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AU-02/14/2017 Fishers Island
„ I t t t , FISHERS ISLAND FERRY DISTRICT , 1 VENDOR 018458 ACCOUNTEMPS 02/14/2017 CHECK 3831 +FUND & ACCOUNT P.O.# INVOICE - DESCRIPTION AMOUNT SM .1310.4.000. 000 47532314 J.TRINQUE-W/E 01/13 680.64 SM I.1310.4.000.000 47578897 J.TRINQUE-W/E 01/20 680.64 TOTAL 1,361.28 i 1 � - I r-: — 4 iix' _ �> ..•. ..,.a, _>^i:Ns � ”F It - "�:•'80:3C?:7:�•v'�i;:tY,.'L: r - ,.-.. •':R:�y ;.I'. A - J I , I r- .t FISH AUDZT:0"2`7,%:% ;; 53095 MAIN ROAD,P0,8OX,1179,'. - v - `'+'t- SOUTHOLD,NYt11971-0959' 'ta,_ `j% CHECKiN ,,. r- �`1 n i• 3THE,SUrFOLK'CO`,NATIONAL BANK "==\µ- `.CUT,CHOGUE,INY"1?935- _ ==__ .-DATE= "" v - ,' 02 50-546/214`i"`' ;a ONE'THOUSAND:=,THREE;'HUNDRED SIXTY,ONE -A_ND - - r-- r. -r•- .:- - -: - . i°'di4 t a __` - - - - .h ilk "r )� ', ',IL is - - ' P "'t"roe ,11i'. "JI't ;.$t=_- -- - i';! F•.#nl l':ii"L�.i-' �'t lYt,l,i ts" �I .C� >'lf2'_4''0"0'' COLLECTIONS..CENTER' DR- ORDER- ,! .✓ '46'0693,, DRORDER: CHICAGO. IL ii��7018 31"i 'i;u'''E"i" ;b;5.y'S yi'. -feS'�;:c 0017 Vendor No. Check No. Town of Southold, New York - Payment Voucher 18458 31%B) Vendor Tax ID Number or Social Security Number Entered by 12400 Collections Center Drive Audit bate Accountemps A Robert Half Company Chicago, IL 60693 FEB 14 2017 Vendor Telephone Number 800-533-8435 Town Clerk Vendor Contact � 1J� Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 47532314 1/17/2017 $680.64 $680.64 Jeannine Trinque SM1310.4.000.000 •' WE 1/13/17 20 hr 47578897 1/24/2017 680.64 680.64 Jeannine Trinque SM1310,4.000.000 WE 1/20/17 hr h ` f 1,361.28 1,361.28 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 Z O" Title Signature Company Name Fishers Island Ferry District Date 2/2/2017 Title Date �2 Y Accountemps" Page: 1 Invoice Date: 01/17/2017 A Robert Half Company Invoice Number. 47532314 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 BIII Rate Amount Tnnque,Jeannme-- = -01/13/2017 Murphy,Gordon -20.00 - HRS REG - $ -32 00 $ 640.0 T;: - - — Subtotal for Week-Ended: 01/13/2017 20.00 HRS $ 640.00 Invoice Subtotal: $ 640.00 Total Taxes. $ 4064 TOTALAMOUNT DUE: $ 680.64 We provide more timely and accurate information to the business community by shanng 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/inquires bos@roberthalf com (800)803-8367 PIP,aca detach and return thie ramdtanra ctuh with vat r navmant Daily Timesheet Detail Page 1 of 1 Agcountemps• A RD31ert W Company Timesheet Detail Name, Jeannine Trinque Job Order Number 0008942093 ID 1018777440 Company. Fishers Island Ferry Work Week End Date: 01113/2017 Approval Method Online Timesheet Status Approved Approver Name Gordon Murphy Timesheet Type Consultant Weekly Time from Saturday 01/07/2017 to Friday 01113/2017. Date ; Day In 3 Out In Out r k ut Hours Worked 01/07/2017 Saturday.,.,. ._ -�. ....,.._., ., .. .a -0 ., 01/08/2017 Sunday 01/09/2017 Monday 11 30AM 5 30PM (/ 600 01/10/2017 Tuesday 9 OOAM 1 OOPM 400 01/11/2017 Wednesday 9 OOAM 1 OOPM 400 01/12/2017 Thursday 9 OOAM 11 30AM 250 101113/2017 Fnday 9 ODAM 12 30PM 350 Client Weekly Total. 2000 Electronically Submitted by: Jeannine Trinque Submitted on: 01/13/2017 144 27PM PST Electronically Approved by: Gordon Murphy Approved on. 01/1612017 5 20 12AM PST Print This Page 0 Email This Timesheet X, Return to Timesheet https://time.roberthalf.com/psc/hrfsprd/EMPLOYEE/HRMS/c/RH TC_CLIENT.RH_TC_... 16-Jan-17 Accountemps Page: 1 Invoice Date- 01(24!2017 A Robert Half Company Invoice Number: 47578897 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 Tnnque,Jeannine- -- 01112012017 Murphy,Goidoh "- 20.00 HRS REG -$ 32.00 $ -- 640.00-f X Subtotal for Week-Ended 01/20/2017 20.00 HRS $ 64000 Invoice Subtotal: $ 640.00 Total Taxes. $ 40.64 TOTAL AMOUNT DUE: $ 680.6 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 tali or email For qualified temporary accounting and finance professionals please call (800)533-8435/inquiries bos@roberthalf com (800)803-8367 Pi—r![M—h anrf roh—fh.c—ft—of•b—th...........v—f Daily Timesheet Detail Page 1 of 1 Accountet"1"tpT A Robert 1U1 ConVany Timesheet Detail Name, Jeannine Tnnque Job Order Number. 0008942093 ID. 1018777440 Company Fishers Island Ferry Work Week End Date. 01/20/2017 Approval Method: Online Timesheet Status Approved Approver Name Gordon Murphy Timesheet Type Consultant Weekly Time from Saturday 01/1412017 to Friday 0 112 012 01 7 Date Day r In Out In Out s' In Out i Hours Worked 01/14/2017 Saturday 0111 5/2 01 7 Sunday 01116/2017 Monday 01/1712017 Tuesday 9 OOAM 1 3OPM 4 50 01/1812017 Wednesday 9 OOAM 2 OOPM 500 l/ 01119/2017 Thursday 9 OOAM 3 45PM 675 01120/2017 Friday 9 OOAM 12 45PM 3 75 v Client Weekly Total- 2000 Electronically Submitted by. Jeannine Tnnque Submitted on. 01/2012017 1 05 04PM PST Electronically Approved by Gordon Murphy Approved on: 01/23/2017 4 27 32AM PST Print This Page E5 Email This Timesheet X, Retum to Timesheet https://time.roberthalf.com/psc/hrfsprd/EMPLOYEE/HRMS/c/RH_TC_CLIENT.RH_TC_... 23-Jan-17 - ------- - -' ---------; ----------i ----------' 1 1 1 1 , 1 ' ,1 r 1 ' 1 ` FISHERS ISLAND FERRY DISTRICT j r VENDOR 001400 ALTERNATIVE SAFETY &' TESTING 02/14/2017 I CHECK 3832 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4_.000.000 ( 76536 DRUG TEST (8) RANDOM 320.00 SM .5710.4.000.00'0' .76536 LABCORP COLLECT SITE(8) 80.00 TOTAL 400.00 1 , J � � 1 ....... to X.^ i 1 , 1 L _ _ '•I I l I F 'f 'Z I _ r- __ --,3:; <I FISHERS=7SL%QND,dFEYDISZRICT', �.;', ,�kh�;' -- 1 ;'y,'.a',,.p`si`•p„ n,Sai'... n-.Aafi,.:4!<i'°7?`' `ra r. AUDTT;'`0'2'•/14t/x ;53095_MAINROAD;PO-, BOX SOTITHOLD; ,1197. NY1=0959`,4,f: ",p. sa. `CHECK° «` �. 6nfa 'ta - ,•1 _ _ N�:.,:`r''d1„ta3c83t THEISO'FFOLK.COciNATI"ONp'LpBANK ;f'„'.JI, -.; •f' -DP* - CUTCHOGUE;;NY 11;19$5 "4TE'_. I';t`;e 'P` '{";p:;'n4�,+' '3`<r - - - - = 01 11 .p•P„n(f;LPP, - 'h-- _ - 1�'- .1,I' °•; - - - - - - 1' 1 ,1 ,{. `i 1Y''>"''1• ' ',1 ,!°3"� .4'15; 'oi `��je �•R -°- - - - -��� 50-546/214` ':' }i•k. u 3`Z{. -F. >y:": -<.}':,y f. 1• ,`,L. ')'fi •f.. ,y E:` '�#,E•,3s.�"i ,,�.'tJ_> .i. is - ,`t• - ., ;.' .'�.: �{✓ 'f•y:.<`�a „',M.".`yl.l_'f:=;.` FOUR fHUNDRED4 AND, 0"0 ,Y00:=�DOLI,ARS'; n;'.a``4' ' i'[ t1.1,. ,t__'y t=_;°-._ _ _ - i z�"°i,,"^� i,'i'C.'+i�l, Yt ,�1".5,1' 'i _ _-z✓.__ - _#a' `•i'`• �d0 :Y`111'11 '1' .d &;3 F;-7 __- 'oE" _- - __-_'_ .): rhi'ux 'Pr T;. ^Y, ili __ -•1;_• _- _ '- -_ e3`d}Pi•A, {I.4i�f'`pr 1,.. ;� 4 . _-- - - - `A''i 1. n� 3'S�c=% - •Sr,i F„' -s' f.' •a'`r`� ^i^=_ b�`f” y t f 'f# _ ;•, ;ten. . - •Y•' P., - 'rY •11.;;"tl 1'''frr tli�l,. "w,ill i 'r�; p�FT�EDD�a�7AT'LT� SAFE'I`Y`-`'& TESTING'` it +1 -- ;,"Y - `•v' .�' PAYruI'+aa dh'S'''y F`N V.F+1, a _ _ _ 'fl;l'>k,il;"„yJJ,'1r11''�.1y 11;•`-,S„� '�j�?nif>:Y- _ '_ _ k rJ'Y 1 .Ieu•1�1,; ,Ir ;l,p.lp'7y a'. __ -§ - _ - •.P' 1'Y�.4'YA: "''hi'f"i' d"•` 'q” +y - - _ - "'p�` `I,1ds,.e'yr'f.', Ildp, TOI,TFIE;r,"nSOL £mss :7 F,'PtIDS= t. �`GRAND��'R :="MIf,"i 4`95'0.4_f,.;( f ( - _ - ' - - i'1,1 1l�';r12'ff:�1,1' Sa% ll" ,,11” alp P' ' ''I. li�,- �, -_ -_ -- -_ _-- ',I'` it"- "�.,',fd _`_ -' �=-q<`- -"-"- - ,ICS P•`�I"d'r 1''i ,, '1�•iytP� -- - - -- �° - _-_ _ ' 'i�=00,3a'�`..2>ii ''s.0``� i'ti0'S`'ti6 . J0.` Vendor No. Check No. Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered by 678 Front Avenue NW Vendor Name Suite 256 Audit Date ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, MI 49504 f EB 14 2017 Vendor Telephone Number 800-477-3177 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 76536 2/1/2017 $400.00 $320.00 Ranom (8) SM5710.4.000.000 $80.00 LabCorp Collection Site Fee (8) SM5710.4.000.000 J $400.00 1 $400.00 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 � Signaturei' '`CA�_ rtle Signature Company Name Fishers Island Ferry District Date 2/2/2017 Title `iY ' Date !/ a Remit Payment To: Invoice 678 Front Avenue NW EXCELLENCE Suite 256 �10 110 Grand Rapids MI 49504 Date Invoice# Phone:800-477-3177 Akernative Safety&Testing Solutions Fax:616-534-5545 2/1/2017 76536 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 �61 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 8 Drug Test 40.00 320.00 8 LabCorp Collection Site Fee 10.00 80.00 V � l V/ -7 (-7 Federal Tax ID#38-3510664 Total $400.00 r I 1 I I I I I______-___-I ' I I - I---_-_,_____I I-_______-__I I I I I I I_-_ / I I ' FISHERS ISLAND FERRY DISTRICT VENDOR 002437 ANTHEM BLUE CROSS BLUE,SHIELD 02/14/2017 CHECK 3833 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.0'00 444M81629-0317 N SCHMID 3/17 MEDICAL i,27`0.48 - TOTAL, 1,270.%48 � k 1 et• - - - I 1 I fi I S ' 1 .1 -- l I ' =xISHERs4SLA1VflsFERRY°DISTRICT'' uDiT;<°o2 i4a i� 53095'MAIN+ROAD`,PD BOX.1;179""!t�;,'s xY f=< `A r,^/` ,q�^< '<:ar j' is`t'" .;t�'� �,S,,yS� ,1 'v'_ ,%t<.•,:'Y.,-,'i��.." f, 1T;y>,qi ^i„•�,; SOUTHOLD,NY"1J 971-0959';1'1•. Z',Yr;E>•i``s;,';;.:` f,;:. ;i, :CHECK:'`;, - al•� �o", ik+ i•f', .'1 ''ll'4 - - ^J __ _ 1,. I'�1f.,,+''0+�',;,: 'r -SCHUE�CwH`O�GI/E,'NY.1'" I5ON•,?A'«'L,'BANK�` T _-- --DAT1Q3 €'. _- .R`;._, '•,' .,AMOUNT!:,” -= 1,I' -- S'x1'1 I i,rII1•,viraf s:'.,t'•`1`'','b.,I.iYlr,`J,.al„s"<J',Sa_'`A>d4'l{4N'Yd^I:£.D'ltPSi 1''t.31 1° - ; ''�°p-t>f _-:_t'�_,1-p 4i_ z,f-_,x;: =- ,-.\..':•AtN`£tDI a1,=<4....1s�;t8.ti•`111)ryt21'v1"lA0l=l,,,al0`."A:°.:'ll 3;i;`I�D''pI.r,`O,'1':':;L1'£''"''�x,I1 t;,�.A`'�R''sf1S�.,`;t'r,'' `;rt a 6F;e I=•'-/t_-•;-`'#-' t_'•_r.=t;•jc_-'.�,':,'a'il�,'''k.�t�'.i,lp,z1f1` '.$ d1,w,�1714_f2017J•.t:J 1, I;9!, 02>,50 546 ;'ONE'THOiTl4t.fUNDRKY8EVENTY ,-_ - - " _'I` - t-114" 'q:'. -�4: 1r'' �'V�"5 '11'�''P•<a 11°�. 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Mrs' _ ;f, „`;, ,;. ?• ,' , ;,,.I�„y �'.:�.. n.rf_ <''�1 1 .,S': t,",; rtt� .-F °'1 `nt o y<> •,t,,,n-0..tf< �r'�j.�� �,t�i; - ,".3< ,nf,. ''q,"' •"q",;'rwr3"..; J,..; :r.�q".n t. f.,; .i� xis'' 't,ji'�€ 'r':.,. '.�i'> 'ft ;;i. •3' •;°>,t', °Z' f, '"t.<. ' ,r. _ ..i'' i,"f-^ 'rf•:a >5`x rx', ',3`, cX .'i�' 1', ,g"''.�f',` �}, ';� { :w,fn 'f,id }"'' -•6�:a 1"f``ig- _ °!x �d�- _ - .,�ae�..- �z'a_'�t�3� b� .t'•�,• __ _ �'r d_- ___ .4--"' __ _ -_ 3V Nqz,,� 1 " ,f __ `f. 'Qdi f�1, a n":r "`1' - ____ _ - `.1„ i i°'f'^ P'+f 11'4• 41�.f.,1'_ - - - _ _f _ _ _ I':. fel'.• +!'I t,<:I.,:¢.c •`'.` _ - __ __ t, - - -- -- 'I; 'I ,1, ,,i+I;.. - _a:__ - _" _-__ _ '=t" �r=,',llta , •;f�11':Y.' ,"`,,+'� _ � _- �_ __ _ - - _ ___ _ __ 1'.'. -P',�'� -__ _ �_ - _ _ •71`,A° .lit,,:`9�' °ili"':"III,t.', - " - `1r 7'4 '7"I Ild, y+'1+1'(tgi .t'- .I, '111"1.•"n - - Il,it, III' „� +, I, - - + ” __ ""f`fa' - - �la �.'.lY 1'1'';1 t..l llt 111',t,1.•. „r'x -_ - I' Il r 1 1�''I I'Ai I. - - t` - --- E-: ii• J a'li n'+ a,1.1. _-__ __ __ �il'I „"d'., If ,zl 'k - ''._�-- - '. -- _=11°`Q�`]i�'.,]Y:]lie•"-'i; 'ft'4s'i:".°re �r;r'.�`;` -_ '"'�" `{ - ?-_ a- = -` '`: ,�'..,> .. ",. , .....,�: .E ---• = -" - - . —� �`•'a' 901.7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 3 g 3 Vendor Tax ID Number or Social•security Number Vendor Address Entered by P.O. Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem FEB 14 2017 Vendor Telephone Number Town Clerk Vendor Contact /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 444M81629;./y -7 2/2/2017 1,270.48 1,270.48 Medical Insurance Premium SM9060.8.000.000 ✓ Nina J Schmid 3/01/17-4/01/17 1,270.48 1,270.48 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. Signaturej7 j=Title Signature Company Name Fishers Island Ferry Date 2/2/2017 Title Date Z (D ?/2/2017 Member Anthem. Nina J Schmid B1ueCross B1ueShield ID 444M81629 Plan Medical Please pay 9 by due date March 1 , 2017 Bill summary Coverage from 03/01/2017 to 04/01/2017 Previous balance $1,270.48 Payments;"received ' $1,270.48 Amount due from previous bill $0.00 Current premium charges $1,270.48 More ways to pay: Online at anthem.com or by phone. TRA7-D-005855/055281 ACUAA8 St-ET-M1-C00002 4 t Please detach and return the bottom portion with your payment t �• -----------_ - , .. I I I I I 1, l I , FISHERS ISLAND FERRY DISTRICT VENDOR 014223 BANK OF AMERICA 02/14/2017 CHECK 3834 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 7335-0117A ALLEN WATROUS-RP/MU DIVE 670.00 SM .5709.2.000.200 7335-0117A MYSTIC STN-NLT- RAMP GATE 116.99 SM .5710.2.000.200 7335-0117B LOWES-RP PAINT,SUPPLIES 145.64 SM .57101.2.000.000 ' 7335-0117B DEFENDER-US FLAGS 98.97 SM .57110,.2.000.000 7335-0117B - DEFENDER-TIDE BOOK(2) 26.08 SM .5710.4.000.000 7335-0117B XMAS SHOP-COFFEE 119.98 SM .5710.2.000.200 7335-0117B USCG-12P 685644 DOC RENEW _ 26.00 - SM .5709.2.000.200 7335-0117B NATIONAL PEN-PLANNERS 70.49 SM .5709.2.000.200 7335-0117B HOME DPT-NL FRT FLAT RPR 140.13 SM .5110.2.000.000 73.35-0117B ' `AMAZON-SUB.FLASHLIGHTS-6 330.00 SM .5110.2.000.100 7335-01178 LISEN WATROUS-MU DIVE 150100 SM .5709.2.000.200 7335-01178 >f,,LO199S-FIT MAINT_ _ _ 122.61 SM .5709.2.000.200 7.^3`3;$--D 1p17.B;`::':;4;_:. ..GRAINGR-NLT BARRICADE TP 43.21 SM .5710.2.000.200 733.5-01178 ENTERPI2SE=R'P.. ,AN RENTAL 1,791.67 SM .5710.2.000.1,0,0 a _ =`7335-0117B ` SOGOLOW STRTR-MU STARTER 741.26 --- SM 1 2.0.0 NAPA : IUs?1?AD:y?GSKT MKR,PTX 131.85 WINNER 56.13 SM .5710.2.%00^:100'. °' „7335`--0GS�MU'.RPRS D SM .5709.2.000.200 7335-0117B STONEWALL-FIT 8FT CBL 36.00 _ SM .5709.2.000.200 7335-0117B PRTS WRHS-FIT VACUUM CAB 42.08 _ SM .5711.4.000.000 7335-0117B USPS-FIT POSTAGE FOR MTR 200.00 TOTAL 5, 059.09 s • cum < 1 1 � - "_ - "'�,°y rt i - _9i L' •F`'4 < 1,__ :FLSHERS°ISLANHFERIZYDIS77ZICTu,'` ;,tv R53095 MAIN ROAD,PO;BOX 1,179y z -`s,•:" i "''^ F' r =v.,. 'ss Yr ,si u x', "rSOUTHOLD�NY•1197:1:0959` •�''t`-- '�• ` �`",`,•;- '3.4 r"=• ;t,'6.� - . = r. -_ " i� L� AN UF��•K C 'Nr T ONA B, K'•'•�:- ;;THErS F OL 0., A I = ,I t d s"f`,,, `•CUTCHOGUE,.Nr 1,1935' - AMOl1NT,•;;'"` Ii'•P 7 IV I n� ,'I"d' r.+� I..,a i ---- - - {1z;i' of -I.i ,'�•t ':d..�_ _ - _ _ i q.•=a��tll d'1'OI 4�.�''Y'' '.I"f'= 'a;, I N a+,4 Md !ed d - - v Fir.• „�_, _ 'g - - _ �,<P is :,d. -- - ,;,,-,- - -- _ - .¢;. p.2/11}�2,0.1'�7'=f •'s •-;$•5-;05'9>:`08,���;:e� :��_• ''�� ,� 50546/214; ';Sl.` .FIF.TYf'NIt,Nb..Eea`1,A:,,�,�ND`;0e,91,' DOLL' rL_=L.- " ;h,%,++:✓�` --f-'s "p",' 'eb0 ,r 4i,IP; - - _- i•. _ '.`d',� a/I._ y'tE `i._ �' - .,`', ^t,,;,'�; - - F •�u - t, 1,..,l,: - - 'L:` r :F •3`,1', ^.i�; :'q4'; J(` 5 1;';s':= '<..'-`r ,�. t.i��r c (g'. q� ;z�, .,. '>y .1,'t'. .,,^:�'<i J'1• 'r{,'f,, I„1, ellq i4,'{:P AMERICP;,t �” ORDER d" .'PO +.80X'••,15733- _,=.t1,:_=:?4;- - °_= _ __ �, •�l�a'.7'r F ;s{a1.:4.I+,", - - _ =_ --- - - ''d 'J - - ',I+ � .+`�',`- ��Ltl�4tulY;t:_ _ ;•)4'_ _- - •1.- _ p,a,l �,iT< _ - _ _ ``>"� _•1 - _ `'I - WIL,MZNGTON'.,DN- 198;86.5,731, :.t', 'F' a ,q'. ,•1,`.'F„ ',1t iii" t', ;tv ,'f '#; a+ 'x;'x><s%11'.',A S°- ej';F' S'•„e ., ,4 it+;sz, P.f., Yr x; !�'� I S z 'x 'z .i'• - - - -i ./..r `'r'� _ _ '�`'•t,. ” _ .{>f - ii1�a� r�. .1�� �_ -- - _- _- `;5:;'1,P,$%' 15,,• +p��d"I lie Pm: `tz' - _ - -":t"' - 1'4 _ _" `- '___ --_-_ -= "__- _ - ,�'r,�,,^fir a.r.,,.&'I,:^;4;` -"___ __ _ _' _- _ '_ _ "`,y.,.=t+ 1 •Fw;t 'a';,; - - __> '-- __ -_- _:- - - - li'1Mrt. " ;-- __ _-_=_ ti'he>•' .5 - I.. ��.*--- -_ - - _-- • =10-00`38-,3 yii�e `1,:,0112%-100'S 4 C3"'.*: [3k'—' i Vendor No. Check No. Town of Southold, New Fork - Payment Voucher 1422323 y Vendor Name Vendor Address Entered'-by Bank of America PO Box 15731 Vendor Telephone Number Wilmington, DE' 19886-5731 �— Audit ate 888-449-2273' FE 1 +,200 FY16 Town Clerk Vendor Contact Invoice Invoke Invoice Net GencralL"edger.Fund' Number at Total Amount Claimed Description of Goods or Services and Account.Number SMENT-Feb-i $5,059.09 733 5- 01 JT4 FY16 '$670.00 ALLEN WATROUS LLC RP/Munn-9/22/16, 11110/16, 11111116 SM57.10'.Z000.000 FY16 • $116.99 MYSTIC STAINLESS repair NLT ramp gate 1/3117 SM5709.2:000.200 FY17 1 -$4,272.10 $786.99 $786.99 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 nue 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 owin&and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. / Signature .. Title„ Signature`- Company Name_ ishers Island Ferry District Date 2/10/2017 Title Date l�A • Vendor No. Check No. Town df Southold, New York- Payment Voucher 14223 Vendor Name Vendor Address Entered by i Bank of America PO Box 15731 Vendor Telephone Number Wilmington, DE 19886-5731 Audit lteB 1 2011 888-449-2273 t'C FY16 Town Clerk Vendor Contact , Q. Invoice Invoice Invoice Net General Ledger Fund Number Date Total Amount Claimed Descnption of Goods or Services and Account Number STATEMENT Feb 2017 091111 $5,059.09 ':J�25-0\17Pr FY16 $670.00 ALLEN TROUS LLC RP/Munn 9/22/16, 11/10/16, 11/11/16' 5710.2.000.000 FY16 $1,791.67 ENTERPRIS RP Yard van rental 12/27/16-1/24/17 SM5710.2.000.200 FY17 -$ 97.42 $Z461.671 $2,461.67 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therem stated,that the balance therein stated is actually performed and that the quantities thereof have been venfied 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 Fishers IslandFerry District Date 2/3/201 Title Date 27U �" I Bankof America" FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 Company Statement Commercial Card January 03,2017-February 01,2017 p Y :e.. : 'fix.' '',,. ",,--. g-- WIN! ,�.t '''�sY.sw,.• tS. Mail Billing Inquiries to: Statement Date ........................................ 02/01/17 Previous Balance ..................... .............. $7,960.40 BANKCARD CENTER Payment Due Date ............................... 02121/17 Payments ................ ......... .... -$7,960.40 PO BOX 982238 EL PASO,TX 79998-2238 Days in Billing Cycle .......... .... ....................... 30 Credits ............................... ...................I.... $0.00 CreditLimit ................................................ $40,000 Cash ............................................. ........... $0.00 Customer Service: 1.888.449.2273 24 Hours Cash Limit .................................... ................... $0 Purchases ............... .......................... $5,059.09 Total Payment Due ................................. $5,059.09 Other Debits......... ...... .......:.................... $000 TTY Hearing Impaired: 1 800.222.7365 24 Hours Overlimit Fee ...................... ......... ............ $000 Late Payment Fee .......................................... $0.00 Outside the U.S.: Cash Fees .................................................. $0.00 1 509.353.6656 24 Hours OtherFees ...... ............................................ $0.00 For Lost or Stolen Card: Finance Charge ............... ........ .................. $0.00 1.888.449.2273 24 Hours � � Current Balance ....................................... $5,059.09 11-11F�N-011111 Account Number Purchases and Credit l-rrriit Credits Cash Other Debits Total Activity BURNS,RONALD J XXXX-XXXX-XXXX-2360 20,000 0.00 0.00 4,781.01 4,781.01 MURPHY,GORDON XXXX-XXXX-XXXX-4379 40,000 0.00 0.00 278.08 278.08 Kr, � TA tek1.100.1% " f 3d! r f N..-.^�,` > ow— Posting Transaction Date Date Description Reference Number MCC Charge Credit - u - - -Atvty ~Total FISHERS ISLAND FE2RY'DIS - - 0'40 '7. - - 7=96 =XXXX - = =XXXX u ber:X 33 XXX - un N - cco m _ 01/23 '01/20 PAYMENT-THANKYOU -02115300000000535925368 0008 7,960.40 --------------------------------------------------------------------------------------------------------------------------------------------------------- ------- -------------------------------------------------------- I . i I I i ' ^ ��=^ B~^�� r|aHsnoISLAND FERRY omT ������b& 0 ����A���c�� ���*� GORDON MURPHY ' "°" ' January 03,um7'February u1.207 Page 3 of 4 WIN W"l-an IN Posting Transaction Date Date Descnpbon Reference Number MCC Charge Credit urn 01/03 01/02 LOWES#02263* WATERFORD CT 24692167002000586107003 5200 145.64 0104 01m3 DEFENDER INDUSTRIES|wuWATERFORD CT 24431 4408 98.97 0104 01m3 DEFENDER INDUSTRIES INC WATERFORD CT 24431067003083701e55828 44e8 26.08 01/04 0103 MYSTIC GTA|NLEGSmALUM|NO00-5382258 CT 24787927003900012700014 7682 116.98 01/05 01m* CHRISTMAS TREE w7o4a WATERFORD CT 24426207005457006234227 5e47119no 01/11 01/10 VaooABnTR*oT�|TLE n0n�yy�on2Vxv 24445007011600220893657 9898 26.00 01/12 01/11 NATIONAL PEN cVLLC 858-675-3000 CA 24431067011083304906663 58e8 704e 01/15 01/11 THE HOME DEPOT wsu1a WATERFORD CT z401n*a7n1uu1o1mT1o6415 5200 14013 01/10 01/13 AMAZON MKTPLACEPMTS AMZNCOM/B|LU/WA 2469216701300084e507154 5942 53000 01/19 01/1e no*ALLEN VvxTnouuLLC gosq.00m CT 24092167018000e207e2493 ayay 150.00 01/18 01118 aQ*ALLEN VxArenunLLC oosq.00m CT 24692167018000629053489 0000 67000 01/19 01/18 LOVVEsMm22s3* WATERFORD CT 24692167018000731232997 5200 12261 01/20 01/19 VVvvGRA|mosn 877-2022594 P8 247554270201202012e5910 5085 43.21 01126 01125 ENTERpmosnENT,4-CAn NEW LONDON CT 24164077025018509528348 3405 1.791.67 BURNS RONAD001788 01/27 01/25 GOgoLovVaTARTsRmALTERNANonvxioH CT 244981370269e0026305140 5533 74126 01/30 01/28 NAPA AUTO no2T3no WATERFORD CT 2*43105702e207188500018 e533 131.85 02JOI 01/30 MR GS RESTAURANT NEW LONDON CT 24269797031100224657278 5812 5613 4ntNurh et., XW 01/06 01/05 STONEWALL CABLE,INC. 603-536-1601 NH 24323007005200832900027 5039 3600 01/19 01/18 PARTSWAREHOUSE.COM 866-243-2721 TX 24492157018894844985621 5722 4208 01m1 01x30 POSTAGE REFILL 800-468-8454 CT 24430997030083709e74995 7599 200.00 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 $000 CASH 9.75mv $0.00 $0.00 V Vaiiable Rate(rate may vary),Promotional Balance=APR forlimitedtime on specified transactions. e RJ Burns From: Allen Watrous LLC <invoicing@ messaging.squareup.com> Sent: Wednesday,January 18, 2017 8:00 AM To: RJ Burns Subject: Invoice Paid:#000001 from Allen Watrous LLC X Allen Invoice Paid Paid $670.00 on Jan 18, 2017 diving services Invoice#000001 January 18, 2017 Customer Fishers Island Ferry District rburns@fiferry.com Charlie Allen diving services rendered. Call after January 1, 2017 to schedule next dive service. Thank you and have a great holiday. Sept 22, 2016; 2 boat dive $310.00 November 10, 2016 bill 1 hour reschedule fee $50.00 . 1 r November 11, 2016; 2 boat dive $310.00 Sub-Total $670.00 Total Paid $670.00 VISA 2360 01/18/17, 5:00 AM Allen Watrous LLG. "36,Jupiter Paint Rd, Groton, CT 06340-6015 callen1097 a@tvcconnect.net 0 2017 Square, Inc. Security ( Privacy ? 2 Mystic Stainless &Aluminum Inc. Invoice 23 Jackson Ave. J Mystic, CT 06355 Date Invoice# Ph. 860-536-2236 12/19/2016 3448 Fax 860-536-2326 Bill To Ship To Fishers Island Ferry District c/o R.J.Burns PO Box 607 Fishers Island,NY 06320 P.O. No. Terms Project Serviced Description Qty Rate Amount 12/19/2016 REPAIR WORK:Repair Steel Gate 110.00 110.00T bales lax (6.35%) $6.99 Total i 6.99-- Payments/Credits $_116.99 Balance Due $0.00 www.mysticstai nless.com qT) i Vendor.No. Check No. Town of Southold, New York- Payment Voucher 14223 31 . 3 Vendor Name Vendor.Address Entered by• Bank of America PO Box 15731 Vendor Telephone Number Wilmington, DE 19886-5731 Audit',Datd' 888-449-2273 Town.Cleik' Vendor Contact F Invoice Invoice Invoice Net General;Ledger Fund Number Dale Total i Amount Claimed Description of Goods or Services aiidAccountNumlier .'r a f 11 $5,059.09 $145.64 LOWES RP paint&supplies 112117 SM571`02:000:200` - -'-� — 0 F1 71 $98.97 DEFENDER US Flags 113/17 " ZM5710;2:Q00:Q00' '$26:08 DEFENDER Tide book(2 1/3/17 "SM5710.2:000,0OQ- . f , $119.98 CHRISTMAS TREE SHOPS coffee 114/17 SM5710.4.000.0'00 , $26.00 USCG RP-Vessel•685644 doe renewal 1110117 18M571.0:2 000.200:. , '$70.49 National Pen Planners for-crew III 1/'17 SM5709;2:000200;,, $140.13 HOME DEPOT NL freight flat repairs1/11/17 ',`SM5709,.2:000.200, , . $330,00 AMAZON submersible flashlight(6) 1/13/17 ' SM5710`1400.000 „ $150.00 ALLEN WATROUS LLC Munn dive 116117 SM,571,0:2:000c100=. $122.61 LOWES FIT maintenance,//18117 SM57.0%2;000:200, $43.21 GRAINGER NLT barricade tape,1/19/17 SM57C9:2:000.200-: $1;791.67 ENTERPRISE RP Yard van rental 12/27/16-1/24117 SM571;0.2:000.200 $741.26 SOGOLOW'STARTER Munn-starter 1/25/17 'SM5710',2:00000,0 $13.1.85 NAPA Munn pad,gasket maker(2)Ptex(2)1/28117 '' - ',SM5740:2-000:100,- $56.13 MR Gs Munn repairs dinnerfor staff 1/30/17 `SM5710.2:000.100 $36:00 STONEWALL CABLE FIT 8ft cable for BOCA 115/17 SM5709.2:000.260'' $42:08 PARTS,WAREHOUSE FIT vacuum.cable 1/18/17 SM5709 2:000.20Q $200.00 USPS FIT postage for meter 1130/17 SM57,14:4.00U00 FY16 -$786.99 $4,272.1,01, $4,272.10 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named cl ' cant 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. 5 Signature!`= Title Signature Company Name Fishers Island.Ferry Distnct Date 2/10/2017 Title_ _ Date_ r 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 14223 Vendor Name Vendor Address Entered by Bank of America PO Box 15731 Vendor Telephone Number Wilmington, DE 19886-5731 Audit Date 888-449-2273 F E B 14 2017 Town Clerk Vendor Contact Invoice Invoice Invoice Net General Ledger Fund Number Date Total Amount Claimed Description of Goods or Services and Account Number STATEMENT Feb 2017 117 $5,059.09 $145.64 LOWES RP paint&supplies 1/2/17 . SM5710.2.000.200 3 - 98.97 DEFENDER - US Flags 1/3/17 - SM5710.2.000.000� $ 9 DEFENDER , Tide book 2 1/3/17 SM5710.2.000.000 $116.9 MYSTIC STAINLESS ' repair NLT ramp gate 1/3/17 SM5709.2.000.200 $119.99 C STMAS TREE SHOPS' coffee 1/4/17 SM5710.4.000A00 $26.00 USCG RP-Vessel 685644 doc r al 1/10/17! SM5710.2.000.200 ` $70.49 National °/ Planners for crew /17 SM5709.2.000.200 $140.13 HOME DEPO NL freight epairs1/11/17 SM5709.2.000.200 $330.0 AMAZON sub sable flashlight (6) 1/13/17 SM5710.2.000.000 $150.0 ALLEN WATROUS UC unn dive 1/6/17 '✓ SM5710.2.000.100 $122.6f LOWES ✓ FIT maintenance 1/18/17 SM5709.2.000.200 $43.21'GRAIN T barricade tape 1/19/17`' SM5709.2.000.200 $741 SOGOLOW STARTERS Munn s'tqrter 1/25/17 SM5710.2.000.100 . 1.8 APA -� Munn pad,bqsket maker(2) Ptex(2) 1/28/1 SM5710.2.000.100 $56.1 MR Gs Munn repairs inner for staff 1/30/17' SM5710.2.000.100 $36.00 STONEWALL CABLE FIT 8ft cable for OCA 1/5/17 SM5709.2.000.200 $42.0 PARTS WAREHOUSE FIT vacuum cable 8/17 SM5709.2.000.200 $200.011 USPS / FIT postage for meter 0/17 SM6711.4.000.000 FYI -$2,461.67 $2,597.421 $2,597.42 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 perfonned 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— Title Signature Company Name Fishers Island Ferry District Date 2/3/2017_j Title Date �/ ank®#Anierica®®i E FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 Commercial Card January 03,2017-February 01,2017 Company Statement Mail Billing Inquiries to: Statement Date ................................. ...... 02/01/17 Previous Balance .................................... $7,960.40 BANKCARD CENTER Payment Due Date 02/21/17 PO BOX 982238 Y Payments ............................ -$7,960.40 EL PASO,TX 7999.8-2238 Days in Billing Cycle ..................... ................. 30 Credits ......................................................... $0.00 CreditLimit ............................................... $40,000 Cash ...................................................I......... $0.00 Customer Service: 1.888,449.2273 24 Hours Cash Limit ....... ................................................... $0 Purchases .............................. .............. $5,059.09 TTY Hearing Impaired: Total Payment Due ................................. $5,059.09 Other Debits.................................................. $0.00 1.800.222.7365 24 Hours Overlimit Fee ...... ......................................... $0.00 Late Payment Fee ........................ .... ........... $000 Outside the U.S.: Cash Fees $0.00 1.509,353.6656 24 Hours ................................................... Other Fees ................................... .............. $0.00 For Lost or Stolen Card: 1.888.449.2273 24 Hours Finance Charge ................... ....................... $0.00 Current Balance ............................ ....... $5,059.09 IT ME oil Account Number Purchases and Credit Limit Credits Cash Other Debits Total Achvity BURNS,RONALD J XXXX-XXXX-XXXX-2360 20,000 0.00 0.00 4,781.01 4,781.01 MURPHY,GORDON XXXX-XXXX-XXXX-4379 40,000 0.00 0.00 278.08 278,08 Post/ngTransacbon Date Date Description Reference Number MCC Charge + Credit _ - �'1a — '''h, - -<��Ql I.Act Yet FISHERSdSLAND FERRY DI5T' ; ` - - Y - -35 - - - - be` =XXXX-73 ecountNum :-XXXX� - A 0`40 01/23 01/20 PAYMENT-THANK YOU 02115300000000535925368"0008 7,960.40 U3 r;. 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 Disclosure: We may furnish to your employer information concerning your use of your account To read more about our information disclosure, o please visit www.bankofamenca com/corporatecarddisclosure or call the customer service number listed on your statement to request a copy In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent you the first statement on which the error or problem appeared. Please mad this information to BANKCARD CENTER,PO BOX 982238,EL PASO, O TX 79998-2238. Your letter must include the following information o The company name,cardholder name and account number in question 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) dank of America®® FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-)D=-XXXX-7335 January 03,2017-February 01,2017 Page 3 of 4 0 Posting Transaction Date Date Description Reference!Number MCC Charge Credit a. _- • = T,.. { R t al A- i it BU NS°�Rf.1N LD•:D �vTo a t v f - _ .Y �Aecount:Nrritier� --360'» - - - - - u - . )C)CX)C 01/03 01/02 LOWES#02263* WATERFORD CT " 24692167002000586107003-5200 145.64 a 01/04 01/03 DEFENDER INDUSTRIES INC WATERFORD CT 24431067003083002264209 4468 98.97 01/04 01/03 DEFENDER INDUSTRIES INC WATERFORD CT 24431067003083701855828 4468 26.08 01/04 01/03 MYSTIC STAINLESS&ALUMIN860-5362236 CT 24767927003900012700014 7692 116.99 01/05 01/04 CHRISTMAS TREE#7043 WATERFORD CT 24426207005457006234227 5947 119.98 01/11 01/10 USCG ABSTRACT/TITLE 800 -799-8362 WV 24445007011600220893657 9399 26.00 01/12 01/11 NATIONAL PEN CO LLC 858-675-3000 CA 24431067011083304906663 5969' 70.49 01/13 01/11 THE HOME DEPOT#6215 WATERFORD CT 24610437012010187106415 5200 140.13 01/16 01/13 AMAZON MKTPLACE PMTS AMZN.COM/BILLWA 24692167013000948587154 5942 330.00 01/19 01/18 SQ*ALLEN WATROUS LLC gosq.com CT 24692167018000620752493 8999 150.00 01/19 01/18 SQ*ALLEN WATROUS LLC gosq.com CT 24692167018000629053489 8999 670.00 01/19 01/18 LOWES#02263* WATERFORD CT 24692167018000731232997 5200 122.61 01/20 01/19 WW GRAINGER 877-2022594 PA 24755427020120201255910 5085 43.21 01/26 01/25 ENTERPRISE RENT-A-CAR NEW LONDON CT 24164077025018509528348 3405 1,791.67 BURNS RONA D081766 - 01/27 01/25 - SOGOLOW STARTER&ALTERNANORWICH CT 24498137026980026305146 5533 741.26 01/30 01/28 NAPA AUTO 0027338 WATERFORD CT 24431057029207188500018 5533 131.85 02/01 01/30 MR GS RESTAURANT . NEW LONDON CT 24269797031100224657278 5812 56.13 u - Total _ _ Act 'MU P._H' GORDO N a�t'� u _ R Y 'Cc A. a n_ rn .XXXX ,-�� ����= ts•. 01/06 01/05 ^ STONEWALL CABLE,INC. 603-536-1601 NH 24323007005200832900027 5039 36.00 01/19 01/18 PARTSWAREHOUSE.COM 866-243-2721 TX 24492157018894844985621 5722 42.08 01/31 01/30 POSTAGE REFILL 800-468-8454 CT 24430997030083709674995 7399 200.00 0 ' 0 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 9.756,6 V $000 $0.00 V=Variable Rate(rate may vary),Promotional Balance=APR forlimited time on specified transactions. FISHERS ISLAND FERRY DIST CORDON MURPHY XXXX-XXXX-XXXX-7335 January 03,2017-February 01,2017 Page 4 of 4 N O O O N O O O O M V O O O M r M . I � pcismoprt.zz:S�7az� I I r--, I Defender Industries i LowE 42 Great Neck Road C __ - ' - I i I LOWE'S HOME CENTERS, LLCWaterford CT 06385 167 WATERFORD PARKWAY NORT (860) 701-3400 WATERFORD, Cf 06385 (860) 701-2000 n_ ! Ent. By: SCM Chelsea Mo S - SALE - � Cus t- 100202676 a4i15n: S;2263JK2 1913014 TRANS#: 2312432 01-02-17 Fishers Island Ferry Po box 607 141933 NSCLE ECK 5-TIER 24-IN X 69.98 84.98 DISCOUNT EACH -15.00 Fishers Isle NY 06390 138051 3/4-IN X 6-FT GALV PE SCH 18.12 i 319971 10-CT HANGER 9.90 15 @ ' 1.98 ANNI EMBROIDERED U.S. FLAG 86509 1-OT ALMOND RUSfOLEUM 19.16 9K650346 1 @ 32.99 32.99 2 a 9.58 ANNI EMBROIDERED U.S. FLAG Cf PAINICARE RECOVERY F 0.10 SK650346 1 @ 32.99 32.99 86510 I-QT RUSTY METAL PRIMER 11 9.58 I ANNI EMBROIDERED U.S. FLA,, I CI PAINICARE RECOVERY F 0.35 iK650346 1 @ 32.99 32.99 84031 15-OZ PRO RED PRIMER RUST 5.28 99033 12•-OZ ALMOND STOPS RUST f! 9.88 Subtotal 98.97 i SUBTOTAL: 136.95 9 (* - Items are taxable) TAX: 8.69 -------------- Payments ---------------- INVOICE 02910 TOTAL: 145.64� VISA: 145.6 Credit Card Visa **** 23 98.9 TOTAL. DISC:OUNT: 15.00 Auth: 026301 J UISA:XXXXXXXXXXXR2360 AMOUNT:145.64 AUTHCO:079071 CHIP REFID:226302099558 01/02/17 10:54:08 CUSTOMER CODE: Ferry Terninal APL: VISA CREDIT TVR: 0000006000 AID: A0000000031010 TSI: 1:800 Signature STORE: 2263 TERMINAL: 02 01/112/17 10:54:48 fil OF ITEMS PURCHASED: 12 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS Ii I I il' IIAli ' I I -------------------------------------------- II f�I(VIII lII I ILII�)(II�I��II�I I II II(III II III I III III I�I ; I R! l u� jLICY (abridged version) 1 THANK YOU FOR SHOPPING LOWE'S. I I SEE REVERE SIDE FOR RETURN POLICY. 1 * 30 Days for most items returned in 1 STORE MANAGER: GARY B(IYI.E I original packaging and in resalable I condition WE HAVE 1HE LOWEST PRICES, GUARANTEED! I + 10 Days on electronic items, unopened 1 1r YOU FIND A LOWER PRICE, WE WILL BL:AT IT BY 10`I. 1 software and charts in resalable - SEF STORE FOR DETAILS, I condition 1 ' I I .•OA- k+ )r+*a+,� � � ** � � + ,,x•k� v• i Boats, Motors & Trailers, cut goods, YOUR OPINIONS COUNT! I special orders and clearance items REGISIER FOR N CHANCE TO Al: 1 are not returnable (INC OF FIVE 1300 WINNERS DRAWN 11ONTHLYL I I iAFGI�Ml ff: EN EL SORTED MENSUAL T I for the complete copy of Defender's I • rAHA SEN UNO DE LOS CINCO GAHADORES DE $300! 1 return policy please visit the Terms of 1 I 6dle section on our website khI51ER BY COMPLETING A GUEST SATISFACTION SURVEY -_----------------------------------------- ! WITHIN ONE WEEK AT: www.lewes,camisuiuey Y 4 U R I D # 02910 2263 002 Thank You for your business! NO PURCHASE NECESSARY TO ENTER OR WIN. VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO F.NfER. * OFFICIAL. RULES 6 WINNERS AT: wlnu.lwwws.cam/survey * Invoice Order Reg Date Time Mk � kkik ' ak # kMk4'k �•AkM # kkKkk I - STORE: 2263 1ERNINAL: 02 01/02/17 10:54:40 700444969 100448323 1 -0 01/03/2017 03:16pm - -- -- - - - - --- - paismopri.00867840 - I Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SCM Chelsea Mo Cust 100202676 - ;t t Fishers Island Ferry hTREE;SHOPS1;11,7,043} Po Box 607 CRti'Sl AL PIALI_, 824 HAIrTFORD 'hPKE Wn1ERi"ORO, CT 0633b Fishers Isle NY 06390 (86)0) 112-0066 ELDRIDGE TIDE & PILOT BOOK U+O)43 10 01/04/17-1251 '7094:5 62-3122 9K050426 - 1 @ 12.26 12.26 * ELDRIDGE TIDE & PILOT BOOK RVN # 07(14-3342-2062 0104-1700 9KO50426 1 @ 12.26 12.26 * '1 1,j0CT' VA COO FEE 1N —R,96994225 OUR PRICE 59.99 Subtotal 24.52 21ACT! VA COI'FEL- , 1N E., - {`� .,) I 59,199"�jl Tax. 1.56 ^r3 069.4"125, ' OJR PRICE ✓ ; ----------------------- SU®"I i:ITAI_ 119.98 Tdtal 26.08 T OT(IL. Q, 119.9 (* - Items are taxable) -------------- Payments----------------- VIS11 119 98"0 Credit Card Visa **** 23 26.On ACC1"ti; ',KKXXXXXX,1(;{XX2:;60 (9) .. Auth: 080195EXPIIf KK/XX IX \/f 2/ J AUTH4 062258 CHANGE .00 --------------- I Signature I I�IIIiI ----------------------..-___-----__--_---_--- IIS III III VIII I�IIII�I�IIII ILII I � 1 ' I RUM t 0"(l4-3342-2062-0104-1700, RETURN POLICY (abridged version) I 1 - ,0,0,0 I * 30 Days for most items returned in I , WANKS I-OR SHOPPING CTS! I original packaging and in resalable I ,lyn LIP for, ads and specials b,A email I condition I @ Chr•istmastreeshops.com I I - t)R.CGIMAL RE'CEII?T REQUIRED FOR REFUNDS = 110 Days on electronic items, unopened I ' X07013'10;%Ol i 9%.1'7=1'251; `7099 5! (i2 2,2 I and charts in resalable I _ .;� t_.u, .._4d,_ .-2-- software I condition I I - I I - - i Boats, Motors & Trailers, cut goods, I i special orders and clearance items I i are not returnable I -- — --- I I - I For the complete copy of Defender's I I return policy please visit the Terms of I Sale section on our website I -- ----------------------------------------- i Thank You for your business! Invoice Order Reg Date Time i 700444968 100448324 1 -0 01/03/2017 03:15pm RJ Burns From: notification@pay.gov Sent: Tuesday,January 10, 2017 10:49 AM To: RJ Burns Subject: Pay.gov Payment Confirmation:Vessel Doc Form Your payment has been submitted to Pay.gov and the details are below. If you have any questions regarding this payment, please contact NVDC at 800-799-8362 Hours:9-3 ET(NoTh). Application Name: Vessel Doc Form Pay.gov Tracking ID: 2600SJSJ Agency Tracking ID: 75162900357 O / Transaction Type:Sale Transaction Date:01/10/2017 10:48:59 AM EST J 2, Account Holder Name: RONALD BURNS Transaction Amount:$26.00 / Card Type:Visa Card Number: ************2360 Name: RONALD J BURNS Delivery and Contact: Method: USPS, Phone: (860)442-0165, Fax:, Email: RBURNS@FIFERRY.COM Billing Address: FISHERS ISLAND FERRY DISTRICT, PO BOX 607, FISHERS ISLAND, NY,06390, USA Shipping Address: Service Requested: Renewal Vessel Number: 685644 Vessel Type: Commercial Comments: THIS IS AN AUTOMATED MESSAGE. PLEASE DO NOT REPLY. 1 National Pen Co.LLC INVOICE NATIONAL PEN Dllas ,Box Page ivoice To: Ship To(If different from invoice to): RONALD J BURNS JONATHAN HANEY FISHER'S ISLAND FERRY DIST. FISHER'S ISLAND FERRY DIST. PO BOX 607 9 WESTCHESTER DR FISHERS ISLAND NY 06390-0607 EAST LYME CT 06333-1028 nvoice No. Invoice Date Reference No. Shipped Via 109093485 09-Jan-2017 16595442-17602285 UPS GROUND ;ustomer No. Terms Customer P.O. No. Salesperson 16595442 ON RECEIPT COPELAND,JESSICA )uantity Description Unit Price Extended 50 DUF-XXX DUFFY WEEKLY PLANNER 1.07 53.50 1 SHIPPING&HANDLING CHARGE 16.99 \ 16.99 To pay by E-check or Credit Card go to:www.Pens.com/Payments. Subtotal $ 70.49 Prepayment amounts are subject to approval/clearing of funds A late charge of$25.00 will be imposed if invoice is not paid promptly Tax $ 0.00 Returned checks are subject to a$25.00 charge Customer is responsible for all fees , associated with the collection of this Invoice. Prepaid $ 70.49 To contact Customer Care please call 1-800-347-7367.To contact the Accounting Department please call 1-866-388-9850. 1 TOTAL DUE $ 0.00 Please detach and return lower portion with your payment. ------------ ----------------------------------------------- ------------- ------ ----------------------------------------------------- - Remit Payment To • NATIONAL PEN P.O Box 847203 Dallas TX 752847203 Customer No. Invoice DateInvoice No. AMOUNT DUE Form of Payment Please do not send cash. 16595442 11 09-Jan-2017 1 109093485 $ 0.00 [:] VISA [—] MASTERCARD If your address has changed,please make corrections below- 0 CHECK or MONEY ORDER RONALD J BURNS Amount Enclosed FISHER'S ISLAND FERRY DIST. PO BOX 607 Credit Card No FISHERS ISLAND NY 06390-0607 Credit Card Expiration Date / X E-Mail: Please write your customer number on the check or money order Authorized Signature 16595442 000000000 109093485 6 PACKING SLIP ►�CeIVP.� irlq/I �� NATIONAL PEN (TN), 342 SHELBYVILLE MILLS ROAD, SHELBYVILLE, TN 37160 US JONATHAN HANEY Shipment ID 17602285-1 FISHER'S ISLAND FERRY DIST. PO NUMBER 9 WESTCHESTER DR Order No 17602285 EAST LYME CT 06333-1028 Customer No 16595442 Ship Date 01-09-2017 US Country of Origin US Carrier/Forwarder Total Cartons 1 UPS GROUND Total Weight(lbs) 10 Total Qty 50 Total FT Quantity Inventory Code Description of Merchandise 50 DUF-XXX-1.7EJX-US-W DUF-XXX DUFFY WEEKLY PLANNER 1 - LoWE'"S I H iOWE'S HOME CENTERS, LLC IbI WATERFORD PARKWAY HURT More saving, IaaI16ORD, CT 06385 (860) 701-2000 More doing.` - S A L F - ��lta#: 5,2263OG1 1195622 TRANS#; 27!)2970 01-18-17 ".1 f I U•RTr0h[1 1 P!(E WATERFORD, CT 06385 1(I! HI•Alil bTORE MGR. (860)437-1900 69598 3M PAINT PROJECT RESPIRAr 65.94 x;215 00022 10243 01/11/17 01:26 Prl 2 0 31.97 ASHIER STEPHANIE j 212039 3M SANDING FIBRGLASS U RE 22.65 631595 TRIMACO HEAVY OUIV COVERA 19.96 Hi3014143370 FOAM SS 11\1 <A> 3/4" ID X 1/2" WALT_ X 6' LONG FOAM S 2 O �'�8 402.49 9.96 66510 1-GT RUSTY METAL PRIMER R 9.58 .,'0798184268 ALXFDPROPK <A> 34.27 CT PAINTCARE OVERY F 0,35 ALEX FAST DRY WHTIF 10 1 OZ 12 PK rj( 810909081753 1002 CAULK G A> 5 97 � SMOOTH HEX ROD CAULK GUN 10 OZ fg SUBTOTAL: 116.48 032888182363 VACUUM BRKR <A> TAX: 6,13 3/4" HOSEBIBB VACUUM BREAKER 205.82 11.64 j DICE 639 TOTAL: 122.61 051141958989 3MEXTMI <A- (�-J 02VISA: 122.61 SCOTCH VHB EXTREME MOUNTING TAPE 4__. \�— 2@19.97 - 39 94 764666564466 CAN 50 SCREW -A- 29.98 VISA:XXXXXXXXXXXX2360 AMOIINT:122 61 AUTHCO:013290 DECKMATE SCREW, TAN, 1-5/81N, 51_B CHIP REFID:2?6302103529 01/18/17 10:22:59 SUBTOTAL 131 76 CU,,,TOMER CODE: race nt SALES TAX ' 8 37 �, ' APL: VISA CREDIT TVR: 00001108000 TOTAL $140.1 XXXXXXX)(XXXX2360 VISA A'[O: A0000000031010 15T• FB00 USD$ 140.13 STORE: 2263 IERMINAL. 02 01/10/17 0:23:43 AiITH CODE 019283/22204112 TA 11 CoF 'rTEMS PURCHASE'U". 6 0i p Read Verified By PI1J 1 X A u A0na;uuO031010 VISA CREDIT (.IIDiUES FEES, SERVICES AND SPECIAL ORDER ITEMS (:-1 F80 ,1800 00AG 3600002 W / ���Ili�li�l��lllll�Ililllllll�Il IIIIIII�III IIII�IIIII IIII��II�IIIIII�IIIII�IIII I���IIII�I�I Alts' 00 R � � I , I THANK YOU FOR SHOPPING LOWI: S. P f) #/JOB NAME: RP/F_/_+5 SCE REVERSE SIDE FOR RETURN PITLICY. ll !! II MORE MANAGER: GARY BOYLE I�IIIIII�I�II�III�I�II�IIIIIII�IIII�I�I�III�II III WE HAVE 1HE LUllk;>I" PHI!ES, [iIIAROHIEED! 6215 22 10243 01/11/2017 1877 it YuU FIND A 10110t 't l L !11,1-II II 8y 101, RETURN POLICY DEFINITIONS aEE I u t< <nk I•i I i' POLICY ID DAYS POLICY EXPIRES ON A 1 90 04/11/2017 Rm++ * ^•*^.•• ;?""' THE HOME DEPOT RESERVES THE RIGHT TO ILit ill f LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORLS FOR RERISw, ':m . :.(AHi,I IU O'C DETAILS. ONE OF F1VIL �.,,v >> ; F,HJ uKAY11110RTNLY! BUY ONLINE PICK-UP IN STORE • !REGISII(r-)L ill G auRiEO MENSUAL AVAILABLE NOW ON HOMEDEPOT.COM. I PARA SER UNG OE LUa t INLO GANADORES DE $3001 CONVENIENT, EASY AND MOST ORDERS READY IN LESS THAN 2 HOURS! REGISTER by COMPLE11116 A BUESr SATISFACTION SURVEY -YCYCY:YC-k Yf Yf yf Yrwww W-w_ww,ww�.�••..•...--_ `--- WITHIN ONE WEEK Af: t441W.TOWes.com/survey Y 0 U R I D # 02639 221]3 018 * NO PURCHASE NECESSARY rO ENTLR OR 11I11. * VOID WHERE PROHIBITED. MUST BE 16 OR ALDER TO GN1ER. * OFFICIAL RULES & WINNERS Ar: mu.lmtwes.cam/survey STORE: 2263 TERMINAL: 02 01198/17 10:23:43 , 0` (7 DetaHs for Order #'x.06-3981366-7179400 �`J9 � Print this page for your records. Order Placed: December 9, 2016 Amazon.com order number: 106-3981366-7179400 Order Total: $330.00 Preparing for Shipment Items Ordered Price 6 of: Yellow Nemo 2000 Submersible Flashlight (1 Flashlight) - NPK-PL-2000N-YL $55.00 Sold by: Miller Supply Inc. (seller profile) Condition: New Shipping Address: Item(s) Subtotal: $330.00 Fishers Island Ferry District Shipping & Handling: 5 Waterfront Park pp g 9� $0.00 New London, CT 06320 Total before tax: $330.00 United States Sales Tax: $0.00 Shipping Speed: Total for This Shipment:$330.00 Standard Shipping ----- Payment information Payment Method: Item(s) Subtotal: $330.00 Visa I Last digits: 2360 Shipping & Handling: $0.00 Billing address Total before tax: $330.00 Fishers Island Ferry District P.O Box 607 Estimated tax to be collected: $0.00 Fishers Island, NY 06390 Grand Tota 330.0 United States •$ Credit Card transactions Visa ending in 2360: December 9, 2016:$0.00 To view the status of your order, return to Order Summary. y,� Conditions of Use I Privacy Notice © 1996-2016, Amazon.com, Inc. or its affiliates RJ Burns From: Allen Watrous LLC <invoicing@ messaging.squareup.com> Sent: Wednesday,January 18, 2017 6:09 AM To: RJ Burns Subject: Invoice Paid:#000003 from Allen Watrous LLC X Allen • Invoice Paid cf Paid $150.00 on Jan 18, 2017 dive job January 6, 2017 Invoice#000003 January 18, 2017 J Customer Fishers Island Ferry District rburns@fiferry.com Charlie Allen diving services rendered dive job, January 6, 2017 1 boat $150.00 Sub-Total $150.00 Total Paid $150.00 VISA 2360 01118117, 1 GRAI,NGER Click.www grainger cam I Call 1-800-GRAINGER(472-4643) Page 1 of 1 j 1"j � � PACKING LIST Include Stuffers - VWv GRAINGER NEW JERSEY DC BOX ID U222881928 400 BORDENTOWN-HEDDING RD PO Number RJ BURNS BORDENTOWN NJ 08505 Delivery Number 6348598374 hip TAccount Number 869158477 O FISHERS ISLAND FERRY DISTRICT Caller RJ BURNS P 5 WATERFRONT PARK O Release Number NEW LONDON CT 06320-0000 Project/Job Number Department Order Date 01/19/2017 Ship Date 01/19/2017 Requisitioner Old TO Employee Contact XRXB130 FISHERS ISLAND FERRY DISTRICT _Carrier- UPS GROUND " --5-WATERFRONT PARK Order Type SH NEW LONDON CT 06320-0000 Debit/Credit Code VISA Cartons Shipped 1 SPECIAL INSTRUCTIONS Please reference DELIVERY NUMBER 6348598374 on / all remittance and correspondence. Your Order Number is: 1281625636 I PO Line Item# Item Description Quantity Shipped BackShipped from other ordered Tax Unit Price Total location 1 N962 Barricade Tape,Red/Black,1000 ft x 3 In 1 0 0 E 31.95 31.95 Subtotal 31.95 Tax Shipping 11 26 Total 43.21 to 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. Page 1 of 1 CAMRAC,LLC,453 COLMAN ST, NEW LONDON,CT 063203740(860)442-8333 RENTAL AGREEMENT REF# 81766 6KH13T SUMMARY OF CHARGES RENTER Charge Description Date Quantity Per Rate Total BURNS, RONALD J TIME&DISTANCE 12/27-01/24 4 WEEK $250.00$1,000.00 ADDITIONAL DRIVER TIME&DISTANCE 01/24-01/25 2 DAY $57.00 $114.00 ESPINOSA, NICHOLAS DW 12/27-01/25 30 DAY $18.99 $569.70 WHITE, NATHAN JACOB REFUELING CHARGE 12/27-01/25 $0.00 FRANCO, MICHAEL Subtotal: $1,683.70 DISCOUNT- NEGOTIATED- 12/27-01/25 5% ($55.70) DATE&TIME OUT RATE AND MILEAGE 12/27/2016 09:40 AM Taxes&Surcharges DATE&TIME IN MOTOR VEHICLE RENTAL 12/27 -01/25 3% $31.75 01/25/2017 02:38 PM SURCHARGE BILLING CYCLE SALES TAX 12/27-01/25 9.35% $101.92 24-HOUR TOURISM ACCOUNT SURCHARGE 12/27 -01/25 30 DAY $1.00 $30.00 CAR CLASS CHARGED Total Charges: $1,791.67 MVAR Total Estimated Amount Due $1,791.6 VEH #12017 DODG GCAR SXT PAYMENT INFORMATION VIN# 2C4RDGCG1HR557952 LIC# KFV6092 AMOUNT PAID TYPE CREDIT CARD NUMBER MILES DRIVEN 2755 $1,791.67 Visa xxxxxx...2360 PENDING CAR CLASS: MVAR s� P http://ecarsl.corp.erac.com/rental/closeTicketPrint jsp?doNotPrintRatesIndicator=false 1/25/2017 9 ff1f33Q� QIIf4Bf3 11®1 6�9 fl9©D9 8i�6 1101 i01100 01 0H09 489CTHC UC16 PAGE 1 of 4 nterprise _ dill fTec O APT - f,et1t� aP1 111 13:00 AM - Ae00 PM SIF R!60 AM - A.-0 TH R!60 Aft - A iAA-PM—'-€F AM - A!00 Phi, 94 9:oO AM - 1: OWNER OF VEHICLE. rAMRAr. I I r. 1;11 9!0 AM - 1e00 PM BRANCH ADDRESS: 499 rnf MAN ST 7 NFb1 I nrvinw. rT. OAAP0:�740 (RA9) 44P-RRR? I1 bd 5b' 9R0 N RENTAL SOURCE# ID# TYPE— RIISINESS FTANFR TRI 9 ' _- 112 Lem-- --------- ,------Aq o RENTER 11/PR/P01 A y P!09 AM RI IRNA; RnIN4i B .T DAY = P4 HnI IR PFR Tnn START CHARGES IF DIFFERENT 0) 91P-_9A9R_VFHTrI F $19.11/H_nIIR ORIGINAL VEHICLE _ r 14i)1.R9/I,dFFh COLOR LICENSE NO $1.140.(}0/M1TNT1• V 0 Il/ILr DEL/Il�� C rV .�iIP(IP1 Y L11 IN BILL COMPANY MILE- AGE TO ❑ N Nn EHARSF MTI FG OUT OUT ATTN PHONE EXT CONDITION AND FUEL`X /2 FKEYS LEVELAGREEDTO RENTER REFERENCE NUMBER DO _ o O W ADDITIONAL AUTHORIZED DRIVER(S)-EXCEPT AS REQUIRED BY LAW,NONE PERMITTED WITHOUT OWNER'S M0,-, ro < WRITTEN APPROVALii QIR ITTEN OWNER'S PERMISSION TO ALLOW F`iPTNI1.L'iA PlTt:HTi1 A.�',z R/�3i/Pr!19 ❑ WHO IS UNDER MY CONTROL AND DIRECTION.TO DRIVE VEHICLE FOR ME AND ON MY BEHALF I AM RESPONSIBLE FORTHEIR ACTS WHILE THEY ARE DRIVING,AND FOR FULFILLING TERMS AND,CONDITIONS OFT HIS RENT LO (AGREEMENT) USE OF VEHICLE BY AN UNAUTHORIZED DRIVER WILL AFFECT ___ ___ _ WINDSHIELD SAME ROOF OK OYES ONO MY L CTYA D RIGH DE$SHISi�REE,MENT ADDI BRTVFR 1,10.00/BAY CONDITION SAME ON RETURN OYES ONO R TER X G ' E ISSION NTED TO OPERATE VEHICLE ONLY IN THEtSTATE OF RENTAL AND THE FOLLOWING STATE(S) F OUT E 1/8 /4 3/8 1/2 5/ 3/ 718 F E' Iv0 �aSQ n" �2elunds — — ----- L IN E 118 1/4.318 112 518 314 718 F_ ^OPTIONAL 1 PRODI CTS NOTICE: OPERATION IN ANY OTHER STATE OR COUNTRY WILL AFFECT YOUR LIABILITY AND RIGHTS UNDER THIS AGREEMENT _y /1L II�T� Uli CHARGE DECLINES OPTIONAL DAMAGE WAIVER RENTER ACCEPTS OPTIONAL DAMAGE WAIVER WE OFFER,FOR AN ADDITIONAL CHARGE THE I(DW)AND ASSUMES DAMAGE RESPONSIBILITY. (DW)AT FEE SHOWN IN COLUMN TO RIGHT SEE FOLLOWING OPTIONAL PRODUCTS: DAMAGE SEEP RAPH7 ��7 NOTICE NOT INSU PARAGRAPH 17 DAMAGE RENTER X WAVER; PERSONAL ACCIDENT INSURANCE,? E X E�GLI Dw ACCEPTS DW SUPPLEMENTAL LIABILITY PROTECTION RENTERDECONES OPTIONAL PERSONAL RENTER ACCEPTS OPTIONAL PERSONAL ' AND ROADSIDE ASSISTANCE PROTECTION. ACCIDENT INSURANCE(PAI)SEE PARAGRAPH 10 ACCIDENT INSURANCE PAS AT FEE SHOWN IN YOUR PERSONAL AUTOMO IL INSURANCE ' COLUMN TO RIGHT SE P.GWW19 -g RENTER X POLICY MAY COVER LISION DAMAGE 1 fflaff4DECLINES PAI ACCEPTS PAI FIRE AND THEFT D GE AND PERSO RENTER DECLINES OPTIONAL SUPPLEMENTAL RENTER ACCEPTS OPTIONAL SUPPLEMENTAL RENTER•X -- -" LU181 TECTION LP SEEE���PARAGRAPH 8 LIABILITY PROTECTION(SLP)AT FEE SHOWN IN INJURY INCURRED WHILE USING A RENT 'S COLUMN TO RIGHT SEE PARAGRAPH 18 MOTQ��VEHICLE: BEFORE DECIDING nEcuN SLP ACCEPTS SLP -'- -- ---— ---- WHETHER"TG-PURCHASE ANY OF I R F-%ECLW O PTI NSR,ROADSIDE ARENAS R ACCEPTS PROTECTION(LR ROADSIDE FIDE SHOWN RENTER X PRODUCTS, YOU MAY WISH TO DETEfRSIAVAI PARAG !I 3 IN COLUMN TO RIGHT SEE OPTIONAL PRODUCTS WHETHER YOUR PERSONAL. INSU CE E DE LI Es P NOTICE TO LEFT AND PARAGRAPH 2O ACC RAP OR CREDIT CARD PROVIDES YOU COVE GE . , -- - -------,-------.___ _._._ DURING THE RENTAL PERIOD.FOR A FU - •. • . • - •. - -. DESCRIPTION OF THE-PRODUCTS,INCLUDING ' ' ; - = •: ' ' - - ` -m--`'� `FI lFi -!`FiAlit, _ )i i TIzAI f f BENEFITS, RESTRICTIONS AND EXCLUSIONS, . : -. .- . -. •. PLEASE SEE PAGE 3 PARAGRAPHS 16,17,18 ---_-__-. &19.THEIR PURCHASE IS NOT REQUIRED TOREVOKED,'CANCELLED RENT VEHICLE. � RENDERED. -- KENT R- _ DATE 1 1 PR 1P 11 A REPLACEMENT VEHICLE OWNER / 1 - _ '"AI TAY i''r'l/FtFAfTA1` n° o REP X �', E#PL F4 1 T.; qAI FS_ TAX 9.Ti%1RFNTAI E T I WILL RETURN CAR BY: I DEPOSIT(S): 1i1 i I IR FIFA RTI OR1:HI� .iI COLOR LICENSE NO DATE TIME AMOUNT PAID BY Tn IR T RM ArrT R IRrI4R'' $1. MODEL ECAR# 1P/?R/P91A R:90 AM $1.R51.RR 111PR/?01A I/J) ' —r5 i�� MILE- IN AGE OUT ADDITIONAL INFORMATION - CONDITION AND FUEL X #OFKEYs TOTAL CHARGES LEVELAGREEDTO RENTER oO _ 0 0 DEPOSITS r o REFUNDS o " O WINDSHIELD OK ROOF OK OYES ONO ^' CLOSED BY ' CONDITION SAME ON RETURN OYES ONO ^� PAID BY CASH ICHECK CHARGE F OUT Ira 1/4 13/8 •1/2 5/° 3/a 8 F Annualized rates not to exceed$10,946.35 for DW,$1095.00 for PAI,$5471.35 RECEIPT OF DATE AMOUNT RECEIVED BY Flo Gasol(ne PeTL��1dS for SLP and$1456.35 for RAP. IN E ,ra Ira 3ra 1rz s/a 31a na F Lower rates may apply for DW based on the terms of rental. Cases REFUND OWNER IS AN AFFILIATE OF ENTERPRISE HOLDINGS INC,WHICH OWNS ALL RIGHTS TO ENTERPRISE NAMES AND MARKS. @ ©CAMRAC,LLC,2011 1,f151.RR 1.A91.RR MTNTVAN 7 RFAT 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 attorneys'fees paid or to be paid by Owner,its affiliates or a third party for legal 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 oocumng dunng the Rental Period(Fines,Tolls and Violations) this Agreement,notwithstanding that a reservation for vehicle may have been arranged by a thin/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 Formatters arising from this Agreement,Renter autho- Fines,Tolls and Violations with the applicable authority Renter agrees Owner may provide Renters information to rizes Owner to venly andlor obtain through credit agencies or other sources Renters personal,credit and/or insurance information. applicable authorities and/or third parties toprocess 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 writing and signed by Renter and Owner apply towards all costs incurred in connection with any Fines,Tolls and Violabons 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 Serwce 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 vrill not exceed$30 00 per Rental Period In addition to the TCC,Owner or a third party may separately charge DRIVER(S),and with the permission of Renter,includes Renters spouse or domestic partner(same or opposite Renters credit or debit card for each toll(or other charge)not paid by Vehicle operator incurred dung the Rental Penod sex)who meets the minimum rental age and holds a valid license. at the higher of the applicable toll authonty's cash 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 Service covered roads is available upon request,at'www htallc comlenterpnse"or(877)860.1258 Operation ski racks,toll transponders and/or other products accepted by Renter. of Vehicle on a roadway or bridge not covered by Tollpass Automatc 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 Violators,see Paragraph 3 c(3)above.RENTER EXPRESSLY AUTHORIZES it "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 ALL OTHER DATA NECESSARY TO ENABLE THE COLLECTION OF ALL SUCH AMOUNTS. or recovered and in either case,checked in by Owner (5) A late charge of 11/2%per month,not to exceed the maximum allowable by law,on all charges not paid e. "Renter"means the person,or entity identified on Page 1 as"RENTER"; within 30 days after the end of the Rental Period f "Vehicle"means the"ORIGINAL VEHICLE"or any replacement vehicle(s) (6) All expenses incurred by Owner in the collection of amounts due Owner under this Agreement or in 2. Ownership/Vehicle Condition/Warranty Exclusion.Renter acknowledges that Vehicle and any Optional 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 authority 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 mechanical condition RENTER IS TAKING POSSESSION OF IF A CREDIT CARD OR DEBIT CARD HAS BEEN PRESENTED AS A MEANS OF DEPOSIT OR SECURITY,RENTER VEHICLE AND ANY OPTIONAL ACCESSORIESAS 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 OR FITNESS FOR A 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. a Renter agrees to the following limits on use, 3. Payment by Renter. a>For items designated as either"Ihour","/day","/week"or"/month"on Page V (1) Vehicle shall not be driven by any person other than Renter orAAD(s)without Owner's prior written consent (2) Vehicle shall not be used for transporting (1) °Ihour"is 60 consecutive minutes or any portion thereof beginning at the start time of the rental. ransporrt o tpersons far 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 private carrier of property UNLESS, (3) If"day=calendar day",7day"is each consecutive full or partial day of the week. I. Renter obtains bodily injury and property damage liability insurance required of a motor carrier by the (4) "/week"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) "/month'is 30 consecutive 24 hour days beginning at the start time of the rental ii 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"Ihour"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- tional 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 setforth 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 doorjam,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 (9) 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 collection 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 tolfrom Owner ton 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 dunng 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 authorityrs 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 collection 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"whaw htallc comlenterpnse"or(877)860-1258 remedies provided by law Owner has the right to seize Vehicle connected without legal processor notice g Renter or AAD(s) 6 The fuel charge at the rate shown. If based on consum tion and Vehicle is returned with less fuel than when rented, Renter and d shall hereby waive all claims for damages connected Vehicle such seizure,including loss or damage to () r9 P contents,and shall pay all expenses incurred by Owner in returning Vehicle to the original 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 rented tothe time itis returned Renter shall not receive a refund or credit if Vehicle is returned wth 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 be the per gallon charge indemnify,defend and hold Owner harmless against any liability arising from such notice Renter remains multiplied by the fuel tank rapacity of Vehicle 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 locaton 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,forthe 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 occumngduring the Rental Penodregardless offault ornegligence ofRenter SURCHARGE is not calculated based it the costs imposed upon particular vehicle or any other person or act of God Renter shall pay Owner the amount necessary to repair Vehicle or Optional Accessories Renter shall not have Vehicle or Optional Accessories repaired without permission from Owner If Vehicle is stolen and not c Additional Obligations of Renter—Unless prohibited by law Renter shall pay Owner,its affiliates or agents. 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 Accessones 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 ublizabon,calculated Owner is an affiliate of Enterprise Holdings Inc,which owns all rights to Enterpnse names and marks ©CAM RAC, LLC, 2016 ADDITIONAL TERMS AND CONDITIONS 489CTHC UC16 PAGE 3 of 4 as follows(i)9 Owner determines Vehicle is repairable total labor hours from the repair estimate divided by 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,(ii)if Vehicle is stolen and not recovered or Owner determines damage occurring in Mexico. Vehicle is salvage 15 days at the daily rate on Page 1.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 f greaterepan thaestin $1,5000ate is ,(b)a um for00 r$100 00 when of repVres le is r s between$500 00 as 10%o0 00 repairor t- representative or credit card company to determine whether,in the event of damage to,or theft �greater than$1,500 00,(b)a sum for diminishment of value rf Vehicle is repairable calculated as 10/o of the repair est- P P y 9 mate d the damages are greater than$49999.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 2 b an person if there is reasonable evidence the driver was impaired b the use of motor vehicle financial responsibility laws of the applicable state or otherwise by law or this Agreement,neither ( ) y y p P y 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 is available on any basis to Renter,AAD(s)or any other driver and such insurance or self insur- (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 Owner or 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 (8) to transport persons or property for here, is limited to the applicable state minimum financial responsibility amounts.Unless required by law,Owner's or (g) in t wanton or reckless manner or if Vehicle is deliberately damaged; its affiliate's financial responsibility shall not extend to any claim made by a passenger while riding in or on or 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 andother expenses incurred d. if Renter fails or refuses to provide Owner,police,or other authorities with a full report of any by Owner or its affiliate(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 an of the following. to Owner or its affiliate(s)for all such losses This obligation may be limited if Renter purchases optional DW e. y 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 Injury 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(UM/UIM)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 in the minimum limits with the maximum deductible and expressly waives and rejects PIP and/ THE PURCHASE OF SUPPLEMENTAL LIABILITY PROTECTION IS OPTIONAL AND NOT or UM/UIM limits in excess of the minimum limits required by law REQUIRED IN ORDER TO RENT N VEHICLE. 11.Personal Pned therein, Owner is not damage am responsible or for any damage to,loss r theft of,any personal l property THIS IS A SUMMARY ONLY AND IS SUBJECT TO ALL PROVISIONS, LIMITATIONS, or data contained therein,whether the dama a or theft occurs duringor after termination of the rental regard- of fault or negligence Renter acknowledges and agrees that no bailment is 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 Renters 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 SLP Benefits: 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 Vday'charges or the per diem 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 Way'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 diem benefits.Regardless of the amounts paid under such flat fee P p 9 p agreement,third party payments shall not be applied to.vehicle upgrades or optional products(beyond those insurance policy does not provide coverage for any loss arising from the use or operation of 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 ii.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 Enterpnse Holdings Inc,which owns all rights to Enterprise names and marks © CAM RAC, LLC, 2016 489CTHC UC16 PAGE 4 of 4 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 mayor may not be active during the Rental Period PAI provides Renter and Renter's passengers with Accidental Death,Accident Medical Expenses andlor 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 1¢e 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(i.)location information,(ii.)automatic crash notification to any person for use in the operation of an automatic crash notification system and(iii.)operational PAI Benefits: Renter, Passenger 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 Telemabcs 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 during the Rental Period whether or ics system to operate properly or otherwise ansmg 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 vim),which may include system and service limitations,warranty PAI Exclusions: exclusions,limitations of liability,wireless service provider terms,privacy practices,descriptions of use and sharing of infomiabon,and user responsibilities. By signing this Agreemerit,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 accordance with,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; 22 Headings.The headingsiof the numbered paragraphs of this Agreement are for convenience only,are an accident which occurs while under the influence of alcohol or narcotics,unless prescribed by •not part of this Agreement and do not in any way limit,modify or amplify the terms and conditions of this a physician;an accident which occurs while participating in a prearranged or organized race or Agreement. . testing of a vehicle;war or any act of war;or engagement In an illegal occupation;nor shall this 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 Owners 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 drivers name,address,cellular/mobile and other phone numbers,drivers license and/or crediUdebit 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 Renters personal data to,third parties which conduct services on Owners behalf(such as Sedgwick CMS consumer satisfaction surveys)and consent to Owner or Owners representatives contacting Renter. - 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 stoied and used in-accordance with Owners ASSISTANCE PROTECTION (RAP),you may wish to check to determine whether, you have privacy policy,which is available at www enterprise.coca/abouUpnvacyPolicy.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 byseference. Questions regarding-privacy should be directed to: INSURANCE. THE PURCHASE OF ROADSIDE ASSISTANCE PROTECTION IS OPTIONAL Privacy@ehi.com;1(877)y858-3884 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)2254284,email Mobility@erac com,or TTY 1(866)534-9270.- remote entry devices), (n)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, W. ' _ With an excellent selection and financing free rental days 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 enterprisecarsales:com Join for free at enterpriseplus.com or call 1 800 227-7253. Yourweekend We're always, ; r h starts here. on-call: , Ask about our weekend specials,'or's • ' 24-HOUR CUSTOMER SERVICE' visit enterprise.com' 1.800 2646350 ` 24 HOUR ROADSIDE ASSISTANCE* 1 800 307-6666 Keys flag lumps,fuel or any other mechanical iqparr�just call and we'll be there _ Feamayapply - - We'll pick-you up° Pick-up subject to geographic and other restnction 02014 Erderpnse Rent-A-Car E03648 US 2/14 J61 s r. Sogolow Starter Alternator Works Sales Receipt 499 East Main Street Date Sale No. Norwich, CT 06360 1/25/2017 7505 Sold To Fishers Island Ferry 5 Waterfront Park New.London, CT 06320 Check No. Payment Method Qty Item Description Each Amount 1 SRI Starter new 410-12507 697.00 697.00 SOGOLON STARTER Al fERNATOR WORKS 199 MAIN ST NORWICH[.f 66560 8EUSS94809 Merchant ID' 760161x29 f ID: 1206 Sale Application Label VISA CREDIT VISA XXXXXXXXXXXX2360 AID: A0000000031010 Entry Method; Chip'- Apprvd; Online Batcha; 000009 01/24/17 14.05;58 i Subtotal $697.00 I ' Inuo; 00000003 Appr Codec 031324 Sales Tax (6.35%) $44.26 Total: $ 741.26 Total $741.26 I TVR' Pr-00008000 -30 Customer Copy THANK YOU 200001336 NATIONAL PARTS SERVICE INC Time: 08:47 ° Invoice Number 3494978 WAPA'� f 82 Boston Post Road � Waterford, CT 06385 Date: 01/28/2017 f� (860) 447-3211 £ i Page: 1/1 I 1297 Employee: 77 Jason II Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 24 261 Trumbull Drive Fishers Island, NY 06390 I Part Number Sine' Description Quarstity, Price , Net Total. BKMAT1520WM .NCB 'NEW PIG ABSORBT PAD 1.00€ 147.581 78.4900 78.49s 765-1483 `BK gEV BEAD SIL GSK MAKER 2.00° 24.69€ 18.9900 37.98 I 7651589 BK PTEX ULTRA BLACK 307 2.00` 14.82 7.6900' 15.38 rn Delivery: Subtotal 131.85 Attention: TAXTABLE 1 6.3500% 0.00 I! ', Tax Exemption: PO#: Ili Terms: Net 20th T6tal 131.85 Customer Signature Visa 131.85 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE I agree to pay total amount according to card issuer agreement. _ � CUSTOMER COPY I I NAPA'AUTO 0027338 860-447 3211 82 BOSTON POST ROAD WATERFORD, CT 06385 ler nunai GPC00273381 Procr5sor ID: CARDNET. I ChLiA IN 5662800010001 Sale 01.28/11 08.47.57 IRAN Ib. 22405 r(11' VISA XXXXXXXXXXXX2360 f 411- " I✓� / RUM 089739 ii LP Token 247780663 $ 13 ; NO SIGNATURE REQUIRED Cu�lom<i G-.n, i i D-1te; IA10,121)I T I!b A' PM I:arc; J,pe, JI'SA Auld, #: xxr:x(x: x2,,130 UP Ccde; OBSOMl I Re fc,wa: Clock: M Eagle; I;�=r er; 3Ci .k.r• til iaQ "� . r i vi/ J __ •- _......._- PONill.I'l NRNS W AiIM TMW. AMOUNT Pc,CE,RU.ENa T'0 GARD ISSJER iAREEME:NT (AE:RGANT 413K.E141'.1Vl IF CRidLT VOUCHER) k GU13T COPY *10 I -- Stonewall Cable: Receipt: GQBH6V64A5DH8J9XNWGUMVATM4 Page 1 of 1 ' — Stonewall Cable, Inc. We build the cables that connect the world. Search Products: OEM Cables Product Selection GO Select OEM Name Select Category Home Search Product Map Basket Partners Cable Quote Contact Us Login Receipt#39543 Ship To: Bill To: Date: Gordon Murphy Gordon Murphy 1/5/2017 Fishers Island Ferry District Fishers Island Ferry District 261 Trumbull Drive 261 Trumbull Drive Payment Method: #607 Fishers Island, NY 06390 Card Fishers Island, NY 06390 Phone:631 788 7463 Ref#: FI Ferry Phone:631 788 7463 BOCA SKU Description Options Length Unit Price Qty Total Price "SC-9100 Serial Conversion DB9F/ Standard PVC 8 Ft. $36.00 1 $36.00 DB25M Subtotal: $36.00 UPS Ground S & H: $0.00 Charged to Fishers Island Ferry District's FedEx Account Tax: $0 00 #120603345. Total: $36.0E1�,� Shipping Notes: Return to Stonewall's Home Page. _. . Secured e . IPC . a ( by IS® 9001 d#�lrbr w :ar -ai-as Stonewall Cable, Inc. Phone:800-525-3303 webmaster@stonewallcable.com 126 Hawkensen Drive 603-536-1601 techsupport@stonewallcable.com Rumney, NH 03266-3548 Fax:603-536-3240 sales@stonewallcable.com V.2012.a https://www.stonewallcable.com/receipt.asp?order_id=GQBH6V64A5DH8J9XNWGUM... 05-Jan-17 From Stonewall Cable, Inc Packing Slip 126 Hawkensen Drive Rumney N H 03266 Date: 01/11/2017 Page: Page 1 of 1 Order#: 122618 PO#: Ref #FI FerryBOCA S11iTo Gordon Murphy-Ref #FI Ferry BOC Fishers Island Ferry District 261 Trumbull Drive #607 Fishers Island NY 06390 United States Qty This Total Prod Code Rev Description Length Ordered Shipment Shipped 'Balance *SC-9100 2 Serial Conversion DB9F/DB25M 80 1 1 1 0 PO Line No: i' Gordion Murphy 'From: info@partswarehouse.com Sent: Wednesday,January 18, 2017 11:30 AM To: Gordon Murphy Subject: www.PartsWarehouse.com Order Confirmation CustomerID# 1625244 Par t*S4N, l Wareh. a ut"ossiem Thank you for your order. Your order number is 1734855, placed 01/18/2017 at 10:29AM. fYYI- D Bill To: Ship To: G`� Fishers Island Ferry District Fishers Island Ferry District Gordon Murphy Gordon Murphy 261 Trumbull Drive 261 Trumbull Drive Fishers island, NY 06390 Fishers island, NY 06390 United States United States 631 7887463 631 7887463 gmurphy(Wiferry.com Payment Info: Shipping Method: Credit Card: Visa USPS Gordon Murphy ************4379 Order Details: Code Item Qty Price Grand-Total AMC84P-6LOVO Panasonic Hose, 3900 #AMC84P-6LOVO 1, $34.60 $34.60 Subtotal: $34.60 Tax: $0.00 Shipping Cost: $7.48 n Grand Total: $42.08 �x Thank you for shopping with us' Tye.�_ M� ��,„„a�;,,�4 •:• If You Found It. fi 1 A ( PACKING SLIP 0 ar`'nsvDate: Order#: �' efa7 1734855 1 a 1/23/201 � of j Bill To: Customer ID #162524 ` Fishers Island Ferry District Gordon Murphy i 261 Trumbull Drive Fishers island, NY 06390 gmurphy@fiferry.com Ship To: ! Fishers Island Ferry District Gordon Murphy i 261 Trumbull Dr Fishers Island, NY 06390-8021 Code Description Quantity pAMc84P- Panasonic Hose, 1 r 6L0V0 3900 #AMC 84P-6 LOV0 j II Q Postage in Meter: $224.840 Refill Amount: $200.000 Prepaid on Account: $000.000 3 17 Credit line Available:$000.000 JAN 7-0 52a Account No.: 39900634 Meter NO.: 0594495 �3 � - IU-1 ,. FISHERS ISLAND FERRY DISTRICT VENDOR 002148 BASELINE KING' CORP. 02/14/2017 CHECK 3835 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5610.2,000.000 16-729 FILE 211.015—A PROGRESS#2 & FINAL PYMNT\, 94,703.36 TOTAL 94,703.36 k I >µ� r t r - I ' I . _- - --- _�- ___ -- il" - _ __ =_ __ til'�ed.{ y11<`I ,1, Pt i eiy k.; -___- ____=_ __ _ : •na'< i 1 `A;y== - -,a� _•�� -�$b: „FISH�RS`�ISI A'� ;TF`ERIZ�Y`DIS7'RIC?,'�.�y',� �:,w'- ,_ x',° 'ai•,xai= t'`$>i,1�, ,, "'r': E ND :} s a,AU•,D`,IT;',�02'%1:4/;1'71 �f$ �,: ,-- s 53095'MAIN OAD;=P,O,HOX.l:lk7,9,{.b;.'-R" t, ha /c •-xE<;;'s a,'. 'z. *` ^avw,-. ';s>+ .:et.^,,, , . 3 ,^, .:r •r•'�: n H,�' w "vg` =.�wOUTHOLD;NY^11971'•0959 4 i ,j;e .�? •.t•, �``�'-a e ,r>a t'" t' _ ''i`- CHECK •,I�,Oa:•s` `f,� $���^`,a°j.°f', •r— ='a,,•IY.m..a.�nr - -_— --'s,, "THE SURFOLK"'G0:'�1.''T OI'•rL';BAN+K •I.`';I"'.,H,�'i.Gl.,l�•6n�p'�.1N7 Y'i1�,'L1'.S11 N93d'115',�,I'.1•,,I 1I�anu"'�,7 r+;,,'•e.".: 'x'y.f;`„-_:- _+ --_is°r_DATE- 11 Ti'O.t ',,-.°--•_-'a'r''11t a kt�°. ,e:nxIl up lIlk r FI'''.�+,.A,l dMd17 hSk1U N0/.T, ,Iy ' '� ;��` -02�14• '2:0�17��t �'9, 7.03.:36_ E -1;'" >`i° •t'�50 546/214,';'".4'-+, t. ;r- e•` :t`�• :i r.,s> � p!' 3 e.py t s t` :tt NINETY,:,'FOUI2�THOUSAND.y SEVEN; HUNDRED''THREE;AND, "'3'6'f 100,;aUOLLARS';:"-;`->` - - - __ - "4�• ''V'S.� '\i _ _. _ --/i"'-_-n, it ,il 'Y--_ - _ - - ._ �t� 'i'- _ _-- `1'� 1':iP Y:4�`e i`'�a ,r1 rl li h� .11'i ltr'irf - •d_- _ - _ - t;."� t+1'" Y i•14':��1�"}+"i• __ - _ - __- °_ -x4', ___, - -., i'I• 1`d'' ,{i of 1 '1 t t =- _ _- d" �Pf' t m;"''"' 1 -_;4`"__ _ - _-_ ___ ' -_-s'-__ _- zS� 'G rl-^d d. 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',1;7� ,t.;r�dk'I1�'(y'{k,'I I';-'7ik�ll"dix6d'°s,'a,i• - _ ,_- : - __ >'•y<n �II,I'ad�lki,l�, ,1 ,,,11�1,1q dr; Q1�p��1 �'j• .s• kf�°i', ti -__ _ - __' _�-_:--•i'<_ ,I. a'- ,d. !+x {+„'•F£^ - :- _ _ 1,dk'•..° i6 ,'I. ` �E�, r.J: - -"-_- ---c t;r "„y,','-ip' '�4, ''a'''1''''• --- .y�7:,:,,"s�b : z,. .sa ,;t '1111'x; •!1.'1„it• 1f,ax` ,tr`;t, r,=M `i - - li, n'�II',5' •1krB1 2ZQEVEL`Dr;SNY``.,,133;04`-;' -.+t,= :,t,ar'; •,;,-I'i,” t.'' 1;1; r< - - r -, _° .•,::�,4,rt- ,1. ' .@ t �:Z tk"'6"�: F.':#y mid-' "!, 7>n y J}' rtv .'�c, 'S`'� .s#' '•P�Y) x! o-ke ,Fv 18nr"-k; t •a; '_a�":1: ,f=a:, '.>rx1' 1y' ;'ir„ .5`i: p;' ;zc;-•�,'ji'i _rs" 'L{'r' •'„F .1':r .i• 'e1' rte'' �!!� ,:J?' •moi'h.d+, "4-i,',:,:'}_ - r',t• ,.,`f+;' ,,v�,, f,+ ,t a'' - - - _ I `1 - - __ __'�S':_ _” i•7. �,i 1�.,1'!i ki�• _ __ - _ __ _ _ ,`F+^'1 �I, ;t+ _ - _ - - _`'{ i �4„ '!d .J�fal'• `d'f .i':, :_ _ -_ ,g=-` - .i td , O'D 0'3 S TS Vendor No. Check No. Town of Southold, New York - Payment Voucher 2148 3 t3 !5 Vendor Tax ID Number or Social Security Number Vendor Address Entered by F 111 Liberty Lane A" Audit Date Baseline King Corporation Barneveld, NY 13304 FEB 4 Zoi� 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 FILE 211.015 1/10/2017 $94,703.36 $94,703.36 Progress#2 and FINAL SM.5610.2.000.000. FEMA 6946304 Airport lighting and signage Includes Change Order#1 and FINAL Maintenance Bond,Affidavitof Release of Lien $94,703.36 $94,703.36 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�&--L4------Title Signature Company Name Fishers Island Ferry District Date 2/4/2017 J Title — Date �-7- FILE-211.015 DATE.1/10/2017 PAGER PROGRESS PAYMENT NO.2 AND FINAL PROJECT. CONTRACTOR. Elizabeth Field Airport Airfield Lighting&Signage Repairs Baseline King Corporation FEMA No.6946304 111 Liberty Lane PA ID 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 ofthe Elizabeth Field Airport Airfield Lighting&Signage Repairs project(FEMA No.6946304,PA ID No.103-6946)we hereby submitt Progress Payment No.2 and Final for work completed through November 2,2016. 1 ITEM ORIGINAL UNIT TOTAL PREVIOUS PREVIOUS QUANTITY $AMOUNT QUANTITY TOTAL$ T`'O DESCRIP PION QUANTITY UNIT PRICE ITEM AMOUNT QUANTITY $AMOUNT THIS ESTIMATE THIS ESTIMATE TO DATE TO DATE Base Bid I L-108 No.8AWG,60OV,1/CAirfield Lighting 26,160.00 LF $1.38 $36,100.80 25,300.00 $34,91400 860.00 $1,186.80 26,160.00 $36,100.80 Cable 2 L-108 No.8 AWG,5kV,I/C Airfield Lighting 11,555.00 LF $160 $18,48800 11,555 00 $18,488.00 000 50.00 11,555.00 $18,488.00 Cable 3.1-108 No.6 AWG Counterpoise Wire 71500 LF $167 $1,19405 71500 $1,194.05 0.00 $000 715.00 $1,19405 4 L-108 No.6 AWG Counterpoise Wire and 210.00 LF 56.53 $1,37130 210.00 $1,371.30 000 $000 210.00 $1,371.30 Trench 5.L-i 10 2-Inch Dia.PVC Conduit in Turf 710.00 LF $9.43 $6,695.30 71000 $6,695.30 0.00 $0.00 710.00 $6,69530 6 L-1 10 2-Inch Dia PVC Coated RGS Conduit 150.00 LF $27.55 $4,132.50 150.00 $4,13250 000 $0.00 150.00 $4,132.50 in Turf 7.L-I 19 Single Airport Obstruction Light 2.00 EA $21102.50 $4,20500 2.00 $4,205.00 0.00 $000 2.00 54,205.00 Assembly with New Base 8 L-119 Double Airport Obstruction Light 2.00 EA S1,160.00 $2,320.00 2.00 $2,32000 0.00 $0.00 2.00 $2,320.00 Assembly on Existing Base 9.L-119 Obstruction Light Transformer/ 1.00 EA $3,04500 $3,045.00 100 $3,045.00 0.00 50.00 1.00 $3,04500 Disconnect 10.L-125 Removal of Existing Precision Approach 4.00 EA $1,305.00 $5,22000 4.00 $5,220.00 0.00 $0.00 4.00 $5,220.00 Path Indicator(PAPI)System 11.L-125 Removal of Existing Runway End 400 EA $870.00 $3,48000 400 $3,480.00 0.00 $0.00 4.00 $3,480.00 Identifier Light(REIL)System 12 L-125 Replacement of ExistingR/W Edge 3900 EA $797.50 $31,10250 39.00 $31,102.50 0.00 $000 3900 $31,102.50 Light with Medium Intensity R/W Light(L-861(L))on Existing Base FILE 211.015 DATE:1/10/2017 PAGE.2 PROGRESS PAYMENT NO:2 AND FINAL ITEM ORIGINAL UNIT TOTAL PREVIOUS PREVIOUS QUANTITY $AMOUNT QUANTITY TOTAL$ NO. DESCRIPTION QUANTITY UNIT PRICE ITEM AMOUNT QUANTITY $AMOUNT THIS ESTIMATE THIS ESTIMATE TO DATE TO DATE 13 L-125 Replacement of Existing RIW Threshold 24.00 EA $870.00 $20,88000 24.00 $20,88000 000 $000 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 $20,88000 4.00 $20,88000 000 $0.00 400 $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 $5,220.00 $20,88000 4.00 $20,880.00 0.00 $000 4.00 $20,880.00 Guidance Sign Electrical Components 17.1;125 Replacement of Existing Runway End 4 00 EA $16,095.00 $64,380.00 4.00 $64,380.00 000 $0.00 4.00 $64,380.00 Identifier Light(REIL)System(L-849 (L),Style C)on Existing Base 18 L-125 Re-mounting of Existing Wind Cone 100 EA $2,75500 $2,75500 100 $2,75500 000 $000 1.00 $2,75500 Transformer on Existing Base 19 L-125 Electrical Junction Can(Non-Load 100 EA $1,087.50 $1,087.50 1.00 $1,08750 0.00 $0.00 1.00 $1,087.50 Bearing) 20.L-125 Contractor Support for Follow-Up 100 TRIP $3,62500 $3,62500 1.00 S3,62500 0.00 $0.00 1.00 $3,625.00 FAA Flight Check 21 M-100 Maintenance&Protection of Traffic 10000% LS $13,05000 $13,05000 10000% S13,05000 0.00% $0.00 100.00% $13,050.00 22.M-150 Project Survey and Stakeout 100.00% LS $7,250.00 $7,250.00 100.00% $7,250.00 000% $0.00 100.00% $7,25000 23.M-100 Mobilization 100.00% LS 515,000.00 $15,000.00 100.00% $15,00000 0.00% $0.00 100.00% 515,000.00 24.L-125 Replacement of Existing Precision 4.00 EA S19,23200 $76,928.00 0.00 $000 4.00 $76,928.00 400 $76,928.00 Approach Path Indicator(PAP[) System(L-881,Style A,2 Lamp,Quartz) on Existing Base Add-On No.1 1.L-108 No.8 AWG,600V,1/C Airfield 14,000 00 LF $1.38 519,320.00 14,000.00 $19,320.00 0.00 $0.00 14,000.00 519,320.00 Lighting Cable Add-On No.2 1.L-108 No.8 AWG,600V,1/C Airfield 10,700.00 LF $1.38 $14,766.00 10,700.00 $14,766.00 0.00 $0.00 10,700.00 $14,766.00 Lighting Cable Add-On No.3 1 L-108 No 8 AWG,600V,I/C Airfield 8,500.00 LF $1.38 $11,730.00 8,50000 $11,73000 0.00 $000 8,500.00 $11,730.00 Lighting Cable TOTALS $409,88595 $331,771 15 $78,11480 FILE:211.015 DATE-1110/2017 PAGE-3 PROGRESS PAYMENT NO:2 AND FINAL ITEM ORIGINALUNIT TOTAL PREVIOUS I PREVIOUS I QUANTITY I $AMOUNT QUANTITY TOTAL$' NO. DESCRIPTION QUANTITY UNIT PRICE JITEMAMOUNT1 QUANTITY I $AMOLRNT THIS ESTIMA THIS ESTIMATE TO DATE TO DATE STATEMENT OF DAYS CHARGED Total Amount of Work Done to Date------------ $409,885.95 Less 0%Retained $0.00 30 TOTAL CALENDAR DAYS Total Earned Less Retainage $409,885.95 30 LESS CALENDAR DAYS CHARGED PrevIOLIS Progress Payments------------------------- $315,18259 0 TOTAL CALENDAR DAYS REMAINING AMOUNT DUE CONTRACTOR-------------- $94,703.36 PROGRESS PAYMENT NO.2 AND FINAL �— BASELINE KIN ORPORATI N C&S ENGINEERS,INC. BY. "I t • ' - TITLE- Lawr J.Cerretani,Aviation Construction Department Manager DATE: U �� CONTRACT DESCRIPTION CHANGE ORDER 1&Final PAGE 1 OF 2 SPONSOR Fisher's Island Ferry District NO COST DISTRIBUTION TAB Airfield Lighting&Signate Repairs Elizabeth Field Airport CONTRACTOR Baseline King Corporation State 0.0 T NO q I p NO. FEDERAL STATE LOCAL OTHER SPEC CONSTRUCTION CHANGE REVISED UNIT ORIGINAL REIVSED CHANGE MATCHING FUNDS ITEM NO DESCRIPTION UNIT BID IN BID PRICE ITEM ITEM IN NO. QUANTITY QUANTITY QUANTITY BID TOTAL TOTAL CONTRACT 90.00% 0.00% 10.00% 000% Base Bid L-108 1 No 8AWG,600V,1/C Airfield Lighting Cable LF 25,300 00 86000 26,160 00 $138 $34,91400 536,100.80 $1.18680 $1,06812 $000 $11868 $000 L-108 2 No 8 AWG,SkV,1/C Airfield Lighting Cable LF 12.500 00 -94500 11,555 00 $160 $20.00000 $18,488 CO (51,512 00) (S1,36080) 3000 (S15120) $000 L-108 3 No 6 AWG Counterpoise Wire LF 71500 71500 5167 $1,19405 $1,194,05 $000 L-10B 4' No 6 AWG Counterpoise Wire and Trench LF 22000 -1000 21000 56.53 .$1,436.60 $1,371 30 ($6530) ($5877) $000 ($653) $0.00 L-110 5 2-Inch Dia PVC Conduit in Turf LF 73000 -2000 71000 $943 $6,883 90 $6.69530 ($18860) ($16974) $000 ($1886) $000 L-110 6 2-Inch Dia PVC Coated RGS Conduit in Turf LF 15000 15000 $2755 $4.13250 $4,13250 $000 L-119 7 Single Airport Obstruction Light Assembly with New Base EA 200 200 $2,10250 $4.20500 54,205 00 $000 L-119 8 Double Airport Obstruction Light Assembly on Existing FA 200 200 $1.16000 $2,32000 $2,32000 S000 Base L-119 9 Obstruction Light Transformer/Disconnect EA 100 1 00 33,045.00 53,045.00 $3,04500 $000 L-125 10 Removal of Existing Precision Approach Path Indicator EA 400 400 387000 S3,48000 $3.48000 $000 (PAPI)System L-125 11 Removal of Existing Runway End Identifier Light(REIL) EA 400 400 S79750 $3,19000 $3.19000 $000 System L-125 12 Replacement of Existing RAW Edge Light with Medium EA 3900 3900 $87000 $33,93000 $33,93000 $000 Intensity R/W Light(L-861(L))on Existing Base CURRENT CONTRACT TIME LIMIT: 30 CURRENT CONTRACT TOTAL $441,417 05 NET CHANGE THIS PAGE ($57910) ($52119)11 $0.00 11 57.91) $0.00 CHANGE IN TIME,THIS ORDER,/-. 0 NET CHANGE,THIS ORDER ($31,531 10)NET CHANGE BROUGHT FORWARD ($30,952 00) ($27,856.80) $0.00 ($3,095.20) $000 REVISED CONTRACT TIME LIMIT: 30 REVISED CONTRACT TOTAL $409,885.95 NET CHANGE, TOTAL ($31,63110)1 ($28,377.99) $0.00 (S3,1531111 S000 EXPLANATION: STATE USE E SEE ATTACHED LETTER OF EXPLANATION 1, APPROVED BY: TITLE: tt t DATE' RECOMMENDED BY ENGINEER SPONSOR'S ACCEPTANCE CONTRALTO 'S ACCEPT NCE I 1 ! FEDERAL USE, APPROVED, APPROVED. La .Cerra eetan;Manager,�Construction Dept TITLE, TITLE. t rGJV l4c>1'8-� AVIATION SERVICE GROUP ^C n Q _ DAT _ ` CORP NAME: r• !�•,.L 1n�CBS '� L-0,P r /E DATE E DATE* v Change Order No 1&Final 1-9-17 xisx Page 1 CONTRACT DESCRIPTION CHANGE ORDER 1&Final I PAGE 2 OF 2 SPONSOR Fisher's Island Ferry District NO COST DISTRIBUTION TAB Airfield Lighting 8 Signate Repairs Elizabeth Field Airport CONTRACTOR Baseline King Corporation State 0.0 T NO 0 AJ.P NO. 0 FEDERAL STATE LOCAL OTHER SPEC CONSTRUCTION CHANGE REVISED UNIT ORIGINAL REVISED CHANGE MATCHING FUNDS ITEM NO DESCRIPTION UNIT BID IN BID PRICE ITEM ITEM IN NO. QUANTITY QUANTITY QUANTITY BID TOTAL TOTAL CONTRACT 90.00% 000% 10.00% 000% L-125 13 Replacement of Existing R/W Threshold Light with EA 2400 2400 $87000 $20,88000 $20.88000 $000 Medium intensity R!W Light(L-861 E(L))on Existing Base L-125 14 Replacement of basting Taxrway Guidance Sign Assembly FA 400 400 $5,22000 $20.88000 $20,88000 $000 (L-858.4 Characters Sue 2,Style 2,Class 2)on Existing Base L-125 15 Replacement of Existing Taxiway Guidance Sign FA 400 400 $5,220 00 $20.88000 $20,88000 S000 Electrical Components L-125 16 Replacement of Existing Precision Approach Path EA 400 -400 000 $26,97000 $107,88000 $000 ($107,880 00) ($97,092 00) $O 00 ($10,788 00) $000 Indicator(PAP[)System(L-881(L),Style A,2 Lamp, LED)on Existing Base L-125 17 Replacement of Existing Runway End Identifier Light EA 400 400 S16.09500 $64.38000 $64,38000 S000 (REIL)System(L-849(L),Style C)on Existing Base L-125 18 Re-mounting of Existing Wind Cone Transformer on FA 1.00 1 00 S2,75500 $2,75500 $2,75500 $000 Existing Base L-125 19 Electrical Junction Can(Non-Load Bearing) E4 100 100 $1,08750 $1,087.50 $1,08750 $000 L-125 20 Contractor Support for Follow-Up FAA Flight Check TRIP 1 00 100 $3,625 DO $3,62500 $3.62500 $000 M-100 21 Maintenance 8 Protection of Traffic LS 10000% 10000% $13,05000 $13,05000 $13,05000 $000 M-150 22 Project Survey and Stakeout LS 10000% 10000% $7,25000 $7.25000 $7,25000 $000 M-200 23 Mobilization LS 10000% 10000% $15,00000 $16,00000 $1500000 $000 L-125 24 Replacement of Existing Precision Approach Path E4 000 400 400 $19,23200 $000 $76,92800 $76,92800 $69.23520 $000 $7,69280 $000 Indicator(PAP])System(L-881 Style A,2 Lamp, Quartz)on Existing Base Add-On No.1 L-108 1 No 8 AWG 600V,1/C Aufield Lighting Cable LF 14,000 00 14,000 00 $138 $19.32000 $19.32000 $000 Add-On No.2 L-108 1 No 8 AWG,600V,1/C Airfield Lighting Cable LF 10,700 00 10,700 00 $1.38 $14.76600 $14,76600 $000 Add-On No 3 L-108 1 No 8 AWG,60OV,1/C Airfield Lighting Cable LF 8,500 00 8.50000 $1.36 $11,73000 $11,730 0 1 $000 NET CHANGE THIS PAGE ($30,952 00) ($27,856 80) $000 ($3,095 20) $000 NET CHANGE BROUGHT FORWARD $000 $0.00 $0.00 $0.00 $0400 CARRY FORWARD TO PAGE-1 ($30,95200)1 ($27,856.80) $0 00 ($3,095.20) $0.00 C&S Companies 499 Col. Eileen Collins Blvd. Syracuse, NY 13212 o p, (315) 455-2000 �.F ® f: (315) 455-9667 WWW.CSCos.COM CHANGE ORDER NO. 1 AND FINAL Project: Elizabeth Field Airport Airfield Lighting& Signage Repairs Contractor: Baseline King Corporation File: 211.015 Date: January 10,2017 EXPLANATION OF INCREASES &DECREASES L-108 (1) No. 8 AWG, 600V, 1/C Airfield Lighting Cable (+860.00 1f) L-108 (2) No. 8 AWG. 5Kv, 1/C Airfield Lighting Cable (-945.00 1f) L-108 (4) No.6 AWG Counterpoise Wire and Trench (-10 001 f) L-110 (5) 2-Inch Dia. PVC Conduit in Turf L-20.00 I f The changes in quantity on the above items are a result of the original quantities being estimated,whereas the final quantities were based on actual field measurements. L-125 (16) Replacement of Existing Precision Approach Path Indicator (PAPI)System(L-881(L) Style A,,2 Lamp,LED)on Existing Base (-4 00 Each) This modification involved deleting Item L-125 (16) from the contract as the Contractor was unable to furnish a reliable LED PAPI system within the timeframe mandated by FEMA to complete the project within.A quartz PAPI system was substituted under a new payment item. L-125 (24) Replacement of Existing Precision Approach Path Indicator (PAPI) System (L-881, Style A,_2 Lamp)_on Existing Base (+4.00 Each This modification involved adding new payment Item L-125 (24) to the contract for furnishing and installing a new quartz style PAPI system at all four runway ends. This type of system has a proven reliability and was able to be installed within the scheduled timeframe required by FEMA to complete the project. All work of this Change Order shall be or has been completed in accordance with the applicable section of the Contract Documents. C&S Companies 499 Col. Eileen Collins Blvd. A " Syracuse, NY 13212 o., p: (315) 455-2000 A f: (315)455-9667 www,cscos.com rail S , To: Gordon S.Murphy Fishers Island Ferry District P.O. Box H Fisher's Island,NY 06390 Date: January 27,2017 Re: Elizabeth Field Airport Airfield Lighting& Signage Repairs FEMA No. 6946304 PA ID No. 103--6946 File: 211.015 Enclosed please find the following: One original and one copy of Progress Payment No.2&Final,three originals of Change Order No. 1 &Final,operations and maintenance,manuals,Contractor's Maintenance Bond and Affidavit of Release of Liens for the referenced project.All certified payrolls have been previously- submitted. Please note that we are not aware of any liens or levies being filed on this project; however, we recommend that your office review this as well as the Maintenance Bond prior to the release of retainage. Please return one executed change order.to us for our records. If you have any questions or need additional information,please do not esitate to contact us. Sincerely, C&S ENGINEERS,,, INC. / G�-•%..s.>,-. l�-�r�rfGGc.-vim Barbara E. Regan Sr. Technical Administrator Aviation Construction Enclosures Cc: Mr. L. Cerretani, w/enc. Mr.'I'. Horth,w/enc. Ms. T. Marks, v,2/enc. F Projmt211-TORN OF SOUTHOLDX211015002-.{afield Lighting Rcpans.Conslru -\Pa,Appt W.ons-Change OnteWrogess P1,yment#2&Fwal.t Ctunbe Order Ml&Fuml to Ourerdx � a — AIA Document G706X 1994 Contrartor's Affidavit of Release of Liens PROJECT:(Nance and address) ARCHITECT'S PROJECT NUMBER: OWNER❑ -� !t b b4CONTRACT FOR:�t p-.f'� /� L 471- '•ri ® eye ARCHITECT❑ ✓ CONTRACTOR❑ TO OWNER:(NamGe and address) CONTRACT DATED: SURETY❑ o' so k4l ®pt 0-, Z1, OTHER❑ to ail A q ►Ig,7/ STATE OF: A COUNTY OF: I)n- dk The undersigned hereby certifies that to the best of the undersigned's knowledge,-information and belief,except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: V\•o n,4 SUPPORTING DOCUMENTS ATTACHED HERETO: CONT I CTOR: (Name and address) 1. Contractor's Release or Waiver of Liens, Ktl,% co `., e conditional upon receipt,of final payment. l ! ,t.ae,t 'S CA v e. 2. Separate Releases or Waivers of Liens from BY: ASubcontractors and material and equipment suppliers,to the extent required by the Owner, (Sign ,t r` accompanied by a list thereof. f acttho i r r entative) ? .5 (Printed name and title) CNotary TAICE JOSLIN KING Public,State of New York Subscribed and sworn to before me on this date: 1z31 G17 No,01 KIti32T1T4 rlified in Oneida County r Notary PublictdL; j� jion Expires June 29,20.i._ My Commission Expires: 0�,q j)6 f tt CAUTION-You should sign an original AIA Contract Document,on which this text a apears in RED.An originai assures that changes vrili not be obscured. AIA Document G706AW—1994.Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.WARNMIG•This AIA' Document Is orotocted by U.S.Copyright Law and international Trecties.Unauthorized reproduction or distribution of this AIAaDocument, or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the marimum extent possibie,under the law. Purchasers are permitted to re'roduce ten lio)copies of this documentwhen completed.To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects'legal counsel,copyright@aia.org. MAINTENANCE BOND Bond Number: 837066588M KNOW ALL MEN,BY THESE PRESENTS, That we, Baseline-King Corp., 111 Liberty Street Barneveld NY 13304 herein called the PRINCIPAL, and The Ohio Casualty Insurance Comte herein called the SURETY, are held and firmly bound into Town of Southold 5209 Route 25, Southold NY 11971 , herein called the OBLIGEE, in,the penal sum of Twenty Thousand Four Hundred Ninety Four and 30/100 Dollars ( $ 20,494.30) lawful money of the United States of America to be paid to the said OBLIGEE, it's successors or assigns for which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally;firmly by these.presents. WHEREAS, the PRINCIPAL is required by the OBLIGEE to guarantee: Airfield Lighting & Signage R.Mairs Elizabeth Field Airport Fishers Island against defective workmanship or defective materials. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the PRINCIPAL shall faithfully comply with the guarantee on it'spart by replacing defective workmanship or materials and hold harmless the OBLIGEE against any costs for a term of( 1 ) year(s) beginning the 3`d day of November , 2016 , and ending the 3`a day of November 2017 then this obligation shall be void, otherwise,to remain in full force and effect. PROVIDED, HOWEVER, that OWNER shall give PRINCIPAL and SURETY notice of observed defects with reasonable promptness. SIGNED AND SEALED this 1 It" day of" Januar ' 2017 . Bas line=Kin C ma (Seal) By: .James' I , eSi,dect��v The Ohio Casualty,Insurance Company (Seal) Raymond L, Suatoni,Attorney-in-Fact . f CORPORATE ACKNOWLEDGMENT State of New York County of On the Zr ay of, 6161Lt 2017 ,before,me,personally came James Kine_to me known who being by me duly sworn, did d pose and say;that he is President_of the Baseline King Coro. _the Corporation described in and which executed the above instrument;'that he knows the-seal of such said corporation;that the seal affixed to the instrument is such corporate seal that it was so affixed by order of the Board of Directors of the said corporation,and he signed his name thereto by like order. PATRICEJOSLIN KING L'-Itt �`h` c'y, Notary Public,State of NewYork No,01 KI6327174 Notary PublicIF Qualified in Oneida County ;L y ;� Commission Expires,lune 29,20 IQ SURETY ACKNOWLEDGMENT State of New York County of Onondaga On the I Ith day of January 2017, before me a Notary Public in and for the said County and State, residing therein, duly commissioned and sworn, personally appeared Raymond L Suatom known to me to be the Attorney-in-Fact of the The Ohio Casualty Insurance Company I the corporation described in and that executed the within and foregoing instrument and known to me to be the person who executed the said instrument in behalf of the said corporation,and he duly acknowledged to me that such corporation executed the same. IN WITNESS THEREOF,I have hereunto set my hand and affixed my official seal,the day anddyear stated in'this certificate above. Notary Public DEBORAH SUAYUNI Lic #41SU4934e73 Notary Public-Stale of New Yoik (qualified in Onoridega County �p MY COMMISston Expires .JUNE 20,2Q. 5 THIS POWER OF ATTORNEY IS NOT VALID UNLESS ITIS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein;and they have no authority to Bind the Company except in the manner and to the extent herein stated. 1 - Certificate No.7568602 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company 1 - j POWER OF ATTORNEY f qs KNOWN ALL PERSONS BY THESE PRESENTS That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that P Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West'American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herain.collectively called the'Compames%pursuant to and by authority herein set forth,does hereby name,constitute and appoint, i Bernadette M Richer,Deborah A.Suatoni;Joseph R'Riggie'Raymond L Suatoni•Robert D.Gallager'Tucker H Lounsbury i t all of the city of Syracuse state of NY each individually if there be more than one named,its Irue,and lawful attorney-1h,fact to make,execute,seal,acknowledge ! and deliver,for and on Its behalf as surety and as its act and deed,any.and all undertakings,bonds;recognizances and other surety obligations;in pursuance of thiese presents and shall be as binding upon the Companies as if they-have been duly signed by the president and attested by,the secretary of the Compames In their own proper persons. flit IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an.authorized officer or official of the Companies and the corporate seals of the Companies Have been affixed thereto this 12th day of December 2016 $i '%"'` c:c R' ="�'t•:' s z`, "°'a'.`; The Ohio Casualty Insurance Company v� x Liberty Mutual Insurance Company ail a West P�merican Insurance Company E- a) a) ,� By j = STATE OF PENNSYLVANIA ss David M Care?ss#stant Secretary a +r COUNTY OF MONTGOMERY Itis t 0 pt On this 12th day of December 2016 before me personally appeared David M.Carey,who acknowledged himself•to be the Assistant Secretary of Liberty Mutual insurance v t— id Company,The Ohio Casualty Company,and West American Insurance Company,and that he, as such, being authorized so to do,execute the foregoing instrument for the purposes >,� p therein contained by signing on behalf of the corporations by himself as a duly authorized officer m li! >, E o> IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written O a 1 PAS COty MONWEA_LT_H Of PENNSYLVANIA 47 rr Notarial weal ,- -. � \' 'Q MI ! C >, 3 Terose Pasteiia,Notary Public By: V�iLC u pv 0' # 0 R7' Upper Menon Twp,Montgomery County Teresa Pasteiia,Notary Public L- }; ` ,�+s• l My Cni7imi.sior,Expires March 28,2017 p ca O ^3 r w'viv�4,?'` tJernUer,pennsWvan a Assoetahon o�Fclaras O } C0 drPY'r' 0. ftf rev This Power of Attorney is made and executed pursuant to•and by authority of the following By-iaWs and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual in pl I d+, Insurance Company,and West American Insurance Company which resolutions are now 1n full force and•effect reading as follows' a o rc ID ARTICLE IV—OFFICERS—Section 12 Power of Attorney.Any officO or other official'of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O cp Q to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-m-fact,as may be necessary to act In behalf of the'Corporation to make,execute,seal, �N a' O.S acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations setforth in their respective P v � E y^ powers of attorney.shall have full power to bind the Corporation by their signature and execution of any such Instruments and to attach thereto the seal of the Corporation, When so '� a i p executed,such instruments shall be as binding as if signed by the President and attested to,by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >g ,a A the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. m aARTICLE XIII—Execution of Contracts—SECTION 5 Surety Bonds and Undertakings Any officer of the Company authorized for that purpose in writing by the chairman or the president, I > and subject to such limitations as the chairman or the president may prescribe,shall appoint such allomeys-In-fact,as may be necessary to act in behalf of the Company to make,execute, s-MI 0 v seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations Such attorneys-In-fact subject to the limitations set forth in their I espective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so O O executed sural instruments shall be as binding as if signed by the president and attested by the secretary. O V- 0(0 r j Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,atithorizes,David M.Carey,Assistant Secretary to appoint such attorneys-In- ~ i fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. I Authorization—By unanimous consent of the Company's Boafd of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company In connection with.surety bonds,shall be valid and binding upon the Company with i the same force and effect as though manually affixed I, Renee C- Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Corripany, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and,correct copy'of the Power of Attorney executed by said Companies.is in full force and effect and has not been revoked IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this qday of .T n facer+ { ,�- eh5 •sttt 12 s yx 1991 }} By. '� ,5 rf° "•� , f;' Renee C.Llew*14sistantSecretary i LMS 12873 082016 31 of 250 Liber THE OHIO CASUALTY INSURANCE COMPANY >ll."l7< FIINANCIAL STATEMENT—DECEi14BER 31,2015 SURETY Assets Liabilities Cash and Bank Deposits.....:.................................... $51,745,581 Unearned Premiums...............................................$1,052;883,251 *Bonds—U.S Government.................. ............. 485:338,153 Reserve for Clairnsand Claims Expenses................ 2,706,742,189 *Other Bonds... ....... 3,222,376,607 Funds Held Under Reinsurance Treaties................. 0 Reserve for Dividends to Policyholders................. 57,285 "Stocks................................................................... 406,212,850 Additional Statutory Reserve............ Real Estate........................................................... 25,853,021 Reserve for Commissions,Taxes and Agents'Balances or Uncollected Premiums........... 637,046,294 Other Liabilities................................................ 181.441.002 Accrued Interest and Rents<.....I............................. 31,565,135 Total.............................................................$3,941,123,727 Other Admitted Assets......................................... 718.415.623 Special Surplus Funds................. $ 10,862,551 Capital Stock.. .......................... 4,500,000 Paid in Surplus........................... 738,183,897 Unassigned Surplus...................1 883,883,092 Total Admitted Assets.....................................$ SZ$i553.264 Surplus to Policyholders............................... 1,637,429,540 Total Liabilities and Surplus.............................. 5 578 55 i JP`ZV INSUj c3 Fo * Bonds are-stated at amortized or investment value;Stocks at Association Market Values. z 1919 3 The foregoing Jknancial information is taken from The Ohio Casualty Insurance Company's financial statement tiled with the state of Ohio Department,of Insurance. 1,TIM MIKOLAJEWSKI,Assistant Secretary of The Ohio Casualty Insurance,Company,do heteb}certify that the foregoing is a true,and conect statement of the Assets and Liabilities of said.Corporation..as of December'31,2015,to the best of my knowledge and belief. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington,this 15th day of March,2016. Assistant Secretary S-12620CICla 3116 ___________r -_________ / E -' r r r I r I E r , r r , r l r l _ - I___________ ___________ r I i � ' ' E I� , FISHERS ISLAND FERRY DISTRICT I VENDOR 002142 BD REMODELING & 02/14/2017 CHECK 3836 FUND & ACCOUNT P.O.# •INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 , _ 3'0272 FRHT SHD-ELCTRC RPR 1/26 662.82 TOTAL, 662.82 I rte• - q I I JI 1 1 - ---- - ----------- % . . . _- Ft',t�•R..._.I,,,-•VI,J'.=`a`•��'i�.`Pi�'':\' - =s_'t_'"®--.f";Le�;f�",.ts`", p"z,1+o d;z lt3'`..,;f<l"Ee"p'Tbs;�"'y�,=ie,_',`p ;'f,°'->,i_�_ 75.�FI�IZaS, SI�f11Dk•,cF'ERRY, UI`y\S-�.-T.�'C /•',tZ4/ 7 o,` ,:53095 MAIN RoAD,,P0,b0k1479,°" „e V-.,' ✓e ',SOUTFOLD:NY<151971`0959';,; ,c1`•a.;�;.:�i',;1`3.;ha'^v'je•, „s-Y"„,• , ,_. r- _-= BANK` p:• •', .�o >,ant, - - - -is i,' ";i- HE$'ArOXCO:NATION'ALI _ - - "p „II•, :CUICHOGUE'NY1=1'935 "--ra__;` DATE :nt a 'a AMO NT":;;,% - „r, ,nr v,a!. =:ir n ,p„?N 1'•p,. p;'4 i♦ `rl"•'„' 11'`I""4"id'is;' ,-i - -- --- __ __ 'I, 'sic-'r 't;i,ll. 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'`}'.'°4:`•T.+ '_W%i,,.a,' •�"y�:i•`` ORP:B'I�Nf�I�Y°•& ,AY, OELING% '17`dREST �',,..�$-Lf=,-L-.,-C- -'--"--_-f_ ---}�`''<i3'•x;' wiov1 iJ'.x,`J,.r�I':J,i>f'�I'"0J.M..<'t'•l te'a''Y'C1,1'�ISI:r':1',rd'"r°'I'` `_;'-=-"s:--�`• "k: til l r,l,di - - _ ��:', d -e s`r��•, ',•1+,;,�, ',I,, _ -_�eF=_ ,_ ��,j nal"'°u ,n .b„ ,II�+�t -" :,t' .'L.:- .1;.<" .'EAs'•".,i:;',. ,.,,I eJ. %Sr'k6#t i t, s�``j£; �+I�,•'.{ ,''';PO'-B'OX 44,'a7''�R ,:„ `y ;�T;`=-- 1`:-,• ,�;.. ?, '��,,''.`<?;}'`,<E`. �lq=>;-s`•3- a�•::',,•• '°Mr'`„ -'°„`'^ .I, 'NY 06�3�9'0':,` �•;�` �' ,a` ''EF ,"';,;: ;,;r .t' .t�'�:a';: ,trr. °r:,`r,l'" , ",� .ak°; :'�tF'ISHER'S_ ISLAND`” ,�,. ,�"' •' _ ;,•.r'r. °` F. _ _ - �-- - J''i; t��,'1„fr�,.. �(i; _- -__r - -t' -- _- - �1 ,f,, ,i?t I`~r`,dJ,.l,IIT•]l r.l`. - - - -s - _ _ - - - _ •{7"J''I 1111>,'q", Ai, NtJ',I•;,> _ 'S.` _ - "tm iii 'Id. iill tl' - - t'> - _ - _ _ _ .d �a,A A�yd.5,Y!J it"„a, ____ _ ___ __ _- - _� ,,1, _ _ _ _ _ ___" ,.i•�,2 •ti-_ - "=x`--_ ,1;. ."6,`'..i��z 4 „1• F'fw`____ � _- "1''-'1�' I,� fS'"'-%.,. ---, :_-'_ ' -'-•.___> - ." f� ■; n:�: ,i:, S+. Ili .7-: c.�''!!�` , n=0 0'3 8``3'E ii= "'"'i.0 r i tir0'{5'�;.;6 ti`s. d 8" 0`0 . 5 0--2 �� id.► Vendor No. Check No. Town of Southold, New York - Payment Voucher 2142 3,236 Vendor Address Entered by 1420 The Gloaming,#447 vendor number changed Vendor Name Fishers Island, NY 06390 1.17.17 Audit Date BD Remodeling and Restoration FEB 14 2011 Vendor Telephone Number 631-788-7919 Town Clerk Vendor Contact 631-788-7192 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 30272 1/26/2017 $662.82 $662.82 Electrical repairs-freight shed SM5709.2.000.200✓ labor&materials 1/26/17 Job49-992 f $662.82 $662.82 f 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 Feng District Date 2/2/2017 Title Date P.O.Box 447 P.O.Box 1355 Fishers Island,NY 06390 3, GreenvAch,CT 06830 (631)788-7919 - - (203) 983-6083 Fax: (631)788-7192 REMODELING & RESTORATION Fax- (203)983-6084 TERMS: UPON RECEIPT Fishers Island Ferry District INVOICE ID. 30272 P O Box H DATE: January 26,2017 Fishers Island,NY 06390 CUSTOMER ID: FIFERR-104 Amount Enclosed: Amount Due: 0$6662.82 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT MaI TERMS. UPON RECEIPT RF—MOrDELING rx RESTORATION , INVOICE ID: 30272 DATE: January 26,2017 CUSTOMER ID: FIFERR-104 Please Remit Payment To: P.O.Box 447 Fishers Island,NY 06390 Amount Due: $662.82 Amounts Job#:49-992 Scope of Work: Service call to complete the electrical repairs in the freight building as described in the 12/16/2016 estimate. Division 16-Electrical Electrical Service Call BD Labor 603.75 Material 59.07 Subtotal for Electrical 66282 Subtotal for Job#:49-992 66282 Subtotal of Current Billings 662.82 Sales Tax 0.00 Total $662.82 Page 1 of 1 , . I I I 1 . ' ----------- ----------- ----------- 1 : 1 FISHERS ISLAND FERRY DISTRICT VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 02/14/2017 CHECK 3837 ` FUND & ACCOUNT P.O.# ` INVOICE' DESCRIPTION AMOUNT 2`14.1 GAL#2 OIL-NLT--1/27 456.07 SM .5710.4.000.100 65341 TOTAL 456.,07 r } ` r-• 74`r: ;3AM >f r ay _ •t'. 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'?i%^` ,<`a..r. _d•. ;�' - - ^.t=om y `r. - -1i..`:`.^.'-::- :v:. .,''4�`^«1����_- - - --- "e _ es`- :`,:- - Iq=: .o,"^;j!,"Afa,�}.'hLLk�'u::�Ir .;�i.r - -__ - '7•!• bd',' r l. - - - -'J1� - - -i:-- - - -_ 'li•1"'I, „I id - Inl lv _ t.- I"y'l i@i, Ip,�y et�,l,l�l If;I;11f„,•z;,,g, -:i: - _ - _ r �'_ - r£ __ _ _q.• d„,;,0',I,I,N,,1, .,a'§a.=-s i' --_ -_ - 1, _"-- _- _ -_ - '�'`�R- .” x i - = _- WG1', 1 •l` _ _ --t. _ -- -- - ”, "I,;b',,,14, f„';I„� 'I,d i - :/a:':r,':--;'_ir- ti•=yr'_ 4, nl 1ni it tri• 1°tv :11,. _ _ - - _.:j fFa -- - - - : .1 if' li,'t.r�,Pd.1 F,(+ ,P.1i” ,'i tura, �",P-- - _,t�_. i ,1\ J•1k„ �1'' t''�,:� .£ _- _ _ _ y __ _ E'< _ -' - _ -Y,',_- _.;7h'7 4dn.et'+d:;,di, .A.illi r4 ffi'"si :2== - - '�-__ _ - _ '_ n'@. 3 'd' _ _ -_ ___ _ _- _ •'q^ - 4-;b _ ,� '"'I,."✓`i __ •,OO 3 7"S"4,j f��p'�i"i�'e. f n� ��•e, 7 :0'� 0i]4SO 2- II .,i Vendor No. Check No. Town of Southold, New York - Payment Voucher 2644 3 O 3 7 • Entered by P.O. Box 602 Audit Date Brodeur's Fuel Moosup, CT 06354 FEB 14 2011 Vendor Telephone Number 860-564-2789 Town Clerk Vendor Contact 41 0, Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 65341 1/27/2017 $456.07 $456.07 214.1 gal @$2.003 NLT heating oil - SM5710.4.000.100 r E $456.07 $456.07 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 ��\o-- Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date Z cn LAST THREE DELIVERIES DATE Al? ' ? a = CROUTE FUEL DEL/H W. D.D.NEXT DATE D.D. _ GALLONS K.FACTOR FUEL DR TR = cn 2,9:3: X3:1 .1,; 1`37 28 1 , 820 � =� 1.225x1. a 1.£i% :�1 2b6 . 2 . (9?�C7 U � � 0' m + . '',+•; OFFICE USE DDRO JULIAN 12141, j 13 4 ,3 225 , 2 , 6).3 GALLONS PFj(oE (ftaas 5 AP,B13F ;2410 CURRENT 30 DAY 60 DAY 90 DAY BALANCE FWD. DELIVERY TOTAL cn 0.1 `31.1 E'R ' S ,C'3 1. A N D FERRY L) L.;; ACCOUNT NO STATE / FTI �' � m9,� ,D L� 1JCa'i E'F?F RFaPd"1" Erni;'>ti "' � £>1.1� TQ $ r) • •r� m'1 i�l E.,l 1 1-0100N . (,,-r 4 4 2_�0 1,6!+ FED ^/G cDi�,l ,o ou 65341' TAX ml m i� N f` I'L l C IN Fl 1 L [ b y Cl Fi Pd 1;L 0 Ci CT. LIC.303396 MISC T PAID'_ CT 7.,1 BRODEUR'S OIL SERVICE INCD#46 j" of 28 STERLING ROAD, P.O. BOX 602, MOOSUP, CT 06354 1 64-2789��i��59 5840 �n1CD 92,1-~�52q.�^O f f.yrr�eln�(Received By PAY j .rl e)yIo o.ornntivo or mar -.rye 1 , I 1 1 1 •-,1 1 � 1 1 ; -------' ------ '-----------' --- ` J -------' FISHERS ISLAND FERRYDISTRICT ; VENDOR 002929 C & S /ENGINEERS, INC. 02/14/20174 CH2CT, 3838 . i Y FUND & ACCOUNT P.O.# INVOICE, DESCRIrPTION AMOUNT SM .5610.2.'000.000 0161256 EA-5YR CIP SVC—AIRPORT 3(5,82`0'.18) SM .5610.2.000.000 16-733 0163223 SVCS,—AIRFIELD-10/29-1/23 4,55-0.00 M TOTAL 41,370.18 ! f ' , � r �, t �&,.�`5'�..:ne.- __..r.ua.. ^/.- ,�w„><��..>->.. \\ ¢ti, y'-r'G£ _ I n"•�y`�rr' -y , 3 aP,..a .v .a.'•�s` .. 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'r __ - ?�' -i `S" r R:�.�..: < A n .;h r_ "fii .<4,''q;� `:t', `''al.,;'(,.t,�rya. �3.,arP'+;"�.'1 <1ii;'V,J;; }�.,'.;e� i r r• .:.E}^ ,t: ,S I', ..s ,a, .£r t't .e :':t: �8. ,'3 .�e•' it°'. °8 �i+•`i• s, .4. � _ ..^:!:+ ,.1•,^,i :4` ;Y;t'• •,`;y. `�f,r _ :,I:%`;''.:r �!•','T,'v'4` y' p 1,` PiLY'' .f„ i16C..o`&.'„�1S`n1ENGINFI'ERS; '•INCA.--= -__ __ -'{, ��1;s '1 Y t` I. �t`111.,1. - - - _ .k' a i�, 4'"g�l'�I' ,Irl` ,I,,, , �'?`Y,- 1• 1,r•, yry - ["_ __ -�:.i`.' - `.'4° 4,- a, xa,u,s,.i4 :' - __ -_ _ .s &>,d„bd,�; d,l',s;�.,,;,',. 1II'r e=s� ' 1�J' .1.75., _°,fj”;____:)✓.' - __ - -_ "d`V.1•l,� .!`I'. ,'�I',-_. -__ _ _" __ __aS� �,,�°Y''f y4,yai. �r !. 1'. Y �',•''1':'4v`� 1_- YTOr 1 ;r,P 't°.IBOX,i16i4`3'6'6:-:- ''„P,p f. il'°'`n;R`.+L• r'vd' _ "3='_- _-_ - ..y:'1 uNn•a1','.I•a� b'It. '.k' ,d.ry' _ _�; : _ -_`':. i+ ,11' ,1,ulaal '',,.t-, 'ler, �,6'BALTIMO'REQ;`'MIJr:2T26g"��4�36'6`..,,:�#''';r�°,'r, <� •�; ;,t'. @1, i€A. �:'tT'tl-'r, 'OF, ......`-4 'F i-' xt¢x ;ii'':,"•Y, nt; `#`° t(t'9w +'Jr,�'''f td axf+9. `3 r,ft ,ay .. .z J, '<)..`J• ..r:.. .#rxi,`5ir. .t,,;%1` ,°l. ,4.�;*� '1,',,k+.<,yr xiyf,>,�(r, !%tS °e' °d° "s5`ri ti.•'11 ..}x sa t'`,�' "ia it' 1y z'. .R:l w :�,.,, �6„, �rry:. .=r-'/„•, _ �h`-' 3 ".^S•t :t'' i.t'; r r 9+'^, `i� -;- _ •r�'i1' ,e`,p'd+'� 1.;p",•_rltl'„ 'k'%x`.: - ':t' - _ _ - •g,:: ->77'1}•;t l', f• •'1`P' a.t- -:.£,.r�° " _ _�_ - _ _ Yq, .r�, '§'`I'Y3 Pi- '1•5. - - _ ____ ___ __ _ _ _ «sbt��71F�;r .r. ',P�'t''1rt,to '1"'° ?-<x ix:_ _�_ __: i��0 _11,313 Yii; o.0 2' __00 rO 1`6 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2929 3 24341 Vendor Address Entered by PO Box 64366 Vendor Name Baltimore, MD 21264-4366 Audit Date C&S Engineers, Inc. FEB 14 2017 Vendor Telephone Number 315-455-2000x4422 Town Clerk Vendor Contact Invoke Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 0161256 10/4/2016 $36,820.18 $36,820.18 Services rendered 8/13 -9/16/16 SM5610.2.000.000 2012 FAA Grant R Project 211014001 Status Report 10 f $36,820.181 $36,820.18 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature 1 \ 1 OZL.L.' Title Signature Company Name Fishers Island Fenn District Date 2/4/2017 Title Date U///-zz- Send Payment to: C&S Engineers, Inc. PO Box 64366 Baltimore, MD 21264-4366 '�tOMMNIES- Gordon S. Murphy Invoice#: 0161256 Town of Southold Project: 211014001 Fishers Island Ferry District Invoice Date: 10/4/2016 PO Box H Fishers Island,NY 06390 Est.Cost: 133,043.48 Fixed Fee: 16,956.52 Total: 150,000.00 For Professional Services Rendered from 8/1312016 through 9/16/2016 EA-5 Year CIP FAA AIP NO.3-36-0029-19-12 NYSDOT NO.0913.19 Analysis of Costs This Invoice Cumulative Direct Salaries 12,498.15 45,698.87 Overhead% 166.00 20,746.93 75,860.13 Total Regular Labor Expense 33,245.008 121,559.00 Premium Labor Cost 7428 74.28 ..._............ ........_.............._._............. Total Direct Personnel 33,319.36 121,633.28 Total Other Direct Charges 0.00 4,190.80 Total G&A% 0.00 0.00 0.00 .................... W.._...__. -. .. .... ... ...... _ . .. Total Costs 33,319.36 125,824.08 Fixed Fee 3,500.82 16,956.52 Total This Invoice 36,820.18 142,780.60 Amount Due This Invoice "* 36,820.18 142,780.60 Invoice Contact Person:Lisa Ware,Account Manager Telephone:(315)455-2000 Ext.No.4253,Iware@cscos.com Net 30 Days-1 112%Interest per Month Project: 211014001 -- EA-5 Year CIP Invoice 4:0161256 Multiplier Labor Class/Employee Name Hours Cost Amount ADMINISTRATIVE ASSISTANT FENDICK,RITA P. 27.00 24.50 661.50 FENDICK,RITA P. 6.00 37.13 222.78 OROPEZA,LAURA A. 0.50 21.00 10.50 Total: ADMINISTRATIVE ASSISTANT 33.50 894.78 ENGINEER CRAIG,CHRISTEN M. 213.00 37.30 7,944.90 BAILEY,CHAD A. 2.00 34.25 68.50 Total: ENGINEER 215.00 8,013.40 ENVIRONMENTAL SCIENTIST STRONG,JUSTIN 59.00 28.75 1,696.25 Total: ENVIRONMENTAL SCIENTIST 59.00 1,696.25 GRANTS ADMINISTRATOR MARKS,TRACEY L. 5.00 26.25 131.25 Total: GRANTS ADMINISTRATOR 5.00 131.25 MANAGING ENGINEER NORTH,THOMAS J. 9.00 46.50 418.50 Total: MANAGING ENGINEER 9.00 418.50 PLANNER YOUNG,KARA R. 6.00 29.00 174.00 Total: PLANNER 6.00 174.00 PRINCIPAL ENGINEER TRENDOWSKI,JOHN R. 3.00 54.25 162.75 Total: PRINCIPAL ENGINEER 3.00 162.75 SENIOR PLANNER MCKEE,GAYLE M. 11.00 39.50 434.50 Total: SENIOR PLANNER 11.00 434.50 SERVICE GROUP MANAGER PALLADINE JR.,ROBERT M. 1.00 62.00 62.00 Total: SERVICE GROUP MANAGER 1.00 62.00 STAFF ENGINEER RANDALL,WAYNE N. 20.00 29.25 585.00 Total: STAFF ENGINEER 20.00 585.00 Multiplier Labor !2,572.43 Page 1 Project. 211014001 -- EA-5 Year CIP Invoice#:0161256 Total Project: 211014001 -- EA-5 Year CIP Page 2 Engoge,Explore,Excel...to advance quality of life in a changing world. Project Status Report No. 10 nClient Name:Town of Southold/Fishers Project:Environmental Assessment for Five-Year Island Ferry District Airport Capital Improvement Program(ACIP) Client Contact:Gordon Murphy Assistant Manager Period:August 13,2016 to September 16,2016 C&S Project Number:211.014.001 C&S Contact:Thomas Horth,P.E. (315)455-2000 Significant activities underway or completed this period: ✓ Continued preparation of Draft EA document,correspondence with regulatory agencies. Next period's expected activities: ✓ Submit Draft EA to FAA and FIFD or initial review(est.end of September 2016) ✓ Issue draft document for public comment(30 day review period).if no comments are rec'd then report can be finalized and FONSI gets issued by FAA. ✓ Respond to inquiries from FAA Other important project information: ✓ None Information/direction needed from client: ✓ None at this time. Project Status Report Page 1 Engage,Explore,Excel...to advance quality of life in a changing world. Project Status Report No. 12 X c Client Name:Town of Southold/Fishers Project nvironmental Assessme t for Five-Year Island Ferry District Airport Capital Improve rogram (ACIP) Client Contact:Gordon Murphy Assistant Manager Period:October 28,2016 to January 18,2017 C&S Project Number:211.014.001 C&S Contact:Thomas Horth, P.E. (315)455-2000 Significant activities underway or completed this period: ✓ No activity has occurred on this project as the EA is still under review by the FAA NYADO Environmental Specialist;draft EA document sent to FAA/FIFD on 10/19/16. ✓ The EA was briefly discussed with the ADO during the ACIP teleconference held 22 Nov 2016. Next period's expected activities: ✓ Respond to inquiries from FAA. ✓ Issue draft document for public comment(30 day review period). If no comments are rec'd then report can be finalized and FONSI gets issued by FAA. Other important project information: ✓ This project is being funded through a FY2012 FAA AIP grant. ✓ C&S Invoice#0161256,dated 10/4/16 in the amount of$36,820.18 is outstanding. Please remit payment at your earliest convenience. Ory O I�Lc �� @.1 Information/direction needed from client: ✓ None at this time. Project Status Report Page 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2929 3199f� Vendor Address Entered by PO Box 64366 Vendor Name Baltimore, MD 21264-4366 Audit Date C&S Engineers, Inc. FEB 14 2017 Vendor Telephone Number 315-455-2000x4422 M 6 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 0163223 1/24/2017 $4,550.00 $4,550.00 - FEMA Professional services SM.5610.2.000.000 airport lighting &signage 10/29/16-1/23/17 $4,550.00 $4,550.00 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 GINy-Title Signature Company Name Fishers Island Ferry District Date 2/4/2017 Title Date :?f V Send Payment to: C&S Engineers, Inc. PO Box 64366 'Cos �. RMPANIESBaltimore, MD 21264-4366 r Accounts Payable Invoice#: 0163223-FINAL Town of Southold Project : 211015003 Fishers Island Ferry District Invoice Date : 01/24/2017 PO Box 607 Fishers Island, NY 06390 For Professional Services Rendered from 10/29/2016 through 1/13/2017 Airfield Lighting Repairs CA-CO Total Project Fee Authorized 45,500.00 Percent Complete as of 1/13/2017 100.00 Fee Earned To Date 45,500.00 Less Previous Billings 40,950.00 Current Billing Amount 4,550.00 Amount Due this Invoice 4,550.00 1� l Invoice Contact Person: Lisa Ware,Account Manager Telephone:(315)455-2000 Ext.No.4253,(ware@cscos.com Net 30 Days-1 1/2%Interest per Month �.f Engage,Explore,Excel...to advance quality of life in a changing world. Project Status Report No. 4 & Final Town of Southold Airfield Lighting and Signage Repairs Fishers Island Ferry District Construction Phase—Inspection & Management Srvcs. PO Box 607,261 Trumbull Drive C&S Project:211.015.003 Fishers Island, New York,06390 C&S Contact:Thomas Horth, P.E. (315)703-4244 J Gordon Murphy,Assistant Manager Reporting Period:October 29,2016—January 23,2017 Significant activities underway or completed this period: ✓ Completed construction observation/administration services. ✓ Coordinated installation of PAPI Units and FAA Flight Check(11/3/16). ✓ Assisted with coordination of FEMA grant extension. ✓ Negotiated with Contractor on reduced pricing for quartz PAP] units;originally bid LED PAPI u n its. ✓ Prepared change order and Contractor payment applications. ✓ Furnished final project cost summary to FIFD. ✓ Coordinated contract closeout process. Next period's expected activities: ✓. Submit remaining closeout documents (Maintenance Bond,O&M Manuals, lien release, etc.) ✓ Prepare required FEMA paperwork to assist with reimbursement to Town. Other important project information: ✓ This will be the FINAL invoice from C&S Engineers,for professional services on this project. Information/direction needed from client: ✓ None at this time C&S Project Status Report Page 1 : I I -, I r 1` I I ''-----------I 1 1 1 I +I FISHERS ISLAND FERRY DISTRICT ? �' I VENDOR 003053,.CDW GOVERNMENT, INC. 02/14/2017 CHECK, 3839 FU$D' & ACCOUNT, P.O.#('INVOICE DESCRIPTION AMOUNT - r- SM .57.10.4.000.5(00 GPV0219 DELL OPTI5040 CABLE 7Q0.78 4 ' { - TOTAL 700.78 f r - d I � t t y . ,. `.i-< - '`r•�:r., =��;:'v w.?,.i.. ter.:, I r � - - •'f I '\ — _ yr null;,q, Qq. 5 3-_: _ - _.- _3•", _ ,�t',i° \ .�- -- .,,?�_-- i��%s(4,'. o'yyrh,:ty n%•94h.t•a,an#'°;i•„�r, 'i.__ _ -- _ - FISKER�sISIAND:'`FERRYDISZ7ZCT-:, 1. 1'{53095'MAIN'ROAD''P.O BOX:v'1'Z9.<-' ;.de P: i e SOUTHOLD,i'NY,. 0959 ,i ''s'*,;',a z„3r:• :4 y: HECK,{77O 83,9 nLI<»���0: TF1 E;5(,'J �O (�/�'>� ”-Fd°. �_LA"I�' _ - .'y,' 1�€`'dF•�•AMO.UNI' ",d,;', ,.�,a a --�'� 4^ a;, -„ ;,y_ ___ -- - - - -__- v'c�',t�.'`„” °�1•",,,,. ;r;-:=__= q3.=_° _ """"62 -_-- =_- ,41',I,'u�'r ,n t { d Ll na.ce�@ c.ipa - _ _=_ _ ,S II a,4c '"k r✓. ..I £;L'�` - - _ "x� !>rl>` '%20O.Ov:.��, ,;•v` ey' ,'w'.<I!"n r r :4,rtit�"�'' i`50-546121,4'`, Q2/ _.4'f_, ?�, ''`a•r ,.6,i. r, `,s. t,=4 :E`yk.u`AND'f.78: :10'09:.DOLLAR'S._ �.q'•;SEUEN;HUN�R D:, / ,;,,=�;�,;;;:��z ; ,a .r; �< ;,��',• �,'' �';';_ �`�!, '°'4.. ,1',. .4,E r ,4y,1 d.• " 't tit,,,,{, {f� ail u. - _ _ _ is_ _ -_ --- `,�_:-_°,: •ti a,i '1�'ot I°1:"5`3`,, 'r.' 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RNM&NT-' .I'I�TC,: 1 ;1 PAY pl p, {n, .jni,tl ��,. -_±' tl`:, n,'%rh u,tll i,r•, .`,y,' c- - -- `-_ _ �s'' 'y1'.i-' >°6` '.�`•dr __- - TOJTHE „ AfiT 'E:DRIVE. 515y;s`+.r.<`iapr`tp">r ;t'a';, T ;,R'-_'Y#-==-_ ,o:,1, ,t"+'n 7'5 ge ;E'MI'�'`, - �- - --.S�JITE°`7> .1aaal, .u,a,lli,.�'i,f, t;,�M1�," "<-':'•tl-= 3_- 4_-_--- 'i .d''`.1S"'p"? - "9a" «' -ILfr; - z- ---�i?',•:i,°'-E.iq p';4;',r.„,f�,s�a}{,,,P.a','fi�'j' :£,>"4 4, -_- "- - •E',i..4 1,t1'�„,1,t a HICOAG0 .,:60675-1515= j.�r'',y,i:' .j♦/• '\ :_<.. 1:e '/z#. ,f'. '',F,'a,� KhFlt 3•✓SJ', 6£.4,N '�1!'"!f'xyJ ••t..ri "rS '#° i i�yY y�q ..�,�fi'3."4e'!a 4,'` 3 ,....... ,4,}=' ✓i�, iyt[:ditF 'x=FA f )L 'PI' i'S<•' 4:.•!r i,;J i' :r E! _'.1i y,:K",»•° _ __ .1°'£ 3�'`:a�.."L - ___ _ -F�'1✓ ° - - .i". '.r:i" ,r,s' "tl p��iMv. ;fY/°,q°i.r;I( 't:If'-=i,' __ �a`. _ - .sr'< ,F`• f ,; �,1 x hi'-_ '- - _ Iv? - - - _- i,1.1; ,:J, ,1lI'• _ _ ___ -_ _ .�`S ;.l't�`3,'udl c;�r`p,,`y{ ,'�ldl��,l' _ .S= - - - s _ _- -- __ ___ •�_wM� sw..`x'1,,1 ''i r` fy>> _K_'"T:_. _ _ _K. ._,r>., -1'�,' _ _- -- __ -_ - _ ' _ - - 5 '4 r tq; _ ;'i'., ;d< ,r,',iP.,,�hP - _ _- - ,r7 �t•' ,L ,4`a = _ -” '•,'I<, `68==`t°o,o- Vendor No. Check No. �� Town of Southold, New York - Payment Voucher 003053 — 9 `I te Vendor Tax ID Number or Social Security Number Vendor Address Entered by 75 REMITTANCE DRIVE-SUITE 1515 Z-2�L CHICAGO, IL 60675-1515 Audit Date CDW GOVERNMENT, INC. FEB 14 V Vendor Telephone Number Town Clerk, Vendor Contact 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 GPV0219 1/20/2017 $700.78 $700.78 DELL Opti5040 Serial Number DJNCMF2, cable SM5710.4.00"00, $700.78 $700.78 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 rtle Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date 7/ (! -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- INVOICE DATE - INVOICE NUMBER PAYMENT TERMS DUE DATE j 01/20/17 GPV0219 Net 30 Days 02/19/17 ORDER DATE SHIP VIA PURCHASE ORDER NUMBER CUSTOMER NUMBER 01/20/17 FEDEX Ground DELL 5040 50OGB 11821911 ITEM NUMBER DESCRIPTION QTY QTY QTY UNIT PRICE TOTAL ORD SHIP B/O 3915043 DELL OPTI 504015-6500 50OGB 8GB W7P 1 1 0 68004 680.04 Manufacturer Part Number:MRR81 Serial No:DJNCMF2 3345519 C2G 81N DISPLAYPORT M TO VGA F BLK 1 1 0 20.74 20.74 Manufacturer Part Number:54323 GO GREEN! CDW is happy to announce that paperless billing is now available! If you would like to start receiving your invoices as an emailed PDF, please email CDW at paperlessbilling@cdw com. Please include your Customer number or an Invoice number in your email for faster processing. REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS! Begin transmitting your payments electronically via ACH using CDW's bank and remittance information located at the top of the attached payment coupon. Email credit@cdw.com with any questions. ACCOUNT MANAGER SHIPPING ADDRESS: SUBTOTAL $700.78 RYAN COLT FISHERS ISLAND FERRY DISTRICT 203-851-7272 GORDON MURPHY SHIPPING $0.00 ryan.colt@cdwg.com 261 TRUMBULL DR FISHERS ISLAND NY 06390-8021 SALES TAX $0.00 SALES ORDER NUMBER HQRR259 AMOUNT DUE $700.78 Cage Code Number 1 KH72 HAVE QUESTIONS ABOUT YOUR ACCOUNT'. DUNS Number 02-615-7235 PLEASE EMAIL US AT credit@cdw.com ISO 9001 and ISO 14001 Certified VISIT US ON THE INTERNET AT www.cdwg.com 0001:0001 CDW GOVERNMENT FEIN 36-4230110 Page 1 of 1 Customer understands that Seller is not the manufacturer of the Products purchased by Customer hereunder and the only uvrranues offered arethose of the ne-f carver,not Seller or its Alfthoes In purchasing the Products,Customer is relying on the manufacturer's specifications only and is not relying on any stmcmentc,pemfimnons,photographs or other illustrations representing the Products that may be provided by Seller or to Affiliates.SELLER AND ITS AFFILIATES HEREBY EXPRESSLY DISCLAIM ALL WARRANTIES EITHER EXPRESS OR IMPLIED,RELATED T PRODUCTS,INCLUDING,BUT NOT LIMITED MANY WARRANTY OF TITLE,ACCURACY,MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,WARRANTY OF NONINFRINGEMENT,OR ANY WARRANTY RELATING TO THIRD PARTY SERV) TIIE DISCLAIMER CONTAINED IN TINS PARAGRAPH DOES NOT OF THE TERMS OF ANY MANUFACTURER'S WARRANTY Lwtmmer expressly waives any claim that it may have against Seller or to Affiliates based on any product ltability or mfnagement or alleged` mfnngement of any parent,copynght,trade secret or mhcr inwllcmuai property nghts(each a'Claim')with respect[o any Product and aso w lmes an vy right to mdemmficarm from Seller or ns Affiliates against any such Clmm made against Customer by a third party Customer acknowledges that no employee ofScller m its Affiliates is mthonmd to make any representation a warmnty on behalfof Seller army ofas Affiliates that is not in this Agreement Seller warrents that the Services will be performed m a good and workmanhke manner Customer's sole and exclusive romedy and Seller's enure Lability with repeer[o this—,y will be,at the sole option of Seller,to other(a)use its reasonable commercial efforts to reperform or muse to be reperformed any Services not in substantial compliance with this warranty or(b)refnd amounts paid by Customer related to the portion ofthe Services not in substantial compliance,provided,in each case,Customer notifies Seller in writing within five(5)business days after performance ofthe applicable Services EXCEPT AS SET FORTH HEREIN OR IN ANY STATEMENT OF WORK THAT EXPRESSLY AMENDS SELLER'S WARRANTY,AND SUBJECT TO APPLICABLE LAW,SELLER MAKES NO OTHER,AND.EXPRESSLY DISCLAIMS ALL OTHER, REPRESENTATIONS,WARRANTIES,CONDITIONS OR COVENANTS,EITHER EXPRESS OR IMPLIED(INCLUDING WITHOUT LIMITATION,ANY EXPRESS OR IMPLIED WARRANTIES OR CONDITIONS OF FITNESS FORA PARTICULAR PURPOSE, MERCHANTABILITY,DURABILITY,TITLE,ACCURACY OR NON-INFRINGEMENT)ARISING OUT OF OR RELATED TO THE PERFORMANCE OR NON-PERFORMANCE OF THE SERVICES,INCLUDING BUT NOT LIMITED TO ANY WARRANTY RELATING TO THIRD PARTY SERVICES,ANY WARRANTY WITH RESPECT TO THE PERFORMANCE OF ANY HARDWARE OR SOFTWARE USED IN PERFORMING SERVICES AND ANY WARRANTY CONCERNING THE RESULTS TO BE OBTAINED FROM TIIE SERVICES THIS DISCLAIMER AND EXCLUSION SHALL APPLY EVEN IF THE EXPRESS WARRANTY AND LIMITED REMEDY SET FORTH HEREIN FAILS OF ITS ESSENTIAL PURPOSE CUSTOMER ACKNOWLEDGES THAT NO REPRESENTATIVE OF SELLER OR OF ITS AFFILIATES IS AUTHORIZED TO MAKE ANY REPRESENTATION OR WARRANTY ON BEHALF OF SELLER OR ANY OF ITS AFFILIATES THAT IS NOT IN THIS AGREEMENT OR IN A STATEMENT OF WORK EXPRESSLY AMENDING SELLER'S WARRANTY Customer shall he solely responsible for daily back-up and other protection of ns dam and software against loss,damage or corruption Customer shall be solely responsible for reconstructing data(including but not hearted to data located on disk files and memories)and software that may be lost, damaged or corrupted during the performance of Services SELLER,ITS AFFILIATES,AND ITS AND THEIR SUPPLIERS,SUBCONTRACTORS AND AGENTS ARE HEREBY RELEASED AND SHALL CONTINUE TO BE RELEASED FROM ALL LIABILITY IN CONNECTION WITH THE LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE,AND CUSTOMER ASSUMES ALL RISK OF LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE IN ANY WAY RELATED TO OR RESULTING FROM THE SERVICES Seller m11 not be responsible for and no liability shall result to Seller or any of its Affiliates for any delays in delivery or in perfomanee which result from any circumstances beyond Sellers reasonable control,including,but not limited to,Product unevelabdity,carver delays,delays due to fire, severe weather conditions,failure ofin-cr,labor problems,acts ofwnr,tetonsm,embargo,acts of God or acts or laws ofany govemriem or agency Any shipping dates orcompletion dates provided by Scllaoranyputported deadlines constraint a Statement of Work army other dominant are estimates only Pricing lnformatmu,Availability D,scku— Seller v labilityDsscku— Seiler reserves the right to make adjustments to pricing.Products and Service offerings for reasons including but not limned to,changing market conditions,Product dtscentam anon.Product unavailability,manufacturer prim changes,supplier price changes and amrs in advertisements All orders cmbj.c t.Produc—l.b,Lty and the—,Til bthty of P-mel to perforin the Semcm Therefore,Seller cannot guarantee that n will be able to flfill Customer's orders If Semens are bang performed on a time and materials bass,any esnmarm provided by Sellar are for planning purposes only Credits Anycmdit issued by Seller to Customer formy reason n—r be used within two from the date that the credrtwas issued and mayundybeesed for ftimpurchimes ofPmduas and/or Semces Any credit orpornat thereafnot used within the me(2)ycupmod will economically expire Limrtatton tit Liability UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY REMEDY SET FORTH HEREIN,WILL SELLER,ITS AFFILIATES OR ITS OR THEIR SUPPLIERS,SUBCONTRACTORS OR AGENTS BE LIABLE FOR(A)ANY INCIDENTAL,INDIRECT,SPECIAL,PUNITIVE OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO,LOSS OF PROFITS,BUSINESS,REVENUES OR SAVINGS,EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE OTHERWISE FORESEEABLE,IN EACH CASE,WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED UPON BREACH OF CONTRACT,WARRANTY,NEGLIGENCE,STRICT LIABLITY OR OTHER THEORY OF LIABILITY,(B)ANY CLAIMS,DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY,(C)ANY LOSS OR CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON,RESULTING FROM,ARISING OUT OF OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES,OR(D)ANY UNAVAILABILITY OF THE PRODUCT FOR USE OR ANY LOST,DAMAGED OR CORRUPTED DATA OR SOFTWARE IN THE EVENT OF ANY LIABILITY INCURRED BY SELLER OR ANY OF ITS AFFILIATES,THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF(A)THE DOLLAR AMOUNT PAID BY CUSTOMER FOR THE PRODUCT(S)GIVING RISE TO THE CLAIM OR THE SPECIFIC SERVICES GIVING RISE TO THE CLAIM,OR(B)$50,000 00 Confidential Infrinatim Each party anticipates that it may be necessary to provide access to infconsumn of a confidential nature of such party,the Affiliates or a thud parry(hereinafter ref d to as"Confidential Information')to the other parry in the perforrionce of this Agreement and any Sentiment of Work. "Confidential Infomannn"means an y minimum a data mL m oelectronictten or wriform which the mocivmg party knows or has reason to know is proprietary or confidential and which ei disclosed by a parry manaon cotiwith dus Agmanen[or which Nryac e recemg party may have cess tom automation with this Agreement,including but not limitedto the terms and conditions ofeach Summit of Work Confidential Information will not include informationwhich.(a)becromes known to the public rhough no act ofthe receivingparty;(b)was known to the recemngparty,orbecomes known to the mecmng panty from a third parry having the right to disclose ut and having no obligation of confidentiality to the disclosing parry with respect to the applicable mfomauon,or(e)is independently developed by agents,employees or subcontractors ofthe receiving parry who have not had access to such mil mason To the extent practicable,Confidential Information should be clearly identified or labeled as such by the disclosing party at the time of disclosure or as promptly thereafter as possible,however,failure to so identify or label Inch Confidential lnfoareatian will not be evidence that such information ss nor confidential orpre ectable Each party agmes to hold theother party's Confidential Information confidential for a period ofdtrce(3)years following the doe ofdisclosure and to do so in a manner at least as protective as it holds its own Confidential Information oflike kind but to useno less than a reasonable degree ofcare Disclosures ofthe other party's Confideanal Information will be ream nal(r)to those individuals who are participating to the performance of this Agreement or the applicable Statement mf Work and need to know such Confidential Information for purposes of providmg or receiving the Products or Services or othermse in connection with this Agreement or the applicable Satement ofWork,orpQ tons business,legal and financial advisom,each on a confidential basis Each parry agrees not to use any Confidential Information ofthe other parry for any purpose other than the business purposes contemplated by this Agreement and the applicable Statement ofWo&Upon the wrtan request ofa party,the otherparty will timer senor c mfythe desvucnon ofthe Confidential Infatuation ofthe other party Ifa receiving parry a required by law,rule or regulation,or requested in myjmhe ml or admunicaanve proccedmg or by any governmental or regulatory authority,to disclose Confidential lnfomation ofthe other parry,the receiving patty will give the disclosing parry prompt nonce of such request so that the drsdosing party may mck an appropriate protmtive order or mnilar protective measure and will use reasonable efforts to obtain confidential treatment ofthe Confidential Infofnation so disclosed Be..Prmlegcs To bram Sella's rcmm policy,Customer should ane-COW Customa Relations at 866 SVC 4CDW or email at CustomaRelanon Oodw,com Customer must notify COW Customer Relations of any damaged Products within ten(10)days of receipt Arbt tram Any claim,dispute,or controversy(whether in contract,tort cr otherwise,whether preexisting,present or Enure,and including,but not limited to,statutory,commit law,intentional tort and equitable claims)ansmg from or relating to the Products,the Services,the intapreation or application of them Terms and Condmons or any Statement of Work m the breach,termination or validity thereof,the relationships which result from these Terms and Condmons or any Statement of work(including to the full extent permitted by applicable law,reliami nFups with third parses be are not sLmatonms hereto),or Seller's or any of its Affiliates'advertising a marketing(collectively,o"Claim')WILL BE RESOLVED,UPON THE ELECTION OF ANY OF SELLER,CUSTOMER OR THE THIRD PARTIES INVOLVED,EXCLUSIVELY AND FINALLY BY BINDING ARBITRATION Ifarbmaner sebosegn-11 be conducted pursmntto the Rules ofthe American Arbitration Association Ifarbttmtion is chosen byanyparty with respectto,Claim,neither SallanOrCas[omerwill have the right to lingate that Clmm in court arm have ejury mad on that Claim or to engage in pre-arbnmtion discovery,except as provided for in the applicable arbitration rules or by agreement ofthe parses involved Further,Customer will not have the right to participate as a representative or member of any class of claimants pertaining to any Claim Notwvhstan Ing any choice of law provision included in them Terms and Condamna,this arbmhnnun agreement is subject to the Fcderod Arbitration Act(9 US C§§1-16)The arbitration wall take place exchaivety in Chicago,Mines Any count havingymsh torn may amerjudgmem on the award rendered by the anamor(s)Each parry involved will bear its own cost ofany legal representation,discovery or research mgwmd to complete arbitration The exsstomm or results mfany arbitrauan will be vested as confidennai Norembstanderg anything to the contrarycontamed herein,all manors pc mnmg to the collection ofamounts due to Sella among out ofthe Products or Services will be exclusively litigated in coon rather than through arbitration Miscellaneous Seller may assign or subcontract all or any portion of its rights or obligations with respect to the sale of Products or the performance of Semces a align the right to receive payments,without Cusiomels consent Customer may not assign these Terns and Conditions,or any of its rights or obligations herein without the prior writer,consent mf Seller Subject to the restrumans in assignment contained herem,these Terms and Conditions will be binding on and more to the benefit ofthe parses hereto and thar successors and assigns No provision of thss Agreement army Statement of Work will be deemed waived,amended or modified by other parry unless such weever,amendment or modification is in writing and signed by both parties The relationship between Seller and Customer is that of independent contractors and not that of employer/employm,partnership orjmot venture Unity term or condition of this Agreement or a Statement of Work is found by a court of competent jurisdiction to be invalid,illegal or whenvem unenforceable,the same shall not affect the other terms or conditions hereof or thereof or the whole of this Agreement or the applicable Stanemrnt of Work Notices provided under this Agreement will be given in writing and deemed received upon the earlier of actual receipt or three(3)days after madmg if inmled postage prepaid by regular mart or auroral or one(1)day after such notice is sent by muter or facsimile tmnsmas ca. Any delay or flue by etthaparry to exercise any right or remedywill not commute a warver of that party to thereafter enforce such rights Versmn Date 0'_/232010 r COW Government i Order Number Order Date Account Manager PO Number KD70806-00000 1/20/2017 RYAN COLT DELL 5040 50OGB Customer # Terms Ship Via 11821911 Net 30 Days-Govt State/Local FEDEX Ground Item o Qt Description Price Total 3345519 1 C2G BIN DISPLAYPORT M TO VGA F BLK N � _ 0 12=28=02 Your account will be billed for Sub-Total EDDHER this shipment. Shipping Sales Tax M This document is our ackin list. Total i e , --———————— '—————————= '—————— =— —' I FISHERS ISLAND FERRY DISTRICT VENDOR 003667 CROSS SOUND FERRY, INC. 02/14/2017 CHECK•` 3840' FUND '& ACCOUNT P.O.# INVOICE ( DESCRIPTION /AMOUNT( 1_ SM`i .5710.,4.000.000 17-111 26435 N.STAR-1/30,1/31,2/1 27,200.0'0 � I - ' TOTAL 27,200.'00 ����4....>r.<.», ....h. ...,-> ><..bK,r,..� �•t <' X41 '. �,, y\ '� -_. .:t?.5 ::tom:•__ 00:,: ,`• u.r f ' f � I • Y I , ' r - ,II:v „ h4„n�,p'„111'0,:..4•gA`.S*°_ __iF'z he _- _ _ •� •1! �k FISHES IS�AND'= ERRX D�STRIGT ; 1 •`AUDIT° 0,2/14,/17 ,,,�.��_'"`:•"�'°.,`: _ .ff{„z`e`e:: °�;'ti:X530.95MAIN.ROAD,`P,O.BQX1179•°••'.tom., tiv .',%�',�, ��} c - ?ia':..,'"a;a' .$•9�._>. 9,;.,.'}< .yes ,_� 'i5`,Y,€:%'.: *>; r,SO,U.TF�OLD:NY*11'97,1-0959' >•�095 . r- t�aV �UFFOLK''C NATIONAL-ibANKt-: 1 .,� -- _.-_ _ ___-- ,CUTCyO,GUE�NY;,a�'935,• y yt`f i• ri<Ip` all, •1L'Ir.1,,o `n„ '3>,3c4 _=__'N.'="- --_- "---_- - nll 4:,',9 u' ,r"II ''{tl"ri' __"- _ - - _ ��;`' ,1`•<� 1' ,le - - - -= 2 14 2 17 x; ;>4,. >r :_' ;:,`��,. ;�:;,;w'' °:{, <'S'°�.-•�,•<'-9 l � 4 'tris 's'' '3'.s` :t,=.�•,,°:, �£a I g,• ,`€i:.'�q:.: ;~<e,.50-"546�21,4>€• �''��<`f :a' :I, '<`. , �a' 'c�•4',1 t,r t,'ysn st$: ,S ?' P¢:';'i• ,R,➢<}ra. ey'TWENTY.<`S�EUEN'°,THOUSAND, :T4V0;'HUNDREJA< ANp '0`0 F1:0,0:`DOLLARS`f.�` ;i x _ - - _'_-`- -_ _- Jt1p'}•I'I" ,,a'', 'tl. _ !e1=/ - _ _ _ -F = - °:., •v<''d�'1„f„Irr'I ,n1;uf `is __ 3}'e- tr,-; - _a.,__ 'rs�'. 1,it ;'� i S`;,•II .,;tl, ,Z _ _ __ _ - „I,;ta' - rsr. •�'<_- _ sir ' d: ;J' d. m •1 1 a• •£s' _ - t.. ,f;r .au< ,t'd ,}, ,,it 1pi ,}>tw,' - - yu m�M i 1. •4,'•:..� }�”__ /�ks - - ,:�-`4'I i, `i, . my 1N-•'y,,,' ' vl - _� -- - ^i, ,'ll'+• 'Pi Itl; 5i'7r;i, ,%..lF i`. -- ,- -. __- 4,"1 ,`r VI`s YP i,j sr,I ,b}?,i,,. --ta.{ - - ,'_.' _ - r a __•fF = ''. d� µ! ,I'�a' °.�.Hr' li I �i,' s<f _ _ __ - = 11',' .5 __ :� `;; ," - i ,� d i1`.j•`�,.. x., i 0.1, I }s, _ - .y'.; .�'p,5,:,_ _ ?r,gin.,".` `:rt.✓,' `.f; ,,\,�_ r- ;,` a,y: ,} 't' '',• ,,,<',:,, `},: =e"< >E` i3r ;a,;i a al>;4,a;' $� .rd s_4: ti?i - - -'`'' \. - .v�r`�. b 4't _ .�'U'a✓, }� L, - iii: ,.i`..,I st, ,hv-'",I� I-4, jlll„i t- y5i' ff_ - ' 1 eCkROSS,a11SOUNDt;F'ERRX, -.INC. _ „{''. 5';, ,: a „1 1, a'I tr;^ "I -_ Q<s'r 1;''ft,. � ,A\'. rf - - - '; Idi`V A,'l'<„1111,It TO T - - __ ' 1 t•l'` .t, - dp:F 41'11'il Iri 11,n '''''4,1'; -�'"'t:.. - ORD'Eh L' ,I• `f h'''1 �ITi 14 Irl`"I NEW'•PI;ONDON7��CT'"0"�'�3`20°��� :-tt >ti. 1 r? - ;tri ' p„'.k! y,it %♦ 'si .3(; i4� .4{ .` - -- `fi'P,; ,I.,1• :I,d;::"<,.., - - - - I i;„i e..'+111;,' Il,t,v ;i. - _ -_"?'.: <�e. _ , �, ,-a - _ � _!� -✓_ v W1.. �I4r f, -'-- = -_- _ --- 001364`0-1” 'eM"'2"L 4'0'5''t't'4e;`=-6"S- , is Vendor No. Check No.. Town of Southold, New York - Payment Voucher 67 38' C� Vendor Tax ID Number or Social Security Number Vendor Address Entered by , 2 Ferry Street Audit Date Cross Sound Ferry-Service, Inc. New London, CT 06320 FEB :1A 2017 ," Vendor Telephone Number Town Clei`k ' •• - - Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Generaf Ledger-Fund and'Accounf Ntimbei 26435 2/2/2017 27,200.00 27,200.00 North Star charter 1/30, 1/31,2/1/17 =SM5710.4.060.00011, ,.. 34 hr @$800 27;200.00 27,200.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature GV14_ �yv✓�— Title Signature Company Name Date Title Date 2/ h CROSS SOUND FERRY SERVICES, INC. Mw 2.'f ERRY STREET NEW LONDON,CT 06320 Invoice Number: 026435 Invoice Date: Feb 2, 2017 Page: 1 Voice: 860-443-7394 Fax: 860-440-3492 Bill To: = Ship to: FISHERS ISLAND FERRY DISTRICT Fishers Island Customer ID- _ -Customer PO Payment Terms Fishers lslandCharter CHARTER Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date 3/4/17 Quantity Item Description- Unit Price [::711,200.00 nt 6.00 CHARTER NORTHSTAR CHARTER TO FISHERS 800.004,800.00 ISLAND 1/30/17 @$800/HR 14.00 CHARTER NORTHSTAR CHARTER TO FISHERS 800.00 ISLAND 1/31/17 @$800/HR 14.00 CHARTER NORTHSTAR CHARTER TO FISHERS 800.00 11,200.00 ISLAND 2/1/17 @$800/HR �G. U V Subtotal 27,200.00 Sales Tax Total Invoice Amount 27,200.00 Check/Credit Memo No: Payment/Credit Applied TOTAL 27,200.00 An Affirmative Acton/Equal Opportunity Employer - - ----------- '----------- v t , '1 r i 1 � 1 _--y-_1 S_-_-..__-_ i___________ _____Jt '___-_______' '_- I__1_______-r r_ __-_____- , FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 02/14/2017 CHECK 3842 'FUND & 'ACCOUNTf^ P.01.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1035001 REFUSE RMVL/NL-2/17 448.29 TOTAL 448,.29 -dam- - - - - - .•�,>•a.,.mc ��,ur»T�4P>it-.,-eL�`�'i".tt.H`Y��:w. _ ._ _ - _ _ � t, .. �E:• fid' I Mg =h"'f5>r•<�f..>i' ^w�J'@.Z,• raxT•�.- h -'i.wv�.. _ ..._< ,�'wj.. a< .��:� "��a�>'._�.,:J-a ,•yt'f'>.�i`+"Y��'N•'..'-a.'�4:•,>• 't%,"ir',..p•'�+•tom r 1 r -- -- - - - -` - -- -' - --�'— , _ i, ' n ;I,,tl•,,`r;4�*x• 3b a-y-_ _'s,s a - _._,a;x - ' yF'''_ :r;� - mac=✓,,;,:L3'd lr`L'`e1'l`y,el+y'.��+.iLh,•i ___ _ _ _ "f _ _ ]1'•(�77��y�`�,t _` _ h r� - ���f '--<��.���b•, 1 p'.; :xISHERSISIAiVD FEiIZ.Y/�IIJlI�1, 1 i` t ;`,= R 3T;„02/l4/;1,7i P 53 95,MAINROAD, 0,60X1,179.§ E` ? -1Kr`'h; {• e€ ?;. M§ a;;x',r"'.^, '3' s, '•�{„ E4",a4s .i .T k< .�g.> °';g;,i<'SOUTH OLD,NY'l1971-0959 st df' ......:, nYn4<rt.� _.af�i!(, _i'7^y^£s. •r}” i' .,a d':.' ,,d��5 qn(S .5`• 'e_ ,yo-,f,.-,r-_-- -- n:. .a +. YiiM1„p,,, §•;fl G',� r- 'n"�i LK'CO`iNATIQN'.ALi$ANKL"-'mss-` - - tr”a't 'dl - - - - - FL t',�4,.u�ik�'AMDU vyl..+, It t -- - _-_ _-- -_-- -=- -=- 'CUTCHOGUE,;NY Y"i935;.ry.;•4;:., �DATE-_=�--���- - N ,L. aro'_ t•r '1.• ___- -�_ - _- -� -"_ 4 '`.M" kr - - "_ - - -- = s3 4,litl 11 �1,y,1,,j,., i@.?n' _`i@�{e11 1 _ _ _ - @,^�,: _ •��:f iiµ ,mt,: ii'�4",;��i'.�,{.<li. „�. .3 tr'37<� _--{i -- __ =k° _ t,2 i I .i:i,t, :1'N;^,�1[1""'iI'. :I.,I <.1, II vI F 1, arl L� __- ______- �- _ <1 1 ,,I J 1 .4 1.".I. .t, -_--, f<r=-_= -_ _-; - ,1, d[E,I,VI y;; rL�,l'1'@,;,t'ili rf„I i§• i__ '.50-546%214; a�- � (... 'w,fz.1 ,r' �;t,^(• s '! q, *"s#' ,pi'�� _�1.; 7• '<};`f ;} ':a4 `7 !." ,�: °t ,t.� �`„ ,i` r• P E,� `;,t,{i ",3"P �r§-2 f'`£. - "'a' '�1 Y%.<!` A," 4'ii<€ a '€ jt'T§ 1 p ,fr. .a. •..t' ' R' ¢A f:' •e'Y .4'>'Zv ?`•`-••,lzJ%k., t>l`A''z " f _' - - - 'E a.. �1,, ;y',d r'i@„@< ':g�`(g:• c',_ _.7 = •ac” =:i,= __ :tY'i,.,' �'Y$fl'�S'. N 3'.2 <'f P'' ;�`� p�f3i.,.,>. vi � _ "- - --_- "'-t. == 'L:: ,`5:+,` �'."L•,'1„ "P. "r"5y:<�tr' -_ _ -_;._;___ '8'�' .V .,4i1 Iw Y,"y,w,> +r;,Cq,r-G "-.+'_i^':e=�-..`_-•,Y �- �= '`�r"= -- - _- ',4 -'f'=- - - -- _ -=t`x I t ``i r"f I.S a>'s, - ---- •e. --- �._-"'= g:'( - "}, _ �_ii,= - _ _:l_ _ r;LT; ,�',1 41,r,',t,I SII Ip'rlk hl dl l,I r^a ,t�; _ _ - .7 _- _ } ��,�1<''`W''c`23"!d IIf"IF'1E'"1'�I 1 '§t., _ _ •{__ r'E _-fi>t�- 1 f'v�i' i�„yi,.ptxtlgp4±§'@,:-xx - - _,•r'„7` f_- "i, '�z _ _ _ `,1`•a9 ,I.r et'� lig �C 3 'e3 1 ,t.,t Ii,7t et�p�Jt' -_ - I;LCf ,;. _ 'P Y; a ;t,. ;t>:E.- 1°v Al i,tl;l{,•�,•,III n 111 t -- -`r€t'a”- }'t� - �.9yt'ti°s+"',w I_ ,f'S.'•...i''1`"r:" 1 . � I.p i.s- >„li '3'�'s O•f�DO'�"-��`s'�15'> �---_�- -_ __ _ _ _ -`F= _ d{, 4A4'•1''!L 1'i. 'Al.ritf,f,afx`.S - -ejll - - '�I�"'Ol i11'}t ,flijai .'";,",.Fhal 'r^I',`1h_!t,l"j"f'�_-�-}f�_'-t=`:= _:_ :_ -_ ,t3Y,',rrl:",•i.r' -'f'Iw`a'.,,,,,, Al ;'; s 5'E4 sk xi b'I1. ,.t; .'fi, +9(i ,"�.". `,�' f�,,p4e ,'! 4R.t. tP 47. ,Y'r}'a' ,Si':"1'4,•4(T _ - - - - tl•" -Cr 1 1 F,I,r:2�'a: - _ - __ _--_-,- o` l''' "Ir, r ,'', ' . ��d -'t` _ - _�_~ _= tli:r�11'i,N, 'r, I,d ,,•-„f•„ "4,-'-_ _ '- -- `€' - - _ ',r, Ill'S„ri .i Er Pit t,i r.rvt 1h ,n - _ _ - - - - d: - - `+._.,a_ -_i'„ t t a J .I,J 1 d,d r _ - - -_ + I a;�d F ,'i',d, ''!`:• i4F�J __ - !k: Y ;{ i �003�I:;.:2ii..'r,i',e�=OG'2,,": ° P� ,�,6.�s: b50a2' 7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 3891 Vendor Address Entered by PO Box 415 Vendor Name Plainville, CT 06062 Audit Date , CWPM, LLC FR 14 2017 ' Vendor Telephone Number 860-447-1473 Town Clerk Vendor Contact m.� 0. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger Fund and Account Number i l�mvl /N►--x V-7 1035001 2/1/2017 $448.29 $448.29 Feb 2017 Refuse and Rec (cling SM5709.2.000.200 3 E $448.29 $448.29 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therem stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature ~ Signature / Company Name Fishers Island Ferry District Date 2/3/2017 Title �%v�� Date Lt CWPM,LLC IW010E Page 1 of 1 PO Box 415 Plainville,CT 06062 Phone-1-888-966-CWPM Account Number 12761300 Fax 860-793-2624 www.cwpm.net Invoice Date 2/1/17 Invoice Number 1035001 P 0 Number Date Due 3/1/17 Previous Balance $44829 Current Charges $44829 FISHERS ISLAND FERRY DIST Please Pay: $896.58 P 0 BOX 607 FISHERS ISLAND,NY 06390 -----PLEASE DETACH HERE AND RETURN ABOVE PORTION WITH YOUR PAYMENT USE REVERSE SIDE WITH ENVELOPE-------- Commercial E-invoice Feb MAMN 0 27r' ActNbr 12761300 SlteName:FISHERS ISLAND FERRY DIST. STATE ST NEW LONDON,CT 06320 2/1/2017 (MONTHLY SERVICES 100 $22156 $22156 2/1/2017 RCY MONTHLY SERVICES 100 $8522 $8522 2/1/2017 MONTHLY SERVICES 2 00 � $4545 $9090 i �rG CWPM,LLC c t ;:.:, s Char es. $39768 PO Box 415 , '^• �Q �;..;:a g Plainville,CT 06062 S44829 S44829 $0.00 so 00 Taxes $2676 Phone, 1-888-966-CWPM Fuel Surcharges. $2385 Fax 860-793-2624 FiLiance-& $0.00 www.cwpm.net Invoice Total $44829 TOTAL DUE: $896.58 I 1 1 .r FISHERS ISLAND FERRY'DISTRICT VENDOR 004277"'t, DIME OIL COMPANY, LLC 02/14/2017 CHECK 3843 FUND & ACCOUNT 'P.01# _ INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 46207 MUNN 5220 GAL@$1.672/GAL 8,727.84 SM :5710.4.000.300 46207 CT EXCISE, TAX—$.4170/GAL 2,176.74 SM .5710.4'.000.300 46207 S—F COST RECOVERY .0021 10.96 SM .5710.4.000.300 46207 LUST TAX—$.0010/GAL I 5.22 - VI TOTAL 10,920.76 =f- _-gym-� _ _ _ __ -_ _ _ / r - reS,CrN� -iJn•���n iw�.°o n.a��.i\ ' -'-�s- 20, f` .d -. t ... a •F.'.: I 1 f 1 1 1 `( i 1 1 149610 Lci I =I• • Is • D • D 's r ` ___""V:=--_ -'_: ___.l , •9' ___ - - : - < _ _ np,<r, ,�t�rr,l 'll' 1 I 'd�l{a s•vY,y=- •c• _ _sir��y p'F,�, .�,'.[- 'el=� __ -_'.�J, v"'�'' nl�>'b 'iW';' - -'l,i.'4s'L'"i-r.•."- S,,T`.�.i.y;,.'i F,~3: :.F,ISHERSTSLANDPO,BOX,T<nFE1ZRY`DISTRICT 17 I „`;,,x,s^ ir,>'ixa •,4`': ,y.73,rag .%t�`9, =f a s/. r/ 1;.y. U°'�,. ,�,•1. ,:S'":�.,�� -53095.M/+INROAD:' •779tfi"�, "•^x;ay�:.�,'' --� i`+ :s.`.Y^:f'' = `x3f :p,,;>? arz c :,f;SOUTHOGD;NY;]:7971-0959::x i %1" •';„• ''.s: a> `,:: ,'�• ,, Y,c.,ka •o f- �'ts _ _ u, + ,ta�.I,:..<„,I-'-;,I.,r,':� �`�;' '�:`%;' °F: wr^;'_ NOS:, qy ,a t ,fp•, = - ”-- _ ".THE SUFFOLK"CO NATIOPiBANK�,"i'- _ ---- - 1 .I,I to r - _ urcNdcu�;NYr1.1935•"rti, _- {7AT_ _;==':c fii',il t¢Si`l r1pN i'rl`111';1 1'.I', -_ ..f,: -- _-_ -_ -_ .t •.�1,1 ;`f`'N',t'"1N 5 ),l'1p°�P,lr„r,T t,.§r =^-i, -' 1•`- - - '1;l1i�xx l 4,fa•1�1 Pt Ili 6'',,t,r /, .h,' - - - _ ,:gip,n,',,.-,cz"_ _ •.r,,, ' g: -0`2-/ �til4' 9'e4�``?. '•,F< '�i"t s'4:'¢s`ti>'?';� J'r 4':P`z �;:'',i�- '4' at ,8 ;1" '.t",`�. ;�;... ,t:' i Y>: '.s' iaq� :. a�FV< [',* `. 50=546%;21 t `s. ,.' ,n�';s' ,1`;Y .�• J .x t: •t„' ,( .�.3.; ':f :F6, ”{t,"3+�� .g..Z4`,;"Y, z", y.Y' ''i' -_�i^, '. _ _ t-fi'f?, f 'i' ,'#o:''> f•' S" � s ..c,fiv srx>.•�,ti.'t �.r.'iy � ;i y 'a#q a$.f;,x, sy`si is�-•''✓,,.r';,'•ra,��.,=c.�4.li.c;,; :TEN``;TFiOLJSAND~WINE I3UNDp7ED;° TWENTY;";AND`"'.7;6'/10;0,':.,DOLLARS=,, ';,°,, :'IH rp„t,kllj il. 4P 4',' hl,' - "1 _ - > _ ,}_ -,t ,I.f, ,,,1;2`_, '+tp'id e91',al "N1"�jx q+:•' _ -_ °a'•.- _- :Yt'_-=- =- -_- �'Y', •:l,•:1' '1 ", 'I - - --- -_ - _ ,1 LI, _h ,'/.;n';:,; _A92- - --q�`- _-- -'-_ - - f t 'kf It ,I:•'.1 "3' "3� _ 'A' '°)II „1', n'M'1, _ _ _ _ 'c,. - =f''- _ - _ _ •t�2} JI" �tl °t - _'- - - is s�1 , , -- - __ - ”- __ :-.1, „1� 1 ,J,1, .1,1.li°•',1. .�; _ ___ -_ __ - _ ,N• 1 .� „J;: - - _�•- __ --_ C'`✓v ym'Ir, x'Y 5: -- _1',-.—_- -- "�F n r:l,�r 1: -- __ -- -_:b'"�`• ----'i - - 3. ,I1 z'7',r'I' .I',w Y3� i ,r••'.�.,-- %Stt _ - '4• N• `�li"t',W;.S:t Iiµ_ - - __ tt _ .J S`' _ ,i -__-'q'"- ,i' 'i;iNil r;�' a11,'1'1<';�,,Id,x..'P`q .K�- __ _ _ _ �;a, ,'t,��i;;l°s•111� :1 _- .x}=_ _ _ ___ .7. dF�: '�v< t,y.,t at,s 3"?`t;•1.i< '9 1 nfr:' t b "t.,x'; 'st.ti •=x` � `Y,t,fg., 1 i '�°t.'x•` - �f'. ;,5,`,j i ii ys£, xt t r .5> -a,i._ -__ __ � __ 3?,�E 1i (49 1,'°e J�PAf„rl•• IG111.§F�'N�'dr,t.r��,�I,i,,, ,;,,1�DZME!'OtL='COMPAN�,"LLC=:`. „ui,t •r'Tr,� l� rr:,x';lrr;°G; , ,i.r,•-_,. - : _ ,�, ' d'�'"; f,ly '_-i,'. - -- °9,`.e;_:°' :.I .1 f,^•" i''' - -�_ - - - j1,;i,,'1 1 1 s 'Y r,_,� - , TO'',7'N�• ri _ __ P.'. ,yt'` '1 I. `1111'"V§`I4;I,'' '3 i•- _ _ - tS,=,pl-1'„1`I q 1i.t Nrr,1. d!'�It ft , ,.I'NDUS'SI'R�:.IrA2�E`-_'tl --__-_-- _"i:,l`;.•,I;,I� '�11I 1>�I dl'xl,;L,,,1",.,:1'•'•`'3 f' -_ - _ _-- - u4' E d1.I X11, ,�t .s• 41ji ;,G•-t ,.- �r;' in'�'�' '`1 QI;^== -.L•< --- .e, -4 (, --F -t.,,rtt;, ;� °a; , •r ;, 'f' "�?` - - `�i 2' "Inlr' ,F: {i d,4'- Nt F� ,i>t �f. rF tk•, f!§t, S"Yv'F6, s't� `,'tS 'F,r. �ii," �t�' ,i„', r,t'iy`,''.4'� t; `_-�., `'•4 sY/:':,'I; }'f 'v§'>9 t tf,r,a: :k:-. NIP,T.SRB_.TJRY.,C-T 0;6''7,0"4. 'r�; -,�,. �,>M; ,,;�"�';�°;'�` °,t`` '.f.r,,?:•�3�'z,.. ;:�� _ fi -;,ifl`�'--'X=9 e_>•v .-i„i '-r`",.•tu�:p s°^> v-.!'< ti,-�f �' - -- ',,;," t 1.,s.�•`SM° , .i='- >t,-- _- _ -:S•` ,§ `Y �'3 Ir}P.sc' � .•j' al.•i rl=•"•,. - - - _"s._: �s •Y'4•'* tryl .- _ - ”- a t_ __ _ _____ ___ __- �•i1, .,r�i9:xl❑°� •1 •�” 19 I; t _ __ii,�`___. -�1 -z,4"Y��_,i,7rYr": �"1',P IP `.3,, ?����_ ': _ - - I.,ill,, 'ji,'Iii,^1';�i it i,4,"'ii;�•,11i - _ -_ _ _ __,t' ,1„ni1 5.X11,1-, N�'r „Y"I,'14 li _ - "-__ -;i _ _ _ •s„_ _ - nx. '2P,1 dG`< ,d1;` t ` 00 -.0 -. ■: e - �js;'..^,_o .. ,,. ..: s":.> <. .x :-: "� - 'Y ''s n '38' "3'iiere 1.pm,2":L` '01i54 6�,`o■ :6x8=' .��:,i:5`0.:2.`;:`°; ,ii ` i ; 17 Vendor No. Check No. Town of Southold, New York - Payment Voucher 4277 ` Entered by P.O. Box 11125 Audit Date Dime Oil Company LLC Waterbury, CT 06703 f EB 14 2017 Vendor Telephone Number 203-754-5334 FY17 Town Clerk Vendor ContactMAI C o Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 46207 1/26/2017 $10,920.76 $8,727.84 Munn 5220.0 gal @$1.672/ al SM5710.4.000.300 $2,176.74 CT Excise Tax-$0.4170/gal $10.96 S-F Cost Recovery.0021 $5.22 LUST Tax-$.0010/gal OPIS attached Federal S-F tax increased on 1/1/2017 $10,920.76 $10,920.76 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature ' t_ I Title Signature / Company Name Fishers Island Ferry District Date 2/3/2017 Title Date // Dime Oil LIC PO Bax 11125 Phone: 203-754-5334 Date 41125/17 A Waterbury, CT 45703 Page 1 Dints tail LLC www.dimeoilao.com INVOICE ACCOUNT NUMBER. : 44203.55 Fishers Island Ferry District AMOUNT ENCLOSED: PGS Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 05390-4607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New Landon Terms: Net 30 Days From Invoice Date --------------------------------------------- Date Invoice Charge and Credits Amount --------------------------------- 01/26/1.7 46207 4420165 -A Fishers Island Ferry 5 Waterfront Pk441�D # 20R Off Road Diesel 5220. 0 GALS @ 1.67.2000 8727.84 Dyed Diesel. Fuel for off Road use oNLY. 1/ S-F Cost Recovery p p 2� as 6-(: ! t C d 7 , 4.36 CT EXCISE" TAX DSL 2176.74 LUST TAX 5.22 _ 41/26/17 46207 Fuel Invoice Total 1.0920.76 Amount Due -1.0920.76 Effective Jan 1st the Federal Spill. Recovery Fee increased to .0021. for Oil/Diesel & .0019 for Gas Dime Cil LLC 203-754-5334 Account:4420165 ^ -} TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RAT'FF�OF'I %'PER MONTH WHICH - �. IS'-AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS,PAST DUE 30 DAYS OR MORE AND 1'0 ADD iLL COLLECTION FEES 4.62,0 7 1 _ H 52�O tjc u,` ORDER DATE.06 2'0 -1000 W/Fi '/C 01/23/2017•' �� 1 4 Ig 7J, DELIVERY DATE 3 Fishers Island Ferxy ; , 4420'165`°4-A Id 016 bo ' a� 5 y �ai:erfroizt Pk=Murin�'tawket m r GALLONS r o State Sirr�et FOR CAPS' $6®-�42�p1.f��i EdLao ts� ops r kew Lc hkon -Cr, 06320 ' © ''""FULL PRICE PER GALLON C+ — O I Fab' r: . 0: 00 ,L t Delv:-01/03/17V 0 0072:, ZZ 1 r Z 5, i ` e®Durr ',Y95®ek83®strat-fa -J, -ow si4ns®L stat 'b1SCOUNTPRICE PERGALLON � � Trac -3;03®8311RR ks to' $60 s r i 1 PA*DISC ?UNT.AMOUNT d ORDERED 5200 Ca, FORE. `T'I JRs 1 2-Z 9 00 p►M .�; '` - w PAYTHISAMOUNT. _ dXes=$ 0 .Q021y "$ 0 .417`0 0.0.64,0 T 1 AFTER`z" DAYS`33d 14, IME IL C®MrA1�Y, L°LC TRUCK wl TA� g DRIVER P.O. BOX 11125 TMST' P x - — 3 _ WATERBURY, CT 06703; z' TIME i !AM EN IVE °PM OF f (203) 754®5334 TMF1P CASH ❑GHErCK Q s • ❑CHARGEILL ,� _ — __ ��_ _ _ —___ _—— _.—a __ —.�_ — r Diane Hansen From: Accounting Department Sent: Friday,January 27, 201712:52 PM To: Diane Hansen Subject: FW: FISHERS iSLAND INVOICE Attachments: FISHERS INV.pdf From: Lori Waskowicz [mailto:lori@dimeoil.coml Sent: Friday, January 27, 2017 12:23 PM To: Accounting Department Subject: FISHERS ISLAND INVOICE NEW HAVEN, CT 2017-01-26 17:03:32 EST **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.1 Move Pre Move Date Time NWENGLPTR u N-10 164.50 - 2.50 -- -- -- -- 167.00 - 2.50 01/25 18:00 Shell u N-10 164.52 - 2.40 -- -- -- -- -- -- -- -- 01/25 18:00 Global u N-10 164.70 - 3.25 196.00 - 3.00 -- -- -- -- 01/25 18:01 Sprague u 1-10 165.25 - 2.50 -- -- -- -- -- -- -- -- 01/25 18:00 Gulf b N-10' 165.95 - 2.50 -- -- -- -- -- -- -- -- 01/25 18:00 GULF-GIE u Net 165.95 - 2.50 -- -- -- -- -- -- -- -- 01/25 18:00 Shell b 125-3 166.18 - 2.43 -- -- -- -- -- -- -- -- 01/25 18:00 Valero b 1-10 166.45 - 2.50 -- -- -- -- 167.05 - 2.50 01/25 18:00 Coastal b 125-3 166.57 - 3.01 -- -- -- -- -- -- -- -- 01/25 18:00 Sunoco b 125-3 166.57 - 3.01 -- -- -- -- -- -- -- -- 01/25 18:00 Irving u Net 166.94 - 2.64 -- -- -- -- -- -- -- -- 01/25 18:00 XOM b 1-10 167.28 - 2.30 -- -- -- -- -- -- -- -- 01/25 19:00 BP b 1-10 167.56 - .39 -- -- -- -- -- -- -- -- 01/25 18:00 Citgo b 1-10 167.59 - 2.52 -- -- -- -- -- -- -- -- 01/25 18:00 Citgo u 1-10 167.59 - 2.52 -- -- -- -- -- -- -- -- 01/25 18:00 GlobalXOM b 1-10 170.14 - 2.50 -- -- -- -- -- -- -- -- 01/25 18:00 LOW RACK 164.50 196.00 167.00 HIGH RACK 170.14 196.00 167.05 RACK AVG 166.48 196.00 167.03 Plus mark-up .72 Total price 167.20 Convert to dollars $1.672 Diane Hansen Fishers Island Ferry District 1 : 1 ' ,d 1 a FISHERS ISLAND FERRY DISTRICT VENDOR 005738 EVERSOURCE \ 02/14/20171 CHECK 3844 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SN( .5710.4x.!000.100' 51981034010217 NL TERM SVC-1/3-1/31/17 1,905.42 I ? 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',xs<` _ '71<i•" ,3fa ``f." i i"F50=5'46�214•,� 'yl t: iY" 'S r; ;t z, pR .t;, ;b� a •1.,,y '`d: "L' •°'y' s.\<.:}}.,'"„'.s•'E nr„R. .d, ;,x{'.-!'.j V•,d” r+.,A:�,r,t`<• c <.ONE•'TIiOUSAND'`IJNE zHUNDRED,EF IUE,P,37D:'42%1'OOr.DOLLARS,+s.• %° g °" ' ""g:s'"' "'z - _ -- - _ 'a' r'$' ,'S. ad„x :C„'n•a� s.._ �,-_ s:---_” -" _ t,.; <1;+�u:'i a?I+p<, ,`a,`{s�P�,�- ;,Nlq'd 'a';c}T ="i1':__=ta=`�- -S-e: _ ': _ -Ff Y; ,q-- -- - -- - -`° - - xs�'-`'�'r`'"�„iwi'�'t i"� "4�`• _•111?atr�'i:":.'*;4x.= _ _ -- __ _ _ _ '.p;'• ;ip'ra ,.n i' 11,, s -- - _ . - '3' - - - - ,?<i fk3 ri}' 1,f•t,+i '1'il,l'” t 1' I`. �:��_.-3R.= -<i` -- `1J.-I,'?t'3. 'il ad'1,: i; .t_'>i9 -4.._ p. - _ .'E.'- - '9`, : _ ____ - - e„ ,1„li, tr1 x�l ,d„rl'�£` ,e-'=_ _ '"F -- _ - - 4'; I,'�'d,I y IM1d'„dam.•-}. - -'=>,i5;.a.:�•- _- :.',>t ” - - - _ " .ti.F "1, '.I;' '4 4';I', .1'1• ,h..,;n,_=_;d _- ___ _ __ _ _ ^yrs',,',".71 ,,,ia ,4•t .,1; 1,11�71,,." . 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'lti} x',I'f`,01'1 ix f.e:",. ,_ ;"P .'rB'OX 6'50.032 :" 8",, .'`x'1 aP,a :,;:'i"lr "`i xi;, '' d!•,1t11,• p �•� ,O y ,h«. -' --e -'_- -_- -__ __-.g, xur Fi,d.'l' •�'c`:a`•,`,i'Ir UP• e;_--_•..{&;_ -- - _- s !° 'iG E`� ,1. __. nn,,��rrpp '+I, ',J,'ir': /." !1/11:1\,. ''1 _ _ __ rt;P .4'• li•3'.3-'• 1" _ _ 'S Nl,i-, E �i c' � t' •M1sl� .yi�r' ^�.' : -_ -,ls. .at .�,s. a .5.,�a:.; .DALLP,'Sa, '•u,.l i y1'• ,1 r,;(?{,. •,t„ ",''�, '>:'»"5 F` ..'.t ads:- 'J:'•<,{` :\'° `+1{:.R,.�':,r�n'!'eJ �i, , . 5^ 'Z. ,j' t" \�.., -F 54• 6.e`�a' ,tr '•i``a 1,y i, :y'!a ft'St• 6lYt"f1 ,'�,•.' � J (:, - �.rb=_-__ `'r'` 'In' "{'"?..t.1.' - _-- - - _- -_- 1 t, ,'r••�;i,. ".Ir,rip,...:, a-_ S<_ s"- -_- - _ -_ _ _ *if`' s•'f it" ;1'. 1, „7I. '':1`: _ -- - - "'. = Wap;t,,an, 'a•§•'n�pl 1'd•d., ..4 z3`< _ - {, - - " _ __ _ •,,. �I i,"'ti• ' , 'i I �1;"' '�I't y'• ,s. ___ _ _ _ _ -�x+'a _ ,f f' `hl"' i 1,i.<d" =t; _- 'I,1 '''' - 3' o>"_, - `i!``aldd=rfa �d„Ip,,d 1kp778'd §-_z - - --- - fli N.fp,' IC Ipi'! 'pid.l ,V• - - - ___ "'•t=, ; 0'2 u' "t:7„h 4'x'}'1'• "'uav'I;'.4” , "_ - - --'1'- ,.-t.: �:li• 1i 1,';'I� '�11'L,�.`7.., _-__ - __ ' ._-ti1,✓..a:` _ _ _- '<J '' i x v d > t;'..+v-'.-,� , riep0” 3Y8a'4�t.'II;' ,",i"4' '1'4,0N15`4.�.4,I: _-.``- 1� 0017 Vendor No. Check No. Town of Southold, New York - Payment Voucher 5738 3 g Vendor Address Entered bC � - PO Box 650032 Dallas,TX 75265-0032 Audit Date Eversource FEB 14 2017 Vendor Telephone Number 888-783-6617 Town Clerk Vendor Contact 0' r Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ! r, 5198103401 1/31/2017 $1,905.42 $1,905.42 NLT elec sery 1/3-31/17 SM5710.4.000.100 0017 (4 j E $1,905.42 $1,905.42 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 1� liYw —�iH� Signature a:!� Company Name Fishers Island Ferry District Date 2/3/2017 Title Date 7j �� © a A 0EVERS"' URCE 0 '1w Account Number: 5193103 4010 Statement Date: 01/31/17 400-30410� ��Y - � Ia FISHER ISLAND FERRY DISTRICT Amount Due On 01/31/17 $2,0. 58.94 ' 5 WATERFRONT PARK Last Payment Received i- $0.00 NEW LONDON CT 06320-6310 Balance Forward ' 058.94 Total Current Charges $1,905.42 kWh/Day Supply Delivery 400 $ 19248°65 $656°77 Cost of electricity from Cost to deliver electricity 300 CONNECTICUT GAS&ELECTRIC from Eversource INC 200- 100 $383 $766 $1,149 $1,532 $1,915 o Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Fob 32° 43° 47° 58° 67° 73° 72° 65° 52° 42° 32° 33° 0° Your electric supplier is Average Temperature CONNECTICUT GAS&ELECTRIC INC 222 MAIN ST FARMINGTON CT 06032-3623 u , a 866-568-0289 This month your This month you used average daily 18,5%less 18.5 % electric use was than at the 304.0 kWh same time last year USAGE News For You Great News!Fast access to outage and restoration alerts for your electric service are available today in email,text or phone call Log into your account on Eversource.com and update your outage notifications today for the personalized options that best fit your on the go lifestyle. CE_170131PROD TXT-95613-000002250 �'.,.�.� -.:,,-- l..K .ry yti',' ""dr,•i r� - z-t, ,�er,.-s"" r,_� t_n`�`"�1 ,. ,«..I'� EVERS lJ C F d`N2 ��� 5 ?"�+ .kd✓Y'' i$F'. f`c r Min j' Account Number: 5199103 4010 Customer name key:FISH +,�:� *�'v„ ;.yw,z,�,�" ' ",�i;av'*•y„�,,,kF"x ,�'c,^s� 'Si.,r, - 1,s i:#h'i�r�d�;,-," FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK Electric Account Summary NEW LONDON CT 06320-6310 Amount Due On 01/31/17 $2,058.94 Last Payment Received $0.00 Balance Forward $2,05894 Current Charges/Credits Electric Supply Services $1,248.65 Delivery Services $656.77 Meter Current Previous Current Reading Total Current Char Number Read Read Usage Type es $1,905.42 g Total Amount Due $3,964.36 8925820721 37231 36381 850 Actual Total Demand Use=24 90 kW 850 X Meter Constant of 10=8,500 Billed Usage " - Contact Information Supplier(CONNECTICUT GAS&ELEC) Emergency:800-286-2000 Generation Srvc Chrg** 8500.00KWH X$0.14690 $1,248.65 www.eversource.com BusinessCenterCT@eversource.com Subtotal Supplier Services $1,248.65 Pay by Phone:888-783-6618 Customer Service:888-783-6617 Delivery(DISTRIBUTION RATE:030) Transmission Dmd Chrg 22.90KW X$7.33000 $167.86 Supply Rate Distr Cust Srvc Chrg $44.25 Dollars/kWh Distribution Dmd Chrg 22.900 X$12.37000 $283.27 0.15 Revenue Adj Mechanism 8500 OOKWH X$0.00136 $11.56 CTA Demand Chrg 22.900 X$-0.02000 -$0.46 0 FMCC Delivery Chrg 8500.00KWH X$0.00935 $79.48 Comb Public Benefit Chrg* 8500.00KWH X$0.00791 $67.24 Distribution Adj Chrg*** 8500.00KWH X$0 00042 $3,57 0 os 1 Subtotal Delivery Services $656.77 Total Cost of Electricity $1,905.42 0 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Total Current Charges $1,905.42 CE_170131PROD TXT-95614-000002250 EaVERS"' URCEil -Account Number: 5199103 4010 ° Customer name key:FISH FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320-6310 Demand Profile Max.kW Demand 40- 30- 7- 20- 10- 0 0302010 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Important Messages About Your Account "Please remit the past due amount of$2058.94.This amount is due immediately in order to avoid a possible service disconnection. Please disregard if you have made a payment or confirmed a payment arrangement.(e.g.,Matching Payment Program). y1 23 CE_170131 PROD TXT-95615-000002250 . FISHERS ISLAND FERRY DISTRICT VENDOR 00,6008 FAIRHAVEN SHIPYARD COMP. , INC. 02/14/2'017 CHECK 3845 FUND & ACCOUNT ; P.O.# INVOICE DESCRIPTION AMOUNT r ' SM .5710.2.0.00.200 TB1031 979382 RP YARD PRD-1/9=1/14/17 13,175.20 SM .5710-.2.000.200 ,TB103l 979704 RP YARD PRD-1/3-1/31/17 ' 49, 040.43 -- 1 r TOTAL 62,215.'63 1 t , nwwm 102 r , I t I I r ' 1 I v:< - -�„ �' t ,�='�t` ,P.UI3IT'�'02• .14°%gI.'7 ,;.e",f'x f�� ,�_ -53 95.MAIN'ROAD`•P,D'.80X-1=179 ISOUTHOLD NY'11971-0959'u"�'"`J - -'�_ -_ C•` C�� NO':'�'�� z$,4`, - - �.�p•. t- t'?!'_ t " _- - _ "_HF' r' 't�lr�> t�a;•'a'rn�'£;,p r- If, - e -aa nr i'a• THE'SW FO K'"CC3:`N'TIONl+G',B NK F , A A N __ `EWT[14 TE' M l7 'I r.' :CUTCMOGU�'„NY�"t95.,1;' - A :'� WT.; `.f 'i'Ji ,?11'x' -ti�rl.n"'ti- - _ ___ - V ,3..1'I !, il'°�!'• ,t 'I'' - _ _ - - -_ xv}t.''Y:It' ,i P,; il'„{;'I''r 1,t'tx` 'II d.,,U t 'n,o,• ._ -- -_ - _ _ -` - .. •u n�,_ ,d'I'nl ,.1,,,1 _ _ _-_ - _: _ _ J `;I, ,I •,I `__ = " . v ..}; • :250- 2r .17 . WONDOLLARSS'Z TYTWO THObSPNII.TA ` :•,, 5"`63r.tr- s - _-- _ 'i't� '1`i�l`.Jf,, 'd�', n'Oii __ _ __ - ,Il.lr•t; �I u: ��'tPi. °,I• .i� =f.: - -- t=_ •t`. '+J!''. ,h dl .J"' i,ld'',.y-:,!; - _- __ _ —_ -_=},=--_` ,y i J'It ',I: J,::' = - -_ - _- 9,'.I _ - — —_ _ __ - �ii� .:li,'.Il .,I"• .Ii,' _ - ._ __ _ - - - - i F HAVEN: SHIP AR CONIF' INCz.4"4"',J' PAf^•,Ir'�„ �'„ ,AIR Y D. __ �` ;'Al,,l,rl,: :I,}��;"xnl�+"�"I. - _ .sf ,,i.. 'PI� �•�,� d1'" - _ "�,Y li lie �.y T, ORD viln— _ �'�r •i'n 4^ FA'I'RHAVEN„MA• 14 s _ _ I 1 - 1 - __ __ _ - __- 'I .,ti,:'IF_i s,,.,�` __ ___ __ __ ___ _= Y,ILti, .•y;`,1 '1'f! _"__- _ -_ _ _ _ __ - - - - t�s.r., ;, j• r _- - - - - - it :p,;,;. rJc,'I:.� - - - - - >` , '�io-n 0;'; ; Vendor No. Check No. Town of Southold, New York - Payment Voucher ' 6008 Vendor Address Entered bye:%/�� 50 Fort Street Fairhaven, MA 02719-0191 Audit Date Fairhaven Shipyard Companies, Inc. FEB 14 2017 Vendor Telephone Number 508-999-1600 `-Y--S Town Clerk Vendor Contact �n" �/(2 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number E 979382 1/19/2017 $13,175.20 $13,175.20 T 03 RP 2016 yard period SM5710.2.000.200 1/9-1/14/17 979704 1/31/2017 $49,040.43 $49,040.43 I-B)(33 RP 2016 yard period SM5710.2.000.200 1/3-1/31/17 all charges are for project budgeted in FY16 $62,215.63 $62,215.63 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been venfied 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 2/3/2017 Title Date Page 1 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 01/19/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 979382 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ Job Code Job Description 15 Bullwark modification ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/12/17 30079 bullwark modification 8.00 80 00 640.00 01/13/17 30079 remove old stacks 8.00 60.00 640.00 Labor 1280.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/12/17 30079 2097P100 P100 PARTICULATE FILTER ea 2.00 9.26 18.52 01/13/17 30003 2.5-1700TSG 2-1/2" INVERTED VENT CH ea 4.00 147.27 589.08 Parts 607.60 JOB TOTAL 1887 60 Job Code Job Description 19 Hull repairs ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/09/17 30612 repair hull starboard 10.00 80.00 800 00 01/09/17 30107 hull repairs 10.00 80.00 800 00 01/10/17 30612 repair hull 10.00 80 00 800 00 01/10/17 30107 hull repairs 10.00 80.00 1200.00 01/11/17 30612 repairs hull 10.00 80.00 800.00 01/11/17 30107 hull repairs 9.75 80.00 780.00 01/12/17 30612 repair hull 10.00 80.00 800 00 01/12/17 30839 fire watch 8.00 50.00 400 00 01/12/17 30107 repairs to hull 9.75 80.00 780.00 01/13/17 30612 weld insert engine room starboardside 10.00 80.00 800.00 01/13/17 30107 hull repairs 10.00 80 00 800 00 01/13/17 30079 HULL REPAIRS 1.50 80 00 120.00 01/14/17 30612 weld insert 8.00 80.00 640.00 01/14/17 30079 repair hull 5.25 80.00 420.00 01/14/17 30107 hull repairs 8.25 80.00 660.00 Labor 10600.00 ----------------------- Parts -_____-_-----___------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/10/17 30612 LIN712CO4533 LINCOLN 712C-0.045" WEL SPOO x.00 93.52 93.52 01/12/17 30107 2097P100 P100 PARTICULATE FILTER ea 4.00 9.26 37.04 01/13/17 30612 2097P100 P100 PARTICULATE FILTER ea 3.00 9.26 27.78 01/13/17 30612 JAZ41052 4" RADIAL BRUSH Ea 2.00 11.26 22.52 Parts 180.86 JOB TOTAL 10780.86 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date 01/19/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # 510160 DISTRICT (508) 999-1600 Category CC P.O. BOX 607 Boat Name RACE POI FISHERS ISLAND, NY 06390 Invoice # 979382 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Job Code Job Description Job Amount -------- --------------- ---------- 15 Bullwark modification 1887 . 60 19 Hull repairs 10780 . 86 SALES TAX 0.00 ENVIRONMENTAL 253.37 MISC SUPPLY 253.37 TOTAL AMOUNT 13175 .20 P r ' r5-1 � r Page :1 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 01/31/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600, Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 979704 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Job Code Job Description 7 Foredeck and vestibule blast and coat ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge ________ _____ --------------------------------------------------- ------ ------ -------- 01/25/17 30021 finish paint on bullworks 3.00 80.00 240.00 01/25/17 30927 PAINT 2ND COAT WHITE 3.00 80.00 240.00 01/27/17 30863 crane robot for water blaster 0.50 80.00 40.00 01/27/17 30899 crane robot for water blaster 0.50 80.00 40.00 01/28/17 30060 PAINT DECK 4.50 80.00 360.00 01/28/17 30010 paint deck 1.00 80.00 80.00 01/30/17 30842 PRIME DECK 3.50 80.00 280.00 01/30/17 30028 paint deck 3.50 80.00 280.00 01/30/17 30060 PAINT DECK 3.00 80.00 240.00 Labor 1800.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/25/17 30927 PHB000-1U 990 WHITE INTERTHANE PH GAL 1.00 98.00 98.00 01/26/17 30060 ENA310/ENA313-1U 300V BRONZE INTERSHIELD GAL 2.00 85.00 170.00 01/30/17 30009 DIESEL/LOW DIESEL LOW SULPHUR DYED GAL 50.00 2.29 114.50 01/31/17 30028 PHA100-1,274 990 OXIDE RED INTERTHAN ea 3.00 101.40 304.20 Parts 686 70 JOB TOTAL. 2486.70 Job Code Job Description 8 E/R Deck plate coating ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/26/17 30011 water blast plates 8.00 80.00 640 00 01/26/17 30927 WATER BALST THE PLATES 4.75 80.00 360.00 01/26/17 30927 WATER BLASTER THE PLATES FROM ENGINE ROOM 3.25 80.00 260 00 01/27/17 30010 blast deck plates 2.00 80.00 160.00 01/27/17 30021 water blasting on plates 8.00 80.00 640 00 01/27/17 30927 water blast deck plates 8.00 80.00 640.00 01/30/17 30010 blast plates 1.00 80.00 80.00 01/30/17 30011 water blast 5.00 80.00 400.00 Labor 3200.00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/27/17 30003 1011OG WD-40 GALLON GAL 1.00 26.77 26.77 01/27/17 30003 UNLEADED GASOLENE UNLEADED Ea 69.00 2.44 168.36 Parts 195 13 JOB TOTAL 3395.13 Job Code Job Description 11 Build new prop shaft Fairhaven Shipyard C Page :2 33422 50 Fort Street Inv. Date : 01/31/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 979704 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 01/03/17 MACH PROP TAPER, THREADS,\KEYWAY, CUT SHAFT TO LENGTH,\MACHINE COUPLIN 2250.00 Other Charges 2250.00 JOB TOTAL 2250.00 Job Code Job Description 15 Bullwark modification ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/16/17 30079 wash the weld on the old stacks 4.50 80.00 360.00 01/20/17 30040 REMOVE WIRING FOR INTAKE / EXHAUST MOTORS 1.00 92.50 92.50 01/25/17 30079 fabricate stacks for exahust 9.00 60.00 720.00 01/26/17 30079 fabricate stacks port side in board 8.00 80.00 640.00 01/26/17 30107 bullwark modification.weld port inboard 11.00 80 00 880.00 01/27/17 30079 ventilation stacks 4.75 80.00 380.00 01/28/17 30079 fabricate new stacks 4.75 80.00 380.00 01/28/17 30107 bullwark modification 5.50 80.00 440.00 01/30/17 30079 fabricate new stacks 8.50 80.00 680.00 01/30/17 30107 bullwark modification 10.50 80.00 840.00 Labor 5412.50 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/31/17 30885 FB38X5X20ST/BP 3/8" X 5" FLATBAR STEEL FT 60.00 6.38 3B2.80 Parts 382.80 JOB TOTAL 5795.30 Jeb Code Job Description 16 Keel cooler service ----------------------- Parts ----------------------- Date Tech Part # Descr3.pt3.on Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/25/17 30787 06564 3M 4200 BLACK FAST CURE Ea 2.00 25.42 50.84 Parts 50.84 JOB TOTAL 50.84 Job Code Job Description 17 Paint car deck ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/24/17 30842 REMOVED ENGINE FLOOR PLATES. CLEAN CAR DECK 4.00 80.00 320.00 01/25/17 30842 paint car deck 3.00 80.00 240.00 01/28/17 30021 PRIME AND FINISH PAINT ON CAR DECK. 4.50 80.00 360.00 01/28/17 30927 PRIMER AND PAINT ON THE CAR DECK 4.50 80.00 360.00 01/28/17 30010 paint deck 1.00 80.00 80.00 01/30/17 30842 PRIMER CAR DECK 3.50 80.00 280 00 01/30/17 30927 WATER BLASTER THE PLATES 6.00 80.00 480.00 01/30/17 30010 paint deck 1.00 80.00 80.00 01/30/17 30028 paint car deck 2.00 80.00 160.00 01/30/17 30060 paint deck 2.00 80.00 160 00 Page :3 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date 01/31/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # 510160 DISTRICT (508) 999-1600 Category CC P.O. BOX 607 Boat Name RACE POI FISHERS ISLAND, NY 06390 Invoice # 979704 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Labor 2520.00 ----------------------- Parts ----------------------- Date Tech Part # Descra.ptaon Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/25/17 30842 ENA311/ENA313-1U 300V ALUMINUM INTERSHIE GAL 1.00 85.00 85.00 01/25/17 30842 PHB000-1U 990 WHITE INTERTHANE PH GAL 1.00 98.00 98.00 01/28/17 30927 PHB000-1U 990 WHITE INTERTHANE PH GAL 1.00 98.00 98.00 01/28/17 30927 ENA311/ENA313-1U 300V ALUMINUM INTERSHIE GAL 1.00 85.00 85.00 01/30/17 30842 PHB000-1U 990 WHITE INTERTHANE PH GAL 1.00 98.00 98.00 Parts : 464.00 JOB TOTAL 2984.00 Job Code Job Description 19 Hull repairs ---------------------- Labor ------------------------ Date Tech Description Hours Rate Charge -------- ----- --------------------------------------------------- ------ ------ -------- 01/16/17 30612 weld insert starboard hull forward plate 9.50 80.00 760.00 01/16/17 30839 firewatch 8.00 50.00 400.00 01/16/17 30079 repairs to hull 5 00 80.00 400.00 01/16/17 30107 repairs hull 10.00 80.00 800.00 01/17/17 30612 weld insert in engine room starboard keel 6.00 80.00 640.00 01/17/17 30107 hull repairs 10.00 80.00 800.00 01/17/17 30885 hull repairs 1.00 80.00 80.00 01/17/17 30079 install insert plate port31de strut 9.00 80 00 720.00 01/18/17 30104 port engine room IWO generator 8.00 80.00 640.00 01/18/17 30111 cut hull IWO generator engine room 8.00 80.00 640.00 01/18/17 30612 weld insert at keel and port strut 10.00 80.00 800.00 01/18/17 30079 cut and install insert plate and open other hole 8.50 80 00 680.00 01/18/17 30107 repairs hull 7.50 80 00 600.00 01/18/17 .30885 repair to hull 2.00 80.00 160.00 01/19/17 30104 Hull repair. 10.00 80 00 800.00 01/19/17 30111 cut insert port side engine room 2.00 80.00 160.00 01/19/17 30612 weld insert port strut 11.00 80.00 880.00 01/19/17 30079 hull repairs 10.00 80.00 800.00 01/19/17 30107 hull repairs 10.00 80.00 800.00 01/19/17 30885 audio and set up 2 00 80.00 160.00 01/20/17 30104 Hull repair port aft under generator 10.00 80.00 800 00 01/20/17 30612 weld insert portside strut 10.00 80.00 800.00 01/20/17 30079 grinder up, test insert plates 8.00 80.00 640.00 01/20/17 30107 hull repairs 11.00 80.00 880.00 01/20/17 30885 coast guard inspection 1.00 80.00 80.00 01/21/17 30104 Hull repair 5.00 80.00 400.00 01/21/17 30612 weld insert 5.00 80.00 400.00 01/21/17 30079 hull repair 4.75 80.00 380.00 01/21/17 30107 hull repairs 5 50 80.00 440 00 01/23/17 30104 Hull repair port side engine room 9.00 80.00 720 00 01/23/17 30612 weld .insert port strut 8.00 80 00 640.00 01/23/17 30079 install frames and make template for insert hull 6.00 80.00 480.00 for port lazarette 01/23/17 30107 hull repairs 10.00 80.00 800.00 01/23/17 30885 hull repairs 1.00 80.00 80.00 01/24/17 30104 Hull repair port side engine room 10.00 80.00 800.00 01/24/17 30612 weld insert port strut lazerette 10.00 80.00 800.00 01/24/17 30079 install insert plate in the lazaret 10.50 80.00 840.00 01/24/17 30107 hull repairs lazerettee fit plate 10.00 80.00 800.00 01/24/17 30885 hull repairs 1.00 80.00 80.00 01/25/17 30104 Hull repair starboard strut 9.00 80.00 720.00 01/25/17 30612 weld insert portside lazerette strut 10.00 80.00 800.00 01/25/17 30107 hull repairs port side lazerette 9.00 80.00 720.00 01/25/17 30885 hull repairs 1.00 80.00 80.00 01/26/17 30104 Hull repair starboard and strut area ' 10.00 80.00 800 00 01/26/17 30612 WELD INSERT ENGINE ROOM 10.00 80.00 800.00 01/27/17 30104 Hull repair starboard strut 9.00 80.00 720.00 01/27/17 30107 bullworks modifications 10.00 80.00 800.00 01/27/17 30885 hull check 1.00 80.00 80.00 Page :4 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 01/31/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 979704 -----------------------------------=------------------------------------------- ------------------------------------------------------------------------------- Labor 28100 00 ----------------------- Parts ----------------------- Date Tech Part # Description Unit Qty Each Amount -------- ----- ---------------- ------------------------- ---- ------ -------- ---------- 01/18/17 30111 2097PI00 P10C PARTICULATE FILTER ea 4.00 9.26 37.04 01/19/17 30612 2097P100 P100 PARTICULATE FILTER ea 3.00 9.26 27.78 01/19/17 30612 LIN712CO4533 LINCOLN 712C-0.045" WEL SP00 1 00 93.52 93.52 01/20/17 30104 RAVEN-L-BOX GLOVE RAVEN NITRILE LG, BOX 1 00 19.08 19 08 01/20/17 30107 450GW 4-1/2" GRINDING WHEEL F BOX 1 00 49.40 49 40 01/21/17 30612 2097P100 P100 PARTICULATE FILTER ea 3 00 9.26 27 78 01/23/17 30612 JAZ41052 4" RADIAL BRUSH Ea 2 00 11.26 22.52 01/24/17 30019 SAI20086 GRINDING WHEEL, A24R TH EA 1.00 6.99 6.99 01/24/17 30885 PL516ST/BP 5/16"PLATE STEEL BLASTE Ea 160.00 9.12 1459 20 01/25/17 30885 AN5X3X38STB/P ANGLE STEEL 5 X 3 X 3/8 FT 3 00 8.27 24.81 01/25/17 30885 FB516X8ST/BP 5/16" x 8" FLAT BAR STE FT 9 00 8.39 75 51 01/25/17 30885 FB25X3ST/BP 1/4" X 3" FLAT BAR STEE FT 5 00 3.61 18.05 01/25/17 30885 AN4X3X516ST/BP 4" x 3" x 5/16" ANGLE S FT 6 00 6.55 39.30 01/26/17 30612 2097P100 P100 PARTICULATE FILTER ea 2.00 9.26 18.52 01/27/17 30612 LIN712CO4533 LINCOLN 712C-0.045" WEL SPOO 1 00 93.52 93.52 01/30/17 30612 6969 3M HIGHLAND DUCT TAPE Ea 1.00 20.64 20.64 01/31/17 30612 2091P100 3M P100 WELD FILTERS ea 2 00 7.98 15.96 01/31/17 30612 TARPIOX12 BLUE TARP 10' X 12' ea 1.00 22.09 22.09 Parts 2071 71 ------------------- Other Charges ------------------- Date Description Amount -------- ---------------------------------------------------------------------------------- ---------- 01/13/17 plywood for welders 20.57 Other Charges 20.57 JOB TOTAL 30192.28 Fairhaven Shipyard C 33422 50 Fort Street Inv. Date : 01/31/17 FISHERS ISLAND FERRY Fairhaven, MA 02719 WO # : 510160 DISTRICT (508) 999-1600 Category : CC P.O. BOX 607 Boat Name : RACE POI FISHERS ISLAND, NY 06390 Invoice # : 979704 Job Code Job Description Job Amount -------- --------------- ---------- 7 Foredeck & vestibule blast and co 2486. 70 8 E/R Deck plate coating 3395. 13 11 Build new prop shaft 2250. 00 15 Bullwark modification 5795.30 16 Keel cooler service 50 . 84 17 Paint car deck 2984 . 00 19 Hull repairs 30192 .28 SALES TAX : 0.00 ENVIRONMENTAL : 943.09 MISC SUPPLY : 943.09 TOTAL AMOUNT : 49040.4 �J� 1 1 1 1 1 1 - I f , l i .1 't FISHERS ISLAND FERRY DISTRICT' VENDOR 006373 FISHERS ISLAND FERRY DISTRICT 02/,14/20,17 CHECK 3846 FUND & ACCOUNT P.O.,# INVOICE DESCRIPTION AMOUNT SM '.5710.2.000.100 020217 MUNN-SPRM PIZZA-STF DNNR 95:36 SM .5710.2.000.100 020217 MUNN=DNKN,DNTS-STF BRKFT 9.55 SM .5710.2.000.200 020217 RP-TRUE VALUE=RST CNVRTR 32.93 SM .5710.2.000.100 020,217 MUNN-DNKN DNTS-STF BRKFT 1 20.78 SM .5710.4.000.000 020217 RP-SULLYS=WASHER FLUID 2.90 TOTAL 161.52 ' : n ' gggn 1 1 rel t g 3 - '- '- -- `- -'--- `-- -- - --`-------------- -' - I ' MWIMMI rF- ;,.! " ' ISHhS:ISLANDr FEItR '°DISTRIC s AUDI 2 `14 -- '?' t` 53095)MAIN'ROAD;•PO'BOX.T 7g `'" ' / § s. R,. 'r:• 'SOUTHOLD,`WYY797*0959 $'C r = K Cb: THE''SUFFO N LABK t ,INAlOTI , - ll 1„UNI. - — -CUTCHQGUE,M1,gT935' xl. . II'i I'.I ad t•a.,i'^hj;r;,- ' __ _ - - .., . :jy . :I.,,'I', 4'si •IJ'm. `-- _- - ,0 2-,1. 2017, f..•. 161-:52''`K° '0:0"'°DOLLARS', ,ONE:'HUNDRED` '5IXTY,.ONE. AND ` 52"' 1 _ — = t\'` ',9b tJ' f d•q, t' __ _--`, ._ = I';t l "tp'..I tq:'t i,;.'1{ ,d.' -- -- -- - --- -- - - _ ,-I,;,, ,i•rt,"" r'ni. -- -— _ ,'p{°e' :'t t dt ;t{:,,.'.tP "L.".,', - 'i -- 'z'•. I _'- - - _ - - -_ ,` • ,, , 'd' al' ; `I1s;°`'.,I:E - ,c^- F"' SH'E"'S';•'TSLAD7D:'FERRY=DISTRICrT' r`r: >"'G: __ - 'P 'I` - - - __-t. _ `Ii'''tt .t+ TO 'HE= 'p';r'F; .rt.t .•A^,H" - _ --- - - ,•I. RETT I'C 5 : ORTJER<`` 8'; ,I:,1 3'tliil± :it 1 . —=.. x .`.l' .L. ul':I ,I,I"CY- IPl I" — — — — f' }• 3j,t}' ' ; 't •,kP'0;.`x Q$' 6`0;7 1`:• - _ ;'_ : •a, 'FI'S$ERS ,'ISLAND `NY' - r t, ii'I.« r'P'1 r _— — — — _ — — — - 11'i': '.I sl' ,',nl•. 4i1. :':',1 — — — _ _ — — — ii: - - __0a3a _i'.,, t F - ;J•:J :ty; ,I"'r'4 - : -__ - '__" - '4„' al::^° :i';'.i> -_ ___ -__ - _ - 0. 44,6 i'' :0 64's.`` 6S 00 5:0''2 . ,ii... 011 - C) 7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 6373 31RIAG Vendor Address Entered by P.O. Box 607 Vendor Name Fishers Island, NY 06390 Audit Date Fishers Island Ferry District Petty Cash FEB 14 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 REPLENISH 2/2/2017 $161.52 $95.36 SUPREME PIZZA Munn repairs -staff dinner+tip SM5710.2.000.100 $9.55 DUNKIN DONUTS Munn repairs-staff breakfast SM5710.2.000.100 $32.93 TRUE VALUE RP rust converter SM5710.2.000.200 $20.78 DUNKIN DONUTS Munn repairs-staff breakfast SM5710.2.000.100 $2.90 SULLY'S washer fluid for rental van _ SM5710.4.000.000 i f f € $161.52 $161.52 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature � �"`t�E— Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date Z �� j, ff , SUPREME PIZZA NAM 27 BOSTON POST RDJIM; WATERFORD, CT 06385 1 0 01-27-2017 FRI #0' FAIRHAVEN TRUE VALUE HARDWARE 23 POPES ISLAND NON TAXABLE 3 00 NEW BEDFORD,MA.02740 NON TAXABLE 3.00 508-997-3307 NON TAXABLE 3.00 TAXABLE 19.951 ransaction#k: C358144 TAXABLE 15.95 1 -,,ssociate: ELAINE TAXABLE 19.951 -ate: 01/27/2017 Time: 09:38:30 AM TAXABLE 15 951 ** SALE »** SUBTL 80.80 TAX 4.56 ---- -- — CASH85. 13 6 ;SPHO 1.00 EACH @ $30.99 T $30.99 860-443-8177 Subtotal: $30.99 THANK YOU 6.25% - State Tax: $1.94 TOTAL: $32.93 - CHANGE:$33.00$0.07 ------------------------------------ Thank You! WE APPRECIATE YOUR BUSINESS FAMILY OWNED & OPERATED �ow., i 1111111 Hi I1C 111111 11H 11111 IIII �ft,Aa►� t 5 G 1 •1 d 11alcofi-je to Dunkin' Donuts Store #310195 799 Long Hill Rd., Groton 1/28/2017 5:42:07 AM Eat In Order : 877 Register:2 Tran Seq No: 3854877 Cashier:Joshua D. *****SALE***** 12 Donuts 9.55 Sub. Total: $9.5c Tax: Z-1 $0.00 Total: $9.55 Discount Total: $0.00 Change $0.45 'T Cast? $10 $10.0+,J read✓ :� �� �4 4� q;hd �` rr�vim•: �.Q kc: ,Jlllr. Lo uuni<i n Donuts PC# 337312 175 Droad St Earn Points With Plenti New London,' CT 06320 Sign Up For Your Free Plenti Card !28/2017 8:57:08 APII Aral Earn Points On Everyday Purchases I-'fit In Qully's Mobil, 11671 Order : 2121 I 3,102 Vauxhall Street Neu London, CT 06320 14-jistor:,2 Tran Seq No: 31"13212 i . .hien :Tina C. 02/01/2017 7:22:09 AM Fegister: 1 Trans #: 1401 Op ID: 11 Your cashier: Scott Hl Cot MD Or i 9B l lid 2.05 Ire Cof Mfr Orig[O nd 2.45 �i* REPRINT ** REPRINT *** REPRINT * * iix ,Joe 009 Bind 15.99 ,Solash Window Washer _$2.73 1 uh `1 ,tail : 120,49. ---------- ax' $0.29 Subtotal = $2.73 X20.78 Tax = $0.17 i)isc:ount Total : $0.00 ---------- � Total = $2.90 'I,anoe $0.22 =t REPRINT *** REPRINT *** REPRINT ** ..... Change Due = $-2.10 Cas" $5.00 THANK YOU FOR CHOOSING SULLY'S MOBIL 1 FISHERS ISLAND FERRY DISTRICT VENDOR 008140 HAYES SERVICES, LLC 02/14/2017 CHECK 3847 1 FUND &, ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT, - t - SM .5709.2.000.200 15108 SNOW PLOWING=PYMNT #4 1;450.00 ; 1 _ — \ _ TOTAL 1,,450.00 I ro I •y=ai'afy - -- - - -- -__ - __ ; `di'. >'. . ' enc > ,I,.3 k'i` ' M •>•},• --earz <>.ax _ ..-`<.e.<s xe.. -s,w.a. -.n `..d ..."?[.:•:4i,...n, :e'.a X^'.:y" ,', '' tl.+p <..ex,- ...<rr- ,» -ns.L••<>ax.4-ex s,d' ;• 1 !' A > r ,:t4.y.•<a`g l P •jlii° 7r as..ar,- •"'"bi wJ. 'n iM.•.•'iA •` J, . >ii,• ..-? ' ;. ..•bP'.="r,;s°....:,.'y.. •.rt;,^•i ' _ I , l I 1 .y _ I __ :/,; --- -_ --_- _ . u ,„ k _- - - - - - ^II' api II U li.,< ,'ll', :' ;1:d d-' - --N1•_ -_' _.-'' `'-- ^aa''krs FISHRSTSLANDeRRY,DISTRICT r. -_ .t< . F"} e$;[;e+,•y.> . 's A`a i ,}nir f `4`;.v?,=`,r.':y:_J.>tyt6x d i/t } /f {; ' r3(}i<yt-.;, .<a,rdgc»ld^. '+53095 MAIN ROdD;•PO,BOX-7 .1; -` . 29 .,. 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"• j•;t6 o Q0'38'4y7ii l ` Vendor No. Check No. Town of Southold, New York - Payment Voucher 814038'e.47 Vendor Tax ID Numbei or Social Security Number Vendor Address Entered by PO Box 635 Audit Date Hayes Services, LLC Niantic, CT 06357 FEB 14 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 i t 15108 1/20/2017 $1,450.00 $1,450.00 Pmt#4 Snow Plowing Contract SM5709.2.000.200 11/1/2016 -3/31/2017-jtA-,,,,,\ Per Contract 2016-2018 i r E k { 9 { $1,450.00 $1,450.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title ` Date Bayes Services, LLC invoice PO Box 635 Niantic, CT 06357 Date Invoice# 1/20/2017 15108 Bill TO Kurt Hayes 860.625.5243 Fishers Island Ferry www.hayesservicesllc.com Distric 5 Waterfront Park kurthayes04@sbcglobal.net New London, CT 06320 email Billing Dept 860.444.6844 Terms For Month ... February(4) Due upon receipt Description Qty Rate Amount Snow Plowing Contract: November 1,2016 to March 31,2017 0.25 5,800.00 1,450.00 Fishers Island Ferry—District 5 Waterfront Park,New London 1 4 equal payments Please note that snow removal prices are additional as per contract; - \ $125.00/hr Loader C $115.00/hr Dump Truck $200.00/hr Loader Snow Blower J c�aM You can now pay us online at:www.hayesservicesllc.com Subtotal $1,450.00 Locate the [PAY NOW] button located on our home page or Sales Tax (0.0%) $0.00 contact us page. Total $1,450.00 Click and you will be directed to a secure paypal link. Payments/Credits $0.00 Any invoice not paid withan 30 days of issuance will be assessed a finance charge of 1112%or a$5.00 fee(which ever is greater). Balance Due $1,450.0 - I I I I I I I FISHERS ISLAND FERRYDIS7RICT ; VENDOR 013564 MCMASTER-CARR SUPPLY CO. 02/14/2017 CHECK 3848 / FUND & ACCOUNT ' P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 10397144 NLT-MAIN SOPPLES131.57 ; SM .5710.2.000.100 98122571 MUNN-SEWAGE AIR EV HSE 136.77 SM .5710.2.000.100 98122571 MUNN-REMOVABLE BULKHEAD 32.12 SM .5710.,2.000.000 98122571 SWG DISCHARGE HOSE,FTTNG 847.91 i r - TOTAL 1,048.37 r; AN -°mra- \ , _ _ „_. = .t' -,cx:: ' 'j' a'. .,ate• - __ I t ."°" a,...d- ,_,::, ^ "`^}c>. , _>g .xr' .-.: ''" ;tom,,:;ur""•. ti " ^°N t . 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Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 4001 A. Re3 0:3 Vendor Address Entered by P.O. Sox 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. FEB 14 2017 Vendor Telephone Number 609-689-3000 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 98122571 1/16/2017 $916.80 $36.77 Munn sewage air evac hose SM5710.2.000.100 $32.12 Munn removable bulkhead SM5710.2.000.100 $847.91 sewage discharge hose, fittings SM5710.2.000.000 10397144 1/26/2017 $131.57 $131.57 NLT main supplies SM5709.2.000.200 $1,048.371 1 $1,048.37 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature `_ Signature U Company Name Fishers Island Ferry District Date 2/3/2017 Title Date ri.j- &MASTERmCARR. Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $916.80 Invoice 98122571 Billed to Invoice Date 1116117 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$18 07 on merchandise if paid by 1/26/17. 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 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 1593N1 Air Hose 1/4 x 1/4 Brass NPTF Male,200 PSI, 1 1 0 27.77 27.77 Red, 25 Feet Long �'��Each Each 2 50785K92 High-Pressure Brass Pipe Fitting Straight 6 6 0 1.50 9.00 Connector with Hex Body, 114 NPT Female Each Each 3 92186A546 Super-Corrosion-Resistant 316 Stainless Steel 5 5 0 3.11 15.55 Hex Head Screw 1/4"-20 Thread Size, 1-1/2" Packs Per Pack Long, Partially Threaded, Packs of 10 *'V r 4 9319OA539 Super-Corrosion-Resistant 316 Stainless Steel Iti' 2 2 0 4.98 9.96 Hex Head Screw 1/4"-20 Thread Size,5/8"Long, It'], Packs Per Pack Packs of 25 5 90715A125 316 Stainless Steel Nylon-Insert Locknut 1 1 0 6.61 661 Super-Corrosion-Resistant, 1/4"-20 Thread Size, Pack Per Pack Packs of 50 6 2084T35 Anodized Aluminum Cam-and-Groove Hose 8 8 0 27.70 221.60 Coupling Size 2,Socket with Nonlocking Levers, Each Each 2"Hose ID 7 2084T65 Anodized Aluminum Cam-and-Groove Hose 8 8 0 18.93 151.44 Coupling Size 2, Plug, 2"Hose ID Each Each 8 5293K42 Suction Water Hose 2"ID,2-300D - 75 75 0 3.38 253.50 Feet Per Foot 9 5204K12 Tight-Seal Bolt Clamp for Firm Hose and Tube, 24 24 0 8.66 207.84 2-5/16"to 2-5/8"ID Each Each Merchandise 903.27 Shipping 13.53 Total $916.80 Packing List Shipped Weight Carrier Tracking 5705822-02 1/16/17 931b New Penn 570582202 5705822-03 1/16/17 221b UPS Ground 1ZO835200348562700 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 2 MP 60 MtMASTER•CARR® Invoice c 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Invoice 98122571 Invoice Date 1/16/17 Packing List Shipped Weight Carrier Tracking 5705822-01 1/16/17 4 Ib FedEx Priority 719055410429 Federal ID 36-1458720 McMaster-Carr Supply Company Page 2 of 2 MP 61 l WiPoWRNW ` �;,��t,��'MAASTERmCARR. 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 01/16/2017 609-689-3000 New London CT 06320 Order Placed By nj.sales @mcmaste r com John Paradis McMaster-Carr Number 5705822-01 Line Product Ordered Shipped 9 5204K12 Tight-Seal Bolt Clamp for Firm Hose and Tube, 2-5/16"to 2-5/8" ID 24 24 Each Shipped separately from our New Jersey warehouse on 01/16 1 1593N1 Air Hose 1/4 x 1/4 Brass NPTF Male, 200 PSI, Red, 25 Feet Long vyti 1 1 Each J 2 50785K92 High-Pressure Brass Pipe Fitting Straight Connector with Hex Body, 1/4 NPT Female 6 6 p Each 3 92186A546 Super-Corrosion-Resistant 316 Stainless Steel Hex Head Screw 1/4"-20 Thread Size, 5 5 1-1/2"Long, Partially Threaded &VkIA4K- Packs '(( 4 9319OA539 Super-Corrosion-Resistant 316 Stainless Steel Hex Head Screw 1/4"-20 Thread Size, 5/8" Packs 2 Long I, , UK. 5 90715A125 316 Stainless Steel Nylon-Insert Locknut Super-Corrosion-Resistant, 1/4"-20 Thread Size 1 Pack f 6 2084T35 Anodized Aluminum Cam-and-Groove Hose Coupling Size 2, Socket with Nonlocking Each 8 Levers, 2" Hose ID 7 2084T65 Anodized Aluminum Cam-and-Groove Hose Coupling Size 2, Plug, 2"Hose ID 8 8 Each 8 52931<42 Suction Water Hose 2" ID, 2-3/8"OD 75 75 Feet Se"e V 114,5 551 ASTERoCARR. 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 01/16!2017 Order Placed By nj.sales@mcmaster.com - John Paradis McMaster-Carr Number 5705822-03 Line Product Ordered Shipped 1 1593N1 Air Hose 1/4 x 1/4 Brass NPTF Male, 200 PSI, Red, 25 Feet Long 1 1 I Each -�9 2 50785K92 High-Pressure Brass Pipe Fitting Straight Connector with Hex Body, 1/4 NPT Female 6 6 Each 3 92186A546 Super-Corrosion-Resistant 316 Stainless Steel Hex Head Screw 1/4"-20 Thread Size, 5 5 { 1-1/2"Long, Partially Threaded, Packs of 10 Packs `/ 4• 93190A539 Super-Corrosion-Resistant 316 Stainless Steel Hex Head Screw 1/4"-20 Thread Size, 5/8" 2 2 Long, Packs of 25 Packs 45 90715A125 316 Stainless Steel Nylon-Insert Locknut Super-Corrosion-Resistant, 1/4"-20 Thread Size, 1 1 Packs of 50Pack 6 2084T35 Anodized Aluminum Cam-and-Groove Hose Coupling Size 2, Socket with Nonlocking 8 8 Levers, 2" Hose ID Each �'7 2084T65 Anodized Aluminum Cam-and-Groove Hose Coupling Size 2, Plug, 2" Hose ID 8 8 Each _�----- - -- ---- ----------------- ----------------------------------------------------- Shipped separately from our Chicago warehouse on 01/16 9 5204K12 Tight-Seal Bolt Clamp for Firm Hose and Tube, 2-5/16'to 2-5/8"ID 24 24 Each • i i i i i i i i i i i i i i i i i i i 239 l MAASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $131.57 Invoice 10397144 Billed to Invoice Date 1126117 FISHERS ISLAND FERRY DISTRICT y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$2 52 on merchandise if paid by 2/5/17 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 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 94135K84 Type 302 Stainless Steel Extension Spring 4.0" 2 2 0 657 13.14 Length, .96"OD, .121"Wire Diameter, Packs of 1 Packs Per Pack 2 73605T93 Brass Garden Hose to Pipe Rigid Fitting 3/4"GHT 2 2 0 4.46 8.92 Male x 3/4 NPT Female, Packs of 1 Packs Per Pack 3 72105T88 Garden Hose to Hose Fittings 3/4"GHT Female 1 1 0 10.75 10.75 Ends, Packs of 2 Pack Per Pack 4 2084T25 Anodized Aluminum Cam-and-Groove Hose 2 2 0 31.07 62.14 Coupling Size 2, Socket with Nonlocking Levers, 2 Each Each NPT Female End r 5 2084T55 Anodized Aluminum Cam-and-Groove Hose 2 2 0 15.42 30.84 Coupling Size 2, Plug, 2 NPT Female End Each Each Merchandise 125.79 Shipping 5.78 Total $131.57 Packing List Shipped Weight Carrier Tracking 6234206-01 1/26/17 5 Ib UPS Ground 1 ZO835200349408401 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 540 I I• FISHERS ISLAND FERRY DISTRICT VENDOR 063333 NEWPENN MOTOR EXPRESS, INC. 02/14/2017 CHECK 3849 N, FUND & ACCOUNT P.O/)# INVOICE 1AMOUNT DESCRIPTION , SM .5709.2.000.200 24572792-0 NLT-SKID HARDWARE 74.24 TOTAL 74.24 ;t 4-7 .'r'sie<,<x4wa. w, c.---....n • a•. s<,. ..4•- - - 4 ab E .,.°:.Y' N r .ar' aYY`` e,a 1 . `y`+• M' 'M1 'er, '"^,'"` / N / % •i __ 1 I ' p I , I " ___ _ - _ 1 h =;FISHRRS<I IAVD FERRYD TRICT'-''d -- - °; t-`°= ,:t• Y`t, ,.• `s,i" •s:,•*- - '-'-•,53095WAIN ROAD`.MBOX.177<9<,',."g;jr "^.S LJTHOLD;NY.-1'1971`-0959`., :} r- +'. 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Y • a <tF,r 1-. `;< y • `PA •3'• t9„1, 'Y,`1'>°< ,I,NEWPENIi7`,"MOTOR';.>EXPRESS° '>;f3NC.,;,-; ,;11;s ;';r, -,,,,,I,-''If „ ,: _ s °:-: _'<3 ' { ,11„t b, r t•r + ,'I,,,II,;,” , - -" -- , . - - - - 7. - 't'E 9a "li • - 'A d l lSGt '1 I {, _ _ _ t2I'.^,l'. 'ill.'. +3f' i,°ir'' 4p'"_ - - °•FI' 1 s :62'5`,.ISI. :FIFTH=.°F: IENUE_,0. _'- _ „{ .,p. ,4 ,1.k+'`n `;'1, I. ,I, -'a=- `#'l nnrl ',t"1 . 'i1',=Ja`i.`_ _ _ _ `' I •,,1",f-".i' •%s'w a:{Ye\',,;', /\`4-'-' ___ _ _-L / /` ," C`• °4 `>. ,QI IJliIC' "1' i,1,POt.BQX;6`3rOrt'' 'OF> :t :,e , r Y'Y•A, ,'L >"` ''s',F ,q r ' 'LEBANON+r•PA':'1'7`04'2'=`0'630`:1 '<:' :E: f4",`;'t;'' .,a f ,'k'4 ,c4 t;'k ,;1•,,' .`- ,t : ; <<. ,"',ar :•' _- :`, ;;fy,' .,s {. .Z+.° ,-_ r ,y,_ , ..3.. '.i'1 •. "„' ,t, _ _ q 4 ` `„sp`a'n„t-.'\d` %_,. 's+:•h R.',r-i: _ -_ .,-%,. ,; `'3,' ,tvx- -_.§ rJ<t S i -,0r 7p i` .h F .1 f F n __ " z t. `.i>Yv t I' f•Y 1t,if7 Y N _ _- x - __ - 'tl• :°sl -' , '';,, - - - r;r' '' ,,+ t„'” I, t,.,, tr1,,,t,.,` =- - _ -:t f,' ,`P-- - __ __ __ `__ ..d-, •1t; r, .'^i s •.6,, _ - -_ -_- -=- ,'t.' "1 '4!'.:,,11. '4`',.. " J`.'," .f. _--ff-. _ _ _ _ - _ -_ -'.y. '<l1 illi'. 1'„pr,'p','si' ' oi II'Iti': ': - _____ - f'_. :a, ",, „r:.II; I••'i 1'. +,I,r A ` ,..>1r 1'- - _ - __ -_ _ __- _ ..4'• I,V i1 dn J, ,iV i'e tl i l4 _ _” _ - 1' Ai'il l' .IId+1,'.,£ ,4,1.r.{ ,r l,t`_ 5 __ .-f, - iI' -~"' - - -- ___:.sl_ "M1 + +•r ___ - __ - - - 3 `i<.. 1 i't. .111 ni,a.e- -.4',\_ '.___ - - _.•2"• tcr_:_•as' __ `ii 00'38`4 9111 '.0 2, .4,0,5'4 6 4` . "68`< -a t 50:<2, =:bu 0q 0 1 7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 3333 34994 g Vendor Tax ID Number or Social Security Number Vendor Address Entered by 625 S. Fifth Avenue Vendor Name P.O. Box 630 Audit Date NewPenn Motor Express, Inc. Lebanon, PA 17042-0630 FEB 14 2017 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Des cnption of Goods or Services General Ledger Fund and Account Number 24572792-0 1/16/2017 74.24 74.24 NLT skid hardware SM5709.2.000.200 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 Signatures Signature Company Name Date Title Date NVW%*P,UNNO N P M E ORIGINAL INVOICE 625 S.5th Ave Lebanon,PA 17042 Pickup ID Freight Bill 6325 0025 00 RP 19 01192017 NNNNNN 01 005326 0010 89412123 24572792-0 `� US Dollars FISHERS ISLAND FERRY DIST PO BOX 607 CHARGES:Collect °,' $74.24 FISHERS ISLAND NY 06390-0607 1 Payment Due: '- 02/16/17 111111111 111l]1111'1111111111111111111111111111 I�'�"I'I i 111111 1 KShipment Date: : 01/16/17 Credit Terms: COL 4,h Tax ID: 123-2209533 n� 0181707 e e e � - `•��;e Shipper Consignee Third Party BOL Number: 0015860 0099999 0099999 570582202 .o MC MASTER CARR SPPLY FISHERS ISLAND FERRY DIST FISHERS ISLAND FERRY DIST 200 NEW CANTON WAY 5 WATERFRONT PARK POB 607 PO Number: ROBBINSVILLE,NJ 08691 NEW LONDON,CT 06320 FISHERS ISLAND NY 06390 JOHN P 11 i 11-ma PCs Description of Articles Class Weight Rate Charges 1 SKID HARDWARE NOI C70 93 MIN 63.00 * *HOT* *HOT* *HOT* *HOT* *HOT* *HOT* *** OUTBOUND *** FUEL SUR CH 11.24 1 <--- Totals ---> Terms:COLLECT 93 Total: 74.224 [NV, '' N'V 1',CE „ ; .ESTLOIVS:. ' 'e"'Please'direct•'alf.invo�c ri u' 9 ions`�to' ;. 9;q ^ -, cuSt®mersavidd@6e'u 6nft Coii: "` Introducing r New Billingt CFreight Bill Number and 010. Shipping Details Amount Due. J Payment Due Date, Shipment Date Charge Details > and Credit Terms Cvr � Tax ID Contact Information ORIGINAL INVOICE SME N-,W �,PN.JPickup ID Freight Billq c v Lebanon,PA 17042 123456789 123123456X US Doran EOeMI6GRP 000W001000.'4b10—WN 01 CHARGES Collect $95 29 ABC Company 123 Main Sl Payment Due, mm7ddlyy 16C Shipment Dale mmlddlyy Any Town,USA 65555 Credit Terms• COL IIIIIIIIIIIdIIdhIIIpIIhpIgIJJIIIInIIIIIIIIbtIIIIIIIgI , ^inn,,, ram>aar000xr 000twMMss 0-10Zo Shipper consliI23/{�ilel234%MInee y� BOL Num6ar 1b45WB301234RlC�0 '.PE6G AAMS AAAPMAcla ADCSe- 10160ak sl 1515 Walersl ' PONvnSm A,)4Pan U502345 A),I—USA52459 1234 . 9 PCs Description otpolcles Class Weigh( Rate Charge' i PALLET HARDWARENO C70 282 6656 18770 FUEL SUN CN 1366 O—wt 108 65 1 t— Totals—>Terms COLLECT 282 Total $9529 � Frelght8111# Payment Duo Date a AmountPold !V�/low 123123456X mmlddyy $9529 $ NEW PENN MOTOR EXPRESS,LLC Online ®Emml 24801 NETWORK PLACE vnrxnewpem mm Cuatomerservlce@rewpenncml CHICAGO IL 60673.1248 �'1:.�"i Y per, �_„ Wnl.--your Frmahl Rd4l anum.eL�^ --_--- —� -'^•� ------------ —-————-——-—' - ———————— FISHERS ISLAAD FERRY DISTRICT -VENDOR 014144 NU LOOK CLEANING SERVICE 02/14/2017 CHECK 3850 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.`000.600 70 JANITORL SVC-1/I6-1/27 362.20 TOTAL 3'62.2 0, j n °i — T, -. J . 1 ;'" s<: ',`-FISRS;7SlAND:FRRYrDISTRICT g','" f, DIT qZ I — '- S,• :R ' _ ,-`,5§095•MAW;ROAD,P,O;BOX'1179 ;Rj:"- • ,, "r. _ a>, ,SOUTHOLDi'NY`•1197A-0959 _ .fi + 't CHECKr`tNQ;;,, r- ,. ",u .;u•Il a/z•, - - -- 1'U 0 nK.CO"`N=ANT pI;O_.pN;ALdBANK' ' 111935 H GU A dUN ` — 2%2''0 `0 2 01'7 6 501546/214, , ' `t; ,. ' • x THf2E' .IiLJNDREDSIXTY'°,TiaTOG''AN I7 2:0 `100 `'DOLIaP:RS,°:: - --t''_ - - - = - _ - ` - `I - `wig"w _' v2` ,tom ,•r •' .F,`,1'. `r rY - ''6C',1I. k K,"CLE ER FIC 'w', I' PAY'll,,l °'C Ij,;,, a , , ,;;":, i;`r. _ - _ , ;',I d',, r r;,,,f I' i" - - '''I.:,•;i j . ;. ,.",' - - -- ax a" 0 I 1''' nF',',t' I ''I• TO;,T'H 'i, h I _ _ i^ ';r r;"ii - - - 1 • -I' I• i I .1' ,'I; rR. ____ __-a.= :_ >c-_ ;i ;Ua_ ' yl-' '' ,"• -` ,.Ihvy,t`y _-._: ___ __ ___"+i', •.r L` S'AL•EM'•C'T =',064`x(3 - 't n ,j , -' T••A ', , - '.3" - a`Y,• ,j.d IPII v,1, - --A`---- -_- - - I, P'`,"J^'ll 'f,`1';-1.. - - -- - - - - - - - _ f i ',n .,p, ,I d:• !',tl'' o,t„„ =-c - I,I If: ,',! ! 'of;;l•,1'' - - - ”- - - - - " -- _ - n's 3t , f,•d nJ4 V,`f,t l`,,3 i'i't' __- - _ .,I 'I', ' i ' , ,hd '*11i`- -_ - — - _ __,"A_ - _ _ t t J u , II•!,, d - _ - - - I , del''u,', _ ,_ _ _ _ _ _ ty. =° i'DO`38'S0`ii■ . ;'L;40,''S.'4. 4e;. - .6S_ :00`.,5. `0::2 17 Vendor No. Check Town of Southold, New York - Payment Voucher 14144 _f Vendor Tax ID Number or Social Security Number Vendor Address Entered bye / _ - 663 Old Colchester Rd Vendor Name Salem, CT 06420 Audit Date NU Look Cleaning Service FEB 14 2017 Vendor Telephone Number 860 859-3624 Town Clerk Vendor Contact el , Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 70 1/27/2017 $362.20 $362.20 Janitorial Services SM5710.4.000.600 1/16-27/17 $362.20 $362.20 Payee Certification ' Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly ' been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Jl Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title ate [ r NU LOOK CLEANING\\ SERVICE 663 OLD COLCHESTER ROAD SALEM,CT 06420 (860)859-3624 1/27/2017 70 0 FISHERS ISLAND FERRY DISTRICT P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN:ACCTS. PAYABLE Net 30 ° iPRONe JANITORIAL SERVICES FOR 2 WEEKS-JAN. 16-27 2017 362.20 362.20 1 lV V� Thank you for your business. TOTAL $362.20 , 4 , I -I FISHERS'ISLAND FERRYDISTRICT VENDOR 014421 O'CONNOR DAVIES, LLP i 02/14/2017 CHECK 3851 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION , AMOUNT SM .1310.4.000.000 299204 PROF` SVCS 8/8:12/31/16 X1,453.50 t ,? ' TOTAL 1,453.50 ' ' 7 r raF.s siSt.4 :?r,:5• :..tis. ^E ».m-.%{"`6. - i'"•- ' . _ •R ••-• .<.- ^3't'yw"a .'` "M•`„'^'^fzl-,µ.•'i';.! i .♦ / _ f- I _ ' l • 4 • • D • • • • • ` • ' ' I - ,p,,# ;,: :2' k, r FISFERS,ISAIVD ,, ,•'f ;ATT;' 4/;i, „ :53095IMAIN.ROAD.=P,O;BOX 1 "s ,§gUTWOLD>NYCHECK;p ,,, ! °`.`•s, _ ,4•. -_ - ,I .,gid", I; qs''1•" r- _"i> i LK''C' .NATIO LIBKNK;r_ _ 101 THE SUFFO 0 NA,., CUTCHOGUErNY',t' 1s35=,° .. ,, - AMOUNT,,a" •,., f?, ",q-1'B.", , "_" .t _ _ ,r _ - :.k-.kb 11 _lar w •IS, ,at r,,;r,as_• I`.1, I '1 :Y 1 --- .t .='_- '' ---- ,I' -•,F'u'A A' J'"il;1. ,., f r - _ __,__ _ _ - :I"AI'A p:Q'; t^dl'lll :•j ipl$r,','. II '__ __ ,y. ,F,;' -_-,.^,e"',-.... - -_+,„°,ir. ., "<`'; k `14-f2'0'17 • '1•` 453''„50 '° ,: •-a "':" - 60-546"2141,;, °i'IJ Xq,r ,0 '/. < ';ar '•v r, ! P /., •Jn jL S= ONE.=THOYJSAND FOUR, HUNDRED, FIYTY. THREE---AND-'°50./1'0,'0 DO LAR °, _-'•n',r 'r",?: °+h ' r, "%,r',,; ^I s,7'I,tn 3 ''d!`'a al •a, q= e,44, `.f:` __ __ _ :1• F In'°ly 4r 5 -i:".•'I„lu _ _ - __-_-_•4"• S a'',, "I• _- .Kr •li y ,•A:`fiL x4 - , - - -l'' - - `.P° 1.17 la•',{f, tN, ,I,,Pt An dl' '167'f I,1"..`ye.`.hi' _ -_ ;$''_ __ _- .,r 1. s'll ' <i'i I 1- 2 -_1 ,,p _- P, ,in' dtt, ,Ind '-- - - _ -- ',NI `"l 'rlr ev f' •td, 'u' - - 'f;'i' i p; `' r ` 7v e1,. f ,' '; - _ - - _ '.`t. . 7`3 iJ„ 'pl, ' ''."':` - i - - •3. "`j'r - __ < . er - '>T' 'SVv` .. s v j`,r y I:r to• [.s:i f-; '.f i..S6. k,A'' '4I•r `F ,r j.`,I l`it f$1 G, #, •3 _ r;,t*,' t `S• •,1_J`e x':': '% .;5 % S: ;r. ^tr ,A' J. `. , ;,J_ n ^q ;.ir °3 r - rt•,x>,rt,. - - - j.' - 'e,' gait; ,-is''If -I;. - h "'1; .I h•I, 1''"j fil ii'yl •Tr mb"O..CO OR'„'DAVIES' IiLP--"-- - ;<rk''- ,r''` I 1 '' I,.1,•J, 'I' ° _ - ,I t:1 I,s7d 6f ._ ; (moi•',A:'"1' -I. - _ 5 y:5",N,k"1P<N ''P'I"'N:,1,.P{< =it - f = ir' -4• P_•I' '1: 'I:r'""j1 I,11. „1' GREATaMEADOW=_R'D 'SUITE°'.40. `;'J'; ^,,;rr' __ -"p__-•z , °'I,i STFiERSFIELD,CT?,"0,6]0,9`; `•2" iP,•1,r -, 'i,4?.' sY-sir *4- `ifs :4 .3 ,a^:V is '1•?:' 'k'.k a`.'i"(Zit,t; ,:fte 1.' i. ,t `S'` iftt !in 't, <PG' ';'''t:lJist, f, x;l ,t.. r;` FS 2.._r yS;s'!•<t ',_ , ,1;,, , .E r'{ , +;,d, ; _ .,F; ,:.•', ,E, _'>.'s.`u <i s. *•, , ire`, _ :,Nr ,Its ,f 1• - - - -_ - - - ,r 1, +':;.^ • fr l f lf'fi' x. Jr %11'17, 7 ,II i 'alp --_S' 7 .RI, ',J+ „e I - _ __ - ,4' 1„ rel,.' - - - 'tF -t4 --_ -- "-'1: {,. -1' `t.'1` f P n.1.1+ `i'Sf;``r - "- __ x`1 i-0' ;f A, I- M ' si$`9 "'11`l'•:d' _ - - - -?g.'y i4' ^s' ,I '1" rill _ _ ~` ''1 II' ill `-e'd _- C, .1, .I„ 'J, y'I 'f I. - -- _ t7•y:<;;•: _ __ _-- - ='_ _ u,t. .9,' :'l'r 'I - "I',i, 'P - "bol _ - _ il,it „sy N'•1 .r'1,' x, - ,_ - __ ,- -. ... l 0'38 -kii'`' 0"2 L'` " 'S4t;64 =-_ gs=:.- fl : : 2 r:y,'u 4 G s 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher 14421 Entered by 100 Great Neck Road Audit Date O'Connor Davies, LLP Suite 401 FEB 14 2017 Vendor Telephone Number Wethersfield, CT 06109 860-257-1870 FYI Town Clerk Vendor Contact n" Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 299204 12/31/2016 $1,453.50 $1,453.50 Professional services 8/8-12/31/16 SM1310.4.000.000 ✓ s t i I $1,453.50 $1,453.50 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and 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 2/3/2017 Title //�(r `v Date �/ COW � 000NNOR DAVIES ACCOUNTANTS AND ADVISORS ate 12/31/201`6 Fishers Island Ferry District P.O. Box 607 Fishers Island, NY 06390 Client No. 1475764.000 Invoice No. 299204 For Professional Services Rendered E.I.N.27-1728945 DATE SERVICE STAFF HOURS AMOUNT 08/08/2016 Client discussions/meetings McNair 1.00 $ 175.00 client question on how to post bond entry 08/08/2016 Client discussions/meetings Boughton 1.00 130.00 Correspondence with the client over bonds and various items 08/10/2016 Client discussions/meetings McNair 0.25 43.75 emailing Diane on how to post BAN entry 09/29/2016 Annual accounting Markovics 0.40 52.00 Personal property tax-fixed asset report 10/12/2016 Annual accounting Fera 1.00 185.00 annual PPT declaration 10/17/2016 Client discussions/meetings McNair 0.25 46.25 client's question on COA 11/15/2016 Budgets Marien M 1.00 310.00 Review John's email. Try to tie out the numbers to something. Figure out what it looks like he is doing. Explain to Gordon and Diane. Email John and ask why. He stands corrected. Read what he sent. And email next steps. 11/16/2016 Budgets Marien M 1.50 465.00 Call with Gordon and Diane re: issues with bookkeeping,talking to John to get additional appropriation,follow up with Peggy's information 11/28/2016 Budgets Marien M 0.15 46.50 Question regarding FAA grant and budgeting. Interpret what John said $ 1.453.50��` FISHERS ISLAND FERRY DISTRICT VENDOR 016723 PROGRESSIVE BENEFIT SOLUT. ,LLC 02/14/2017 CHECK 3852 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 PBS-HRA-0117 HRA TOTAL UTITLZTN-01/17 5,476.91 SM .9060.8.000.000 37464 (20)MNTLY CRD ADMN-01/17 90.00 „ I TOTAL 5,566.91 7 •tk v:ES'a' , t 1 _ 1 r f_• I _ ` I , r tl f , I __ - - - - _ - FISHERS?7SI,ND-,,FERR --l JRICTP:'P ;"AUDIT.:r %5 30,95 MAIN ROAD,•PO.BOX 1.179-:x SOUTH NY+11971'-0959 '`fr' ® ,n. - --,''a .:t § a, n• ,I ''a',i'', - _ :CHECK.',NQfi Pa 4`3,,8 5 2"'I,•n', '' r— F, .-/4 - n = - THS','SUFFOLK;'CO.,NAT,IONAL'BANK;>`t`== POW __ _= '_ CUTCHQGUE,•NY 11935 _ --D&- F-- a,,f AMOUNT' r`,,. nl, IL,1.17'1 :fig'/, - =_-xp _ --=rp'_ _ tit'' ,l,II) 'g' - I:iill•4 ,b ___-__ _ _ - m.'Y+xi 3,rfil„11"t' 11v V1 ;11"i IiA,i•4!I j14 2 01.71, ;, :v '.$•5-";5`6"6,a91': 60-54 /2146 <' •is xf ,; - ,FIVE ''THOUSAND"sFI'VE_ DRED XTY`-.S IAND-,9: .91 {-'SI31 5,.•S v,, E 'Srr„ ti - 4d.^.f es9:f •HUN-u 3 • - --_--i°^' _ - .1, '.l;' !1.1" _-_ -_ _ - - '_= s`#-:tP„ n4"J, wl, T;'6r' „ir,e'. - i=ce- - -"' -F F s x` ,I • -,ii;, 'i, - ' -' " 1,1 ,Al `;ir P T0';THE Aft- -._— u - - - ==r`t;`-?: '1^'4.,5,BUSINESS_., PARK_! R_I'VE _ BRADFORD QT:-0164, J- ,1 tS, .E•, ta.. y§< s' ',, '`S t,ti°:` ',{ ',tl`. rt mut.' 5. . `l.j'„J, .4', '+d-I iG,l;;'1;7,•`%.i'I d,.. _ - _ - {"'r;f,.•'- 'r;l Nf,aN = ' I,:'00 38'5'2n`•' 1:01112 '1,'4,0'''5°`4`64 : 6B= 00 15D:2, Ln;,, >a - C O 17 Vendor No. Check No. Town of Southold, New York - Payment Voucher 16723 3i&45a Vendor Address Entered by 14 Business Park Dr#8 Branford, CT 06405 Audit Date Progressive Benefit Solutions (PBS) FEB 14 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 PBS-HRA-('1171/31/2017 $5,476.91 $5,476.91 HRA Total utilizations 2,0 7--7 SM9060.8.000.000 (ab) 37464 1/31/2017 $90.00 $90.00 Monthly card administration 'a� Z3\2 SM9060.8.000.000 $5,566.911 1 $5,566.91 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 G Signature \Gt/ itle Signature / Company Name Fishers Island Ferry District Date 2/3/2017 Title Date U J T' mi 14 Business Park, #8 DATE: January 31, 2017 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2016 HRA Utitilization Invoice Bill To: Fishers Island Ferry District DESCRIPTION: HEALTH REIMBURSEMENT`IaLAN UTILIZATION. AMOUNT Required Funding Health Reimbursement Total Utilization $ 5,476.91 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 5,476.91 Progressive Benefit Solutions LLC Invoice 14 Business Park, #8 Branford, CT 06405 Date Invoice# 1/31/2017 37464 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 February 2017 Invoice(Active Participants thru 01/31/2017) Total $9000 ---- ---- - 1. FISHERS ISLAND FERRY DISTRICT VENDOR 017962 KENNETH RICKER 02/14/2017 CHECK 3853 FUND-& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM '.90'60.8.000.000 020217A ,AARP SUPPLEMENT-01/17 130.17 I'' t ,SM .9060.8.000.00.0 0 , 0217A AARP RX PLAN-01/17 57.21 SM .9060.8.000.000 i 123116 AARP SUPPLEMENT-11/16, 130.17 SM .906,0.8.000.000 123116 AARP SUPPLEMENT-12/16 130.17 SM .9060.8.000.000 123116 AARP RX PLAN-11/161 47.09 SM .9060.8,.000.000 123116 AARP RX PLAN-12/16 57.21 -- TOTAL /' 552.02 r s , 1 t S, r ; - - - - i- - - '--" '--- - --- - - - - - - - -- •-revs.,-- t ' al RVA), 'FERX,Y.DISTRICT'. — k' 53095'MAIN'ROAD,.PQ iOX 1.179' AiJDIT,<0 2;/ :4 •----*=, _- _- - -- _ ,,, , ''_r _. __ =Cf3ECK;..;NO ".4,'' _ _ - - "-_ _ •THE+.SUFPOI:IC''Cp'aNATl'6NAL,6ANK CUTC —= — bP TE':_ ',5-0=546%21.4 VE` -HUNDRED,EIF,TY ,TW >ANV, 0,'2J1:00;DOLL; Xz AR$; _ Pi1Y>' '.KENNE I - y = ,' °,' °f - - - •, :. T , -- - - - r , +LEES,=P ,A' - I 1 of • " i1 E+ a f _ - -- - __ _'•Ft' r'ir 'll',s „(., - - - - - _ ,nlJ,t'- + II I!, .'i'1 i.l''' _ _ _ - _ - __ _ _" -_ __ ,'e'' d•+d ,,'tr' t l,'. ,JI - est'= - - - q, i•'00 -Di.2 L,-4;' •+5,4> :4• .:==6:5 , O fl =5:0 a2` .,, ,i.- -_ _ , —=_ ; Vendor No. Check No. Town of Southold, New York - Payment Voucher 17962 395032 Vendor Address Entered by 1734 NE Lee Place Lincoln City,OR 97367 Audit Date Ricker, Kenneth FEB 14 2017 Vendor Telephone Number 860-575-9438 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order t/.4) PPIr Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 891091%-?A REIMB 2/2/2017 $153.14 $22.97 $130.17 AARP supplement Jan 2017$153.14 85%reimbursement SM9060.8.000.000 .11, I-,'$67.30 ($10.09) $57.21 AARP Jan 2017 MedicareRx$55.40 @ 85%reimbursement SM9060.8.000.000 $220.44 $187.38 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 ` ��the Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title_ Date / r https://member.aarpmedicareplans.com/home/my-plans/payments/p. �I MedlcarePlans from UnitedHeaitheam AARP MEDICARE SUPPLEMENT PLAN Summary I Benefits and Coverage I Claims Payments I Order Materials Forms and Resources Note:the billing history below includes payments for the following plans • AARP Medicare Rx Preferred(PDP) • AARP MEDICARE SUPPLEMENT PLAN Premium Payments Overview Total amount due $0.00 Paid through date: 02/28/2017 Payment method Coupon Book make a one-time payment When you set up recurring payments using Electronic Funds Transfer(EFT)you will save$2.00 off the total monthly rate for your household! With recurring EFT, your household payment will be deducted from your checking account every month. Payment History I of 2 2/2/17,7:57 AM https://niember.aarpmedicareplans.com/home/my-plans/payments/p . You may search payment history for the previous 24 months.You can also search for future premium payment information for the current plan year. View payments for With payment status Paid Unpaid show payment history Total search results for premium payments from the Last 90 days. If you have questions about your payments, please contact us Premium payment search results: Premium Due Date Premium Amount 1. ` Payment Status 01/31 $153.14 ¢ � i PAID c r�-12/31/2016 $153.14 PAID 11/30/2016 ✓ $153.14 PAID IMPORTANT NOTE:The total amount due applies to your entire household. It includes payment amounts for your AARP-branded supplemental plans and also includes required coverage payment amounts for other members of your household.The amount applies only to AARP-branded supplemental plans. 2 of 2 2/2/17,7-57 AM https://niember.aarpmedi careplans.com/content/aarpm/Dome/my-pl a.. Y �I Medicare Plans 110i"UnitedHealthcaiv. AARP MedicareRx Preferred(PDP) Summary I Benefits and Coverage I Claims Payments Order Materials Forms and Resources Premium Payments Overview Total amount due: $0.00 Credit balance- $5.40 Payment method, Monthly Bill make a one-time payment Payment History You may search payment history for the previous 24 months.To view the details for your next bill,select Custom search from the dropdown and include a To date from next month. View payments for: show payment history Total search results for premium payments from the Last 90 days.If you have questions about your payments, please contact UnitedHealthcare. Due Date Billed Amount Paid Date Amount Paid Balance Due Monthly Bill r 01/31/2017 $67.30 01/31/2017 $6730 $0.00 Download PDF -7s 12/31/2016_ $67.30 >.g� 01/08/2017 $6730 $0.00 Download PDF t T1_/_31C $55.40 A . 11/30/2016 `� $55.40 $0.00 Not Available �7 2,1 10/31/2016 $55.40 11/01/2016 t/ $55.40 $0.00 Not Available a Making your payments If you'd like to make changes to how you pay your premiums,we have these options available. • Automatic deduction from your checking account. • Monthly Bill. • Automatic deduction from your monthly Social Security benefit check. View more information about ways to pay. 1 of 1 2/2/17,7:49 A IVf • ' ' DO 1(�) Vendor No. Check No. Town of Southold, New York- Payment Voucher 17962 Z T63 Vendor Address Entered bEi�� 1734 NE Lee Place Lincoln City,OR 97367 Audit Date Ricker, Kenneth F�R 4 2017 Vendor Telephone Number 860-575-9438 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 ta31�6 REIMB 2/2/2017 $153.14 $22.97 $130.17 AARP supplement Nov 2016$153.14 @ 85%reimbursement SM9060.8.000.000 J $153.14 ($22.97)1 $130.17 AARP supplement Dec 2016$153.14 @ 85%reimbursement SM9060.8.000.000 i $55.40 ($8.31)1 $47.09 AARP Nov 2016 MedicareRx$55.40 @ 85%reimbursement SM9060.8.000.000 $67.30 ($10.09)1 $57.21 AARP Dec 2016 MedicareRx$55.40 @ 85%reimbursement SM9060.8.000.000 f € $428.98 $364.64 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signator�� Title Signature �t Company Name Fishers Island Ferry District Date 2/3/2017 Title / Date 7/ �� https://member.aarpmedicareplans.com/home/my-plans/payments/p. J �3 Medicare��'�1�ans filml „ ,we AARP MEDICARE SUPPLEMENT PLAN Summary I Benefits and Coverage I Claims Payments Order Materials Forms and Resources Note:the billing history below includes payments for the following plans: • AARP Medicare Rx Preferred (PDP) • AARP MEDICARE SUPPLEMENT PLAN Premium Payments Overview Total amount due $0.00 Paid through date 02/28/2017 Payment method Coupon Book make a one-time payment When you set up recurring payments using Electronic Funds Transfer(EFT)you will save$2.00 off the total monthly rate for your household! With recurring EFT, your household payment will be deducted from your checking account every month. Payment History I of 2 2/2/17,7:57 AM https://member.aarpmedicareplans.com/home/my-plans/payments/p.. ' You may search payment history for the previous 24 months.You can also search for future premium payment information for the current plan year. View payments for With payment status. Paid Unpaid show payment history Total search results for premium payments from the Last 90 days. If you have questions about your payments, please contact us. Premium payment search results: Premium Due Date Premium Amount D 6`► Payment Status k 01/31/2017 $153.14 A P � PAID 12/31/2016 d $153.14 PAID 11/30/2016 $153.14 PAID IMPORTANT NOTE:The total amount due applies to your entire household. It includes payment amounts for your AARP-branded supplemental plans and also includes required coverage payment amounts for other members of your household.The amount applies only to AARP-branded supplemental plans. 2 of 2 2/2/17,7:57 AM https://niember.aarpmedi careplans.com/content/aarpm/home/my-pl a... �"I Me-Hoare Naas I""" UnitedHealtheare AARP Medicare Rx Preferred(PDP) Summary I Benefits and Coverage I Claims Payments Order Materials Forms and Resources Premium Payments Overview Total amount due $0.00 Credit balance $5.40 Payment method- Monthly Bill make a ane-time payment Payment History You may search payment history for the previous 24 months.To view the details for your next bill, select Custom search from the dropdown and include a To date from next month View payments for: show payment history Total search results for premium payments from the Last 90 days. If you have questions about your payments, please contact UmtedHealthcare. Due Date Billed Amount Paid Date / Amount Paid Balance Due Monthly Bill �ry 01/31/2017 $67.30 01/31/2017�✓ $67.30 $0.00 Download PDF !a 12/3_1/2016 $67.30 �,�' 01/08/2017 $67.30 $0.00 Download PDF (p 11/30/2016 $55.40 x ,�5' 11/30/2016 `� $55.40 $0.00 Not Available 1 10/31/2016 $55.40 11/01/2016 ✓ $55.40 $0.00 Not Available d Q Making your payments D If you'd like to make changes to how you pay your premiums,we have these options available. • Automatic deduction from your checking account. • Monthly Bill. • Automatic deduction from your monthly Social Security benefit check. View more information about ways to pay. 1 of 1 2/2/17,7:49 AM ' r ' FISHERS ISLAND FERRY DISTRICT VENDOR 014022 RING'S END LUMBER, INC 02/14/2017 CHECK 3854 FUND & ACCOUNT j P.O.# INVOICE--- \'. DESCRIPTION AMOUNT I SM .5709.'2.000.200 612843 NLT— (3)2X4X10(ll)5/4X6X8 146.98 SM .57'10`.2.000.100 617216 MUNN(6)MICROFIBER(6)TRAY 102.44 1 TOTAL 249.42 I 1 n I Lr . Ary 1 , t r—^ rl t . 1 , C , I , 4tFISHERS ISL 7-DERRYDISTRICT°'r=;; ' _ ,. ;AUDYT; 53095 MAIN ROAD,PO,BOX 1 T7,9 SOUTHOLD,NY 1,1971'0959't' J. ®y•r;, - _ : CHECK; 'O;i •3854;, r— " N ,SUFE°OL ,COjNA ION NKJ pl CUT,C OGUE, NY"j 1'935 --_ '..hr'p,.,".• 'I,,,II '4 d'•',I _ _:_ - _ _ "_ -t' ,n 't .1 ,.I,' __ - - I`,I ' ,l i`'llt''tc ,,,14' '20I7< 24d9:''42 ' r` f $. s 5b-54fi%21fR as . . T4V0 •HUNDRED,'FOR'i",'W NE'`AND'4'2/100-,DOLLARS' "— — -_— --_ - _ — '+' ;', .q, 1"14' -Y:;1• I{:',.,,,'i`r -_' —' _. —_ __ " "I, I'1 l `1 1 Ir;, °', -- __ __ _ __ _--- - _' _ -:- _ - -_ •,'F. '11`0 P' ;111 ,1 - `tV,: t(r`n' ,7,rh •Ibi, - - rt- ,1 :j;,l, lln ,AI 11, .1 P,,Y '14 RI`NG._S• ND: `<LU_MB ER -'ZNC•° --_ _ _ _ <4` , 'I, ' r'„ ,i, ' > " p,ll` 'A - __ _' '___ - 'yl"-s dor ' al {1. A}fpr. __ __ - _ ___: _-- ' ,;I,A:, I,. I d ,Old• ,I TO - 21 I a, 0. ,d :,< 71 _ _ _ _ 3< it' "Id `A +I I,.1. "_<¢.- _' - _ __ _ _—"."z .- li t` rY i ..t'1' Y'" •'P1 "__ _ __ _ _ `i - _ - - __ rl,,,p• ''. ,5., 1 °'I,: - _ _ _ 'I'1'[o,i II -,I Ilk',d, 0,. -_ _ __ _ _ :: . `iii°00 38'5 4064:'' "'.10'"'2°L'4° °5 4'6 4' `: =-:6'8'.=[]0.1.50°:•2' .u' . „ ` -7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 14022 3 945 jq Vendor Address Entered"by PO BOX 714 . Niantic, CT 06357 Audit Date RING'S END FEB 14 201 Vendor Telephone Number 860-739-5441 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 612843 1/24/2017 $146.98 $146.98 NLT 2X4X10 treated (3)5/4X6X8 treated (11) SM5709.2.000.200 ✓ 617216 1/30/2017 $102.44 $102.44 Munn Microfiber(6)tray 6 SM5710.2.000.100 r i 3 J $249.42 $249.42 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. Signaturtle Signature Company Name Fishers Island Fenn District Date 2/3/2017 Title Date 7i � APmh PAAWA RINGSD Since 1902 Bethel, CT Branford, CT Darien, CT Lewisboro, NY (203)797-1212 (203)488-3551 (203)655-2525 (914)533-2517 P, 0BOX 714 (800)797-6511 (866)758-3551 (800)390-1000 (888)533-2S17 Nianiic CT 06357 T: 860-739-5441 F: 860-739-5822 New London, CT New Milford, CT Niantic, CT Wilton, CT (860)439-0155 (860)355-5566 (860)739-5441 (203)761-1000 (866)439-0155 (888)350-8966 (800)303-6526 (866)842-7883 TRANSACTION TYPE STORE Charge Invoice Niantic, CT BILL TO: SHIP TO: FISHERS ISLAND FERRY DIS P.O. BOX 607 FISHER'S ISL FERRY DOCK FISHERS ISLAND NY 06390 NEW LONDON CT 06320 Phone 860-442-0165 CUSTOMER TRANSACTION CUSTOMER CODE DATE NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON EFISHIS 012417 612843 10:21 284 Steve Johnson APPLY TO ORDER DATE ORD/QTE NO. TERMS TAX JURISDICTION 0 2% 15th, Net 25 Days 6.35% CT USE TAX ITEM ORDER QTY SHIP QTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT 2410T 3 3 2X4X10' SYP TREATED #1 PREMIER 30.000 0.940 LNFT 28.20 5468T 11 11 5/4X6X8' SYP TREATED C&Str 88.000 1.250 LNFT 110.00 ***PLS DEL TUES - NICK (860)442-0165*** RECEIVED IN GOOD CONDITION BY: NICK ESPOSITO MISC SALES REMAINING INVOICE NET AMT CHARGE FREIGHT TAX DEPOSIT TOTAL X 138.20 0.00 8.78 146.98 CUSTOMER COPY Page: 1 AM, A®A RINGS END Page # 1 Since 1902 Bethel, CT Branford, CT Darien, CT Lewisboro, NY (203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 P. 0. Box 714 (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 Niantic CT 06357 T: 860-739-5441 New London,CT New Milford, CT Niantic, CT Wilton, CT (860) 439-0155 (860) 355-5566 (860) 739-5441 (203) 761-1000 F: 8 6 0-73 9-5822 (866) 439-0155 (888) 350-8966 (800) 303-6526 (866) 842-7883 TRANSACTION TYPE STORE Charge Invoice Niantic, CT BILL TO: SHIP TO: FISHERS ISLAND FERRY DIS P.O. BOX 607 FISHER'S ISL FERRY DOCK FISHERS ISLAND NY 06390 NEW LONDON CT06320 860-442-0165 CUSTOMER TRANSACTION CUSTOMER CODE DATE I NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON EFISHIS 01/24/20171 612843 10:21 284 - Steve Johnson ORIGINAL APPLY TO ORDER DATE .1 ORD/QTE N0, TERMS TAX JURISDICTION 0 101/23/20171 79485 1 1 6.35% CT USE TAX ITEM ORDER QTY SHIP QTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT 2410T 3 3 2X4X10' SYP' TREATED #1 PREMIER 5468T 11 11 5/4XGX8 ' SYP TREATED C&Btr ***PLS DEL TUES - NICK (860)442-0165*** RECEIVED IN GOOD CONDITION BY: SEE REVERSE SIDE FOR TERMS AND CONDITIONS NICK ESPOSITO MISC SALES REMAINING INVOICE NET AMT CHARGE PRPIGHT TAX DEPOSIT TOTAL X DELIVERY COPY r ®n®A®A RIND'S END Page # 1 Since 1902 Bethel,CT Branford, CT Darien,CT Lewisboro,NY (203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517 308 South Frontage Road (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517 New London CT 06385 T: 860-439-0155 New London,CT New Milford, CT Niantic, CT Wilton, CT (860) 439-0155 (860) 355-5566 (860) 739-5441 (203) 761-1000 F: 860-439-1369 (866) 439-0155 (888) 350-8966 (800) 303-6526 (866) 842-7883 TRANSACTION TYPE STORE Charge Invoice * * * LIKE US ON FACEBOOK * * * New London, CT BILL TO: SHIP TO: FISHERS ISLAND FERRY DIS P.O. BOX 607 FISHERS ISLAND NY 06390 860-442-0165 CUSTOMER TRANSACTION CUSTOMER CODE DATE I NUMBER I TIME PURCHASE ORDER NUMBER SALESPERSON EFISHIS 01/30/20171 617216 07:03 STOCK 104 - Bob Thomas ORIGINAL APPLY TO ORDER DATE ORD/QTE N0: TERMS TAX JURISDICTION 0 617216 2% 15th, Net 25 Days 6.35% - CT SALES TAX ITEM ORDER QTY SHIP QTY LOCI DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT AR11135 2 2 ARROW 6.5" MICROFIBER 3/8 1OPK 2.000 18.400/EACH 36.80 WZ25009 2 2 WHIZZ 41IX3/8" MICROFI13ER 1OPK 2.000 12.960/EACH 25.92 WZ77620 2 2 WHIZZ 4" MICROFIBER W/FLEX FRAME 2.000 6.720/EACH 13.44 WZ73510 6 6 WHIZZ SOLVENT RESISTANT TRAY 6.000 3.360/EACH 20.16 J ,I 11 i ( , _ .,, �} i •an'``'y ` �..—f ( �__'_ e I _ _ ,J '4r i i I I RECEIVED IN GOOD CONDI'T'ION BY; SEE REVERSE SIDE FOR TERMS AND CONDITIONS NICK ESPOSITO MISC SALES REMAINING INVOICE NET AMT CHARGE FREIGHT TAX DEPOSIT TOTAL X 96.32 0.00 6.121 102.44 CUSTOMER COPY \� I The following terms and conditions govern the sales of The Seller,whether pursuant to oral or written orders to its representatives or salespeople. RETURNED GOODS Stock items, in original units or full packages, will be accepted for credit or exchange when returned in good condition. Within 30 days of purchase, AND ACCOMPANIED BY ORIGINAL SALES TICKET. A restocking charge will be assessed by the Seller on all returned goods. No special orders will be accepted for return or credit. TAXES Buyer shall pay to Seller the amount of any and all taxes, excises or other charges which Seller may be required to pay or to collect for any government, national, state or local, upon, or measured by the production,sale transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Delay in delivery or non-delivery in whole or in part by Seller shall not be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contingencies,the non-occurrence of which is a basic assumption on which the agreement is made: (a) Fires, Floods, or other casualties; (b) Wars, Riots, Civil Commotion, Embargoes, governmental regulations or martial law; (c) Seller's inability to obtain necessary materials (finished or otherwise) from its usual sources of Supply; (d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other labor troubles affecting production or shipment, whether involving employees of Seller or employees of others and regardless of responsibility or fault on the part of the employer; and (f) Other contingencies of manufacture or shipment, whether or not of a class or kind mentioned herein and not reasonably within Seller's control. WARRANTY Seller agrees that any merchandise delivered hereunder found to be defective in material or workmanship will be repaired or replaced by the Seller without additional charge for the merchandise. This warranty is made in lieu of any other warranties or conditions including merchantability or fitness for a particular purpose. The remedies under this warranty are exclusive and by accepting this merchandise the Buyer agrees to these conditions and waives any other warranties conditions expressed or implied. All claims for damaged or defective material must be made within 5 days and we are limited to the purchase price of the materials sold or the replacement thereof at our option. We are not responsible for extra costs, indirect damages or consequential damages. Buyer assumes all risk and liability with respect to results obtained by the use of such merchandise whether used alone or in a combination with other products. No claims of any kind whatsoever, whether based on breach of warranty,the alleged negligence of seller, or otherwise, with respect to merchandise delivered or for failure to deliver any merchandise shall be greater in amount than the purchase price hereunder of the merchandise in respect of which damages are claimed; and failure of buyer to give written notice claim within 30 days after delivery of merchandise shall constitute a waiver of buyer of all claims with respect to such merchandise. TERMS AND CONDITIONS TO GOVERN THIS INVOICE CONSTITUTES THE ENTIRE CONTRACT WTH RESPECT TO THE SALE AND PURCHASE OF THE MERCHANDISE SPECIFIED HEREIN. No modification of this sale shall be effected by the acceptance or acknowledgement of purchase order forms specifying different conditions, and no modifications shall be effective unless in writing signed by the party claimed to be bound thereby. STATE OF JURISDICTION This sale shall be deemed to have been made in, and shall be construed in accordance with the laws of the State shown in the Seller's address. DELIVERY AND ACCEPTANCE OF TITLE OF GOODS Title to the materials shall pass from the Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, breakages or for any nonconformance with the terms and conditions of the order shall be noted on the Seller's delivery receipt by the Buyer at the time of delivery, otherwise,the Seller shall not be responsible for any such claims. If delivery is by common carrier, delivery by the Seller to the carrier at point of origin shall constitute delivery to the Buyer and thereafter the shipment shall be at Buyer's risk, and claims for loss or damage must be filed by the Buyer against the carrier. Title to goods loaded onto Buyer's conveyance at Seller's warehouse passes to the buyer at the Seller's loading dock. If upon delivery at job site,there is not present at the job site an employee of the Buyer authorized to accept delivery and sign a delivery document evidencing delivery of materials as listed on this invoice document,then the Seller reserves the right to deposit the material at the delivery area previously designated by the Buyer without obtaining a signed receipt therefore, and the Buyer agrees to liability for payment of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the Seller not to deposit material at the designated delivery area without obtaining a signed delivery receipt from an authorized employee of the Buyer. FINANCE All bills are payable on the 15th of the month following billing date and are past due after 30 days. Past due accounts are subject to a FINANCE CHARGE of 1 1/4% PER MONTH on the past due unpaid balance (which is an ANNUAL PERCENTAGE of 15%). MATERIALS SAFETY DATA SHEETS (MSDS) The occupational safety and Health Administration Hazard Communication Standard,the Superfund Amendments and Reauthorization Act of 1986 and many state right-to-know laws require that a material safety data sheet (MSDS) be provided with products containing hazardous chemicals. As a manufacturer, importer or distributor, you are required by law to ascertain which of your products require an accompanying MSDS and provide such. As a condition of this sale, you expressly warrant that you will comply with the provisions of the foregoing right-to-know-laws. HAZARD COMMUNICATION LABEL Alkaline Copper Quaternary(ACQ) Pressure Treated Wood Hazard warnings for treated wood are similar to those for untreated wood. • Airborne wood dust can cause respiratory, eye, and skin irritation. • Breathing excessive amounts of treated or untreated wood dust(primarily hardwood) has been associated with nasal cancer in some industries. • Handling may cause splinters. • High airborne levels of wood dust may burn rapidly in the air when exposed to an ignition source. • Some forms of components of the liquid preservative used to manufacture this product (arsenic and chromium) have caused lung, skin, and possibly other cancers in humans occupationally or environmentally overexposed. SUCH EXPOSURES HAVE NOT OCCURRED WITH TREATED WOOD. NOTE: Consult the Material Safety Data Sheet for additional information-on this product. This Information is designed to address the label requirements of the OSHA Hazard Communication Standard with respect to treated lumber. DELIVERY All deliveries are priced and understood to be on a first floor/tailboard delivery basis. r I I r. , I I r I I I a 1 ' r I ' FISHERS ISLAND FERRYDISTRICT VENDOR 018571 DEANNAiL ROSS 02/14/2017 CHECK 3855 _ FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' SM .5710.4.000.000 6 SVCS TO BOC 1/8-1/30/17 260'.00 I TOTAL 260.00 I I i =1 ' I _ _ .p.a .q I -,i {„F,:1'Z',;:;' i•4:: _ _d. ;. = 3 :'-:S" $ I : ; `;;°`.-_ >,__ - 't,a ilr;'.qu i yoy'y" _ _ a:t ?r'',;,y' '"'•`s - „fR,.a1-`,•t°' p'i}a-isq3-.3P>I?`• 'f_l'}`.;e%fi, -'"' : ;r1;s.'.'i,g,f :'r,r:a;c.;. -:e7,_.`D.fr3 =I,',dY{,'Ri;`,"F__^c{ ;_ F'E7Z.Y', :D, 1:l''SiT;R:_;I?..;Cx{,•§?.-T',ti'.€•.' > `. ,.,'^x," .;i,., n1,,YJt '.,syr.',r_. $ ,;,i{`, ` fit:g,7.FISH RSc7SIAND VIT2'/ '°/` 53095 MAIN ROAD;.P080K1179,1R: ,t 50UTHOLU'NYr11971-'0959 i 'ea -- - ' •,.'` s. r _ _ _- <- <,. ,t ka, ''^,''s r ', •:, - _ :-- - --_ ,y ry o •y rl n;';l,•, - •:' rya', - - - - - '•`' --- L NK<` 'TN iSU P01'k'C O.'NATIONA .BA - = sCUTCHOGUE':NY:1^1935' r; DA E` AMOUNT,. ;td'rf• ^" ,9: . < .n "`!" µ,e,A°5. - - = - - f Y JI „y, .,p.p,. !•P'F 1t' - -_----,'r -_--- --- - : 'I. rl '•1 I _--_ '3.`- --- _-- -' .5 ,1"` !I'd,' I '}" '4i,t '-- - ,'... 02 ,14r 56-546'/214`: .> / ,•;g' t't.,j' ^'y 'I`t'v aWDRED':.SIXT_Y "ANDr'•0,0-',l0"0.,DOLLARS °+` x tT 0"-i1' ./„ .r ' ` .t<1 gry,. "i'' rt,,,s'` ',r.`s, ' ,`{7Jy, ,e2' , t•` __ `4si'';-{ - ___ _ _ -_ -- - .1 - n='n s_. '-" - ___ -=_'`P,'.n a^ '1_'! I 't,ul;.,I;h y` yq ,•`t' -_ - - _ _ --- ,. _ -; -__ - _ : I • :,_' III} d, ,~s;t, 4,_ _"a_._ -_ _ _--`j'"- _ __. Fa .i '.,A' ,l i`5='t'r` '",I:°I•`tifr` •.( _'___ - +t,-- _ t,.r _ -_ __ -- - ,p•''r',i rl„ ip;Ilr S'''a(- - _ _ _ JI ` I', 4II d`'1'„u`rrillJ - - d'ed'- _'`f --,a;: _ -- - -_ ;1, 11. ',I.''Iti'I',= ,a4;°IJ'.I, -_ -_ - ;'6 l •I 'y„•5ie"41i:, •I"' _ _ _ _ __ _- ...fa " ---r!`- - 1 ''1'" ` •id ,,F, .1-:- __ _- _- n,S,'. "id.l` I,a '4`', x _ -,tz _ •.V,a. " :tt' - _- ___ '•,ks, ,t a_il "S, 1, -- 4'' _ - ,'f•mo'''o S..., ,'t:.x`'- .ts ;k; _3: - _ Min, :. .","l vw "r{' ,,. ..•- Ej`•N(, „.y ,• ,'r. ^.".S a„t. •,r °. .f-' Cy5'G S•`' S' 2:' F.s t 'L4£ tf;,i, ^{ )`, .{';. `€e. _ . '','k 3: , S.r r3. FAY`'{Ir;i ',b''DEA 7NA;'L fR08S,'; ','F, %;, 'ai+ 'llii ;,r,l, ;'t`;`: _ dl 1•, .,;,I 1, r'`r} •'TOR„+D+trE[R,dn^',, '140ODi NSSON_._HO-_US_-E=_. R_#-3--'4 1 t'',:'',M1r`F•'I I"t'i1,"ar' 3a'fx.'M'' 'd6yv"dl`:r•h'lY l `I„+i tIi•',tP"x{P•1'11iy;•I'I;r ;., :. Gi= _ - i ___ -- - '€ e,dxlm i''pFr•tll'o',,;:is„"d`, I,.Ir,",d,a - = 4 ,i /Ili l',::•r't`^} 3B'OX;i 34'1 -°-j ;k. --- ,t ::="":`,°"_ ',41;Ir'•{_ P•,,, I;; '.7 - _ _ g- s,,4 J',f,- .3-- f„ •t': I'`: ,i' "s' ,a '1 aJa 1•,t' }`y;' VISI ,,> NY `0`,63'a '90" ,;t.r'`,i RS 'TSLAND '; '!":il,'' ', ;;-;al. 4 ',`•' ,''; %',- ':r";. `,:r-. '>a`-1-4 - ':w>r•3` . V`' ''d9`. '`'J,='.' _-- 3•`i,e:f 4;::., `, - --'_4s, _ - _-__ - - ' - _ t'(, 1r a1%' '•t/.t d , .ft' -- -'- r _' - _ __ ,1`'I' •7y, 1,I 'p'y:.Y.` _ _ _ _ - - - I?.'A il.•.a, I`;'' .'7r.1`` - a'r._=_ - '_=='1.` - - SI`i'';IfP 'd IIYI'`fi''d,, Ji -g.-- - - - - -- i _ _ {f>- 'i-.=-S = S d,' t. Ird P P da` _- _ _ __ -_ -1„ t,• r lu ,{ x d _ _: _- -Y'1-a ",3 - _•'^ - _ __ ___ 1° I '1'Yi 4i i,Pr 1(lit' Y„ ,1,1' - __ _ y! 4',ii I I i i{',,l _ _ _ ,at- -- _ a11 P;lo dl.''. r,i, ..t,,?,l _ _ ,J.• ,I,;:;,d a.I ';i„ I - :'s"--- = €'3 :R - __ I`{'+p ,y I'1' _ -_ - - 1•;1 '`I 1. 1'. ^'I; -- _ ar .1}` 6`8` OD'°`L`50'2'^ ' I , OW) �7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 18571 2)'9,55 Vendor Tax ID Number or Social Security Number Vendor Address Entered bWell— Fishers PO Box 341 Island, NY 06390 Audit Date DEANNA L. ROSS F E B 14 2017 Vendor Telephone Number Town Clerk Vendor Contact /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 6 1/31/2017 $260.00 $260.00 Secretary services to BOC 1/8-30/17 SM5710.4.000.000 $260.001 $260.00 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 s Signator ave_ Title Signature Company Name Fishers Island Ferry Distract Date 2/3/2017 Title Date DEANNA ROSS NVOICE PO Box 341 FISHERS ISLAND,NY 06390 INVOICE DATE:1/31/20 TO: FOR: FISHERS ISLAND FERRY DISTRICT FIFD SECRETARY SERVICES 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 DESCRIPTION HOURS RATE AMOUNT 1/8 —REVIEW BOARD PACK 0.5 20.00 10.00 1/9—BOC MEETING 1.5 20.00 30.00 1/10—PREPARE AND SUBMIT APPROVED RESOLUTIONS FROM 1/9 1 20.00 20.00 1/16—PREPARE MINUTES FROM 1/9 BOC MEETING 3 20.00 60.00 1/22—REVIEW BOARD PACK 0.5 20.00 10.00 1/23—BOC MEETING 1.5 20.00 30.00 1/24—PREPARE AND SUBMIT APPROVED RESOLUTIONS FROM 1/23 1.5 20.00 30.00 1/30—PREPARE MINUTES FROM 1/23 BOC MEETING 3.5 20.00 70.00 TOTAL 260.00 Make all checks payable to DEANNA ROSS THANK YOU FOR YOUR BUSINESS! I I I --'-ate,_ •— _ -- FISHERS ISLAND FERRY DISTRICT !; VENDOR 018752 PETER RUGG 02/14/2017 CHECK 3856 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i SM .5710.4.000.000 012617 GOODHIRE BACKGROUND CHCK 159.98 TOTAL 159.'98 r k 3 I I , I , J 1 I f r-r _ 1 ,` /a:l ;x,•, ,, 1:<: ND, tAUD'I1' ,0,2, ?P= i.l •.R" < •;f' iq` /` /'Y' xa-.r ...y Tf:,' '•t i ,53095`MAIN fiOAD;PO BOX 1.179= 4m SOUTF OLD•NY'1197,1`0959`f" y r- :r Tkit SUFF0LI( CO.lNAflO'NpLa 'ANK< a):=CUTCHOGUE 'AMOUNT ,•I, M1l tlla,:;; x,1, nb`V: ,t - :''.'. a•l;k'r:..- '`J' .1 .:` r.E e..n ''>i 'a`< ,,-, ;t;'. , c -r; .a t t's`:;e"c"• `<<".• - a ,;°:' ''E;02'/14 f 201:,7;,_.F.s' >,$159 r'98`•,'=. _ •;„ 4.. ay., 'ate; ,{,; ; * < fF45.-§' ,<T '`ix i} <..`i `yia' 3: .a TQ ONE•-HUNDI ED,:iFl TY,NINE AND ,98; :100.:'S QI;LARS-' ,I<,nry./ - - - _- '-,: - - _ f 4i` a ',f!' a§''t =- --- _ _" - -- .I,I,M14}:•`A";I p(s I`: ;1;^"s.s = - :i<`-- --a =_' - _ - __ 5- - _ - _ _ - _ _ _ I 'I ':fl -`i __`fir__ iF;_.•5, a$" id'7 ,I s ,,,S+qb`, - `1- - i€"s? ,.y '.t,` - ,J`•'s'`: - .4_ -;a..,r.,.".s; ,'"... t, Ft,r.+-.'!:,`„t,: r- ( .s i ; •s- ' u .; ••.`,.E ->>tt. S, :.}v",` I v •` o F,,a j • .a, ,f .' >"{:: .3n - 'ot"= - b5{,1 •11 *aan 'YJ,i I" ?..,II.F S 4 y PA'Y, a'a•x";ati PETER,11zRUGG _ _ _ - - -- - -_ •.r `,i' '.6,7 a f>N` I.a; I,+,:,,l,f, -- _`'ai fe'.r• .,a w:``i`{'1 "aa1 1 ;z, OTOR[ D;'"IaaT,„:1 ' RE;(""al"tl';'%,,'P ..,O„ ''"bAB. tayd't'I.;a,"s f':1s• ----__-_"___e----_-_ _-__-__-_ ---=-:,`i2',q"--__rte:--_-i.:zif' '( i'a:'_°l,a,{,yL YI',ac-, 1s 1,'.I;„' '."I(:'✓i'i;s.,t,1Ir,p, 'lv>a,Jv.',„ ,'",11'°^'.t,r"', y c OX'sTO`3'r 1i;"ISIAND NY063-9;0- V fS"FISHERS`Q ,. a•'= •< , - .4 Al - 3y . .>+ _ (< `•4 .R . {,q ^i<, eat•°.' , t/.} .e'yw - - - - - ,l; 1'llitl'^ ,U.a I S', - - - , 4`1 "7:1 t ' ,d'h'•diUd'a - - __ _ Rr;.. ___ 11"4 - - - -- < f1 - :3-8,a'56 i; , ; ; , :410`'S,'4,,6t4' t. -5 0 2y` 0 17 Vendor No. Check No. Town of Southold, New York- Payment Voucher 18752 ago Entered by Vendor Name 136 E. 76TH STREET,APT 5A Audit Date Rugg, Peter NEW YORK, NY 10021 F E B 14 2017 Vendor Telephone Number Town Clerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number REIMBURSEMENT 1/26/2017 $159.98 $159.98 GoodHire background check SM5710.4.000F:000 $159.98 $159.98 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,thkt 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 � LA-= Title Signature / Company Name Fishers Island Ferry District Date 2/3/2017 Title Date l/ I 0 Mane Hansen From: Peter Rugg Sent: Thursday,January 26, 2017 6:16 PM To: Diane Hansen Subject: Re: Reimbursement Follow Up Flag: Follow up Flag Status: Flagged Thanks Here it is RUING AX ctwv llil2a.117 C—CCoca erk $"M Cud Peter Rugg Commissioner www.fifer[y.com 0-212.734.1376 M-917.519.1376 On Jan 26, 2017, at 1:49 PM, Diane Hansen<dhansenkfiferKy.com>wrote: Hl, Peter,sorry, but the attachment you forwarded will not be considered a receipt. Please contact GoodHire and request receipts for each charge,thanks, I know what Southold will say if I submit your CC statement. Have a good day! Diane From: Peter Rugg Sent: Sunday, January 22, 2017 11:13 PM To: Diane Hansen Subject: RE: Reimbursement It was attached to original email Sent from my hand held 1 1 -1 Y I I I 1 1 • 1 1 r 1 -------- ---' - - - --' ----.mow— ' -- -- -- - - - -- FISHERS ISLAND FERRY DISTRICT \ VENDOR 0192821SHIPMAN'S `FIRE EQUIP CO. 02/14/2017 CHECK 3857 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 ` 268164 MUNN—FIRE EXT.INSPECTION 136.8'4 SM .5709.2.000.200 268164 NLT—FIRE EXT.INSPECTION 136.84 / TOTAL 273 .68 V I , `I r•' Y 1 xX xis S^' ' .e£_','."rr" :r";3 .-'_x _, 't,<-'rM -,+ •="'r"s•aieE. .•,. :+t.p.,. .; .,,•'`',: ,rx k.: / 1 p ® • • • p • • • • IMAM, • _ = - _ _-_ - k,i. '.? 'tyf.^ie?.s _ , =,FISHERS..7SLAND.FRIZY;DISTRICT =,. `AUDrT.;.o,2/314,/17,\ 53095 WIN ROAD,'PO/.BOX 1179,'% ,y,w"\, , '= l,e,';v 50U HOLD IVY+17971= 959 fid,s,y `S : ,r.+( ;, s_p rxzt' "x' t a i res.,, j• ; .`'• 'f '> _o `;a' _ ' } 'i_ T ' ,,, ,;,:, .t'" • {_` _ ',1' __" _ - '.CHE,CKt, f0;1;`..,,; ,1385`,7 , o; ;a; <r-• .vif^•,:',";l,!"_v f:;J"lnl,r' „1,F .1• -"yTH1'SUFCbaNATONpLBANK _FOLK " 6U7CH6GUE•NY1 .p ---DAT_E-i';- AMOUNT. 3, 'r 1 1 1y --- ---- - ---- -- ',.1;+ 1°,.1 .i' .'ir .Is _--;t,. --- - = -•a19 'xil. li.. ,.i dy'aV'3 ' fta` - 'J£ ,-- ;.3?'el.yl'ti' 02 1"4' 20'1/';`; $'2 3' 50-646/274`^ / _ j?,.'y,\•R.J' ,\,Y 'y`.. T"Y,:i THREE`'AND;'68';'1f0:0='DOLLARS: F`' ,;'. iv. ;TWO,HUNDRED -SEVEN / „'" ' 5 'I'13, - _=_ -- = - _-- - _- : •,s :•.,'IG; `r :a'r:_ ,, lr ' ;J"ta1 --- -_=_ - - _-_ _"__-+ , t• "•r y - ,y - r ,11;y; ;la,l, I, ..+,1 - -" _ - - - S JI _ - - ,_ __w _-..y.s _ __ __ - Se= - :d'' ,;1'' j.'lli d „I 4`rdi` _ - - _ `;&:•'A Ib d< ,I .' n' J - - ::a=- _ _ s 1 __ _ _ _ _- _ _ _,,.r `4'' "I,'I 4 I' '1„ ''1',';I, . ._>_ -_ _-_ _ "`____ ' l"' 4f '4,f',r' , ,' I;,,,I. •,:" __ _ _- - i _ -- _ 'k, --^5 - _'_ -__ -.--_ "il, I 1'r 4 •1°jar. 1 ,k,IL°•- - _' YJ - -. _-_ _ _ .R n. - e, ,`1. d'✓'d •._ `f .%lp:.r •a.{' :r' , - ''`, ', .,v .✓, `- i kv "?s n `ii.e zl: .y, .y 1''S,wlf `+ ` __ - _ r5' •li f•4 1' `1'ifc ,i HZP S"bFIRE:`E UI'P:CO. - +''' ;7, ,1;'°>-,1• 6 I' I' ,It ',,, ;=_ r „I` 'r,bllll" „ n,;;3, P:NI ''`1 • P.S Mk1N'I, c°• .Q- - - - if"i@r,l: 1. P,n•yyr,r'd.a"°:s _ _ - J,•r ••k1.'µf• [, ,2; ;CROS'S'r:4ROAD-;• _- --- = _ --- - ,1. 5 }`:,a`', .,1,1;°a` r'"<tal,,. ,1' - - - - • ' ,.R, .? ,'.r,. -_-' _=' _- __ _'- ---. , =1°:?,fly: •.E-, `,°l," .3e•_=__ `_ = - _` - 3 4.`.y'`.. `o+[P, tW ,r t•t?„ :y;'.. tar•' x+ `1 :a eft ,'ti',?,i^-• ,!', 'PJ'; `.°. . 7:' '+' `.WATERF_ORD'CT='A>63;85.=A 257, _ - - _- ;t, 1+ '.cj; -rcc ,,z - - - _ 'S,.f L+.l,; . : r1 ,r 's1 P'iy•h I,,4 aD - _ --_ _ - -'_• 1,{ - _ _ __--' - -_ (r_ 'r' - - __ -_ __- __ ___ ___ >i' ;a4' f `1l'-s rA''r o°te•r' -_-i"£_., - _ - -- _ 61's i . "j .i^ -., _ -_ __ - 'i• y "4n" e'I,' I.. lit°: ,..I."'1r' '",j "-, -_...( "_. :._ . . ii'00'38'S'Tii' `"`i;'pY2'140°54`Et4'1f:-` E;B,, 00,'L=50,2: . 1-7 Vendor No. Check No. Town of Southold, New York- Payment Voucher 19282 395 Vendor Address Entered by P.O. Box 257 Vendor Name Waterford, CT 06385-0257 Audit Date Shi man's Fire Equipment Co., Inc. FEB 14. 2017 Vendor Telephone Number 800-775-7332 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 268164 1/25/2017 $273.68 $136.84 Munn fire extinguisher inspections SM5710.2.000-.100 i $136.84 NLT fire extinguisher inspections SM5709.2.000.200 $273.68 $273.68 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 Flaim 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. 4' Signature Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date Z �� Shipman's ���®��� Invoice ' ` Fire Equipment Companv, Inc. 268164 1 P® Box 257 172 Cross Road Waterford. CT 06385 1/25/2017 Tel: 8604420678 Fax: 8604447395 email: info@shipmans.com www.shipmans.com CT DMV LICENSE#U8329 Bill To: Shin To: Fishers Island Ferry District Fishers Island Ferry District P.O. Box 607 P.O. Box 607 Ordered By: Ordered By: Fishers Island, NY 06390 Fishers Island, NY 06390 us US ,PLEASE REMIT PAYMENT TO-PO. BOX 257, WATERFORD, CT06385 Customer • P• Payment Terms Order Net 30 264230 �aies Retj ID Shipping Method Ship Date Due Date 7John Fratus OUR TRUCK 01/25/2017 02/24/2017 Quantity Item N.umberQescription BackOrdered UnitPrice Extension 1.00 1686 35.33 35.3 Hydrotest&Refluff 10 Lb ABC, PK Fire Extinguisher To include Tag,seal,&verification collar. 1.00 A456HB 102.85 102.85 Amerex 101b ABC with Wall Bracket 4A:80B:C UL Rating Proudly Made in the USA ! 20.00 0094 6.50 130.00 Annual Inspection of Fire Extinguisher per NFPA 10 To include Seal,Tag &conductivity test if needed. 1.00 HAZMAT 5.50 5.5 Hazardous Material Compliance Charge. Comments: Sub Total 273.68 Miscellaneous amount: 0.00 Freight: 0.00 Sales tax: 0.00 x Total Invoice Amt 273.68 Payment Amount 0.00 Thankoereforappreciate your order Balancepub, 27,3.69. We sin your business Customer Copv PG -� Shipman's Invoice No Fire Equipment Companv, Inc. 268164 1 PO Box 257 172 Cross Road Waterford. CT 06385 1/25/2017 Tel: 8604420678 Fax: 8604447395 email: info@shipmans.com www.shipmans.com CT DMV LICENSE#U8329 Bill To: Shin To: Fishers Island Ferry District Fishers Island Ferry District P.O. Box 607 P.O. Box 607 Ordered By: Ordered By: Fishers Island, NY 06390 Fishers Island, NY 06390 us us PLEASE REMIT PAYMENT TO PO. BOX 257, WATERFORD, CT06385 Customer ID Customer P• Payment Terms Order No F6040 Net 30 264230 . _oID Shipping Method Shl• Date Due Date 7 John Fratus OUR TRUCK 01/25/2017 02/24/2017 Quantity Item NumberDescription Back• •- -• 1.00 1686 Hydrotest&Refluff 10 Lb ABC, PK Fire Extinguisher r [ To include Tag,seal,&verification V collar. f 1.00 A456HB Jr Amerex 10lb ABC with Wall l� Bracket 4A:80B:C UL Rating Vli Proudly Made in the USA ! 20.00 0094 Annual Inspection of Fire Extinguisher per NFPA 10 To include Seal,Tag &conductivity test if needed. 1.00 HAZMAT Hazardous Material Compliance Charge. Comments: x Thank you for your order. We sincerely appreciate your business Packlinq List , I t I , -----------' '-----------' --- -- -' ----- -- '-----------I FISHERS ISLAND FERRY DISTRICT VENDOR 019737 STANDARD SPRINKLER CORP. 02/14/2017 CHECK 3858 I _I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1 30560 ANNIL INSP—NLT BACKFLOW 271.19 — TOTAL 271.19 1 - r-1 (\ a.rta im f; S' xis,': J.irk A .s., f•` a..... , , ,r, .. m -.:.3,'^ "•-. - y ' , ,h J'Y "''u"''' _._-`.J'Y`°°'s' Y I 1 I 1 f 1 - 1 r- =- d; -":i° __ _ `r' '`•I'i°};•';I '- i.,ti'',I;;,,,ir;s y'. - _- -:_ = `-' ,ly...1114„ ° ,il.,.•. }'' _ -j vs ' - ”;FISTIERS7SLAND:`FERRY,DISZ7ZIC'T:=' =.53095 f O MAIN. AD;PO,BOX-1179;' .,; ,:n' r,,• SO,UTHOLD,'NY:11'97S1r09, `G'HECK.`I Oti' _ .i'n p -{;` _ _ _.t;..;1`°if", y1d, , ,.:'.,„ "I il•`S' I 'THE"'SUF,FOLK,CO:INATIONALSANK-` CUTCH GUE,NY'11935• t' kI,M '4N",Amo AMOUNT`,' s. ,4 11„1r.'`' - - r• - -nt^ -_ - "F -gt' „d, 'I 0 2 1' 4t .2 017=,• r 2 T1:-1'9 .t` .2` %a 't,*t r :II;'t>'.' t.•. k'ii: - 612 4.J`<r'F,,- / y.t,s sr:iiII >*}i'$ 50'54 / 1 "•t.4`, - _ rtr: #,t• - 'i•'` - ;;w ;'1 :z` w ``ayr;•, {''-,'`,;,n; . `f.::. 'hl:a;,. "T W0 HU_NDRED SEVENY`.'ONE”AND'-'1`9'4i.1'0'0,,'-DOLLAkZ !4 .'9t - _ - = S• - __= j 4 t A 1i141d. ,',II,`,I" At`',Ir}r'`' >bi.is _ _ - - - _ _ _ 'Sx J•('t• "-4fJ' _- -- __ y',wv.':L \' .I• a/..- .:h'=..=_ : - - = V ''4, I°9 ;', yi,'I.H„ - - - _- ¢ - - - -' Y'7.'. ,'-b {, `,Pi 4;re e" nl. Ypz(a1'11 'L:IJ tt,,, ''i„_°ll,{,..' - ` - _ ;I;d 'F { 1*r :. >.,Jr Mw r`ja •3I, `.ti C ' < 1`9f yII 5' i`i( 'rf 'V ~! ,;, ,{^,. ^ • ,, of%;. ,'`a li : - +•tre Jf,. 1•Ui`' '„ 7:,x,'r - _ - _- -"F "{:"{ i I IC. ,L'+,JP`J, t t,"1 1,'♦ Y;'r}s, ; ,STANDARD';,`S'PRI_NKI;E$_:"_CORP_: __ '1, ".1`p _ _ - -_ - ___,t :'`a' 1.11G ,;;' a,I„ ;'• 'I"',.. J} t:.l,,, 1..1. -- ' _ _ _ _-L`r.> _f : ' f' _ .'vt`Irf, _ __-' _ _,. . d'V v"e"t",+".•-",s' e` .<I"4:",,,"t."'' __ °'i A,'• ;'{ii= i,.r.. -_ .P=_ ' V,"''`i°il 'I rl,', 'I'1 i•'1`t.' --t .y s}-' Y- -:4 .S 1t r1' i iP11!rP i',Y ,^" I, 1. 'P TO ,TF , "P' •tBOX' ''7:02`3'a- - O-v ;e'G120T.0'IJr,i1,C ;63 - _ f+Y _ "$ -- ,S~1` 114y3.s Q{5',:,'ll•' - - - :U . a 040-10,2'3• - -- :r.i z- ,t_` y,i"` - • ;<t;:,',t-, ;,b ,;' .,,'gib,,, x j:,,P. f. .', ` `pk ,t iL _ . .,• _ _ `t' r°:,'' l,° - `•i",`' `x."..' '`'`. -..tl • ,a 'i., <.` -ti`•' K` t, ,lr.' .. e ,•5✓•; -br "i - - :3a f! ,f^• `tt ?'4 `t' a5af•- s4 ,f `g:s°i ^r i` `r4• ,t 'z:, sr, #'.'t,' ;,k r{,, £ ',P; ,}t. .1 c 0 .y '.'tl4z f„4. _ '1, ... ,t; 1, ',ns-- -- - - - - l Idl•'.'i,l rdJ^'<,i,l t ' I >'tl:_=_ r=- -- -_•'/ - _'i} ',`ip, sa 1,'i'Ir.: °Iv.'7„"epi'„lp,,. :'i'•'-- - - - _ ;r ' ,gyp, e PI`•' - _ rJfll'tI,`f J+II"l';•z:' - - -_ 'a _ _ 8,R5;8b;'. x.012"L4'05'46' ,` . ='68' b0150 '2O I 90R Vendor No. Check No. Town of Southold, New York - Payment Voucher 19737 Vendor Address Entered byC/�� , PO Box 430 Vendor Name New London, CT 06320-0430 Audit Date Standard Sprinkler Corp !� FEB 14 2017 Vendor Telephone Number 860-464-7284 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 30560 1/30/2017 $271.19 $271.19 Annual Inspection SM5709.2.000.200 ' NLT Backflow 1/30/2017 $271.19 $271.19 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature CTM -4@ ltle Signature Company Name Fishers Island Ferry District Date 2/3/2017 j Title /G — Date =- 6 - a , o STANDARD SPRINKLER CORP I NVOI-C-E SOLD T0:—EI-$HER5ISLAND FERRY D19J-R-I9T BILLING DATE —KC NTS PAY RIP INVOICE NO. .--3-Q5—6Q _261 TRUNBSILL DRIVE 'PAYMENT-TERMS_DSLE-UPON-PERFORMANCE"0�9RK;T —FISHERS IS�ND NY 0.0$00 PROJECT NO. I5-747 V�ENDOLID NO.: 06 08gQ0$3 QUANTITYA-ITEM(PRQaE:I—E-5CRIPTiQ�_ — -- - IUNIT PRISE=-EXT_ENSIO'J ITOTAL—S_H.ARG - _—_ Iper_Cis-tomer—P-ur-chase-O-L er No.: MR. BRNS I I - l I— I I I 1 I I __LOCATION'S WATERFR9NT PARK. NEW �QNpQN CT jA_CTIVITY PERQRM THE AN ANAL BLACK-FL—O DEVISE-1E_STS I J I I I I l 3 90�OJ_30_17 SERyISE S9MPLETEp iMW) I 85.QOf 255.00j __1,905, 5%C�]AX ON 255.99 I 1�14f 16.1OJ_ I I I 1 TOTAL AMOUNT DUEjHI_S INVOIC-E .....,�.1 ..................... .........._.... $-27�1� 11 Please pay from this invoice No monthly statement will be sent. Thank you for your business. We appreciate the opportunity to be of service We accept electronic and credit card payments, P.O. BOX 1023 • GROTON,CT 06340-1023 Phone:860-464-7284• Fax: 860-464-6554•Toll Free:888-322-3337 CT Lic.#FRP.0010609-Fl • RI Lic.#331 9 SCNY Lic.#3400-RP -EOE I I I I I I -- ——— —' FISHERS ISLAND FERRYDISTRICT VENDOR 019711 STAPLES 'CONTRACT & COMMERCIAL, 02/14/2017i CHECK 3859 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 ,' 3327669870 FIT- (2)YMCKO' RIBB09S 45.98 SM .5711.4.000.000 3327669929 HP TONER, (3)BATTERIES 54.25 -, SNI .5710.4.000.600 3327669929 (2)LYSOL CLEANERS 6.30 SM .5711.4.000.000 3328338059 FIT-OFFICE CHAIR 129.99 SM .5709.2.000.200 33283381064 FIT-FI FRGHT SMOKE ALRMS 49.85 TOTAL 2'86.37' I 25 -•ua sa,.- I '.•Z'•- < " d a't"'. ' ' 'y r'i '`r3' .- , .-Tx.. ..W.1? •w.,r _ .. r w<.. `' ..L-.-.4-P a.• `. .. r :t / I I :€r 1 - , I , _ ,r-• 'R' : - -= i'r r ,1. h'„iegi Il„d II' d• A'.frT-,-_ _ _ki =,ry, r,'> `•+7a' _ f' = ry; T, 02/ Cs+e°n; fxs' <`^ •t'<<: :FISHERS:ISIA'ND<: ERIZ1'DIST'RrCT-;; AUD3 14/1"71t t Fs X53095 MAIN ROAD,:,PO'BOX 1.179 'C Ka -185 NY.11971'=0959 1f` r-- 7' ',' r•4';'y',g Y, ....i' 'p° -3- -'d_'___ - t`- - a$.s ,,l'. ,1, ,,p i,e;, c •,q:SU,h -_ _,_Y; - .>'oll,n l _ :THE,SIJFFOL'K"C0:'iNA[jONAL,BANK°J ._'`':_ 3/ TE' _ -;: a;`tId ;'ll;'F;,'AMOUNT;;;; b.: __ - __ CUTCHOGU ,_N•., .,, 5',qe " t> e`s „`„ op' `%f" '= - -_ _- _-=a ^'”, u,'Y ,, '°,n•.n, 1• 1`' __'e> - = - - =3 n A1; ,C"P,p' . r4 ,,.il„1,„4 1 .rt, ,4"I• '1` '';"- -"- - :i,,,, ' t •''h' Id I, _-_ - -""_ -_ ¢{,:• d`1'll i'.?'•) ';li ,a'.,s '-- di•, sy' .';;;. :44• 'b - :0>2 .,14 .20-17 - <t s,:5 i-' _"s•;,' „'50,546/2.14' i ,ii''F -r'' .r. , ,. :e,Y•S .t`. -t7 zt4° , +•'v 'i' 41c d: `Y:s `r.;• , v-te t,a f{`.• '1/t;Il.' xai G.4} r„l fll ,rp.” ga', s,y, '•.y;4 yi'` <:TNT :-H' DRED"b E'IGHTY SI-` 1'00 DLLARS< Q; UN " '' O :; , .,=<:;a.: ,5-- F,'„,, •.< '',v` = .,. >r+t°; = - _ __: •}_ ""_'t; +sf{-' h 'P, d,'$'d;''11' ,+0' _” __:Ks'.__ _^i'- _ ,1,'•`" a0' d rt' „ I RI;.1,,x',' s 3•, s. ___ __ '_ s _- - - _ .r_-- u+l'. l '1'q, ':\I Y'. 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'.. , -DO 1=50,2-- 1� Vendor No. Check No. Town of Southold, New York - Payment Youchell 19711 3g 5 9 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 �B 4 201 Vendor Telephone Number 888-753-4107 Town Clerk Vendor Contact A Invoice Invoice Invoice Net rchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3327669870 1/21/2017 $45.98 $45.98 FIT YMCKO ribbon 2) SM5769.2.000.200 3327669929 1/21/2017 $60.55 $54.25 HP toner, batteries (3) SM571114.000.000 $6.30 cleaner(2) J go SM5710.4.000.600 3328338059 1/28/2017 $129.99 $129.99 FIT cfiWWPce— SM6711.4.000.000 3328338064 1/28/2017 $49.85 $49.85 FIT, FI Freight smoke alarm (5) SM5709.2.000.200 $286.37 $286.37 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature _ CVvw itle Signature / Company Name Fishers Island Ferry District Date 2/3/2017 Title Date STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE •Business Advantage 1/21/17 NYC 1032952 8042748519 PLEASE PAY BY TERMS AMOUNT DUE 2/20/17 Net 30 Days 45.98 INVOICE DETAIL staples Business Advantage Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFSRRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3327669870 Budget Ctr Desc: Order 152431060-000-002 P 0 Number 082516 Ordered By GORDON MURPHY P 0 Desc Order Date 1/16/17 Release Release Desc Order order B/o Unit Ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 IMlRG7423 YMCKO RIBBON ZXP1 100 IMAGES 2 0 IN 2 22.99 45.98 Freight: .00 Tax:( .0000 %) .00 sub-Total: 45.98 Total: 45.98 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 DBA STAPLES TECHNOLOGY SOLUTIONS 500 STAPLES DR NEEDTO RETURN AN ITEM? STAPLES ORDER/REF ■ FRAMINGHAM MA 01702-4474 SELECT 'ONLINE RETURNS' FROM #:051-0152431060-000-002 'MY ACCOUNT' AND CLICK MAKEMOreHAPPEN" 'RETURNSTO GET STARTED GORDON MURPHY FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DR _ FISHERS ISLE NY 06390-8021 ceK,.;.,:.Hix...., ...._$:.....��".x.:.,.,....Rbf._......a..<ffi..:.,�,,.a:;.�i ..m..&�F•....�(... .m..� 01/16/2017 UPS GROUND ? 082516 LOVTJL 1 Line PO I Qty Qty Item# Description/Model No. Nbr Line Order Ship 1 2 2' YMCKO RIBBON ZXP1 100 IMAGES EU#-003775548 FISHERS ISLAND FERRY MC#C NEED TO CHECK THE STATUS OF YOUR ORDER? SELECT'MY ORDER STATUS'FROM THE WY ACCOUNT', DROP DOWN MENU TO VIEW DETAILS Trk Nbrs: 1ZE370580345611252 Total Quantity Shipped: 2 Total Cartons Shipped: 1 Page:'1 Dest- USMLCTRL09L SID: 60-LLT79-11 PC. 1 STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 1/21/17 NYC 1032952 8042748534 PLEASE PAY BY TERMS AMOUNT DUE 2/20/17 Net 30 Days 60.55 I"OICE 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 : 1010 Invoice Number: 3327669929 Budget Ctr Desc: Order 7169635141-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 1/18/17 Release Release Desc order Order B/o unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price j 1 1182801 HP 62XL HY TRI-COLOR INK CART 1 0 EA 1 24.49 24.49 2 503532 DURACELL COPPERTOP C 8PK 1 0 PK 1 14.56 14.56 3 411934 COPPERTOP BATTERY AAA 8 PK 1 0 PK 1 7.60 7.60 4 318923 COPPERTOP BATTERY AA 8 PK 1 0 PK 1 7.60 7.6 5 662280 LYSOL 4 IN 1 LEMON CLNR 320Z 2 0 EA 2 3.15 6.30 Freight: .00 Tax:( .0000 %) .00 sub-Total: 60.55 Total: 60.55 Customer Service inquiries S 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. CUSTQMR sxa> -DATE., ORDER NO, 0001032952 1/18/17 7169635141-000001 ■ PtMCHASA ORDER 90. RELEASE NO FI TERMINAL COST C'EXTER REQUISITIONER MAKE more viAPPEN- Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 FISHERS ISLAND FERRY DISTRICT GORDON MURPHY ] FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR L PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 Contact: (631) 788-7463 - GORDON MURPHY T FISHERS ISLAND, NY 063900607 PAGE: 1 PECIAL 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. f me G C S NU67 E X3SkL J IGJ} S QTT QTY std 5th �s�g �amsor pax I'MS MMEM nxrllr�'= 1 1182801 HP 62XL HY TRI-COLOR INK CART /C2PO7AN#140 EA 1 1✓ 0 2 503532 DURACELL COPPERTOP C 8PK /MN14RT8Z PK 1 1✓ 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds.E tar les.com/ sds/503532.pdf 3 411934 COPPERTOP BATTERY AAA 8 PK /MN2400B8Z PK 1 1✓ 0 4 318923 COPPERTOP BATTERY AA 8 PK /MN150OB8Z PK 1 1✓ 0 5 662280 LYSOL 4 IN 1 LEMON CLNR 320Z /RAC75352 EA 2 21/ 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds.E tar les.com/ sds/662280.pdf ,ry 6 1442905 PROMOTIONAL MARKETING INSERT /1442903 EA 1 `�1 0 l �mpfBHAPPEH Check your order status online by ,wa selecting My Order Status from the Previewa My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 1/28/17 NYC 1032952 8042848944 PLEASE PAY BY TERMS AMOUNT DUE 2/27/17 Net 30 Days 179.84 1"010E DETML Staples Business Advantage Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFERRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 invoice Number: 3328338059 Budget Ctr Desc: order 152803952-000-002 P 0 Number 011617 Ordered By GORDON MURPHY P 0 Desc Order Date 1/27/17 Release Release Desc order Order B/0 Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 934100 CORVAIR CHAIR 1 0 EA 1 129.99 129.99 Freight: .00 Tax:( .0000 %) .00 sub-Total: 129.99 Total: 129.99 customer service inquiries # 871-826-7755 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. CUSTOMER NO. SHIP AA 09MA got ' 0001032952 1/27/17 0152803952-000002 own vUR'ddnap, ORt DTA?. RELEASE Y�o 011617 1010 COST CENTER REQUISITIONER MAKE MOfe HAPPEN Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 FISHERS ISLAND FERRY DISTRICT GORDON MURPHY FISHERS ISLAND FERRY DISTRICT(NC) TOTAL PACKAGES: 1 261 TRUMBULL DR L PO BOX 607 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 063900607 Contact: (631) 788-7463 - GORDON MURPHY T 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 6 BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. 6 �tkeT �Tw �1Xopm QTY QTi' HBO � rxnN t N � 0RM ORIPTIM 1 934100 CORVAIR CHAIR /23097 EA 1 1 0 1 1 Check your order status online by News selecting My Order Status from the & Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 1/28/17 NYC 1032952 8042848944 PLEASE PAY BY TERMS AMOUNT DUE 2/27/17 Net 30 Days 179.84 1"010E DETML Staples Business Advantage Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFERRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3328338064 Budget Ctr Desc: Order 152438437-000-001 P 0 Number 011617 Ordered By GORDON MURPHY P 0 Desc Order Date 1/16/17 Release Release Desc order order B/o Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qt Price Price 1 154307 BATTERY POWERED SMOKE ALARM 5 0 EA 5 9.97 49.85 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 49.85 Total: 49,85 Backorder of 0152438437 1 V 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 1 i :i I. STAPLES ADVANTAGE PACKING SLIP 1400 AIP DRIVE • SUITE 200 Middletown, PA 17057 9 1546111600 GORDON MURPHY GORDON MURPHY PAGE: 1 FISHERS ISLAND FERRY DISTRICT • FISHERS ISLAND FERRY DISTRI TYPE: SO 261 TRUMBULL DR 261 TRUMBULL DR FOB: TPB FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390 PLCD BY: EDI • (000)000-0000 (000) 000-0000 • DATE: 01/17/17 TIME: 10:02 1.0152438437 i Order# Your PO# Customer# Ship VIA Trailer# 15461116 - 00 IDAJL57 I Bestway Line# Product Vendor Each Uom Order Ship Unit Price Number Description Weight Qty Qty Extended Contact#: 631-788-7463 This Order Is Contained in the Following Carton(s) : 0005766081 ShipTo Company: FISHERS ISLAND FERRY DISTRICT ShipTo Phone: 6317887463 ShipTo Addr: 261 TRUMBULL DR ShipTo Addr: FISHERS ISLAND, NY 06390 1 408-0915E KIDDE 2.000 EA 5 5 BATTERY OPERATED SMOKE D 1EA/EA ETECTOR W/LED LIGHT Customer Prod: 154307 f Carton #: C005766081 Qty: 5.00 EA BATTERY POWERED SMOKE ALARM _ � l I s Last Page Total Weight: 10.00 Thank You for Your Business . . r 1 t 1 f I f ,- --------- '----------- ----------- f 1 , `FISHERS ISLAND FERRY DISTRICT VENDOR 019823 SULLY'S MOBIL MART 02/14/2017 1 CHECK 3860 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 568955 9.6 GAL GAS-2/1—RNTL 25.00 SM .5710.2.000.200 569925 15/93 GAL GAS-1/28—RNTL 41.10 SM .5710.2.000.200 569953 14.747 GAL GAS-1/30—RNTL 38.03 SM .5710.2.000.200 571757 15.725 GAL GAS-1/20—RNTL 41.50 SM .5710.2.000.200 571889 15.26 GAL GAS-1/25=RNTL 39.36 r-' TOTAL 184.99 'T ' •3"h '' ...5 t,.. ,su 4f'« ,....att '}" ,+,'I`•• _vYe.i, .:'.Y ..: V..r,,x.. T• ,,`: m,t,a._, m.wF+ - .r_...er x• -,. x Y' ^ ` '"..te.. >+,4....•?". / I ,.. N i••'ye ti,i •v V$•' g..e• - . sV ,...,.< •±Y_t e. d•.. C,.ev,°ar-. `.9" ."'`,"+,:VEr` ! 'l ` J - I ' r Sit ERS7SI.AND=FERR ,°DIS7RICT ._ :•y,'f;`3°,R""ii iRy visa n'F •1. .f+ if yL';• •f• gene?, /i / i' ' x: § ,Y", f„ ,>:• ',5r ;g ',,,;,,,;- -_»,,53095,+MAIN ROAD;PO BOX'1.1792 •t sr`. 'y' - ',£. i>•:;>'os: ':SOUTHOLD NY+1197x1-0959' 1 ' ' - - - °.CfiECK;=,NO,i?'- a1; " '$61p'•`9 'n' `,At•" r- :-z• - "INA'I N'AC A n.1 L•sV. ,1. - - - `xTFiE.SUFF,bL1K"SCO: 9 =,F -: -_ E` - N L,^ _-_ _ - -_ :.,t• Ry^'''Sx,uLl°'I' 'r','; c+. - - Q&CHOGUE,•NY ,1193'5'';,', _ .t+' ',}nl.ala t' I' ',Id, ;I 11,,ng' ewe„ - ,4„9;.,♦tl'lll' ' '1`;L '' }il,Il „7, ilNll,s .,._ R : n 0'2`]4201° s;;-50i5d6%2'1,4 't" , a'001 ' `.°a,s` z : 'a`xe;'";i` ,F+4t_` a a•• _ §,` rE,' 1• 'ONE''`'`°HUNDRED:EIGHTX,%FOUR;,AND; 99°),10'0-',DOLLARS, „g ,17 ,a,pl ' +8' _ - - ,fi,- '1/x t Pd'+d rd'4 i1' ,•`JI4JI` a .5°=-,S'_' _ _ , - - __ _ ----i'. 7'1 I 1 '`."t:vl _ -_ _'- - _:;a`- _-_ S'` I• N' t,'e---i_-- _ - 'L-._- _ - _ % -- t, lIy,'1 ,d: _t ____ __ _ -__ R .3'I 'Itl 1'jr;I'Nalt',,,'Y}•,' _ _ _ _ _ _ -,1 54 _ -"t +' ab`:_-r + 15. it yR1 t; _-.F - -'y` .J•,': -S'a" - _- ' . fa v : _ _ - `1.°v` ,';y„` ;• - -',T ,r:',.a _ `''2./,.;. <,'. _ .,`, sbi; ;• - . 1' >eTv . >><` ,"'..: r- - •sp,. ' ' Y:" -i+: •;t°- 'ra,;;;< 'ST! "'[-- - ;<{,#;° .4 '`;'`",a '•Bt x#i 4v, "'j' ' '""" 13r+R 4f ;R'S v ,{.ai• ;, :!•..• x'g'r ,`j `:4 i .i1 :FR.ti 'k1; a ' °'t '';f 'Ii '`:. Ft Jt, 'i t;< 'wr :ri c.r: ,a', ,_S. y`;: ,,.,f; •c +yr, `,E Fj^":: i - ;f., ;r . = r%Ta"1-''; ,; , < '.s% Aw:y 5 `;, ,` •, '. v'MOB'II :;MAR ,tn..° -- ..Z'7.-- _ ___ _-_- ✓l - r'-H'`' i'u ''i ':1'li°' .=L - -_ Lrs• ,h 9f:un",'•i _- "il ' '1 T"'r+ E"'1,=w3 " `+ UP,UX'HALI -.S •'REET- :°,- _ _=}. ' ,;ii '"?Ir, , I 'i;,o I, ';,,C' .t1. - --- rf' y yr 1.1I`.,, •Y+. - - - __a>v : Q,f y r'„fim' sgv'i,, •,t: t i;'_- - - - -- el ' r` '%"1x .`n'" QIClJCRd'";d '" 0 6-3-2-OTMEVN s .OF ,2. ;. t.'s`r; t - ? - ',t•x'..{' •;tea s ;3 '.`r Jf xar:s`•ir. `r:yY f C 4;' L4 < f+, •+i', ''f' ',R°: a„ ':'I"•., .r' ,"t.. <F, ;t`r1",:1r'>`•e 3+`4 $ "3 „:,yv.F. t•,. .t )t b''4` '.rdi, 2''a;,^ `h`` • ;'Y.}i :1R r °S' 4..fr,. c Sa. 'fx"i.',kms,5s,t Z F i, I ^N °<n4ai' 'Y•.+.I'"a`:' -R/;=- _ !`j.r °ham R'h`°=,''t _ - _ 1R_1,%+°ac zf:f,6 _ _ ?:i.'i: .i- - i•',<' L1 - ,5,'"+ .:YP,`>><=rF',y,•-r - - n-'," _ 4s` - _ - -;¢ 11'8, - - . ' - 1+d 1 s'1'Js. N',Ia•,;,I 1., 'a 1,+ _;i' - __ - - - = a)1 1t I 'nR}w':fJ1fJ ) 'a -- - - - _ '`J 0038EO'ii r.0 2 L'40546'4'1. 6'S=`'DO L50<2 -7 Vendor No. Check No. Town of Southold, New York - Payment Voucher 19823 Vendor Address Entered bC:!��„ . 382 Vauxhall Street j�- Vendor Name New,London, CT 06320 Audit Date Sully's Mobil FEB 14 2017 Vendor Telephone Number 860-443-5938 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 571757 1/20/2017 $41.50 $41.50 15.725 gal Rental Mini Van gas SM5710.2.000.200 571889 1/25/2017 $39:36 $39.36 15.26 gal Rental Mini Van gas- 51 SM5710.2.000.200 t ` 569925 1/28/2017 $41.10 $41.10 (b.q3 qal G0.s Rental Mini Van gas S 11 SM5710.2.000.200 569953 1/30/2017 $38.03 $38.03 14.747 gal Rental Mini Van gas-)I3d7n SM5710.2.600.200 568955 2/1/2017 $25.00 $25.00 9.6 gal Rental Mini Van gas rdl�� SM5710.2.000.200 $184.99 $184.99 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 Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date �� /�- 382 Vauxhall Street ► n ° 382 Vauxhall Street `dew London, CT 06320 Newlondon, CT 06320 _t. (860) 443-5938 (800) 4a-5938 SOLD BY DATE SOL BY DATE ; NAME g� _ NAME ADDRESS ^ � ADDRESS 8'� ••- �• t '� - -- - - - --- - LL - _ -- CASH C D CHARGE ON ACCT _ CASH COD CHARGE ON ACCT 2-- Gals. Gasoline tock Stock A..... 'Cr { ,,s H K'` ✓>,. 4, 14 .. ... 1..,;;� ,I'I�fin(. i%• '-;' E ''7 f - RECEIVED BY RECEIVED BY r. All claims and returned goods MUST be accompanied by this bill 's All claims and returned goods MUST be accompanied by this bill. Thank =' `Thank 571757 `You UL 5 r 1889 `You SULLY'S MOBIL �`lf-,�R� 382 Vauxhall Street [ifl mil °�� 382 Vauxhall Street C UNew London, CT 06320 s` `°V� New London, CT 06320 (863) (060) 443-5038 y SOLD BY DATE x SOLD BY DATE lo NAME f A ?` NAME ` j' ADDRESS 1 ADDRESS _. - - 10 7 CASH C.O D CHARGE ON ACCT _ CASH C.O D. CHARGE ON ACCT. lop. tL Stock# z r Steck h RECEIV9DJBV �}j )Yi RECEIVED /+'�� All clamslartd returned goodFMU87 beLaccompm y this bill All clalms and returned goods MUST be accompanied by this bill hank Thank 569925 wou 569953 GYM SULLTS MOBIL J���t o U0 382 Vauxhall Street New London, 0T 06320 (860) 443-5938 SOLD Y DATE 0 f NAMIf S14 idle . ADDRESS - - � L/ � ,,� _----- -;'�`• CASH C O D CHARGE ON ACCT Gals. Gasoline t - P.O. Stack# N 'c• RECEIVED BY All claims and returned goods MUST be accompanied by this bill 568955 `You I ___________ ____________ ________.__ _______ rte_ ___-_____-_ FISHERS ISLAND FERRY DISTRICT VENDOR 019818 SUMMIT HANDLING SYSTEMS, ' INC. `02/14/2017 CHECK 3861 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT iSM .5709.2.000.200 PSI-119620 FI TERM FORKLIFT MAINT 365.29 SM .5709.2.000.200 PSI-119622 FI TERM FORKLIFT 'MP.INT 1, 866.55 TOTAL 2,231.84 Ai t •M1i..a.v:i'r'd i:.r..'ev'J.ti:?::`.:c:! ?..., ..yya. 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E`S- -00 "= 71 Vendor No. Check No. Town of Southold, New York - Payment Voucher 19818 Vendor Name Remit to Address Entered by Summit Toyota Lift Summit Handling Systems, Inc. 39 Murphy Road, North Franklin, CT 06254 11 Defco Park Road Audit Date North Haven, CT 06473 FEB 14 201 Vendor Telephone Number 203-239-5351 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order E Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number { PSI-119620 1/26/2017 $365.29 $365.29 FI Terminal Forklift Maint SM5709.2.000.200 PSI-119622 1/26/2017 $1,866.55 $1,866.55 Fl Terminal Forklift Maint SM5709.2.000.200 ' F a - P $2,231.84 $2,231.84 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received 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 2/3/2017 Title G/� " �—" Date � l "3 SUMMIT TOYOTA LIFT r-: PLEASE REMIT TO 39 MURPHY ROAD ���{{y �' SUMMIT HANDLING SYSTEMS,INC. M�T NORTH FRANKLIN,CT.06254 11 Defco Park Road TOIVIYOTA LIFT 860-642-4377 Phone North Haven,CT 06473 " 860-642-4521 Fax SERVICE INVOICE Invoice#: PSI-119620 Bill To: 498910 RJ BURNS MARK PO BOX 607 FISHERS ISLAND, NY 06390 United States Date:Jan. 26, 2017 Payment terms: Net 30 Days Due Date: Feb. 25; 2017 Date Shipped: 01/26/17 Work Order No:WO-094984 Salesman: 10 Ship To:498911 Customer Order No:JOHN FISHERS ISLAND FERRY 5 WATERFRONT PARK NEW LONDON, CT 06320 United States BR 4 Make:Toyota Object No:498910-001 Model: 5FGU25 Hour Meter: 11,491 Serial#: 10894 Fleet Code: Service Requested: REPLACE PCV VALVE AND HOOD CYLINDER SUPPORT Work Performed: REPLACE PCV VALVE AND HOOD CYLINDER SUPPORT QTY Description Unit Price Total CUST Labor 180.00 1 GROMMET 6.3 6.30 1 VALVE SUB-ASSY, VENT 10.99 10.99 1 DAMPER, ENGINE HOOD 112.47 112.47 2 RING, E 1.57 3.14 2 WASHER, PLATE 5.57 11.14 1 Misc Supplies 19.44 19.44 Total 144.04 Material Total 180.00 Labor Total 19.44 Charges Sublet 0.00 Sales Tax 21.81 Total Due 365.2 l`� nfir✓ n Page 1 of 1 S U M M IT TOYOTA LI FT PLEASE REMIT TO: n Y � 39 MURPHY ROAD SUMMIT HANDLING SYSTEMS,INC. UIM�T NORTH FRANKLIN,CT.06254 11 Defco Park Road TOYOTA LIFT 860-642-4377 Phone 860-642-4521 Fax North Haven,CT 06473 SERVICE INVOICE Invoice#: PSI-119622 Bill To: 49,8910 RJ BURNS MARK PO BOX 607 FISHERS ISLAND, NY 06390 United States Date:Jan. 26, 2017 Payment terms: Net 30 Days Due Date: Feb. 25, 2017 Date Shipped: 01/26/17 Work Order No:WO-094987 Salesman: 10 Ship To:498911 Customer Order No:JOHN FISHERS ISLAND FERRY 5 WATERFRONT PARK NEW LONDON, CT 06320 United States BR 4 Make:Toyota Object No:498910-002 Model: 7FGU25 Hour Meter: 5,881 Serial#: 64172 Fleet Code: Service Requested: REPLACE SEAT ASSEMBLY, REPLACE WORN TIE RODS Work Performed: REPLACE SEAT ASSEMBLY, REPLACE WORN TIE RODS QTY Description Unit Price Total CUST Labor 540.00 4 GREASE FITTING 3.95 15.80 4 PIN, CYL. END 71.74 286.96 4 RING, 0 3.27 13.08 2 PLATE, STOPPER 46.92 93.84 2 TIE-ROD, UPPER 67.77 135.54 2 TIE-ROD 66.19 132.38 4 WASHER, CD SPRING 6.12 24.48 4 WASHER, PLATE 0.61 .2.44 4 NUT, SELF LOCK 5.92 23.68 4 COLLAR 30.7 122.80 1 SEAT ASSM 349 349.00 1 = Misc Supplies 15.1 15.10 "w Total 1,200.00 Material Total 540.00 Labor Total 15.10 Charges Page 1 of 2 j f SUMMIT TOYOTA LIFT PLEASE REMIT TO. �n�g� 39 MURPHY ROAD SUMMIT HANDLING SYSTEMS,INC.MMIT NORTH FRANKLIN,CT.06254 TOYOTA LIFT 8 11 Defco Park Road 60-642-4377 Phone 860-642-4521 Fax North Haven,CT 06473 QTY Description Unit Price Total Sublet 0.00 Sales Tax 111.454 Total Due 1,866.55 J� Page 2 of 2 I • I , I I i ,----.I I I - I - - 'i , FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 02/14/2017 CHECK 3862 FUND & ACCOUNT I P.'O.# INVOICE DESCRIPTION AMOUNT I /SM .5710.4.000.700 26639037 , WE 01/20/17 37.74 SM .5710.4.000.700 26639047 WE 01/27/17 . -28.80 ! TOTAL 66.54 1 - r-j i •"5 •fa .. s + :Sh r'. z I ' I ,f I I - _ J -- - 7 t 'i . _ J - . ._",r-s= i" `:, i. T•u ,n. e .u, `4 _' -- -__ - 'll'e n yP'-:' t,'"9v.y',.n'^,kt-3a` " -__ ____ __= 3,_ n,;. FERIZ 'D1S7RI;C'T' 4. =:F' ", ' ;;gid::,=a r• fF', _ ,S;`,t 'a+:s d,c,t, •d's `7` ;PO"8 " y r :53p95`M'AIN OAD , 0X.'1-1794'-A' A, % ,L.e 4 . ,'. > -n•'k.,t,, ai._ ; <1+, n.lt..:':;"';a'✓s1''' .'af F :`e 't, _ .rg+t,.t,- •t, 1,7 ';SOU•TF{OLD;'NY. 97,1-0959"'';s" {j'gs s,s c,..f-. ,'e, 'a ,T ,i.¢t,;•t,a sr q,t'<5,v, > v° t:'S1`i';•;'e7E'„5a _ _ _-CHECK,IlV OI.4' d'.3>8",6 +•I r- t u4 I z. •r;` - - - .e OI K°C O.N'{710NAL*BANK= - - ,AMb .IO, "r", P-, ,ip`v,' >'a> - _ 't;= - `- - --- '•S?`i7.:::P' - P•; .>.. , __ _ - - - - - v Ir h; V ,e,Y` - d d d - 1 'E' _---_- -3 `•`S Ppla••;ilrrt <I{ ,I 1 e(a 't e = _ _ _ _ tY ,si>' Ar lu st`xly il'ule';" , 'd,, r,l,;a;ll• h 'f4, 'I. ti, __ _-_ _ -- - a '91.ar.t` ', Y+ .5,1.1'{r,;„µ1 ', _ _ `I. _ _- -`a„x . ;x n„G';, 'n ,: %€` a ".,ar_:=b-',`n I+>Xc-•FTe -'t4oS'Y-X- ' -:-- _ r•t s'4 ;.,ar„ e.s"11'St- ,red"i' . y ,.4d1.,rd<,"; dI.'- „_ =-i.e..•b-._r--".._`i:--• --,_ _,-__ , `' a< Ia`<.'rf`ir''4.,2' 1.: ;;2`01'y,7' '-'l ,.I`L.'"_:•{ri;"txY-•q,'fi.:`,s;_1^ -_6° -54 AND" j, q. „I ,'ah -'- ---- - _ --=-e`er`•- -.e''rt, _ _ _ _. '_ ___ ___ s'• -fir;-- -_ _ _ _ _ __ c -t,-_ .- - }., - - - - ii ,,,a n, .,I „ r "h .Ir'- -+a h? 'La.: 1:'- :a` -r',,,r } Ids 5, at„ •s`a- 1."4'i •,i<', (r, ¢.,.• -`:d''- `-' r?.,`' .f.'L"v:Z.' ; :.- `'y,c;, ,•e.1",::' 't. r- - ?• ,..y` ? `tY "4,'`F''.s 3t.! "i"Y. el,, et.. 3 <I!r 't,a t <. <'i' 1 # ?,'"+r<'a }.,_< .4 j`'t *,a• :t° " ." { *{'.4 ii '4.i°r,L't;.! vx n . '¢ t `.y,•ji ti` +;.; a`, ,4 } xl" .,E.r ' .F'e. jt.r <9 3 a}'d,x A S •y.,.. r.....V;' s,Y",';',.f'.'.yMe ' Y'^_ - 4' n. 4•j^.a't k'aFi- roa'L .'t' t +' tV'IA 'L - 'r'" •.t %t;5 v. y'fs,A0.` - ,"Y" 1 .*• I, "'Q, 'I„I ,' UNITED,PARC VI; SERV32*E :;,. ';e" I,eY•., °,„' .t t`v, P,/ i "ID"d' •al - _ T"' ,.I.. , . -{,Y ,-_ '_--_ - - ' ?i;`r .x.ud',1,.s•E d a u:+. lal, d. ____-__ -1,:,_ n' b;• a(„t,ly i1 El.,l idl, ORDER; nrw r, °_:- _ _- ___ - - ;'^Pr; °: :, v>,ml, `.__ Gv4 •f ,.1_ „II 4PHILADELPfiIA-.rPA,'19A17'0.;'0'0,0'1FI r 3 ",,,•Q .' s¢ :.1>`y " ,F^s, -t .>; 4•'v,%-"1' 7 n, . .3; ';'U2 ,-A.,"' :1' y,,i, f,f, i,, }. ''i € ,!S ,'5 1, :a4 is•tc`t+'ta: iS",t,> ..: .a`{ = _ Yl• „I" iPh: ,i-Yp,l -,PAS _ __ _ _ __ - __ "Sr 1`- ^'1°r `C _ _ - f'>- -`,t - is`; `i` - -:_-- ..an'F`# I•'dlIr,l'f il'71 t:t'-_ - -- - - _ _ ,'i+ rr '}I. 'is J_ _ _ _ _ - - - - - - -F:. _ _ ",a" ,- I r- '`P _ - - +i_ -_ .`„"' .91`i,`i!'I. • "7.+;1 1'It:%?`y,'.;- - - - - - _- - - - - _ _- _•t '.f,: „1,,1'i „N. .r, a ' 4t _ _ _wrR -- _ _ _ <1,, a,` .. ily., rtl" _ _--__- _- _- _- ___ - ia,,, ;hi:'+" tl u•qP: 1bd.d [ - -; ;.. -_ -- ;I'I,'e'Iy ,t' ,`1di:J"I ,Ij",It l.. ,`` {Er - - - - i„<rr it p 0'3 g 6"21i':. , I •x:12,1,14,,d s4'r6'0. ;6 g; .p`p'ISO`2 Vendor No. Check No. Town of Southold, New York - Payment Voucher 21506 300� Vendor Address Entered by P.O. Box 7247-0244 4&::� Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date United Parcel Service FEB 14 2017 Vendor Telephone Number 800-811-1648 Town Clerk Vendor Contact F Invoice Invoice Invoice Net Purchase Order E Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number. 26639037 1/21/2017 $37.74 $37.74 WE 1/20/17 SM5710.4.000.700 26639047 1/28/2017 $28.80 $28.80 WE 1/27/17 SM5710.4'.000.700 i i E F a .a $66.54 $66.54 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 ' �� � Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title /,G v Date —z/Ice / r i Delivery Service Invoice Invoice Date January 21, 2017 UTM Shipped from• Invoice Number 0000026639037 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID 314Y NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366030022786 Visit ups.com/billing AB 01 032160 59152 H 88 A For questions about your invoice,call: (800)811-1648 "I1'IIIIIII'I11'III'II'111111'I'IIIIIII"I'III111'II"11IIlIl'II 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 Summary of Charges Amount Due This Period $37.74 Page Charge Amount Outstanding(prior invoices) $255.49 Outbound Total Amount Outstanding $293.23 3 UPS WorldShip $8.94 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $3.00 your payment.See Account Status for details. Service Charges ./$25.80 -Questions about your-charges? Amount due this period $37.74 ®_ To get a better understanding of the charges on your invoice, _ visit our invoice guide and glossary of billing charges at UPS payment terms require payment of this invoice by February ups.com/involceguide 12,2017. 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 cam.For more information,please visit upscom. Delivery Service Invoice Invoice Date January 21, 2017 ' Invoice Number 0000026639037 Shipper Number 026639 Page 2 of 3 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 0000026639526 12/24/2016 $68.93 0000026639536 12/31/2016 $91.61 0000026639017 01/07/2017 $28.80 0000026639027 01/1412017 $66.15 Total $255.49 Outstanding balances reflect any payments received as of 01/20/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Inwice Invoice Date January'21, 2017 ' Invoice Number 0000026639037 Shipper Number 026639 n� Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 01120 9164170842 1 1Z0266390343973836 Ground Commercial 06457 2 5 8.49 Fuel Surcharge 0.45 Total 8.94 1st ref:FI NY-NL TERMINAL 2nd ref:FI NY-NL TERMINAL Sender Receiver:PARTS DEPT.S&S ATLANTIC(DETROIT DIESEL 300 SMITH STREET MIDDLETOWN CT 06457 Total for Pickup Number: 9164170842 1 Package(s) 8.94 Total UPS WorldShip 1 Package(s) 894 Total Outbound 1 Package(s) 894 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 300 FOR 1 PRINTERS AT$3.00 EACH FOR 20-JAN-2017 Total Miscellaneous 300 Total Adjustments&Other Charges 3.00 032160 2/2 Delivery Service Invoice Invoice Date January 28, 2017 1 Shipped from: Invoice Number 0000026639047 FISHERS ISLAND FERRY Shipper Number 026639 1 STATE ST Control ID G263 NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366040023280 Visit ups.com/billing AB 01 030480 65273 H 84 C For questions.about your invoice,call: (800)8114648 ��II� �II �11����1111�111�' III'I'��I�1�111'1�1'I"II�I'�II��IIII 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 Summary of Charges Amount Due This Period $28.80 Page Charge 611" Amount Outstanding(prior invoices) $132.69 3 Adjustments&Other Charges $3.00 Total Amount Outstanding $161.49 Service Charges $25*80 V Please include the Return Portion of each outstanding invoice with Amount due this period $2 your payment See Account Status for details. - Questions about your charges? UPS payment terms require payment of this invoice by-February To get a better understanding of the charges on your invoice, 19,2017. visit our invoice guide and glossary of billing charges at payments received late are subject to a late payment fee of 6%of — ups.com/involcegulde 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,For more information,please visit ups com. Delivery Service Invoice Invoice Date January 28, 2017 ' Invoice Number 0000026639047 Shipper Number 026639 - n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639526 12/24/2016 $68.93 0000026639536 12/31/2016 $91.61 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 0000026639017 01%07/2017 $28.80 0000026639027 01/14/2017 $66.15 0000026639037 01/21/2017 $37.74 Total $132.69 Outstanding balances reflect any payments received as of 01/27/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date January 28, 2017 ' Invoice Number 0000026639047 Shipper Number 026639 rw Page 3 of 3 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 27-JAN-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 030480 2/2 • ' FISHERS ISLAND FERRY DISTRICT J VENDOR 025038 Z & S FUEL & SERVICE, INC. 02/14/2017 CHECK ' 3863 FUND & ACCOUNT", P.O.# INVOICE DESCRIPTION AMOUNT 1 SM .5709.2.000.200 21596 F-350-11.173,FKLFT-10'GAL6'9.00 SM .5709.2.000.200 21597 FKLFT-5.44 GAL-12/7 ' I 17.74 SM .5709.2.000.200 121635 F-350-23 .141,FKLFT-10GAL 108.00 SM .5710.4.000.200 27273 FIT-95.8 GL HTNG OIL-1/7 253''.49 TOTAL 448.23 I - v >•yy 1 `>t .•>.. -!a^c.-. - w .. a yx•,rp5b , ?,N'r J•.r^. ..,,"f.- ,. ,. , .y;i'.+-..' 1 f- I ' , 3- .ne:__n•,r. ----_ -__ --'-= r; „ 1 :,^. y - -_- a = - -- --- - °r.y=_tl; FISHERS:ISL--A FERRY DISTRXCTAUDIT _ + }0,2 14,/s] ;53095'MAIN ROAD;'P,O`BOX_11'7,9-'— _ _ R,• yt„. „t,' SOUT.HOLD'NY;1'1971=0959 •” ,;';'ti .i'i CHECKpTTOr^t` 8cr a 'd' .•jLr- - _ - THE SUFFOLK"COL.'NA'TION L'BANK;'' - - - 1 5}1 -c- _-,r"-_- - --_-- - - -- -- -- --" CU CHOGUE;.NY 1,1935', _-- `v`=.:,"__ AT '-:n 7°.8 ;h° .{ 5 r" .l 1+ Id V, -'_- i^`'_ - -- `__- y`i a'1'. ,p iz`•,u``_ "i ''9` -__- - - - P tl rF ,e,'+ i J, "n. !• - - -__ - - _ _ ,.. _ . I 's,l 'p,I', - __ 02 , 4..n,;.' 4 62,[147f17/,,,,1 T`;AND23 100"DOLT R >iFOUR, HUNDRED: FORTYrEIGH ,— 1t ,s r - -- - - __ .'-r . ;n'rc'i i'i'A '-,i.•i'' ;n'w ` - - ->` ,._.T -__ --_ --_ ,r:v:' ui",:: 'I:" - - - --- _ - _ - "ai- #4' :'Y' tl, ,?v Y:, v,, 'l. I'f - - JI-_ t4Y,{J 1)"d>. I`: ✓}.-}`- -_ .)u,: _ _ _ I•- _ __ -_ >,'}"y e 5. d i,}'. ";p., l'I' _ - -_-`).: :.aFP )n, .{!, 1h7 t i .#c y= _ :yr, 'a )i sir- ,3 ;ft, "?'pi - .i' •, rl• ar ,'' a a<i' <s`st'a;...e-:; ai•. ry4>. 3,S >i. 4 `'b`=5 ':t` i)X:Yt.4y,. .`;,I i± t•, } ..n i;i .-y>'„ P`§ :¢. )h •"9 II - r i'''if ' •i' :rig nl'=,a`^1}'s .i'' ',t.,x`,'^y,t" !`'er_ _ - ',A,.t4. `=1: 't.x3•p'" t,' ',1>§r dt U Pi IY: .,;,,,U;'w Zi ,S +IF'UEL'.TQ 71E &_'_SERVICE, ___INC.• I, ,,6 d+ "I' I' ',I',, r,.:, - - - _ _ ilr,°'JI ,Irrl 1'; ,' I,,t' t ''r - _ -__ 'l >I a' ,rol nl"• 'I, }I I:C'''s _ _ __ `#r`-'r'=' - ri , ,l;'."', Inn{°,<,1+y',;,,,,P n; -_4.,--- -- --_ -: SIA' „r'• ,t+,i:.., '=._ 1 _ _ _ _ _ F _ - t r4) `'i i' `r, I'” ,',p,as, c p"' ;r',P,,i '.e",` Api: t.JI"+Ib'DRAW 'R,B„rEf °- ='F'= „LI '4 '4 ,1 ' :I;`' a' 'F•`.:= -- -'F _q'FfJ:a' ,a,.-"*tl„iJ•.a a I+' 'JS' -- - 2.=_- , El `r", y`'! _ ./"• sJ'. - ^,p P ,$. vtR> >< `'wf:.' ,Y5', 1t °`a{e, .,li rr "F' .[l 1 'I, 4i -.}i+q. 4)` ;tt.• `,fj.,"''nD'10Y. 'trd; 9,4'a {rfv2z:`)i _ e; •'r xt' `,'3$'>41a. 'xi 1„r 'Y',3a :F`!,.•3''' %t k' t„ Ir t ' °..nl ,n _'%e` 1'!p.},,I ,a•, _g--- _-- =,s. _'i - __ ai;S ,a .- _ l - _ - _ y,^ 'I',i '.`k1n .I,1 `I'' - __ iCP.'' nI ii` • ,1 1',''I, ,tl, _ __ _ __ _ - - _ _ _ ,t„ .I, ,i, J'+'S' ^I",p,d _ - - - I JI "7 p iz1 ,f, Itl .l Ipr, - _ _ •_ 'a' p%3 8 E''3 a 'i.0`°2;L4'0 5 4°6 41 . :6 8::=r C)0 L-5 O`2" , i. t , ` a ` Vendor No. Check No. Town of Southold, New York- Payment Voucher 25038 *3 Vendor Address Entered by P.O. Drawer B ( � Vendor Name Audit Date Z&S Fuel &Service, Inc. Fishers Island, NY 06390 FEB- 14 2017 Vendor Telephone Number 631-788-7343 FYI Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number ,nescnption of Goods or Services General Ledger Fund and Account Number x - 21596 1217/16 $69.00 $69.00 FI forklift 10 truck 1.173 - \9l2 SM5709.2.000.200 , 21597 12/7/16 $17.74 $17.741 FI forklift 5 -15. 1A N93-7 SM5709.2.000.200 21635 12/22/16 $108.00 $108.00 FI forklift 10)truck(23.141)- l a1 a. SM5709.2.000.206 $194.741 1 $194.74 Payee Certification Department Certitieation 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 Signature7j,' Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date oQN7 Vendor No. Check No. Town of Southold, New York- Payment Voucher 25038 36(0 Vendor Address Entered by P.O. Drawer B Vendor Name Andtt Date Z&S Fuel &Service, Inc. Fishers Island, NY 06390 FEB 14 2017 Vendor Telephone Number 631-788-7343 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 27273 1/26/17 $253.49 $253.49 FIT 95.8 gal heating oil $2.646 — SM5710.4.000.200 OPIS attached $253.491 1 $253.49 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�itle Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date �� Statement Z&S FUEL&SERVICE,INC P.O.Box 601 Fishers Island,NY 06390 Date 12/31/2016 To- FISHERS ISLAND FERRY DISTRICT P.O.BOX H FISHERS ISLAND,NY 06390 Amount Due Amount Enc $30473 Date Transaction Amount Balance 11/30/2016 Balance forward 218.00 12/07/2016 GAS 69.00 28700 12/07/2016 GAS 17.74 L 304.74 12/09/2016 PMT#3687 -108.01 196.73 12/22/2016 GAS 108 0 30473 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due !f.74 0.00 10999 000 000 $304.73 r Z & S FUEL SERVICE, INC. i Z & S FUEL cis SERVICE, INC. DRAWER B i DRAWER B FISHERS ISLAND, NY 06300 FISHERS ISLAND, NY 06390 (631) 788-7343 •(631) 788-7343 iREGISTRATION NO DATE 1'Z `J I REGISTRATION NO DATE .-j /.7 1 . I 1 ( t L r NAME r (�'rrr -µ NAME STREETJ- 1 ]�.t `�7 f�"'� 1 � �y STREET '! CASH GOD CHARGE I ON ACCT MDSF.FtET'D, PAED OUT ACCT FOR.WAAD i CASH 1 0.0 U. 1 CHARGE ON ACCT. MDSE RET'D PAID OUT ACCT FORWARD Liters/Gals. Gasoline � ( '�� V S- �J� Liters/Gals. GasolineeS . ( /7 • I r Liters/Qts. Oil i Liters/Qts. Oil Lubrication Lubrication Oil Filter Oil Filter I I - I ` TAX 1 TAX 1 CUST EF1S TURE � 1 � CUSTOM S ATURE {}^i TOTAL ,t �a Qr� �j2 TOTAL 'f V C PRODUCT 608 All clapi6and returned goods MUST be accompanied by thl II c PRODUCT608 All claims and rturned goods MUST be accompanied by 21596 - `Thank`You 21597 `?hank`You a X J 1 U l0 2 a ~ 0 I ° I zir r w D E of Q @1 vs o C3 I M w �' n1 w vi 7 12Q a i N M r, = L zz 4 +�+ yd. LL e I z m .. _ z z a J J J O ` Cn s o � ��^ o 3 ZI N U U , a y, °Z& S FUEL& SERVICE, INC. Invoice P.O. Box 601 Fishers Island,NY 06390 DATE INVOICE# j` 1/26/2017 27273 BILL TO FISHERS ISLAND FERRY DISTRICT P.O.BOX H FISHERS ISLAND,NY 06390 �C TERMS ITEM QUANTITY DESCRIPTION RATE AMOUNT fuel no tax 95 8 fuel oil tax exempt C/O OFFICE 2 646 25349 001 m 2, � N I \ � s x CC Q[L � s z \ Z f p W rf( o OILLI W ZD O Q v\ i ❑>6wZ /'4� A WILI❑ a L �.J LL¢ ¢ o 00 !G J o 3 WO W¢ w m m o Q aC s F,, a-cc y~ O~ w r� W otter 3 a � ' C: z v > El iCf) Z ow` ._ Cal N w W =.S o n n cai o O CM u El > 1-0 m (� v m� y Y x ul ir m , W oLu � Im m- J" 0 W �O � z Z0 � fO® " 1 z J 0 ❑ F Q E'Z1 1 w Q 0 W z �^....4� T a ^ v a. Pte`' n•,� j Cc d U al N .O E 4 cc W > //1 Q Q cow LLW I o W F ¢ C� N cr a LLo�� w o > o> > i• ;� FW ZW m D O OQ ¢ ¢ ?� m❑ W D o 9 m Q U D afAU PLEASE INCLUDE INVOICE#ON YOUR CHECK THANK YOU! Tota I $253.49 Buckeye2 (00B) <RETRYCOUNT:3> Buckeye Energy Services LLC The following prices are effective At 01/25/17 17:00 GROTON 2FUEL500 ULSD ULSD DY ULSD AD LSDDYAD 17:00 Change: -0.0300 -0.0300 -0.0300 -0.0300 -0.0300 01/25/17 Price: 1.6240 1.6960 1.7010 1.7210 1.7260 **2FUEL500 MAY CONTAIN UP TO 5% BIO** **COLD FLOW N W AVAILABLE � Z �Ik The above prices will be discounted 1% if paid in ten days from lifting. ***PRICES IN EFFECT UNTIL FURTHER NOTICE***