349890 Customer Number 00700-101844000 Fed Tax ID 94-1648752 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 Trinque,Jeannine __ .___ 12/16/2016 -Mur h ,Gordon ------26.75 --!-IRS REG $ -- 32 00---$-- -856 00 Ts — - ---- Subtotal for Week-Ended: 12/16/2016 26 75 HRS $ 85600 Invoice Subtotal: $ 856.00 Total Taxes: $ 54.36 TOTALAMOUNTDUE: $ 910.36 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 Acco u me 1 1 1 p 5" Page 1 Invoke Date: 12!26/2016 A Robert Half Company Invoice Number 47394184 Customer Number 00700-101844000 Fed Tax ID: 94-1648752 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 Qtv UOM Bill Rate Amount 1 Trinque,Jeannin e- - 12/23/2016- Murphy,Gordon - - - 20 00 - HRS REG-" $ - 32.00- $ -640:00-Tx -" - - Subtotal for Week-Ended, 12/23/2016 20.00 HRS $ 64000 V V — Invoice Subtotal: $ 640.00 Total Taxes, $ 4064 TOTALAMOUNT DUE: $ 680.64 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 accounLng and finance professionals please call (800)533-8435/Inquiries bos@roberthalf com (800)803-8367 Please det,@ch and return this remittance stub with vnur nnvmant Daily Timesheet Detail Page 1 of 1 Accountemps• A Rdbett Mf Company Timesheet Detail Name: Jeannine Tnnque Job Order Number. 0008942093 ID: 1018777440 Company. Fishers Island Ferry Work Week End Date, 1 2/2 312 01 6 Approval Method, Online Timesheet Status: Approved Approver Name, Gordon Murphy Timesheet Type Consultant Weekly Time from Saturday 12/1712016 to Friday 1 212 312 01 6 Date Day In Out In _ Out In Out �, Hours Worked 1211712016 Saturday _ ... 12/18/2016 Sunday 12/19/2016 Monday 8 30AM 12.30PM 400 12120/2016 Tuesday 9 OOAM 1 45PM 475 12/21/2016 Wednesday 10 OOAM 1 15P 325 1212212016 Thursday 9 OOAM 1 OOPM 400 12123/2016 Friday 9 OOAM 1 OOPM 4 00 Client Weekly Total, 2000 Electronically Submitted by Jeannine Tnnque Submitted on. 12/23/2016 9 29 44PM PST Electronically Approved by: Gordon Murphy Approved on. 12/2512016 9 28 47AM PST Print This Page DEmail This Timesheet X. Return to Timesheet https://time.roberthalf.com/pse/hrfsprd/EMPLOYEE/HRMS/c/RH TC_CLIENT.RH_TC_,.. 25-Dec-16 ,- I r - = I I I I I , I _ _ 1 FISHERS ISLAND FERRY DISTRICT IVEND'OR 001395 ADVANTECH CONSULTING CORP 01/17/2017 CHECK 3758 I , FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM :5710.4.000.500 967145 i IT,TICKETING SPPRT-12/16 1,429.25 ; SM .5710.4:0001.500 967145—A IT OUTSOURCING-1/17 1,345.00 TOTAL 2,774.25 CIA " - i S3ee '. 41SY°ri,f„FAr u:` vtie_'a `. e•' • >`tx`-_ - _ :+'":•J=•:G":i::5 ' :u: xx s,+.:+_,.x .,....- . .x x_ e \•w,r<w" h' ,:,x.. x. e .. ",rye Y<s r.A .ar,.•-. ...}.,:t:K-S:?•y:.,` ; ' .-.i .FYJ::¢.kx• ,'a... :e:ry eek d ,.- „ •qx« %q'„• ,; .s• r oG y`.,L4 _. .., . j' ' ry' .,i`t • F fi 1 ,,. ,+:... ,<a^ '•... ,., ..< w•"=`'" LI't"r.•4."<" '' ?A.i. 'A:`• n'• . M'i•::r a ''« •r:• I 1 sl 1 V • r 1 -_-_-.¢,•;_ _ .=-:.L' __ __ -:4`_:-=.:t"b• .`N,. 'i a'Itl"d tiFr, t 'tl: H4,n =__ ______ ___ ____{ 1 , = •- -- -- - ----- e -; ',-mss•;': 'n _ AD4?:= -i•=. t`;`•`•:law`?:.: s.;1= " `-L' "v"L%S,`_ _,____ i ; ` : ' F7SM,tS-4S ; E RxDIS ICT;e, uDfiT-cri,"17 a'53095MAINROAD„PO,BOX'1,1;79, :,,,r1 "E+a,`=„• 4•£:'•p ,C•S< > P`` jxg;'tt, ;_i:'t;"SOUTHOLD;'NY:119]7=0959pxrli € S ;,t ste r j'<: t Ct.%'"+S,t =C'HECIC,r.; O;'ti' , ,'I' 37P58;£., ,,,m:,b•' r - -_ <THE FF ^CO.N• , bN 4'L'e° nSU„0 K, A„I {+. A ;,<"x,rr,r CU Y,CHOGUE:'NY,r,1.1935' ,• =_ -,DA E _= _- :ia:'..';',t,. wAMOUNT' 1 'u -•,I•,i" I9' ,N,YR, lt,'4"`'' _- 'St a-'Q'e--_: __.`{'` __ __ !t Cys `,n p.c a,N•'"'t, ___ - - - - - " IP I __ ,;.`r. - _-__ -__ --_- s'3< ,ta l' .P" Al .4.n 141 3••...<t'^'s_- _ - f _ - _ '#S ><`hJ-`. •i,a:,n #:. N'.,-.G io'4='' _,. -`i'” _,I:, '-vt =- , i •:v.-l.`-kii .Y :✓.,. .':i3J`4'. '”' - •J.rte •.3' r'<1S,` a'.4 ••;f v `4' s1`+ ';`i:`3, '{.'r;= Fn i••r; ;, :'r' `Fs ',3,,F',1` •50.546/21,4x;pf";t '+,'_{ ,•j,x•t: ;'s /r •/ ,=s>} k; 'ai r: ,P:'.i.; .,F <:f.° :v=,; •, ",='e,' z.< .f, r r,r.,.r „ 'ar5 ":; '•'•.J' ”,/:n= >"°.ca)<ii'..'-.s"t^°;s,,',::'x\; TWO``=:TFiOLJS SEVEN HUT IDRET) =`SEVENTY 'FOURS`P,ND x25 1'0'0'.uDOI,LARSi,; "r, 'kr _ N.,=,.•., a,,•':=t , d _ _ 'catyL la „I•,rtl „ 1' p, _ - t._ /, "6f:,, _,; ra, • i=u' y,, I:I;r,,yd 'Al .z, _"ti'=_: _ _ i}=" = _a :•t'- ;;-' __"=_ --- -_ .'r 'w,',; "R' ';I,.1 .,6; 'i,'ki,l„I, - --,a__c=:r"_ _ - -_--=•z.r; ..yj„ •.'4, <,f,"-t >,•„_ ___ - _ IP..:. 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'aA II,,at,,l=.,:an:l„d,..1r., ::,' . `'sy'',I•I',1'Y4 J)Y 1 al',1 ,I; .f'•IfJ' - r, ,.,1•.x f.:g`= t'=.-.; .' -` '= `L "`" t"'s` -- -- ea1'nJ I ' - __ -'=r'=== -_- =,t - :ab"'ti Y, ,r";"d,°P "'r'd;; 's,^=- ---a•-- --_ -`='t-- - aer,w ti yv`"' a=' ," .:' 4`3': I ;ITFIE:rj'e i d`;^ p'4; __ ___ - ____ __,'1, ,,-- ,i r ';,fi. ;a 1',N:,4 .,P' ;,=v-` „+} __ __ _"__ ,t '`sP.,,t,,uc'{1'lb"•°' 1 ,e;',Y;I"rilt'p ' ,°f l r,'i,: P,0;.,1B'pX,,9'5'l.< ___ -- --- - - p ,<e"r .I_.E4 1 `arl ''•, l.ar` _ -'i `-= _- •- :. Y•„tl ,;tl, ,,A /Rllcl\p p'f s •,,,+., ___==.„`v' :_ _ - _-f-:.'' " ...; ' ria, ;h"','1-I?::-- ````__' ,i.`,"=z-'-=--__ '^-" - ,Y ''Ta. „J.-r Ria L,.'.e`n n•'`f,yr • ,'e °',f:",`.,1.„ e,L; .°,: a"i r. '(''}i `1, N ".` ?'\ :!•%„, li`n ttl r 0, '4ii:, s„5ii” -;l"a/ ,,"S §, ,.,., F .4: t•,'J;tii.3i <%wr•% , ;ap,s,:,3,r,. i.;r. a.a i, f t.'',rb,; l'Ir4 'f n,a,:.} r.'•{, r"sl,iS•: 't, ^•.r :I° x.a.r _ .iF "n,n+ ":a •• :F ' §N'•,=f:I.' r•a` '}.a: -zx •yR,•<,=, r'at,t,;>,•of» ,`tii§nxa'S"' <,Nc= ` j r ,, I .?,f` i£;. :. , xti« is;;, .tr>'•1;`s'.,.,,r^,i-<c _?" v _=_4 •,r..;,"M' ✓ _ - - tti @ .q - ;4,. _ ',pt, <,r'nv'pr•d+'tf">'a .I'i•"I''-v - - _. - -vii -- _- n,t;a "" 'I' "' '7 ` t -__ •¢ - ti t - - _ :_ _- - rr_--- 1„t,'ila ;1.; :fi,It,<',:":,1t: u' _ - _- - _- -_ :•11 ;. ”;"P= ;°Y9'`• •s*!1 rP`` `4• - _ --- - - - a -- ':t --'i _-- --- "-- ,C=I' 'IP '- N<°:" 'A„ ',5 `'f;r :a" '_ -_ _ ___ _- _ Y:`• - 1 --- - _ _'- ____ - _ -_ __- __ _ zi!°, VV "1 t IN _ - -_ -_ - 1 141 I,, t•4,' _ 'a"< - - _{;- {._ .z3=, ,R 11 1 1. V =-i'' -- - __ -- `! `P, A Ix e#Id''i. ",11"I'• li,ll,1 y far. _ 4 -__ it ti;' ,a i s4r— ., -• ,.•,x ri. •• Ir , I S. -b••_ n' ' .'6', t. , '•f 1',',n a , `3=7:58ii■.; i.0 '2 L 4°0 5 4'6 4`1'. 5 8._-:0 0°L 5 0 '2".k L` i SN6 Vendor No. Check No. Town of Southold, New York - Payment Voucher 1395 *375a- Vendor Address Entered by�J��` P.O. Box 951 Suffield, CT 06078 Audit Date Advantech Consulting Corp. Vendor Telephone Number -- ` 860-668-0044 FYI 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 967145 1/1/2017 '$2,774.25 $1,429.25 IT,Ticketing Support 12/1-31/16 SM5710.4.000:500 -$1,345.00 FY17 $1,429.251 $1,429.25 Payee Certification Department Certification The-undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been 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 1/6/2017 Title Date AdvanTech Consulting Invoice P.O. Box 951 Suffield, CT 06078 DATE INVOICE# 1/1/2017 967145 BILL TO Fishers Island Ferry P.O. Box 607 Fishers Island, NY 06390-0607 TERMS DUE DATE PROJECT Due on receipt 1/1/2017 QTY DESCRIPTION RATE AMOUNT IT Outsourcing - 1/1/17 thru 1/31/17 - Includes 20 1,100.00 1,100.00 Consulting Hours 10.5 IT Support - John H - 12/1/16 thru 12/31/16 55.00 577.50 8.25 IT Support - Ed - 12/1/16 thru 12/31/16 55.00 453.75 If 1 IT Support- Matt - 12/1/16 thru 12/31/16 55.00 55.00 1 Ticketing Support - John - 12/1/16 thru 12/31/16 55.00 55.00 8 Ticketing Support- Maheswari - 12/1/16 thru 12/31/16 36.00 288.00 AWS Hosting: Jan 2017 125.00 125.00' AWS VPN Tunnel: Jan 2017 45.00 45.00 / Spam filtering: Jan-Mar 2017 75.00 75.00 d � Thank you for your business. Contact us at(860) 668-0044. Total $2,774.25 Unpaid invoices over 60 days past due date subject to late fee and interest charges. Vendor No. Check No. OEM Town of Southold, New York - Payment Voucher 1395 7a Vendor Address Entered byi� P.O. Box 951 Suffield, CT 06078 Audit Date Advantech Consulting Corp. , AN j 7 2017 M Vendor Telephone Number -- 860-668-0044 FY17 Town Clerk Vendor Contact • s 1Q�-`�/� e ltX-�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 967145 1/1/2017 $2,774.25 $1,345.00 IT outsourcing 1/1-31/17 SM5710.4.000.500 3 -$1,429.25 FY16 F j $1,345.00 $1,345.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature \ Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date t AdvanTech Consulting Invoice P.O. Box 951 Suffield, CT 06078 DATE INVOICE# 1/1/2017 967145 BILL TO Fishers Island Ferry I P.O. Box 607 Fishers Island, NY 06390-0607 TERMS DUE DATE PROJECT Due on receipt 1/1/2017 QTY DESCRIPTION RATE AMOUNT �� IT Outsourcing - 1/1/17 thru 1/31/17 - Includes 20 1,100.00 1,100.00 I Consulting Hours 10.5 IT Support - John H - 12/1/16 thru 12/31/16 55.00 577.50 8.25 IT Support - Ed - 12/1/16 thru 12/31/16 55.00 453.75 1 IT Support - Matt - 12/1/16 thru 12/31/16 55.00 55.00 �4 1 Ticketing Support - John - 12/1/16 thru 12/31/16 55.00 55.00v 8 Ticketing Support- Maheswari - 12/1/16 thru 12/31/16 36.00 288.00 r AWS Hosting: Jan 2017 125.00 125.00' AWS VPN Tunnel: Jan 2017 45.00 45.00 Spam Filtering: Jan-Mar 2017 75.00 75.00 d Thank you for your business. Contact us at(860) 668-0044. Total $2,774.25 Unpaid invoices over 60 days past due date subject to late fee and interest charges. „ , - . , -- -----_---` `-------- --` -----------` `--------- -` ------------ -- - FISHERS ISLAND)FERRY DISTRICT VENDOR 001332 ANDREW RAMSEY AHRENS 01/17/2017 - CHECK 3759 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT r- SM .5712.4.000.000 123016 116 COMM MTG OCT—DEC(10) 500.00 TOTAL 500.00 , I II f,v j .«•-.., ..._mow _.._ ....,r »,<.,,.<.._ ` << .V} .. ,” i , ; > "e. I - Vis' •Q v ..v na....%, .. R.Z.v • .:' , raw . ^,: • ..Y F`a•"••, •. :.. '.,e~ ,...: >,'• ` t 1 r ,t I i :f I` 1 i • e • m • • m • • o • Emu -y,s .n x' +'•1'n.C' J <t8wzs&- -_ 5•-- = at„, ll -,rF T ZRYISTR7G '.53095 MA1N-ROAD,-POBOX,f,129} +s< SOUTHOLD„NY,11971,-0959” a:CH'ECK;NO. 3:7'5'9;' , ,.,•,r -- - '"=x ==: -_ -` ;C TCH GUE'NY'A'1935';Y :`if° :_<_-'- =- --'`' A'TE'->" __ +J t'•f'',+'AMO,UNT+` ;- I',k<' ''''` O1"'17 -2'Or17,' 5'00 f0,0 < : . ,=fat`,_ ' s' FIVE `HUNDRED,AND°:'0'0 1.00,06LL S - - - ''____ _- - _ ..,"h. 5 .1.I'"In i. 'li.lii t• - _ - . -_- _ ---_5:n` ` "'',7; f '"1° .vr' - ___ '1'S'")A - __-___ ''1 / 1.a, _ - __ - r`•'i Ep- .1 „ I✓.;y. 1','r, ___ _ - -=-_- .f,7,Y. `q,Ir: .1,• .Irt , P•,i It : :_ - _ ':i\ ''tl 'I s,,fl Ip•r! -L' 'x'" ys - `xlr L '.°.. I 5 M; i(I'ip!t {P ^ '3 it• "li r1 `;1ir ?.3•`' s>' - _ _ - t,. I, ';L t' t'Il il "i;Ij id"s, ',q;y;'•'or `,ANDR'EWd,F2AMSEYAH_R_E_NS_+`-- - I J" ~, •' ; ` ' _ _ _ - --_ -- -_- e4f. -r-•' •It.• •:t;.•`,r it - __ _- P +A. + q' ', y.rnl .,e 3' r_. -- ,1 -O,TIiE.'; --- h. ISHERS _I'SL71ND N1''.,5 06'3. 0'.".r; r:: `'a.3 i'C, i 3 f. f r4;;''' ,f '.. ,'Y• e=s+'< •<s' ,•!,'r''s'r, ."rt"r'r71 ' 3 : r •'; .e d.i >,6 • '? _ r'il '°trt•a`.n},' w"?;:'p'• ->r 'rk''4' { s,} x;+. ' Ji fs • - -e - --- `,S' 'I'i ai 'I p,2 ;1'a<r d'°i".>'r l="t"' ?'s--- -_-«E'•=_' -"'"- `rd ,`e`tr,r •1;Pa `'t':f- -- - _---- _-- ---: ' { - - •'1`=::i' .a a' ':f, 'a` I l; = t - = t ,,f° f..r. r'A'v,` I';I'i`_tit titi _ - --'?, - - ;•i' ,1„d'0 - __- _`>___ -/`E ',. ,'J iut'7 :f•'I,d 4 .i - - _ _ -__.`r,: •+,. _- --- - _ __ _ _ Y `• ,NTMI i3 t; I, L - "-” ": _ _ _.f„ : _ __ - ____ 'J, t ;Illi 11 _ <pll dl' - =_ =- - - - .,rJ•I t, .>' .r•r -al` II,;. I+,1, 1 _ _ _ _ y _- t,,i' , ' f -iii0" 137°5"9ih ,'im'''2'1ta4b5'4 ;4 g` "E'`8' 00-15:x,:2 ' Vendor No. Check No. Town of Southold, New York - Payment Voucher 1332375 Vendor Address Entered by 386 Winthrop Drive,#718 Fishers Island, NY 06390 Audit Date Ahrens,Andrew JAN- 7 2017--,- Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number STIPEND 12/30/204 $500.00 $500.00 Commissioner Meeting SM5712.4.000.000 Oct-Dec 2016 10 Mtgs @$50/mtg $500.001 $500.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature �7�1aC.• Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date BOC Meetings 2016 $50.00 a meeting ^� Meeting Date Rugg, Peter Parker, Harry�, Afhrens,Andrewa Shillo, Di W Bloethe H Burnham 11-Oct-16 1 1 1 1 1 5 24-Oct-16 1 1 1 1 1 5 j 8-Nov-16 1 1 1 1 4 / 17-Nov-16 1 1 1 1 4 ,/,, 26-Nov-16 1 1 1 1 4 �✓/ 28-Nov-16 1 1 1 1 1 5 ✓ j 2-Dec-16 1 1 1 3 ✓ 12-Dec-16 1 1 1 1 4 ✓ 21-Dec-16 1 1 1 1 4 ,/, 26-Dec-16 1 1 1 1 4 4Q16 $ 250 $ - $ 500 $ 450 $ 450 $ 450 $ 2,100 2,100 Page 1 \\fiserv1\D$\FD Network Directory\BOC\2016 Meetings-Commissioner Stipends 26-12-16 Minutes of the Meeting of the Board of Commissioners ` Fishers Island Ferry District October 11, 2016 Commissioner-Ahrens-at the Fishers island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the Ferry District")to order on October 11,2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe, Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen, Deanna Ross and members of the public. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District . October 24, 2016 CommissionerA"ns-at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on October 24, 2016 at 4:30 PM. Commissioners Dianna Shillo,-William Bloethe, Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen, and Deanna Ross. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 8,2016 Commissioner Ahreessat the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 8, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham,and Dianna Shillo were present.Also in attendance were Gordon Murphy, RJ Burns,John Haney, Diane Hansen, Deanna Ross and members of the public. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Minutes of the Meeting of the Board'of Commissioners Fishers Island Ferry District November 17, 2016 Commissionee_,_hreat the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on November 17, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe and Heather Burnham were present.Also in attendance was Gordon Murphy. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 26, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of � Commissioners'&the Fishers Island Ferry District(the "Ferry District")to order on November 26, 2016 at 9:02 AM. Commissioners Heather Burnham, Dianna Shillo, and Peter Rugg were present.Also in attendance were Gordon Murphy and members of the public. Commissioner Bloethe was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 28, 2016 Commissioner AtP,rens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 28,2016 at 4:32 PM. Commissioners William Bloethe, Heather Burnham, Peter Rugg and Dianna Shillo were present.Also in attendance were Gordon Murphy, Diane Hansen, Deanna Ross and several members of the public. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Public Comment was deferred to later in the meeting under agenda item 10,section b,article i regarding The Lighthouse Works ("TLW")Annex proposal. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 2, 2016 Commissioner-Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 2, 2016 at 8:21 AM. Commissioners Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 12, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of ^k 4'zj Commissioners of the Fishers Island Ferry District("the Ferry District")to order on December 12, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy, Deanna Ross and members of the public. Manager Burns was in attendance via telephone. Commissioner Shillo was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 21, 2016 Commissioner Ahrens pt the Fishers Island Community Center on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District ("Ferry District") on December 21,2016 at 3:36 PM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Rugg attended via the telephone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016—242 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 26,2016 Commissioner AhC ,rens,at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on December 26, 2016 at 7:46 AM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy, Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016-246 RESOLVED,that the Board of Commissioners of the Fishers Island Ferry District hereby approves the Warrant dated December 26, 2016,in the amount of$66,243.54 Moved by: Commissioner D Shillo Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W. Bloethe,H. Burnham,D. Shillo Nays: None Next Scheduled Meetings Next scheduled meeting is on January 9th at 4:30 pm with a 3:30 working session. Adjournment There being no further business to discuss, and on motion made by Commissioner W Bloethe, seconded by Commissioner A Ahrens,the meeting was adjourned at 7:50 AM. I , FISHERS ISLAND FERRY DISTRICT J VENDOR 001318 AIRGAS USA, LLC 01/17/2017 CHECK 3760 I ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ! AMOUNT r- r- SM .5709.2.000.200 9058732034 (2) PROPANE—NLT FORKLIFT 94.71 TOTAL 94.71 I I - I ' L Lo Lo '.Cy> I 4:ir: :•'i a r ao Y•R. > .- zs u,. .rx e s s't;,,"''"` <4..•'• +.R' ,a c_: '°v^n. " "'r.,a•*:t''tA` `e•"'a`a:::rd''`.'„ 'w" 'r< F'.-s?'^ 1 • I f- I I d 1 r I r- t , - ___ __- '- - -__-fb.s, 'U,iE t I,lu ' '• ''1 'u'u N'>tt s °`\''_ __ - __ — ,'l, 'l,;'S. P. fT,;-: >. - -_ -:'rt'S„ I If FrsHEIZS-I SL4ND=FERR ''171ST ZICT:r = - `'``='' ` : ' . -- T " r g ,A'L7DI;T's T01/2 '/1?•s+ "'_'+;, +;,fir • t,r It; ;53095,MAIN`ROAD,'PO'60X;1,179',"•,,•' SOUTHOLD,W?,11971',=0959 .,''i z., :f,? .. `"•` %$), - , q y' :£ THE',,SUFFOLKCO.NATIONAY',8A°NK;°r. `CUTCHOGUE;NY`1,1935`, - N• ,d ,'1 qll,d, t F =__ - - -- 'll ,l' 1,,116 ;I .IG''",I .r;+ •r` 'a'S - : __ - - - _ - il'I11 ;1 dl•NI'.i"> 'y1 ,y,• •17:';2O.T7 c 9'4 '7 ,fc'_ ".4 ''',,t'.,4, enf. ,-hz',s•t NBn, z<A:' .fes}a i.S`• 8 4y, .i':.Sr.il"':,:'#'`a'\ .{'"- ''' 'y - 'Cifd+ ."s •, - rl,. "`_' `. ` "\`vim` - iV+a Y.r d - i,l$t `:f^\ `f•c`:--.Un NINETY'''F.OUR - - - - '$ 4 Ni fa" d •I,,•v"f" Nr''I' •'P" :ii'P_- -- _- t=' - - - "n'' epi° ' £ " h;'p`:r - -'- -_ -- -- t - -- = - - - - m's ,s 1 'I Il, a ':'1,a„r,.a” - _ -_"d -_ __ _ I uluei, aa, I„a,< , `'•a .E :_- - sf-_ - - _ °t:` 1 _ _", - _ .r"._: {f i l,l .,6 5'1„"h., •,11'7,1; , '--_ - .J-._r: -_ 'I, ,:'I r„ :.I;;i1.. _ - - - -' _--_- - _- tP; x3' ,II IF',I1,7J Pf - __ _ - _ - {•'' ✓S YII °'1 F,`,I,f'f'l'Ii 11 1'I I'r',',' :i' _ - -- --- `•r.,t , - n...,z:-1•<;,.^>•” `_;;lne , .;%,>'. .,fpq ,, o`L• -. ,="' 'y.' .f,.:• r- i.•'+1. 8• .c1` $„i ei' .r; . <1' ..5. £''i'3:,'f„” P` \,E•riu•.{0 ":`$it t <, „t Y , '' '' ,k: - -na`*s` <t*a''•t„ r, ,'bt' _ '=i• .p " `:_a 1 `'r` s•f T,l`, xt° 'r> I ':f N/ati^ 4" " .7`- .. '`.` 'F.i -.:'\,:r •:T` :I'r:,x j . I'+ i - ,A'Y'' ,,A2RGP,S, USP:» ''IZC:_ - ''I -a I ,° +,dE , _ `' - , ,,' ,• "d4, t ; ,;, ,1, 1.`Id,. .,,4.•`•J1 s8'0'2'`S'7.6'- :}"-- - - _ ,_.` -- p:1N1p,1',1 i•,'R,0.1 l 11Y,trs -,\?<`$'$'1{"• }:», <}.=-___-..r;J 1,0„ E ,PO:•BO$TH : 04 - ;' f'' CICPG J680, 2'5'7 6=;; "K4 N. 1,t',,';•^''•' t :4. .!. } tY$ « ,'J,'i :5,`y, ul• •!•.C: . ,I,. F"E d ,(3"i, :S ° :;.id• ,qs','.Fx,' _ r<4` ti!` 1' ?' 'd,°3l fs y5.'9: '}f,ry "'$. k N. ,}o-i'ir ".' +%' i e:`' \a'q..,s l,2. •.Q. :,a» .`/'L•' ."<"%° .; ., ,J.,`'a . ',rs ,.,' _ °r' I .I st,>8 di ><" =<',t'. - - - _ -, - --°- t' , P,a,a 1" 1"i 1; - -'_S =_ -_~'t;--___ ;t`:" „f 11 ,r „r I -- __- - _ - - f • __ __ __ _ - '1:Ia I I ,, II, ,I 'I^"i X11,,IS•si` 'y,,,i_ _ _ _ ___ _ _ ,rN,l`t "a 11 11,1( ,a 1 1•I 1. - _ _ _ _ fill 0'0 3'7 6`0 ii ,i:0 ''L 40`5 r.`Ld,:° G6 0 011 5 0'2' . Ill,» ' I Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 37GO Vendor Address Entered bpi/�'J P.O. Box 802576 VendorName Chicago, IL 60680-2576 Audit Date Airgas USA, LLC -JAN I _� �_��j Vendor Telephone Number — -- 860-444-3055 800-962-0285 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 9058732034 12/28/2016 $94.71 $94.71 Propane c 1 2 SM5709.2.000.200 NLT Forklift $94.711 1 $94.71 - 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. Signatur �,�lft� Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDERN - INVOICE NO- INV r E.DATE ".: 0LDT0NO, SOLDTO NAME. 1054071041 9058732034 12/28/2016 2576547 1 FISHERS ISLAND FERRY DISTRICT ORDERED BY.. ...:PAYMENT TERMS ORDER'PATE PO fiRELEASE. SHIP ......... :. :...:: TWO FOR TWO PER POLLY POLLY @ FISHERS ISLAND/NEW LON ARGTRK NET 30 12/27/2016 DELIVERYN0,1 QTY CYLINDER . MATERIAL NUMBER UOM . QTYBtO UNIT.PRICE: tJOM; AMOUNT DESCRIPTION: SFIIP G1.. sHtro .Rein 8059285609 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 8.24 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 AMPUNT 94.71 / Airgaso POLLY FORD �d FISHERS ISLAND FERRY DISTRICT FERRY TERMINAL NEW LONDON Airgas USA,LLC anwrUquidacompany NEW LONDON TERMINAL Acct No 8606074318 Airgas USA,LLC 261 TRUMBULL DRIVE PNC Bank,ABA No 031000053 6055 Rockslde Woods Blvd FISHERS ISLAND NY 06390 Independence,OH 44131 For change of address email to:ndiv.returnedmad@airgas.com REV 6 1 16 1113161 Page 1 Of 1 or call 216-520.6000 Disclosure Terms of Sale. Each sale of Goods or services by an ArrgasT11 company is and shalt 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 httgflwww airgas com!term5-gf--sale(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 Contract or 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 Seiler 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(ii)pays Seiler 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 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 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 Seller's invoice Continued open account credit is subject to Setter'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. SurchargL! 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 Eguinment• 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 Seiler.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 Ceriain Airgas cornpaniras are U.S government contractors and subcontractors and are subjoct to and adhere to the roquirornents 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:tt www,airgas.com. Visit us online today to see how www.airgas.com can save you time and money FOR LOCATION NEAREST YOU Airgm DELIVERY ORDER VISIT WWW.AIRGAS.COM an Air Liquide company ' , SHIPPER: SOLD BY: DELIVERY ORDER#8059285609 AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 12/27/2016 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:12/27/2016' 800-962-0286 800-962-0285 PRINTED: 15.40 12%27/2016 SALES ORDER: 1054071041 SHIPMENT: 3316823 SHIP TO:2576547 SOLD TO:2576547 POLLY FORD CUST PO# TWO FOR TWO PER FISHERS ISLAND FERRY DISTRICT POLLY FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DRIVE RELEASE# FERRY TERMINAL NEW LONDON NEW LONDON TERMINAL FISHERS ISLAND, NY 06390 US ORD BY POLLY @ FISHERS 261 TRUMBULL DRIVE ISLAND/NEW LONDON ENT BY RANZARMSTR FISHERS ISLAND,NY 06390 US 860-442-0165 Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Standard NET 30 Airgas Truck Airgas Truck N329 N309 NOW Order Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret Mt 2 CL X UN1978 PROPANE 2.1 Q Line# 10 Material#PR 33A Stor.Loc.F001 2 2 64 LB PROPANE 32LBS ALUMINUM X 136.000 LB rf ?� - z= - EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS El ❑ SEE REVERSE SIDE FOR IMPORTANT SAF F ATION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dNW W.AIRGAS.COND OR BY CALLING ACCEPTED FOR 5 THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPT REJECT THE ABOVE THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MAR ND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDINGM BLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME PLEASE PRINT AIRGAS PERSONNEL DATE 1 T.O.D. ---_________-_______-_---INTERNAL USE ONLY Delivery#8059285609 Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight* LB III IIIIIIIIIIIII IIIIIIIIIIII IIIIII I II III ;❑ - 5136 AIRGAS TERMS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER ALl NNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREA NAILABLEAT AIRGAS COAL 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 H WWW AIRGAS COMIIERMS-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 I 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 OFDELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR ATTHE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERM IT 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- TA1v1INATED 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($2 00))OR THE HIGHEST RATE PERMITTED BYLAW 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 ORAGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDITAPPROVAL 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 FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS SELLER WARRANTS THAT,AT THE 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,FORA 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-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE ASA 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 AGATNSTANY SUCH CLAIMS 6 LIMITATION OF LIABILITY-SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/ORPUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR 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 OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8 COMPLIANCE/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 AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS 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 GOVERNM ENTAL 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 COs LIQUID COa ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID 0, LIQUID ARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIREOREXPLOSION FIREOREXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE •EXTREMELY FLAMMABLE Substance docs om bum but will support combustion Vspmsma dLw,a,mph maul Vapoano,cause dozmessoreaphyxianon •Wll be easdylgn'lad....a,sparks or llamas Will be 11111 db haat ks or llamas Somem r act ex ycause yxauon wl •Will fI'm ex Ylgnite y spar y e pioswelbad lapis war wMoul—liqu plod�'mixtures vmM1air SlIame,ingocsivemlxmeauvamOs nh int Vapo,aM,Yfte comullidd a as Old rang •Vapors Item lmuelletl gas ar¢Initall hearer than ar 9 .Slone villi orad mm�eousl paper all clothing etc) .Vapor,Irom lmuell¢tl t l M1aav1lr man an Vapor,lr.m lmuelietl gas ,niti.11y hearer Nen air tlold ma travel to source If ig fip,eatl aeon g pp yin air •Vapors hoot llquelletl gas are initially hedwer Nan all spread ngas are lnl nary and spread Bion tl re green y gnman antl hash back Those substances dlsgnated with a(P)may poi mer- a 'mm-m!ma and spread along grountl B groan CAUTIONHem 11111419,Deuledum UN19 Y long groan yrrevm torn haw,llgnll�on antl leash back .Contact wet L Id burns FlRE)EXPLOSION hydrogen ) ( 5'h,hydrogen, explosively when healetl or lnvelvetl inelne •Rungll may create lee or ex Bas or qua le gas may cause refdgemtee llq,Id(UN1966)and Methane(UN19T1)are lighter than Vapor,I—muehatl Olosanhazartl sever IO hgsiblle •Non-flammable gases pars gas ere,n�La11 neawer lM1an an Comainers ma elnjury en elrenewlllrlse Hytlmgen antl De,nedumnrea are elmcull to tletecl y yexplotl.wM1en healetl FIRE OR EXPLOSION Conlalnersmay explode when heated Ilncelh bumwManlm,simename Uw,m,dtemd,e Ihodgl spdfl,,hgng ground entlmaylravel lq source of Ignition HEALTPupuH pylintlersm.y,ockei •Non fl°mmable Ruptureticyllntlers may rocket % a tlde,s back HEALTH gases eeCylmwasolon rmsedto al ra,bmy tmrld,etc) .Cylinders exppsetl to lee may vent antl rolease flammable •Vapors maycausetlrzzlnpss or asphy:allgnwNoul warning C.nLamemm,d,,ede eke healed PUBLIC.ro—m TY •Cynndersalauradmld.c vent antl release nammable gas gas through pressurerellel devices Contact with gas or llquelletl gas may cause burns severe lnlury RupWretl cyl'tleNLICSA (metals pnlofeeak area lecro ately'list leap 100 la Comu , ,y rel,!devices •C.n ,,ammay explodexnen healed sntl/m l.mbne PUBLIC SAFETY meters(3301eep in au d°ecfii •COnlalners may explotle when heated •Ruin,mad cylmdea may r.ckel •File may produce lrnialinginolme,xicgase isolate spill,,leakareannoludately far al feast 100 'Keep unaumor,zetlpersgnnelaway •Ruplumd cylmdars mayr.ckel HEALTH d melers(3301eat)in ell d�ractions Stay upvnnd HEALTH •Vapors mo dismess er asph Iron wMoui warnln PUBLIC SAFETY •Keep unaumonzetl personnel away •Many gasesme,o-O,lnanat.ntl will spread •Vapors may ceusedisslnpsd qr esph Tien wrtheut wamin ycause yxa 9 IsolaIl lllm leakm.a,mmedalely to,at least 100 meters(330 .Slay upw,nC a long ground antl called In Iowa,confined claw Yx'a g Soma may be toxic it inhaled at high concentrations last)m ell tlneallonl (sewers basements tanks) •Some may be nntamngdmhaletl el high concentrations Comact w,m ger,,or llquelletl a burns severe Many gases are heaver Nan arena w,Il.pread along contact win gas or lmuelietl ever gas cause Keep 0...Th.,wal personnel away •Keep out of low areas gas may cause bums s .injury mµryand/ar'lesione and and wrecim lower..nlinetl areas(ce-ars old a,fioslbna .Fre may prgtluce irtimnng antllo,loot 5layupxlntl o semenis tanks) Valulate closed spaces before entering Fir may protlucelrnlaling cryo,toxic gases gases Many gazes areheavler Nan et and will spreatla,ong ground .Keep oulof to«areas PROTECT/VECLOTHING PUBLIC SAFETY PUBLIC SAFETY c,Icbm low or confined areas(sewers besemems tanks) paces before emenp •Wear posit-pressure sell—marred breathing •Isolates Il or leak arealmmedmtel I,—least 100 maters Keep •Vemdareclesetls •Isolates for leakarw iotrol lm for at Least Too at,,, P� y poulol low areas PROTECRVECLOTHING t app.-1 hrSGBA7 P'1 Y (eep cl11'nal ddp,r,s PROTECTIVE CLOTHING belore entenn9 Wear pgsllive pressure sell conta�netl breaming •Slruclural lited Pers protemive cloming will only Keep auth ll creation,co Keep unauthorizetl personnel away PROTECTIVE pressure appaml.a(SCBA) EVACUATION limited Protection •Keep unaumor,xetl personnel away •Slay upwntl •Wear ppslllve pressure sell conta,netl breatn,ng apparatus Structural ln.l tens Ove abort 9III EVACUATION •Stay uprvintl Many gases are heavier than air and wlllspoord,l.ng (SCBA) gn protec 9w' Y La SII(-Consder,nmal dewnwlnd evacuation for •Many gases are heawerihanair and wdlspread along ground antl doldableclnlowgrconfinedareas(sewers Wearchemical pw yswd.wredprotecon m°P cm,edln low or comnetl areas(sewere basements tanks) gmun thy-Wlmi,fa clothing .Always weer mermal proteclveclothing,Ten Fat leas!loomelers(330Ieel) basements w,r. recanmentletlby Ne manufacturer Il may prgvitle lisle or no EVACUATION / Fire-H1ank rail tarot rank truck IOil n,ac ineine Keep. of low areas Keepwlollowerpaa Ihermalprolemlon gereletl cry°Dan,cliquitla or soiitls ISOLATE Im 6g0 meters(Ila mI1e)lin All direclpns PROTECTIVE CLOTHING EVACUATION PROTECTIVE pocTHING •Situation ONLY ars protectivebmhing I11reco,1 where far Ira Le SII(-Cartslder,n,ialtlownxlntl evacualgn Ipr al alsocons�tlal molalevacual,on for 800 meters •Wear po.:,eve prlsaue Sellmntd,netl breaNing apparelus(SCBA) •Wear,poaLv.pre^sum aelitgnminetl Orealhing eppereiun situations ONLY itis nal efledlve In spill s,lual10ns wnera tlired least l p (12 m,1e)iI'll dneclipns • Structural firefighlere pmterm—ni.mngwe11 only provide limited (SCBA) c.nure-lh Ne acto.incel.possible I cask mrs care lin protection •Samurai fw1greare pmlecmw comegwlllanly pmv,de •Always vein Thermalp.eal-clothing when handlmg rd,lger,,U Flre-Il tank tae care mnkbuckls lnmlvedmeine EMERGENCY RESPONSE •Always wear mermal protective clothing mem handling Iimlletl prolectien cryogenic Ill I d0IA1E lar 800 meters(12 mile)m 111 direatmos also FIRE r0,ge,enVc,.,maliqud. EVACUATION EVACUATION onetler lnluOf evacuation for Soo melers(1/2 mde)m Use 11m1gashog agent salable for lypaol EVACUATION Lerg,SPII!-Constler Intel dexmwmtlevacua,.n total least Large Spol-Constler lnlnal tlownnmtl evacuali.n for al 1...1500 alldlreclons wooundng the Lerg°Split- smennnlm tlavnw,nd exacuauon mr al least eoo gg0meloa(lamee) —lam(t2,nde) EMERGENCY RESPONSE •Move c.bin from lire ereasd you can call ers(12m,1e) FIre-Il lank rail car or tank truck is involved lnellre ISOIATE fire-Il tank ran carer tank truck�smvolvedm a file ISOLATE FIRE without risk FIre-Il tank rail carer tank muck sinvolvedme,fire ISOIATE for far 1600 metea(l meal In all ,,ealens also consider mn,al for 800 at,,,(112 mne)mall d—lons also consd¢r,nnal Usa.xmngashog.ganl reliable farmpeof DamageticylndIrsshould be handled only by I60XI1 IIIT ml0m.1l tleecigns also conae1m.mlalevacualun e,acc,a,lar l 60g melem(I mne)mml necion, wecuallon lm 800 late,,(112 mlle)In all d,reclons w-undng fire pecla1l.15 for 1X meters(I mne)mml tl.ections Movecontamer--beer...11 you can tla It Ft.lnwlving Tasha EMERGENCY RESPONSE EMERGENCY RESPONSE EMERGENCY RESPONSE wnh°ut r¢k Fight fire from maw,mum duranceoruse unmannetl FIRE- NOT EXTINGUlSHALEAKING GAS FIRE UNLESS FIRE-Lae exl,ngulshing again.unable for type of surrounding fire .Oamag,dcylintlerlsho.Idlela,dlad,,I has holdersermomlornozzles Fine-00 NOT EXTINGUISH ALFAKING GAS FIRE UNLESS LEAKCANBESTOPPEO Sme/IFbea-Drychbmic.ler COr yby Cwlconlainers with lloodng quantities of water until LEAK CAN BE STOPPED a InVal,sis Small Fires-pry chemical or DO, Logo Fires veinal unciae moat CAUTION Nydmgen lUNIOa9J,Deuterium lUNt96]I and Ler Fine •Water sora (o File lnrolving Tanks not y gen,mid eraled 1, a UN1966 burn with en lnvlmble 9e Y I—Nlasba,f •F wholdesur mum distance er use unmanne0 Do-ce aclwm alfiqurcl.i leak or solely H dro g our( ) Water spraym lag M.—mm.ylderem Should be hand,d n Our,jp mil sk hool cam lees with few,,g qs tlences lmnq may occur !lame Hydrogen end Me Nona mrNure,compressed(UNPBJa) •Mwe cOwn,Ta.irem lire area if you Can tl.11 vnlM1qul risk •n,loldogTal rs dhpultl be M1anmetlpnly by speciallscs .Cool conla�n¢r9w1lM1 llppoln Ii 1 •1NNtlrawf.Iy dloly,^caaeglnsing•.1 TO,k om a bum w/fh en lnvlslb/1llame gquan,leso water unlll my FIre Int ficf,g Tonka Fen,filth./ng Tanks well after liremout ventingsalary dances orooksenauonof Tank Small Fres-prychemlcel or CO, Fgnt lire Item maximum dista..............etl hose Fgnl Ire Item mas�mum distance or use unmanned nose n.ltlers Do not direct water manurce of leak or safety do,cas 'ALWAYS say away tram tanks engull¢tl'n lire Lenge Flies hold s or monitor nozzles or mmomr nozzles SPILL OR LEAK •Water spray or log Coal containers in floodingI.I„g may occur •Moveconmmars tram lire areal quanlllle.of water until well Cggl terminer.wlm llootlmB 9ua^noes of water until well akar .Wit drawlmmetlmiel fram sound from Do not iouchor walk through splatl matenal you can tla,I wllhoul nsk after lre,out fimm.ul venlm safes devices a,dawlorauo^d tank •Stop lel you can all wchoutnskard 11 possible Fre lnrolwng Tanks Do not ditaOLIii-...rceel leak or safety tlences,cmg Do not drectwstar at source Ofleak or safety devices Icing .ALWAYS diayeway from tanksenguiledm lire urn leak�ngconleiners so mal gas.......rather •Fight fo,from maximum dismnceoruse unmanned hose M1oltlers may occur may.ccur SP/LL OR LEAK than liqud or onilor nozzle. •Wllhdrawemmedmlelylnces.ol„smg,m,dtromvenling •Wilhdrawlmmemately In case at nano sound from v ,mg salary .Do not touch or walk Ihreu hs Iletl mineral •Use water spray to reduce vapors or riven vapor •Gael one,mers wet flooding g1a11,1s of rater until well after solely dewcespr discoloration of lank tlences or clacobaloo Ol lank •Sia IRL do 11 wihputnsk and it cloud doh Avod allowngxmer,unit to contact Ilre is ani •ALWAYS stay away from me antl,of the tank •ALWAYS slay away from tanks engulfad In filo P WO can possble spilled matenal •Do ml direct wale,at�urce of I—safety tlences ding maydKa mase .°unman turn leaking loaners 6o that gas escapes raNer •For ve lire u netlhose[roman manlier •Form poser�u unmannetl hate n.ltl let or monitor nozzles it Do not dneclwalerin for source at leak •Vmhtlmwlmmedlmerylncall of nsing sountl from venting solely nozzles ilthis islmppsslble wilM1tlrawfrom area and tat mm rslm0osmbla withdraw areaantlletireburn ase water Pravantent towmerwa ewers basements., tlences or tliscplorelon of tank the burn SPILL OR LEAK U spray l0 reduce vapors or divert vapor ryin ys s o,ddnH Avoltl Wlonn 1110 cpnlacl donfinederaae •ALWAV551ay awayfrom hatel of meiank SPILL OR LEAK •Keepwmbusl�dles(woo.paper ml ek Jaway iron splletl matenal c1 gwaier rano Allow substance 1,-p • For, use unmannetl hose hmtlers or monitor nozzles it gnI (no smoking spar g spol.dmmenmorate •Eiamea -alt mon sources hares ks or Do,1.Ok,f you walk all llo-s.nd If po sol ticecl wafer e15p111 or source of leak Ve AID the area TILL RLEAble wimdiaw,from erea antl lel M1reburn (lames lnlmmedatearea) •Btgpleakllyou can dollwlhoulriskantl llp.ssible turn leaking we FIRS AID SPILL OR LEAK All, •Prevent entry lniq waterways se rs basements or •ELIMINATE aII ilio^sources(,,smoking flares warksor qulpmenl usetlwhen naneing the product must be Donlelt containers !halgasescapes tamerman liquid ll—sutlareas Movavi,r,m,resh au B^ 9 grounded Donmtlr,p,,ymreapc of leak AlovrsL,he ce to evaporele Ca11911oremergenic,I lcalserv�, flamesinlmmetlmte mea) •Smpioak cal can tlgnx riassakentlep.dan turn •idowgwatrayn,ff1, ¢veapilrtlrvenvap.r cloutl tlnh Avgitl yenlllaL the area •Gwednlfl.mlr¢sprtallon Avicllm is npi breathing •Me 01 tar n mak tenhanrallNe product m�nbegrounded leakottouc a or wale ihmgasall,cl srelher Than ligatl mlawmgwalerrun.H ie,ways eweatlawmcl CAUTION Whenlocamandtwthrefr fid/ AtlIp,,ct.xygenndquet gas diH,cull •Dep 1,,kuchm wand.it ,houtlled matenal Do not touch or walk at of Prevent entryInto wate,ways serve,.basemenla or conllnetl cryogenic liquids,man molenels become Errhle add •Keep vlclm warm end gael •Stopleaksyoucan s....lPro rather than .passible turn leaking Do not tlirecl water a[50�11 or sourceof leak areas am R , Ensure that medical Tare°wareofthe conlalners 6o That gas escapes raNer than llqultl •Use waterspray to retluce vapors or divert vapor cloud ul Allow wo.tance toeva ere 1/kaly to break wllhaul warning pms.nne •Use Lill play load uce vapq rtlivert,coin cloutl tlnh A—drillowm ter rerroH to contact s led matenal •Isolate area uirmi Paaie F/RSTAID malerlal(s),nvolved and take precaulona to protect Avotl allowing waler-0 to contact spilled matenal Porwmlent mT. ewer P nclamefwarsetl •Move vi em,to fresh I memsel ry Intowaterwayss sbasementsor CAUTIONWhenlncoeofwMrea,li,May,to oralda, Call 911 or emery medical services Powo•Oonomcar,eal wmg.1,waae,at amllm source of leak mn.In...as many meledals become brlRle endure hke/y,fo break wdhout 9^cY • and oa�ql vapors lM1rougM1 sewers venllalon.ystems •Isplatearea unlll Gweeatera.yg,,rI breathing i iengl brealM1�ng gas has tl,sper6etl •Atlminislet qx Ibr¢dlhln dncull antl conilnetl areas warning YBen 1 g 15 FI RSTAIO FlMmaA Clothing frozen to Marko simultl be IF,awed before •Isolate Varied 1, gashas well eparsetl Mwe 11 a, 1p lre.h,y •Mall911 lmmlrg.h B'r b.ngmm d CAUTION When/n6111—cfam,reely1.bHek VwM.lc aqurds,many.Cau 911or emergency medicalCallGa mor emetgenry me—imen�cw In case of contact w,N lq,cled gas Naw frosted Iraleriak 61mrtrebdme enderellLetylobmak wdhout wam/ng .Gwe onilloal respiration 11 v1cfim.s not breathing •Give anillcml resp�ratlOn dwcllmmn.i breathing pads with lukewarm-mer FIRST AID •Adm,mm¢r.rygao n brealhmgls dificuit ptlm,nisler oxygen llbreaming is diHloult Keepvmmmwarmantlqu,ai M.wclm Iq Iresh a1r Remove antl,.lat.conot--mad clmhmg and shoed Remove and Isolate contaminated land N,.a. Ensure(hal medical personnel are orate of me •Call 911 memmgencymedical smvicaz •Incase of contact wih llquefleo gas Naw frosletl pans with Clouting frozen to lime akin should be thawed before be ngremaetl •3--lmalresmmaondv,aum re sol bramhmg lukewarm water •In case 0l conlaclwch Lquelietl gas Naw frosted pans mill, terlal(s)InvoWetl rind ldk¢pr¢caullgns iq protect •Administer oxygen d breathing Is d0fi 11 In case of burns Immed,ataly cml chained skm Inr as ukewsm,water themselves •Remove antl Isolate contaminated clothing and.noes langasposslblewnhcoldwam,Do sol remove clothing 11 Kaapvlet,m Wa ,mdqulei •Ckshnglrezenm9msansn Idea9vawadbeldebeng mm"" adhering to skm Ensure that medical perswnelera.wared the matenal(.) •Inkaz calm of contact x,In lquofied gas thaw frosted pans ee with Kp—b—,mor-dqu t involved and take pa,aumons to pm ai themselves water Ensure mat m,nice personnel ere ew 1ma masoom,) •In case of burn,inme—ly rad enedetl akin far ss long as paaible mvmved and take waoaumons in protect themselves xM To wmm'Do nd renm2 clam ng,l re,renng to.km •Keep vichm warm on quiet •Ensure mar med,1.1 personnel me,.war,of the marerim(sl vetl Intl.he pa-mi...I.protect inems-1 --- -----' --=--------' '--------- -' FISHERS ISLAND FERRY DISTRICT VENDOR 0`01400 ALTERNATIVE SAFETY & TESTING 01/17/2017 CHECK 3761 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 76091 DRUG TEST (3) RANDOM 120.00 SM .5710,:4.000.000 76091 LABCORP COLLECT SITE(3) 30'.00 TOTAL 150'.00 1 cm 1 • 1 - , r 1 .:r'w rte; ::># jos Y`'• :ti:t:, g <. 'i +y,• 1 I I ----- _---___ I , 1 6 Sol 1 :1'- =Aa•, dfrz _-_=t.-= _ __ _ I/} r --- - - --- ''D.W;`• n1@ :,f,'v`=j';.P`>-:;,^ : .d 3 :>-':,`='' 'v'{`i< :..FISHRS SSI A1V7 °R RR-Y 53095-.MAIN ROAD,PO,BOX•1,179, 'f' >,S•ti ;`':, ^f" v; f,'v SOUTHOLD."+NY;11>9,71rQ959i'a",j'"'`r,,. ".i,`` '•,P,:Ir,i 6r = _ _ __ `:"y;'e1'rt', n ,'r 1",q, ': THE SUFFOL C' CO. ATIONAL,B'ANKS, °'- ';ti - = CUTCHOGUE''NY,+1„1935'lr, q c+; .r ,pf + r 1' ,,' C°tl•e4, ' = r>-_=3,['-='x `'_a';”--` :1' k. q .N n'`l,•k{' t 7. •rt, t`'y':1'} ,I,,11 a` ;1",i :'ul,1111:,:' o - - - _ - ,I'al"a `-<,.1 a''ail'' ,1,.,,,f•atf, u ONEa,:t;H_U:';N},3>i•DRt.;f' f'} .srr\,}.,L,,It,,e3:,;,'tsn*t rr•4,, `*'b1,f t, : r, a't z,Fp< 50=5J%3 6j,%`2.'14','i,.,r#'. :'i t; t,s.., f`,"-:a `., Z;' ,.,t,',`,'tS>.°'„,ae'Y.'_-I'°>''t>b,:r 'rt'l'.,l••Yc•'izz^.z.•1 4lt'a:,'K,1'"f , I,,,,,' 1 .,<•r.?x°a.>f'. 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'j.-:i <F V ,t' "Fa,r 3i" P. ••is f Sr°S` °=Y.'"r'• ?3 s! : " y;' ^S° 'y:`• '' .,,ax,.`i`;,j E'E'`i' ^`6`'' rs`;a''` ,,lj t' - V t,. .g tj_:"Y_es•' a4' p `: -bt ? i.',,x> - ^'6!'r. s°A.2• R-a - :n£ ...;'° '.t`:+as. .x.,y .«".a`h '2r r.`,Y :.n"•°'-'°+an°.•n rr.,,•.,y' .0 a,y„ Le=l_' -'.4.f;}a`` }•' `. `'l` r i`.r - `i!", >.,,u,f. >,Str t, ,✓4 :'ls xl°;t`',y°x'/' „S.+> Y'6,v .r k { (i, - F'• - - '(r'=. '' t '1"' 1-sJ A, ,Pi,Y t 1 4ni`,l ',,41 ;•,f1 h ALTERNP,I1 UE`'r`SP;FTY &Y'TESTINGA;.=;I 6,!l' a,l ;b,a'. ,,a.11 „';l a, by l ''`r h:•6,liJ LF.• ,d rv -t,• 'a."-.='tom = - -_= ,t ,.'.:7;t; l I ,I':,.'.:;+".;" to;'I, - _ --_ "i; '-t d '1 r'i ll" IYi St-•,I'' _ - µ.l I! `' _ -j_ 3 _-- 1 fl t 'l'i•l (f I, ;' alt' „EO' bT2bN5" r`+ING', `a.".'l °°-'- - = - '>,.e, +`a'"'a .-,d,ib•j:•. 1 r- Fj`r „>;'_ ¢' - -- 1"„j• '1"Al-1 I 'lm „5f, ,v`,-• e:U dt. - -- `yvt<`,'l,`«` .'.y.";s?',.+C"r• .+,,;:,•; a1 gv, ",'' .e,=_ _=.` `--.` / ///j . ! .„+ ' 1 'y,Y,,•,"b.' 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'8 ;0 O.a 5.0''2.. r ii I (s v� Vendor No. Check No. Town of Southold, New York - Payment Voucher 1400 3 7- G_ Vendor Address Entered by��7 678 Front Avenue NW Vendor Name Suite 256 Audit Date ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, MI 49504 JAN 7 2017 { Vendor Telephone Number 800-477-3177 FYI Tonin Clerk Vendor Contact 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 UaUATes�5 76091 1/3/2017 $150.00 $120.00 Ran om (3) Sllil5710.4.000.000 $30.00 LabCorp Collection Site Fee(3) SM5710.4.000.000 $150.001 1 $150.00 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 SignatuCej� O.r...,_ Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date Remit Payment To: Invoice 678 Front Avenue NW EXCELLENCE Suite 256 Grand Rapids MI 49504 Date Invoice# Phone:800-477-3177 Alternative Safety&Testing Solutions Fax.616-534-5545 1/3/2017 76091 BIII To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 261 Trumball Drive include the invoice number for Fishers Island,NY 06390 proper posting. Payments can now be made online at; Terms PO Number www.astscorp.com or www.astsmaritime.com. Due on receipt Quantity Description Rate Amount 3 Drug Test 40.00 120.00 3 LabCorp Collection Site Fee 10.00 30.00 _ e5 � V` Federal Tax ID#38-3510664 Total $150.00 Ar'WAr EXCELLENCE MWJ I J Alternative Safety&Testing Solutions Detailed Report Fishers Island Ferry District Customer ID:48630 PO Box 607 Invoice Date:1/2/2017 261 Trumbull Drive Billing Period Ending:1/2/2017 Fishers Island, NY 06390 USA Fishers Island Ferry District Service Date: Item: Description: Qty: Unit Price: Total Amount 12/21/2016 Urine Call-Special Rates 1 10.00 10.00 QU E-10392289-QD 00644885 12/6/2016 Drug Test ! 1 40.00 40.00 Q U E-10392289-QD00644822 12/14/2016 Drug Test 1 40.00 40.00 QUE-10392289-5214399 12/6/2016 Urine Call-Special Rates 1 10.00 10.00 QU E-10392289-QD00644822 12/21/2016 Drug Test 1 40.00 40.00 Q U E-10392289-QD00644885 12/14/2016 Urine Coll-Special Rates 1 10.00 10.00 QUE-10392289-5214399 _ Customer Sub Total: 150.00 Grand Total: 150.00 Page: 1 678 Front Ave NW*Suite 256* Grand Rapids,MI 49504 800-477-3177*Local:616-531-6661 *Fax:616-5345545 www.astscoro.com * www.astsmaritime.com FISHERS ISLAND FERRY DISTRICT VENDOR 014223'BANK OF AMERICA 01/17/2017 CHECK 3762 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200' 7335-1216 TRUE VAL-RP BRUSH,CONTNR 39.64 SM .5709.2.000.200 7335-1216 GRANITE-NLT FLUSH CRTRDG 69.54 SM .5710.4.000.000 7335-1216 OCEAN STATE-COFFEE 24.99 SM .5709.2.000.200 7335-1216 LOWES-NLT ICE MELT,DL'VRY 387.22 ; SM .5710.2.000.000 7335-1216 AMAZON-RP,MUNN-FLSHLGHTS 49.70 SM .5710.2.000.200 7335-1216 SGNRM-RP CRANE TRCK RNTL 196.75 ;- SM '.5709.2.000.200 7335-1216 TRUE VALUE-NL(2)FLSHLGHT 63.73 '-- SM .5709.2.000.200 - 7335-1216 RAPID-NLT,RP,MUNN-PDLCKS 75.60 SM .5719.2 .000.000 7335-1216 AMAZON-RETURN FLSHLIGHTS.,,, 49.70- , -SM -.511,0.-2.000.'200 - 7335=1216 ',TRUE VALUE=RP CONNECTOR ` 5-.80 LoN SM .5710.2.000.200 7335-1216 -WALL PANEL 157.12 ! SM 5709.2.000.200 7335-1216, `"-IIM,-...DPT-NL-BLINDS,FI.-PNT 343.57 SM 5710'.4 000 800 7..323 ' I1S:z;,' ;:` ADMIRAL=HOODIES,POLOS 1,-647.50 SM .5709.2 .000.200 7335-1216- WALGMTS='('3:)XS$', 9V BATT 115.88 SM .5710.2.000 6200 ___,/7335-1216„„,`7335-1216 LOWES=RP MTC rtSUPPLIES 226.16 _ '• x;:r;;:>: "> ir::w::3:`::. TE 5 ' 'R ,RENTAL CAR 1,651.88 SM .5710.2 . 0 0 0.20:0 :°.:7•:3: '5: :7 2:1b f. E RPk , may•» SM .5710.2.w0=00.2'00:x•` -, • .- •. .-`- .. - '7335` 1:2'=1 6 ` <, ', :HM 'DPT4 =RP-MTC SUPPLIES 152.71 SM .5710.2 .000.200 7335-1216 HILLERY-RP THICK PLATE 1,519.81 ' ( SM .5710.2.000.100 7335-1216 HM DPT-MUNN-FILTER,BAG 42.44 _ r- SM .5711.4.0'00.000 733571216 PITNEY BOWES-POSTAGE ' 200.00 SM .5710.4.00'0.00 ! 73351216 NYS- (2)TRUCKING PRMT FEE 366.00 SM .5610.4.000.000 7335-1216 SPRTS-AIRPRT TRANSCIEVER 288.36 ; SM '.5610.4.000.000 ti 7335- 1216 SIGN-ARPRT SIGN W/GRPHCS 260.15 SM .5709.2.00`0.200 7335-1216 SIGN-FIT SIGNS W/GRAPHCS 125.55 f TOTAL 1 7,960.40 t 1 r- %ti "=: - - tE• ,,•4: : , - ln'`y;,y ,nw =_ ,, ,J;" S,f 1,'' . I SZ AIaD A8-RY DI-TRxGT :_ :_ - • E r, .AUDIT ,,0>1`/'11-/,.r 7#t = 53095.MAIN ROAD;,PO BOX%1y199'•;=:' " y;' S,R7, „^ g _ ;t,' `s OUTHOLD;NY+11971=0,959.;.p ?: - ;t " _' _ _ •''_$ " l:;r '_'''= =' CHECK,.'NO'.; <' `, 3'7.62, Q' '•e:' - "e i`----_ - '__. •,,, ,r, .. HE SKaCO4NATIONAL BANK r UFFOL _`_- :- -_- _--_ __z__ 'CUT.CHOGUEJ"NYr'1;,,1935'r tl;, _-_-- -- _ATE-, -_ _ ✓/ MQ,IJNT•`'I, a ';, .1 •r +II rll'g. n 1 I'.I J 'd u ' r' •a.__ _ _ _ _ { ,I I ,nt _ _ _ : _ ;1' 220`1-7;'` 50.5461214" 'tr J SEVEN= THOY7SA_ND='=NINE't HUNDRED' STXTYY,AND'=_'40 1'00''`DOLLARS" - --_:_ - - '44 , .,i ,,•, '_ _ ___ ,.t,fl",Js'`° .d,ip iJ •J'..€. 'PI,d',,,> rk{ _ a` :__ :. _ __ --_ = -' - :5r "`<; 1.^..it ' , ;' `p;':_ _ ___ __ __ _ _!i.. . I' I •1 a-r4,I„i >:y. __ __ _ __ +`_ _ __- - ___ _ , s'1, :}rr I`h ^ap P„ ,q„'tl`'• _ - -"•t __ _ -" ,h P qr",,al - P, i,. `j" ;,[. •.j:,_, ,_ _;4`_: ` -- -__ __ ,p:,, 'i __y: -,di. IJP.,IJ,.,.t,S .dl l+;ni,{• 1,>11''!,,'. = a - __ .-i r' +p,r ap't `T,lu it',p„1 ,,.ldl >1 _ - P, _ - - - --- - 't `li 1'.'s.4Pnf' V'i J- - . . .rl-f:719 4. ,', , 1 "N!C _ 't.' •€ - .P' t - - 'xao- -,;' - - - ''3 ' E- .! f • 1 .d' _ _ _ _ _ _ :`n`.'; d - 1, ,a'.,.D .:£,; 2,dti. .},f -'>i' k '.s:- ;d`; '/< z:j.p:;f.t'" ms,µ` .\.ty.`, '.:„i t '4 .. ., _ _.r " .,x sry_ r.,.•," t•e- of", AM.,' 1 '`1 = _.) 1{ . f.','1> -4.L414 - t ` , riP t 4:I:( Ilii pJt >f ,y, :I' BAN'K,'.OF,l4,h;AMERICA a -' _ 'ra ,,,, ai1Q a°'sb,ti',,',4,,1 ,1;7 - _- -- - - s•` {irl',;`rIJb19,E ;51'x;,, ,,JI'` -jE" - ' dI,ppWr;;ti T`+tEe) ;'EppIi,' 1.;,ae•{r",1..,u rP`" t t1q1SB1:.„P, <X:r aI "'r„tq'J1".',I+5,.✓7t:.,'.'3 :..1.•°--._-- - t;=`-8:-.6---==-_2--•-5+'-_--7---3_1_=_,__-__-t'-''. -,•t•i•r f...,;It,«':,,+„°h'1 ,i Rt"'.>f,<I IVI,In, ,Fl, 1'.1.;.' 1'i. r.+>,'„I 1:,,.wd°5 ' ,s{"l'?' -' ,:^..,i`>T_=-.-__---- ;---_' '-"-=__'--;>-__ .- -`- ' ` Vi 'F a- tWILMINGTON''DE 1+9,82t.;i, :,ri•;4,'n'id"fi„D.rJh",;;"111,,,,P•tr"i'fd b!{' eP.,i, 'r:p :i'alV : ,fP °;"lj `}€,' ' 't. 3 "s,• ,PF_::' s,, >,y,'rr c 4'",+ n.`. .j (> ,S`/,' jp:: _ L'. r, f. =,,J.. 'is. a'.(t _ ;trt. S'g..r.l-4f}b l,i 'f Vit, I;i;•,j.;.L'' , "1 2j;' fj" r rlr4``3slPera a. p,'1 - f'', .3I •1`"•t °I, I,' - _-_ ,1, I?, - - r^t' 1 I i'i•'I" _ - !. ' - - l z '.P f ,>,t 'I ,r i< yP , /,i13•0 0'3.-7 2'ii,;r r'.0 2 '4 0 5 4 6'4`x. 8:;=0 0_:L:5 0 '2"'-', 690 ` G Vendor No. Check No. Town of Southold, New Fork e Payment Voucher 14223 - '" 76a Vendor Name Vendor Address Entered by Bank of America PO Box 15731 4L Vendor Telephone Number h Wilmington, DE 19886-5731 Audit Wel 7 2017 888-449-2273 I�1� FY16 Town Clerk Vendor Contact �;" a nl�g' Invoice Invoice Invoice Net General Ledger Fund Number Date --77 Total Amount Claimed Description of Goods or Services and Account Number STATEMENT Jan 2017 121/ata1/ b'16 $7,960.40 $39.64 FAIRHAVEN TRUE VALUE RP brush, container SM5710.2.000.200 s . 12/6/2016 $69.54 GRANITE GROUP NLT flush cartridge SM5709.2.000.200 12/6/2016 $24.99 OCEAN STATE coffee SM5710.4.000.000 , 12/9/2016 $387.22 LOWES NLT ice malt, ;r SM5709.2.000.200 12/9/2016 $49.70 AMAZON RP, Munn flashlight lams 4 SM5710.2.000.000, 12/12/2016 $196.75 SIGNARAMA RP crane truck rental SM5710.2.000.200 12/12/2016 $63.73 FAIRHAVEN TRUE VALUE NL flashlight(2) SM5709.2.000.200, 12/12/2016 $75.60 RAPID LOCK padlock(6) NLT, RP, Munn SMS709.2.000.200,, 12/14/2016 -$49.70 AMAZON return flashlight lamps (4) SM5710.2.000.000 12/15/2016 $5.80 FAIRHAVEN TRUE VALUE RP connector SM5710.2.000.200 12/21/2016 $157.12 HILLERY CO RP wall panel SM5710,2.000.200,,,- 12/21/2016 $343:57 HOME DEPOT NL window blinds, FI paint SM5709.2.000.200 12/22/2016 $1,647.50 ADMIRAL CUSTOM EMBR hoodies (24)polos (23) SM5710.4.000.800 t , 12/22/2016 $115.88 WALGREENS USB (3) 9V SM5709.2,000.200 12/23/2016 $226.16 LOWES RP maintenance supplies SM5710.2.000.200 12/27/2016 $1,651.88 ENTERPRISE RENT-A-CAR RP rental car-transport to shipyard SM6710.2.000.200.,,, ' 12/28/2016 $152.71 HOME DEPOT RP maintenance supplies SM5710.2.000.200 r- 12/29/2016 $1,519.81 HILLERY CO RP thick plate SM5710.2.000.200 12/30/2016 $42.44 HOME DEPOT Munn -filter, bag SM5710.2.000.100 12/1/2016 $200.00 PITNEY BOWES postage SM5711,4„000,000 , 12/2/2016 $366.00 NYS LICENSE CENTER trucking permit fee (2) SM5710.4.000.000 12/22/2016 $288.36 SPORTEES airport transciever SM5610.4.000.000,,' 12/30/2016 $260.15 SIGNARAMA airport signs w/graphics SM5610.4.000.000,' $125.55 SIGNARAMA FIT signs w/graphics SM5709:2.000.200 _.. $7,960.40 $7,960.40 Payee Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) does hereby certify that the foregoing claim is true and correct,that no part has been paid,except as therein stated,that the balance therein stated is actually due and owing, �and �that taxes from which the Town is exempt are excluded Signature I C t` Title Company Name Fishers Island Ferry District Date 1/8/2017 Bank®fArnerica' FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7336 Commercial Card December 02,2016-January 02,2017 Company Statement + e e ® e m EYE= , Mail Billing Inquiries to: Statement Date ........................ "' '"' 01/02/17 Previous Balance ...... . ................. $3,824.02 BANKCARD CENTER Payment Due Date .................................... 01/22/17 Payments ............................................ -$3,824.02 PO BOX 982238 EL PASO,TX 79998-2238 Days in Billing Cycle ......................................... 32 Credits ..........................................;............. -$49.70 Customer Service: Credit Limit ................................. .......... $40,000 Cash ................... ..... ................. ..... .... $0.00 1.888.449.2273 24 Hours Cash Limit ... ................................................ $0 Purchases ...... ...................................... $8,010.10 TTY Hearing Impaired: Total Payment Due ................................. $7,960.40 Other Debits ................... . ........................ $0.00 1.800.222.7365 24 Hours Overlimit Fee ............................................ ... $0.00 Late Payment Fee .............. .......................... $0.00 Outside the U.S.: 1.509.353.6656 24 Hours Cash Fees ................................................ $0.00 Other Fees ....................................... ...... .. $000 For Lost or Stolen Card: 1.888,449.2273 24 Hours Finance Charge ........................................ $000 Current Balance ...................... .. ... .... $7,960.40 x Account Number Purchases and Credit Limit Credits Cash Other Debits Total Activity BURNS,RONALD J XXXX-XXXX-XXXX-2360 20,000 49,70 000 6,770.04 6,720.34 MURPHY,GORDON XXXX-XXXX-XXXX-4379 40,000 0.00 0.00 1,240.06 1,240.06 Posting Transaction Date Date' Description Reference Number MCC Charge Credit ,'Total=Activit - FiS 5 ` :e._ ti`r�XXXX-� •33 - ��»�r`����;=, - - - Ac ount�-Nu" e - m XXX-XXXX=7 - - - - 1;424.q2 12127 12/25 PAYMENT-THANK YOU 36215300000000541584768 0008 3,824.02 1� Ir Posting payments: Payments received by mad at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received. If we receive your mailed payment on a non-banking day,we will post it to your account on the next banking day. There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing address listed on the front of your payment coupon. Service for the hearing impaired(TTY/TDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service,Bank's supervisory personnel may listen to and/or N record telephone calls between Bank employees and any person acting on Company's behalf. o 0 0 Disclosure: We may furnish to your employer information concerning your use of your account. To read more about our information disclosure, s please visit www.bankofamerica.com/corr)oratecarddisclosure or call the customer service number listed on your statement to request a copy. o In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent o you the first statement on which the error or problem appeared. Please mail this information to BANKCARD CENTER,PO BOX 982238,EL PASO, TX 79998-2238. Your letter must include the following information. o The company name,cardholder name and account number in question. e M The dollar amount of the suspected error co A written description of the error and why you believe there is an error. If you need more information,describe the item you are unsure about. Customer Service. For questions regarding transactions,general assistance,and reporting lost and stolen cards,call. Within the U S Outside the U S 1 888 449.2273 1.509.353 6656 (collect calls accepted) y S . Bank ®f/1� �.;� ��® FISHERS ISLAND FERRY DIST f� A GORDON MURPHY XXXX-XXXX-XXXX-7335 December 02,2016-January 02,2017 Page 3 of 4 J 11:11a Posting Transacdon Date Date Description Reference Number MCC Charge Credit To_to ct it . - _ LA iv BURN RONA .l= ,.fv, :�r Y _ V= _ _7f 0`34 -c'."n_Numiiei� XXXX` =XXXX=2 6 - - 'Ac out - - - - XXXX -- 12l05 12101 FAIRHAVEN HARDWARE NEW BEDFORD MA_< 24207856337165301155314 5251 39.64 12/07 12/06 THE GRANITE GROUP 44 603-2241901 CT 24275396341385500862670 5074 69.54 12/07 12/06 OCEAN STATE 328 WATERFORD CT 24431066342400757000038 5310 2499 12/12 12/09 LOWES#02263* 860-701-2000 NC 24692166344000519232612 5200 387.22 12112 12109 Amazon com AMZN COM/BILLWA 24692166344000656648695 5942 4970 12/13 12/12 Signarama New London 860-443-9744 CT 24202986347980013567517 5099 19675 12114 12/12 FAIRHAVEN HARDWARE NEW BEDFORD MA 24207856348166300874415 5251 6373 12114 12112 RAPID LOCK&DOOR SERVIC 860-4436143 CT 24760626348415702773022 7399 7560 12115 12114 Amazon.com AMZN.COM/BILLWA 74692166349000947374655 5942 49.70 12119 12115 FAIRHAVEN HARDWARE NEW BEDFORD MA 24207856351161800951932 5251 5.80 12/22 12/21 THE H R HILLERY COMPANY GROTON CT 24247606356300550442314 1520 157.12 12/23 12121 THE HOME DEP6T#6215 WATERFORD CT 24610436357010189824812 5200 343.57 12/23 12/22 SQ*ADMIRAL CUSTOM NEW LONDON CT 24492156357741488268700 5699 1,647.50 12/23 12122 WALGREENS#10483 NEW LONDON CT 24445006358600264742821 5912 115:88 12/26 12/23 LOWES#02263* WATERFORD CT 24692166358000171252562 5200 226.16 12/28 12/27 ENTERPRISE RENT-A-CAR NEW LONDON CT 24164076362018507446538 3405 1,651.88 BURNS RONA D080780 12/30 12/28 THE HOME DEPOT#4279 COVENTRY" RI 24610436364010192634324 5200 152.71 12/30 12129 THE H R HILLERY COMPANY GROTON CT 24247606364300480451393 1520 1,519.81 01/02 12130 THE HOME DEPOT#6215 WATERFORD CT 24610436366010193474934 5200 42.44 MUR HY GORD1 -1 - TotahActivit P = - -- - - - :1240:06 cco 't-Nu` �•er� =XXXX=4 7 A un mb .XXXX:XXXX - 12/02 12101 POSTAGE REFILL 800-468-8454 CT - w 24430996336083358323608 7399 _ K 200.00 ^ 12105 12102 NYS LICENSE CENTER 518-453-8130 NY 24492156338027878542787 9399 366.00 12/23 12/22 SPORTY S CAT 8005484645 513-735-9000 OH 24445006357200187262147 5965 288.36 01/02 12/30 Signarama New London New London CT 24202986365980013567548 5099 385.70 Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Balance Subject Finance Charges by Percentage Rate to Interest Rate Transaction Type PURCHASES 9.75% V $0.00 $0.00 CASH 9.75% V $0.00 $0.00 V=Vanable Rate(rate may vary),Promotional Balance=APR for limited time on specified transactions. Bankof America �� FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 December 02,2016-January 02,2017 Page 4 of 4 N N O O - O N O O O M m O O O N O O W low AA =r FAIRHAVEN TRUE VALUE HARDWARE 23 POPES ISLAND J 1 NEW BEDFORD,MA.02740 508-997-3307 ® '" Transaction#: C353562 Associate: ELAINE I Date: 12/01/2016 Time: 08:45:54 AM *** SALE *** OCEAN STATE JOB LOT #328 A LOT MORE FOR A LOT LESS 128 BOSTON POST RD 2M3-50 QT MIX CONTAINR WATERFORD, CT 06385 466979 860-440-0866 7.00 EACH @ $1.49 T $10.43 2" Poly Varn Util Brush 251017 Sale 12/6/2016 9,18:04 AM 6.00 EACH @ $1.99 T $11.94 044359113202 Store#.328 Trans#:7100 Reg#.5 2-1/2 Varn Util Brush Cashier:48240 V6 13 316463 6.00 EACH @ $2.49 T $14.94 0443591132.57 I 0161252 COFFEE 1CUP 120CT 24.99NS Subtotal: $37.31 6.25% - State Tax: $2.33 ! UNITS 1 p TOTAL: $39.64 /'qlS � �„•.�� VISA: $ . 0SUBTOTAL: 24 99 CHANG : $0.00 I TOTAL: 24.99 - _ Credit 24.99'p Card#. XXXXXXXXXXXX2360 BUYER AGREES CO PAY TOTAL AMOUNT ABOVE Thank You For Shopping At Ocean State ACCORDING TO CARDHOLDER'S AGREEMENT WITH ISSUER Job Lot. Where You Get A Lot More For A%pprova1:039139 A Lot Less. Not Satisfied with your CNUM:VISA-***********42360 I purchase 7 We will gladly issue you a EXP:**/** NAME:BURNS/RONALD refund within 90 days of Purchase. ' AM1:39.64 Certain exclusions apply un- some items visit our website or in stare for more / details. Have a comment or suggestion or to view our AD or new merchandise arrival visit us Q OceanstateJoblot.com Customer Receipt I i (X) f =_= Online = = --�u �or-z- rgna�re .-----------------------------------Thank You! III I III VIII II III III WE APPRECIATE YOUR BUSINESS FAMILY OWNED & OPERAFED - C 3 .51 3 5 6 2 THE GRANITE Ship From PICK TICKET GF7®UP The Granite Group BR 44 �.. SOLID AS OUR NAME 75 Jefferson Avenue (ww. egranitegroup.com New London, CT 06320 Order# 9639814-00 www.ultimatebathstore.com (860)442-4348 Page# 1 Ship Point The Granite Group BR 44 Via PICK UP Terms ar 2%10thN30 Bill To: 27698 Ship To Entered 12/06/16 FISHERS ISLAND FERRY DISTRICT CT PICK UP- DELIVERIES Promised 12/06/16 P O BOX 607 FISHERS ISLAND FERRY DISTRICTicked 12/06/16 FISHERS ISLAND, NY 06390-0607 P O BOX 607 Thipped 12/06/16 FISHERS ISLAND, NY 06390 E Request 12/06/16 S rented 12/06/16 08:59 44c2 STEVE BURKE Instructions ONLY STEVE TO CHRG Taken By I eee I Sales in 144c2 I Sales out 41 1 Placed by I Customer P/O MN Staging Line Product Bin Quantity Quantity Quantity Qty Unit # Amount # And Description Location Ordered B.0. Shipped UOM Price anon (Net) I SLOC100500K AB/03/004/001 2,00 , 0100 2.00 EACH 34,77 69.54 C-100500-K FLUSH CARTRIDG F/500/501 SER Line Total 69.54 'Invoice Total 69.54 G . S L t pT � U f` U U C M VEL Q N 144 a 41 W ti a O D ~ u Y >c S n H �O � •c m � C � Q U THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD'TERMS AND CONDITIONS,LOCATED AT WWW THEGRANITEGROUP COMlrERMSANDCONDITIONSi THE'TERMS AND CONDITIONS'LOCATED AT WWW THEGRANITEGROUP.COM/TERMSANDCONDITIONS/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 0.00000 Received By: Date Received: Customers Copy Page 1 of 1 0 IIIIIIIIIIIIIIIII VIII IIII VIII VIII VIII IJIIII IIII IIINOT ��p!AVAILABLE A.M. �t In DELIVERY DATE: ' � /� TIME P.M. DRIVER: !� ..�EII]�Ei9r![IIsi®[iS:�lS3�FISL�IIY^6f[II41Paii Customer Name: RONALD BURNS 2263 LOWE'S HOME CENTERS, LLC 1 of 1 Phone#: (860) 442-0165 DELIVERY ADDRESS: Invoice#: 99134 Date: 12/12/2016 5 WATERFRONT PARK Salesman#: 113174 DIY WEBSITE NEW LONDON, CT 06320 NEW LONDON CO ALT PHN: (860) 442-0165 Delivery Instructions: WE HAVE A FORKLIFT ON THE GROUNDS <x.-�.; .�gib•., ,r�.k' aw ;sF41, w c rr`�� ,^t r,.. •'.?D'+r+�:., •!,'.,.;}_ .:`f .a? F.$ery �'°'3,":•2S.��t.;, ..aa�::tia#�z~.��. `\a;g•.v.�a •:(.R:'Y..�„�„e� ,..�:q;v:`_i •., ;y':�',.:�".”<;� ?a't�• `.,i',�'i sa:. ata 3'Srr <e;, u a.,.« "am,-, 's^ ar.<x.,,rc..a ,..f r ., Y” -. ,-, ✓.. '9.•., `Ae °€°ms's �"�;.:'-.c- 'x` <.� �:en;i :,t 4;fle•�'h;tla } �z},;y�,,, �we�3, ,�,�+�.:,,3�n:•�ese�:�v'�3 �`#:`,+� Z;, ,,:.s.- ..,e> �., i�t���,..,,t� ,t,,, a: fwC[ �"'«." ,, �*��'-'x"v,.��'�'»: M-'ti� � :aA.:��,};::•asr•rr � ��.���za;�°,y. - � F�. a t�;.,"�'q��o� � �R�,��i;� >. Ii +-^� wF �+�•�'�' .R��-A3,,sGY !, F'iS "}" 4 �:' '-ay.x� � .Y•..- ARS .°��,. �' INITIAL ITEM # ITEM DESCRIPTION MODEL ,Q UNIT UNIT PRICE 92384 40-LB ICE MELT 40B-RR-BP 30 BAG 9 .97 2263 12/09/2016 ORIG IVO: 99134 _Z; 387 .22 65 . 00 F 299.10 PRINT ID: S2263SP2 FULL PRINTING *********x**2360 VISA J Iavoice DELIVERY NIERcxw .0 i>isETor . TOTAL CHARGE V�t Please check the merchandise to ensure all items are received. Lowe ' s is not responsible for Pick-up shortages after you leave Lowe' s warehouse. Your signature acknowledges the completion of all initialed and checked applicable tasks above, as well as signifies receipt of all Delivered merchandise/items listed above. Your not signing acknowledgement of receipt, however, does not mean that such merchandise was not d livered. } RECEIVED AND ACKNOWLEDGED BY: L13WESImprovement Warehouse a"itt11azon,com, DetziHs for Order #106-2663914-2190662 Print this page for your records. Order Placed: December 9, 2016 Amazon.com order number: 106-2663914-2190662 Order Total: $49.70 Shipping now Items Ordered Price 4 of: Pelican 2004 Xenon Replacement Lamp for 2000 Sabrelite and Nemo Flashlight $9.95 Sold by: Amazon.com LLC Condition: New Shipping Address: Item(s) Subtotal: $39.80 Fishers Island Ferry District Shipping & Handling: $6.94 5 Waterfront Park ----- New London, CT 06320 Total before tax: $46.74 United States Sales Tax: $2.96 Shipping Speed: Total for This Shipment:$49.70 J�)v Standard Shipping ----- Payment information Payment Method: Item(s) Subtotal: $39.80 Visa I Last digits: 2360 Shipping & Handling: $6.94 Billing address Total before tax: $46.74 Fishers Island Ferry District Estimated tax to be collected: $2.96 P.O Box 607 Fishers Island, NY 06390 United States Grand Tota l:$49.70 Credit Card transactions Visa ending in 2360: December 9, 2016:$0.00 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice © 1996-2016, Amazon.com, Inc. or its affiliates 04- Q,e,-it\s� \40 r rz-Ac s Sign*A*Rama New London :HBS Enterprise LLC � • Broad Street New Stanarama-, New London CT 06320 United States ,' The way to grow your business. , Phone:(860)443-9744 Fax:(860)443-9563 bimal@signarama-newlondon.com www.signarama-newlondon.com Invoice # 20254 - Crane Truck 12116 Sold To Contact Shipping/Install Fisher's Island Ferry John Phone:(860)428-7517 Email:jhaney@ftferry.com Quote# Quote Date Sales Rep Payment Terms PO PO Date 12/06/2016 Bimal Shah 50/50 bimal@signarama-newlondon.com Items # Item Qty Unit Price Total Tax 1 Crane truck 1 $185.00 $185.00 $11.75 Single Sided: One man per hour with crane truck includes travel time Total Sub Total Total Tax(%) Final Price Paid Net Due $185.00 $11.75(6.35%) $196.75 $0.00 $196.75 Terms And Conditions Terms And Conditions Invoices&Cancellation of Orders Sign-A-Rama(Vendor)prepares your order according to your specifications.Therefore,prior to it's commencement,your order is only cancelable with the Vendor's prior written consent After commencement of your order(the point at which materials are assembled and work has begun),your order is non-cancelable.The Customer is Solely Responsible for Proofreading Vendor does not assume any responsibility for the correctness of copy Therefore,you must review and sign a proof prior to our commencement of your order By signing your proof,you approve of its content and release the Vendor to commence our work You are solely responsible for the content of the proof once it has been signed However,if we should make an error in producing the work as proofed,please be assured that we will redo the work as quickly as possible and without charge to you.Vendor's LiabilityVendor's total liability is hereby expressly limited to the services indicated on the invoice and Vendor will not be liable for any subsequent damages,consequential damages,or otherwise All dates promised on this invoice are approximations unless the word"firm"is wntten and acknowledged by the Vendor Terms of Payment Upon ordering,you must give Vendor a 50%deposit Your balance will be due upon delivery and/or installation Vendor may,at its sole discretion,extend credit terms to you upon approval.0 ollectron Procedures Invoices are considered delinquent thirty(30)days from the date that your order is completed.After the thirtieth day,a late charge of$25 00,together with interest accruing at the rate of 15%per month,or the maximum rate allowable by law is assessed.You shall be liable for all costs related to collection of delinquent invoices,including court costs and attorney's fees Customers Acceptance of Work.Customers acceptance,either personal or through his/her agent(s)and/or employee(s)of the work ordered shall be deemed as full acceptance.This means that by accepting delivery of the work,customer affirms that the work substantially conforms to all expectations Lost or Substantially Forgotten Work*If customer does not take possession of completed work within thirty(30)days from notification of completion,then the work will be considered lost or forgotten,and vendor will not be responsible for further loss.Customer will be billed and responsible for payment for work that has been completed for Fisher's Island Ferry Net Due: $196.75 Signature Date FYI Emailed 12/06/2016 10:26 EST by BS. Page 1 of 1 i I v S.I 1 AIRHAVEN TRUE VALUE HARDWARE aft � 'L 23 POPES ISLAND NEW BEDFORD,MA:02740- 508-997-3307 Transaction#: C354570 FAIRHAVEN TRUE VALUE HARDWARE Associate: ELAINE 23 POPES ISLAND Date: 12/12/2016 � lime: 08:24:04- AW NEW BEDFORD,MA.02740 i 508-997-3307 *** SALE **w Transaction#: C354867 Associate: ELAINE 2K Lumen ALU Flashlight Date: 12/15/2016 rime: 08:43:52 AM 211047 2.00 EACH @ .$29.99 T $59.98 *x* SALE 3** I (Reg Price $49.99) --- —"� 6.25% - StateSubtotlax:$59.98 100PK3/8" Cla Connector p �/ 1 TOTAL: $63.73 311826 14.00 EACH @ $0.39 T $5.46 j 7�W (�`� VISA: $63.73 CHANGE: $!;.00 Subtotal: $5.46 6.25% - State Tax: $0.34 _ 1[✓ TOTAL: $5.80 1 1;o Q-,-, -PAY`TOTAL A M 0 U i-- VISA: $5.80 II`r) '0 i.ARDHOLDER'S AGRElmi N1 CHANGE: $O.004 I ;Jva1 )35 'I:'VISA 4****a**23G0 BUYER AGREES TO PAY TOTAL AMOUNT ABOVE r I +4/"' ACCORDING TO CARDHOLDER'S AGREEMENT 'BURNIS/iwNALD WITH ISSUER l 'L3.73 li CNAppgoval:091921 I UId:VISA-********x***2360 1 NAME*BURNS/RONALD AMT:5.80 =�u1:F�orizea�icana`�e=====-- 1 (X) ------------------------------------ --- �loriz` e—d— igna oreThank You! -- ------------------ ----------- �f WE APPRECIATE YOUR BUSINESS -- JI FAMILY'OWNED 8: OPERATED ------ -- - Thank You! WE APPRECIATE YOUR BUSINESS ia� ZE(! IIIII IIII �I�I�II I� II FAMILY OWNED & OPERATED ��IIII C 5 5 4 5 7 0 �` ' 9111111111i�1 �116IIIIIIII �llll � � ����11119 0 3 5 4 8 6 7 -Rapid Lock&Door Service 82 Boston Post Road Waterford, CT 06385 INVOICE# 126842 N V 0 %C E DATE 12/06/2016 �1 DUE DATE 12/16/2016 TERMS Net 10 days BILL TO / n Fisher's Island Ferry PO Box 607 261 Trumbull Drive Fishers Island, NY 06390- 1 S 0607 Please detach top portion and return with your payment. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- SALES REP JOB NAME Jenna Padlocks -- --- --- _ — _ - ---- - _ --- _ - - ------ -- _— -- — ---�- ---ATE-— - ------AMOUNT------- -M ACTIVITY QTY R US Lock Brass Padlock 1-1/2" Body KAY 6 12.60 75.60 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Work ordered by James BALANCE DUE $75.60 We greatly appreciate your businessl 860.443.6143 www.rapidlockanddoor.com office.rapidlock@gmail.com The Hillery Co. Invoice 739 Meridian St. Ext. Groton CT, 06340 Date Invoice# 12/12/2016 93380 Bill ToShip To 'r Fishers Island Ferry Fishers Island Ferry Drawer H Fishers Island,NY Fishers Island,NY 06390 S.O. No. P.O. Number Terms Rep 93380 Race Point Wall Pa... Net 30 JD Quantity Description Price Each Amount 1 Duplicate Wall Panel 147.74 147.74T 2 2Z!—tf. Ca � S2 tJ 2 J .� Subtotal $147.74 m Sales Tax (6.35%) Total $157.12 Balance Due $0.00 Phone# Fax# E-mail Web Site 860-445-9791 860-449-1693 GBowen@HilleryCo.com www.fiilleryco.com 410483 698 BANK ST NEW LONDON 60 44th-35666320 More saving.More doing," 262. 8383 0021 12/22/2016 11 :28 AM ✓� i SANDISK CRUZER GLIDE USB 32GB, P 816 HARTFORD TPKE. WATERFORD, CT 06385 , 61965908784 A 98.97"' ii� RICH BRADLEY, STORE MGR. (860)437-1900 3 @32.99 _ o RETURN VALUE 32.99 ea 6215 00002 45373 12/21/16 10:33 AM E/R ENERGIZER 9V 522BP-2 2S ,' CASHIER ELIZABETH 03980603678 A w- RETURN VALUE 9.99 744638122726 47"X64"2"1GO <A> 36.04 47"X64" GOLDEN OAK 2" WOOD BLIND 74SALES 4638121927 39"X64"2"WGO <A> SALES T 108:96; 39"X64" GOLDEN OAK 2" WOOD-BLIND TAA X A=6',35% 4@30.04 120.16 TOTAL 115.88 051652130003 TOTAL 1 <A> 87.94 'VISA ACCT 2360 115.88 T� ; KILZ PREMIUM PRIMER 131)00 k7.00GL CHANGE: .00 �t NLP Savings $6.47 0000-999-833 GL Recy$ <A,U> 1.60 - , z i/,; PAINTCARE FEE AID A0000000031010 _ NLP Savings $0.00 VISA CREDIT �1 678885051341 INT PAINT -A- Integrated chip card Q BEHR PPI 3052 SG WHT 128OZ PIN Ver;if led d 2@27.96 55.92 tui X000-999-832 GL Recyc$ <A,U> PAINTCARE FEE THANK YOU FO SHOPraING AT WALGREENS 2@0.75 1.50 NLP Savings $0.00 020066187477 2X GLSwHT <a> YOU COULD HAVE, SAVED Br USING YOUR PAINTERS TOUCH 2X GLOSS WHITE BALANCE REWARDS CARD TODAY! RESTRICTIONS 5@3.98 19,90 WALLY.FOORCTERMS AND CONDITIONS, VISIT SUBTOTAL 323.06 SALES TAX 20.51 DID, YOU KNOW THAT YOU ("AN EARN POINTS TOTAL $343.57 nN IHIJOSANDS OF ITEMS IN-STORE AND XXXXXXXXXXXX2360 VISA1-1LINE? SFE OUR WEEKLY AD FOR MORE USQ$ 343.57 ?IFORI441-ION„ ITEMS CHANGE WEEKLY. AUTH CODE 072580/302348:3 TA ; STRrCTICINS APPLY. FOR TERMS AND AID AOOOOOU0031010 VISA CREUI Chip Read Verified PIN :-JNDIFIONS, VISIT WALGREENS.CO-M/BALANCE, � TVR 0000048000 C0OA0360B002 1048-3218-3830-1612-2203 0 P.O.#/JOB NAME: OFFICE AND ISLA, I <U> - NON-DISCOUNTABLE ITEM NEW LOWER PRICE (NLP)SAVINGS $6.47 -- - -I Illlllllllllllllllllllllllll 1111 IIII 6215 02 45373 12/21/2016 8543 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 03/21/2017 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR 5 DETAILS. ? BUY ONLINE PICK-UP IN STORE AVAILABLE NOW ON HOMEDEPOT.COM. CONVENIENT, EASY AND MOST ORDERS READY IN LESS THAN 2 HOURS! .x tYCY(YCY(Yf YC��:CY(Yc'K Yc�YfYCY(7e�iC Y(YC YC�fC Y(��;C Yc�:C 1C YCT. Admiral Custom invoice#1155 Embroidery, LLC 69 Warren Street = Created: 12/13/2016 New London,CT 06320- :� Invoiced: Phone:(860)442-7519 Fax:(960)437-0118 Bill To: F.I.Ferry District Ship To: F.I.Ferry District 261 Trumbull Drive##607 261 Trumbull Drive#1607 Fishers Island,NY 06390- Fishers Island,NY 06390- PO Number Terms Sales Rep Customer Contact F.I.Ferry District Polly Ford 8604420165 (}- Style Description color Sizes Quantity Piece Subtotal Production 1 Sport-Tek Super Heavyweight F281 PNavy 2XL 1 1 $39.50 $39.50 Pullover Hooded Sweatshirt Sport-Tek Super Heavyweight Full-Zip F282 Navy M-1 1 $42.50 $42.50 Hooded Sweatshirt Sport-Tek Super Heavyweight F281 Pullover Hooded Sweatshirt Red S-I,M- ,L-4,XL-443 $37.50 $487.50 F282 Sport-Tek Super Heavyweight Full-Zip Red S-1 1 Hooded Sweatshirt $42.50 $'42.50 F282 Sport-Tek Super Heavyweight Full-Zip Red 2XL 1 1 Hooded Sweatshirt $44.50 $44.50 F291 Sport-Tek Super Heavyweight Navy M-3,L-2,XL-2 7 $37.50 $262.50 Pullover Hooded Sweatshirt Port Authority Poly-Bamboo Charcoal I«97 Blend Pique Polo Navy M-9,L-12 21 $31.50 $663.50 K497 Port Authority Poly-Bamboo Charcoal Navy 2XL 2 2 $33.50 $67.00 Blend Pique Polo Type Amount I Method jDate Subtotal $1,6E47.50 Shipping $0.00 O.00f Sales Tax $0.00 GrandTotal $1,&47.50 Payments $0.00 Balancel $1,647.50 Signature: Date: L 12/22/2016 Receiptfrom Admiral Custom Embroidery,LLC Admiral Custom Embroidery, LLC How was your experience? $1,647.50 (J�✓ / r� l Custom Amount $1,647.50 Total $1,647.50 icat Dec 22 2016 at Visa 2360 (Chip) 10:51 AM RONALD BURNS #FsQdAuth code: 020901 AID: A0000000031010 Signature Verified https./Isquareup.com/r/r7JSTE4D9PYE23X 1/2 12/22/2016 Receiptfrom Admiral Custom Embroidery,LLC © 2016 Square, Inc. All rights reserved. 1455 Market Street, Suite 600, San Francisco, CA 94103 Square Privac,, Polic Manage preferences for digital receipts t jl hUps://squareup.com/r/r7JSTE4D9PYE23X 212 ' L SALE — aAlEbl: S2263ril 2024203 TRANS#: 23521860 12-23-16 ybb78 DW 10-IN 40T CONS SAW OLD 24.98 nm 23213 IRW 10-IN 180T CLS PLY SA 12.98 L� . t 5 33530 DRP SS 12-IN X 12-IN CORK 28.76 LOWE'S HOME CENTERS, LLC 4 0 719 167 WATERFORD PARKWAY NORT 771623 841. OZ TO QUICK/THICK W0 3.97 u111Ef1FORD, CT 06385 (860) 701-2000 362799 ORNRD 1-1/4-IN UNFNSH ROW 1,74 2 0 0.87 - — — 409494 12CT #8.32X1/21N SS MCHIN 3.96 2 0 1.98 409464 08 SP NY IN LCK NUT SS 10 3.96 � 2 0 1.96 � OR 409485 36CT 08 7/16-IN SS SAE FL 1.98 314978 SN 10-CT SELF CLOSE HINGE 11.99 41340 1 LO ROCK HBO PUTTY DURHA 2.38 (� More saving. � 11288 OP 0.22-INX24-INX48-IN CL 115.96 More doing," 2 0 57.98 ! nn THD 42,731 COVENTRY, RI 401-823-5173 SUBTOTAL: 212.66 FOLLOW US ON TWITTER OHOMEDEPOT4279 r' TAX: 13.50 g279 03059; X03124 12/28/16 07:33 AM INVOICE 23335 TOTAL: 226.16 x CASHIER SE-F CHECKOUT VISA: 226,16 �\ 820909800026 SPRING CLAMP <A> ul�ri XXXXXXXXXXXX2360 AMOUNT:226.16 AUTHCD:028866 2" METAL_ HEAVY DUTY SPRING CLAMP 990.99 8.91 t NIP REFID:226323084531 12/23/16 14:35:49 078371905613 EARMUFF <A- CUSTOMER CODE: 0 3M PROFE-3:31ONAI_ EARMUFF NRR 30 RPL: VISA CREDIT TUR: 0000008000 4024.97 99,88 AID: A0000000031010 TSI: FB00 05114133519 DIS PLUGS <A> 14.96 3M DISPOSABLE EARPLUGS 8OPK NRR 32 SCORE: 2263 TERMINAL: 23 12/23/16 14:38:32 1,9535277005-30 CLAMPSET <A> 8,97 H OF ITEMS PURCHASED: 1 a HDX 22 ''C SPRING CLAMP SET LXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS '?31919555106 F'GIOPRNTRL <A> 10.00 ! FIRM GRIP 10 PA13,I4 NITRILE COATED III/ III�II �iUI3TOTAL 142.72 �IIII II IIIIIIf�li�ll Ilf III I I III III I III II II I I II ILII I III I SAI-ES TAX 9.99 TOTAL_ $152.71 THANK YOU FOR SHOPPING LOWE'S. XXXXXXXXXX 8X2360 VISA >� SEE REVERSE SIDE FOR RETURN POLICY. RUTH CODE 03985!3,/11583981 USD$ 152.71 STORE MANAGER: GARY OQYLE TA ,,hi p Read Verified By PIN AID AOOOOO00031010 VISA CREDIT WE HAVE THE LOWEST PRICES, GUARANTEED! TVR 0000048000 IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%. IAD 06010A03600002 SEE STORE FOR DETAILS, TSI 0800 I ARC 00 l✓"� P.O.#/JOE. NAME:: 12 28 16 YOUR OPINIONS COUNT! REGISTER FOR A CHANCE TO BE IIII II pp IIII II Ilulllllulllllll9l Illll��lullllllll ONE OF FIVE $300 DINNERS BRAUN NONTHLY! IIIIIIIIIIIIIIIII � iREGTSTRESE EN EL SORTED MENSUAL PARA SER UNO DE LOS CINCO GANADORES DE $300! � � 4279 'c,8 33124 '/2/28/2016 8518 REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY RET-!RN PO!_:[CY DEFINITIONS • WITHIN ONE WEEK AT: wuw.loues.com/survey POLICY IU DA'Y i POLICY EXPIRES ON- \ Y 0 U R I D # 23335 2263 356 A 1 90 03/28/2017 1HE HOME DEPOT RE'3ERVES THE RIGHT TO 1,IMIT / DENY RETURNS. PLEASE SEE THE NO PURCHASE NECESSARY TO ENTER OR WIN. RETURN POLICY SIGN IN STORES FOR F Quill (MERE PROHIBITED. MUST BE 16 OR OLDER TO ENTER. * DETAILS, • uti-R IAL RULES & WINNERS AT: wwt).lowes.com/survey * BUY 21NI-INE PICK-UP IN STORE ••..*.. k � + � a AVA'ILA18LE NOW OIV HOMEDEPOT.COM. s1anE: 2263 TERMINAL: 23 12/23J16 14:38:32 CONVENIENT, EASY AND MOST ORDERS -- -- READY IN LESS THAN 2 HOURSI r•�r�rrcrc��rk,r,rfiwxkrkrxv�ror�err�wx�r�crrrrcr�rrce Page 1 of 1 CAMRAC,LLC,453 COLMAN ST, NEW LONDON,CT 063203740(860)442-8333 RENTAL AGREEMENT REF# 80780 69PP8Q SUMMARY OF CHARGES RENTER BURNS, RONALD] Charge Description Date Quantity Per Rate Total TIME&DISTANCE 11/28 - 12/27 1 MONTH $1,140.00$1,140.00 ADDITIONAL DRIVER ADDITIONAL DRIVER FEE 11/28 - 12/27 30 DAY $10.00 $300.00 ESPINOSA, NICHOLAS REFUELING CHARGE 11/28- 12/27 $0.00 DATE&TIME OUT Subtotal: $1,440.00 11/28/2016 08:09 AM Taxes&Surcharges DATE&TIME IN MOTOR VEHICLE RENTAL 11/28 - 12/27 3% $43.20 12/27/2016 09:40 AM SURCHARGE SALES TAX 11/28 - 12/27 9.35% $138.68 BILLING CYCLE TOURISM ACCOUNT 11/28 - 12/27 30 DAY $1.00 $30.00 24-HOUR SURCHARGE Total Charges: $1,651.88 CAR CLASS CHARGED MVAR Total Estimated Amount Due $1,651.88 VEH#12017 DODG GCAR SXT PAYMENT INFORMATION VIN#2C4RDGCG1HR557952 AMOUNT PAID TYPE CREDIT CARD NUMBER LIC# KFV6092 $1,651.88 Visa xxxxxx...2360 PENDING MILES DRIVEN 3048 CAR CLASS: MVAR 5 http://ecars2.corp.erac.com/rental/closeTicketPrint.jsp?doNotPrintRateslndicator=false 12/27/2016 r�terprise 1 1110910 0110991 00011 0901 19000 1191100 gl IHHIg 489CTHC UC16 PAGE 1 of 4 11011 0 19 0901 91000 91191000 1 10 0 MIi A:fifb Ali:'T-66 PIH TdI UP A!06 AM — A!60 PM TH 9200 AM — A!06 PM FR R 2 00 AM — h!66 PM HA 9206 AM - 1!00 PM OWNEROFVEHICLE: rA�1RAr_ l!( 411 9!00 AM — 1:(if) PM BRANCH ADDRESS. 45; rn(MAN 4T; NFu 111NDrtN, rT; OARP(1R746 . (RAO) 44P—R?R; - QR,17AA IRENTAL SOURCE# ID# • TYPE Dt r o RENTER' 1 a/r7/PA I A Q.4A am k T t IZINC, Pry al ri i ---T- START CHARGES IF DIFFERENT ORIGINAL VEHICLE I57.001DAV COLOR LICENSE NO it _140.016 IMfINTH .fit (IAAQP MODEL ECAR# •i a '7tdI4MVT MILE- IN BILL COMPANY •------- AGE OUT TO —.---flrl—EHi pnr )~l.T-LFAI l; + +•1+ ATTN PHONE 'EXT _ CONDITION AND FUEL X #OF KEYS LEVELAGREEDTO RENTER REFERENCE NUMBER O O LU ADDITIONAL AUTHORIZED DRIVER(S)-EXCEPT AS REQUIRED BY LAW,NONE PERMITTED WITHOUT OWNER'S eO2 WRIT-FEN APPROVAL REQUEST OWNERS , FRPTN1SA NiTrwni AR E Z O WHO IS UNDER MY CONTROL AND DIRECTION TO DRIVE VEHICLE FOR ME AND ON MY BEHALF I AM OO O RESPONSIBLE FOR THEIR ACTS WHILE THEY ARE DRIVING,AND FOR-FULFILLING TERMS AND CONDITIONS OF THIS F, L AGREEMENT(AGREEMENT) USE OF VEHICLE BY AN UNAUTHORIZED DRIVER WILL AFFECT O WINDSHIELD OK ROOF OK OYES ONO MY LIAR ITY A D RIGHTS UNDER THIS AGREEMENT CONDITION SAME ON RETURN OYES ONO RENT R x ADDI—DRTVFR $10-001I)AV PERM SIGN G NTED TO OPERATE VEHICLE ONLY IN THE STATE OF RENTAL AND THE FOLLOWING STATE(S) F OUTE 1/8 1/4 3/8 1/2 5/8 3/ 7/8 F , 1 of Gasoline Refunds L IN,'r E 1/8 114 3/8 112 518 3/4 7/8 F I OPTIONAL PRODUCTS NOTICE OPERATION IN ANY OTHER STATE OR COUNTRY WILL AFFECT YOUR LIABILITY AND RIGHTS UNDER THIS AGREEMENT ML Il V �l RENTER DECLINES OPTIONAL DAMAGE WAIVER RENTER ACCEPTS OPTIONAL DAMAGE WAIVER WE OFFER,FOR AN ADDITIONAL CHARGE THE $EE)ANDA SSUPH jS DAMAGE RESPONSIBILITY NOT AT FEE SHOWN CE TO LEFT AND PARAGRAPH COLUMN T 1RIGHT SEEDAMAGE RENTER X FOLLOWING OPTIONAL PRODUCTS: DAMAGE ,�,� WAIVER IS NOT INSURANCE —--- WAIVER; PERSONAL ACCIDENT INSURANCE; REIN x DECLINES DW --ACCEPTS DW SUPPLEMENTAL LIABILITY PROTECTION REMER 0 CLINES OPTIONAL PERSONAL RENTER ACCEPTS OPTIONAL PERSONAL ` AND ROADSIDE ASSISTANCE PROTECTION. ACCIDENT SURANCE(PAI)SEE PARAGRAPH 10 ACCIDENT INSURANCE(PAI)AGFEE H 19 WN IN RENTER X YOUR PERSONAL AUTOMOBILE INSURANCE COLUMN TO RIGHT SEE PARA POLICY MAY COVER COLLISION DAMAGE, E X DECLINES PAI ACCEPTS PAI FIRE AND THEFT DAMAGE AND PERSONAL RENTER CLINES OPTIONAL SUPPLEMENTAL RENTER ACCEPTS OPTIONAL SUPPLEMENTAL RENTER X INJURY,INCURRED.WHILE USING A RENTAL LIABILITY P OTECTION(SLP)SEE PARAGRAPH 8 COLLUMN O RIGHT SE E(PLAR)AGRAPH 180WN IN MOTOR VEHICLE. BEFORE DECIDING E X LGL/ S sLP ACCEPTS SLP WHETHER TO PURCHASE ANY OF THESE ASSIST D PROTECTION(RAP) ROTE TIO NA AP)SEEIDE ASSISTANCE PROTECTIONAL BOAT FEE PRODUCTS, PARAGAN PROTECTION(RAP)SEE ASSISTANCE PROTECTION((RAP)AT FEE SHOWN ER NTER X — YOU MAY WISH TO DETERMINE PARAGRAP 5 IN COLUMN TO RIGHT SEE bPTIONAL PRODUCTS WHETHER YOUR PERSONAL INSURANCE NOTICE TO LEFT AND PARAGRAPH 2O OR CREDIT CARD PROVIDES YOU COVERAGE ENTE x SLLs RASccEPTs RAP DURING THE RENTAL PERIOD.FOR A FURTHER • ' • • • • • • • -• ' Stall INT_RATE ANT) M T 1 FAR5+L _ F DESCRIPTION OF THE PRODUCTS,INCLUDING • � • ; �- � = � •-:� ' � ' ' - � • •:� •;. !tf T BENEFITS, RESTRICTIONS AND EXCLUSIONS, PLEASE SEE PAGE 3 PARAGRAPHS 16,17,18 -- • = -� - - = --- -------- &19.THEIR PURCHASE IS NOT REQUIRED TO , RENT VEHICLE. RENT -X _ DATE 1 P JP7/?f)1 A REPLACEMENT VEHICLE '',Af FR TAS h. 5'GiRFAITAi--- —^ OWN R { EMPL A o REP # FRR4Pi.4' '.;At FR TAY 9..t5_i4/RFNTA1 E T I WILL RETURN'CAR BY: V bEPO$tT($): MnT(IR VFH RTI SR!:HA .R_00%/RF COLOR LICENSE NO DATE TIME AMOUNT PAID BY TnIfRlSM ArrT C;IIRr.HA $1_00/DA MODEL ECAR# 01/PA/Pot', (?:f1(z AM S1.A01).(t( xxfux:rxx:raxrPRA 1P/P`3rP(t1A MILE- �IN AGE OUT ADDITIONAL INFORMATION , CON LEVEL AGREED TO ON AND FUEL X RENTER 110E KEYS TOTAL CHARGES DO _ _ O --- - - --- Q DEPOSITS Eo REFUNDS � 110 a 0 • O WINDSHIELD OK ROOF OK OYES ONO _ CLOSED BY CONDITION SAME ON RETURN OYES ONO PAID BY CASH CHECK CHARGE F OUT /e /4 3/8 /2 5/ 3ra. 711 F Annualized rates not to exceed$10,946.35 for DW,$1095.00 for PAI,$5471.35 RECEIPTOF DATE AMOUNT RECEIVED BY E JCS ar S011We heTUhdS for SLP and$1456.35 for RAP. CASH REFUND L IN E 1/8 1/4 3/11 la 5,11 397/8 F Lower rates may apply for DW based on the terms of rental. OWNER IS AN AFFILIATE OF ENTERPRISE HOLDINGS INC,WHICH OWNS ALL RIGHTS TO ENTERPRISE NAMES AND MARKS. ©CAMRAC,LLC,201: ' i.5R7.AR 1.5R7.AR ADDITIONAL TERMS AND CONDITIONS 489CTHC UC16 PAGE 2 of 4 Renter agrees by Renters signature on Page 1 that Renter has read,is aware of,accepts full responsibility for and is bound by the (2) For damage to,loss or theft of Vehicle or Optional Accessories,including all related costs(see paragraph terms and conditions contained in this rental agreement(Agreement),which consists of Pages 1 through 4,hereof for the Rental 7),to the extent DW,as described in paragraph 17,or RAP,as described in paragraph 20,do not apply. Period whether or not subsequent Agreements are executed by Renter or if Owner assigns a new Agreement number during the (3) All fines,costs,charges and attomeys'fees paid or to be paid by Owner,its affiliates or a third party forJegal viola- Rental Period for the purpose of invoicing Renter Renter expressly acknowledges that Renter and Owner are the only parties to tons,parking,tolls,towing and storage and the like occurring during the Rental Period(Fines,Tolls and Violators) this Agreement,notwithstanding that a reservation for vehicle may have been arranged by a third party,that a third party may pay Renter consents to the payment of all Fines,Tolls and Violations by Owner,its affiliates or a third party on Renters for all or part of the rental bill,and/or that a third party may negotiate certain terms of the rental,including but not limited to the type behalf without advance notice thereof and acknowledges that such payment may prejudice Renters ability to contest of vehicle,length of rental,rental rate and/or selection of optional products For matters arising from this Agreement,Renter autho- Fines,Tolls and Violations oath the applicable authority Renter agrees Owner may provide Renters infonnaton to rtes Owner to verify and/or obtain through credit agencies or other sources Renters personal,credit and/or insurance information applicable authorities andlor third partes to process payment and/or transfer liability to the Renter for any such Fines, This Agreement,which consists of Pages 1 through 4,is the entire Agreement between Renter and Owner and cannot be altered Tolls and Violations In addition,Owner,its affiliates or a third party may assess a fee of up to$25 per incident to by another document or oral agreement unless agreed to in wntng and signed by Renter and Owner apply towards all costs incurred in connection with any Fines,Tolls and Violations and their administration 1. Definitions: For the purposes of this Agreement,the following terms are specifically defined- (4) A Tollpass convenience charge(TCC)(where available)of up to$5 00 per day of Rental Period for each day Vehicle is a "Additional Authorized Driver(s)"(AAD(s))means any individual in addition to Renter who is permitted operated on a Tollpass Automatic Service covered road and Vehicle operator does not pay an applicable toll Total TCC by Owner to operate Vehicle This includes individuals identified on Page 1 as ADDITIONAL AUTHORIZED charges will not exceed$30 00 per Rental Penod.In addition to the TCC,Owner or a third party may separately charge DRIVER(S),and with the permission of Renter,includes Renter's spouse or domestic partner(same or opposite Renters credit or debit card for each toll(or other charge)not paid by Vehicle operator incurred during the Rental Peri sex)who meets the minimum rental age and holds a valid license. at the higher of the applicable toll authonty's ash toll rate or highest undiscounted toll rate A current listing of Tollpass b. "Optional Accessories" means but is not limited to optional child seats, global positioning systems, Automatic Semce covered roads is available upon request,at'www htallc com/enterpnse"or(877)860.1258 Operation ski racks,toll transponders and/or other products accepted by Renter. of Vehicle on a roadway or budge not covered by Tollpass Automatic Service where applicable tolls are not paid may c "Owner"for the purposes of this Agreement means'OWNER OF VEHICLE'shown on the top of Page 1, subject the Renter to Fines,Tolls and Violations,see Paragraph 3 c(3)above.RENTER EXPRESSLY AUTHORIZES d "Rental Period"means the period between the time Renter takes possession of Vehicle until Vehicle is returned OWNER AND ITS AFFILIATES TO TRANSFER RENTER'S NAME,ADDRESS,CREDIT CARD INFORMATION AND Owner ALL OTHER DATA NECESSARY TO ENABLE THE COLLECTION OF ALL SUCH AMOUNTS if or recovered and in either case,checked in e "Renter means the person,or entity id by on Page 1 as"RENTER", (5) A late charge of 11/2%per month,not to exceed the maximum allowable by law,on all charges not paid f. "Vehicle"means the"ORIGINAL VEHICLE"or any replacement vehicle(s) within a days after the end of the Rental Period 2. Ownership/Vehicle Condition/Warranty Exclusion.Renter acknowledges that Vehicle and any Optional (6) All expenses incurred by Owner r i the collection of amounts due Owner under this Agreement tit r- regaining possession of Vehicle or in enforcing any term or condition of this Agreement,including attor- Accessories are,by ownership,beneficial interest or lease,property of Owner or its affiliate,even if owned,registered or neys'fees,Owner's administrative fees,and any other costs or expenses incurred by Owner titled to a third party Renter is not an agent of Owner and has no aulhonty to bind Owner Renter agrees Renter received (7) The taxes,fees and other mandatory charges imposed by states,counties and other governmental authorities Vehicle and any Optional Accessories in good physical and mechanicalconditon RENTER[STAKING POSSESSION OF IF A CREDIT CARD OR DEBIT CARD HAS BEEN PRESENTED AS A MEANS OF DEPOSIT OR SECURITY,RENTER VEHICLE AND ANY OPTIONAL ACCESSORIES AS IS°AND HAS HAD AN ADEQUATE OPPORTUNITY TO INSPECT AUTHORIZES OWNER TO SUBMIT FOR PAYMENT ON SUCH CARD(S)ALL AMOUNTS OWED UNDER THIS AGREEMENT VEHICLE AND ANY OPTIONAL ACCESSORIES AND THEIR OPERATION OWNER EXCLUDES ALL WARRANTIES, INCLUDING IF ANY THIRD PARTY TO WHOM A BILLING WAS DIRECTED REFUSES TO MAKE PAYMENT. FORAVEHICLE BOTH EXPRESS AND IMPLIED,WITH RESPECT TO THE VEHICLE AND ANY OPTIONAL ACCESSORIES,INCLUDING RENTED WITH A CASH,CHECK OR MONEY ORDER DEPOSIT,ANY EXCESS DEPOSIT WILL BE REFUNDED BY CHECK ANY IMPLIED WARRANTY OF MERCHANTABILITY FITNESS FORA PARTICULAR PURPOSE Renter agrees ISSUED WITHIN 15 BUSINESS DAYS OF THE END OF RENTAL PERIOD.All charges are subject to final audit by Owner not to alter Vehicle or any Optional Accessories If Renter or AAD(s)determines Vehicle or any Optional Accessories is unsafe,Renter or AAD(s)shall stop operating Vehicle and any Optional Accessories and notify Owner immediately 4. Limits on Use and Termination of Right to Use. 3. Payment by Renter. a Renter agrees to the following limits on use a For items designated as either"/hour","/day","/week"or"!month"on Page 1 (1) Vehicle shall not be driven by any person other than Renter orAAD(s)without Owner's prior written consent. (1) "!hour"is 60 consecutive minutes or any portion thereof beginning at the start time of the rental (2)-Vehicle shall not be used for transporting persons for hire,as a school bus,or for driver training (2) If'day=24 hour period","/day°is each consecutive 24 hours beginning at the start time of the rental. (3) Vehicle shall not be used for transport of products for hire as a common carrier,a contract carrier or a 3 If"da calendar da Ida is each consecutive full or partial da of the week. private carnet of property UNLESS () Y= Y","May" P Y i. Renter obtains bodily injury and property damage liability insurance required of a motor carrier by the (4) 7week°is 7 consecutive 24 hour days beginning at the start time of the rental state and/or federal government where Vehicle is rented and/or operated,and (5) Ymonth°is 30 consecutive 24 hour days beginning at the start time of the rental a Renter and any AAD(s)hold a valid class license for that purpose and comply with all federal,state (6) Unless expressly modified on Page 1,all charges are for a minimum of 1 day or municipal laws,ordinances or regulations b. Renter shall pay Owner,its affiliates or agents amounts as set forth on Page 1 for (4) Vehicle shall not be used for any illegal purposes,in any illegal or reckless manner,in a race or speed (1) The hour,day,week and month charges on Page 1 for the Rental Period The"!hour"charge if shown on Page 1 contest,or to tow or push anything. shall apply to each full or partial hour in excess of a day.The hourly charges shall not exceed the cost of one adds- (5) Vehicle shall not be used to carry passengers in excess of the number of seat belts provided by manu- tonal day If Vehicle is returned during non-business hours or to any place other than the Branch Address on Page facturer or outside of the passenger compartment 1,all rental charges incurred through the time an employee of Owner checks in Vehicle are Renters responsibility (6) Renter shall not remove any seats from Vehicle. (2) The mileage charge per mile for all miles exceeding any free miles set forth on Page 1 permitted for the Rental Period. (7) Vehicle shall not be driven by any person impaired by the use of alcohol,narcotics,intoxicants,or drugs, (3) The Optional Accessories,services and/or products charges for those items accepted by Renter. used with or without a prescription (4) The optional Verified Carbon Offsets(CO2 OFFSET)accepted by Renter are an optional environmental (8) Vehicle shall not be loaded in excess of Vehicle's Gross Vehicle Weight Rating(GVWR)which is,weight service designed to offset the greenhouse gases emitted by Vehicle Owner remits amounts collected of Vehicle plus weight of load,as indicated on the driver side door lam,or with an improperly or unevenly to an independent 3rd party provider.See www.keystogreen com for more information.The estimated divided load as per Vehicle manufacturer's specifications and/or guidelines emissions produced by Vehicle are based on the average mileage and fuel economy of vehicles in the (g) Vehicle shall not be driven or taken outside the states authorized on Page 1 rental fleet and are not calculated based on the emissions of a particular vehicle (10)Vehicle shall not be driven on an unpaved road or off-road. (5) The optional Tollpass service accepted by Renter provides for the daily rental of a toll collection transponder (11)Vehicle shall not be operated by anyone,who has given a fictitious name,false address,or a false (Tollpass Transponder Service)or,in some states,the use of video-monitored toll cellecton services(Tollpass or invalid driver's license,whose driver's license becomes invalid during the Rental Period,who has Automatic Service,and together with the Tollpass Transponder Service,collectively the Tollpass Service)In adds- obtained the keys without permission of Owner,or who misrepresents or withholds facts to/from Owner tion to the daily charge for the Tollpass Service,Owner,its affiliate or a third party may separately charge Renters material to rental,use or operation of Vehicle credit or debit card(or bill Renter,as applicable,for cash rentals)for each toll(or other charge)incurred using the (12)Renter shall not transfer or assign this Agreement and/or sublease Vehicle Tollpass Service during the Rental Period on covered roads within the Tollpass Service area at the higher of the (13)Vehicle shall not be used to store or transport explosives,chemicals,corrosives or other hazardous applicable toll authonty's cash toll rate or highest undiscounted toll rate Renter expressly authorizes Owner or its materials or pollutants of any kind or nature. affiliate to transfer to a third party Renters name,address,credit/debit card information,and other data necessary b Renter agrees to return Vehicle and any Optional Accessories to Owner on or before return date to the address stated to enable the collector of all such tolls,any other charge(s)in addition to tolls attributed to the transponder and on Page 1 or on Owners demand and in same condition as received,ordinary wear and tear excepted Extensions other associated charges incurred during the Rental Period.No credit is provided for days the transponder is not to Rental Period are at Owners option utilized Tollpass Service has a limited service area,attempting to use the service outside the service area may c In the event of any violation of the limits on use or any other provision of this Agreement,Owner automatically,without subject the Renter and/or any AAD(s)to fines and penalties see Paragraph 3(c)(3)A current listing of Tollpass any further notice to Renter or AAD(s),terminates their right to use Vehicle and Owner retains any other rights and Service area covered roads is available upon request,at 4uww htallc cem/enterpnse"or(877)860.1258 remedies provided by law Owner has the night to seize Vehicle without legal process or notice to Renter or AAD(s) 6 The fuel charge at the rate shown If based on consumption and Vehide is returned with less fuel than when rented, Renter and d shall hereby expewaivnses all claims far damages connected vett such secure,al rental office the charge shall be for the Owners estimated difference in fuel level shown on the fuel gauge from the time Vehicle is d If Renter or AAD(s)continues to operate Vehicle after the right to do so is terminated,Owner has the right rentedtothetmedisretumed Renter shall not receive a refund or credit gVehideisreturned with more fuel than when to notify police Vehicle has been stolen Renter and AAD(s)hereby release and discharge Owner from and Renter received it If Renter purchases the Fuel Service Option,then Renters fuel charge shall bethe per gallon charge indemnify,defend and hold Owner harmless against any liability arising from such notice.Renter remains multiplied by the fuel tank capacity of Vehide rented Renter shall not receive a refund or credit for any unused fuel, responsible for all charges,costs,taxes,fees and obligations as set forth in Paragraph 3. (7) The one way fee(for returning to a predetermined location other than the Branch Address on Page 1), 5, Roadside Assistance.For roadside assistance in the U.S.and Canada call 1-800-307-6666 and you will be fees for AAD(s)and/or fees based on Renter or AAD(s)age connected to a third party roadside assistance provider that,depending on your location and circumstances,may be (8) The other fees and charges(none of which are taxes)including but not limited to able to dispatch personnel capable of performing roadside services to your location Charges apply for any service(s) (a)Any airport Consolidated Facility Charge(CFC)which is required to be paid by Owner or collected from provided to Renter Renter in connection with this rental,forlhe construction,financing,operation and/or maintenance of this 6. Accidents.Damage to,loss or theft of,Vehicle must be immediately reported in writing to the office where consolidated rental car facility,other airport facilities,and/or transportation related facilities, Vehicle was rented,and in no event later than the following business day after the accident Renter and AAD(s) (b)The Concession Fee Recovery(CONC REC)which is Owners charge to recover the concession fees must immediately deliver to the office where Vehicle was rented every process,pleading or paper relating to any paid by Owner to an airport's owner or operator in connection with this rental;and claims,suits or proceedings arising from such accident.In the event of a claim,suit or legal proceeding,Renter (c)The Facility Fee Recovery(FAC REC)which is Owners charge to recover the estimated fees,charges, and AAD(s)shall cooperate fully with Owner and its representatives Vehicle may be equipped with an Event Data costs,which may include rent paid by Owner to the owner,operator or agent of the location being serviced Recorder or similar device(EDR)for the purpose of recording data about the operation of Vehicle.To the extent by Owner for this rental or to the owner or operator of the location of the Branch Address on Page 1,and permitted by law,Renter consents to Owner or its representatives retrieving and using such data from the EDR (d)The Motor Vehicle Surcharge(MOTOR VEH SURCHARGE)which is Owner's charge to recover the 7. Damage to.Loss or Theft of.Vehicle.Optional Accessories and Related Costs.Except to the estimated average daily cost per vehicle of the charges imposed by governmental authorities to own, extent restricted,modified or limited by State law,Renter accepts responsibility for damage to,loss or theft of,Vehicle, title,register and plate all vehicles in its rental fleet registered in Connecticut.The MOTOR VEH Optional Accessories or any part or accessory occurring during the Rental Period regardless of fault or negligence of Renter SURCHARGE is not calculated based on the costs imposed upon a particular vehicle or any other person or act of God Renter shall pay Owner the amount necessary to repair Vehicle or Optional Accessories c Additional RC of Renter ul Unless rd on the b law Renter shall a Owner,its affiliates or agents Renter shall not have Vehicle or Optional Accessories repaired without permission from Owner.If Vehicle is stolen and not ObligationsP Y pay 9 recovered or Owner determines Vehicle is salvage,Renter shall pay Owner the fair market value less any sale proceeds (1) If Vehicle returns to a location other than the designated return location a vehicle recovery fee,un-scheduled For purposes of this Agreement,fair market value shall be the retail value of Vehicle immediately preceding the loss If one way fee or drop charge which shall be no more than the greater of a)$100.00,b)$50 per mile between Optional Accessories are not returned Renter shall pay owner the replacement cost of the Optional Accessones Renter is return location and original rental office,or c)Owners adjusted daily,weekly or monthly rate applicable on responsible for all towing,storage or impound fees,and other costs incurred by Owner to recover Vehicle and to establish the date of return damages.Renter agrees to pay any taxes,fees and other mandatory charges imposed by states,counties and other governmental and/or airport authorities Renter agrees to pay a sum for loss of use,regardless of fleet utilization,calculated Owner is an affiliate of Enterprise Holdings Inc,which owns all rights to Enterprise names and marks 0 CAM RAC, LLC, 2016 ADDITIONAL TERMS AND CONDITIONS 489CTHC UC16 PAGE 3 of 4 '-'as follows(1)if Owner determines Vehicle is repairable total labor hours from the repair estimate divided by 4 multiplied by fobs,transponders,Optional Accessories,or any liability Imposed by law DW does not apply to the daily rate(including any Car Class Change)on Page 1;(11)if Vehicle is stolen and not recovered or Owner determines damage occurring In Mexico Vehicle is salvage 15 days at the dally rate on Pagel Renter also agrees to pay(a)an administrative fee of$50 00 when When deciding whether or not to purchase DW,you may wish to check with your Insurance the repair estimate 0 less than$500sum f0 or$inishm when the repair estimate is between$500.00fated and 0%of 00 re air t- representative or credit card company to determine whether,in the event of dama e,to,or theft If greater than$1,50000;(b)a sum for diminishment of value if Vehicle is repairable calculated as 10%of the repair est- P P Y 9 mate tithe damages are greater than$499 99 If Vehicle is returned during non-business hours or to any place other than of,Vehicle,you have coverage or protection for such damage or theft and the amount of your Branch Address on Page 1,any damage to,loss or theft of,Vehicle or Optional Accessories occurring prior to an employee deductible or out-of-pocket risk of Owner checking in and inspecting Vehicle is Renter's responsibility. SEE PARAGRAPH 17 FOR INFORMATION ON THE FOLLOWING SHALL INVALIDATE DW: OPTIONAL DW. a If Vehicle Is damaged when used or driven. 8. Responsibility to Third Parties.Owner or its affiliate complies with applicable motor vehicle financial (1) by any person other than Renter or AAD(s)without Owner's prior written consent; responsibility laws as an insured,self-insurer,bondholder,or cash depositor Except to the extent required by the motor vehicle financial responsibility laws of the applicable state or otherwise by law or this Agreement,neither (2) by any person If there Is reasonable evidence the driver was Impaired by the use of Owner or its affiliate extends any of its motor vehicle financial responsibility or provides insurance coverage to alcohol,narcotics,intoxicants,or drugs,used with or without a prescription, Renter,AAD(s),passengers or third parties through this Agreement If valid automobile liability insurance or (3) by any person committing a felony or otherwise engaged in a criminal act; self insurance 1s available on any basis to Renter,AAD(s)or any other driver and such insurance or self lnsur- (4) in a race or speed Contest; ance satisfies the applicable state motor vehicle financial responsibility law,then Owner or its affiliate as the (5) to tow or push anything, case may be extends none of its motor vehicle financial responsibility However,if Renter and AAD(s)are in (6) outside the states authorized on Page 1; compliance with the terms and conditions of this Agreement and if Owneror its affiliate is obligated to extend its (7) under authority of any license that is suspended,revoked,invalid or does not belong to the driver; motor vehicle financial responsibility to Renter,AAD(s)or third parties,then Owner's or its affiliate's obligation (g) to transport persons or property for hire, is limited to the applicable state minimum financial responsibility amounts Unless required by law,Owner's or its affiliate's fhnanchal'responshbhlity shall not extend to any claim made by a passenger while riding in or on or (g) in t wanton or reckless manner or if Vehicleisdeliberate/Y damaged, getting in or out of Vehicle Financial responsibility shall not extend to liability imposed or assumed by anyone (10)on an unpaved road or off road; under any worker's compensation act,plan or contract SEE PARAGRAPH 18 FOR INFORMATION ON (11)to transport explosives,chemicals,corrosives or other hazardous materials or pollutants of any kind,or OPTIONAL SLP. b If Renter misrepresents facts to Owner pertaining to rental,use,or operation of Vehicle;or 9. Indemnification by Renter. Renter shall defend,indemnify and hold Owner or its affiliate(s)harmless c. if Vehicle's Interior components are stolen or damaged when Vehicle is unlocked or keys are not secured,or from all losses'liabilities,damages,injuries,claims,demands,costs,attorney fees and other expenses incurred d If Renter falls or refuses to provide Owner,police,or other authorities with a full report of'any by Owner or its affillate(s)in any manner from this rental transaction,or from the use of Vehicle or Optional accident or vandalism Involving Vehicle or otherwise fails-to cooperate with Owner,police, Accessories by any person,including claims of,or liabilities to,third parties.Renter'may present a claim to or other authorities in the investigation of any accident or vandalism. Renter's insurance carrier for such events or losses;but in any event,Renter shall have final responsibility if Vehicle is stolen and Renter fails to do any the following- and/or ll to Owner or its affiliate(s)for all such losses.This obligation may be limited if Renter purchases optional DW e. y oeoowin g• and/or optional SLP SEE PARAGRAPHS 17 AND 18 FOR MORE INFORMATION ON OPTIONAL DW AND (1) return the original ignition keys and Owner's key tag identifying Vehicle, OPTIONAL SLP. (2)file a police report within 24 hours after discovering the theft; 10.Personal Indy Protection and Uninsured/Underinsured Motorist-Protection. Except as (3)cooperate fully with Owner,police and other authorities in all matters connected with the required by law,Owner or its affiliate do not provide Personal Injury Protection,No Fault Benefits or Medical Investigation of the theft; Payment Coverage(collectively PIP)or Uninsured/Underinsured Motorist Protection(UMIUIM)through this (4)ensure that Vehicle's ignition is turned off at the time Vehicle Is stolen Agreement.If Owner or its affiliate is required by law to provide PIP and/or UM/UIM,Renter expressly selects 18.Optional Supplemental Liability Protection. such protection 1n the minimum limits with the maximum deductible and expresslywaives and rejects PIP and/ or UM/UIM limits in excess of the minimum limits required by law THE PURCHASE OF SUPPLEMENTAL LIABILITY PROTECTION'IS OPTIONAL AND NOT 11.Personal Property.Owner is not responsible for any damage to,loss or theft of,any personal property REQUIRED IN ORDER TO RENT A VEHICLE. or data contained therein,whether the damage or theft occurs during or after termination of the rental regard- THIS IS A SUMMARY ONLY AND IS SUBJECT TO ALL PROVISIONS, LIMITATIONS, less of fault or negligence Renter acknowledges and agrees that no bailment 1s or shall be created upon EXCEPTIONS AND EXCLUSIONS OF THE SLP POLICY ISSUED BY EMPIRE FIRE Owner,whether actual,constructive or otherwise,for any personal property carried in or left in Vehicle or on AND MARINE INSURANCE COMPANY. UPON REQUEST, A COPY OF THE POLICY IS Owner's premises Renter shall defend,indemnify and hold Owner and its affiliate(s)harmless from all losses, AVAILABLE FOR REVIEW.SLP MAY PROVIDE A DUPLICATION OF COVERAGE ALREADY liabilities,damages,injuries,claims,demands,costs,attorney fees and other expenses incurred by Owner or its FURNISHED UNDER A RENTER'S PERSONAL AUTOMOBILE INSURANCE POLICY, OR affiliate(s)or in any way arises out of Renter's or Renter's passengers failure to remove any personal property SOME OTHER SOURCE. OWNER'S EMPLOYEES,AGENTS OR ENDORSEES ARE NOT or data downloaded to Vehicle of Renter or Renter's passengers.upon termination of the Rental Period.SEE QUALIFIED TO EVALUATE THE ADEQUACY OF RENTER'S EXISTING COVERAGE. PARAGRAPH 19 FOR INFORMATION ON OPTIONAL PAIIPEC. 12.Use in Mexico.Vehicle shall not be taken into Mexico without Owner's prior written consent Even with SLPBenefits: Owner's prior written consent,DW,PAI and SLP do not apply to accidents or events that occur in Mexico. Optional Supplemental Liability Protection (SLP) provides Renter with minimum financial Renter must maintain or purchase insurance which shall apply in Mexico,as specified and approved by responsibility limits(at no charge to Renter)as outlined In the applicable motor vehicle financial Owner,prior to taking Vehicle into Mexico responsibility'laws of the state where Vehicle is operated AND excess Insurance provided by 13.Third Party Proceeds.If a third party,including,without limitation,an insurance company,authorizes the Insurance policy(SLP charge as shown on Page 1 is for the excess Insurance only),which payment of any amount owed by Renter under this Agreement,Renter hereby assigns to Owner Renter's right supplies Renter and AAD(s)with third-party liability protection with a combined single limit per to receive such payment Only those amounts actually paid by a third party to Owner shall reduce the amount accident equal to the difference between the minimum financial responsibility limits referenced owed by Renter under this Agreement,provided however,certain third parties may have agreed to pay Owner above and $1,000,000 Combined Single Limit per accident. SLP will respond to third party a flat fee for this rental in lieu of Owner's"/day"charges or the per them benefits under the applicable insur- accident claims that result from bodily injury,including death,and property damage that arise ance policy In such event the flat fee might exceed or be less than the normal"/day"charges as calculated from the use or operation of Vehicle as permitted in this Agreement.The Empire Fire and Marine under this Agreement,or their party's per them benefits Regardless of the amounts paid under such flat fee insurance olio does not provide coverage for an loss arising from the use or operation of agreement,third party payments shall not be applied to vehicle upgrades or optional products(beyond those P Y' P 9 Y 9 P provided by the third party),or,rental days beyond those specified by the third party Renter remains respon- Vehicle In Mexico SLP Is available for an additional charge as stipulated on Page 1. sible for all charges not paid by the third parties,such as charges for vehicle upgrades,optional products, SLP Exclusions: extra rental days,and all other charges 14.Power of Attorney:Renter hereby grants and appoints to owner a Limited Power of Attorney For all exclusions, see the SLP policy issued by Empire Fire and Marine Insurance Company.Here are a few key exclusions: a to present insurance claims of any type to Renter's insurance carrier and/or credit card company if (a)Loss arising out of an accident which occurs while Renter or AAD(s)is under the influence of i Vehicle is damaged,lost or stolen during the Rental Period and if Renter fails to pay for any damages,or alcohol or drugs,or other substances unless prescribed by a physician,(b)Loss arising out of bodily i1.Any liability claims against Owner arise in connection with this rental transaction and Renter fails to injury,death or property damage sustained by Renter or AAD(s)or any relative or family member of defend,indemnify and hold Owner harmless from such claims Renter or AAD(s)who resides in the same household,(c)Loss arising out of the operation of Vehicle b. to endorse Renter's name to entitle Owner to receive insurance,credit card and/or debit card payments by any driver who is not Renter or AAD(s),(d)Liability arising out of or benefits payable under any directly for any such claims,damages,liabilities or rental charges uninsured or underinsured motorist law,in any state,(e)Liability arising out of or benefits payable 15.Severability.If any provision of this Agreement is determined to be unlawful,contrary to public policy,void under any first party benefit law,medical payments,no-fault or any similar law to the foregoing,in or unenforceable,all remaining provisions shall continue in full force and effect any state,(f)Bodily injury,death to an employee or the spouse,child,parent,brother or sister of that 16.Limitation of Remedy/No Consequential Damages. If owner breaches any of its obligations employee,arising out of and in the course of employment by Renter or AAD(s),(g)Property damage under this Agreement and/or if Vehicle has any mechanical failure or other failure not caused by Renter or to property transported or In the care, custody or control of Renter or AAD(s); (h)Damage to AAD(s)and if Owner is liable under applicable law for such breach or Vehicle failure,Owner's sole liability Vehicle;(i)Liability arising out of the use of Vehicle,which was obtained based on false,misleading to Renter and AAD(s)and Renter's and AAD(s)'sole remedy is limited to the substitution of another similar or fraudulent information,(j)Loss arising out of the use of Vehicle when such use is otherwise Vehicle by Owner to Renter and to recovery by Renter of the pro rata daily rental rate for the period in which in violation of the terms and conditions of the Agreement. Renter or AAD(s)did not have use of Vehicle or substitute Vehicle RENTER AND AAD(s)WAIVE ALL Report SLP Claims to: CLAIMS FOR CONSEQUENTIAL,PUNITIVE,AND INCIDENTAL DAMAGES THAT MIGHT OTHERWISE Sedgwick CMS BE AVAILABLE TO RENTER OR AAD(s).SUCH DAMAGES ARE EXCLUDED AND NOT AVAILABLE TO P.O.Box 94950 RENTER OR AAD(s).Renter further acknowledges that any personal data or information downloaded or Cleveland,OH 44101.4950 transferred to Vehicle may not be secure and may be accessible after the Rental Period.Renter releases Phone 1-888-515-3132 Fax.1-216-617-2928 Owner from any liability resulting from or otherwise arising out of any such data or information being 19.Optional Personal Accident Insurance. accessed and/or utilized by a third party. PURCHASE OF PERSONAL ACCIDENT INSURANCE (PAI) IS OPTIONAL AND NOT 17.Optional Damage Waiver. REQUIRED TO RENT A VEHICLE. DAMAGE WAIVER IS NOT INSURANCE. THE PURCHASE OF DAMAGE WAIVER IS THIS IS A SUMMARY ONLY AND IS SUBJECT TO ALL PROVISIONS,LIMITATIONS AND OPTIONAL AND IS NOT REQUIRED IN ORDER TO RENT A VEHICLE. EXCEPTIONS OF THE PAI POLICY ISSUED BY EMPIRE FIRE AND MARINE INSURANCE Renter may purchase optional Damage Waiver`(DW)from Owner for an'additional fee If Renter COMPANY.UPON REQUEST,A COPY OF THE POLICY IS AVAILABLE FOR REVIEW.PAI purchases DW,Owner agrees,subject to the actions that invalidate DW listed below,to contrac- MAY PROVIDE A DUPLICATION OF COVERAGE ALREADY FURNISHED BY A RENTER'S tually waive Renter's responsibility for all of the cost of damage to,loss or theft of,Vehicle or any PERSONAL AUTOMOBILE INSURANCE POLICY, COMPREHENSIVE HOMEOWNER'S part or accessory and related costs regardless of fault or negligence.Notwithstanding anything OR TENANT'S POLICY OR SOME OTHER SOURCE.BENEFITS AVAILABLE UNDER THE to the contrary and unless prohibited by law,DW does not apply to lost or damaged keys,key PAI,HOWEVER,WILL BE PAID IN ADDITION TO THOSE RECEIVED FROM ANY OTHER SOURCE.EMPLOYEES,AGENTS OR ENDORSEES OF VEHICLE OWNER(AS DEFINED IN Owner is an affiliate of Enterprise Holdings Inc,which owns all rights to Enterprise names and marks 0 CAM RAC; LLC, 2016 489CTHC UC16 PAGE 4 of a THE AGREEMENT)ARE NOT QUALIFIED TO EVALUATE THE ADEQUACY OF RENTER'S 21.Telematics Notice and Release.Vehicle maybe equipped with OnStar or another vehicle telematics system INSURANCE. (Telematics System).Some or all Telematics System functionality may or may not be active during the Rental Penod PAI provides Renter and Renter's passengers with Accidental Death,Accident Medical Expenses and/or may be deactivated automatically and without warning or notice Renter acknowledges that such systems uti- and Ambulance Expense benefits.PAI is available for an additional'charge as stipulated on page laze wireless technology to transmit data and,therefore,privacy cannot be guaranteed and is specifically disclaimed 1 of the'Agreement."Renter"is the person who signs the Agreement as Renter. by Renter Renter authorizes any person's use or disclosure of or access to(j.)location information,(ii.)automatic PAI Benefits: Renter -Passenger crash notification to any person for use in the operation of an automatic crash notification system and(iii.)operational 9 condition,mileage,diagnostic and performance reporting of Vehicle as permitted by law. Renter shall inform any Accidental Death; Not to exceed $100,000, $10,000 and all AAD(s)and passengers of the terms of this section and that Renter has authorized use,disclosure or access Accident Medical Expenses, Not to exceed $3,500 $3,500 as provided for herein. Renter releases Owner and agrees to indemnify,defend and hold harmless Owner,operator Accident Ambulance Expense,,Not to exceed ,$150 -$150' of the Telematics System,wireless carrier(s)and other suppliers of components or services and their respective employees,officers,directors and agents from any damage(including incidental and/or consequential damages)to Accident Aggregate;not to exceed$130,000 per accident.. _persons(including without limitation Renter,an AAD(s)and passengers)or property caused by failure of the telemat- The above PAI benefits for Renter apply to accidents•dining the Rental Period'whether or ics system to operate properly or otherwise�arising from the use of the Telematics System by Renter,an AAD or not Renter is in Vehicle. Passengers are covered only for accidents occurring-while they Owner-Use of the Telematics System is subject to the terms and conditions and privacy statement(Telematics occupy Vehicle.Anyone other than Renter occupying or operating Vehicle shall be considered a Terms)posted by the applicable Telematics System provider and/or vehicle manufacturer(in the case of OnStar, "Passenger"for the purposes of PAI benefits 'Telematics Terms are available at www.onstar.com),which may include system and service limitations,•warranty PAI Exclusions: exclusions,limitations of liability,wireless service provider terms,privacy practices,descriptions of use and shanng of information,and user responsibilities By signing this Agreement,Renter authorizes the provision of such telematics PAI shall not cover any death or Injury caused wholly or partly,directly or indirectly by suicide, services in accordancewith,and agrees to be bound by,the Telematics Terms Third party service providers are not attempted suicide, or self-inflicted injury;aircraft travel,except as a passenger in a licensed agents,-employees,or contractors of Owner aircraft on a regularly scheduled flight;committing or attempting to commit a criminal offense; an accident which occurs while under the influence of alcohol or narcotics,unless prescribed by 22 Headinas:'The headings of the numbered paragraphs of this Agreement are for convenience only,are a physician;an accident which occurs while participating in a prearranged or organized race or not part of this Agreement and do not in any way limit,modify or amplify the terms and conditions of this ' - - testing of a vehicle;war or any act of war;or engagement in an Illegal occupation;nor shall this Agreement Insurance be in effect If Renter converts Vehicle or during any period Renter is In violation of the 23.'Release of Information to Third Parties.Renter agrees`Owner may,'and Renter expressly authorizes Agreement.Renter shall be deemed to have converted Vehicle whenever Vehicle is not returned Owner,to provide information in Owner's possession about Renter and AAD(s),including,but not limited to to the Owner by the return date or by the extended return date. such driver's name,address,cellular/mobile and other phone numbers,driver's license and/or credit/debit card To file PAI claims,obtain a claim form from any,rental counter,complete it and return it with a information to applicable authorities or other third parties,in connection with this Agreement including,without copy of the Agreement to: limitation,providing Renter's personal,data to third parties which conduct services on Owner's behalf(such as consumer satisfaction surveys)and consent to Owner,or Owner's representatives contacting Renter ` Sedgwick CMS P.O.Box 94950 24.Choice of Law.All terms and conditions of this Agreement shall be interpreted,construed and enforced ' ' Cleveland,OH 44101-4950 pursuant to the laws of the,State where this Agreement is executed by Renter without giving effect to the Phone:1-888-515-3132 Fax:1-216-617-2928 conflict of laws and provisions of such State. 20.Roadside Assistance Protection. When deciding whether or not to purchase ROADSIDE 25.Customer Privacy.The information you provide to Owner is stored and used in accordance with Owner's ASSISTANCE PROTECTION (RAP), you may wish to check to determine whether, you have privacy policy,which is available at www enterprise com/about/pnvacyPolicy.html,which may be amended from other coverage or protection for such services.ROADSIDE ASSISTANCE PROTECTION IS NOT time to time and which is incorporated herein by reference. Questions regarding privacy should be directed to. INSURANCE. THE PURCHASE OF ROADSIDE ASSISTANCE PROTECTION IS OPTIONAL pnvacy@ehi com;1(877)858-3884 or Enterprise Holdings,'Inc.,Privacy Questions,600 Corporate Park Drive, AND NOT REQUIRED IN ORDER TO RENT A VEHICLE Renter may purchase RAP from Owner 'St Louis,MO 63105. for an additional fee.If Renter purchases RAP,Owner agrees to contractually waive Owner's right 26.Customers with Disabilities.For customer service inquiries related to customers with disabilities,please to collect from Renter for the following services.(i)lost and damaged key replacement(including call 1(866)225-4284,email Mobility@erac.com,or TTY 1(866)534-9270. remote entry devices), (ii)flat tire'replacement(I no inflated spare is available,Vehicle will be "'towed),and the cost of a replacement tire is not waived),(iii)lockout service(if keys are locked inside Vehicle),(iv)Vehicle jumpstart,and(iv)fuel delivery for up to 3,gallons(or equivalent liters) of fuel if Vehicle is out of fuel.RAP does not waive any charges Incurred in Mexico. Sign_up to-'earn' ' We sell cars;too. free rental days With,an,excellent selection and financing assistance available look to Enterprise for your next used car purchase. Earn points redeemable for free rental days with Enterprise Plus® For deals in your area,visit, a. enterprisecarsales corn Join for free at enterpriseplus.com " or call 1 800 227-7253. , Your-weekend'� We're always i starts here,. on call: Ask about our weekend's'pecials,•or, E, 24-HOUR CUSTOMER SERVICE visit enterprise.com 1 800 264-6350 24-HOUR ROADSIDE ASSISTANCE' 1 800 307-6666 Keys;flats jumps.furl or any other mechanical repair—just call and well be there ` •. , Feet may apply . We'll pick you up® Pick-up subject to geographic and other restrictions m 2014 Enterprise Rent-A-Car E03648 US 2/14 JM The Hillery Co. Invoice 739 Meridian St. Ext. Groton CT, 06340 Date Invoice# 12/28/2016 93422 Bill To Ship To Fishers Island Ferry Fishers Island Ferry Drawer H Fishers Island,NY Fishers Island,NY 06390 S.O. No. P.O. Number Terms Rep 93419 cc Net 30 JL Quantity Description Price Each Amount 1 5'x 8'x.75"Thick Plate 1,429.06 1,429.06T ti Al l y Ci mr.® rti r-i CmO t0 j awm ti s v a o Subtotal $1,429.06 Sales Tax (6.35%) $90.75 a- s.- 7- _� x ©o~ Gmmm Y Total M +-�•• X 47 m 9 --1'.��'li© :.J $1,519.81 Balance Due $1,519.81 Phone# Fax# E-mail Web Site 860-445-9791 860-449-1693 GBowen@HilleryCo.com www.hilleryco.com ` air ";. : .. =e � .�. Refill Receipt g Date: DEC 01 16 Time: 03:07 PM ,account Number : 39900634 Meter Number: 0594495 Postage in meter: $220.815 Prepaid on ACcount: $0, 000 Refill amount: $200.000 Credit Line available: $0. 000 ® � More Savin [� More doing g 816 HARTFORD 1PKE. WAIERFORD, CF 06385 RICH BRADLEY, S1ORE MGR (860)437-1900 6215 00059 2.786 12/30/16 10:41 AM 1 CASHIER SELF CF•ECK OU1" 648846002632 PCRTV'ACFIF <A> 15.97 RIDGIO 2 STAGE: HI-EFFCV FILTER 648846002941 4-5FTLTEI2BAG -A> RIDGID ,4-5 CA. FILTER DUST BAG 2@11.:17 23.94 SURTO FAL 39.91 SALES TAK 2.53 TOTAL x;42 44 XXXXXXXKKXKX2360 VISA 1� AUTH CODE 042017/4593()91 USD$ 42.44 Chi p Reycl TA AID A00000000:31010 Ver ISA CREDIT ITN TUR 0000048000 VLA DIT IAD 06010AO3600002 TSI 0800 J I ARr. UO P.O.#/jOB NAME: SHOP ; II IIIIIIIIIIIIIIIIIII I Ilillllllllllllllllllillll Illlilllllllll 62115 59 22786 12/30/2016 7792 RETURN POLICY 111 rINITIONS POLICY ID DAYS POLICY EXPIRES ON ATHE HOME DEPCTc1RE3EIWES 1HE3RIGH17TO LIMIT / DENY RE-TURN-3 PLEASE SEF THE RETURN POLICY SIGN IN STORES F:OR DE FAII'S BUY ONLINE PICK-UP IN STORE AVAILABLE NOME ON HOMEDEPOT.COM. CONVENIENT, EASY AND MOSF ORDERS READY IN LF'SS THAN 2 HOURS1 kkk kkkk l:'k k k'k k Y:k k k k k k ickkk Kkkk*A kkY W kkk STATE OF t)PPOPTUNITY. SALES RECEIPT Date: 12/02/2016 Time: 08:47:46 AM Customer. FISHERS ISLAND FERRY DISTRICT -Paymerit-Method Payment Confirmation Number Credit Card 1480686307136 *Note: If you used a credit card, your statement will show a charge from NYS e-Licensing. Item Issuing Application Item Fee Item Fee Number Agency v Number : Name 1305337 SLA TG643-R-16-00314 Trucking Renewal Trucking Renewal $306.00 Application Permit Fee 1305338 SLA TG643-R-16-00314 Trucking Renewal Trucking Renewal Filing $60.00 Application Fee Total Fees $366.00 Once received, your application(s)will be processed according to the policies and regulations of the issuing agency. Please log into your account at https://aca.licensecenter.nv.gov/ace/ to check the status of your purchase(s) at any time. To request a refund, please contact the issuing agency directly for information on their refund policies If you did not make or authorize this purchase, please contact The NYS License Center immediately NYS License Center representatives are available Monday through Friday between 8:30 am and 4:30 pm EST at (518) 453-8130, with the exception of state observed holidays r Thank you for your purchase! / l V Alfred E Smith Building,80 S Swan Street,Albany,NY 12226 4 D ` SG ANDREW M.CUOMO � , VINCENT G.BRADLEY Governor Chairman GREELEY FORD Commissioner RENEWAL ADVISOR`( The renewal procedures have changed so please review all instructions carefully. December 01,2016 TG643-16-537544 License Fee 30600 Trucking Permit Fling Fee 60.00 Total Fee Due 366.00�l LICENSEE NAME&PREMISES ADDRESS: YY FISHERS ISLAND FERRY DISTRICT P0BOX H FISHERS ISLAND SO, NY 6390 This advisory is to notify you that your current permif/license is due to expire on 12/31/2016 Please be advised that applications are only accepted online. Visit the link below to file your Renewal Application http://aca.licensecenter.ny.gov/ACA Alfred E Smith Building 80 S Swan Street,Suite 900,Albany,NY 12210 Page 1 of 1 7OPMMY Sp®rtys.com GORDON MURPHY FISHERS ISLAND FERRY DISTRICT Clermont County/Sporty's Airport 261 TRUMBULL DR #607 2001 Sporiy's Drive FISHERS ISLE NY 06390-8021 � Batavia,Ohio 45103 L_ Customer Service, 513 735 9000 Order Desk. 800 SPORTYS(776 78,97) (31?T)ER NO. 27593444 LATE- 1117.1 Lr_'2!1 A V I fi,a,****-11, .-tt.*4279!.S0-JW.K-P Quantity Product Quantity to Unit Shipped Number Ship Later Description Price Total 1 2491 ICOM IC-•A24 NAV/COM TRANS- 279. 00 279. 00 CEIVER (w/nimh battery ) . .. _ }: ww_ X. -. 1 2491-1 ICOM IC-A24 NAV/COM TRANSCEIVER (mfg #A24 01 ) 1 21 SHIP THIS ORDER SECURED. SERIAL NUMBERS RECORDED. 1 TYA 'THANK YOU FOR YOUR ORDER 0. 00 0. 00 TOTAL PRICE OF MERCHANDISE v� � 4 279. 00 SHIPPING AND HANDLING9 ' . 36 # ORDER TOTAL #x 288. 36 THIS ORDER HAS BEEN CHARGED TO YCREDIT CARD AS YOU REQUESTED. THANK YOU FOR THE ORDER. /1� r �qh/ THIS ORDER HAS ENTERED YOU INTO SPORTY `S LEGEND CUB SWEEPSTAKES. _. A portion of your order Helps to support AOPA and EAA, keeping general aviation strong for the next generation. Sign*A*Rama New London HISS Enterprise LLC 365 Broad Street New London CT 06320 United States Slga5!grqT-rbuslness. Phone.(860)443-9744 Fax.(860)443-9563 bimal@signarama-newlondon.com www.signarama-new[ondon.com Quote 22932 - Instruction Sign Expiration Date : 01/09/201-7 '-Quote for Contact Shipping/Install FISHERS ISLAND FERRY ' Gordon Murphy Box 607 Phone-(631)788-7463 261 Trumball Drive Fax:(631)788-5523 Fishers Island NY 06390-0607 Email-gmurphy@fiferry.com United States ' Address:Box 607 261 Trumball Drive Fishers Island NY 06390-0607 United States Quote#• ' , Quote Date Sales Rep- PaymentTerms PO PO Date: 22932- 12/20/2016 Bimal Shah 50/50 i bimal@signarama-newlondon.com Items # Item Qty 'Unit Price Total , Tax 1 Aluminum .063 4 $59.28 $237.12 $1506 W.18.0 in.X 1-1:24.0 in., Single Sided. .063 Aluminum Signs with graphics Vehicles strictly prohibited from leaving airport roads 2�y0 Violators will be prosecuted" 2 Aluminum .063 )/ 3 ; $41.85 $125.55 : $7.97 :7 W:12.0 in.X H.18.0 in., Single Sided: VV/ ' .063 Aluminum Signs with graphics "No Overnight Parking"with arrows pointing to the left and right. Total o(x Sub Total- = - `` otalTa %e) ` , Final Price $362.671 $23.03(6.360 ) $385.70 Downpayment(0.0%) ; $0.00 Terms And Conditions Invoices 8 Cancellation of Orders Sign-A-Rama(Vendor)prepares your order according to your specifications Therefore,prior to it's commencement,your order is only cancelable with the Vendor's prior written consent After commencement of your order(the point at which materials are assembled and work has begun),your order is noncancelable The Customer is Solely Responsible for Proofreading Vendor does not assume any responsibility for the correctness of copy Therefore,you must review and sign a proof prior to our commencement of your order By signing your proof,you approve of its content and release the Vendor to commence our work You are solely responsible for the content of the proof once it has been signed However,if we should make an error in producing the work as proofed,please be assured that we will redo the work as quickly as possible and without charge to you Vendor's Liability Vendor's total liability is hereby expressly limited to the services Indicated on the invoice and Vendor will not be liable for any subsequent damages,consequential damages,or otherwise All dates promised on this invoice are approximations unless the word'firm"is ' written and acknowledged by the Vendor Emailed 12/27/2016 12:28 EST by BS Page 1 of 2 SIGNARAMA NE'W LONDON i 365 BROAD STREET NEW LONDON,CT 06320 860-443-9744 12/3012016 13:41.08 Merchant ID: XX)00(XX WX7569 Device ID: PD06 7569 9 i Terminal ID: 1. CREDIT CARD VISA AD3UST SALE I CARD# XXXXXXXXXXXX4379 001 TRANS# 5 Batch #: 058084 Approval Code: E ACI Code: 166365640340753 TRANS ID: ISwiped Entry Method: � MOnline Mode: Tax Amount: $pp23'0' E AMOUNT Y CUSTOMER COPY e. t Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Thursday,January 12, 201711:28 AM To: Arena, Laura Subject: RE: Bank Of America We have never gotten a return receipt from Amazon,that appears as a credit on the statement only. From: Arena, Laura [mailto:lauraa@southoldtownny.gov] Sent: Thursday, January 12, 2017 11:16 AM To: Diane Hansen; Gordon Murphy Cc: Whitecavage, Diana; Cushman, John Subject: Bank Of America Hi Diane, Please see attached. Do you have a receipt for the Amazon return of-$49.70? Thank You, La c wcx1Are i,a1 Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 1 - 1 , - ` FISHERS ISLAND-FERRY DISTRICT VENDOR 002148 BASELINE KING CORP. 01/17/20'17 CHECK 3763 i FUND '& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT r— SM .5610.2.000.000 16-729 FILE 211.0,15 PROGRESS#1 T14RU 11/,2/16 315,182.59 TOTAL 315,182.59 1 \ , ,r. if' I / ,✓ I fir, 1 ______________ I - 1 °FISHERS;IS AND FERRYDIS`7R 'CT v'AUDIT.'01` 17 s 1 J...- F.. - 53095'.MAIN ROAD,FO BOX 1179- -" v ,.t§.- :+_ __ {€ `SOUTHOLD,NY,1,1971-0959' h CHECK'NO 3,763' a r• THE SUFFOLK'GO'''NATIONAL.$A'NK "I' `CUTCHOGUE,;NY'1'1935' ','ll '.}'Sli;',.,i' _ _ _ _ •.i ',,41. '1,,17 r,,1' 4 ,•,,,, '„li _ 03;7` '' a'a1• 50 546/2x14 'THREE"HUND2ED`'a'FIFT,EEN '.THOUSAND;;ONE T3UNPRED>'EIGHTY,.,TY70„,AND .59%,1,00; ,DOLLARS`” f 4V`, ,Vt'.11= ;1 1ad, a, 1'B'ASE'LINE;KING`:`zCQRP.- I'', ” 1' %.il 01,THE+` 'LIIBR'TY,LANE__ ;{'l• rl`B'ARNEtVEI;D>- ;NY 13.3_Q4 ,Fta i t 1 r' I„ - 1 — :ii 0`D 17 E`:3411; ";i';0'2' L'4'015 4 6 41'-" 8 __.o`0_'S:O,2 71 , • Vendor No. Check No. Town of Southold, New York --Payment Voucher 2148 - 37G3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 111 Liberty Lane Audit Da#e - Baseline King Corporation Barneveld, NY 13304 i _ J A N 17 201 Ti Vendor Telephone Number Town Cleric Vendor ContactQ. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number FILE 211.015 12/20/2016 $315,182.59 $315,182.59 Progress#1 through 11/2/16 SM.5610.2.000.000. FEMA 6946304 Airport lighting and signage $315182.59 $315,182.59 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--6 Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date FILE:211"015 DATE:12/20/2016 PAGE:1 PROGRESS PAYMENT NO.1 PROJECT: CONTRACTOR- Elizabeth Field Airport Airfield Lighting&Signage Repairs Baseline King Corporation FEMA No.6946304 111 Liberty Lane PA 1D No.103-6946 Bameveld,NY 13304 TO THE TOWN OF SOUTHOLD Pursuant to the terms of the Contract,dated November 23,2015,by and between the Town of Southold and Baseline King Corporation,Contractor for the construction of the Elizabeth Field Airport Airfield Lighting&Signage Repairs project(FEMA No 6946304,PA ID No.103-6946)we hereby submitt Progress Payment No.1 for work completed through November 2,2016 ITEM ORIGINAL UNIT TOTAL PREVIOUS PREVIOUS QUANTITY $AMOUNT QUANTITY TOTAL$ ---NO DESCRIPTION'- -------- --QUANTITY- -UNIT -PRICE-- ITEM AMOUNT--QUANTITY--$-AMOUNT- HIS-ESTINIA`f THIS-ESTIMATE--TO DATE-=f0-DATE--- - Base Bid L L-108 No.8 AWG,600V,1/C Airfield Lighting 25,300 00 LF $1.38 $34,91400 $0.00 25,300.00 $34,914.00 25,300.00 $34,914"00 Cable 2.L-108 No.8 AWG,5kV,I/C Airfield Lighting 12,500.00 LF $1.60 $20,000.00 $000 11,555 00 $18,48800 11,555.00 $18,488.00 Cable 3.L-108 No.6 AWG Counterpoise Wire 715.00 LF $1.67 $1,194.05 $0.00 715.00 $1,194.05 715.00 $1,194.05 4.L-108 No.6 AWG Counterpoise Wire and 220.00 LF $6.53 $1,43660 $0.00 210.00 $1,371.30 21000 $1,371.30 Trench 5.L-110 2-Inch Dia"PVC Conduit in Turf 730"00 LF $943 $6,883"90 $0"00 71000 $6,695"30 71000 $6,69530 6.L-110 2-Inch Dia"PVC Coated RGS Conduit 15000 LF $2755 $4,132.50 $0.00 15000 $4,13250 150.00 $4,132"50 in Turf 7.L-I 19 Single Airport Obstruction Light 2.00 EA $2,102.50 $4,205.00 $000 200 $4,20500 200 $4,205.00 Assembly with New Base 8.L-119 Double Airport Obstruction Light 200 EA $1,16000 $2,320"00 $0.00 2.00 $2,320"00 2.00 $2,320.00 Assembly on Existing Base 9.L-119 Obstruction Light Transformer/ 1.00 EA $3,045"00 $3,04500 $0.00 1.00 $3,045.00 100 $3,045.00 Disconnect 10.L=125 Removal of Existing?recision Approach 4.00 EA $1,305.00 $5,220"00 $0.00 400 $5,22000 400 $5,220.00 Path Indicator(DAPI)System 11.L-125 Removal of Existing Runway End 4.00 EA $870.00 $3,480.00 $0.00 4.00 $3,480.00 4.00 $3,480.00 Identifier Light(REIL)System 12 L-125 Replacement of Existing R/W Edge 39"00 EA $797.50 $31,102.50 $0.00 39.00 S31,10250 3900 $31,10250 Light with Medium Intensity R/W Light(L-861(L))on Existing Base FILE:211.015 DATE:12/20/2016 PAGE:2 PROGRESS PAYMENT NO:l ITEM ORIGINAL UNIT TOTAL PREVIOUS PREVIOUS QUANTITY $AMOUNT QUANTITY TOTALS NO. DESCRIPTION QUANTITY UNIT PRICE ITEM AMOUNT QUANTITY $AMOUNT THIS ESTIMATE THIS ESTIMATE TO DATE TO DATE 13.L-125 Replacement of Existing R/W Threshold 24.00 EA $870"00 $20,88000 $000 2400 $20,88000 24.00 $20,880"00 Light with Medium Intensity R/W Light(L-861 E(L))on Existing Base 14 L-125 Replacement of Existing Taxiway 4.00 EA $5,220"00 $20,880"00 $0"00 4.00 $20,880.00 400 $20,880.00 Guidance Sign Assembly(L-858,4 Characters,Size 2,Style 2,Class 2)on Existing Base 15 L-125 Replacement of Existing Taxiway 4 00 EA $5,22000 $20,880.00 $000 400 $20,88000 4.00 $20,880.00 Guidance Sign Electrical Components 16 L-125 Replacement of Existing Precision 4 00 EA $26,970.00 $107,88000 $0.00 0"00 $0.00 000 $0.00 Approach Path Indicator(DAPI) - -System-(L=881-(L)-Style-A-2-Lamp ---- - — ----- — -- - - ---- -- — -- LED)on Existing Base 17.L-125 Replacement of Existing Runway End 4.00 EA $16,095.00 $64,380"00 $0.00 4.00 $64,380.00 4.00 $64,38000 ----- - - Identifier t ght-(REIL)-System(L=849--- --- —- - - - - -- - ---- - --- -— - ------- ---------- - - ------- - (L),Style C)on Existing Base 18 L-125 Re-mounting of Existing Wind Cone 1.00 EA $2,75500 $2,755"00 $0.00 100 $2,75500 1.00 $2,755.00 Transformer on Existing Base 19.L-125 Electrical Junction Can(Non-Load 1 00 EA $1,087.50 $1,087.50 $0"00 1.00 $1,087.50 1 00 $1,087 50 Bearing) 20.L-125 Contractor Support for Follow-Up 1.00 TRIP $3,625.00 $3,62500 $0.00 1 00 $3,625"00 1.00 $3,625.00 FAA Flight Check 21.M-100 Maintenance&Protection ofTrafc 100.00% LS $13,050.00 $13,050"00 $0.00 100.00% $13,05000 100.00% $13,050.00 22 M-150 Project Survey and Stakeout 100.00% LS $7,250.00 $7,250.00 $0.00 100.00% S7,25000 100.00% $7,250.00 23.M-100 Mobilization 100.00% LS $15,000"00 $15,000"00 $0"00 10000% $15,00000 100.00% $15,000.00 Add-On No.1 I L-108 No-8 AWG,600V,1/C Airfield 14,000.00 LF $138 $19,320.00 $0"00 14,000 00 $19,32000 14,000.00 $19,320"00 Lighting Cable Add-On No.2 1"L-108 No.8 AWG,600V,1/C Airfield 10,700 00 LF $1.38 $14,76600 $00 0 10,700.00 $14,76600 10,700.00 $14,766"00 Lighting Cable Add-On No.3 1 L-108 No.8 AWG,600V,I/C Airfield 8,50000 LF $138 $11,730.00 $0.00 8,50000 $11,73000 8,500.00 $11,730.00 Lighting Cable TOTALS $441,417"05 $0.00 $331,771 15 FILE:211.015 DATE:12/20/2016 PAGE:3 PROGRESS PAYMENT NO-I ITEM ORIGINAL UNIT TOTAL PREVIOUS PREVIOUS QUANTITY $AMOUNT QUANTITY TOTAL$ NO. DESCRIPTION I QUANTITY UNIT PRICE ITEM AMOUNT QUANTITY $AMOUNT HIS ESTIMAT THIS ESTIMATE TO DATE I TO DATE STATEMENT OF DAYS CHARGED Total Amount of Work Done to Date----------- $331,771.15 Less 5%Retained------- ---------- $16,58856 30 TOTAL CALENDAR DAYS Total Earned Less Retainage $315,182.59 30 LESS CALENDAR DAYS CHARGED Previous Progress Payments--------------------- $0_00 ^ ` TAL CALENDAR DAYS REMAINING AMOUNT DUE CONTRACTOR------------- $315,182.59 PROGRESS PAYMENT NO.I BASEL E KIN CORPO TION C&S ENGINEERS,INC. BY: TITLE- ` La e e J Av erretani, iation Construction Department Manager DATE: Certified Payroll ReportFor Job: 267-FISHERS ISLA NAME OFCONTRAC OR OR SUBCONTRACTORADQRES ` BASELINE KING CORP 111-LIBERTY STREET,BARNEVELO,NY,13304-2537 PAYROLLNO, FOR WE EKEND I G PROJECT&IOUA IOPROJECTOR-CONTRACT NO. 65 10!2212016 267-FISHERS ISLAND_ Job:267 ame and Individual Identifying um er T F S Total late o Gross s (e g.Last Four Digits of Socia!Security 8 Hours Pay ob Numberof Worker 0'w Work Classification a 16 17 18 19 20, 21 '- 22 GrossAll Fed WtH StataWlH Total Not HOU 8 WO KED CH DAY Jobs FICA Tax OASDI Tax Other Deductions GLEN COOKINHAM OT 0 00 3.00 3,00 3,00 3.00 0.00 0.00 12.00 96,14 3,073.16 XXX-XX-5092 1 ELECTRICIAN ST 0.00 8,00 800 8.00 8.00 0.00 0.00 32.00 64.09 3,095,18' 236.79 692,65 191,91 198.21 0.00 1,127.65 1,966.93 SCOTT COOKINHAM T 0.00 3,00 300 3-00 3.40 0.00 000 1200 147.P0 4,618,00 XXX-XX-2308, 4 OPERATORA ST 0.00 8.00 800 8,00 8.00 0.00 0.00 32.00 98.60` 4,689.82 35875 1;195.78 290.76 315.27 23.08 1,892.88 2,796.34 DAVID DONLEY OT 0.00 3.00 3.00 3.00 3.00 0.00 0.00 12.00 96.14 3,073.16 XXX-XX-1175 0 ELECTRICIAN ST 0.00 8.00 800 800 8,00 0.00 0,00 32.00 64.09 3,12244 238,87 715,06 193,60 199.76 0.60 1,153:69 1,96815 JAY GRIFFITH OT 0.00 3.00 3.00 3.00 3,00 DAO 0.00 12.00'86,14,3,07116 XXX-XX4i23 0 ELECTRICIAN ST 0,00 .8.00 8.00 8.00 8.00 0,00 0,00 32.00 64.91 3,131,86 239.58 716.00 194.17 21976 0.00 1,175.3,4 1,95592 40 JOHN,C HARVEY OT -0.00 3.00 3,00 3.06 0.00 0.00 0.00 :9;00 96.14 2,81759 XXX-XX•2824 0 ELECTRICIAN ST 0,00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 64,09 - 2,92931 224.09: 70978 181.61 186,87 0,00 1,1207497 .1,807.91_ WILLIAM HENRY OT 6.00 3.00 3.00 3.00 3.00 0.00 0.00 12.00 .9614 3,073.16 XXX-XX-0461 0 ELECTRICIAN ST 0.00 8.00 8:00 8.00 8.00 0.00 0,0032.04 ,64,09 3,073.16 -235.10 $6454 190-54 -195.78 000 995.42 2,077.14 JOSEPH T MC CAULEY OT 0,00 3,00, 3.00 3.00 3.00 0.00' 0.00 12.00 6614 3,073.16 XXX-XX-6862 0 ELECTRICIAN ST 0,00 &00 8.00' 8.00, 8.00 0.00 0.06 '32.00 6d.09 3,29796 252.30 188,29 204,4.8 259.76 0.00 1,300.35, 1,99.01 8 RUSSEL R WOOD OT 0.00 3 00: 300 3.00 3,00 0.00 0.00 '12.00 '96.14 3,073.16' XXX-XX-4782 0 ELECTRICIAN ST 0.00- 8.00 8,00 8.00 8,00 0.00 0.00 -32.00 64.09 3,073,16 235.09 714.46 190.53 199 P6 .000 1,149.31 1,923.25 LAI OT 0,00 3.00 3.00 3.00 3.40 0.00 0.00 12.00 96.14 3,073.16 BLAIR WORDEN XXX-XX-5703 1 0 ELECTRICIAN S7 0.00 8.00 8.00 8.00 goo 0.00 0.00 32.00 64.08 3,073:16 235.11 714.46 190;55 199.76 349.69 1,499-02 1,573.54 Page 1 of"I Date 10/25/2016 Job ID: 267 (b)WHERE FRINGE BENEFITS ARE PAID IN CASH ach laborer or mechanic listed In the above'refetenced payroll has been paid, (Name Of Signatory Pally) (Title) as indicated on the payroll,an amount not Fess than the sum of the applicable do hereby state; baso hourly wage rate plus the amount of the requited fringe benefits as listed in the contract,except as noted in sectkrh 4(c)below, (1)That I pay or supervise the payment or the persons employed by (c)EXCEPTIONS BASELINE It1HG CORP on the . Contractor or Subcontractor) on (CRAFT) EXPLANATION 267-FISHERS ISLAND ;that during the Payroll period commencing on the (Building or Work) 16 Octoer 2016 22 October 2016 ChY of and ending the day of- all persons employed on said project have been paid the full weekly wages earned,that no rebates have been or will be made either dvectly or,Indirectly to or on behalf of said � 'Gori tF Y 1`3p��" [ 'o lee from the full- (Contractor or Subcontractor) weekly wages earned by arty person and'that no deductions have been made either directly or indirectly from the full wagqos earned by any person,other than permissible deductions as defined in Regulations,Part 3(29 C.F.R.Strbtide A),issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948, 63 Start"t 108,72 StaL 967;76 Stat.357:40 U.S.C,§5145),and described below. ;REMARKS (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete:that the wage rates tot laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated Into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3) That any apprentices employed In the above panod are duly registered in ,a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,or H no such recognized agency exists 1n a state,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. (4)That* (a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS,OR PROGRAMS NA SAND TITLE SK,iL1TURE — in addition to the basic hoUdy Nraga rates paid to each taborer or mechanic listed in �j the above referenced Payroll,payments of fringe benefits as Ogled In the contract 7FIE WLLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUMCT THE CONTRACTOR OR have beet) or will be made t0 appropriate programs for the benefit of such SUBCONTRACTOR TO CIVIL OR CAIMINALPROSECUTION.SEE SECTION Joel OF TITLE 16 ANO SECTION 231 OF TITLE employees,except as noted in section a(c)beton, 31 OF:THF UNITED STATES CODE °° 11 "x, Certified Payroll Report For Job: 2674-(267-4) Fisher NAME OF CONTRACTOROR SUBCONTRACTOR LADDBASELINE KING CORP RTY STREET,BARNEVELD,NY,13304-2537PAYROLL NO FOR WEEK ENDING LOCATION PROJECT OR CONTRACT NO 71 12/0312016 2674-1267-4) Fishers Island--Etectm Job:2674 ameand Individual ldenMymgNurrber :, S m T W T F S Total ateot Gross This (e.g.Last Four Digits of Social Security 4 Work Classification a 27 28 29 30 1 2 3 Hours Pay ob Number of Worker 8 Gros�hs Fed 1NIH SlaTax oaductions Not HOU S WO KED.EACH DAY FICA Tax OASDI tax Other JAY GRIFFITH OT 006 000 000 006 000 0 00' 0 00 000 9614 51272 XXX-XX-3123 0 ELECTRICIAN ST 000 0.00 800 000 000 0.00 000 800 0409 1,24812 95 a9 219,89 7738 7485 0,00 390,23 85729 Page 1 of 1 Date 12/07/209'6' Job ID; 2674 � (b)WHERE FRINGE BENEFITS ARE PAID 1N CASH i ��-,�-� .A a�L� �°r' a �- Aq`h - a Eech'iatwrer or mechanfe listed In the above referenced payroll has been paid, (Name of Signatory.Party) (Title} as indicated on the-payroll,an amount not cess than the sum of the applicable do hereby state: basic hoary wag*rate plus the amount of the required fringe benefits asiistod Iii the contract except as noted In section 4(e)below. (1)That 1 pay or supervise the payment of the persons employed by (a)EXCEPTIONS BASELINE Kf%C0RP on the (Contractor OrSatractor) EXCEPTION(CRAFT) EXPLANATION. 2674-(267-4)Fishers(stand-Electric ;that dufng the payrog paned oommencing on the 27 (Ntcd robWork) 2016 3 December 2016 day of 1 , and ending the day of all persons employed on said project have been paid the full weekly wages earned,that no rebates have been or mill be made either directly or indirectly to or on behalf of said / Ll/V 15 t<I N U C.All!Lid' . from the full (Contractor or Subcontractor) weekly wages earned by,ady person,and that'no doducrions have been made either directly or indkectly from the full wages earned by any person,other than permissible deductions as defined in`Regutatbdss,Part 3(29`C.F.R.Subtitle A),issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat,948, 63 Start.108,72 Stat.967;76 Stat.'367;40 U'S.C.§3145),and described'beicvv. REMARKS: (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete:that the wags rates for laboiers or meebanles contained therein are not lass than the applicable wage retes contained in arty wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic contorm with the work he performed. (3) That any apprentices 'employed 16 the above period are duly reglstered in 'a bona fide apprenticeship program registered,with a State apprenticeship agency recognized by thio Bureau of Apprenticeship and Training,United States Department of labor,or if no such recogmzad agency exists in a State,qra registered with'the Bureau of Apprentfceshlp and Training,United States Department of labor. (4)Thee (a}WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS,OR PROGRAMS NpA,lN�TUE d ��� MNAT in addition to the basic hourly wage rates paid to each laborer or mechanic listed In L� G�` 6�Cr9 the.above referenced payroll,payments of fringe benefits as listed.ln the contract THE WILLFUL FALSIFICATION OF ANY OF THE,ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR .have been or will be made to appropriate programs for'the benefit of Such SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION.SEE SECTION 1001 of TITLE 18 AND SECTION 231 OF TITLE employees,except'a3 noted In section 4(0)belON. 31 OF THE UNITED StAT£B CODE: i . I Certified Payroll Report For Job: 2671-(267-1) Fisher NAME OF CONTRACTOR OR SUBCONTRACTOR ADDRESS BASELINE KING CORP 117 LIBERTY STREET,BARNEVELD,NY,1330442537 PATROL L NO. FORWEEKENDING PROJECT&LOCATION PROJECTOR CONTRACT 0. 72 12/1012016 2671.267-1 Fishers island-00A Job:2671 ame and Individual Identifying Number g SM T W T F S Total late of Gross This (e.g Last Four Digits of Social Security Hours Pay lob � Work Classification >i o 4 5 6 7 8 9 10 Gross All Fed WIN 3tateiNlH Total Net Number otWorker HOU TWO KED GH OAY Jobs FICA Tax OASDI Tax Other oeduettons [-4,C- OTT COOKiNHAM OT 0.00 000 0.00 0 00 0.00 0 00 0.00 0.00 147.90 197.20 XX-XX-2308 0 OPERATORA "ST 0.00 0.00 0.00 0.00 200 'OAO 0,00 2.00 98.60 2,304 21 183.16 524.35 148.44 144.90 23 08 875.49 1,518.12 Page i of 1 Date 12/1312016 Job ID; 2671 (b)WHERE FRINGE BENEFITS ARE PAID IN,CASH I, zial-A-11, 72Q A 45-E'er lel /'l C& ' ' ach laborer or mechanic lWad in the above referenced payroll has been pard. (Name of Signatory Party) (Title) as Indicated on the payroll,an amount not less than the sum of the applicable do hereby state: bask hourly gage rate plus the amount of the required fringe benefits as'fisted in the contract,except as noted in section 4(4 below._ (1)That t pay or supervise the payment of the persons employed by (c)EXCEPTIONS BASELINE KING CORP on the ( tractor or boontractot EXCEPTION(GRAPY) EXPLANATION 2671-(267-1),Fishers island-OPA ;ttvt during the payroll period commencing on the (Building or Work) 4 day of December 2016 and ending the 10 of,December 2016 all persons employed on said projeci have been paid the full weekly wages earned,that no rebates have been or will be made either directly or indirectly to oron behalf of saaiid ,,F L//Jc d N& CG1 gsafrorn the full (Contractor or Subcontractor) weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations,Part 3(29 C F.R.Subtitle A),issued by the Secretary of Labor under the Copeland Act as amended(48 Stat.948, 63 Start,1Ca,72 Stat.967;76 Stat.357.40 U.S.C.§3145),and described below; REMARKS: (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not lass than the applicable wage rates owtained in any wage determination incorporated into ft contract. that the classifications set forth therein for each taborer or mod mnx:conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona ride apprenticeship program registered with a State apprenticeship agency-recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,or If no such recognized agency exists in a State,are'registered with the Bureau of Apprenticeship and Training,United States Department of Labor, (4)That: (a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS.FUNDS,OR PROGRAMS NAME AND TITLE / f SKMTURE — in addition to.the basic hourly wage rates,paid to each laborer or mechanic listed In ��� G the above referenced payroll,payments of fringe benefits as,listed in the contract THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR have been or will be made to appropriate programs for the benefit of such SUBCONTRACTOR TOCIVrIORCWMNALPROSECUTION SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE employees,except as noted In,section 4(C)below. 3t OF THE LNITEO STATES COOS i� 4 Certifier! Payroll Report For Job: 267-FISHERS iSLA I NA EO •CONTRAG RORSUBCONTRAG OR ADDRESS j SELNE KING CORP 111 LIBERTY STREET,BARNEVELD,NY,13304.2537 BAI PA SE LNE, 0 EEK ENDING PROJECT&LOCAT ON PROJECTOR CONTRACT N0, i -FISHERS ISLAND 26T 67 1110512016 267 am and ndividual Identifying Number g S M T T F S Total ate of ross his e Last Four Digits of social Securi Hours Pay lob Fed WH StateW)H Total ( •9• 9 'Work Classification a 30 31 1 2 3 4 5 Gross Ail Other Deductions Net NumberolWorker W HOU S WO ED CH DAY Jobs FICA Tax OASDI Tax 34 OT 0.00 `0.00 0,00 300 000 0 00 0,00 3.00 147,90 1,667.22 i DAVID DONLEY XXX-XX-1175 0 OPERIELEl ST 0,00 O,QO 0.00 8.00 8.00 0.00 0.00 16.00 98.60 3,580.06 273.86 85639 22196 237.46 0.00 1,367.71 2,211.75 17 OT 0.00 0.00 0.00 3.00 3.00 0,00 0.00 600 9614 1,536.58' JAY GRlrr-iTti XXX-XX-3123 0 ELECTRICIAN ST 0 00" 0.00 6.00 8.00 8.00 0 00 0.00 16.00 64 09 2,606.03 199,37 583.66 16157 172.02 0.00 855.05 1,650.38 g OT 0.00 0.00 0.00 300 000 0.00 0.00 3.00 96.14 1,281,01 JOSEPH T MC CAULEY , 0.00 0 00 16.00 64.09 3,024.73 23139 720.90 187.53 215.$5 0.00 1;168.14 1,855.99 XXX-XX-6862 0 ELECTRICIAN ST 0.00 0.00 0.00 8.00 800 8 OT 0.00 O.00 0,00 3.00 300 0.00 0.00 600 96:14 1,53658 RUSSEL R WOOD XXX-XX 4782 0 ELECTRICIAN ST 000 GOO 0.04 800 8.00 000 0.00 16 00 64.09 2,904 04 22216 66711 180.05 186:1 Q 0.00 1,075.37 1,82807 Page 1 of 1 Date 1 Job 10: 267 (b)WHERE FRINGE BENEFITS ARE PAID CASH M<<CnOi laborer or mechanic listed in the above referenced payr roil ties been paid, (Name of Signatory Party) (Title) as IndJeated on The payroll,an amount not less than the sum of the applicable doherabysm* b,4s1c hourly"99 rate plus the:amount e the required fnnjo benefits,as lipted in the contract,except as poled in section 4(c)below (1)That I pay or supt-vise,the payment of tlie porsoni employed Ir/ (C)EXCEPTIONS BASELINE KING CORP on the (Cantfactor or SubcoMrartoF) EXCEPI ION(CRAFT) EXPLANATION 267-FISHERS IS that during the payroll period cA)mMandila on the (Building 30 or Work) Novembor 2016 (by 012ctober 2016 *ad ending the day of all pnrsons employed on w4d project have been paid thi.,fullwackly wrioes earned.That no rebAfm have been or 011 be made P:th ar directly or Indkeedy to or on behalf of said {turn the full (Contractor or Subcontractor) 'AeCAiy sr pes earned t)y any pomon and that m deductions have been made villmr directly or indirectly from rite frit avagss oamcd hS Any par,on,other than permissible doductions as defined hi Flegul6tions,Part 3(29 C.F R,Subtitle A),issued by the$,-,cretaryof Lribor under the Copoland Ad,as arronded(48 Stat,946 two Start,108,72 Slat,9647;78 SV..357,40 U.S C. 3145),nerd drerdbad balmy, (2)That any payiul,s otherwise undar this contract required!tube submitted for the above pf-tiod are correct and complete;that.the wage rates for laborers or rnac;Nanics contained therein are not less stun the applicable wage rates contolnod in any wage determination Incorporated into the MntraCt: that The classirications ust forth therein for each laborer or mechaii;:;conform with the vtork he performed. (3) That any apprentices emW..:iye<1 in the above parlod am duly registered in U bona fide 'Irprenlicaship program mg1sto(ed W01 p State, 6pprenticathip agency i-acoo'gnizod by the Bureau of Apprenficv�hip and Training,United States Department of Labor,or if no such recognized egonoy axtst&in a State,are rvgi3tswd,MIh the Bkrcau of Apprenticeship and-7falaing.United,States;Department of Labor (4)That, YWAERE FRINGE BNEFITS ARE PAID TO APPROVED PLANS,FUNDS,OR PROGRAMS 1,��.£AND TITLE SIGNATUFtS In addition to the basic hourly wage r.tus paid to each taboret or mechanic listed In the"above irafeiaricecl payroll,payments of fringe benefits a,& listed in 0-,e contract THE WOMC FaV5nVITIM OF ANY Of THE ABQVP- STATEMENTS MAY SUSJFCT IRE CONTRACTOR OR hav,,) ijaeij or mil be jnaIde to appiopriato fircgrama, for the benefit of Such bU8CONTRACrORXO CIVILOR C91MINALPROSECUTION.SEE SECTION IGOI OF TITLC IrIANDSEGIION231 OF.T41LE employees,eyc4ofas nmA in section 4(c)below. 3t OP THE UNITED STATES CODE c Certified Payroll Report For Job. 2674-{267.4) Fisher NAME OF CONTRACTOR ORSUBCONTRACTOR ADDRESS. BASELINE KING CORP 111 LIBERTY STREET,BARNEVELD,NY,13304-2537 . PAYROLL NO. FOR WEEK ENDING PROJECT&LOCATION PROJECT OR CONTRACT NO. 72, 12/1012016 2674-(2674)Fishers island-Electric Job:2674 Tame and lnd- dual Identifying Number a 5 T S Tota ate of Gross s e Last Four Di its of Social Security a 4 5 6 7 6 9 10 Hours Pay lob Fed WIH StateMi 4Dadmdohs Not ( g 9 Work Classitiigatlon Bross All NumberofWorker3 HOU S WO KED CH DAY JobsFICA Tax OASDi Tax Other17 OT 0.000.000.000.000.000.000.000.00 96,14 256 36 JAY GRIFFITHX)O(-XX-3123 0 ELECTRICIAN ST0.00. 0.00 0.00 0.00. 4,00 0.00 0.00 4.00 64,09 901A2 68.95 133.22 55.89 52A8 0.00 6.17 Page 1 of 1 Date 12/13/2016 Job ID: 2674 (b)WHERE FRINGE BENEFITS ARE PAID IN CASH Bch taborer or mechanic fisted in the above referenced payroll has been paid; of Signatory Party) (Tide) as Indicated on the payroll,an amount-,riot less than the sum of the applicable do hereby state: basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract;except as noted in section 4(c)below, (1)That I pay or supervise the payment of the persons employed by BASELINE KING CORP (c)EXCEPTIONS on ihe tractor or Dibcorltractw) EXCEPTION(CRAFT) E>P,LANATtCN 2674-(267-4)Fishers Island-Electric. ;that during tha payroll period commencing on the (Building or Work) 4 December 201610 December 2016 Eby of- ,and'ending the day of all persons employed on sold project have been,paid the full weekly wages earned,that no rebates have been or will be made either directly or Indirectly,to or on behalf of sold �p NY;—!. from the full (Contractor or Subcontractor) weekty-wa es,eamed by any Person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations,Part 3(29 C.F,R.Subtitle A).issued by the Secretary of tabor under the Copeland Act,as amended(48 Stat 448; 6.3 Start.108,72 Stat.467;78 Stat.357;40 U.S.C.§3145),and described below, REMARKS- (2)That any payrolls otherwise under this,contract required•to.be submitted fa the above period are correct and complete;that the mage rates for laborers or mechanics contained therein are not less-than the applicable wage rates contained in any wage determination Incorporated into the contract; that the classifications set forth therein for each laborer or mechanic*Worm with the work he performed. (3) That any apprentices employed in the above period are duty registered in a-bona fide apprenticeship program registered frith a State appientkeship'agency recognized by the Bureau of Apprenticeship and Training,.United States Department of labor,or If no such recognlzod agency exists In a Mate,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. (4)That. (a)WHERE FRINGE BENEFITS ARE PALO TO APPROVED PIANS,FUNDS,OR PROGRAMS NAME ANO TMLE�a �} SrNATURF t f" — in,addition to the basic dourly wage rates laid to each taborer or mechanic listed in 40 the above referenced payroll,payments of fringe benefits as listed In the contract TME WILLFUL FALSIFICATION OF ANY OF-THE ABOVE STATEMENTS MAY SUBJECT THE'CONTRACTOR,OR have been or will be made to appropriate programs for the benefit Of such SUBCONTRACTOR TO CML 00 CRIMINAL PROSECUT;ON.SEE SECTION 1001 OF TITLE M ANO SECTION 231 OFAITLE employees.except as noted in section 4(c)beWw, s1 bF IME uNt"ren sratt scooE r ' FISHERS ISLAND FERRY DISTRICT , l VENDOR 002438 WILLIAM R. BLOETHE 01/17/2017 CHECK 3764 FUND -&,ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .571-2.4.000.000 123016 ,, 116 COMM MTG OCT—DEC(9,) 450.00, I 1 1 TOTAL ;\ 450.00 _ 1 V i i r- I , ' --ate-- ' e • o ® - ® - o o e ® o o _._ - - sHER-S> ISLAND: FE ZIZYDI ' A 53 5` IN'HOAD.PO'BOX.1.b79;. 7 ;UDI '',Olr/ 'l%17''` 09 Iv1A v ;r•... t SOUTHOLD,': Y;11971=00,59' - _ _ '°' _ _ et• r- - N CIiE'CKk,NO:: tl'3's764,, ;,'rlr THE' "UFF'OLK'CO NATIONAL:BA'NK.; - _ S _ -- - CUTCHOGUE"NY'1,1935' ,DATE-- -AMOUNT; ',Ifr;;'}':'. 01 1 2 01=7. 4 ft""VO .0'0' .,50-546/214'. ,. ,•[, FQUR,-HUNDRED. .FIFTY,.AND•,0,0%,1',0`0, OX,LARS: :>,°.°•..i:::'' _ .'':f 1, ,a ,,. . ,II, __- - __-__ _ _ _ _ ,• rJ ,rn, fp,, '1 r 1,1'::I, _--z ''=_ _ ; __=_i.=_%- , _-_ _ -_ - ___ _ ;,I;},-i J," ';,cif i _ _ - _ _ '' ,,if'1'•._ .1_.`.--, _ _ - _ _ _ I _ - _ _- ___ ___ -i. -_____ ___ __ - ,`I', gin' ,'p, d•.I„ i ha _ __ _.-z__ _- - I tr - - -_ - = ,•d(J ,n, ,1.., iii_ - - --- - _ _- •',I'J' ,z, - ?. - __ - ,5. _ I +e •j ;f , ,ri''I , r ''` _ - -_ - -_ •'d' "a }:' L,>,,l'•t.','1t`'i i'.,};.' - -- - - - - - - .,'s ';,II at;,:s}.I",fr, rlr„tn'., ,'il ,'. _ r,Y, ••1,, ,S,.,I inIP. - - fr :,II'x I”;.'' , ' ' ,111^ OtlTHE.` 'S""I, =".,,_, .I.,•1,.,. rtY, ',I f. :>:_= - ,,.,,;:' ,.. I.I';'y ', ,'; ,,, 4:0& B0 ,,i4,4.6i; F i;l" 4,s ,r'•4, .b t ,,0- <,FISHERS> S'T AND 'NY;0363:90'.• ,.,:. '•G" _ - - - ,'f,• it ,' f.`I' aP'"PI , '-, -- --` -- --_ -- - --_- d' "I'. •;;` ,( -`- --_]_- -_ _-_- - '•''P ' `ii"0`0 3 7 6,4 iii. ",' ':0 "2'14,10 5 4 6N4 ._ `8- 0 0-1-5:0>'2a','L,ii@ - Ro1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2438 '374; Vendor Address Entered b�}Oc P.O. BOX 446 Fishers Island, NY 06390, Audit Date , William R Bloethe JAN 17 2017 Vendor Telephone Number L Town Clerk Vendor Contact - a(..Jv Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number STIPEND 12/30tgLlt $450.00 $450.00 Commissioner Meeting SM5712.4.000.000 Oct-Dec 2016 9 Mtgs @$50/mtg $450.00 $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 excluded. or discrepancies noted,and payment is approved Signature i� '�"Q— �I itle Signature45t?� Company Name Fishers Island Ferry District Date 1/6/2017 Title Date l BOC Meetings 2016 $50.00 a meeting ' Meeting Date Rugg, Peter Parker, Harry Ahrens,Andrew Shillo, Di W B�e W Burnham 11-Oct-16 1 1 1 1 1 5 24-Oct-16 8-Nov-16 1 1 1 1 4 / 17-Nov-16 1 1 1 1 4 26-Nov-16 1 1 1 1 4 28-Nov-16 1 1 1 1 1 5 2-Dec-161 1 1 3 12-Dec-16 1 1 1 4 / 21-Dec-16 1 1 1 1 4 ,/, 26-Dec-16 1 1 1 1 4 ./ 4Q16 $ 250 $ - $ 500 $ 450 $ 450 $ 450 $ 2,100 $ 2,100 Page 1 \\fiserv1\D$\FD Network Directory\BOC\2016 Meetings-Commissioner Stipends 26-12-16 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 11,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the Ferry District")to order on October 11,2016 at 4:30 PM. Commissioners Dianna Shillo, Iliam;Bloethe; Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen, Deanna Ross and members of the public. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 24,2016 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on October 24, 2016 at 4:30 PM. Commissioners Dianna Shillo,jWIIIIam,Bloethe; Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen,and Deanna Ross, Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 8,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 8,2016 at -4:30 PM. Commissioners W Iiam'Bloe. ethe-Heather Burnham,and Dianna Shillo were present.Also in attendance were Gordon Murphy, RJ Bums,John Haney, Diane Hansen, Deanna Ross and members of the public. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 17, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on November 17,2016 at 4:30 PM. Commissioners Dianna Shillo, AWilliam Bloethe and Heather Burnham were present.Also in attendance was Gordon Murphy. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 26, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order an November 26,2016 at 9:02 AM. Commissioners Heather Burnham, Dianna Shillo,and Peter Rugg were present.Also in attendance were Gordon Murphy and members of the public. Commissioner Bloethe was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 28, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 28,2016 at 4:32 PM. Commissioners WUliam-Bloethe, Heather Burnham, Peter Rugg and Dianna Shillo were present.Also in- attendance were Gordon Diane Hansen, Deanna Ross and several members of the public. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Public Comment was deferred to later in the meeting under agenda item 10,section b,article regarding The Lighthouse Works ("TLW")Annex proposal. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 2, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 2, 2016 at 8:21 AM. Commissioners Dianna Shillo and William Bloet,e were in attendance.Also in attendance was Gordon Murphy.Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 12,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on December 12, 2016 at 4:30 PM. Commissioners Will'am Bloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Mur a�w� p�y, Deannaa —Ross and members of the public. Manager Burns was in attendance via telephone. Commissioner Shillo was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 21, 2016 Commissioner Ahrens at the Fishers Island Community Center on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District ("Ferry District") on December 21,2016 at 3:36 PM. Commissioners Heather Burnham, Dianna Shillo and William BloRet,e were in attendance.Also in attendance was Gordon Murphy. Commissioner Rugg attended via the telephone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016—242 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 26, 2016 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on December 26,2016 at 7:46 AM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in =1 Iattendance was Gordon Murphy. Commissioner Ahrens establi�he that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016- 246 RESOLVED,that the Board of Commissioners of the Fishers Island Ferry District hereby approves the Warrant dated December 26,2016,in the amount of$66,243.54 Moved by: Commissioner D Shillo Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W.Bloethe,H. Burnham,D. Shillo Nays: None Next Scheduled Meetings Next scheduled meeting is on January 9th at 4:30 pm with a 3:30 working session. Adjournment There being no further business to discuss, and on motion made by Commissioner W Bloethe, seconded by Commissioner A Ahrens,the meeting was adjourned at 7:50 AM. , 3 , f FISHERS ISLAND FERRY DISTRICT r I r ' VENDOR 002644 BRODEUR'S OIL SERVICE, iINC. 01%17/2017 } CHECK 3765 FUND &ACCOUNT P:0'.# INVOICE' DESCRIPTION AMOUNT SM 5710.4.000.100 63820 X256.8 GAL #2 OIL-12/29' 577.90 t j ^fir y TOTAL 577.90 illtl@Mu—,UTLOIIBKOIOl:rm;l:f—lllgI kill WT . I LC;ryN... I 1 b,' S 3 -- \ f , = ISIHRSND:FERIZYIS7RIC7.' :' 53095 MA1N.A0ADr'.PO'Box)1'79 t i } sourrio[D;ny,x'1971=os5s ,g` CHECK 0 1'r itu;v• = - - - _ ' ! . K' _ ii' SHE',,SUFFOLK'COd"NQ'TON'LB , I A AN _ bATE.<= AMO.U.N^ r' ;i,. .{ - .1', ,• ,fir ^Ilj'° - - _ ;$0-546/214- - ;a r 'FIVE HI:7i,77,TDRD='SEVENTY','SEVEN' <'90/1:'0'0',DOIyIrARS ,t= N F+ r r' 7l?'t• -+`c- 1 -.5' - - - • i\' 'Ali - r• + _ •x11,4. ,'e — — ,,'} .•1.i qvv ° 'B'RODEUR,' S`" OIL 'L+' T CNC _ S': `.•ro ,'r`, `•41'ml,I; ," . _ J a2"81,S'T'ERL' NG"A0j1D'_ Ai,""ep 'I"'i• r,oi"j'u, _"" _ '.di! 't•5 I o 'CT >0'63'5'4`l ! 1 { 1 - _ 'J. gid, 11 s+ r •J ,1 nl ,f' n J d di, -' - •`"1 ,'t` '6P" I, ,Il 'yir,,- N t,,,td,f,' ',a, - 'f••i' . ,t.I}iJI.D„' l..S'}`< _ _ ” _- - -- "W 1','.A,"l' ::"4'„ • ,"l;," 'f,. =ii;X03-7-U5i,A"l::0 ,2t1 ,10"5.,4"64 1 ..611--0._O;150 ? ,ii Vendor No. Check No. Town of Southold, New York - Payment Voucher 2644 31165 Entered by P.O. Box 602 Audit Date Brodeur's Fuel Moosup, CT 06354 JAN 17 2017 Vendor Telephone Number 860-564-2789 FY 16 Town Clerk Vendor Contact t Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 63820 12/29/2016 $577.90 $577.90 256.8 gal @$2.116-ja9114 SM5710.4.000.100 $577.90 $577.90 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature \Un b`n4 Title Signature Company Name Fishers Island Feny District Date 1/6/2017 Title Date • i I I FISHERS ISLAND FERRYNDISTRICT VENDOR 00'2791 HEATHER FERGUSON BURNHAM 01/17/2017 CHECK 3766 FUND & ACCOUNT P.O.# INVOICE —/DESCRIPTION AMOUNT SM .5712.4.000.000 ) 123016 '16 COMM MTG O'CT—DEC(9) 450.00 i, TOTAL 45'0.00 t pc) A, N L iii rr`1 •• 1.'• --.•»wj P ,/X. , c o - a ® - o - • • e e a e' t '# .; : ISHEhSISIAND,FERRYDIS7`RIGT,= -_„ __ mak, J• •.`fig?::«t."`7 _ 3 1 f/ .,F. $;.1'G : 53095,MAIN ROAD,,P,O BOX.'1T7,9;';y' i "• ' „ OLD H. r- a^ - _-- -- -THE',SU FOLK'CO.NATIONALBANK, --_ _ - "l'•,,n- ,° ;t'd' .Q 'CUTCHOGUE;"NY,d1935' •.P I, lil ' "ly III ,l' "d}Lt•, - °t~"-- --- -__ _- i'}',1'',IY 1. tt __ "I,L,! ,.t, 'd,P t'° __ _ --_ __- _- - ..ei ill ilt F,? a L •,t "rf, _-"-_ - - _ AI .,I-- $45 r ,d✓'C a 0'•1°:17 .2017"':`<;< $450,.0.0 ',50`546/214` / n t. }° ,'.• :, ;i ;<. h .n 3, " n•0.," a q•r .k}i v t L }' :z;.w :•\:.,. ' FOUR=`HUNDRED `•FIFT,Y,}`FtND..<,00" ,','o0°:`DOLLARS s" Ir d,I, Ei ^-!'-_ -, - -- r'Ir ,c4'p;,i-1' x;l{i' I - -.5;:-- - •I, I SI', er 'IN{I' - - Pfll A-, d l - - ,I, h ). - - _ _t', :8'{. er l'"Pi 'gi',vl'lu I,f 1,"lu•,:, Sr c - _ - - ¢.`!.`Y' I, J 11 P iY i•-- - - - tnt', - -" - -_ - 'f`tf Z r vJ I - -.h:^ r4,.•'"z:,<:- :1" - h"n f- 4 °,s`< iaR ^t..'.,_ `t: .s:§' ):. #. i"Jt'' `t'' ';l:'tl `f'.,'• t't1 e'p =4'.` '{fr} „r bit, AVF,iI r•`tI',I+; +,I,'l.i•+'',IH'M'E'•,A' iIH'sEi,DDiµ`"'} „'`IFERGII---S-r0_N.:Y"'r_'_=B--1=7 R-NH-.A_M=--'`-_'P- \ crnr„l,,,l',Ge,y',:, dInJ'la C`!'w1owo -a,",•I,, ' 'b'' ;;•,'':-_, _ -_-d---_- , 1 ^,1s`•a,+I,d' d „I,,,;t1i 'l,lpa.. ,j6 Skl' vq" !pB'OXr, 's „=.;p." - = ni ger;J,`rp, ;'" `,,, _tl,1p = _ _ =,Vie, f.ur ,DaITHE11'arla• u d' i - _- -_- -._ _ -_ - „1, ;b d;d °l, ,G. 7;'1^L;1Y` - - - s- PO ,+335_ - - -- ---- -- ':'- ,'1 , 'a,a .• ; , I - _- \/ FISlIE1ZS'`''I'SliAND 'NY.,,66'390 , i F¢, r"\' g • ;v.,i' 4 i:'.,°' ,'¢f"'.`.{. :a, ..1. Lf' v"'d•',,<'. •'rtu t• _ i' •'d ' :`f: 1t ~ .n:,:1, p ,5 ,4 ..:i,,.t.' ':tLP +1. ;til'° aY`•y` SJ j' ;•. .;.s'g' -#+t`v ,5` f.a': „i.f',tT rf#,a 5, { 3 '4." 'd``- 'e.'f'T't _ '\}4,' • "-S`' '.b. rtr °,.!),:'1'.P^` F __ -b?'' _ _ _- - 1{' - -•S.` - _- - - W 4 -1,` 4: °dP it,'• ;Jr'Ai1P, 1''€'• ^'E°'\__ - -.SP_ _ - 3 d '1 °I'ti 1'i41 L•t` - •t _ _ .iN - _ Yf:E ;? - 1 ,:5: - -'">-- _'" _ _ - ,n ei: P ;i.Cell.•, - _' - --'_- '- -- - - r•, -',p"IP r' iY -_ -_ _- - =r .z: __ - ,aP " - - 'd 4., ,I t„I n' ii•<I'! tl - - - - (d'. 'rf 0 • d,.I d d” - }_ - - a'4+, ''L: ,✓n=- - - - i'00y37E'6ii' x:0`'211 b5'4G'0: E"8"x-0015.02° I'll Vendor No. Check No. Town of Southold, New York - Payment Voucher 2791 37CCn Vendor Address Entered by P.O. Box 335 Fishers Island, NY 06390 Audit Date Heather Ferguson Burnham JAN 1 7 2011 Vendor Telephone Number Town Clerk Vendor Contact [¢^^" Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 193o)6 STIPEND 12/30/2016 $450.00 $450.00 Commissioner Meeting SM5712.4.000.000 Oct-Dec 2016 9 Mtgs @$50/mtg $450.00 $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 excluded or discrepancies noted,and payment is approved SignaturO�rl Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date BOC Meetings 2016 $50.00 a meeting Meeting Date Rugg, Peter Parker, Harry Ahrens, Andrew Shillo, Di W Bloethe H' � Burnham 11-Oct-16 1 1 1 1 1 5•✓ 24-Oct-16 1 1 1 1 1 5 j 8-Nov-16 1 1 1 1 4 / 17-Nov-16 1 1 1 1 4 ✓/ 26-Nov-16 1 1 1 1 4 28-Nov-16 1 1 1 1 1 5 2-Dec-16 1 1 1 3 12-Dec-16 1 1 1 1 4 �/ 21-Dec-16 1 1 1 1 4 26-Dec-16 1 1 1 1 4 '/ 4Q16 $ 250 $ - $ 500 $ 450 $ 450 $ 450 $ 2,100 $ 2,100 Page 1 \\fiserv1\D$\FD Network Directory\BOC\2016 Meetings-Commissioner Stipends 26-12-16 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 11,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the Ferry District")to order on October 11,2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe,Peter Rugg and _eather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen, Deanna Ross and members of the public. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 24,2016 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on October 24,2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe, Peter Rugg and HeathetrBurnnham�were present.Also in ,_ � s-��. ,,, . attendance were Gordon Murphy, Diane Hansen, and Deanna oss. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 8,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the"Ferry District")to order on November 8,2016 at 4:30 PM. Commissioners William Bloethe, ,Heather-Burham;-and Dianna.Shillo were present.Also in attendance were Gordon Murphy, RJ Burns,John Haney, Diane Hansen, Deanna Ross and members of the public. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment • r Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 17, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on November 17, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe and Heather Burnham were present.Also in attendance was Gordon Murphy. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 26, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 26, 2016 at 9:02 AM. Commissioners Heather Burnham, Dianna Shillo, and Peter Rugg were present.Also in attendance were Gordon Murphy and members of the public. Commissioner Bloethe was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 28, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 28,2016 at 4:32 PM. Commissioners William Bloethe, Heather Burnham, Peter Rugg and Dianna Shillo were present.Also in ,1 � attendance were Gordon Murphy, Diane Hansen, Deanna Ross and several members of the public. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Public Comment was deferred to later in the meeting under agenda item 10,section b,article i regarding The Lighthouse Works ("TLW")Annex proposal. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 2, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on December 2,2016 at 8:21 AM. Commissioners Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy.Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 12, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry'District("the Ferry District")to order on December 12, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy, Deanna Ross and members of the public. Manager Burns was in attendance via telephone. Commissioner Shillo was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 21, 2016 Commissioner Ahrens at the Fishers Island Community Center on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 21,2016 at 3:36 PM. Commissioners Heather-Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance waGordon Murphy. Commissioner Rugg attended via the telephone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016=242 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 26, 2016 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 26,2016 at 7:46 AM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance was G do Murphy. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016- 246 RESOLVED,that the Board of Commissioners of the Fishers Island Ferry District hereby approves the Warrant dated December 26,2016,in the amount,of$66,243.54 Moved by: Commissioner D Shillo Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W.Bloethe,H. Burnham,D.Shillo Nays:None Next Scheduled Meetings Next scheduled meeting is on January 9th at 4:30 pm with a 3:30 working session. Adjournment There being no further business to discuss, and on motion made by Commissioner W Bloethe, seconded by Commissioner A Ahrens,the meeting was adjourned at 7:50 AM. -- - - - `----- -- ---- -- ,. FISHERS ISLAND FERRY DISTRICT I VENDOR 022580 CIZS VENTURES 01/17/2017 CHECK 3767 FUND & ACCOUNT C P'.'0.#' INVOICE DESCRIPTION AMOUNT SM .(5709.2.000.2,00 I010617001 FIT BOCA TICKET PRINTER' 998:00 -- i , TOTAL ' 998.00 1 _ 1 a •k 'tea. e.P iL .F 1 ' ________________ ____________ _ ___ . . - . . w`•k-: - - :_ ___- s , nil. :'t;;' -- ` , :r'„^• r. M1£r,: - a 1SHESRlI§ N ERRT;-J'53695WAIN •AU4.-D, ITF3;0_`I:/.irWil:% 1 = ":; :'•" . F- f- , ROAD„PO`,80X,l .J J., _ _ ' 1 `' ti'• J<Is,.,4t "` .`• I i,''_ / <1' SOUTWOLD+=NY'11971=09 1,179•=<, ('HECKsNO'i^ - ”- - - ✓TW 'S F" COt NATIO 'L BANK., _ „ I` E,1 UFOLK I A - - - - I1 ''h •,,,," = „< AMO T ` "- --_- ---- -f"CUTCWO.GUE; NY;1 1.9a5., ;'I,,,n•l;. '1tl ,I, nil I. - __`,,__ ---.` =-C.`"e.a--s=;•. 1 t:, f ',' ;a7'' - "il"I 1'ni I'a',}1;,! ,I:' ,,I,I,i„ "__ _____ _ __ •4 `.f,d n-s nr•61. rlp d =- "_ _ - .r ; d I, fi 1'r;Jq,','J`'1 '- ;; M4 '6z 9""r:00 Ol' 17'./2017..:, .5 /214 ,af A<, s, . as•.'" ',J,k , r,§.+ 4 DOLLARS - NINE 'HUNDRED'>NINETY IGH, `,,, </ t_ - - - - - > .-_ 'i;". ,- - - -- ,gyp:. -_ - : ',3:u<;• - - __ - _ n f; ft 'i':'• in .l'1;x 1,,1 f - __ - ".pin li llf Sp'l 'is IIi ,1 - - - _ f .[ :i Fig• 'x •3. 1 - '2.`;`A"'• 1.Apt - - 't' II„, i°' - - - 'Alt, =-x' ' IENT>;JR:ES- - - - - - `h ",bGI:;8'THORP_B -I=IP_.N -"_ _ _ _ ,4`.,,,, ;,ill ;,w d`',xl„SII 11, `all,.,7h1, _ _ - _ _ _ _ 'dF''•' iG 1 - ,f •"bE LTJ H"GP.,i 3`0 0'97 ' `4k i °f ., - .<,,,g. x' 4a•' 'f x `•3, ^hy':f-:q i t; " .k:,,.. " - - ``d5'1 did.tl' I', { -- _ - I !•, d l,. ..rt',! 'i--- - ' '1:'0'°2,,OX 5'464 ;8 ==O;UIS 0,2 "1 I'm 1 1 oqO 1 I Vendor No. Check No. Town of Southold, New York - Payment Voucher 22580 3767 Vendor Tax ID Number or Social Security Number Vendor Address Entered by,. 445 Oglethorpe Lane Deluth, GA 30097 Audit Date CIS Ventures JAN 17 2017 Vendor Telephone Number Town Clerk Vendor Contact , Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1010617001 1/6/2017 $998.00 $998.00 FIT BOCA Ticket printer SM5709.2.000.200 $9913.001 1 $998.00 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 E-. --I- Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date CIS VENTURES 445 OGLETHORPE LANE, DULUTH, GA 30097 tel. 678-584-0659 INVOICE _.. _ 10106170011 TO: Fishers Island Ferry District Address: 261 Trumbull Dr Fishers Island, NY 06390 att.Gordon Murphy tel.631 788 7463 CUSTOMER ORDER SALESPERSON Terms VIA F.O.E. DATE Q1 Gordon Murphy Net 10 1/6/2017 Quantity. Ddscri tion P.O. Price Total Refurbished 1 BOCA MiniPlus24/44 200 DPI, RADJ-2 Serial port $ 950.00 S/N 137900 Shipping $ 4800 Total $ 99800 IMPORTANT Accounting Agent: Lili Shkolnik ORIGINAL - 1 1. I - FtSHERS ISLAND FERRY DISTRICT VENDOR 00'3370 CITY ;OF NEW LONDON 01/17/2017 CHECK 3768 FUND, & ACCOUNT P.O.# INVOICE DESCRIPTION - AMOUNT SM .1950.4.000.000 40404-123116 PERS PROP TAX 1/1-6/30 .666.58 SM .1950.4.000.000 6614-123116 REAL ESTATE TAX 2016-17 32,746.41 J I TOTAL r 33,412.919 co cli », t1 •.:b••, 8•nSi-:,.FSO 3•.Fc,.- _ e i 1 II, ---- sr- :11 r-:'I'179,.° '•. ''+,` a P SOUTNOLD,.NY;11971'09QL 59 ,' SUFFOLM CO NATION r1 a'a .'I'.:1,.',t^ = = DAT _ -=l C,OGUEg'"'NY, 93,5';., -- -- -- - ' '---- 1'` '+• I l+' ._`-- ,.- -- - - --- -- 5, 01,1, Ilb, ,+' 111vn'❑C,..; - - _ r "'. ., •," 'r ,(I- •, 'I,,h - _ `- ._ _ - _ - r!'.d,.1 tl'•pl „I .•,iF' _Tie =;0t:]-./_ /:-1_ T-- 2_ 0-1_- 7- ` $3 I',a:P,4_-+12,I I,• ar 9°9'= 't^. 4 . 1a.. THTRT THREE`" HOUS. ND FOUR` HUNDR'E'D'TWEI;VE' AND'.;99"' 10'0`::,DO;L;LARS I - - = - - M17 i{"lll, 11- `I lig ril',' - __ __ - '=- - - ti.yJl •1\' ' t'• il,'' _ _ - _ - - - la CZ x•YI ' =" ,- D E'. r ,, E T_ _ NEW :L'ObTDON. CT`t'06320,-•13`05: 1 ft: - - - {1 lff 1 I '' i - - _ - ull al F'•{:''I'I' ' Id" 0 0 47`6'ali■" i0 2140441: U13- _ - -0 0='1,.5'0,,2 ''il , vendor No. Check No. -1 ,—owtt* Town of Southold, New York - Payment Voucher 33703 Vendor Address Entered by P.O. Box 1305 Vendor Name New London, CT 06320-1305 Audit Date City of New London-Tax Dept. JAN 17 2017 Vendor Telephone Number 860-447-5208 F\1 16 'Town Clerk Vendor Contact lr%"tt Q. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 914-193116 6614 12/31/2016 $32,746.41 $32,746.41 Real Estate Tax 1/1-6/30/17 $11950.4.000.000 4040 12/31/2016 $666.58 $666.58 Personal Property tax 1/1-6/30/17 SM1950.4.000.000 Iat�11ro 40.46 mils plus 1.37 mils on RE tax for City Center District $33,412.99 $33,412.99 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 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 6Uf.0 Title Signature / Company Name Fishers Island Ferry District Date 1/6/2017 Title Date REAL ESTATE TAX BILL i CITY OF NEW LONDON RETURN WITH 2nd PAYMENT i NO BILL WILL BE MAILED FOR PO BOX 1305 THE JANUARY 1sT PAYMENT j NEW LONDON,CT 06320-1305 LAST DAY TO PAY WITHOUT PENALTY IS FEB 1,2017 860-447-5208 TAX COLLECTOR Tel.860-447-5208 Make checks payable to: Hours:8:30 AM-4:00 PM(Mon-Fri) CITY OF NEW LONDON Located at: 15 Masonic Street 1 1 LIST NUMBER DIST BANK ON GRAND LIST 1 1 2015 010006614 C OCTOBER 1,2015 city 63,347.82 July 1,2016 January 1,2017 MILL RATE GROSS ASSESSMENT 1,565,690 Dist 2,145.00 $32,746.41 $32,746.41 ;� Town 40.4600 EXEMPTION 0 492.82 D1StI1Ct 1.3700 NET ASSESSMENT 1,565,690 $65, DELINQUENT AFTER AUG 1,2016 DELINQUENTAFTERFEB1,2017 SOUTHOLD TOWN OF U \ IIIIIII�uIIIIIIIIIIIIuIII�IIIIIIIIIIIIIIuIlu1IIIIIIIIII�IIWIIII GO FISHERS ISLAND FERRY DISTR PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 G12 0108 0002 PERSONAL PROPERTY TAX BILL 2016 NO BILL WILL BE MAILED FOR CITY OF NEW LONDON RETURN WITH 2nd PAYMENT THE JANUARY IST PAYMENT PO BOX 1305 LAST DAY TO PAY WITHOUT PENALTY IS FEB 1,2017 NEW LONDON,CT 06320-1305 208 Make checks payable to: 860-447-5208 TAX COLLECTOR Tel.860-447- CITY OF NEW LONDON Located at: 15 Masonic Street Hours:8:30 AM-4:00 PM(Mon-FFri) LIST NUMBER DIST BANK ON GRAND LIST 1 1 1 1 2015 02 9001118 OCTOBER 1, 2015 July 1,2016 January:2(,11.7,; MILL RATE GROSS ASSESSMENT 32,950 $1,333.16 $666.58 ` $66+6;58;,<q;, 40.4600 EXEMPTION 0 = : NET ASSESSMENT 32,950 ADJUSTED BILL DELINQUENT AFTER AUG 1,2016 DEL1lVQUEN'fAF`1'E1tFEB1;�lM17 BACK TAXES ALSO DUE FISHERS ISLAND FERRY DIST mI� PO BX FISHERS607ISLAND NY 06390-0607 K_ IIUVl�llll�l��l�lllll�l��llllllllul�'"IIIIIII WATER ST 040404 \ ; , 1 1 1 1 1, , I FISHERS ISLAND FERRY DISTRICT VENDOR 0146.93 COMMIS.OF TAXATION & FINANCE 01/17/2017 CHECK 3769 r FUND & ACCOUNT P.O.# INVOICE DESCRIPTION, AMOUNT SM .,1980.4.000.000 \, 123116 MTA TAX 4 QTR-10/1-12/31 345.65 TOTAL 345.65 ..0 I "ax Gym e.i. .x....:3' ,x ....,s••• ' ji'.,^•::.'.„'S.'n.xa:'sud•, _, ..'J,,.. 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"i" 0 2" 1' ` i Vendor No. Check No. I Town of Southold, New York - Payment Voucher qrn, Vendor Tax ID Number or Social Security Number Vendor Address Entered b� State of New-York MCTMT Processing Center Vendor Name - -- -------____ _ Audit Date Commissioner of Taaxation & Finance PO B ox 4139 JAN 20� ' Vendor Telephone Number Binghamton, NY 13902-4139 Town Clerk Vendor Contact — - -_ Pete , Invoice Invoice Invoice i Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 4 i mg 12/31/2016, $345.65• i $345.65 4Q 2016 MTATax -1(3)1-I , i b- SM1980.4.000.000 G i i $34,5.65 $345.65 Payee Certification Department Certification The undersigned Q&immit*(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 die Town is exempt are excluded or discrepancies noted,and payment is approved. I Signature Signature , Z'L�.. Company Name FIFer District bate 1/13/2017 Title Date 3 I i %� -�o Z .� " A--- f—/ '� --r7 SGS` h /t GG{ rr 4.� rr Vendor No. Check No. Town of Southold, New York - Payment Voucher - Vendor Tax ID Number or Social Security Number Vendor Address Entered by State of New York MCTMT Processing Center Vendor Name Audit Date Commissioner of Taaxation & f=inance PO B ox 4139 Vendor Telephone Number Binghamton, NY 13902-4139 Town Clerk Vendor Contact Pete Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 4Q 2016 filing 12/31/2016 $345.65 $345.65 4Q 2016 MTA Tax SM1980.4.000.000 $345.65 $345.65 Payee Certification Department Certification The undersigned r'91aimaRtMActing 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 v Title Signature Company Name FI Ferry District Date 1/13/2017 Title Date 3 ISTNE Department of Taxation and Finance MTA-305 Employer's Quarterly Metropolitan Commuter (12/16) Transportation Mobility Tax Return Amended return For help completing your return,see instructions,Form MTA-305-I. Legal name Employer identification,number(EIN) Fishers Island Ferry District „ rH^„ KK11-6003307mm „ ry Mailing address(number and street or PO box) Address change? Mark X Mark an X in only one box to indicate the quarter(a PO Box 1179, Route 25 (see rnstr)❑ separate return must be completed for each quarter) City,village,or post office State ZIP code and enter the last two digits of the tax year. Southold NY 11971-0959 Jan 1- Apr 1- "_ July 1- € oct 1-i X1 rax ` 16- Mar 31 • Jun 30= ._ Sep 30 „ ¢ Dec 31, ; year., _,._< Number of employees—Enter the number of covered employees whose wages are included in the amount of payroll expense reported for the quarter............................................................................................... _.__.. ..,44._.. .. . i Enter your 2-character special condition code, if applicable(see instructions) ........................................................................... If you permanently ceased paying wages subject to the metropolitan commuter transportation mobility tax(MCTMT),enter the date(mmddyyyy) ................................................................................................ .... _.. .........._._ ._ --- -- -- - - - 1 Payroll expense subject to the MCTMT(see instructions).................................................................. 1., 314228 , 68 2 MCTMT due for quarter(see instructions) .......................................................................................... 2. 345 _65- 3 Total prepayments including PrompTax payments and/or overpayments from previous quarter(see instructions) 3. rn n 0`,.00 4 MCTMT balance due(if line 2 is more than line 3,subtract line 3 from line 2;pay this amount) ............... 4. 3451.;65 - -- -- - - - -- - ------ - 5 Total MCTMT overpaid(if line 2 is less than line 3,subtract line 2 from line 3;enter here and mark an X in box 6a or 6b) 5. 6a. Refund :, .- or 6b. Credit to next quarter MCTMT I_.__., Sign your return:I certify that the information on this return and any attachments is to the best of my knowledge and belief true,correct,and complete. Third-party Print designee's name Designee's phone number Personal identification number(PIN) designee?(see tnstr) Yes 0 No❑ E-mail: 14 7 Paid preparermustcomplete(seeipstrUcffons) 7 Date r ` zpay r `us h e Preparer's signature ► Preparers NYTPRIN Taxpayer's Firm's name(or yours,if self-employed) ♦ Preparer's PTIN or SSN Print signer's name Scott A. Russell Address o Employer identification number Title Supervisor Preparer's e-mail NYTPRIN Date Telephone number excl.code 01-11-2017 ( 631 )765-4333 Payroll service's name Payroll service's EIN E-mail Scott.Russell@town.southold.ny.us Note: If you are using a paid preparer or a payroll service,the section above must be completed. Make your check or money order payable in U.S.funds to: Commissioner of Taxation and Finance Mail this return to: MCTMT PROCESSING CENTER PO BOX 4139 BINGHAMTON NY 13902-4139 0121160094 4v694i PART II I t I FISHERS ISLAND FERRY DISTRICT ` I I VENDOR 004277 DIME OIL COMPANY, LLC 01/17/2017 CHECK 3771 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOONT I SM .5710.4.000.300 51444 MUNN 5225 GAL@$1.8044 9,427 .99 SM .5710.4.000.300 ;= 51444 CT EXCISE TAX—$'.4170/GAL 2,178.83 SM .5710.4.000.300 51444 S—F COST RECOVERY .0019 9.93' SM .5710.4.000.300 - 51444 LUST TAX—$.0010/GAL 5.23 TOTAL ✓ 11,621.98 i r of , '• _,,..x. -. _...... ::. .,. ., :..::. •` ii:Fi: <- 1• g%:7;e I I I ' ,_- _ -;.f y--: _:h: •u,t`. • '.i," 'h:,`,'.,,_ _ E `_ _ 'hie l'}i ''•., ` „{m t :;,:,?:%=- > :.”,:,, - _ '"',, ' •ISHERS IS7;'AT T>FERRY-D_IST'RICT r'.tJ P:' V= t `t•tit_ =f: - -- sf.•, ; p P;UDIT f 0,1/'17 J;£1'7,.i x'; 3''i, ROAD,,PO`BOX;T179, _ ,x, ., - , j;ei5, 's;' `•s, .;s':>"t g0U7HOLD„NY,11971=4,959",, P':, 6ff;"3 '1f,gt',' 1. ;.1r,'° lYtrA +HECIC:•N'/ •\: 7.7'1°° ,;` Ir\ 'w n , THE^SFPOLK C0"N`TIONAL'BANK° 11 " .ti'• •r{' _ \_-- - - _ _'{- _ A v tl 35 -..: ___ =- ;=: -`•:DATE.,Y_ _- =;AMO,U,NT;. 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Box 11125 Audit Date Dime Oil Company LLC Waterbury, CT 06703 ,J AN 17 2017 Vendor Telephone Number 203-754-5334 FY17 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 51444 1/3/2017 $11,621.98 $9,427.99 Munn 5225.0 gal @$1.80441 al SM5710.4.000.300 $2,178.83 CT Excise Tax-$0.4170/gal ` $9.93 S-F Cost Recovery.0019 $5.23 LUST Tax-$.0010/gal OPIS attached $11,621.98 $11,621.98 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature f itle Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date time Oil LLC Phone: 203-754-5334 tO Box 11125 Date 01/03/17 Y,4aterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco-com INVOICE ACCOUNT NUT-WR : 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: po Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms.: Net 30 Days From Invoice Date ' Date Invoice Charge and Credits Amount ----7-------------------------------------------------------------------------- 01/03/17 5144,4 5 Waterfront Pk-Munn 4420165 -A Fishers Island Ferry #20R Off Road Diesel 5225.0 GALS @ 1.804400 9427.99 Dyed Diesel Fuel for off Road Use ONLY. S-F Cost Recovery 9.93 CT EXCISE TAX DSL 2178.83 LUST TAX 5.23 ---------- 01/03/17 51444 Fuel Invoice Total 11621.98 Amount Due 116 2.1.9��v ***Please include account number with payment*** Dime Oil LLC 203-754-5334 Account:4420165 CD TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY APE ODIC RATE OF 1 5%PER MONTH WHICH T� �1 IS AN ANNUAL PERCENTAGE RATE OF.18%,, AMOUNTS PAST DUE 3O DAYS O ' ORE AND-TO ADD ALL COLLECTION FEES'., -�•'�.lJ4o44. _ -_ e ® • • • ORDER DAT C J` ;ih� Y Y 1.0000'' .• w F r •s 12 2;.Q16' ,,:. 3 i QR' :; ,.W,/ H° C tib, /�� a } l DELIVERY D TE-Y w aindY Feer. g'Y-r :'4-42.0165:--µ-A� si , �kk , Fiske"rs' isl Y} J. ./ Y5. Waterfront -Pk-Mu%unattawket 'GALLONS m +, 1` State Street: FOR GP.S . w; ,`860=442=016x .- .�. oow YJEW :London CT. 96320- t �,.�._ FULL'PRICE PER GALLON o , :� - 00 �L,� e"TV'•-1'2"/ag'/1� , .' It"Factor:' ,g p:U v. . r. I95"ex83-�strait�follo i=signs;L ►S a e�4 DISCOUNT PRICEPER'GALLON„ j r I '. :'.'. m 0 - 4 ° RR Tracks -t©._-TerM�;:JoiRi ,860=303=8'31 .t `A _ I y PAY DISCOUNT AMOUNT- ^( x J ORDERED= °'5200, .G' EOR•.TUS, .113•/,1,7; 9 OOAM''' - 4+. o i, PAY,THISAMOUNT., cI = 0 .00,119 $ ,0 '4 70 ,"-0 001®• I!A7ER,, DAYS " 't Taxed ; a' r}TRUCK . f ;TAX, o ®,,Y,r AI, Y, LSC 1 1 \ DRIVER o ' t P.O. BOX-11125 ' . .. TMST 1 �� ,? . PA D, C9 l.r' WATERBURY CT 06703'`` TIME"�j� AM FI 'OFo .VO M,. Ol CD ^� -- (203) 764-6334 . �j oAH,p` i ' i V OUR gCHARGETHIS IS YINVOICE .. i 3 ..n`: a• =W —y v`° } .�i:;'T�Vie, ,L• _,=_,---�, _.._..____� �..�� Diane Hansen From: Accounting Department Sent: Wednesday,January 04, 20171:07 PM To: Diane Hansen Subject: FW: FISHERS ISLAND INVOICE Attachments: CCF01042017.pdf > From: Lori Waskowicz [mailto:lori dimeoil.com1 Sent: Wednesday,January 04, 2017 12:36 PM To: Accounting Department Subject: FISHERS ISLAND INVOICE Attached is Fishers Island Invoice & OPIS for 1/3/2017 delivery NEW HAVEN, CT 2017-01-03 17:01:31 EST **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.l Move Pre Move Date Time Global u N-10 177.00 - .25 213.00 + .50 -- -- -- -- 12/30 18:00 Sprague u 1-10 177.70 + 1.10 -- -- -- -- -- -- -- -- 12/30 18:00 NWENGLPTR u N-10 177.75 + 1.00 -- -- -- -- 180.25 + 1.00 12/30 18:00 XOM b 1-10 178.72 - 1.21 -- -- -- -- -- -- -- -- 12/30 19:00 Gulf b N-10 178.75 + 1.00 -- -- -- -- -- -- -- -- 12/30 18:00 GULF-GIE u Net 178.75 + 1.00 -- -- -- -- -- -- -- -- 12/30 18:00 Shell u N-10 178.93 + .95 -- -- -- -- -- -- -- -- 12/30 18:00 Valero b 1-10 180.25 + 1.20 -- -- -- -- 180.85 + 1.20 12/30 18:00 Irving u Net 180.36 + 1.00 -- -- -- -- -- -- -- -- 12/30 18:00 Shell b 125-3 180.73 + .96 -- -- -- -- -- -- -- -- 12/30 18:00 Coastal b 125-3 180.74 + .55 -- -- -- -- -- -- -- -- 12/30 18:00 Sunoco b 125-3 180.74 + .55 -- -- -- -- -- -- -- -- 12/30 18:00 BP b 1-10 180.84 + 1.21 -- -- -- -- -- -- -- -- 12/30 18:00 Citgo b 1-10 180.89 + 1.02 -- -- -- -- -- -- -- -- 12/30 18:00 Citgo u 1-10 180.89 + 1.02 -- -- -- -- -- -- -- -- 12/30 18:00 GlobalXOM b 1-10 182.54 + .50 -- -- -- -- -- -- -- -- 12/30 18:00 'LOW RACK 177.00 213.00 180.25 HIGH RACK 182.54 213.00 180.85 RACK AVG 179.72 213.00 180.55 Plus vendor mark-up 0.72 180.44 Convert to dollars $1.8044 1 , FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 01/17/2017 CHECK 3772, 7 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 `028000-1216 AT&T COMM.CHARGE 12/16 131.58- SM .5710.4.000.200 0280"0'0-1216 TEL-!FRGHT DSLLINE-12/16 38.63 SM .5710.4.000.200 028000-1216 TEL-]PUBLIC DOCK-12/16 38.63 ,SM .5710.4.000.200 028000-1216 TEL-UPS LINE-12/,16,,\ 42.66 SM .5710.4.-000.200 028000-1216 TEL-MOVIE THEATRE-12/1'6 38.63 SM .5710.4.000.200 028000-1216 TEL-FREIGHT OFFICE-12/16 42.66 ;- SM .5710.4.000.200 028000-1216 TEL-MANAGERSiOFFC-12/16 38.63 -- SM .5710.4.000.200 028000-1216 TEL-FIO ROLLOVER-12/16 73.64 = --SM .5710 '.000.200 028000-1216 TEL-FI TICKETING-12/16 '42.75 SM .5710.4-.000.200 028000-1216` '%TEL-FI-12/16- -44.\50 ol <,.., N SM .5710.4.000.200 028000-1216 "l-F.PFIGHT DSL LINE-12/16 90.00 SM .5710.4.000..200 028000-1216 It'::TE'`4AX/DSL OFFICE-]2/16 90.00 SM .5710.4.000.200 0.2'8:0:00`--1'216x`.#`;;' ELECT, FRGHT SHED-12/16 344.23 r "'"r::' SM .5710.4.000!200 0%28000-1216 ELECT;=ZT#' A' 12/16 300.53 SM .5710.4.000.2OOa '028000 216 = ' ELECT 'AIRPORT-12/16 ( 165.72 ::'><.::.::.:..:.. . _ :;. ,.;;:;:..: =`EC.:` > ICE-12 16 311.27 SM .5710.4.000.°.;0:0:-i.:::.:::::.::::;.::::::::;::'::.:::i:::=?:x;:::;:f:<••«•.:::.>..,.._.,::«.<.:A.28.O:O:Q::<::T2it6•...:•. Jr >..,,I3: JS<::;gkik / SM .5710.4.000 A28`0:0`0:=1216'; x`r`%ELECT` RES'ERV"LINE-12/16 23 .76 :r..- SM .5710.4.000.200 028000-1216 WATER-THEATRE-12/16 35.17 t SM .5710.4.000.200 028000-1216 WATER-BUS OFFICE-12/16 27.38 SM .5710.4.000.200 028000-1216 l WATER-RESERV LINE-12/16 35.17 TOTAL 1,592.38 ' I - I - - - - --___• .:#_ _ - - `__ --=.a.=.= •,z- •Il• n fi1 „vp ,a+y.'M aei.---_ = a =_ - 3,=.,.: .3' I ., `-_- --_- __ -_-s y',Y , L;":lit, r'4"In - - _ ;r1• - - -- '` '4,"i.,' ; ,a. , n:r•'1 `i+•.,, ; IHE' S`ISLAIVD FERRY DISTRIGT. z. tk, :`" i: ''s AL1DI' ,i01 l Jli7:a" ' 53095;JVIAINROAD„PO'BOX1j7.9`+i^ °r w,< 3.r. .,SOUTHOLD; a' 'CIiECK 1N0: •d#'3 7; ;c1s"y#'a`hT f r- N 2, a1- KI E, F' AVON ,rTh SU FOLK CO,"N A B,ANK.' - - _ 'Ii'{-"a' „I. ' ,LL, "CUTCHOGUE;'NY 1,1935rz,h'hF -. =: `DATE;.= - +:; AMOUNT;' ,',l;':'`,,,;, ;. -ow 21 -- _ - - - _ .I , d5' - 5' +':II tl - - - - `di`•ik''4'd' - 'I -r l„III''€`: ' d`.a1'I;'tl 'Pi`x, ,_ '02'017r„E 50,-5461214. •}'';.h`/. :P,:F` $ 't♦ _ +ONE;`"THOUSANDIVE«s'HUNDI ED`=NINETY +TWO' AND"_38/100`,,DOLLAAS' ',- I° x - - - - 'cul,, Orf L a i,id, l•d•Ir, ,1" - - - - - € a,IJ I( d .1 "#`” _ - '€- - - t ',P:' 4"h^I I "pili P I, . -_ - --- - ,l i.l • e l'r L\I' 'll',. - 4, +II'! :}^,< +t i, f'u :s - '.{ - - "t`E. ,t}'tt •7" , a.iy,+ }:4."1 `q.,^1:,. f, - r, YI;< ,i„ar,- 'iw' ,i -c _ _ -_tn •.1tia,a41'' d t' i'4 il+,h,:,ltii;l `z 'aFISHERS ,ISI;AND`'UTTY. - - . K< - ---- e%', -✓'; aN1+; - .-z<=== °-- - ,, ',r",la:'I, ;e,l{; P.p, ,,, Pl.- _ - -_ _ -- 4'` ;c as3<.er O,TIIE; BOX,, $QX`„t6,04 _' - ar a a_._ 1: • 1 +I\(%ri C t. `;`,” , n'I.i r:• ''1 114111 - - t'' It I 'I; ;I ST i R SG'-`;ISLAND, NY ,063=90'^ 060'4" d4:' :i'> } !F t'i' , ,,`• . , --`=a ,,t s>' .1• ; <' 'f :S •t' E. ,s.. ;.l,.y,l.` >',a >t t ,` i, :e.tt<;' ,.ti1 4,*k. •eai, x,' _s _ _ - .• - +I 41'II'•e rll'1 1,” - 8 __- _ - ..., -iii 010'3_?'7'2 ii;>`.,;1, '0, 2"'14 0 5'4 6" -6 8=. 0 0::15 ONGVendor No. Check No. Town of Southold, New York - Payment Voucher 6412 3 77a Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO BOX E Vendor Name Fishers Island, NY 06390 Audit Date FISHER ISLAND UTILITY COMPANY J AN 17 2017 Vendor Telephone Number 631-188-0023 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 02800 12/31/2016 $ 1,592.38 $ 131.58 AT&T Communications Charge Dec 2016 SM.5710.4.000.200 6 $ 38.63 Freight DSL Line Tel Dec 2016 SM.5710.4.000.200 $ 38.63 Public Dock Phone Tel Dec 2016 SM.5710.4.000.200 $ 42.66 UPS Line Tel Dec 2016 SM.5710.4.000.200 $ 38.63 Movie Theater Tel Dec 2016 SM.5710.4.000.200 $ 42.66 Freight Office Tel Dec 2016 SM.5710.4.000.200 $ 38.63 Managers Office Tel Dec 2016 SM.5710.4.000.200 $ 73.64 FIO Rollover Tel Dec 2016 SM.5710.4.000.200 $ 42.75 FI Ticketing Tel Dec 2016 SM.5710.4.000.200 $ 44.50 FI Telephone Dec 2016 SM.5710.4.000.200 $ 90.00 Freight DSL Line Dec 2016 SM.5710.4.000.200 $ 90.00 FAX/DSL/Office Internet Dec 2016 SM.5710.4.000.200 $ 344.23 Freight Shed elec Dec 2016 SM.5710.4.000.200 $ 300.53 Theatre elec Dec 2016 SM.5710.4.000.200 $ 65.72 Airport elec Dec 2016 SM.5710.4.000.200 $ 311.27 Business Office Elec Dec 2016 SM.5710.4.000.200 $ 23.76 Reservation Line Elec Dec 2016 SM.5710.4.000.200 $ 35.17 Theatre Water Dec 2016 SM.5710.4.000.200 $ 27.38 Business Office Water Dec 2016 SM.5710.4.000.200 $ 35.17 Reservation Line Water Dec 2016 SM.5710.4.000.200 $ 1,592.38 $ 1,592.38 'ayee 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 g �cy.l. Title Signature Company Name Fishers Island Ferry Date 1/6/2017 Title G''V�' Date / Page 1 of 12 Billing Telephone Number 631-788-5522 Account Number: 00028000 Billing'Date: December 31, 2016 Due Upon Receipt-Past Due After: January 25, 2017 Bill must be paid by the due date to avoid a late charge. UTILiTY Co. &ST- 1918 Total Amount Due $1,660.12 PoBOX 604 Summary of Charges FISHERS ISLAND,NY 06390-0604 Balance Information Last Bill "_ '0') kyvo Lj $3,885.42 Important Messages Total Payments -$3,817.68 Previous Balance w�'"'1 0 � � G'�Ac n � � 5 $0.00 y " g � g Past Due Balance Due Immediately)`ice 4 S�- � .7 To�View our Bill online;Re' inter,&Lo in: ( y) $67.74 '„http://weti121.udp.com/selfcareo59%Default:aspx Current Charges(see details on following pages) Fishers Island Telephone $400.73 AT&T Communications -$131.58 To,Pay.your,Bill online,,go'to www.fuc.net, Fishers Island Internet $180.00 Fishers Island Electric $1,045.51 CONTACT US'IF YOU WANT TOGO Fishers Island Water $97.72 PAPERLESS! Total Current Charges $1,592.38 Total Amount Due-Please Pay this Amount $1,660.12 Effective immediately, FI Telephone will no., 110nger-ci fer:phone or inside wire.&jack �� _ e-S-i- °`o r 0 V-k- - I 'xvo►CL maintenanceplam. Questions about your bill? Contact our office by phone (631)788-7251 press 4 for Telephone; press 5 for Electric or Water; Monday- Friday, 8am-noon & 1 pm-4:30pm; or by email: Telephone -fitelephone@fishersisland.net Electric&Water-fiuc@fishersisland.net If you pay by check,this is notification that the check may be converted to an electronic deposit.Please detach and return below. How to Reach FISHERS ISLAND UTILITY CO. For Inquiries • By mail: PO BOX 604 FISHERS ISLAND NY 06390-0604 • By Phone: 631-788-7251 press 4 for Telephone, press 5 for Electric/Water • Website: www.fiuc.net For Payments by Mail FISHERS ISLAND UTILITY CO. PO BOX 604 FISHERS ISLAND NY 06390-0604 For Payments Online www.fiuc.net CONSUMER COMPLAINTS In the case of a dispute between the Customer and the Fishers Island Utility Company which cannot be resolved with mutual satisfaction, the Customer may file a complaint by contacting the New York State Department of Public Service by phone or by mail. A. By Phone: Helpline (for complaints/inquiries): 1-800-342-3377 for Continental United States or, 1-800-662-1220 for Hearing/Speech Impaired: TDD or, 518-472-8502 for fax B. Online: http://www.dPs.ny.gov/complaint.htmi C. By Mail: NYS Department of Public Service Office of Consumer Services 3 Empire State Plaza Albany, NY 12223-7350 If however, you feel that your problems may be handled at the local level, please ask to speak with the President of the Utility Company, Chris Finan, who may be reached during business hours at 631-788-7251; press 5 for assistance. „.�;• _ - ,..��---- Page 3 of 12 AfizbL Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Detail of Monthly Service Charges Credit for'Toll Restriction-Residential from -$0.10 12/31/16 to 12/31/16 Charge for Toll Restriction-Business from $0.13 12/31/16 to 12/31/16 Fishers Island Telephone Subtotal $0.03 (631)788-5522 -FREIGHT DSL LINE Amount Fishers Island Telephone Total j,- $42.66-y\V Current Charges for January 01 -January 31 (631)788-5673-UPS LINE Amount Basic Local Service Current Charges for January 01 -January 31 -Business Local Service $23.00 -End User Charge-Multi Line -$9.20 Basic Local Service -Access Recovery Charge 3 $3.00 -Business Local Service $23.00 -E-911 Surcharge $0.35 -End User Charge-Multi Line $9.20 Federal Universal Service Charge $2.04 -Access Recovery Charge 3 $3.00 N.Y.State Surcharge 2.96% $1.04 -E-911 Surcharge $0.35 Subtotal $38.63 N.Y.State Surcharge 2.96% $1.04 Federal Universal Service Charge $2.04 Local Service Total $38.63 Subtotal $38.63 Local Service can be disconnected for non-payment of Local Service Total. Local Service Total $38.63 �t Fishers Island Telephone Total $38.63 Local Service can be disconnected for non-payment of Local Service Total. (631)788-5523-FAX/DSUMAINOFFICE Amount Fishers Island Telephone Total $38.63 O�( Current Charges for January 01 -January 31 (631)788-7031 -MOVIE THEATER /'Amount Basic Local Service Current Charges for January 01 -January,31 -Business Local Service $23.00 -End User Charge-Multi Line $9.20 Basic Local Service -Access Recovery Charge 3 $3.00 -Business Local Service $23.00 -E-911 Surcharge $0.35 -Toll Restriction-Business $4.00 Federal Universal Service Charge $2.04 -End User Charge-Multi Line $9.20 N.Y.State Surcharge 2.96% $1.04 -Access Recovery Charge 3 $3.00 Subtotal $38.63 -E-911 Surcharge $0.35 N.Y.State Surcharge 2 96% $1.04 Local Service Total $38.63 Federal Universal Service Charge $2.04 Subtotal $42.63 Local Service can be disconnected for non-payment of Local Service Total. V Local Service Total $42.63 Fishers Island Telephone Total $38.63 (631)788-5559 -PUBLIC DOCK PHONE Amount Local Service can be disconnected for non-payment of Local Service Total. Partials Current Charges for January 01 -January 31 Credit for Toll Restriction-Residential from -$0.10 12/31/16 to 12/31/16 Basic Local Service Charge for Toll Restriction-Business from $0.13 -Business Local Service $23.00 12/31/1'6 to 12/31/16 -Toll Restriction-Business $4.00 Subtotal $0.03 -End User Charge-Multi Line $9.20 J -Access Recovery Charge 3 $3.00 Fishers island Telephone Total $42.66�)xx -E-911 Surcharge $0.35 N.Y.State Surcharge 2.96% $1.04 (631)788-7345 -FREIGHT OFFICE Amount Federal Universal Service Charge $2.04 Current Charges for January 01 -January 31 Subtotal $42.63 Basic Local Service Local Service Total / $42.63 -Business Local Service $23.00 Local Service can be disconnected for non-payment of Local Service Total. -End User Charge-Multi Line $9.20 Partials -Access Recovery Charge 3 $3.00 -E-911 Surcharge $0.35 N.Y.State Surcharge 2.96% $1.04 Page 4 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Federal Universal Service Charge $2.04 -Access Recovery Charge 3 $3.00 Subtotal $38.63 '-E-911 Surcharge $0.35 N.Y.State Surcharge 2.96% $1.04 Local Service Total $38.63 Federal Universal Service Charge $2.04 Local Service can be disconnected for non-payment of Local Service Total. Subtotal $38.63 Optional Local Service 'Fishers Island Telephone Total 38.6 Q Off Premise Charge $0.50 (631)788-7463 -MANAGERS OFFICE Amount Off Premise Charge 1/4 Mile-Business $5.20 N Y.State Surcharge 2.96% $0.17 Current Charges for January 01 -January 31 Subtotal $5.87 Basic Local Service Local Service Total $44.50 -Business Local Service $23.00 -End User Charge-Multi Line $9.20 Local Service can be disconnected for non-payment of Local Service Total. -Access Recovery Charge 3 $3.00 Fishers Island Telephone Total $44.50 -E-911 Surcharge $0.35 Federal Universal Service Charge $2.04 N.Y.State Surcharge 2.96% $1.04 Total Fishers Island Telephone Subtotal $38.63 Charges 0400.73 Optional Local Service g Basic Line Hunt $4.00 Alarm Service Monthly Charge $30.00 N.Y.State Surcharge 2.96% $1.01 Subtotal $35.01 Local Service Total ,/$73.64 AT&T Communications Questions about your billing?Call 800-222-0300 Local Service can be disconnected for non-payment of Local Service Total. f, / Fishers Island Telephone Total $73.6VatBCl (631)788-7580 -FIO ROLLOVER Amount Current Charges for January 01 -January 31 lCharges for(631)788-5522 Basic Local Service -Business Local Service $23.00 Calls for(631)788-5522,0288-AT&T Communications -End User Charge-Multi Line $9.20 Date Time Called# Called Place *Type Min Cost -Access Recovery Charge 3 $3.00 1 11/30 01 54p (860)583-3369 BRISTOL CT DOS 2.0 $2 78 -E-911 Surcharge $0.35 211/30 0343p (860)583-3369 BRISTOL CT DOS 10 $1.39 N.Y.State Surcharge 2.96% $1.04 2 Calls for(631)788-5522 3 $4.17 Federal Universal Service Charge $2.04 Subtotal $38.63 Total for(631)788-5522 $4.17 Optional Local Service *Type CALL TYPE:EXPLANATION Minutes Amount Basic Line Hunt $4.00 DOS Direct Dialed Out of State 3 $4.17 N.Y.State Surcharge 2.96% $0.12 Subtotal $4.12 Charges for(631)788-5523 Local Service Total $42.75 AT&T Toll Credit -$1.77 Total -$1.77 Local Service can be disconnected for non-payment of Local Servi742.75 otal._ Fishers Island Telephone Total Calls for(631)788-5523,0288-AT&T Communications Date Time Called# Called Place *Type Min Cost (631)788-7744-FI TICKETING Amount 112/21 12 56p (203)749-7599 DANBURY CT DOS 2.0 $2.78 1 Calls for(631)788-5523 2 $2.78 Current Charges for January 01 -January 31 Total for(631)788-5523 $1.01 Basic Local Service -Business Local Service $23.00 *Type CALL TYPE:EXPLANATION Minutes Amount -End User Charge-Multi Line $9.20 DOS Direct Dialed Out of State 2 $2.78 Page 5 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 [Charges for(631)788-5673 *Type CALL TYPE:EXPLANATION Minutes Amount DIS Direct Dialed In State 11 $15.29 AT&T Toll Credit -$78.15 DOS Direct Dialed Out of State 7 $9.73 \ Total -$78.15 Charges for(631)788-7580 Calls for(631)788-5673,0288-AT&T Communications AT&T Toll Credit -$0.97 Date Time Called# Called Place 'Type Min Cost Total -$0.97 111/23 11:42a (860)442-0165 NEW LONDON CT DOS 4.0 $5.56 211/23 01.00p (860)303-0626 NORWICH CT DOS 1.0 - $1.39 311/25 08 56a (860)303-0626 NORWICH CT DOS 10 $1.39 [Charges for(631)788-7744 411/25 04.27p (860)442-0165 NEW LONDON CT DOS 1.0 $1.39 511/26 07.52a (860)442-0165 NEW LONDON CT DOS 2.0 $2.78 AT&T Toll Credit -$17.46 611/26 11 40a (860)442-0165 NEW LONDON CT DOS 1.0 $1.39 Total -$17.46 711128 08 15a (860)442-0165 NEW LONDON CT DOS 2.0 $2.78 811/28 08,41a (860)442-0165 NEW LONDON CT DOS 1.0 $1.39 8 Calls for(631)788.5673 13 $18.07 Calls for(631)788-7744,0288-AT&T Communications Date Time Called# Called Place *Type Min Cost Total for(631)788-5673 -$60.08 111/26 07:30a (860)442-0165 NEW LONDON CT DOS 3.10 $417 211/26 0849a (941)202-0284 VENICE FL DOS 1.0 $1.39 *Type CALL TYPE:EXPLANATION Minutes Amount 311/26 09.08a (860)772-7277 NEW LONDON CT DOS 1.0 $1.39 DOS Direct Dialed Out of State 13 $18.07 411/26 09.10a (860)4494147 NEW LONDON CT DOS 2.0 $2.78 511/26 10 02a (860)4494147 NEW LONDON CT DOS 10 $1.39 Charges for(631)788-7345 611/26 10.47a (860)772-7277 NEW LONDON CT DOS 1.0 $1.39 711/26 11.31a (860)772-7277 NEW LONDON CT DOS 10 $1.39 AT&T Toll Credit -$30.07 811/28 09.55a (860)442-0669 NEW LONDON CT DOS 30 $4.17 Total -$30.07 911/28 10.18a (860)443-1891 NEWLONDON CT DOS 2.0 $278 9 Calls for(631)788-7744 16 $20.85 Calls for(631)788-7345,0288-AT&T Communications Total for(631)788-7744 $3.39 Date Time Called# Called Place *Type Min Cost 111123 11 04a (860)442-0165 NEW LONDON CT DOS 8.0 $11.12 *Type CALL TYPE:EXPLANATION Minutes Amount 211/23 11 30a (860)442-0165 NEW LONDON CT DOS 6.0 $8.34 DOS Direct Dialed Out of State 15 $20.85 311/23 12 01p (860)442-0165 NEW LONDON CT DOS 3.0 $4.17 411/23 01 18p (860)442-0165 NEW LONDON CT .DOS 3.0 $4.17 Taxes and other Surcharges 511/23 01.25p (860)442-0165 NEW LONDON CT DOS 20 $2.78 New York State Surcharge 3.62% $0.55 611/23 01:43p (860)442-0165 NEW LONDON CT DOS 35.10 $48.65 Universal Connectivity Charge-Interstate $25.99 711/23 02 20p (860)442-0165 NEW LONDON CT DOS 7.0 $9.73 Interstate Gross Receipts Tax 4.44% $6.91 811/25 10 34a (860)442-0165 NEW LONDON CT DOS 2.0 $2.78 Total AT&T Communications Taxes $33.45 911/26 03.25p (860)442-0165 NEW LONDON CT DOS 2.0 $2.78 1011/25 03.27p (860)442-0165 NEW LONDON CT DOS 3.0 $4.17 Total AT&T Communications 1111/25 04:30p (860)442-0165 NEW LONDON CT DOS 1.0 $1.39 Charges -$131.'58 11 Calls for(631)788-7345 73 $100.08 Total for(631)788-7345 $70.01 *Type CALL TYPE:EXPLANATION Minutes Amount DOS Direct Dialed Out of State 72 $100.08 Customer Information If your business makes outbound telephone solicitations,you must Charges for(631)788-7463 comply with federal do-not-call laws and regulations (47 C.F.R.64.1200,&16 C.F.R.310)and any applicable state laws. AT&T Toll Credit -$207.58 Total -$207.58 Calls for(631)788-7463,0288-AT&T Communications Date Time Called# Called Place *Type Min Cost 111/23 12.35p (860)442-0165 NEW LONDON CT DOS 3.0 $4.17 211/23 12.39p (860)442-0165 NEW LONDON CT DOS 2.0 $2.78 Fishers Island Internet 311128 09 31a (617)570-8888 BOSTON MA DOS 2.0 $2.78 411/28 10.17a (315)7034317 SYRACUSE NY DIS 11.0 $15.29 (100)101-0113-FERRY-FREIGHT OFFICE Amount 4 Calls for(631)788-7463 18 $25.02 Total for(631)788-7463 -$182.56 Current Charges for January 01 -January 31 Page 6 of 12 qw Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Internet Service "Basic"12M Business $90.00 Subtotal $90.00 Internet Total $90.00 ' Fishers Island Internet Total $90.0 (100)101-0114-FERRY MAIN OFFICE Amount Current Charges for January 01 -January 31 Internet Service -"Basic"12M Business $90.00 Subtotal $90.00 Internet Total $90.00 Fishers Island Internet Total $90.0 Total Fishers Island Internet $180.00 Charges Page 7 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Fishers Island Electric - (300)101-0167 - FREIGHT SHED, BLDG 208 Electric Class-50 Current Charges Energy Charge(See Detail below) $336.47 Fuel Adjustment $7.76 Total Current Charges $344.23 Meter Readings Energy Used Amount Current Previous MASTER 63758 62263 REG. 1495 KWH $269.45 DEMAND 6 0 DMD. 6 KW $67.02 DATE 12/23/2016 11/23/2016 DMD. MIN. 2.77 $0.00 NY SURCHARGE $0.00 FUEL ADJUSTMENT FACTOR 0.00519 PER KWH Fishers Island 'Electric Charges ✓ $344.23 p` Fishers Island Electric - (300)101-0168 -THEATRE Electric Class -50 Current Charges Energy Charge(See Detail below) $293.47 Fuel Adjustment $7.06 Total Current Charges $300.53 Meter Readings Energy Used Amount Current Previous MASTER 701 684 REG. 1360 KWH $246.56 DEMAND 0.03 0 DMD. 4.2 KW $46.91 DATE 12/23/2016 11/23/2016 DMD.MIN. 4.2 $0.00 NY SURCHARGE $0.00 METER MULT. 80 FUEL ADJUSTMENT FACTOR 0.00519 PER KWH / Fishers Island Electric Charges $300.53 Fishers Island Electric - (300)101-0169 -AIRPORT Electric Class-50 Current Charges Energy Charge(See Detail below) $64.24 Fuel Adjustment $1.48 Total Current Charges $65.72 Meter Readings Energy Used Amount Current Previous MASTER 11374 11089 REG. 285 KWH $64.24 DEMAND 0 0 DMD. 0 KW $0.00 DATE 12/23/2016 11/23/2016 DMD.MIN. 0 $0.00 FUEL ADJUSTMENT FACTOR 0.00519 PER KWH NY SURCHARGE $0.00 Fishers Island Electric Charges $65.72 Fishers Island Electric - (300)101-0171 - BUSINESS OFFICE Electric Class-60 Page 8 of 12 RW Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Current Charges Energy Charge(See Detail below) $303.76 Fuel Adjustment $7.51 Total Current Charges $311.27 Meter Readings Energy Used Amount Current Previous MASTER 13193 11746 REG. 1447 KWH $261.31 DEMAND 3.2 0 DMD. 3.8 KW $42.45 DATE 12/23/2016 11/23/2016 DMD.MIN. 3.8 $0.00 NY SURCHARGE $0.00 FUEL ADJUSTMENT FACTOR 0.00519 PER KWH / Fishers Island Electric Charges C/ $311.27 Fishers Island .Electric - (300)101-0172 - RESERVATION LINE Electric Class-50 Current Charges Energy Charge(See Detail below) $23.53 Fuel Adjustment $0.23 Total Current Charges $23.76 Meter Readings Energy Used Amount Current Previous MASTER 41447 41402 REG. 45 KWH $23.53 DEMAND 0 0 DMD. 0 KW $0.00 DATE 12/23/2016 11/23/2016 DMD. MIN. 0 $0.00 NY SURCHARGE $0.00 FUEL ADJUSTMENT FACTOR 0.00519 PER KWH Fishers Island Electric Charges p,$23.76 Total Fishers Island Electric Charges 21/ $1,045.51 C C Page 9 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Fishers Island Water - (200)101-0140 -THEATRE Water Class -21 Current Charges Water Charge(See Detail below) $35.17 Total Current Charges $35.17 Meter Readings Amount Meter Date Current 58491 12/23/2016 Previous 58491 11/23/2016 Cubic Feet 0 (Cubic Feet x 7.5= Gallons) = 0 TOTAL WATER CHARGE l,/' $35.17 Fishers Island Water Charges $35.17 Fishers Island Water - (200)101-0142 - BUSINESS OFFICE Water Class - 11 Current Charges Water Charge(See Detail below) $27.38 Total Current Charges $27.38 Meter Readings Amount Meter Date Current 96350 12/23/2016 Previous 96060 11/23/2016 Cubic Feet 290 (Cubic Feet x 7.5= Gallons) = 2175 TOTAL WATER CHARGE $27.38 Fishers Island Water Charges ✓ $27.3= Fishers Island Water - (200)101-0143 - RESERVATION LINE Water Class -21 Current Charges Water Charge(See Detail below) $35.17 Total Current Charges $35.17 Meter Readings Amount Meter Date Current 3607 12/23/2016 'Previous 3220 11/23/2016 Cubic Feet 387 (Cubic Feet x 7.5 = Gallons) = 2903 TOTAL WATER CHARGE / $35.17 Fishers Island Water Charges ✓ $35.17 D Page 10 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Total Fishers Island Water Charges $97.72 Page 11 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed when applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utiility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines, meters and other costs.This charge will be billed whether or not you use energy. KWH (KILOWATTHOUR): A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. FUEL ADJUSTMENT. A charge reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $0.1790 All KWH $0.3237 All KWH $0.2255 Over 1,000 KWH $0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand Charge $11.17 per KWH Energy Charge $0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $27.38 3,000 3/4 $41.08 4,500 1 $68.46 7,500 11/4 $95.84 10,500 11/2 $136.92 15,000 2 $219.07 24,000 3 $438.14 48,000 4 $684.60 75,000 6 $1369.19 150,000 Water usage over the minimum is billed at$9.13 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $35.17 3,000 3/4 $52.76 4,500 1 $87.93 7,500 11/4 $123.10 10,500 11/2 $175.86 15,000 2 $281.38 24,000 3 $562.76 48,000 4 $879.31 75,000 6 $1758.61 150,000 Water usage over the minimum is billed at$11.72 per thousand gallons. Page 12 of 12 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 12/31/2016 00028000 01/25/2017 Page intentionally left blank r , I I I , '----------- ------ ------ ---' ------.-,----' -------------- -- - -- -- FISHERS ISLAND FERRY DISTRICT 1 VENDOR 007237 GILBERT ASSOCIATES, INC. 01/1,7/2017 CHECK 3773 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.400.100 ;2016-293 PROF.SVC-12/5-12/16—RP '90.00 TOTAL ` 90.00 — I N -___ \ P' ';•;Fa r,. .s sa}i<•uF•1:: `u{s s.. °'a'"S:'. rr 1 , t:.. 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I :'.t' - 'i_ = "✓,, •.y, l;:,,.,1 "u." t.Y.Sv % -t,a;;, _ - ::"/:<_-:1'.' <?,.;yJ:F::,:^„'§n,: °,t.' :''' >f s =.- _: - . ;- .R t.,-- -.-_ - -•• 112 0 ' ;a t,1 d 1' 5 : a:=',,.. - ” - x ``0'3`?'7`30 t i:0 2 L4'054'64 . 6'8" .oUI5-0''2 `t Vendor No. Check No. Town of Southold, New York - Paymenct/t Voucher 7237 5773 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 100 Grossman Drive, Suite 205 Braintree, MA 02184 Audit Date Gilbert Associates, Inc. JAN 17 2017 Vendor Telephone Number 781-740-8193 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 S2SCJi c-e S 2016-293 12/23/2016 $90.00 $90.00 12/5-16/2016 K Cox services — SM5710.4.400.100 $90.00 $90.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title 'Date Gilbert Associates,Inc. 100 Grossman Drive Suite 205 Braintree, MA 02184 Invoice Bill To Date Invoice# Fisher's Island Ferry District PO Box 607 12/23/2016 2016-293 Fisher Island,NY 06390 P.O. No. Project No. Due Upon Receipt C-1147 Race Point 12/23/2016 Description Hours/Days Rate Amount For professional services rendered from December 5,2016 through December 16,2016 including: Time: Karyn Cox 1 90.00 90.00 Total $90.00 N ' _ `------------ FISHERS FISHERS ISLAND FERRY DISTRICT I VENDOR 009682 GOOSE ISLAND CORP 01/17/2017 CHECK 3774 FUND & ACCOUNT- (' P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 30992 180.9GAL#2 OIL-FI OFFICE 473.96 SM :5710.4.000.200 4014 50.9 GAL#2 OIL-FI OFFICE 131.83 TOTAL 605.79 n _ r t ..x.r • a^3,t` v u ., ..x».. •x-.,.wr ...-.._ n. .,.rw<.N' a.:r _>.x,L•. .v f, J I v'}'v -n. ztiti+ r r- I , l , Y=DIS7'R IC 'lar• •'• ---- - - _ . .. .. - - ==FE • 7':. ., y' . .,;N:;. _ ", ____a . ., a AUDZT `: o i:F% i ,; d: ,;, ;;• er53095,MAlN, ROAD,PO BOX:1yj'79; i' ri ' ru- gr'`;a r _/z :-ta1•,f s} f' .F ,:. r'i,i'=•``^'" l'"' sa""' s'l.,e..i, _ ?,t SOUT,HOL ?NY;11971:0959• '1' r' a e ^r. •r tk,` _`'', {` ''" ...a: •r=` - -_- h", „ ,,J•` ;`,,'=t.` __ ,s„'= 4 ._ _ ___ 'C_H"ECK` `IJO.,tE ds3,7,7 4;''='',, '• «`; r- '". ',CUTCIiO'GUE„'Ny{T1.935, 'DATE ,s,.AMO,UNT•:,i:",`"''.` t e. `_ _ ra, ,,.z•i __ /' „ ; ,r<-Y>.i '.i : r, . -=5,, _ --_ 5.•,`Sl., .,.:!`,.,"1" .'v'"?,Y i. - - .;r!'r, ;y. 4. .x$6'0,5":.79; d`' i J 4'%ryJ ',•t" '` •'i :<1't"50;5','46/2114' r+,C1 t; `tt",a oz. :1,°y>; , ,s SIX•.HLJNDR'ED,,°FIVE:a'AND:•'79r-100`'DOT.'A ii' - - -_-= -- - '- 'S. ^:` ;1', _ - - "-_ - - - _" alp° - :.2 ' __-_)`_' _z+' '• ``__ __ _ i ___ - ____ __ _ _-_ .-1, :-4` .'1,'f,.st' r11;, v,' ,r'_- _- _ - _ - __ - an'4;'Ji u'1 _f-t__ - • __ __— "yi, .d.St''• ' t•_ - _: "_ ia' ,.tiiM 6,Pd i^t4' >'i4i fi,•.`'' a'`,` _ ___ _ _ _ fixs' -71 Ai>P y! 1\' B - 7 _ __ _ :Fa 'z,_ _ = 1 -_ = ,F; ;Ifl• ''P"s•a s:' , , ,'f; - _ "t ':k .p,t,:..Y 4,7 ` ,y .Ygl,t: -'di`.S aS , - a%4 - ' 3,4 _- i. l ',d a' . ` ^ t-4<'.."\ 01% ;s t>"• .4:t, q't'r. ;;;""./- s - ;;/;' -' _ , _ ,•,?}<, ,+:. F.s*?^'-'; ,',a1°• r_ ,'j '.f 'z3<.lvr fFE t' - t''x,J-•t,.yet 3 'I'o 2s .k' - _ .i .f'a'T•• {[ ,',I.. b fr'^ i/ •all S" 3,i1 .•!'<. }1,',.r e,r}' k` g.4• 'i, t"r •'f< 'f :•1'.Yf4` l ' T .` f.° - /, 1 .4 .fie..: °l A'" :h'. " t. .1 'l.'r', ` r , ,•{• '9 _ _.'s''___ `F,t' ir, f,et,: ,R ,T. 'i':' 4f ____ __ _ '#, i ,fJ:"C 9'd'b `Ilii?. ,,4,ar il;,`,; _-AY. ti",i':<<"'aGQOS,E': I'SI AND,`.C_012P: -- -'t_.- ;, '+, '1, •4 :U l ':>,''l' ;r ` ==lr- _ __ -- '>.,;I„t1 J t 1 t, 1',a;` tl , r,,. 'l`y„ .-P'f ,,,' }- _ _ _ __ __ _s..___ _ ',1, ,J,4=; 1„0` ,a r 'd” "__ ___ __ _ _- !r>< dep ad,J ',d,+I •d ;0 'TH,E''.dl''{DBP,'' tISIiAND•:SERV_"IC`EF`S_TATXONS `,{`,'.'=,if; `u• ; ;'' >I,;t'J"i ', :I+;,' l1!'+;''`,a'• ,_ _ - ,' l' " f; l I ,,tJi. ,y a,,l LI ;i, ,',, '; "; - - j ` t` r u,r,lt' fipl" 'l ,f, •Il ` ,`f, •;id'':ha'"a°,i:`, ,ty._-__ .La.,__ - __ -= 1l> F:.1 ''r l'lm' : > , ,,y,':-_ ___ "M . ` P •`_"tl Ib5 v.t ;V, c, .,;- 7 `r,f r" t,i• *;,tn,it°.s NY,d},F •'.'l'`:t' •` _+ " ',';' :t :PO ,80X,:49. ,: a 4 1 4 ''a.rs3 fi°;;'., «'., ",:'•3, s' a-;7{' .''i`:s sa• :.a; i"`ai: is:`,{,,.•`?("{ I .`1?„ i::t;' „,oi` ii a,s" *`'!4i{''<`:s:''}',"z, f ,F =F 2SIIE12S "2+SI AND ''NY.`'0>63,9.0'-'00.4;,9, a',f'f.f s S/•-, - ly _ ,x .xr_ja r.A>._ -- , 1.:.'"t.n3a>x f 1e Yx "J° .'x', _-'_N'_=.1`. - _ 't a' 'S,! " - - - xi"-" :}. 'I <ii 1t d:l ' I'd'Iii f;t'is x'-err ___ __ - _ _ '-p,`,t•1'e .r a'"Y'>1.,p ;D 1 u , _ qt_ -___ z _ _ .t$• - - _`1 .i7,11'r':-Jpn ,,t as"i'dSs,I'd'<.t",,.,,1:, - .,i," t17 ildj ul dd;t I„ ,I'I' -_ - - . - - "d.'• '14J, ,Y.il .1 tall;,'»µ,"i t,i' _' _ - - t' P"li {" d ” - -_r4<. - _ "-_ -” '9£:- - 'i•f"r i i •.a;4:- _ -__ "___- t<4 »,>t.' fi .f .'b'" ',1'i il' 'Tt S"1'` - - _ - - - — _ -- '+ ul`a ac t'u'"`* a: I" ,+d t---- - — _ - - -- •l, l J; ",J,J ;'' '+'„u a °wa+- - - ,` .'h, yt.-_ `'-fi■0;0 3--771 'ir'< r. .: ,2,,,i.' ,l'0 5°4 6 4 i.".= 6a8===DD'I'S '2:;':= n■ \,,.. I: Vendor No. Check No. Town of Southold, New York - Payment Voucher 9682 03 7711 Vendor Address Entered by 1633 Central Avenue Vendor Name P.O. Box 49 Audit Date Goose Island Corporation Fishers Island, NY 06390 JAN 17 2017 Vendor Telephone Number 631-788-7311 FY16 Town Clerk Vendor Contact 0 1. Susan Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 30992 12/14/2016 $473.96 $473.96 FI Office Heating Oil 180.9 gal @$2.62 SM5710.4.000.200 4014 12/22/2016 $131.83 $131.83 FI Office Heating Oil 50.9 gal @$2.59 E t $605.79 $605.79 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 r, Signature \C.tn". itle Signature ^ / ZV Company Name Fishers Island Ferry District Date 1/6/2017 Title Dateze L ,Goose Island Corporation Invoice 1633 Ce.-�'s-a1.AVe#49 Fishers Ieland,NY 06390 Date Invoice# 12/14/2016 30992 Bill To FI Ferry District P.O.Box H Fishers Island,NY 06390 P.O. No. Terms Project Net 10 Description Qty Rate Amount #2 Ultra Low Sulfur Fuel Oil 180.9 2.62 473.96T ')M Subtotal $473.96 Sales Tax (0.0%) $0.00 Total $473.96 Payments/Credits $0.00 Balance Due $473.96 GOOSE ISLAND CORP P.0 Box 49 FISHERS ISLAND, NEW YORK 06390 (631) 738-7311 Dyed unmarked Heating Oil:Not for use in highway or non-highway, f locomotive or marine engines. j - - START OF DELIVERY END OF GALLONS TENTHS DELIVERY —� ON3 ---I- 1HVIS—1• METER READING 10ths �—END OF DELIVERY METER READING .f�//^ �—START O/F�DDELIIVV Y _75-7_37 DATE f SOLD TO ❑C D ❑CHARGE ADDRESS CITY,STATE,ZIP (�G•__ DRIVER TRUCK NO TIME A.M. P M. YOUR SALE NUMBER Gallon Reading—Finish 10ths f PREVIOUS SALE NUMBER Gallon Reading—Start tOths I � ' i O H WC 0 C �� -- 30992 k PRODUCT GALLONS PRICE AMOUNT o - a / �, PAYMENT RECEIVED E]CASH E]CHECK TAX CUSTOMER'S SIGNATURE X TOTAL L_— _ - . DELIVERY RECEIVED PER ABOVE METER READING _ _ r A! Goose Island Corporation Invoice 1633 Central Ave #49 Fishers Island,NY 06390 Date Invoice# 12/22/2016 4014 Bill To FI Ferry District P.O.Box H Fishers Island,NY 06390 P.O. No. Terms Project i Net 10 Description Qty Rate Amount i #2 Ultra Low Sulfur Fuel Oil 50. 2.59 131.83T 04 I Subtotal $131.83 Sales Tax (0.0%) $0.00 Total $131.83 Payments/Credits $0.00 Balance Due $131.83 �I I I I r i Goose Island Corp P.O. Box49 C Fishers Island, New York 06390 631-788-7311 t' -,'_0,Dyed unmarked Heating-Oil:Not for use in highway or non-highway, - I! _ locomotive or-marine engines. "START OF DELIVERY END OF GALLONS TENTHS _ DELIVERY —® I I CN3 —b- luvls-0 " METER READING i - - IOths �-END OF DELIVERY METER READING �-START OF DELIV BY DATE ` 1 v'�//(Y SOLD TO ❑CO D l (1/ !/ L�� ❑CHARGE ADDRESS fCITY,STATE,ZIP ' DRIVER TRUCK NOTIME A.M. _ k •� P.M. YOUR SALE NUMBER GaIldn Reading-Finish 10ths i 10 I , PREVIOUS SALENUMBER ;,Gallon Reading-Start 1Oths OHWOOQ� DE 4014,11 , PRODUCT GALLO 'PRICE AMOUNT PAYMENT RECEIVED ❑CASH CHECK 1$ 1TAX y CUSTOMER'S SIGNATURE n L pj TOTAL, DELIVERY RECEIVED PER ABOVE METER READING I I --I I _ ------- - -- ; I FISHERS ISLAND FERRY DIS TRICT VENDOR 007638 GRAINGER 01/17/2017 CHECK 3775 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 9312398200 MUNN—BOW THRUSTER CPLNG 510.26 TOTAL 510.26 - i cD 1 - r2 ry i J 1 , N _ 1 I - -- -- ' - t ' _- - -- - - - ..fes. -- - • .,- - - S A1VD ERRY DIST7ZIGT:' - - __ FIS RS -' µ AiJDIT{ 0-1/'1'7'%f17; ` MAOAD,P.O,BOX.11'Z9:; 53095 MAIN .f® SOUTHOLD'`,NY,1,1'971.0959, s' n CHECK rTHE,SUuOLKCO:NATIONAL BANKI' = = ' ("' DATE.. AM' N0 T;, "c.'. •1'.,,i` I, ,}i '41Y'I,li 'AI'' tl'` ;;{•{yr-_=- __ - -:_ -"_-_"- it,I ,, F, , ,1 1 P;, _ _ _ _ _ _ '_ p- d, ` • _--- -- -_ -- ,.{'„dr 't"d ' 1'.i' 1ti,-1 '„! ''' -- a --- - - ----- ,1,;1' <4,d''unl, 'SIJ'%`+;i', d "' 50,54 61214 ,. UIQR',.D TD '2 6 r;l O p, LARS s ;s" t;x, :' ;'•; FI 7E =H D E E= N,, +N .,DOL , h, -- - - --- _ - ,;i". ' t,i i.l l„ -_'_ - _ `fl l'I'i'' ',I It#. 1i.t `di'' - _='b`•= _ I I, :f 1,. +I - - --- )•, - - .3 t" - - .i i • `i'•1'.' ,'i..l Jig .1 - _ 'I P.? II , t4 ,'t,• - - 1, L, N1, il, t="%', ' F. - - - - = 'ii`' dll' FY •r',IP i12r.^ (,.y,,,,I,,,, ` - - - - { dl'4:, i 1. , r!z .,, I'li. ; GRP:'INGE72' •.I:, ;' - _ -_ - - - dpi. ''In' =/.";; °I',' ,,. _ -- - --' ' - ' '' ' =e i, 1'" ' I;' .I',4'.1"";` ',,,, 'U* 1' ,R T'al'. ,Ir,ll.lyl• „a OITHES`.'Ir; DEPT,,.' 25'224355 R ' P>'ALAI'I'N;Er>.IL'. _"_ ___ __ __ _ I'' ;1' ;1'I •1„11 11 7,.i _ __ _ .-t; ,1' '`.I' i y '7,1' titgr - -- _ -_- -- - ,11'ii'i'• i I ,;is =- - - - - 'I. ,t, , °,^ i' ,ri, _ _ - - _- - - tr , ii 0 0 3 7'7Y"5" `` :0 2x'40 5 4'6 4't. 6-8” '0 0-15'0 2` L I } : — Vendor No. Check No. Town of Southold., New Fork - Payment Voucher 7636 a775 Vendor Address Entered by Dept. 869158477 Palatine, IL 60038-0001 Audit Date Grainger JAN 17 2017 Vendor Telephone Number 877-202-2594 FY 16 Town Clerk Vendor Contact a Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9312398200 12/20/2016 $510.26 $510.26 Munn bow thruster coupling insert SM5710,2.000.400 $510.2EL $510.26 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 to 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 A=== Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title ate / GRAINCER® PAGE 1 OF 1 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 869158477 INVOICE NUMBER 9312398200 78 JEFFERSON BLVD. INVOICE DATE 12/20/2016 WARWICK, RI 02888-1064 DUE DATE 01/19/2017 www.grainger.com AMOUNT DUE 510.26 PO NUMBER: JOHN P CALLER: JOHN PARADIS CUSTOMER PHONE. (860)442-0165 BILL TO ORDER NUMBER: 1279670439 INCO TERMS: FOB ORIGIN MDG2016 00001679 1 AB 0399 FISHERS ISLAND FERRY DISTRICT PO BOX 607 FISHERS ISLAND, NY 06390-0607 Interested in receiving invoices via email? Sign up for paperless invoicing at: www.grainger.com/paperiessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 D • • • The following items were for: FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320-0000 32ZRO3 SLEEVE COUPLING INSERT,10H,HYTREL 1 499.00 499.00 MANUFACTURER# 10H Delivery#6346162358 Date: 12/20/2016 Carrier: UPS GROUND No.of pkgs: 1 Wt' 2.94 Trk#: 1Z2FX9030319478157 SHIPPED FROM: DC BORDENTOWN, NJ-010 400 BORDENTOWN-HEDDING RD BORDENTOWN NJ 08505 � l INVOICE SUB TOTAL 499.00 SHIPPING 11.26 __These items are_soId-for-domestic consumption._If exported,purchaser_assumes,full responsibility for compliance with US export controls. Diversion contrary to US law prohibited. PAY THIS INVOICE;NO STATEMENT WILL BE SENT.PAYMENT TERMS NET 30 DAYS IN U.S.DOLLARS. AMOUNT DUE 510.26 GRAINGER STANDARD TERMS AND CONDITIONS ' A.SALES POLICY FOR PRODUCTS 4 Warranty Product Return. 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ACCURACY OF THE INFORMATION OR THE SUITABI1ITY OF THE INFORMATION IN ANY MSDS CUSTOMER END USER IS SOLELY Customer agrees that any credit balance(s)issued by Grainger will be applied to customers account within one(1)year of its issuarce RESPONSIBLE FOR ANY RELIANCE ON OR USE OF ANY INFORMATION,AND FOR USE OR APPLICATION OF ANY PRODUCT Send MSDS requests to Grainger,Dept 11.57,100 Grainger Parkway,Lase;orest,IL 60045 or'og on to www gramgercom arid click on"llaw the Material B.FREIGHT POLICY Safety Data Sheaf or call 1-877-286-9860 Prices s'atad are FO B o•gm,freight prepaid to destination specified in the order Grainger charges a shipping and handling fee(wh-ch 4 California Proposition 65 includes Internal hanoling and related casts)on each order which is applied at the time of order and reflected on customer's invoice The State of Cal,forma,equires that ceria it warnings be given concerning prceucts which contain chemica's subject to Proposition 65 A Receipts for shipping and handling charges will not be furnished Granger covers shipping and handling for standard ground delivery for complete list of Propbsdion 65 regulated cNircals is available at wvAv f ehha a gov For identification of progucts which contain a chemical orders over US$1500 before tax and freight(including any back orders)C 0 D shipmates are not permitted Cd er terms and condit ons subject to Proposition 65 go to wivw granger corm Applicable P,oposibon 65 warnreg(s)are provided direct;y on the www,grargercount may apply for other than stardard delivery("Other Freight Services`),mcludmg without limitation,expedited same day delivery,airfreight, product page and upon product purchase freight collect,export orders,hazarcrous materl customers carrier,shipments outside tie contiguous U S,or other special tandhng by 5 Important Nghic toq_FederaLCustomers Ra Coi niry_ui Origin the earner Any charges incurred for Other Freight Services must be gad by customer Fuel surcharges may be applied Title aid risk of loss While proaucts listed on GSA Advantage!@ meet the requirements of the Trace Agreements Act(TAW),as implemented by Federal pass to customer upon tender of shipment to the carrier If the product is damaged in transit,customer's only recourse is to file a claim with Acquisition Regulations Part 25,other products sold by Grainger may not meet the requirements At the time of purchase,Granger will advise the carrier properly identified and authorized schei ie customers if a predict's`TAA-compliant"Any federal customer purchasing a non TAA item will be nak ng an"open market"purchase that is apt covered by any contract Federal customers are advised that the open market purchases are C.PRODUCT WARRANTY POLICY NOT GSA schedule purchases By purchasing any product on the aper marker,the federal customer rep•aserds that it has autba ty to make 1.SATISFACTION GUARANTEE TO ALL CUSTOMERS such purchase and has compiled with all applicable procuremen!regilati Customer should contact Gra tiger if not satisfied vnth a product for any reason Grainger will promptly provide an exchange or refund if the E.GENERAL TERMS procuct is returned within 30 days of delivery,in its anginal packaging and with proof of purchase from Grainger 1 Force Majeure Grairger shall not be liable for any delay in,or impairment of,peeormance resulting m whola or in pan from any force majeore evert, 2 GRAINGER LIMITED WARRANTY FOR BUSINESSES, including but not im{ed a acts of God,labor msruptions,acts of war,acts of terrorism(whatneracaal or threatened),governmental decrees ALL PRODUCTS SOLD TO BUSINESS CUSTOMERS ARE WARRANTED BY GRAINGER ONLY FOR USE IN BUSINESS,GOVERNMENT, or controls,resurrect ons,epidemics,quaraidires,shortages,cammunicabon or power fadgres,fire,accident,explosion,mabiltil procure RESALE,OR ORIGINAL EQJIPMENT NIANUFACTLRE AGAINST DEFECTS IN WORKMANSHIP OR MATERIALS UNDER NORMAL USE FOR or ship product or obtain permits and liceises,inability to proc ire supplies or raw materials,severe weather conditions,catastrophic events, ONE(1)YEAR AFTER DAAE OF PURCHASF FROM GRAINGER A7 GRAINGER'S OPTION,THE EXCLUSIVE REMEDY FOR ANY PRODUCT iT or any other circumstance or cause beyond the reasonable control of Grainger in tha cenwict of its business DETERMINES TO BE DEFECTIVE If,''WORKMANSHIP OR MATERIALS WILL BE REPAIR,REPLACEMEiJT OR REFUND OF THE PURCHASE 2.Gra€nger's Peri re mance gf Se_yices. PR'GE Customer hold harmless and mdenmhr Gramger,its officers directors,employees,agents,subcontractors or representatives from and against any and all clams,including bodily nary,death,or damage•o personal property,and ail other losses,liabilities,obligations,demands, 3 LARRANTY DISCLAIMER AND LIMITATION OF LIABILITY TO ALL CUSTOMERS, ac2ons and expenses,wiemer direct or indirect,known or urhill absolute or contingent,incurred by Gra nger related to the performance a EXCEPT AS SET FORTH HEREIN AND WHERE APPLICABLE,NO WARRANTY OR AFFIRMATION OF FACT OR DESCRIPTION,EXPRESS of services for customer(including without hmitabon,settlement costs,attorneys'fees,and any and ail other expenses for defending any OR IMPLIED,IS MADE OR AUTHORIZED BY GRAINGER.GRAINGER DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTIES OF actions or threatened actions)arising out of In vinole or in part,any act or omission of customer,its employees,agents,subcor7actors or MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NONINFRINGEMENT OF INTELLECTUAL PROPERTY RIGHTS epresentaWes GRAINGER ALSO DISCLAIMS ANY LIABILITY FOR CLAIMS ARISING OUT OF PRODUCT MISUSE,IMPROPER PRODUCT SELECTION, 3 Cancellation. IMPROPER INSTALLATION,PRODUCT MODIFICATION,MISREPAIR OR MISAPPLICATION. All product order cancellations must be app•oved by Grainger,arc may be denied or subject to restocking fees and other charges 4.Product Return for Business Customers. It.GRAINGER EXPRESSLY DISCLAIMS ANY LIABILITY FOR CONSEQUENTIAL,INCIDENTAL,SPECIAL,EXEMPLARY,OR PUNITIVE For business customers,product returns,if allowed must be made within one(1)year flan date of purcl,ase,unless otherwise indicated DAMAGES TO THE EXTENT PERMISSIBLE GRAINGER'S LIABILITY IN ALL EVENTS IS LIMITED TO THE PURCHASE PRICE PAID FOR Customer should go to, Av grainiercomtueturns,for Instructions Returned product must be in original packaging,unused,undamaged,and THE PRODUCT THAT GIVES RISE TO ANY LIABILITY m saleable condition P•bof of purchase is ecuired in all cases arod�ict returns may,be den ad or made sill eat to restocking fees and other eha•gas by Grainger F.EXPORT SALES Orders for export sales are subject to the terms conditions found at vnmv graingercom,and can be accessed by clicking on the"Terms of Sale"link A FULL STATEMENT OF GRAINGER'S TERMS AND CONDITIONS IS AVAILABLE ON WWW GRAINGER.COM AND IS INCORPORATED HERE BY REFERENCE GRAINGERG Click:www granger cam I Call 1-800-GRAINGER(472-4643) Page 1 of 1 Include Stuffers 'II" ' PACKING LIST WW GRAINGER NEW JERSEY DC BOX ID U222873762 400 BORDENTOWN-HEDDING RD PO Number JOHN P BORDENTOWN NJ 08505 Delivery Number 6346162358 Account Number 869158477 hip TO Caller JOHN PARADIS FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PARK PO Release Number NEW LONDON CT 06320-0000 Project/Job Number Department Order Date 12/20/2016 Ship Date 12/20/2016 Requisitioner Old TO Employee Contact XTXS137 FISHERS ISLAND-FERRY DISTRICT Carrier UPS GROUND 5 WATERFRONT PARK NEW LONDON CT 06320-0000 Order Type SH Debit/Credit Code Z001 Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6346162358 on all remittance and correspondence. Your Order Number is: 1279670439 PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 32ZR03 Sleeve Coupling Insert,1 OH,Hytrel 1 0 0 E 499.00 49900 Subtotal 49900 Tax ��/s� Shipping 11.26 ,�- Total 510.26 We'd love to hear your feedback about this order. Go to www.grainger.com/survey and tell us what you think. SALE GOVERNED SOLELY BY WWG CURRENT TERMS OF SALE,INCORPORATED HEREIN,AVAILABLE AT GRAINGER COM,INCLUDING WARRANTY AND DAMAGES LIMITS&DISCLAIMERS. THESE ITEMS ARE SOLD FOR DOMESTIC CONSUMPTION IN THE UNITED STATES IF EXPORTED,PURCHASER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH US EXPORT CONTROLS. I , " . / / { I FISHERS ISLAND FERRY DISTRICT ; VENDOR 011862 ROBERT F. LAVIN 01/17/2017 ` CHECK 3777 FUND & ACCOUNT ( P.O'.# INVOICE DESCRIPTION AMOUNT " SM .5710.4.000.000 122816 REIM 160MI@.54/8ANK DEP 86.40 TOTAL 86.40 ate: - .wt• y. x " u ,< ...,u .., .5." v '•truer ". 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"- _...t•;7 ,.g , r ide'i a ' 1 ^r.°. 31:',,`*._:••S';- ;.: ii<<0D 3`7`7`7u I.O L40 `4-E`4i "Eia <`OO.L.5-0 2"..,''Im C. Vendor No. Check No. Town of Southold, New York - Payment Voucher 11862 L - Vendor Tax ID Number or Social Security Number Vendor Address Entered by 777:7 1155R Old Norwich Rd. Audit Date Robert Lavin Quaker Hill, CT 06375 JAN I 1 7 2017 Vendor Telephone Number Town Clerk Vendor Contact /1 1. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number MMG Rei 'M'bI REIMBURSE 12/28/2016 $86.40 $86.40 mileage 2016-160 @$0.54 J pa,,V SM5710.4.000.000 t n . i { £ $86.40 $86.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature i���"�Ci,r�a- /1y,0.11��ttle Signature r� Company Name Fishers Island Ferry District Date 1/6/2017 Title Date J 4 l� f .4 Mileage Reimbursement Form 70 t, eo; PT�= Lrr�d�°,etre. ?� #'`�a i k^ nra i pate �I' S Destination Purpose 0UT -ri 64, rp I VOI LO 05 -- r� is ; ! is - �aao 3-H, N11 --— -S j3 1 ilex (y o X per mile = �3 2 ,to date BLis inessFc-;i Temp late.coin #y •;�C'4 , -FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 01/17/2017 - i CHECK 3778 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 94407855 NLT-FRGHT FLT 1 1/2 NPPL 62.48 SM .5709.2.000.200 94416557 NLT-NIPPLE 1 1/2 8"ANGLE n 95.24 SM .5709.2.000.200 94839519 RETURN-NLT 1 1/2 NIPPLE 67.20- SM .5709.2.00'0.200 95102504 NLT SCREW,WASHER,RAG 106.23 J - - TOTAL 196.75 .. ••moi` `\ '" ."x:d:.. „ ^ ;q^••- ,. ".: ;zn ro->.• ase. y _ 1 ' 1 r 1 r J - -- , - 1. r- a c o c e s ® o o - • , t"''_- _\_'- - --_ -`.__: -i R' ':I•''ti`a - tid - ',''i'- __ - - _ - - r;+. •b i"1'•w ,,ni 'e IJ ``SEA, -PD STRICT°y` FISHERS`7SLAND RR l a•,'t ;' — A tiDIT„.ol°%=i ,%; `53095NAIN ROAD,PO BOX-117E SOUTH OLD;;NYA19710,959 ,r' °°r'ri^'=;` -CHECK :N `; 't''317s7 '4'',4,r,r` r l' THE"SUFFOLK CO" •'NATION L°BANK, - if _-_ -r ^CUTCHOGUE,NY 71935 ,t" , .Id B ,1 I a 91• --'fA' - _ - _ _ _ `i 'A J>< :i"JI'I, '•- ',Y4 .1 Y' „_. -546 21' 1<7 ;$;19'6'.75. +50 / ONES 15 , ' `;:l•0:0°iDOLLARS' •,t.< "> ` "'s"$•• y ", tx s;; tt 'd;;n• •1. -I.y .f,i , t, _ - _ +lti- a+`1 ,,{J ii•ar,d`( Id','a ci,l''"L'• - 5 = F'»_ - _ - = - f -_ __- - - _ --- ,i -yrr ,n,''` 1, 'p pi•t`p'd, 't8 Pn -,-IS - _:" _. .~-” __- -- "='c .t'xi',t "err Ir ii;li'n. `rf,•Ih.yJ`p^I:'t - -= - - .- -_ -_ ,.t. _ - - ____° - e-_1•.,a, tJ'.,^Id' Jdl yl'!, I- ;I•'{la - -__ _ -.a`'_ ='y F., _J, r„J Ip,. 'F,I'ir'gitl `JI I'r i l -_- - - =a' 'f' 1 -___of- -_ ___ _ _ ,nl;' '"t;' •'I; 5, ''S7'i,l'>il. »,,y, _ -_ _ - _: --r-r5, nl. '„ '.I y,^ ',ki,'I t., »A" _-- - _-- '' -_ - .:3t." - _ r,` a: `F t `-_' ' at... - f, '>< •_ is'{'V -cn,.•- va"1 : aY, In,?, 1`yu ;^ it I`rf` A'y,tl,,';,,",MCMASTER-:CARR"°;SUP_PhY,-C9. _ `rf' „,` ,. 'I 's t'`_ t m,il,ti yl,•kf, p'f,=.S_.r ;OATHr,, :I,;, _ - - - = : ,' .'r" ,'+; ',{,1',a"°l, r ' _ ,:, E"i i:v a. ' i• :'u;;rAt`, ; . RDER e,'r'`aP.01,"B0 1'.7,69,0<` --_--'+ ''- _ - _ .'1"'u ' , 'L. I>!'''1' JJia .aIJ ' t:-- _•x,,: - -,,'i• '{,t,16 ' ,I' , rol`.1'r ' I' . i'1•: _`-=--t-_- _ _.- ,yl,r pp«^` :. ,r4,-.+^- 15„'•'J+'". i,'t. ----y w=- - _ - ,,j - ,"'- ,I CHICAGO'r:IL°'6.06.8=Os-.7690."- •t xf` `t;sl Y .I_ .,i":z'” •r,, `;— :+F y,ti' {,{ . n:% 4 '+d'• ''r'. ,'ii• 't+ _ e'er"'-'" ^'s` >s, ,.tet„e p' ,` {.t-'{ i'. 'i-3iA .I,,`tA'tk:' v ' ,Sf 7 '-5``•"` •'ly' .1.'F'' `'k t 'his f.'. i :,4 ,te .rtl 2;'i(' }. , , .L,F., - _, ta:n r a.f• - r<t'. ,y✓< - ,,,'f,t: .s`',t ,':t, , .,L,,A-,., `u=',t: - _ '"';^;' _ v, -` '.° - -- : ° `YT f ^I''t dPv- un .IP: I'` _- -- - _ __ "-"z -s,E q `Ir,i ,e'' a F •'''` ” _ _` -"_- _--`t. _- - -_ --" '-_ __ -- _ _ 0 -,i• d y ,I• _ -_ -- _ - _ _- ga, ',;u',F qd 's.y- °I u a' d;•• _ _ ___ - - _-- - I'' e lpf,p> ;,It --- I -_- - - __ -- - d, ,{, d i,al'„ •J-_-_ - `•, ^•_ - _ - _ I„ r•.1, •1'„!tl'n6 s',r»r+ '2,- _ - _-- _ , _- __” __•arm",':,' ,''t.,*"4. 1, I.'I 'I,..• , - _ - - _-- ,i.4,0 5 4,6.'41,:.• 6`8,-"-0 0 L 5 0' OVendor No. Check No: -Aft 77 Town of Southold, New York - Payment Voucher 13564E Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. JAN 17 2017 Vendor Telephone Number 609-689-3000 Town Clerk Vendor Contactv ' a 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 i 94407855 12/22/2016 $62.4$ $62.48 NLT freight flat 1 1/2 nipple SM5709.2.000.200 94416557 12/22/2016 $95.24 1 $95.24 NLT nipple 1 1/2, 8"angle. SM5709.2.000.200 E 94839519 12/28/2016 $67.20 $67.20 NLT credit-1 1/2 nipple SM5709.2.000.200 95102504 12/30/20 $106.23 $106.23 NLT screw,washer, rag SM5709.2.000.200 3 F i f $196.75 $196.75 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 Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date Vii ® WMASTMCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase,Order MIKE Total $62.48 Invoice 94407855 Billed to Invoice Date 12/22/16 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$1 03 on merchandise if paid by 1/1/17 Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Water cont Pai k Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 1120T57 Standard-Wall Steel Unthreaded Pipe Nipple 1-1/4 12 12 0 4.31 51.72 Pipe Size, 2"Long Each Each Merchandise 51.72 Shipping 10.76 Total $62.48 Packing List Shipped Weight Carrier Tracking 4889365-01 12/22/16 2 Ib FedEx Priority 717018950841 4889365-02 12/22/16 4 Ib UPS Ground 1 ZO835200347185174 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 co 217 IVIcMASTER•CARR® Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park MIKE 609-689-3000 New London CT 06320 12/22/2016 Order Placed By nj.sales@mcmaster.com I Mike Franco McMaster-Carr Number 4889365-02 Line Product ; Ordered Shipped 1 1120T57 Standard-Wall Steel Unthreaded Pipe Nipple 1-1/4 Pipe Size, 2 Long 12 8 Each i I Shipped separately from our Chicago warehouse on 12/22 1 1120T57 Standard-Wall Steel Unthreaded Pipe Nipple 1-1/4 Pipe Size, 2" Long �/�n�J 12 4 0 Each ----------- ------------------- ------------ -------- , ;i, 608 I m v McMASTERmCARR. Packing List 200 New Canton Way Fishers Island Ferry Distnct� Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park MIKE 609-689-3000 New London CT 06320 12/22/2o1s Order Placed By nj sales@mcmaster.com Mike Franco McMaster-Carr Number 4889365-01 Line Product Ordered Shipped 1 1120T57 Standard-Wall Steel Unthfeaded Pipe Nipple 1-1/4 Pipe Size, 2 Long 12 4 Each Shipped separately from our New Jersey,warehouse on 12/22 i I � 1 1120T57 Standard-Wall Steel Unthnraded Pipe Nipple 1-1/4 Pipe Size, 2" Long 12 8 Each n ------------------------------------ -------------------------------------------------- 665 I r � � MAASTERmCARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 1222MFRANCO Total $95.24 Invoice 94416557 Billed to Invoice Date 12/22/16 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$151 on merchandise if paid by 1/1/17. 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 1120T64 Standard-Wall Steel Unthreaded Pipe Nipple 1-1/2 12 12 0 5.12 61.44 Pipe Size,2"Long Each Each 2 8982K56 Multipurpose 6061 Aluminum 90 Degree Angle, ' 2 2 0 6.94 13.88 1/16"Thick,3/4"x 3/4"Legs,6 Long Each Each Merchandise 75.32 Shipping 19.92 9_ Total $95.24`y Packing List Shipped Weight Carrier Tracking 4912104-01 12/22/16 5 Ib UPS Ground 1 ZO835200347226512 4912104-02 12/22/16 6 l UPS Ground 1ZO835200347226521 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 cc 218 WMASTMCARR. Credit 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 1222MFRANCO Available Credit $(67.20) Credit 94839519 Billed to Credit Date 12/28/16 FISHERS ISLAND FERRY DISTRICT P O BOX 607 FISHERS ISLAND NY 06390-0607 Shipped to Mailing Address 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 Credited Price Total 1 1120T64 Standard-Wall Steel Unthreaded Pipe Nipple 1-1/2 12 12 (12) 5.12 (61.44) Pipe Size,2"Long Each Each Notes Merchandise (61.44) This is a credit for purchase order 1222MFRANCO, invoice 94416557, Shipping (5.76) packing list number 4912104-00. Credit Total $(67.20) , , V Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 419 VMMASTERoCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $106.23 Invoice 95102504 Billed to Invoice Date 12/30116 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$181 on merchandise if paid by 1/9/17. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 6068077690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 91802A537 Stainless Steel Phillips Oval Head Screws 1/4"-20 1 1 0 7.85 7.85 Thread Size, 1/2"Long, Packs of 50 Pack Per Pack 2 98466AO29 18-8 Stainless Steel Countersunk Washer for 1/4" 1 1 0 7.22 7.22 Screw Size, 0.32"ID,0.781"OD, Packs of 100 Pack Per Pack 3 7366T27 Cloth Rags New Colored T-Shirt,50 Ib.Carton 1 1 0 75.29 75.29 Each Each Merchandise 90.36 Shipping 15.87 Total $106.23. Packing List Shipped Weight Carrier Tracking 5081902-01 12/30/16 53 Ib UPS Ground 1 ZO835200347568091 5081902-02 12/30/16 1 Ib UPS Ground 1 ZO835200347568108 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 260 yl MA Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park JOHN P 609-689-3000 New London CT 06320 ' 12/30/2016 nj sales@mcmaster com Order Placed By ` John Paradis I McMaster-Carr Number 5081902-02 Line Product ; Ordered Shipped 1 91802A537 Stainless Steel Phillips Oval Head Screws 1/4"-20 Thread Size, 1/2" Long, Packs of 50 1 1 Pack 2 98466A029 18-8 Stainless Steel Countersunk Washer for 1/4"Screw Size, 0.32" ID, 0.781"OD, Packs 1 1 of 100 Pack i`J -CI i I I I I I f I 1 I - I f I I I I I 638 -- '----- , FISHERS ISLAND FERRY DISTRICT ' VENDOR .03127 LINDA MROWKA 01/17/2017 CHECK 3779 FUND',& ACCOUNT P.O'# INVOICE DESCRIPTION AMOUNT SN1 .5710.{4.000.700 123116 REFUND-UPS OVERCHARGE 3.58 TOTAL 3.58 ''' s'.: ,•.'ear, : ; : .^:F:•, ..e.. •Y r. l 1 i ' 1 d _-__ ____i :FERRY _!w'R_„-•,,'a- - -_d-,t---,+°'_;-_*%-: _'1----'7--•;_ __° a='-_==____-,_ --= _ - --_ I- -.. ._..1- , 53095,NIAiN'ROAD;,PO$OX1779..'^ s SOOT OL Y.`11977=0958 - ' - - - - - AT'ON'L$ N R. ” i{ = - "CU7GHd',GU t'NYlla7935`:"' r" - _t.. QZ _ _ ,,II; . 1' ,r. .I .il>y ,p'Y• g, - '-- -`=`4`'" _': _ 1`a,,> ,r;. .'x =- - - - -_ •JI',it 11 ! `,I, ul Ill' - _ -: -: _ __ - .il. ;I°,I'll ' I' ,t1, - _-_ - _ _ - -- .., ai,'•'l'`,;< II,I,1'i,isS; 1 •t , l i•. *z.' t'f t.'t;` '50=5`46)214" '..,. _TRR H E-' R I I k' - - l` --t:"_ ',fl!, `''a, 5i ld= li i _- = - •e ,I' ;i,,f;pi`s.„l,,.d - - _ lli,P. 10, - '"t E "Y' Y01 d - - - - - _ _ _ _ .L'a,'•p1.J.111" ` 1 1 ,t . ,,il'!'.'::,,e - -E='- - I,dl,, nl „t hl.;l, l` ild,a 1,. RC? 1 1 f 39'0°` " 36 S SAN 5. `r:t,.: xiL _ r7' ,}s .:. „z f.- >'t`'.=: • ,R' + 14,'',u _ .I., a"I,i - - - __ ___ 'J'•, w-G..<, -_- ,_ - - - _-__ - - 1' `t„1 i S,I 1 .QI' .{'-` _ __ - `'l,1"x': •' ^'II, ,i liil i',t - - - ' •ii'`0 0' 3 77`9;ii' ' '.D 2 L 4 0 5'4`6 4' . ' ;'8 . D`0"L 5.OS 2° =i` ' 90)(:� Vendor No. Check No. Town of Southold, New York - Payment Voucher a 03 677 371-9 Vendor Tax ID Number or Social Security Number Vendor Address -7 Entered by PO BOX 366 C/� One-time vendor Audit Date Linda Mrowrka Fishers Island, NY 06390 JAN 17 2017 Vendor Telephone Number Town Clerk Vendor Contact �F2�1"4 a '/") "_ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1a3i�& REFUND 12/31/2016 $3.58 $3.58 UPS overcharge SM5710.4.000.700 $3,581 $3.58 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 ,,tet SignatureU CLAS�t4c) title Signature {� Company Name Fishers Island Ferry District Date 1/6/2017 Title Date �1 - . �wd /J�'�--..�s w �'� Dix 3 �� � �Z ,�s � s � � � e ��s` d� � � � U � Delivery Service Invoice - Invoice Date December 31, 2016 Invoice Number 0000026639536 Shipper Number 026639 Page 4 of 4 Adjustments &Other Charges Residential/Commercial Adjustments UPS WorldShip Shipped- Pickup Recorded Billed Adjustment Date` Record Entry- =Tracking Number Corrected Cbarge _ Amount 12/26 9164170816 11ZO266390343631786 Residential -17.45 Residential Surcharge -340 Commercial 1 45 Fuel Surcharge -0.18 -3.58 1st ref:FINY-LINDA"MROWKA 2nd ref:FINY-LINDA MROWKA Total UPS WorldShip 1 Package(s) -3.58 Total Residential/Commercial Adjustments ,. 1 Package(s) -3.58 Total Adjustments-&Other Charges -0• 3 Invoice Messaging �r 'Code Message r Dimensional•weight applied vS--- a .. I I I 1 , r , , r, I I I '1 - . I \ ,a FISHERS ISLAND FERRY DISTRICT VENDOR 014400 NICHOLAS C. NOWOSADKO 01/17/2017 CHECK ' 3780 ) , FUND ;'& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I r- SM .5709(2.000.200 121916 FIT—DOCK POLE FIXTR,WIRE 165.00 TOTAL 165.00 'Ys, ,.v' wa. .> .x.,r5 .'>! •r: 't' a sr ,fi: .•♦. r.'R `or.^n".`•.<.`!'":..(., a "t.Ji""• 1 ' 1 f i , I I' 1 , _-" -AD - _ - _ _ - 1 ➢Vit. 1 ,` FERRYDIS7RICTf; a. v ,,syv __ - •4'xY zii •sb'FISHERS SItA'1VD. _ . ray;- --,,','53095 MAIN,ROAD,,PO BOX,1,1'79° = P;UDIT, „•.t iF ,s1," 'SOUTHOLD;NW d. t,t971-0,959 •vie s '' •`t,' i= a` T$'0 •1' - - „I• - - _ THE SUFFOLK"CO NATINA L B 'NK' - CU7CHOGUE,".NY „DATE` AMOUNT 5 di, l tli i-`; : ;d' ii', - -s^._"- ` n '<7'. ,i I ,Iyr 'fti ti ,i" , _ s. _ _;s- , 1"• .i f I' ,,I,21 `.A' I „4: x=f:_f,. j-:-_ -_f'.;r-"'¢': .d, •,,t Jy f ,+, - ..i¢^` - - 'Sa V 1 0 t1 ' __ <r•t i" 01 0',0; r> 50-546121,4 D% E' I$T• ,. ,F.. .E, ,.D,'O. r l'Oj0°' °`ONS+' HUN R D`'S Y, IV AN 0%, "'DOLLARS,_ y^'tl ",s,,` 1-,4;it IFe',t" iai5 "'tl Pi'i°i,'`,"iF1' ;4 I -- - - - _ : - i. ;"q j, .;1'1^,t.' IP;•:,"i, ,, iii`.,in„ „',`Ir"='4=' ="'t::._ - _ _ f"'s - --" -' -" -- - -- .;,4,'4;r+ n'4,W'I.''ti;=4"1 4+',,' _ _ _- -__ _'` -____ _ r„^i.. '+,, - G y, is .n` e% _„ i,k_-f_:_n`__•__ _-z>. ” - E'I`-=-j'_' _--,, __, - "t IY, ,I,tr',17; :t,.o' 1, pyt -'.4°.--'_ ______- ___. .____ 1 I f• '1.Y{,i ''-''t I'r S -t - _ - __- - ..4: ...;,- - '.J'•, ,,ty "t, _° r',::`- ,`X..-n,1`' ;, <. _ _ _ ;i 'r`a ,:i e :.r'"L•"`, • ` f_ .tbl+11. ':$ . .•4V ?.`>,•. v,4 - 2'' e}:'< ,°i„7 ¢,"t.`• '.B;:. , e¢' <„ ,d• _ ,;i ':t,: ,1. +.1,' ' S' ,"F, ,,,,t:' ,t f,y' ; d'," "i.i'.,n ,',';'• , '`;^, :.f I' .ti ",•'t x.,; "I.< ;Z, ,<j1'y. ,a',o,i'' 'N'I'CHOLA''S°'•.C1. NOWOSAADKL) , - I,1, 'dl1 'vt'll, ,;';,; •S »s- > -=- - _ - - `z .4s „a6 I,-,), I' I'+s' p+t ,,I1".+"; __--e'er- --: - ^,' "'.'"'., lW," , .O, THE- •x1,•,DB`Ab'',N",al:' - .L= __ _ - _ , •1S,`+h 'IFrolr.,I'1:4r'=a'1+'F',i4' - -"-`{`:_- - = - „ ,kl nal'':',,, ,I,,,IF,G,tii:''r",-' +PI'; " RIS&R'„1' ,t :1!'ytY„r = _ _ _ _ ,,'4„r, ,.f,. ,'llu n4.`, _ -_ j ,,1i`_ j ,•+',rt_. ; I'• a`j' ell:' ;°I`r,p ,;"`' ,via;', IP ,:FA4IR4WAY,,LANE t,.,:i: :; -'i`• .. ;• `' a” . , <n,' l S• ' -v .r^. ': .ty,'” .L:`•.I"v` '„S'• .l': <k` "fI'' ¢E, +e, , •21'Yik ,i,INi.. y' 'OLD:`LYM> 1 4p;-'f'° E'uCT`;;`063'7 `.;,' x-'"i -” "- r,• I+ '•111y.^}: A' ,,r`r{'` -: - - - _ °I.-P.'.i}"'I ,irvJdF fi<<• ,P - A - - - _ . I N FSI,q'il .d w. Yl 2 1;J:' _ - - _ _- :2' .,, ,I .S. `Snl,.i;;i 1;,1"J,d',t,p,e-.a``'- __ •,'_->i. ,} ' moi' -_.` ,r•,= ___ __ "_ <:ti "l.-].,,L, -” = __ -_ _ - _ -_, , 0 03 7 R,opi•, ;:1:012114"0.5 4 0:i-5 0' ; -. Vendor No. Check No. Town of Southold, New York - Payment Voucher ' 14400 3720 Vendor Tax ID Number or Social Security Number Vendor Address Entered by ��3 6 Fairway Lane Vendor Name Old Lyme, CT 06371 Audit Date N/I Electric LLC JAN 17 2017 Vendor Telephone Number 860-625-3939 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 7aIa)6 December 19, 2016 12/19/2016 $165.00 $165.00 Dock pole fixture, new wire SM5709.2.000.200 FIT $165.00 $165.00 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�G Ci�� � Signature / Company Name Date 1/6/2017 Title �—� Date ! 7 N/I Electric LLC CT State Lic.# 103910 S.C.N.Y Lic. #34408-ME December 19, 2016 Attn: Gordon Murphy F.I. Ferry District Re: Dock Fixture Request for Payment For services rendered in expediting and installing (1) new dock pole fixture with new wire. Fixture FBO. Total Due this Invoice: $165.00, Sincerely, Nicholas C. Nowosadko N/1 Electric LLC- 6 Fairway Lane, Old Lyme CT. 06371 Email:NIElectric@hotmail.com -Phone: 860-625-3939 I I I FISHERS ISLAND FERRYDISTRICT I VENDOR 014144 Nil LOOK CLEANING SERVICE 01/17/2017 CHECK 3781 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000..600 49 JANITORL SVC-12/5-12/30 725.00 I I TOTAL 725.00 CQ ----' <,:a,>,.p .?•ahaa• "a: ..:•ax. ,rb>esr.x :bi'r: 3E.. :4gi $A .<42> v y rt " : off' xb•✓ .. {, ,'r"`•;"R-.•_•• ?A/".xr:.,.v-. ' `^i T.%:i.'•:9,F` r ,..>-. .,. 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'`t.,,'-._7':y. -- - - :=xf_::-_,;-•4•: „4-n. ." °l,` J hla•w,ly 4,•L+ :s t-%' ---w =:.'.:-,^.-= = -- ..'+.:'->,:;4,,".` ly 4..,F„`"I," ;€,,."<t•L'_ __- _ _ _ _ sr,4, ;,, ^;' "ii p'0'"3" 8'`iu lr. = •0•„2N"L40"54'E`4 :' 66 001 SD I'll' Vendor No. Check No. Town of Southold, New York - Payment Voucher 14144 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 663 Old Colchester Rd Vendor Name Salem, CT 06420 Audit Date NU Look Cleaning Service JAN 7 2017 Vendor Telephone Number (860)859-3624 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 49 12/291201,6 $725.00 $725.00 Janitorial Services SM5710.4.000.600 12/5-30/2016 $725.00 $725.00 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 V 1\ — Title Signature ^ Company Name Fishers Island FeryDistrict Date 1/6/2017 Title �`" — Date Fl- NU LOOK CLEANING SERVICE Invoice ® 663 OLD COLCHESTER ROAD SALEM, 06420 ' (860)859-3-3 624 12/29/2016 49 BILL TO: FISHERS ISLAND FERRY DISTRICT P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN:ACCTS. PAYABLE P.O. - . Net 30 DESCRIPTION JANITORIAL SERVICES FOR 2 WEEKS 12/5-12/16 2016 362.50 362.50 JANITORIAL SERVICES FOR 2 WEEKS 12/19-12/30 362.50 362.50 ' �`1, 4 r ' r•4 Zt"iif i.'t'.`y,`2 _'h":..°..4 'v• ae • w •. s.v:_/.ic.a....vw nw.m_u.v.r>•.-..a mvt`n....-y,-,vr`'Y'vJw•4J•..`•W to-ie rw.:r...ai'{M''rse Y'•.x azcau+m:..�'la`y.✓•zap ( Thank you for your business. $72s.00 TOTAL FISHERS ISLAND FERRY DISTRICT / VENDOR 016723 PROGRESSIVE-BENEFIT SOLUT. ,LLC 01/17/2017 CHECK 3782 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 PBS—HRA-1216 HRA TOTAL UTITLZTN-12/16 2, 055.99 SM .9060.8.000.000 37048 (20)MNTLY CRD ADMN-12/16 90.00 _ / i TOTAL 2,145.99 1 5, r i 6 i.•°x`.'•Fst't„ ,%a :!:of . r u• •k'. C'4.•v "J"'v .Y \I 1 4 S I , _ - _ ,'il'u =' --- _- _- - - .'s-t1'.,u',t; e>in''pw•„n';,s,;"t.' ^ .<_`-_-;-; -- - - y<a,i.. 'y/.;'. _ _ •»_- - ''It, b''I': .i 91j'"I `s =- -_ `° .___ _ _ =4''l,v :`d•u:+.Y`-.,,d ,+"t'-v- q'• ` -`:7. „ ___ .s3 t - =i -t-i= _..+>_4s@''S.' .£ _3t-Sz fP fY `4^ • }v4' t -i 'i_A %•4!a><f:'_:_ _ __..,,... :`53095MA1NROAD..P,O,BOX!1,179.^:g'y;-F, .r d• i. t': t s§s :7,8< '; f';a':a; '#"a •k"fie, t,r ,:i. "•B s•5>,1, a'dp,` _ r:t §, rF: ` •=>4,v' r- •....i -_ _ - "- - '4.,4•r ,p '.M'" 3V -- e _ - FF;p^'p• .r5 .j n ea,' "•',t Jn = i,"-- - THE'S'F,`LK"CO NATIONALS `N K.°l - - ` aCUY.CHbGUEIpNY-d.1935a „,`r AMOUNT'•`. }3 ,I, IVnL :u• 'a,<S•Eo - - __- t P flc: S,` 5L' V1,G'`'' e,Mrt„- ,II, .,I, nl rt _ - - •,gt, ,SI'aL a* p,npl, ''nl' ,' '9r'ril'4' ;17``•2 `ys a` t:q`' l;i ''a” =c1 '50-546/21 ', ,':sit t t d"•4 t6 ` s•., 4 a, t >n. p; `'F° '`s--• .-v' _ _ ' ,£'< " '.y';,p,.•: '.>, .:r:..3"< .>< . •.3".,.f .F's '3<a'.4: mjzE. ED:'FOR• IVE<_' A,9s,10 O':'DOLI;ARS :r m^ ,':.`E"i s"&- •: °'k, ,! z' 4 t r 'TWO., HO SAND_,ON ;HUND ,I. . „ X,i,F . - _ - _ -`t✓_ - h!' 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O,,THE;'"I,•:14„$1 r S2NE'S'S,:+PARK'°D7L] fVB_° t hL°(iil '',,,n1' ,.,i < 'iL..'o1 r,,'.yi.I AA •aaA: •tl J.I fe,ya,i 444,✓` _._ ___ __ _ c An` ..{,t'I 1'i l. „aa •_- G 'S` `cs t' F'ARv' .T`,06,4, r,,, _,- :;; riflq.• ;4„ ,, h, .r /.cl; ,t . ., ' SiJi 1.11V 0 1. 0 •3z.r'1. _ ,f$r;, k,.:>,,. >j.,', , ;( :dA.,y,`.'' ,, ,f...:[E°'4a r = .` ` 1"'ti`E ";x - .{{° '.`„' a.. ; ”,` . ^`-r',; :^1.,r`,y',i:•' y q,jt ::,at% ,,i. x'i:,i7''c+ "rr.lr.;;: `. ,.,tr. i",, ` o.'" "t : }xy '+ "4i`=P,. >,.a+;t`= ".°°,•;tli *t• ',S`• i 'F'. ( 'e Et E+$', SIN I t:S'' ,!5 i}' '?;ir'PF,a yt fa t:. •§i at vi {E LS 4•° i- <{ n?61+i {`e' SA' tt>' ,a'P3r• >j.b3/}.'., ./>i{h 'c. tb°n.7 j/ > ' "Yt,y.S, v t- `'{ , F.,; -.4.,, n.LS'"5i ,.L.•j- •i},.rte Jy - "','jRWs _ _— _ - :!`e. ., " F. -_ '[_ _ = ii,t<,.{;k iPMf. I f>Id,`"{-ft:,P+Ai'' 1. 'y>r. - - _ -yj ""- vS - •,Yi,' SIF t e "p', '1 "pti,(, .4r°` ___ - - - __£a= 1 r'4'"_ - ->t__ -=^}?_--"X14 fa, .il„ rC'IJ.n.=IQII!14 ifil`'}• __ __- - k{..- -'t"__ i,Jl i r. lr,f!:•?N.I ^v/i s it l}i.,1 01'7 1 'S§•, F6_ __ =may„Y .;}`,°_- ..}:}<: - r - - t': c'.id '.tJ ;'1'I' i Id sl. ?• ' `e.-_ _ - - - ;ai.l,: '/ I ,II' Ila<•i i' l,I u - S '- `- - • __ _ _____ _ -_'.''.('.'_- l;'11'1 iS'r"•,.:', .y. ,j.. l t_,"--- - __-- 4t....;",h' .t"4'.L l 't;" :at',, - - _ __- {;a. - - _- - ^ {'e o "„` ,:",'a _ ..,`•:`••'> .-`''rte ."-`a_' -_" ,--=> - .x. - ,1.4'fH''s _- - ii'0'0'3 7 S"2ti ' :0 2""L`4 0 54E'4 . 6'8 -0'04 5 0' 2 L"ii 0q0\ G Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 37801 Vendor Address Entered by ���14 Business Park Dr#8 Branford, CT 06405 Audit Date Progressive Benefit Solutions (PBS) AN 17 2017 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number � �6 PBS-HRA 12/31/2016 $2,055.99 $2,055.99 HIAA Total utilization Dec SM9060.8.000.000 37048 12/31/201 $90.00 $90.00 Monthly card administration (20) SM9060.8.000.000 $2,145.991 1 $2,145.99 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 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� Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title _Date 14 Business Park, #8 DATE: December 31, 2016 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2016 HRA Utitilization Invoice Bill To: Fishers Island Ferry District 'DESCRIPTION-.` HEALTH,REIM I§URSt!Vl ENT;PLAN,UTIL&ATioN' AIVIOUNT� Required Funding Health Reimbursement Total Utilization 2,055.99 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 2,0551.99 Progressive Benefit Solutions LLC Invoice 14 Business Park,#8 Date Invoice# Branford, CT 06405 12/31/2016 37048 Bill To Fishers Island Ferry District Attn: Gordon Murphy P.O.Box 607 Fishers Isle,NY 06390 P.O. No. Terms Project Upon Receipt Quantity Description Rate Amount 20 Monthly Benny Card Administration 4.50 90.00 January 2017 Invoice(Active Participants thru 12/31/2016) Total $90.00 f FISHERS ISLAND FERRY DISTRICT VENDOR 018571 DEANNA L ROSS \ 01/17/2017 CHECKr 3783 FUND& ACCOUNT P.O.# INVOICE DESCRIPTIION AMOUNT ' SM .5710.4.000.000 5 r SVCS TO BOC 12/5-12/29 230.00 ' TOTAL 230-.00 _ I 3. 1 \\ y <Sy?,Y•`>. . Wue.>.•.. e s'Efy:; :xY; •im'•.+y ,... \' , 1- c . I I I p._ _l J _ - -.f' -- - • `Yv ,. ,\,r ,.is 'I 'f'` ' _ 0 l'' :4; 'a'i`- ',."f,<f .,tt,aa:',• .a,, =.fli,, }, .t . ;;$` `.' 'i'y4' A' SOUTFIOLDi:NY>11971sQ959'.1 iJ,;,:.=tc';ih.,V;`'>t? '•k, C'IC'; NOr- Si;'€"d'.a''i," BANK °'u1"oui,,ATIONAL, .' a, _ N,S:. `'AMOUNT j:;''=,'t, Ir„t.,, ,I"J,,JI 11,d'a 'ji Id,,iin, :.:p : . _ _ _ti- X1,11 J•'°'tl I`'n's=;I 'r'' 'Sth'N , t , r. _ r - =1' — a`'z+ .r, i t°. °c JI nr.• ,hI',,,',,.,;€ 'tt,,r. '- - = '546/2,12" 0r"00., if: u4 _ .i,'`.,i`=`, '.t'< ,yt ''it;'• 1 n_'s >•>;'s `st"n ., >$ est= k _ •r'' ->.i^.i n nz.' >. ..f,..Y ie <`' Re''„✓a ", wa< i' r'< RT 0'/,'l00`1` .D, cLARS'' k"u 7 o>'t, 7 F €i TWO HUNDRED 'I'H Y,1:AND.',Q0Y, ,, _ , E s , j,. ,,^ "z.f yo, 4 : . - - n b',4 _ - - ttgn` J .,`fr1,1 ' ' ,sl,"` '1 - - ,Rq - '• t- a ' I'1 ' l , i a01 K0 Vendor No. Check No. Town of Southold, New York - Payment Voucher 18571 - 37Z3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 341 Fishers Island, NY 06390 Audit Date DEANNA L. ROSS JAN 17 2012 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 5 12/31/2011 $230.00 $230.00 Secretary services to BOC 12/5-29/16 SM5710.4.000.000 f t $230.00 $230.00 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 i Q/`l_ Signature / Company Name Fishers Island Ferry District Date 1/6/2017 Title Date 1 7 DEANNA ROSS INVOICE PO BOX 341 FISHERS ISLAND,NY 06390 INVOICE#5 DATE:12/31/2016 TO: FOR: FISHERS ISLAND FERRY DISTRICT FIFD SECRETARY SERVICES 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 DESCRIPTION HOURS RATE AMOUNT 12/5—PREPARE MINUTES FROM 11/28 BOC MEETING 3.5 20.00 70.00 12/12—REVIEW BOARD PACK 0.5 20.00 10.00 12/12—BOC MEETING 1.5 20.00 30.00 12/12—PREPARE AND SUBMIT APPROVED RESOLUTIONS FROM 12/12 1 20.00 20.00 12/23—PREPARE MINUTES FROM 12/12 BOC MEETING 4 20.00 80.00 12/26—BOC MEETING 0.5 20.00 10.00 /1,1%29—�IPREPARE MINUTES FROM 12/28 BOC MEETING 0.5 20.00 10.00 TOTAL 230.00 Make all checks payable to DEANNA ROSS THANK YOU FOR YOUR BUSINESS! - I 1 1 I I , • -1 , FISHERS ISLAND FERRY DISTRICT 1 / VENDOR 018752 PETER RUGG 01/17/2017 CHECK 3784 tl FUND & ACCOUNT P.O.# INVOICE , DESCRIPTION AMOUNT SM .5712.4.000.000 123016 ! '16 COMM MTG OCT—DEC(5) l 250.00 TOTAL •250.00 I -I K.>.•':::'..n,st f xv .. a ..ux,.. 4 xa.... . -..,}..,,.„.<r..e.< ce, - ...b.:A< ,. .'Y Yx••:,. t l :f:ibis o.3.•s r 3` ,,yx>• far >' +w''` '• it I I I __ _ -__- -__ -`_ ,, ^fin n, .,i 1. _=_` :'-=_- _ - -_- •':' ,!n'.%z.:'d n, ia,n= ny',,I"III• - n,<-_ e'_,°'' '.`z}= '„y - °' = •. - . >•'•_'<:- f: ,.'- I ERR` : D STRICT:`'<, t= -1 ', : :,, __ .,..A , =34°,.,ate; ;>'' : to,+ .-„; , :sk'ISHERS ST: •NDs F Y. ,I AUD'TT Z-o 1°%= 7. '•i.7 t x-5',, °%6'' m• `:f: , ;a '` :;^ `--.;;°:' ` ' , OX'1179,' 53095.MAINROAD;.POB ,yP,',- aa"s,. 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'Itr N 4 Fi i,y-- __ _- _" :-_ __,<:r•:,<,r.''' ,r Rt pn oA .r:lr', - - ____ __ _ ___<_ "-.J11-;-0 0 r3'- I:-a, 1:N1W3"' < iP1:1 ' Rr'Iw,' ,,4• x'1": [:j'__ 8s`(-- 0' -=.1(---5_0'2"•d\ = ,"J'4.°',....,'.'<^-b,F,uxIa e'.-_>Ln,n Got 'uh^; -. .. .:-,---._ • ._'-._„ --_--;ir ' , E'.5x.- t Lu■'' ;i -71 1Vendor No. Check No. York - Payment Voucher 18752 Town of Southold, New o y B:z Entered by Vendor Name 136 E.76TH STREET,APT 5A Audit Date Rugg, Peter NEW YORK, NY 10021 PIAN 17 2017 Vendor Telephone Number FY16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fuad and Account Number TIPEND 12/30/2016 $250.00 $250.00 Commission Meeting SM5712.4.000.000 " F Oct-Dec 2016 , E 5 Mtgs @$50/mtg I f t , i , $250.00 $250.00 11 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 chscrepancies noted,and payment is approved. Signature Evw� `t/►�/aC/�itl� Signature Company Name Fishers Island Ferry District_Date 1/6/2017 Title Date / / BOC Meetings 2016 $50.00 a meetings-" Meeting Date Rugg, _Peter) Parker, Harry Ahrens,Andrew Shillo, Di W Bloethe H Burnham 11-Oct-16 1 1 1 1 1 5 24-Oct-16 1 1 1 1 1 5 j 8-Nov-16 1 1 1 1 4 17-Nov-16 1 1 1 1 4 ,/ 26-Nov-16 1 1 1 1 4 28-Nov-16 1 1 1 1 1 5 2-Dec-16 1 1 1 3 ✓ 12-Dec-16 1 1 1 1 4 ✓/ 21-Dec-16 1 1 1 1 4 26-Dec-16 1 1 1 1 4 '/ 4Q16 $ 250 $ - $ 500 $ 450 $ 450 $ 450 $ 2,100 $ 2,100 Page 1 1\fiserv1lD$1FD Network Directory\BOC%2016 Meetings-Commissioner Stipends 26-12-16 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 11,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the Ferry District")to order on October 11, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe,Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane HansenDean.nha Ross and members of the public. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 24,2016 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on October 24, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe, Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen,,and"Deanna Ross. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 8,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 8, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham,and Dianna Shillo were present.Also in attendance were Gordon Murphy, RJ Burns,John Haney, Diane Hansen, Deanna Ross and members of the public. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. G Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 17, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on November 17,2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe and Heather Burnham were present.Also in attendance was Gordon Murphy. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 26, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of _ Commissioners of the Fishers Island Ferry District(the"Ferry District")to order on November 26, 2016 at 9:02 AM. Commissioners Heather Burnham, Dianna Shillo, and-Peter Rugg ere present.Also in attendance were Gordon Murphy and members of the public.Commissioner Bloethe was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 28, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 28,2016 at 4:32 PM. Commissioners William Bloethe, Heather Burnham, peterpRu and Dianna Shillo were resent.Also in r :,. - gl P attendance were Gordon Murphy, Diane Hansen, Deanna Ross and several members of the public. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Public Comment was deferred to later in the meeting under agenda item 10,section b,article i regarding The Lighthouse Works ("TLW")Annex proposal. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 2, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 2, 2016 at 8:21 AM. Commissioners Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy.Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 12, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on December 12,2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Peter-Rugg were present.Also in attendance were Gordon Murphy, Deanna Ross and members of the public. Manager Burns was in attendance via telephone. Commissioner Shillo was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 21, 2016 Commissioner Ahrens at the Fishers Island Community Center on Fishers Island called to order a meeting of the Board of commissioners of the Fishers Island Ferry District("Ferry District") on December 21,2016 at 3:36 PM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Rugg attended via the telephone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016—242 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 26, 2016 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 26, 2016 at 7:46 AM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016-246 RESOLVED,that the Board of Commissioners of the Fishers Island Ferry District hereby approves the Warrant dated December 26,2016,in the amount of$66,243.54 Moved by: Commissioner D Shillo Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W.Bloethe,H.Burnham,D.Shillo Nays:None Next Scheduled Meetings Next scheduled meeting is on January 9th at 4:30 pm with a 3:30 working session. Adjournment There being no further business to discuss, and on motion made by Commissioner W Bloethe, seconded by Commissioner A Ahrens,the meeting was adjourned at 7:50 AM. FISHERS ISLAND FERRY DISTRICT " VENDOR 019269 DIANNA L. SHILLO 01/17/2017 CHECK 3785 `FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT JSM .5712.4.000.000 \1 123116 116 COMM MTG OCT—DEC(9) 450.00 i TOTAL ( 450.00 cli fh La I / C"•••yL cYT:.hf . >5 i Oz ..R x :•Y. , y yr•':i':,•"•n """"ff xw "••• 3 'rct,s, t f I 1 1 1 i r ' ---- -------- -------- ---- - - ---"--- -' ' - -` ----- - - --'-- ---------------- - _--- •- - - -- - - • • • • • • A 's{ a'J'y `I'a,"'nil' r'i''u, 1',y II„' [ 5-i - _-_ .t,•A ^w • .i •.;%n -;i,-a. -c ,e,• r '__ ,•dk r;`, t- ,<. =, .r . a;,=,3=ts; nfy_>< r °>= °.E .FISHERS=IS ANU 'LItRYDI TR1;C .r-. 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"n■`. &0 t flo Vendor No. Check No. Town of Southold, New York - Payment Voucher 19269 3785 Vendor Address Entered by PO Box 161 ` Fishers Island, NY 06390 Audit Date Dianna Shillo JAN 17 2097 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ` STIPEND 12/31/2016 $450.00 $450.00 Commission Meeting SM5712.4.000.000 Oct-Dec 2016 9 @$50 per meeting $450.00 $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 excluded or discrepancies noted,and payment is approved. Signature C itle Signature ( / Company Name Fishers Island Ferry District Date 1/6/2017 Title `'=Date BOC Meetings 2016 $50.00 a meeting Meeting Date Rugg, Peter Parker, Harry Ahrens,Andrew ,Shillo Di W Bloethe H Burnham 11-Oct-16 1 1 1 1 1 5-✓ 24-Oct-16 1 1 1 1 1 5 j 8-Nov-16 1 1 1 1 4 / 17-Nov-16 1 1 1 1 4 ✓/ 26-Nov-16 1 1 1 1 4 28-Nov-16 1 1 1 1 1 5 2-Dec-16 1 1 1 3 12-Dec-16 1 1 1 1 4 ✓/ 21-Dec-16 1 1 1 1 4 26-Dec-16 1 1 1 1 4 4Q16 $ 250 $ - $ 500 $ 450 $ 450 $ 450 $ 2,100 h� $ 2,100 Page 1 \\fiservl\D$\FD Network Directory\BOC\2016 Meetings-Commissioner Stipends 26-12-16 1 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 11,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the Ferry District")to order on October 11,2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe, Peter Rugg and Heather Burnham were present.Also in .�"-��.�-yam attendance were Gordon Murphy, Diane Hansen, Deanna Ross and members of the public. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District October 24,2016 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on October 24, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe, Peter Rugg and Heather Burnham were present.Also in attendance were Gordon Murphy, Diane Hansen, and Deanna Ross. Manager RJ Burns was present via telephone. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 8,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the"Ferry District")to order on November 8, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham,and Dianna Shillo were present.Also in attendance were Gordon Murphy, RJ Bums,John Haney, Diane Hansen, Deanna Ross and members of the public. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 17, 2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on November 17, 2016 at 4:30 PM. Commissioners Dianna Shillo,William Bloethe and Heather Burnham were present.Also in attendance was Gordon Murphy. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 26, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of - Commissioners of the Fishers Island Ferry District(the "Ferry District")to order on November 26, 2016 at 9:02 AM. Commissioners Heather Burnham, Dianna Shillo,and Peter Rugg were present.Also in attendance were Gordon Murphy and members of the public. Commissioner Bloethe was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District November 28, 2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District(the "Ferry District")to order'on November 28,2016 at 4:32 PM. Commissioners William Bloethe, Heather Burnham, Peter Rugg and Dianna Shillo were present.Also in attendance were Gordon Murphy, Diane Hansen, Deanna Ross and several members of the public. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment Manager Murphy reported no correspondence was received. Public Comment was deferred to later in the meeting under agenda item 10,section b,article i regarding The Lighthouse Works ("TLW")Annex proposal. f� Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 2,2016 Commissioner Ahrens at the Fishers Island Ferry District's business office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District")on December 2, 2016 at 8:21 AM. Commissioners Dianna,-Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy.Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 12,2016 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on December 12, 2016 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy, Deanna Ross and members of the public. Manager Burns was in attendance via telephone. Commissioner Shillo was absent. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 21,2016 Commissioner Ahrens at the Fishers Island Community Center on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on December 21,2016 at 3:36 PM. Commissioners He Burnham,Dianna Shillo and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Rugg attended via the telephone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016—242 1 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District December 26,2016 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on December 26,2016 at 7:46 AM. Commissioners Heather Burnham, Dianna Shillo and William Bloethe were in attendance.Also in -° attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. RESOLUTION 2016- 246 RESOLVED,that the Board of Commissioners of the Fishers Island Ferry District hereby approves the Warrant dated December 26,2016,in the amount of$66,243.54 Moved by: Commissioner D Shillo Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W.Bloethe,H. Burnham,D.Shillo Nays:None Next Scheduled Meetings Next scheduled meeting is on January 9th at 4:30 pm with a 3:30 working session. Adjournment There being no further business to discuss,and on motion made by Commissioner W Bloethe, seconded by Commissioner A Ahrens,the meeting was adjourned at 7:50 AM. =--------- ------------- -- -- -------- ----------- - --- ----- -- -- -- , ' FISHERS ISLAND FERRY DISTRICT VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 01/17/2017' CHECK 3786 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM) .571 000.000 3290388126 STATEMENT CREDIT 3.28— SM .5711.4.000.000 - 3290936352 STATEMENT CREDIT 16.87— SM, .5711.4.000`000 3292203384 STATEMENT CREDIT 1\ 14.75— SM .5711.4.000.000 ! 3324405557 FI— (2)YMCK0 RIBBONS 68.22 SM .5711.4.000.000 3324405562 FILE FOLDERS,FLASH DRIVE 26\\3-9f SM .5711.4.000.000 3325438491 ,PAPER,FILES,COMRSSD GAS 79.89 r- r I I '- TOTAL 139.60 J •,.•.•*.vv \ ,•.Frey .::p.:-: i r ; I I, I - - - -------- -- -" - -- ------ -°-' _______ ___ -3E=° - .I'r' ' °ny;,ki",1 r•, _°_ _-____ ____ __'__ 6,`p II,hF !;„'a,'1 , `L,,1 ;u•• sns?x:RG•iv::=• = - - _,!}_;_- ni.., _ ,, .>ai: ,;t • , -,,,F-rFIBS' 5-ISI 9ND`=FE ZR'Y;DIS?'R•"ICT,.',°=.5 Auv T{ r0-1317/117¢ ;,•t, °'r:, i` '.>53095.MAIN,ROAD,,FO,BOX 1'179,9y.>r.:r.-^=^ ,?- :q,• ^ °•,v” " 5.'` 'SOUTHOL•Dt1 Yi11 .71;0959 ".t',€, `t;n ,`' ';"'t^,` :sr.a"Ys , h, 1,. a - C'FiEC,ICIQO. 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E'8J _ \a �LJ I Vendor No. Check No. Town of Southold, New York - Payment Vouchei 19711 3736 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY PO Box 415256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 JAN 17 2017 Vendor Telephone Number 888-753-4107 Town Clerk Vendor Contact 0, Invoice Invoice Invoice Net rchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number Fid-t- 3324405562 12/17/2016 $26.39 $26.39 FI office su lies_V-&r Mb 9 ri v- SM5711.4.000.000 3324405557 12/17/2016 $68.22 $68.22 FI YMCKO ribbon a SM5711.4.000.000 F �'Cor*rp 3325438491 12/31/2016 $79.89 $79.89 FI office suplies Lgra,F; SM5711.4.000.000 3290388126 1/22/2016 -$3.28 k$3.28,1 statement credit SM5711.4.000.000 3290936352 1/28/2016 $16.87 416. statement credit, SM5711.4.000.000 3292203384 2/4/2016 -$14.75 $14.7 statement credit SM5711.4.000.000 $139.60 $139.60 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature ' �Fitle Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date -STAPLES INVOICE DATE "CUSTOMER ' SUMMARY INVOICE * Business Advantage 12/17/16 NYC 1032952 8042277562 PLEASE PATBY :TERMS„ AMOUNT DUE 1/16/17 Net 30 Days 94.61 INVOICE DETAIL Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT _ FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: DIANE HANSEN PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr 5140 Invoice Number: 3324405562 Budget Ctr Desc: order 7167569011-000-001 P O Number FISHERS ISLAND - DIANE ordered By DIANE HANSEN P 0 Desc Order Date 12/12/16 Release Release Desc order order B/o unit ship unit extended Line Item Number Description Qty Qty Meas Qty Price Price 1 116657 3-TAB FLDR LTR MANILA 100 1 0 BX 1 7.14 7.14 2 478887 BOX FILE LTR/LGL WHITE 12/CT 1 0 CT 1 14.92 14.92 3 1610371 SPLS 16GB EDLP FLASH DRIVE 2.0 1 0 EA 1 4.33 4.33 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 26.39 Total: 26.39 customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to staples contract & commercial, Dept NY PO Box 415256, Boston MA 02241-5256 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please dial (877)285-8852. arsT'Om No.. �H�� p�� 09DIP. 90. 0001032952 112/12116 7167569011-000001 VMCHAii"6RDER 90. RELM98 90. • FISHERS ISLAND - DIA Ore HAPPEN COST CD=BR RZOVI S IT'IO1 R :AKE 1115140 Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 FISHERS ISLAND FERRY DISTRICT DIANE HANSEN FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR L PO BOX 607 FISHERS ISLAND, NY 06390 P ##PC67296 Contact: (631) 788-7463 - DIANE HANSEN FISHERS ISLAND, NY 063900607 0 PAGE: 1 CZAL INSTRUCTIONS •/`� v'� THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS e BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. XTEi� CTt Ntib�$1SM / TI�)t31�ar QTY QTY Bea qGy M2$CAXVT10X i XM4339t qBX opms m gHT30m 116657 3- FLDR LTR MANILA 100 / 6657 1 1 0 478887OX FILE LTR/LGL WHITE 12/CT /00703 1 1 0 1610371 S LS 16GB EDLP FLASH DRIVE 2.0/28204 EA 1 1 0 2495724 NOVEMBER PROMOTIONAL MKTG INST/2495724 EA 1 1 0 1442905 PROMOTIONAL MARKETING INSERT /1442903 EA 1 1 0 Check your order status online by selecting My Order Status from the eviewe My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 12/17/16 NYC 1032952 8042277562 PLEASE PAYBY ' TERMS AMOUNT DUE 1/16/17 Net 30 Days 94.61 1"010E DETAIL staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr 5140 invoice Number: 3324405557 Budget Ctr Desc: order 151524590-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc order Date 12/12/16 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 IM1RG7423 YMCKO RIBBON ZXP1 100 IMAGES 2 0 EA 2 34.11 68.22 Freight: .00 Tax:( .0000 %) .00 sub-Total: 68.22 Total: 68.22' Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to staples contract & Commercial, Dept NY PO Box 415256, Boston MA 02241-5256 STAPLES CONTRACT/COMMERCIAL DBA STAPLES TECHNOLOGY SOLUTIONS 500 STAPLES DR FRAMINGHAM MA 01702-4474 NEED TO RETURN SOMETHING? TO RETURN OR EXCHANGE ITEMS ONLINE PLEASE VISIT x.: 7'7� Mp ((1oreHAPPEN' WWW.STAPLESADVANTAGE.COM THEN .. �NJ �} CLICK ON 'MY ORDERS' GORDON MURPHY FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DR FISHERS ISLAND NY 06390 �L 12/12/2016 UPS GROUND FI-TERMINAL CUXE72 4 Line PO Qty Qty Item# Description/Model No. Nbr Line Order Ship REQ DEL DATE:20161225 BUYER:Melissa Yahm , 4 2 2 52 YMCKO RIBBON 2:XP1 100 IMAGES MC#C BLOCK ITEM WAS OVERRIDDEN YMCKO RIBBON ZXP1 100 IMAGES 1 EU#-003775548 FISHERS ISLAND FERRY I MISSING ITEMS? - - YOUR ORDER MAY ARRIVE IN MULTIPLE SHIPMENTS. CHECK THE STATUS ORYOUR G'IDER BY VISITING 'MY ORDERS'ON WWW.STAPLESADVANTAGE.COM. IF YOU HAVE QUESTIONS ABOUT YOUR ORDER,CONTACT SUPPORT@STAPLESADVANTAGE.COM OR 877-826-7755 Trk Nbrs: 1ZE370580344667169 Total Quantity Shipped: 2 Total Cartons Shipped: 1 Page: 1' Dest: USMLCTRL09L SID: 60-LDMW9-11 PC: 1 STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 12/31/16 NYC 1032952 8042453674 PLEASE PAY BY TERMS AMOUNT DUE 1/30/17 Net 30 Days 79.89 INVOICEDETAm staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN.- ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 Invoice Number: 3325438491 Budget Ctr Desc: Order 7168316363-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc order Date 12/26/16 Release Release Desc order order B/o Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 490935 PASTELS 8.5X11 PINK PAPER RM 2 0 RM 2 5.61 11.22 2 744100 STPLS HEAVY WEIGHT 3TAB MAN 50 1 0 BX 1 7.36 7.36 3 135848 STAPLES 8.5X11 COPY CS 1 0 CT 1 46.72 46.72 4 712332 COMPRESSED GAS 1002.-2PK 1 0 PK 1 14.59 14.59 Freight: .00 Tax:C .0000 %) .00 sub-Total: 79.89 Total: 79.89 Customer service inquiries # 877-826-7755 invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to staples contract & commercial, Dept NY Po Box 415256, Boston MA 02241-5256 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL IN UIRIES please dial (877)285-8852. OUSTOMER NO. SHIP paw ORDER; 00 0001032952 112127116 7168316363-000001 ST ' �'t Z{.HAAa ODDER SG. FI TERMINAL COST CRNTER RZOMSITIONS. MAKE r 1OteHAPPEN_ Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 FISHERS ISLAND FERRY DISTRICT GORDON MURPHY 0 FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 2 261 TRUMBULL DR Ta PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 T Contact: (631) 788-7463 - GORDON MURPHY T FISHERS ISLAND, NY 063900607 PAGE: 1 SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. QTY eTY i Nf MsESORIPTION l� �MBER y 01MEMM sx fQR= 1 490935 PASTELS 8.5X11 PINK PAPER RM /14779 / RM 2 2 0 2 744100 STPLS HEAVY WEIGHT 3TAB MAN 50/16719 i� BX 1 1 0 3 135848 STAPLES 8.5X11 COPY CS /135848 WH CT 1 1 0 4 712332 COMPRESSED GAS 10OZ.-2PK /50-10522 PK 1 1 0 Material Safety Data Sheets (MSDS) may be found by visiting http://sds.E tar les.com/ sds/712332.pdf 5 1442905 PROMOTIONAL MARKETING INSERT /1442903 EA 1 1 0 Check your order status online by News selecting My Order Status from the a Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. Diane Hansen From: Gordon Murphy Sent: Tuesday, December 20, 2016 8:36 AM To: Accounting Department Subject: FW: Message from Staples for FISHERS ISLAND FERRY DISTRICT,Account# NY1017907 FYI- From: CSAccountsReceivable fmaiIto:CSAccountsReceivable@staples.coml Sent: Tuesday, December 20, 2016 8:34 AM To: Gordon Murphy Subject: Message from Staples for FISHERS ISLAND FERRY DISTRICT, Account # NY1017907 Staples, Inc. Customer Service Representative +1 888-753-4103- CSAccountsReceivable@staples . com FISHERS ISLAND FERRY DISTRICT Accounts Payable Gordon Murphy 261 TRUMBULL DR FISHERS ISLAND, NY 06390 Fax: Email : gmurphy@fiferry. com December 20, 2016 STATEMENT OF ACCOUNT FISHERS ISLAND FERRY DISTRICT Account # NY1017907 Dear Gordon: Please review the open items listed below for account NY1017907 and remit payment for any past due invoices . Our remittance address is : Staples Business Advantage Dept. NY P.O. Box 415256 Boston, MA 02241-5256 Should your account have a credit balance, please respond to this message to instruct us on how you would like to clear the credits from your account. You may also apply the credits to open invoices by referencing them on your next payment. If you have questions or need copies of your invoices, please call +1 888- 1 � o 5 753-4103- or respond via email at CSAccountsReceivable@staples . com For any returns, shortages, and/or delivery issues, please call the Order Customer Service Department at 1-877-826-7755 . If your payment has already been processed, please disregard this notice . We appreciate your prompt attention and thank you for doing business with Staples ! Invoice Invoice Invoice Due Date Balance P. Reference Date 3290388126 1/22/16 2/21/16 (3 .28) D HANSEN 3290936352 1/28/16 2/27/16 (16. 87) 19 JAN 2016 32922033842/4/16 3/5/16 (14 . 75) ISLAND SUPPLIES 3320510369 8041704178 . 11/5/16 12/5/16 109 . 19 NLT 3323224449 8042082873t"12/3/16 1/2/17 107 . 02 FI TERMINAL 3324405557_✓ 8042277562 12/17/16 1/16/17 68 .22 FI TERMINAL 3324405562.,J8042277562 12/17/16 1/16/17 26 . 39 FISHERS ISLAND - ------------------------ ------------------------ Overdue: $74 . 29 Total : $275 . 92 Sincerely, Customer Service Representative, Credit & Collections Phone: +1 888-753-4103- Fax:+l 800-480-7339- Email : CSAccountsReceivable@staples . com -------------------------------------------------------------------------- -------------------------------------------------------------------------- FISHERS ISLAND FERRY DISTRICT Account NY1017907 To better service your account; please update the following contact information and send it to CSAccountsReceivable@staples . com. Thank you. Primary AP Contact: Gordon Murphy Update : Email : gmurphy@fiferry. com Update : Phone: +93 631-788-7463- Update : Fax: Update: 760 .F234 z r -- ------ '---------- -' -- - -- - ---- - ------ -' FISHERS ISLAND FERRY DISTRICT \\ ' VENDOR .03128 BETH STERN 01/17/2017 CHECK 3787 FUND,& ACCOUNT` P.O.# INVOICE DESCRIPTION "AMOUNT SM .1930.4.000.000 / 123116 REIMB—VEHICLE DAMAGE 976243 } TOTAL 976.43 1 r r- 11 , r ., mac.•' 8 a• - 1 I I / r / i ' 1 S • - • • - s - • e • • • - e - ___ - -- - -- __"-_ ,C,• tl 4° ./iu ';ryif.y ___" ..=_ - -:4'= 1i ,'ll' t'' ;,I" '1 i'I 'n,'' ';ti rWz --_ _ - __ _- _ -i i'< , ` - , ✓a - __ _ ,,.;.4 i `I rlyJ,'tr .L, ','y`s.I . 'tf•:l`,,.df y:.✓ :.f.`v^ ^4 . 1 2 -- -.,_ - =< s ;;; :-f':=, ':, ,• HERS2=7S,A'ND- RERRYDIS7- rCT. _ : 'l`v,'. `re't"° `s '•x'a• `t,, "•5 ,53095=MAIN'ROAD2 P0,-BOX'1.1'79. r.f; `s:` 4i..' .tk '+,SOUTHOLDtNY 111971:-0959 rd x7: - .' ", '" •..ter`; .,1 c - ---_ -- : --_ . 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K ,3',,1.F ,3 : qa ,.>'; 2. ,"_ ,' ,'`,;`` L"` .ri •'f'.f'1' .a€ J a },'b a. ,s:,.` Z ,!_;'i-.'.,; '..s•Y,'='r', ., -— r t, ' -- r i .. + ;,Jai':/`1,.;_=i,"_`_,°;,__ v _ _-,.$., - `:£v =.# 'f'•3'i 'P i'I' 'i 'il, 'I'i°c, - i3 - `4>ix:et ",V' 1.,11 I t,1"t rli"1'• Itl C _ _ _ - - , i'"-- -- - ,p,• j;2', I r" : 'I 1 I I _- = - -- - ,fi ;1 ' 1' t = - - - - " _ - i✓ -__ ___ __ ___ __- _ - a:_ - -- = _ --,*'s'1• ,N,4 i a '2''x c3>, -">3;n`s - _ 1 "-_ __--=-r - - - .,4. .,k,''o•y r"v'„ t,i'ror?:r,_ _-.r:.-=d'- }/,t-:J,:.,_y, pwx. _ lo, , , , ': ':-'-- s --_ .-- r--': ,w, 711- 'is 0 2' '4 0._5 4 6 4 : '6 8 0 0 L 5'0'-2 L`il Vendor No. Check No. Town of Southold, New York - Payment Voucher ® Oslo Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box%6 5-7(o One-time vendor Audit Date Beth Stern Fishers Island, NY 06390 JAN 17 2017 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 10231\� lze�%rnb REIMBURSE 12/31/2016 $976.43 $976.43 vehicle damage SM1930.4.000.000 F ,T j $976.43 $976.43 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 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 CAn� a Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title 0� Date I / `/ L CAR SERVICE INC. dba GIRARD MOTORS 543 Colman Sireal NEIN LONDON,CT.06320 Tei, (860)437-7455 dd�Jdd �° CELL.,__,8;45•=7.28-:15) 3 '1;•C. Il: ._,,. _...._ I(IJ�E'i Ian' .'J•!,I,J 1579; 2102 12/30_/16 TOCB272080 6195 -----699--- 95 -- _ -- - --- - REBEKI<A SOMERA -____ _ - -• ---•• - - - _ -99 ,MPX'i"ni' ri,..t`:;1 `I(s ,x•I in'.F I/ I4 , i 0 BETH STERN -.__ _ ' ` ;rl;•;I l,,r,s; clll � r rsr ianKr:lacnt_'_ •-- ; PO BOX 576 I12/FORD TRUCK/EXPEDITION/4DR 4WD LTmv D FISHERS ISLAND, ( 1FM3U2A5118CEF62102 __ _----___ _-- - - -- o12r" MCI: R.4.,{I LTJ• n _ H A`_ r' ';wt,-'^:•.r,,u`;',fa v A�r� �.. -y.,,,E.�',F.,y+, JL 5/•`` - �t`'`�°i'' 9k� `^t'-,i{°x'km,.1-.��A'(,7��1:,`'!>�i11 :Y i ;' 4Y:t1;•"• k'.VZ �.ci_.al"Cx c• iS.U.•t46�f':13;T}v,;.-i: 5 i'xt.4\ Thank k you, 'r ,:?1't3�i;F,O"L•1�3;I;��.,�<«,'�'t�r��E.�s�ST'/3�IfAT�.<'.,;��:.•,r.:r.5.�l�O�II���F.,' ,y:, , CUSTOMER STATES REPAIR PER ESTIMATE PRIOR REAR BUMPER EST/NEW RT REAR BUMPER DAMAGE for your business. PARTS......QTY...FP-NUMBER---• •••••DESCRIPTION--_---•-••-••••••••.•UNIT PRICE- 371 53 " JOB # 1 1 P049676 W/C/FORD 668329 JOB # 1 TOTAL PARTS3 371.53 We appreciate yol..l! JOB # 1 TOTAL LABOR & PARTS 918 13 I patronage rA Cl d .................................I................................................................... 1 W8lCC7f 10 yourI ESTIMATE......................................................... CUSTOMER HEREBY ACKNOWLEDGES RECEIVING ORIGINAL ESTIMATE OF $976.43 (+TAX) .............. questions, comment-, I TOTALS ........................................................................... i TOTAL LABOR.... 546.60 'Thank you for choosing Girard Toyota / BMW of New London T,OTkL'PARTS..•• - 371.53 We pride ours�]ves_nn_pprouiding-Truly Exceptionalervice~~ -'� TOTAL SUBLET... 0.00 — I f_, you 3o not feel' 100X Satisfied with your serva ce TOTAL G.O.G.... 0.00 experience, please contact our Service Manager TOTAL MISC CHG. 0.00 at (860) 447.3141 TOTAL MISC DISC X8.3 9. 39 TOTAL TAX...... ' ), / TOTAL INVOICE$ 976.43 bf your vehicle is approching the end of its maintenance warranty, please see your Client Advisor or Service Advisor about upgrading for continued maintenance coverage, _ www•FaceBook.com/GirardToyotaCT www.FaceBook.c m/BMWNewLondon www.Twitter.com/BMWNewLondon URE I 1 I f , l PAGE 1 OF 1 CUSTOMER COPY I END OF INVOICE ] 08 46arn t=.r, •o i63iC:C�i:cC 14t1)13t:-064'1 ._ .`___ ......,._...._.--....... FISHERS ISLAND FERRY RY DIS'T'RICT DAMAGE/ACCIDENT REPORT J Date of Occurance: $ -btc_ (, Time of Occurance: 1r�,yo Vessel: �y�wnnc,�c.w�Cti Trip: Captain: Crew Involved: C�,c,S• 1� Weather and Sea Conditions: Vehicle.Description: Manufacturer: hr,�„� ►������ Year: 1-�,o Model: o Color: Cved� E Owner Identification: Name: —Y: . �e�� Address: ,a Phone: F1 Phone:..--,,71-/,JCS Provide detailed account of incident including accurate description of damage, how it`occurred, burden of blame, witnesses, etc.. v, \CN�U \C-m r cy ,. �'� oto ` \N-T- �� c�� 1 (�,t nth oF�•Z. �-fi' ov K\,o, cr, �.. to � `c 5�,�� Vti4.�c,1�C c•C�cwc� -'r© C, Gordon Murphy From: Beth Stern <figaiabeth@gmail.com> Sent: Friday,January 06, 2017 9:19 AM To: Gordon Murphy; RJ Burns Subject: Expedition Attachments: EXPEDITION DAMAGE.pdf Happy New Year. In August 2016, while being parked on the ferry some;damage was done to the left side bumper on my Expidition . Though I never went ahead with the repair I have attached the estimate from that incident. In December 2016, there was an incident which caused damage to the right side bumper of the same vehicle. Attached is the paid invoice to repair both incidents (one bumper) . Please let me know when I can expect reimbursement for $976.43. I mention the first incident so that you understand the,words "prior rear bumper estimate/new RT rear bumper damage" on the invoice. Thank you, Beth Beth I I i CAR SERVICE COLLISION warkele ID tO 543 COLMAN SPREE(', NRV LONDON, CI-06320 ac2dN FedeiallD; 06076126.?6.?5?_ Phone; (860) 437-2455 FAX: (860)437-6593 Pr,elimilnaeV�stirnlate CuStOmer; STERN, BtTH Written By' pave Smith lob Number, Insured: STERN,BM•I 1YPP Date of Loss: f Claim 41: Point OFlml)ict; Date of Loss: Days to Repair- 0 Owner; STERN,BETH InsPection Location: CAR SERVICE COLLISION Insurance Company: PU BOX 5/6 ' FISHERS 543 COLMAN STREET NEW LONDON,CT 06320 Repair Facility (660)437-2455 Buslncss VENICLEE - - - 2012 FORD EXPEDITION 4X,1 LIMITED ID UTV 8-5.4L-FI r VLv: 1FMJU2A58CEF6210J. Interior t::olor: License: Exteriur Colo;. hhieage In., Vehicle out; Statc: PrOdIlWon Date; Miloagn Out: Condition: Joh;r; TRANSMISSION WOod Interior Trim ALlt0MaLc Transmission CONVENIENCE Search,�Seek Leather Seats Overdrive Air Condltloning CD Player 1.100ted Seats 4 Wheel Drive Auxiliary Audio Connection I1terrnittent Wipers Rear'Heated Sears POWER Tilt Wheel premium Radio Ventilated Seats Power Steering Satellite Radio Pourer Third Scar Glul-sr Coiltro' SAFETY Power Brakes Rear Defogger WHEELS Power Windows Keyless FEntry DFrvers Side Air Bag AFuminurn/Alloy Wheels POPassenger Air Bag Locks Alarm PAINT Power Mirrors Antl-Lock Wakes(4) Message Center Clear Coat Paint Heated Mirrors 4 Wheel Dlsc Brakes OTHER Steering Wheel Touch Controls Power Driver Seat Rear WinaT} r'hon Control ow Willer Fog Lamps Cl Power Passenger Seat t011ity Control Signal Integrated Mirrcrs imate Control S rMemOry page Fr ont Side Impact Air Bads Dual Alr'Condition Power Adjustable Pedals HeadJCurtaN TRUCK Air bags Tral!er Hitch Backup Camera yr/Parking Sonors Hahcis Free Device DECOR Home lank Tiailering Package Dual Mirrors RADIO RoRunning,OF Rung Boards/Sroe Supe Privacy Glass AM Radio W9gage/Roof Rack Power Trunk/Gate Release Console/Storage FM Radio SEATS stioet Sean 9/itiJ7,01G i1;DS:36All 308194 Paya Preliminary i stimate customer:STERN, BETH 2012 FORD EXPEDITION 4X4 LIMrM[)40 UTV 8-5.41,-FI JOb Number: Overhead Console Stereo RecUn:ng/Launge Seats 9/11/2016 11.05;36 AM 30849, Page z s Preliminary Estimate CUStomer:STERN, 13ETH 2012 FORD EXPEDUION 4X4 LIMITED 4fj UTV 8 5.41.fl Job Number: Line Oper - Description Partumber'- -— N Rty Extended Laborpaint 1 RI~AR BUMPER - - _ Primo 2 Rpr Bumper cover wjo park sensor _ 119"whl base 3 0,/1-1 bumper asst' 4 Repl Add for rcverse sen,; 2,1 5 Subl Hazardous va,te removal 1 0.2 b # 1 4.00 T Color [int/color match 7 # Rep' Flex additive 1 1.0 8 4 w Repf A/M Fasteners/rivet, 1 25.00 T 1 20.00 T SUBTOTALS _ 49,00 S,g 0.0 ESTIMATE TOTALS Category--------- Parts Basis Race Cost Body Labor 0 UO Budy Supplies 5.3 hrs @ r 55.00/hr 291.50 Miscalianeous 2.2 hrs (a) $24.00 Jhr 52,80 Subtotal •10.00 Sales Tax .393.30 Grand Total —__ 393i30 6.3500% 24.1;7 Deductlhla - -r-- -- 418,27 CUSTOMER PAY 0.00 YNSURAryCe-7PAY _ �~ 0.00 418.27 NOTICE: YOU HAVE THE RIGHT TO CHOOSE THE LICENSED REPAIR SHOP WHERE THE DAMAGE TO Y VEHICLE WILL,BE REPAIRED, OUR MOTOR NOTICE *1kxx�* r :rr�kxvf* k*xw�::rY. **ti;�� THIS REPAIR ESTIMATE IS BASED IN PART ON THE USE OF REPLACEMENT PARTS WHICH ARE NOT MADE 13Y THL- ORIGINAL MANUFACTURER OF THE DAMAGED PARTS IN YOUR MOTOR VEHICLE. 9/14/2016 12.05:36 AN 3084'94 Pare 3 Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Thursday,January 12, 2017 3:27 PM To: Arena, Laura;Gordon Murphy Cc: Whitecavage, Diana; Cushman,John Subject: RE: Stern Voucher Yes, quite right, PO Box 576,thank you for catching that. I will hand correct our copy, please hand-correct your original. Thanks! From: Arena, Laura [mailto:lauraa@southoldtownny.gov] Sent: Thursday,January 12, 2017 3:12 PM To: Diane Hansen; Gordon Murphy Cc: Whitecavage, Diana; Cushman, John Subject: Stern Voucher Hi Diane, Please see attached. The voucher states Beth Stern's address as PO Box 546. The invoice has PO Box 576. Please advise which is the correct address. Thank You, La u ra1A;-e vi a1 Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 1 =--_--- I [ ----------- it I ' FISHERS ISLAND FERRY DISTRICT I VENDOR 019823 SULLY'S MOBIL MART 01/17/20171 CHECK 3788 FUND & ACCOUNT 'P.O.# INVOICE DESCRIPTION AMOUNT\ SM '.5710:2.000.200 558790 15.7 GAL RNTL MINIVAN 39'.97 8M/.5710.2-.000.200 571329 8.8 GAL RNTL MINIVAN 22.8'0 SM .5710.2.000.200 571416 12.795 GAL RNTL MINIVAN 33.00 SM .5710.2.000.20'0' ~' 5714'84 15..896 GAZ RNTL MINIVAN 41.'00 I r \ - • TOTAL 136.77 I , cli `.... is .._. t1',??t'r:tc.;J.ssxw< .-..,-._..F, .r."..,._ _,.,.,,<... .>. .,,r`` ', J,r,• I i V..jf❖. 5' u LYr'' y u t a a =3, r '•'d`N 4a o " ai t - - - ' - - - - 6 - . ■ - . ." ■ '__ .---.___ .at7by; C '' -'ec"{,L.l^e-."3Rd5x£°4°-t'mosi°'4. ', i ,mP.b.E;Iy.Nfi.•r':t=k_E'f.`'-.t.t,r..,tFt.a":r i4}..rt =,, x;;t'-f; 'p,_:'%aa¢'....},`s,::,'s."' •t:."as.IS5OUT'OLDi, Y;',119;,77=0„959j'1F1_`E7.,_9R." 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L 5 0`2` .:',rv „1`, ii■=b 0`3= 8,F8'ii 0 0 L"u■Y„.. 9,C) l Vendor No. Check No. Town of Southold, New York - Payment Voucher 19323 3 Aa Vendor Address Entered by 382 Vauxhall Street Vendor Name Neter London, CT 06320 AuditDatJAN 17 2017 Sully's Mobil Vendor Telephone Number 860-443-5938 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 558790 12/22/2016 $39.97 $39.97 15.7 gal Rental Mini Van gas SM5710.2.000.200 j 571329 12/27/2016 $22.80 $22.80 8.8 gal Rental Mini Van gas SM5710.2.000.200 571416 12/29/2016 $33.00 $33.00 12.795 gal Rental Mini Van gas SM5710.2.000.200 571484 12/30/2016 $41.00 $41.00 15.896 gal Rental Mini Van gas SM5710.2.000.200 $136.771 1 $136.77 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 C itle Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date Sully's Mobil Mart Statement 382 Vauxhall Street ` New London, CT 06320 Date Phone: 860 443-5938 1/1/2017 Fishers Island Ferry Dist. P.O.Box 607 Fishers Island,NY 06390-0607 Terms Amount Due Amount Enc. l Net 30 $265.65 Date nsaction Amount Balance 11/30/2016 Balance forward 65.38 12/02/2016 INV#570096. �"L�''°� �`' 38.57 103.95 12/06/2016 INV#558612. 41.11 145.06 12/07/2016 INV#570531. 40.16 185.22 12/11/2016 INV#558658.�13 24.00 209.22 12/14/2016 INV#558742. �1-3�`� 18.51 227.73 12/15/2016 INV#571210A\51 f `� 45.50 273.23 12/19/2016 INV#571139.`/ 3 � '� 40.87 314.10 12/22/2016 INV#558790. 39.97 354.07 12/27/2016 INV#571329. \ 22.80 376.87 12/27/2016 PMT -185.22 191.65 12/29/2016 INV#571416. 33.00 224.65 12/30/2016 INV#571484 41.00 265.65 1_7If 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE - DUE DUE PAST DUE AMOUNT DUE 265.65 0.00 0.00 0.00 0.00 $265.65 All accounts are due in 30 days. Please pay promptly. r SURIT'S VVIOML St LLTS NOBEL C 382 Vauxhall Street ` n l�, ° 3S2'Jao�xhal!Street �J � New London, C i 06320 �+���� I fvew Loudon, CT 06320 (860) 443-5938 �� -� (860) -3938 SOLD BY DATE S�]1.D.,BY DATE •-, NAME i jp� p6/ ( T - 7 M \ N SNE ADDRESS -"`� _ ADDRESS 4,0 CASH COD CHARGE ON ACCT. CASH C O.D CHARGE ON ACCT Gals. Gasolin e P.O. # P.O. _ . .. StockS$�Dck RECEIVED BY RECEIVED BYjf 4bill All claims and returned goods MUST be accompanied by this bill All claims&`rfd returned goods MUST be accompanie rhan 558790 'You 571329 `You e3�ULE��d MOBIL r+ SLuJl�t�ll CEJ NENSOL Q � ���� 382 VauA- al! Street _` i RrR,� 382 vauxhall Street P��7 - 00 `if] New London, CT 06320 Yi- �1�ti���t1� New London, CT 06320 (864) "an-6938 -s (860) 443-5938 s t +� r SOLD BY T~ d DATE ` o �+ agp�`- �dt NAME�'�' -.-�^' _.ry` e6i ' NAME { Lt—� 3i ��°L,� _ !/'``C - �S „ ` Y ADDRESS FU a A 5 _ ADDRESS - - - - - -- - CASH I COD I CHARGE ON ACCT CASH I O D I HARGE ON ACCT t P.O., . `��S P.O. # _ .... Stgck - F. Stock RECEIVED BY _ _ < RECEIVED B 1)z All claims and returned goods MUST be accompanied by this billAll claims nd returned goods MUST be accompanied by this bell `The j `Thank 571416 `You 571484 `You i I I r II , I I I I -I , ' I I I '-=--------_I •''----------' '---------- FISHERS ISLAND FERRYDISTRICT VENDOR 020230 THAMES SHIPYARD & REPAIR CO. 01/17/2017 CHECK 3789 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 9742 RP`'STEERNG PRTS-7/23;9/6 156.33' \ TOTAL 156.33 N , ...', - _w.. .. ,_. .. , ., fir. _'•. .. ..':-r:.ra:.. ,•;:a:(..: s J \F ---- Jp---•- " :--> ^_, .o ..>•t°c: v ,`z." ... x Vis),..t. • , r I _ Y I , ' - _- TTTTDZT'..o` .',,;> `r a ;.s,l Jr- _ '°< :',°• `' ..' °' ;'53095,M7\IN ROAD;,P.0,60X 1,179'-::',,,-: :Ii n tv t F ' ,}, >r't' >SOUTHOLD}NYr;1;1'971_ '09, 9` ,;+`, - 1'•` _ _ >r' _ 0`c= -ctiA- '- 'CE ECK 1 - „1, r ul `.;,'" Y}'I ,v1'ut, THEISUF, OLK'C0.NQTIONQL'BANK -DATE, NI x.1 \ I.or „yd, __' - - - - sl 6y ,d'A llt r• , ,1, iI'y" __ - {' - - _ }` }111, +'l'Ir ,- °;' ; . a` : • „= i,'' z'0l 50-546%214:;a s: J'i;' .{ • 1 Q .'++`,t; q, ''ONEl',`tH_U_NDRED''F,IFT,Y,.,SI AND i 33 10 0'",:DOLL, - v , a >/A, _ --_ = __ __ • ' tl'"o;" ,15,,rJ; ',a1'a,,y 4`-'_ _ _:rl"c _-_- _ I^ u•''. y •1.. _ __ - :\' ._ v lig tN 4.„I •.l' l,u`?• =t< _ :_=y _ =y,•S''' Irt 111 f 4'. 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'<Y : ,@: .`Y':'IAS "4 `, v, >t R• " e' ' t,0.`e t ('+Sf';<'1: u<S " `'. 1 ,1 •\ <<r; r £`. 'NEW'<LONDON` CT>"063'2WkO7.9.1: ' '' "'d` - 1 P'a'z(_ -Sm-- ._.t'?L' ., '_'4,t ' - -t`J - - - •-4 _ - '.l -_ - ..,`1 ` ',tlr di' '.5:• ,y{` __ - __ elp I,•:,, 1 ,' , "'Ni.,',I L'li' " " -" - "" _ C<t •i, - - - !, -- I,JI's,1,1/",( ':IIP;` ,`q fSl 'rr'ISII'd ti'. --- - - "-=C"fi: - -_ :, ' Ipl p'i;In, hu,l. 1'61'„1''a'As,,a' - - - ”. _ .,4i`-_ F _" i1i 0'0 3 7 8"9 iii'`°"': :,0',21 F- Vendor No. Check No. Town of Southold, New York - Payment Voucher 20230 03g Vendor Address Entered by 2 Ferry Street Vendor Name New London, CT 06320 Audit Date Thames Shipyard&Repair Co. JAN 17 2017 Vendor Telephone Number 860-442-5349 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 9742 12/22/2016 $156.33 $156.33 parts-RP steering 7/23/16 and 9/6/16 SM5710.2.000.200 i �f $156.33 $156.33 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 `tet Signature � Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date I THAMES SHIPYARD & REPAIR CO. NNVOICE 'eFEkRY STREET NEW LONDON,CT 06320 Invoice Number: 9742 Invoice Date: Dec 22,2016 Page: 1 Voice: 860-442-5349 Fax: 860-440-3492 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND P.O. BOX 607 P.O. BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 tu"'ito "IrTient TO t6fh4r fp6r"po FISHERS FISHERS ISLAND Net Due 'S aiei'lRe """'bu6 ' shi�piiib *0�0 Courier 12122/16 4P i ' Description - Unit 6 t' Quantity. SALES-MATERIAL 147.00 Subtotal 147.00 Sales Tax 9.33 Total Invoice Amount 156.33 Check/Credit Memo No: Payment/Credit Applied THAMES SHIPYARD AND REPAIR CO. Material P Box • New London', 06320-0791 • ti r • UNIT EXT Ll 14 2- Y � M .t t'Lj��fir/•'ti;l;•��. 'SIf'..I_ � '•±571 i'�-�-• �.-• �. rr r1vr,;- a. i;i r;} . yam. • •✓ :}TY.=�r,TY\ia Z\:'�•ti,ttT.`T�".•T,1.•�T:�r�\'.Y71,Vj:a.1\:�'f•V: TOTAL T•1i `. Y` a !i06267-14 M Vr:;.�,�YI��T.a•�' 7'T�.'��.ZYI�T�•:•:Z7rTiif•:�:��Y\i�j'.a�,���rT�a:1.iLL'��.t�1��j.�la:j-�J.,1:.L�1 .2. r .,... -':r .r. •tai. :1.a. ...: ti: u: • �.�Kn�� '�5_fev�y r • •'t•'�:T SYS• �.•iH-f� WAJ y w,��Jy�:I.•�y.ti .. In 46 ray �'•�C7h! ',/Y.:i'. ''' i• ...tib=::A,�=.•.-.`'•y-•� ri E.•4►:;. X. ••-.-!fit'►r='.�-� �;•,S'''ri+';:R!`�_•.�!;r`•: I�:�;>�:i�7 •�}•`.'.iii viii Y`'f/�'�:::ZY�:•�: .\i�}-`: ••y•�� moi.• • ' '�Yt�•i'l�ii��f/T i�ii�Yl••ilii' tflT; 'Iry :'l�•: t7.T�•.:ii..V L J�.�1 ��1•i 1'U ` Y�j1:• if J'.�T1\ :�:rVl�••'�1�if�T,� AY�11�.a-��iTlV1N�•�•l�•i•A t• \jt��l��� ' :r.� �� 11' Iii F ��$ � � '� l� 7. 1���� l� .... 7f ��t t VT L■ '1A 1 � .. 4�. -�`��i:L�1 ,?i/..,... V;.�T •�:�.1`/f..�.i.tY;.�l� .Z.�jif.a.:.tY:.:!'��'Z'L,�S:Y�•V.'��.� �lj �t .1� u�. • I• I , , , I I I I •I ' --- I < I I , 1 FISHERS ISLAND FERRY DISTRICT ; VENDOR 021506 UNITEIY PARCEL,SERVICE 01/17/2017 i CHECK 3790 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM- .5710.4.000.700 26639526 W.6112/23/16 { 68.93 SM .5710.4.000.700 26,639536 WE 12/30/16 91.61. , TOTAL ` /160.54 .Jx,: nir ,,... -., n,;4" .x , >.'}n` „ v h•,,v"? r.. 'y :9e1._J?C :: r -vs`r< •":, d_ , a „• I \ I 1 . - . . . • --= :. _: ,._ .__ _> r,e'h. : : _: ::,,_- ''e;ia;z.:-`;3„'s•': 'u, 't :h I <,,;n'N;n•.a„5•'&+,e;>`- `- -_ _ _ -_ °y. - -,l' _, ,,.'= n{;a '`F7 °qy'n '.;, „' _ _ _Z._ _ _ a<;' ..'1n ✓_til`J> w''' : 'J=r _ __- '` L;° ` '<!;- „y' ;s:v -H,> v 5. , - 'E,:; .✓;a€:fl :i:na'"'..-r." `°` •_ _ =y,sa a,'Y'4s;.t.z;t W.,;•4 _ yy ERS ISLE RRYISTRrCT '='I`'s'; ND, :,"d"^ #E,.ta,P.P:tTDIT; 01/17'"/Y? -+ '',`'''± .' ', • 53095 MAIN RO' D,.f3tJEM,1;179,: -i7 Sf P,xi 4`• 3, C. 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F d , -4__`>{:- _ _ fA„ tlM'f,.•fl;d fi"d,d 1, 'A d .lS.a: }_ __ eF_ :i._ __ _- t3? <a; 'd<sLrN 'd,{• c a 6 SII EE';','a ;t: - - -M'sa<= -_.:{ __ - - _ ..f, : ^,1„ "I 1'"7L" „q'"I t," "G' ,P,• :1't> 'r^.? - _- _ • :''-- ::1 'I '1, 'I _- - __ __ - -- att': " ",4^"- _ - F—" ,a9't''h• 1' i"Nr ,5` :y, -_ -_ _- - _- - -_ ''I"'a ''1.':1.i '_ - - _ - 5-. - 4:' - 3• t°S, ,'d •PI n„5< - - •@,` ' - _{= sf xit7•`'r ,'P•.d1,°. „17` >I _- - __ _ -_t _ _ __ -s' dl' r'' Fn i'l`".;a„I+d la,x 1, - _ -_ :=1,j -_ - , P• a 1 'f~I'J`< ,d 3.1•i- - - _ __ ' l` -_.tf; - -__,:` .rr_ .',4, 'L .,L{: '1'6',„' ';h;Y I;'• ' t.j> _- - __ %= r ;{I'' 'WYI t 'i,;,.,,, "'T” r _- - - 1 a.'< -="sB yS.e -, ___ __ .'jdt,>.`• id n ,' ',ir e€r^4, --- - -: s _5 t e:. ' 4._.ir''v`< zl"n.>' i'', r.nY.f:?;".-:-a i==.5' r+- - • =. e s, ii"`0`0`3 7 9 0 u';, :0 2 L 4'0'5'4”6'4 f: 6'8 '0 0. `0'2 i'ii' ` 66 1 Vendor No. Cbeck No. Town of Southold, New Fork - Payment Voucher 21506 Vendor Address Entered by P.O. Box 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 AuditDate�t United Parcel Service U�. N 17 2017 Vendor Telephone Number 800-811-1648 FY 16 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 26639526 12/24/2016 $68.93 $68.93 WE 12/23/16 SM5710.4.000.700 26639536 12/31/2016 $91.61 $91.61 WE 12/30/16 SM5710.4.000.700 $160.541 1 $160.54 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 • (t11�2_ Title Signature Company Name Fishers Island Ferry District Date 1/6/2017 Title Date Delivery Service Invoice Invoice Date 'Qecemger=31, 201r Shipped from: Invoice Number 00000266395636 FISKERS ISLAND FERRY $hipper'Number '026639 1 STATE ST Control IQ OL64 TM NEW 4ONPON,M 06320 Pagel of�4 Sign up for letectronicIbilling today? 0736AO00002666394 7{ 3560,500206$0 Visit ups.comtbilling AB 01 OgMt9 40429 H I!F {A For questions about your invoice,call: (800)811-IP40 Monday-Friday- -' FISHERS ISLAND FtRRY 8:00 a m.-9:00 p.m..E.T. PO BOX 607 or write FISHERS 19LAND,,NY 06390-d607 UP9 P.O.Box 7247-0244. Philadelphia,PA 19170-0001 Account Status.Suntmary Thank you for using,UPS W lir.'Payment Plan, Amount Due This Period 9y si Sumfnall'_y-df.Charbes Amount-Outstanding(prior invoices) $436.35 Page Charge Total Amounl Outstanding $527.96 Outbound Please intrude#wReturn Piortionof e$chJoutstan$ihainvoice with UPS MrldShip, $79.29 yo4r paymenuSee Accburit-Status`t'of"details.� 3 -.Adjustments&Other Charges '$-0.58 Questions-about V6i6r charcaes? _ service charges $IZ90 To get a better understanding of the charges on your invoice, Amount due this period $91.61 visit our invoice guide and glossary of billing charges at ups.com/invoiceguide �} UPS payment terms require payment of thi invoice by January 22, 2017. Payments received late are subject to a late payment fee of 6%of 3, 0� � 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 upscom.The published fuel surcharge is 5.25%for UPS Ground Services and UPS Standard Services,4.751Y.for UPS Domestic Air Services and UPS 3 Day Select,and 4.75%for US Export Worldwide Services.Ground Fuel Surcharge does not apply to UPS Ground packages originating in the 46 contiguous states when subject to Retail rates.For more information,visit ups.com. Delivery Service Invoice Invoice Date December 31, 2016 Invoice Number 0000026639536 ` Shipper Number 026639 Page 2 of 4 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 0000026639476 11/19/2016 $-3238 0000026639486 11/26/2016 $39.45 0000026639496 12/03/2016 $131.74 0000026639506 12/10/2016 $89.13 0000026639516 12/17/2016 $139.48 0000026639526 12/24/2016 $68.93 Total $436.35 Outstanding balances reflect any payments received as of 12/30/2016.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service On voice Invoice Date December 31, 2016 Invoice Number 0000026639536 Shipper Number 026639 Page 3 of 4 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date I Record Entry Tracking Number Service Code Zone Weight Charge 12/26 9164170816 1 1ZO266390343631786 Ground Residential 06830 2 46 17.45 Residential Surcharge 3.40 Fuel Surcharge 1.09 Total 21.94 1st ref:FINY-LINDA MROWKA 2nd ref:FINY-LINDA MROWKA Sender Receiver:KENNY&NAT HOWE 40 WEST ELM STREET GREENWICH CT 06830 Total for Pickup Number: 9164170816 1 Package(s) 21.94 12/29 9164170820 1 1ZO266390344566597 Ground Residential 22901 4 32 18.78 Customer Weight 7.6 Residential Surcharge 3.40 Fuel Surcharge 1.16 Customer Entered Dimensions= 26 x 17 x 12 in Total 23.34 1st ref:FINY-TOURANGEAU 2nd ref:FINY-TOURANGEAU Sender Receiver:Sara D.Rafferty 2130 Wingfield Road CHARLOTTESVILLE VA 22901 Message Codes:r 2 1 ZD266390343184206 Ground Residential ,06878 2 11 10.24 Customer Weight 3.8 Residential Surcharge 3.40 — Fuel Surcharge 0.72 — Customer Entered Dimensions= 16 x 15 x 7 in Total 14.36 1st ref:FINY-BRINCKERHOFF/DD 2nd ref:FINY-BRINCKERHOFF/DD / Sender Receiver:Ashley Brinckerhoff / 14 Pierce Road VVV RIVERSIDE CT 06878 Message Codes:r 3 1Z0266390343348619 Ground Residential 06878 2 36 15.27 Customer Weight 16 Residential Surcharge 3.40 Fuel Surcharge 0.98 Customer Entered Dimensions= 27 x 18 x 12 in Total 19.65 1st ref:FINY-BRINCKERHOFF/DD 2nd ref:FINY-BRINCKERHOFF/DD Sender Receiver:Ashley Brinckerhoff 14 Pierce Road RIVERSIDE CT 06878 Message Codes:r Total for Pickup Number: 9164170820 3 Package(s) 57.35 Total UPS WorldShip 4 Package(s) 79.29 Total Outbound 4 Package(s) 79.29 Adjustments & Other(Charges Miscellaneous Billed Explanation Char e WEEKLY PRINTER SERVICE FEE .00 FOR 1 PRINTERS AT$3 00 EACH FOR 30-DEC-2016 Total Miscellaneous 3.00 025859 2/2 Delivery Service Invoice Invoice Date December 31, 2016 * . UC7M Invoice Number 0000026639536 Shipper Number 026639 Page 4 of 4 Adjustments & Other Charges Residential/Commercial Adjustments UPS WorldShip Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected Charge__Amount 12/26 9164170816 1 1Z0266390343631786 Residential -1745 Residential Surcharge3.40 Commercial 1 45 Fuel Surcharge -0.18 3 58 1st ref:FINY-LINDA MROWKA 2nd ref:FINY-LI NDA MROWKA Total UPS WorldShip 1 Package(s) -358 Total Residential/Commercial Adjustments 1 Package(s) -3.58 Total Adjustments&Other Charges -058 Invoice Messaging Code Message r Dimensional weight applied D . s r Delivery Service Invoice Invoice Date December 24, 2016 1 Shipped-from: Invoice Number 0000026639526 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID 4H54 NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366040024121 Visit ups.com/billing AB 01 031432 35035 H 103 A For questions about your invoice,call: (800)811-1648 1111'111111111111111111111'1111111'11111"I I'11111'11'I'1111111 l 1 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 $6&93 Summary of Charges Amount Outstanding(prior invoices) $367.42 Page Charge Total Amount Outstanding $436.35 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS WorldShip $40.93 your payment.See Account Status for details. 3 Adjustments&Other Charges $3.00 — Questions about your Charges? Service Charges $25.00 To get a better understanding of the charges on your invoice, Amount due this period $68.93 visit our invoice guide and glossary of billing charges at ups.com/invoiceguide UPS payment terms require payment of this invoice by January 15, 2017. 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 — ups com.The published fuel surcharge is 5.251Y.for UPS Ground Services and UPS Standard Services,4.7590 for UPS Domestic Air Services and UPS 3 Day Select,and 4.75%for US Export Worldwide Services.Ground Fuel Surcharge does not apply to UPS Ground packages originating in the 46 contiguous states when subject to Retail rates.For more information,visit ups.com. — — — — — — — — — — — — — — —-— — — — — — — — — — — — — — — — — — — — — — — — Please tear off and send with your paymenf in the enclosed envelope.Do not use staples or paper clips. 1 Return Portion Invoice Date December 24, 2016 Invoice Number 0000026639526 Shipper Number 026639 FISHERS ISLAND FERRY Amount due this period $ 68.93 PO BOX 607 FISHERS ISLAND, NY 06390-0607 Amount enclosed EIf this billing address is incorrect,mark an"X"in this box and ,11�1111��1111'll°.I.1.11111111'111111111111'11111111""11111111 make the appropriate changes above. UPS P.O.BOX 7247-0244 PHILADELPHIA, PA 19170-0001 026639 4 122416 0736 1 00000068930 5 031432 112 Delivery Service Invoice Invoice Date December 24, 2016 Invoice Number 0000026639526 Shipper Number 026639 n Page 2 of 3 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 0000026639516 12/17/2016 $139 48 Total $367.42 Outstanding balances reflect any payments received as of 12/23/2016.Please ignore this message if a recent payment has been made for any outstanding invoices. vf_ 4 I Delivery Service Invoice Invoice Date December 24, 2016 Invoice Number 0000026639526 Shipper Number 026639 TM Outbound Page 3 of 3 UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 12/19 9164170783 1 1Z0266390343484160 Ground Commercial 06437 2 42 15.85 Customer Weight 20.4 Fuel Surcharge 0.83 Customer Entered Dimensions= 19x 19x 19 in Total 16.68 1st ref:FINY-ELLEN PICKETT 2nd ref:FINY-ELLEN PICKETT Sender Receiver:TOTAL MRO THOMAS G.FOYLE(FROM' & ONE SHORELINE DRIVE#3 GUILFORD CT 06437 Message Codes:r Total for Pickup Number: 9164170783 1 Package(s) 16.68 12/20 9164170794 1 1Z0266390343354568 Ground Commercial 06320 2 30 13.60 Customer Weight 10.2 Fuel Surcharge 0.71 Customer Entered Dimensions= 17 x 17 x 17 in Total 14.31 1st ref:FINY-ELLEN PICKETT 2nd ref:FINY-ELLEN PICKETT Sender Receiver:Nancy's(from Ellen Pickett) 14 Meridan Street NEW LONDON CT 06320 Message Codes:r Total for Pickup Number: 9164170794 1 Package(s) 14.31 — 12/23 9164170805 1 1Z0266390343235777 Ground Commercial 08691 2 10 9.44 Fuel Surcharge 0.50 —_ Total 994 1st ref:FI NY-NL TERMINAL 2nd ref:FI NY-NL TERMINAL Sender Receiver:McMaster-Carr 200 New Canton Way TRENTON NJ 08691 — Total for Pickup Number: 9164170805 1 Package(s) 9.94 -_ Total UPS WorldShip 3 Package(s) 40.93 _— Total Outbound 3 Package(s) 40.93 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 23-DEC-2016 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 031432 2/2 I