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Home My WebLink AboutAU-06/06/2017 Fishers Island FISHERS ISLAND FERRY DISTRICT VENDOR 001318 AIRGAS USA, LLC 06/06/2017 CHECK 4099 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ! AMOUNT SM .5709.2.000.200 9063454915 (1)PROPANE-NLT FORKLIFT 21.40 SM .5709.2.000.200 9063550778 (2)PROPANE-NLT FORKLIFT '106.81 Ir TOTAL 128'21 ;F :itf> " v.... ..YS-•u.a N. S...a :�^:1;i('-..j,,^�,a•'••9.xc_ d,•✓`:?`,[.'�f�f?•• .:,.�,a " '�i ,r i'ji I \ jqa I Ft: FISHERS'ISLAND FERRYDISIRI,CT 53095 MAIN ROAD,PO BOX 1176 AUDIT a, SOUTHO_LD'NY-i,1971'_095s CHECK` NO _ ;4099 b _ `l a THE SUFFOLK`CO'NATIONAL BANK : "I .` " r'_' CUTCHOGUE,NY 11935 DATE x AMOUNT,, _01 'F` r 0 /06/ 1 50-546/214 _ 6 2` =ONE',r'HUNDRED,-TWENTY EIGHT=-AND 21 7 00 DOLLARS' / r PAY_ P.IRGAS USA, LLC _ TO THE-` PO'�BOX -80257,6 ORDER'' -`CHICP,GO- IL =5068`0=25•'76 ��'00L,0991:0 2 LL,0546to: G8 00 L50 2 L��' Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 1 4099 Vendor Address Entered by P.O. Box 802576 Vendor Name Chicago, IL 60680-2576 Audit Date Airgas USA, LLC JUN Q 6 2017 Vendor Telephone Number j 860-444-3055 800-962-0285 C rkM Vendor Contact Invoice Invoice Invoice Net PGrchase Oid r Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number v 9063454915 5/15/2017 $21.40 $21.40 Propane c I (1) SM5709.2.000.200 NLT Forklift 9063550778 5/17/2017 106.81 106.81 Propane c I (2) SM5709.2.000.200 NLT Forklift $128.21 1 $128.21 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature � Title Signature Company Name Fishers Island Ferry District Date 5/24/2017 Title / Date TO ENSURE PROPER CREDIT,PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER NO. NV IC) NO,: INVOI E DAT S©LD.T` NCL• :. OL tO!NAMI= 1058284003 9063454915 05/15/2017 1 2576547 1 FISHERS ISLAND FERRY DISTRICT :PO!RELEASE ORDERED't3Y. SHIP VIA... .. PAYMENT TERMS (3RD&R'DATE CUPU NET 30 05/15/2017 11Bt IVORY NO,! .MATERIAL-NUMBER.- QTY U4JVi`. CITYBto ..CYLINDER UNIT PRICE LIOM AMOUNT DESCRIPTION SHJP't? sei*o Red 8063803342 PR 20 1 CL 1 1 19.95 CL 19.95 N PROPANE INDUSTRIAL 20 CGA 510 (Vol: 17 LBS) (H) Sale subtotal: 19.95 Airgas Hazmat Charge 1.45 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale AMOUNT 21.40 SHIP To 2576547 Airga& FISHERS ISLAND FERRY DISTRICT an Air Liquide company 261 TRUMBULL DRIVE Airgas USA,LLC - FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv.returnedmad@airgas com REV 6 1 16 0013566 Page 1 of 1 or call 216-520-6000 FOR LOCATION NEAREST YOU -Airgas DELIVERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8063803342 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 05/15/2017 WATERFORD, CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:05/15/2017 800-962-0286 800-962-0285 PRINTED: 09:29 05/15/2017 SALES ORDER: 1058284003 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND, NY 06390 US FIS ERS ISLAND, DRIVE ORD BY 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 N000 Counter 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 20 Stor.Loc.F001 1 1 1 17 LB PROPANE 17LBS CGA 510 37.000 LB G EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS F1 ElPURCHASER 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 IRGA OR CALLING ACCEPTED FOR X THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBERBER AND SELECTING CTING OPTION 03 ACCEPT REJECT THE ABOVE L THIS IS TO CERTIFY AT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MAR AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING TO APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME �—" PLEASE PRINT I �_ P.f I �- � iO,� _ AIRG S SO L DAT T.O.D. -/ - ----------INTERNAL USE ONLY Delivery#8063803342 I I II ❑' _ Filled By Staging Area Total PKGS Tracking!Pro Number Freight Charges Total Weight*h 3LB III tlllllllllllll II�IIIpII�SIlIIIIII I Ifi TO ENSURE PROPER CREDITPLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 DNt7.a. 1 V I E N .- ! V I E E}AT � , bLE!T N O TO NAME , ..:.. _. ` 1058336523 9063550778 05/17/2017 2576547 FISHERS ISLAND FERRY DISTRICT PQ'3:RELEASE flRDEREE?BY:: :..::...:...... . SHIP VIA.... .:: ..:...... '. PAYME;tT.,T9 S: ORDER•DATl, BOB ARGTRK NET 30 05/16/2017 DEUVERY NIO '. MATERIAL NllIGIBEI2 £QTY l3(?AA ;QTY•810. -•CYI IIVAI»ft llNIT PRIGS' tIt7M: AMOUNT DES RIPTIC)At:,. SHIP'!) SHp6. wt: 8063870782 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 8.66 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or, visit www.Airgas.com/terms-of-sale AMOUNT 106.81 SHIP TO.2576547 _ Airgas® FISHERS ISLAND FERRY DISTRICT AUSA,LLC 261 TRUMBULL DRIVE an AirUquitle company Acctcct N No 8606074318 Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053 6055 Rockslde Woods Blvd Independence,OH 44131 For change of address email to:ndiv.retumedmad@airgas.com REV 6 1 160012102 Page 1 of 1 or call 216520.6000 r FOR LOCATION NEAREST YOU irgas DELI,UERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company - SHIPPER: SOLD BY: DELIVERY ORDER#8063870782 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 05/16/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:05/16/2017 800-962-0286 800-962-0285 PRINTED: 1532 05/16/2017 SALES ORDER: 1058336523 SHIPMENT: 3595924 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US 261 TRUMBULL DRIVE 'ORD BY BOB 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY GARYDUBATO Order Type Payment Terms Incoterm Route Sales Office Plant Sales Total Containers Org Ship Return Standard NET 30 Airgas Truck Airgas Truck N329 N309 N000 Order C� 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 2 0 64 LB PROPANE 32LBS ALUMINUM 136.000 LB I 1i n / 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 dNW W.AIRGAS COHb OR BY CALLING THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 _ ACCEPTED FOR ACCEPT REJECT THE ABOVE THIS 15 TO CERTIFY TH TTHEAB OVE NAH'ED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MARKED AD,,tt,,�BELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING O'� A CICABLE REEGUI;gTIONS OF THE EPART�E,(�lT OF T ASF RTATION INITIAL CHOICE NAME /�f / (1 l rl r/ PLEASE PRINT AIRGASrPERSONNEL DATE T.O D. D�0 -------------- INTERNAL USE ONLY �— -.__--------------�._____._-----------___-___ Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8063870782 III III o� L 136 LB IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FISHERS ISLAND FERRY DISTRICT VENDOR 002221 BEHAVIORAL HEALTH 06/06/2017 CHECK 4100 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION % AMOUNT SM .9060.8.000.000 1465 EMP.ASSIST PROG 2017-18 1, 870.00 Al TOTAL 1, 870.00 oll ;A0 0 • 0 I........... EHull 0 D 1 . '4+',",�'FISHE�RS'ISLA�AD--FE-RR-Y'DIS7RICT':' 53095 MAIN ROAD'PO BOX 1179- -SOUTHOLD,"N) vo- - K- NO� 1,1671,0959 ,THE SU'F'FOLK CO'."NATIONAL BANK -,AMOUNT-:- CUTCHOGUE,NY 11935 DATE. 5d :,,:_-06/'06/2017 S V PONE ,,THOU AND- �'HtNDktb."SEVENTY'' bbil'Aks- fv; v, PAY. BEHAVIORAL HEALTH CONSULTANTS, , OF ELL--AVE.. HAMD07 EN'CT 065,18 11300 LOO" 1:6 2' 1' L,0546411: 68 00LS02 L 11 .--t Vendor No. Check No. Town of Southold, New York - Payment Voucher 2221 Vendor Tax ID Number or Social Security Number Vendor Address Entered byy� 3018 Dixwell Avenue Audit Date Behavioral Health Consultants, LLC Hamden,CT 06518 JUN Q 6 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 1465 5/16/2017 $1,870.00 $1,870.00 Employee Assistance Program Services SM9060.8.000.000 June 2017-June 2018 PREPAID F $1,870.001 $1,870.00 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 Signature6N�O,— Tit e Signature 7 Company Name Fishers Island Ferry District Date 5/23/2017 Title Date J 511, .'J§'v" 1 D 5/16/2017 TQ Diane Hansen Behavioral Health Consultants,LLC- ,.Fishers Island Ferry District Employee Assistance Program PO Box 607 3018 Dixwell Avenue Fishers Island,NY,06390 Hamden,CT 06518 Tel:-(203)288-3554 ext. 11 PO.Number', -AjCohVactYeaf°,�-- June 2017 to June 2018 lrescnp tom A m`b 0 h tl' Employee Assistance Program Services 55-Employees-3 Visit Program $34.00 PEPY Total Due: $1,870.00 Payment due upon receipt of invoice Thank.,Youffl guffaw, $0.00 $1,87000 ' Sub Tata[ _j $1,870.00 Tota '[ L q— L FISHERS ISLAND FERRYDISTRICT VENDOR 002241 THE BELL SIMONS COMPANIES 06/06/2017 CHECK 4101 A D & ACCOUNT P.O.# INVOICE--- DESCRIPTION AMOUNT SM .5710.2.000.200 S010910667.0,01 RP-COPPER TUBE,UNION,NUT 59,.63 -5p.G3 TOTAL 44" '7 x-...... 4, 1, VISHERSSLAADEYDII DISTRICT Mo 53095.MAIN ROAD;Po BOX 1179 SOUTHOLD,NY 11971-0959, i CHECK NO.' i -41bl THE-SUFFOLKco.NATIONAL BANK CUTCHOGUE,NY 11'935DATE", AM0,UNT'*_ 1 `0 (5/0 3'y 5461 14` -6 2017- 0 FIFTY NINRi�MD':''G 3 -1-0-0"-.DOLLAR S ' PAY' THE 82LL SIMONS COMPANIES" TO THE -PO BOX,- 261567 OHARTPORD 'CT--0612,6=1567 F -2 ; iiv00L, 101nv i:021L,051, 64i: C313 00150 1 iis Vendor No. Check No. Town of Southold, New York - Payment Voucher 2241 LA 101 Vendor Address Entered by P.O. Box 261567 Vendor Name Hartford,CT 06126-1567 Audit Date The Bell/Simons Companies JUN 0 6 2017 Vendor Telephone Number n Vendor Contact ; Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger bund and Account Number S010910667.001 5/20/2017 $59.63 $59.63 RP maint s pp lies r Ons onN L4-s SM5710.2.000.200 $69.631 1 $59.63 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved t es- » Signature fTitle Signature Company Name Fishers Island Ferry District Date 5/23/2017 Title Date /� Bell i mons INVOICE C O M P A N I E S HVAC - REFRIGERATION - PLUMBING Serving the Industry Anw,1940 Customer Account Date Invoice Number Page 41845 05/20/17 5010910667.001 1 Sold To: Ship To: FISHERS ISLAND FERRY DIST. FISHERS ISLAND FERRY DIST. P.O. BOX 607 5 WATERFRONT PARK FISHERS ISLAND, NY 06390 NEW LONDON, CT 06320 Writer Customer PO Number Release Number Order Date Ship Date Terms CARONB 05/20/17 05/2,0/17 Net 30 days Quantity Stock Number Unit Description Unit Price Extended 6 78570 EA U2-6 3/8FL UNION 1.620 9.72 12 77664 EA NS4-6 3/8 FLARE FORGED NUT 1.150 13 .80 1 23626 EA 3/8 OD X 50 COP TUBE PER COIL 32.554 32.55 Non Taxable Mdse Taxable Mdse Sales 'Tax Shipping Handling Invoice Total ,(,� 0 . 00 56 . 07 3 .56 0 .00 0. 00 59 .63 Customer Account Date I ce Number 41845 05/20/17 5010910667.001 PLEASE REMIT TO: The Bell/Simons Companies, P. O. Box 261567, Hartford, CT 06126-1567, A Service Charge of 1.51 per month (APR of 18%) will be added to all past due balances. Please direct any questions concerning this invoice to the Branch of purchase. Customer will be liable for all collection costs including all attorney's fees. All DEFECTIVE RETURNS are subject to vendor approval prior to issuing of credit. RETURNS may be subject to a RESTOCKING FEE. NO RETURNS ON ELECTRICAL! *** NO RETURNS AFTER 90 DAYS. *** Visit us on the web at http://www.bellsimons.com or a-mail us at info@bellsimons.com Items purchased at: The Bell, Pump Company, New London, CT - Phone (800) 647-5916 FISHERS ISLAND FERRY DISTRICT VENDOR 011789 CONNECTICUT COMPASS SERVICE 06/06/2017 CHECK 4102 A FUND & ACCOUNT P.O.#- INVOICE DESCRIPTION AMOUNT It SM .5710.2.000.200 564288 RP-ADJUST MAG.COMPASS 250.00 TOTAL 250.00 ............. P) RIN m7fim FISHERS ISLAND FERRYDISIRIC 53095 MAIN ROAD,PO BOX'l 179,, AUDTT 061 -1:7 `410 SPUTHOLD,NY,L1,977.0959' _q�HECK',Nd 2 0 C IONAL BAN THE SUFFO CUTCHOGUE,NY I -AMOUNT, 1935 \DATE, : o :06 0.6/-201:.7_' ,591'. "I 6 Wd,'H�UNDR2b AND' 6`&/'l`00,' DOLLARS' _y PAY CONNECTICUT COMPASS SERVICE TO 3-01`1'-,GRASS`Y"'-HILL- RD, ,� ORDER )�ME_ L i'CT 6637`1' ! ,4 110004 10 2115 1:0 2 140 54641: 68 00 150 2 L Vendor No. Check N6.' Town of Southold, New York - Payment Voucher 11789 Vendor Tax ID Number or Social Security Number Vendor Address Enf6fedby Wayne Kyder 301 Grassy Hill Road DBA-Connecticut Compass Service AAtd :JUW "OAG 201T�- Lyme, CT 06371 Vendor Telephone Number 860-434-2019 Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services 564288 5/812017 250.00 260.00 RP adjust mag compass SM710.2A.00:200: 250.00 260.00, Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature) C,,— Title Signature Company Name Date Title Date n } s CT COMPASS SERVICE 301 GRASSY HILL RD LYME,CT 06371 TADDRESS TEL(60)4342019 4288 SHIP TO ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP CUSTOMER ORDER NO. SOLD BY TERMS F.O.B. ;Dj9ljrEOFlDEREDSHIPPED DESCRIPTION �'RIGOe UNIAMOUNT I 12-13 ! i r G J ` Ic FISHERS ISLAND FERRY DISTRICT '', VENDOR 004277 DIME OIL COMPANY, LLC 06/06/2017 CHECK 4103 :7a FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 49663 RP 5223 GAL@$1.5826/GL 8,265.92 3 SM .5710.4.000.300 49663 CT EXCISE TAX—$.4170/GAL 2,177.99 ; SM .5710.4.000.300 49663 S—F COST RECOVERY .0021 - 10.97 r- Y SM (5710.4.000.300 49663 LUST TAX—$.0010/GAL 5.22 TOTAL 10,460.10 I , J '3 r, � ! '` •€;'� -�} ,fit ,c,.. r.... �f3^'. , r ,yP..• .... •...",."'.''"'2...,",x^-"•s"r'n. 'i.jri`�`^`�e'..,. `b':1W,>•'� J 1 I I , I I I I , I c5 I "FISHEWS-ISLAND.FERRYDISTRICT? ' -AUDZT;"rob"o6", 7' 53095 MAIN ROAD,PO BOX'11,79 SOUTHOLD,-NY 11971-0959_ CFTECK'DTO. 4103'' ff i ," ., ' '' ,', • - -r' „'i;her 1',! 9 THE SUFFdLK CO:NATIONAL, BANK - - DATE ik CUTCHOGUE,.NY 11'935 AMOUNT, _$-10-`,460:'10,_' f;c _ 06/'06%20 50-5461214 - n TELT--THOUSAND,FOUR; HUNDRED :SIlTY AND""1'0/10.0 :DOLLARS PAY' - DIME _OIL--COMPANY, LLC, TO THE„ 93, 'INDUSTRY; ORDER ;r ;PO„BOX,y.111`25, WATERSURY CT 067,04. y;y— noDOL, 10li' 1:0 2 140 54640: 68 00 150 2 1�i' `` ` Vendor No. Check No. t Town of Southold, New York m Payment Voucher � 4277 � 405 Entered by' P.O.Box 11125 Audit Date Dime Oil Company LLC Waterbury,CT 06703 20 Vendor Telephone Number . 203-754-5334 W ',t esicr Vendor Contact el Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General -ed'ger`Fund and Account Number 49663 5/16/2017 $10,460.10 $8,265.92 RP 5223.0 al 9,$1.58261 al SSM671.0.4.006.300 j $2,177. 3 CT Excise Tax-$0.4170/ al $10.97 S-F-Cost Recovery.0021 i $5:22 LUST Tax-$.0010/ al 4 OPIS attached IFederal S-F tax Increased on 1/1/2017 t 4 •;y •. $10,460.10 $10,4.60.10 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 pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment-is approved Signature cb}z1n itle Signature Company Name Fishers Island Ferry District Date 5/22/2017 Title Date �� .•Dime Oil LLC Phone: 203-754-5334 . >PO Box 11125 Date 05/16/17 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 ------------------------------------------------------------------------------- 05/16/17 49663- *20R Off Road Diesel 5223. 0 GALS @ 1.582600 8265. 92 Dyed Diesel Fuel for Off Road Use ONLY. S-F Cost Recovery 10 . 97 CT EXCISE TAX DSL 2177. 99 LUST TAX 5.22 05/16/17 49663 Fuel Invoice Total 10460.10 '1 Amount Due 10460.10 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 y--� TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PER14DIC RATE OF 15%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION FEES - _�90 , ;ORDER DATEj-31 J0 �Q 10�9t7 �C 05'x.1/'2017 c3 R2c c m_ .. DELIVERY DAT �5� k r ri-sher,� Island Fe y Dist , lcm c) � I . `�C-�¢ ' oin III GALLONS -w { 0 5 '�a e�'f�G7 = ma c 4 . Bete B1 yet "_ "OR G?�B 0-4 ,2�016� �a London �y 06320- 2 3.5 7 FULL p ICE PER GALLON vi j o Pj 1 ew _K. Fagtor: 21 .000 Last TDely 427J1, 71J 0 ,0072 f 0." ATO �C�Q`®.� .3" �s� a®"e`d'��. 'ia5 .�.b�� ®dsCp S DISCOUtJTPRICEPERGALION _ (CJ l CD o E I' sign's{L, B'tate , St°�t rt��S � 1; � to _ ' .• _;, AY DSCI �\, 310 � LNTi a1010t8a o'ORI iRB& qk PAY THIS AMOUNT DAYS; 0-00121 $ 0,4170 0 4 0 010 AFTER `� ' F. �NlI�P91® r LLC TRUCK DIMEOILC® TAX D � DRIVER o r P.O: �, BOX 11125 P TMST PAYMENT RECEIVED 1~ t k_ WATERBURY, CT 06703 OFADEL PM m i (203) 754-5334 TMFi 1 CASH, CHECK �` n m ❑CHARGE • • ;I— �- -s �� ; I Kasia Asmolov From: Accounting Department Sent: Thursday, May 18, 2017 10:55 AM To: Kasia Asmolov Subject: FW: Invoice and Ticket for 5/16 delivery Attachments: Fisher Island Inv and Tix.pdf From: Lori Waskowicz fmailto:lori@dimeoil.coml Sent: Wednesday, May 17, 2017 11:41 AM To: Accounting Department Subject: Invoice and Ticket for 5/16 delivery Attached please find Invoice#49663 and ticket for the 5/16 delivery. NEW HAVEN, CT 2017-05-16 17:04:08 EDT **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No.2 Move No.l Move Pre Move Date Time Shell u N-10 154.88 + 1.18 -- -- -- -- -- -- -- -- 05/15 18:00 NWENGLPTR u N-10 154.95 + 1.10 -- -- -- -- 157.45 + 1.10 05/15 18:00 Global u N-10 156.00 + 1.25 183.00 + 2.00 157.55 + 1.15 05/15 18:00 Shell b 125-3 156.45 + 1.19 -- -- -- -- -- -- -- -- 05/15 18:00 Valero u N-10 157.05 - 1.35 -- -- -- -- -- -- -- -- 05/15 18:00 Coastal b 125-3 157.32 + .71 -- -- -- -- -- -- -- -- 05/15 18:00 Sunoco b 125-3 157.32 + .71 -- -- -- -- -- -- -- -- 05/15 18:00 S.R.& M. u 1-10 157.52 + 1.08 -- -- -- -- -- -- -- -- 05/15 18:00 Gulf b N-10 157.75 + 1.10 -- -- -- -- 160.25 + 1.10 05/15 18:00 GULF-GIE u Net 157.75 + 1.10 -- -- -- -- 160.25 + 1.10 05/15 18:00 Sprague u 1-10 157.93 + 1.58 -- -- -- -- 161.21 + 1.51 05/15 18:00 Valero b 1-10 158.00 + 1.65 -- -- -- -- -- -- -- -- 05/15 18:00 Irving b 1-10 158.07 + .90 -- -- -- -- -- -- -- -- 05/16 00:01 BP b 1-10 158.22 + 1.75 -- -- -- -- -- -- -- -- 05/15 18:00 XOM b 1-10 158.23 + 1.89 -- -- -- -- -- -- -- -- 05/15 19:00 Citgo b 1-10 158.25 + .98 -- -- -- -- -- -- -- -- 05/15 18:00 Citgo u 1-10 158.25 + .98 -- -- -- -- -- -- -- -- 05/15 18:00 GlobalXOM b 1-10 159.56 + 1.10 -- -- -- -- -- -- -- -- 05/15 18:00 Irving u Net 159.70 + 1.63 -- -- -- -- -- -- -- -- 05/15 18:00 LOW RACK 154.88 183.00 157.45 HIGH RACK 159.70 183.00 161.21 RACK AVG 157.54 183.00 159.34 Plus vendor mark-up .72 Total 158.26 Convert to dollars $1.5826 Katarzyna Asmolov Fishers Island Ferry District 1 FISHERS ISLAND FERRY DISTRICT VENDOR 018533 DREAMERS UNLIMITED, INC. 06/06/2017 CHECK 4104 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 221074 FIRE EXT ANNL SVC-FI THT 291.89 SM .5709.2.000.200 221075 FIRE EXT ANNL SVC-FRT-SH-' 187.40 TOTAL 479.29 ! \� l' 41 _ ( ' 'A ' a I p *w f{e 1 ,Y .I 1 0 ® D • D - ' D - 0 B ® D t FISHERS ISL AND:FERRYDISTRICT ;;53095MAINW6AD,PO-BOX)179=` -AUDIT-:06 ,SOUTHOLD;'NY,1197,1---0959 = - a, - CHECK•NO:, _ `4104 I,, T THE SUFFOLK'CO:NAT,10NAL BANK' CUTCHOGUE,NY 11935 DATE,- AMOUNT, 479:'29= `. 50-546/214.• - _{ ' FOUR-'HUNDR'Eb,'-SEVENTY' NINE,AND '29/100 ,'DOLLARS''' g PAY DREAMERS UNLIMITED, �OTNE ROYBAL=& SONS-- FIRE; -EQUI,PMNT;_CO ORDER PO ;BOX 204 ry OF MID`DLEFIELDCT 06455,=0204 J 11.004 10411' I:,0 2 140 54641: 68 00 150 2 111' Vendor No. Check No., Town of Southold, New York - Payment Voucher 18533 Vendor Address Entered by P.O. Box 204 Vendor Name Middlefield, CT 06455-0204 Audit Date Dreamers Unlimited, Inc./Ro bal&Sons Fire Equip JUN ,0 6 2017 Vendor Telephone Number 860-347-2189 Vendor Contact Invoice Invoice Invoice Net Purchase Order I Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 221074 5/17/2017 $291.89 $291.89 Fire extinguisher annual service SM7155.4.000.000 Fl Theater 221075 5/17/2017 $187.40 $187.40 Fire extinguisher annual service SM5709.2.000.200 FI Freight Shed $479.2 1 $479.29 f Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. SIgoatu%e, -0. l Title Signature Company Name Fishers Island Ferry District Date 5/24/2017 Title Date 17d Y�� '• '• • • io •.•' 05/18/2017 12:01 6603435479 ROYBAL #FIRE EQUIP L B 12332 P. 001/004 Dreamers Unlimited Inc Invoice Roybal&Sons Fire Equipment P O Box 204 Middlefield,.CT 06455-0204 Phone:(860)347-2189 rr^^ Customer No.:FI FFR Y M Fax:(860)343-5479 \ fJ Invoice No.: 22107 E-mail:support@roybalfire.com I b SLIP#• 253125 Bill To. Ferry Diet.Movie Theater Ship To: Ferry Dist Movie Theater P.O. Box H Fishers Island, NY 06390 Fishers Island, NY 06390 _,M1= 71.r1a L7F!' �t�...i-_ p�•ar�c. t�,. .:R�•9{.zoic t `Qili�.:r�.R�r„ � >ti� ,h�� M= ti�, .�i .?4i. � - ^:u��ic��1lf11i�_J_ as•i�rr 7�.��- _�`_ 05117117 Our7ruck Origin Net30 } . ,. tiCA [? '�,A '' $�rrc �; s• t �r 4R: f!l -.-B1S t� 05/16f/,y17 Auger!-Per nette ;.�. l:ud'n r��' �p_ ��. �.��'r ikYSt�� . r +•- ', q�1 �_ d' r *- _ '" r -y �J. --i+,rei'�,'`��5'f - i 1 � �li'?I:i�=:M;i rvT1'r E. .d u'r7*+�`AGN•- � - --se.�:+7JL`�T 1 1N ANNUAL SERVICE&MAINTENANCE 90.00 9000 OF FIRE EXTINGUISHERS 4 4 FIRE EXTINGUISHER SERVICED& 7.93 31.72 TAGGED INCLUDES TAMPER SEAL PER NFPA-10 2 2 10 LB.ASC EXTINGUISHER 6 YR 60.33 120.65 MAINTENANCE AND RECHARGE WITH PARTS INCLUDED 1 1 5 LB ABC EXTINGUISHER 6 YR 49.51 49.51 MAINTENANCE AND RECHARGE WITH PARTS INCLUDED Invc ice subtotal 291.89 InvC Ice total 201.89 We appreciate and Thank you for your Business! CT license: F30004 05/18/2017 12:01 8603435479 ROYBAL #FIRE EQUIP L B #2332 P.002/004 i r • ti .arrifSarotd;le�vFork'-mit rdVottche� . DAY TO:. Pryea Toa AltnLer 10yee Dia:Qe% or i• A4dzm F" Meador 1 Ymotoe34amba„.D�t�llrl:.l:S.-�fi!�� Purehsse0>rki3iuimbec 7.0, Wb 4- ' .........,».1� -Una •7Qumbar•;,: POP1p1MbtMeteil>tlsfrtrioe+ tx h atlnunt I "uol inspmc oa'of fire extingi ishan .1 •90.00 2 Fire extinguishers sc.miq.d&.tagged w/tamper yyalu 4 7.93 31.72 '3 101b•APOC xtipguis'her 6•year muimpance&recharge 2 60.33• 120.66 w/parts 4 ;5 Ib MC.extipbniyher 6 year maintenance 8c recharge 1 49.5! en w/parts ~i •.: A. 291.89 s • ,tit:•' f�� . FA. = :,: . _ I�Ia _ - 4m*akin wow F*Ogu 'a. 1f � ' : ,,.. .. .� -� •Glttlmis•uaasad'faaax _. .. • '•� � •� b'een•_�an4,� tl�o sgad:aetd'ahst tpa�oe a.rtato�dva��. 'cwd'�- .. - . � kE�Y=ia4trchcpajgariils iipo,reieb iltRotaet �r�tEioo, t'; sandcos�topeiiy peribeened�ad�fii�tehe ntulHesstJi f>!>tj+rcbecavaariiriadwilAthe deaelesvc4i94 ie” ROYBAL & SONS FIRE EQUIPMENT CO: 253125 £.j t "A Full--Service Fire Equipment Company" P.O. Box 204 MIDDLEFIEL=D; CONNECTICUT 06455-0'204 a _ •1 •M� _ f CT LiC#F30004 860-347=2189 - .. • 1; - -- -. - MA Lic#CR1088 - FaX`860-343-5479 RI Lic#JPE-13JFE_10 , Email support@roybalfire.com ' Name Date 16 J/73 Address Sol B City ' ti( � 63 v :Phone• - Customer Purchase Order,# TERMS:NET 30-DAYS' QTY.;: DESCRIPTION PRICE AMOUNT mml93 3/. 2,1,, 1616 C. ��p s, �r �►� �•. taf . `a - 6D 33 rdv.G6 Ply— zn IV � �6/ FINANCE CHARGE of 1 1/2%per month which is an All payments are due within 30 days Sub Total 4 9 c�0 f•Y ANNUAL PERCENTAGE RATE of 18%charged on all unless specified by written contract. - past due accounts. Tax Received,By TOTAL SIGNATURE PRINTED NAME THANK YOU 05/18/2011 12:02 8803435479 RMAL IFIRE EQ IP L B 02332 P. 003/004 - Dreamers Unlimited Inc I �� ice ` Roybal&Sons Fire Equipment P O Box 204 Middlefield-CT 06455-0204 Phone:(860)347-2189 Fax:(860)343-5479 Customer No.:FI FER 1Y F E-mail:support@roybaMre.com Invoice No.: 22107 SLIP M 253126 Bill To: Ferry District Shi To: Freight Bldg&Warding Rm Freight Building Fishers Island,NY 06390 Fishers Island, NY 06390 RN E Nh { 1 u ,'gigIN JJ 6 � i71� u1n tl„l-' imt7r�rirFr�, N1i- Ma, ',Srt]( 11.,9C � T,we' �,,t,. v ” r.�Q N'IRlfat S .ti`6.,,.. cJ...' C1ys'„I:-,x,.•v:_., •s.l'c°-V`c„L'=1'a i i ,a fsb:-a-4.'' 9,u._, 06/17/17LL Our Truck Origin Net 30 ' 4 � ,u J •� cy-�,�fr �u -�fi �•, dr y 7 �. Jc � -r' �iA(•:' y _rhe. 71rC'�,k ... �, �F�1E'l�i � u 05/16117 Augeri-Pe onette (� P1 Ade 1t , e• 4x} r is P(p,ia 'tit,f •' ,e11 "WINS Y 40•viJJw _ 1 1 ANNUAL SERVICE&MAINTENANCE - 8Q.00 90.00 OF FIRE EXTINGUISHERS 6 6 FIRE EXTINGUISHER SERVICED& 7.93 47.58 TAGGED INCLUDES TAMPER SEAL PER NFPA-10 1 1 2.5 LB AMEREX MODEL 8417T 45.50 45.50 ABC FIRE EXTINGUISHER ALUM VALVE VEHICLE BRACKET 2 2 HOSE CONTINUITY TEST 2.16 4.32 Invoicesubtotal 187A0 Involcetatal 187.40 We appreciate and Thank you for your Busi essl CT License; F30004 MM wiM&M, 0511H/2011 12:02 8603435479 ROYBAL•#FIRE EQUIP L B 12332 P.004/004 . •i c • 'T�Wi1 a��II�r�s�e1p'�O�L-'. ._. �A3��pu>�C>r `. PAY YO:, Payee r>or iou Number i •Payee ideas^ r W. } .�, la 1. f - - f• Addtem w cc Y .. Plua►t.Na { Veadar Ccm ma LivaleeN0,u er 9nva c.DaM l'ttrelaisa Oraet?;�ttttrt6e: • 'pS�.a7ate CAsh• ?b p`Ys Ajaan6es fdeaeiiptionofisla(e:Wa�Savitxa �' AMUM 1, /9nnuol inspection of fire exunguishers I 9b.04 z _ Fine extinguisheziserviced&teggcd w/tamper seals f 47.58 3 ApMeteX Made]417T 2.5 lb ABC oxtinguishcr(new) 1 45.50 4 CO2 hose-continuity test 2 2.16 4.32 77 Y r_ ,�" r_ •:ti 1.87,40 • JAI ay, ciom vnd owbilre limes[ u•I en Jl '.Rlpirieo' Z4��- �mWadlted.u►dibi-ttb4bi�nOa �taied is � ,k;.,jf. ii! "t , t as o 'abo,tc .d qar®boasearx► ' ' F :° -SWAiaeb POWlv' � 've�bas�r•v�pil3ed•witfi-Uxs •' id'uas�nd'a'nntcavta�i�•�POD ,,� Slip o =-,ROYBAL- & SONS FIRE- EQUIPMENT- CO._ . - ,-253126 , N? "A Full Service Fire.Equipment Company". P.O. Box 204 MIDDLEFIELD, CONNECTICUT 06455-0204 : 't CT Lic#F30004 = , 860-347-2189 " MA Lic#CR1088 +- " M � Fax'860-343-5479 RI Lic#JPE-13JFE_10-' - Email support@roybalfire.com NameDate - tcd Address. SOV City 4 �/ (��'(1,��P✓ti 1��°." `moi 0�� _ Phone,i Customer Purchase Order#:- TERMS: NET 30 DAYS, QTY. DESCRIPTION- PRICE AMOUNT- C2 0 MOUNT-- C20 Ut C& 11� CL's,�,.`.f �•��+ _�� —g� f FINANCE CHARGE of 1 112%per month which is an All payments are due within 30 days Sub Total �G ANNUAL.PERCENTAGE RATE of 18%charged on all unless specified by written contract.- •, past due accounts. Tax Received By: 3 ` r C: TOTAL SIGNATURE PRINTED NAME THANK YOU FISHERS ISLAND FERRY DISTRICT VENDOR 005414 ELECTRICAL WHOLESALERS,INC. 06/06/2017 CHECK 4105 A + FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i - SM .5710.2.000.200 S108003381. 001 RP-USB CHARGER,`WALLPLATE 32.78 TOTAL 32.78 r';, „t i'1• t '`•nab, f M...e n5^"�. •'�• i' ,.s �', '`�•• rn, .. t$+�:a. >J 5 �.tib:.a•'� `. o ' ' ct 0 • 0 0 0 ® 0 D 0 � � I '(FIS ERS-ISLAND FERRYDISTRICT. °' - 53095 MAIN RQAD;;PO BOX'1179, AUDIT._,0,6: �06 17, M1 ® - SOUTHOLD,NY 1,197,1'-0959 = CHECK=NO: ; .4;105' ;,ST �• THE SUFFOLK,'CO.NATIONAL BANK s, CUTCHOGUE;NY 1.1935 DATE'." AMOUNT," _ i- - 3,, ,'78x' ;r: 50 546/214_ THIRTY<.'TWO.-AND-.78./_10'0-DOLLARS - : - PAY ELECTRICAL WHOLESALERS,,INC. i TD ME_ t'PO"BOX-,7.89761 ORDER- = .PHILADELPHIA PA', 1-9178 ", um00L, 10 So 1:0 211.05L, 61,1: 68 00 150 2 1112 I Vendor No. Check No.,. _ = Town of Southold New York - Payment Voucher 5414 i a t Vendor Address Entered by Lockbox 9761 Vendor Name P.O. Box 8500 Audit Mate Electrical Wholesalers Inc. Philadelphia, PA 19178-9761JUN 0 6 2017 Vendor Telephone Number 800-522-3232 ', MW 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 S108003381.001 5/15/2017 $32.78 $32.78 RP usb char er(1)utili box(1)wall late(1) SM6710.2.000.200 - i - i 3 - F i E - F "F . I $32.78 $32.78 Payee Certification' Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature` _ . _ Title Signature Company Name Fishers Island Ferry District Date 5/23/2017 Title Date 0-4) / r INVOICE R Electrical Wholesalers mc. aasneec2cAse.vieesCo. CUSTOMER NUMBER "SUB ACCOUN`i'#� EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE'DATE 860-443-4381 Fax 860-443-4570 S108003381.001 05/15/17 REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 10541 AB 0.403 E0315X 10674 D2474905367 S2 P4264993 0001:0001 SHIP TO: Illlnl��ll��lll�lllllll��l��il�ll�lilll�illl�l'�'I�'nl�'��"I� ` FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER-PO'# JOB NAME/RELEASE# ORDERED BY SALESPERSON RP PURSES OFFICE JESSE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE KEVIN CHARRON PICK UP MFG DISC 10TH, NET 15TH 05/15/17 05/15/17 ORDER QTY` SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE lea lea LEVT5632-W USB CHARGER/DUPLEX 29.291E 29.29 TAMPER RESIST RECEPT lea lea CRS TP594 UTILITY BOX 1-7/8"DEEP 109.380c 1.09 1/2"KOS 1 e lea LEV 80401-NW 1G WHT NYL WALLPLATE 44.413c 0.44 SAVE TIME AND MONEY WITH OUR FREE E-BILLING SERVICE Choose from three easy ways to receive your Invoices.email,fax or Invoice Gateway,our secure online site.With Invoice Gateway,you are notified by email when new Invoices are posted.You can search,sort,view,print,download and pay your bills on this site.With email and fax delivery,your invoices are sent once per day and you get an exact replica of your paper bill Contact the Credit Department at 800-522-3232 and get setup today) If paid by 06/10/17 you may deduct$0.01 2017YD5116 69:2446 PM 8108003381.1 Subtotal 30.82 Invoice is due by 06/15/17 net of any cash discount. Shipping Chgs 0.00 Tax 1.96 For complete Terms&Conditions go to: Payments 0.00 hftp://tinyurl.com/EWCT-Customer-TC-pdf Amount Du_e 32.78 A[Electrical Company Visit us at www.usesi.com --y_Srrvlcps If^ 0001:0001 TO VIEW ONLINE GO TO: HTTP://EW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 III III I I IIIII I I II I II 1111111111111111111111 IIII Electrical ' ho csh inc. Ship Ticket US S1--~'-- %C.S.v.kctrieali service%111c.Compliny SHIP, DATE ORDER NUMBER. PAGE'eNO. - EW-NEW LONDON 05/15/2017 S108003381.001 1 of 1 163 STATE PIER ROAD NEW LONDON,CT 06320-5817 CUST'PO#:- RP PURSES OFFICE 860-443-4381 Fax 860-443-4570 JOB/REL#:. SOLD TO: SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 CUSTOMER NUMBER CUSTOMER.PHONE# ORDERED BY SALESPERSON 27352 860-442-0165 JESSE HOUSE ACCOUNT WRITER SHIP VIA' WAREHOUSE, ORDER'DATE FREIGHT ALLOWED KEVIN CHARRON PICK UP Ship: NELO Price: NELO 05/15/2017 No 860 443-4381 ORDER,QTY SHIP QTY El DESCRIPTION lea lea LEV T5632-W USB CHARGER/DUPLEX TAMPER RESIST RECEPT lea lea CRS TP594 UTILITY BOX 1-7/8" DEEP 1/2" KOS lea lea LEV 80401-NW 1 G W HT NYL WALLPLATE 2017ro6n6 08 2446 ASA S108003381 I U Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours. Tax For complete Terms &Conditions go to: http://tinyurl.com/EWCT-Customer-TC-pdf Payments Amount Due Printed By.CHAKEV on 5/15/2017 9 24 47 AM EST FISHERS ISLAND FERRY DISTRICT VENDOR 006482 PAUL J. FOLEY 06/06/2017 CHECK 4106 A ---FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000. 000 060117 REIMB RX-JUN'17 108.55 TOTAL 108.55 fit ' •':i is - - - - .... �i I e o D 0 e 0 0 D . eFISHFRS,:ISLAAD TERRYDISTRICT, 'ri'--- - - - - -=_53095-MAIN ROAD,'PO Box 1179 t SOUTHOLD,NY11971-0959'- CHECK -NO: r�''410'6 THE SUFFOLK'CO.NATIONAL BANK,) j ^.,; AMOUNT__ f CUTCHOGUE,NY 11935 DATE 50-54612 1406'/06/201,7`;';; ONE-HUN_ DRED EIGHT'AND ',55%=100_ DOLLARS " - _ _ >: PA'Y PAUL, J-. FOLEY "690_, W,ILLIAMS, STREET ORDER,_-NEW- LONDON=CT 0632"0-or ii'004 106ii' 1:0 2 1405464 68 00 L50 2 Lii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6482 4 LOG Vendor Address Entered by 690 Williams Street New London, CT 06320 Audit Date Foley, Pawl ,UH Q 6 2017 Vendor Telephone Number a pC o Vendor Contact Cf v Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number I , 5/18/2017 $127.70 $108.55 Anthem Retiree Prescription Plan Jun 2017 SM9060.8.000.000 ($19.16) 85% Reimbursement Paul Foley Ck#2743 $127.70 . V7 $108.55 $108.55 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 k Title Signature /I Company Name Fishers Island Ferry District Date 5/25/2017 Title Date T259 P1 26107(260)093315219272 all°II'II"If 'I'III Payments received after the due date may PAUL J FOLEY appear on your next invoice. 690 WILLIAMS ST NEW LONDON,CT 06320-4132 {r ?-�A eyFt%. __ _- -- _ az��•h. _ -..aa�".`� ::�c,�;-,- -_ -_ ^;�"�.4,xd'* :}mac'. _- - Ye'. ..—. _ 'aF�7'Sa-ss+a ki4 Y;;c l]. leTc�!'17R1iT�Y•T71"1"n'•S_> .i. may_ ..`a�Y-n �7'y� T•��• �`y- - �N` �i��' L'ti�':.'.. .. _ .,-B $127.70 06/01/2017 G0230330801 Payment Options • For check payment or automatic withdrawal from your bank account(ACH),use the form below. • For credit card payment or withholding from your SSAAIRB check, call 1-888-620-1747. N s e For one time credit card payment through our automated system, call 1-877-358-6792. Previous Balance $127.70 Payment Activity Since bast Invoice -$127.70 Payment Tyne Date Received Amount Check Payment-Lockbox n_ 04/24/2017 -$127.70 00002734 `►� Activity Detail $127.70 Transaction Type �` �� Premium Month Amount Premium '1t' JUNE 2017 $127.70 Amount Due \ $127.70 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - f, PAUL J.FOLEIf 2743 ! j 690 WILLIAMS ST. _ 517Z18rt211 NEW LONDON,Ur 66320 ----- f Date _ 9 ! Pay to the ! Order of 1 $ a 7, 7� -17o Dollars SUN " o.�.,.- I ! ! Ba � peoples.com C� 1 ! 2743 I epi.,- <� '�,£:', ta,;: ". .tr;•lJt `, ,.•,an-._z,�ru ., ----I _ , ^-may—'•."i FISHERS ISLAND FERRY DISTRICT u VENDOR 006803 FRONTIER 06/06/2017 CHECK 4107 11 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT °' SM .5710.4.000.100 86044201650517 NL TERM TEL-5/15-6/14/17 219.59 TOTAL 219.59 Fix .. r_}• � .r»w o>w>. .:. ._...xt. ,.�. �r _Vh;. :J:a W r \/. \ • r :.v` `akli=i' ' '�:k•� pi's:• , J't ''. .wsa'• > . `KI' * _ �..•. .`�;,k.'*".A •.J �:�.r��.. r,, y., � :.r a't,y. i( 7 J • '6 e♦ — 51 a i I °,t."t.`.'° ,.nr ,.. ,k.' j•• _ _ _ �7', '°` _ "{(h�. 1E'(—;��,s y^ys'•.a�• � �,',';`;; i i. 'FISHERS;ISLAIDD,FERRY.DISTRICT,',.^ -AuDZT':'o6 °0'6/1 x53095 MAIN�ROAD,PO-BOX-,l 179, _ / ,7• _ - "} - o - SOUTHdLD',NY 11'97,1-0959' CHECK0. _ 41'0-7 THE SUFFOLK C0:'NATIONP L BANK• DATE AMOUNT i CUTCHOGUE,NY 11935 ^ 0,6'%'06`/2017. 2t1'9 9' ' - 50-546/214,, `TWO -HUNDRED NINETEEN=AND -5 9/10 0- DOLLARS ' PAY ' FRONTI'ER TO TJ E, _'"PO;BOX7:404.0 ,, ORDER, CINCINNATI OH 45274 0407or 110001, 10 7110 1:0 2 140 54641: 68 00 L 50 2 I"' '` T Vendor No. Check No. Town of Southold, New York - Payment Voucher 6803 ,�� Vendor Address Entered by Frontier Vendor Name PO Box 740407 Audit date Frontier a G 1(n * i CN1S Cincinnati, OH 45274-0407 U'"N 0, 6-2017 Vendor Telephone Number Wn 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 , 860-442-0165-011484-5 5/15/2017 $219.59 $219.59 NL Terminal Tel SM6710.4.000.100 . 7 5/15-6/14/17 t 1 eE { r $219.59 $219.59 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature �r�itle Signature _ Company Name Fishers Island Ferry District Date 5/25/2017 Title Date /� o e ®® FISHERS ISLAND FERRY DISTRICT Page 1 of 7 Fff' untmr, Your Monthly Invoice -COMMUNICATIONS Account Summary New Charges Due Date 6/08/17 Billing Date 5/15/17 Account Number 860-442-0165-011484-5 PIN 3876 Previous Balance 432.23 Payments Received Thru 4/18/17 -214.20 Thank you for your paymentl Balance Forward 218.03UANew Charges 219.59 Total Amount Due $437.62 Get TV that fits ® ® ® your business. To Pay Your Bill Add DISH Business and create your own TV package. Online: Frontier.com 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 prices! ,I1ee� ® To Contact Us Call 1.844. 1 . `! BUSINESS Chat: Frontier.com Online: Frontier.com/helpcenter All offers require business verification and 24 month commitment with early termination fee All prices,charges,packages, pro gremmingfeatures,funcuonaliry,and offers subject toa ne?ewlthoutnotice Specific channels may vary from residential 1.8��.921.$1�2 Email: ContactBusiness@ftr.com packages end package names do not necessarily reflect ch en nal counts ®2017 Frontier Communications Corporation. 2 6 _ Fr'®1 �e �M Page 2 of 7 1 '� Date of Bill 5/15117 COMMUNICATIONSAccount Number 860.442-0165.011484-6 For Billing and Service Questions,Call 1.800-921.3102, 7 am-7 pm Monday-Friday,9:30 am-4 pm Saturday or visit www.Fronfier.com. HOW TO PAY YOUR BILL 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 Y 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 Visit Frontier.com/terms, Frontier.com/tariffs or call customer service for information on Frontier's applicable tariffs or price lists and other I1't important Terms,Conditions and Policies("Terms") related to your Frontier Services-Local,Long Distance, High Speed Internet and/or TV- including limitations of liability and early termination fees. In addition,as part of our Terms, Frontier has instituted a binding arbitration provision to resolve customer disputes(Frontier.com/terms/arbitration). By using or paying for Frontier services,you are agreeing to these Terms and that disputes will be resolved by individual arbitration. Hard of Hearing, Deaf, Blind,Vision and/or Mobility Impaired customers may call 1-877.462.6606 to reach a consultant trained to support their communication needs. 0 0 FISHERS ISLAND FERRY DISTRICT Page 3 of 7 11mrOntISF, Date of Bill 5/15/17 COMMUNICATIONS Account Number 860.442.0165.011484-5 CURRENT BI LLINg SUMMARY, CUSTOMER TALK Local Service from 5/15/17 to 06/14/17 Oty Description 860/442-0165.0 Charge Basic Charges If your bill reflects that you owe a Balance Forward, you 4 Centrex Bus Line 84.00 must make a payment Immediately in order to avoid 3 Acc Rec Chrg Multi-Ln DCS 5.28 collection activities. You must pay a minimum of$333.65 Acc 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 3.27 Federal Excise Tax 3.45 Please be advised, you are entitled to an itemized bill for 4 CT Service Fund .20 your tariffed equipment and associated charges on CT State Tel Sales Tax 7.61 request. Call Frontier at 1-800-921-8102 for more CT State sales Tax 2.09 information or to request Itemized billing. 4 911 Surcharge 1.12 Federal USF Recovery Charge 5.32 Total Basic Charges 166.86 Non Basic Charges Rental - Gong 2.25 CSF1 Common Equipment 5.00 Federal Excise Tax .22 CT State Sales Tax .46 Total Non Basic Charges 7.93 Toll/Other Business Block of Time 700 II - MTM 35.00 Frontier -Detailed Below 2.09 FRONTIER LONG DISTANCE OF CT -Detailed Below 1.16 CT State Tel Sales Tax 2.67 Federal Regulatory Fee .54 Frontier Long Distance - Federal USF Surcharge 3.34 Total Toll/Other 44.80 TOTAL 219.59 ---------------------------------------------------------------------- **ACCOUNT ACTIVITY** Oty Description, Order Number Effective Dates 1 Late Payment Fee 5/12 3.27 860/442-0165 Subtotal 3.27 Subtotal 3.27 :;IT; Detail of Frontier Charges Toll charged to 860/442-0165 Ref # Date Time Min *Type Place and Number Called Charge 1 APR 29 11:22A 1 DD NATL D.A. CT (203)411-0000 2.09 2 APR 17 9:14A .9 DD HARTFORD CT (860)916-3326 .00 2 3 APR 17 11:38A 5.2 DD PUTNAM CT (860)928-1921 .00 2 4 APR 20 10:39A 5.9 DD MILFORD CT (203)876-8606 .00 2 5 APR 20 1:47P .5 DD NEWBRITAIN CT (860)770-4612 .00 2 6 APR 24 8:06A 1.2 DD WATERBURY CT (203)754-5334 .00 2 7 APR 24 12:21P .5 DD HARTFORD CT (860)817-8228 .00 2 8 APR 24 12:25P 8.3 DD HARTFORD CT (860)817-8118 .00 2 9 APR 24 2:58P .5 DD HARTFORD CT (860)594-4816 .00 2 10 APR 26 2:10P 1.1 DD HARTFORD CT (860)594-4800 .00 2 11 APR 27 9:42A 7.4 DO STAMFORD CT (203)249-4800 .00 2 12 APR 27 10:57A 9.6 DD MIDDLETOWN CT (860)632-0218 .00 2 13 APR 28 9:55A .9 DD COLCHESTER CT (860)537-2622 .00 2 14 APR 28 3:36P .9 DD MIDDLETOWN CT (860)632-0218 .00 2 15 APR 28 3:37P 1.5 DD MIDDLETOWN CT (860)632-0218 .00 2 16 APR 29 11:24A 4.5 DD GREENWICH CT (203)629-3890 .00 2 17 MAY 01 8:10A 1.3 DD NEWBRITAIN CT (860)356-6555 .00 2 18 MAY 01 8:19A 5.2 DD MIDDLETOWN CT (860)632-0218 .00 2 19 MAY 01 11:31A 1.1 DD MIDDLETOWN CT (860)632-7338 .00 2 20 MAY 01 11:40A 3.1 DD HARTFORD CT (860)594-4860 .00 2 FISHERS ISLAND FERRY DISTRICT Page 4 aff 7 RoDate��'��TM � of Bill 5/15/17 COMMUNICATIONS Account Number 860.442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 21 MAY 02 9:48A 1.0 DD BRIDGEPORT CT (203)375-5228 .00 2 22 MAY 02 3:18P 2.6 DD MIDDLETOWN CT (860)632-0218 .00 2 23 MAY 03 1:15P .9 DO COLCHESTER CT (860)537-2378 .00 2 24 MAY 04 9:33A .5 DD ESSEX CT (860)662-4090 .00 2 25 MAY 04 10:15A 2.1 DD JEWETTCITY CT (860)376-6242 .00 2 26 MAY 05 8:37A .8 DD COLCHESTER CT (860)537-2622 .00 2 27 MAY 05 1:38P .5 DD HARTFORD CT (860)930-7639 .00 2 28 MAY 05 1:56P 4.5 DD BRIDGEPORT CT (203)375-5228 .00 2 29 MAY 08 8:10A 2.8 DD COLCHESTER CT (860)537-2344 .00 2 30 MAY 09 10:34A 4.3 DD NEW HAVEN CT (203)641-0215 .00 2 31 MAY 09 12:10P 2.8 DO NEW HAVEN CT (203)785-8000 .00 2 32 MAY 09 3:24P 2.9 DD WATERBURY CT (203)575-0111 .00 2 33 MAY 10 10:21A 3.2 DD NAUGATUCK CT (203)729-9800 .00 2 34 MAY 11 11:53A 5.7 DD DEEP RIVER CT (860)790-0171 .00 2 35 MAY 11 1:43P 7.4 DO BRIDGEPORT CT (203)375-5228 .00 2 36 MAY 12 1:47P 7.4 DO WATERBURY CT (203)753-5555 .00 2 37 MAY 12 3:41P .5 DD HARTFORD CT (860)310-9284 .00 2 860/442-0165 Subtotal 2.09 Detail of Frontier Charges Toll charged to 860/447-9371 Ref # Date Time Min *Type Place and Number Called Charge 38 APR 19 10:13A 1.0 DD ESSEX CT (860)767-1768 .00 2 39 APR 21 12:53P .6 DD JEWETTCITY CT (860)376-4119 .00 2 40 APR 25 10:28A .6 DD HARTFORD CT (860)680-6678 .00 2 41 APR 25 10:29A .9 DD WATERBURY CT (203)525-7549 .00 2 42 APR 25 10:32A .5 DD NEW HAVEN CT (203)393-5299 .00 2 43 APR 26 11:35A 5.2 DO MIDDLETOWN CT (860)632-0218 .00 2 44 APR 26 3:30P .5 DD WILLIMNTIC CT (860)208-1105 .00 2 45 APR 26 3:31P .5 DD WILLIMNTIC CT (860)208-1105 .00 2 46 MAY 01 2:31P 3.1 DD JEWETTCITY CT (860)376-4119 .00 2 47 MAY 02 9:49A 2.7 DD BRIDGEPORT CT (203)375-5228 .00 2 48 MAY 02 11:54A 1.9 DO NEW HAVEN CT (203)410-0861 .00 2 49 MAY 08 1:11P .5 DD NEW HAVEN CT (203)785-2020 .00 2 l 50 MAY 08 2:55P 4.6 DO JEWETTCITY CT (860)376-4119 .00 2 Ip 860/447.9371 Subtotal .00 ---------------------------------------------------------------------- 700 MIN BOT II Summary 630 Mins. @ $ .00/Min. .00 Total Charges .00 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/442-0165 Ref # Date Time Min *Type Place and Number Called Charge 51 APR 20 8:33A 1.0 DD OTTAWAHULL ON (613)788-7255 1.16 52 APR 15 9:29A 1.3 DD FISHERS IS NY (631)788-7412 .00 2 53 APR 17 7:47A .5 DD FISHERS IS NY (631)788-7345 .00 2 54 APR 17 8:06A 12.9 DD FISHERS IS NY (631)788-7463 .00 2 55 APR 17 9:22A 2.6 DD FISHERS IS NY (631)788-7919 .00 2 56 APR 17 10:06A .5 DD FISHERS IS NY (631)788-7345 .00 2 57 APR 17 10:41A 5.3 DD FISHERS IS NY (631)788-7345 .00 2 58 APR 17 11:05A .8 DD FORT WAYNE IN (260)478-6377 .00 2 59 APR 17 11:10A 1.4 DD FISHERS IS NY (631)788-7463 .00 2 60 APR 17 1:39P 25.9 DD LAKE PARK IA (712)432-0490 .00 2 61 APR 18 10:OOA 26.7 DD LAKE PARK IA (712)432-0490 .00 2 62 APR 18 1:50P 1.5 DD MERCERVL NJ (609)689-3000 .00 2 63 APR 19 5:47P 1.4 DD BILLERICA MA (978)944-9513 .00 2 64 APR 20 8:34A 1.4 DD FISHERS IS NY (631)788-7255 .00 2 65 APR 20 9:59A 18.0 DD LAKE PARK IA (712)432-0490 .00 2 66 APR 20 3:23P .5 DD FISHERS IS NY (631)788-5550 .00 2 67 APR 20 3:25P 1.6 DD FISHERS IS NY (631)788-7215 .00 2 68 APR 20 4:19P 1.3 DD FISHERS IS NY (631)788-5644 .00 2 69 APR 21 7:23A 1.9 DD FISHERS IS NY (631)788-7632 .00 2 70 APR 21 9:30A 1.1 DO FISHERS IS NY (631)788-7345 .00 2 71 APR 21 10:43A 5.6 DD MILWAUKEE WI (262)783-4800 .00 2 72 APR 21 12:24P 2.9 DD NEWBEDFORD MA (508)998-2121 .00 2 - 0 ® O 000 °Fr' Onber, FISHERS ISLAND FERRY DISTRICT Page 5 of 7 Date of Sill 5/15/17 -COMMUNICATIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 73 APR 21 12:56P .5 DD SOUTHOLD NY (631)765-1802 .00 2 74 APR 21 1:09P 1.8 DD AGAWAM MA (413)374-3739 .00 2 75 APR 21 2:43P 1.5 DD MARLBORO MA (774)463-7497 .00 2 76 APR 21 2:50P 1.1 DD MARLBORO MA (774)463-7497 .00 2 77 APR 21 6:13P .9 DD SELDEN NY (631)682-6190 .00 2 78 APR 25 8:25A 3.1 DD FISHERS IS NY (631)788-7463 .00 2 79 APR 25 8:35A 2.9 DD FISHERS IS NY (631)788-7463 .00 2 80 APR 25 1:28P 1.4 DD FISHERS IS NY (631)788-7345 .00 2 81 APR 25 2:21P .7 DD FISHERS IS NY (631)788-7345 .00 2 82 APR 25 5:59P .5 DD ORANGE NJ (973)592-4577 .00 2 83 APR 26 7:33A 2.8 DO FISHERS IS NY (631)788-7463 .00 2 84 APR 26 9:18A .6 DD FISHERS IS NY (631)788-7345 .00 2 '85 APR 26 9:21A .6 DD FISHERS IS NY (631)788-7345 .00 2 86 APR 26 1:16P .9 DD WALPOLE MA (508)641-8611 .00 2 87 APR 26 1:46P 1.7 DD RACINE WI (262)638-4000 .00 2 88 APR 26 2:24P 1.0 DD FISHERS IS NY (631)788-7251 .00 2 89 APR 26 2:26P .7 DO FISHERS IS NY (631)788-7250 .00 2 _ 90 APR 26 2:27P 9.7 DD NO READING MA (978)276-2400 .00 2 91 APR 26 2:58P .5 DD FISHERS IS NY (631)788-7463 .00 2 92 APR 27 9:59A 12.6 DD LAKE PARK IA (712)432-0490 .00 2 93 APR 27 12:50P .9 DO FISHERS IS NY (631)788-7857 .00 2 94 APR 27 1:16P .5 DD FISHERS IS NY (631)788-7857 .00 2 95 APR 27 1:23P .9 DD FISHERS IS NY (631)788-7345 .00 2 96 APR 27 1:29P .7 DO CULPEPER VA (540)937-5796 .00 2 97 APR 28 1:37P .9 DD NEWPORT RI (401)841-4292 .00 2 98 APR 28 1:49P .9 DD FISHERS IS NY (631)788-7444 .00 2 99 APR 28 2:34P 1.5 DD SOUTHAMPTN NY (631)377-6442 .00 2 100 APR 28 2:54P 2.2 DD NWYRCYZN01 NY (646)732-6216 .00 2 101 APR 29 9:43A 2.0 DD FISHERS IS NY (631)788-7255 .00 2 102 APR 29 11:19A 2.4 DO FISHERS IS NY (631)788-7936 .00 2 103 APR 29 11:32A 2.3 DD FISHERS IS NY (631)788-7936 .00 2 104 APR 30 10:48A .5 DD FISHERS IS NY (631)788-7744 .00 2 105 APR 30 10:49A .5 DD FISHERS IS NY (631)788-7463 .00 2 106 MAY 01 7:59A 1.5 DD FISHERS IS NY (631)788-7463 .00 2 107 MAY 01 12:53P 7.8 DO FISHERS IS NY (631)788-7345 .00 2 108 MAY 02 11:41A 3.5 DO FISHERS IS NY (631)788-7345 .00 2 109 MAY 03 9:06A 1.1 DD FISHERS IS NY (631)788-7215 .00 2 110 MAY 03 9:38A 1.2 DD FISHERS IS NY (631)788-7251 .00 2 111 MAY 04 8:41A 4.5 DD FISHERS IS NY (631)788-5673 .00 2 112 MAY 04 9:48A 1.2 DD FISHERS IS NY (631)788-7345 .00 2 ;{•,•;aa 113 MAY 04 10:39A .5 DD SOUTHAMPTN NY (631)377-6442 .00 2 114 MAY 04 10:47A 11.6 DD FISHERS IS NY (631)788-5673 .00 2 115 MAY 04 11:03A 1.8 DO FISHERS IS NY (631)788-7919 .00 2 116 MAY 04 11:47A 7.0 DO PROVIDENCE RI (401)486-6759 .00 2 117 MAY 04 3:15P .9 DO MERCERVL NJ (609)689-3000 .00 2 118 MAY 05 9:39A 1.6 DD FISHERS IS NY (631)788-7345 .00 2 119 MAY 05 10:09A 2.7 DD BOSTON MA (617)573-3135 .00 2 120 MAY 05 10:55A .5 DD FISHERS IS NY (631)788-7444 .00 2 121 MAY 05 11:46A 1.2 DD FISHERS IS NY (631)788-7857 .00 2 122 MAY 05 2:13P .5 DD FISHERS IS NY (631)788-7174 .00 2 - 123 MAY 05 2:58P 7.2 DO FISHERS IS NY (631)788-5673 .00 2 124 MAY 05 3:31P 3.5 DO POUGHKEPSI NY (845)656-1677 .00 2 125 MAY 08 11:35A .7 DD FISHERS IS NY (631)788-7345 .00 2 126 MAY 08 11:42A .8 DD FISHERS IS NY (631)788-7345 .00 2 127 MAY 08 12:17P .7 DD SOUTHAMPTN NY (631)377-6442 .00 2 128 MAY 08 5:48P .8 DD ORANGE NJ (973)592-4577 .00 2 129 MAY 09 9:44A .6 DO QUINCY MA (617)804-4746 .00 2 130 MAY 09 9:54A 3.2 DO FISHERS IS NY (631)788-7345 .00 2 131 MAY 09 10:40A .5 DD PROVIDENCE RI (401)499-7974 .00 2 132 MAY 09 11:32A .6 DD QUINCY MA (617)804-4746 .00 2 '133 MAY 09 12:59P 6.3 DD FISHERS IS NY (631)788-7744 .00 2 134 MAY 10 9:46A .5 DD FISHERS IS NY (631)788-7433 .00 2 135 MAY 10 9:47A 1.2 DD POUGHKEPSI NY (845)656-1677 .00 2 136 MAY 10 10:01A .8 DD FISHERS IS NY (631)788-7463 .00 2 137 MAY 10 11:18A 1.5 DD BOSTON MA (617)573-3135 .00 2 138 MAY 10 11:19A .5 DD BOSTON MA (617)573-3356 .00 2 139 MAY 10 11:20A .9 DD BOSTON MA (617)573-3356 .00 2 140 MAY 11 11:43A .7 DD EVANSVILLE IN (812)483-6732 .00 2 141 MAY 11 12:50P .5 DO NEWPORT RI (401)832-5518 .00 2 142 MAY 11 2:21P 2.1 DD MONTEBELLO CA (323)838-1800' .00 2 143 MAY 11 3:OOP 1.9 DD MERCERVL NJ (609)689-3000 .00 2 144 MAY 12 8:37A 3.2 DO FISHERS IS NY (631)788-5673 .00 2 145 MAY 12 10:06A .7 DD PROVIDENCE RI (401)486-6759 .00 2 w 0 0 0 e 0 ® e ®• FISHERS ISLAND FERRY DISTRICT Page 6 of 7 " RontierrTM Date of Bill 5/15/17 COMMUNICATIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 146 MAY 12 2:40P .8 DD ALLENTOWN NJ (609)259-8900 .00 2 147 MAY 13 3:27P .5 DD ATLANTA GA (404)694-1054 .00 2 148 MAY 14 9:42A 1.4 DD FISHERS IS NY (631)788-7255 .00 2 860/442.0165 Subtotal 1.16 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/447-9371 Ref # Date Time Min *Type Place and Number Called Charge 149 APR 17 2:06P .5 DD FISHERS IS NY (631)788-7345 .00 2 150 APR 18 10:01A 8.1 DD FISHERS IS NY (631)788-7744 .00 2 151 APR 18 11:38A .8 DD FISHERS IS NY (631)788-7345 .00 2 152 APR,18 12:59P .9 DD WARWICK RI (401)736-1775 .00 2 153 APR 18 3:58P 1.7 DD ATLANTA NE GA (770)448-2193 .00 2 154 APR 18 4:OOP 1.7 DD ATLANTA NE GA (770)851-8376 .00 2 155 APR 19 1:36P 5.2 DD FREEHOLD NJ (908)482-7566 .00 2 156 APR 20 3:23P .5 DD FISHERS IS NY (631)788-7463 .00 2 157 APR 21 8:43A 1.2 DD FISHERS IS NY (631)788-7345 .00 2 158 APR 21 2:39P 1.2 DD MARLBORO MA (774)463-7497 .00 2 159 APR 24 9:13A .5 DD FTLAUDERDL FL (954)581-2505 .00 2 160 APR 24 10:35A 3.8 DD FTLAUDERDL FL (954)581-2505 .00 2 161 APR 24 3:24P 9.7 DD FISHERS IS NY (631)788-7345 .00 2 162 APR 26 11:13A .5 DD FISHERS IS NY (631)788-7463 .00 2 163 APR 26 12:31P .5 DD FISHERS IS NY (631)788-7463 .00 2 164 APR 26 2:27P .9 DD FISHERS IS NY (631)788-7520 .00 2 165 APR 26 2:35P .7 DD FISHERS IS NY (631)788-7463 .00 2 166 APR 27 8:09A .8 DD HOUSTON TX (281)507-9976 .00 2 167 APR 27 1:09P 1.4 DD FISHERS IS NY (631)788-7857 .00 2 168 APR 28 9:10A .5 DD FISHERS IS NY (631)788-5673 .00 2 169 APR 28 2:53P .5 DD NEW YORK NY (917)464-4776 .00 2 170 MAY 01 9:48A 5.0 DD FISHERS IS NY (631)788-7463 .00 2 171 MAY 01 10:30A 69.3 DD LAKE PARK IA (712)432-0490 .00 2 172 MAY 01 12:53P 2.0 DD NEW YORK NY (917)464-4713 .00 2 173 MAY 01 12:58P 1.3 DD FISHERS IS NY (631)788-7463 .00 2 174 MAY 01 1:00P 23.8 DD CONCORD MA (978)405-1279 .00 2 175 MAY 01 2:15P 2.5 DD FISHERS IS NY (631)788-7345 .00 2 176 MAY 01 3:27P 4.5 DD FISHERS IS NY (631)788-7345 .00 2 I,i,;;'i,�• 177 MAY 01 4:14P 1.0 DD PHILA PA (215)490-7341 .00 2 178 MAY 02 12:02P 1.6 DD FISHERS IS NY (631)788-7463 .00 2 179 MAY 02 12:53P .5 DO FISHERS IS NY (631)788-7345 .00 2 180 MAY 02 3:01P 1.0 DD HOUSTON TX (281)507-9976 .00 2 181 MAY 02 4:28P 24.2 DD LAKE PARK IA (712)432-0490 .00 2 182 MAY 03 11:18A 9.7 DD FISHERS IS NY (631)788-5673 .00 2 183 MAY 04 10:43A .7 DD FISHERS IS NY (631)788-7463 .00 2 184 MAY 04 12:37P 1.9 DD FISHERS IS NY (631)788-7463 .00 2 185 MAY 05 9:27A .5 DD BABYLON NY (631)943-7487 .00 2 186 MAY 05 12:57P .9 DD NWYRGYZN07 NY (347)933-3423 .00 2 187 MAY 08 11:55A 2.1 DD FISHERS IS NY (631)788-5673 .00 2 188 MAY 10 8:57A .6 DD FISHERS IS NY (631)788-7345 .00 2 189 MAY 11 9:21A 32.3 DD HINGHAM MA (781)740-8193 .00 2 190 MAY 12 11:17A 2.7 DD FISHERS IS NY (631)788-7463 .00 2 860/447.9371 Subtotal .00 ---------------------------------------------------------------------- 700 MIN BOT II Summary 630 Mins. @ $ .00/Min. .00 Total Charges .00 ---------------------------------------------------------------------- Legend Call Types: DD - Day ---------------------------------------------------------------------- Caller Summary Report Calls Minutes Amount Main Number 135 379 3.25 860/447-9371 55 252 .00 ***Customer Summary 190 631 3.25 F ® ® 0 ®®®® FISHERS ISLAND FERRY DISTRICT Page e 7 of 7 roffn i%Aah r Date of Bill 5/15/17 COMMUNICATIONS Account Number 860.442-0165.011484-5 Caller Summary Report calls Minutes Amount Intra-Lata 48 127 .00 Interstate 139 497 .00 Intrastate 1 4 .00 International 1 1 1.16 Directory Assistance/Enhanced Nat'l DA 1 1 2.09 ***customer summary 190 631 3.25 c i.%3,1 ,ai;.tG�a,' r,r.ri•rF ;,,i:" '.`r.s. ,✓ .h.-x',,In. FISHERS ISLAND FERRY DISTRICT J ja7 VENDOR 008081 HARVARD PILGRIM HEALTH CARE 06/06/2017 CHECK 4108 `' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ;.~ SM .9060.8.000.000 074705103817A TERMINATE CONTRCT—HOYT D 390.72— SM .9060.8.000.000 074705106617 ADD MEMBER—MORGA14 J-2/13 321.16 i SM j.9060.8.000.000 074705112717 MEDICAL PREM(22) —JUN'17 (- 18, 913.36 ; {� SM .9060.8.000.000 674705112717A ADD MEMBER—NORTON K 643.70 SM .9060.8.000.000 074705112717A TERM.CNTRCT—WENDLAND W 204.37— , SM .9060.8.000.000 07470513216 UNDERPAYMENT OF JAN PREM 781.44 " TOTAL t 20, 064.57 .. � { �-s.��:a.�. <..as...>.,__,.-,d�.,.x_v`, '^'•� �` .. `� i ; i:S.. i•'<iy,•ry .n iS4f 1 i 1 J ` 1 � N/1 _ • " � 2 t _ ' T_ _ 'FISHERSISLA1V17,�FERRYD`STRIC - - - - - - _ - _ � _ ,._AUDIT,•;°0�6%06/:1,7-_— _ _ 53095-MAINROAD;FO,BOX,1:17 " v SOUTHOLD;NY11971=0959 _ CHECK.NO -THE SUFFOLK C0.'NA710NAL BANK. CUTCHOGUE,NY 11935. DATE AMOUNT.; `.t - r•`' _ _ " 'O`6� ' '2017,' _ 50-546 214 / / TWENTY THOUSAND.' SIXTY FOUR AND 57,/,,100��`-DOL }t' PA`&^4r HARVARD PILGRIM HEALTH' CARE 70'TI -PO 'BOX 970'050 Q/RypDER; ,BOSTON,'MA r{:a ,TOOL, 108,1' ":0 2 140.54'64 : 68 00 150 2 I'll -i Verldor No. —� `Check No. Town of Southold, New York- Payment Voucher 8081 Vendor Address Este 0 by , PO Box 970050 Harvard Pil rim-,Health Care Boston,MA 02297-0050 = JUN 0 6'1011- , Vendor Telephone Number Rr Vendor Contact invoice Invoice Invoice j Net Purchase Order ;umber Date Total Discount jAmountClaimed Number Description of Goods or Services and Account Number 074.7051321-6 12171201-6 $781.441 � $781.44-' i nderpa ment of Jan premium .;�f�499060.6.00i�:000 F 07470s9036a7 21712017 $ 390.72;! $ 390.723 Hoyj D Termlinate Contract �`; ;SM9060.6.000.000 074705106617 31712017 $321.161 $321.16 Morgan J Add member 2.13.17 tM9060.8.000-000 . 074705112717 517120171 $439.33, $643.70 h4orton K A "Add cont-ract -:» SM9060.8.000..600. l i $ (204,37) Wendiand W std`Terminate Contra Payee Certification Department Certification Tlie-undersigned(Claimant)(Arcing on behalf of the above named claimant) I hereby certify Inat the makrials,above specified have been received by me does hereby certify that tate foregoing claim is true and correct,that no part has ki good-condition waG7out substatntion,the services;properly been paid,except as therein stated,that the-balance therein=stated is actually performed and That the quaiufiesxliereof have been verified with the exceptions d;$c and owing,and that taxes from which the Town is exempt are excluded, or discrepancies noted,and payment is approved. Signature �� Q.� ,__� Title Signature -C-ompany Name F:sbers Island Perry District Date 51/8120/7 Title ZI HaryardPilgri HealthCare 000570 IMPORTANT:INVOICE ENCLOSED . ATTN:DIANE HANSEN INVOICE#: 074705134216 FISHERS ISLAND FERRY IDIS INVOICE PA : 12/07/16 °261 TRUMBULL DR BILL PERIOD: 01/61/17-01/31/17 PO BOX 607 PAYMENT DUE ON/BEFORE 01/01/2617 —' FISHERS ISLAND,NX 06390 TOTAL CONTRACTS 37 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 37 PREVIOUS BALANCE ~~ - y - $ 33,085.2 ^-_– MEMOS ADJUSTMENTS $ i780= $ 781. r� / AMOUNT PAID - $ j-14BALANCE FORWARD $CURRENT PREMIUMS $ 33:3 TOTAL AMOUNT DUE $ 34,57.4 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-475 1. HPHConnect allows you to perform transactions online"real time",please go t;o wwi v.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Car of-Connecticut and HPHC Insurance Company FOLD AND DETACH AT PERFORATION ; FISHERS ISLAND FERRY DIS INVOICE# 074705134216 _. PO BOX 607 INVOICE DATE: 12/07/16 ' . FISHERS ISLAND,NY 06390 BILL'PERIOD: , 01701/17-01/31/17 PAYMENT DUE pNB ORE: „ 01/01/2017 - PLEASE MAIL PAYMENT WITH THIS STUB TO: CUSTOMER ACCOUNT#: - 0150930000 HARVARD PILGRIM HEALTH CARE P.O.BOX 970050 PLEASE PA "THIS_AMOUNT $34,257.42 BOSTON,MA 02297-0050 Enter Payme,it Amount Here PLEASE DO NOT WRITE BELOW THI6 LDO 0150930000 0747051342168 0001693331 00 3425742DC Harvard Pil . H6alth Care "000 oZ MPORTANT:INVOICE ENCLOSED ® ATTN:DIANE HANSEN , INVOICE#: 074705103817 FISHERS ISLAND FERRY DIS INVOICE DATE: 02007/17 261 TRUMBULL DR BILI.PERIOD .- 0.3101/17-03/31/17 _ PO BOX 607 PAYMENT DUE ON/BEFORE: 03/01/2017 FISHERS ISLAND,NY 063900 TOTAL CONTRACTS 39 'CUSTOMER, ACCOUNT#: 0150930000 TOTAL MEMBERS 39 -PREVIOUS-BALANCE _,v $ 34,648.14- 1". MEMOS $ 0.00�- ADJUSTMENTS $ -390.72 AMOUNT PAID $ -33,866.70 r/ . BALANCE FORWARI3 $ 390.72 CURRENT PREMIUMS $ � TOTAL.AMOUNT DUE $ 18,777.56 i4� Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please'call Account Services at 1-800-637-4751, HPHCvnnect allows you to perf6rm transactions online"real tune",please go to www.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Compare; FOLD AND DETACH AT PERFORATION FISHERS ISLAND FERRY,DIS 2611-TRUMBULL DR INVOICE#: 074705103517 PO BOX 607 INVOICE DATE: 02007/17, FISHERS ISLAND,NY 06390 BILL PERIOD: 03/01/17-03/31/17 PAYMENT DUE ON/BEFORE: 03/01/2417 PLEASE MAIL PAYMENT WITH THIS STUB TO; CUSTOMER ACCOUNT#: 0150930000 WARD PILGRIM HEALTH CARE E.O.BOX 970050 PLEASE PAY THIS AMOUNT` $15,777.86 BOSTON,MA 02297-0050 Ester Payment Aniot ntRere 'PLEASE DO NOT WRITI+ IIELOW THIS LINE 015091 0000 0747051038170 0001838714 0001877786DC ° Harvard Heal 1 000655EM RTANT: IOCE ENCLOSED � ATTN:DIANE H kNSEN INVOICE#: 074705106617 F]ES)HERSISLAK FERRY DIS INVOICE DATE: 03/07/17 261 TRUMBULL DR BILL PERIOD: 04/01/17-04/30/17 PCO BOX 6.07 �p PAY I�NT DUE ON/EEO : 04/QI//2017 OR 11J�8t'*9�' JtS� a�7 Ay, 06390 TO''AI.CONTc ACT S40 CUSTOMER ACCOUNT#: q 150930000 TOTAL MEMBERS 40 PREVJfOUS BAI,',AN E $ 18,777.86 MEMOS $ _0.00 _ ADJUSTMENTS $ AMOUNT PAID $ BALANCE FORS $ CURRENT PRE S $ 18,591.51 TOTAL AMOUNT DUE $ 37,690.53 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regardiqyour invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.harvvardpilgrim.org to logon. Including Harvard Pilgam Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company 'FOLD AND DETAC9 AT PERFORATION FISHERS ISLAND FER ZY DIS " 61 TWJMBULL DR ,INVOICE#: 074705106617 . PO BOX 6M INVOICE DATE: 03/07/17 FISHERS ISLAND,NY 390 BILL PERIOD: 04/01/17-04/30/17 PAYMENT DUE ON/BEFORE: 04/01/2017 PLEASE MAIL PAS' T VvTM THIS STUB TO: CUSTOMER ACCOUNT#: .{815Q930= s H,AR'VARD,PILGRIM IMALTHC,ARE P.O.BOX 970050 PLEASE PAS'THIS AMOUNT $37,690453 BOSTON,MA 02297-M 50 Ener Payment Amount Her ----� PLEASg DO NOT WRITE, BELOW THIS LINE 01 5i]9311000 074705106678 0091859151 000376�05BDC Harvard.Pilgrim HealthCare 000397 PORTANT:INVOICE ENCLOSED ATTN: DIANE HANSEN INVOICE# ; 074705112717 FISHERS ISLAND FERRY DIS INVOICE DATE : 05/07/17 261 TRUMBULL DR BILI.PERIOD : 06/01/17-06/30/17 PSD BOX 607 PAYMENT DUE ON/BEFORE : 06/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 41 CUSTOMER ACCOUNT#; 0150930000 TOTAL MEMBERS 41 PREVIOUS BALANCE $ 37,894,90 MEMOS $ 0.00 ADJUSTMENTS $ X439.33 d AMOUNT PAID $ -37.183.2 BALANCE FORWARD $ 1,151.21 CURRENT PREMIUMS $ 18,913.36 TOTAL AMOUNT DUE $ 20,064.57 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.barvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England, Harvard Pilgrim Health Care of Connecticut and HPHC Insurance CornpanN FOLD AND DETACH AT PERFORATION FISHERS ISLAND FERRY DIS 261 TRUMBULL DR INVOICE#: 074705112717 PO BOX 607 INVOICE DATE : 05/07/17 FISHERS ISLAND,NY 06390 BILL PERIOD : 06/01/17-06/30/17 PAYMENT DUE ON/BEFORE: 06/01/2017 PLEASE MAIL PAYMENT WITH THIS STUB TO: CUSTOMER ACCOUNT#: 0150930000 HARVARD PILGRIM HEALTH CARE P.O, BOX 970050 PLEASE PAY THIS AMOUNT $20,064.57 BOSTON,MA 02297-0050 Enter Payment Amount Here $ PLEASE DO NOT WRITE BELOW THIS LINE 0150930000 0747051127176 0001891336 0002006457DC ` Vendor No. Check No. Town of Southold, New York - Payment Voucher 8081 LAV g Vendor Address _ Entered b�! PO Box 970050 Audit Date _ Harvard Pilgrim Health Care Boston, MA 02297-0050 J UN Q 6 201 1 Vendor Telephone Number r 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 074705112717 5/7/2017 $18,913.36 $18,913.36 Jun-17 Medical Premium (22) SM9060.8.000.000 $18,913.36 $18,913.36 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature \ 0"�� itle Signature Company Name Fishers Island Ferry District Date 5/15/2017 Title Date l �r Harvard Pilgrim. Healthcare 000397 IMPORTANT:INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705112717 FISHERS ISLAND FERRY DIS INVOICE DATE : 05/07/17 261 TRUMBULL DR BILL PERIOD : 06/01/17-06/30/17 PO BOX 607 PAYMENT DUE ON/BEFORE: 06/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 41 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 41 -PREVIOUS BALANCE $ 37,894.90 MEMOS $ 0.00 ADJUSTMENTS $ 439.33 tva ��a•� AMOUNT PAID $ -37.183.02- h BALANCE FORWARD $ 1,151.21 CURRENT PREMIUMS $ ,91$ 3.361 his J C�� \`��✓ icy TOTAL AMOUNT DUE $ 20,064.57 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www'.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company FOLD AND DETACH AT PERFORATION This page intentionally left blank FISHERS ISLAND FERRY DISTRICT Z", VENDOR 011557 ANN KOWALCZYK-BANKS 06/66/2017 CHECK 4109 A FUND & ACCOUNT P.O.# -INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 050117 JANITORIAL-5/17 250.00 TOTAL 250.00 .......... -4 /V6, 17 V -.',AUD ,7,,06 FiSHE18.iS WFERRYDISYRICT-'�"` .5309! 1179 5-MAIN-ROAD,,FO BOX r- SOUTHOLD,NY 11971-0959' -NO- 'THE SUFFOLK-CO.NATiONAL[�Ak-� Jvj AMOUNT',-NY'1'1935 DATE- 4 _CUTCHOGUE, n 2 .50-546/214'-' -OP -HUNDRED �,F 'fY,,'=, j LA IF RS 'TWO �1,0 6 DOL z -BANKS -KoWALCZYK P.4'Y,-1 ANN TO THE 'BOX E -' 3-90 OF ISHERS'_ISLANb-'.NY- 'i'004 10 9 I'm 1:0`2 1140 5L, 6L,1: 68 00LS02 Ills Y Vendor No. Check No: Town of Southold, New York - Payment Voucher 11557 G Vendor Address Entered b� 7� P.O. Box 384 Vendor Name Fishers Island, NY 06390 Audit Date Ann Kowalczyk Banks JUN Q 2Qj�4 Vendor Telephone Number 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 Z - 5A12017 $250.00 $250.00 Janitorial May 2017 SM5710.4.000.60a $250.00 $250.00 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 ' c Signaturet Title Signature Company Name Fishers Island Ferry District Date 5/26/2017 Title Date l/ f Diane Hansen From: Gordon Murphy Sent: Thursday, May 25, 2017 3:57 PM To: Diane Hansen Subject: A Banks Please arrange to have Ann Banks paid her contracted amount of$250 f the month of May 2017 for FI janitorial services. � V10 Gordon S. Murphy Assistant Manager +1631788 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 631-7887463 AND DESTROY THE DOCUMENT.THANK YOU. 1 FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER—CARR SUPPLY CO. 06/06/2017 CHECK 4111 :f P A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 29143615 PLYSTR WEB SLINGS,LBRCNT 1:03 .89 SM .57109.2.000.200 1 29299108 (2)HAMMER DRILL BITS 24.01 k's , TOTAL / 127.90 '••j°7 u' i ll j I �`;i � \''� 'I�•rr 7 J "FISHERS ISLAND FERREDISTRICT " ; ` - _ - �P,UDIT�i.O`6�/'06=/17 53095 MAIN ROAD,PO'BOX 1179 'SOUTHOLD,�NY 11971-0959- CHECK-NO THE SUFFOLK CO-NATIONAL BANK' CUTCHOGUE,"NY 11935 -DATE AMOUNT. 6 ©6''20:17`; b1-2 .90' 50-546/214; 0 I Y„ 7t'r `QNE' HUNDREh TWENTY SEVEN:AND 90/-1,00 DOLLARS- ?; MCMASTER=CARR SUPPLY PAY, , TO THE." :PO;BOX- 7690':' ORDIER „ OF' ;CHICAGO SIL iz,4 Tk" w` 11.004 L L iii- 1:0 2 14051, 641: 68 00 150 2 1ii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 LA I I I Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. JUN 0 6 2017 Vendor Telephone Number o 609-689-3000 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 ?d\yAe-WCb S�rr�qq5, )� Car3�- 29143615 5/11/2017 $ 103.89 $103.89 NLT RP MU maim supplies SM5709.2.000.200 ! mwr'�r`i k3 5 29299108 5/12/2017 $ 24.01 1 $ 24.01 FI maint supplies SM5709.2.000.200 F f { f i $ 127.90 $127.90 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature_ CtM _ Title Signature Company Name Fishers Island Ferry District Date 5/24/2017 Title Q Date J `/ 1 rAASTERmCARR® invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order MIKE Total $103.89 Invoice 29143615 Billed to Invoice Date 5111117 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$196 on merchandise if paid by 5/21/17. 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 1289K17 Dry-Film Penetrating Lubricant for Chain, 10 oz. 1 1 0 6.34 6.34 Aerosol Can Each Each 2 3403T682 Polyester Web Sling Eyeless, 2"Wide,4950 lbs. 2 2 0 21.28 42.56 Choker Capacity,3 Feet Long Each Each 3 3403T682 Polyester Web Sling Eyeless, 2"Wide,4950 lbs. 2 2 0 24 60 49.20 Choker Capacity,4 Feet Long Each Each LN"J Merchandise 98.10 Shipping 5.79 Total $103.89 Packing List Shipped Weight Carrier Tracking 3161547-01 5/11/17 61b UPS Ground 1ZO835200356961817 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 527 MMASTERmCARR® invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Total $24.01 Invoice 29299108 Billed to Invoice Date 5112117 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$0 36 on merchandise if paid by 522/17. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Watorfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order Line Product Ordered Shipped Balance Price Total 1 8948A15 SDS-Plus Shank Rotary-Hammer Drill Bit 5/16" 2 2 0 911 18.22 Bit,7-1/2"Drilling Depth,9-3/4"Overall Length p Each Each Merchandise 18.22 Shipping 5.79 Total $24.01 Packing List Shipped Weight Carrier Tracking 3218752-01 5/12117 1 Ib UPS Ground 1 ZO835200357033550 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 420 Packing List MtMASTERoCARR® 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbmsville NJ 08691-2343 5 Waterfront Park JOHN P 609-689-3000 New London CT 06320 05/12/2017 nj.saies@mcmaster.com Order Placed By John Paradis McMaster-Carr Number 3218752-01 Line Product Ordered Shipped 1 8948A15 SDS-Plus Shank Rotary-Hammer Drill Bit 5/16"Bit, 7-1/2"Drilling Depth, 9-3/4"Overall 2 2 Length Each I I . i i i I , 423 FISHERS ISLAND FERRYDISTRICT VENDOR 014021 NATIONAL PARTS SERVICE, INC. 06/06/2017 L_CHECK 4112 A "0 6 FUND &'ACCOUNT- P.O.# INVOICE DESCRIPTION AMOUNT I � ` SM '.5710.2.000.200 i� 109316 RP(3)ADAPTERS(3)COUPLERS 20.04 SM .5710.2.000.000 109626 12-OL ,FLTRS 2—DROP LGHTS 323.84 , . SM .5710.2.000.200 110480 RP—ALTERNATOR,CORE DEPST 59.99 = SM .5709.2.000.200 110581 NLT(2)SPILL REC.MATIPADS 183 .98 TOTAL 587.85 co -' It I T»n I i t I o I } 0 I Y I O � 0 � • D 0 D 0 � �' T �_ Y•f - x}r.r, E'•_ ':'.: ,'1;--'yl•` .�` 'FISHERS;ISLALVD.FERRY DISTRICT t 53095-MAIN'ROAD;PO BOX 1178 I„ �`;•`; ``:`,tl. - - - - - - ',SOUTHOLD,NY 11971-0959 - - - - v - ® (CIiECK' NO- ='4`112•' p - - - THE'SUFFOLK CO.NATIONAL BANK= �' CUTCHOGUE,'NY 11935 DATE AMOUNT` 06,x'06' 2'017', + 56-546%214 .' :FIVEVHUNDRED'EIGHTY'=SEVEN-,`AND 85,/IOO,;.;DOLLARS 'NATIONAL_.'PARTS SERVICE, INC. TO.'THE'`_ 15`0 BRIDGE;=STREET;' 'GRO,TON_-CT 06340 a n0004 1 1 tum ':0 2 1'40 54641: 68 00 150 2 1�i' Vendor No. Check No. Town of Southold, New York- Payment Voucher 14021 A I Vendor Address Entered by 150 Bridge Street Vendor Name Groton,CT 06340 AuditDate �y' NAPA JUN 0 6 2017 Vendor Telephone Number 860-445-8181 n Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and'Account Number i 109316 5/10/2017 $20.04 $20.04 RP adapter 3)coupler(3) SM5710.2.000.200 109626 5/12/2017 323.84 323.84 RP/Munn oil filter(12)drop light(2) SM5710.2.000.000 110480 5/22/2017 $59.99 $59.99 RP alternator Sli�— - SM5710.2.000.200 110581 5/22/2017 $183.98 $183.98 NLT Spill Recovery Mat Pads 2) SM5709.2.000.200 I E t $587.85 $587.85 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me ,does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature --1 Title Signature Company Name Fishers Island Ferry District Date 5/25/2017 Title Date 200001180 --- _ _ - --- --- __ - National Parts Service Inc. Time: 15:16 Invoice Number 109316• 150 treet El AMI ` Groton, Ct.50640, CT 06340 Date: 05/10/2017 ;II'II'I�Illllllt'llll'Ilfl��l��lllll�IIIY (860) 445-8181 r I Page: 1/1 1297 Employee: 7 Strickland ® Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 8 w 261 Trumbull Drive - - ® Fishers Island, NY 06390 Part Dumber Line Description _ __. _.. Quantity;, Price Net..., Total 90676 NTH ADAPTER 3.00¢ 2.82, 1.59001 4.77 9067OSS NTH `COUPLER 3.00, 8.941 5.09 15.27 Delivery: Subtotal 20.04 4 q Attention: TABLE 1 6.3500% 0.00 1 Tax Exemption: s PO#: I Terms: Net 20th Total 2 0.04 Customer Signature Charge Sale 20.04 DAA ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY -- 200001180 _ ,...««.•._ ,.._ _._._..._.__._... National Parts Service Inc. Time: 14:50 Invoice Number 109626 150 Bride treet El Groton, Ct.S03640, CT 06340 Date: 05/12/2017 IIIIIIIIIIIIIIIItlllllllllllllllllllllll* (860) 445-8181 ) Page: 1/1 1297 __._ Employee: 7 Strickland Fishers Island Ferry District € Sales Rep• 0 Salesman PO Box 607 Accounting Day: 10 261 Trumbull Drive Q Fishers Island, NY 06390 I 6 Pari Number Tines pescriptiari' QuaritiCy Price J "Net Total 1970 'FIL :NAPAGOLD OIL FILTER f 6.001 47.56 23.78001 142.68 •R 1792 =•FIL INAPAGOLD OIL FILTER ) 6.00$ 44.001 22.0000; 132.00 P 7825005 BKDROP LIGHT //' 2001. 46.62, 24.5800; 49.16 ;• _..___.. _Delivery: __ _•.. ._. _,•_. _ Subtotal 323.84 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: € Terms: Net 20th t Customer Si ature Charge Sale 323.84 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE Id 11VT RESERVE ONLINE •••��iii999 ��' PICKUP IN STORE QUICK AND EASY CUSTOMER COPY i 200001180 National Parts Service Inc. Time: 08.51 ` Invoice Number _ 110480., El ' 150 Bridge StreetGroton, 5- 03640, CT 06340 Date: 05/22/2017(860) 445-8181 Page: 1/1 1297 .__..,. Employee: 33 Joe $® Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 18 ' 261 Trumbull Drive ® Fishers Island, NY 06390 t I az 1Vuinbz Lizze3esezipio Quantity .Price Net Total 213-4011A RAY :REMAN ALTERNATOR _ 1.00sµ 84.52 48.9900 48.99 213-4011A }RAY ;Core Deposit 1.00, 11.001 11.0000{ 00 €D _._._w._..___._...,...._......Delivery: ' Attention:- Subtotal 59,99 Tax Ex mption: TABLE 1 6.3500% 0.00 PO#: Terms Net 20th 1 , _ 1'�uNCr? Tatar, 59 .99 ustomer Sign ture Charge Sale 59.99 ALL GOODS RETURNED MUST BE ACCOMPA IED BY THIS INVOICE RESERVE ONL PICKUP IN S RE QUICK AND SY CUSTOMER COPY I I I 200001180 r — National Parts Service Inc. Time: 14:04 Invoice Number 110581 INAN AMd 150 Bridge Street Groton, 03640, CT 06340 Date: 05/22/2017 III'I'IIIIIIIIIII�IIIIIIIIIIIIIIIIIIII�I o (860) 445-5-8181 Page. 1/1 1297 Employee: 33 Joe 1F � ® Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 18 ® 261 Trumbull Drive _..-.•- •. . -- ---- - _ .. Fishers Island, NY 06390 .,:;..>---....T?c'k•rt Ni.iTt?�J4�:,,,_.,..:.�. tT.riz121: ;....u..._,,,_........�:......�T3�SCZ'].j7t7.03ri' Q_Uant.7.ty� BKMAT1520UM_ NCB NEW PIG MAT PADS amu€ 2.00 172.78 91.9900 183.98Y ' � II NlL . ` - A p Delivery: Subtotal 183.98 Attention: TABLE 1 6.35000 0.00 Tax Exemption: PO#: i Terms: Net 20th 183 Customer Signature Charge Sale 183.98 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ' RESERVE ONLINE PICKUP IN STORE QUICK AND EASY I CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 014421 O'CONNOR DAVIES, LLP 06/06/2017 CHECK 4113( FUND & ACCOUNT P.O/.# INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 317590 PROF SVCS 12/1-02/10/17 159.45 TOTAL 159.45 r a, i R •tv, s•i- •Y• N^ni w o t „ \ at y Fy D •ill 1e e D E „FISHERS ISLAND-fERRYDISTRICT' AUDIT`"06' '06` i'�;" zr a, ' 53095 MAIN ROAD,PO;BOX 1179' / /' v -,SOUTHOLD,-NY-11971'-0956CHECK-NO. 411'3. THE SUFFOLK CO NATIONAL BANK ?r 'CUTCHOGUE,NY 11935 - DATE, _;AMOUNT;, y( 50546/214/ . - - 06'/'06/2017`; `,ONE;`HUNDRED-FI FTY NINE rAND 45/16 0' DOLL'AR5-'-` PAY O'CONNOR.DAVIES;, LLP TO T IE,;_ '10 0,-GREAT' MBADOW-RD, �SUITE 4 01 OhyDER' WETHERSFIELD CT' 0-6109 F'. 0004 113110 1:0 2 1 L,051,6,40: 68 00 LS0 2 Lii' Vendor No. Check No. Town of Southold, New York- Payment Voucher 14421 y Entered by 100 Great Neck Road Audit Date O'Connor Davies, LLP Suite 401 'JUN 0 0 2017 Vendor Telephone Number Wethersfield, CT 06109 860-257-1870 Vendor Contact A Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 317590 4/30/2017 $159.45 $159.45 Encumbrances ,YE cutoff consultation SP11310.4.006.000' ' 1 t $159.45 $159.45 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 md11� Title Signature Company Name Fishers Island Fern District Date 5/22/2017 Title Date U J PKF OrCONNOR DAVIES ACCOUNTANTS AND ADVISORS Date 04/30/2017 Fishers Island Ferry District P.O. Box 607 Fishers Island, NY 06390 Client No. 1475764.000 Invoice No. 317590 For Professional Services Rendered E.I.N.27-1728945 DATE SERVICE STAFF HOURS AMOUNT 12/01/2016 Telephone ExpensesNYO-Mid $ 1.36 Ci calltower statement date 12/1 (11/15) 12/01/2016 Telephone ExpensesNYO-Mid 0.14 calltower statement date 12/1 (11/16) 12/01/2016 ExpensesHAO 2.95 -1--1 06/27/2016 Confirmation Charges 02/10/2017 email about encumbrances and other ways to effect YE cut off Marien M 0.50 155.00 $ 159.45 Wire/ACH Instructions: Account: 4306383730 Beneficiary: PKF O'Connor Davies,LLP ABA: 026013673 Beneficiary Address: 500 Mamaroneck Avenue,Suite 301 Harrison,NY 10528 Swift Code: NRTHUS33XXX Bank Name: TD Bank Bank Address: 285 Mamaroneck Avenue,White Plains,NY 10605(Do not mail checks to this address) (Please reference Client No.1475764.000 and Invoice No.317590 on your remittance) PKF O'Connor Davies,LLP 100 Great Meadow Road Suite 401 Wethersfield,CT 06109-2355[Tel:(860)257-1870 www.pkfod.com PKF O'Connor Davies,LLP is a member firm of the PKF International Limited network of legally independent firms and does not accept any responsibility or liabilityfor the actions or inactions on the part of any other individual member firm or firms. Ell FISHERS ISLAND FERRY DISTRICT VEN6OR 014156 READYREFRESH BY NESTLE 06/06/2017 CHECK 4114 PW' A _ FUND & ACCOUNT P.O.# , INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 '07E0441584661 DLVRY,WTR,RNT-4/11-5/10 105.74 TOTAL 105.74 OEM 1, t co ty_ I ; I I - I 't ,.f 'f ''FISHERS.ISLAND FERRY_'DISTR'ICT ',53095 MAIN'ROAD:PO BOX,1179 . t - -'AUDITS•�6' 06`_17 ,� , .�� SOUTHOLD,NY 1197.1=0959 _- ,GREG& NO;: G " THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935• DATE ;t t- AMOUNT- ,F _,06 ,06 2'0'17':' _ °4. 10'5 ,7:4"` ;'� ? 50-546/214 �, / - IJ ,ONE ,`HUNDRED. FIVE. AND ,•7 4'/10 0 •DOLLARS PA'Y: READYREFRESH BY NESTLE 4 flrf TO THEE,: = DIV;:OF -NESTLWATERS, N.,AMERICA d, OF '.PO-,BO, -'856'1-92 'LOUISVILLE KY 40285_-6192 ii'004 ,L LL,ii' 1:0 2 14054641: 68 00 L 50 2 Lii' "-' Vendor No. Check No. Town of Southold, New `fork- Payment Voucher 14156 4114 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 JUN a.6 201 Vendor Telephone Number 800-950-9396wn er Vendor Contact tJ Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claime Number Description of Goods or Services General Ledger Fund and Account Number j 07EO441584661 5/12/2017 $105.74 $105.74 4/11-5/10/17 SM5710.4.000.000 delivery, rent, CT sales tax i { $105.74 $105.74 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature CJv4—� Title Signature Company Name Fishers Island Ferry District Date 5/24/2017 Title - Date / ]� � � eservice.readyrefresh.com • • Refregh #215 6661 DIXIE HWY,SUITE 4 04/11/17-05/10/17 07EO441584661 � LOUISVILLE KY 40258 AN K u JUST CUCN D�UENCN S RUMBER ADDRESS SERVICE REQUESTED UPC• • UNT THU- JUN 01 0441584661 FRE- JUN 30 TUE- AUG 01 Access your delivery calendar WED- AUG 30 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 "I�'I�"�l'llll�l�lllll"I'lll��l'1111"III��IIIII��I��IIIII� convenience,you can pay your bill online. If payment has been made,we thank you. -We-are'exc'itetl_to_intr®du66.1- .you=the NEW:Nestea!=Nestea-is n_ow.available in real-brewed; organic-and_ classic allahs=with no=high#ructose;corn syrup_and_no artificial colors or flavors:Try.tfie,variety of flavors!-=_- 1-TGo to_ReadyRefresh com`-` ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. I)ATE REFERENCE# DESCRIPTION AMOUNT Delivery address: FISHERS ISLAND FERRY,5 WATERFRONT PARK, FERRY OFFICE,NEW LONDON CT 06320 PREVIOUS BALANCE 19888 4/20 036693 PAYMENT-THANK YOU -104.74 5/02 4622461855 9 5 GAL PS HANDLE SPILL PROOF 61 92 t, BOTTLE DEPOSIT 9 CHARGED, 4 CREDITED , 25 00 ^ 5/10 4629906746 1 DELIVERY FEE I_} r~ r r 1 395 E1824308 RENTS t 4 ;� / ✓ 1398 i _✓Jr �; is SALES TAX s._ L✓�_ V TOTAL { L,_ r. w 19988 -it' .T 9Y � '} JUST ClLiCk ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 19888 — 10474 + 10574 = 19988 BILLING RIGHTS SUMMARY g 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: Ready 00700100-0010019 11P... �,Your Account Number READYREFRESH BY NESTLE TNR Oct :3<56789 � MON-OCT 29 Watch here for a #216 We Nov 2t-OEC 1B Y. /personalized account NE 6661 DIXIE HW ,SUITE 4 Important LI�plilPl:llP^6i4ihirh°1'ip'd�'s news and Sohn Doe cD5lomer sem«1 Bao z7a szR message LOUISVILLE,KY 40258 23 Moln S4eM Thank You for using RBadyRelresh prod offers Olry Sete LP end services MI 91�°iH Gie°d�q^1lhtld t°hainrr Pay electronically If you think your bill is wrong, or if you need more information about a transaction on your bill,write us on a -°�" ._ r,_:f Make sure this separate sheet of paper.We must hear from you in writing no _="`" ""u°" _ _,t p' - _ _;_:" -_ - _ N M at_,�9a17tr espreet .%amount has been later than thirty(30) days after we sent you the first bill on Activity Oaimv ee eseM eRcatlyRefmsheomorby ne a paid in full to since your ADCOUNTACTNf1Y_pey yp1Q which the error or problem appeared.You can telephone us, last invoice Address loMDoe,123MaInSl.City'S"te00090 „ avoid late fees • Delivery % but doing so will not preserve your rights.In your letter,give previous BalanceWX W31 161899 5 SG Ian zha"SPrl,f9 Wa+er J r V-'0 us the following information: 991" 3"a9516µ XKnl 1,1 31790S1µ4 5 SGallon oeposltr�,^ice;: %%>X M111 3178a516µ 1 SGallon RetUm^' `r! 991,2 3182630011 991,2 l66µ97 De1111,1Fee.,,^-.j,"j'.h�t',�i( 'i %%%% • Your name,address,telephone and account numbers. T9tal1 4�: U _ • The dollar amount of the suspected error. r.cu •rc>: eevTw AMouN7 • Describe the error and explain if you can,why you EVI 5065AR A %%%% UR I rten^il_ believe there is an error. AccouNrsuM7AARy %%%% Payment stub _______ ppy TNISAMOUN7 ACCOUNTNUM9ER 09100/a9 1234567890 61WNG DATE AMT ENCLOSE You are obligated to pay the parts of your bill that are not INv010E NUMBER 00100/00 in question. You do not have to pay the disputed amount 1236567890 00407018 while it is being investigated. During the investigation,we 0420096307 04282712619 000391049 `Amount due cannot report your account as delinquent or take any action 123 Main St to collect the amount in question. ' "`y'Sta" 00000 EOR CU510 MER SERVICE CA"' nlnpaNPmt Nhalyilm!sLtldPl1a1g1m ❑Dh,�9�s o R a Submit your GENERAL INFORMATION v9Ruv oRraEEURDe"n59 DPeaow�d9 eM��d - 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$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh rr''t FISHERS ISLAND FERRY DISTRICT VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 06/06/2017 CHECK 4115 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 3340410933 STAMPS,STAPLER,COPY PPR 75.69 - s TOTAL 75.69 Tk Rxxx.:.xn < .w>r__,vw< r.r—�. .....✓.... ...n.,. <,..�.� T - J ' '•-: ,.�.,,- ..�;:t,�.`+ "K,•';. ,.,s .>%�:��^,'`*'`•'P�' q.y�. 'NvI:�:at t .:9i'� F�,m 4 / !5 J p _ / ,A •ale I c i - - vi - ,ra I,i i iF+ ;,tit o o a a ® e e e o e ;`•� F' FISHERS;ISLAND'FERRYDIS7R'CT,'{ AUDIT'= 53095-MAIN ROAD,PO BOX 1179 o 'SOUTHOLD,NY,1197,1;0959`„ CHECK, NO'. 4115 THE SUFFOLK CO.-NATIONAL BANK- s DATE AMOUNT CUTCHOGUE,,NY 11935 - 5D-sa'stzia. _ ,06/0'6 ,,$T5••694` -SEVENTY,FIVE AND;'69/'100 DOLLARS ,c PAX. r- STAPL,ES, CONTRACT & COMMERCIAL, i TO,THE DEPT,JNY' :- 6POER- PO>,BOX 4152'56 Or BOSTON MA' 02241-5256 - 1', I{'00 4 L L Slim 1:0 2 140 51, 61,1: 68 00 L 50 2 111' Vendor No. Check No. Town of Southold, New York - Payment Vouches 19711 4115 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY PO Box 415256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 JUN 0 6 2017 Vendor Telephone Number 888-753-4107 Vendor Contact Invoice Invoice Invoice Net rchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3340410933 5/20/2017 $75.69 $75.69 FI Stamps(2)Stapler(l) Copy paper(1) SM5711.4.000.000 $75.691 1 $75.69 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 or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Island Ferry District Date 5/24/2017 Title Date v 0 STAPLES INVOICE DATE CUSTOMER SUMMARY INVOICE Business Advantage 5/20/17 NYC 1032952 8044585761 PLEASE PAY BY TERMS AMOUNT DUE 6/19/17 Net 30 Days 75.69 1"010E DETAIL Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN-. GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr 1010 Invoice Number: 3340410933 Budget Ctr Desc: order 7176653489-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 5/18/17 Release Release Desc order order B/o unit ship unit Extended Line item Number Description Qty Qty Meas Qty Price Price 1 920258 SELF INKING DATE STAMP " 2 0 EA 2 4.58 9.16 2 752473 OPTIMA 70 DESKTOPSTA LER 1 0 EA 1 19.81 19.81 3 135848 STAPLES 8.5X11 COPY CS 1 0 CT 1 46.72 46.72 Freight: .00 Tax:( .0000 %) .00 sub-Total: 75.69 ; Total: 75.69 Customer service inquiries # 877-826-7755 Invoice Payment inquiries 888-753-4107 Page: 1 Make checks pa able to Staples Contract & Commercial, Dept NY Po Box 415256, Boston MA 02241-5256 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please dial (877)285-8852. CUSTOMER NO.. SHIP -DA= O#D.9p. No. 0001032952 5/18/17 7176653489-000001 FMCHAgt ORDER 90. REVEA92 Ito FI TERMINAL MAKE m oreHAPpEN' .POST ��ER REOPTSITIONE. Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER R0UTE:SP1/UPS /U2 FISHERS ISLAND FERRY DISTRICT .FF GORDON MURPHY ] FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 2 261 TRUMBULL DR PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 T 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. xlmNtiM xs J Mo � QTY gTx sig �� s xl xz� i ssx t�A p�xt m= 'qwlr�Hn * 1 920258 SELF INKING DATE STAMP /034506 EA 2 0 2 752473 OPTIMA 70 DESKTOP STAPLER /87875 EA 1 1 0 3 135848 STAPLES 8.5X11 COPY CS /135848-WH CT 1 1 0 ell 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. `V:,, 11 , 7 Elm FISHERS ISLAND FERRY DISTRICT VENDOR 019719 STAPLES CREDIT PLAN 06/015/2017 CHECK 4116 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM 5711.4.000.000 15011) NLT-BROTHER TN750 TONER 123.36 T"i SM .5711.4.000.000 1808054901 FLDRS,TAPE DISP,ORGNIZER 40.98 TOTAL 164.34 10 1 .......... RUM X FISHERS.lZfAD,-FERRYDIS, wcT 'AUDI, 53095-MAIN ROAD-,PO-BOX 117,9 SOUTHOLD,W,11971-0959 CHECK NO I. 4116" -'THiJF001.k CO.NATIONAL BANK SU CUTCHOGUE,NY 11935 DA E T AMOUNT:,- . 7, 50 -546/21 0 I)RtD' SIXTY7FOUR AND';34Z100 ,'DOLLARS PAT- STAPLES CREDIT PLAN, '0 YNE'!' DEP' 51 78206576173- ,WER,•,- `PO BOX 7 8'0 0-4' PHOENIX AZ 506-278004 u6004 L L 6iim 1:0 2 L L,0 5 Li G L,i: 68 00 150: 2 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 19719 l Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept 61-7820657673 PO Box 78004 Audit Date STAPLES CREDIT PLAN Phoenix,AZ 85062-8004 jUN."0,6 2017, Vendor Telephone Number 800-767-1291own le Vendor Contact i Invoice Invoice Invoice Net Purchase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1808054901 4/27/2017 $40.98 $40.98 Acc clerk folders,or anizer,ta a disp NLT 'SM5711.4.000.000 15011 5/1/2017 $123.36 $123.36 Black toner JJL -TN75DT-ne SM5711.4.000.000, 3 € $164.341 $164.34 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature ` C,— tle Signature Company Name Fishers Island Ferry Date 5/24/2017 Title ;�11141k� Date G i L Remit payment and make checks payable to INVOICE DETAIL STAPLES CREDIT PLAN �\ DEPT,51-7820657673 M 0 re��®u[mcr PO BOX 78004 PHOENIX,AZ 85062-8004 BILL TO: SHIP TO- Acct: 6035 5178 2065 7673 FISHER ISLAND FERRY DIST Amount Due: Trans Date: �09V®OCA#o PO BOX 607 15011 FISHERS ISLAND,NY 06390-0607 $123.36 05/01/17 PO: Store: 100001872,NEW LONDON',CT PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE BROTHER TN750 BLACK TONER 356338 1.0000 EA $125.99 $125.99 STAPLES FUNDED COUPON 558100 1.0000 EA $10.00- $10.00- SUBTOTAL $1 9 TAX $7 37 ' SHIPPING 00 TOTAL $12336 BILL TO: SHIP TO. Acct. 6035 5178 2065 7673 DIANE HANSEN Amount Due: Trans Date_: Invoice#a FISHES ISLAND FERRY 1$0$054901 261 TRUMBULL DR $40.98 04/27/17 FISHERS ISLAND,NY 06390-8021 PO: Store: 100088887,PUTNAM,CT o- PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE -J STAPLES BRIGHT COLORED HA;iAcW 875411 1.0000 EA $1429 $14.29 C3 STAPLES ALLINONE SILVER W IWL4 110483998 1.0000 EA $24.99 $24.99 C3 SCOTCH DESKTOP OFFICE TAP 567885-T Di've4.ec 1.0000 EA $5.99 $599 COUPONDISCOUNT 558100 1.0000 ST $4.29- $4.29- Purchased by: GORDON MURPHY SUBTOTAL $4098 Order#: 9754519116 TAX $0.00 SHIPPING $0.00 TOTAL $40.98 tPage 5 of 6 1-800-767-1291 staples.accountonline.com EOLR402A 5098 50 20170511 PG 3 OF 3 E O E 2.9 L 24116576.6 02456673 0-1 O Q O � rn iU cr OD O ' O _ J O V N O U) N 'O m N O O O , G 7 O 7 m O 0 C_'Q_ cod �- ^ �uz'T STAPLES 292 US ROUTE 1 New London, Ci 06320 (860) 439-1872 SALE 1815029 10 001 1501 0187 05/Ol/17 11,04 QTY S1<0 For?ij(Vin: REWARDS NUMBER 2922224817 1 BROTHER TN750 BLAC 012502631071 125.91 Coupon No. 7848655580558253 -10.00 SUBTOTAL. 115.99 Standard Tax 6.35% 7,37 TOTAL $123.36 f Staples Charge USD$123.36o � Card Na.: XXXXXXXXXXXX7673 [S] Auth No.: 001774 **********STAPLES COUPONS REDEEM********** Coupon No. 7848655680558253 -10.00 � $10.00 off regular price purchase � of $20.00 OR more Expiration Date: 05/27/17 "1-C]T A L. TI-EMS '1 Staples brand products. I Below Budget. Above Expectations. THANK YOU FOR SHOPPING AT STAPLES Shop online at www Ataples.cam Get with the program, Staples Rewards members get up to 5% back in rewards and Vee shipping every day, Exclusions apply. See an associate for full program detail; or to enroll . For information on where Connecticut residents can go to recycle used electronic devices, please visit http://www.ct,gov/dep/ewastedropoff or' call this tall-free telephone number:, 1-888-424-4193. ►. � Illllllllllllllllllllllllllllllllllll IIIIIIIIIIIIIIIIIII► 1870501171501101 Questions about your order? REFER TO THIS ORDER NO. FOR ALL INQUIRIES Visit our Help Center at CUSTOMER NO. SHIP DA 09DIR NO, www.staples.com/help-center 4051825224 4/26/17 9754519116-000001 • vtR{"F�4$E OkDak go.- ��'�,�L�E• M4. Of8 HAPPEN" COST C:}�NTBR REQVISITIONER, MAKE 111 Staples Make More Happen SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:S P1/UPS /U2 FISHES ISLAND FERRY .H DIANE HANSEN op TOTAL PACKAGES: 1 261 TRUMBULL DR FISHERS ISLAND, NY 063908021 Contact: (860)445-0165 - DIANE HANSEN T CX p PAGE: 1 SPECIAL INSTRUCTIONS xia� xt rrsa x nta �x saw ]DT$CRTVT10X ( NVMM x NZAE 01MBREP S" PPMM Price Amount s 1 1483998 Staples AllinOne Silver Wire M/27642 c:r EA 1 1 24.99 24.99 2 567885 Scotch Desktop Office Tape Dis/C60-ST J^ EA 1 1 5.99 5.99 3 875411 Staples Bright Colored Hanging/875411 49-94X 1 1 14.29 14.29 1 M rc andise Total. . . . . . . . 45.27 D li ery. . . . . . . . . . . . . .00 C up n Cred't. . . . . . . . . . . . 4.29CR T ax. . . . . . . . . . . . . . . . . . . .00 Coupon discounts are p orated across all items purchased.Applicable refiindE will n t includE the prorated coupon amount. Check your order statuE online by going to www.Staples.com and clicking on "Track rder° . Need to return something? Visit News www.staples.com/returns. For store TOTAL VALUE s Previews returns, bring this pack slip. PAYMENT METHOD: _ OF ORDER: 40.98 001 Thank You For Your Order! Staples, Inc. THIS IS NOT AN INVOICE Account Statement Customer Service: Commercial Account 0FISHER ISLAND FERRY DIST stapies.accountoniine.com ®rA��O��„ Account Inquiries: �1 4 0 1-800-767-1291 Fax 1-801-779-7425 Account Number: -6035 5178 2065 7673 summary of Account Activity Payment information Previous Balance $116.43 Current Due $25.00 Payments _ -$116.43 Past Due Amount + $0.00 Credits -$0.00 _ Minimum Payment Due T R = $25.00 _ Purchases +$164.34 Debits +$0.00 Payment Due Date 06/03/17 FINANCE CHARGES +$0.00 Credit Line $10,500 Late Fees +$0.00 — — New Balance Q1164.34 Credit Available $10,335 Closing Date 05/09/17 Send Notice of Billing Errors and Customer Service Inquiries to PILES CREDIT PLAN g Next CIOSIn Date 06/08/17 STA PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 32 Please update-your phone number,Including cell phone number on the back of the payment coupon,or call customer service at 1-800-767-1291 to update. By giving us your phone and/or cell number or a number later converted to a cell number,you agree'that Citibank or Its service providers can contact you at the number by autodialer,recorded or artificial voice,or text.Your phone plan charges may apply Reminder.Payments can be made by mail,online or by calling 1-800-767-1291 Note:In-store payments are not accepted. _J TRANSACTIONS W Trans'Date Location/Description PO# Order# Amount C3 04/27 PUTNAM CT 9754519116 $ 40.98 L� 05/01 OFFICE SUPPLIES NEW LONDON CT $ 12336 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS _ 04/17 PAYMENT-THANK YOU P9194003Q09AOZDXR $ 93.95- 04/30 PAYMENT-THANK YOU P9194003T09A15SPD $ 22.48 FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Percentage Daily Periodic Balance Subject to Type of Balance Rate(APR) Rate Finance Charge Finance Charge PURCHASES REGULAR REVOLVING CREDIT PLAN 0.00% ~� 0.00000% � $000 _ $0.00 NOTICE-SEE REVERSE SIDE FOR IMPORTANT INFORMATION _ Page 1 of 6 This Account is Issued by Citibank,N.A. __ ,4o Please detach and return lower portion with yourpayment to Insure proper credit Retain upper portion for your records_ Information About Your Account. sent to the correct address.The correct address for regular mail is the Grace Period on Purchases.You can avoid periodic finance charges on address listed on the front of the payment coupon.The correct address purchases but not on cash advances(if available on your account).This is for courier or express mail is the Express Mail Address shown in the called a grace period on purchases.The grace period is at least 20 days. Express Mail section. To get a grace period on purchases,you must pay the New Balance by Proper Form For a payment sent by mail or courier to be in proper form, the payment due date every billing period.If you do not,you will not get a you must: grace period until you pay the New Balance for two billing periods in a row. Enclose a valid check or money order No cash,gift cards,or foreign If you have a balance subject to a No Interest promotion or a 0% currency please. promotion and that promotion does not expire before the payment due Include your name and the last four digits of your account number. date,that balance(an"excluded balance")is excluded from the amount Copy Fee.We charge$5 for each copy of a billing statement that dates you must pay in full to get a grace period on a purchase balance other back 3 months or more.We add the fee to the regular revolve credit plan than an excluded balance.In addition,if you have a major purchase balance.We waive the fee if your request for the copy relates to a billing plan balance,that balance(an"excluded balance")is excluded from error or disputed purchase. the amount you must pay in full to get a grace period on a purchase balance other than an excluded balance.However,you must still pay any Payment Other Than By Mail. separately required payment on the excluded balance.In billing periods Online.Go to the URL on Page 1 of your statement to make a payment. in which payments are allocated to No Interest balances first,the No For security reasons,you may not be able to pay your entire New Interest balance will be reduced before any other balance on the account. Balance the first time you make a payment online The payment cutoff However,you will continue to get a grace period on purchases,other time for Online Bill Payments is midnight Eastern time.This means that than an excluded balance,so long as you pay the New Balance(less any we will credit your account as of the calendar day,based on Eastern excluded balance,plus any separately required payment on an excluded time,that we receive your payment request. balance)in full by the payment due date each billing period Phone.Call the phone number on Page 1 of your statement to make a In addition,certain promotional offers may take away the grace period on payment We may process your payment electronically after we verify purchases.Other promotional offers not described above may also allow Your identity.There is no fee for this service The payment cutoff time Ln you to have a grace period on purchases without having to pay all or a for Phone Payments is midnight Eastern time.This means that we will portion of the promotional balance by the payment due date.If either is credit your account as of the calendar day,based on Eastern time,that N the case,the promotional offer will describe what happens. we receive your payment request. Balance Subject to Finance Charge.We calculate periodic finance Express Mail.Send payment by courier or express mail to: —J charges separately for each balance.Balances include regular purchases, Attn:Commercial Payment Dept,1820 E.Sky Harbor Circle South, Er regular cash advances(if available on your account),and different STE 150,Phoenix,AZ 85034.Payment must be received in proper form -J promotional balances. at the proper address by 5 p.m.Central time to be credited as of that LLJ O To get a dally balance,we start with the balance as of the end of the day.All payments received in proper form at the proper address after that time will be credited as of the next day. l-j previous day.We add any new charges.We then subtract any new credits If you send an eligible check with this payment coupon,you authorize or payments and make other adjustments.A credit balance is treated as us to complete your payment by electronic debit.If we do,the a balance of zero.If the rate on a balance is a daily rate we include in the checking account will be debited in the amount on the check.We may daily balance any periodic finance charge on the previous day's balance. do this as soon as the day we receive the check.Also,the check will be (This results in daily compounding of finance charges.) destroyed. If the rate on a balance is a daily rate we use an average daily balance Report a Lost or Stolen Card Immediately.You may call Customer method(including new transactions).We figure the periodic finance Service 24 hours a day,7 days a week. charge by multiplying the daily balance by its daily periodic rate.We do M this for each day in the billing period.The Balance Subject to Finance Notify Us in Case of Errors or Questions About Your Bill.If you think LL o Charge is the average of the daily balances during the billing period.If you your bill is wrong,or if you need more information about a transaction on multiply this figure for each balance by its daily periodic rate and by the your bill,write us(on a separate sheet)at the Billing Errors address on this number of days in the billing period,the result is the total periodic finance statement as soon as possible.We must hear from you in writing no later charge on that balance.Rounding may cause a small difference. than 60 days after we send you the first bill on which the error or problem Ln appeared.In your letter,give us the following information: Other Account and Payment Information. When Your Payment Will Be Credited.If we receive your payment in Your name and account number N proper form at our processing facility by 5 p.m.local time there,it will be The dollar amount of the suspected error. credited as of that day.A payment received there in proper form after Describe the error and explain,if you can,why you believe there is an lo that time will be credited as of the next day.Allow 5 to 7 days for error.If you need more information,describe the item you are unsure payments by regular mail to reach us.There may be a delay of up to 5 about. v days in crediting a payment we receive that is not in proper form or is not ST OS CRC JUN16 v o ST-9194-1550-0002-//-N-00-6035517100088887- -J/- -0--96-//-P-B-0-N-//-0- - 0-//-04/01/02-181-April 7,2017-//-0- -ST09-//- -0- -/J- -May 2,2017 w - Page 2 of 6 FISHERS ISLAND FERRY DISTRICT VENDOR 019621 STEWART & STEVENSON PWR PROD. 06/06/2017 CHECK 4117 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION ' AMOUNT SM .5710.2.'000.100 2455240 MUNN-CORE CHARGE CREDIT 6G.47- SM .5710.2.)000.100 2470425 MUNN-CYLINDER HEAD,GSKTS 7, 020.07 TOTAL 6,953 .60 R ei Yh J •FISHERS'ISLAND-,FERRYDISTRICP, AUDIT,06 . ..... 53095 MAIN ROAD,'PO BOX-1179. /'04P� 17, SOUTHOLD,NY'l 1971-0959 CHECK NO. -4117 THE,SUFFOLK CO-�NATIONAL BANK CUTCHOGUE,NY 11935, F DATET 7,F,, AMOUNT 5 0 6/�2'1 4" 0'6/'10��/i3O-17 $6,'953':.60' SIX T1104S '66110 NINE HUNDRED','FIFTY THREE AND 0 DOLLARS E S PAY STEWART,&�_STIkV' N' ON PWR PROD. �O THE po BOX' ;950_ 6orRDER 'LODI NJ 07644 , u-b oi. 1, L 711- 1:02L4054641: 68 00L502 1, Vendor No. Check No. Town of Southold, New Fork v Payment Voucher 19621 IA !, 117 Vendor Address Entered,by DBA Atlantic Detroit Diesel Allison PO Box 950 Vendor Name Lodi, NJ 07644 Audit• ate - Stewart&Stevenson Power Products LLC V i 2017 ADDA Division Vendor Telephone NumberIdedy / 201-489-5600 Vendor Contact Invoice Invoice Invoice Net urchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2470425 5/11/2017 $7,020.07 $7,020.07 Munn cylinder head (1 and gaskets SM5710.2.000.100 2455240 i 1/24/2017 $ (66.47) $ (66.47) Munn core char e,fuel pump credit SM5710.2.000.100 $6,953.60 $6,953.60 I Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Island Ferry District Date 5/22/2017 Title //i' v Date v 'n�vEnson Stewart&Stevenson ATL.4NFiC DEFRD16 DIESEL ALL1S0N � I ^v o �` o' • • S,EflIflflTFE Power Products LLC 0-':'S01 ?��;'i'(1r.1�•?;,, ,.1 Ab'LAf�F1C 1'®UUER SYSTEMS ®f ® ��v�� Please make all checks payable and remit to: ST'EWAR'T&STEVENSON POWER PRODUCTS LLC Invoice P.O.Box 950•Lodi,New Jersey 07644 {,,. Phone:(201)489-5800 BILLED TO SHIPPED TO IF� I.:�:;i•il::lF�;;: '1'.%d..r'Ktt3}'� I�'I:::Ft1�l' C:;i:�+'T'lFi:Cf::'T' iri:I:'s;>T)l...ir:'fi:Jl!1!�! 26:1. 1... 1)fe],V1::, F'!'1 1-10` f.':10 r' iii'.l:J3)::!1..1:TT1(•!)N , {.:•f 06457 DAYdiNVOICED DATE`SHIPPED " PURCHASE ORDER NO: BILL OF LADING NO, REFERENCE N0, SERIAL NO. MODEL N0. CUSTOMER 10 NO 'FREIGHT VIA TERMS t.F' NL-T, 1Aj1::: '50 T:! y13 ro B e � • 1,1 } �' 9 • � ••e o I i.y,..., 77 I'll, ' .. 2.27,*.,,, r ...,.::. }27 t.., rt.::_.. f::»'; i1,:!f•. l.. ....1.1�!J':�1:::1•w 1••I:::�=11�> .I. J. :�.:?r,.,„ir, 27,.,',,67 N52281900 INIFI: f*11T(')R 7E 78 11: ,.l r. i 05:1 ..3660 }»+I•�,.>l::.I:.1 :I. :!. 3.61.• _..,62 05124796 F'a✓44 1:1(••1•`•:il•.1::.i• 4 f 10. 44 0517004 1„ilrii3 'f .:} ..»' f:T T•19: ,.. 5-.. {?':d.L 96::,8it G(-)"31:-,]::.T I::..f. f :». ,-51 4 t:+,. !.•:'.t?„89 1 051. 1:!(nI:.:}1:,l::.T 1''0 ,3::l.l'� .}t r:'+.s 14. 11. 2:31„ :—*1 I 4f.:•1:1 •`�t:},yrro.. C, 1`1... 1:..1. S ( • 1... •• .!�J .�{! •:}4:i'„i.�r :}��.��} .i. : ,.,%::,.., 1...:1'111:1 (}:I !., :., :l. „ r':1 :.; .. 'Yr:., .:....�.'}; ':1,7;.It:, �.• !_. f:•..1. S'r.:� :•� h: 2:.=.1. ,r 5.1 54.=;:1 2•.,,.1.7,!•:1!.:> .. .. :.. I.1::}{:> l y ,:4"14.11•!;T 6 :..:,,.1,::7•:7 !{.� 1.:'.! ! 'l : :'t,,::�'r`'„ l...►:::ti•lt:a f:} :,, c I,,:i. 413,,•:{)t:> i5., . 'tit; RF�f`I•}I..•::. f - :i. :I :!. , '! .e�' ".,515 1 ,:, :T_.() f -+` .t{ .iT 'I. 'f „1..1;• .ti,.., .:,• , 1 C,52201.700 00 t.,C)R : .1 l.lJT.--:I.::}•C)R :i. I.._. 00 1100 I 0.'.::f:ON (:rCII-:I f.:r l...:i l's,DER 1-Il»{:1Ti :!. :1 1,0R, 00 01JF, F'120*oIJP*1—f:;,,f''tll�:i#3 �7� ':il::l�''?:1'i.:l":t V:V: '1:t' (t,W,i„P,Tl.._-0-1T'1t. .1')0t`1„COM '1 'l...f :►`-iF":!" l�;t:i�1 l..T. .T C)”. �3 T'l-Cc O(R I' '{ S*fl 'V1:::t'.!f:.f:N F"i1111FF IR:: 1 'f4i:TT:l.lt 'T'; f „+::�„ Y? , {:':=;f� 4..i3 ,, NJ ii :;,::#:r# ........................................................._....................................................................._.................................................................... ..............._.._._...... 1*0X:I 4:1.9,. :l.`: , 7020.07 FORM NO 005 WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS S. 7 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF CFF TFDMr amn rnwnITinmR Inc DFVFoCC CinC GENERAL TERMS AND CONDITIONS 1. DEFINITIONS As used in these General Terms and Conditions, the term "Goods" shall mean the products, parts and accessories (including fluids)offered for sale by Seller. The term"Services"shall mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller. "Seller"shall mean Stewart& Stevenson Power Products LLC (also d/b/a Atlantic Detroit Diesel-Allisoh and Atlantic Power Systems)and"Buyer"shall mean the customer(person or entity)to whom Goods or Services is sold or offered. , 2. ACCEPTANCE. Upon acceptance by Seller, Buyer's request for quotation and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms wiless authorized or otherwise supplemented in writing by Seller. All offers by Seller expire 30 days from the date of issue unless terminated earlier by Seller before acceptance or extended by Seller in writing. 3. PRICES AND PAYMENT. All prices are in U.S.Dollars. Seller reserves the right to adjust prices if changes are trade in specifications,delivery or scope of work for Goods or Services. Unless otherwise agreed in writing,any Buyer with pre-approved credit terms shall pay the purchase price for Goods or Services within thirty(30)days of the date of invoice. Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit department. Seller reserves the right to change credit terms and to require payment in cash or other form of immediate payment acceptable to Seller. Buyer will be invoiced for the applicable sales tax or other taxes due in connection with Buyer's purchase of Goods and Services unless Buyer provides an acceptable tax exemption certificate. 4 FACTORY AUTHORIZED WARRANTY REPAIRS. FVhenever Seller provides at a Buyer's request factory authorized repair services or replacement parts to Goods covered by a rnarnrfacturer's limited warranty, the manufacturer's warranty applies,first aver'the limited warranty of .Seller in paragraph 6 and the responsibility for the repair and/or replacement cost shall be apportioned between the Buyer and the manufacturer according to the teens and conditions of the applicable muni faclurrer's warranty. Unless otherwise a reed by Seller, the Buyer shall be liable-for the cost of repairs or replacements made on all Goods to the extent that the manufacturer does not pay for.said repairs acrd/or replacements ander its warranty' 5. LIMITED WARRANTY OF MANUTACTURERS. When Seller-sells directly to the Buyer Goods covered by a manufaclurer's.hrnited warranty, the terms crud conditions of the manufacturer's limited warranty only shall apply. A copy of the mangfacturer • '. Ivarrant)'shall b&.provieled upon request 6. LIMITED WARRANTY OF SELLER. When Seller provides at a Buyer's request any Services or replacement parts to any Goads, the following limited warranties apply to the Buyer: a For ncnv, rentanttfactured or used parts and components supplied in connection with Services, the manufacturer's limited warranty on such parts and components shall apply. b. Seller warrants that its Services shall be performed in a good, workmanlike manner and shall be free from defects in materials a• workmanship for a period of 180 days•from the date such work is completed or such material is provided. c. Seller warrants that an,v exchange components or assemblies rebuilt by Seller that are used in any repair or replacement shall be free from defects in materials or workmanshipfor a period of 180 days from the date such work is completed. d Substandard or incomplete repairs made at the Buyer's request and/or parts furnished by Buyer and installed by Seller at the Buyer's request arc?not warranted by.Seller. 7. CONDITIONS OF LIMITED WARRANTY. In the,event the limited warranty of Seller in paragraph 6 above applies,Seller will,frrlfill'its,limited warranty obligations try correcting any mer f archon during the warranty period under-the following conditions- a. If anv repairs or replacement parts provided frail to conform to the Limited ll'arranty of Seller,Seller will,at a location of Seller's choice and during nornxal working hours, replace any defective parts or correct any deficiencies in workmanship fi-ee of charge to the Buyer if such defects in punts or deficiencies in workmantship ar•e verified in writing by any,authorizer)Seller employee. Such replacement of parts or correction of deficiencies to workmanship will be commenced as soon as manpower and necessary parts and equipment are reasonably available to Seller. b. When, at the Buver's request repair work is performed outside of Seller's normal business hours, or is performed on weekends or ' holidays, the Bu-ver shall be responsible for•the difference between regular time labor rates and the applicable overtime or prime time labor rates Unless the original repair services were performed in the field, if warranty repair services are performed outside of Seller's facilities, the Buyer shall be responsible for the cost of travel tine,mileage and other travel expenses. Any transportation cost to,pick up and/or deliver tools and machinery to Buyer's job site in order to perform warrantable repairs will be charged 10 the Buyer at pevailing rates;unless the original repairs included pick up and delivery by.Seller. 8. WARRANTY DISCLAIMER. THE WARRANTIES PROVIDED HEREIN ARE THE ONLY WARRANTIES APPLICABLE TO THE PRODUCTS,PARTS AND/OR SERVICES PROVIDED RYSELLER. SELLER MAKESNO OTHER WARRANTIES,EXPRESS,I11,IPLIED OR STATUTORY AND SPECIFICALLY DISCLAIMS ANY IMPLIED FEARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Some states do not allow the limitation oj'/row long certain warranties rnav last or limitations or exclusions of certain damages,so some limitations may not be applicable. The limited warranties give Buyers specific legal rights which may vary from state to state. 9 NEGLIGENCE DISCLAIMER. Buyer's understands and agrees that Seller and Seller's officers,agents,representatives and employees shall not be liable for injury to property,whether based on negligence,strict liability,or aother theory of tort liability,for any action or failure to act in respect to the repair,replacement of parts or workmanship iniry volved as to any Services. 10, DISCLAIIMER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY. The limited warranty of Seller and other manufacturers' limited warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever, including without limitation, communication expenses, meals, lodging, loss of use of equipment, loss of time, downtime, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty. 11. LIMITATION OF LIABILITY. in any and all events, the limitation of liability of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handling of any Goods,equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment. If the Buyer fails to pay as agreed,Seller shall have all the remedies provided wider the laws of the state where the Goods or Services are provided. Invoices not paid when due are subject to a finance charge of 1.5% per month(18%per annum). Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge. In the event Seller retains an attorney in connection with the collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. CUSTOMER COPY � �� ' ��L��TI�� DETROIT DIESEL-ALLISON | 6.XT �� r | x��, Epsop Stewart "� Stevenson|�� Power Products � FRI- �� o�� | �� - -- ------ - --- POWER------ -- - -- - ------- � SH DATE: 5/11/17 ATLANTIC DDA REPRINT F'AGE 1 TIM[:11 :22:5O 300 SMITH STREET DEPT:PARTS MIDDLETOWN CT 0�457 DOCUMENT#: P89O4585 03010 (86O)632-0218 ORDER TYPE: STOC� �OLD TO:FTSHERS ISLAND FERRY DISTRICT SHIP TO:MIDDi.ETOWN **********«************* 261 TRUMBULL DRIVE 300 8MIl11 STREET * P I C 1--: T I C K E T * PO BOX 607 MIDDi�ElOWN, CT 06457 FISHERS ISLAND, NY 06390 ` LIMITED CREDIT CUSTOMER P5#: C/C.__CHGCASHGOD DATE SI-|IPPED: 0/00/00 RUUTlNG:PICKUP FILLED BY: B/L NUMBER: PPDCOL___PU___ ENTERED BY: C|-|ARLES TURCIO . ICSUIOLYB ****** /1 2 1N/COD . UNlT SERIAL#-PRIMARY: 12VA053043 CUSTUMER CONTACT: JOHN PF0NE 7463 ......................................... ... .............................................-.... ................................................................................................'................................. ...................... -- ....................................................'.................................................... .......... PC ITEM BIN QTY QTY QTY UNIT E)( [ENDED NUMBER DESCRlP7ION LOC ORD SHP BA) PRICE PRICE 04 ~~ R5102770N [yl INDER HEAD 1 1 2273.67 2273.67 04 ~° R5228900 INJECTUR 58 J. 1 78.39 78.39 14 -°O5123235 GASK[T .69 .69 14 ~=O5123241 �ASKET V ` 1 1 1 .4O 1.40 14 =u O512366O GASKET / � ~ 1 1 3.62 3.62 14 =` 051247�6 PAN GASKE7 1 1 10.44 10.44 14 ~�)�170049 GASKET 2 2 .76 1 .52 1O516738O GASKET ` GSI-::"'IE 2 2 1.O8 2. 16 1 09915 GASKET MEZWAL 1 1 23.52 23.52 14 635 GASKET MZGSK1 1 1 .7O �5196382 GASKET KIT MZGS1:::2 1� 5104O19 GASKET kOCKER ��,��\��l��S n��(`�� P3 ��2 ` 2 2O.22 1 � ~~ 14 CYL 7 x� I.;- 11:A � 1O � �` 1O 05 i 4 =�(`5i9 � 7�� -'lN[', 0:1.0 ~w / u c- _' RAC-K4 2 � `�2� �^!! � ' _ -!;27.42 1 /I -- 23505306 CYL KlT #3 R2B5 2 2 Z51 .51 ,^_s503.O2 14 -^ 235�3307 PlPE ASSY, SHOR7 3F 6 �� 7"72 ~_-'_ _ _46.32 ] 4 � 235333O8 Fl.PE ASSY, LONG 1O 18.60 05123240 CA" ] 4 ~~051O4515 IS 'L.AIT)1 11 .08 44.32 C52289O0 CORE INJECTOR CORE 1- 1- � .00 N/C C5102770N CORE CYLlNnER HEAD CORE 1- � 1- ' ' .00 N/C GENERAL TERMS AND CONDTI`IONS 1. DEFINITIONS.As used in these General leims-and Conditions,the term"Goods"shall mean the products,parts and accessories(includirm fluids)offered for sale by Seller.Zhe term"Services"'shall mean. the labor foi diagnosis,repair and maintenance to vehicles and other equipment provided by Seller."Seller"s_hill_mean Stewart&Stevenson Power Products,LLC(also d/b/a Atlantic Power Systems)and "Buyer"shall mean the customet (person or entity) to whom Goods or Set vices is sold or offered. 2, ACCEPTANCE.Upon acceptance.by Seller, Btryers request for quotation and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authot iced or otherwise supplemented to wining by Seller.All offers by Seller expire 30 days from the date of issue unless terminated earlier by Seller before acceptance or extended by Sellci in WE iting. 3. PRICES AND PAYMENT.All prices are in U.S Dollars.Seller receives the right to adjust prices if changes are made in specifications,delivery or scope ofwork for Goods or Services.Unless otherwise agreed in writing,any Buyer with pre-approved credit turns shall pay the purchase price foi Goods of Services within thirty(30)days of the date of invoice.Credit terms are provided only to Buyers whose credit is approved in advance by Sellei's credit department.Sellei reset ves the right to change etedit terms and to iequire payment in cash of other form of immediate payment acceptable to Seller.Buyer will be •invoiced for the applicable sales tax or other tales due in connection with Buyer's purchase of Goods and Services unless buyer provides an acceptable tax exemption certificate. 4. I-ACTORYAUTHOR17ED WARRANTYREPAIRS. 05enever Seller provides ata Buyer's request fitctoiy authorized repair services or replricement party to Goods covered by a mann ftcturer's warranty,the wanufracturer's warranty apphesfrst over rhe limited warranty of Seller in1'iamgraph band the res1mWbz1gt,for the repair and/or irpkicement cost sball be apportioned benveen the Brayer and the manufiicturer according to the terms and conditions of the applicable imams acinreri Warranty Unless orher�tise�t�d by_Seller_tt e Bullet s{1nll lee/rattle fire the_cost o�epui;s�r_;rplrin�n ?7ts_nrrtrle nn all Goads to the ertertt that the. want facturer does not pay fir said icWairx undlor replacements under its rvarran 5. LIMITED WARRANTY 017MAArUFACTURF,RS. Wken Seller sell directly to the Bvyer Goods covered by a inant facturer r warranty, the terms and conditions of ihe'manujl cturerl limited warranty only shall apply A copy ref the wanu facturer's warranty shall he provided upon request. 6. LIMITED WARRANIT 017 SEII1ER. Iften Seller•protides at a Buyer's request airy Services or replacement Barts to any Goods, the fbllorvino limited warnintzes appy to the Buyer: a. For new,rc nanufiactwed or used parts and components suppled zn connection with Services,the manufacturer's linuted warranty on such parts and contponeizts shall apply. b Seller warrants that its Services shall be per formed in a goor4 workmanlike manner and shall be free from def cts in materials or workmanship for a period of 180 drills join the date sucb rvorle is completed or such material is provided C. Seller warrants that any exchange components or assemblies rebuilt by Seller that are used zit any repair or replacement shall be free from defi�cts zit materials or workmanship for a period of•180 daysftorn the elute such Ivor k is completed d Substandard or incomplete rcpans made at the Buyer's icgtaest and/or parts fitrnished by Bvyer and ihz talled by Seller at the Buyer's request are not warranted by Seller: 7 CONDITIONS OFLIMITED WARRANTY. In the event the hinited warranty of Seller in paragraph b above applies,Seller will fu fill its limited warranty obli,ations by cortecting ani,ma6lunrtion during the wananty period under the follozvhn, conditions: a. If any repairs or replacement partsProt tded fail to conforin to the Limited War awry of Seller,Seller will,at location of Seller's choice and during normal worki?W hours,replace arty defective parts or correct any defctenries in workmansbzp free of charge to the Buyer zfsur h def tis in parts or deficiencies in auoik rnansbzp are verified zn wriu%by aril,authorized Seller employee.Such replacement ofpar is or correction of deficiencies in aiiorkmanship will be commenced as soon as manpower and ueressaiy pities and equipment are reasonabl)l available to Seller. b. When,at the Buyers request repair work is performed outside of Seller's no;mal business hours,or is perfotnted on'weekends or'bohdays, the Pttyer shall be responsible,for the dtj yirertce between regular tete labor rates and the applicable overtint or prune tine labor rates (htless the original repair services rveae performed to the field,if war irinty repair services rare per formed outside nfSrllers farihiies, the Buyer shall he responsible for the cost o f irrzvel time, mileage and other travel expenses Any transportation cost to pzrk up arzd/or deliver tools and machinery to Buyers joh site in older to perforn warrantable repazrs will be charged to the Buyer at-prevailing rates, unless the or iginal repazrs included picle tap and delivery I �v Seller 8. WARRANITDISCLAIMER, THEWARRANTIESPROVIDED HEREINARIs'IHEONLY WARRANIIESAPPLICA B1EIts7HL'PRODUCIS,PARI SAND/OR SER VICES PRO VIDEDBY SELLER.SELLER MAKES NO OTHER WARRANTIF,S,EXPRESS,I1UP1,1ED OR STA TUTORYAND SPECITICALLYDISCIAIMSANYIMPI,IFF WARRANTIES OFMERCTL4NTA13II,ITY OR FITNESS FORA PARTICULAR PURPOSE.Some states do not allow the hinitation of how long rertazn warranties may ln_{t or limitations or exclusions of certain damages,so some limitations may nor be applicable The linzzted warruiitiesgive Buyers specific rights which may vary from,state to state 9. NEGLIGENCE DISCLAIMER.Buyer understands and agrees that Seller and Seller's officers,agents,representatives,and employees shall not be liable for injury to property,whether based on negligence, strict liability,or any otter theory of tort liability,for any action or failure to act in respect to the repair,replacement of parts,or worlunanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY"the limited warranty of Seller and other mauufiu.turers'limited warranties described:herein do not cover auy,iruidental or consequential damages or other economic losses of any kind whatsoever,including without limitation,communication expenses,meals,lodging,loss of use of equipment,loss of time,downtime, inconvenience,overtime,transportation costs or any other cost of expense resulting from a defect covered by the applicable warranty., H. LIMITATION OF LIABILITY In airy and all events,the limitation of liability of Seller or its agents and employees for any and all losses,injuries or damages resulting frorrr the use or,handling of any Goods, equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SEL.LER.1he limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods of Services when due in accordance with the agreed terms of payment.If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the,laws of the state where the Goods or Services are provided.Invoices not paid when due are subject to a finance charge of 1.5%per month(13°lo per annum).Equipment not picked up by Buyer within j business days of completion is subject to a$100 per day storage charge.In the event Seller retain an attorney in connection with the collect on of acv amounts clue from Buyer to Seller,Buver agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. fl l L..flht 1 J.U- .1.; 1`a.lW 1 11•11::. U N t. ;:) I U1"' :)1••1U1 h•lJN hiL.I... i 11.. 7 t.JUN I riUL,F..,0WC) t:)V%I 1.l'G••) I UI", H INV VIHP,.1.l•al... CUSTOMER COPY s� Epson Stewart & Stevenson ATLANTIC DETROIT DIESEL-ALLISON ;�`�; STEW ty Power Products LLC ATLANTIC POWER STENS � -, l !rr•1"f'E:::: 5/11/17 ["t'r"I...(-r�!"ra:(.: DDAFd::F'R:f.l�!'T' i 't`Il':;i::: ;? •T':I:ME::. 11.,:22::50 {)f) <:)M:I:T'I••l 13T'f+'l:DH1, 1)1:::1::'T"::i''f11?'T'#:i MT 1)1)1...I:E T•tJlA N CT {)6-157 D0C:LJMI--' l'T"#t: F'090145B. 5 0301.0 (860)6::;2-.•021 0 C)FI:i)f:R T'`t`PEK ri ;:S•i•C)(:`.I::: 1,131...A D F"I:::F RY UT.;:)*T'R:I:(-T' f:il'i:l:f' 'T•C)::M:I:I)r.)I...I: T•(:)Wl l n?C. 1 "T"FiI. Ml:tt.A..l_. l()Ft:l:l.E, •;{)f) d:iii l:'T'I••I ii T"FtEAHET" X. F' 1 Ci 1::: .3." I C: V. 'r �[• !::'0 13OX 607 M 11)DI...l::•TOWN.., C:"T' 06457 F :C:31•'il:RE-3 :1:31...11N1), NY 06.39{) l...:I:M:I:"T'f::l) C"RE-DIT POO;: C:. C' .._.....{::I It ............C*Flwil••I............{.C)X) ....._. l))'•1T :31••1:1'F'F'L'•:l):: ()/00/00 fit:)t.J"T:I:1+lta::l::':i:t::K1.1F. F:'1:1...1...E*1) l:tY:: 1,.'I_. l`il.hMk:tED... 1--'1::'D COI PLJ I:::l`l±"TI:::RI:.:l) Y3Yu t::Fi11R1...1:1,a 'T"URC:TC) 1t:i;3t.J:l:f)I...YE3 /:1. 2 JJN/Cr0D lJl�!:I:'1" f31:::Ii:Cf11_.�••••F'i'i:l:��ll'1F4Y:: :I.r?l,��if);`.'i;;f)E,-;; t:r{7N T't"tM, a7t:)1-IN I"'I--IC)Nl:i: f ctA;:;:l. ) <88 7 46 ................................................._........._.........._..........._.........................._......................................................._......................................_........................._...................................................................................................................................................._.. GROUP" 1:'tIN GIT'Y CITY (Try l.Je`1:f.T 1:-:.x T 1: 1111)1::1) 1)E::aG,Rl F,'r.l:t: N I...t:)C: t:RD 931••11'"' 1.3/C) f'RTC:E I"'ilRTS' 11N1) rIEF;:VICF:: 11IF:lE1)<:3.. .. .,I-•It:)T" DEN...f3 ON 111...1._ AlR C;tli�1):C'T:l:t:)�+±1:i~11::; F')'RTS) (11*I1) 11�tik:: ()I-*i)iJ'T OUR I: F-ZF:: 71�! ;31::'1:::C;:C(1!_... .. .. .. .. ..I::'f')I:i 1~it:)I:�:I::: :I'Nl: (:) V:1:#:3:1:'T' [�J kI..IAT'I._A i'T':I:t:`1)l)11..C�t:)hi • - � '3?`s.r.9 a`:'>.31r;.x a.,�,`e 's' f•�@d�,::� ., ^I -_ w._..- 4 St.J)»t'Tt:)T AI.... 6600..92 HOLD F'OF: CrC)MF'I...ETl.C)N TAX 1: 4:1.9. 1.5 F'13,904585 1:3 FIT 1_:I::':f.Nl:;:: 201�:'..401. 0 ..00 F21:::(:I::::l:',11:"l) X:tY:; T'C)'TAI.., (:,'I-q 11: E'ri a lf):•.?f)..(Y,7 ... ...._................................._.._....................._..W........_......._._.._.._.... .... GENERAL TERMS.AND CONDITIONS 1. DEFINITIONS.As used in these General Terms and Conditions,the terns"Goods"shall mean the pi oducts,parts and accessories(including fluids).offered,for sale by Seller."Ihe term Services"shall-mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller."Seller"shall mean Stewart&Stevenson''Power Products,LLC(also d/li/a Atlantic Power Systems)and "Buyer"shall mean the customer(person or entity) to whom Goods or Set vices is sold or offered. 2. ACCEPTANCE.Upon acceptance.by Seller,Buyers request foi quotation and/or purchase ordct f6r Goods'or Ser�-ices is expressly conditioned upon Buyer's agreement to the following terms ane-conditions and no other terms unless-authoiized or otherwise supplemented it'i wriring by Seller.All offers by Seller expire 30 clays-from the date of issue unless terminated earlier by Seller before acceptance or extended by Seller in Writing „ 3. PRICES AND PAYMENT.All prices are in U.S.Dollars.Sellei reserves the right to adjust pi ices if changes are made;in specifications,delivery or scope of work foi Goods or Services.Unless otherwise agreed in writing,any Buyer with pre-approved credit turns shall pay the purchase price for Goods or Servicts,vidiin thirty(30)days of the date of invoice.Credit terms are provided only to Buyers whose credit is approved in advance:by Seller's credit department.Seller reset ves the right to change credit Lei ms and to require payulent in cash or other form of immediate payment acceptable tri Seller. Buyer,will be invoiced for the applicable sales tax or other taxes due in connection with Buyer's put chase of Goods arid Services unless Buyer provides an acceptable tax exemption certificate. 4. 1 FACIDRYAU7HORIlI:D WARRAN1YREPAIRS. Whenever Selle,provides at a Buyers request flicto;y authorized repair services o, replacement par to to Goods covered by a mann facturerc warranty,the inanufactuier's'warranty applies first over the limited warranty of Seller in paragraph 6 and the responsibility for the repair and/or irplaremen cost shall be apportioned between the Brtyer and the inane fitcrurer according to the terms and conditions of the applicable mann facturer;LFvar;irr J Unless otherrt,rse rtgreerl Gy,Stilet the Braver s/rill be!table fqr the cost gepui; placements ntnde_orz all Gtro&to the sYtertt that tFie_ manufacturer does not paw for said repairs and/or ii7plracements under its warrantL 5 LIMITED WARRANTY OF,AUNUFACTURERS. Wben Seller sell directly to the Buyer Goods covered by a inanr fac•turer's warranty; the terms and conditions of the nmrn faciurer's limited warranty only shall apply A copy ref the manufacturer's warranty shall he provided upon request. 6. LIM17WD WARRANIT OF SELLER Wben Seller provides at a Buyer's request any Services or rcplrarement parts to any Goods,the following limited warranties apply to the Brsyer- a. For new, rerrranufaclurril orused pnrtrand components suppled in ' izncction with Services, the mane facturer's limited wariv qy on such parts and components shall ripply b. Seller warrants that its Services shall be performed in a good, workmanlike manlier and shall be flee fiorn defern in materials or workmanship for a period of 180 days from the date such worle is completed or such mate rzal is provided, C. Seller wrarmias that any exchange components or assemblies rebuilt by Seller that lire used in any repair or replacement shall be free form defects in m aterzals or workman hip for a period of'180 drays four the date such work is rompleted. d Substandard or incomplete repairs rrrade at the Buyers request arrd/or parts f trnished by Buyer and installed by Seller at the BuverJ request are riot warranted by Seller: 7. CONDITIONS OF LIMITED WARRANTY. In the event the hnziied warranty of Seller in paragraph 6above applies,Seller will fitfll its limited warranty obligations by rortecting any ma function during the warrunty period under the,followintr conditions. a. If any repairs or replacement par-t.vprovirlcd fail'to,conform to the Limited Mai rarity of Seller,Seller will,at location of Seller's choice and during normal working hours, replace any defective par is or correct tiny deficiencies in workmanship free of charge to the Buyer if such defects in parts or def cienrzes in wo,krm-mshtp are verzf ed in writing by any authorized Seller employee.Such replacement of par is or correction of dejicientirs in workmanship will be co7nmenred as soon as nuaupower and necessary parts and equipment are reasonably available to Seller. b. When,at the Buyers request repair work is performed outside of Seller's normal business hours,or is performed on weekends or holidays,the Brayer shall be responsible for the diffirence between regular time labor rates and the applicable overtime orprirne time labor rates.,Unless,the original repair services were peifor-ined in the field,if warrurziy repair services are performed outside of Sellers faczhdes,the Buyer shall be responsible for the cost of o avel tine, mileage and other travel expenses.Any transportation cost to pick up and/or deliver tools and machinery to Buyer's job site in order to perfaini warrantable repairs will be charged to the Buyer at-prevailing rates, unless the origmal repairs iucluder'l pick up arid delivery by Seller 8. WARRANTY DISCLAIMER, T HI WARRANT ILS PROVIDED HEREINARE 7 H ONLY WARRAN'IIESAPPLICABLE TO THE PRODUCI S,PARTS ANDIOR SERVICES PROVIDED BY SEI,LER.SELLER MAKES NO OT11ER WARRAN77ES,EXPRESS,IMPLIED OR STATUTORYAND SPECIFICAI,LYDI,SCLAIMSANYIMPIIED WARRrINTIF.S Or,M RCILCYTABILITY OR FITtVESS FORA PARTICULAR PURPOSE Some states do riot allow the limitation of how long certain warranties ma) last or limitations or exclusions of certain damages,so some limitations may not be applicable The limited warranties give Buyers specific ri rhts which may vary font state to state. 9 NEGLIGENCE DISCLAIMER.Buyer understands and agices that Seller and Seller's officers,agents,representatives,and employees shall not be liable for injury to pioperty,whether based on negligence, strict liability,or any ocher theory of torr liability,for any action or failure to act in respect to the repair,replacement of parts or workmanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY'llne limited warranty of Seller and other manufacturers'limned warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever,including without limitation,communication expenses,meats,lodging,loss of use of equipment,loss of time,downtime, inconvenience,overtime,transporration costs or any other cost or expense resulting from a defect covered by the applicable warranty. 1I. LIMITATION OF LIABILITY In any and all events,the limitation of liability of Seller or its agents and ernployees for any and all losses,injuries of damages resulting from the use or handling of any Goods, equipment,parts or Services provided or performer{by Seller shall be hmiced to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SELLER.'lhe limited warranties provided herein shall riot become eflecthe unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment.If the Buyer fails to pay as agreed,Seller shall have all the remedies provided tinier the laws of the state where the Goods or Services are provided.Invoices not paid when due are subject to a finance charge of 1.5%per month(13%per annum).Equipment not picked up by Buyer within 5 business days of completion is subject ro a$100 pet day storage charge.In the event Seller retains an attorney in connection with the collect on of any amounts due from Buyer to Seller,Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all conic costs. say Stewart&Stevenson ATLANTIC DETROIT DIESEL ALLISON CUSTOMER NO. INVOICE NO. '. (. Power Products LLC 2 524 ) ATLANTIC POWER SYSTEMS Please make all checks payable and remit to: STEWART&STEVENSON POWER PRODUCTS LLC Invoice P.O.Box 950-Lodi, New Jersey 07644 Phone:(201)489-5800 BILLED TO SHIPPED TO I-11:.::F,!S *I'll*_.'.I AND FiH*RRY D1,1:iTRIC-1 F-1131-11-ER *j.S1-('--iND F*F1.'F*,'1-ZY V-.'(')X a.")07 F...; WATERF1:Z0NT 3 ONDWI, 1,131 AND, NY 06*,*5'C?0 M:-EL 'DATE WVOICED DATE SHIPPED PURCHASE ORDER NO. "BILL OF LADING NO.- REFERENCE W .1.3{,:.11 . .1..'":,:4 :1.7 J*(')I-.Ii--,, P F'880f.' Vit;5 SgRIAL NO. ;"MODEL MODEL NO,":' CUSTOMER I Who— FREIGHT vIA' 0 2 A,.0 9 f-3 Q 2 0 :t LIFIS ("F" M1:70513......8 7?e.?.ii..•.1 ZF!uLlmgtv,lkvAl.l:l� DESCRIPTION ORDERED BACK 0110� EXTENSION X 51.9 9 5 3f C0 1: 1..' (.71-1ARGE 1 62.50 ':',::'."50.... PUNI.. C 0 17,9 1r,73 01* ITC)R MOP11F., TNIF*0 OUR F'R(JDUCTS, F'AP'Tc" AN I", SyEl--�V1'f**.-*ES V18—T (44110-.AIT! lRf::*t4*1-T* Tf*h, 53TEWART 'STl:..UENS0i',! P014E:Z 11*X 950 L.G.01 NJ' 074,4.14 ..................................................................................... ............................................... T1*A f. 9 E31 -1.1,FILIT�11!G"I FORM NO 005 WE HEREBY CERTIFY THAT THESE GOODSWERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 5, 7 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF SEE TERMS AND CONDITIONS OF REVERSE SIDE GENERAL TERMS AND CONDITIONS 1. DEFINITIONS. As used in these General Terms and Conditions, the term "Goods" shall'mean the products, parts and accessories (including fluids)offered for sale by Seller. The term"Services"shall mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller. "Seller"shall mean Stewart & Stevenson Power Products LLC (also d/b/a Atlantic Detroit Diesel-Allison and Atlantic Power Systems)and"Buyer"shall mean the customer(person or entity)to whom Goods or Services is sold or offered 2. ACCEPTANCE. Upon acceptance by Seller,Buyer's request for quotation and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherwise supplemented in writing by Seller, All offers by Seller expire 30 days from the date of issue unless terminated earlier by Seller before acceptance or extended by Seller in writing. 3. PRICES AND PAYMENT.All prices are in U.S,Dollars. Seller reserves the right to adjust prices if changes are made in specifications,delivery or scope of work for Goods or Services Unless otherwise agreed in writing,any Buyer with pre-approved credit terms shall pay the purchase price for Goods or Services within thirty(30)days of the date of invoice. Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit department. Seller reserves the right to change credit terms and to require payment in cash or other form of immediate payment acceptable to Seller. Buyer will be invoiced for the applicable sales tax or other taxes due in connection with Buyer's purchase of Goods and Services unless Buyer provides an acceptable tax exemption certificate. 4 FACTORY AUTHORIZED W41MANTY REPAIRS, TFhenever Seller provides at a Buyers request factory authorized repair services or replacement parts to Goods covered b'v a inanufacturer's limited warran�v, the manufacturers warranty applies first over the limited warranty of Seller in paragraph 6 and the responsibility for the repair andlor replacement cost shall be apportioned between the Buyer and the manufacturer according to the terniv and conditions Of the applicable manufacturers ivai-ramy. Unless otherwise agreed by Seller, the Buyer shall be liable for the cost of repairs or replacements made on all Goods to the extent that the manufacturer does not pay for card repairs andlor replacements tinder its warranty. 5. LIMITED WARRANTY OF MANUFACTURERS. When Sallersells directly to the Buyer Goods covered by a manufacturer's limited warranty, the terms and conditions of the maintfacturer's limited warranty only shall apply. A copy of the manuf'acturer's warranty shall be provided upon request 6. LIMITED RA RRANTY OF SELLER. TVh en Seller provides at a BuYers request any Services or replacement parts to any Goods, the following limited warranties apply to the Buyer: a. For new, remanufactured or used parts and components supplied in connection with Services, the manufacturer's limited warranty on such parts and components shall apply b. Seller warrants that its Services shall be perforated in a good, workmanlike manner and shall be five from defects in materials or workinanship,lbr a period of 180 flays from the date such work is coinjileted or such material is provided. C. Seller warrants that any exchange components or assemblies rebuilt by Seller that are used in any repair or replacement shall befree ,from dqfecis in materials at,workmanshipfor a period of 180 days from the(late such work is completed d. Substandard or incomplete repairs made at the Buyer's request and/or parts furnished by Buyer and installed by Seller at the Buyer's request are not warranted by Seller. 7 CONDITIONS OFLIMITED WARRANTY In the event the limited ivarrantv of Seller in paragraph 6 above applies,Seller will fulfill its limited warranty obligations by correcting any tnadfunction during the warranty period under the following conditions- a. If any repairs or replacement parts provided fail to conform to the Limited Warranty of Seller, Seller will, at a location qfSeller's choice and during normal working hours, replace an'v defective parts at-correct any deficiencies in workmanship free of charge to the Buyer if such defects in parts or deficiencies in workmanship are verified in writing by any authorized Seller employee. Such replacement ()/ parts or correction of deficiencies in workmanship will be commenced as soon as manpower and necessary parts and equipment are rea,yonably available to Seller. b. When, at the Buyers request repair work is performed outside of Seller's normal business hours, or is perfbrmed on weekends or holidays, the Buyer shall be responsible for the difference between regular time labor rates and the applicable overtime or prime time labor rates. Unless the original repair services were performed in the field. if-warranty repair services are performed outside,of Seller's facilities, the Buyer shall be responsible,lbr the cost of'travel time,mileage and other travel expenses Any transportation cost to pick up andlor deliver tools and machinery to Bu'versjobsite in order to perform warrantable repairs will be charged to the Buyer at prevailing rates, unless the original repairs inchidedpick up and delivery by Seller & WARRANTY DISCLAIMER. IMF, I-VARRANTIF,,V-PROVIDFD-HF-RF.IN ARE THE ONLY WARRANTIES APPLICABLE TO THE PRODUCTS,PARTS AND/OR SERVICES PROVIDED BY SELLER. SELLER MAKES NO OTHER WARRANTIES,EXPRESS,111PLIED OR STATUTORY AND SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Some states do not allow the limitation of how long certain warranties may last or limitations or exclusions of certain damages,so some lindtations may not be applicable. The limited warranties give Buyersspecfflc legal rights which may vary front state to state. 9. NEGLIGENCE DISCLAIMER. Buyer's understands and agrees that Seller and Seller's officers,agents,representatives and employees shall not be liable for injury to property,whether based on negligence, strict liability,or any other theory of tort liability,for any action or failure to act in respect to the repair,replacement of parts or workmanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQUFNTIAL LIABILITY. The limited warranty of Seller and other manufacturers' limited warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever, including without limitation, communication expenses, meals, lodging, loss of use of equipment, loss of time, downtime, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty. 11, LIMITATION OF LIABILITY. In any and all events, the limitation of liability of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handling of any Goods,equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the laws of the state where the Goods or Services are provided. Invoices not paid when due are subject to a finance charge of 1.5% per month(18%per annum). Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge. In the event Seller retains an attorney in connection with the collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. '71W M FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 06/06/2017 CHECK 4118 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.7,00 26639197 WE 5/12/17 53.01 SM .5710.4.000.100 26639207 WE 5/19/17 TOTAL, 119.90 n r FISHERS ISLAND FERR Y'9ISTAIC T- i--AtDIT"� 6T0 53095 MAIN ROAD,P&BOX 1179 SOUT-HOLD,NY11971-09.59 CHECK No. T CUTCHOGUE,NY 11936,," — HE SUFFOLK,CO NATIONAL BANK DATE`` AMOUNT 06106, 26 90- i 56-54/214'' ONE HUNbRRD, NINtTEEN-_AND 90/100 'DOLLARS- PAY 'UNITED."PARCEL SERVICE- TOTHEPO BOk72470244 4 OOFRD'��R PHILADELPHIA "PA 'i9'!7,0,_`0001 ' 11'004 118110 1:0 2 1 0 5 464 : 68 001502 L11' Vendor No. Check No. Town of Southold, New York- Payment Voucher 21506 Vendor Address Entered by P.O. Box 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date United Parcel Service JUN 06 2017 Vendor Telephone Number 800-811-1648 Vendor Contact Invoice Invoice Invoice Net Purchase Order Date Total Discount Amount Claimed Number Description of Goods or Services General hedger Fund and Account Number 26639197 5/13/2017 $53.01 $53.01 — WE 5/12/17 SM5710.4.000.700 S 26639207 5/20/2017 $66.89 $66.89 WE 5/19/17 SM5710.4.000.700 i i E f 5 $119.90 $119.90 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 pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signator �� Title Signature Z Company Name Fishers Island Ferry District Date 512412017, Title Date U ,I ®effvery Service Invoice Invoice Date May 13, 2017 Shipped from: Invoice Number 0000026639197 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID P312 1 STATE ST Page 1 of 3 NEb1l LONDON,CT 06320 g ® Sign up for electronic billing today! ® 0736A00000266394 77366020021555 Visit ups.com/billing AB 01 028660 50347 H 80 D For questions about your invoice,call: (800)811-1648 `,Ill�ljlellll�ll�lllll000aollll�l�l�l�lm�llll°�°llBlll�llaa�lall Monday-!Friday ®_ FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.ET. ACCOUNTS PAYABLE or write: PO BOX 607 LIPS FISHERS ISLAND, MY 06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-000-1 Account Status Summary Thank you for using UPS 'eekdy Payment Plan Summary of Charges Amount Daae This Period $53.01 Page Charge Amount Outstanding(prior invoices) $33921 Outbound Total Amount Outstanding $392.22 3 UPS WorldShip $22.48 Please include the Return Portion of each outstanding invoice with 3 Adjustments 8.Other Charges $3.00 your payment.See Account Status for details. 3 Fees $1.73 Questions about�vg�a gg charges Service Charges $25.80 To get a better understanding of the charges on your invoice, Amount due this period $53.01 visit our invoice guide and glossary of billing charges at ups_conVinvoiceguide. LIPS payment terms require payment of this invoice by.Rune 4, 2017- Payments received late are subject to a late payment fee of 61/6 of /�� the Amount Due This Period.(see TariffTTerms and Conditions of I►'/ �rp� Service at ups.com for details) Dote:This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. Delivery Service Invoice Invoice Date May 13, 2017 Invoice Number 0000026639197 Shipper Number 026639 rw Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior Invoices): Please include theReturn Portion of each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639137 04/01/2017 $28.80 0000026639147 04/08/2017 $57.29 0000026639157 04/15/2017 $100.91 0000026639167 04/22/2017 $80.08 0000026639177 04/29/2017 $43.33 0000026639187 05/06/2017 $28.80 Tota! $339.21 Outstanding balances reflect any payments received as of 05/12/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. 1 Delivery Service In voice Invoice Date May 13, 2017 1 Invoice Number 0000026639197 Shipper Number 026639 TU Page of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 05/08 6853513144 1 1ZO266390348502200 Ground Commercial 60440 5 29 21.31 Customer Weight 5 Fuel Surcharge 1.17 Customer Entered Dimensions= 31 x 26 x 5 in Total 22.48 1st ref:FINY-RACE ROCK GARDEN CO. 2nd ref:FINY-RACE ROCK GARDEN CO Sender :ACCOUNTS PAYABLE Receiver: WEATHER TECH 1 WEATHERTECH WAY BOLINGBROOK IL 60440 Message Codes:r Total for Pickup Number: 6853513144 1 Package(s) 22.48 Total UPS WorldShip 1 Package(s) 22.48 Total Outbound 1 Package(s) 22.48 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 12-MAY-2017 — _ Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Fees Week Ending Unpaid Billed Date Balance Rate Charge 04/01 Late Payment Fee 28.80 6.00% 1.73 A—ii Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 1.73 Invoice Messaging Code Message r Dimensional weight applied 028660 2/2 t Delivery Service Invoice Invoice Date May 20, 2017 1 Shipped from: Invoice Number 0000026639207 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID P938 TM 1 STATE ST Page 1 of 3 NEW LONDON,CT 06320 g -= Sign up for electronic billing today! 0736A00000266394 77366030022336 Visit ups.com/billing AB 01 031339 55932 H 87 C For questions about your invoice,call: (800)8114648 Ihllllll'I'111111'1111!'11'1111'11'IIIr11111'111111111111'IIIl1 Monday-Friday FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.ET. 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 $66,89 page 'Charge Amount Outstanding(prior invoices) $125.14 Outbound , - V Total Amount Outstanding $192.03 3 UPS WorldShip $38.09 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 $25.8 =d Questions about Your charges? Amount due this period $66.89 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 June 11, ups.com/invoiceguide. 2017. -= Payments received late are subject to a late payment fee of 6%of 1 the Amount Due This Period.(see Tariff/Terms and Conditions of — ,f 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. 7 Delivery Service Invoice Invoice Date May 20, 2017 , elm Invoice Number 0000026639207 Shipper Number 026639 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639137 04/01/2017 $28.80 0000026639147 04/08/2017 $57.29 0000026639157 04/15/2017 $100.91 0000026639167 04/22/2017 $80.08 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 0000026639177 04/29/2017 $43.33 0000026639187 05/06/2017 $28.80 0000026639197 05/13/2017 $53.01 Total $125.14 Outstanding balances-reflect any payments received as of 05/19/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date May 20, 2017 Invoice Number 0000026639207, 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 05/17 6853513155 1 1ZO266390346189214 Ground Commercial 06111 2 64 19.69 Customer Weight 63.6 Declared Value$400.00 3.60 Fuel Surcharge 1.08 Total 24.37 1st ref:FINY-PIRATES COVE 2nd ref:FINY-PIRATES COVE Sender :ACCOUNTS PAYABLE Receiver:SHIPPINGDEPARTMENT H.O.PENN MACHINERY 225 RICHARD STREET NEWINGTON CT 06111 2 1Z0266390346980028 Ground Residential 17602 3 6 9.60 Customer Weight 1 Residential Surcharge 3.40 Fuel Surcharge 0.72 Customer Entered Dimensions= 14 x 10 x 6 in Total 13.72 1st ref:FINY-DEB DOUCETTE 2nd ref:FINY-DEB DOUCETTE Sender :ACCOUNTS PAYABLE Receiver: BRITTANY DILLMAN 51 APPLE BLOSSOM DRIVE LANCASTER PA 17602 Message Codes:r Total for Pickup Number: 6853513155 2 Package(s) 38.09 — Total UPS WorldShip 2 Package(s) 38.09 _ Total Outbound 2 Package(s) 38.09 Adjustments &Other Charges Miscellaneous — Billed Explanation - Charge I WEEKLY PRINTER SERVICE FEE 3. FOR 1 PRINTERS AT$3.00 EACH FOR 19-MAY-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 031339 2/2 FISHERS ISLAND FERRY DISTRICT VENDOR 024539 W.B. MASON CO.INC 06/06/2017 CHECK 4119 ; A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000. 000 244157241 ENVELOPES,TAPE j 36.88 SM .5710.4.000.600 I44157241 PAPER & HAND TOWELS •'63.48 SM .5710.4.000.600 I44224013 (2)ALL PURPOSE CLEANERS 103.98 SM .5711.4.000.000 244226413 LGL & STENO PADS,PENCILS 34.45 SM .5710.4.000.60% 244312489 2 BOXES—URINAL SCREENS 72.98 '1 i - • TOTAL 311.77 a :•, • ' �:i<Yx n,.< �•-.. ...,-..x_Hr.>a-..e.,.H .e. '� ,�:t.:• ` :yJ�n4 :•.F<> : ,: _ •r:Ep d•,x �•4 cx - La.:�f• i @5E. 1 � r� 02 0 0 D 0 D 0 D t ° D n A• FISHERS-ISLAND FERRY•'DISTRLCT - UDIT. o6%'o�%` ` -- _ 53095 MAIN ROAD,PO BOX 1179 ,r Iri a 'SOUTHOLD,NY 11971-0959' CHECK',NO: THS SUFFOLK CO'NATIONAL BANK y CUTCHOGUE,Nv i 1935 DATE _AMOUNT' _- _ = Q6/'06/'2017 ,1$3, �:T7,' x ,50=546/214 — THREE, HUNDRED ELEVEN-,AND' 7 7/1'0 0 .D•OLLARS 'rho PAY, W.B.' MASON CO.INC` ,F TO TRE ,=,.p0 'BOX`=98110,1=. __ _ -_ -- \` ' _ - _ ,c• 012DER•' BOSTONT-MA' 0'2-298-=1'110-1- 11600111 110-1=11'0041 19110 1:0 2 140 54641: 68 00 150 2 111' L J Vendor No. Check No. Town of Southold, New York - Payment Voucher 24539 LA 119 Entered bye/7� PO Box 981101 Audit Date W.B. Mason Boston, MA 02298-1101 JUN 0 6 2017 Vendor Telephone Number 888-WB-Mason 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 ; f 144157241 5/11/2017 $100.36 $36.88 Office SupliesEE2 es SM5711.4.000.000 $63.48 janitorial supplies_ SM5710.4.000.600 144224013 5/15/2017 103.98 $103.98 janitorial suppliesAA ase c SM5710.4.000.600 144226413 5/15/2017 $34.45 $34.45 Office Suplies S pc SM5711.4.000.000 144312489 5/17/2017 72.98 $72.98 janitorial suppliesa(PI"YA &-- SM6710.4.000.600 $311.771 1 $311.77 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature U Title Signaturefn /—� Company Name Fishers Island Ferry Distract Date 5/24/2017 Title Date J u 0)N (Page 1) PM m� 0 Delivery Address Invoice Number: 144157241 W.B. MASON CO., INC. Fishers Island Ferry District Customer Number: C2024302 59 Centre St-Brockton, 02301 ATTN,:CARLTON WILCOX Reference Number: 144157241 Address Service Requested 5 Waterfront Park Invoice Date: 05/11/2017 New Loddon,CT 06320 Due Date: 06/10/2017 888-WB-MASON www.wbmason.com - Order Date: 05/10/2017 Order Number: SO48364003 *273056421*HO***********ALL*FOR*AADC*060 Order Method: WEB FISHERS ISLAND FERRY DISTRICT ATTN.ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 "II'll'111111"'Jill llll'ILII'll111111111111111'1111 W.B.Mason Federal ID#.04-2455641 Important Messages Sign up fcr Paperless Invoicing at wbmason:corri/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-- MMM600K6 _ TAPE,TRANS,6-PACK,CR 1 PK 7.36 7.38 PGC92970 TOWEL,BOUNTYBASIC,12/CT'_T w 1 CT 'b� 20 99 20.99 HVN410112 TOWEL,NATURAL,CONFIDENCE,6/CT(41500)`� 1 CT 42.49 42.49 QUA90020 I ENV,#10 WHT 500BX �0 1 2 BX 1 14 751 29.50 SUBTOTAL- 100.36 p TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 100.36 Total Due: 100.36 t✓4 To ensure proper credit please detach and,eturn below portion with your payment -INC DO Packing Slip "b,"Q 5 FURNITURE&PRINTING W.B. Mason Mode of Delivery: 00140 Fo o Once SUPPLE Warehouse:. .. .... OLE-CT PO Box 111 59 CENTRE ST Delivery Number: 35392144DEL r •�•r• :��yF y• BROCKTON, MA 02303 Customer Number. C2024302 Phone Number: ....... 8604420165 ti 1-888-WBMASON www.wbmason.com Sales Rep Russell Sheikowitz f ti Special Instructions: **NO SUBSTITUTIONS** Ship To: • ' **PLEASE** Fishers Island Ferry District { 5 Waterfront Park M1i New London, CT 06320 ti Lr �' L — r �` �r , a Sales Order # SO48364003 o a • Ship Date 5/11/2017 P.O. Number.: Attention Name: CARLTON WILCOX Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HVN410112 1 1 0 0 CT TOWEL,NATURAL,CON FIDENCE,6/CT(41500) OLE-CT PGC92970 1 1 0 0 CT TOWEL,BOUNTYBASIC, 12/CT BOS-MA MMM600K6 1 1 _ 0 0 PK TAPE,TRANS,6-PACK,CR BOS-MA _ .._ ---- --_-- -- .------ 'UNTD-VVOB Delve Number 35392144DEL ��Jj II I II I II I I II I II V I I I II I II II III ' «� - -:.Z� l',� >i,��:�^`..-�`a;? 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C �I�u�j' �,�fCy (Page 1) �IHO 0011 PM Delivery Address Invoice Number: 144224013 Iffeo Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:CARLTON WILCOX Reference Number: 144224013 59 Centre St-Brockton, MA 02301 5 Waterfront Park Invoice Date: 05/15/2017 Address Service Requested , New London,CT 06320 Due Date: 06/14/2017 888-WB-MASON www.wbmason.com Order Date: 05/12/2017 Order Number: SO48432915 *232347932*HO***********ALL*FOR*AADC*060 Order Method: WEB FISHERS ISLAND FERRY DISTRICT ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 �tll�ll�ttl��l�ll�lltl�llllltl��lt��lt�tt�lt�t�lltltlltttlttlt W.B.Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com%paperless. Yourf 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 i -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER ' '" ' 1-" ' DESCRIPTION I QTY y U/M UNIT PRICE EXT PRICE CL040272 I LAVENDER CLEAN ALL-PURPOSE CLEANER,48OZ BOTTLE 2 1 CT 1 -51.991 103.98 SUBTOTAL: 103.98 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 103.98 Total Due: 103.18 To ensure proper credit,please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — = — — — — — — — — — — — — — — — — — — — — — — — Packing Slip ;' E Mode of Delivery: 00140 ',,.�,r: ��'.0 ' FURNITURE&PRINTING. • P�©I .?PL\E51 W.B. Mason PO Box 111 Warehouse. . . . ...... OLE-CT 59 CENTRE ST Delivery Number:...... 35480457DEL Y -- Customer Number:..... C2024302 B , 02303 Phone Number:.... .... 8604420165 1-888-WB N88-WBMASON Sales Rep- Russell Sheikowitz v www.wbmason.com Special Instructions **NO SUBSTITUTIONS** Ship To: **PLEASE** Fishers Island Ferry District 5 Waterfront Park Y ti New London, CT 06320 Sales Order # SO48432915 k Ship Date.: 5/15/2017 P.O. Number:: Attention Name:: CARLTON WILCOX Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility CL040272 2 2 0 0 CT LAVENDER CLEAN ALL-PURPOSE CLEANER,480Z BOTTLE UNTD-BMA 2 7/9 � JQ Delive Number 35480457DEL IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII qM1143'q,U1A MISOA=9 PUNPO -AMI 7 TM 90=V.-I ISNF�I'SCMWI- @11-80[d Ir Tm L tip 11-e 01-01 �V ;:e r1rV Li A 54, ,W"D 1 11 L—j L fi� It Fjl� C 1--� � s�� i+U lb -XI vim Ur— Mai A-PP 777, (Page 1) WHp � ( ®� PM �`\\I ��/ Delivery Address Invoice Number: 144226413 � 0#01011 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:CARLTON WILCOX Reference Number: 144226413 59 Centre St-Brockton, MA 02301 5 Waterfront Park Invoice Date: 05/15/2017 Address Service Requested New London,CT 06320 Due Date: 06/14/2017 888-WB-MASON www.wbmason.com Order Date: 05/12/2017 Order Number: SO48438782 Order Method: WEB FISHERS ISLAND FERRY DISTRICT 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/paperiess ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE PAP70501 ERASER,PENCL,PNK PRL,3/PK ® 3 PK 075 2.25 TOP71533 PAD,LGL RL,LTR,12/PK,WHT-- O 1 DZ- 19.96 19.96 UNV86920 BOOK,STENO,GREGG,GN,80SH O 12 EA 1.02 1224 SUBTOTAL: 34.45 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 34.45 Total Due: 34�� To ensure proper credit,please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — = — — — — — — — — — — — — — — — — — — — — — — — Packing Slip &PRINTING MMode of Delivery: 00140 0I'M� 'FURpItURE W.B. Mason FOR OFFICE SU PO Box 111 Warehouse ....... OLE-CT Delivery a• •� •�•` •••+• 59 CENTRE ST CustomeNNumber. ..3C202430DEL ,�- BROCKTON, MA 02303 Phone Number:.. _ 8604420165 ti 1-888-WBMASON Sales Rep- Russell Sheikowitz www wbmason corn r• Special Instructions- ***NO SUBSTITUTIONS`** Ship To: ***PLEASE*** Fishers Island Ferry District : � �� • T 5 Waterfront Park ti New London, CT 06320 r { Sales Order # SO48438782 Ship Date:: 5/15/2017 ~' P.O. Number: Attention Name.- CARLTON WILCOX Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility TOP71533 1 1 0 0 DZ PAD,LGL RL,LTR,12/PK,WHT bos-ma UNV86920,. 12 12. 0 0 . EA",� BOOK;•STENO,GREGG,GN;80SH bos-ma , PAP70501 3 3 0 0 PK ERASER,PENCL,PNK PRL,3%PK T UNTD-WOB Delive Number 35480462DEL IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �• . _ _ r, _ —.�..�. as I _ .�y� ,.,.,_- _ ;__v - -, -.err-• ,a.;',�_�::f --0 I F 61 �"t. ' 1� Ar --- --- — -- a _ mo {a t ti , V ,� M __ —�—�— � ��I � I 4� 1 h r �1 S I t, ; Li_.,.^I rm, .pl+}+l, dA{I''�[- v`- i.y I e,� 17f�p`,'��1^I 4 r+ r�• ''vmr ^4G .1 t'Rc'�'�arc 4c") �' x'"YE,vt•' �' fw+ '� _ - - - ., If� I„I,. �J " ��o , +•'a,. P Pa I4' � �tlI�— o -- — _ 46 P A E I�f$I-lL , T p I a S��y„Irr ka' 'I, ddmi w (Page 1) No PM )NIB p Delivery Address Invoice Number: 144312489 � © Fishers'Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:BOATS-CARLTON Reference Number: 144312489 59 Centre St-Brockton, MA 02301 WILCOX Invoice Date: 05/17/2017 Address Service Requested 5 Waterfro�ll Park Due Date: 06/16/2017 888-WB-MASON www.wbmason.com New London,CT 06320 Order Date: 05/16/2017 Order Number: SO48537503 *25Q454651*HO***********ALL*FOR*AADC*060 Order Method. WEB FISHERS ISLAND FERRY DISTRICT ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 lllll�ll�lllll"I 1111111111111111 Jill 11111111 Jill W B.Mason Federal ID#.04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/pa`perloss.AYour Registration Code: X637419782 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 wiiih a credit card'on wbmason.com Registration is quick and easy at www.wbmason.com/paperless . ITEM NUMBER - DESCRIPTION QTYU/M.' ' UNIT PRICE EXT PRICE FRS3WDS60CME URINAL SCREEN,THE WAVE,CUC MELON,10/BX 2 1 BX 1 36.491 72.98 SUBTOTAL: 72.98 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 72.98 Total Due: 72.98 To ensure proper credit please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ND 00 ` .. . Packing Slip �#-�0 �Qp4`�S FURNITURE&PRINTING �/,g Mason Mode of Delivery: 00140 FOq OFFICE SUP W. Box,'111 Warehouse:.............. OLE-CT x� Y •• • 59 CENTRE STPO Delivery Number:...... 35571806DEL BROCKTON, MA 02303 Customer Number:..... C2024302 • "1-888-WBMASON Phone Number:.......... 8604420165 www.wbmason corn Sales Rep: Russell Sheikowitz S Special Instructions: ***NO SUBSTITUTIONS Ship To: ***PLEASE*** Fishers Island Ferry District r 5 Waterfront Park New London, CT 06320 Sales Order # SO48537503 ' Ship Date:: 5/1.7/2017 P.O Number.- Attention Name:: BOATS-CARLTON WILCOX Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility FRS3WDS60CME 2 2 0 0 BX URINAL SCREEN,THE WAVE,CUC MELON,10/BX UNTD-WOB ro Delive Number 35571806DEL IIIIII III IIIIIIIIIIII IIIIIIIIIIIIIIII I III e ' �[-{ _t�9_...Vis;-- , = _ 4' ., ., % ��• �",'x .' - �i.+.m ._,,fi _ _' � s� � g 2. .: a a s r �,$ a _ a _ as t" g �. - �...,s '�r�`=--�r....'_ - d.�.a..-� ...__:.�g - p.�iq� .�-"-..0�, :r�""�-•--;-�— ^�.:> .�i�..,"�F. -,.x,• � -a _< S - �' j.' 'a :� ��`�_. �_. AAA �s -,°A:*' ✓ {e_as_'S- -_t �� =-i �� -. Yaff s4<- 15 i ern p�;h: ➢ '' _ , %t d r r i-'= - f�" s"4-�xj �� - -}3 R <> 4 .-.+.G�S '—Z'ta .. :-`�-.—N"—a<_'�'`'�b<.<'.• ..�...1 _ a �.fl.%.e�.a Y e ® - S � - t • _ 4 p a r _ : 1' $'3 1 — _ T -- �; %! � c<-it Jr- RQ1 e` Nq� LU7" a 4 '5� ,9 5' ¢ � � J'l T i �i'"^.:�- � �, all +`� "�_`'V^ j' •° t :A»`• " `4:.� - -:.3"''p - 'x`.� < Ya+9�':_ •wi.e'a Y.r�y ��f'�,j-.a4�'' ";,_.,3� �g "N e =h;�( ==i'_ '�q - - `{€Pi' �g a i :, .,a �'�'-e^' 0-2- - ' �,4', :' E ',§ =''£ _ } .tEgm u. 3; :�;,b- .° .....,. - ' % ' "` "�' '-I�:A't; �r+ .A% ::f�`�rY ;,�''„�, ' {.� ;`<,'ati,.i• �f.:, ni,--.,�r•g r ,'l i. x,�,+. FISHERS ISLAND FERRY DISTRICT VENDOR 023358 WILLIAMS TIMBER CORPORATION 06/06/2017 CHECK /' 4120 r FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 052517 CRACK FILLING-FI ' 472.50 TOTAL 472.50 ( I r3 i I l :: :•:}r wavy 1 ,riy.v ... �, ''` _:.T* •.k.�'';"-.,L;•• " _ ✓,-sem'``' ,'y';'.a . L ; = FISHERS•ISL_`AND``FERRY.-'DISTRICT AUDIT' 0:6/06;/.1-7. ., 53095_MAIMROAD,PO BOX J 179- "f ;l" a OLD,;NY;1�971-0959 _ . CHECK;NO. ;4i20'-- SOUTHY =='z t'• THE SUFFOLK CO:NATIONAL BANK } CUTCHOGUE,'NY1DATE 1935 - - _ 06%06'/,2017 - tiFQUR HUNDRb `SEVENTY',TWO 'AND'' 5 0/10 0 D'OLLAI2S' j i PAY, =.WILLIAMS TIMBER,CORPORATION CORPORATION TO THE-;_ P6`-BOX. 278,____ 'ORDER :. OF' `FISHERS- ISLAND NY 06390 ' � C ',;,`r r v004 120ii' 1:0 2 I405464o: 68 00 L 50 2 Iii' Vendor No. Clieck No. H 109o , 'own of Southold, New York - Payment Voucher 23355 Vendor Tax ID Number or Social Security Number Vendor Address Entered by EIN 81-2089369 580 Crescent Ave,Box 278 _ Audit Date Williams Timber Corporation Fishers Island,New York 06390 JUW Q 6 2017 Vendor Telephone Number O ' 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 -W251204.7- 5/25/2017 $472.50 $472.50 Crack Filling FI SM5709.2.000.200 G51-7 $472.50 $472.50 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 venfred 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 6/26/2017 Title Date J� WILLIAMS TIMBER CORPORATION tia-�- N VO I C E To: Fishers Island Ferry District 203.988.4123 P.O. Box 607 alex98880gmail.com Fishers Island, New York 580 Crescent Ave 06390 Box 278 Fishers Island, New York 06390 Crack filling (May 23, 2017) 7.5 ; $ 45.00 : $ 337.50 Crack filling (May 24, 2017) 3 $ 45.00 ; $ 135.00 Subtotal 472.50 Tax 8.88% $ —41-e3-C Total $ 514.43 Thank you for your business. Kind regards, 1 Alex Williams J FNTMP h FISHERS ISLAND FERRY DISTRICT VENDOR 025038 Z & S FUEL & SERVICE, INC. 06/06/2017 �`J CHECK 4121 0 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT r- SM .5709.2.000.200 21867 22.092 GAL GAS-4/4 72.00 , SM .5709.2.0001\ 200 21867 10.957 GAL DIESEL-4/4 39.00' ;t SM .5709.2.000.200 _21880 11.224 GAL GAS-4/11 1 36.58 SM .5709.2.000.200 J 21919 10.127 GAL GAS-4/24 33.00 SM .5709.2.000.200 \ 27888 TIRE REPAIR 24.00 I ;.. SM .5710.4.000.200 27931 FIT=61.6GL HTNG OIL-5/10 152.52 j TOTAL 357',.10 ,- n .fi:•X:�.a .. ....., , GeN• q};:zS;e `:r:`-s3`:Y:`S¢,n'•- :ep•, , (r`�le I . U~SC f �l l ,J ''t { 0 8 0 B 0 FISHERS ISLANDFERRY DISTRICT 53095 MAW ROAD,.PO BOX 1179 a SOUTHOLD,NY 1'1973-0959. CHECK-NO. 4121''. THE SUFFOLK CO NATIONAL BANK CUTCHOGUE,Nv11s35, DATE, AMOUNT so-5ashia` 06/06/201.7, `^' $357.10;' THREE,HUNDREDFIFTYSEVEN_`AND 10/100 DOLLARS- • - - '' - . '. , .''_ _ I - ,. .• .; .. .; '`,,: • Z.& S-FUEL' ` PAY, & .SERVICE, INC. TO,TAE' :DRAWER B' `= ORDER' ;FISHERS I-SLAND''NY 06390-- -OF, ; 004 12-1 ii' 1:0 2 1405464 : 68 00 150 2 Lno 'a Vendor No. Check No. Town of Southold, New York - Payment Voucher 25038 :R i Vendor Address Entered by P.O. Drawer B Vendor Name Audit Date Z&S Fuel&Service, Inc. Fishers Island, NY 06390 JUN 0 6 209 Vendor Telephone Number 631-788-7343 0 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 94013q, &, 0 a Gra\Cs o► 57 &6 icse -�{ 21867 4/4/17 $111.00 $"4,00 FI (1 0) tractor 0 F-3 0(10.957 gall $3.559 SM5709.2.000.200 21880 4/11/17 $36.58 $36.58 FI fork(11.224 $3.259 t 99'A G5 - 41 SM5709.2.000.200 21919 4/24/17 $33.00 $33.00 FI fork( 10.127)@$3.259 1464 SM5709.2.000.200 f 27888 4/30/17 $24.00 $24.00 Tire repair SM5709.2.000.200 27931 5/10/17 $152.52 $152.52 FIT 61.60 gal heating oil $2.476 Ticket 10187 SM5710.4.000.200 OPIS attached i $357.10 $357.10 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature �_ rtle Signature �^ Company Name Fishers Island Ferry District Date 5/24/2017 Title /t/' Date i FUEL & SERVICE, MC. Z S& S FUEL. & SOME, MC. DRAWER 6 DRAWER 6 FISHERS ISLAND, IVY 06390 FISHERS ISLAND, NY 06390 (631) 788-7343 / (631) 788-73431 REGISTRATION NO DATE f REGISTRATION NO DATE t7 L� ` 1 . ! 6• _1 \ l NAME 1 Fee r C O NAME R_p 6 �+ STREET I� STREET ' CAStd C O D. CHARGEON ACOT MASS.RETE) PAID OUT ACCT FORWARD CASH G O,A, CHAgG! ON ACO7 MDSS gET'D. PAID OUT ACCT.FORWARD `. d�Z Liters/Gals. Gasoline 7 Z�oo /O�/?7 Liters/Gals. Gasoline 3 � C' Liters/tits. Oil Liters/Qts. Oil Lubrication Lubrication Oil Filter Oil Filter 10 9r7 ' 4L t L-L b�icrk TAX i TAX CUSTO'S SIG URE (Uzy' S SIGN URE TOTAL •!� .� � TOTAL r a. �� ,, C PRODUCT608 All clals and returned goods MUST be accompanled,by this bill i C PRODUCT608 urn All claims and etl goads MUST be accompanied by this bill21867 ` 191 `Aank`Nou `Thank`You { n O O Z A D M 00 - Q-) p r r r o° ° -` y . C 0 z c y m MQ1 D _ ( o -n o r t• T' N 2 S — C m nm r ® � z Q �� rn C J o 1-4 > ' I y m m ia9 � W a —6 5 -"c+ O � l : i w r r x O ^ - --------------------------- o ,,- -.t I � � Z&S FUEL&SERVICE,INC. Invoice P.O.Box 601 Fishers Island,NY 06390 DATE INVOICE# 4/30/2017 27888 BILL TO FISHERS ISLAND FERRY DISTRICT P.O.BOX H FISHERS ISLAND,NY 06390 TERMS WHITE FORD TRUCK TI... ITEM QUANTITY DESCRIPTION RATE AMOUNT LABOR 1 REMOVE NAIL FROM TIRE,PLUG HOLE,INFLATE 20.00 20.00 TIRE TO PRESSURE AND LET SIT OVERNIGHT. FOUND TIRE FLAT AGAIN NEXT DAY. LOCATE HOLE IN SIDEWALL. TIRE REPAIR 1 TIRE PLUG 4.00 4.00 PLEASE INCLUDE INVOICE#ON YOUR CHECK THANK YOU! Total $24.00 L,y- � Z&S FUEL&SERVICE, INC. Invoice • P.O. Box 601 Fishers Island,NY 06390 DATE INVOICE# 5/10/2017 27931 BILL TO FISHERS ISLAND FERRY DISTRICT P.O BOX H FISHERS ISLAND,NY 06390 TERMS ITEM QUANTITY DESCRIPTION RATE AMOUNT fuel no tax 61.6 fuel oil tax exempt 2.476 152.52 PLEASE INCLUDE INVOICE#ON YOUR CHECK THANK YOU! Total $152.52 VA- r r r, S FUEL & SERWICE, laic® Drawer B FISHERS ISLE, NY 06390 (631) 788-7343 ❑ Dyed unmarked Heating Oil:Not for use in highway or non-highway, locomotive or marine engines. START OF f1 DELIVERY —� `J END OF GALLONS DELIVERY —�' �L-) TENTHS 0 ON3 METER READING pr 10ths �—END OF DELIVERY METER READING START OF DELIVERY "s✓°" DATE �J� f SOLD TO 7 �qq ❑COD ❑CHARGE ADDRESS ' f � . CITY,STATE,ZIP DRIVER TRUCK NO TIME A.M. P.M. YOUR SALE NUMBERS Gallon Reading-Finish 10ths 6 3 ;? 0 C b 1 ,,PREVIOUS,SALE NUMBER :Galton'Readtig-Start DHWQ) 01®1II7 ' PRODU T GALLONS, PRICE AMOUNT L rPAYMENTECEIVED CASH $ ❑CHEC TAX CUSTOMER'S SIGNATURE X TOTAL a DELIVERY RECEIVED PER ABOVE METER READING y r Buckeye2 (00D) <RETRYCOUNT:3> Buckeye Energy Services LLC The following prices are effective At 05/09/17 17:00 GROTON 2FUEL500 ULSD ULSD DY ULSD AD LSDDYAD 17:00 Change: -0.0130 -0.0130 -0.0130 -0.0130 -0.0130 05/09/17 Price: 1.4890 1.5260 1.5310 1.5510 1.5560 **2FUEL500 MAY CONTAIN UP TO 5% BIO** **COLD FLOW W AVAILABLE* �r p 4CL h s e r\ The above prices will be discounted 1% if paid in ten days from lifting. ***PRICES IN EFFECT UNTIL FURTHER NOTICE*** FM FISHERS ISLAND FERRY DISTRICT VENDOR 012315 SHELTERPOINT LIFE, INS.CO. 06/06/2017 CHECK 4122 ` FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 23817-0517REIS (24)LIFE INS PREM-5/17 67.20 _ TOTAL 67.20 ' 1 11 I ' m Cl .......... ic;.. ii3i ..z>� ..Y,^.a'hV.w:M�i..',A'•-.,"`' •:•.�Y� .t —N o • o o a e • e • o %;,. FISHERS ISLAND FERRYD'ISTRICT _ AUDI P',: 53095;MAIN'ROAD'PO,BOX 1-179, - ` SOUTHOLD;NY 14971,0959 CHECK' 'NO'. = `41,22 THE SULl K CO:NATIONAL BANK- �I ' { CUTCHOGUE,NY 11935 DATE-, AMOUNT_ = 50-546[214 _06/0;6/2017_'` - _;_ ; ' 67.20_`" :r SIXTY`.SEVEN AND '2'6/100 DOLLARS, PAY,-- SHELTERPOINT -LIF,E INS.CO. TO THE 1'225,'FRAAVE NRLIN :,SUITE,-,475 00ER' GARDEN;-'CITY`NY 115 3 0 ' OF ii'004 12 tum 1:0 2 140 54 641: 68 00 L 50 2 Lig' J , L L I I Vendor No. ChecIrNo. Town ®f Southold, New York - Payment toucher 12315 ,yea Vendor Address Entered bye- -- 600 Northern Blvd Suite 310 Great Neck, NY 11021 Audit Date___ - ShelterPoint Life Insurance Company I �� -7 Vendor Telephone Number 800-365.4999 Cler __ __ Vendor Contact --U-- --- - -- Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9,0817-0,97 23817 4/3/2017 $67.20 $67.20 MAY 2017 Life,AD&D Ins Premiums SM9060.8.000.000 24 participants REQ s $67.20 $67.20 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature oi"'�"' Title Signature Company Name Fishers Island Ferry District Date 4/13/2017 Title Date fir; Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Tuesday, May 30, 2017 2:07 PM To: Arena, Laura;Whitecavage, Diana Cc: Gordon Murphy; Mary Center; Kasia Asmolov Subject: RE: Fishers Island Ferry District- Gr# GLNY 23817 Hello, Laura and Diana, Hope your long weekend was pleasant! Please see below,void check#4021 dated 4/28/17 and reissue 6/7/17.Thank you. Diane From: Mary Center [mailto:mcenter@tzedakah-house.com] Sent: Tuesday, May 30, 2017 12:07 PM To: Diane Hansen Cc: Gordon Murphy Subject: FW: Fishers Island Ferry District- Gr# GLNY 23817 Hi Diane, Please see the email below I received from Jenny Cordova (JCordova@sheiterpoint.com)at She!terPoint. Please let her know that you will send a new check. Thanks. Mary Mary L. Center Tzedakah House, LLC 8 Lunar Drive Woodbridge,CT 06525 Tel: 203-387-2266 Fax: 203-392-3576 Email: mcenter@tzedakah-house.com ***CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information or otherwise be protected by law. Any unauthorized review, use,disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. From: Jenny Cordova mailto:JCordova@shelterpoint.com Sent: Tuesday, May 30, 2017 10:35 AM To: 'Mary Center' Subject: RE: Fishers Island Ferry District- Gr# GLNY 23817 Good morning, Our records indicate the last payment received was on 4/3 in the amount of$70.00 (Check#3956). There is a balance due of$128.80 on the account for May($64.40) and June ($64.40). 1