Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
AU-05/09/2017 Fishers Island
- --- FISHERS ISLAND FERRYDISTRICT ' � l VENDOR 001395 �DVANTECH CONSULTING CORP 05/09/2017 CHECK 4023 - FUND & ACCOUNT P.O.#$ INVOICE DESCRIPTION AMOUNT ,1 SM .5710.4.000.500 967220 IT OUTSOURCING`-4/17 1, 100. 00 SM .5710.4.000.500 967220 ADDT'L IT SUPPORT-3/17 7,310.00 SM .5710.4.000.500 967220 AWS HOSTING,VPN,SPM FLTR 270.00 TOTAL 8,680.00 r' NC, - I, r_ 'r- o - o o - IF- millo e ■ o ■ e ■ -- - FISHERS ISLAND FERRYSDISTITC7" ;"F.UDIT o50.9/17't'',,f i - - 53095 MAIN ROAD;PO,BOX',1 WEI- /I ° '11 _® a.� `.1` �-� .-r�' •� ,SOUTHOL`D;•NY`;119r,s71%0959 "`L"• '' 'tr - L.•f,' r#" — • - _ -- - - - .r- •LI'I' •''r% �p-'f {fld",•ISI n�li','41�1° _ a. - - __ --- -=---__ ��, I!=J'� 'iN"� N � -r.il•"BANK;THE°SUFOLIC6:NATIONL TCHOGUE:'NY,1f1935 -E"CU � AMDUN� .`'`'1`, II?•' -- �,:_', ;, , - y. -- _-' --: -��'ti,''d�. '2a.',; :;�. ,-=£'i05;%=0"9:/2'017;•'• .$8';,68'0'-00;°� '_ EIG IT. THOUS'AND•,'S°IX''>HUNDRED.`EIGHTYi,P;ND.10;0/10,Q~DOLLARStd _ a___ '',I t`1 h' •„il?' arm'{� �,`r 1'u� - :'s-- -a,'�°a_1i,' =t"ct' -_ _ _ _-- _-_ - _ .i�',5• A�' d,'I}I `I a 1. - __ -__ '-_ ___ __ _- _,Nr l' tL I } ! - - _- Yt-- - .AY ADVANTECH,LCONSULTING' .CORP' _ ✓,`. ,, ”' . ;BOX'I'.95'1;°. 1 I.1 ,1 _ - _-_ ''1„i1. .!. "I °',d•., 1°, - XDER•3 '>f" _-- i �'SL7FFIELD, CTI- ,, ,-0;60.7.8, - - _ --- , - "•,`• - �T}"•"1°'.'r` bio- "'y I ; _ _-- N,It 1' _y'Ni!I'1`'•1', _ __ ___ __ _ _ ___ a tl"1 ,I�,I�r. �17,•`4Ir,1' - _ -" --_-_ � _--_'1u' - - #__ __ _ __ -'_-_'.i, , ,{•,Qi ,1 1111 i,ll`',I' ,__ _�_ _ _ -_- _ - 1 'I_•IIJ _ 1 x,11,1!� - - - -_ __ _ ” till l' I -_ -� --_ °,'e1;7111,i •-�1�4.!,,,`,''J'I'I� `y„!q _ �'}- - - _- �p°r '1' u■p04'p 2'3,n% `''i' 0''214`05,'64is " =6`8`�=-00'1-50 2 Vendor No. Check No. Town ®f Southold, New York d Payment Voucher 1395 - 0a Vendor Address Entered by P.O. Box 952 Suffield,CT 06078 Audit Date Adventech Consulting Corp. AAY°Q 9 2017, Vendor Telephone Number 860-668-0044 FY17 Toum Clerk. Vendor Contact 61..4)• Invoice Invoice Invoice 1 Net Purchase Order ` Number Date Total Discount jAmount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 967220 4/2/2027 $8,680.00 "o IT outsourcing 4/2-30/27 SM5710.4.000.500 ' 1 W60160 5 - )7 dol atOC�. AWS as $8,680.00 $8,680.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified liave 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 o%ving,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature_s Vin-+ Title Signature �1 Company Name Fishers Island Ferry District Date 4/27/2017 Title Date e AdvanTech Consulting Invoice P.O. Box 951 Suffield, CT 06078 DATE INVOICE# 4/1/2017 967220 BILL TO Fishers Island Ferry P.O. Box 607 Fishers Island, NY 06390-0607 TERMS DUE DATE PROJECT Due on receipt 4/1/2017 QTY DESCRIPTION RATE AMOUNT IT Outsourcing -4/1/17 thru 4/30/17 - Includes 20 1,100.00 1,100.00 Consulting Hours 6.5 Ticketing Support- John H - 3/1/17 thru 3/31/17 55.00 357.50 80 Ticketing Support- Maheswari - 3/1/17 thru 3/31/17 36.00 2,880.00 16 Ticketing Support- Prasanna - 3/1/17 thru 3/31/17 50.00 800.00 4.5 IT Support - Ed - 3/1/17 thru 3/31/17 55.00 247.50 46 IT Support - John H - 3/1/17 thru 3/31/17 55.00 2,530.00 9 IT Support - Seth - 3/1/17 thru 3/31/17 55.00 495.00 AWS Hosting: Apr 2017 125.00 125.00 AWS VPN Tunnel: Apr 2017 45.00 45.00 AWS VPN Client (10 users): April 2017 25.00 25.00 Spam Filtering: Apr-Jun 2017 75.00 75.00 Thank you for your business. Contact us at(860) 668-0044. Total $8,680.00 Unpaid invoices over 60 days past due date subject to late fee and interest charges. I I FISHERS ISLAND FERRY DISTRICT i VENDOR 001318' AIRGAS USA, LLC 05/09/12017 CHECK 4024 - 1 , FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 9062077443 (2)PROPANE-NLT FORKLIFT 106.66 SM .5709.2.000.200 9062603905 (1)PROPANE-NLT FORKLIFT 36.33 SM .5709.2.000.200 9062654525 (2)PROPANE-NLT FORKLIFT 106.66 i TOTAL 249.65 a.. yr I r — s" r— , — I 1 I 1 r � - r- - - : _yr: y• ,;' "i < ,'FISHERS.ISI A1VD'FERRY DISTRICT; AUDI IT " t• 53095 MAIN ROAD;PO 60X';1179 _ SOUTHOLD;NY,11971,-0959, (P,•,;;` "'+'' ,' CH'ECKi NO':'' 4`0.2`4';r ,THE;SUPFOLICXOi NATIONn�,L'!'B'AW , -- __` p ,f„t I 11,ra;,r;.,',1iI`..i, CH OGUE;,NY;11,935 AMOUNt,, 'I °•II' ,Ih •.! I,,19''•p'P .'t, __ -r.-f;- - it"n' Vin' "',p r,''. ,;___ .. - --- _ = qP,vpo0' 6„r 0„Ih 4 4,I,d 1 :;a` -_ '_--_ __ _ _ _, I,ll,`� +,'Igryp� ,- "P ,,+'• � ___ _ _,ice_ _ '__ a�' i ,{ %+ ,d i__ >T 50-5:46/2 ' ,14, 'f. .4,. �' - ••t.�I , f,, ' Jt ,,,,+,r •....." .. ,'' 'a".>�• `�.'i''�: .' , -'TWO,,-HUNDRED, -FORTY-,;NINE AND;'k6'5 $DOL LARS - - _�•. - __� - ,1! ,,, mill' 11 ,111:,; _ _- - - _ ^`�� - „ ,i XPi ,1't' "IB{'1'r - _- _- -- - -_ _ - v - - -- ,Il l�lu,i., '+��I+fl,l,'}nql ''Ui,�'I lli -.° _ _ - _ !,,,�„ ,I ail I',1 ,I,�',' ,i�'; i4' - -.. _ _ --'i� •k a ArIRGAS''USA- ,{;.,, _ _ 'I';• "Ir;,,+ r,'a +t,J','1�,', "W I 4„,- _.- -� _-- -_-_ _`_= -_ ''y .'r'.."h,"s _ -_�- �-- - -' -_- ___�,"� "'' '.s",. '',y.•r,;4,,,' - a fl!'uPO, 'BOXUf 8,'0'2576 1, - 1�h+'" RISER ,;r P', -- ,;:;' ;;, GTI'ICAGOr:II�t''6.0;68Q=25,7:6, .,°"': +'';,r", ;",, ;•1+. _ ''' T'::,o" ',. 4'S*' "i l.• ;F, ,� -tr > %: µ"F,r.' t;''l%a.d '(i> ��> OF 'fe'�,'i',1111r=i,i�',,,r'I�µ! -- 11'ad1 'r M "us 0040^2 4``ii'' ''� '0 t L�4"0`5'4`6 4`1: -68- "00 150 2 L'i`i■° __- . . ___ • -: . _,-- li Vendor No. Check No. Town of Southold, New York - Payment Voucher 131 Vendor Address Entered by 10 P.O. Soft 802576 Vendor Name Chicago, IL 60680-2576 Audit DaKe Airgas USA, LLC Ay Q 9 2011 Vendor Telephone Number 860444-3055 800-962-0285 Town Clerk Vendor Contact . u Invoice Invoice Invoice i Net Purchase Order Number Date Total ` Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9062077443 4/5/2017 $106.66 $106.66 Propane c I (2) SM57O9.2.000.20O LVLT Forklift 9062603905 4/20/2017 36.33 36.33 Propanes 11), SM57O9.2.000.200 LVLT Forklift 9062654525 4/21/2017 106.66 106.66 Propane c I (2) SM5709.2.000.20O KILT Forklift $249.65 $249.65 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good�condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature�(�— 4n 4,—dile Signature a b-1111 - Company Name Fishers Island Ferry District Date 4/27/2017 Title Date I's I I7 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDERNO NVOICE NO INVOICE DATE O'D`TO O` .: LD T• NAME 1057022761 9062077443 04/05/2017 2576547 FISHERS ISLAND FERRY DISTRICT PO t RELEASE ORDERED BY SHIP VtA PAYMENT TERMS': ORDER DATE CARLTON WILCOX ARGTRK NET 30 04/04/2017 DELIVERY N0.4 .. QTY' CYLINDER MATERIAL NUMBER UQM.: f17Y81© UN1T.1'RIGE UGM AMOUNT- bESGRIPTION SHIR'Q Sr>xD ,ACV0 8062425756 PR 33A 2 CL 2 2 31.93 CL 63.86 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) (H) Sale subtotal: 63.86 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.51 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT106.66 Airgas. - FISHERS ISLAND FERRY DISTRICT an Aur Liquide company 261 TRUMBULL DRIVE Airgas USA,LLC FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv.returnedmail@airgas.com REV 6 1 16 0012261 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale. Each sale of Goods or services by an Airgas TM'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application((f one has been completed),and the terms of Sale found at hit p/(Nnv4v aira2s c omkerms-of-sale(collectively the"rerrns of Sale') Each Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms or Sale,together with any other material describing the Goods or services being,' sold,their price,delivery terms,and all other special previsions "Goods"refers to any items of tangible personal property described in any Contractor otherwise provided by Seller to Buyer Notice Regarding Cylinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or (eased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes batween Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims w0h)n 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(1)returned such cylinders to Seller in good working order or(if)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deoosit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airqas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned. Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the cescnption thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liabiity: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 1.5%on the unpaid,past due balancs,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and'oi raw materials used in the production of Products and/or(b)fuel. Title to Equipment: Title to all rental equipment shall remain in Seller's name. Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment :[axes. Any taxes imposed by federal,state,or other governmental authority on the sale use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges: (a)The total amount due from the Buyer may include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials;charges for handling,delivery and shipping,and/or charges for energy or fuel None of the cnarges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller.The Seiler has riot specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things., (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts Certain Airgas companies are U S government contractors and subcontractors and arc subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance;Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:11 www.airgas.com Visit us online today to see how www.airgas.com can save you time and money FOR LOCATION NEAREST YOU Airgas DELIVERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company t SHIPPER: SOLD BY: "7 i DELIVERY ORDER#8062425756 AIRGAS USA, LLC AIRGAS USA,LLC t PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 04/04/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:04/04/2017 800-962-0286 800-962-0285 PRINTED: 15:27 04/04/2017 SALES ORDER: 1057022761 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3511729 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US 261 TRUMBULL DRIVE ORD BY CARLTON WILCOX 631-788-7463 FISHERS ISLAND, NY 06390 US ENT BY GARYDUBATO 1 f Sales Sales Total Containers Order Type,} Payment Terms Incoterm Route OPlant Office OrgShip Return Standard f NET 30 Airgas Truck Airgas Truck N329 N309 NOW Order g Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret IWt 2 CL X UN1978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 2 20 64 LB PROPANE 32LBS ALUMINUM 136.000 LB EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ ❑ SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dNWW AIRGAS CO h4 OR BY CALLING THE ABOVE LISTED EMERG CY CONj CT PHONE NUMBER AND SELECTING OPTION 113 ACCEPTED FOR /r ACCEPT REJECT THE ABOVE THIS I �' CE TJFY THAT THE ABO V NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PAC (} KED Af LABELE /ND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST AC b G HE P LICABLE GULATIONS OF H DEPARTMENT OF TRANSPORTATION INITIAL CHOICE N . NAME 1 PLEASE PRINT AIRGA PER ONNEL y DATE T.O D `�- - 0--'��----------- INTERNAL USE ONLY — --------- Filled By Staging Area Total PKGS Tracking/Pro Number Freight CHarges ".^Total Weight• Delivery#8062425756 �I 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII `Total--ht for . .......,+-.- . AIRGAS TERMS AND CONDITIONS OF SALE MARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALIVA IS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREAV41LABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP H WWW AIRGAS COMIFERMS-OF-SALE(COLLECTIVELY,THE"TERMS")IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER (.CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT.UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKEANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(15%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BY LAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS:SELLER WARRANTS THAT,AT THE TIME OF DELI VERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINSTANY SUCH CLAIMS 6.LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7.REMEDY BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCTAS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8 COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9 ITEMIZED CHARGES-THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BYANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE COr LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Ox LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OREXPLOS/ON FIRE OR EXPLOSION RREOREXPLOSION POTENTIAL HAZARDS HEALTH •EXTREMELYFLAMMABLE. EXTREMELY FLAMMABLE Substance does not burn but will eupporl combusupn HEALTH •Veporemay cause dannassumphyswum •Vapors may rouse tliulness or esphynieUon without • Will be easN Igmled by heel sparks or llamas Will be easily iron. od heat sparks w llamas Swine may react ek Meas(N wM fuels warring wipors w h,flu • Wit ors n=Fah,cf nu in write- .VAII Ie w erykurvo mantras with car •May iB^le cwnbusoblge(came paper al ,mang etc) .yapas from Ugv¢fsal gas are mM1ially heaver mural Vapor.bem along gas ore Imtlaay homer then an •Vapor'and fgya h,arc 1 ra Mower Nan art spread,long mane caul s-I s daugmuse in au Vapors Than liquefetl gaa ere 1,Souy Mower Nan au spread h b ands tl clan tl and sweatl ebng Brand prey g gran goal O wdrmp,(UNlsonrceol M,,(riflesh lBMback .ThoseeelywhasawadunwMsimalnmay polymerize along gr maycandmay hannal hisou..plaah h—rrce lgnliion end Bash back .ConlarlwMgmor Ir.snetl Be,may cause burns FIREOREssabl,ON CAUTION Hfell(U(IM).).Melo.(UNISTI).lighsor eaporslfro whenhe ger are Trial in afire Cunoff ounter, oy ahrawe.pm heated end sEORE PLOSIO howbile •Non-olemmady,,pled rehl9emted llqud(UNl%s)oMNeNerm(UNtgr1)ere Sghtar Nen .Napes 4omhquefndgadmyuaeltins—mu,coon can Con[avursmaY eryuayroke Maletl FIR.n dear LOS/ON -RupolmammaY e,ses when healed air and will dna Hytlrtrgen end DaNedum f arc ddfleun ho delecl swea0 along gronnd end may Uavel Ig source of Ignition •Ruptured rylintlgra may rocket •Non Rammebl, •Rupluretl rylntlars may rocket sl.hlheybumwllhanlmlalbt,Dame Use Onaltomatomelhodol wellashlank HEALTH gases PUBLIC SAFETY tlev:rUon(Nemrol camera,broom hwNle,ale) Lylnderae dI,lire lend release flammable Vapor, mrzmasswesh IwuMw mout warm Cmturedcla e.mayndhen heated C der,wpakdd to Ino may vent aM release Ilam^able gas zona, may van pars may cause p yl ^B Ruptured ryliMere may rocket •Isolate spin w leak uvea nmmemelety far el Ieasi IDD ylm gas aincev wesswe rHief eowces Calori flo Bas w I�qu.lied gas mere caus0 burro severe jury PUBLIC SAFETY melena(3301ech m all mrn alaw •dreContamers .y.rofelemces Rueainers mavens my when heated and/w hared. •Inlaid sellar leak area lnuh lely lar al least lW Keep unamhonz'O personnel away •R.Temed.yinyeremaywhen healed •Rupluretl cylinders may reken •Fire may protluce irrilating end/or[gale gases —fare(330 fee,)m all dvaccom Slayupwlnd •Rupiwed cylinders may rwkei HEALTH PUBLIC SAFETY Marry eases are naaww Nan i n end wu spread HEALTH Vaporsdiszmess m Iatun wvwiml warnin Keep umulhprlxetl persamel away •Vo dizziness or az am wMoul wamin may Cause esphyx 9 •150191¢spill w leak arca unmetlalely lar el Ied9I 10o rRier9(330 •'My upwind along gwntl end COtl¢CI in lower conimetl uveas Vapors nay cause phyrie g •Some may be loncilinhaled at cpncenlraliom leepinell Ortecuons •Many gases ere heavier than w,andwitlspreadelong (sewer'bwsm-me tanks) •Some may be Irrltwingl IMaleeet high concournons Contact with gas w fquelied gas may cause burns severe Keepuneumelzee personnel awe Keep gutof lav areas • Count.11,gas w liqualle i gas may cause burns were mlury y ground end caned In lav w conlinetl areas(sawws ,ne y pro Ino r am h •Slay ugwntl basp let-or •VOeWm closed spaces balsa entering and/or fr yproo. Fine may protluce Pruning and/or talc gases Many gases are Mailer Hams andas spread alongnks) ane Keep out Nsew areas PRDTEDTIyECLOMING •Flre my prodpra vuuuUBLIC r SAFETY es PUBLIC SAFETY caaew in lower ronfnge fleas(sewers basements Tanks) •Vemuwe closedVECL apaces before entering •wpparatus(e pressure sou comamee breammg PUBLIC SAFETY .I(330eet)llwTell lmmetlalely fpr el least 100 meters Keep,utollgw areas PROTECTIVECLOTIIING apparatus(SEBA) •Isolate spill a leak uvea mmmedalely Ica el net Too malars (eep urng m all nt p •Vevwwe VEclacedlCL seams belwe entering •Wpp pause pressure sellt,niwee0 bneaN�ng SWclural Ivefghlea prolective cloWrnB ynl only (33oleellmwlea pwaoaral Kmpp.ho razed personnel away PROT-we,,pTIPressure epparelus(SCBA) Pr—dEVACUATION Umiletl Onolttivm •Kea.p.n Irorixee personnel away stay many gases Weer peswvg Pressure sell rAniained breaching epparelus Sls,kcheehouneg Floteprolective clothing will only EVALUATION •SmYupwntl •Marunl we heavermeT manewlllu,( along (SOBA) previde loutermalpUon Lazge Split-Cnolder,re(33lnnialeamwintl ewcuatim(w •Mary Doses ar Mayor!Non(eM wA sweatl abv9 Brent arnd b1som entl cdbct m bon w confiriad eraas(sewem Wcar rJtemncal wglechve clothing wtuch is sp JficellY pl,na1 wear Nemms proiecus a 1d,when ai least ant meters(,r feel) reed N kf la areas nrn=a(aavwe basmama ks) be p out of orMlw err Mamurre"deO by Ne manNacNr.r It may protide liml,a m ,nq reeig.relewcryopenic LqulOe a sWiOs Flre-T lank nal con or lank muck,a Inwhetl in a he •Keep out vl law areas •Keep put of law wens thermal prolagip" EVACUATION ISOLATE for rwormi malora(t2 mile)in ell macs s PROTECTIVE CLOTHING PROTECTIyECLOasure Structured firefightersmetalthee ut clecwnm¢ne, lade Large wmwa (o ,nnNal downwind evacuatnon la at 9150 cmweer ismalmecualion lgr S00 meters • Structural Wou�lvefghtwe prruss ivmred e I,.,,,ng mo Ny pmwde lanottrus etl •WOar positive pta55we sel{ml9inetl breathing epparatu9 sect wONLY It rs rot ce,,VO si spit siluatbns enure tlrten Fire-0g meters ce,leap (trz mile)In eu mr GEN (SCBM wrw l wM no substance a,cI.mle Flre-T lank.rad car a,lank truck is inwNed m e fire EMERGENCY RESPONSE prole0w •Svuw prouschu,ers pngieclivg cmMing wJl only provide •Atweyewewinermal pmtoccwa clwhmg waren hmtlling rolrlgeranV ISOLATE IgrBa.c-h-ter sol ul mwers(U2I also Fus •Alwpye wear Ih¢mw praoclwe cloNmg when noodling I.=pretttu,n cryogenic equtl9 ca dnec InNal evacuaum la B00�ralws(12 mib)m Use estieM Frog eBenl suitable Ica typo w rIC ATI UcryOgmic IiquiOa EVACUATION EVACUATION pa dirxuom onndutgfire EVACUATION Large Spill-consider rmaaldawrwne gwcuaem for at least large SPIII-C.nstler lnpiel downwind macueupn total least stag EMERGENCY RESPONSE •Move c,nmmers from are areas it you can do It Largo Spill-Consider initial davmwintl,vacua[l,n for el least 800 Sap molars(112 mile) memre(1/3.11.) FIRE wimogadc malora(12 mle) Fore-II IoM nal car le hank yuck c Ins use in a Iva ISOLATE Flre-II tank rail car k lank ac Jh t mwlvetl m a he ISOLATE Use ezUnguishmg agent salable Ica rype W 'Damaged rylvidere sMUW bo Mndled only by Flre-II ars rel car w prnk U h e valso in a one ISOLATE la for 1 WD meters(1 mile)In al tivecwna also wns�tlm iniliel la 80a meters Boa mk)m e0 tivecUma also consider m[lal s oundmg Iva spec ore I. means(1 mid)ts a0 e.eefms also consider Nibal awmaMn avacuatwn Ica 1600 maters(1 mile)in all tlireciiona ewcpeli,n Ion 60o meters(12 milli)mail tlrtectims •M,ve centaners from Ile ones it do II Fire Involving Tenk' Ica 1600 melena(1 mile)in gll dv¢Npne you can EMERGENCYRESPONSE EMERGENCY RESPONSE EMERGENCY RESPONSE analg nsk •FlanhoidwnmessIssusmnce,ruse unmannoa FlRE-DO N07 EXTINGUISMA LEAKING GAS FIRE UNLESS FlREIR.—lmguuhmga9enl suitable(a type al surtonntling line ,Damaged cylinears strwltl be haMi.d only by Msandenw,wiumnnrmg qu FlRE CANBE EXTINGUISHALEAKING GAS FlRE UNLESS LEAK FAN-ESTOPPED Small Flrea-Drychemicwa CO+ sPavol,in C,alconcanne..with Oo,eing quantities of wafer until LEAKCAUTIONy STOPPED Small F/ms-Drychemical orCOe Large Fl res Flrehtfir.lft mead woiletlerlve is out CAUTION HydroBp"(UNnsid(NIM)umr,wi TJ and Large Flrpa Water spray log hor ose his loam Fight lbehwnmadmumeshol.ee use unmannetl 0.net II mayolsourco of leakor'aleN Hydrogen,reganaedliqure.hremeburnwlthaninvislb/a Watersprayalog Mm,geniaiT IranIrtearea ityou rangy it lanunsk hosemounaw monlorwxzles de'^caz III mewoccur Rama m with a andlgethuns m/kiure,compressed(UN10.T4) Move cmmmwa from ov.....t you can do l walheut nsk Damaged ITT should ba haroletl,nN by specali,i, Curl conr fra l vnnh 11a0dmg puanbties of water unit Withdraw immedlaleN m case of mang,ii,sentl hen may bum,-Dry Invisible name Fire Involving Tanks Fine Inrolving Tanks wall cher Ile Isout wmmg Batey tlmicesw mks enwl,n of lank Small Fires-Drychemcalw DO, Fiallire lmonar,—tlistance or Useunmanne0 hose Fight lire IT=ma,imum mstanee or use unmmnetl hose holders Dl npmey wateralsonrceolleak or salary tlewces 'ALWAYS stay away from ranks engullatl in fire large Fir-rsu teal cro hennonit drozzles wmwwwroutes SP/LL OR LEAK • Water spray w log Gail f-0nlame,a with fbomn p 9uanuuss al wafer until eel cher ¢mg may occur as Do not toucher walk through e Ilse material gpuanLUes 0l wafer until well Coal conmmere with Seee�n Wihtlrawfety0 ca Inc case soundP' •re in olving we from Ile area J you can deal wilhoul nsk aIle has a out Irte Is out venting safety way ho n(disc anginal of in, Slop leak If you can rs s that g nsk and,,f rather Fare lathe from Tanks Do noldrtect water at source of leak or safety tlewcaz icing •Do net sits eel water al source of leek wsalary tlmices Icing • ILLOR LE yaway Ganlenks engullad nn Ire turn Tel containers so Choi gas escapes rather • Fight Ivo from maunwm mslanca w use unmmnetl hose holders may grew may occur SPILL OR LEAK Nan kqulw mnulornoules •WmcnewimmeliateNm case ofneng sound from wnlmg Wthdrew lmmeeidelyin case of nsmg send lrom,whIg safety Do not touch or walk through stained mu.nal •Use water spiny 10 re0ucawporsw men vapor •Cool conieiners withflooding quantities 01 water,,Ul well alter safety devices or discolorwon of lank de,lces w mscalwacion of tank Stop leak if you can do It without risk end It possible cloud men A,,ld allowing water runoll to contact Is.Is oil ALWAYS slay away Irae Na eves of the tank ALWAYS stay away Irwin Jenks engu¢ad in lire tum Iaziu Miners se Mal Ne, aplled malarial •D,n01 drtew wafww srnca d Ipak w safeNtleVt IM nay wear Fro massive rue use unmanned hose holders w mmlw For massive fro led urunanned Ione hddwe w rrammu routes it "g ca^ gas escapes re Do nor dnttl wamr u spill w swum of leak •Withdraw unmemalel Irisin sound ronin safety than liquid y m case o g faun 9 ss N npulgs J this a Impossible vnlhtlrew from area end lel Nis Is impassible wMdrew Gam area entl fol lire burn Prewnl entry ilio waterways sowpre basements or Ina burn SPILL OR LEAK Use wear spray 10 rowing vapour w tliven vapor ALWAYSway awe El oftft enank, cloud naloal drift-Amidallowingwater runolllg cOnmci conlingdue. stalc •ALWAYS slay awayh unmanned s If hose Nlders SPILL OR INLEAK Keept Touch orwalk Through paps Wetcichad Iransple0 malwW so hotlsectw AftowsVanuhrubstan. avapwele • For massive lye use unmanr r Mae holders h ingrate rorzles J •ELIMINATE all rgnei area) (no srtrokirrg,IMros sparks w Do not touch u,walk add w spilled material Do vont ennywater at spill w source of leak. Venlilaio Ne area this 5 impossible withtlrew from area and lei Irte burn llamas u wt used area) •Slop leak it you can a it wRbw risk entl II possible turn leaking .Prevent entry Into walerweys severe basements or FIfl rAI N-c SPILL OR LEAK Alroundemenn used when haMling Ne product must be conleschroumus maigazpaimseurewiftoak Iran qed conllnetl wean Mw 911 or emto erenal gency •ELIMINATE e0 Igmuon sauces(rw'rtgWng flares sparks a grounded look U,rot erect water el soil w source of leak Allow substance to e2pwele Cal 911 or emergeey medeal,s hot b llamas m vrmwdale area) •Slop leak d you ren dart withaw risk and d possi0le tum Usa water spray Io reegce vapors w liven vapor tletl tlnll Avde Gwe watiriw resprtalim it vic.m rs ml breathing •Don't rremusetl when harN' Ne product ram0atl es Vmlilale Ne area vig P B leaking cutamere so Nat gas capes rather than liq,,d allawlnB water rural la conlactnplllvd material CAUTION When In colica with remgerateN Atlmin�steroxygen 11 breethlnBudiIllONi •Erol touch or wain through,pilled ma l Do net leach w walk UnouBh stained meta l Prment envy lure—lemays saner.basammis or cwmacl le liquids,men lw10/a became bdHie end •Keep vicfmwwmandquicc •Slop leak d do it meth rusk end( uveas �o8'n qu Yrre yon ran laosubte hum leaking .co nor da—wasun e[swill er source of Wak likely 1.break wolhoul reining Ensure Nal metl¢el persmriel we aware w No rnnlainers®Mei gas earapae rather lean liquid •Use water smey tonal moars or myon vapor clone ami Allow substance to rudeand. FIRSTAID malaial(.)immivae entl take eecounal.1,omiecl use water spray 1,reduce vapws,r divanwou cloutl mel Awidwi,wingwstar run,fl To contact spitled matonal •Inhu,was until gas has mspemed Mpve vlevm to trash air meme.l.. Avow allaying water runoll to contact spitled material Prevent envy into waterways sawws basements or CAUTION When m contact with reldgerelsdreryoganto liquids, Call 911 or emergency mamcal semces •Do nal d,mI water w soil w sant,of leak cal areas many multdele become bridle and are likely to break wlthiltold Guo wmI resp osser,II wchm n vol breading •Flours spreading,ivapwa ch—fat, 1.venUlawn systems .Isolala 9reaumoigne hasdispe—c! warning Atlmnrsler oxygen it bnoammgis dillicull. and csalmni on F/RSTAID F/RSTAIU Clothing frozen to Me skin al be Viewed before •Isolate uvea nsLl gas hes depund Mea-le.t,bosh ev •Mow wcum to fresh air bang ant CAUi1ON Whenln cpnfacl Mel lahlynweibyogw uqukL%many C.1,911 w emerg nay menisci seri Cao 911 w emergencymedical sarvrcee In case of cul wM Uqual gas,thaw healed msMrinls besorne brrlHeeMore Lke/y to break wllhM wamhrg Give amfival returns,it victim is nal bneatning Gw,ertifcel respiralron it victims not brealanB parts wM lukewarm water FlRSTAID •Aemmlwar oryBenil breathing is eAGcua Admin,ste,oryBenifbrewnino,sdilficuli Keep wcum wwm and quiet. •Maw wchm l0 fresh all Rertmva end sobt.contaminated crwhmg antl shoes Remove cab slot.contammuni cbthing end shoes Emure Ilial nnetlkal personnel are aware of N. •Ce'911 w emergency meducal awnces .I^res.pl coninawsh equalled gas New house pans wM Cleahaq frozen To Ne skin should be mewed before being,"""' malmal(s)mwyVadantllake or—....,.Protect •Givemifcalresperan I conesrel hOammg lukawarmwaler Inca..fc,ncaw with liquefied gas maw,frosted pans with inemswves •Admmsterozygenil breathing is dilfcuit In case of burn,Irunnerwy cmlaflacted stun for as luk,wenm water • Fortune antl ncrale contaminated clpthmg and!shoes Img a,passible with aXtl water Do net remove chummo til Keep v warn and quiet •Cb.M more,m f DRl sMuld be Hawed telae bengerl atlhermgloakn Ensure Nat memsal personnel ineir lora malarial(s) •In case of conmcn vnth liquefetl ga.Naw basted pans with Keep Nchrh warm and quint Ill and take precautions to protect mamse,es nkewam water Ensure WI roubc ll personnel we swam w mo mahaws) .M cei W burrs smsider Y ed afoul stun la az kzy es Pascoe inyoNed entl lake pnecautrme to protect awnnsely® wM mUwaler m N renaB casing d wNermg reakin •Keep oums warm antl qulat •Ensure Nal mescal personnel so—wer'w My manna.) uw,iv,tl aM lake wtteNims to Pmtec[Narnsolves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 RD O Nv01 NO._,.w. ]INVOICE T S LEI T N LO To NAM) 1057564303 9062603905 04/20/2017 2576547 FISHERS ISLAND FERRY DISTRICT 'PO.1 RELEASE I ORDERED BY I SHIP.VIA. :.. PAYMENT TERMS QRQER E)A E [POLLY042017 MIKE CUPU NET 30 04/20/2017 DELNERY.NO.I QTY CYLINDER MATE RIALNUMBER UOM QTY 810, UNIT 01116E UOM .AMOUNT DESCRIPTION SHIP'D - SfO6 i s. 8063021272 PR 33A 1 CL 1 1 31. 93 CL 31.93 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 32 LBS) (H) Sale subtotal: 31.93 Airgas Hazmat Charge 4.40 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale AMOUNT 36.33 Airgas. s To 2576547 FISSHIP HERS ISLAND FERRY DISTRICT an Air ligwde company 261 TRUMBULL DRIVE Airgas USA,LLC FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndnr returnedmad@airgas.com REV 6 1 16 0012858 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale- Each sale of Goods or services by an Airgas',"'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found attt�yi/l vww_a€raas com/termsof=sale(collectively the"Terms of Sale").Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seiler to Buyer. Notice Regarding_Cvlinder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(i e„cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof. Refrigerant Cylinder Returns/Deposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e g,refrigerants). Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned. Warranty: All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the descnphon thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation citation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY OR OTHERWISE Terms of Payment Unless otherwise specified in a Contract,Buyer shalt make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to.Seller's assessment of Buyer's financial condition and ability to pay A lata payment charge of 1,5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars(S2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surch@ rain, Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel, Title to Egij>pmenl. Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment, Taxes Any taxes imposed by federal,state,or other governmental authority on the sale use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges- (a)The total amount due from the Buyer may include various itemized charges, including.charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials;charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seiler.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent GoVornment Contracts Certain Airgas companies are U S.govorrunent contractors and subcontractors and are subject to and adhoro to tho requirements of foderal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http://www.airgas.com, Visit us online today to see how www.airgas.com can save you time and money. FOR LOCATION NEAREST YOU I� ®, DELIVERY ®RDER VISIT WWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8063021272 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 04/20/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:04/20/2017 800-962-0286 800-962-0285 PRINTED: 15:07 04/20/2017 I SALES ORDER: 1057564303 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# [POLLY042017 261 TRUMBULL DRIVE, RELEASE# FISHERS ISLAND, NY 06390 US 261 TRUMBULL DRIVE ORD BY MIKE 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY GARYDUBATO Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Acct Front NET 30 Customer Pick Up Customer Pick Up N329 N309 NOW Counter T Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 1 CL X UN1978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 1 1 1 32 LB PROPANE 32LBS ALUMINUM 68.000 LB 'L EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDAZ3D TF MS NO CONDITIONS SEE REVERSE SIDE FOR IMPORTA T AFE INF RM ION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SOURCES,POINT OF PURCHASE,AIRGAS WEB SITE AT 4NWW.AIRGAS CO hD OR BY CALLING El ACCEPTED FOR THE ABOVE LIST D EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ,.�. 1. ACCEPT REJECT THE ABOVE / THIS IS TOC IFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER f f PACKAGED, RKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCOR�E.A2PLICA@1.E REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME / PLEASE PRINT AIRGAS PERSON EL DATE T.O.D. wrolmDINTERNAL USE ONLY SDelivery#8063021272 FIIIed,By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total W ighL8r68 .; AIRGAS TERMS AND CONDITIONS OF SALE MIRNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXI'REAIELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTI f E CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER •' ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS('SDS')AREA PAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP H WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") 1F YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,M GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT*UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(15%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BY LAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS'NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS:SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINSTANY SUCH CLAIMS 6.LIMITATION OF LIABILITY-SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7.REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8 COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 919-368-8518,OR(III)AT AIRGAS COM 9 ITEMIZED CHARGES:THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O, LIQUIDARGON LIQUID Nr HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIREOREXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELYFLAMMABLE •EXTREMELY FLAMMABLE SubWice does rid bum but wJlsuppon cora lbP Vaporsmaycausetllzzlness ar asphyxlac,without Veporemay cause dizziness Irmphpallon •Wll Immaii Ignited by heal sparks or flames Wil be easily lgnaed by heal sparks a,flames Soma may recotwisrvely,on fuels waming wiNoulwarning • Will Io,m exPlosrve harmun s wim sr Wait lam expbsrve m Wma wth Our May igwm corm) blm(wood paper at clowng etc) Vapas fr—liquarl.gas area ity hnawu man W, Vapas Iran Irquelled gas ora imi heavier Nan wr •Vapwa horn Iquerad gas ere maally—or thea air spread dap Slane Idt polo spome^eously m ear Vapors Irom liquefied gas era InmalN heavier than sir spread and spread along ground antl spreatl,lora ground ground I-1 my basal to source of lg^Non and leash back .Those substances deshgnaledwdh a(P)may polymerize along grcc,dadmay travel 1p sourcoof lgehon antl flash back .Contact with liquefied burns FIRE OR EXPLOSION CAUTION Hydmgen(UNINI)i DeNedum(UN1957),HytlmgeR rove gasp qua gas may taupe refdgerided Mould(UN1966)ond Mmak,NN l 9Them nghaz Hon Vep�rvely hquefi dWtl Initially nt NrM inane, Runloarm, ye Amor explosonhazartl REPLOSIabosana Nonlremmablogsser reashenhquefiedgasaremi,aa itow,,Nan ort Capture cykna explode when neatetl FlREOfl EXPLOSION Cmainarsmayers may,when healed err antl wall dee Hytlmgen aha Oeutedum nrev em tllmcun to tleted spreatl along ground a^tl may bevel to source of lgnaian Ruptured cylin0ero may rocket •Non ilammeblo Ruplurod cylinders may rocket cinrath bum MNmlmrsibla llama Use en dampen method of galas eY and mase back HEALTH Ruplaners may ens irm,when healed PUBLIC SAFETY detectionr,,,cul admen,my mailer rate} Cy mo expre b Ivo may vont antl rebase Ilarrvnabre Vapors mos cause tlimness w php,,T,m wanoul waming RupMetl cyl,n PUBLIC may rocket I—,Or sera a leak wee Immetliaaty farm least 100 •Cylintlers vxposetl to nap may vent and release Ilammabla gas gas through Pressure royal devices •Canted with gas w liquefetl gas may cause barna severe mryry PUBLIC SAFETY malate(3.30 Ing In ell Orecnans Ihrough pressureralief dewch Comamwa may exphnpwhen heated motor fiosibile •Isolate spill or@ak—ti metl�elvly for al least i00 Keepunauthonlad personnel away •Conlamas may,,piwe wnan hated Ru nuretl cyhnders may mel l Fuv may produce mdawg—lies toxic gases rtmlCra(3m feel)In all tivec Wh Sizy upw'"d •Ruptured cyliatlws may rocket HEALTH PUBLIC SAFETY Keep unauthorized I ewe Many gases aro heavier Nan air and IDP spread HEALTH Vapors may cause dzzmmS ar ash nonwithoulwaren pwsanne y aI •Ve diuinessan h Iran wiNoulwarnin P Yxa g •Isolate spill.leak area immetllaaty form least toe malars(330 along ground and colli In law arcpnfmed weds pas may rause P rya g Sana may he rant it IMaled el high oont.Vaws Ieei)m all the limp Many gases are healsr than ear and wall sc^brig (sewers hasertigrm looks) •Some may windmill as,Ind anhistafool go et high use burs Contact Injury I with Bas a liquehed gas may cause bans severe Kceo unaulFwnzetl personnel away tl and ranks)In low ar cont^etl steep(sewr;rs Kvep out of III ed areas •Contact withgas orliquehetl gas may cause burns severe inryry Inryryend/or frostbite •tea d groan yenlllvle closetl spaces bales entering .Nor lrosba Fra may produce imla lnoi ndlar toxic gases Many heaver ban av and wA spread along ❑antl he p w at tanks) PROTECTIVE CLOTHING •Fre ma oduce um un dear toxic a gases we r p g groan Keep Pa of low areas Y Pr 9 L gash PUBLIC SAFETY Idled in low a lonlmetl areas(sews a basements Anka) •ROTECT closed spacos betas enlwmg apparel. re presses scllimalned brnMrp PUBLIC SAFETY •1(330 feel) 111ll cherea lmmadalelylea mleast tmmelera •VwblKeepoulollod areas PROTECTIVE poi pressuN0 eppamlusrfighl •(330fi spill or leMatiche,netlialely for 91least lm motors (ede unl)inmledper •Rea ECTIVE CLOTHIN before entering .Wear .(S Ifimlaircetl brnNln `Structural mrefighlertl proteclNo cloNinp will only (3301eeQ m e0 tlreciwu Keop uraahmzatl parsomel away PROTECTIVE CLOTHING Poss�Pgq)sure se g prowl^(muted prdeclron •Keep unauthorized mrse l away Sttayupxind Wmr positive pressure sen-car tl breathmg apparatus Structural ( EVACUATION •Stayupwintl Many gases aro heavier than air md,lll spread along (SCBA) BHbcd,limited iced lers'pratnirve clothing will IDN Large Spill-Consider inial downwind evacuonon fa heavies bun av antl hill spreatl slap gmuntl end prwys Im,m,th prolet`on •Maecgases as grountl arN collect In krw w cmM1neU areas(sewers West chembal prolective tlobung which Is specifically k .pM.k thenhl p m k llic.d.when al least 100 melera(3301vd, ad Ka'mou lav ead9das arum(axes basercnle unto) hasp out.f-sin themmT mrnarMatl by Na menulacturn Ilmay prwWalialearo EVACUATION rpfngaeted/crypgenic lquitlaw SVLtl, Flm-Illankreit carwlank HuckairwglvetlonI,aa • OT outofto LOTH •Kuepoblol lowareas Ila-unprr,figon EVACUATION ISC-TEconodeaomelenlomomfo lnfOr11 matcnov PROTECTIVE CLOTHING PROTECTIVE CLOTHING Suumume ONL a,prolacMeclobungisreuenmendetl III file (maga Spill-Coni r.(—fel) dowrmantl wacuahm total also consltlerinlrecloacuation iw 000 rrrelere •Structuralfi wemae sallec—rcra brn.11 i,ly pm s(ICBA) Wmr posluvo wesure se6 mnlavutl breaNlnp apparatus contain ONLY ors rot eeacwa si spa snwtxms whore direct least tin melera car levo (12 mild)m ell ERGEks • Structural ndightera prvucnre daNing vnllomy prowtla limnetl (SBA) contact withco�lhesubslant-No 11 possible Fire lank mei car or(111 truck is mII Or—na Ere EMERGENCY RESPONSE proleNon •Bbemill Prof.—igeury prelecuvo clothing wJl only prwitle •Nwayswparthermpl proleclNO clvlhing when nantlling rvlrlgerenU ISOLATE Bram metersmoth m00 Nalldi(112 it also FIRE AMays weer vumW protective cbNmp when holding ACUA Prowywlenm liquids wisher andel ewcuatmn Iw Bm malas(12 mire)I" Use oxwgui Wog e9en1 swuble la Nae oI •relrrg ATIONrycgencmgwtls EVACUATION EVACUATION ell drxtmna ountling frta LEWIC argeSnoN targe spin-Consider lmnel dpwnwnd evacuonon br aneasl Lane Spill-Considerinibei apwnwnd evecuauon mr eneastsm EMERGENCY RESPONSE k+o thousa wnera Irom are areae l+you ten lou Largs spmente) yr rniaeltlowwnnd wacualim la at least BOD womdws(lrzmire) miners(ln mea) FIRE thous rndgre(in rade) Find-Ifrank rail car a IoM d,o a mvolred m ir fire ISOLATE F/m-II lank rail car,1)rank r buck a m..10 m a lire ISOLATE Use oundmg hmg agent suaeble for typo of Dpmagetl c}d'nde,s shwltl ba handled IDN by i6w If taMrel carom tankhickis mwlretlina6m ISOLATE lea for 1E01 (1 mile)in elltivewiona also consitler ininel foram meters(12 mile)Inell drections also tmsltlw initial specialists in 1600mweommilm)s)in achieti asp mns�dar WNalewcuadm acuatmn lea l6[O malars(I mlle)in all tlirectlms ecuallon iw Bm mwery(s2 mild,n all tluecnons surroundinghe •More oonainen Iran Iva areas it you c.do d Flm/h I,.I g Tania fes Ism meaty(l mire)m eu tlireclvo av EMERGENCY RESPONSE ev EMERGENCY RESPONSE waHwN pyr •Fight Ise Iran maximum disurta a use urvnanne0 EMERGENCYRESPONSE FIRE-DO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS FIRE-Usesedingashingagant—mbly for type of sunound^g fire Damaged cyllmm—hould be handled only by Imw holders a ozzl anon-nes FlRE-DO NOTEXTINGUISN A LEAKING GAS FIRE UNLESS LEAIr CANUESTOPPEU Small Fires-D,,hWhImiw CO, spociahah; •COO,cmanwe wnh flooding qumvhesol water until LEIIKCAN 6ESTOPPED Smell Flms-Dry mora l a DO, ",go Rres Flre/nmi Tanks wall rates hre u out CAUTION Hydrogen(UN1049%Deutedum(UN1957)end Large Fires Water spray,log or regular loam Flight fire from maximum di sbroe or—.—had •Do not direct wales al source of leak m salery Hydrogen,midgemad liquid(UN1966)bum w[the,Invisti W,teraprayor log Mme containers from fmarm It you can dorl withoin risk hose e.1d.l.r mme.,nozzles dewcea Icing may occur fleme,Hydrogenand Me Nanomig,m,compressed(UNI I Mwe wnlainers Irom fire snail you can don lnNan risk Dwraged gnndem amuld b handled only by speaalists Codi cmlands..flooding cimatresm viler until WMtlmwimmedui In case of hong sound ban nmybum wllh m Invl,lble flame Ran Im"NI'g Tank, Flm Involving ianis well eller Ilre is OUL waling safety emem on discalormon at lank SmffFIms-Drychemlcz1mCO, Fight lire from maximum datenceor useunmanned hose Fight lire Irom maximum distance or—i.maanned hose holders Donot direct water at sour[^at leakoreafety devices ALWAYS stay away kom hunks enguHetlln fire Large Fires holders d,rtmnaor—,as or monitor amines IN may occur SPILL OR LEAK •Water spray or fog Cool commons wall I)Doding quarmaies of waver unhi well Cod enma nes with fbedmg quontra of—or al well abet Wllmlaw un tlately In ease of rauN sound from Do mol leach or wslk through nail malerul •Move containers from fire area a you can on it wMwl risk she,lire n out fee is oa venting sorely devices a discoloration of tank Slop II ym,m do a athoa nak antl if possble Fire lnvolving Tanks Do not directwater at source of leak,,safety tlwhces Icing Do not direct him mmurce of leak or salery dwlces Icing ALWAYS stay away from ranks engulfed in fire [urn leaking contem—la,that gas escapes rather •FOM rue from maximum drsance w use—had Imp holders may Our may occur SPILL OR LEAK Nan I]quid mwutor nozzles •Wiftlraw m-handiatel m case at rising some!Irommg Withdrew v"medately In use of rising sound from venwg safety Use water sway to reduce lidera w dwell vapor •Cool comeners mi flooding emistae of water"1111,11 after safety tlevices or discoloration of lank dwioea or wscalemwn al lank Sonollwcn u wan ihroughsplletl mineral cdrift A-d ellowmg wat,r,un,q a contact ^N Stop leak If you can rs it what g risk end If rather a= maleral Ivo oouL ALWAYS slay anus from Um ed h d No lank ALWAYS slay away from looks engulfed in fire turn leukin lanes so that cur •Do rd rl eclv2ler m rloi,ted Wake®fury tlev[¢bap meyocca .For masswa rite use unmanned nose hdtlers a rronaa •Fes masslre fee use unmanned nose lobate w morias nozztes it Na h tl con gas escapes rat go�dvecl wales al spill w soured of leak Withdraw lmmetlialoiy In case of rising sound from w^lung safely nozzles it this is lmpessblu wrhdruw from Weamd let Ihlsnanpossible withdhm,Irom Wilaiii let hro burn Use water spray to reduce w sOr m,m,apor Prd a entry mho wwarways sewwe basements or pewees w tliwaloratmn of at, Ins bum SPILL OR LEAK claoutl Eah A—del-li,wdla,runofl u,co—el call ad areas •ALWAYS slay sway fmm the ends"I Ne lank SPILL OR LEAK •Keep mndrsCHn(wood paper Wale)may fresh epead lica al Allow,le, axe to evapwsle •For massive fre use unnanm0 nose holders w armed,tromps it spoiled erect l split theoint ,.sible withdraw Iran ern and let fire burn ELIMINATEall paaion sources(ria smobng flares sparks or Sop leak wan Ian hmisetl malarial D tdimclwalesmrwaw source of look RSTAIathe area po` Memosp mvnedideweal •Stop Inkit youcan can and 11 possible turn leaking .Prevententryinto waurways sewers bwsemenaa Flm AID SPILL IN LEAN AI untied nt used when handling Hu waducl mrsl Ue Do not die ct gal Bas escapes retia Han liquid confined areas G 9,corn to fresh av •ELIMINATE em Ignition area) (no smoking flares sparks or grounded Do not t reel water m spill or soace of leak Allow to m substance b ewporale C911 or emergenry metlical sources As ,lndkrt us if when •Slop lno,,wiakd you can tlo ltwascalek.tl lee,than liquid Nan Usestarspray) al cevaparaortlivml vapor cloud tlnh Avolo CAUTION G%mirnsiiciex,00 aloinetc,Ilii11 isnplbrgeNmg •St equipvroa ra U xfiwf amg dm Protlutl must be grounded leaking canfgmers so Nnl gas escapes raHrer than liquid allowing water nugH to col spllletl material CAUTION Whvn In ronael Mih reMgemleN Keep sea oxygen ii breathing Is tlilficull •Do ml loath a waft W ough spilletl melemel .Oo mol ouch a vrak Through sailed nield.1 Pmvant entry mho walomays—ns basements w confnetl cryogenic liquids,many mafsdals become battf,and Keep viwrm warm erW quiet • Ste leak II you can do a wahoul mall d possible turn IVMmg Do not d irecl water BI spill w soumv d lock areas am likely 1,bm,k wl h-t mating Ensure Nal medical personnel am ewwa 01 the ro Nca al gas es0ea,eVar Nan liquid use, wverl v vele,spray to retluce vapwedapor cloud drift- •Allow subpo sance agwrale FlRSTAID malerlel(s)involved and lake pmceutians bprofocl •U,ea n spray m reduce wpaa a erven vapor mxm will Avow ellwvirp wale,h r ff m emus spilled meatal ISalete ares until gas has hosel ed .Mow—um Ip fresh air Nemselvas Awid avomng water mrat to conact spilled mmeaal Pronintentrymm-larways sewers basements or CAUTION Whminwnud wim Wdgemadrecryagwicllqu/d,, Call gel er emergenry medical mr,1111 •Do mol oared water el spill orsource of leak oonlirum rods areany maledis become bdUia and am likely to break without .G—Wheal respettern it viclim isnot brealhmg •Prevent spreading dwpom through sowers renbahm Wane .(ski area until gas has dispe km waming AGminoter orywind brsock,a diff a and cmlmod ens FlRSTAID FlRSTAID Clothing frozen to the akin aluki ba—ad belae •Isolate area until gas has dopereed •MPvp,CIIm to fresh ear Mwevitirnlolresham b-gent—I CAUTION When In eonlacf MN mM¢rafMkrjogandalki,lah,many.Cw g11 a emergenry medical asses Celt 911 or emergency metlical wrath In cased coram with liquelrod gas thew Irosled «alerNls aacmmamrmemodmafIX�y to break MUradrvamlrg Gee ocalrespTawnii,clvnisrmlbreathing Gies Well respiatrond vicars rot breai i^g pans wihlukewarm oral. FlflgiA/0 Admmcter oxygen hi breathing is difcuA Admimsar oxygen 11 breath�ngatliHicult Kno—clarn—rma^dquol •Move victim w fresh au •Remove andicew,coramirated clothing and 6hom Remwaentllsvlaa co-ar,mated clothing and stens Ensure tlicd Ensure at reeperson^sl ere aware of the •Call 91,a wt ¢y mtli argerecal servers In case d correct with hquehed gas(taw frosted Pans with Claii hoz.b du ck,slroum W Hawed before beep reasizi mdmal(a)imwM.d and take weTautmnv Ip prdocl •Giw artificial respvalim dwcan,Is not breathing luk—ran wear In case of contactwith IiquefM gas,thawfro-d partswith Ibarmuch- •Admmldar oxygen it brea la Oil .In Case of burns immod alely cml aHccad slum for as lukswarm water •Barnes and Iaorea ca—mi claill and Woe, long n posuble In,cold water Oo rot shwa clothing rf Keep wcbm warts and gwaL •CkMmghoz.to the skin should he thawed bear.being--ad adM,.,g to skin Ensure thal medical personnel we ekn of It.male l(s) •Incase of contact wth hall gas Naw heslod pans wnh KeapwIw climwarmentlquiet dved,ndaves kepreceufons fors-athemsel lukewarm water •Ensure(hal medical pemormd are aware d the mel.al(sl •,amokdbrarevrtri ataymol eHectetl clan left trgnpos Dia Tari and take prem—to Pmlecl dr—Ima wnh olid water Do wA rarwa cloNmg it r hemp m a'un •Keepvidim—namdquiet •Ensue mat metlical personnel we swam d lou mererul(e) mmi and take pmcadims to weael-hi TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL- 216-520-6000 ORDER NO. INV0ICIE,N0. IINVOIC80ATEI . 80LOTUN0. I ' SOLDTO NAME 1057563306 9062654525 04121/2017 2576547 FISHERS ISLAND FERRY DISTRICT POtRELEASE ORDERED BY.. F . ZHIRVIA I -PAYMENT TERMS j QRDER DATE, POLLY FORD POLLY FORD A GTRK NET 30 104/20/2017 CYLINDER 6FLIVERY NO; QTY UQM OfTY8,10UNITPRICE Uom AMOUNT F -1 DESCRIPTION SHIRD s7o I I 8063021484 PR 33A 2 CL 2 2 31. 93 CL 63.86 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) (H) Sale subtotal: 63.86 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.51 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 106.66 Airgas. POLLY FORD Airgas USA,LLC an Air Liquide company FISHERS ISLAND FERRY DISTRICT 860-442-0165 Acct No 8606074318 Airgas USA,LLC NEW LONDON TERMINAL PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd 261 TRUMBULL DRIVE Independence,OH 44131 FISHERS ISLAND NY 06390 For change of address email to.ndiv returnedmaii@airgas.com REV 6.1.160013105 Page 1 of 1 or call 216-520.6000 Disclosure Terms of Sale_ Each sale of Goods or services by an Airgas TM'company is and shall be governed by the ten-ns and conditions on this Disclosure the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http//www.airgas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract)shall include these Terms of Sale.together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. 'Goods"refers to any items of tangible personal property described in any Contractor otherwise provided by Seller to Buyer. Notice Regarding Cyimder Rentals/Leases and Responsibility This document shows the total number of cylinders charged to Buyer(Le,cylinders which Seller has rented or leased to Buyer and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Guyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyet claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer ties either(i)returned such cylinders to Seiler in good working order or(ii)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors. Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(eq,refr:gerants). Each refillable cylinder will be subject to a cylinder deposit flee,as established by Airgas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty' All products, other items of sale, cylinders and other containers fumished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitauon of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. Terms of Payment. Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1.5%on the unpaid.past due balance,will be assessed monthly (minimum two dollars($2.00) or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges. Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency Increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel. Title to Equipment Title to all rental equipment shall rema:n in Seller's name Buyer shall not cover modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price temized,Charges• (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things . (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts, Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No '11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness Now doing business with Argas is easier than over with our eBusmess websito,http://www.airgas.cotn Visit us online today to see how:mvvv.alrgas.com can save you time and money Airga FOR LOCATION NEAREST YOU DELIVERY ORDER VISITVVM.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8063021484 AIRGAS USA,LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 04/20/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:04/20/2017 800-962-0286 800-962-0285 PRINTED: 15:49 04/20/2017^" SALES ORDER: 1057563306 SHIPMENT: 3545228 SHIP T0:2576547 _ SOLD TO:2576547 POLLY FORD HERS ISLAND FERRY DISTRICT CUST PO# POLLY FORD FIS FISHERS ISLAND FERRY DISTRICT FISHERS DRRELEASE# 261 DRIVE 860-442-0165 ORD BY POLLY FORD FISHERS ISLAND, IV 06390 US NEW LONDON TERMINAL ENT BY RANZARMSTR 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 US 631-788-7463 Order Type Payment Terms Incoterm Route Sales Office Plant Sales Total Containers Org Ship Return j Standard' NET 30 —F Airgas Truck Order Airgas Truck N329 N309 N000 SHIPPING INST:EARLY MORNING/AM DELIVERY REQUESTED BY THE CUSTOMER;SEE POLLY FORD EARLY MORNING/AM DELIVERY REQUESTED BY THE CUSTOMER;SEE POLLY FORD EARLY MORNING/AM DELIVERY REQUESTED BY THE CUSTOMER,SEE POLLY FORD EARLY MORNING/AM DELIVERY REQUESTED BYTHE CUSTOMER;SEE POLLY FORD Qty UOM ,o HM &Description&Hazard Class Qty Containers Vol Ship Type .�� Order Ship Ret fwt 3 CL X UN1978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 3 96 LB PROPANE 32LBS ALUMINUM 204.000 LB • Y -i EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGA§'STANDA-4ERMSAND CONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ SEE REVERSE SIDE FOR IMPORTAN/SAF TY INFO NATION SOURCES;POINT OF PURCHASE AIRGAS WE SITE AT (W AIRGAS COW OR BY CALLING THE ABOVE LISTED EME/2 COIF ACT ONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR , ACCEPT REJECT THE ABOVE THIS IS TO CFF��RTj(FY THAT THEA 0 E N MED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER - PACKAGED,rr LABEEEJJJ.�b AN ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDKy LICAG CATIONS! H DEP EN OF RANSPO TATION INITIAL CHOICE 1a 7 NAME PLEASE PRINT AIRGAS PERSONNELDATE T O.D. 0 , 0 INTERNAL USE ONLY Delivery#8063021484 Filled By Staging Area Total PKGS Tracking!Pro Number Freight Charges Total Weight* 204 LB III IIIIIIIIIIIII�IIIII�IIIIIIIIIIIIIIIII AIRGAS TERMS AND CONDITIONS OF SALE L• IVARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT{VITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS'),IRE AVAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWWAIRGAS CONUTERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER - CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BYTHE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALLNOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT:UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID , 3 TAXES.TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEM ENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS Rl DATED TO STRICT LIABILITY,OR OTHERWISE. 7.REIIIEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO _ BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8 COMPLIANCE/SDS:BUYER SHALL COMPLY N[I ALL APPLICABLE LAWSREGARDING THE SAFE HANDLING,TRANSPORTATION AND USEOFPRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 919-368-8518,OR(III)AT AIRGAS COM 9 ITEMIZED CHARGES-THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE,.VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BY PRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first. PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID LIOUIDARGON LIOU1DNi HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FlRE OR EXPLOSION FlREOR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELYFLAMMABLE •r Substance ocesnol burn but will euppon combustion Vapors may cause dumess or eaphyalalion without Vapors may cause d—nneor aspic lauon • Wil be away ignaed by heat,,perks,or flames Will be nal ed b I-L.I n ti or Mmes •Some real e+bane N fuels vmmmg walroul wammg • Will aamex iesha nupWes with." Y grut Yecor r IY, p Will ezpb,spent...w+therr •Mayignore foucwbin,w we paper lly n dohant etc1 .Vepas Iron along etlgas....aalry heavier Nan ort 'VeporefromfiqueMd Bas aro Inaially neavur Nan air •gvepc,s from rosudanderauohwe gas me)met llyheewer than as spread abnB Slane sunalnite.pen,gmt,lyinair •Veporslromiqudi ane ere spread and 6 Boron d and epreatl.longgrountl gramE eM may tre,lpsourradlgrapai and flash back Praa ggmun •Those su Iy when eamd tar with.(P)may polymenz. .long grountl and may ire,I to..net Ignition antl flesh back .Contact In gas a Lquehea gas may cause burns FIRE OR EXPLOSION Cftig bed liquid Cannotall(H1971)wo Il Hydrogen, ¢aporsfroy when,,dg,or,,l,t.etl in-er Rurotlm,scye.ploe,hm,hu1wIreate firs Or emicalon a ,EORE�u LOSIOrlroslune Congers y,o ipoe. air a illd ultl(UNle66)entl MaWn.NH,,,d,,Mwitlter Non .Vapors from liquehatlgasareimiallyheawer Nan ev Ruposed cyhhuxpbdaeeks heeled F/N—ft EXPLOSION Conlaindly1mc rploa anal healeq air errd will rise Hytlmgen errd Dputedum Ores ere tlrfflcull to dolttl .Weatl aong grouts antl may ma,llosource of lgnNm Rupare0 cylinders may rocket NorvOamnable 0eeea flupcuretl cylinders may rocket ` or�®Upy bum with en lmislble Mm¢Uw en elan..maNad of no Malback HEALTH Contanere mayexplodewhen healed - PUBLIC SAFETY ere lmdersearmal lows my hamfl eleasalWrvnaDle C)'lind,reexposetl le Pro may v r wordless,liammabla Vapors may cause tlizziness or.spryzlaeon wnM1out warnin0 Rupluree cy1mus may rocket •Isolala spill or leak areeman.dably form least 100 y yve gas gas through passurealiel I— •Contact nth ga,or brushed gas may cause burns amen.injury PUBLIC SAFETY onsom(330 full n ell tivecuorm through preawmrelIf dentes Contemere may explode when heated .manor berthas Keep undulhalzetl persarmol away •Conlemersma lodownwhnted Rupturetl 1mow.ma kat Fm me produce lauxa ov.,toxic Isdaelesspill or leek area lmmetlalely for allusllW yupwn yexp ry yrpc y gen gores (OW feet)In all dnocoons •Ste tl •flupturptl Cylintlers may roth¢L HEALTH PUBLIC SAFETY Kee monzod 1awa Many Basesore,u—Nanet,and will.preaa HEALTH Vapors ma diumeas a lon without wamin p urau personae y ypn a Intl.F.cl m low a confined areas •Well may dizziness or asps Ilan wnnput wamn my esphcon 9 Isolates it dracek area lmmeala,ely later least malars(330 Ma tl g9ioun ye mus gh g Some t-hfiy be dzic ll:..fiodathighy ncstriou re leet)Inelltherfr dip Many ects,lot on antl wdis Eaton (sewere.fl- oo tanks) •Some may De lrtibuwgdmhalpd el high conc¢nmetrons Coutaw with gasabquehad gas may cause burn severe K �y gases are pre growers •Kee out of lwv areas Com.ct wrath pas a 1queMtl gas may cause burns seven mjury cep pnumarlietl permrmel away ground and collacl m low a conlirotl areas( p ole and/or Irnibn Stay upwind Dawmems lunar) •VOTECTVEclosed CLOTHING before-wing and/orypu,a. Fire may pmtlute mnUBLnoung and/or lent gases Many blew or hearer lna...(co ens spread sonnaalong omet) and •Keepoucksow,eas PROs, ox PossuNG •Fra may protluce mraung and/or lozic gases PUBLIC SAFETY cdlen In Wwaconlinetl areas(sewers Oasemenls tanks) yanlitaia cbwd spaces belwa enlamq 'Wear Parieto Wewurp ulliceNnatl breaNmg PUBLIC SAFETY •Isolate spill or leak area immetliatelyla ellnstlW meters Keep-.flowarns PROTECTIVE CLOTHING apparatus(SCRA) •Isolataspili or leak arumundalely for at 1...1100 nears 1330 feet)half tluectwna Ventilated osed spaces before entering Wear peri,pressumsell contaned breathing •Structural frtefigraws protect,clethng will ally (330leaf)in all d"arbas s Keep utauNmz¢tl personnel.way PROTECTIVE CLOTHING epparwus(SCSA) provlde Ivmed pada n •Keep uneumonzed personnel away Stay upwmd Well posm,press".sell comtamed breaNmg apparatus Structural firefighter.protactwe cathing vial only EVACUARON •S.I.I-ne Marry It are heaverul.narand willspreadalong (SCBA) prowde halted protection Large Split-Conarder laid do,w—cl ovacurec,for •Marry gw^es aro heavmr Nen m end will sWaed abg grwmd arrd ground antl cd-m low a crnMed seas(sewersar cnecal praise,_clothing wi�ph b speont.IN Always wear thenal Waecave cboung ween at team 1 W malars(330 feet) aAed m lavb cddmftl men($¢.vial. bard—res mi basements tall Wemconvner-c by Ne manuleclaer It may provlae lana w no rumdring r,a gwItIcAcryogenic Lqulas a adut. Elie-Il lent ma car a tank buck rs.m .d me lire •Keep out of Iew.rus Keep out of law ares Thermal protection ISDLATE for eta me,w,(12 mile)In alt d.racoons .PROTECTIVE CLOTHING EVACUATION PROTECTIVE pressure •Swdurai tONLY is d.fleconsI ,lanusocauwndoe labra LargeS,111-mmun Cousrd feet) tlor,vnM e,cueuon furor also consider inillal evacuation lar 800 maters •Wearpoltepghters raImix,clohing-lexamnppartwureIdurs urs (Wwur SCBAosilrve pressure wltmntamed breaNmg apparatus co-C ONLYI i,Insolu,pusspill siluaLon.where tivecl Fast if red cx feel) 112 mo)m MERG N •BVunurei hrelighars proledlve clothing soli any proved.Lmitatl (SEBA) Cryog nim iha subsprdec pc1-mI Fire lank rel caronank each is involved inehre EMERGENCY RESPONSE l imamon Structural knight—pratecMo clothing will ody pnond. •AMmys wear aiarmor protecewe claNing wren nentlling roingeronV ISOLATE la 600 meters(12 mtle)N l tl.recuces,dm ORE •Alway.wearlhemal prdse—cashug wren hal Inured praleceon cryogeniIT uidsti- coneder n,I e,cuamn la 9W maters(1/2 mile)In Use wdmgu,ning.genl soI.N.for"of refngeanVcryogws,Pqulds EVACUATION EVACUATION ell directions o d[mg and EVACUARON Largo Split-Consider metal downward swromon and read large Spill-Conmaw'lid dowmvnd—I-t,on fore)leas,500 EMERGENCYRESPONSE News—..are has you te fr.anond n dolt Largo Split-Consider India)dowr,eni evacuation far at least 600 ma maims(12 nub)) meter.(113 mde) FIRE .1—t mak. meters(12al F/re-Il bunk rcl car or talk buck is invnl,ed Ina and ISOLATE F/m-Il tank,ma tenor tanklruck a lnvolvolmalrte ISOIATE .Use exengulshing agent.uaablo for type of Damegetltyllndx.,h.0db.handcd.nlyby FIm-o tarot rad caro tank muck b ImoNetl N e het ISOLATE la l0 1600 metas(1 nae)m an dvectrons also conader ialial for 600 metras(12 mile)rtLell d lectiars also consitiv mi,lol speclalsls f 1600 meters(1mm.an direct•ms elm concul-wnl evaWm¢m tyalron for 1600 meters()m,I,),,,Tl drecipn tyalpn la eta melers U2 nue) all d.rtteons ounding ere Flm ln,lving Tanb ' for 16W meters h mtle)In all eimcmans e, -Mme contanem from fin areas it you can do rt EMERGENCYRESPONSE e, EMERGENCYRESPONSE wimaa risk •Fight fire ham maxnum dsumn Or asp upmanned EMERGENCY RESPONSE FlRE-00 NOTEXTINGUISHA LEAKING GAS FIRE UNLESS FlRE-Us.esengumhng.g.d wiaDle lar Wool sunoundmg bra •Damaged cymd—should be handled only by Ilse holtlers or maiila .In FlRE-OO NOT EirTINGUISH A LEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED .� Smell Flm.-DrychemCda COQ epeaatas Gaol comleirprs wen lboeing quessa lwafer unui - - LEAK CAN BESTOPPED Small Fhm-Dry ChemicalonCO, Large F/me F/re ln,ly/ng Tahk. w.I.%w ire Is out CAURON Hydrogen(UNId9J,Oeutadum(UNI9S7)end L.rg.Rm. "- Water spray tog W regular loan Fight bre Iron mexmvvn tltsL ca or um unmanratl D nal tl.rat water of source of leak a safely - Hydmgan,mfd. le llq.ld(UNI9ae)bum WM an invt$IbID Wder,prey or log Mo,contemwe from bre sea d you can do t arae nsk hoe holders or monnen nettles deuces icmg may occur If..Hydrogonand Molhane nelAtum,c—,nuaed(UNYOtla) .Move conlaner,from Ivo weld y.dA.mtla a w,thautrisk Damaged ryllndwe should be handetledy by.pacahsa CmlcontalnersmNllceding quantifies al water until 'Withdraw unmadlalely in causal rising sound from maybum.firon Invls/ble Berme _ Fire InvolvingT k. Fine lxlehng Tanks ea.her fue is out venting salary de—n or di,colaalron of tank Smell Flm,-Dry chemical a CO, Fight Its Iran maxnum amtance w use unmannod hose Fight f from maximum Matanca fir um unmanned hose holders Do not deed motor source of Ink err aelery devices 'ALWAYS stay away from tanks engdfetl m fire Large Fires r' „� hdtlerswmonrtpr noulas or monitor npizles Icing may occur SPILL OR LEAK - •Wwa spray a fog -. .Capt contamem mN flmditlg quantiles of water until well coal conlamare nim MCEng quanaes If watar until well cher Withdraw ansawr ay in case of hang mimtl frau Do nal touch u"alk Waugh spil�¢aJnalerial •Move canlaners Irvin an area d you vin tla a without nak after Iva is out rine—to out n g ser ry •Slop leak it you can do It xnnoul nsY ora i(peashle Fire Involving Tanks Do not direct water a,source of leak a solei devices Itln Do not drect water w murto of leek m sale)tlovices Icing ve tet a tlavkes n t lks an ul of ark tum Tmeng conlamer,so that gas escapes rather Y g Y g •ALWAYS slay away Iron Jenks angulletl in bre •wrl Irte from manmum tlistante a use unmaaietl nese holaae may occur may occur SPILLORLEAK Nan liquitl rtl coahassles WIhdrew,ncu.d,scincaw ofring sountl Iran ven[,ng WNdraw Immediately in case of nsing sound from venting wlery .Oorotmuch k,f you walkthrough o-ahspilled malarial 'Usewater,preytoroduce,er We.mdesertvapor •Cad comainers with Ilooamg Ouamitos of wafer until woil after salary devpes or tliscoleretion of lank tlevpn or discelaralan dl talk •Stop leak ii you can tla rt without nsk and,it possible cloud ash Avoid allowing wales mnolf to contact Ive a out ALWAYS stay away hom One enEs of Ne lank ALWAYS stay away from talks dri In he turn IedW mnlanens se,that gas neepes rather sWlbd owwwl zz_ ated look te� •Danot daecl water at sek ackat Intomaycorm For ethane Tine use unmanned hoe holders or=,,for Formi, ma assPre use unnned a n how holders or menaubs a Nan liquid Donotdroolwa,erelw,asouncoolini, •Wiharaw ,urrah,In use of ling sound tromveneng safely nocrin it Na is Impossible,md,—from area and let lha is Impossible withdraw from area and lel had burn Use water spray to reduce vapor.or dnonvapor Revementrymtowatotways sewersbaeamone— dexpn a dimdoa en ori tank fue hum - SPILL OR LEAK tli ddL Av d allowing water runoff to c000dt —frow,areas •ALWAYS slay away from me end,of the lank SPILL OR LEAK.. •Keep oxnbimibles(wood paper Oil dc)away lnxn sp-and arcane spilled matenal •Allow substance to manuals •Far maavva Iva use unmanned how holders or—1-1 noules if EUMINATE,111gnaon sources(no smokmg flares sparks or Do net touch br walk through spared material Do act d"ect water at spill or source of look Ventilate ma area mus m unposvbla wM@aw horn sea and Ie,furl bum Mmes In unrled.le area) Step leak J you can do ft wim bu rat era d possible tum leakrig Prevent erd y Imo waterways sewers basements a FIRSTAID SPILL OR LEAK NIequipment,antlwhenlundlingmeprodudmustbe contamers se that gars escapes rather Van liquid confined wen Metavphmla Iranair •EUMINATEellignibonwurcu(nesmoking Ilan sparksor grounded •Do not tlirect water al spill pr source of leak Call 911 or.-rg.,oy medical sclose Mmes In uaretlale wu) Step leak rl you can died wn—nsk antl d poexible Nm Use water spray to reduce vapors a dives vapor clood drift A-d Vandals me ra`ealo mapore,e Gro amhcbul an,at ion d w is not breaNmg •Mequlpmaritlmetlwhai harrdt gmp Wetluctrtosl fie grmaleE Ieaong conbumara so that gas escapes rather than[,quid dlowng water runoff to contact spilletl material CAUNON When In contact with howg.mledv Ad,,,wer oxygend breaNmg is IiflitulL •Donor wuchor work llvoughspilled-,In., Do net-on a work m,.gh spilletl malwal Prevententrymiowalerways sewers besemanisorconllned cryogenic liquids,many materials become bdUleand Keep victim well,and gwal •Stop leak if you can do a warred risk s!d pocaul Ilan leaking De rpt tiveci waive w ep iI a source of leak .,on em likely to break wlthoul waming Ensure that mack,al personnel are swam of the • colmnors w that t go,-bcks nuaethan n l 'i Uw wale spay lomd.ca vapors or I—vapor cloud drat Allow subsumn to evaporate FIRSTAID ihelmseivesr,hetl and take precautions to protect Use waie y epons a dlhvapathudaihA,id laving water runoff to contact sploE m.uwaf Isolala area unul gas hos ddr ersed Mo,victim to bash w1 Awad Ina mg water mmll to cams spiibd m mrd _ Revenlon",nowwwwa,,awns baw-a w CAUTION When In coni fNrefrigemled/cryogen,llquld,, Call 911 a emergerxym�lcamnen • DIrotai-weeerwsol,or—rreolleak coniinadmen many nowedal.become br/Neaman likely to bmak ill Gne-tioclrespmtionil wcema not bmwhmg •Prevenl spreading of vapors through sewers venvahon systems •ladateweaunrigashead.spersotl ,nine Admmister oxygen d braching is ddficult antl ccmf.rod vices FIRSTAID FIRSTAID •Isolate.res until gas hasdisparwd Mo,-ml to irnh art •Move victim to hose e" Cbihmg lmzen lo the skin should be Ihawetl before CAUTION When In owdsctMNreMgemledt+yagehle liquda,merry Call 911 or emergency medical serapes Call 911 err emergency nae—itirmres in use ofbrung cont •Ineaseof cpxweent lbquehetl gas New frosted rtaadal,bccvnpbndleaMav Qtelyfobr®krrNm•+z rrmnlrrg Gi,eNM4V resprtedm rl voYim is rptbreaMrip •Give enifpW respiratrondvictimbrot breaNmg pans wish Wkewerm wafer FIRSTAID Admmistor oxygen it breammg is toll Kupwcum warm and must •Mndoant."whalr •Renpv wd,,olateconmminateddam�ngentlshws •Rarmov enceIcitle.pnamintled clothing ead.hus •Ensure Nat tial personnel ere,wareol the •Carl 911 a errrergoacy modi serapes In rasa d conacl wM fiquehetl gas maw hosted pens with cb(nvg bazar to Bre stn drouo be thowbo before berg rerrroved amens f.)Imoived and eke daca—la palet, •Gne wafiaelaripirationil-him k.1 talummg lukewarm water In use of—cod wan liquefied gas thaw heated pans with themselves •Ad—ce,oxygen it areal Is tlwnull In can of burns Im nw aalY cool affected skin lar es lukewarm water •Rernov,antl moloa contaminated deal and ahces long n poswble vim cold water Do vii heme-coming d Keep vpan wenn and quiet. •Cbill amen to ma all should be dawcd foods beug rernwstl atlheringlo skin •Ensue mal med,cal personnel are aware of the encerial(s) •In cam of Conacl win Iiquef,,d gas mew,treated pans with Keep ,am warm and quiet Imoll and eke precoutbns to protect thenrad— lukeeanm wale Eawre eat nvdcal personnel ere awue of mid mermen .lommdburta hwrptlaley rmleflecletl stn oanbgnpossble in,I,,,Indian,precautions to protect memsel,s wM cool wrier Do-remme chill a do-ang e,skin •Keep wicbn wenn antl oupL •Ensure mat looped pose l we aware of da material(,) In,l,d end take preceul—Io prdaci themselves ———-————— ———————— —-—————— — ' FISHERS ISLAND FERRY DISTRICT VENDOR 002644 BRODEUR'S OIL SERVICE, INC. 05/09/2017 CHECK 4025 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.(4.000.100 68235 262 .1GAL #2 OIL—NLT-4/11 569.75 TOTAL 569.75 - f i — _-�_ J ' 1 �„ �' �.',��- >.��;• .r,;;..... ;`.a.:.; - I ;. �.,t.:.. <-.w.-. 4h:._*,w.y l�.az.= .+r .i .y i. «•.:•x;.- V r y, � , .�:3•:•i 'lam« ..•`�.•::• s'fiS:a ..moi;::• 3'} x 4»:.•. - ,41 1 l - , r ' 1 1 1 e • o - ® o o e =T'FAIN-FOAD,P0'BOX;1�l'SHERVAAAD, ,Y'DISMZCTr UD TO °09,' 53095`M79.r. /r' SOUTHOLD;NY'11971-095ECK` ,9 a• i r 't •) � �, �� -_ '�1' ' �t� CHNO',�Ifi. r- '..1'.5',i1` THESUFFOLK'CO;i"AT70NAL BANK''• - _ CUTCHO,GUE;'NY;11335 ;4.' -._ - DATE __ ,� '4> ,'I', .1 J. .� r- _ `-- _, - _ }4'a nl '„{ -__ - ___ 1.-_ _ 'P-.• s!'4�',,`,,',.3 >{I, ,IN ID' r_ -75` , �, - ,t (,,: ;r, I'i,b0=5461214` "4 �/. ,�, ,t'�'�• 'r F'IV_E'-HUNDRED'.-S IXTY`:NINE'¢AND°"75;1.10 0-,','-DOI;I;ARS J .•.-'r,` /!;,e, rt - - _ - _ t - ,-L•p1' :�p a,ll ',p,' "�yi -` _- - - ”- =1a- - - '�V' _ - __ - __ _ 't: ,'4'i :d 1� -'J 1 `�1 J' _ _ _ _F'- Eis .11",II�� 1� •FII ,Il,a.',':4 r'` "..Fp}_ _ _ _ " ___ _ �_"'�'�-- -_ _-- ;'I.:11 ,il �.\ •I,._n�l� .i�. _�__- __F^'-- _ _ - II, yl,' ,y k;,u,.Pr�Y.`i�`F;- - - - ._ - - - '� - -- - ,�II'�' �-k:, ,'If l':¢II'I; .Li"' - - - _ _ �'I' �''11�. Ili"l't,`• _ __ - _ __ e - _-_ ,"E` dJ'" ,,�}. J„(.„�it tn,.' s,``f"' - - '+4''• "in;' I'L.I „ill,.,pA i''' - 1; - - j;'i'r - - a;.Jb r"' '. ,i, ,�� ny '.,r1�, ':t� ., .•2.„h5;..`- „y. - -� 'ti� r- `y; ,t, 't� '#�',i"< ,y:r ":g. ,q• AIk�," t+F, 6 3 iy,1` .�` �(09',i T > r,: , ,.i' - Tr. I�.sy'c=i' -n,'`{- - -_ �� 'r"'j;`ff=^'`w..:g;•I',- �1 nL e , a __ ,'J` - "'+_ - - _ _ - ki;l, _____ - - __ ♦J�,:'.�'�"�,',y✓, ,I„�, 'l,-jam ,_ ���I"5�„IC '1'4.';' 't0..�1• 'If•''I5,'```_- -'' %- tt Ii:,M .`',m +'f•, �1' itn ,2a8a" ,Tf1'IRLIING tROAD " + I _ � _ -' __-._” -__ _--___ e'tj ,'�`ida`l n„ ,,JAI,;,+,J ''n,tl t� _ _ _ _ _ �11•,�,dr :`'I'' p. - - - - - - _ RIj�R I ss• 1 J } - f,a- (+, 'Tt'r, ` + k� F6ilk`,t 9. <S' - ,'}7 }s'•,. MOOSUP,' - -" - _-_ -: _ - �_ _ I'I1 'll, •l,"U'' ','I,.` ';I,"' ;lr" _' _ _ ' - _- -__- `\,"��', 111"' '4i"' _ - -- -_ -_ _ -�� {- ' - "e -__ ,�N11> 1';,x°' ,Po,I'C, ,;';P,' 'I'j,. -_- _- -- -- - ___ __- 4>• 1,,r;e Iv71 '.'�. '-"--- -`-,. -_ - - _ • - .,t =_( _- _ IA SII, ,1.t�'3"` ,p,1J1`, II"^,I'•�J•' - - - - -_ - __ •�} ,p,'s :pll 'I',•p ",I• - _ _" ,t 2.'. :II "Y;'A,•111; -- � ` - - '"I� <�fi T_-_ :-_" _, - --_ -- i ,,•Ot0 40 2""5 ii' � b"'2"'�410'5,4 6.4:x •;6'8`° O01-50'2 Vendor No. Check No. Town of Southold, New York - Payment Voucher 2644 H (19 'S Entered by P.O. Box 602 Audit ate Brodeur's Fuel Moosup, CT 06354 MAY Q 9 .2017 Vendor Telephone Number 860-564-2789 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; 68235 4/11/2017 $569.75 $569.75 262.1 gal $2.044 NLT heating oil 'SM5710.4.000.100 f $569.75 1 $569.75 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. -�< � r Signature �C1Ctn.y.. Title Signature Company Name Fishers Island Ferry District Date 4/26/2017 Title 1' Date 4 1/k I K CD LAST,TFiLDATE 4( x �+REE'DEz ROUTE.P',FUEL` DEiJH.W • - D.D.NEXT` .DATE D.D., GALLONS K,FACTOR 'FUEL.: DR. TR 03081 400 281 . 4 1, 81 M tt ° `'-. ,i OFFICE USE DbRO ',j L14', GQLCONS PR E'. r ?0 50 t; ,0 S3313E t?2' q { ocv'� I;.' • CURRENT 3 0 — J O DAY '" .60 DAY 9 DAY" BALANCE FWD:." bELIVERY'TOTAL - -, •(13 C0 0 / M •S f 4 Ka"1`i i,.R ` `> .1.`i L A N D FERRY i�I S ACCOUNT NO.• STATE; r� �J � v OLW Co M,ITFRFRONT PARK D 'W C hd C3(7 N C T �ry a n t C J.5 T�,' 1 � /L ZFED s CT.LIC.303396 MISCY CD CD m M�N 1 :1.1.1. 0 i 111 LI, BY, ORN BLDG ; R 13EHf.i�r�A,`fi�AIN STATI(314 `4 t CT HOW46 w. ER®DEUR'S OIL SERVICE, INC. CY\ CD _ v 28 STERLING ROAD, P.O. BOX 602, MOOSUP, CT 06354 D wI 564-2789 859-5840 923-9528 If Payment Received By PAY 4 OVed Unmarked Heating oil . N01, '1'01- LI SO o ) n hicihw ayN locafncativv , or tit r?.nca rtrlci4.nF , . °l i. 1 , I I - I I I I a I I • . FISHERS ISLAND FERRY DISTRICT VENDOR 002776 CHARLES BURGESS 05/09/2017 CHECK 4026 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION J AMOUNT SM .9060.8.000.000 013117 ANTHEM MED RX 1/17 108.54 r SM_ .9060.8.000.000 022817 ANTHEM MED RX( 2/17 108.54 SM .9060.8.0'00.000 030117 ANTHEM MEDIGAP-1ST QTR 358.10 SM .9060.8.000.000 033117 ANTHEM MED RX-3/17 108.55 II t - TOTAL 683.73 r- 1 n I ` N _ -_- s�`M`�.' ..-.. x .'.`@ i..x-.• c.4{^iv -:rFX�: ?8}�•'aj;3:$xi` +�:'.v+ -••- •:ti•F^}Q :_=<F«'L•:�e::+,�iv`v'-n pny«os.4:.�_'e,`;,�;;�;�;i„m � _ I 1 , I ' r— ♦J , (' I I . -__ rE"__ '1 :1.19,'1 — —— F?SHEX ISLAND'FERRYDISIkki ` AUDIT 53095,MAIN FOA PO'BOX-1`179' a P,, b; SOUTF,OLD,NY1.1971=0959.: CHECK NO i'ICOi'' - - _ - n4 ' THE,SUFFOL C0. AT'IONAL" NK „ �,. =CUTCHOGUE„N,Y'1'1J35=';I, DATE = AMQ,UWT^,'•y” ,i, ,h ,J. '_- 50=546/214 SIX,t HUNDRED D GH'TY; THREE''•�iT1�}V7 73.` 100' T7 ' �3I,LARS: �n1IP / I;P�''d 'C ARLE&ZURGESS', ',r`°,'; OF `WATERFORD Cfi;°U6385, - - - - - - 4:'o V °r. :�•,,,`a'r" ,,.''u1, r - ''-Ej - -- -=-,:e`..== >"}� I',tl' .r t,^II =_ -- ---__ __- -__"_ - - - - — 'T __ = .a "=i0pD,40:2,6'i■. ,i:T::0''2' i'4"05`46.01 ==68'-= 00"i-50 2 Vendor No. Check No.: Town of Southold, New York - Payment Voucher 2776 - LA() ro Vendor Address Entered by 4 Hamel Court Waterford, CT 06385 Audit Date Bur ess,Charles MAY 0 9 2017 Vendor Telephone Number FY 17 Town Clerk Vendor Contact f} Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 631511.7 - M�B-�REFMB- 2/27/2017 $421.29 $358.10 Anthem Medigap Plan N 1/1-3/31/16 SM9060.8.000.000 $63.19) $421.29 @ 85% reimbursement 1/9/2017 $127.70 $108.54 Anthem Blue Medicare Rx Jan 2017 SM9060.8.000.000 619 232 ($19.16) $127.60 @ 85% reimbursement 2/8/2017 $127.70 $108.54 Anthem Blue Medicare Rx Feb 2017 SM9060.8.000.000 $19.16 $127.60 @ 85% reimbursement MED-RELIQB 3/8/2017 $127.70 $108.55 Anthem Blue Medicare Rx Mar 2017 SM9060.8,000A00 $19.15) $127.60 @ 85% reimbursement $683.73 1 1 $683.73 Payee Certification tment Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. r discrepancies noted,and payment is approved. Signatur�f� Title Signature —p Company Name Fishers Island Ferry District Date 4/26/2017 Title y�t`�� Date e CHARLES W BURGESS, —• 4 HAND CT,WATERFORD,Cl;06385-2008 >•t r (860)442-8383 Search Transactions:We found 3 matches, Note: Please renew your statements for interest charge information. C0-r- > 0 32 6 Transactions �k -fans.Date. Post Date Description Amount Category ❑01/09/17 01/09/17 BLUE MEDICARERX PREMIUM $ 127.70 Jli V — Medical NASHVILLE TN Services __..----_.---•--__ ❑02/08/17 02/08/17 BLUE MED ICARERX PREMIUM $ 127.70 (d i3'.5 Medical NASHVILLE TN Services El 03/08/17 03/08/17 BLUE MEDICARERX PREMIUM $ 127.70 �0-Q-_� Medical NASHVILLE TN Ser\AceS Results Total =$ 383.10 -MY ACCOUNTS TRANSFERMONEY PAY BILLS&PEOPLE DOCUMENTCENTER SERVICE CENTER Pay Bills 3 �s Reminders Reminders help you track when a bill is due: Vol Payments Date Range Past 12 months Apr 10,2016 and future Filter By Recipient Name • , Anthem BCBS x0101 Showing Anthem BCBS payments.Clear Filter Showing 1-4 of 4 payments Withdraw On Description 'category .- Page 1 . _ P g ry Amount Deliver By Status , 2-27-17 Anthem BCBS Insurance � $421.29 2-27-17 Delivered X0101 PREMIE?CHECKING VMH NTERESTX7053 Cfm#LDS9D-453G7 y 1 ' FISHERS ISLAND FERRY DISTRICT r 1 VENDOR 003037 CARDINAL TRACKING, INC. 05/09/2017 CHECK 4027 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 39393 UPS(4)HANDHELD WARR EXTN 262.00 TOTAL 262.00 1 - E , - r- ' I I -i X , 1 .•:'''. - 1. -I I ' ' 1 I \ I I I D P 0 B f ."• -_ IT :.k° AUDIT :-_-' I: .'tl',' :'Se`1'is 4;''I4'• ^ ;F'ISHERSSISLAAD'1FtERRY'D_ISTRICZ` F`id5%09;/Elt7,i^r s?4, '53095 MAIN`R'OAD,W,BOX-179 ,'--' CIIECK' NO., 'y,4'027}'` ?' — ,� a-,THE,SUF�Q'LXI l COil'I�A(IONAL'`BANK DATE,°_ --=, AMO'UNTi01: .i.,IP,I. 't+� yP,°L'� P,I,FP —`- __ -"- ___` --_ __,-_ 'i't:y' `ii' ,a',-`•' 'N II' ''vt,' "-- - -_- - - - _-= frr nr tt f! .};s J"�^y' a -,id,' I _-: - -- _ - ==- J'•'' O�54 t' :C„ <l. � - 'E.,- -r'�' .r e.3j,> .e r s• :E�.45`, "t-' e'�''i TWO' .HUNDR b'• I- D - E S XTY' TWQ`='AN :O.O,/IO',&,DOLLAR_ S i`;= `- ;d .'- :f ,, �)^;Fi` .�J>a-E w �4.�.`5a1, .c -, F I"I l "Ile,•Illi ,I'vr - _ _ - - rrf, ,lil.11' ;'llu `'I�,Ili';%`,I _ _ _ - _-_ _ l.,,l�' p„J -=`Y'u, - _- ;`_ - - `Qillll .,J i7,3 �j It' I'/t•i3 = _ '.a -'��_ = - - °f i'1. 'I'i' I' Yr` "i? .2.3 - - _- "_ re- - _ _^t°'.,` DIN - .,T - - A'Y`E ai 1, -,CAR AL,., RACKING`”`,INC - - - "I' - _ -1(rn;ia"111' fi G 1 �I _ - _ - .,$125„ LAIC�EWAY-tDR=_`SU_.I�E--.l�DD�=-_ ,il".;;,'','I,a��ld' "�111�`.�,,,I,, k - ,I. ^'}' -- _ - - --- -".l',�i•._ :`Fyr.1.""'4A�i,i i;4 i§�{�,fi ly,w - --_"` '',h'I`''D EW`I�SUII�LE„TX�.,7�5057,-- ,�:,` '2",_ - __- - 1'P}I"J• t, dp°I,tldl•�1,• __ --_ - _ fPi 1°I'••!f'rfD' "Il €�li l'' - _ -- - _ ',�=:tei. - ' 'P�' -_ -,-c =_ - _-- s'la�,I„ .,I•„d yn lJ�-i; t �'t;--- - - - - - !r'''°`i"' 'u, I,I''r' Idl'��I 1,q1, I _ _ _ - _ __-. '-_ - - _ _-__ 'I,plr JI°'6�,"\I,•I ,�'I^I 50 00"40 2'7ii' '''1':0 �''L'4015'464'�:'--6'8`-`00-L '2n `'L'u�:r^ I ' - t Ive dor No. Check M., Town ®f Southold, New York- Payment Voucher 3037 Vendor Address Entered b) 1825 LAKEWAY DRIVE,SUITE 100 Vendor Name LEWISVILLE,TX 75057-6046 IWdit Wte ` CARDINAL TRACKING, INC. """'MAY Q 9 .2017 Vendor Telephone Number 972-539-9650 Town;Clefk Vendor Contact '' f CMSTY HULL Ynvoice Invoice Invoice Net Purchase Order. Number Date Total Discount Amount Claimed Number Description of Goods or Services 'General,Ledgei Famd and Account Number 39393 4/17/2017 $262.001!! 1 $262.00 UPS Handheld(4) .SM5710.4.00.500 1 Warran ,Extension ,,J,$262. ( $262.00 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-rcceived 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 Ithuantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded ancies noted,and payment is approved Signature Title Signature_ Company Name Fishers Island Ferry Distract Date_ 4127/2017 Title Date 1170 t,-4 l } Cardinal Tracking, Inc. Invoice Provider of UPS Trackpad Support Services Date Invoice# 4/17/2017 39393 1825 Lakeway Dr Suite 100 Lewisville, TX. 75057-6046 Bill To Ship To FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ACCOUNTS PAYABLE 261 TRUMBULL DRIVE PO BOX 607 FISHER ISLAND,NY 06390 FIST-TER ISLAND,NY 06390 Terms P.O. No. Net 30 Item Description Quantity Price Each Total Due S771 ZEBRA ENTERPRISE MC75XX EXISTING UNIT I YEAR RENEWAL 1 262.00 262.00 WARRANTY EXTENSSIONN SN.S14146522501275" EXPIRE CURRENT HARDWARE WARRANT XPIRES:08/26/2017 0.00 000 UPS,158 **IMPORTANT: Due to the fast approaching expiration date(s)of your 0.00 0.00 hardware warranty payment must be received in our office prior to expiration for us to obtain a hardware warranty. UPS 159 *You may pay from this proposal or sign&email back to 000 0.00 trackpadaroacardinaltracking.com to renew your warranty Contact Accounts Receivable at tracicpadar@cardinaltracking.com if you have questions regarding the above charges. Subtotal $ 26200 Thank you for your business! Sales Tax (0.0%) $000 Total Due $ 262.00 Phone# Fax# 800-285-3833 972-539-8914 REPAIR WORK SHEET Print Date. 21-Mar-2017 ZEBRA SHIPPING DETAILS RECEIVED FROM• SHIP TO: Site Id: 2023799 CONTACT• POLLY FORD FISHERS ISLAND FERRY DISTRICT Site Id 2023799 ATTN: FISHERS ISLAND FERRY DISTRICT ATTN: 261 TRUMBULL DR FISHERS ISLAND,NY,06390,US INBOUND TRACKING NO: 261 TRUMBULL DR 1Z0266390347531896 FISHERS ISLAND,NY,06390,US OUTBOUND TRACKING NO- REFERENCE NUMBER: CARRIER: UPS SERVICE: 22855 DEVICE DETAILS Serial No.: 13284522500527 L �a'` Z Mfg. Ship Date: ' 22-Nov-2013 Model: MC75A0-P40SWQQA9WR Warranty End: 22-Nov-2014 CALL DETAILS RMA Open Date: 09-Mar-2017 Unit Received On: 16-Mar-2017 Due to Ship: 21-Mar-2017 IR Number: 50399656 Actual Ship Date: RMA Number: MSC3765688 Shipped On Time?: Customer Ref No: 22855 Customer P.O.: Software Included. YES JOB DETAILS Problems: PC201-POWER;PROBLEM Customer Service Comments: Resolution: REPLACE/INSTALL DISPLAY DISPLAY;LINES Job Type: CONT ECO Applied: External Remarks: FAILURENOTCONFIRMED /✓G 0 v`J F' REPAIR WORK SHEET PrintDate, 21-Mar-2017 kkk.ZEBRA SHIPPING DETAILS RECEIVED FROM: SHIP TO: Site Id: 2023799 CONTACT: POLLY FORD FISHERS ISLAND FERRY DISTRICT Site Id: 2023799 ATTN: FISHERS ISLAND FERRY DISTRICT ATTN. 261 TRUMBULL DR FISHERS ISLAND,NY,06390,US INBOUND TRACKING NO: 261 TRUMBULL DR 1ZO266390346938486 FISHERS ISLAND,NY,06390,US OUTBOUND TRACKING NO: REFERENCE NUMBER: CARRIER: UPS SERVICE: 22854 DEVICE DETAILS Serial No.: 13284522500535 Mfg. Ship Date: 22-Nov-2013 Model: MC75A0-P40SWQQA9WR Warranty End: 22-Nov-2014 CALL DETAILS RMA Open Date: 09-Mar-2017 II I I I�II I I I I I I I I I I II Unit Received On: 16-Mar-2017 Due to Ship: 21-Mar-2017 IR Number: 50399565 Actual Ship Date- RMA Number: MSC3765683 Shipped On Time?: Customer Ref No.. 22854 Customer P.O.: Software Included: YES JOB DETAILS Problems: PC100-DISPLAY;PROBLEM Customer Service Comments: Resolution: REPLACE/INSTALL SCAN ENGINE LASER;NO BEAM REPLACE/INSTALL DISPLAY DISPLAY;LINES Job Type: CONT ECO Applied: External Remarks: FAILURECONFIRMED BACKUP PWR KEY TRIGGER RECEIVER 17 1 � � FISHERS ISLAND FERRY DISTRICT VENDOR 003891 CWPM, LLC 05/09/2017 CHECK 4028 FUND (& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1067631 REFUSE RMVL/NL-4/17 448.29 – / TOTAL '448.29 °'�.. ' J ) • 1 - • • • ' D ® • • . • • g - H RS''ISLff :Fx RR'Y,DIS7R CT'''°M' i,' £' =,FIS E ND ,E 4. AUDIT'=05%0,9/:17'/. 530$SiMAIN RO'D,:PO 80X'A.179'-.,,:b SO 11971=0959,; a:s" _ _ , r– _~ •lA', 'Y'�•4 1 't _ fY:'. — ;gA°, "t' _ 4'ea"'•, f ;THC§UFFOLK CO1.NATIONACsBANK :CUTC'bGUE'NY.7'1935'< MOUNT',' 77, ......,1, ,., fr';' •o�. ;`s` .,: .',:' -<u�:%$+e.�.~�f,�: �_<0�5` 9:-�2`0, ;7�� r`;'•a�$ :'2 ''.ah.� rfa. `t„'I;a 'bF ,;,',rc'• 3;<,x•ta., .'.g:�.i'. ,t< st'/.,5 �•i. ~�.`t 'J`s'.' dA ty,„ !:y"x:`�.`,1^C'v-'/`'�+r ♦+x'v �x"”, n0%.:: ..'•U" h�k..:i%'r :.FO[JR�j`HUNDREDt�'"FOEZTY,'EIGHT':AND-_'.2`9,/1000.,DOLIiA_ r Y,' 't.,a J,1;1 kP ,1:1, .t`•`< - -_ --_ - -- _ a '„J.' _--_.. '•J 1 d I; - - - -xfv - --,3` 1. ;,I iyl,A PQ rF l •t-- - - - t ii'A` ,�'�tl:I,11''.#i�,l','<'1'',t)#1, t' -__ _ :_ ,pl°A t; �,, r,i'' II la,`j4, - __ s 'tF as ,e l' '1 1,r b;t 'F •5� 5S> �t-�', ;t�f • 'r 'a,"�lu fir} _ __- — - - +. .I i.'•1:',I - - - —- ;,i'.I - ':.'�""h '.11 - - _ i= ''__ _ ,,'+Y;-` i;�ig,. TSi `+t`,'I' :1—'a== — = __ + �, 1,,, `61 „uRDFR S „f r. ,,,"i` .5'" .;'t'.t1J:•4�, "1•, ,'T'iz, _ "t Ea'ji,, �,t` .A, '..t(:�r ..x r ;if5',, k,° ,;8;'�,f;',4 t�yj`a �. ,y a>. r"r%:; -;'�•; �t.":'^y..c - _ _;'�'. �rY,?"'r t '•i.� '�f.,;•,, _ r, ,t%,#;•4 fA4,- '" t" 3 Aa, !;_`'i - r;'-: _ !±, 't Ldp Y:'`t ips IPJ'?i'_�(' .,#'P":•-,-' �_-- —__ "•11 t'" ,..t' '1.} %1 it5<`1,'r Hr __-_ -' _ - r 4 _ - - _ !s ",'1.�,rp,n ..i°.4,d+„•41'4P -P' +d`•,;y. _ ___- - ,:a',.�,+,�; -1'li',i nAI ,I" 5`< __ - 5• - -~i-__ - - I I'` ,I',t• ,:,IVI".,,,�',,, - � - - ' -C�- ilf'''1."li :'';�+f:�'iii`1'.,,. `r:- - - - - - -.`r,'. - - - _�-_", _- 1',hlfi .ta d,+,q,, - _ _--_-_ _ - -,'t•' +,,�". al' vl+,nl , -- -- - - - - -- -=--- ;.t' .t;` - - �- - ,I„ ' %F•`.�`,`" - - -- --- 0'0'0>Gb 21'a4' ''4�� 0"'12,1„1;4,� 5 64 ' 6<8-"=00= �t'� " Iii Vendor NO. Town of Southold, New York A Payment Voucher 3891 Vendor Address Egte ed by P®Box 415 Vendor Name Plainville,CT 06062 A'tidit'Da`re C PM,LLC — < Y ,Q 9 2011' Vendor Telephone Number _ 860-447-1473 ToWnClerk el Vendw Contact -- ""ilo 4' Q.,— Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claim Number „G6iera114-er Fund and Account Numbei 1067633 411112017 $448.29; � $448.29 Apr 2017 defuse and RecylcE2 :,;a`.1'';`f..SM5709.2,000.200 ti:- t $448.291 I $448.29' Payee Certification DepArtment C,ertification The undersigned,(Claimant)(Acting on behalf of the above named claimant) Lhereb}«certify that the materials above specified hav'e'been received by me Roes hereby certify that the foregoing claim is true and correct that no part has in good condition vv ithout substltution,'the services properly been pard,except as therein stated,that the balance therein stated is actually performed-and that t A uantities tbmeofbave been verified with tbe-exceptions due and owing,and that taxes from which.the Town is exempt are excluded or z pancies noted,and payment is approved. Signature Title - Signature Cmnpany Name Fishers Island Ferry District ,Date 412712017 Title Date INVOICE Pae 1 of 1 CWPM,LLC 9 PO Box 415 Plainville,CT 06062 =>,Ey=; : ',:.:2 Phone:1-888-966-CWPM Fax:860-793-2624 Account Number 12761300 www.ewpm net Invoice Date 4/1/17 Invoice Number 1067631 P 0 Number Date Due 5/1/17 Previous Balance $000 Current Charges $44829 FISHERS ISLAND FERRY DIST Please Pay: $448.29 P 0 BOX 607 FISHERS ISLAND,NY 06390 '—C O Rq ----------PLEASE DETACH HERE AND RETURN ABOVE PORTION WITH YOUR PAYMENT USE REVERSE SIDE WITH ENVELOPE------ COMMERCIAL&INVOICE APRIL -�.0 �'a e ...x�`:a_"c,.4 t. :x...¢ � a`'bi..`:''.:F:r;: :.. �`3:`��'_ 'b`�p."'�.a.,i^^^^�g°a^^•Z^,�.+. 4 d•, x �:��� ,a�,,���`�_ :�:�;��;� a$ � �p�;::��i•:o-�"� �'.> ''�r.,a •�` y�'.e'r�-�����:`��c">ra ��' >Ka.ai:�i •w;,� ActNbr. 127ti1300StteName•FISHERSISLANDFERRYDIST. i STATE ST NEW LONDON,CT 06320 4/1/2017 MONTHLY SERVICES 1 00 $221 56 $221 56 4/1/2017 RCY MONTHLY SERVICES 100 $8522 $8522 4/1/2017 MONTHLY SERVICES 200 $4545 $9090 f I � I ` I r } CWPM,LLC ^• R. er "4x° ? s•ri ';. 4: 3<: , ," Charges $39768 PO Box 415 ., k':, k: _ '"': s.`o z >: j Plainville,CT 06062 $44829 $000 $000 $000 Taxes' $26.76 Phone:1-888-966-CWPM Fuel Surcharges $2385 Fax:860-793-2624 Finance charge $000 www.cwpm net Invoice Total- $44829 i TOTAL DUE: $448.29 -- 1 t 1 1 t " FISHERS ISLAND FERRY DISTRICT VENDOR 004007 D.H. MARVIN & SON, INC. 05/09/2017 CHECK 4029 FUND & ACCOUNT/ P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 98118 JI.DEERE TRACTOR REPAIRS 2, 990.87 TOTAL 2,990.87 / i � 1 1 \ , I r->• � I , 1 , 0ril0 0 B 0 B O B O BAUX, 15HE'R'Y LAND' ERRY4DISTRICT':' -F' _ _ --- t AUDZ,T '0`5/0,9;/ - ,^.53095 MAIN',ROAD,`PO,BOX-1179 •.;`, ,> _ x, SOI)THOLD;NY,-1 1 97 1-0959 ' - ''_+a° .t''< ,i t. ,I � : S'}_ _ _ _CHECK,''NO ;4029 r „, r- u`,l"•�' UTCHOGUE;'NY.'1d935,'{r•t , _�_ '=e' _ IJ`/'AMOUNT { u,�� -' - -- - - -- - - � el p; •1,. ild,in' 50`546214` 05'/0912;017%;' TWO THOUSAND:NINE'=HUNDRED IJINET "AND8,7/'1'00'. DOLLARS, i ,11' - r, �P_ 'Fi'�, ,a, ";,1; ',a'� ,,'p'r>.• 4qi: _ .. M'A,<;R,,:H1,V'ylI. N -'&-'--S_-O_-N--=�: .".M1"y�<;j1r','`o''' 'il?y",P�'`i'•1��' -,t_; '==-___-'_--__ __-_ --'--_'s-=__:-,.-r--- `->�>'`''``fi"r,';,.;P,.,:�'" r,�,t I1P";, 2,6,1+�;SOUTH=.MAIN={STREET'';` '-- ',4ZOL'CHESTER.,CT :Q6-415 I'�°,� ,t l'i�.,i'I '�a�.p��, i f,e f= _ _ _— = 1` sY �'1' It d'`}• � l.I�d• y' fl:' I ',1 t l! r�t'N. n 00;40.;2.9,ii�'' ,1•:0,,,2, i. „ t'S'4 6=4:�, 6"8= 0 ,1-5,0 G T Vendor No. Check No. " 'own of Southold, New York - Payment Voucher 4007 Vendor Address Entered by 359 South Main Street Vendor Name Colchester, CT 06415 Audit Date D.H. Marvin&Son, Inc. MAY 0 9 2017 Vendor Telephone Number 860-537-2344 Town Clerk Vendor Contact ut, Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 98118 3/29/2017 $2,990.87 $2,990.87 John Deere Tractor repairs 3M5709.2.000.200 r F i $2,990.87 $2,990.87 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the uantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or dis a ancciies noted,,and payment is approved Signature Or.—� Title Signature Company Name Fishers Island Ferry District_Date Title KV _Date v �� r D 1I. 1asai and Sats I34C. Repair Invoice 98118 PO Box 226 Colchinmr,CT ON 15 1 i p Parts must be returned in the original package and a minimum of 15% 359 South Ivi Struu et restocking fee will be charged on all special order parts P1a$n0-537-2344 Fax, 360-537-5711 BiII To' Ship To' Fishers Island Ferry District PO Box 607 261 Trumbull Drive Fishers Island, NY 06390-0607 Contact Customer Tax,Number Phone Alt',Ptione PO-Number Transaction (631)788 463 (860) 367-4414 Charge ',Counter Person'," 'Sales Person Invoice.Date. Reference Department DM DM 03/29/17 109392 Service Make' _Model; Description Year Odometer/Hours VIN JDWW 14410HST Tractor 207 hrs LV441 OH241513 ,,',Date Purchase` Tag' VVarranty,Exp. ESP Expiratiori l Color Storage,Bin Engine Number 07/30/05 01/01/00 Date In' ; 03/07/17 Service 1 Contact; Gordon Murphy 631 788 7463 Pick up @ New London, Fishers Island Ferry Transport [Labor `__.__.._ Line„ rn°'Mechanic Description. Rate Time Amount De18 CT Cut P D Zone4 $15600 1.00 $15600 Service 1 SubTotal $15600 Service 2 Broken tooth found in transmission oil [Part Number Line Description Ordered' 13/0'd,%ShippedGst, Net Each Amount YZ81235 JOHP GEAR Z67 1 1 $33613 $31932 $319.32 YZ81236 JOHP DRIVE SHAFT Z67 1 1 $55026 $52275 $52275 F21029 JOHP CAP Z67 1 1 $3.25 $325 $325 P50883 JOHP RING 810 1 1 $176 $176 $176 PM38657 JOHP SEALANT 31A 1 1 $1892 $1703 $1703 LOWVIS-GS OILP Low Viscosity Gallons 1 1 $21 99 $20.89 $2089 labor Line Mechanic Description 7 Rate >;'Time" Amount s SI - — — - KS Labor Pfeferred Cust-- $88 00 1500 $1,320.00 Description. Y Line,, :Reference: -^T j ` ^ ' Quantity Net Each : ;Amount. ' Frt5 1 $2000 $20.00 !Note Drain transmission oil Remove wheels,fenders,seat and panels Remove rockshaft Inspect damage Found drive and driven gears for mid PTO damaged Remove rear cover Replace damaged components Assemble Refill oil Service 2 SubTotal $2,22500 Service 3 Complete Service lPart Number .Line :Description ' Ordered B/O'd• Shipped'.`T List Net Each Amount M131802 JOHP FILTER ELEMENT 514 1 1 $18.57 $1764 $1764 M806419 JOHP OIL FILTER 511 1 1 $981 $9.32 $9.32 M801101 JOHP FILTER ELEMENT 513 1 1 $8.68 $8.25 $8.25 OIL15 OILP 15w40 Oil 6 6 $5.99 $569 $3414 D.H. Marvin & Son, Inc, Repair Invoice# 98118 - Fishers Island Ferry District Page 1 of 2 TY26575 JOHP COOL GARD 04C 1 1 $15.99 $15.19 $1519 B1AC40a SUNP FLUID FILM 11 3/40Z. 2 2 $9.29 $8.83 $17.66 M48534 JOHP KNOB 133 1 1 $9.77 $9.28 $9.28 TY26575 JOHP COOL GARD 04C 1 1 $15.99 $14.39 $14.39 Labor, Line Mechanic Description Rate -," Time. Amount SI KS Labor Preferred Cust $88.00 05.30 $484.00 ;Note Service battery, Check charging rate. OK 14.3 volts Change oil filter, lube Inspect fuel filter Replaced. Inspect air filter Replaced Flush and replace coolant -34 Clean cooling fins Inspect engine controls Inspect steering. Check MFWD oil. Inspect drive train Check hydro oil. Set tire pressures. Torque wheel fasteners. Inspect/Adjust brakes. Inspect safety items Apply Fluid Film corrosion inhibitor Pressure wash Service 3 SubTotal $609.87 Invoice Total $2,990.87 Sales Tax $0.00 Grand Total $2,990.87 Our Winter Hours begin Nov. 1st: Monday-Friday-8:00-5:00, Saturday- 8:00-2:00, Sunday-Closed We recommend starting and running equipment to operating temperature every 30 days. Use only a premium fuel stabilizer. Manufacturers do not recommend the use of fuel over 30 days old. * Notes y Customer acknowledges receipt thereof D.H. Marvin &Son, Inc, Repair Invoice#98118 - Fishers Island Ferry District Page 2 of 2 I 1 I I 1 FISHERS ISLAND FERRY DISTRICT l VENDOR 004277 DIME OIL COMPANY, LLC 05/09/2017 CHECK' 4030 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION r AMOU14T SM .5710.4.000.300 53953 MUNN 5225 GAL@$1.6258/GL 18,494.81 -_ SM .5710.4.000.300 53953 CT EXCISE, TAX-'$.4170/GAL 2,178.83 k- SM .5710.4.0'00'.300 53953 S-F COST RECOVERY .0021 10.97 SM .5710.4.Oobd 300 53953 LUST TAX-$.0010/GAL 5.23 TOTAL 10,689.84 , ... .. , a ...w-, x.4. ,..< ' .a«ws.,•,< ,.. > s Rte,' I �� a� ri.a..,r.�s ...,.,c.. ->.«.<<..>;.<,...• r.,;i. `.•:g{s ry�J..•'. Y.•2 q::. 9 'lx.i x..33 .... -::t"'.x- , .. ♦a.> ,. r''"`;,.?tH':11v�,'"^',wiVa a?�v>� ��, ,��,: 1 - r 1 t 12„x:., e3"4'4 `•¢,� ``#� ,3� ,r,4,X•'3 I 1_. ;. FIS1�lERSISIAND. ERXY,DISTIlICT P;L7D .T1,05'° `ty' ,€'•Fr„ti ' '3e,1 �'4,'", •rt... .S x §a:r,.,.�_^ -/ a'F3 4�';'if^.�e,A�'' 53095�MAIN;ROAD:PO`"BOX':711, , .;,_ ;�" :a"t'•✓.- - ,Y, `1`s -;=>, w•s.` 1 a:Y<r 9'F'f'4 b •P 7 3 .t ,rGa ~gi YI. SOUTHOLD,NY11197710959 `.i` 'rt'.t'"'t .' .''s= �'H iCKtip ,t"4030 'I rr,'' r- ,„r” %"Sd\ 'Ir •�•r"f. - '-``'- = - =__ _ O'., AT ON �,a,ANK`,'; TIEl$UFFOl, C N .I 6, ,CU7,CI-IOGUE;,K,3NY,'�17'935; I Y_t U,t"r s. � ppl,r,t:%'- -_ - _ _�k:,- '=__-rr ty• ny?gyp, ,µ<p,ry",' „'p,`� it p: _ _ t.'1'�` '�. ;1. �� ah,. .I P'; 1 ,F, x!<_ - - - - _ '•11y, d�Ir I{ ,"£I' 1:e,l�' r,' _ - - - ,•'gc,t•.&4 S §.dG,,'yt' �4•"yl. 6• �,IV',�1`;i,. +3':a` A, "-- ---� - --- '§',lalF ,I,.• <d, ..rfP'' --i'�-`-`=" "- - - -.r F.n, wn'- ,... _ ,,p<, ,•17�,:;>�' °%=1.0=r68'9,:.84�r. s.. ,�'a'3 .;': �•sr;;'e`'�i'i. ,a- ��'s, '`i tr0:5.-/Q9/'20. ,. .�;�. ,5 $ ry n.�; r %'• ,c-t s 't', 'i#- ';E'. ,d. .g:k,..',?;�;'<50=54,6/21'4 i`";:'t,r :',';'t;„t<r;' 't c•:'a;• .z§�I d'';k s 3`zl'`a'='a ” y `:T'ENrtiTI30USAND':,S+IX> REDt`'`` 3G TYY;NI E`;i'AND"•`84' 10'0-:DOLLARS;' ; "3;P'<'•a1• `.i.,c¢ _ }, -- _ ;,; ,3:.,.a'h :�."1, .;1,.'Y, 'K.- --F - -' <_ .'1� %'I,,.l'"- "Il' :'�•;'','�LJL';,�t_--_r- _ - - - - w' `a`�-_ ,:=;4"__ „1,''t.`+r''1',nl'' inh x ,?,"9iA,,'s,IPI°<u IC•S.y{v ..¢ _ _ - - p e. �`t,;i'a •,,',p: .;Pf-'A,'E"pP•{"t�"s:,¢ _ _ _ _ - t';,x ,; '.3,? =t-." -_ ..14 ..P,,qt E;1',,1 'IJ p, n,�. yl•I,,7,1, _- _" - "_- "_ I§:",i('�`i�a_,,,,,,,. x 1,{i,.p'1 n,•i,,,y ,L.g,§t% }3x5 - :-Ta-..y,<3 + �1, y1W, S," _ -- _i,° - _ '1'``ai YI�4, _ x4 -- "-},"'`a` -" - .,., �_' . P�, '4t "t�'n'° rc"• - .,4i':° - _ ,t>: r,"a. ,t,1, ;c;, ;i��,cC'`i; •a'-_-1§ - - _- a� „' °id. P•:1,.1 1p,:a' r,{, ¢t. ..gk.: ", ?Jy,d a l'sSYes r s= �s E - f'" - - ��;. 'r+,:;` •aR :.3 fu ___ ;`j..��•;' n;.•;--t' 4,t'. ,'.^"��3, n}:.r'^' �(`,_ ?�"v,. r- `�¢' :a��a' 'r.`3� ',t ;p" 'j� ,t" ,b, :;>, if 3'`• "3 ii: ,a';4: ''t`,, >,t,,ad t¢;x t, .�a 'Y t x�ntl. .��.` ,it¢ Fk' .r:l'i3f.`-„LSY:�� �: �`"- 3�1.<."> - °nit'I`r ar^'._•f `rt3`''.3'. }r_5 }':S:.y p3 �`t� �� 'tkl> Kd `'�;:>�p>•r'� - `:¢' ,:n° '+Fn=_" fp,` :`r;' §,:• t r' - _,�•;” >"4t ..�', i'` ,1• _^.§• ' `vtr•rf,J a-"`±"t"> .P f - .^#4��"'ti.s,:"(• . 4L161-` : _ ;'i" - „•*�'r`_„+.: ':,`<;;t r,¢ Vit,. ✓. ,s', w S,'yxa __ «<� _ ,:F.s' L >J.i`v."�'x�r��S. ;', ,..'1,.• tlt•i t L' 1, LLV i�+ ',ti�Il.' P,�v,`a-'•1`i'Tf�'�'„i '{1•t,*, '1_ _ _ S.llii3••1�f i%. 1,r,• ,I>t ISI 1•,5:;11�`, r'•11'D'IME'-� L'':COMPANY'''== C n' _ :,r;'`',St.d',,�:/•�al''{l'po,'h l �II' ',1�y„d,rk, .{ ._`i3``-_- _- __ -° --'':�• �t x ,lr ya,11,e al,+II.,st''',I..;pl y„1tp�?:pN �- ,'I< ,.�>l"!'4.• ;'1"•„ -TO - _"_ --Y+{•y, "'4J'„J'C ea rr _ - -_ - - <rti N'�tr m :,L'4;A..i -t -i�= F> ,?> rW gyp`, ' 1- ,i __ __ ." -__ _ __ _ ,as• - 'I •,d4 l %g - __ _- -”t- _- f i 3�i'i'”,rq,',',I`.{�" 11rhsri.vyl-_ Si' }4•t{'i iP sll •li"ri�'III,i P.< i ,lf.e� ,��,',,1•,¢' ;7.'"v � .'fn,- -- -"- -_- , _-_1,•r' ',1. '{t1a',r'1..1 '.1,1'1 tl,it t,ii�',,rd,li' -�' �`�� " _ - -" 3,• •�,1;� ;1,,11. .,I. ,7,1„ .9,3., ,xNDUS;�'RY•, LANE; � 34' ��x, ''si� a:".1 I. -r,__ - - `- '�'o-1 ii"s'at•1�s4 n St> 1.},N.\,3�Z4,' isl,lix< I `�:'1 -".t_'.d :"e;dst. :k' a s' ;,s ,p>!,: Ij,rq �•• fP.O. BOX. il`112 5 <,%',;'-F,., h `t h R,?'4 L:i b� e .{.• �, :l_ir• *3, x'�<:,�`;WA'1.'E12BUR'Y;='�T,''06,7,0,4'>i<�.K';;';:. _ .4�_,1-;=`` .�° .t;�� ;: hi :'a�, ,.• r§•. " r, _ _ .fir;1,�"�`{ ln3 '1,1 U,,1 'A - F" -_-- _ _ _ r t„r ,1 ••}8 4 ut `r•” _- - "- - ], _ - _ --,r' eta :I„t:n,I'i 1'F ,i' IPl',t:'iyi i'„ il7l'� 1.)`=-.4 - 'Y.%• I fb 1.1 Y.ydl,' .,(}1,1111,jt, -" _ __ _ 't ,i 1 J •'!•p"- __ _ 1.` {',' ,f.. �n, I�s',���:f "" - "i _ - _ a<3� d •I 1 111 d {.f'i 'd _ - _ �'�1''I I, ,,1 1,'iI .R�d - - - t 'I, "1„� n d - 1 .� °0`'2” 4e'0:%5 4..P;Lot .E Dime Oil LLC Phone: 203-754-5334 ` PO Box 11125 Date 04/25/17 Waterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco.com INVOICE ACCOUNT NUMBER : 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms: Net 30 Days From Invoice Date ------------------------------------------------------------------------------- Date Invoice Charge and Credits Amount ------------------------------------------------------------------------------- 04/25/17 53953 4420165 -A Fishers Island Ferry 5 Waterfront Pk-Munn #20R Off Road Diesel 5225. 0 GALS @ 1. 625800 8494 . 81 Dyed Diesel Fuel for Off Road Use ONLY. S-F Cost Recovery 10 . 97 CT EXCISE TAX DSL 2178 . 83 LUST TAX 5.23 04/25/17 53953 Fuel Invoice Total 10689. 84 Amount Due 10689. 84 Effective Jan 1st the Federal Spill Recovery Fee increased to .0021 for Oil/Diesel & . 0019 for Gas Dime Oil LLC 203-754-5334 Account: 4420165 TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED-BY A PERIODIC RATE OF 1 5%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST DUE.30 DAYS OR MORE AND TO ADD ALL COLLECTION FEES. El ORDER DATE "_ 0 R9cn 91263' 2 26r 1.400 W/ij.vC 04/24/2017 C 1 C�3 I ]" '.. DELIVERY D TE,• Fisher's island Ferry 4 4A Lt ® 5, Waterfron P k'°lll.nnata �t • e GALLON 17 c �f 1 '-state �� FOR GPS 86 -442-0165 :r �ol�� �C , co c_� � . "0 CD o r New --London Mi"�T 06320- 1.1 1 7 5 FULL PRICE'PER GALLON ` o o K Fadtore 0 .600 asst DeIVa03 16/17V 0.0072 y `� z= f /" b4J � O 2 J © 195'^ex83-s-trait-follow signs-L Shite®ova' DISCOUNT PRICE PER GALLON `L °' RR Tracks .to Tera,JOHN t,86Q-303-8311 ' 7PAYrUNT AMOUNT ID C). y; f 5240 FOR 8AM TUESDAY 4•/25---_ w � E k i " PAY THIS AMOUNT Taxes=$ 0, 0021 0.4170 Q 0010 ,. p'aFreR oays77 �J a 1: C z { I IL COMPANY LLC TRUCK � TAX o i [•d��t��S ' DRIVER� �^ �O ��.� !',�S � � o � P.O. BOX 11125 TMST Vi r 1 WATERBURY, CT 06703 TIME M { M PAYMENT,RECEIVED PTMF1 OF DEH�(203) 754-5334 i E]CASH'[]GACK wm I1 E m []CHARGE® • Ica i �•-� - < - 1— a _ -- - c Y Kascia A►smolov From: Accounting Department Sent: Thursday,April 27, 2017 8:00 AM To: Accounting Department Subject: FW: Fishers Island Inv&ticket Attachments: CCF04262017.pdf From., Lori Waskowicz [mailto:lori0a dimeoil.coMJ Sent: Wednesday, April 26, 2017 1:52 PM To: Accounting Department Subject: Fishers Island Inv&ticket NEW HAVEN, CT 2017-04-25 17;06:58 EDT **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.1 Move Pre Move Date Time Sprague u 1-10 159.10 - 1.00 -- -- -- -- -- -- -- -- 04/24 18:00 Global u N-10 159.80 - .99 185.90 - 1.10 162.00 - 1.09 04/24 18:00 NWENGLPTR u N-10 159.85 - 1.00 -- -- -- -- 162.35 - 1.00 04/24 18:00 Shell u N-10 160.01 - 1.00 -- -- -- -- -- -- -- -- 04/24 18:00 S.R.& M. u 1-10 161.33 - 1.21 -- -- -- -- -- -- -- -- 04/24 18:00 XOM b 1-10 161.47 - 1.82 -- -- -- -- -- -- -- -- 04/24 19:00 Shell b 125-3 161.62 - 1.02 -- -- -- -- -- -- -- 04/24 18:00 Citgo b 1-10 161.90 - 1.25 -- -- -- -- -- -- -- -- 04/24 18:00 Citgo u 1-10 161.90 - 1.25 -- -- -- -- -- -- -- -- 04/24 18:00 Gulf b N-10 161.95 - 1.10 -- -- -- -- 164.45 - 1.10 04/24 18:00 GULF-GIE u Net 161.95 - 1.10 -- -- -- -- 164.45 - 1.10 04/24 18:00 Coastal b 125-3 162.12 - 1.10 -- -- -- -- -- -- -- -- 04/24 18:00 Sunoco b 125-3 162.12 - 1.10 -- -- -- -- -- -- -- -- 04/24 18:00 Irving u Net 162.23 - 1.16 -- -- -- -- -- -- -- -- 04/24 18:00 BP b 1-10 162.77 - .91 -- -- -- -- -- -- -- 04/24 18;00 Valero b 1-10 163.85 - 1.05 -- -- -- -- -- -- -- 04/24 18:00 GlobalXOM b 1-10 164.71 - 1.20 -- -- -- -- -- -- -- -- 04/24 18:00 Valero u N-10 164.75 - 1.05 -- -- -- -- -- -- -- -- 04/24 18:00 LOW RACK 159.10 185.90 162.00 HIGH RACK 164.75 185.90 164.45 RACK AVG 161.86 185.90 163.31 Plus vendor mark-up .72 Total 162.58 Convert to dollars $1.6258 Katarzyna Asmolov Fishers Island Ferry District 1 I I I I _ I • I I I 1 I I I I _ FISHERS ISLAND FERRY DISTRICT VENDOR 004443 DOCKSIDE ELECTRONICS SVCE,LLC •05/09/2017 CHECK 4031 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION % AMOUNT / " I r- SM .5710.2.000.000 , 11395 PRT.RADIOS,ANTENNAS,CLP 601.70 SM .5710.2.000.200 11412 1—AUTONAV,4—SWITCH PUSH' 1,490.71 TOTAL 2, 092.41 I t S, a�= _ I r-• i I ' t 1 • e o o • e o e "; " FISHERS SSI A1VD;FERRY DISTRICT - - 53095'MAlN.ROAD;.PO BOX-1;179 ;0' 7-' 3- f _� ,r" SOUTHOLOjNY,:1r1971=0958 ., _ 'CHECK'NO;;: ,403 " r- u THE'iSUFOC'K;'CO"NA7PONYALLBANK CUTCHOGUE.,NY,,y1935 ,4.' __ ,DATE`_ a :,AMdUNX,,,;,;; ', ry'''e ;. 56-5416i2144` 0=5709/2017 $2.;092.4`1' TWO-`,THOUSAND.-NINETY;:TWO AND, 41/10 0 'DOLLARS;; - _ -- "-'- _- - _<.�_ _ __ l�1"1,{� �'ili� �'�A�. .�' '.i,4.�= __ _ _ "__ ___� _-_ - ,II (l' 'l l�"�'�r'��'4�'1� , _•_ _ _',Y�. -"- _ ___`1� . - _ _ _ � __ -.K-1" ,�el, III'�'�i 3''11'1 __- ___ _" _ _ 'I,` '7t � _ i _ -:- _ •,¢,, PAX�.,,i:,l; �d�'DOC'K'SI+D,�';ELBCTRONICS''=S _E,. L 4 1 ,P -.1 '11t,'. 'I;i ',I• - - - - "I�P'':P'tl'q„ '11'.Ik ';P ,1r`,Ni. a'S'TFFORD . . r ,i,,u,-tfi11 OR`9 MXSTYC`;;iCT`;.p6'3.55' - _ - > _- •-l1'•' __ - _ - - _ <. 'll 1 III l' - - - - _" n°0040`3 'L`ii■'' 'i:012'i4''0'S464�: "9i" 0 50 2 -0`L i`'ii� Vendor No. Check No. Town of Southold, New York - Payment Voucher 4443 Vendor Address Entered by 18 Stafford Street 25 Vendor Name Audit Date Dockside Electronics Service LLC Mystic, CT 06355 14AY 0 9 2017 Vendor Telephone Number 860-536-1919 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ; 11395 3/31/2017 $601.70 $601.70 Portable radio(3)Replace antenna(3)Swivel Clip(3) SM5710.2.O00.000 11412 4/14/2017 $1,490.71 $1,490.71 Autohlav(1)Switch push(4) P SM5710.2.O00.200 $2,092.41 $2,092.41 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 perfo 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 di/screp'ancies noted,and payment is approved Signature o.,.� v`t--� Title Signature pp Company Name Fishers Island Ferry District Date 4/26/2017 Title Date U a DOCKSIDE ELECTRONICS Invoice y SERVICE LLC DATE INVOICE# 18 Stafford Street ® 18 Stafford Street 3/31/2017 11395 Mystic, CT 06355 BILL TO , SHIP TO FISHERS ISLAND FERRY DISTRICT PO Box 607 FISHERS ISLAND,N.Y.06390 Boat Name P,O.NO. TERMS SHIP VIA FOB NET 30 ITEM QTY DESCRIPTION SERIAL NO. RATE TOTAL F3011 41 RC 3 F3011 41 RC 136-174MHz 16 ch 4136713,4136 168.00 504.00 712,4136711 FASC56V 3 UPGRADE:Replace the FA-SC55V standard antenna with stubby 2.40 7.20 150-160mhz antenna MB93 3 Swivel Clip 11.00 33.00 SERVICE 0.5 Program Radios 115.00 57.50 l � � Fax# E-mail Subtotal $601.70 860-536-9272 tim@dockside-electronics.com Sales Tax (6.36%) $0,00 All service calls are subject to a minimum charge of$115.A 50%deposit is required on all new installations. If final payment has not been received after 30 days of completion of services,the credit card we have on file for you will be billed the invoice total in Total $601.7Q addition to a 3%service fee. Invoice 4 DOCKSIDE ELECTRONICS SERVICE LLC DATE INVOICE# 18 Stafford Street ® 18 Stafford Street 4/14/2017 11412 Mystic, CT 06355 BILL TO SHIP TO FISHERS ISLAND FERRY DISTRICT BOX H FISHERS ISLAND,N.Y. 06390 Boat Name P.O.NO. TERMS SHIP VIA FOB -Race Point John P NET 30 ITEM QTY DESCRIPTION SERIAL NO. RATE TOTAL 060-31 1 Autonav Model51 RAI with JB1 junction Box 565.00 565.00 FREIGHT 1 Freight In UPS Air 95.00 95.00 060-31 4 Switch push SPDT IP67 0.00 0.00 SERVICE 7 Labor to troubleshoot Steering Alarm Panel,Install Test Buttons on 115.00 805.00 hydraulic sensors,Install RAI MILEAGE F... 1 Mileage Fee _ Q 25.71 25.71 Fax# E-mail Subtotal $1,490.71 860-536-9272 tim@dockside-electronics.com Sales Tax (6.35%) $0.00 All service calls are subject to a minimum charge of$115.A 50%deposit is required on all new installations. If final payment has not been received after 30 days of completion of services,the credit card we have on file for you will be billed the invoice total in Total $1,490.7 addition to a 3%service fee. , t ' FISHERS ISLAND FERR Y DIS TRICT I r 'r VENDOR 006025 FASTENAL COMPANY 05/09/2017 CHECK 4032 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION, AMOtJNT SM .5709.2.000.200 CTWAF8146{1 ASST MAINT. �SUPPLIES 108.41 TOTAL 108.41 1 , r li -. i N✓r I " `•..Frit! -- �.n ..w .< � x n t,.< - .. �i2•,,lr<c'3`' .. .ri rv<>yv .. .r .0.q�yv> I I l I , 1 r-• ' , r 1 � r-• _-e --_r.= _ - _ A n ;I;;w',,e'Rt wat{-a_a• ___ ;`-,_ _ fry'_ _- _ n� •yn.i`•h av`,n.F° 1 - _ _ _ _ E £. FISHERSTISZAND•��ERRYDI.4TRICT b - ,43095'MAIN�ROAD;P,O�BOReY779-,F,,^,, t' _® SOUTHOLD:NY.,L197,,1'0959 ,,, r- 1;� v' .ILI°11 •n' _ "1 - =- �- -14;- - 'T'., .,6,U�FOL, .O,NATi AL�; Q�,'t -- ,, ^ 'Kj;C ��pN K - - _ - �a- ,I I 'I'' +a It•K cuTCHocu�rrvV,,1,a�35"',,,' DATE._::_-_ ',11'I' B'I"•6"' n�',il' . --- _ .�tl nl,t 'i �f it-I',h,�lq _ _ - - - _ 1,� '1 _ o _ ,t'+ d ",1'x,,1 II ,I' :S' - _ - _ - ;1#'TAF „§'Jil; �iYl'r.' 0210'8''e41546/214 ONE HUNDRED` EIGHT `41 x'100 DOLLARS," -.£___: _ : _ .A. / ,0 'n"d -`4°`� _ _ = r,1•e' "FI ''p ',d 'af,t c�t` i - _-_ bf - - _ _ _ _ __ __ __ �Ir' i ':d4'Ir,A'o;Ilr ,Iplm,4•' - -- - -- - - (' 1,1#e'p,` ;L"'''°Ip'�I'.E4,,x�£ - - by". - __ _-- , ASTEN -`'COMPANY::___°_ _ -- ',,,;,•;'� - - _- - _-- •`.B £',,;�� ;<„f- ;1" ',I,;(:';;ul•, '-�<: _ TT�]cc ''ll- •,' - -__. _ -__ __ -___ ___- -_ 'r', '.1"3„,�1'-5,' -_�___ -- _- -_> -_ = 'L/'v .."�'•"41'A.1. ". , T0,'/'�L,',A,I'i .�,' '{ _- F�' :l�l,l '1111p'•�4�i4�{"<{ ',1',li,ut _ _ _ --eta" -" '4Y'{I'�'i'p•f�+ �It'Niiff,P,ir 1nP't..( -. f� �+ ':P'O B�;OX' j_-;?"g'6 __-__- -__ -__ -_ - _ •'I;�A 'In{•< `.,,. _ __-_ - _ <•���` _ `,J-i,,, ;.J, _ ORDER N, ` i1,,• _ __ _ ✓a 'I'I' __ "1�, IN "4111 •�,,' s''.WINbNA,, MN;-5598,7'=1286'•_• < r` -<{,`',A - 1t` .. r La .,;�•N< !.. t5.+isle < v " .. t,> .. �>>.: 9,i<' ,A Oi4! ,}'H< S _ _ it ",Y 7'd. ,I, •1'll'" e l 11'11 - - -" Ali {;i�• il,� ,I <- - ` - _- - - "_- __ ,ll >11, µ`3A nl�(f.•'lli i,ll A - - - - ' t'I 'IN''• ,�I f,Ip, ;1'•',,I A,"' >`(<r - __— - - -_ --_- __-- '4,J - ilk 00 40'3 '2[in `ly:'0`21<4A'0'�5 4'6 L, E8`-,:-0'0' ,1 50' 2 �t f Vendor No. 6025 Check No. Town of Southold, New York - Payment Voucher 403a Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 1286 Vendor Name Winona, MN 55987-1286 Audit Date Q 9 �o, Fastenal Company Vendor Telephone Number Town Clerk- Vendor lerkVendor Contact /1 Invoice Invoice Invoice Net Purchase Order L.G Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number > CTWAF81461 -4/4/2017 108.41 108.41 Maint supplies SM5709.2.000.200 108.41 108.41 Payee Certification (Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and,that taxes from which the Town is exempt are excluded. or di "pancies noted,and payment is approved Signature _ Title Signature Company Name Date Title _Date Remit to INVOICE ® Fastenal Company P.O. Box 1286 Page 1 of 1 'Winona, MN 55987-1286 olnvoiceDate Invoice No. CTWAF81461 Cust. No. CTWAF0419 For billing questions Invoice Total Cust. P.O. 86 Boston Post Rd, Unit#2 Job No. WATERFORD, CT 06385 108.41 USD Contract No. Phone (860)447-3010 Due Date Fax (860)447-2734 05/04/2017 Sold To 0000085 01 AB 0 400 "AUTO Ht 2 1023 06390-0-00085 - ��rllllllll�lr�llllllllnl,tollllll�ll�lllllllllllllnllonllll Ship'To FISHERS ISLAND FERRY DISTRICT Picked up at branch PO BOX H 86 Boston Post Rd, Unit#2 FISHERS ISLAND, NY 06390-0607 WATERFORD, CT 06385 _- — This Order-and Document'is subject fo the "T®rms of Purchase" posted on www.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 25 25 0 3/8-16S/S NYLOCK 480004079 1170862 392000 9.80 T 2 148 148 0 1/4-20S/S NYLOCK 480004296 1170860 186300 2757 T 3 50 50 0 1/4-20 X 3/4S/S HCS 200103004 1170003 226900 11 35 T 4 25 25 0 3/8-16X1 1/4S/S HCS 160107970 1170107 671600 16.79 T 5 50 50 0 S/S FW 3/8x7/8 o.d 160115830 1171017 82600 413 T 6 25 25 0 1/4x5/8x1/8 S/SFlat 220019319 11103758 159000 398 T 7 2 2 0 17/64"135 JobDr TOPEST 0345850 4640000 928 T 8 2 2 0 25/64"135 JobDr TOPEST 0345858 9520000 1904 T I Received By Tax Exemption Subtotal 101.94 Shipping &Handling 0.00 Comments CT State Tax 6.47 County Tax 0.00 Contact.Jessee City Tax 0.00 Total 108.41 m N Reasonable collection and attorneys fees will be No materials accepted for return without our permission. assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. N 08 m If you re-package or re-sell this product,you are required to maintain Please pay from this invoice. integrity of Country of Origin to the consumer of this product. Invoice" C1.WAF81461 Cust CTWAF0419 ., ��, 0 ...® ' r Packing Slip Fastenal Company P.O Box 1286 Reference Winona, MN 55987-1286 Date Page The store serving you is 4/4/17 CTWAF81461 I CUSP. No. CTWAF0419 86 Boston Post Rd,Unit#2 DUE DATE:05/04/2017 Cust. P.O. Job No. Waterford,CT 06385 Phone#:(860)447-3010 SO/dTg Fax# (860)447-2734 Shij3 TO ISHER ISLAND FERRY DISTRICT is ed up at Fastenal Store. PO BOX H Fishers Island,NY 06390-0607 631 788 7463;631.788 5523(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity "' Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Each Amount 1 25 25 0 3/8-16S/S NYLOCK 480004079 1170862 0.3920 9.80 N 2 148 148 0 1/4-20S/S NYLOCK 480004296 1170860 0.1863 27.57 N 3 50 50 0 1/4-20 X 3/4S/S HCS 200103004 1170003 02269 11 35N 4 25 25 0 3/8-16X11/4S/S HCS 160107970 1170107 0.6716 16.79N 5 50 50 0 S/S FW 3/8x7/8 o d 160115830 1171017 00826 4.13 N 6 25 25 0 1/4x5/8xl/8 S/SF1at 220019319 11103758 01590 3.98 N 7 2 2 0 17/64"135 JobDr topest 0345850 46400 9 28 N 8 2 2 0 25/64"135 JobDr topest 0345858 J 95200 19.04 N Received By Tax Exemption Subtotal 101.94 No Exemption Shipping&Handling 000 Comments CT State Tax 6.47 Contact:Jessee County Tax 0.00 City Tax 0.00 TOTAL USD 10841 If you re-package or re-sell this product,you are required to maintain integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be assessed to all acc�unfs placed for colleCtipn No materials accepted for return without our permission. An invoice will be mailed in approximately five days. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *0* "indicates part was sold at a promotional or special discount price Thank You ! FORM -IN13 FISIgERS ISLAND FERRY DISTRICT J VENDOR 009615 FISHERS ISLAND COMMUNITY CENTR 05/09/2017 CHECK 4033 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ' • AMOUNT SM .5710.4.000.200 756 PHONE USE 3/20 BOC MTG 5.66 { TOTAL 5.66 — 1 o I t aY: rsi - „Z y� z'•F"r,' �l II , I 3 I ( l I • - o • o o e e e e • �' - - - - -- ----- ::,,,,•a.t �,•,., ,,, ,u„ a�o-Ar ,. $,� - s=.'- --. < a�.'- s a :,.., 'y 7, qp, "d'~ ir$IFISHERS`IS FERRY'DISTRICT "w•: ^ n' ::.;.=b.e,', LAND' ?r < " 53095. ROAD;PO,BOX 1.79a• s'ti6 "v`t..•:.'' MAIN. L 1'-:'W<<:•�,_`�_ ;s.3'' P::r,• ,i;4'SOUTHOLD:'NY,'11971'0959Al 4 1'•x g t,. �` r s' CH CI ,IIO,I: a';',4033`a c a; ����"1.r• ,Iru. s'-- � - - �fi ISATf AL1�`ANK'r .tTHE, U,FFOLK,,CO.IN CU7CHOGUE',, YW,l - I 05 09'.201Tis. 5="6'6x;- 50'546/214 "r<d f's s;�s .a -`i i,t,•L. &`IVi' _E SAND 66 =,1'00-;DOLLAI2S ,> - __ ___ __ iv' _ ____ _�__ _ - __- _ ``l,•l''FJ •`f'� ,.1, '•1+,'1,+1' -�4',- 1'i,t;l�° �i"� „�!.,I,rl f,;I; a•TS' - _ -" -__ Til all' I,1,I 1„lµ,i!•',�,1 la 'I� .l. h` _-_�� _- _ ��--_ - '1"� 1, I±'�'N".f• -_ - -_ _ _.'},•y¢ _- ^',r'1,^ %-_ _- - tits .�1.�. - i•_,+4,. ':\�' �l.:f"" "t.:'' .. ,.- .. a''.. }.,'t'.^ •'4 r-< t''sso '-,,�;,.' ',11 FISHNRS',�T'SI+P,ND-,•COMMUNITY'=CENTR. „G',•�:;�'�I��Ir-„4�,1, ,II ,'r'�1�` _ - - _ >,�•<';�a'°',1, 1.,,!�I,�II'll I� ;II''+,,'ISI' .I..1. '�� ,F';1.3'' „•!"•... _- _ __- - _- _-�__ ✓'S p°'”; i'I,et^'__ '`li af' � '- _ __- _� __ yFIF iA.A _ "..L,'' ,•I•,ml ,__ % - - - _- _ 'Y -''i •.±if'"'"r"'1"1':1� il''1',<,_, __` -_ - _ tai»' , I I s'h TO''TH t, PQ-!,BOX':-'4'6 p� a;. '-, ' .4 al,t QIW�R - - FISfTERS-•Z"SLAND''NY"053"90=0607'F „n5 ttt`' :i gyp: ,TI, � ';,y'rt.�f+�,i• `t,. - _ - - -- '+�- - - ",d' .a•. bd as r `,!Ip r' fl,l Is"la"•�':.t`-" - - - f•`�� t, 'iln t�'�.'liil'", ,1 •e - ci', - "( _ `i;- - -- - _ - -- _ '''i�'r,i��" r�ul>ep l;r a�Ir,;,iji';'r` ,I L:'a --- =_ `-q`_ -- -- __ •h p;l,l, r,� V" 'I r,, �I,,a`,�'n�"`l�.a, '- -_ -_ "`(--_- - --_ - t ,i fn M1• (. - -iii 0 0 4 D 3 iii■ � =0'' L~4''0°544 6 4�: 6 8 0- V O 1./ Vendor No. Check No: Town of Southold, New York - Payment Voucher 9615 0 3 Vendor Address Entered by PO Box 464 Vendor Name Fisher's Island, NY 06390-0607 Audit Date Fishers Island Community Center, Inc. MAY 0 9 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 ` 756 4/13/2017 $5.66 $5.66 Telephone usage during SM5710.4.000.200 3/20/17 BOC meeting € i $5.66 $5.66 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or disc r ncies noted,and payment is approved Signature 1 ' Title Signature Company Name Fishers Island Ferry District_Date 4/26/2017 Title Date T �� The Fishers Island Community Center, Inc. Invoice FishersIsland.net Date Invoice# PO Box 464 4/13/2017 756 Fishers Island, NY 06390 Bill To FI Ferry District PO Box 607 Fishers Island NY 06390 -P.O.No. Terms Project Due Upon Receipt Description Class Amount Long distance phone charges-FI Ferry District Administrative Activity 5.66 V 6 Subtotal $5.66 Sales Tax $0.00 Thank you for choosing the Island Total $5.66 Community Center! Payments/Credits $0.00 .--_ , _1\ balance Due r$5.66 m 1 .tfZ ? t _===-__ _ _ 1L _=_ ^=E === Page 9 — - FISHERS ISLAND COMMUNITY at � PO BOX 464 030 468 5991 001 MAR 31, 2017 APR 26, 2017 FISHERS ISL NY 06390-0464 LOC8t90P1: 150 985 3463 OD9 TELEPHONE NUMBER: 631 788 7683 rem-- - _ LONG DISTANCE SERVICE - -- BILLED NUMBER: 631 788-7601 STATE-TO-STATE CALLS 1 3/16/17 1:59:40P THU TO TORRINGTON CT 860 489-1456 3:00 DDC 0.21 oT R • � �� �==.Y=YM!�-_�-�il'� _W�����-'M�AKN-T=_-.-•_ __ �____-_ �_ ___.__ __�__-_�-�_ �y_SE_yg,_+�_Q:�q-�{��_-___._- _�'_^-_- fig_ _-' BILLED NUMBER: 631 788-7683 STATE-TO-STATE CALLS 2 3/07/17 11:49:32A TUE TO TORRINGTON CT 860 489-1456 7:00 DDC 0.48 3 3/13/17 8:56:35A MON TO BOSTON MA 617 226-8181 1_:00 - DDC0.07 4 3/13/17 8:57:49A MON TO BOSTON MA 617 226-8181 3:00 DDC i e'ms . 0.21 5 3/15/17 9:46:58A WED TO ATLANTNHST GA 678 495-0050 2:00 DDC 0.14 6 3/15/17 10:35:20A WED TO ATLANTNHST GA 678 495-0050 8_00_DD- �_-A_.-55 7 3/23 0/7 — 4:29:34P MON TO LAKE PARK IA 712 432-0490 1:22:00 DDCje_�� 5.66 8 122/17 3:22:08P WED TO TORRINGTON CT 860 489-1456 11.00—DDC --�-- 0:'7.6 9 3/23/17 5:05:07P THU TO BOSTON MA 617 226;-8181 40:00 DDC Ccns• 2.76 10 3/27/17 12:13:50P MON TO BRYN MAWR PA 610 526-6991 1:00 DDC 0.07 11 3/27/17 4:06:53P MON TO BRYN MAWR PA 610 526-6984 4:00 DDC 0.28 IRA IN-STATE CALLS 13 3/03/17 8:14:32A FRI TO RIVERHEAD NY 631 852-3505 2:00 DDC 0.12 14 3/03/17 9:20:13A FRI TO GREENPORT , NY 631 477-1070 2:00 DDC 0.12 15 3/13/17 8:50:05A MON TO AMITYVILLE NY 631 264-5251 1:00 DDG 0.06 16 3/13/17 5:29:33P MON TO NEW YORK NY 646 521-7362 1:23:00 DDC 4.98 17 3/30/17 3:58:03P THU TO PATCHOGUE NY 631 289-1268 1:00 DDC 0.06 - -- - ------ -----------— ==--- -- TOT -- - ------- - _vw�� __=_�_ —_� -- ��_�,_��-_._fit -- e_ =__ �r x _ -___ _ t� € __ pHS-1 era laa� bir Nfidl�d Farwrrl=0 1 _- t FISHERS ISLAND FERRY DISTRICT - VENDOR 006482 PAUL J. FOLEY 05/09/2017 CHECK" 4034 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION / AMOUNT f SM .9060.8.000.000 040117 REIMB RX—APR'17 108.55 SM .9060.8.000.000 050117 REIMB RX—MAY'17 108.55 , SM .9060.8.000.000` 25033484 REIMB 2ND QTR STND ALONE 376.94 TOTAL 594.04 r-• ri t l � n��•,`�N9FF � I. v:Cr. 3SS:iv ,. >>yial ..y- .� 'I lfv.-"E}fy -�•I_ ___ --_ >f f I, ,i0� . HERSc{FIS = -I_D._ 53095MAINROAD;PO,BOX 11_E79R_._R ...... SOUTHOLD,,NY,1;19710959 'DI'SS'rT.<RICC,Tz i�,U;"¢y,-' _ '1A'^'UDtiStlll'1F�-..s,t k.0A`t5��r/Frfi0•;_�9,:,;_c�,•,;.".>,':y:7;_'-.,_.:;_r_t,Y%r''_>_,'__'._,,W,'`'t_ 'r i' ," #: > ECK«` �:` 40 g=•§£' ` , ":�• ThI�;SUF,FOLK�Cb"NAl`IONAL'BANK> _ - -' _ =_=a.. -6TEHOGUE,''NYpll'9q5,ir' AMOl1NT;, IY =0' -5-'0 9"•2`0:17;"„=,:` ,. r:,, ,5`94''''0`4',; . :50=546/214 :`<F,I-UEI=-HI7NIDRED``N2NET•`ls `FOUR' 4"/10 ,'AND:0 '0_<-°D _OLLARS: =}f >• i'1: i'i; `'4',1 '0h °,dF(a,. - - - _ .p�'; fi*' "9•zi`,li 1,,.,_, .e --- ,•1 h1= ,;,r _ __ ,__ - _" - !I,"il-f�,'i�• fa, '11,>da,IC,'fi`t, _ _ is.: _ _ _ 'r°. "- - - r�+l„'.''°1',' •''ai1'I'r IP:,-. --_ - -� - _ - ",1,. q�l��,l,' ',,a ',61'fo �r, i`- `Y - - .4 � 'ala nt`t>'� - - - _ - "rs, 't'' -i.:.�-' .r1.`• - ^/ - 1.L,..`<." '°•'" - I `PAUL' tFOI�E�3 - _ i'�ti,�> ,I `,:` _ - - "•i, �l, ,I 'i'°, ��� t _ '11 ''p,.sl '1'1'� fl - - - `'44.t';P` A °14•'d'P t'I. 'TO,Z�E ',I -_ 6''9,10"IWS'LL�P,MS.;STREET..-- - ER', 'CT- - '1 *`Il 1,111 T "0' T�ONDON, 6320" - -- -_ ___ _ :( ',I'1f l`�,(1', �i'+". .,Ipi I'rt -__ __ __- _ _____ __ _. ,',(�'a 'p1 ir, -,°„•` -< - - - -- _"- "_- - -"- _-' _' --' ___,!, _ „,a'.tl-f„3', '4+ ” '7;iI;, ,a'•'r,P.+, {'�-- - - =- .I�;t tll:' 'p, ',,11, 'i•"- _- _ --- -"- 15,0 014 48.0"2'14''0°5464'x:" -'ES::00'L 50 2 L°ii'' 9 • Vendor No. Check No. Town ®f Southold, New York ® Payment Voucher 6482 4A*2 Vendor Address Entered by 690 Williams Street New London, CT 06320 Audit Date Foley, Paul MAY Q 9 2017 Vendor Telephone Number 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 25033484 3/8/2017 $443.46 $376.94 Anthem Medigap Plan N 4/1-6/30/17 SM9060.8.000.000 ($66.52) 85% Reimbursement GLAC)117 Paul Foley Ck#2726$443.46 eksessew 3/29/2017 $127.70 $108.55 Anthem Retiree Prescription Plan Apr 2017 SM9060.8.000.000 ($19.16 85% Reimbursement Paul Foley Ck#2727 $127.70 CjSo� ►7 � ; 363WW 4/18/2017 $127.70 $108.55 Anthem Retiree Prescription Plan May 2017 SM9060.$.000.600 $19.16 85% Reimbursement Paul Foley Ck#2734 $127.70 , i $594.0 $594.0 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 d 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 1 Signature\ ��,.,` Title Signature 41 Company Name_Fishers Island Ferry District Date 4/28/2017 Title r Date IB1ue.MedicareRxsM Premier(PDP) , Anthem® --- B1ueCross B1ueShield Customer Care: 1-888-620-1747 •: Blue MedicareRx'(PDP) T269 P1 32204'(260)093314581161 ' �'I.11111111'I'I'II' Jill I°dIl'Jill I'I'I Payments received after the due`date may PAUL J FOLEY appear on your next invoice. 690 WILbAMS ST -NEW LONDON,CT 06320-4132 AMOUNT-DUE DUE DATE' MEMBER_ID; $127.70 05/01/2017 G0230330801 Payment'Options' e For check payment or'automatic withdrawal from your bank account(ACH), use the form below. • For credit card payment or withholding from your SSA/RRB check, call 1-888-620-1747. • For,one time credit card payment through our automated system, call 1-877-358-6792. Previous Balance $127.70, Payment Activity Since Last Invoice -$127.70 , Payment Type Date Received' Amount Check Payment-Lockbox 04/03/2017 1 -$127.70 00002727 �� Activity Detail -'1 0 $127.70 Transaction Tyne, Premium Month Qw Amount Premium MAY 2017 \ $127.70 Amount Due $127.70 I 2734 E PAUL J.FOLEYf 51-7218/2211 I 690 WILLIAMS ST. tis I NEW LONDON,CT 06320 ! Pay to the Order of "7V/!2-- I 7 ba}e c /!'� Dollars ® 000so e�K 1 .I I pa®plefsUnded ' I peoples.com _ For Ca 2734 i Anthem Blue 1Vledicarel M Premier(PDP) BlueC:ross B1ueShidd 404 Customer Care: 1-888-620-1747 Blue MedicareRx'(PDP) T9 P1 1323(260)093313756623 :Frr`. =='`' tltltllll �l� tt�.Il�tltd ��t�'�il�ld�''�It""t'�dptl�tt Payments received'afler�t�e�;d�e-date may PAUL J FOLEY appear on your next inv®ico- 690 WMLL MS ST { NEW LONDON,CT 06320-4132 a=TM , 41 _ �'..paj__g•2. _i ...g _ t,'airw .O�( ,��,,,. E,_ - `' Ol'J1� �7)1�Q'S7l L:};, s.; .�„<,3 -w. L`ra.- .rtva-a. —u °t`a`'u`''-_�` a.+ .s','fv-'.'�,'�;,v - <.a,..�,aT_:.3�,;.rr�.' ,,.,. �;<.v_�ak�.�.z�.�. $127.70 04/01/2017 60230330801 Mi% Payment Options ® For check payment or automatic withdrawal from your,bank,account(ACTT),use the form below. co e For credit card payment or withholding from your SSA/RRB check,call 1-888-620-1747. ® For one time credit card payment through our automated system,call 1-877-3,58-6792. $127.70 Previous balance -$127.70 Payment Activity Since Last Invoice Amount payment Twe Date'Received - Check Payment-Lockbox 02/27/2017 -$127.70 00002714 - t . $127.70 Activity Detail Tr:mE nsaction T e �,� Premium Month Amount APRIL, 2017 $127.74 Pr $127.70 Amoue i PAUL J.FOLEY --2727 E 690 WILLIAMS ST. - 51721 K( I I NEW LONDON,CT 06320 �5j 1 139 Q{ [ --�" Date 'i Pay to the i _ °� --_-� i Order of � 0�1��r �,�� $l o�� Ig _ O PhoW Dollars 9e&Un ed j peoples.com ForQ1j,';6330 P61 2 7 2 7 = San Antonio, TX 78265 Anthem. .0e B1ueCross B1ueShield ' I11lAlnglill.nlun...Llnpl..11..11.�llhililli�h.°l.11 �� 0088941 AV 0.370 00006/008894/000016 0049 3 ACUGOH d WPT 170 GBDMS 03/09/2017 03/13/2017 PAUL J FOLEY 690 WILLIAMS ST NEW LONDON CT 06320-4132 Invoice No.: 000025033484Member Name: Paul JFold _ Member I® No.: 406M84759 Billing Period: 04/01/2017 to 06/30/2017 Billed Date: 03/08/2017 Payment Due Date: 04/01/2017 Prior Bill Amount $443.46 Paid Amount $1,330:38 Other Adjustment Subtotal $0.00 Prior Balance Due $886.92- Retroactive Eligibility Adjustment Subtotal r� $0.00 Manual Adjustment Subtotal ` $0.00 Current Charges Subtotal \ �' (� x� $443.46 � z Billed Amount �1 \ $443.46 TRAi-0-008894!000016 ACUGOH S1-ET-Mi-000034 4 PLEASE PAY THE BILLED AMOUNT UPON RECEIPT TO AVOID CANCELLATION y PAUL J.FOLEY 2726 t• 690 WILLIAMS ST. 514Z1BR211 I ' NEW LONDON,CT 06320 t 7 139 i Date I / Pay theof -.;>'�lid 6� P� = i } Orderr (//y •i f T /may Photu �61 --Dollars A ! Peq#ebUnftd 1peoples.cormn _ 2726 j! ` I i ---------- - ------- 1. - 1 FISHERS ISLAND FERRY DISTRICT l VENDOR 0'06553 FORMS' & FULFILLMENT SVCS INC 05/09/2017 CHECK 4035 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' SM .5710.4.000.400 30826 20129 C—F OLD MULTI PURPOSE FAM 242.68 SM .5710.4.000.400 30826 20130 CUSTOM C—FOLD CHECKS j 459.77 -iA j '-- �- TOTAL 702.45 / ♦ Y iil•-•�:air. :°; .i , r_I 1 / _ r <r A7DI'T 1�`,'""I_S - - S11971�0959,!,�;,a ,i,' -i�•p_: x�, -0,�s .•_. £ �', •_OUTF10LDyeNY+, r- e• �r+',�a _ S V�F'OL'K CO''NA1'�ONAL��ANK` >r-- fi 1� rTHE, U IF I ;:_ - _ _ = s.a,-1 r 41 'a. " i , UTGHO`GUE;�NY,^1;1133,5;',ilt — 'D_ATEP== "�r__ = +••`;'AMOUNT•-:"I _ 'i`��' ". ♦.j.,1'il' I' tl G - - 'y, 1.• :.!• '.,1 -_ - __ - _ II1..1 t;F'1 ii IiII•,' V1,. - - '4`t`• •;I•p';11'F al d"I• z•III d :?>• - - -- .as .d ,ye: <.p ^Ir - - , -0,9-/- - - - 09 20- A-1 '17'..`><- •'x'Y z" 'p F, >,�:,'„. .}£ eg�'a< _ <,f'., a`0:7. /. ♦''4i`..l^�% $�. x -0 £°t1,i f' 'sf°",`p n 'a'" 'i' `%5-'q,„i;k+^ iea, �'�`` ,4G=;`r` '�y.•;ye'gi i'i r wSE'ilENrt'HUNDRED, .TWO 'F,ND;°n4�5/]:0`0,.♦DOLLARS;�A.'i < st,,�I(I-, +; I; _ _ - 4 =.5 __ : _ £ }-' ,,y. .3e ary,4n 1t �I,.,le '.C, _ __ _=__'k? _d ::'_ ',,io,< ,.',,�`�{„�'u'C„(II+d, SII I,'11<fi'I{I J`L 1�tL: __- ==•t`�- _- _ - _- - ��'• fn-_-___ r =-_ - v�"'M ry .'1'. .'1' 11'(d�r •4<._�h:- �C-�- _ - -3 __- '♦'�"S;1;, %lt l.,y.Y;,,,L'„1u,. _:`/k=- _ --_ -=c��_<,__ '•L� : _ _ _: _ _ _ _ =.;. >I'1 i d. ,f��d�' �Yi� °',9,".>'p;lp'-:.`j<':2-- -- -_-:i- - --_ - ,',C.Ip i:.8.°1<:+(,t P.'IL'x;Ifyl'•`re.#:.. _ - -l'`- - - CJ - #_ -}0 - - - - s.k,}' 191< as�tl,' .rdl dl l..;"t, .,1 =- _ _ - ___ a `<{';.1:,, <.I1,4. Jp'1'd, 41,14,,';, 4,d ,:� - -- - e. _-•'� --.¢.. - -- - -- - -- '•h'. ''S:` I, '<'1 :h. „�,. `r;1, -_ _: - ' ;§,;,a' ,1,f„ °11,t�t "11 "1;+' -- - - _ - =4i.:_ _ -___ z:P. °�i'11',",1 ,iJ,t°T, f+ 1bi 1{ ar.,' _".Y>ts__ _ _ _ °l,Ui1, 1, I!• -- - " ''f^_ - _ _ - _" %!{, •1'tl'�r-iy. +1} } �S.gi� eF:_- "_ - _ ,4 tt ;f ;p,�d'- 11•f`'F� ap :t `•�� x .� -__ _-- _- '-_- <-art.°.".�'' __ - - .�.- .4'� p.5>•',`sii 'ny< kti°,,. 'r- .',ni rF` �S�' }S'F, ,f,'(i,�.4�,fz '�F: #•^s '! "j, `li{` t f.51 - ♦t y., .I[: <•f1n+ t `As - - ` ; A�Ir: Lam- l�i,"IhSJ` `LF�LLMEN`T.,SVCS`'IN�C:��°,;;;Ir,"' I ',,,11 Itil','. ',�,`• _ °° - - - "'s'� ,, u.,,t I, v ,. F,''l „ ,AY'; .j�`ty-0FORMS�,1'dc F,YI Z _ - -- -- --- �a I <',i6n}` ,�11'af 11,t.n,'a, =- =- �- __��':__ :-y-_- �,,.f�';1, >a a,r L 1',, ,a�, e'`�,'c• , ,•x ,.r;5 •r^I-+`',:` - -' _ -- -- :_- of r` 'r'1;,1r „/•.yr 5;, - -- "u; ''',a - _ - - - ,n."a Pr�1• �'a;'' ,I•n.`f TO 'g=_% ",r:Y,7„`•11; 1!11 Es ^Y`"r'l'' 31, 4 ,,i, d }1�11��"p''1;11 a>A'11TEN'P.ION' "SHAWN_=:WIS _2- ORDER" .a. •�li,„try lrl,dC; 1,11,1 I '.l�lll''t;-', ____ - _ __- ';lah•„I'' �.,�,'.I I ORDER ''x'z :t ': _.yd - 4.F<'``z n 1Ci;t?§_("Y n7 Oi.;vita•.'E -0' .5' =i}.__ fat ~= fq. -: "" �zl 4 t1'Ae.l: .111(•- xT,_ t:r=.F 'z .1 �,,__ .t, } ` '�PO:�,BOX;i3,67 "+. ,b':.,,, ,+: t'.>> ,L . ;;�,i, �•-, t4 a _1> ,�',_< ` Y •zly,:'y;. �FY :g..<1<. .<t f(rr ;.,},;Y 4 :. r}.�'`•> 4t'•4 '"t .,.i; f"G2EENV I'li]yE : -4'81838;” i , , � .•; , ,-s, 1` - _-__ _: ___ y I• ,'xe: ;"4' �'i .'I' -,f.�t-<i�_ _ __ it 5.. ''1'(- Ir 1',1,,,.,'.:"i" __ _,! - -ti;� - :f};_ _ _ _ t1• Idl1� d -'P,• „Gd'r, J 'd. 111' - _ - •'�', �I''` _ - _ , - - "'- - - ITli ' _ __ _ _ - _ _ _ .1'.'11''I' <•i"'I '11r'I"tit•"le;` _ _ _ - i}IGly�i(�'I'i/-• o"I,,,,1 :11''1 - ,k-J 1 1'i" I - •," - _ __ _ _ i�,i''t�rl, ,111• r„<i' -_ _-,�1:_- = "- - _ 1r.` nalr '�I+rigid a - - - _'�q''a 'ae' - _-,`�:-- - '__ ___ - qh."• y-II<'"w', k h',I•- '=�'x :4. G•6 "C,1" _- �__ :__. __:. „-- ,Y 0-0.0 4;x'3.=Silt:i' 0"21'4 C.5.4,6.4;0�_=;6,8.x`:-0 0>-1: --d OH'Sinal w I T05 5107 AAA- Vendor No. Check No. Town of Southold, New fork - Payment Voucher 6553 Vendor Tax ID Nurnber or Social Security Number Vendor Address Entered by-� Vendor Name Audit Date Forms &Fulfillment Services �/�/�®1 7 Vendor Telephone Number 1 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 C-Fold Multi Purpose 20129 4/27/2017 728.06 485.38 30826e Forms A.1310.4.100.150 4--v old Hlulti Purpose 242.68 30826 Forms SM.5710.4.000.400 20130 4/2712017 1,379.31 919.54 30826 1'�' Custom C-Fold Checks A.1310.4.100.150 459.77 30826 Custom C-Fold Checks SM.5710.4.000.400 Totals: 2,107.37 2,107.37 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 di. niparic ies noted,arld payment is approved. _Signature Title SipnatuteG Company Name Date— Tit e Form's & FuffiOi ent Services I;n-c Original, Invoice Po Box 367 Greenville MI 48838 Date 4/27/2017 P: 616-754-3790 F: Invoice No.W 20129 Bill To: Shipped To: Town of Southold (NY) Town of Southold (NY) Christine Foster Christine Foster i 54375 Main Road 54375 Main Road Southold, NY 11971 Southold, NY 11971 E-Mail: Christine.foster@town.south old.ny...., Sales Rep Gust,P.... erms Description Qty U/M Rate Amount PSEMPC-C-Fold Multi Purpose CUSTOM 9.35 64.00 598.40T Repeat of Job # 53619 Shipping &Handling 129.66 129.66 Tracking #1 Z6864F10392901097-UPS * Delivered on 03-13-17 e **Thank you for your businessl Credit Card Payments will be assessed a 3%1 ro6cssmg Fee. If you have any questions please do not hesitate to contact us at 616,754.3790 or orders@formquality. (Sales Tax (0.0%) $0.00 Past Due Invoices Are Subject To Finance Charges of 1-1/2%Per Month(18%Per payments/Credits $0.00 Annum)or$10,00 mirimunr),Customer will be responsible for fees associated with efforts to collect on past due amounts,including but not limited to Collection Agency Fees,Attorney Fees,Certified Mail Fees and are subject to Michigan law. Balance Due $728,06 Forms & Fulfillment ent Services Inc Original Invoice Po Box 367 Greenville MI 48838 Date 4/27/2017, P: 616-754-3790 F: (Invoice No. 20130 Bill To: Shipped To: [Town of Southold (NY) Town of Southold (NY) Christine Foster Christine Foster 54375 Main Road 54375 Main Road Southold, NY 11971 Southold, NY 11971 E-Mail: Christine.foster@town.southold.ny.,.. Sales Rep Cust.P.... (Terms Description Qty U/M Rate Amount Custom C Fold 1 1"Check (Red check) 11 112.00 1,232.00T Match Sample check that was sent in February Estimate # 0286873 ` One Time Art & Plate Charge 1 52.50 52.50T i Shipping &Handling 94.81 94.81 I Tracking #1 Z6864FF10390815167-UPS *Delivered on 03-29-17 *"Thank you for your business) Credit Card Payments will be assessed a 3%1 rncessmg Pee If you have any questions please do not hesitate to contact us aT 616.754.3790 or orders@formquality. (Sales Tax (0.0%) $0.00 Past Due Invoices Are Subject To Finance Charges of 1-1/2%Per Month(18%Per Payments/CredltS $0.00 Annum)or$10 00 minimum,Customer will be responsible for fees associated with efforts to collect on past aue amounts,including but not limited to Collection -- Agercy Fees,Attorney Fees,Certified Mail Fees and are subject to Michigan Law. Balance Due $1,379.31 FISHERS ISLAND FERRY DISTRICT VENDOR 019540 FRONTIER LONG DISTANCE 05/09/2017 CHECK 4036 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 -1 86044201650417 NL TERM TEL-4/1575/14/17 218.03) TOTAL 218.03' 1 _- - - •s<:ae: - - - - - _ sty::. -- __�.. - l 1 I . F 1 i ' 1 - t PISiIERS`ISLAAD FEO,YDIS7RICT° p:, i ® _ "t• �', `>SOUF - A_U D~-CI'1T-H•EC<0.5/`09 7,; :l, 53095WAIN,ROAD',POBOX1•179 I-'403959THOLp;NY,1197)u0K ,NO,i ` r -� -_ -- - ' �'THE'5UPFLKCO' �ATf�NAU'„ANK• 0 ,0 6 - _-_ CUTC OGU�'NY',:9935,'';' AMIO,WNT;P,, !al!, ,I;,a�ai'` .1.,, 'i Il. -_-_ - _-_ :"_- 'I ! `Iy''�,a ;it ,r,'�;;' -_ - , = _ _ '' +'a'C•,'p. ';,�i '+i.1 `-- 05 09 201.7 y 2'18"`0 3,` ;. 50=546/214,,,"' / 'TALO:',HUNDRED--EIGHTEEN.=ANrD 03 '10,0°'DOLLARS'-" _ ^• /� µ:Lr: .J.� .,'y: H%,�� 4���"I'„r' _. - •r d �'p,i� 'i;'N;rl - --- - -'?�' i'�, i;b A'4fi 'a,i1� "pi ^< "' ,l',',i: ';d�'F'RO�TRIER`•`=LONG:DISTANCE�` ""' 'li. �y. 1 I'`i'..;�"„ - _ ',1, _I '''i t,^I, ,.,r,!{,<;';, Qp� f�!✓E ,1�` - OF ROCIESTER`'`NY'14.60�-0S5b „ ' e' _ - _-- - ___<I' P, - i t. •i Cp'+ "i�',i,iii' �'�'- - --- -"-'-_ - - 'tt'. ri" 11' ,I,, �I,,P'r� , — - - _- - _- _ -- :�;', ,�I't i^: s"t;'i� 'C•1„ - __ __ _ I,,;' 'n I,,` ,tl1:t'. 6 i _ - _ �i�`0-0 i 0'3 C3 1.0'a'2',,1'40'S' 6$ Vendor No. Check No. "HO36Town ®f Southold, New York - Payment Voucher 19540 Vendor Address Entered by Frontier Vendor Name PO Box 20560 Audit Date Frontier Long Distance Rochester, NY 14602-0660 'MAY Q 9 2���' Vendor Telephone Number Town Clerk Vendor Contact e Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods-or Services Generai Ledger Pund and Account Number 0A1-7 i 8604420166- 4/16/2017 $218.03 $218.03 NL Terminal Tel SM6710.4.000.100 4/16-6/14/17 ` h t $218.03 $218.03 t Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the qu it ies thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discre an es noted,andpaymentis approved li Signatur rtle Signature Company Name Fishers Island Ferry District Date 4/27/2017 Title Date 1 J •• 0 0 0 0 0 © FISHERS ISLAND FERRY DISTRICT Page 1 of,7 F-Iontler, Your Monthly Invoice COMMUNICATIONS Account Summary New Charges Due Date 5/09/17 Thank you for choosing Frontier. Visit Billing Date 4/15/17 business.frontier.com to get the latest information on Account Number 860-442-0165-011484-5 products, special offers and resources available to your PIN 3876 business. Previous Balance 214.20 Payments Received Thru 4/15/17 .00 / Balance Forward 214.20 New Charges 218,03 Total Amount Due $432.23 Get 'TV that fits ® ® your business® To Pay Your Bill Add DISH Business and create your own TV package. Online: Frontiencom (9 1.800.801.6652 • Liven up the waiting room or lunchroom • Make your establishment the go-to place Pay by Mail Get great TV programming at really great pricesl , I lI 1® © ��o d's"Sh T®, Contact Uel! ::II BUSINESS Chat: Frontier.corn Online: Frontier.com/helpcenter All offers require business verification and 24 month commitment with early termination fee.All prices,charges,packages, programming{eatures,iunRionality,andoffarssubledtoa neiiewithoutnotice.Specific channels may vary from res!dentia/ a��,921.8�02 Email: ContactBusiness@ftr.com packages and package names do not necessarily r ect channel counts ®2017 Frontier Communications Corporatian I� C � y M b n � . �m Page 2 ofA7 Rog i Date of Bill 4/15/17 COMMUNICATIONS Account Number 860.442.0165.011484-� For Billing and Service Questions,Call 1.800.921.8102,7 am-7 pm Monday-Friday,9:30 am-4 pm Saturday or visit www.Frontier.com. HOW TO PAY YOUR BILI. Pay online,by phone,by mail or at any Authorized Payment Location. Paying by check authorizes Frontier to make a one-time electronic funds transfer from your account,which could be transacted as early as the day your check is received. You can also set up recurring electronic payments to streamline your bill payment.Visit Frontier.com for payment locations and more information. PAST DUE BALANCE You are responsible for all legitimate, undisputed charges on your bill.If your payments are not made on time,your service may be interrupted and you may have to pay a reconnection charge to restore service.Continued nonpayment of undisputed charges(incl.900 and long distance charges)may result in collection action and a referral to credit reporting agencies,which may affect your credit rating. LATE PAYMENT and RETURNED CHECK FEES A fee may be charged for payments received after the due date or for a check that is returned by the bank for any reason. IMPORTANT CONSUMER MESSAGES • Frontier periodically audits Its bills to ensure accuracy which may result in a retroactive or future billing adjustment. Your basic local service may be disconnected if you don't pay basic service charges. Your basic service won't be disconnected if you don't pay other Frontier charges but this may cause other services to be terminated. Frontier Bundles may include charges for basic and non-basic services.900 Information services are provided over telephone numbers beginning with the prefix 900. Your local and long distance telephone service cannot be disconnected for nonpayment of 900 charges. Be certain that you are only being charged for services you authorized.You can call Frontier or the service provider's representative at the toll-free numbers provided in this bill with any questions about charges. If you want only charges from Frontier on your bill,call us to ask for a block on your account at no charge to you. Any changes to your service(s)will affect any discounts,reduced prices or promotional credits you receive. In addition,your rate will change when your promotional period expires. SERVICE TERMS i� a Visit Frontier.com/terms, Frontier.com/tariffs or call customer service for information on Frontier's applicable tariffs or price lists and other important Terms,Conditions and Policies("Terms")related to your Frontier Services-Local,Long Distance, High Speed Internet and/or TV- including limitations of liability and early termination fees. In addition,as part of our Terms,Frontier has instituted a binding arbitration provision to resolve customer disputes(Frontler.com/terms/arbitration). By using or paying for Frontier services,you are agreeing to these Terms and that disputes will be resolved by individual arbitration. Hard of Hearing, Deaf, Blind,Vision and/or Mobility Impaired customers may call 1.877.462.6606 to reach a consultant trained to support their communication needs. 1�1 3 pOOoo °0 FISHERS ISLAND FERRY DISTRICT Page 3 of 7 Date of Bill 4/15/17 COMMUNICATIONS Account Number 860-442.0165.011484.5 CURRENT BILLIN SUM VA - C115T®INER Tr4LEC Local Service from 4/15/17 to 05/14/17 Oty Description 880/442.0185.0 Charge If our bill reflects that you owe a Balance Forward, you Basic chargee must make a payment immediately in order to avoid 4 Centrex Bus Line 84.00 P Y y 3 Ace Ree Chrg Multi-Ln DCS 5.28 collection activities. You must pay a minimum of$329.89 Ace Rec Chrg Multi-Ln Bus 1.76 by your due date to avoid disconnection of your local 3 Federal Subscriber Line Charge 17.52 service. All other charges should be paid by your due date Multi-Line Federal Subscriber Line Charge 5.84 to keep your account current. 4 Inside Wire Protection 29.40 Other Charges-Detailed Below 3.21 Federal Excise Tax 3.45 Effective April 1, 2017, both the Federal Universal Service 4 CT Service Fund .20 Fund (USF)Surcharge and the Frontier Long Distance CT State Tel Sales Tax 7.61 (USF)surcharge are increasing to 17.4%. Please contact CT State Sales Tax 2.08 Customer Service with any questions. 4 911 Surcharge 1.12 Federal USF Recovery Charge 5.32 Total Basic Charges 166.79 Non Basic Charges Rental - Gong 2.25 CSF1 Common Equipment 5.00 Frontier -Detailed Below 2.09 Federal Excise Tax .22 CT State Tel Sales Tax .13 CT State Sales Tax .46 Total Non Basic Charges 10.15 Toll/Other Business Block of Time 700 II - MTM 35.00 CT State Tel Sales Tax 2.45 Federal Regulatory Fee .51 Frontier Long Distance - Federal USF Surcharge 3.13 Total Toll/Other 41.09 TOTAL 18.03 K, -------------------------------------------------------------- **ACCOUNT ACTIVITY** Oty Description Order Number Effective Dates 1 Late Payment Fee 4/13 3.21 860/442.0165 Subtotal 3.21 Subtotal 3.21 Detail of Frontier Charges Toll charged to 860/442.0165 Ref H Date Time Min *Type Place and Number Called Charge 1 MAR 15 9:29A 14.4 DO HARTFORD CT (860)986-7628 .00 2 2 MAR 15 9:55A 1.5 DD HARTFORD CT (860)986-7628 .00 2 3 MAR 16 9:29A 1.3 DO WILLIMNTIC CT (860)933-5459 .00 2 4 MAR 20 1:06P 10.1 DO STRATFORD OT (203)923-7528 .00 2 5 MAR 20 2:57P 2.3 DD BRIDGEPORT CT (203)556-2964 .00 2 6 MAR 21 2:47P 2.7 DO CLINTON CT (860)669-5179 .00 2 7 MAR 23 9:24A 4.6 DO STRATFORD CT (203)923-7528 .00 2 8 MAR 23 2:45P .8 DO BRIDGEPORT CT (203)650-9847 .00 2 9 MAR 24 2:09P 3.6 DO NEWBRITAIN CT (860)770-4612 .00 2 10 MAR 24 3:26P 1.0 DD NEWBRITAIN CT (860)770-4612 .00 2 11 MAR 24 3:36P .5 DO HARTFORD CT (860)992.9218 .00 2 12 MAR 28 1:03P .9 DO DANBURY CT (203)788-5619 .00 2 13 MAR 28 1:08P .5 DO NEWBRITAIN CT (860)538.1903 .00 2 14 MAR 29 8:54A .7 DO HARTFORD CT (860)528-3860 .00 2 15 MAR 30 1:56P 4.9 DO JEWETTCITY CT (860)376.6242 .00 2 16 APR 03 10:24A .6 DO HARTFORD CT (860)982.6475 .00 2 17 APR 05 8:04A 2.6 DO BRIDGEPORT CT (203)556.2964 .00 2 18 APR 05 8:54A 1.1 DO WATERBURY CT (203)754-5334 .00 2 19 APR 05 12:27P 1.2 DO CORNWALL CT (860)248-9806 .00 2 20 APR 05 2:02P .5 DO NEWBRITAIN CT (860)770-4612 .00 2 • • e e • FISHERS ISLAND FERRY DISTRICT Page 4 of 7 Fr' ontier- Date of Sill 4/15/17 COMMUNICATIONS Account Number 860.442.0165.011484-5 Ref # Date Time Min *Type Place and Number Called Charge 21 APR 05 4:30P 1.7 DD NEWBRITAIN CT (860)770-4612 .00 2 22 APR 06 12:23P .8 DO PLAINVILLE CT (860)747-9911 .00 2 23 APR 08 1:43P .5 DO WILLIMNTIC CT (860)428-7517 .00 2 24 APR 10 8:46A 2.1 DO HARTFORD CT (860)250-5500 .00 2 25 APR 10 9:12A 1.0 DD HARTFORD CT (860)250-5500 .00 2 26 APR 10 10:29A .6 DD GUILFORD CT (203)458.4128 .00 2 27 APR 10 1:36P .6 DD GUILFORD CT (203)458-4128 .00 2 28 APR 10 1:40P 1.3 DD CHESHIRE CT (203)272.3077 .00 2 29 APR 10 1:57P 2.0 DD WINDSORLKS CT (860)292.6091 .00 2 30 APR 11 1:57P .6 DD NORWALK CT (203)957-2267 .00 2 31 APR 12 8:16A .7 DD NEWBRITAIN CT (860)770-4612 .00 2 32 APR 12 11:32A 1.4 DD SOUTHINGTN CT (860)621-5311 .00 2 33 APR 12 1:36P 1.1 DD NEWBRITAIN CT (860)770-4612 .00 2 34 APR 12 3:08P .5 DD HARTFORD CT (860)916-3326 .00 2 35 APR 13 1:50P 1.6 DD SOUTHINGTN CT (860)621-5311 .00 2 36 APR 13 2:09P 1.2 DD SOUTHINGTN CT (860)621-5311 .00 2 37 APR 13 3:02P 1.9 DD OLD SAYBRK CT (860)575-0080 .00 2 38 APR 14 8:25A 35.5 DD ESSEX CT (860)767-7502 .00 2 860/442-0165 Subtotal .00 Detail of Frontier Charges Toll charged to 860/443-6851 Ref # Date Time Min *Type Place and Number Called Charge 39 MAR 21 2:53P 1.0 DO CLINTON CT (860)669-5806 .00 2 40 APR 11 8:42A .5 DO WATERBURY CT (203)596-2623 .00 2 860/443-6851 Subtotal .00 ---------------------------------------------------------------------- Detail of Frontier Charges Toll charged to 860/447.9371 Ref # Date Time Min *Type Place and Number Called Charge 41 MAR 30 11:48A 1 OD LOCAL D.A. CT (860)411-0000 2.09 42 MAR 15 11:46A 1.8 DD WATERBURY CT (203)754.5334 .00 2 G 43 MAR 16 3:29P .6 DD WILLIMNTIC CT (860)634-3593 .00 2 44 MAR 17 9:38A 3.2 DD WATERBURY CT (203)754-5334 .00 2 45 MAR 20 2:20P 1.4 DD HARTFORD CT (860)569-0182 .00 2 46 MAR 20 2:22P 2.5 DD MIDDLETOWN CT (860)635-4125 .00 2 47 MAR 20 3:04P .5 DD DEEP RIVER CT (860)526-9836 .00 2 48 MAR 21 3:04P 1.1 DD CLINTON CT (860)669-5179 .00 2 49 MAR 22 7:45A 10.1 DD NEW HAVEN CT (203)627-5480 .00 2 50 MAR 23 9:03A 9.2 DD MIDDLETOWN CT (860)635-4125 .00 2 51 MAR 24 3:36P .5 DO HARTFORD CT (860)992-9218 .00 2 52 MAR 27 2:43P 13.2 DD HARTFORD CT (860)594-4860 .00 2 53 MAR 28 8:28A 2.5 DD STRATFORD CT (203)923-7528 .00 2 54 MAR 28 9:20A .8 DD HARTFORD CT (860)982-7087 .00 2 55 MAR 28 10:57A 4.9 DD NEW HAVEN CT (203)627-5480 .00 2 56 MAR 29 10:08A 3.7 DD WALLINGFD CT (203)284-0402 .00 2 57 MAR 29 12:37P .7 DD WILLIMNTIC CT (860)455-5590 .00 2 58 MAR 30 12:57P 3.0 DD DANBURY CT (203)948-2691 .00 2 59 MAR 31 9:08A .9 DD NEW HAVEN CT (203)589.0626 .00 2 60 APR 03 1:59P 2.2 DO WATERBURY CT (203)754-5334 .00 2 61 APR 10 1:56P 1.5 DD NEW HAVEN CT (203)248-8863 .00 2 62 APR 11 10:35A 2.1 DD WINDSORLKS CT (860)292-6091 .00 2 63 APR 11 2:17P 1.3 DD HARTFORD CT (860)436-2003 .00 2 64 APR 12 11:26A .5 DD SOUTHINGTN CT (860)621-5311 .00 2 65 APR 12 11:39A 1.0 DD SOUTHINGTN CT (860)621-5311 .00 2 66 APR 14 10:23A 3.2 DD HARTFORD CT (860)214-1365 .00 2 860/447.9371 Subtotal 2.09 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/442-0165 Ref # Date Time Min *Type Place and Number Called Charge 67 MAR 15 8:35A 1.5 DD FISHERS IS NY (631)788-7311 .00 2 68 MAR 15 9:04A .6 DD HOUSTON TX (281)507-9976 .00 2 69 MAR 15 11:18A 1.0 DO FISHERS IS NY (631)788-7857 .00 2 70 MAR 15 11:20A 17.4 DD HOUSTON TX (281)507-9976 .00 2 71 MAR 15 11:58A 1.3 DD FISHERS IS NY (631)788.7632 .00 2 72 MAR 16 7:34A 1.5 DD HOLYOKE MA (413)534-8171 .00 2 ° oOOo � ' °o FISHERS ISLAND FERRY DISTRICT Page 5 of 7 4 @v' Date of Bill 4/15/17 COMMUNICATIONS Account Number 860.442.0165.011484-5 Ref # Date Time Min *Type Place and Number Called Charge 73 MAR 16 7:49A 4.4 DD FISHERS IS NY (631)788-5546 .00 2 74 MAR 16 1:15P 2.4 DD FISHERS IS NY (631)788-7311 .00 2 75 MAR 16 3:23P .7 DD FISHERS IS NY (631)788-7857 .00 2 76 MAR 16 3:27P 2.8 DD GRAFTON MA (508)887-0277 .00 2 77 MAR 17 9:55A .6 DD FISHERS IS NY (631)788-7255 .00 2 78 MAR 17 12:04P .8 DD FISHERS IS NY (631)788-7311 .00 2 79 MAR 17 5:48P .5 DD NASSAUZN04 NY (516)669-6878 .00 2 80 MAR 19 6:05P .5 DD SOUTHAMPTN NY (631)377-9859 .00 2 81 MAR 21 12:24P 2.9 DD SPRINGFLD MA (413)734-8368 .00 2 82 MAR 21 2:43P 3.0 DD ALLENTOWN NJ (609)259.8900 .00 2 83 MAR 21 3:18P 1.2 DD FISHERS IS NY (631)788-5550 .00 2 84 MAR 22 8:17A 15.2 DD FISHERS IS NY (631)788-7463 .00 2 85 MAR 22 9:21A .9 DD FISHERS IS NY (631)788-7345 .00 2 86 MAR 22 10:26A 7.7 DD HOLYOKE MA (413)534-8171 .00 2 87 MAR 22 11:28A 1.2 DD FISHERS IS NY (631)788-7345 .00 2 88 MAR 22 11:32A .6 DD FISHERS IS NY (631)788-7345 .00 2 89 MAR 22 11:46A 1.5 DD FISHERS IS NY (631)788-7857 .00 2 _ 90 MAR 22 1:04P 2.0 DO FISHERS IS NY (631)788-7857 .00 2 91 MAR 23 9:20A 1.7 DD FISHERS IS NY (631)788-5550 .00 2 92 MAR 23 9:28A 32.7 DD LAKE PARK IA (712)432-0490 .00 2 93 MAR 23 1:41P 4.6 DD FISHERS IS NY (631)788-7632 .00 2 94 MAR 23 1:48P 1.3 DD FISHERS IS NY (631)788-7343 .00 2 95 MAR 23 1:50P .9 DD WORCESTER MA (508)304-2184 .00 2 96 MAR 23 1:54P .5 DD MINEOLA NY (516)242-2546 .00 2 97 MAR 23 2:22P .7 DD FISHERS IS NY (631)788-7224 .00 2 98 MAR 23 2:26P 1.3 DD FISHERS IS NY (631)788-7224 .00 2 99 MAR 23 3:34P 4.6 DD FISHERS IS NY (631)788-5673 .00 2 100 MAR 23 5:53P .5 DD ROCHESTER NY (585)315-9256 .00 2 101 MAR 23 5:54P .5 DD ROCHESTER NY (585)315-9256 .00 2 102 MAR 24 10:11A 1.0 DD RIVERHEAD NY (631)727-0170 .00 2 103 MAR 24 10:39A 1.3 DD ALLENTOWN NJ (609)259-8900 .00 2 104 MAR 24 11:23A .7 DD FISHERS IS NY (631)788-7632 .00 2 105 MAR 24 2:52P .5 DD FISHERS IS NY (631)788-7632 .00 2 106 MAR 26 3:11P .9 DD QUEENS NY (917)930-5665 .00 2 107 MAR 27 6:25A .5 DD SOUTHAMPTN NY (631)377-6442 .00 2 108 MAR 27 6:29A .5 DD SOUTHAMPTN NY (631)377-6442 .00 2 109 MAR 27 8:19A 2.4 DD FISHERS IS NY (631)788-7632 .00 2 110 MAR 27 8:22A 19.1 DD FISHERS IS NY (631)788-7463 .00 2 111 MAR 27 8:45A 1.5 DD FISHERS IS NY (631)788-7001 .00 2 112 MAR 27 9:01A .5 DD QUEENS NY (917)930-5665 .00 2 K" 113 MAR 27 9:02A 3.9 DD FISHERS IS NY (631)788-7744 .00 2 KI, 113 114 MAR 27 11:29A 5.5 DD FISHERS IS NY (631)788-7345 .00 2 115 MAR 27 2:41P 3.9 DD FISHERS IS NY (631)788-7116 .00 2 116 MAR 27 3:37P .7 DD FISHERS IS NY (631)788-5673 .00 2 117 MAR 28 12:48P 4.2 DD FISHERS IS NY (631)788-7632 .00 2 118 MAR 28 3:38P 3.7 DD FISHERS IS NY (631)788-5546 .00 2 119 MAR 29 9:17A .5 DD FISHERS IS NY (631)788-7345 .00 2 120 MAR 29 10:30A 5.5 DD BROCKTON MA (508)587-8877 .00 2 121 MAR 29 1:52P .7 DD FISHERS IS NY (631)788-7345 .00 2 122 MAR 29 1:54P .5 DD FISHERS IS NY (631)788-7345 .00 2 123 MAR 29 3:25P 1.3 DD FISHERS IS NY (631)788-7345 .00 2 124 MAR 29 3:33P 8.0 DD ALLENTOWN NJ (609)259-8900 .00 2 125 MAR 30 11:34A 1.9 DD WESTERLY RI (401)596-2831 .00 2 126 MAR 30 3:10P 1.4 DD MERCERVL NJ (609)689-3000 .00 2 127 MAR 30 3:58P 4.9 DD MTPLEASANT PA (724)696-2350 .00 2 128 MAR 31 9:55A .5 DD FISHERS IS NY (631)788-5550 .00 2 129 MAR 31 12:18P 4.4 DD FISHERS IS NY (631)788-7345 .00 2 130 MAR 31 12:51P 9.3 DD MAYNARD MA (978)897-4300 .00 2 131 MAR 31 1:44P .6 DD FISHERS IS NY (631)788-7345 .00 2 132 APR 03 8:40A 6.3 DD FISHERS IS NY (631)788-5546 .00 2 133 APR 03 9:09A 1.0 DD FISHERS IS NY (631)788-7345 .00 2 134 APR 03 11:53A 1.0 DD FISHERS IS NY (631)788-7255 .00 2 135 APR 03 1:12P 1.0 DD FISHERS IS NY (631)788-7463 .00 2 136 APR 03 1:24P 2.2 DD FISHERS IS NY (631)788-7632 .00 2 137 APR 03 2:24P 2.2 DD FISHERS IS NY (631)788-7255 .00 2 138 APR 03 2:39P .5 DD NRFOLKZON3 VA (757)409-6303 .00 2 139 APR 03 3:07P .9 DD FISHERS IS NY (631)788-7345 .00 2 140 APR 03 3:12P 2.3 DD ALLENTOWN NJ (609)259-8900 .00 2 141 APR 03 8:27P 1.1 DD NEWARK NJ (201)306-9671 .00 2 142 APR 04 8:32A .5 DD FISHERS IS NY (631)788-7541 .00 2 143 APR 04 8:33A 1.1 DD FISHERS IS NY (631)788-7857 .00 2 144 APR 04 12:19P 12.4 DD BRISTOL RI (401)297-7938 .00 2 145 APR 04 12:53P 1.0 DD ALLENTOWN NJ (609)259-8900 .00 2 N b n • FISHERS ISLAND FERRY DISTRICT Page 6 of Rontier Date of Bill 4/15117 COMMUNICATIONS Account Number 860.442.0165-011484-5 Rof # Date Time Min *Type Place and Number called charge 146 APR 04 1:34P 4.3 DD ALLENTOWN NJ (609)259.8900 .00 2 147 APR 04 2:29P 2.2 DD CARNEGIE PA (412)429.2153 .00 2 148 APR 04 2:37P 1.6 DO FISHERS IS NY (631)788-5673 .00 2 149 APR 05 10:29A .9 DO FISHERS IS NY (631)788.5673 .00 2 150 APR 06 7:41A 1.3 DD NEWBEDFORD MA (508)998-2121 .00 2 151 APR 06 8:21A 3.2 DD FISHERS IS NY (631)788.7919 .00 2 152 APR 07 7:12A .9 DD FISHERS IS NY (631)788-5673 .00 2 153 APR 07 8:22A 2.4 DO FISHERS IS NY (631)788-7463 .00 2 154 APR 07 10:36A .6 DD FISHERS IS NY (631)788.7444 .00 2 155 APR 07 2:47P .9 DO RUTLAND VT (802)773.8777 .00 2 156 APR 08 12:53P 1.9 DD FISHERS IS NY (631)788-7255 .00 2 157 APR 08 1:41P .5 DO NEWARK NJ (201)306-9671 .00 2 158 APR 08 2:42P .5 DD NEWARK NJ (201)306.9671 .00 2 159 APR 10 8:21A 4.2 DD FISHERS IS NY (631)788-7227 .00 2 160 APR 10 8:26A 1.4 DD FISHERS IS NY (631)788-7455 .00 2 161 APR 10 9:46A 1.0 DD POUGHKEPSI NY (845)656-1677 ,00 2 162 APR 10 10:26A .9 DD FISHERS IS NY (631)788-7255 .00 2 163 APR 10 10:44A 8.2 DD FISHERS IS NY (631)788-7255 .00 2 164 APR 10 1:21P 2.5 DD FISHERS IS NY (631)788-7255 ,00 2 165 APR 10 1:42P .6 DD NEWBEDFORD MA (508)991.2433 ,00 2 166 APR 10 1:43P 1.9 DD CLIFTON TX (254)675.8651 ,00 2 167 APR 10 4:02P .8 DD RUTLAND VT (802)773-8947 .00 2 168 APR 10 4:15P 1.0 DO RUTLAND VT (802)773-8947 .00 2 169 APR 11 9:59A .9 DO LAKE PARK IA (712)432.0490 ,00 2 170 APR 11 10:11A 1.3 DO LAKE PARK IA (712)432.0490 ,00 2 171 APR 11 10:12A 23.8 DD LAKE PARK IA (712)432.0490 ,00 2 172 APR 11 11:43A .7 DD FISHERS IS NY (631)788.7345 .00 2 173 APR 12 10:08A 2.2 DD MERCERVL NJ (609)689.3000 .00 2 174 APR 12 10:40A 2.6 DD FISHERS IS NY (631)788.7632 .00 2 175 APR 12 12:13P 1.2 DD RUTLAND VT (802)773.8947 .00 2 176 APR 12 1:56P 2.0 DD FTLAUDERDL FL (954)632.4562 .00 2 177 APR 12 1:58P .5 DD FISHERS IS NY (631)788.7345 .00 2 178 APR 13 7:29A .6 DO FISHERS IS NY (631)788.7345 .00 2 179 APR 13 8:22A 1.1 DD FISHERS IS NY (631)788.7255 .00 2 ;.;!• 180 APR 13 9:52A 4.0 DO POMPANOBCH FL (954)974.7700 .00 2 181 APR 13 2:01P 5.7 DO FISHERS IS NY (631)788.7345 .00 2 182 APR 13 2:13P .8 DD FISHERS IS NY (631)788.7857 .00 2 183 APR 13 3:47P .9 DO VENICE FL (941)202.0284 .00 2 184 APR 14 11:44A 2.3 DO FISHERS IS NY (631)788.7345 .00 2 185 APR 14 1:29P .7 DD NEW YORK NY (917)304.3988 .00 2 186 APR 14 1:56P 2.1 DO FISHERS IS NY (831)788.7345 .00 2 187 APR 14 2:12P .9 DO FISHERS IS NY (631)788.7225 .00 2 860/442.0165 Subtotal .00 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/447.9371 Rof # Date Time Min *Type Place and Number Called charge 188 MAR 15 1:03P 2.0 DO FISHERS IS NY (631)788.7463 .00 2 189 MAR 15 2:39P .9 DO NEWBEDFORD MA (508)991.2433 .00 2 190 MAR 15 2:47P 1.0 DD SALEM MA (978)744.3806 .00 2 191 MAR 18 10:16A .8 DD ROCHESTER NY (585)408-1746 .00 2 192 MAR 16 12:51P 2.9 DO NEWBEDFORD MA (508)991.2433 .00 2 193 MAR 17 10:44A .5 DD MT VIEW NJ (973)709.2465 ,00 2 194 MAR 20 8:17A .5 DD QUINCY MA (617)770.8115 ,00 2 195 MAR 20 8:18A .5 DD QUINCY MA (617)770.8115 ,00 2 196 MAR 20 12:48P .5 DD FISHERS IS NY (631)788.7463 .00 2 197 MAR 20 1:20P 5.4 DD FISHERS IS NY (631)788.7632 ,00 2 198 MAR 20 2:58P .5 DD HOLYOKE MA (413)534.8171 .00 2 199 MAR 21 8:08A 9.3 DD FISHERS IS NY (631)788.7463 .00 2 200 MAR 21 10:09A 3.4 DD FISHERS IS NY (631)788.7483 .00 2 201 MAR 22 2:02P .8 DD FISHERS IS NY (631)788.7345 ,00 2 202 MAR 22 2:12P 2.5 DD FISHERS IS NY (631)788.7463 ,00 2 203 MAR 23 9:55A 1.5 DD FISHERS IS NY (631)788.7444 .00 2 204 MAR 24 10:23A 14.0 DO FISHERS IS NY (631)788.7345 ,00 2 205 MAR 24 12:55P 3.2 DD ALBANY NY (518)457.5589 ,00 2 206 MAR 24 12:59P 4.5 DD PATCHOGUE NY (631)687.4882 ,00 2 207 MAR 27 10:12A 3.1 DO FTLAUDERDL FL (954)581.2505 00 2 208 MAR 27 1:07P 4.9 DD FISHERS IS NY (631)788.7463 ,00 2 209 MAR 27 1:44P .6 DD FISHERS IS NY (031)788.7463 .00 2 210 MAR 29 3:41P 2.5 DD FISHERS IS NY (631)788.7463 ,00 2 211 MAR 30 10:54A .5 DD WESTERLY RI (401)598.6482 ,00 2 212 APR 03 -9:56A .5 DD WPALMBEACH FL (561)723.0934 .00 2 i p 0 0 0 0 °o FISHERS ISLAND FERRY DISTRICT Page 7 of 7 Fron lev" Date of Bill 4/15/17 COMMUNICATIONS Account Number 860.442.0165-011484.5 Ref # Date Time Min *Type Place and Number Called Charge 213 APR 04 11:26A 3.2 DD FTLAUDERDL FL (954)581-2505 .00 2 214 APR 05 12:42P 13.1 DD SANTA ANA CA (714)549-9331 .00 2 215 APR 10 3:26P 1.5 DD FISHERS IS NY (631)788-5673 .00 2 216 APR 12 9:33A 1.4 DD FISHERS IS NY (631)788-7345 .00 2 217 APR 12 9:35A 66.4 DD LAKE PARK IA (712)432-0490 .00 2 218 APR 12 1:19P .5 DD FISHERS IS NY (631)788-7463 .00 2 219 APR 12 1:19P .5 DD FISHERS IS NY (631)788-7463 .00 2 220 APR 12 1:20P .5 DD FISHERS IS NY (631)788-7463 .00 2 221 APR 12 1:21P .8 DD FISHERS IS NY (631)788-7345 .00 2 222 APR 12 1:58P 2.3 DD MIAMI FL (305)514-0501 .00 2 223 APR 13 9:51A 1.8 DD MAYNARD MA (978)897-4300 .00 2 224 APR 13 2:07P 1.6 DD FISHERS IS NY (631)788.7345 .00 2 225 APR 13 2:09P .9 DD HOBE SOUND FL (772)546-1976 .00 2 226 APR 14 8:27A .5 DD FISHERS IS NY (631)788-7037 .00 2 860/447.9371 Subtotal .00 700 MIN BOT II Summary 690 Mins. @ $ .00/Min. .00 Total Charges .00 ---------------------------------------------------------------------- Legend Call Types: DD Day OD - Operator Completed Day ---------------------------------------------------------------------- Caller Summary Report Calls Minutes Amount Main Number 159 454 .00 860/443-6851 2 1 .00 860/447-9371 65 235 2.09 ***Customer Summary 226 690 2.09 ---------------------------------------------------------------------- Caller Summary Report Calls Minutes Amount Intra-Lata 65 184 .00 Interstate 160 505 .00 Directory Assistance/Enhanced Nat'1 DA 1 1 2.09 ***Customer Summary 226 690 2.09 ' i I 1 FISHERS ISLAND FERRYDIS'TRICT VENDOR 010002 JAN ELECTRONIC SUPPLIES, INC. 05/09/2017 CHECK 4037 i FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 179397 RP— (20) 967 BULBS 37.00 I r' TOTAL 3`7.0 0 i -- }iY•r: •4 .. '4 { t ' ? n i I I , i -_ FI HERS EAS; ERRS'DISIR CT'T" 53095 t AL7DIT:,05 0,9`:/lr `^ 'T IP'H_I.Rd,'r,T`.i'.:X_- `'-;-'S',:i1•. 0E-,i '1V''_-fiot;'._'{st''l'; `r`-' - ' 's-s,__`___ _ _L_A_--5R30S95M-ANRt':"IO,i5n AD-. Mh'B'alO'y,X 1.1'kI7lfiII„p9 U_ N*74"SOUTHOLD;NY•lt971=0959 MATAGUTCHOGUfr,NY,t9'9 5^^IA"THESUFFOLK.CO3 114 ,I :At'•, 0-h7 37D 0 -546/214 _r0 EN; AND '0'0 10`0' DOLCk ' 1, -- _ ' I"'I - _ _ - _ • ",I"J,{ ` it i ,%,{" ' II',,I - - - ',gt = .' •_ _- - " - -- - - :I' tl' 'III `lll s _ - - - - - 'AI''• I'II -_- - __ _ __ - - 1p AIV ii' Z. TRO IC= SUPPLIE ;r'll ' - ''' ' I ``'I'•-, it - - .1 I - „ yI6 T E ' I'W'rR ^.It7;'MQNANDO;"NST .,RCETE;0`632.0 ` . - 1`'' •_ 1 ''• t' I''L',i . ;;;i°,I+." - 1'+II a , . „. .• ; . fi. - - - - - - - - •rr" it .-In,'I` .f, _r;r. -' --- _-- - - "h' "p;.', I','i' -- - ---: --- '- - j, - - - - - ' d tl - _ - _ -,_ - .i` 'fll d{I{, `-t0 -i: i I,1+{"j',+.h, --- -- - - - - `H 'V'U a a'.ti s" - - Y- _ - • I -,- i"p p=4 p`3;T1iw', ,1„i:p"' 1°4 0' '4'6 45 $ `^6`8 0 'L:5'0`'2 -' i Vendor No. Check No: Town of Southold, New Fork - Payment Voucher 10002 S? Vendor Address Entered by Vendor Name 6 Truman Street Audit Date Jan Electronic Supplies, Inc. New London,CT 06320 MAY 0 9 2017 Vendor Telephone Number 860-442-4386 Town Clerk Vendor Contact f01. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 79397 4/7/2017 $37.00 $37.00 RP Bulb 967(20) SM5710,2.000.200 $37.00 $37.00 ' Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified•have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the uantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or disc p cies noted,and payment is approved Signature Ci iw Title Signature Company Name Fishers Island Ferry District Date 4/26/2017 Title i/ Bate V" kJ INVOICE r N" 79397 C ' JAN ELECTRONIC SUPPLIES, INC. 6 TRUMAN STREET a NEW LONDON, CT 06320 �µMEDGE (860)442-4386 •FAX#(860)447-8164 AP` dMemb.;./f EDGE Group DATE -7 _._ x i CUSTOMER'S ORDER NO. CKI� GE--) MDSE RET'D SHI�„y,IP� SAL'ESfREP---- R • ••DQTY. B.• ITEM DESCRIPTIONQTY. SHP'D. UNIT PRICE AMOUNT j` f _ r D jr I J ALL claims and returned goods MUST.be accompanied by this bill. TAX —► "µ"�'� { 4� SHIPPING TOTAL RECEIVED BYr PACKING SLIP ` ` I I I I I I I , I 1 1 I FISHERS ISLAND FERRY DISTRICT l ' VENDOR 011394 K & S DISTRIBUTORS, INC. 05/09/2017 CHECK 4038 1 FIUND & ACCOUNT ' \ P.O.# INVOICE DESCRIPTION 'AMOUNT SM ,.5710.4.000.600 354170 RP—TP PPR,PPR TWLS,DSPNR 354.60 TOTAL 354.60 I a, »«. , ••rvd`ex :fvc •• i• ; - e•i„µ•«r>'z a+$',,.s..•- - "•. +: ':ice` J..a- is ,..x »moi•. .., vs.:•^2,.-; — - -O,^,ar" 4.a - I i ^ o - o o - • o e e • • J. pi':=__ - _—" '._ _ =^'•'r t/°, ..'tw ,',•X. iAil UDYIin TFRRRYDISTRICTI:FSHERS7S •';53095`MAINROAD,:POIBOX1179 °` a•/,»0a'-_a9-r.%., "1„,""j", '}t' CHCK'095SOU7HOLD;NYt119719 «'r -- $„ v•'al'u•.'li'dl, _ _ _ -- - •TH 'SUF OlKCO:;NATION LSANK' 3„-- _ CUTCHOGUE;NY't11935';, =DATE—_ _-_ I, JN `i,l''v-iu1p1`,i; --_ _-_ ,"_- -_- -`_ -_" •1' p'1.i ''s,,' 'r{I,N -'-- - - -_-- - x+ i -- _ ,i;? -s I I "a I 'd cl = _"_ - "_ •`r!dl I,I. S .iN' '' - _ _ _ - _ - I`J'•``- ilf•al".I's'. °,1 ;I'' i'nt",i, '7n.: ;OSr09/,2017;' ; : ',x;3`5`4' 6Q.=`;> ;;,. aEH, D.>,E _h dei :k,,a• THR'E UN R D:``;FIFTY Y FOOR;AND;-'6'0'%1`0.0;;°DOLLARS. •,I _ _ _ i`• = ,.r, "Jt,'Idl, "i,. I'i. '+1 '.,tl.l' _ _ "_.,- -i 'rA I ip,r ,,,{i l,i, J"y'd I { ;il„• _ ."'_-_- - - t. 'q'(,,,' - " ,il_ •S' ;,2,. ,/ :,' l't” _ !' Ft f` cf''J -.fi 4:t' '.s LS, ',4' s Tyt'd,s at,'.i N I `•n(r. 'fl`. 1' {t AI.i. ",s';'" _ -_- •fi,.;. _ rj. ''I fP;A' .I.,`'•6'11 el, PAYr •1=, ~',IrIC ufiD2STR'I$OTORS "INC:"':.•4 :I J ..d I ,y",I ' o' ., ;;r +;y TO1',HE '":: , 'u ,,, ;5'0 .iOAKLAND„AVE_Ni7E.>':_- _ -_ _ ;,I ,1 ;> I'' ,,"„l' • I'•,_- _- - d, ' ,I' ,I,,I t' Iti ,I,'„ , ORDER`;•,” -_ - - - - _- - ` `; .':,,,I•, :,, .- -. -__ - _--- , ' ' E' `" °^' '''EAST':HARTFOT2D-.CT' , • ';,trt-' ,n w 'tyi'N`' a• ''1 ; ' s `+,"$ - •' lit t 'OF+' _ - ,,r ,t. 6108; .,. ` , ,,,: _ '.a YNFa .1 •-n,, ,e .< ^;$ (, ; 'F- ' • .' y r,I `1- rr [ a i 5' n47' f . ;,i• , j 4,F{_t - - °; - = `< i'J,IE'',,I ,,' •I, I,',`I _ _ - _ - - $7 'N; "p:'.. I,`. V1. ,I.''t`y f,' ,•: -_ - - - -_ `t 'IP'!! i,lfa "It,s'f"- 'li.,;j. }r=` - - _ _ 'f;; _ a Ysi, ;p ,,,,,, '+, „ISI , •i ' ,iii 0 0'4 p.3 Alf, : , ':0"'2'`1 ` 4'0-5 4'6.41:--:6.8-.==0'0 '1 5 0 2" 110 ' -- Vendor No. Check No. Town ®f Southold, New York - Payment Voucher I 1394 LAO 3 T Ent6red by 50 Oakland Avenue East Hartford, CT 06108 Audit Date K&S Distributors MA-Y- 09 2017 Vendor Telephone Number 860-628-3860 Town Clerk Vendor Contact Invoice Invoice Invoice I Net Purchase Order Number Date Total Discount Amount Claimed Number Description ofGoods or Services "'`Csener al Ledger Fund and Account Number 364170 3/2912-017, $364.601 1 $354.60' RP Dispenserjowels(6)tisse e(2) SM671-0.4.'000.600 $354.60 $364.601 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf ofthe 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 i0iich the Town is exempt are excluded 0iscrepancies noted,and payment is approved. sigliaZe. -c4— isle Signature gnature � Company Name fishers Island Ferry District Date 4/27/2017 Title IM4 Date 14 `364170ce h - �UStomer FQSO2, K&S Distributors 50 Oakland Avenue East Hartford, CT 06108 Telephone: 860/528-3860 Bill To: Ship To: Fishers Island Ferry District Fishers Island-Ferry•Distriet•- P.O. Box 607 '5 Waterfront"`Park 261 Trumbull Drive New London;'.CT.06320 Fishers Island, NY 06390-0607 ^�.O w Date° Shi` Via: :'r F.O B�:" 03/29/17 DELIVERED ^' "' ;, Net 30 :Purchase OrderNumber' / .k:•.. '0ur,Qrder•Nurnl5er'`D Verbal 03/2917 jP None v Ea._;- Item,Number�', Description ,,":� a :Taxi`" �UriitP?i Arriourit Re Shi i3:O: 2 a .ra,., ,x:;;" 1 1 0 PT868 Dispenser-BayWest for 313/314 Twl each F N ," 0.00 000 6 6 0 PT313 BayWest 8"Roll Towel Kraft 6/80076s''`,_•=^- N 41.95 251.70 2 2 0 TT619 Toilet Tissue-865 Sheet 2PIy 36/cs , . , N 48.95 97.90 1 1 0 DELIVERY Shipping and Handling'wharge 7d '` xi,y Uis . 5.00 5.00 t .".-� .,. t:.ri'y","nL-.yam t..::• � ..«';f4'�., s.� Thank you for the order PLEASE PAY FROM INVOICE-NO STATEMENT ISSUED I You may reach us on the web at: WWW.KSDISTRIBUTORSINC.COM Like us on Facebook for giveaways at:www.facebook.com/ksdistributors ML r-'�rM 4NdnTaxable-Subtotal 354.60 Net due on 04/28/17 .``` =Tazable.,5ubtotal 0.00 0.00 u` ~Total Invoice-~ ;354 60 Customer Original, Page 1 'T PACKING`SLIP" K&S Distributors 50 Oakland Avenue East Hartford,CT 06108 Telephone:860/528-3860 Ship To: Fishers Island Ferry District 5 Waterfront Park _ New London, CT 06320 D te Ship Via F.O.B. S21esPerson Customer 03/ 9117 DELIVERED 354170 ip, 1 ;irr Terms Purchase Order Number ' ; 'n Order Date" Our Order Number Net 30 Verbal !2 Quantity Item Number Ordered Shirmed Back Order Description 1 1 0 PT868 Dispenser-BayWest for 313/314 Twl each 6 6 0 PT313 BayWest 8"Roll Towel Kraft 6/8007cs (� 2 2 0 TT619 Toilet Tissue-865 Sheet 2PIy 36/cs 1 1 0 DELIVERY Shipping and Handling Charge 4 i Page 1 ; -----------i ----------- ---------- ; FISHERS ISLAND FERRY DISTRICT ' I VENDOR 011033 STEVEN KAMM 05/09/2017 CHECK 4039 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 1 SM .5710.4.000.000 041817 REIM—TWIC CD U5V1-7TBFJF 125.25 TOTAL 125.25 I - I FAw _a. r. . .N .....,_.. ...->., .>s• rw^'a s ,.: .n.• _: ,•,. . d 3ir::•:<F:y`':•,;;.`:::$y.:hx v ` :v3ro !_..: Cha rRRf t«'.D?< kdy 3i.K::: :•3"S,br. 5... eY `S5t M + .i N d''w'•: ' «,`' ''de ':.:3• '',rD`J'...,' °L.`:Y i.',2.. I - I . t I\ ` 1t I I 1 i I _ - t "1' •N„'o'tl ip',',t.I.,JiiEv , -__ i1.1:-j=- ."-":4'=`-- f\•3'i'^ Al,, FISERS7SANDz FEhRY ,,• ;¢ ,t -_I s+f,,''tieI ar'`-''EI I'.,'t>:°ib.{-iiSu%"'5. sZ IIp1Is,''_.i'P,V_o-;,_Ji;!;tI':d';•,1g''J'A ,l 1V,•,>,{<I;ra3vi;i',•r14,it`x',M'aJ,;,•i,.tF:t '`,'ra5`'^J;?!':,,_5-s4ji°-,x`_.,,, `'-•_{" '-`:'a'`'- d-'n- nS >`&,s.--_-t:`s_`-3-v_';;,_t1 :x-a_i'' 5_-d3.{0=_9s--g5;•MAIN iF, a`„ .I•RGpsx•OHun'I,A:}Ozx"O<G-'o'r„U`PLEKO(7I,a`1 0N,,B49"Y•O'ij,XY.'l9ri•`11i'.4,s r3d7:I 9 , cpi iS1.SOUTH 0j"NYi'1197,1-CO.NA 1IONAL,°i``,•n',h'B;MSA♦1 N;eK,'''yy'_x_-,----"-' ',-N-:_-`r`,.;<`->a.:%=:-,'`-i -,F;-=--_-D.- A`.T-A,P-:-,,Ew--V."__D:--,zC'-=H=--:;'_E',''_ti<,I;i,.0o}rv •°..t•<t >a 4 Cqx./'-,'X.,ar,!.;l,7d'.'nt•tls09pl,'a „ 'ds,ry':.,+,.°a1r `AMOUNT MOWNT9a5_l•4r1''ban,. ' ,':2' J a 5_ o '—;"4, J,50546/214 ,r ,l°•'''h `tLv'`•'.1F`A''F : ". n sr _ i ., •• >f,L„t' a •, <F.PNY 1k 1 K .Y ' .0 _ °'AND`25=`x 10.0.4.DOI;L'AE'S,s. ',; ';,_'., ,°z,t}, ;. ,r' ,<'',;r f 'I,,+ •\,."-..<4 _ _ _ _ - - _ =".1 <t II In -P', d<' 0' .1'"d' { • - -_ - __- _ - _.__ ',4_»:!'• •'h .:i•''(x f-t: "!' - _,;, _ t,. -- - __'= -- -_ _ •: y= ,;,, N _ _ _ ,_ _ - :-. :.": ,,,:''+„1,"•4. -+,.4yg r,yea-" ee!`,=__,---- - ` _ - - ,_ ti - - - - - ";4' {. _ ,4`t'h' - - v'Ihr dl d I_ t `1- -- -i 'L %' #E• _ __ 1 - ,! - --V lit-" 1,II 3t r' _ « tl• , ' y< 1 x' ; i: r- _ -_ __ `'>!r'J. '1{,,: ,'1 - - \ •>' ✓_t.,t-. ,`5'ifci;.f?>!>'' ..... '>;i, - t:r ' t' 'p •°J 4id'` "1vY':'`s"b•','i^ ".'.{. ,5, aF•-4 4b t# t' ,a,..;,i,,•`tr< - "a, _ , , .+P• ¢} . . .' ° r v- z. ,`:'f' ,ti' "'t"';1' `';',%: yt a , , ,1'lllx,, ¢' PA '!✓ ,;-.t+r Y'♦ <y2s ' _ ,`` „E `',1 -4(+f• _ 1 - ,'r 11 » i rttt"1, 'r 't, tom}- '-`: i - _ <x :...,^I,q- 11za if' nrt' `•',171' Ir - - -'1 - ,IN tz of A 'a,8G,9. I, . 1` _ +N'Iu 1 :H1°1 1' -_ - - _ ,:3•h•.S d ul, x`dl {1 tl. 'II' I _`tl `>_ _f-__ _ _ -_ _ s F as`:. ,,,' '.k IY`:•,7?t" ,STEVE - -- - -_- - - _- - - - = v °I .,t. -,•1„•:+'"'i.a,,, 1'.I t, ,.A• .1°' ''):I 41= - - - - - 1`J<^ '_f' -__'• .- __ '1' G1 `n oi t' r, 3. __ "'1 ` 'f' 'I` 1.❑' 'hSi ,'1 ;1,,d'i; 'i -')` _ __ - s,` Ida .I A,'I,pI tl llu ,,11't:';,x: a'<a u,d, t F J^"n•a', ,,1 ,. "'u' '1,'s >_ _ J_ 'i y. 'M,,ff,.. +. ORDERS ax _ `PS `EAST,tHADDA`M,,,CT-;.,O°6423 1/ :t, '-x t`.'t. {, ;P. ,5r,',,14 'S? •',1' ,3 )<'%'da•^k'.:;•: <t ctf 4- `'! t_` s4A 1 ';4, y.;g`;': ;`2z,<y f'`x' ri' '.Fa' ` ' Nrx t<,s: 4," "e•l' '`,'!' `,1'' rz `S`, 94+° .t' ' :• '• "x "•'y,< ,t,'l, +r „i`' jays°-. >!"_"-'`v __ -- „fin - - ; 1 r r -.1a•--x"t - - x,. Il:ea t. .lx,: a•> - - IIIA ,SII. xl• - - -" _` - ^ _ _ .,1' •N,'S'hi N3''tll ',l'I ,i, - I,d - - `.;„-:- ,IrAGA•3Jti „Ixl'i» wL'r i,p"41t,; _ - -: - ipsi'+ 1 - _ "_ __ ____ s"t;' J1;'".'1.'4 ' X21, :1, 1'^Sit^.e -_-_ --—- •'k' " = QO`401,9ii ;'p"'Z'"L 4°0"5'4 64 : +E8 -00' 5'0'2'` Vendor No. ii Check No. 'own of Southold, New York- Pay—ent Voucher �: I �"� 39 Vendor Tax 1D Number or Social Security Number Vendor Address Entered by 89 Millington-Hopyard Rd, Audit Date Steven Kamm East Haddam,CT 06423 MAY 0 9 2017 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount jArnountClaimed Number Description of Goods or Services General Ledger Fund.and Account Number 64V917 -REAMR 4/18/2017 $$125.25 $125.25 TWIC Card Reimb SM5710.4.000.000 j 051/1-7T13FJF I $125.251 I $125.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition vnthout 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 L" 2 Signature Title Signature a. Company Name Fishers Island Feny District Date 4/27/20'17 Title IR Date f Universal Enrollment Receipt - TWIC® Enroll no-replyBIO@universalenroli.dhs.gov 4/19/20171:23 PM To stevekamm@comcastnet ► % lattachment View Open in browser Download A'a 6i' Universal C ea 061 tin,iversafenroll.dhs.gov Pickup Location Details: Direct Ship to Customer Service Details: Date: 4/1812017 @ 10:00 AM (EDT) Customer: STEVEN KAMM UE ID: U5V1-7TBFJF F04 Services )y 111111 -TV\nC@ Enroll $125.25 Total: $125.25 Payments Card(7180): $125.25 Auth Number: 08914D Amount Paid as of(04118/2017) $125.25 Status as of 04119117 CARD PRODUCTION IN PROGRESS Your application has been approved, and you will receive a notification when your card is ready for pickup. IMPORTANT NOTE: Service status is available at: hftps:/Iuniversalenroll.dhs.gov If you have not been contacted by TSA within 30 days after enrollment, please contact Customer Support by calling: 1-855-DHS-UES1 (1-855-347-8371). If you do not contact customer support, you may be required to re- enroll and pay the enrollment fee again. Please note that no refunds are given. Click here to check your status I , I FISHERS ISLAND FERRY DISTRICT VENDOR 011557 ANN KOWALCZYK—BANKS 05/09/2017 CHECK 4040 FUND & ,ACCOUNT I— P.O.# INVOICE DESCRIPTION AMOUNT' SM .5710.4.000.600 030117 JANITORIAL-3/17 250.00 SM .5710.4.000.600 .040117 JANITORIAL-4/17 250.00 r TOT500.00500.00 XT c<a,: •3kC•. Vii«? , TFIR91101 Pamela; s x • I - 1 , I I` ISHERS 1SLAIVDERRPY:DISTRICT; -,° ;;r' ``P,UDI;T; 40,5,/_0 9./17_ 53095 MAIN ROAD;,PO•SOX-.1l79-,: ; ,'u'./• ' 'n' ^^;sP_ =[;_ €€_•" 'i s`'',`'SOUTHOLD:NYiI'.197,1-0959 5: " , ,"r-4_=-. _• `' •'r" • :,r" - r- `P — •',, 'F` :CHECK^,,NO:, „a'i,4040< ;I,t•u'.s..f'_ `- -'- --- -- - - -' i'•-T E''SUFFOLK Cd':'N TIONALIBAN - ' `- --- -_- --- -" _CUTCHOGUE,NY:y11935.tC':.' _ ,a _ — 05' 09 50'10°'0'0.- 50-5461214; FIVE +HITNDRED'AND ;0;0 ,10 'DOLLARS °r •R°<<i { _ _ _- __ I,,P• Itf;l 'P i':=F ..Z'iP1` Pi, ----'E-._" ___ _ _-=F',= _ ,1 4i 7,'If 1,°'o' r,'a ii. ,'I<I'P '+'" _- =a = "a'-,;L,. `,,r• :'' m,,i, - , `- _ __ _ !' •1 „t ,='f'i i•„n,, _ ,f:- a <t -,;q',`' i' ,P,'+: "I qL, ''fes _ - - - `„€. .I I' i, ; _i> -_ `? '_ _ 't1M "1••,I. 5,0'r', '',li iii i`S PAY Ir''a'' ', ,ANN;,KOWALCZYK-BANKS” =___ h!' ORDER= ',6` FI"SHERS -ISLAND4:NY`--.0;6390` n;'004040n; '1:f0''2>1`4"0'54E4 :` E8 0`O i 02 iir, « , , Vendor No. Check No. Town of Southold, New York - Payment Voucher 11557 1—H 040 Vendor Address Entered by P.O. Box 384 Vendor Name Fishers Island, NY 06390 Audit Date Ann Kowalczyk Banks HAY'0 9 2017 Vendor Telephone Number Town Clerk Vendor Contact . /1n-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 036117 F .-AAaf-47 3/1/2017 $250.00 $250.00 Janitorial Mar 2017 'SM5710.4.000.600 o'toi % 4/1/2017 $250.00 $250.00 Janitorial Apr 2017 SM5710.4.000.600 • f , $500.00 $500.00 + Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the qu tities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discre n ies noted,and payment is approved. Signature �O-+� ltle Signature V Company Name Fishers Island Ferry District Date 4/26/2017 Title Date V17AI 1:1 Diane Hansen From: Gordon Murphy Sent: Friday,April 21, 2017 11:34 AM To: Diane Hansen Subject: Fi janitorial service Diane, S Please pay Ann Banks for FI janitorial service for the month of April 2017. GSM Gordon S. Murphy Assistant Manager +1 631 788 7463 gmurphy@fiferry.com www.fiferry.com 1 I www.facebook.com/FisherslslandFerryDistrict THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL, OR THAT CONSTITUTES WORK PRODUCT AND IS EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY USE, DISSEMINATION, DISTRIBUTION, OR COPYING OF THE COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US BY TELEPHONE 631-788-7463 AND DESTROY THE DOCUMENT.THANK YOU. 1 Kascia Asmolov (� From: Gordon Murphy Sent: Tuesday,April 4, 2017 4:51 PM To: Accounting Department Subject: March Janitorial Follow Up Flag: Follow up Flag Status: Flagged Please place$250 for March 2017 FI Janitorial Services payable to A banks on the next warrant. .®---- Thanks, G Gordon S. Murphy Assistant Manager +1 631 788 7463 gmurphy@fiferry.com www.fiferry.com www.facebook.com/FishersislandFerryDistrict THIS DOCUMENT IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL, OR THAT CONSTITUTES WORK PRODUCT AND IS EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY USE, DISSEMINATION, DISTRIBUTION, OR COPYING OF THE COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US BY TELEPHONE 631-788-7463 AND DESTROY THE DOCUMENT.THANK YOU. 1 , t i . I I , , t i t 1 i FISHERS ISLAND FERRY DISTRICT - r I, VENDOR 013054 MAPLE—=PRINT SERVICES, INC. 05/09/2017 ' CHECK 4042 I 1 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.400 3643 2000— ' 17' PEAK SCHEDULES \342.00 _ SM .5710.4.000.400 3670 1500—PEAK SCHEDLE REPRNT 125.00 TOTAL -l_467.00 I „a J , - wx x,a - v,-.F. ..->_- titer,,xw r,.a<:=o, vv .,... `! •' '". ..."f , ,"A c w•YY" _. -dtt•>b;k 5:• \( r I ' - I _ r;la —n' _ -J < ,,:A;:slj`•>,y 4 FISITYyTR `- .BLAND`FERRY DISER-1CT';; - f ts'# Ys'% .',fih, - `y xda - •is'< rr`l;` >53095 4 eAD' - °F• t'.-,• P,O; X`'.1 "'''; _er °='Y' •iry:y' .7> t MAIN ROBOt1;79.,-<r' e,t1'" </•'i' f'.i=i ''t` ':F£ ,{'1', .r">,};, "<a r .i;'<'SOUTHOLD;NY•1J197.1-0969 - '(,,Ir .•r > v'%% -tiI ECK,;° I'':f d4.0r,- ` .,r.,t,• THE'b`U"FOLK,C O.N TON"Al, A Y'c11'9 A`• d a',f, el i< - -_ ;E - -- = - ,t d4 a'p, a',JI, -- - - _ ''a,< a °tll:' .Q, 9 ,2a '1', 0 y 0 7• `;` i: .,,, - ,';b' ti}# F 'i.4,", ,r>• -r3."•':i' -'t"i<,'' b' ,<s; 50=546/21,4, r, .i •a. ;'a €, rt..f ?+'x ' \`a .. - '`p n i ? • '.ai'^:'7J ' '.,,d, +' 'w''t%:,,'.`y x'tx:'v k,,;'qi. OtJ2 HUNDRED J`S IXTr .<Y rfi SEVEN„` v•,'d,, D'N;,'ll”/, _ —'-_ -h1 ,'',•'4,I'. 'rq'i ;''tl;, ,,p",,;Ulrl,", J.'>L _:'.1=__ -i'^- - - - >` '- -_- - -_=J:.i ---. ,:.,:h•;'y;' ;y",lt• I 1•n `I.'r,;l, -_ -_" -_--- - - '= S°S'..,"I ' 'h'".`L.' 't '`I;. I.p°' - '_., - - r- -_ _ - - _ - _ :i 1. 'li A, ,<,2°,+,,ht -_ _ _ - _ - _ }, 'a' •h 4•',pl ,,.P+x;1 'I;P, <t= -'i9`" _ pt , i"d p It'J' - _`°'b° - - '•"'2 'M1, .,I.,y,f. ,I x4'3+- - --b'- f°f -.6 -k S — S' ift.'£''n `'f 41s"'" ;Va,,p. ' - _- _ - - £t"''h', 4 ,I ,i ,I,.p '.p"b -tut<'• ..r'V-,\'i,'-h''sb'` - - .nt' '`c` a"f, ...... 1„ I• t',aj1:-{`%d: II r'1 fi e'fe j IPAj' 'Pr irMii ,,r .nP,, , ' 71"i, -- - Gi' - I"•nl.r#1' ,J ,r r;;j'';tIirMAFL'E ,P -INTi,'SEI 'VIGES'`N,INC...fi`. :I'rkl, ,.I„ '„ t,I. '•,I' '1't', -_ `x'f -_ rf _.i .t a>a6tF,II.J:wl a+1' ,I :I f a,1,:F -•f°`_ - a„` - _ ,., 4°: :' °, %;'l• k•,l,,t - - _ _ -- - a/`a ',, hf!!",' `-- - P al• a I d 1, p . - -__ - - - 3,„I'S1• i,P," it` 1'aFtl 1.Y•fs z TQ''T 7E,1 J',3.9—1 '2 b•:WEDGE I RAVE= BOX`'t`1,9.91, p r❑:r`+,, 'er„r'/' ' '"+'a -s t..'v_.=- -_ --_ - - .-.'"r"h ILJ.,J.•, ,'4tir"_s4,' `t,' i ."_'__ ,e.-=.`. ':'=' - _ / , rel:a';}o-, JEWET .0 t1: 'e- - -.•E,,lu„ 'a' w'` P:r,,r• h. ,ra,;;, ,+f.;i t!y7=':; - :.!^! !r t ,`4* 4pt;ai;t, •,,,• + T',•CITY;.. '3J ',fs".1 " ti•, ij'.,e 14+ 4rY, .,4.p :S': t P,'.:' < fA ot -6' ?4": ,w 't' A :S+`,`f' et,5 Yy 55./ M15.t4 it .'f f,. ,4 t, ,r}v •1`y >'p Si'+,'' .,,1 / - •f.- -_ - - "Pp /':'V•'lJ i:l''Y;i, Jr 'fli,Yrf l... T1i' S _ __ _ _ __ a?t i,1',i e-'fp,nx' 1',I. 1, y <y._ - -- ."3 f - - - __ _ - _-_ 1 r. H, ,y n I n•t=-s"._.3'-_ _ _ _ __- __ _ li-,6'- •d^y,_ =1`= _ __ - _ _-.y"=:s`i'° ,' ,r,._ ..{ y„';.,n e„t'"'i d•'"r's - - - - - - - „Jp ",r! 't ;AI}a ,p•a a iar '= 0 4 2iin; `1.0 2'14'0''5'4 6 4 . E8` =00 `50'2 n` 1'i'' t Vendor No. Check q. Town of Southold, New York - Payment Voucher 13054 Q 44,Q Entered by 39-1/2 Wedgewood Drive Box 199 Jewett City, CT 06351 Audit Date Maple Print Services, Inc. 140 2011, Vendor Telephone Number 860-381-5470 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 { 3643 3/27/2017 $342.00 $342.00 2017 Peak Schedules(2,000) SM5710.4.000.400 3670 4/13/2017 $125.00 $125.00 Peak Schedule reprint 1500 SM5710.4.000.400 P $467.001 $467.00 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 perform 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 .f Signature 1 Title Signature Company Name Fishers Island Ferry District Date 4/26/2017 Title 14t7l., Date Maple Print Services Inc. 39-1/2 Wedgewood Drive Box 199 Jewett City, CT 06351 (860) 381-5470 INVOICE INVOICE# 3643 DATE 03/27/2017 DUE DATE 04/26/2017 TERMS Net 30 BILL TO SHIP TO Fishers Island Ferry District Fishers Island Ferry District attn: Accounting Fishers Island Ferry District PO Box 607 attn: Gordon Murphy N.Y. 261 Trumbull Dr. Fishers Island, NY 06390 Fishers Island, N.Y. 06390 Please detach top portion and return with your payment. - -- - - - - - - - - - - -- - - - - - - -- - - - ,4CTIVITY CQTY ",""AMOUNT Printing 2,000 342.00 2017 Peak Schedules - - - - - - - - - - - -- - - - - - - - - BALANCE DUE $342°00 Visa, MC and Discover accepted. Maple Print Services Inc. 39-1/2 Wedgewood Drive Box 199 Jewett City, CT 06351 (860) 381-5470 I NVOICE INVOICE# 3670 DATE 04/13/2017 DUE DATE 05/13/2017 TERMS Net 30 BILL TO SHIP TO Fishers Island Ferry District Fishers Island Ferry District attn:Accounting Fishers Island Ferry District PO Box 607 attn: Gordon Murphy N.Y. 261 Trumbull Dr. Fishers Island, NY 06390 Fishers Island, N.Y. 06390 Please detach top portion and return with your payment. ACTIVITY .... QTY AMOUNT Printing 1,500 125.00 ,peak schedule reprint with changes BALANCE DUE $125 Visa, MC and Discover accepted. , t I ;, FISHERS ISLAND FERRY DISTRICT \ VENDOR 013564 MCMASTER-CARR SUPPLY CO. 05/09/2017 CHECK 4043 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 23873938 ,NLT-RAMP PAINT,WST CNTNR 892.88 SM .5709.2.000.200 24694522 NLT2PARKING LOT STRIPING 206.45 SM .5710.2.000.200 25112420 RETURN PIPES-RP 184:,43- TOTAL 914.90 ` I 3<:• s _l t ;' - - •,,. ;.'r: ",FISHRS7SIAND' ERRY'DIS,TRIGT r;: „, ..':.,II .:. -`;;, 17;. _."1. .1• .1c sai,. - _- =_-_ :`__-- _- ;-5SO30U95,MAJIN"'R"O%ADi P0,80X ,'1'7'79'`^ THOLDyNY197.1-0959 ` ' - 0ry N IONALBANK" — THE SUF,FOKD r- _ °,C0T,CH0GUE;,N),I11'935 ,y,,,u 1 .III,,,' i''',1''I}'il ___ - -____ _ - _ _,i' ,ry, , ,,II} I', il;'d, , ,I, xJ,• _ ;;= $ 50=546/21,4,`, D' D R FOUTEEN; AND',:9A' '10 0 'NINE',HUN RE .,, „I - =7- " ;1113:,.A• irl S 'I,I S - - _'`r` II< i ,1,1„ _ __ d,Ll{':' _ _ _ t`- _ _._1`_-_ ,t , U, ,1,tal, :,I„1 'fit•I 1' __ __-.k M1 cc4= __ _ -- - - _- - _ - '' }i ,i., I. i l!' _ - ^.d _ -_ - k, , I il'yiv,1;- I "•`J:,' _ _ -_ _ _ >; `.-.e`1';sy, ri.- ,yp• y - ”-ti>.' - -t1^ .e' 'i \.y:_ - .t",5`' i;' 'j, 1 ;1Y ;" yi. 'il; e'i.','i.; ' >1.a S, ire, ',S },. 'qty"' '1{^``tt'1' '.1'y tY•Y .i.',- st, t F, Y._'„k `"t - ',. ,,.,.. y ;`;e', , • ,"r f .n;t ,J,}.u," .i,''•,', - ,'3' ` : " r y: •,y'` __ __ _ .4 s dl', rl 1i't;y„ .n1 ' fill - 't TU,T$E`71„ oP` ORDER , 'CHI'CAGO" IL - 6`O6`8`V'=7x690`- -t'- .a -'< 'srfc>. e 't;, , s"•e, 45' 'r tt Ya. 1°` ,p}+ ",,,-, ;1k e. •a, ':c se:, 4,` <7 • `"f " __ _ ';vt. x,11, _ _:," __- -` - .t° .,+.:. 7 _ i3,; •'I' "Y,,l`• - -- -- - - - -_ 't: _ _ -_ i :f'i i', ii ', , ,ti,j;•} .t,ll ir ,a.fit _ _ -__ _ _ _ ,I ;1'- 'if:l','•y>Iy,/}s's'>,irl - -_ -- _ --7--_-; y - _-_ ii:0OIL;0'43 "IM'2'14'0-5'4`64`i: Vendor No. Check No. Town of Southold, New 'fork - Payment Voucher 13664 14043 Vendor Address Entered b P.O.Box 7690 Vendor Name Ctliizago,IL 60680-7690 Audit Date McMaster-Carr tupply SupplyCo. MAY Q 9 2011 Vendor Telephone Number 609-689-3000 Town Clerk Vendor Contact Invoice Invoice Invoice f Net 'Purchase Order /WJ Number Date Total i Discount "Amount Claimed Number DescriE tion of Goods or Services Gcncad Lodger Fund and aAccotmvNumbcr t ;zr �Ja6i e 23873938 4/12/2017 $892.88` ! $892.88 NLT PainfRam ,Containers 2 SM5709.2.000.200 24694522 4/18/2017 $206.451 $206.45 NLT Parking tot striping SM5709.2.000.200 y R1P-CM&I 12-e'n�%pc 25112420 4/2112017 -$184.3, -$18443 RP maintenance supplies SM6710.2,000.200 i { 1 , $9140! $91410 Payee Certification Department Certificafion 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 duo and owing, ,and �that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Sigttatare t''XG.,+�cb ----�• Title Signauirc " Company Name Fishers Island Ferry District Date 4/28/2017 Title Date `�i Vend Nro Vendor Check No. ' Town of Southold, New York - Payment Voucher 13564 Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. AY Q 9 ?Q'�, Vendor Telephone Number 1 609-689-3000 Town Clerk- Vendor lerkVendor Contact /'►. Invoice Invoice Invoice Net Purchase Order , Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Accouilt Number sr wa-ke 23873938 4/12/2017 $892.88 $892.88 NLT PainFRamp,Containers 2) SM5709.2.000.200 24694522 4/18/2017 $206.45 $206.45 NLT Parking lot striping SM5709.2.000.200 RP-CYIP-Ki 12e'raYyyv%pe 25112420 4/21/2017 -$184.83 -$184.83 RP maintenance supplies SM5710.2.000.200. $914.50 $914.50 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 1 Gw�e Title Signature Company Name Fishers Island Ferry District Date 4/28/2017 Title Date B-iF MMASTMCARR® Credit 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Available Credit $(184.83) Credit 25112420 Billed to Credit Date 4121117 FISHERS ISLAND FERRY DISTRICT P O BOX 607 FISHERS ISLAND NY 06390-0607 Shipped to Mailing Address McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Credited Price Total 9 4457K45 Standard-Wall Steel Pipe Threaded on Both Ends, 6 6 (6) 27.63 (165.78) 3/4 Pipe Size,72"Long Each Each Notes Merchandise (165.78) This is a credit for purchase order JOHN P, invoice 19865966, packing Shipping (19.05) list number 8700299-00. Credit Total $(184.83) Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 428 q' McMASTER•CARR® �� Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0412MFRANCO Tota 1 $892.88 Invoice 23873938 Billed to Invoice Date 4112117 FISHERS ISLAND FERRY DISTRICT y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$16 37 on merchandise if paid by 4/22/17 Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 6439T74 9"Long Nylon-Bristle Roller Cover for 6135T37 2 2 0 9.38 1876 Each Each 2 6135T37 Ready-to-Use Antislip Floor Coating Water-Based 4 4 0 66.81 267.24 Acrylic, 1 Gallon,Yellow Each Each 3 4106T3 Heavy Duty Plastic Waste Container Square,35 2 2 0 266.31 532.62 Gallon Capacity, Beige Each Each Merchandise 818.62 Shipping 74.26 Total 92.88 Packing List Shipped Weight Carrier Tracking 1804108-01 4/12/17 321b UPS Ground 1ZO835200354814319 4/12/17 321b UPS Ground 1 ZO835200354818673 1804108-02 4/12/17 341b UPS Ground 1 ZO835200354814328 4/12/17 34115 UPS Ground 1 ZO835200354819734 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 556 a McMASTERmCARR. Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park 0412MFRANCO 609-689-3000 New London CT 06320 04/12/2017 nj.sales@mcmaster.com Order Placed By Mike Franco McMaster-Carr Number 1804108-01 Line Product Ordered Shipped 3 4106T3 Heavy Duty Plastic Waste Container Square, 35 Gallon Capacity, Beige 2 2 Each 778 M MAASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order PARKING LOT Total $206.45 Invoice 24694522 Billed to Invoice Date 4118111 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$3 63 on merchandise if paid by 428/17. 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 Nick Espinosa placed this order. Line Product Ordered Shipped Balance Price Total 1 36495T81 Large-Job Aerosol Marking Paint Dispenser 1 1 0 94.40 94.40 Each Each 2 6018T7 Permanent Aerosol Marking Paint Solvent Base, 12 12 0 4.56 54.72 White, 17 oz. Each Each 3 6018T7 Permanent Aerosol Marking Paint Solvent Base, 6 6 0 5.43 32.58 Yellow, 17 oz. Each Each ri Merchandise 18170 Shipping 24.75 Total $206.45 Packing List Shipped Weight Carrier Tracking 2049559-02 4/18/17 381b UPS Ground 1ZO835200355214715 2049559-01 4/18117 141b UPS Ground 1 Z6028360325444098 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 511 f , MSM Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park PARKING LOT 609-689-3000 New London CT 06320 04/18/2017 nj sales@mcmaster.com Order Placed By Nick Espinosa McMaster-Carr Number 2049559-02 Line Product Ordered Shipped 1 36495T81 Large-Job Aerosol Marking Paint Dispenser 1 1 Each 2 6018T7 Permanent Aerosol Marking Paint Solvent Base, White, 17 oz. 12 9 Each Shipped separately from our Chicago warehouse on 04/18 2 6018T7 Permanent Aerosol Marking Paint Solvent Base, White, 17 oz. 12 3 Each 3 6018T7 Permanent Aerosol Marking Paint Solvent Base,Yellow, 17 oz. 6 6 Each Notes about your shipment The U S.-Department of Transportation regulates the shipping-of line 2 By purchasing from McMaster-Carr Supply Company, you-agree not to transport or permit others to transport purchased items except in accordance with U.S. law and any other applicable laws. r 2 J - ,T 363 , FISHERS ISLAND FERRYDIS7RICT VENDOR 013571 MONTEGONET SOLUTIONS, LLC 05/09/2017 CHECK 4044 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION - AMOUNT SM .5710.4.000.500 INV-1021252 SOL.SUPPORT 4/1-3/31/18 900.00 SM .5710.4.000.500 INV-1021252 INREACH MNTIZ 4/1-3/31/18 696.00 TOTAL 1,596.00 ' 1 ".1 14, I t I I , I i i j-= FISRERS` ISLAND-FERRY DISTRICT.: 47' ">`ALTDI;T,;<p'S%p'g% 7 - "' ry'.l`"✓' `.. - :, ;t», 53095 MAIN`ROAD;P,0 60X'.1179; - -'' t 8'•u ";iy ,4° ` i%• =SOUTHOLD,NY`1,1971-0959_ ''4. •I,`+ '•x;'''•• _, •_ ` - ` ,t'" .°L;'"1 _ `at' _ C IECKi'N . 'd`'`4'04't}";;, `=n"`s t r- o' 'THE SUFFO K"CO"NATIONAL __ CUT,CHOGU ;"'NY^d'1'935 =_DA_E;= •,p.l'q d4 I';1;NII' .1'',Sd'I,+IY ; _ - _n _ __-___" ,. u- ti .,4.a t I ,p,r,,'y,'' - _ _ - __ _,.i I Is,> - yl,, #,I,,{ `u _ _ _ ._, __ __'. d • tid,r'd =ti;', „I{ •_-- ` ' _ _ _ _ ,>I",.,s .'i"al", t'd1`I;I t''`9 „ ,5, J.. ' -.j - _ p'y k .x ''.° ;,- J•` u " 0.5- 0,9-i.20T7 ..'';, `- , .4 r1 59'6' 'O t %' `ia^ / /. Y i. QNEA`T$OUSAND,}'FIUE:`'HUNDRED; NINETY-`;SIX`AND':'00':1i60tl,DOLLARS --n_- -__ - - __ - "^' 'uI, 4 :'d,l a,d+' tF„'dam+'d t,:Id ft,`• _- - - S•.':_ - - ,i,'`7;I,I` '1, tn''n d,.p=:,P`'d”e a,'s = - - - -'S - -' ` `..,n,l.'q::'p;l M ,.,I,a 4„."I',',,J•,. "_-_-;75 1,='_;, -> - _ _ •a tip'' 't "?,' ^., r, ,J '=}. _ __ _ --_- -e _- ----: ,•t ,P. 1, ;;n.tr I'4, -_._ __ __ a --- - ` '' '•7 t `I,'i'"` t 1,'' ,1t7,, ,da✓: _ st' - .,/s a f- : ',q s V ,a .L•i '43:1" - .\ .u' is / / 'MONTEGO $OLUTI NET' 'ONS- ` ^`t", .. s P!!'l+ '' 'I/ '~ T I, I'i,SERVICE---- `SIT iii;D$7 ''IISEY,F,' _ NETWORKS ORDER °r 'd - --'-==--" ' - I _ -_ " •" - ,r;!,^•.ry ri' 's''yF .i ';12z7, JOHN..FCLARKE7$xR.OAD'-= ,1'I, _ syj':, , .- 'r - -`a. 'MIDDLETOWN RI:r:02'8412'" " 4' d t t ,7r .. :0 0 i 5 0 2',-1 , Vendor No. Check Ni". Town of Southold, New York - Payment Voucher 13571 a ' Vendor Address Entere&by 127 John Clarke Road Montegonet Solutions, LLC dba Middletown, RI 02842 Audit®ate Self-Service Networks . .MAY`0,9 7017 Vendor Telephone Number 401.619.4000 Towri 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 ! INV-1021252 4/1/2017 $1,596.00 $900.00 Solution Support Agreement '."SM5710.4:0.00' .600 - t 4/1/17 throu h 3/31/18 1 $696.00 inReach remote Monitoring `SM67 .060.6,001' , 4/1/17 through 3/31/18 1V4 " t $1,596.00 $1,596.00 t Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have•been verified with-the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or d' panties noted,and payment is approved Signature_ tle Signature Company Name Fishers Island Ferry District Date 4/27/2017 Title Date vot i Self-Service Networksself-service$ 28 Jacome Way Middletown, RI 02842 US (401) 619-4000 ) www.self-servicenetworks.com INVOICE# INV-1021252 INVOICEDATE 04/0'1/2'017 DUE DATE 04/14/2017 TERMS Due on receipt BILL TO SHIP TO Fishers Island Ferry Fishers Island Ferry PO Box H 5 Waterfront Park Fishers Island, NY 06390 New London, CT 06320 Please detach top portion and return with your payment. -----•------•---- ............................................ .................................................-------------------------------- ........ SHIP DATE SHIP VIA TRACKING NO. 04/01/2016 Services RI ACTIVITY :_ OT.Y J3ATE AMOUNT . ._,SSA-1_....,_ ._,..... �. 1 750.00 750.00 Solution Support Agreement- 1 Year, April 1, 2017 through March 31, 2018 SSA-1 1 150.00 150.00 Solution Support Agreement- 1 Year, April 1, 2017 through March 31, 2018 IR-1 2 348.00 696.00 inReach Remote Monitoring and Management- 1 Year, April 1, 2017 through March 31, 2018 ................................................................................................... BALANCE DUE USD 1 ,596.00 I iI - ----- -- - , FISHERS ISLAND FERRY DISTRICT VENDOR 013282 MORRIS & MCVEIGH LLP 05/09/2017 CHECK 4045 y FUND & ACCOUNT P.O:# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 00010-51701 PROF.SVC-3/1-3/31/17 1, 100.00 TOTAL 1;100.00 L I J ..mow.xr, r-,,✓,✓.-.. >. : .w,..<- -`.'''-dE ::- - ":•:'.', .-.,;,: J \ .v__. v.py;v S •>5 vq « u'>•`S.s^h r I ' , I 'i '?'g FER7 Y:DISAU t r;tt.°o,5,/'0:9`/'if7='' - __ F<;r$<E •., !,;,t' n ..?,+, :'r. c`s:.s:j-' e ••'<21a 4 .53095 MAIN ROAD,PO .^s. ''^ >, ; ,¢`o-° r. v'ar` ;'; . - ',ry: =iw't'SOUT OLD'NY,11971-0959 °;; ': " .< •:'di.. •!mr:, x ^•{ _ C' 3,ECIC' N©'yE>° 4`045>` r- V'i. E;r .•£. v eF v,<"$' ;ps` ' /! f{ cf 'Yv; '$/ "Yt= Y r'' 'i''"', ' ,+'',. '% ;'J<" = -'a`_ & ANK: u>rG a4 cw. THS SUFFOLK'"C0:'SN(1TIONAL'B :- ;•. 'P r+',n' 'CU CHOGU ''NY,1.7'935:'a;,;y'>',s- - - E,c .;'AMOUNT:, ., +.:'r' - -t.y - - - - ;I d d U 4 •''d qty 7.. - - :k '.50-546/214.. °£> •;4"ii;ai',39'>""y t.'r£s - /. 'B y%J.;{. ; t>,x* tx r+%':s` ';'Ja • s-. >s.-rc - l; r 'x s:>,<, °'ix'a ';, r, _ ,z °a:/. f .,% s f ;zfh,:<`'•./a;a• ONETHOUSAND,'ONE' %HUNDRED AND';'0.0-/10 0'''`DOIaL/ARS,;; J, F i` +: ?a' g;= yV.>{,c'.,; ,`x,tJ'~znl, .,,F. ,4 _ `fes- .li. `"'Iv,. •.V,,;x J __ - - ,'1 I4: `,I''.","$+i:,a Y1'',I,'"F,a,"fin:rf i•"z{,_. - - -f:>. - - 5 - :- __ - __v'___- a. „I'' Ill•,r , Jl,r ylnl,`.P' .1 '7a' - - :__ __- ';r P1`r '1.,,'I rt'„n ';'£,. -- ->', ^ _ _ - - "f.t _P - .it, •'.fi J"`' ' _ _ `,i.', s° _a.i,`.,. •ice,•-' €!ice?' . : 'i., :`,.i'> 'i 'V•4t`!^,< 'v. •'2;;--_ A'r,.• _ _ -J i.ai. ,t4`h - \„ 1 /• t ' MORRI<S•i &,.MCVEIGHp' LrL P" t ti` rr'• t'I'1• {'1 , .1^ I „ _ __ _ - - : ,r` i"f< __ _ ',P' rcl•ll iWl 1 1 i_ - _ - - - - _ - ,e ?r'i ' i' r i°\P i il'`p•J.1.gyp;:. - _ - -3` - .yxi I,I 1','Id1 a> 'i t, ,la r,l `Tb;,1 ., ' ', ,. -E.._ -_ _ `-"<{,':• l,i; ' , a'rl.+P,b.,i, ; ,, ,,,IJ.r ;d-= - ,- ,,,, a . ;,lr,i' '„'•,.'w/°` .JI,I>T6''Z° a'TH'I'R'D'3AVEI CT _- - - ,a aS', J} 1 => I I, Ily J' - - -=x'>-=_%';' -- s r ORDER; '`tr, ',I I, 'ANEW;;YOR'K tNY!:']-;Q`0,1;7ri:; .•` - „a,x, j,->. 1, r f:% `I sr.,, § •4: r - • 5-' :,yrv ,Fi i.y' F _ ✓.f}''-•. •' Jal,*v .J .f•,f a- _ tir .'lr`.li:w. 'sj ,) _ __ c-_T ' ' 'i „ i,€, 1,, "1"' `i,"Ir', ^"i°t-'4s q,.<.-- _ - _ 'P'•f - - "{'AI Ii I' 1l. '+f'' J ,5n li, 111' 'J° ia {•?Ii - - iI YI .,;{14 li ,ha'x'tyl rl,s;_y't, - --a'.:-- - '(, f.,,l' t,l, nl, „111J^1 .y£S'-•r - ” h,,J ,v, 's4 's.ra , •'^' _- _ __ _-- •''t• i :00;4=0,4 5'i`., ' * 00''L°50;2, .a1,;.• ,,,2',L 4'0,5.'4,16`4, . 6`S`: r Vendor No. Check No. 'own of Southold, New York - Payment Voucher 13282 Vendor Tax ID Number or Social Security Number Vendor Address Entered-by 767 Third Avenue Vendor Name New York, New York 10017-2023 Xudif Date Morris&McVeigh LLP MAY Q. 9 2012' Vendor Telephone Number (212)418-0500 Town Clerk, Vendor Contact 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 A-00010-51701 RJMA 4/17/2017 $1,100.00 $1,100.00 Enabling Act Legislation 3/1-31/17 iM1420.4.000.000 ' E $1,100.00 $1,100.00 ! Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed an t the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded discrepancies noted,and payment is approved. Signature Title Signature C^'" Company Name Fishers Island Ferry District 4/26/2017 Title Date 0 V 1'-- e5yP4---- MORRIS & MCVEIGH LLP ATTORNEYS AT LAW TELEPHONE(21 2)418-0500 767 THIRD AVENUE TAx ID#13-5519786 FAx(212)755-4476 NEW YORK,NEW YORK 10017.2023 FAx(212)421-0922 April 17, 2017 Billed through 03/31/17 BILL NUMBER 229140- 00010 - 51701RJMA FISHERS ISLAND FERRY DISTRICT MR. PETER RUGG, COMMISSIONER P.O. BOX 607 FISHERS ISLAND, NY 06390 BALANCE FORWARD FROM LAST BILL DATED 03/15/17 $3, 947 . 62 PAYMENTS APPLIED SINCE LAST BILL 2, 202 . 50 CR NET BALANCE FORWARD $1, 745. 12 FISHERS ISLAND FERRY DIS -GL FOR PROFESSIONAL SERVICES RENDERED 03/03/17 RJM MEETING WITH BRIAN MURPHY (SEN. LAVALLE) ; 1 .50 hrs TELEPHONE CONFERENCE WITH PETER RUGG. 03/21/17 RJM TELEPHONE CONFERENCE WITH P. RUGG; EMAIL, 2 . 50 hrs ETCETERA TO B. MURPHY; EMAIL FROM P. RUGG; ATTENTION RE RED LINED VERSION. �1Tse kL TOTAL FEES FOR THIS MATTER (INCLUDING PROFESSIONAL COURTESY) $1, 100 . 00 BILLING SUMMARY TOTAL FEES $1, 100 . 00 TOTAL CHARGES FOR THIS BILL C $1, 100.00 Ua NET BALANCE FORWARD $1, 745. 12 TOTAL BALANCE NOW DUE $2, 845. 12 PLEASE REMIT PAYMENT TO: MORRIS & MCVEIGH LLP; 767 THIRD AVENUE; NEW YORK, NY 10017 ----------------------- FED WIRE PAYMENT OPTION: THE BANK OF NEW YORK MELLON; ABA # 021000018; CR: MORRIS & MCVEIGH LLP; A/C # 090201-8647 ------------------------- FINANCE CHARGE OF 1% WILL BE APPLIED TO YOUR UNPAID BALANCE AFTER 60 DAYS -----------' -- t ,• / t — — ——————— ---— _----- --= --= ------ a -- , FISHERS ISLAND FERRY DISTRICT - VENDOR 013682 PETER MROWKA J12. 05/09/2017 CHECK 4046 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.100 25311. WINTERIZE PLUMBING—ANNEX 160.00 TOTAL 160.00 t 1 •t t T/ QQF;i .. < .. .. .....J•:.i:S:°-v'b: %''i r o t' C✓":, -.x. S•s°yy.... ', S -I w„. .s .. .,. .w.".«..... ,..,,a.,. w. ' .t. •E i•:bC 'qG cvh}`<,:Y+: .,;.•;;«s I _...: :••TVA+: w:bi:+ .. •'.8 p v.4:m '' J ' 't^;r'x•" z: 'k'• . ;.:z g:'- ::a "• ' "O'er. . a « '''+> ...= y_f a ,y'. :-"1 Y , ,r , f 1 1 • I P 5 ,1n ' p t • • ® a • D e • • ' • ' ' rl ;1SO7USTNIOE1, s'fLOR;SNY7'1S.7971="10V9D59'F?i E§.R•R%„:Y',D`r.IS„T<R-"Ir'^'Ci..T`>t•l%,-`''=,h' eiA;'.;Uf D,'ITt 0^a5,/ `m5.3095MAIN!ROAD,PO,BOXl;1`79,,t:--R _ tYy.'%.fi1".`'. 31, r;. 0`Y9.,/.'r1•.7%',•x''--" .j ;t:',a'i,;..; — _• CH^ECI{s4NOlc:1 I+,`404`6;''I`'rn,'r 'i,,:;S r = THESUK OL"K'CO :'NAT IONAC'BANK';'' 'l- 1 1 -_t. t,`_ ai=- - I ,pt tz-_ _ y;ti`_-`" =__ - -'_ _>;3==- N'CUT„CHOGU :NY:,1',1935;'r",, r.;, ;d,;i;o;.+.__- =` - - s:= 1 ,i.st' --__ .,t h'^d, - r .li^ i ,•,1 1,:t 1,`i - - {`t G,'A* I ,i,yl.;:,`•,,I u i•p< dy,al,Et,,,r„Ir r ,'H,, " <'__- c der•,,,iy .•J°,:;a`"=" - __ _" ,rr J, ta•'.' f'' '; Ow at•>, "160'JQ ;<. ham. >• :0.5./`0.9.'/2 I;' t.` "';{' ., „$ <g'i5 sz. 's..f ';' :`t°•''s•,a ., :4'621ar<' =5 / ;'t•' a, _ ,`, ' ;J,=,` ,"• fy° erL `TF}o- -'vt`'y ,itr S fr NE- HU_NDREO `S IXTY`7AND,`''0 0>S 10 0•DOLLARS':'-';'n I a= :tv `r,r;_ _/. - ', _ F;'!•r9-I,+:a,'a;,l ';,1ry7r :d •rJ1A;y`r bi 2^ fryd t=- _ -- -- - i f`.__.i__ __._ __ ", :.1 1 ' •'y, - _ _- -- _- - - ___ `Sh h. .1 °1., ";' I th -.l c"i' - __ - -_' r,Yi __ ___ - __ V. 1," i "nom ;;,,j4 "'ii":«,.%:i<' __ __ - - -•Y'fr ' I•St,FI"' 41'!t •t'•; fr`. _ _ u ^t tla„d'd+'fia„ly:' a i;,',`a a• a,a _+ ,•t•s--'-_ - - ___ - - • `_- _ __- "_ ,i' "I• ;I ,1 t ,, .taxi -' _.- -- - -_ - _- z' , 't - '"1t '''iu„"' '/„p't' 1d„d •U<Ca _ .1x '4 t' HVl~ °'i.' S '`, ,l ' Sx '- a,, 4>• ,"a{• ,y. e._rr •r '`S<i ,s” - ,"s, _-- t !'`- I C' "+jl. tVe <rt•t '1'1-` :itill' ,il''{ T<.3"E,"uP ,.Is', 4i PETE'R',I"1MROWKA J'R. ,,It;, P,,• 1',. 1°;, r:J,J; t,- a „ ,II, f ,r ,p,','t•, ;, ,'+,I,,.,;,t; `4i"il _AnPETEt, "S`, `HEF_.TILT_G'_-= &`=PLUMBIiNG,'•,I'a~',rl. ,tV,•,t.{? '!,',v't',d.•a,,.l ia}''i _ '?a-=,_:3'=_ _ _ +_3,'" ,5 l,d; ,+01'` ,r, It d, ORDER:,,, ETINGHOUS E?;LANE ti'9!5f:ME r' F. ,r,,F^ , l; ..t;' ,j::'' .f ,t,n „ire=1,' ° t •4 f'Y . :'}: °84', rt y`' % `rl;t' a :' .`d„"r`,' ,f•1, 'ir i. .t','1J. ',;` '" (I,:,t, "y .<i" `•k+,. - a+,,,I` "'<+:• ,a£k t,d.:J >LEDYARD„' CT; 0,6.3'3,`9.t,'; _ 's, •_ '='ti ; s ,.; . ,,•. : `,,.. _ - - -- - •`i?-<',u.r, '-- '- _- -- :a`":7 ; '.',tr,u,-.` .r;,, -,+' F .z+;i;;;--t" -” - -- -- -- s'•'s;g - `,._ "ii•x,, 1'h. ` p tri+'r'C a tp,d.i m'ul'; .j• a_=-_, _- ___ - - .f, s .1 ,1 d', „d ,d'a;y >a.' -- r - -- -- - - _- ,f _ -='t=:-:_.'•,• a,,' .1 ,. ;`;,,:,,, ,1„.,i; f;q,;':'(,",.• ' ' y __ ._ -. ,- - , -1•: -_.. ,. 'iii°0'0''4 0'4'56 ii'` i.0+',2„Lt4 ;0"5 4,6;4. ;:.'68' O O,L:5,0..2... . , ,.. 1 , I .. Vendor No. Check No. Town ®f Southold, New York - Payment Voucher 13682 Li G- Vendor Tax ID Number or Social Security Number Vendor Address Entered bV ' \(-6W O- ) 95 Meetinghouse Lane o�� Vendor Name Ledyad, CT 06339 Audit Date Pete's Plumbing and Heating MAY 0 9 2017 Vendor Telephone Number 860/287-3782 Town Clerk Vendor Contact Pete Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number �f Vl `fi2� 2531 112/2017 $160.00 $160.00 Plumbing work(Annex building) SM5709.2.000.100 r i $160.00 $160.00 Payee Certification Department Certification The undersigned(GIBsn^.%-*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 t quantities-thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded ors repancies noted,and payment is approved. Signature tle Signature Company Name FI FerryDistrict Date_ 4/28/2017 Title YIN Date Invoice Pete's Heating &Plumbing 95 Meetinghouse Lane Date Invoice# Ledyard, CT o6339 86o.287.3782 1/2/2017 2531 Bill To Fishers Island Ferry District ex ui ding Description Amount Labor-winterized plumbing with anti freeze for season close 120.00 Labor 40.00 Tax —L3-8-fr Total Pete's Heating&Plumbing,LLC 40126-MP _ ^ FISHERS ISLAND FERRY DISTRICT t , VENDOR 014021 NATIONAL PARTS SERVICE, INC. 05/09/2017 CHECK 4047 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 106999 (1-0)FUEL FLTRS(8)V—BELTS 336.24 TOTAL 336.24 1 1 .i v ..r:.c `ice, yr.r "`>"ver-' ^^•r.. -: `r`?.:` l.+ ' .Si M+• .-•s:°`., ,a_, ?' .` " 1 a \ f i 11/ l 1 it f-` w'. *9_, _ _ _ .g•A•• 4 ,, I,•11 81,'z aN. _ _ :., ,t:'P.' :,, Ell ;7S FEIZIZY'DISRICTY,, r-- F,ISH RS, LAND AUIJ;I.T``,;05 "0`9: 1c7S ;E, 0p, w`: ZR. \t ,;f:,, o e;`,s•cff A -P BOX- 7 = eft „ _ . r• s3•. :.r :1y` .1 • ,'363095 MAIN A 11 9 •_1,°- '° ,;`S -t:;, '' • :;`•,??SOUTHOL"D='NY>1.197,1-0959. `C '':'` ,r c• _ '-" =CII-ECIC`, TOI':a,,,,1;„404t7 ',t.w` To FLC' t;NATI N L'6ANK.," " =_DATE` _- _ N J a';°„ ',tl''t;l,,~,.1 ' `I Ia” -_- ___-_ __` __ - - -'+^v IF; + i,u• .x r,.r,w ==-_ _ r , _ ,r' :f.. - -__- __ - __- ___ 'i..'•.al,d,i,: 1< ' il' _- ,,, ' - __ 'g ,'(' F"i'w'„t1:. ( 1',(tr ` ul'•ki1,;•7n• ,z'wa ,__ ^f'u :•,J'. _- i:4'___ . <, `i_.:._.-1'09' `l'• :il•,,f • a " _ -ar .Y ` ;a' 'r.:i'. "rt• '•res , ' i"'V'50'546/214, z - '`05 0.9' 220175.rp a' ;$;3•`36;:';24 'y, i'tr Ji r,^ °Ps. s;" f `r,` , ;`,`, f; j,, f„+i•'r 1 t ' ;'' x a. i¢s ,TH_RE'E_,_'HU_NDRED 1.TH'IRTY== S'IX. AND'f 24:.1D•Oa'DOLI;ARS ' 3 r•; 3 f=, - - ___ - - - - „il, .w•, lil. ,w"0 Iq,in, , _ _ ,_ Lra`,<"£,, ,,,1 t., `,A'r,, g,' i'A' ,,,{ `J r 3t _ _ _ nh;"= - _ _ _ _ - 1 " ; str pit 1'• I'' !',1,'}e''A," , "i '`a pT•= ! - - _ ,Sr :•I'r `-,I ".ie 0 ' I, vili,i _ _ _ `Sle _ _ _ - ` `slda'i ilI ,9.lq ';1.,1' µ j,Lvi .f' __ =1 1 li, I; iV.i A•,P I,}`x,ip a•+ - - i - i),: ':4, .q., 'if,l-d .,xl•';.<) t a . ;^. a. a i;.. '}. r..,J y}t }f,<" ?•QS _ ..t} t}, ,f:, r`f,r ,Mb' 1.r'e ,a" „t " _1 :f•..' ..h• iF ,Ii,NAT'IONAL`','t C2•t,,, "i,i 0" yl;' a'i",t''j IL?"Pl rt P?r ; > `ICE, _.INC. 'h+'r+•a', a;t ,iti'• `'w i+ ` - - - `i _ ,IIr` ,i. „1,4 {,„t I,, A ,^• `yl,'I`° ;„ I;, - EF __ --- _-= .u•„ `'11.:1' ,n a, -+ _ -. - __- `I!+ ,ab- a ,61 ,ail, °'GROTON.. CTS= 0'6`'3 4 0, 's• ,` --,'` ,- -f` =vE', Tf"> Yl '. t _ -" 'Ya ,I {'I'• c l' '1.•:I Y`' _ w;wl',q,= i 'r ___ ___ d,,,''ili;'•,I nd II e,,,w ira'n<,d _ _ _ ____ _ _ _ _ _ "f""• __ ___ _ _ _ _ - _ +{ ii`•00404'7ii'1 je .0 2 i'"40"5"4'E4° . 'E8' '00 i50 2 L'ii' ;— Vendor No. Check No. Town of Southold, New York- Payment Voucher 14021 Li 10H:7 Vendor Address Entered by 150 Bridge Street Vendor Name - Groton,CT 06340 Audit Date MAPA MAY 0 9 2017 Vendor Telephone Number 860-445-8181 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 ? 106999 4/18/2017 $336.24 $336.24 Fuel Filter(I0)V-Belt8) —RL SM5710.2.000.100 { 4 i $336.24 $336.24 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 disc repa ies noted,and payment is approved Signature � ,nN-- Title Signature ,, Company Name Fishers Island Ferry District Date 4/26/2017 Title (/h q./i Date 4 - ----= - -------- 200001180 National Parts Service Inc. Time: 14:42 lInvoice Number 150 Bridge Street 106999 NAPAAMI" AM Groton, Ct. 03640, CT 06340 Date: 04/18/2017 �IIt�I�III�IIIIII��IIIIIIII�IIIII1111Jillj (860) 445-8181 0 Page: 1/1 f 1297 F Employee: 33 ,mm Joe - Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 15 - � I ® 261 Trumbull Drive ) ® Fishers Island, NY 06390 Description Si Quantity. k�S1GE IL' i` :TO'tci'�s;>' 1970 !FIL NAPAGOLD OIL FILTERu - — i o•.•..,.�._a•..6.00 47.56 23.7800 142 6E R B38 NBH tHI POWER IND V-BELT 4.00 17.48 13.49001 53 96 25-7330 fNBH ;V-BELT ` 4.00 23.09 20.99001 83.96 1503 'FIL -NAPAGOLD OIL FILTER (� 4.00 27.82 13.9100! 55.•C4 pR > •�_- __--__ -Delivery:A --- - �R Subtotal 336.24 # Attention: TABLE 1 6.3500% 0.00 I Tax Exemption: PO#: Terms: Net 20th a T.©tat µ3 3 6.2-4 "" A Customer Signature Charge Sale 336.24 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY Reprint I I I I - I I I - , I I I I I I FISHERS ISLAND FERRYDIS(TRICT ' t I VENDOR 014144 NU LOOK CLEANING SERVICE 05/09/2017 CHECK 4048 r - I FUND I& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 (' 119 JANITORIAL SVC-3/27=4/07 362.50 I TOTAL 362.50 i I 1, •'.F kt't ;S _ I I . I r-• I . I • __ ' --_— :" -_-__ s. . • u ^"i a, __ —____ L`z'-m.'.x-f',,";.'\` "°`sjF r'tf' " "•r .', "ps'' :7 `ti,',r4;''`'a,:r't,"%I'=s.r`'=<:'FISHERS=ISLA -',_,-8-- _YD- Sr7.,\Rs T•`•'N':ERIND , rL_'s:d:'l•r '''FP_',IVIx'7"?'"D' I T%jUaEP:.ZCbs_,.rKs•N,,," ;``aN6sfilr»:.+YI7 OaSOUTHOLD,NY41;1971-09,59,53095,MAIN ROAD:PO.BOXt11-79 _ _ r- Gi` - ;3•,.,If,i{II',,,'`fit,.rGli:as" jI p,r,:xa 'r.,l,t, _°,„aII'. '4_ ' - _-_-- -__-_-- __-r-q< __=-_-__ __- __ _-`-_,'2`_ FI,!r,O,lK a'CO`,N`tP ;CU7tCHOGUE,INY",?,19{'t 3,I5"IAt;f`L' _---,-DATE ---AA3=_E --- - { IpAsMy,OdAU'•N", T"„-SHESUFL '„ va: t '. ' ,{ ' •.', =0'5°/09'/2'6 = tF`f' •., ' .$362'•5'0 :>` `a •;."i e%"$; .S s, 's, `t,, `,_• ,50=546/21,4.)- r fP't:. ,s .s' `€+n •avr; 1'<`x .,THREE'"HUNDRED''SIXTY.TWO'SAND, 50'/••1`0A''` r. r1'hi '"{ ' ,1`'1`Ip','1•'-'p'd,tt, t a= __- _ _ __ _ _= a. 1 lo, ,4('•, "Oi' "r; ,3 •(, !Ia'Wt 'fid 1. `':'I td'•',I<dl It nt''a' d,d `_- - __"_' •ia'" {'"ilaJr'7 t "fa , '3'I `Fv '__ - .a 4,,, s• _ ` k %` _ - _ .t`_=, `C 1'•iy_'f :'u ' ; ''p' _ CLEANING` SERUICE", a`'' 1, PAYS, ",'1• `-- 'tla r, .;^„ -.,0, 1 ,ty,,,1;,5:i1`';' 'r }:- - --_-- _- ---,•' .€ia ."i l'ia' .4iJ tr r, f'< TO''' =3 'OL' COICHE Q] 7t:i` ;'y6i' ;t SAIaEM;. CT;0 64 2,0.'' OF h,° `.i`- ," ,`f ' ' 12, ,. , ";,,' j .,,,' s :n'a.-`-• 'lt; i';i , >'1`i'?' ,,, t1' ^'S° '•i`, i•t s, ' ;. F" A}i, S+ % <i 1, '<a>_' ,`Y[.+ . f t, -__ `,':bpi;. .. -'i :f`a:” ' ' '_ i•,s ' IAl',i,^,i a , - _ _ -- _ _ i'1 'i'k Ir'' _ _ _ __ - _- ',I' 1'il "I, moi+° -=_J.-•t•'_ >_ "_- _' - 7 . - - • ` '„ `lir" "`-v.}l%`+ 'Y."i' „i - - ____ _ _ - ',i r ,1q,'p'`'lll __ __ __ ___ _ .'11 dP t i• .+,[dl I 7 ,_,'', l,,i,' __ _ _ ___ __ _ _ jt;•I _ ..4 --_--, -=ii:00'40'4'8'if■` "y` ' ;,.,L ;'0"'5a4''64` : ,E$' =00"L-50° 2 1" ` " , t • Vendor No. Check No. Town of Southold, New Fork - Payment Voucher 14144 4014 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 663 Old Colchester Rd Vendor Name Salem, CT 06420 Audit Date NU Look Cleaning Service 'MAY 0-9 2017 Vendor Telephone Number (860)859-3624 Taivn Clerk Vendor Contact s Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services �Generai,Udger Fund and Account Number 119 4/7/2017 $362.50 $362.50 Janitorial Services 3/27-4/7/77 V sM5790.4.OD0.600 $362.50 $362.50 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 t uantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or sc pancies noted,and payment is approved Signature � r Title Signature Company Name Fishers Island Ferry District Date 4/26/2017 Title _% Date \��\11 I f !/�� NU LOOK CLEANING SERVICE Invoice 663,OLD COLCHESTER ROAD SALEM,CT 06420 (860)859-3624 • 4/7/2017 119 VINNERN ISLAIND IMTmrlrlmuru?"' �� P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN:ACCTS.PAYABLE TERMS PROJECT OEM= Net 15 • DESD G� Ah RIPTI• --TE • JANITORIAL SERVICES FOR 2 WKS-MARCH 27-APRIL 7 362.50 362.50 2017 Thank you for your business. TOTAL $362.50 1 I - FISHiRS ISLAND FERRY DISTRICT VENDOR 014156 READYREFRESH BY NESTLE 05/09/2017 CHECK — 4049 FUND & ACCOUNT } P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 ` 07DO441584661 --DLVRY,WTR,RNT-3/11-4/10 94.14 TOTAL 94.14 r-v ,i —¢.m. - - - - - _ 2a .,. .,.•.e.r .:7". :magi : --' ` — n> < ✓,. .n<s ,.t::ii:•:q`y\•:• .. . am. x...^.w _-..r, r,..nemw., ,raJ" ey t :,7.;.;F._N.•,p» g::;:;Hj. " -.._: <e <xr; s. . •r; ..:Ems.,x e 4. -, ;:.a; ><a" . '< ,>... `^..+', I t — % r-' DIVA _ - _ -o•.,.N. = "v-im,I,'fti° trx1"},_sn;yy_5;."'i,,'d'f-u,.q',;,iu }, - '-r' - z_X-'1:'.1=7=9s.,?,,.=s,.'3r'<_"-<'u:-'pi e_-:• ,n'~--=,; }.f').';:k sA;q;'CY<U"D:-q:%N i:,`,z'p•o;•.,h:''ivtl:s0e';-„rK5 „,;=/ 0,=r._9_r_,1.'-1.;'r,1?, T7SHERS4IS ANDFRYDIS7RLC )°5Z)095MAlN.R0AD;RUBO •,.-.4,,?-_rr,;,<-. -'r'yd'a4: -_: ',50UTH0LD:NY,;119711-08,58 $4 9;,.,a'e?i<.£t>`;i,:'=i.,*^,;,>=.1,,i t.-+e,"} ',Z.tr•,*,P'., Ir_- ,iiu Ft':t 'Vi nb zi ",i.'pNS"v' it + rt,• ? - - _ - " t'' E`UFF ILK"CO3, TIONANKA 0 nNA ..6i6A _DATA=' ,t •dl .r:4"• •f.;f' `-- ,E. 50-546/214`}'t • r: g'> 'rr` :.1> f, •r a,•9 3+'t'e . ,`. ryi; , %,; .} a•s,.''c,d' 'sem q,g. _ z-r •1f'„'a;€ .:'.A A s .eA ` r, 'E.;"H•_ ?. ,,.s. 'n<r,.- ;< .F f •> :gid' d';.' v.?w ;^l.' l••, , - _ ,. ,P (d 1'-9➢-a- q V NI_NET_Y"-FOUF2 01 £DOLLARS:, <,j ,r ' :k' •., t:rt°.,,_ ` 'p<.`_ y;.:tf '): __ "_ ill ,"1"t, _" _ - _ ,1.t„ ) ' 1; .'•i xa<t _-- _'';':`- sPF, ___ _f'F--_ - •t < ,•1},{' df ,il•l,'I''fp``'Ip- .,7 (>:•P'Y - _ - - - 'p l 'd, h.,II•'I;'ui`Jl.d § __ -_ ?E'. .l1° T'I o-- - `F .' ,` ,.1, rly .'1 I•,hv;,'*P`_ - -- -- 1 _ _ -_ __ Y7. if;jl",'i,}i'i„ .tll• -{ -°, - _-_ _ _ f E..a Y „) :l - 5`,< 'rY,, _ :I' -tFY ;ip,> '}i •t `trs`I .It.i f;yr .: n}! 'i^ Spf'`• <•1- ' -i f"T i • a p_ rt8f/• v n _ .` sh. > e ,y f1.. y:S•.,... _ _ .>i` _ e' ,xo ,t'e'd ,4 1' rf„f•F•ll'I' 1,' " 'p1:A .3,y Yj,il La "`R,?"t lf; t- r- s Y-i•` `r. 6'R'EADYRE'FRESH 'BY', NESTLE- 'a"tl r' _ :1'i"• ,1",P,,,r; „ ,-•f' ;-' - =Z,`- -"- =-=4.`s 1 'I d'' a'u f1d 4:. =i ` - - - - -- -- 'Z';''^;`'"5" i. - -i.:i1r "- - .: - - - -6}' r'{"e,,±,\y`e 'q`'p`;,y -r --- ___ __- '-_ - - :;.ib;.1°p; ,P't s'•i l',"a`jp;.L a.,4?:e `TOI,'THE+aI; ' 'I"rlr0'F "'ESTL -AWA'TERS'=N=:AIy1ER2,CA, i4'':d :,,•er, J:1'.I,.,I, :a1,,,<;91°, 'i°r,`!: `_ - - ° - ,-_ _ Y 6., .1,1 ,+t, ORDER `',fn is:yA:y ,f,. _ _ - -_ =- - vr: .t.cf;yr'If,v'1,} ;,"' r'h 'y,,, . ^ _ _ :-6 i• % `i", 4. .v .1, . ,n 4 -_" .e4; _:_-;:;- - __ "5, .M N 1;;C."'P, J • - -- ,NI'r 3, "t,,{ .0l''„1, - -`s4`-_•;='' a;'''.ja,1, ? x S:<.'`4p'`1,<5,4..-s','., J n}., sd:;F'"s;1s P. zy.; k ;`+a_ PQ`;'BO; ,8"5'6192 - 1` `;<.' ,• 9`! }„ Vit• `f3• '£3'`#ka, •1•d +/' d:•eJE„ ,<5-t_ F ,i:<21 P!'- 3`'ri .f"•• f„ '-'LOL ISVII I 1E`;KY,:40.2'85'--"6.1`92'' " - _ _ ''•i.'• q' ;,,d F"1°, ,ti`ip`P.,Iu'it i,.;;if -- - - -- -"- 'ii' .',il''`" 1";s,; "''I'"I'7 7 7 '„I. ,r,-- - - -- - t`( - -_ _ - -- - '1.1 al"V,t,,e ia, 1 ,l,'d - - - - r' I' 1 n 1"., ,I :ialt ';'I'al'1 d=' •e - _ -- - -_t _- _- -- --- t` .,y - ,-,• s<'3`r - "- - - - - - , 1` F^ _ _ _ _ ___ - '1"7' 'I'•1. 1' Sl lI' li`'r4jll if'tk°•;rt _ _ _ _ _ sl fl' wnAx i1Jl' ,ip lJt __ -_ _" - ,•Ir '1' ;I< 1f , 1s ,i„ . ` - .1rtf- _ ,}•;'"f., ..1,•s II ` - -_- 'I '1' ^I' ,1. Is4 __ .- - "-ry'('! I •11`x'' t"I;"'t:'' 1;':, . __-1f__ _ i 00`40'4 9 i .0 2t"l 40 5t4''6 Vendor No. � �Check No. Town of Southold, New Fork- Payment Voucher 415 Vendor Address Entered by Vendor Name PO Box 856192 _ ReadyRefresh by Nestle Audit Date .Div of Nestle Waters North America Inc. Louisville,KY 40285-6192 _ MAY Q V2017 Vendor Telephone Number 800-950-9396 FY17 Town Clerk ; Vendor Contact Invoice Invoice Invoice ; Net Purchase Order Number Date Total Discount j Amount Claimed Number Description of Goods or Services General I edger Find and Account Number 07D0441584661 4/12/2017 $94.141 1 $94.14 3/11-4/10/17 :.'SM710.4.006.000 delivery,rent,CT sales tau $94.141 $94.14 , Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby,certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the servicesproperly been paid,except as therein stated,that the balance therein stated is actually performed and t e quantities thereof have been ver,3ied with the exceptions due and owing,and that taxes from which the Town is exempt are excluded oz d-crepancies noted,and payment is approved. Signature tle Signature Company Name Fishers Island Fem Distract-Date 4/27/2017 Title,f f Date '�(! kyeservice.readyrefresh.com ''�®® • Refregh #215 6661 DIXIE HWY,SUITE 4 03/11/17-04/10/17 07DO441584661 LOUISVILLE KY 40258 JUST CLICK - ANO�UENCX _ .gyp o ® Y ADDRESS SERVICE REQUESTED TUE- MAY 02 0441584661 TRU- JUN 01 FRI- JUN 30 Access your delivery calendar TUE- AUG 01 at eservice.readyrefresh.com FISHERS ISLAND FERRY Customer Service: 1-800-274-5282 GORDON MURPHY Did you forget about us? Kindly pay upon receipt. PO BOX 607 Remember,past due accounts are subject to a late fee. FISHERS ISLE NY 06390-0607 Your prompt payment is appreciated. For your IIII1III'IIIIIIII III III'Ii III'IIII III convenience,you can pay your bill online. If payment has been made,we thank you. s i LLµx a' `-~4al=brevued =or ariic and-- == . ;We,areyexcitedwto=infroduceto^you theNEW=Ne tea._Nestea. s_now_av tlablein r_e _ ,._y g -_ classic all this with no high fructose corn syrup_and_no artlficlal colors or flavors.-Try the variety of_flavorsl ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. DATE REFERENCE# • 'DESCRIPTION • Delivery address: FISHERS ISLAND FERRY,5 WATERFRONT PARK, FERRY OFFICE,NEW LONDON CT 06/320 �' PREVIOUS BALANCE �A,a *1117 10474 3/31 4608636900 14 5 GAL PS HANDLE SPILL PROOF Jan 96.32 6 5 GALLON NPL EMPTY BOTTLE RETURN -3600 BOTTLE DEPOSIT- 14 CHARGED,11 CREDITED 1500 4/10 4616575215 1 DELIVERY FEE } h f / 395 D1394757 RENT .I' i tr $ / (� 1398 SALES TAX ��� l 4 i.f tFJ v 89 TOTAL t f W ry ( J �'" r_-, 16888 AND OUF'ACH ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT URRENT ACTIVI PAY TOUNT Subject to terms on reverse side 104.74 v 000 -t- 94 14 = `(7 98.88 BILLING RIGHTS SUMMARY SAMPLE INVOICE IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: ESERVICE.READYREFRESH.COM OR WRITE US AT: 123456789° oGlDoIDD-6DIOoloG ,,Your Account Numb;'.r Ready READYREFRESH BY NESTLE23456769 TNR-OCT 04 MON OCTOCE 29 Watch here for a #2161 600,274 5262 message Important w O_NOV 21 p ,uipir+hif�ld+pl°hit+iNir4'9+9lfldlh�enr TUE-DEC 18 personalized account 6661 DIXIE HWY.,SUITE 4 ImCEC 1- service. LOUISVILLE,KY 40258 news and DhRD9e 12]Mau+Sveel T„Dnk YOu for using ReadYRe,resh per^ offers Olry su+a Zlp and urvlces r map+a+911'u!°ht°ia�i,pq+hWltltht9'aip�' �" Pay electronically If you think your bill is wrong, or if you need more `- information about a transaction on' our bill,write�us on a 1F- " Make suce'this separate sheet of paper.We must hear from you in writing no amount has been ActivityRead Rnhesh corm Dr ty ptwne ol-1R°6z1<•__ later than thirty(30) days after we sent you the first bill onill on, °e^DD—"•- paid in full to Acr1mTY Pe rte.� since your AccouNr-Y xAm avoid late fees which the error or problem appeared.You can telephone us, - „ last invoice D.11v AdresJohnDoe,123Man5 CI".Sate00000 but doing so will not preserve your rights.In your letter,give _,x previous Balance yOCx% , 461898 f-ThankYou us the following information: , 3p685t43 4 s Fzp en ural SPrl^9Water i p s 5Gallon Na Jr xx%% /11 3178851,2443 5 5Gallon DBDa51l_';`",i�' Y"% 09111 31J085,a4M 1 5Gallon PeNro'"J"~��^, •+ o9nz t6M0497 Delivery yee.,-_i;r'h • Your name,address,telephone and account numbers. • The dollar amount of the suspected en or. ";;,• t+ ` T, • Describe the error and explain if you can,why you + AN believe there is an error. BaN MMnn ,a,NTAe Payment stub p ACCOUNT SUMMA x%X% --- --- QG PAY BY PAY THI�s�OUNT __�°o.umma ��DaaxlNya✓M'^a'r ACCOUNT NUMBER 00100100 You are obligated to pay the parts of your bill that are not INVOICE J890 AMT ENCLOSE YOICE NUMeUI BILLING DATE 00100100 in question. You do not have to pay the disputed amount 1234567890 DD4D7D16 while it is being investigated. During the investigation, we 0420096307 04262712619 000391049 `Amount due cannot report your account as delinquent or take any action = 1Dh° 123 Mmn 5t to collect the amount in question. _ ""'$tale°°°°° FORNSTOMERSEBVICE CA2C 1R0°2Jy5282 ®1,p+d.9i4'mt^hPial.p+pdN[Sltld'P9�it>tm 4e ❑P6 r moa°9 0° 69,4° S+GN VP fORFPFEANOPAY1619n VDPM'+I' Submit your GENERAL INFORMATION payment by 1. Past due invoices(not paid within 30 days of billing this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh --- -----------' -----=-----' ---------- ' =—=--=_—' — — -------' FISHERS ISLAND FERRY DISTRICT —1 a VENDOR 017962 KENNETH RICKER 05/09/2017 CHECK 4050' FUND & ACCOUNT, P.O.# INVOICE, DESCRIPTION AMOUNT 1 I SM .9060}.8.000.000 083116 REIM—AARP RX PLAN-2016 47.09 TOTAL 47-09 ' I r-• 1 yxA , ...x.. .. {%%.......... • . .k.r a a .nn :'.S'r ."a`9' < .. ....,-x^w x< a a.\.x..c- ^ .. ...av ` .h'; l I I r , ,I FIS IEhS;ISIiAAD,PERRY'D197RICT "'°53095.MAIN,ROAD;P.QBOX: 1,7 +.. ' x - ;'AUDIT,r,• >/% / '.r,y . °7SOU,THOCD; ,' 7 Fr s• :•CHECK NO,' '; r- nc .i - _ ' THI; SUFFOIK;CO'., NPTI'ONAL'B'ANK''. ?,CUTCHOGUEtNY.11.935 .DATE .e y;'I' ,t, .p `i.- -_, t'__"_ -_" - _ _+i.: th,n t , •;u'„h;" •i• `{- -- ___— 1 a ta(4',it r y °'r„ Y „q': 0 5/0'9/`2 0'17 r :.,; 4 7'' ''SEVEN 3' 'a' ;t'+ 50-5461214, ' °FORTY 'AND''0r9 10'0' DOLLARS= • _ + •§ '4`_'`•a sttiy _t- -Y' •s'd uyJ y ,-.' $Y. . -_Y "-. "" -"- - ---- 'L•. '.L In. ':h a. ';t„"Ix';1'r _ _ __ -__ ___ ,1,,. ,4 'li 1 !. "_- _ -"rq -- _-" __ 4 , li .il' '' •'a ,` _ ,ham. §. ' - _' _ ___ _ : 7 i'',t Ili ` I'' I''il 'Ip tl;'d' - _ _ _ '•I r___ "_ _ _ °i:"''il' i,l 'I't , i , ,fir s • _ _ _ _ _ '`t,', ,'•l i!" .1'- __ -_ __ - tM1 zl '' y ;I 'I <,f_-f%'=-'-- :t§= `__ •:`".0„• -_-__ - ___------ "4 vhi'..1'- •1 • 'I',n",1',,,z Yi:,-y`'-;__- - _ "- _ .___ - 't . _.1 i Ito s' ____:a __ _-. r-"- __-_ ' - , - _- --- '_•`, < :at dl :°i,,.i_ t 5°n' 'G,IP ;.;a y, .gC="_ _ - --__ _ '_:+i .`2, 'ins'” 'i;lt i'i. t,l eler; };';;°..` -t -° _- - -"_-i`',o' , ', 1 ' r 't n 3. ,1.?as, •' s1 .. 'x:F r ' `^t' `<? r. 1 , 'KENNETHtiBICKER= _ ---=;t,`--"r,aet•ar;_r:,iF` d,',,r •.Iw .°y'„` ;e, '` - _= _ - `4 tj'I4rt',.n"i,ya' '^`ia; i -;jp;, •' _- --_ _- __ __ a§e ',I'•'•i .1, _ - _ _'•; _--_- _ .,;b..+ h,l' 1 ,'} ' 1;`t,*`' , TO'T'E'Yd, I7"j"4" 1, , „;r' TE,I'',LEE, PLACE' <a ;:,P'•r, ,I' ;,,1 a• ',lil ,,'I,, ,,;I,.,,,, L'IN'COLN T'CITY;'OR'."973'67 0 ,1„ j. .. 1 a - 1,•r •iq Y •'/`•^,i « s• •, 'tt• fx,•,. :i, t —o - __ _ _> __ _,s aF• S'j'y „ir Yd',II 'i' ^dl 'd ' __--" - - - t1'r '' ''” ,'p' '`d'.I' ' ,il,,tl d. y`'-" - - - - - ,. =ii '00-4-0 `50'ii • i:0' 2' 4`0°5" 46.4 •: 68•--= 00`L 50.2' 'n ` ,. ,, . ,,. . , , , ... ..-_ . " - _ Vendor No. Check No. Town of Southold, New York - Payment `toucher 17962 - L4050 Vendor Address Entered by 1734 RIE Lee Place Lincoln City,OR 97367 Audit Date Ricker, Kenneth MAY Q 9 201 Vendor Telephone Number 860-575-9438 FYI 6 Town Clerk Vendor Contact s Invoice Invoice Invoice Net Purchase Order Number Darr- Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number C(�'03\ I b " %AzN o ° n - o AA PV.X ate' I6 ..B1 MaS $55.40 ($8.31) $47.09 AARP�inec 2016 Medicare x$55.40 85%reimbursement SM9060.8.000.000 I $55.40 $47.09 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature C Title_ Signature Q Company Name Fishers Island Ferry District Date 4/26/2017 Title Date_ 4 . Premium Payment History h ttps://member.aarpmedicareplans-com/home/my-plans/paymenis Mn 08/31/2016 sa,gk $55.40 2A ! 09/01/2016 $55.40 7, Cq� { _ 07/31/2016 ti $55.40 08/01/2016 $55.40 $ 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. f`2-r vr` LUS e I"`�+1 Vew more information about ways to pay. � � C My Plan Information AARP MedlcareRx Preferred fPDP) Member ID; 0131041231 My Health&Wellness My P GO Plan Status: ACTIVE More Information: Plan W1fits Plan Activity Qui CONTACT US GET FORMS&RESOURCES Search drug claims Elec View recent premium payments Ord Update my profile PhE Order replacement member ID card Rec Prir BACK TO TOP My Account Home I My Plans I My Health i£Wellness I My Personal Health Record About Us I Contact Us I Privacy Policy I Terms&Conditions I Disclaimers Last updated:10.01.2016 at 12:01 AM CT O 2016 Unite 2 of 2 11/4/16,9:32 AM pwmiurn Payment History https://memberzarpmedicareplans.com/home/my-plans/payments/p... f Medicare moans Search UWtedHeaMmm Compare 2017 Plans I Visit AARP.org My F Welcome KENNETH RICKER Insured since 2014 You are here:My Account Home»My Plans»Payments»Premium Payment History My Account Home My Plans My Health and Wellness AARP MedicareRx Preferred (PDP) Ldj Summary I Benefits and Coverage I Claims I Payments I Order Materials I Forms and Resources Premium Payments Overview Total amount due: $0.00 Payment method: EFT-Checking Payment History You may search payment history for the previous 24 months. To view the details for your next bill, WE and include a To date from next month. View payments for: ; Last 90 days Total search results for premium payments from the Last 90 days. If you have questions about your pa UnitedHealthcare. Due Date Billed Amount Paid Amount Paid Balarn 10/31/2016 $55.40 11/01/2016 $55.40 , 4 $ {� 09/30/2016l cCf $55.40 .�..�^n »y 10/01/2016" 44 $5'5.40 i • i 1 of 2 11/4/16,9:32 AM I Vendor No. Town of Southold, New - w York Payment Voucher 17962 Vendor Address `�•-_ K - n,b. 1734 NE Lee Place `- Lincoln City, 97367 : :�,.,��'. _ .•�- �-,. :� x��;,wa,. 7 Ricker Kenneth OR 9736 �0�-����„�.�, •;.• a�'�.�.a:;.a,=�,,:• s Vendor Telephone Number , ; r 4 , 860-575.1108 Vendor Contact AtT ry Invoice Invoice Invoice Net Purchase Order ,- . '�s:�:` •.:•�•,;. }S;,t,Fi :4 Number Date Total Discount Amount Claimed Number Description of G _$( 4a`ld"� Dods or Services �� `,�,' -wel.REIMB 2/2/2017 $153.14 $22.97 $130.17 AARP supplement Jan 2017 153.14 85/ relmbursement r, ,4 Y0',0.$67.30 $10.09 $57.21 AARP 2017 Medicareft$55.40 85 reimbursement ew �,'t#;,s n''^:�-�`.:`�-vti,:s�-•"-��.3 r"++a,+t•Tl,�.'E '_ gnz i.k,; M'i�xt?•;�`¢,+�1,y�r,Ri•r`.�.*-s-<iy' ",e."� ' :' .,,M„;z'3�.�•��.iy�..ti a_ , "S, eya, a ,F��.y xt a rty iz'.r11•4:a'. = '�"ja,'M• F �t�ea-_. Vj $220.44 $187.38 '4 .' Payee Certiftcation Department Certiflcation N The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. i Signature( � �'• n1A--title Signature Company Name Fishers Island Fe=District Date 2/3/2017 Title Date 1.At of Southold, New York- Payment Voucher 17962 -- t`n Vendor Address E1ttCie$`S�! y ,yr 1734 NE Lee Place = f Lincoln City,OR 97367 ;;�,� �yy'��! Ricker,Kenneth =t"yA`:i'~_ ''r• sfj.; y}( ` Vendor Telephone Number `_ sy ,,,• 571 „S•?', 860-575-9438 FY16 =�,x-u `.: - t Vendor Contact Invoice Invoice Invoice Net Purchase Order .;. q3' r:` .;: ,.r �y,,,;:"� ,;0' -- Number Date -Total -Discount Amount Claimed -Number- - Descri tion of Goads or Services ~_ 4fi&Yrili►I ' air, -3. ,zi�aG:.s.; ?a''<e, REIMS 21212017 $153.14 $22.97 $130.17 AARP supplement Nov 2016$153.14 @ 850/6 reimbursement $153.14 $22.97 $130.17 AARP supplement Dec 2016$153.14 85°�reimbursement $55.40 $8.31 $47.09 AARP Nov 2016 MedlcareRx$55.40 85°/®reimbursement ;' -t 4� y01�Oi; NEI om�` $67.30 $10.09) $57.21 AARP De 1 Medicareft$55.40 85%reimbursement $428.98 $364.64 Al Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I herby certify that the materiels above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. i Signatar�r Title Signature Company Name Fishers Island Ferry District Date 2/3/2017 Title Date i Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Thursday, May 04, 201710:38 AM To: Arena, Laura; Kascia Asmolov Cc: Gordon Murphy;Geb Cook;Whitecavage, Diana Subject: RE: Kenneth Ricker I I missed it. In his backup with his sept 2016 submission he sent request for three premiums we paid two.We requested payment for his Jan 2017 premium (we know now that it's January because the premium increased) but put it on our voucher as December 2016.That was not correct and we apologize for this error.We have paid two premiums in 2017 at the increased amount.We have paid 11 premiums for 2016. Please pay the submitted reimbursement as a 2017 expense,thank you. From:Arena, Laura [lauraa@southoldtownny.gov] Sent:Thursday, May 04,2017 9:12 AM To: Diane Hansen; Kascia Asmolov Cc: Gordon Murphy; Geb Cook;Whitecavage, Diana Subject: RE: Kenneth Ricker HI Diane, Please show me where we missed a payment, so our records stay consistent. I have gone back from January'15 through January'17,and I show 25 payments to Kenneth Ricker for his RX supplemental. Thank You, Laura Arena Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 -----Original Message----- From: Diane Hansen [mailto:dhansen@fiferry.com] I Sent:Thursday, May 04, 2017 6:05 AM To:Arena, Laura<lauraa@southoldtownny.gov>; Kascia Asmolov<kasmolov@fiferry.com> Cc: Gordon Murphy<gmurphy@fiferry.com>; Geb Cook<gcook@fiferry.com>;Whitecavage, Diana <diana.whitecavage@town.southold.ny.us> Subject: RE: Kenneth Ricker Please pay as a 2017 expense thanks.We must make this payment for a submitted expense that we missed in 2016. From:Arena, Laura [lauraa@southoldtownny.gov] Sent:Wednesday, May 03, 2017 3:57 PM To: Diane Hansen; Kascia Asmolov Cc: Gordon Murphy; Geb Cook; Whitecavage, Diana 1 ' Subject: Kenneth Ricker Hi Diane and Kascia, Please see attached. We have stopped doing double audits, which we have told you about numerous times.Any invoices entered are now 2017. Also we have already paid Kenneth Ricker for his United Healthcare/AARP Rx Plan reimbursement for all of 2016. Please see the highlighted fields. If you would like check numbers they are available in greenscreen. Lastly we have only reimbursed Kenneth for January for his Cigna and United Healthcare/AARP RX Plans. If you have a voucher for his reimbursement for February on,we can process those vouchers. Thank You, Laura Arena Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 2 GL108S 20 ACS ACCOUNTS PAYABLE SYSTEM Disburs Inquiry by Vendor Name View 1 ** Actual History * Vendor . . 017962 RICKER/KENNETH -Y=Select JE Date Trx.Date Fund Account Amount Description ------------------------- Use Action ..B.. to backup -------------------------- 8/23/2016 8/23/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-7/16 8/23/2016 8/23/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-8/16 8/23/2016 8/23/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-8/16 12/06/2016 12/06/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-9/16 „ 12/06/2016 12/06/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-9/16 12/06/2016 12/06/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-10/16 „ 12/06/2016 12/06/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-10/16 2/14/2017 2/14/2017 SM .9060.8.000.000 130. 17 AARP SUPPLEMENT-01/ 2/14/2017 2/14/2017 SM .9060.8.000.000 57.21 AARP RX PLAN-01/17 2/14/2017 2/14/2017 SM .9060.8.000.000 130. 17 AARP SUPPLEMENT-11/ 2/14/2017 2/14/2017 SM .9060.8.000.000 130. 17 AARP SUPPLEMENT-12/ 2/14/2017 2/14/2017 SM .9060.8.000.000 47.09 AARP RX PLAN-11/16 2/14/2017 2/14/2017 SM .9060.8.000.000 57.21 AARP RX PLAN-12/16 -------------------------------- End of file -------------------------------- F2=Shift Up F3=Exit F10=Prev View F11=Next View F12=Cancel Select Record(s) or Use Action Code GL108S 20 ACS ACCOUNTS PAYABLE SYSTEM Disburs Inquiry by Vendor Name View 1 ** Actual History * Vendor . . 017962 RICKER/KENNETH .Y=Select JE Date Trx.Date Fund Account Amount Description ------------------------- Use Action -W to backup -------------------------- 2/23/2016 2/23/2016 SM9060. 8.000.000 47.09 UNITED HEALTH-1/16 2/23/2016 2/23/2016 SM .9060.8.000.000 186.61 CIGNA SUPP-1/16 2/23/2016 2/23/2016 SM .9060.8.000.000 186.61 CIGNA SUPP-2/16 2/23/2016 2/23/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-2/16 2/23/2016 2/23/2016 SM .9060.8.000.000 40.97 UNITED HEALTH-DEC 2 3/22/2016 3/22/2Q16 SM .9060.8.000.000 186.61 CIGNA SUPP-DEC 2015 5/17/2016 5/17/2016 SM .9060.8.000.000 186.61 CIGNA SUPP-3/16 5/17/2016 5/17/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-3/16 5/17/2016 5/17/2016 SM .9060.8.000.006 197.44 CIGNA SUPP-4/16 5/17/2016 5/17/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-4/16 5/17/2016 5/17/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-5/16 5/17/2016 5/17/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-5/16 8/23/2016 8/23/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-6/16 8/23/2016 8/23/2016 SM .9060.8.000.000 47.09 UNITED HEALTH-6/16 8/23/2016 8/23/2016 SM .9060.8.000.000 197.44 CIGNA SUPP-7/16 ------------------------- Use Action "F" to forward ------------------------- F2=Shift Up F3=Exit F10=Prev View F11=Next View F12=Cancel Select Record(s) or Use Action Code ' , , - , , r , 1 I , FISHERS ISLAND FERRY DISTRICT ' r VENDOR 018571 DEANNA L ROSS 05/09/2017 ; CHECK 4051 f 1 ✓ ' l FUND & ACCOUNT P.O.# INVOICE DESCRIPTION / AMOUNT 1 SM .5710.4.000.000 8 SVCS TO, BOC 3/5-3/30/17 310.00 TOTAL r 310.00 _ , l .i I ' I / , , I i • - - i ,">rxv>+h' „f1,r„,t."'s>,_\;_>-"t`=.\: + :;'^•.,f-s,"_L-,y .rt_•i'; {';^'iy,r:_ "_6®_rCs';aivY;i'`. `.":;1'.3'r.:1°cf?d,,.. ;•& : '`{.ums°!s`,t-a.t;',i. ew' F•_- !.i' •=N• .° C- ISHERS vy^\53095,MAINROAD.FOiB4OD5=X,•.;,-o1F1 Q=7E 99 R;="R` _•' 9',SOUTOL9iINY'1,1971rt0 Y>'1:•D. ?I,h=S•<e 7:R' '^t.° I,I;:GL'XT'r:w°4r'; ;'t,.i:rY`i4'''' b~A•`L''z"1 ,„Dr, i,;,I"",T ;^<,. ki0 <.,t,I5<„'ef;,f P;i'tr. `:•>,t9 •'a;-a L'` ri4V-r.0_/:`_'_F`_a?=`,'$rr<tE3lr"_;;,=_,_, ;`Z"^'v"_`='-+':l'kL?ig,•'ae , 'r- 'i',I 'u' -F; - -_- - - %`- -`.r` : •1' - •t ==--`5-a;--- :c-.' =-- ---- HU EiGSUF` UE'"?NC'Y '.'r FOLK91NA9T3I510'NAL8ANK ---," - - `VAT -4- C 0,{ I,a°p Ir IA1,1,•rl„ ,'y' 4 -' - - - u. „,°11,•1.,0 nl r,. •,l.glp `'.at: 'a"' .1' ' dl it_ -, -_ _ -.i• _ ',1 1 <• ,V '1 .1'.„ „ - --_ ,11;, 'z'., w•t°' - _ _- - _ - it.\' .d a•* a+ +t- ;,;'* 0' 46/214, 9' u2z0'17'. /_: "„ 310;0 0=. : ?1, 't' !°: •z' '3't- }i,;,%" ' '` 'Y^f"J ` t i','N .'1'• ,; Y. li- 4't` <$, 1. ..6 :5 0 k E`Lti'>.1'E t + . <4•aTHREE HUS'_::;,<c t" .:.,<,-bu• "',6p:•v S..Y:v' s, `d•e JY e,', ` t' DRED ¢TENT; AND Os'0'/'10:0 i'DOLT ARSt ;i"f ' :s:.__; i3, , s''°r:+'- 'i= = fir+, z. ':a.•w..ip.,y'_<+'F._ ,J, < :e, _v - °,-__ __ - - - _ x.E>,u;,- 1+t ' +a lu4'll,, ,•kF_ -'__ .\_- __ _--ste r-="jS'< `.1',1, :N d;i ,w, J< dl`v„ s,:_yt,-__ _ - >C.ya = „l-. __ -a . - -___-_ - _- z, 1, '5, •I", ,y rs>,r,`. _ _- -_ -_ _.r- -__ .i'. '.1.. :h" t, ' r •S'' ,(:z -__!_= __ -- __ __ _ - ,tz ,ir,,,rl t',o' 'cl"^I'I 'l l; ",i'";'I;,,.,,rt•5__-' __ _ _ s ",, I •,I,1, ,r "; ;' -_ - _ _ _-_ ` '_ - - - t' a k . : _ --'S -_ ,N +• It ,<nr' 'i° X11 `r _ -_ _ -- :;' - =i e-i=, - i,il ry ,J/< ''',1 A II,,,dJ:',J,I'ep'd'^ _- __ - __ _ -'i: , n ly.p„r'.,5 r ,JF'i yl:,l '1 ;' '{,,1•St`)'. -- - s't,"..T a_=.'i _ 'i =_- _ _ ___.','i,r :'•I. t"1, 'M1.n vl..,'.4.:r -----_ _ -- ___ - h''4 'S';'I.i'.:I.`, -- - __ -_ -_ _ __ ,'q;r,, -tv = - - - - ,z" ,i il;+ ,"I' a, I,f.',P':ITS",'•3'A~ °,'\ `"t- _ s`sr,:.- ?_ :i'•,- _ _ .p,`.`s''yi'M1,"it'll i°vl`r;,1,.5„'• .t§,C - _ ;s'z _ " ,'ll' Ci° r p Zµ„ !3' .t E'.t r '” r5i•` •F•' :V` S' ,\. 'il't ,:a - ;•i +n•<N.>. Udn, .<i',.:.,A ' - %k,• <a'.•' <'L.3'<,' .'ir. ' =f•¢° ;F - e 'IL D.-E. '' - _- - i,.+l i}!c•t'''f„ 5 mlq, t - 'r'Sti' Fp it' •,1 i DEPiNNA'I,k'Iirat120SSJ :'e"+8, f' d 1' ':4 a3- r S ,,I . ,ll t'.i` f:\• R, 3?~._ '-_ _- - - -__ ' nlr ad yl',ad lx ,II' ' 7'I• and: >' ';t"o•j- - __ _ = s d' ,.I °d"IN .. r - II"'t I' n" ^ t 'H `i,'lh'1400 `,'MANS ON_I-IOUSE<=DR_j „6h ,4 - ' :< rq..y<',F.i rf pf Izi y> ti;':.! r+tl p<tii i f,r 471{':' 'Nr:c t i°” tr} %y < '>S„~ ',S' j”. ,`,: i-'` t3•<tl',c 5' 3 ,E;• tt," o,}y" EISHEtS>'`'ISLAND`.='NY?°06.3`9:0' 'ilr 'vac✓ r,`e-f s _ _ _: •, Y` nd"'„ '-,f;1:_:".I;-' _ °,\ 4£' ••Ip,', iDl'.§._ = ^v-__ Ii. .11'I "!1` fi'.i ' t'J 5a "•.E - -„ - ,i d,l j!`i - -h_ "-_ ''ll r.t 111 t:nhf-,11,• '+II,1 }z _-_ _ _ d s, lt- _ _ _- _ __ ,1'v'. 1',"t''dl'F,5, 1„%}• __-__.}". _- _ ?t >J'• f 1 ,'i"Eli,l J• <P- - ;t„ I• 00`40'S,1,gii; ay::0i1,2,'= ,4~'011,54;64 ; -:f68 .:00,x;5,0•`:2: 4n■,, t Vendor No. Check No. Town of Southold, New York - Payment Voucher 18571 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 341 Fishers Island, NY 06390 Audit Date DEANNA L. ROSS MAY 0 9 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 8 3/31/2017 $310.00 $310.00 Secretary services to BOC 3/5-30/17 SM5710.4.000.000 FF t f $310.00 $310.00 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 d� crepancies noted,and payment is approved. Signature r C^�A, ��— Title Signature l Company Name Fishers Island Ferry District Date 4/26/2017 Title / Date r f DEANNA ROSS INVOICE PO BOX 341 FISHERS ISLAND,NY 06390 INVOICE#8 DATE:3/31/2017 TO: FOR: FISHERS ISLAND FERRY DISTRICT FIFD SECRETARY SERVICES 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 DESCRIPTION HOURS RATE AMOUNT 3/5 —REVIEW BOARD PACK 0.5 20.00 10.00 3/6—BOC MEETING 2.0 20.00 40.00 3/7—REVIEW AND SUBMIT APPROVED RESOLUTIONS FROM 3/6 0.5 20.00 10.00 3/13—MEETING TO RESET FIFD EMAIL 0.5 20.00 10.00 3/14—PREPARE MINUTES FROM 3/6 BOC MEETING 4.0 20.00 80.00 3/19—REVIEW BOARD PACK 0.5 20.00 10.00 3/20—BOC MEETING 2.5 20.00 50.00 3/21—PREPARE AND SUBMIT APPROVED RESOLUTIONS FROM 3/20 1.5 20.00 30.00 3/30-PREPARE MINUTES FROM 3/20 BOC MEETING 3.5 20.00 70.00 TOTAL 310.00 Make all checks payable to DEANNA ROSS i THANK YOU FOR YOUR BUSINESS! I , - ------ -------- , '-----------' ------- - -- -- ----------- • 1 FISHERS ISLAND FERRY DISTRICT VENDOR 019282 SHIPMAN'S FIRE EQUIP CO. 05/09/2017 CHECK 4052 FUND & ,ACCOUNT P.O.# INVOICE DESCRIPTION; AMOUNT ` SM .5710.2.000.000 271760 v (7)BRACKETS—RP,MUNN 231.09 SM .5710.2.000.000 271819 (5)WALL HANGERS—RP,MUNN 27.05 SM .5710.2.000.000 \`, 271884 (5)WALL HANGERS—RP,MUNN 27.05 TOTAL 2'85.19 r-. I , r- , t to r- C - - --- ------ ,11,. A;.r:n:F• 14;` . —•. ". 4%'r'• _ - -cam, „ FISHERS,?SI.A1VDyF'ERR'I';DIS,FTI IG =f j 'AUDIT:.05r .09/1:7,- 53095.MAIN'ROQDNY ;:PQX , BO `11,79. aa,, ,ir;f 3iSOUTHOLO: w",1971;09,59 '.r `<e` • i_,74` aCH "iF4052;''', TH+`SU FFOMCO:'MTIO AL'UANK _ _= CU ,I;,,;.' s r4^ b% TE Y -•s r n I•;' I -: :< a.'-_-__`_'_` _-_':-, ,i, in v u, •P ,' Y,td, ' ` - sl,h t'.lh<: I,,I 1;1 _- -_-_-_ a -_ - ,I.a.a''.1 ..,1",., 'a --- "- _ - f'`'tf: A`;,,; ,y,_. '•, 285`'..1'9? ,$ DR D.EIGHTY ''FIU7 l AND T9'1; DOLLARS,`; 0'0. ; 1 _ _ . I'Wp'f.HUN _E- _ ,,,, .L '1 jIl; ,d• I fid'' l' 7. , 1' _ - -_ :. :n 'd I'4 ;t,'•.`' - -- _-" „'-- -'_ "_'- 1'I”" ;i _` "4, ''I ,I . '1,,,; ,ter.- --- - - - -- • -- ',? _ - - . p ifl' :P`H, :11 `".",N'•t,".u; ,;3- - - __ - - - ;i ''Ir 4 V,7, :;., 1,1' ___ - °F,<, , - '' J' n ``I r., ,t.s;`v,,,' ; - 's` - - ,t t,Pf ,I, 'u ,1 It" ,I1, ;11 .;°' a>',„,INSHT'PMAN I°S. :FIRE a'E^/•'-' UIP" CO :y,. > ,$ ,•„°:1 ',lu'Ii N ,i,,l,_,,,i, ,i,' _ -- - - - __ - ,1 I ,1'- „II: - "I' °r`' r•4 `' `•`t' -`'f=_ - :_- - - - -__°b' "'d`''ig y'S{,- `I•'`' - __ -- -_ - - __ , AD= ;'.;,`' r.t3;a, `+,1 '1'N,1,;',,I,','r„I, _ Z' i aC`:,' 1,1;t 11.• -- % , ORDER: ,"in;' ;`ir'v -e -- -;-s+.•' .6t"i";a.• aw ' " `6PO''BQX''"257N,5` -i E. i1 r•4' ,gln.: e. '.A' ;i, t _ `, 't_1;e, et• .F,}:{`'i` ,i 'WATERFORD."rCT..,O`6.'3.8'5`.=A257 ; `r?:>., %; ,>•F. :') : . "`: If •'r C. `.1'„ -_ =_ . n,1r{ `ti.`tro q,'• i 1.-:u _ _ --- -, _ _- >J" - - _- ..\. - - - ,,I,i I `il''J'` '1 -: .I e_ - - _ - '') 'i. ll` ,,,l ia'•i' J•' _ _ _- __ __F; : - ___ __,5._. _ _ - ,,I'iii llJ I ,il' 1 L;a1•y _ _ -,t`- _- --- t ^ - - _- - . _- - - - -- -_ ':11, i i'I,e•l';yy. '1," i i -___ _'t -_ _ E . ,i l , 'e 4`"' , -_ _. . .=_- ._. '-- -e- , 000f40'S2u:N,,,`:; ''2 1`4'0"5"4E4. `. s'E8' :00`1=50 2" i'ii' Vendor No. Check No.. Town of Southold, New Fork- Payment Voucher 19282 Vendor Address Entered by' P.O. BOX 257_ Vendor Name Waterford, CT 06385-0257 Audit Date Shi man's Fire Equipment Co., Inc. Y 0 2017 Vendor Telephone Number . 800-775-7332 Town Clerk Vendor Contact �) Invoice Invoice Invoice Net Purchase Order l.G Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger,Fund and,Aecount Number 271760 4/3/2017 $231..09 $231.09 Bracket(7) RP,MU Slili5710.2A00,000 271819 4/4/2017 $27.05 ; $27.05 Wall Hangers(5) RP,MU W67102.000-000 271884 415/2017 $27.05 I $27.05 Wall Hangers 5 RP,MU ','SI RiO.2.000.000' q. $285.19 $285.19 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 excludeddiscrepancies noted,and payment is approved Signature Title Signature dl� Company Name Fishers Island Ferry District Date 4128/2017 Title qhA Date 1 Shipman's Invoice No PG Fire Equipment Comvanv. Inc. z7i44/3/201=7 o 1 1 PO Box 257 - loyal 172 Cross Road Waterford. CT 06385 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 P.O. BOX 257, WATERFORD, CT06385 No— Eustomer ID CustomerP• • •- F6040 Net 30 267546 Sales Rep I.D Shi pping Method 'Ship Date Due Date Quantity Item Numb-or Description BackOrdered UnitPrice Extension 7 John Fratus OUR TRUCK 04/03/2017 05/03/2017 3.00 0864 36.51 109.5 Amerex 10 Lb. Bracket Heavy Duty Rubber Strap 4.00 0862 30.39 121.56 Amerex 5-10 Lb. Bracket Heavy Duty Strap 2 G Comments: Sub Total 231.09 Miscellaneous amount: 0.00 Freight: 0.00 Sales tax: 0.00 x Total Invoice Amt 231.09 Payment Amount 0.00 Thank you for your order Balance Due, 231.09 We sincerely appreciate your business. Customer Copy PG -' Shipman's RNWO E Invoice No Fire Equipment Company, Inc. 271819 1 PO Box 257 • _ 172 Cross Road 4/4/2017 Waterford. CT 06385 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 Ordet No F6040 RACE POINT Net 30 267594 S'hi'pping Method Shi Drue Date— Sales Rep ID p Date 7 John Fratus Counter Pickup 04/04/2017 05/04/2017 Quantity Item Number/ Description BackOrdered UnitPrice Extension 5.00 0135 5.41 27.0 Wall Hangers(11 111 J Comments: Sub Total 27.05 Miscellaneous amount: 0.00 Freight: 0.00 Sales tax: 0.00 x Total Invoice Amt 27.05 Payment Amount 0.00 Thank you for your order Balance-Due We sincerely appreciate your business. Shipmans Copy Shipman's Invoice No • Fire Equipment Companv, Inc. 271884T7771 PO Box 257 Invoice Date 172 Cross Road 4/5/2017 Waterford. CT 06385 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 P.O. BOX 257, WATERFORD, CT06385 6Custorner ID Customer •• Payment I erms • •- No 16040 V-11111111:8POINT Net 30 267679 Sales Rep ID Shipping Method 'Ship Date Due Date 7 John Fratus Counter Pickup 04/05/2017 05/05/2017 5.00 0135 5.41 27.0 Wall Hangers All Types Comments: Sub Total 27.05 Miscellaneous amount: 0.00 Freight: 0.00 Sales tax: 0.00 x Total Invoice Amt 27.05 Payment Amount 0.00 Thank you for your order. Balance Due iz.o5 We sincerely appreciate your business. A Customer Copy Shi mans PacMng dost ' p Fire Equipment Comoanv. Inc. z71884 1 P® Box 257 Invoice Date 172 Cross Road 4/5/2017 Waterford, CT 06385 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 P.O. BOX 257, WATERFORD, CT06385 F6040 RACE POINT Net 30 267679 7 John Fratus Counter Pickup 04/05/2017 05/05/2017 • •- �- • • • •- -• 5.00 0135 Wall Hangers All Types 1 a Comments: x Thank you for your order. We sincerely appreciate your business Packinq List 1 --'- --- -' --- '- -- --' - - --- ---=- --- -' ------------' - - - - -- "'-----------' - ----' - - FISHERS ISLAND FERRY DISTRICT 1 VENDOR 019711 -STAPLES CONTRACT & COMMERCIAL, 05/09/2017 CHECK 4053 1 FUND'' & ACCOUNT P.O.# INVOICE l DESCRIPTION AMOUNT SM .5711.4.000.000 3336849831 (2)PRINTER RIBBONS 45.98 - 1 -_ SM .5711.4.000.000 3336849879 (1)POLY JACKET 1" 4.01 SM .5710.4'.000:600 3336849880 TOILET PAPER 46.60 SM .5711.4 000.000 3336849880 2—PACKS OF TAPE 12.27 SM .5711.4.000.000 3336849882 BROTHER—DRUM & TONER 12,2.70 f ' 'TOTAL 231.56 ' iy✓:i„ f I ' I 1 JI I "1, ISHER.;S`IS :9_- - _-_- - __ - U't. 'll 'i hd' '' ..n.'t. ,xtn' `.x /` ___ -'___ =-_ '- '1R=••`:. 1:A1VD,FERRYDrSZ12ICT'! _ tATJDI,T`tq;0,5r/:09'/17 0Fq'i`4 •t,'; t, ;,j; ;i , ,, • `''' ,53095,MAIN ROAD;PO,:BOX 1;179;;,1; -_ ;SOUTHOLD1. . 1971=0959 ItNY 1 F'°jc. + ,'':5 t 1 i CH•ECTC'.FNOa:"a 53;r 't' r _ =_ ;u. •til, ..,%\,`::i -_ -_- -- -` :''=-- >y,k,,,, i TH IS - a UFFOLK'CO`.'NATIONALJB NK•`; sr,P•, tI',`L,•i,,, , R'.1+gid•=htl,'°,''P•I,I,'aI=I''I5r,,J wV,i• 'I't :; - erg= _-_ - ..°s.-_"ia`-;'' ,' `''.'5.>', :',',.,,r,,,p,.On t.GU,•E1 P;t;it 1 's„,1 l'-tP,'+,II 0s`;' ;",:,.},:•,'-n _ --'°-T?"da°.-_•`. A"aMOUN'f1i`CUTCH Q 20 ' `k'eE :11$:F .;., ;, ig•':' >5 S' 0=546/,2141- f4,' to t. .= r' i '8UNft —,iTHIR' N D O: TY'O E_;'AND-> 5 6%10 0,{, OL'I;AR'S. +rl,,` ,4 f,J'Jf;da,.% 'Jl'•u,'g :>' - - _ _ •?,' ,Pv" ni''I.q' ,I IJ.'d UiI..`t`•ae, _ _ - - - - ,.1 `,`'n, ,, 1 yl',I,,,j.;y - __ - S< _ - „i-= - ifr.,,r`., ,',P, vl p',@>•%I 1'r X11 ,! Y` o- _- - - _-_ _ -;x” '¢,.F"d 'd" +p I',''e "r?7ti:e ;.:`: _ - - _--t `.'-• - -`iw;:•e '.s.----- h? _- i--= ,), ' •I'."5 "4P :dii'. 'i`c _F' - a- a ,p., , f 'p 'nls,,LL `! E's - ;y,' ':4'x6i': ,.:• Z •F,` l}\f '.t ,'y`` - •tel - }i" >} 'bt < (-J _ _ e 'i::>.• •, I",,, - ,y ,ale e Y, rod: '}t,• :f,',s >.1 x _ 7' 'nl 't 'I;>;".o l,t: f _ PAY'C';'`'J`tl'.d', ''SJi TAPL Ev7' S _r',', .,`11C,',nO•NT-_R__=A__C___T--_-_'__`k--; _--C=,xO:_:M-_M_E-__R--=--G=.-I,t, .A,' rL_;:M;', JF'Y Rt.A,.'.1,.`:•ipi1,,`.o,•j;'}I 4i ,1.)„ "n "'A '',P'P,t.'I', _ - ' "- _ _ --g: ,'•F,"in ,I F„Ai,l`<h,v 1 r•5. ..I,'JFD '',PT. , v+,'di,,. ,;t," - - .,` - -_.f. `4"„1,;, ",p:`r:,lb hi',1'1,'°>„1'.•;1 ,,,y,l dy,•y: _ - - -; . 1•.:,,,' 'n i vi„ pl.,yu• dl+> ORDER', {tiF - _ _ !S' - 1 C- l;i, AY1' ,I Sro _ •I” +v P0 4`1'52'5.6` }': -t :4:a rt' :`';, x 31'.,"tl <e q,r ,1 •1 •`t .q, 'J si,. `,t, ' ^ -'.iii „%f. ^y, 1 1 iY, ,.: t .BOS4TON. MA—0224l'—, '',';,., > t"`p3:;~ '1;_; , ;.5 ' t,', .t ' ,<i ,,, 'w•,. +,;. •lr:,11Y;Ix rl „e ,., . gY-, --Ff'<<.:f : ` 'i 'P>' •,I` ,t"f I I t = - - - _ -- - _ - :'a 'il i;'7 tita - - - _ - _-- _ ---_= - - _ 5 ;',We t„i,w<If ---_ _J"1-`._:`__'_ :.t_ - "1,x,1 5• ''.Ita' _ _ -_ _ _ _-;rc _ '4:66.8 .-. '�Tendor No. -- -- — Check No. Town of Southold, New York - Payment Vouch19711 � 40-5 :3 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Debt NY PO Boit 415256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 MAY 0 9 2011 Vendor Telephone Number 888-7534107 Town Clerk Vendor Contact , 0, 1/2 Invoice Invoice Invoice Net chase Order 'Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number. 3336849880 4115/2017 $58.87 $46.601 Bath Tissue 96 RL 1)Fl SM5710.4.000.600 $12.271 Tape(2)Fl SM5711.4.000.000 3336849879 7� $4.01-1 $4.01 Jacket poly lin(l) F1 SM571I A.000.000 ' i T&n erg 0/-60?3336849882 $122.70 $322.70; r Cartridge(2) F1 SM5711.4.000.000 3336849831 4/1512017 $45.98 $45.9811 Printer Ribbon,(2)'F1 SM5711.4.000.000 I $231.56 $231.56 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-,Vnich the"town is exempt are excluded. or discrepancies noted,and,pa3snent is approved. Signature Title Signature A� Company Name Fishers Island Ferry District Date 4/27/2017 Title L 4 Date_� a �L_ STAPES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 4/15/17 NYC 1032952 8044048622 PLEASE PAY BY TERMS AMOUNT DUE 5/15/17 Net 30 Days 185.58 IWOICEDETAiL staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFBRRY 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: 3336849880 Budget Ctr Desc: order 7174698597-000-002 P 0 Number FI TERMINAL ordered By GORDON MURPHY P 0 Desc order Date 4/14/17 Release Release Desc Order order 13/0 unit ship unit Extended Line Item Plumber Description Qty Qty Meas Qty Price Price 2 365377 BRIGHTON PROF BT 96 RL 1 0 CT 1 46.60 46.60 3 489211 SCOTCHMAGIC TAPE 3/01000 10PK 1 0 PK 1 8.36 8.36 4 609009 TRANSPARENT TAPE CADDY PK 4 PK 1 0 PK 1 3.91 3.91 Freight: .00 Tax:( .0000 %) .00 sub-Total: 58.87 Total• 5p8,887 Wwr cu tomer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make ch cks 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. CO'STO=R NO. SHIM DAT, •ORDDEP. NO. 0001032952 4/14/17 7174698597-000002 PuAc,gA$E ORDER NO. RELEASE No. • FI TERMINAL Ore HAPPEN COST` CENTER REQUIS�T ONER AKE I"11 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 P, #PC67296 Contact: (631) 788-7463 - GORDON MURPHY T FISHERS ISLAND, NY 063900607 0 PAGE: 1 :IAL 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. XTWXOPM t1 �C#+d3 AktirS� TY QTY I�CRZrTIo� �� :tMOER n�a ORDLPKD ,4iMPM IWO qty 903616 JACKET POLY 1IN EXP LTR ASST /18372 PK 1 0 1 we have shipped this item from a different Distribution Ctr. 365377 BRIGHTON PROF BT 96 RL /BPR26212/410019 CT 1 1 0 489211 SCOTCHMAGIC TAPE 3/4X1000 1OPK/81OP10K PK 1V 1 0 n Material Safety Data Sleets (MSDS) may be found by visiting http://sds..c tar les.com/ sds/919499.pdf ✓� I' 9 ` I 609009 TRANSPARENT TAPE CADDY PK 4 PK/4184 PK 1 1 0 T�Hgp „ Check your order status online by selecting My Order Status from the eviews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STAKES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 4/15/17 NYC 1032952 8044048622 PLEASE PAY BY TERMS AMOUNT DUE 5/15/17 Net 30 Days 185.58 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: 3336849879 Budget Ctr Desc: order 7174698597-000-001 P 0 Number FI TERMINAL ordered By GORDON MURPHY P 0 Desc Order Date 4/14/17 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 903616 JACKET POLY 1IN EXP LTR ASST 1 0 PK 1 4.01 4.01 Freight: .00 Tax:( .0000 %) .00 sub-Total: 4.01 Total: 4..01A� W� Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make chRcks 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. CUSTOM P. NO. � O# R NO, 0001032952 4/14 /17 7174698597-000001 w VI I'21H SSE ORDER NO. 'REt' •SE- NO, FI TERMINAL .KE More HAPPEN COST CENTER REOM S ITIONER. Staples Business Advantage SHIPPING LOCATION:Montgomery, NY FC CARRIER ROUTE:SP1/UPS /U3 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 i O PAGE: 1 AL 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. 7C#3 NUbJ�E3i x3'W 1�CD1q^�=r � QTY QTY iL$ I21S $Q t Rg/4 qt#1NMORR ORE 903616 JACKET POLY IIN EXP LTR ASST /18372 PK 1 1 0 Check your order status online by selecting My Order Status from the •�ewH My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STAPP,ES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 4/15/17 NYC 1032952 8044048622 PLEASE PAY BY TERMS AMOUNT DUE 5/15/17 Net 30 Days 185.58 1"010EDETAiL Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFBRRY 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: 3336849882 Budget etr Desc: Order 154970377-000-002 P 0 Number 011617 Ordered By GORDON MURPHY P 0 Desc order Date 4/10/17 Release Release Desc order order B/o Unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 791230 SEB REMAN DRUM BROTHER DR520 1 0 EA 1 88.18 88.18 2 791290 SEB REMAN TNR BROTHR TN550 BLK 1 0 EA 1 34.52 34.52 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 122.70 Total: 122.70 UA- customer Service inquiries # 877-826-7755 invoice Payment inquiries 888-753-4107 Page: 1' make ch cks payable to staples contract & commercial, Dept NY PD 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 -own= OPM-ER, No, 0001032952 4/11/17 0154970377-000002 son OW VIMCHA99 ORDER .90 011617 MAKE rr10re HAPPEN COST CENSER RZOVISITIONER. Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:UPS/UPS /U2 f FISHERS ISLAND FERRY DISTRICT :H GORDON MURPHY O 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 FISHERS ISLAND, NY 063900607 PAGE: 1 SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. �+ t1t; 7CC 3 bT f XTM xO?)rM (Ty- -QTY 13/0 q 3* I3 C IF SD}T f NMBM OAPEmm 9HTPi? 1 791230 SEB REMAN DRUM BROTHER DR520 /SEBDR520R L'-11' EA 1 1 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds.E tar les.com/ sds/791230.pdf 2 791290 SEB REMAN TNR BROTHR TN550 BLK/SEBTN5501- -; EA 1 1 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds.k tar les.com/ sds/791290.pdf PaZ� 1 ,-,7 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 4/15/17 NYC 1032952 8044048611 PLEASE PAY BY TERMS AMOUNT DUE 5/15/17 Net 30 Days 45.98 INVOICEDETAm 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 TRMMULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3336849831 Budget Ctr Desc: order 154880641-000-003 P 0 Number 011617 Ordered By GORDON MURPHY P 0 Desc order Date 4/06/17 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 lMlRG7423 YMCKO RIBBON ZXP1 100 IMAGES 2 0 EA 2 22.99 45.98 Freight: .00 Tax:( .0000 %) .00 sub-Total: 45.98 Total: 45.98 Backorder of 0154880641 Customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make chgcks payable to staples Contract & commercial, Dept NY PO Box 415256, Boston NA 02241-5256 STAPLES CONTRACT/COMMERCIAL f DBA STAPLES TECHNOLOGY SOSUTIONS 500 STAPLES DR ' FRAMINGHAM MA 01702-4474 NEED TO RETURN SOMETHING? TO RETURN OR EXCHANGE ITEMS ONLINE PLEASE VISIT +. MAKEMoreHAPPEN WWW.STAPLESADVANTAGE.COM THEN GORDON MURPHY CLICK ON 'MY ORDERS' FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DR FISHERS ISLAND NY 06390 ����`tYl�$5�,�; .�.---���& `---`""""..,__.�.>il... ;??aa`°a� `�:•._m._ , -I`---_:§^� .w t. •.`.._-,�._......4 Wr.a�;t,:, � 04/07/2017 UPS GROUND 011617 DPEE72 4 Line PO Qty Qty I Item Nbr Line order Shin It # Description/Model No. i( REQ DEL DATE:20170419 • C s BUYER:Melissa Yahm 4 2 2 6874 YMCKO RIBBON ZXP1 100 IMAGES EU#-003775548 FISHERS ISLAND FERRY MC#C 1 YMCKO RIBBON ZXP1 100 IMAGES WAREHOUSE SELECTED DOES NOT J� STOCK THIS PRODUCT t MISSING ITEMS? YOUR ORDER MAY ARRIVE IN MULTIPLE SHIPMENTS. CHECK THE STATUS OF YOUR ORDER BY VISITING j 'MY ORDERS'ON WWW.STAPLESADVANTAGE.COM. IF YOU HAVE QUESTIONS ABOUT YOUR ORDER,CONTACT SUPPORT@STAPLESADVANTAGE.COM OR 877-826-7755 Trk Nbrs:_,1Z1825750367016019 i Total Quantity Shipped: 2 Total Cartons Shipped: 1 Page: 1 Dest: USMRBlPM08L SID- 60-M5H18-11 PC: 1 ,4 4 4 4 _ 4 r FISHERS ISLAND FERRY DISTRICT VENDOR 019823 SULLY'S MOBIL MART 05/09/2017 CHECK) 4054 FUND,& ACCOUNT \ P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.21'.000.200 568168 16.231 GAL GAS-4/19-FlSO 42.51 \ TOTAL 42.51 1 ! ` I r 1 IT - " E>3 ti • - eRx.x. '•d I t S r-^ _ J ' 1 ^ G • o • o e e e • ® e FISHERS:7SLAND.}FERR 'DISZIt1CT '' ,AL7DIT€t"05 09" ;53095`MAIN ROAD,°P,O,BOkl X79-,'- 50UTHOUD,NY'1;1971-0959 ~GREG NO: t` '°405;4• '.,`•'I,t''t,`' r— tx' 't{' ,a tn- - = 9 - •it'- - d',it ', - -;.t• _ ':- "' .'1"'4 2"'i ','S.' "__ _ __ = 'jam ' .', '4U - _Iii Y• F l!r'^ i __ THE'BUFFO<LK CO,%N,T ONAI BANK; •n; i4'• '1',t ..1 - -: =-_- .:. ,- _ ,CUT,CHOGUE:','NY°J'1935',`i,o i` .I' i7• 11 - ,I'nll" ° 4" - _ -= F'- - P,13 v,'1' -ufl .,4 A„C .. , - - 1”Iis ,I ,•,' .n+ , Till, ,+AI,,,!;exFtl"t• 4__ 94 2 17 42..51: T'11, a'_50=546/214y1 x ' t'a x .h: ••# 'y'- ,Ic - - _ A'n`:,gin t. .x°F,y;.', . /• ,'Lt %✓.s, _ '.,TW D` '1>.100. DOLLARS r -,, .FORTY_ O'f4AN - - °-_ _ - •II` ''171, ,i9y - ,-. ___ __ ___ - _ "=x'q SIV 1,. ,,4, i lig i i','i - -- _.- vF i,x, ii; t iii ll,' IF"`'i l •''pil. f ' -1`-^ - - _ °K.i ,P; - -_ __ _ - --__ -.}-_ - 11 4 ,a" 1 ''i+'1: ,i'11,8'•Et>q '-'`=- - - - - .ts-:_ ,t la' ,Jy If.?'I ,J',`IL`J,,'i', _ _ ._ __ ',__ --- - -c ,w,'a.Io, „IIq f1;,u ' ":3` ' _ __ 't:' -_ 'h.,' ' • ''.,4, F•;+ ;; ,i o-t tt`r _ ,j3's<*' 11y •f•i t,, f{r ..."fS,S yL,'r "Y Ja' 61, - - f"' •41 •° I 4, : _ - ic= - .1i7 I:tt 12 , •,,'I, " ;I ,LY I MOBIL• MART PAP° SUL 1 S„'1, ; - ,_ '•11V, - - - - '4f uP'9' ,I'i °,.y 3 82 4 =-- o '`_- - °I,l'e1•, f .i 11' il, 1 TOiTHE „ 1'`'''I=11 °..I'';;;f• 1:',li,,,l,;i, +,;I,,,l;;;l'A;f IAUXIFiALL-=STREET- ' _ =-- _ ORDER, i; :-- _ _-_ =;s': i:,:< ' ;,, 'ai,,,rr't.`,"'1`' F '"NEW,l"LONDON .C T;•0`632 0,=' - .E - -- "41 1•.I 1';'ll'•,'tn 1';3, ,OF' Ii,l' - - - -_ - .I'1 ',P, `d",.I' iP(, ;i''FAt`" - - 1 6iB 0'O ii 004054ii; 'i 0"2" `4'0`54`64 : Vendor No. Chock No.' Town of Southold, New York - Payment Voucher 19823 li()!5 )4 Vendor Address Ehtered`by 382 Vauxhall Street Vendor Name New London, CT 06320 Audit Dat Scilly's Mobil -,"MAY Vendor Telephone Number 2O '9 Eg 860-443-5938 Town'Clerk Vendor Contact Invoice Invoice Invoice 1 Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number, 568168 4119/2017 $42.51 $42.51 96.231 gal F-360 gas SM6709.2.000.200 E $42.51 $42.69 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded al ,,,repanctes noted,and payment is approved Signatule�i Title Signature Company Name Fishers Island Ferry District Date 4/27/2017 Titled S Date e SULLY'S 'MOBIL 1 c11h1 382 Vazxhe!f Street stew London, CT 06320 (550) 443-5938 SOLD BY DATE NAME T ADDRESS CASH— I C 0 �.1) CHARGE I ON ACCT P.O i = Stock RECEIVED BY - - All claims and returned goods MUST be accompanied by this bill 568168 71jank `You I I I FISHERS ISLAND FERRY DISTRICT r VENDOR 019821 SURVIVAL SOLUTIONS ( 05/09/2017 CHECK 4055 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .'5710.4.000.950 032717 CPR/AED/FIRSTAID(5)3/2-7 275.00 TOTAL 275.00 — \ \\ v , 1 :=W^:•i 3 cti^. J. WWI:Fag I ( r ' J• I /' '` i it- t I _ 'I l , 1 J r 1 r AU1 0,9'lu it „I•al,,, .,,•y, 1_'=.' =,F „_==_ _`___ e, `I ;;,. FISHERS-7S1,A1VD FERR 'DISZ'R CT,' ` DTTj;: . 1 :530'95 MAIN•RbAD,PD$OX.L1-79' `•,S<„• • /c _ o SOUTHOLD;NYT1971-0959 .CHE `R' O•.. 5,5:`n.`:' "THEr$U, OL,CO,:'NATION G,8 NK fl} E :__— ;/ MQUN1, ,nP I ,I .•IO,1' II;' ; - - 'i - - + •.„1'1• I' "° i - -_- - .l. •,t,' 7;1'I 111 2 7' 50=5467214 / e .TWO•-JHUIJDR) D 'S EVE,NTY:=FIVE"AND' '00/,l'00;';DOL LARS'- _ _ -- a, s'b•g q; iU I„ ' - _ ___ -z t"_ _ - ;1''+d` fl' ',.I ,t!,, u1,1,•I,;' 't, ,- _ -li - _ <i= 4.i 'Zj x';11;' - __ _-_ - __-_- •IP'11,'' „1;,• If{ ' P,,1,,•; _-__ - --_ - _ -_ -- ni' ,I P''l •.1r:1'" :__ ____-_-_ __ !,• 1' ` } Ii' .P ( 1'1.1`• PAYS''ll' ;;SURVIVAL'+SOL UTI'ONS i - — -___ ';I,I, `,I, `'1'111 1 '•"'d1 a - _-_ - _ _ ', t1'A ,,I'.,6'I 1'IL'; p l,, :< a; IJ. ORT YBEE`CHwOOD-<= I r:•.` - - -- - _- _ - ;< r r ,I ,a,T•,`u1• d,d ,TF'ti iP,'r5 _ _Q __ - - •IVd' l, `9I ,i',''.','1 ' .P `__ __ -_- _ - - „'1H•'z,d' ,14u 1, ,ill TI `63 O ,I„ ,1.' - - ,F , , .'11'll•'''I1,rl 'IP '1;' _ - = ly° JN'YAN "C C3' 07 OF,; " - - - - ,7. 1-..Ili 'I` I' '•11 I` - ___ - - -- - ,I'j l' '1'1''i;'I`' '11, !' - _- -_ - - -_'I r 'I,i', s, ._- -_ -_ ___ _-- _ _ _ 'I ',I ••1. ' 1' _ _--__ _r',r,l,,'I K'-1 1,', il!. ,I,,, .d' ='1'a,," ,, - - - - - ;,1.'' 1., tIr;,,l,1a',,;' rll"'1'• ., - ___ 00,401,0=5'ii '',I ,d'"' ,.1 jl; j'i'S 4.6 4; --165= 0,0;1.50'2 'ii - -- u - - Vendor No. Check No. Town of Southold, New York - Payment Voucher 1:982'I Vendor Tax ID Number or Social Security Number Vendor Address Entered by 14 N. Beechwood Road Audit Date Survival Solutions Niantic,CT 06357 MAY 0 9 2017 Vendor Telephone Number 860.739.7705 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' (33Q717i 3f2,' ?A�17 3/27/2017 $275.00 $275.00 3/27/17 CPR/AED/First Aid(5) 'SM5710.4.000.950 $275.00 $275.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved (26,Signatur� Title Signature �A� Company Name Fishers Island Ferry District Date 4/26/2017 Title V ti4 Date '.+, •,-t'•-,, `Sx ,I. /!. �':P',n. _ _ -a Yar zi",T"t44:Ca,f:+ •kY-if- -:4�7� ""1`'.i^19Y rc'NY�,r :irik._ '`-A� :'%i` K, _"N_ _ "'�' `a ,,r��:' 1. 1. Fxl, -'i1 ,f' til" ,',{'N... r.. yam' �' `ter; r I - hi.r r%! •DIF!ul,,r ajC rvK� l i�,� ria? •rr_-` '�,t- _","moi'-_,s .`. ..2w s w+'.:' *,- ..-a„ � -.V�..-z g•.,.- y`.f_' :4,+„ - - �-`,v- .,.f.. ,vl t 1 s"'�•,�". �fi ✓S�•,.a_,l .,t'1 Y• _ _ _ den.f., -,"z' •f - 3}j ':fin_ .4 f..�<.• -:'Y:�-. i .�I''�r�i�n',v -4 +5 ark ,nur, �i.J tit 7•110. 4 Z I L'H yA .�i4. (' l I _ - r' yds : y r" 4. - a`�"� " _ +y:-l_ ..�. `,��:'•;. is�.'+„' _ .y'� `.- �Wy ,'fin _ 'i. 'l - t X- ,ta r,�n _ '�hi:: .,a,,. )�.°sit,.. t%,r�•'�.✓a,,,.'.:.a,y:a'•”; 'C�n 'k.`,' r v 11", r•. yy !'i»' Wil: %„�#=,y�_ �� - <4r v,Y� ^4'• ,0. S N` __ defy .•4",.,,xl", ;$" >' r �', 1 - S i.�h� - ••� - J.,3s,Y;!eat t -:,Y'i4: ,-'•;j, �c,i;�'' _ _ _ - ,.,moi;,+ii'..; �hO._�-Zf'�?,�'ei,-'•SF.,..`,^i.l}n ..LTi t _ -__ _ _•.« - _ _ _ _ - _ ,. - ��aK�,�£ Y :'7 „i YOWL, 10, 4' is t t,,.,pi 14 N.BeechwoodRd{ _ Niantic,CT;06357: Y r21 QUM 8 WGO„739-77P5, - A` _ .FISHERS ISLAND:FERRY=', - ' v Y ';; rt, Date:3I27I17`_ = _ ;AHA HEAR'TSA�7ER CPR/AEDIFIRSTAID ' pn' _ _01 a� 'wr-Vrtir iz q• .,rf. � 'kt, - x PER PER - F , . X55• SQN-V=Si =DUE,,PLEASE „ _ 4*4 $ o rice d�for ouf s of io`'or moic u; ;i.-i yon �r`����•t'1 ” i . A. - _ �, P, ,. r t , � r fH1"i15k,ti5`• 30 f Vv 4 f ;THANKYOU`FO Y NESS! K TV ?" too PAO -40 'fl'n`"yf'7 v iJn r,. ;7. `.a>±a• ; "tli ;'EU:ilt f 1yi y J.1". lM1.yt t,a $'a fi "fir n 2. 'sF.,.'mss iLL'`9Y _ ..n.:i+.is.`S,.Y`•'�'�''Sr'iae.v:"t�'.'a_ h+: _ "Sr>. i ,-.'.+`f.. .+£��>�.._..-�'�`..+=,V�:.�:tc�.'.,_.`�`'-.�-av=c,�S.:i%e�.:'.P�',xt'' �y,`:�,',`,?� •',3;3>:'.. - `,f T, s"t" .T`xm::;�""',0`r`r iaua.s.s.,.,w,,,�S,an..Fd»..:-auxi'i'x%'.,�-as,._,�,,,sa,S.t.,...a.,..s,>_-aa;ai�ui"2"',u=_•L:S;";.^£�:�:S.:T...�,..cs`-.�-«.,„:sa<-:ts`-, I r t i i 1 FISHERS ISLAND FERRY DISTRICT VENDOR 006406 TOWN OF SOUTHOLD (FISD) 05/09/2017 CHECK 4056 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM 15709.21.000.200 060117—FI SEWER—WHITE BUILDING 225.00 ' _ SM .5709.2'.000.100 060117—FI SEWER-357 '225.00 SM .5709.2.000.100 060117—FI SEWER—ANNEX 225.00_. SM .7155.4.000.0100 0601117—FI SEWER-THEATER 225.00 1 TOTAL 900.00 r ' : `sYt as,".. >' ✓,^C,.<,+` " :.Y"^' v< .'.e^x Win,'<)''• r• C• w ,.. y .r <` +.ew:. r— — 1 , •1 ! {i I , r- I G- 'J. 9' - •C"h'.§ "II,'U„'1• 'tl,s N','l i:' 4l'° 'F+ --- _'• • _ _ - a ' ' ',%`i,` ;^yi'-"--- `_ "__=,,'` `rcl.'I•}Y.`hl'q,'0'IN_,yU G - 9a/f".1, 4';- I", -- >53095 MAIN;ROQD:`P.,O BO °11J94, ., c>, '' .ti:k:" i` r•: e l ' a.•c,7;SOum,OLD. !Y.]'1r971- aIrTJ s ; 'x,,'E t`•a,`°`05'6;!t£„7r0959 <„'r ,I 01 'AL BANK THS SU FOLK,CO.;N;TI CUTCHOGUEAr„11935.1I3A3_ 'o .:'ii 7, 7r,,Js<tt.” ' " 546/2114ciJI'P ai,= '' :I` t--":.i{''' '<',; ----__ :'05._/`;__09-_r,+'n2,',O-_fi7-,,'} e R• ';:%al."i " s"r =5k`p7hi:;9' 0S:r011' {- '•7.,07='f i-- / If': •.:. Epi. 'iY>t,ii F„r,` •.' we4 ' :'. `.E.i fir. ,•7",r'.. °'„' DR'ED"AND;'0'0'' 1;0" `DOL'IARS°;: }` "SF= 'tiJ HUN /, p`r :as= - §`r- _ 'tl^+ ' J ,Il ill dd' `'a"I r'o J" i a+'c• s:_6'--- t..v'= -_ " f"r,: - __ -.r. '4 t's 111 r "ir __4 P111 1'1 ,'I'rt,2 ilii itF ^Y- if4_ - .i' --,lR- ” ` 4' 'q a''1' -_ 'a't- __ _ _ 'i i'7.'n J•123' _ _ __ __ -- - _- __-- 4' .,§ do , a,,,s =_____ __- __ _ _ __ - -, ,•.,;r- __ __ __ _ _ -_ - _-,`r""-- -- - - - rR• li'' "f ;."__ - _ -- _- - '''n.:..;,'„4'r',:i,t ..` :h;;';`':e:'i,'r: :1;;Y.ra<„r _ .;f`= -_ ___ - ___ . ;:- .1'.?•{,_-__ __ __:_ :+I''al.`fit',''ll.its- 'I '! 4s _ _`,i•` ____ __- p t 'tp..r 9..?i"r .r^,.il"q.- y''.;d',e',r•'S t,=£t<: '4f.;"-a'<t ': :"to ` !` rh'",i`. 5^7: _ ,n - ,n?:; .f:,•.5€.:,h r' - « /'er`•'•i 'v'r':°' 'i `:l, <, „L,'. r-. .,t' wY•. '<tt S Y <t °4 i. ti r3"< 't Y' t. ' i rk.r:`55J f t "{3' tF t..y o/ , ,7 I,i- ° c' x', S.,''ji`=• `i.<'., x,f°I., r,;.. ,>1•' •.. :'f; ' ir' r'e' ,r ,' •ts'"".;S` A F','•`:B,^ail `i`. ,>.x, "v'• - is °1.<t,; "i,', 'x,'i l,r(.7 `II:V.<n°•III,J, {"'£.''+ t,3'ra•, ltit t1 I,„i z Jrl:rb;it i r 4'x5,It> K`3'}- :pi•{ ":t I,s,l r D' ``- EIS r Ok'r•`S;OUTHOL _( ;) _ ,', I:'rl:,•I' n„ .I+y'1'' ,t` - ry=$_.. _ - ”'2!, '"pr =_ - - _ - - ,'.,.. 'ydc a<'a'y,t h`".,r"y,.•' :,,a.r'1✓jc< '-- _ 4 '' •I ' __ ___ __ _- aP< '7'I` 1I..rarq; „p. 4,"`_ '-_:{J- "t=' - ei,- "•4,,.f"i}p 4.1.` il' l 4,'rr ipl 1p I'1}`i T '''TI E ,l°"}Rt :, i'• '1iP' '`= r`'¢ ia'<•:yta'I '1,,; h.l+, iA+}`j.Is !ELIZABETIi -NE,VI LLE$:<._,_ `_- `" a ,,u 1 - - -- - ' a r, ;°r"'r ' --_-.,e' :- -_-'_ - _ - f• „r ., .,.h'^ _ i- ;' "r'r l,h,az:.e, ti P°e 11” ,'iii _ _ y a IHl rlir']di'rGt };': : .,.PO=,BO'X"•1,1'1,7,9: TOWN:=' iAT I,<._ , £:' ` '` .:' ;r. `m,r," ,.,T;" °f'i . ' ' ,;r',,' ^;" OF f` ,k Irl ii'r 1tf i':S+ uriy yvi.HOLD.:NY ., J 1'r %1 I' "Ic r''4•V`<4'.E 43 '{ - "-'tl~= - -",kr",'.. "-t _ _ _- rr's;ti,i'„F-,,a'"ar•r"%; , y ',o, I, ___ __-_ + rr F - -_ - - -- __ - -_"--%• rJr t., Al.ldlr .c', ,,,rnl Jh'' - - - __ _ ___ _ ,spl, d. I, p I d>'f y,,.- - ;_ __.,,-.f`_ "_ _- -<fL__ _ - -"_ -_ -- __" _- 'N - P' .'R'h' _- __ [4 `_ - _ _ _ _ - e',A '' r ,ful•nla - - - _'-f.:'<5 '- -_ _ _ __ - - - - - !i`•ese' '!J','txYP',;:,S Irl'i IV`- J' 3,< - - _" _ "_ t= `,r I sf,l;` ;'17 I _ . -i_ ___ =y _ _ ____- "_"f7 j ' _ -_ _ __- w°yr.' ,1 ”-Ifr.,,,,ryfr"•.d _ .J - ---_= -- -- - 'j"' ..i, 1 r •"a';'"y .:^'sK" r-: _ _-_-, r - - .-_(11"o Vendor No. Check-Nl o. ' Town of Southold, New York- Payment Voucher 6406 I , A a ,: Vendor Address Eritt aed 6" .r ,-s Town Hall , - Vendor Name P.O. Box 1179 Audifp• e`.: •�, Fishers Islam!Sewer District c%Elizabeth Neville Southold, NY 11971 `' 's" ~' Y' j Vendor Telephone Number 4� yp 631-766-1600 Vendor Contact �j� Elizabeth Neville ,t_.// Q Invoice Invoice Invoice Net Sao Purchase Order Number Date "Total Discount Amount Claimed Number Description of Goods or Services Geireral I eiige[Fund and ticcviEnCNtintber-. 0661 17- F ::.. 4/18/2017 $225.00 $225.00 Sevver for White buildial $225.00 $225.00Sewerf 0 _•;,._. ,, :..:+.s °,- ;;.,v r 357 $226.00 $226.00 Sewer for Annex $226.001 $225.00 Sewer for Theater rs+,p�7165.�b.OQ0.Ofl0` $900.00 $900.00 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 disc a cies noted,and payment is approved. Signature O--J-- Title Signature Company Name Fishers Island Ferry District_Date 4/26/2017 Title / Date FOL.4' ELIZABETH A.NEVILLE,MMC may® �y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 H Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® .� Fax(631)765-6145 MARRIAGE OFFICER y t' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ,` � www•southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PAACCOUrTING'8, 2r� 2 FISHERS ISLAND SEWER DISTRIAPR 18 2017 User Number: 002 F(NANC DEPT. 1St Installment Due January 2 Units x$225.00 per Unit= Paid 2"d Installment Due June 1 4 Units x$225.00 per Unit= $900.00 Please make check payable to and remit to: Elizabeth A. Neville Southold Town Clerk PO Box 1179 Southold,NY 11971 5 % penalty on-rents-not paid by Due Date Fishers Island Sewer District Renewal User# 002 Fishers Island Ferry District Town of Southold PO Box 1179 Southold,NY 11971 Town Hall,53095 Main Road ELIZABETH A.NEVILLE MMC TOWN CLERK «° 4 P.O.Box 1179 40 Southold,New York 11971 ~y. , REGISTRAR OF VITAL STATISTICS "'® `'" 4 = Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �� ,� Telephone(631)76 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov y.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D E (rte E B W FISHERS ISLAND SEWER DISTRI . ' APR 1 8 2017 User Number: 002 nACCOUrd17�tG&FfNANUC DEPT. 1"Installment Due January 2 Units x$225.00 per Unit= Paid 2"d Installment Due June 1 4 Units x$225.00 per Unit= $900.00 Please make check payable to and remit to: Elizabeth A. Neville Southold Town Clerk PO Box 1179 Southold,NY 11971 5 % penalty on rents not paid by Due Date Fishers Island Sewer District Renewal User# 002 Fishers Island Ferry District Town of Southold PO Box 1179 Southold,NY 11971 I I I I I I I I I I I -' J-----------' FISHERS ISLAAD FERRY DISTRICT VENDOR 014606I-TWOMEY,LATHAM,SHEA,KELLEY, 05/09/2017 CHECK 4057 I , FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 85705-60M-0317 LEGAL SVCS-3/1-4/5/17 1, 677.46 TOTAL 1, 67.7.46, r-• _ I I a haI 4 r-• ',:,--F MR ISE ND FERR•k,-DISTRICT, ,'i' -,=•`t• AUDIT,05/,09% 7`; •E,, ;;qth'< °53095-MAIN ROAD,•PO'BOXr1.179 ",i_ :x ® ,HOLD,-NY,11'97.1-0959',jJ "F-,, •+ '4,Y67' mx",, _ CHECICt.`NO-rs «.,i', , .x4 r it b - - - - - - N' - - - _ --- SH""bjFOLWICOi`NA0"IONAL.BA K' - -_ _ "CUTCNOGUE;'NYi91'1935'. >,'I _ —_ -DA _- __. 'h I.'It, 9 a;l el nll ilu, _-__= 71=- _ Y- vP,11` •J',- ,1, II y1.11P1i d E` .I'J4 'it`pl'g:' it4• ° 'i k!5,46/2,14 _j' 1 ' ,'} •.",a.a ,} ,.t ,°y`,`{`' 'r ;. r, ONE--,';THOUSAND 'SIX HUNDRED ;SEVENTY;. 'SEVEN',AND;4 6'%10'0 DOLLARS ' r„ ' -- =--_' -_ "-___ -1 t, a;" 'I,. „1',a, _ _ ___ _=-.ate ._ ____--` ,'i ' •t°, ''I„'I,,. - ' _ = r--- -_=' ^__ - _ - -_ -- --- _ __= 'r' I,. '-,I' ` ;.,v,, f, ,u„ __ -_ -=.a-_- _-_ -= T-_ •r 's"•s t;F;'t t, °;7 n - -- --tJ`-=_ _ = - -_' "> -_ - _ - ''r'} '0 d;a ip,yl I;'17 ;J -`'--9 =_- - ';;!__ __ >i• •p Id .,u',,,., ;;;:',1, '}- - - _ _- -_ _ "<r' -_: - ___ - ___ -. r-_ ,a,'t ,II 'VC ' !1 -__ ___ _.r ”- 4 :ie ,1 Id. '. • - _-_ 'c ._ _ __ __ J .R.' ” J'tln iiz'q,; I,• oq, a• 'fl,l,. __- __- - _--- -°- •r,.' ,;'xl,' ci rl°1,, It',II d- _ 3 _ -- - _ , AY'; „I'I2YI LATHAM' SH F' A':KELLEY' [d' ITWOM _ flat' " (' = - --- '-- ",'iiid. I. •'; - --- ---i' ,I1„ ,ail'"i "'i't , I, T I'THfi,`uI„ i ,,It,,'„ ,' 4r v;'!'',"',I`F'' f"`• 1Pr'L, d.," ;rr p ( YY nDUB2'N & ..QUARTARARq;`=LLP••_.- _: a., ,J' ,iy'I''' ,t ,a _-- _ _ -'_ --_ ___ „Id- ,, "+I ` ,'a 'IVJL'R OFt .,BOX'?:939;8' RIVERH'EAD`NY,'11901=93y98s a=: _- _ ,1 •: xp41r. 1n,"d',, "t"'''„Pr's, a. - _ -- -_ -- _` I",, L,p ."I'd'.e 'I'h ';"!u,''I r'1'• ,-_ - - - "-__- _- --_. '• 'S'' •'It'f I'7,i` ','ar ji"r. --- -- -- -- - ---- --- }` ii'0`0 4=0 5 7 ii' i'.;0 21,L 4 0`S' 6 4'i: 6 8- '0'0'i 5 0 Vendor No. Check No. -fir Town of Southold, New York - Payment Voucher 14600 j Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.Q. Box 9398 Vendor Name Riverhead, NY 11901-9398 Audit Date Twomey,Latham,Shea, Kelly, Dubin &Quartararo, LLP MAy Q 9 2097 Vendor Telephone Number 1631-727-2180 Town Clerk Vendor Contact P Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 85706-OOM 4/1912017 1,677.46 � 1,677.46 319-4/6/17 legal services SM1420.4.600.000 6317 - f 1,677.46 f 1,677.46 Payee Certifaeation Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due,and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature=�� Title Signature Company Name Fishers Island Ferry District Date 4/2812017 Titley/- Date Twomey, Latham, Shea, Kelley, Dubin & Quartararo LLP Attorneys at Law Post Office Box 9398 Riverhead,New York 11901-9398 631.727.2180 Fishers Island Ferry District April 19, 2017 261 Trumbull Drive 85705-OOM Post Office Box 607 Fishers Island, NY 06390-0607 PAYMENT DUE UPON RECEIPT Please call us If you would like to transfer this balance to your Visa or Mastercard FOR PROFESSIONAL SERVICES Re: Town of Southold Management Agreement Hours 03/01/2017 MDF Attend meeting with Geb, Supervisor Russell, John Cushman and Town Attorney; conference with Geb regarding procedures . 2 . 00 03/10/2017 MDF Review and analyze questions from Geb Cook regarding liability and procurement; advice to Geb regarding same . 0 . 60 03/13/2017 MDF Review correspondence from RJ Burns and �S 2 proposed RFP; communications with RJ J regarding same. 0.40 03/31/2017 MDF Review and analyze Blackbird Agreement; draft comments and correspondence to Geb regarding same. 0 . 70 04/04/2017 MDF Communications with Geb regarding contract resolutions . 0 .40 04/05/2017 MDF Review correspondence from Geb regarding Airport Hanger. 0 .20 4 .30 1, 677 . 00 I� (Continued) Fishers Island Ferry District April 19, 2017 85705-OOM Re: Town of Southold Management Agreement RECAPITULATION Hours Hourly Rate Total Martin Finnegan 4 .30 $390 . 00 $1, 677 . 00 Postage 0 .46 Total Disbursements 0 .46 Total Current Work 1, 677 .46 Previous Balance $469 . 82 04/17/2017 Payment -469 . 82 Balance Due $1, 677 .46 I I I I I i I I I I I -- I i FISHERS ISLAND FERRYDISTRICT VENDOR 021304 ULINE 05/09/2017 CHECK 4058 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 86074436 (16)BLOWN WRAP—FREIGHT 333.42 • SM .5.710.2.000.000 86218992 (8)WHEEL CHOCKS—RP,MUNN 194.66 TOTAL 528.08 1 ' I I'rxl ) r—fie <..ri .«....- ... >.., >, .. - :•` .. ,. ,•x x" I ' I _ i,_ _- `U II, __ _ - _---_ _ ` a e'r - '°T' .n f'.•' aFISH`ERS:7SL•A,1W, FERRY:D]STRICT: ::AUDz_T`b5'/,09/1 . -- ";r_ ;t •:i.<;.-.t; -.r.' is>i' N 9' is - ': 53095rMAtN'ROAD,'P0,BOX 11`79 . `t"' ,• u`° "s. '"1 `%'',r"''..`; ` ".;' .,'S,'.t*`,, 4S0U1'H0LD;NY"1',,797;1-0959' r- ,. p THEiSUI ,FOLK'C0.NA'JO' CU CHOGUE,;NYIl-7'935"t, "4d ,P 'L "sl'pP I - :Y; "__- _ =\•__ #__ - 4 0 1 Ilp :7•Ir,a,,i, >,.p"S.=__ -_ __ _ _ _ _, . , ' 01 7 50-5461214' h05!09 $Pfi52B,i.08ViI'F n'r{. Imo_ a, « FIVE iHUNDRED%`+TWEN,TYE>.IGHT'AND;" / 08 '1'00<•` DOLLARS', I,I,I ,', .,. - _ __ _ - _____ i"`, J'', „ 1,1 •O Sid` :Q'„9 =_ -___ _ .l'.'_ _ =_:_[tirl. -' -' - - .'^1 •I,'"L,4 'I' 'Jr,'L.f __ ___ _- _ --__ !;'' { 'U",I,rip 1. .I 1y-- _t.t:-\."-3 _ _ -_ _, --- __ ___ ;_-z.i.' ' ' IJ r, 'v.° _.f=__ __ ,-__ - _ --_ __ ,"t'" SPI P• Il 1'P"_ _ _ '-".t _Y•- _ _ - - _ - ` - =- -tl+ ''t%I' - 'iI N,P., _iy; f,lM1i - - _ _ - _- k' •'.r'. ,,,,i ;,I, a'd}'"1 ii•_- __ -_- - ta,'i i',I , i' .a, ,1• 1`', i •.r '+t'ia. > - /`+. ,ia <t J _. r ,'J, \'`'•`, i< ' c `/ly'1`j zl `,6x+I, iY' Il• 'NI Iii,1'ti . P N' 6UI;I'' E, I rys'; G, '.5'dl'''i' I; r": 11 ,i, ;i.,14 I Ilt' ";X: `a•'' a -1• - - _ - _ - rE. ' U''1`IJ i4rrll- b''fe-- - = f- -.4;i5, ell,;r il{e, i 1 rfl'','lli,filll is jl 11 'TO+TF7 'ORDcREf'rP,;ATTN':'a P;CCOUNTS==RECEZVP BLE= 1',l'6' ,:,t"': 1 I' t• ;al";UI M1+{` `r rn „ '0PO<'IBOX".88.741': .. { CHi`t'a60`6trl,f,e i`,i Ft < 't •I.< " 'lir^fit 'S ,1',5'. ✓S,1' ,t'," "<1.6'I,J'lt:a . ,. , ICAGO"„Ili , 8'0`—.17:41`” _ _ __ _ `'C. h ill l' 'V• Ij,l 'Y•rf•# _ _ ___ _ _ 'Ir 1'/ ,}1' N lr 1',1' - - - -- i - _ _ _-_ = II .it + 1,4M1t174f illr.j ill+11'i' 'sk' _ ___ _ - _ _- - _ 1'2' ,III i,l 'Itlli ,p11,1 rl ual• _ - _ _- _°t.. .. ''' F 'i`.,i• ,. __ "Ip r „ :Isfi - _ --- -_ -_< __ ,. I i4 1 I' r .0 'r Jo —_ , ,_,_`• -._. "_ - •' Giin`0 0 4 0,:5rt8i)i;.'.I 5 0 '2 Vendor No. Cheek'No.` 'down of Southold, New York e Payment Voucher 21304 05 goo'. Vendor Address Entered by- Attn:Accounts Receivable PO Box 88741 Audit Date ULINE Chicago, II_60680-1741 ;'MAY' O 9 ' 2017 Vendor Telephone Number 800-295-5510 Town Clerk Vendor Contact Invoice Invoice InvoiceLedger Fund and Account Nun Net Purchase Order Number Datc Total I Dis arum amount Claimed Number Descrrpt�on of Goods or Servita s General her 86218992 4/19=17 $194.66 $194.66 Chock(8)RP,MU SM6710.2.000.000 IJLi' 8607"3+8 4/1312017. $333.42 $333.42 Wrap for freight(16) 'S +PA6709.Z000;200 fi $528.08 $628.0 s' Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of-the above named claimant) I hereby certify that the materials above specified have been received by me does-hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services property .been paid,except as therein stated,that the balance thereinstated is actually performed and that the quantities thereof have been verified with the exceptions dare and owing,and that taxes from which the Town is exempt are excludP..d A iscrepancies noted,and payment is approved Signature Ci�^� itle Signature , 0"-/ Company Name Fishers Island Ferry District Date 4/27/2017 Title Gate INVOICE NO. 1-900-295-5510 ** uline.com 86218992 PO Box 88741 -Chicago IL 60680-1741 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID#•36-3684738 THANK YOU FOR YOUR ORDER ULINE CUSTOMER SINCE 2005 YOUR ORDER# 91621451 SOLD TO: SHIP TO: MDG2014 00000545 1 AB 040 3 2461167 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT K PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 U 100-9-2013 PURCHASE ORDER NO. SHIP VIA ORDER,DATE mommilzuMulme — -- a 2461167 JAMES UPS GROUND 4/19/17 .4/19/17 NET 30 DAYS 4/19/17 .-. .-. . • 6 EA H-517 BLACK RUBBER WHEEL CHOCK 2/CT 1W748.00 4.00 2 EA H-4785 ORANGE RUBBER WHEEL CHOCK 2/CT 2 ORDER PLACED BY: JAMES MOORE SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE INTERNET /P 162.00 .00 32.66 194.66 ORDER SUMMARY email print Thank you for shopping with Ullne.The following order was successfully submitted to Ullne. You will receive an e-mail confirmation after this order has been processed. Order Number: 91621451 Order Date:4/19/2017 Customer: 2461167 Will Ship:4/19/2017 Purchase Order: Ship Via: UPS GROUND Billing Information Shipping Information FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND, NY 06390-0607 NEW LONDON, CT 06320 Payment Method Net 30 Model# Des riptionUnit Cost Qty Ext.Cost H-4785 Wheel Chocks-Orange Rubber,93/4 x 8 x 6' $24.00/EA 2 $48,00 H-517 Wheel Chocks-Rubber,9 3/4 x 8 x 6' $19.00/EA 6 $114.00 Subtotal= $162.00 Tax= $0.00 Shipping/Handling= $32.66 Totab; T1 94.66 close window INVOICE NO. 1-800-295-5510 ** MIMI 86074436 uline.com PO Box 88741 -Chicago IL 60680-1741 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID# 36-3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2005 YOUR ORDER# 91474547 SOLD TO: SHIP TO: MDG2014 00000328 1 AB 040 3 2461167 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT poc PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320 UIOO-9-2013 s • PURCHASE ORDE�R NO. •-. � . . . • . 2461167 JAMES J.P. EXPRES 4/13/17 4/13/17 NET 30 DAYS 4/13/17 16 RL S-642 18X1500 80GA ULINE BLOWN WRAP 17.00 272.00 ORDER PLACED BY: JAMES MOORE SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE INTERNET /P 272.00 .00 61.42 333.42 0123 1-800-295-5510 ullne.com 700 Ullne Way,Allentown, PA 18106 SHIPPING SUPPLY SPECIALISTS PACKAGE ID: 170416431 SOLD TO: SHIP TO: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390 NEW LONDON CT 06320 Order #: 91474547 CUSTOMER NO. PURCHASE ORDER NO. 2461167 JAMES NHV-JP 4/13/17 4/13/17 MODELDESCRIPTION ORDERED ••. S-642 18X1500 80GA ULINE BLOWN WRAP 16 RL 16 ************************* � Y RETURNS:WE HOPE YOU ARE HAPPY WITH THIS ORDER. HOWEVER, IF YOU NEED TO RETURN MERCHANDISE, PLEASE REFER TO THE BACK OF THIS FORM. THERE IS NO NEED TO CALL ULINE. j 3 l`F ORDER PLACED BY: JAMES MOORE 860-442-0165 P7 4/13/17 9 :52 4/13/17 10 : 00 INTERNET PACENO MERCHANDISE RETURN PROCEDURE ' 1. It is not necessary to call us for an authorization. Complete steps 2-5 below and include rm and your packing list with the returned merchandise within 30 days. Return to: Wine, 700 Uline Way, Allentown, PA 18106 2. Action desired(check box): ® Defective merchandise - Item(s) listed below- Please replace. LJ Incorrect merchandise received - List item(s) received vs. item(s) ordered below. ® Shortage - List item(s) not received below. ® Damaged merchandise -See step 4 below. ® Customer ordered wrong amount or item. 3. Model Number: Quantity: Description: Reason for return: Replacement item requested: 4. Damaged Merchandise: UPS/Parcel Post: Please note extent of damage with action you wish taken and mail to Customer Service Department at Uline. Hold material for disposition instructions. Truck or Air Freight: Note any damage on the carrier's delivery receipt. Immediately notify carrier of any concealed damage and have them provide an inspection report on the damaged shipment within 10 days. Forward inspection report and packing list to our Customer Service Department. We will file a claim and immediately replace the item for you. 5. Your Name/Title: EDMONTON Phone: SEATTLE ' MINNEAPOLIS TORONTO CHICAGO -- NYC/PHILA LOS ANGELES MEXICALI ATLANTA GUARANTEE Try any product in our catalog for a full 30 days.If you are not MJNTERREY DALLAS completely satisfied,return it to us for a full refund or credit. b 1612 I I I --- - -- -' - - -- ----------' ---------'- I---='----- '-----------' ----- --- -----------' '-----------' 1--- FISHERS ISLAND FERRY DISTRICT I , VENDOR 021506 UNITED PARCEL SERVICE 05/09/2017 CHECK 4059 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT! ,k SM .5710.4.000.700 26639137 WE 3/31/17 28.80 -_ SM .'5710.4.000.700 26639147 WE 4/07/17 57.29 SM .,5710.4.000.700 26639157 WE 4/14/17 100.-91 SM .5710.4.000.700 — 26639167 WE 4/21/17 80.08 r •_ TOTAL 267.08 I :7a:., iS°'•x 4'a':'•ti`•: is ..'fF1:e : ri'♦ -1 v r' w` iw:.ln''w .."K:'-'Z' 'f '1 ..Fi.•:rX STr'...Roti+S' k S ..F%` .z •-`.I v <>,w4 ..zr ,. ' ,. :r=, "::: '^fid>' r':'•s `•Ki x ,• "k'D,y",'H 1 1 I I 1 '\ I I , ?I I ' 1 r• i I ,J ' II ldlu,::'-•'°'n;a,%as0+SLA7RICT' rRISHER = bFERIYD7SAUDIT,"SOUTHOGD, ,53095,MAIN ROAD;;POX Y"1j197A0959 TH SUF L' "C'0A IOf AL'! ANK ' latiYi F,.O K, N,,T B, _ , _ „ _ n rh ' _CU,CHOGUE;'N 1' ;_DACE:= '; :, .' ', '1 ^AMOUNT,;;i'r'''''' ,4''M1j,,.; - ''t'1•alyd'"" J 'H V, d, .s,A!i =s. _-=--c`:f'-- ----- -- ----- ,lu'F', "1'f yn. S. ft•i l;h, x _--_- ---- _ --- ---, Ft, ;,, .,,, It.'N; •a .,m, t•, o: __ _ _ ,9,{ St,, $ x _ _'! _ :go5 09y'2 017,,,xf '`;,.3 ''t .$2,67",•08; '•' -•;- `<`° d• `r',' 't's. 'e; ,is.ry t:,l ':k ,50'-548%214.` :; r; t7. t _ §:! ic-{i'f,x•1 ',.fr. '>° 'f'!;° n.1,,r .^c.n`rtr. .;.. HUNDRED B-IXTY,=-,SEVEN=;`AND' 0 8 <l 0 0th D.OLI;ARS, ,; ' " "R - - - - - ' I• ,q / -_ _ ,./F°F,r,v,# "d- 'sh xp,,I,dds '' 'p;'1 rt'jt _- -_- _"=--_ -- __ '`' ,"I\' 115 :'r,'I•' `.\;'P 41; -- ---<•-_. __` r - ___ -.'i a,l, ` ,I' './:-="r=- _ - _ ____-=-i'" - __ _ - - __ ___ __ 'f.),!I df, llr''d. ;d, •i l.u, ',11 ,'fi` - __ :;_ -;- _ II P,, 'A ',' II,•I tlh= '1 :4't•' _ _- -- `s=- __ _ _ ' e< .4 e!lI,i I'•IP' -.-k'•;S aE,x-,P:la ' - .•p , , ,r-. L '^''\.1,.< ;: - - - - .,t-", v;e o'u'r. . '`• r: as^ :s = •§e`;!i= 'f' ':3' 'e;:,.='• E,a6 r .!' -sf; :r r.';s, `x:,j:'' ,y d`sI :r,J :t@- f,+.', A,. -'t:ti "i x/t, aS'1 ak 4',c-= l t t-" '- •\nom. ` :I 'i _ ',Y,' ;S, f,t`tl,•g.i;P(.: - - - ,f r,.55 Il n A„I'. , " '`x';s.,:=.'i ;I UNITED', 6'PARCEI;: SE$V3CE '.^ , . ,A. ••a'u s' '1°„'14;4' ''G- _ __ --- , ,q dl,'u `i',!.1, ,4I+,,, 1 I rl ,\t '{,I'-. i1.4*',. =1', - -, -- _:{__ • (' _ -” _- __ ei -✓Z t° +,i` ri -Y'. _ m r. ''e', ___ _ - - -- 'ha 'O,,"f • +7'q'if^%'''• •iir'' 'fir-' = 'f -_Y ' - -_ - `Iw 'S.:sn,L 1, ^-1 1^_ 'T I 'L G':il; '1 'F' -'Y• `. ',_=e =-" -"4l-= 'f• °,1A„ ai 'i V';SNaa'U ,V li. `3 --- _ - - ft -__ 'S1s1 ":I :II uJ{n'v ~li 4t•N,11 `-j, MOD? _ :PQ;I 'O%'"T247=0.2_ 4:°_ _ _ - -_-_-__-_ .1,'" •dh'Jt'Id;,,r tiA!'Ytl,, ,,,I,;,,,,,IJ a:`r, -.-_;_ _ - -_-_ _ ,• a4 ,," ,AI I, ,t.1J !w iih " PIV - - ';er. „ IN'4',', ,1, I",11'x' 1•`i 5 •id ",L'° v',d; _ - ' --:.' - IAi',q, '{js, .,., ,PHILADE`lePI-IIA`i PP;`F•19170-;0 OO la•;• '°+_ ,a-> :t :1' ., f tr":i: ` ' < f ;yr,, .,'? .,t s' . t' a #, ' 'S.r c,:, a "Id;;,s,. .. ,+{.,, ,s? ;>4?. yt• '1s;i, l4, " " S4 _-_- - '.'h:.il Nl"yy.i iv {'li :'I li' ,`INI'.I: : . °fl,,' =v. ",1 "- I, iY' - - a-_',S c•i...-- -' l e. I,1t, """N' °4 .• n 0040 5"9no ,,' ::`0'.2 1'41 '0'54'64' J"GW-00150`'2, ."I'li Vendor Pio. ClledkNo. To-svu of Southold, New York- Payment Voucher 21 06 LA 0 59 Vendor Address Entered by P.O.Sox 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date United Parcel Service MAY Q 9 2017 Vendor Telephone Number 800-811-1648 Toxon Clerk Vendor Contact Invoke Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services Cenral Ledger Fund and Account Number 26639137 4/112017 $28.801 $28.80 ' WE 3/31117 S11ri5710.4.000.700 E 26639147 4/8/2017 $57.29 + •$57.29 WE 417117 ,SM5710.4.000.700 j ` 26639157 4/15/2017 $100.91 f -$100.91 WE 4/14/17 SM6710.4.000.700 } 26639167 4122/2017 $80.081 $80.08 WE 4/21117 SM5710.4.000.700 i • E 1 $267.08 i $267.08 Payee Certification Department Certification The undersigned(Claimant)(Acting on.behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does heieby 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 Tovm is exempt are excluded or screpancies noted,and payment is approved Signature l i \ ��Title Signature:n Company Name Fishers Island Ferry District Date 412712017 Title d Date 1 F Delivery Service Invoice Invoice Date April 1, 2017 1 Shipped from: Invoice Number 0000026639137 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 8N06 1 STATE ST Page 1 of 3 NEW LONDON,CT 06320 9 Sign up for electronic billing today! 0736A00000266394 77366010024163 Visit ups.com/billing AB 01 030415 16833 H 83 C For questions about your invoice,call: (800)811-1648 �I�n�ll��ll�l��ll�l�lll���l��lllll�l�l�lll�ll111lllu��ll�l��l�l Monday-Friday FISHERS ISLAND FERRY s:oo am.-9:00 p.m.E.T. ACCOUNTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 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 Amount Outstanding(prior invoices) $343.00 3 Adjustments&Other Charges $3.00 v/ Total Amount Outstanding $371.80 Service Charges $25.80 Please include the Return Portion of each outstanding invoice with Amount due this period $28.80 your payment.See Account Status for details. Questions about your charges? UPS payment terms require payment of this invoice by April 23, To get a better understanding of the charges on your invoice, 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.comlinvoiceguide. 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 J upscom.For more information,please visit ups.com. U Delivery Service In voice Invoice Date April 1, 2017 Invoice Number 0000026639137 Shipper Number 026639 n 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 0000026639097 03/04/2017 $41.02 0000026639107 03/11/2017 $140.29 0000026639117 03/18/2017 $41.06 0000026639127 03/25/2017 $120.63 Total $343.00 qd(i1and1j.ng balances reflect any payments received as of (jl)3/31/201P Please ignore this message if a recent payment has bven-nrAe for any outstanding invoices. Delivery Service Invoice Invoice Date April 1, 2017 ' Invoice Number 0000026639137 Shipper Number 026639 TM _ 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 31-MAR-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 030415 2/2 i f Delivery Service Invoice Invoice Date April 8, 2017 Shipped from: Invoice Number 0000026639147 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID P688 1 STATE ST Pagel of 3 NEW LONDON,CT 06320 Sign up for electronic billing today! 0736A00000266394 77366020022638 Visit ups.com/billing AB 01 029583 23347 H 81 C For questions about your invoice,call: (800)811-1648 �I��I�ll�l�lIll!I�lllulnlll���l��lll�nnllll�ll �lll�llllllrl Monday-Friday 8:00 am.-9:00 p.m.E.T. FISHERS ISLAND FERRY ACCOUNTS PAYABLE or write:' PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 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 $57.29 Page Charge Amount Outstanding(prior invoices) $190.49 Outbound Total Amount Outstanding $247.78 3 UPS WorldShip $28.49 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $3.001 / your payment See Account Status for details. Service Charges $25.80 Questions about your charges? Amount due this period $-57.29 -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 April 30, ups.com/invoiceguide. 2017. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) — Note.This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit upscom. .i Delivery Service Invoice Invoice Date April 8, 2017 1 Invoice Number 0000026639147 , Shipper Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639097 03/04/2017 $41.02 0000026639107 03/11/2017 $140.29 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment Invoice Number Invoice Date Balance Due 0000026639117 03/18/2017 $41.06 0000026639127 03/25/2017 $120.63 0000026639137 04/01/2017 $28.80 To $190.49 utstan ' balances reflect any payments received as of - 04/07/2017. lease ignore this message if a recent payment has been a e for any outstanding invoices.. t 1 Delivery Service Invoice Invoice Date April 8, 2017 ' Invoice Number 0000026639147 Shipper Number 026639 TM Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 04/04 6853513096 1 1Z0266390347015944 Ground Residential 11954 2 6 8.78 Customer Weight 1.2 Residential Surcharge 3.40 Delivery Area Surcharge-Extended4.20 Fuel Surcharge /f 0.90 Customer Entered Dimensions= 12 x 10 x 7 in U Total 17.28 1st ref:FINY-DEB DOUCETTE 2nd ref:FINY-DEB DOUCETTE Sender :ACCOUNTS PAYABLE Receiver: BJ WILSON 346 FLAMINGO AVE. MONTAUK NY 11954 Message Codes:r Total for Pickup Number: 6853513096 1 Package(s) 17.28 04/07 6853513100 1 1Z0266390347884158 Ground Commercial 72712 6 3 10.63 Customer Weight 1.4 / Fuel Surcharge j/ 0.58 Customer Entered Dimensions= 11 x 7 x 6 in V Total 11.21 1st ref:FINY-FI TERMINAL 2nd ref:FINY-FI TERMINAL Sender :ACCOUNTS PAYABLE Receiver:ROGERS SERVICE CENTE SYMBOL TECHNOLOGIES COMPANY 1201 S.E.28TH STREET — BENTONVILLE AR 72712 Message Codes:r Total for Pickup Number: 6853513100 1 Package(s) 11.21 Total UPS WorldShip 2 Package(s) 28.49 Total Outbound 2 Package(s) 28.49 Adjustments &Other Charges -_ Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 07-APR-2017 _ Total Miscellaneous 3.00 _ Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 029583 2/2 Delivery Service Invoice Invoice Date April 15, 2017 ' Shipped from: Invoice Number 0000026639157 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 605T 1 STATE ST Page 1 of 3 NEW LONDON,CT 06320 9 ® Sign up for electronic billing today! 0736A00000266394 77366030021812 Visit ups.com/billing AB 01 030981 28391 H 86 A For questions about your invoice,call: ul loin I I I �I �I o �I (800)8114648 I� III OII III ���II�I I� III��I II �l III Monday-Friday FISHERS ISLAND FERRY 8:00 a.m.-9:00 p.m.E.T. ACCOUNTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 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 $100.91 page Charge Amount Outstanding(prior invoices) $247.78 Outbound Total Amount Outstanding $348.65 3 UPS WorldShip $72 11 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 $25.801/ Questions about your charges? Amount due this period 100.91 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 May 7, WT' ups.com/invoiceguide. 2017. _ Payments received late are subject to a late payment fee of 6'/0 of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) — UNote.This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. Delivery Service In voice Invoice Date April 15, 2017 1 Invoice Number 0000026639157 Shipper Number 026639 TM Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment. Invoice(dumber Invoice Date Balance Due 0000026639117 03/18'/2017 $41.06 0000026639127 03/25/2017 $120.63 0000026639137 04/01/2017 $28.80 0000026639147 04/08/2017 $57.29 Total $247.78 Outs balances reflect any payments received as of 04/14/207 lease ignore this message if a recent payment has b�e�epnn made for any outstanding invoices. V"1 7 Delivery Service In voice Invoice Date April 15, 2017 1 Invoice Number 0000026639157 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 04/14 6853513111 1 1Z0266390347512166 Ground Residential 33629 6 23 21.60 Customer Weight 16:2 Residential Surcharge 3.40 Fuel Surcharge 1.31 Customer Entered Dimensions= 20 x 13 x 12 in Total 26.31 list ref:FINY-THE BEACH PLUM 2nd ref:FINY-THE BEACH PLUM Sender :ACCOUNTS PAYABLE Receiver: JESSICA THIEL 1614 CULBREATH ISLE DRIVE TAMPA FL 33629 Message Codes:r 2 1Z0266390346823975 Ground Residential 33629 6 48 40.12 Customer Weight 42.2 Residential Surcharge 3.40 Fuel Surcharge U 2.28 Customer Entered Dimensions= 23 x 19 x 15 in Total 45.80 1st ref:FINY-THE BEACH PLUM 2nd ref:FINY-THE BEACH PLUM Sender :ACCOUNTS PAYABLE Receiver: JESSICA THIEL 1614 CULBREATH ISLE DRIVE TAMPA FL 33629 — Message Codes:r ®_ Total for Pickup Number: 6853513111 2 Package(s) 72.11 _ Total UPS WorldShip 2 Package(s) 72.11 Total Outbound 2 Package(s) 72.11 Adjustments & Other Charges Miscellaneous Billed Explanation f Charge C� WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 14-APR-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 030981 2/2 Delivery Service Invoice Invoice Date April 22, 2017 1 Shipped from: Invoice Number 0000026639167 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 156U 1 STATE ST Page e 1 of 3 NEW LONDON,CT 06320 Sign up for electronic billing todayl 0736A00000266394 77366040022715 Visit ups.com/billing AB 01 028981 34341 H 80 A For questions about your invoice,call: (800)811-1648 Il'Illlllll"I'II�IL��IIIII111"I'°""I'lllllll'I1II111'Il'Illl Monday-Friday, FISHERS ISLAND FERRY s:oo aEm.-s:oo p.m. T. ACCOUNTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND,NY 06390-0607 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 $80.08 page Charge Amount Outstanding(prior invoices) $187.00 Outbound Total Amount Outstanding $267.08 3 UPS WorldShip $51.28 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 $80.08 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 May 14, — ups.com/invoiceguide. 2017. Payments received late are subject to a late payment fee of 61%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 upscom.For more information,please visit ups.com. a Delivery Service Invoice Invoice Date April 22, 2017 ' Invoice Number 0000026639167 Shipper Number 026639 n - Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639117 03/18/2017 $41.06 0000026639127 03/25/2017 $120.63 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment Invoice Number Invoice Date Balance Due 0000026639137 04/01/2017 $28.80 0000026639147 04/08/2017 $57-29 0000026639157 04/15/2017 $100.91 Total $187.00 ZO n balances reflect any payments received as of /2 /1 2 ease ignore this message if a recent payment has been made for any outstanding invoices. F Delivery Service Invoice Invoice Date April 22, 2017 UIPTU Invoice Number 0000026639167 Shipper Number 026639 Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 04/20 6853513122 1 1Z0266390346863584 Ground Commercial 08691 2 90 38.32 Additional Handling-Length 10.85 Fuel Surcharge 2.11 Customer Entered Dimensions=76 x 4 x 4 in Total 51.28 1st ref:FINY-NL TERMINAL 2nd ref:FINY-NL TERMINAL Sender :ACCOUNTS PAYABLE Receiver: MCMASTER CARR 200 NEW CANYON WAY TRENTON NJ 08691 Message Codes:KD Total for Pickup Number: 6853513122 1 Package(s) 5128 Total UPS WorldShip 1 Package(s) 51.28 Total Outbound 1 Package(s) 51.28 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 ,QUN AT$3.00 EACH "FOR 21-APR-2017 — _ Total Miscellaneous 3.00 —_ Total Adjustments&Other Charges 3.00 Invoice Messaging — Code Message KD Charges based on Customer-provided information — 028981 212 r` I FISHERS ISLAND FERRYDISTRICT VENDOR 024539 W.B. MASON CO.INC 05/09/2017 CHECK 4060 FUND (& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5710.4.000.600 I43037982 PPR TWLS,TP PPR,CLEANSER / 150.45 ; _ SM .5710.4.000.600 243423503 BLEACH,PINE—SL,GLSS CLNR 73.25 SM .5711.4.000.000 I43423503 (2)INK CARTRIDGES 14.96 SM .5709.2.000.200 243423503 (4)BOXES OF K—CUPS 49.96 SM .5710.4.000.600 243425899 (4)BOXES 45GAL LINERS 255.18 r SM .5711.4.000'.000 I4342-5899 (1)STAPLER 15.67' , r TOTAL`. 559.47 s ' I .'f. »v/- .r vr. ,. ....... .......>xk., .>. Nt. . .. ..•n,a... r I <wxf: ...> :••!--'.=< n.-<ve^<..r ! __.. 'sr =a ei:", .e ,<n o,r .., 4r' C 'rn`'kt:> ' "' < •` `' \ 1 r I % I I I 1 \ _ J 1 . . - . . . - _- `t'X'i.--_ - _ --_- ± "'4 ;Id' -_' -_:_'-,P`_:_:_:_.-- :x n 'a',I a'x•;V,r'„'<'r}" -__= -'- ° _-a'__` ,k :` ';i. €: 1. r _F•, rFISHERS;ISIANDrFERI YDrSTRYCT;=; =` `AUDIaTE`bs;°09="ifs ^k'Y; _ `'„'r"•' "`53095 MAIN'ROAD,`P.Q,BOX`1J,79=;<, " . ='_'„° ,.. NYI''1197,1-0959' r•' 'd= '='t,' {s ® n 'r,^ „t•f ,x^ - CHOx;,> r- ^V;• :r `NAL"B NK'7 - - - - -- _ TWE 6U"FOLK CO'. rN "f10 A hCUTCWOGUE'NYf4'1935'.It`=";'tn' 1'' I,YI ?I4 IL iY, .prlp _ ::3:,i = :_ ,11, p.,•,S C'L y -, 0.5'109 •201>7 - ''t`;>'i., 5594 I ftHUNDRED tj i * y, ,,. L,'Z OA DOLLARS i:: a,.> lf,i 'ail` ; a•S -'y,ft``V , IVE'_ - -i' - -- -- - -_ "r• '',f': ,ef Ixii `r' - - - --r,- _ `lil 'Ih '6, .Nr, ,,I ' 3 I - - - - - 8-°_ - to ,i nl.i 5+x Mrd'•=q a''I - _a= - _ - _, _ __ _ f 4' ;€<' J 'I',n.,d*d -_ _ -_?a=- ---p'°. .,l. , 4q,.s_=e t„ ':\ -p,lx = - -=a o i_ - y - - - a, ,,IJ ,,v„ .i7,d',e II;, J•,,,e,,A e ,,Ip,..I\r=' { -- -_ -. :'>'= ,:a ^Ju1,,13 grant; ,`y ;,'>Y- ,t 4 `.S: 1.£. fi It t '(✓ ` ,a1' `F...:a` Ufa§ {,• 'FI s t§`,a ,if^ l,'V =i&a i,, Vi,. ;,µ >., !'.• 'r,''r,'. ' d '( ,qt,•` 1'`,i' •1'.n}, ',f j = t,- - _ `•,1. f} '1,^s1.G•ii';t,? 'its iPl1n,`,S,',.', INC:- - ',P. °'n ', - __ '__ -_`__ ___ •_[ v ',11i R °1'''I,rl 9,., 'F`}.:- _: ___ --`4 _ tt y4'.0 f°I S'! '1 ' ,1.°Fr'YiiP`4'• ,I,2 } '- T , E;•'dl, ,la0,1 ,__.'ic:: ' - -_-a - _y^,:. .,Y,,,1J1i1`,1du 1pld>'_I tl•,I,11,i"',II't,ra{""'r,„ _-__ - - - :{•,k dl ,yigll r,l yl ,"I'u, L. 9 811` . _-, ,.l.s9; !.• d 'f; ---_ = _ _-_ -= ,., Ii{ ,''-a':n7,,1 V`` OS'T'ON„MA `,02298`—.1'10.1?: ; +rt;, is, ,'gl '.3 ,ri`.,, ;^• _h,°.,'ar 'a•"t r}`y;'.:"' 'ger;' '.v., yj h;>;1;' 'i. - _--- _-,a a- - ,'1_, •i. t70':L' .,` iF(Ir, s - -_ -_- - .i=- - - - 'd 'A', sr I. i.t' 1•,I'i s 's--- - -_- _ _- :i- alia'004OZ0,110'"i:0`2140t '8 '---O'01i50.2, 111; Vendor No. Check No: 'own of Southold, New York - Payment Voucher 24539 Li 0 Enteredby PO Box 981101 Audit Date W.B. Mason Boston, MA 02298-1101 MAY 0 9 2017 Vendor Telephone Number 888-WB-Mason Town Clerk Vendor Contact K.rxvi Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account NumberPINZIVI [ 143037982 3/31/2017 $150.45 $150.45 janitoriaPsup ie§ r� � SM5710.4.000:600 • - , 143423503 4114/2017 $138.17 $73.25 janitorial supplies - ,- rres� SM6710.4.000.600 $14.96 office suppiie -'Y1 SM5711.4.000.000 $49.96 Coffee k-cu s C'+) 1:310-Kifo SM5709.2.000.200 e5 '-}5 a1 L'i nets 143425899 4/14/2017 270.85 $255.18 'at� vialP�cnc s-up IIe� SM6710.4.000.600 ` 5 ,]� c�� $15.67 office5s p lies j � `SM5711.4.000.000 ' { $559.47 $559.47 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no 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 ascrepancies noted,and payment is approved Sjgnature 1 `�-a--�f^n�Title Signature vV Company Name Fishers Island Ferry District Date 4/26/2017 Title Date (Page 1) ?t9WO�U`T �� Q �,qQ y�� PM weper" .` Delivery Address Invoice Number: 143037982 W.B. MASON CO., INC. Fishers Island Ferry District Customer Number: C2024302 59 Centre St-Brockton, MA 02301 ATTIC:JAMES Reference Number: 143037982 Address Service Requested 5 Waterfront Park Invoice Date: 03/31/2017 New London,CT 06320 Due Date: 04/30/2017 888-WB-MASON www.wbmason.com PO Number: NLT/RP Order Date: 03/30/2017 *25J652121*HO***********ALL*FOR*AADC*060 Order Number: SO47066075 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 W B.Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER' ' ` ` DESCRIPTION QTY U/M UNIT PRICE EXT PRICE GOJ181204 ' CLEANER,SKIN,WHTCOCONUT,4-1GAUCT 1 CT 35.99 3599 PGC92970 7 TOWEL,BOUNTYBSCI2PKSAS,WH 2 CT 20.99 41.98 HVN410001 TISSUE,TOILET,96/CT,41X3.5 11232 1. CT 63.49 63.49 SUBTOTAL: 141.46 (J�1 TAX&BOTTLE DEPOSITS TOTAL: 8.99 ORDER TOTAL: 150.45 Total Due: 150.45 t" To ensure proper credit,please detach and return below portion with your payment � ®wir19 4I'l Packing Slip - g U " %Y Mode of Delivery: 00140 O A_�p pURN17URE&PRINTING W.B. Mason FOR OFFICE SUPP� PO Box 111 Warehouse: ............. OLE-CT •�••' • y ••� • • 59 CENTRE ST Delivery Number:...... 34096867DEL _ - BROCKTON, MA 02303 Customer Number:..... C2024302 1-888-WBMASON Phone Number:.......... 8604420165 www.wbmason.com Sales Rep: Russell Sheikowitz .� Special Instructions: Ship To: Fishers Island Ferry District ti 5 Waterfront Park �• New London, CT 06320 ' r Sales Order # SO47066075 Ship Date:: 3/31/2017 P.O. Number:: NLT/RP Attention Name::James Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HVN410001 1 1 0 0 CT TISSUE,TOILET,96/CT,4.1X3 5 (11232) bos-ma GOJ181204 .- �1''n�V 1 ., .Oµ II0 VCT`, 'CLEANER,SKIN,WHT=COCONUT,4-1GAUCT - ^^ UNTD=ALB 1 V �I P&92972'(S) _ 2 2 0 0 CT TOWEL,BOUNTYBSC12PKSAS,WH ✓ UNTD-,WOB !J 1 � Delive Number 34096867DEL VIII VIII I II III I II I I I II I II II IIII I VIII IIIIII II IIII SO a � OIEW List Price List Price ,w a a SST25303-3GE SST 25440-3GE s List Price List Price SST 25530-3GE CKtise�.y'�tiY .rr„v' SST 25510®3GE `While supplies last Quantity restrictions may apply. F®r our full selection visitwo mas noc® in 71 �H V (Page 1) PM v �L! Delivery Address Invoice Number: 143423503 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:JAMES Reference Number: 143423503 59 Centre St-Brockton,MA 02301 Address Service Requested 5 Waterfront Park Invoice Date: 04/14/2017 New London,CT 06320 Due Date: 05/14/2017 888-WB-MASON www.wbmason.com PO Number: NLT&Boats Order Date: 04/13/2017 *2 4414 8 6 8 2*HO***********ALL*FOR*AADC*0 6 0 Order Number: SO47512448 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 Illlllll"IIIII'llllllll'I'lll'I'lllllll'lll'll'llllll'llllllll" W.B.Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account: Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration,is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE CLO97301 T CLEANER,PINE-SOL,LAV,144,3/CT 1 CT 42.99 42.99 e KIKBLEACH6 ? CLEANER,BLEACH,BDWLK LIQ,6/CT 1 CT 17.49 17.49 6 ACM10417 O RULER,STAINLSS ST�EL,1811\1 1 EA 2.48 2.48,0 GMT6520 COFFEE,K-CUP,BREAKFAST BLEND,LIGHT,24/BX _" 1 BX 12.49 12.49' GMT6663 D£7 COFFEE,KCUP,NANTKT BLND,24/BX 1 BX 1249 12.49 GMT4061 G KCUP,DARK MAGIC EXTRA BOLD,24/BX 1 BX 12.49 12.49 ° GMT6602 COFFEE,KCUP,VT CNTRY BLND,24/BX 1 BX 1249 12 49 BRTLC71Y y` O INKCART,LC71;300PG 1 EA 624 6.24 AMRR1214EA '/3 �'� GLASS CLEANER W/AMMONA,GAL,EA 1 EA i 7.49 7 49 e SUBTOTAL: 132.89 TAX&BOTTLE DEPOSITS TOTAL: 5.28 ORDER TOTAL: 138.17 Total Due: 138.17 L(/A- To ensure proper credit,please detach and return below portion with your payment c®ku- 0Packing Slip ®�p1JpNITURE&PRINTING Mode of Delivery: 00140 W B Mason FOR OFFICE SUF"xe PO Box 111 Warehouse:.............. OLE-CT •�• 59 CENTRE ST Delivery Number:...... 34552475DEL ' BROCKTON, MA 02303 Customer Number:. .. C2024302 ' Phone Number:. . . .. 8604420165 y - _ 1-888-WBMASON Sales Rep: Russell Sheikowitz www.wbmason.com _ Special Instructions. Ship To: Fishers Island Ferry District 5 Waterfront Park L New London, CT 06320 L IL Sales Order # SO47512448 Ship Date::4/14/2017 P.O. Number:: NLT&Boats Attention Name:: JAMES Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility ACM10417 1 1 0 0 EA RULER,STAINLSS STEEL,181N bos-ma BRTLC7-1M ' . 1 - 1 - 0. 0 --EA INKCART,LC71,-300PG` Y u UNTD:-WOB BRTLC71Y 1 1 0 0 EA INKCARTJL'C71,-300PG UNTD-WO BWK37.14AEA(S) " 1 . -..1' 0, , 0 EA.� .GLASS CLEANER IN/AMMONA,GAL,EA ,° °°UNTD,-11110B' CL097301 1 1 0 0 CT CLEAN ER,PINE-SOL,LAV,144, 3/CT UNTD'-WOB GMT4061 .1,. ; 1 0, 0 , BX, KCUP;DARK MAGIC EXTRA BOLD,24/BX, UNTD,-.V110B GMT6520 1 ° 1 0 0 BX COFFEE,K-CUP,BREAKFAST BLEN D,LIGHT,24/BX UNTD-WOB GMT6602° '. ,^ '. W, 1' 1'; 7:61" __.0=. 0 _ BX COFFEE',KCUP,VT:CNI'RY BLND,24/BX - UNTD 'WOB' ,, k GMT6663 1 1 0 0 BX COFFEE,KCUP,NANTKT BLND,24/BX UNTD-WOB 1<IKBLEAC46 -:µ= ` 1 ' 1., 0- 01---"- CT -CLEANER,BLEACH,BDIIULK LIQ',-,6-/CT'- UNTD; �l�Pf�srs Nl � Delive Number 34552475DEL I II II VII I I I I III I I III I VII I I I III (Page 1) WHA ®� (C1-1)(1-1) PM we Delivery Address Invoice Number: 143425899 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:JAMES Reference Number: 143425899 59 Centre St-Brockton, MA 02301 Address Service Requested 5 Waterfront Park Invoice Date: 04/14/2017 New London,CT 06320 Due Date: 05/14/2017 888-WB-MASON www.wbmason.com PO Number: NLT&Kasia Order Date: 04/13/2017 Order Number: SO47519393 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 W B.Mason Federal ID#.04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE HERX8046QK LINER,REPRO,45GL,2ML,BK 4 CT 59.75 239.00 SWI87811 0 STAPLER,ERGO-GRP,SR 1 EA 15.67 15.67 SUBTOTAL: 254.67 TAX&BOTTLE DEPOSITS TOTAL: 16.18 ORDER TOTAL: 270.85 Total Due: 270.1855 To ensure proper credit please detach and return below portion with your payment ,J Packing Slip W.B. Mason Mode of Delivery: 00140 .*' `,o�OP`�URN�TURE&PRINTING FOR OFFICE SSP PO Box 111 Warehouse. ... .. ...... OLE-CT •�� ti 59 CENTRE ST Delivery Number....... 34552481 DEL • BROCKTON, MA 02303 Customer Number:..... C2024302 1-888-WBMASON Phone Number•.. ;..... 8604420165 e-s ' www.wbmason.com Sales Rep: Russell Sheikowitz Special Instructions, Ship To: Fishers Island Ferry District 5 Waterfront Park Y i New London, CT 06320 r • r _ Sales Order # SO47519393 Ship Date::4/14/2017 P.O. Number:: NLT&Kasia Attention Name.: JAMES Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility SWI87811 1 1 0 0 EA STAPLER,ERGO-GRP,SR BOS-MA HERX8046QK 4 4 '= 0. 0,; CT LINER,REPR0,45GL,2ML,BK*_ UNl D-VIIOB Del iV[� Number 34552481DEL VIII III III III I I il 1 II l FISHERS ISLAND FERRY DISTRICT VENDOR 025038 Z & S FUEL & SERVICE, INC. 05/09/2017 CHECK 4061 I FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT / f SM .5709.2.000.200 \ 21817 22.261 GAL GAS-3/13 77.00 _ SM .5709.2.000.200 21818 (5)BULBS F6R PLOW 15.40 SM .5709.2.000.200 21848 20.236 GAL GAS-3/27 70.00 /4 SM .5710.4.000.20'0 27769 FIT-108.9G HTNG OIL-4/6 286.30 TOTAL ` 448.70 r 1 .. :. •r:" e'•h«e: I .. _ F' ` .::k`as-. `y"4'Y'' St'r,yr,x.o--•x y... X': • r . i T `wr,' °ra sa..: . ': ; Ri° \ C _ } I l/ J :I I ' -- --'., '.,-;, -' 'l'„ aln gl•>i15W q, , _ 4^ .i. -*,l<^ tiv '° fl =: — ,`a y FISHERS.<7SLAND>1ERRY'DISTRIC7' sr, ,,RUD,IT;tyO'5;%0`9%17;' °; '; .o ;`t,, - `e°f•°,SOUTFiOLD;NY.:1•fl19 ;10959 ,i_ :a. - f, ., u .J '`,y' 'r— ,:-}` ,' .dtr '„ty'• _ t. ,J, a,I, _- _ '"C HIE'CK.J NOa•;- 4 0'6;7; 9 _P'•,u=.ul+ -- - 4>= :`THE SUk OLK C .NAT ON L'$ANKt: 'I ,,''\I''II • - - - -”- a4 1' ,,I P'$'nl, •V:II r„J 'l„' : ' `- _ - - - y,<, ,l,Ill +§',d "y„III' ,a ;• ''i,ire"', "':6;, :i, `s:`<,',',=§' <ir::.,, .5;:"46 2 4`' <r '•a': t,t. / 4, c•' ';i`i.'y ';4 -s; "Y `:, '.j'at., ,«j.k,<. .a:, , ; a, ,Y,'• 4 r jr.•..'q: ; 0=5 / l..,t,"y,s,yy. ,g .y 6"E."' -.t'41a .t; 44 "10 a`•s< ,'s ',.am<Hu rias°, ' , "•l.. °n .°i. ' •fwgy, ,'..,s<,y ' ,,.4,: ;F°OURdL TDRED •'FORTY::EIGHT>'AND:.,70P',;,1b,0 t`5- c, } ..J.. %I, n.,t 3,1'• ,'9', C„I,Ti£ _=_s'J_=;S..o s , d,d I, ,"Aldpl• a , "__ _ '",r"• - _ - - ____ 1 ,L..1 } i,v4.• F`I, „'F'd d--_ - - _ - __ 1,wi•.5.. _: j 1 0” {`,li`2i 11'1>'r •'£ __ - - i-at 1li•1 °'nfo _ _ - _ _ - F I . ','I<I,y.l14 'tit. 9c".3 i5= .,{' Ili "ya Li,nI Ni 1FS ala"'n 'i,n`P I,:Z>1 _ _ _" r;:,,'" :•1'i ) ',1',1'F, ,II"P,I,i t. ,3`f ?•t "°4 - =1= ';k I;,, e!{,i r: ,q,#x £..'.°-_ 't'•' _--4:."-a_=7,5 A r d,'it; ,':E., ,81.,E 2 4`yt _ _sJe " `,1, 5 ` 4x - - '"a°, ''1`. FII,••^ "",(`:' • 1 3.- <:f "I; rS,' '•b.. `1 °ly - 4T 1 Pt''} IJ ,,'P, ;3; P`fKI t1:' 'a4'Zt, &°aaSt,FUEL``. 'V SERVICE ,a- ,a =- 401,.45E''6',t "tti.:},% >1'6 --_;Yf,"_ - ,>< ,`'IP;, •,I .I+,, ''iI ',Y`:P, ;1'; -- "`t 1" _`-t -'";' '' `,fl' *JL 1;1'1"+ ,tU`7, °>r" pi6 r„ a°,,:fir',% _ _ - _ _ '„^",'1.a:l l"•e, ',ti:.,.',r' ',?;,;':r. '' f - - -- - / d' ,'y. QRb' <i IJsF'f.r.I "___ "_ _ __' _-_= x p:`,Y,ul`If 1• ,'f -: _- - : `p'',: a{ •t°,i` sS ERS j I u'ItANJ.J'?NY ' 6 0"q"• `;'':.Y„^"a 'i q ql>,4 I 1 Ct' ei ;,a `.d t' .";fe_ ;:'.> :1 Fy, r< QI'' f, -,s' _ - < ,1 Lt` _,•xy'u:+.✓"V'• „\4<•e : rt;';ti' L' 'i',. ,ka<F r `'r a ';}:.a' R't'•, _'"d,'+`e`t Pa Y, r)"< ,7, 'q' y,' ' .'y, 4l.d `<il; a I` `d` 7, ;r` `IPY<' _ :P`• _ _4 '°t` Mia a'll fnN "', .'C, V `y3; t.- _ -_ _- 4"" ___ -_ __ __ _ ___ y.•, .Zd1 „1,, ,d,,I*+ ,^J6',=__ _ _ _ -_- _ _ aZ< ,il, 8, ,I,aM1 ,1•>i "°?4t•^__ _ _ AS _ -_ .J —" _" — _ 'lin' I..„Yi,"e` P,4i'7';ildn -_ - __ -_ ":_ '''1', ..1,',• ,'1, ,.N;- _ _-- - _ _ - ' J': ,t .'g""ISI a; - - - ___ : li'I ' Yi' .Ir°a•„'p, v i''- __ clral''' J :',f llft to?rddl' 1 M1 -at ou11 _ 000 ' 'r41 0 —_- C Vendor No. Check No. Town of Southold, New `fork- Payment Voucher 25038 0ro I Vendor Address Entered by P.O. Drawer B Vendor Name Audit Date , Z&S Fuel&Service,Inc. Fishers Island,NY 06390t� ry VepdorTelephone Number � � L �.f 631-788-7343 Town Clerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claim Number Description of Goods or Services Gencral,tedger Fund and Account Number 21817 3113/17 $77,00 $77.00 FI forklift 10 gallon F-350 12.261 gal @$3459 S_ 'SM5709.2.000.200.` 21818 3113117 '$15.40 $15.401 Bulbs 5)for plow , SM5709.2.000.200 21848 3127/17 $70.00 $70.00 FI forklift 10 gallon F-350 10.236 gal $3.459 90066aE ' SM5709.2.000.200' ' ; 27769 416117 $286.30 $286.30 FIT 108.9 gal heating oil $2.629 Ticket 4163SM5�10.4.000.200 i I , OPIS attached $448.70 1 $448.70 Payee Certification Department Certification tie 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 Lt✓Title_ Signature Company Name Fishers-Island Ferry District Date 4/27/2017 Title/ Date Z & S FUEL & SERVICE, INC. Z &2 S FUEL & SERVICE, INC. DRAWER 6 DRAWER B FISHERS ISLAND, W 06390 ; FISHERS ISLAND, NY 06390 (631) 783-7343 (631) 785-7343 I REGISTRATION NO3 /3 `•.,.q I REGISTRATION NO DATE DATE NAME • ( r I NAME ��^• � / i STREET STREET O 1,, CASH COD CHARGE ON ACCT MDSE tiET'D PAID OUT ACCT.FORWARD ;�` CASH COD CHARGE ON ACCT, MDSE RET'D PAID OUT ACCT.FORWARD I'• ZZ-7-(A Liters/Gals. Gasoline q 1,3 6/S � `7Liters/Gals. Gasoline Liters/Qts. Oil I Liters/Qts. Oil Lubrication Lubrication Oil Filter Oil Filter z CP o(LAGL,r,r RY� 1/0 vo TAX TAX j CUSTO EFS+S SIGNA RE TOTAL CUSTO S SIGNAT RE TOTAL _�� � C PRODUCT 608 All claim, laim�nd�returned goods MUST be accompanied by this bell I C PRODUCT 608 All claims an eturned goods MUST be accompanied by this bill. 2181" 7 `?hankWou 1 `Thanir-You n , n C O M 3 m - into A m M G7 O cot I N O O a Z �y ` CO z x CODin r O N N M PTl O 0 121 En { '�7 0 C t9 I Cn p o i` w f D D ° r x r ' $ — D � n - o O ti , O .. 4 r�,.FT Statement Z&`�'i,v �&SERVICE,INC. P.O.Box 601 Fishers Island,NY 063Date 3/31/2017 To: FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND,NY 06390 Amount Due Amount Enc. $409.05 Date Transaction Amount Balance 02/28/2017 Balance forward 826.80 03/03/2017 PMT#3901. -197.89 628.91 03/12/2017 INV#27625:FUEL OIL TAX EXEMPT 246.6 875.56 03/13/2017 GAS 77,9 952.56 03/13/2017 INV#27624.F-350 PLOW LIGHTS 15.40 967.96 03/20/2017 PMT#3936. -4062 2 561.74 03/27/2017 GAS "70.0 631.74 - 03/31/2017 PMT#3962. 2.69 409.05 �r UU 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 147.00 262.05 0.00 0.00 0.00 $409.05 Z&S FUEL& SERVICE, INC. Invoice r P.O. Box 601 Fishers Island,NY 06390 DATE INVOICE# 4/6/2017 27769 BILL TO FISHERS ISLAND FERRY DISTRICT P.O. BOX H FISHERS ISLAND,NY 06390 TERMS ITEM QUANTITY DESCRIPTION RATE AMOUNT fuel oil 108.9 fuel oil 2 629 286.30 PLEASE INCLUDE INVOICE#ON YOUR CHECK THANK YOU! Total $286.30 I METER READING BEFORE AND AFTER DELIVERY ' F..d�c+ga1�C1�.1� � l Dyed unmarked Heating Oil:Not for use in highway or non-highway, locomotive or marine engines. € SOLDTO e r f ADDRESS 1 i CIN,STATE,ZIP �� IF ` o � 7_/1-- /hC/! {. DATE ,,/��✓^'7 ❑ C.O D ❑ CHARGE t PFI©,DUCT / GALLONS PRICE AMOUNT " PAYMENT RECEIVED BY ` TAX AMOUNT 41 CASH� TOTAL $ "",41 CHECK TIMEOF V'"� / A.M. T UCKIAO DELVE �i,�f P k E CUSTOMER'S S GNATURE 4163 r X [ DELIVERY RECEIVED PER ABOVE METER READING r F� Buckeyel (00B) <RETRYCOUNT:3> Buckeye Energy Services LLC The following prices are effective At 04/05/17 17:00 GROTON 2FUEL500 ULSD ULSD DY ULSD AD LSDDYAD 17:00 Change: 0.0100 0.0100 0.0100 0.0100 0.0100 04/05/17 Price: 1.6470 1.6790 1.6840 1.7040 1.7090 **2FUEL500 MAY CONTAIN UP TO 5% BIO** **COLD FLOW N W AVAILABLE* -f G« 5'2-• ire hclo Z , X2-9 The above prices will be discounted 1% if paid in ten days from lifting. sla.�d "c - -� ***PRICES IN EFFECT UNTIL FURTHER NOTICE***