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Home My WebLink AboutAU-07/05/2017 Fishers Island FISHERS ISLAND'FERRYDISTRICT VENDOR 001318 AIRGAS USA, LLC 07/05/2017 CHECK 4151 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ;i:•t SM .5709.2.000.200 9063748518 (2) PROPANE—NLT FORKLIFT 59.22 SM .5709:2.000.200 9064153669 (2)PROPANE—NLT FORKLIFT 103 .56 SM .5709.2.000.200 9064153670 OXYGEN FOR WELDING 51;8.62 SM .5709.2.000.200 9064257112 (2)PROPANE—NLT FORKLIFT 48.68 SM .5709.2;.000.200 9064450240 (2)PROPANE—NLT FORKLIFT 103.56 TOTAL 373 .64 Lo r -- .. I f:g:Si` ..o . .... .. ..... ...<:s.. ._•�, �' .<. ., -y).... ...; .....'�,'• ..Fs z( ..ft ' - I - ;FISHERSISTAND,FERRYDISTRIGT 53095 MAIN ROAD'PO`BOX 1-179-_ ' -- 'FAUDI P rOT�-05. 17 s, Ta SOUTHOLD,NY 11971-0959 = CHECK-,,,NO-.t '' ® - ` ;;, 4151 THE SUFFOLK CO NATIONAL�BAN K' CUTCHOGUE,NY 11935 DATE AMOUNT _ 64i ` ' 1 50-546/21,4' 'PITI2EE';HUNDRED `SEVENTY,THRRE'''AND-64%10 0,DOL,I,ARS ' PAY,' AIRGAS USA,, LLC ; TO THE:' PO'`=BOX -802576 �:i Dr 'CHICAGO 'IL -60680=2576 ORDER uE004 15 Iii' 1:0 2 140 54641:, 68 001502 lum Vendor No. Check No. 'own of Southold, New York ® Payment Voucher 1318 Vendor Address Entered by P.C. Box 802576 'Vendor Name Chicago,IL 60680-2576 Audit to Airgas USA LLC _ _ 2017 Vendor Telephone Number 860-444-3055 800-962-0285 To Cierk Vendor Contact • v. Irmoice Invoice Invoice -Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods arServices General Ledger Fund and Account Number 906374851,8 612302017 $59.22 $59.22 fir alae cyl (2) SM6709.2.000.200 NLT FO.Tkilft 9064/53669 61SY2017 103.56 103.56 Propane al(2) SM5709.2.000.200 NLT Forklift 9064163670 615120171 58.62 58.62 Oxygen for welding SM570-9.2.000.200 -9064257112 6171201-7 48.68 48.68 Propane cyl (2) � S 570&2.000.200 NLT Forklift 9064450240 61/312017 103.56 103.56 Propane c 1 (2) SM5709.2.000.200 NLT Forklift $373.64 $373.64 Payee Certifieation Department CerLiftcation The undersigned(Clai,-nant)(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 An_4,_ Title 'Signature Company Name Fishers Island Ferry District Bate 6/23/2017 Title e TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL- 216-520-6000 ORDER N iNVtl N INV G!=BATE SOLD..? NO bLCt Tb NAME . .. .. 1058550777 9063748518 05/23/2017 °2576547 FISHERS ISLAND FERRY DISTRICT PO t RELEASE.. .. ORDERED BY SHIP VIA P YMENT`TERMS, ORDER DATE, DAN CUPU NET 30 05/23/2017 DEL[VERYNO.1' QTY..,_ .. CYLINDER MATERIALNUMBER UOM QTYB(O .. UNII PRICE IUO'M,, AMOUNT OESGRIPTIO SHIP'D, srlpo Rer 6 8064090849 PR 20 1 CL 1 1 21.39 CL 21.39 N PROPANE INDUSTRIAL 20 CGA 510 (Vol: 17 LBS) (H) 8064090849 PR 33A 1 CL 1 1 31.93 CL 31.93 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 32 LBS) (H) Sale subtotal: 53.32 Airgas Hazmat Charge 5.90 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale W� AMOUNT 59.22 SHIP To 2576547 Airgas. FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an Fur Liquide TRUMBULL DRIVE qutde company Acct 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.returnedmad@airgas.com REV 61160012749 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale Each sale of Goods or services by an Airgas"'company is and shall be governed by the terins and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at ham://wwvv aug_as.com/tenns-of-sale(collectively the"Terms or Sale").Each Contract for f the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Naffce,FtegardLn Cviir>dE r Rentglslt,c7ses and Rc spopsibility This document shaves trio total number ofcylinders charged to Buyer(i.e,cylinders which Seller has rented or leased to Buyer and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(it)pays Seller the replacement cost thereof, Refrigerant Cylinder Keturns/IlLc til Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors. Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Aircas or the return and reclamation of certain oases(e.g. refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Argas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Argas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES. OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTiES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USiNG COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONMECTiON WiTH iTS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE, Terms of Payment Unless otherwise specked in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessmenL of Buyer's financial condition and ability to pay A late payrnent charge of 1.5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seiler a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products andlor(b)fuel Title to Egw men. Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify remove or otherwise disturb any identification or other indicia of Sellers ownership on any rental equipment. Taxes- Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Chafes (a)The total amount due from the Buyer may include various itemized charges,including, charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel.None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service time and place,among other things (b)No such charges not already provided for in a Rider will be Imposed without mutual consent Government Contracts Certain Airgas companies are U.S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http://www.airgas.com Visit us online today to see how www.airgas.com can save you time and money. FOR LOCATION NEAREST YOU Airgas. DELIVERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8064090849 AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 05/23/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:05/23/2017 800-962-0286 800-962-0285 PRINTED: 09:59 05/23/2017 SALES ORDER: 1058550777 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND-ERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND, NY 06390 US FIS ERS ISLAND, DRIVE ORD BY DAN 631-788-7463 FISHERS ISLAND, NY 06390 US ENT BY GARYDUBATO Sales Sales Total Containers Order Type Payment Terms Incoterm Route Office Plant Org Ship Return Acct Front NET 30 Customer Pick up Airgas Customer Pick Up N329 N309 N000 Counter Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret IWt 1 CL X UNI 978 PROPANE 2.1 Llne# 10 Material#PR 20 Stor.Loc.F001 1 1 1 17 LB PROPANE 17LBS CGA 510 37.000 LB 1 CL X UNI 978 PROPANE 2 1 Line# 20 Material#PR 33A Stor.Loc.F001 1 1 1 32 LB PROPANE 32LBS ALUMINUM 68.000 LB G� 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 4VWW.AIRGA6.C9ND OR BY CALLING ACCEPTED FOR THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION q3 ACCEPT REJECT THE ABOVE � THIS IS TO CE Y THAT VE.NAMEDMATERIAILS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACT D, D LABELED AND ARE IN PROPER ONDITJON FOR TRANSPORTATION CUSTOMER MUST -c-.,,,`/ A DIN THE APPLICA�},F$Frui nno DEPARTM OF TRANSPORTATION INITIAL CHOICE ✓1'C,l . NAME PLEASE PRINT 1 f�• �( .� AIRG PERSONNE DATE T O.D. -____.--_---- _ — __ __ ❑�Sr` ❑' INTERNAL--..USE.— __ONLY—S Delivery#8064090849 .❑ •' � Filled By Staging Area I Total PKGS Tracking/Pro Number Freight Charges Total Weight* 105 LB III IIIIIIIIIIIIIIIIII IIIIIIIIII III II I III AIRGAS TERMS AND CONDITIONS OF SALE , WARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EA'TREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE C4PS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREA VAILABLEAT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS.UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYERAT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH ORAT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAM WATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT:UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE 1F BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3.TAXES TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS:SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6.LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE o 7.REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8 COMPLIANCE/SDS.BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCALAIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9.ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper fusf PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Or LIQUIDARGON LIQUIDN2 HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FmEOR EXPLOSION FIRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Subalale,uses nor burn but wnlsupponcombushon Vap—neaycause0im....Or stphyxiahon wnnout 'Vapors may Cause tliu,ness Or asphyxiation •Will be easily,gn,led by heat sparks or flames will be easilyigmled by heal sparks or flames Some maymSSI.xpT.C1vCy.M fuels -lungMuut.ammg "PI •Will formosive...ttaowma,r •.ptin laCxplOsiva mutpreswln air May Ionic cusboal(,,,d,paper oil clomrg etc) Vaporsw mm hquefietl gas are,nnially hearer man,„ Vepeusirsm liquefied gas.....n wit,hearer than au •Vapors hom hquefietl gas ere in,eally nater than air,proud along S,rane.111 Ignite 1pI1Lm ously 11 or Vapors from liquefied gas are,n,l,aliy hearer Nan or Spread and Spread a long or and ground and may Level is mune ol,g,aon and flash back •Those substances Cesi letl wilha(P a and spread gas,, CAUTION Hdro UN16e9,Deutedum UN19 gra )may polymenz, u.or ground travel...,hal ,.,,lion an011asM1 back COMeCInjur gas/or frostbite gas may cause bums FIREOREXPnd,g.. y gen( ) ( 5Iamil role, explosively whenhe gas alevolved halite •Rome may cryc,n,coo-on homes savers ln(uLOSIOrirosibne •Non-1nsmala.p,es rehige,,I'llqultl(UNgena,nd Memane(UN19T1),Mc,ltlodehe .yaporsim,nggr, liquefied ayn,lyhsavierihan air Containers maye,maywhen healed FI REOR EXPLOSION •Cantuadcyiaye mayewhen heated errmffi rldsa,[W,nlnentl DeuleduUw,naremffl,lhd if sprsadalong grountl antl may Uevel lO source of i.nimn •HEALTH dcylintlers may rocket CNo.firmuralonumnera may ,plod •Ruptured cylintlers may nickel einesTglikenwllmresse,bratere Me Use on sltemate mmhotl of antlrM1ba,k HEALTH Ruptalne gl,nd,pl WCCknhealatl PUBLIC SAFETY deROgOn(themtelcamere,m,y,e,andleot. Cylinder,throuhpossur,lire mayvo,i endrelease flammable Vapors.ay causediu,ness IT ge may learre warmn9 Rupturedcyl,ntleremay rocket •Isolate millfeeak area,mmedlatelyforel least 100 •Clough press.,, tordm,c,vent antl release flammable gas pas through pressure repel tlences •Contact wnM1 gas or liquefied gas may cause bums severe Inlay PUBLIC SAFETY meters(33D(soil,n ell d,recfions Through pressure relieldw,ces Conramersmayexpladewhenhealed anmpr irosibne Isolate spill Or leakarea mr,adhately for al I...tim Keepunentil zed personnelaway • Con all mayexplodewhem heated Ruptured Cyi„der¢may rocket Fee may produce lmomaganmar lose gases Steyte lntl •Ru lured C liners ma kel on—a(no feet)In all directions P Y Y roc HEALTH PUBLIC SAFETY Meny gases are heavier Manor and mll spreatl HEALTH •Vapors may dizziness oras h honwmloniwam,n Kteayupwrlfhmizetl personnel away along •Vapors ma tlirmmsor ash tion wnnoul—mm Yet- pCon g •Isolate allIdir leak area,mmediafalylp alleast lopmeters(330 Se.embasement, nandt,ranks law or conlinetl areas y cause p y,me g Same a be toxic,l,nhaletl el hi nconcentrahons yupw,ntl •Some e be,rntean n lnholetl at hlhconcontmoons my g vera fed),ueeiudhnzedp a Manygases are hct in Chan aeantlwll Spread-long (sewers or se.are tanks) mayg g Donry.w,9r gas w bquel,ed gas may cause burns se Keep monxetl perm rel array grountl antl T allecl In low or conl,netl areas(sewers Keep out of law areas •CAnULIw,U gas or liquefied gas may cause burns sever Inlury Inlury and/or lrosib,re Slay upvnn0 basements tanks) Venlilale closed spaces p-ime entenng and/or I,mils •File may produce lmaeleg antl/oreaucgases Many gases are hearerinnapen Y,41,pmad along gmundend Kespout of lmv areas PROTECTIVE CLOTHING •Fre may produce uutahng and/or toxic gases PUBLIC SAFETY collect,,low or confined rheas(sewers basements tanks) Wear pontiva pmsaum sell contened breathing PUBLIC SAFETY •VOTECTIVE CLOTHING helots entering •Isolates l or leak area,mne.doa l lora[leas,too meters Isolate spill or leakarea,mmedialely for al least f00 meters Keep tc.l.aelareas PROTECTIVE CLOTHING eructur uso,gre pit Y (eep Iu..,thonzedperss •VenhiCTIVECLOTHces belp,a entering Wear pausvapressu,a sell<oma,netl brea[h,ng Structural mate prole tion0ollive clothing will only Keepno u,.ulh.11 tlnedioss Keep hor,zed personnel away -Wear pT,VECLDTIIING apparatusralf,e CRA) AC 7 hmiletl protection •Keep pInd r,zatl permnnel away Stay gases Wear posnrve pressure¢ell conialnn breathing apparatus Sl,.,do trill filer,prlofecuve clolninp w,il only EVACUATION •Stayupwmtl Many gases areheev,er[M1anarantlw,ll spreatl along (SERA) prw,Oe l,m,tetlprotecLon Largo Spill-Clonmder,mbartivwnw,ntl evecuelion for •Mwyg...a are hearer limeairred will spread along grrw,d,nd gr...Cold collect a low or confined areas(sewers Wear chemical pneachve clothing,,hkM,S,pedtically Always wear thermal prpte,ave CI.Mmg when at least lW meters(330 feet ,ollestm-L,con-cl---ho—Som basemems lank) basements tanks) reCammedl by Ino manulecturer It may p—al.Lala or no hendingm„igereted/cryogen., ltls or solids Flre-Iltan1m„car or laele—le Invoked in.lira •Keep Out OIlox Areas Keepoutsllawareas Thermal protect- EVACUATION ISOLATE Isr a00 meters(12 mile)In all d„actions PROTECTIVECLOTHING PROTECrIVECLOTHING Structural Inefighters prolective elmhng,a escommenetl lar fire Large Sp/l/-Gander lnn,al downwind evacuahon for at alslo clonsme,Initial evacuation for Sm meters we,pow—presure sellOOrttamed bamurg apparatus(SCM) was,com—prenuresell...turned breelhing apparatus uaaons ONLYIsnotomecllve In spot snuaalone where direct leas,100—,or.(330 real) (12 mile)In ell directions •Srrudural firelighters preactrve clothing will only prone Lotted (SCBA) Cal with the subslence r peashl- Fire-Il tank rad error lank I-I Invoked ins lire EMERGENCYRESPONSE protection •Structure)imcmers prolool-clommg,111—1y provide Always wear ihemnal protective Claiming when haelmg relrigerwV ISOLATE for 800 late,,(1/2 mile)bull d,achons also FIRE •Always wear thermal protective claming when handling L.ned protection cryogenic heads clmder mmol evacuahon for am motors(1/2 mile)in •Use exengu,sh,ng agent suitable for type of refegeranUcr,agene l,qu,d, EVACUATION EVACUATION all d,re.a.l. touring lire rI EVACUATION LIT,Spill-Consider crn nd evacuahon lar at least Large spill-Comsder Initial downwmd evacuation for at lean 500 EMERGENCY RESPONSE Mea,.runners from is.Isn't youcan doh Large Split-Cornedermmal cm,m,edev....III,for at least 800 a00meterame,re) meters(113nes.) FIRE wals.frek meters(112 mile) Flre-Il leak rail car Or lank Luckrin,cind in a fire ISOLATE Fire-Il tank railcar Or lank socke—Im,,d Ina lire ISOLATE .Use exl,n h,n age,, for Dome ad cylinder,should be h,,di,dpnly by Flre-Il tank rad caro,tank Luck is In d!ino lee ISOLATE for far 1600 mnem(I moa)m ell directions also conntlermilial for am meters 1/2 If*,al,dire,wns also corner lntial gut gager type of ia00 mefer9(l mile)in all daections also comide,(morn evacuahon a p ( su_,msuul nea emmllss cualion for 1fi00meters(l nils),,ell tlire,eons ev cualionfor B00 mele,s(1i2 m,lel,n mal .Mwo containers from fire areas,t use Flrelnvolists i,nke Tor 1600 meters(I urrom all mreclmms ev You EMERGENCY RESPONSE EMERGENCYRESPONSE wphaut risk •Fight Pre hom maximum instance or use unmanned EMERGENCY RESPONSE FlRE-DONOT EXT/NGU/SMA LEAKING GAS FlRE UNLESS FlRE)Use-Dr,c,hemi agent suuaole for type of surrounding fire Damagedhal cylintlere shoultl be naninetl oily by hose holders or infaccraules FIFE-DO NOT EXTINGUISHALEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED Smell Fires-pry chemical or CO, specrl,sis •Gaol canta,ners wrtM1 llooC,ng quantities of water until LEAKCANSESTOPPE0 Small F/re,-Ory chemical or CA Large Flre, Fine lnvolvlag Tanks vial atter fits,,our CAUTION Hydrogen(UNIOI-onsulum(UN191II end LOT.Fres •Water spray log or regular loam .Fight[,,a from maximum dre-C.or use unmannetl DO ren&.ei water er source of leak or Safety Hydrogen,reldileat liquid(UN1966)bum w/lh 111111111 .Water Sprey or log •M...containers from hre area,I you can can wiMkuT risk hose lot or monilor noules deices Icing may occur game Hydmgmn dMeth,nem/Rum,mmpresaed(UN1034I Mc-....item hre are al you can dont without risk Damaged cylintlers should be handled Only by speclaliate Coni,,,tamers with flooding quamnr,of water unal Withdraw Immediately incase of nseg sound from may bum wish en/,visible flame Fire Involving Tank, Fire Involving Tank. well atter tire,s out venting safety d-ces or discaormrn of lank Smell Films-Dry chew for CO, Fight fire from mammunt distance or use unmanned nse Fght hre from maximum tlrslance or use unmannetl Was holders Do not direct water at Source of leak or safely tlevices 'ALWAYS may away from tanks eng.1hod in lee Large Flm, holtlers or monitor noules or monitor nozzles icing may occur SPILL OR LEAK •Water spray or log Cool center,,, M tlmd,,g qualities of water Tell w,I[ Cod containers w41,hooding quimiase of water unal ,If after Wil cdi m,mediafelym case of mating and from Do not much or walk mr.ugh Spilled material •Moll containers from in area 11 you Can dolt walaut nsk Sher rue ut out tient.. Slopleak,l you Can Con 1,1hout risk and if possible Fl.invahleg Tank. Do not dract must at source Of leak or Safety tl,w icing Do not direct water aI o,rce of leak or safety dev,ces am. venting toy from ranks engulfedltank turn 1.III Conlalners so that gas escapes rather •ALWAYS stay away from ranks engulletl,n tee •orm"is.hom.ax,mum instance or use unmannetl hose holders may Car may occur SPILL ORLEAKNen liquitl on,mrnoules W,Ihtlraw,mmeinalely,n case of rising sound from venim. Wmtlraw Immediately In case Of riscog spuntl from venl,ng salary Do not much or walk through spilletl materiel •Use violet spray to reduce vaplors or tlrvan vapor •Color CO,u,no.w,Ih flooding quaneaes of water until well eller safety dMeces Or tlisclo,oration of tank tlevices or discoloration of rank •Slap leak,(you can dart without nsk and if possble, cloutl CIA Avmd alThwng as,runatl to cclwct lire is out ALWAYS may away from The and,of The lank ALWAYS may away(rum tanks engulledm lire tum leaking containers So that gas escapes rather spitted nournal •Do not deed wets,at source Bleak m safety denceircrg maysecu Far......lire use unmannetl hose holders or monitor For and sve hre u unmanned hose holders Or momer....III Nan Lqu,d Do or direct water el spill Or...rc.0 leak •Wihlimmediately,,case of hsing sound from venting Safety nlozzlesif thi„s,mpoes,ble w,Lhmew from area and lel thesmpoemble IIII from area and let The burn Use warm spray toreduce vapors or drven vapor Prevent entry Ilio waterways sewers basements or dances or or,erosion Of tank its burn SPILL OR LEAK cloud dr,h AVO,d ellowmg water rundtl to contact conl,ned areas •ALWAYS stay away fen The and,Of the lank SPILL OR LEAK Keep Cdnbel,bles(wflotl pope,od sic)away from sp'Ued matenal spilled matenal Allow substance to evaporate •Far—salve rueuse unmanned Was holtlers or mcrew nozzles,( ELIMINATE sill ignition shames(,,smoking if,,,sparks or Do not much or walk Through Seni®rmatenal DO not de9cl Ovate,at spat or source el leak Venhlale the area the r,mpo,s,If.w,Utlraw from area and lel lire burn flames in immediate area) Stop Iselin you can so it wimka risk and if possible,furl leaking .Prevent emry,ms valerways sewers basements Or FIRSTAID SPILL OR LEAK All eq,,p,,,t used when handing the product must be conteiners so Nal gas escapes rather than liquid confined areas Move v,ch,l0 fresh air •ELIMINATE 81,gnNon sources(no smoking flares sparks or grounded Do not duct water at spat Or source of leak Allow substance to evaporate Do,at 1 or emergency medical s,,,c,s flame—ma le area) Slop leak,(you can dolt without mak and ifpossible turn Use water spray lored,cev,p,r,Or tlrvan,per cloud dr,IL Avmd Ventilate Ne e,a, Gla,al aspiraeond rclim is not breathing •Allequipment use!when hardl N to product must to grounded leaking co,seers so that gas escapes rather than III allowing wal.r runoff to contact mulled material CAUTION When In somaro,aft relrigerafedw Ad.miner axygenil breaming a diThcult •Do not touch or waik mrough spilletl material Do not touch or walk through Splce!matenal Pre—tormyrntowalm,,mys sewers bseementamconfi,etl Cryogenic liquids, any models became brlKle end Keep netm warm and qu,et •Stopleaka you can as It w ut nsk and if possible Turn leaking Do not dheel Ovate,at spill or source of leak areas a •Ens elhar medical personnel are aware of the ¢o mat gas sessions rather than liquitl Use water spray r reduce v,par,or tlwen vapor cloud anti All—subshm..to evaporate am wishous warn/ng ehal(s)mvolvetl and lake mecauhons to protect •usetwele6 spray to reduce vapors or drven vapor cloutl tlnh Avo,d allowInIermnoil m COnlacl splletl malarial •Isolate area until has ms d FlMS v, to themselves all—Ing gas parse Cal911 or emergeesh ncy Don.11 Ing water runoff to contact leak matenal •Prevent envy,nmwaterways sewers basements or CAUTION When lnsenlsnnithe and am ref�ry,eak Ith,,t,, Cal 911 or emergency me-t services •pownt Spreading ding oflPit,orporrmurce of consteor,,Le many dialer/cls became bnHle,nd am likely fo break wllhaus Adiameha l,esp,rar,Onnling ISsnO[brea[h,n. andC1.preaine of vapors thrwgh sewers venhlatiOn systems •Imdale area until gas has tlispersetl RSTA Atl.iing le n1. a Is,hmg is OCM. antl co area areas FIR6TAID F/flSTAlO •DIOmi,g frozen Io ma slim,n0uld ba mawetl before •Iwlate area umngashesdup-rsed Mwev,,are to fresh or MCI cam to fresh or bee,e—Smd CAUTION When In Cake,,wllh mldgemledth7squal,ligade,many Cali 911 or emergency medical services Cell 911 ore,,rg,rcy medical services In case of contaclwM llquehetl gas Naw heated samena,bac,me bml and em likely or beak whom waming Givearencal aspeatlon if,Cal is not breath,ng •Give are.—I ract,nel,e111 nctim is not breathing pans wit lukewarm water FlRSTAID Atlmmrler Oxygen breathing is dMrult Ad.m,n.,oxygen,breathing is dithcult Keep victim warn and quiet •Move ncbmm fresh our Remove and isolate contaminated clomag antl shoes •Rome-and SCI(Conomealed Clothing antl shoes .Ensure i,.I medical parsons,are aware of the •Cell 911 or emergency medical services Incase of contact with rqueaed gas Thaw frosted pans wnh •Cloming froze,to Lr akin should be lhl belore being,err . morsel(se lvetl and aka precaulmns To p,olest •Gee amhmal respiration if v,cem a not breamr9 lukewarm water In ca se of contact vim hquefietl gas maw frosted pads wnh Uemselvea •Administer oxygenf brearI11thculr •In case Of burns,mmdually cool affected sum for es lukewarm water •Remove no Isolate contaminated clothing and shoes long as assnble wit cold water Do not remove cl,M,ng,f Keep teem warm and quiet •CIOTTI house,To to Sion Mould be MCI alae bemgremored adhering to son •Ensure that medical Pka, el a,a aware of Me material(,) •IncaseOlconract win liquefied gas Ina,treated pans wnh Keep.enac warn and quiet mv0lved antl lake precauenis to rnmecther- vs lukewarm water Ens re that medical perm...I are Swam of the matenal(,) •In Case of bums immemateN cool mIeded Skin for as long az pos,ble mvolved and take precawons to protect MOISCIve, wit we rater Do not rom a clothing it actual b skit •Keep ream warm and Curt •Ensure Ihat medical personnel ere aware 01 the maler,el(e) ,solved antl take pro,9utions to protect Themselves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 BOER NO INV ICE N V It%DATE 1 §0-LI5 TO N 0, SoLF3 TO NAVE'' 1058836688 9064153669 06/05/2017 2576547 FISHERS ISLAND FERRY DISTRICT Pt3IR t EASE fjRDEREq I HIP VIA PAYMEIt}TTERMS ORDER PATE CARL ARG TRK NET 30 06/01/2017 DEUVERY N©.1QTY CYLINAIkR DESCRIPTIONMfiT]l21A1 NUMBERUQM Q'fl'Stf3' UNIT PRICE Ut]M AMOUNTSHIPlD SHPO fielo 8064418854 PR 33A 2 CL 2 2 30.38 CL 60.76 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) (H) Sale subtotal: 60.76 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.51 Airgas Hazmat Charge 8,80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 103-56 Airgas. FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an Air Liquide company 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to ndiv.returnedmail@airgas.com REV 6 1 160012984 Page 1 of 1 or call 216520.6000 Disclosure Terms of Sale Each sale of Goods or services by an Airgas"'company is and steal!be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(;f one has been completed),and the Terms of Sale found at http 14V -w airgas com,terms-of_s !4(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer(`Contract')sha!I include these Terms of Sale,together w,th ony other material describing the Geode or services being sold,their price,delivery terms,and all other special provisions 'Goods"refers to any items of tangible personal property described in any Contractor otherwise provided by Seller to Guyer Notice RegardingCylinder RenialsrLeases and Roe.oonsibilily. This document shows the total number of cylinders charged to Buyer(i e, cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders,thus charged to Buyer shall be considered correct for all contracWni purposes behveon Buyer and Seller,unless Buyer repons to Seller in wMing un.v errors B!3yer claims within 30 clays after the nate hereof Buyer agrees to continue to pay rent on all cylindo�s charged to Buyer until Buyer has either(i)returned such cylinders to Seller to good working order or(u)pays Seller the replacement cost thereof Refrngerant Cylinder Returns/Deoobit. Refillable refrigerant cylinders shall remain the properiy of Airgas or its third-party vendors. Such cylinders shall not be used by Customer for purposes other than the storago of gas products purchased from Airgas or the return and i eciamation of certain gases(e g, refrigerants) Each refillable cylinder will be subject to a,cylinder depose,fee,as established by Airgas from hive to time Airgas vvill refund the deposit fee whoa the Custemet returns the refrigerant cylinder unless the cylinder s condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned bila.rrprity All products, other iierns of sale, cylinders and other containon, furnished by an Airgas company shall Corirorrn to the doscrip Lion thereof poblished by the manu`acturer at the time of sale ane will meet Seller's purity specifications for:3i1 gas products. ,ELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INICLUD114G ANY WARPANTIES OF MERCHANTABILITY, FlYNESS FOR A PARTICULAR PURPOSE OR NON- INFRiNGEMENT AND ANY WARRANTIES THAT Iial NY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Ltmi attpn o Liat�tiity: SELLER SHALL BE LIABLE Oit.ILY FOR THE REPAIR OR REPLACEr�E�T OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,IA GL'JDI�!G THE REPLACEMENT OF GAsE-SiTHAT DO MOT MEET ITS PURITY SPECIFICATIONS:f!ITii CASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AtviD USING COI iPRESSED CASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT SPECIAL, INCIDENTAL,CONSEQUENTIAL ANDIOR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORAWY PRODUCT,OTHER iTEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR MISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Tennis of Paynierit Unless otherwise speci.iod in a Contract,Buyer shall make payment in full within 30 days after tho date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial concNion and abiSty to pay A late psymert charge of 1,5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars(52 001,or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is toss Surchargq s Upon notice and receipt of underiyinc documentation,Buyer shall pay to Solley a surcharge in the event of any ex(raordinary or emergency increases in the cost of(a)pourer andior raw materials used in the production of Products and/or(b)wet. Title to Eca:.jtpinent, Title to all rental equipment shall remain in Seller's nnme. Buyei small not cover,modify,remove or othetwise disturb any ident.ficaiion er other indicia of Seller's ownership on any rental equipment 'taxes Any taxes imposed by fede:at,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company shall be paid by Buyer in addition to the parchase price Itemized C:NIr es: (a)The total amount due from the Buyer tinny include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy of fuel Mone of tine charges re,pleseni a tax or fee paid to or imposad by any government authority,and ali of the charges an.,retained by the Seller The Seller has not Specifically quantified the: relationship between the charges and the actual costs associated with the charges,which can vary ny product service,time and place,among other things . (b)No such charges not already provided form a Rader'All!ae nnpasod wdhput mutual consent CTavcrnment Contract Certain Airgas companies are U S govern€:non§contractors and subcontractors and are subject to,and adhere to the requirements of federal laws. executive orders,and attendant rules and regwations,specifically Executive Order No 11246,the Rehabilitation Act of 1573 and the Vietnam Era Veterans Readjustment Assistance Act of 1 R74 all as amended Airgas eBusincess Nov.doing business firth Airgas is easiei than ever w th our eBusiness website,httu:11 www.airgas,cosn Visit us online today to see how uav/w:,.iryas.com can save you time and money NEAREST DELIVERY ORDER FOR ISITCATION WWW.ARGAS.COMOU an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8064418854 AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/01/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/02/2017 800-962-0286 800-962-0285 PRINTED: 15.55 06/02/2017 SALES ORDER: 1058836688 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3629835 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND, NY 06390 US 261 TRUMBULL DRIVE ORD BY CARL 631-788-7463 FISHERS ISLAND, NY 06390 US ENT BY GARYDUBATO s Order Type Payment Terms Incoterm Route Sales Office Plant Sales Total Contai Org -St1 Retur Standard NET 30 Airgas Truck Airgas Truck N329 N309 NOW v\ Order 9 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UN1978 PROPANE 2.1 Line# 10 Materlal#PR 33A Stor.Loc.F001 2 2 0 64 LB PROPANE 32LBS ALUMINUM 136 000 LB �G r s� 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; VT OF P.VkCHASE,AIVAS WEB SITE AT 4AME AIRGAS COW OR BY CALLING ❑ ❑ At�, THE ABOVE!r TED Efv1ERGENCY C9 TACT PHONE NUMBER AND SELECTING OPTION#3 � ACCEPTED FOR A � ® ACCEPT REJECT THE ABOVE THIS CERTI Y THAT THE OVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PAC D A gCED AND LAB ED AND ARE INP PER C NDITIOl�FO NSPORTATION CUSTOMER MUST a ACC T HE APP C E REGULATIONS DTHE PARTM NT OF T NSPORTATION INITIAL CHOICE �� s NAME PLEASE PRINT AIRGAS PERSONNEL DATE T O D. --- ----- ------------- ■ INTERNAL USE ONLY ' Filled By Staging Area Total PKGS Tracking Pro Number Freight Charges Total Weight Delivery#8064418854 �� 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII AIRGAS TERMS AND CONDITIONS OF SALE {YARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')ARE AVAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COMTrERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER L CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELI V ERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT.UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3.TAXES-TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF S.WARRANTY AND CLAIMS:SELLER WARRANTS THAT,ATTHE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FORA PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/ORPUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7.REMEDY BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8.COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(III)AT AIRGAS COM 9 ITEMIZED CHARGES-THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O. LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FlRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Substance doeeno,burn but will support combustion Vapors may w.mdoumess or asphy+alionwllhout Vapom may cause clooness msp ahyxlaeon •Wil be costly tgnned by heal sp.ks w flames .youft be easllylgmed by heal sparks or Ilam.. Sumo mayresct exploo—ly with fuels _Marg without—me, •WlI lormexplosne ml.luhm w31 Wla farm expbsne mixtures wed eu May lgena combu.bbles(wroad paper on Cl-thing etc) Vmar.han,liquel.d gesso lnaally heard.,loon., V.M.boar llquelled ansa,.l.nally heavier man ell •Vapors I,arn liquefied gas are dnnady heaver man a r spreadl •Sdane wdt chm spomansousty In er Vapors Irom Ilquee.d gas era IMIMIII heaver man ort spread and,prwd,To,g ground antl spr¢ed.bng ground Waround d nay sal a smce.Igrusm and flash back These wiesemem deeghead wuh a(P)may Pdym.rw along ground arN may hovel to source o1 lgelon and flash back �,a6y yam gas m fellgas may cause burns FIR OR EXPLOSION CAUTION Hydrogen(LINIOC9),D,odedum(UN195r),Hydrogen, explosively Mien heated.nnoNed In a fire R,mffmmycre I,memexpI-1amld severe mlury antl/a hwMde No,11 m umm game reMg.aletl liqum(llNi9fi6)and MaUanre NNleT1).e o9herman Vicious Irom liquefied gas am wibly heaver than as, •Cmlan.rsmayexpledewhenlreatetl FlREOREXPLOS/ON Common;may custom wm heated oft antl Mg dsa Hydrogen ped Deuterium gree ere difficult to tlelxl spread along grountl antl may hovel a spurts d Ignnen Rups a cl eyMme may rool hme-fbmmabm gases Rupeseelcynn0ers may rocket slow Hey bumrdM enlmlelblo Mrta Use en damae mamod of emdfiashback HEALTH Cmannamemyexpbtlewhmheamd PUBLIC SAFETY d-lection(thermal cameo,broom hondleelm.) CYlmders exposed to Ire may wM,,d rebase flammable Vapors maycose tivzlnessmesphyxblen wmem warmrg Rusetred,tmsmaro ycket •Isotesptll m ea laleak monnedslery lar at least loo nm •Cylmtlmsexposed to bra may vent ark releaseflammable gas gas through pressure rebel m,hwa Come—se gatlm sor liquefietl gas nay cause burrs wveremlury PUBLICSAFETY —Is.(330 fed1)m.9 dusew. tm,,ge pressure renal devices Conlameremayexploo—henhemad and/or flowers Keep unautMrned personnel,war •Consumers may explode when hosed Ruptured c Imders may rocket •Flre may preduce IrrnaOn w,,m.le •Isolate sPlll w I.ak area�mmedelely for et Inst t00 •Ruptured cylinders mayatkel HEALTH y Yred Y gen gases motor,(no feel)In all drecfi-ns •Stay upwintl HEALTH •Vapors May dlTilnesr or asph talion wnhout warnln PUBLIC SAFETY Keep unoulmn—cl pe,wnnelew-y Many gages are heaver than er antl will spread •Vapors may cause or es lion without warnln Y cause yx g twists spill er leak area Immetllolely far al least 100 meters(330 Slay upwintl .long ground and collect�,lav m confined areas ala piry+Ie g Soma may be loxa1l lnhood at high concentrations feet)in all woctmns •Menyg....re heave.man en and wdl sprmdelang (sews besem.nls tanks) •Same maybe untaung a lrmamd el I toncmMvthas ean9 Contact gor liquefiedas ma am cause bumver s see K.p n umorl,ed personnel away ound and collect m Im or confined.e.9(sewers Keep out of low eras •CorrectwiM gas or liquefied go.may rause bums say.emryry bryry-dl.r Msmue Slay upmnd Wwmmis tarts) VeneI919 closed spaces bunter—aftrmg al frosene •Fire may pr.duedrnetmg andlw,.nc Baser •Marty gasps are heaver maneeend mil spreatl along gound.k .Kesp Warlawareas PROTECTIVE CLOTHING •Fa,may produce mlmv,g and/on roam gam PUBLIC SAFETY coned m low or confined areas(souse sawmills tarots) Venelas closed spaces belma mlmng Wear pomno pressure wllconamed breaming PUBLIC SAFETY Isdam spin or Teak arm Mmedausy lar at Imsl 100 meter, Keep out of kAr.eas PROTECTIVE CLOTHING apparatus(SOBA) •Isolate sar0 w leak arm vened,mly Lor an Isola 100 m.em (Mo met)m all dnecbons wMIM a closed spaces before mtemg •Wear pose,e pressure selfcml.ned armthmg Structural lu.lightwe premed a clothing ,It only (3301..)In 11 duee ens •Keep waumorued pasmeal army PROTECTIVE CLOTHING appaoNs(SCEA) pr—m Lammed potectbn •Keep un.umoreedpersmrm—y Slay up—d Waar pasul—pressure sell orm—d!ar idling appal. se cans r,eghlers pnetxtno 1-Mg wdl only EVACUATION •Slayupmntl •Many gasesare heaver marl MOspread along (SCBA) Large Spill-Call must downwmtl.vac—ch for Manyheaver than air antlwits ddon dart P�ys =fled,mal pros gasw are pre. gW) basements IM eci In low orconllnetl areas Woarchamcal bythelmantu thlml It m Gpecdlcally .N yr Igermal.ryoga aclol,,d,,ren elle-It00 me,ere(330fedo ocl In low.areas earls(sewers husemens lents) bere.lf ants) eemmantledby me mmuec,urer 1l may prpvitle lime or no la UATIalrlgerale0/cryogen.11qutls or selltls FlreATE for rel moor,(1/muck is lnvd,etl In-Lire •Neap out of low areas •Keap out of low areas mennelpoectlon EVACUATION ISOLATE for B00 melore(12 mlle)In all dlrecllonr PROTECTIVE CLOTHING PROTECTIVE CLOTHING •Shull fimfighters p,occava clothing Is recommended lar lire Largo Spll/-Conolderminal:!wMhd w-cuallgn total at crosltlerinnlel evetuelipnfor 800 metes •Near Pontrve wmamas sal-co-scoot areal apparel(SCBA) Near{eenve poss.es.lconbmod bmaining.poaratus uamna ONLYaI of effective In sprlsuus4o,wh.e Coca Iearelmneolers(330feet) (12 mile)In all directions •sauclwel mellghleh.Pmmcmr.,%lhmg.11 mdy povldo llmded (SCRA) coned wuh the substance a possible F/m_gmnk mdcarwtank Wcks lnvoNatl mebre EMERGENCYRESPONSE post., Structural IvehgMers pro,—os,murg win oNy provtle •ANays ware mental noiscave clommg when handling alhooralV ISOLATE lar WO meters(12 mde)mail dvacwhs also FlRE •Always wear mall proleclne cloning whm bandlmg felled promotm cryogmic lgmd, medar moa.evacuation Iv Boo meows(12 flute)m Use a degnoll agent suMble Iw,Met reing.mth,rag me Ill EVACUATION EVACUATION all duscha a amdmg Ito EVACUATION Large Spill-C.rsld.mnal do—nnd ovace.Km for at least Largo Spill-Consider,.nal tlowunsaM avacu.mn 1.et Ims1500 EMERGENCYRESPONSE Move eonlamers from Ivo areas d you inn do a Large Splu-Cwtud.mNal dc,,mc!,mtl e,acuativl far at Most B00 800 m.em(12 mile) malars(It3 mile) FIREw'U""n fly`' mosers(12 mile) Fl,-Ilertk cal eaeWGurvdd ln car lank buck ISOLATE Fl,-Il,ankrllcar amt prltruck ls.mdv.d rn slue ISOLATE •Uwodingeshngagent sulsbls for typo of •Danaged cylndem shpultl be handled only by Flre-II eNt.tau car.lenk W ck s imoAatl in a bra ISCLATE I. for 1800 micro(l ante)m all dnecllons also wel molal far Bop nalors(12 rave)m all dremons else....tl.mNal sun weem"mm 1600 4ers(I mde)In all tlnee4on9 mw consitleriMal b,oc-.en eve eracmi. In all daecton. vending fire Ion t000 maters(1 mule)n an drweonr cueeon for 1000 meters(1 mde)m all tlreclen9 on Lor 800 mels(1l2 mile) Fire Imoh4l Tanks -M...c asainers Irom Ire areas II you ten tlo II EMERGENCYRESPONSE EMERGENCY RESPONSE EMERGENCY RESPONSE wlmout ask •Figs,fir,dd,rfrom rax mrh.ance or use unmanned FIRE- BE STOPPED EXTINGUISHA GAS FIRE UNLESS FlRE-Use ex0,chhme.l.rG uliphle for type of surtountlmglire Damaged cyllntlers should be hentlled only by Mseons—r thflodingqu FIRE-OONOT EXTINGU/SNALEAKING GAS FIRE UNLESS LEAK FAN-ESTOPPED Stoll Fl,s-Dry cham�cal or GO, spell./ills Call conr ftr rs wuh flooding qumlNae of water anal LEAKCCAUTION N-ESTOPPED LSame oTmIl,9-Dry Wemical or CO, Large Flre, Flre lht ng ranks we net er damasoul CAUTION Hydrogen(UNigd(N190)bt r with a,erh Larga Fleas Meter spiny fag.regul.-,I Flight Incteal Irom maximum dsanrs.use unmanned Do net diced wma et sauna of leak a salary Hydrogednessaerad Amou/d m1I9.$)bum wishen(UlGa 0 Water 6prsymLog Managed cyl rihenfu,.m IInorcantlo g Specunsk Idol holden- mima,mules deuces long mayoccw D,mo Hydrogen end Nble Ion mirluro,compressed(UNT0.TI) Move l Ing.fi Irom fit amad you con tlo rt snUrmn nsk Damaged g Tm1rs should be handled oaly by spwal16ts .Cool t-nt.ner.vim Iloeding quan.Ies.wale anal WMmg srmmeduloe m case ct nsmg sound from they bum s- as harelbb Dame. Fire/nro/vag irate Flre InroMnc ianke wen env ore b as vmeng salary dewcea on tllswbreays d lank Small Fiona-Ory thoracal v CO, •Fight rue from maerwm dissrKa w use unmarred hose •Fight fro Irom m.emum tlstanrce m use unmonrad Mss Mltlers pp n r deed warm el source of leak w calory dances 'ALWAYS sty away Iron ranks ergulled 11110 Largo Flre. hdders v—calm mules or mconm roIIle9 SPILL t LEAK •Water spray nelog Cool me.-I vnth 8wding quaneae901 velar umJ well COaItmslner6 wed Beetling quanese90l-nal was eller WM1,gafety do- In rase of rlvng wuntl from Oenotlarch You throughopined hansmal I •Moira 10h,7 9lrom fire arm II you can den w,IM-I risk allay Ina s out Bre Is out vLWAY smy tlev it t inks m sten d lank Step[ask n yarn can do n that nsk and If rather ble Fl,InvolNng i oke Ma not direct water el source of leek or sally devices clog Da nal cued water at wurce of Irak or saloty,dianeal icing .ALWAYS say away Irom tanks engdled m Ire turn leaking consainers so Nat Bas escapes came, •Fgh,Irte Irmo manmum dlsence or use uwnanned host holders May our may occur SP/LL OR LEAK man ligwtl annmmers eh •Wllhdrowlmes Isr dra Incest of fork 60untl from venting •Wevices lnMCtlialdyln case of rl.ing eountl Irom venting salary Sep lack If,..con feroughout otl and 11t •Us,d corl spray lareducenmeg vater6mn I,o-or •Coal conslnere with Ilmdmg quenma9 0l water until well-I,ec salary S sWy or y I,a m cmn d loft devices,dsc y from on of tank Sap Irak Il You can tlo It without risk and d hafte,Possible cioutl tlnit Avo�tl allowing wafer runoff to conlec, Ire bout .ALWAYS ley away Irom led d oltho,mk ALWAYS mayeus.unnenksengulfetllcm. mantum,1q,ingcw�elners sothatgwesmPes Omer so acid taral •Donor-mauatg.source of ow of gso,molely evcg mg may-cm Fwmassd ffirs use ssuble dhd.from vinodder •Fpr Impasse useuudla,I tlhose anda,wrtronnm%oriel 11 Man 1q,al Dpveldrmlwale,amm,,ays source af lack lbaw •Wrvem oIrd worn a In colo 01 rising sountl from venting safety nre bur d oris Is Impossible wimtlrew from was and let Ws IsR LEA file wMtlraw from area and Lei Iva barn Um water prey a rhaduce—ag-1.s m tlnen vapor Povma envy Iola wa1-mays sewers bgemenb m ALWAYS m tlY.-,hor of enk Iso bum SPILL OR LEAK cloud dMl Av.tl elipveg wale rlaeH,p tonect wnlmed areas •ALWAYS seYewdY hem the rads of he tank SPILL OR LEAK •Keep ranbtaeblg lwPotl teas.as ea)ewaylmn,pPrd natal spreed m9seral Al—• subseneaaovop.ale •For massae(ue,use u..uvgd txrro tdtlws a rtmMr realm rl ELIMINATE all Ign.m minces(w snelung B.es sparks. Do w,much at walk through s.Ied matmal Do not drew water el si vl m wore-.Irak Vmeeta me a- . pp. miss macesm vn her-it— sed b,Ire bum IUmes m rmmcof an.) Stop ask,II you can do a widem nsk earl II passible tum leaking Pleven entry Into wa—ye sews bas-mans or FlRSTAID SPILL Ofl LEAK •Aft muipmmt used whop hsmlNg the chat mus,m c-rrmne,so mal oas.smPm ome,than Iguid echoed msm Move,velem to bosh all •ELIMINATE eBlgnnim wurcesfrosmoking Iles sparksor groundetl Don-,tll,ml velar et spills,wurca of leak •Albw,ubsenedaevaporale Calgilmemorgencymedicalwmces Bathes In Imine-ta arca) Stop Imk II you can d-II wnhout nsk end II possible,.n Use vat r spray to reduce,.pars or dnen vapor cloutl rink Avvtl Vendee the arae Gem mIleel respiration If vmw Is no,breathing •Moq.p Mused ween lending me mc,ol oras be grounded Zeal cenlainera se that gas escapes rather than liquid allowing weer runoff to ca,mosthime material CAUTION When In contact Mth mlr/geomoV Atlminslero+,ar"ltbreeming a.Hlcols •D-n.loun Orwalk,hrough,pllledm i,lMl Coapt much.wak Mrougneplded Worst. Prevent envy into wMa—y.sowers bseemanls w confined cryogenic liquid;many Wall become 6,1111,and Keapvctim warm antl gwat •Stop leak It you can do II wnhout nsk and A possble turn leaking Do not direct water al spill or source of leak area. we/Ikdy to break w11houl mall Ensure mal Medical personnel ere.wear of me Calcars w Me,gar escapes rather than Ilqu i •Use--pray to rm uvelsms or tlnm viper cloud ell •Alm subsoulm to e,mora,e FlRSTAID m adal(s)Involved and take precautions to wolml •Use wale,spray,.reduce vas.s or divert vapor cloud drill Avoid ell—Mg wafer01110 contact carped maoeral Iwmlo.-.until gas has tlispersad Moira viclm a Ireah eIr themselves Avoid albmng w.ecrunofl to canard s.iled material •Prevent eney moa wam—Ys s-.a basement. CAUTION Whan In ppnfacl wlih,air/ga21-d'eryogenlel/qu/de, Call 911 or emargencyeatllcal seMces •Do nal direct wale,es spillar source of leak cmenad.ms any=mmiels become bristle antl.,likely to brook wlmout .Glue a.11.al ospranm II vmlunawlbrealhng •prevent sp,admg of vat M o,gh sowers venblalmn Wrawas .1wisla.ea anal gas has d,persed naming Admmisl.oxygw II bnealhmg a differs and cent wishes. FlRSTAID FlRSTAID •Isobta area mm gas has ddparsed More vdrm a flesh all Move valor to fresh a, bang p halon a me stun should be UavnM beta¢ CAUTION When In mora.Mlh rehlg.aMNvyogeNe llquma,merry•Cas 911wertwl naalcal semces •Can 911 or ever medical servees being rompwd W.zab because brMb.Maraffla yle break wlffi v wamlrg GI,e mi8cial r g�on It,IcIm Is wl brmmm GIv-eNleal resp.tion d vmtim d no,braamin In caw of career wed nquefiatl gag thaw Irwletl FlRSTAID Atlministero ge rd brmmm is dlllcull g Admnislero nA breathingis:10-It g Pons ouch lukew.mwaler •Move nal.to basher R-m-vo mtl Isola.-neer.ted cl.hin d shce9 R.mave antl IwMm conlamineled clomm d shoes Keep vI len warm and qui., •Call 911.rMorgmcy medical samlmr .In case of Comet with II fde0 thew Iros,m m Cementdozen to 1M slam stlould Ion mewed belwe DQI eme+atl 'Ehovo Ihol mpdvral and suesperse—m aware 1 mo •Give ametlal rmp,nuen lfvltilm is not anal lukeworm water q.e gas panGwi In em—lomelwith tousled gas Inc.frosted pane wnh erlal(e)Involve0 and eke precaulim.tpprelaCl • (hems-Ives Admnismr pxygeha breathing is tlMlcult In was of bums Immedldely cod affected!all lm as lukew.a—ear •Rmhey—nd,wate conemmmod cbthmg and sheds long as possiblewuh cold weer Do volremove domingd Keep victim ween and cult •Cbthvg Iroo3t aBs sten you'd be mawi]beive berg,ancrod aci to all Ensure mat he lcomen l ereswarmof me mal.iai(s) •Ie-.of contact vnM Ilquallod gas Naw hosted pans vim Kwp ve,Im warm antl geet rmedvad arms tell,pmenus to protesthe t mselves lukewarm valor •Ensure Val matllcal p.wnnel ere-wee.tM malerW(s) .,r of mv,m domY000i affWed w hr m"tr Poa%bb rmgh2d and take ph—hoes,.w.ocl mernseNes wTl cold—De ml remoe CbVvrg d Avg askv6 •Ke p stem warm mtl qua, •Ensure INTI matllcal personnel areawe,of the mm.W(e) n 11 and lake Precautions to prwwi themselves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER INV I M , INVOICE DATE I $OL0,TNO T. SOLO T MI= 1058882049 9064153670 06/05/2017 2576547 FISHERS ISLAND FERRY DISTRICT Pot RELEASE �.,ORDEREQ,BY T HIP VIA I ENT,TERMS. ORDER DATE BOB ARGTRK NET 30 106/02/2017 DELIVERY No,f.. QTY CYLINA R MATERIAL.NUMBER UOM : c37Y810. UNIT.FRICE U9M AMOUNT DESGRIPT O t_ SHIP'D_ sNrko R611T. 8064452721 OX 200 1 CL 1 52.72 CL 52.72 N OXYGEN INDUSTRIAL 200 CGA 540 (Vol: 251 FT3) (H) Sale subtotal: 52.72 Airgas Hazmat Charge 5.90 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 58.62 Airgas. FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC LL an Air Uquide company 261 TRUMBULL DRIVE Acct No SA,LL 4318 Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv.retumedmail@airgas.com REV 6 1.160012985 Page 1 of 1 or call 216520.6000 Disclosure Terms of Sale Each sale of Goods or sere ices by an Airgas,n,company is and shall be governed by the terns and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has bcen completed),and the Terms of Sale found at httpyhyvrLy airggs cpin,tpfms-of-sale(collectively the"`Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer. Notice Regarding Cylinder Rentals/Leases and'Raspcnsib_its• This document shows the total number of cylinders charged to Buyer(i e.,cylinders which Seller has rented or teased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall refrain the property of Airgas or its third-party vendors Such cylinders shall riot be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e,g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit flee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATION'S ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. Terms of Payment, Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges Upon notice and receipt of underlying documentation,Buyer shalt pay to Seiler a surcharge in the event of any extraordinary or emergency Increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel. Title to Equipment Title to all rental equipment shall remain in Sellers name Buyer shall not cover,modify remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges: (a)The total amount due from the Buyer may include various itemized charges, inc,uding.charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seiler The Seiler has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service time and place,among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government Contracts Certain Airgas companies are U.S ,government contractors and subcontractors and are subject to and adhere to the requirements or federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,alt as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:ll www.airgas.com Visit us online today to see how www.airgas.com can save you time and money _811111,ira ® DELIVERY ORDER FOR LOCATION NEAREST YOU VISITwww.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8064452721 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/02/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/02/2017 800-962-0286 800-962-0285 PRINTED: 15.55 06/02/2017 SALES ORDER: 1058882049 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3629835 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRYDISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US FIS ERS ISLAND, 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 Ret n Orderard NET 30 Airgas Truck Airgas Truck N329 N309 NOOO StandQty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 1 CL X UNI 072 OXYGEN,COMPRESSED 2.2,(5.1) Line# 10 Materlal#OX 200 Stor.Loc.F001 1 1 0 251 SCF OXYGEN INDUSTRIAL SIZE 200 CGA 540 133.770 LB N v � a u 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 FOLLOWINGEl ❑ SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION SOURCES;POINT OF PURC ASE,AIRG S WEB SITE AT NNW W.AIRGAS.COhD OR BY CALLING THE ABOVE LISTED EME ENCY CO ACT PHONE NUMBER AND SELECTING OPTION#3 +"—ACCEPTED FOR ACCEPT REJECT -THEABOVE THIS IS CE TIFY T' T THE AppAVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PAC D, RKE ND LAB fED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST AC IN O TH APPLIC LE REGULATIO S OF,I'HE D7ENT Ofj T NS ORTATION INITIAL CHOICE 1 S NAME PLEASE PRINT AIRGAS PERSONNEL DATE T.O D. .� INTERNAL USE ONLY —_—_—_______—__—______ Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8064452721 ❑. _to 134 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII AIRGAS TERMS AND CONDITIONS OF SALE {YARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALIVAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETYDATA SHEETS("SDS)ARE AVAILABLE AT AIRGAS COAL EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP// WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE`BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT:UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(I 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS'SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6.LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7.REMEDY BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACENIENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8.COMPLIANCE/SDS.BUYER SHALL COMPLY WITH ALLAPPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,()I)BY CALLING 919-368-8518,OR(IR)AT AIRGAS COM 9.ITEMIZED CHARGES.THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS ATAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID COT ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID Or LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELYFLAMMASLIE EXTREMELY FLAMMABLE •Substance does pal burn but v,IIo,P1m ambTwt xia •Vapors may cause doomom or aaphyion wbhouma l vases ycause,biuiness or asphyslarch •Willa,easily ignbed by heal spalls or"a-. WIT be acclyignbed by hoot works or Some may roost oxpiasivey wen fuels warmup wliaal warning •No,form it. lumsw,men Will linmaxpasam an.—valh igMo no Mar combusmas(wood paper of claming,ale) Vapins from tgnfod gas ere lNllely heaver manal VaWe loom liquefietl pas ere inloiauy heaver Nan air •Vepin.Im�Iwueletl gas are nbaly have.men ev sp ead ebn9 Slane volt IBMs spolummusly n no, Vapor.from liquahed gas em nITIaAy heaver man ae,.pmad end spead nano ground and mood along g,und VOI pal may, m .I to ace d gnNm hns anal flesh back. .To sub—co,maIgnaled..a(P)may Polyalon merve g Omand end mVa ay vel to sauce of Igalum and flashback .Contact mm gas m hqefi ued Bas may cause burns FlRE OR UPLOS1ON CAUTION Hydrogen(UNIM9),Daubrlum(UNI06T),Hydrogen, ecam—ly when healed mavolved m e Ire •Rumb may create fire w evplmion Immmi severe mjuryantl/in Imnateds •Nongammablbn,pia rsMperslN liquid(UNING)and Metwoo(UNIGTi)em Ilghter men .Vapors ft=f,gvelled pas ore lmlally heavier Than aro Came.--,..Piecewhen heated FIRE OR EXPLOSION Conleirers may explode when healed air..d,llldse Hydmge,G,dpuledumllmsemd[Mmltlodetecl spreetlelonggr...d and may travel to source of Ignition Rupluredcyladimserayrockel Non-Ibmmobio gases Ruptured cylinders may rocket moan may bum calm enlmisWle lama use an mmmea monad of ndfbshbock HEALTH Cuniners may ekpladGwmn heated PUBLIC SAFETY detectlon(Memel comers,broom hand.,ate.) Cylinders¢xpawd to in may vent antl release hammers a Vow.may ceu.a doomess or esphyawua Iwif-,wanting Ruptured opt lose may rocket Isolate¢pill Or leak area Immediately for at knot 100 •Lyhadere exposed to In may vent and release flammabhe pas Das though presure retial tlevom Conlan will pas a Touched pas may cause bums swore many PUBLIC SAFETY meters(330I.e0.all d,mmam Though pressure Total dances •Camwers may diatom when healed and(W lroslble .ladme spill d lock mea rmmetlately for al least fee Keep unaumadzed perwmtel away •Conlan.,.may exp,wa when healed •Ruptured cylmders may rocket Flre may produce lrrmhag and/or tact gases winmareapit on lack sab dr coed.ocar Soy upwlntl •Ruptured cyllntlers they rocket HEALTH PUBLIC SAFETY K.mmsum.rlulw pO,—nO,.wey •Many Basesar,heaver thard,and will spread HEALTH •Vapo,smaycausedirrinossorasphyaetlonwlhulwarning .laalaw.11lm leek.,.lmmonal¢Iy f..t la51100 meters(me eI gground antl colact in low,conlmed areas •Vapars may wase then—d aspnyautlonwnhad,ormng Sano may be to od lnhalmm lsgh coacenUacral feet Irro traders Mayupwintl (wwae wroments tents) •Some may m ancoarg a maaled at high concen clone Carman with a ti Te ) Marry gases ane heanm man Thr find will sprcatl along •Contact war gas m hqumietl gas may cause burns severe Injury gas w queued Bas may cause burns.eve Keep rmauVmiie,Pe,wmel evmY •Kup out m low meas goontl ane control In to,m conlnatl meas(sewe,a, "W"erosmae injury end(,Irosmle •Say upwind b35p but of o,are •YOTECe VE CL spaces ammo enlennp Fire Tiny protluce m UBL C S loco gazes .Many gazes ma have,Vends antl sob spread most pound end Keep sol of low areas PRD Wear moo—prose IHG Fire my produce lrtilatnBLICSAFETse PUBLIC SAFETY collect lnlowo,con8netlareas(sexers basements tanks) •PROTECTIVE CL wares beloro entering Wppratus(Spressure selltpntaned braining PUBLICSAFETYr •I(330 fat)T,1eakarealmmemalelyfor at local 10D meters •Keepautolloxereas PROar careECLOssure apparatus I ren BA) •Iden epi 11 or leaad,ons metlialely lm otlpesllW malars (3301eagavoru !perss PROTECTIVE CLOTHING before entering Warusmvfipressur.solltonlalnedbreaminB structural alcalpers prolwinecloWng wllloniy Keep fact)In elrob"a nob Keep tovild,fixed personnel away PROTECTIVE CLOTHING oparelus orighe AC AT ON prolerean •Keep umallwriaetl peesanel exay Slay ugwbtl Wear pavarm pressure sellinnminetl beathirm eparalus S—ondsaTl tined piers Protective clomrng xiil any EVACUATION •Slay upvnntl •Marry gases We hwvar than Gin fine x91 asatl(arrive, (SEBA) pronde toiled protection Large Sp/ll-Catsitler,mltm dowmvntl emwawn Ian •Marry gasesareheaver Thanairellnul).mad clanggroundmin gownand cdlecl in low or confined Drees(sewers •Wearchemical b mee manufactrwhichasanovdo AY heayswarmermen/dryogrTI liq,,dgwnen etbast 100metrosr or rmaxt KeP iu bwaureas meas(sewers bosenwnls lanky) bazem.n.11e,,s) Thailand coed by me manufacturer It they provitlo pule ar no ACUAgralnpareled/cryogenic llquitls or solids Flro TEif for 00 wrannit)mile)ruck I iall l,ad In drecom fire •Keap out of low areas •Keep Dui pl low meas thermal praeclian EVACUATION ISOLATEfor B00melee l.ilfaInall tlstar.dns PROTECTIVE CLOTHING Pp OTECRVECLOTHING Structural.ONLY a,.Proaemial inoploaman,.heed lireave Jorge oometra(mrcmal tlowmvntl wauatwnlin el eLsn consltler mi8el evacuaiwnfor 800 meters •Structural feprasswa seamrmco comma nppoondsles 5C8A) Weer Poalrve pressure caliconlaine,braihing eparalus snuanonsCNLYlsmt ebecpon In spJl Llaawns xhere tivecy Pro-ifUmetars der Or et) (12 wW)nellERGEs • Structural luefighlers protawe cbming null may poonde lunitetl (SCELA)clue canna mm me w thereof PhAs b s cmulo Flre-D wk ml sur al leak sock rs fill onl n e ore EMERGENCY RESPONSE prolecugn Sthetapl tecghlars protecuva stinting roll only presale AAvays weaqudsprolecihe cbmnp when hantlLng refngeranV ISOLATE Ian 800 meters n I moo in to sola nal also FIRE Always wearmg,wcI,,rda cbwnp when lumhnp li CUA protection cryogenic liquids gn Toch ilei wecuanpn for WO meters 112 mile), Uwecling ITng agent.eluate for type of rACUA77Ocryapanw ligwds EVACUATION EVACUATION ell tleectias a contig IT. EVACUATION Large Spill-Consider Initial tlawnwmtl wacualiw for altest Largo Spill-ConsbeT lnbialtlownwlnd wacuaiwn for at least Sao EMERGENCY RESPONSE Move hot, .tom ere areas Ilya c.n dab largo Spill-Consider Initial dowwvntl evecuatipn lm el least 600 800 m¢leae(12l car metes lack mile) FIRE vamagdc meters(12 role) Flro-If tank,rel m l look sock Is m,.1 tl m e fire ISOLATE Flats it lank not sur ue IoM tuck u I sh In a fro,ISOLATE ,Use¢vbngursDinp agent salable Iso reared •Damaged cylntlers stquld be hantlletl any by Flm-Imola Talsur m IoMcockaualso cane.ISOLATEforon laomsu miners(1ala)inell Webous alsoterm, rmtial Iancesmaims(1R orale)in atcited—irs alsoconsider nmol mending lire specideLs I.1 M mon(1,,re)m fib d1coballcaner also cpsrdm nilW evacvalxn wacuabon Ian 1600 maters if We)In e0 tlemUare evawalun lin 800 meters(1N ma)In ell tlireawns •Move contanor.tram Are areas it yu con do c R.InrolvingTi nke fw 16op melee(1 ane)n.A dimclu„t. EMERGENCY RESPONSE EMERGENCY RESPONSE •Fig,foe from maximum dismnce or use unmanned EMERGENCYRESPONSE FIRE-DO NOTEXTINGUISHA LEAKING GAS FIRE UNLESS FIRE-Useekun uishin wimoutnsk FlRE-DONOTEXRNGU/SH A LEAKING GAS PRE UNLESS g gaga,suitable for type of surrounding lire pamagetl cyllntlers shoe.be handled only by has noldare MS ,Inhea diig qu LEAK CAN BE STOPPED Small Fres-pry chemcal or CO, •Cool.hilI f nerG won Ilatlmg puanW es of water until LEAK CAN BE STOPPED specafsls Small Flans-pry chemical DO, large Flspr Flrgre Tire mor ianke well ebrartaeuL CAUTION Hydrogen IUHIuid(Deuledum r, ,Mae ono Large spray Water spray lop fr malar Isom Figur 6th Iron maxum.monis o-ururennetl not direct wmar m scarce pl leak m salary Hydrogen,re.on andel liquid Imwum)bum wnb on Invblb/o Wnaer ern in log •Moya Damaged cylem from fire ,oil you son only b spwm nsk hose antsrs ra ch ik Twine tlexces iomp may occur name m, Ilhenend M.l.fic mlalure,compre.sed(UMg3a) Fine In ahlog Tislrinnliro area Ilya can do.t x,thia nsk •Damaolving Talk. hue ire hnnoled only by specialists Calcoela..raw.m llootl�np quanlrtiesmwater until Wmdrawimmedaley meesemrmoo-fratllran may bum.- en heroical.,ar. Flm In fire from Tonka R.Involving Tnnke well atter Ira Is out venting salary tlwices or tnes wg uon of look Smolt Flans-Dry chemical ar CO,COa Floldmoromrtar remdisnnce or use unmanned nose Fight momerom ma+imam dislonce ar ass unmannetl hose haltlere pp nomay water at source of locker salary tlevlea 'ALWAYS say away from tanks engubetl in lire Lenge Fleas hold co m r es w mules or morula rwiXla SPILL of LEAK •WaleraP,eYalog .Cam conlaire,swrm lbod Ging may occur w' pA •Maw canlmners Iran Ire mead an do it wiVwul nsk ng guantices of xvier until well Gaal oum,na.coin Orrodinp quantmes of water until wail ober Wimd,o s fety d ey in sof Ting.antl nano Do not loch ar walk Though s led condi I you c ober Ina b ad Iva a out ..no celery dances m tlrscdinmwn of mine •Stu leek to you ran ns a me,gmem nsk all d pascal. R.lanolving from Tanta ma int dual water el wurco of leek in salary devices icing may nal e,ecl water at source of yak in calory devices ring .ALWAYS slay away Iron Tanks angulletl rn Ire Tum laking connmar.w Thal Bos esoapn comer •Fight Ira Iran rnaxunum distance or use rmrrennetl hose holders man figmtl monitor mules may may occur cow SPILL LEAK vote •Cod rontalneewlm Aoodbgq,wtitieoewalerunUlweu,fi,r wh,Tdevicemmaiyncnseolhsmg sound from venting Wry omwimmadeleya soonusing.antlloom coolingsalary stop inkchor cadoa hsplatlm,iif •Use rsA—litll—ngvea,sadwocoltaen r salary S rosy.on,, y f,o the a of conk tlwwae or ay Trvaranon el lsnk •Stop yak it you can do s met g els,antl it roma, spoido drill Avoid allowing water mnoll to contact ice s loin ALWAYS may away Irmo Ilan ad h of meharkALWAYS may away Iran ianke engulfed in eve lam leaking containers w mel gas escapes rather sollot material •Db rid d,mocce m mau s kaka waw duces rxg Trey iia •Fin massae fee use umanmtl else holders m rrwnnm For To cape fire&Ib us¢ithd n¢tl hose Mltlers lu rmnili males IIman, Do rot Gentry wafer al spll rs words of leak •Wlh@ew mm�Tudialey b use m nvrtp swM Iran venting al¢ry mzzles it anis rs impossible,withdraw Iron era end Ian Ws rs unposvble vnThdraw tom mea and lel fee bum Use walvdsp,ay Id reduce vapors in amen rap, •Prevent entry into watemays sewers nee•menb or tlences a tliscabreuw of tank firs bum SPILL OR LEAK clutl drift Avoid alloxmg wan,,note to cannot unlined areas •ALWAYS smy,voy tram th—ad diha ton, SPILL OR LEAK •Keepcirmutubles(wuC Paper,ol,mc)ewayfmn P'Ja1.mOW wIfed manna) Allow substance to evewrota •For mosslve lire a manned hose haid,,,,r rnomiorn ales A ELIMINATE all ignitor saur...(nosrmking,floras sparks or Do not ouch or soak Through spilled,mewwl D,,,Id,,clt,r.lspulorsou,ceolteak Venllal.m.ree mis lG impossible wiunmanned from area and lel ire burn llamas m immediate a,..) Stop leak If yon,can tlo rt wmout Token!it PasmlG turn leaking Prevent envy Iota w t—irs—ma to o, F/RSTA/D SPILL OR LEAK All equiprmnl used when heading the product must be contamere se mat gas escapes Tamer man liquid cmtrmed meas Mwe victim m bean art •ELIMINATE ell igmaron surra(m smoking f Wes sparks m gounded Do rem amct water m sill or sort.of yeah Allow subsbrwe to evapinale Cal 911 or am rgemy medical sources Bares m unmeden,arca) $top IeaN it yo son do i1 withma,6k antl it possible hum Use water spray to reduce vapors Or owes vapor cbutl d,01 Avid Vital..me ana Gme amiwlal rcmirwah l vwlm is int breathing •AD eappmers C~herviii The product trust be grounded lealung=man,,ce mal gaescapes rams,than bud allowing wmm mmA to conlacl.plled malenal CAUTION Where In couleel eft reMgemled/ •Adm-ler oxygen 11 breathing,,mffimll •Do not touch or wink mroughspilled material Do not inch Or mrough.pJletl malenal Pm,mdenlrynbwmerways.,wore besemenisorconfined cryogenic liquids,many materials became bdaff—ad KeepviCh.wartn wdgal.i •Slop leak it you can Too without risk and If po.sibb turn Ieakng Do pot direct water at spit ar source of leek meas Ensure Ina)medical pmwnnoi ere aware of I rdnlaimrs w mal gas escapes rather than liquid .use sumer sprayto reduce vapors or dwenva butl drift Allonsubstametpwa t. FIRSTly to break without waming malerwi(e)Involved antl take precauUasto protect •Use water sorry to reduce vapins m dwen vapor clad drift ares Para FlMoiA/O Awitl filiamn ter mmV To contact spilled malenal Avoid aancy n waver comb Ip aver,apitetanal •CAUTION area anal gas has dis M ml Mw¢11 or to been y memwNa 9 na Provo e envy into watinways sewers memento, cal O-1 When In coma,MN rel—li ederyogck a l/qulda, .Cat 911 a ornergertw medic,wince •Damr,spu lwmg.1lapllinanoug of oak confined anas mens meladab became bdHle ondere likely to bmaX wMouf Gw¢eeter omspaaliwiang1,cmf braining •TsaiPlad speadmp of vapors though..wins venUlaUon systems .RwholaSTA area anal gas has tlspersed waming •Admaig fr front, to d bre skin is tl e car anticanfinetlmeas FIRSTAID FIRSTMO Ciom, Imran to The skin should be(hawed before •CAUTION area until gas ata dispersed Mov9vion-hergency Mwaraimlolrane�r ne w.mevetl CAUTION Whenbconmcl wlional ladmyogeme Mould.many Ca11911 or emergenry mediwl.ervica Cali 911aemespre—d icalsemca .Inrawoerwiwlnever.ue0etlpas thaw frosted RBST tsbcmcebdtlle ondom lllstyfo brink wlffmut m,mlrp. Ad nister c W w d larm,mgm amt broaming Give eNler o re w if bre d vwum is mi braining pans xM lukewarm d qui FIRSTAIO d,fli AMhnalmoxygen IIern—raisdffimt.oadIn Keepvimat warmant,quiet Move 11 or to bash cr •Rarmva antl Isolt cn Iquaf atetl clothing antl cocas •Rermve therm to to ann should d ebminp end sower Ensmn mat mpd,cah old W el is ower.pl the •Cell911 m emergency radical'.let a In case OI Cannot unto M1quehetl Bas Thaw Irpslatl arts vein I,l w therm cde On uefied Gad •tl rbeforo oondbong removed memool(.)Involved end InkG precautions to protect •Giveartificialrespiration it halm dno1braamlGB lukewarmwater •Incaseof vne10rlwM liquGlietl gag Naw irostetl pada tam •Atlminlsnr oxygen it branlnlnB H diAicWt In case m Ou,ns Immeolelely<al ellecletl akin lar es bk,rvrd,m water themseNaz •Pemove pod rwnm connminaled slating antl shoes long as possible win cold water Dead romove claming ie Keep vwtun warm antl uiet •LTom'ag bozo m to don ahold dawetl bdlae bmg,emmctl adnang to stun Ensure That medical personnel are Tuners of me malarW(s) •In case pl rmncl win hque!d gas Naw Ironed ans with Keep=am warm and quint camitmel and coke precautions m protect thermselvas lukewarm water Ensae That medical pm.Mnel era—,..I the r, materel(s) •In—.1 burummmateymdaflaaed aka la as ing a possbia mvdvfitlandakGpr...us-,to prolan themselves xM cold sumer Do no remove ciamnp b,drenng te skin •Neap victim warmantlqu t •Ens o mel Weprearso nsaprotmreeeme.atmial(6) invdv¢d and We Preca Was to protect Vremsmves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER N :. INV IGI= O.. INVOI E DATrE ' SOLE)-to N LCJ"T NAMI 1058988348 9064257112 06/07/2017 2576547 FISHERS ISLAND FERRY DISTRICT POdRELEASE ORDERED BY_ SHIP VIA ..: PAYMENT TERMS, :. [ORDER DATE DAN CUPU NET 30 06/07/2017 DELIVERY NO.I QTY CYLINDER DESCRIPTICIN MATERIALINUMBER Uom QTY 810 UNIT PRICE U09, AMOUNT SHIRR SO- I as rrs - 8064564016 PR 20 2 CL 2 2 21.39 CL 42.78 N PROPANE INDUSTRIAL 20 CGA 510 (Vol: 34 LBS) (H) Sale subtotal: 42.78 Airgas Hazmat Charge 5.90 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 48.68 ANN& FISHERS ISLAND FERRY DISTRICT ' an PJr Liquide company 261 TRUMBULL DRIVE Airgas USA,LLC FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to.ndiv.returnedmail@airgas.com REV 6 1 160012148 Page 1 of 1 or call 216-520.6000 Disclosure Terms of Sale Each sale of Goods or services by an AirgasTl,'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Appiication(if one has been completed),and the Terms of Sale found at http Hwwvyairgas corniterms-of-sale(collectively the 'Terms of Sale"),Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price delivery terms,and all other special provisions. "Goods'refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice This document shows the total numbor of cylinders charged to Buyer(i e,cylinders which Seller has rented or [eased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof BefrigerarACridgQqpas L�RqtqrnsL it Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Crider— — — Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(a g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas which determination shall be irrefutable sixty days after the cylinder was returned Warranty. All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's punty specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT OWINFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT, SPECIAL, INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY-PRODUCT,OTHER ITEMS OF SALE,OR EQUIPPJIENT-SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less, Surcharges, Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel LitLp,tqqU Equipment ment Title to all rental equipment shall remain in Sollors name Buyer shall riot cover,modify,romovc or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment, Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized LQharggLs (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller,The Seller has not specifically quantified the relationship betvveen the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things.. (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government Contracts Certain,Airgas companies are U.S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusmess website,http://wvirw.airgas.com Visit us online today to see how www.airgas.com can save you time and money, NEAREST ATION DELIVERY ORDER FOR VISIOTCWWW.ARGAS.COMOU an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8064564016 AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/07/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/07/2017 800-962-0286 800-962-0285 PRINTED: 08:07 06/07/2017 SALES ORDER: 1058988348 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE FISHERS ISLAND FERRY DISTRICT RELEASE# FISHERS ISLAND, NY 06390 US 261 TRUMBULL DRIVE ORD BY DAN 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 Airgas Customer Pick Up N329 N309 N000 Counter Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UN1978 PROPANE 2.1 Line# 10 Material#PR 20 Stor.Loc.F001 / 2 2 2 34 LB PROPANE 17LB5 CGA 510 6 74.000 LB r �b 1 EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS ❑ ❑ SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING _ SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT 4NWW.AIRGAS.COW OR BY CALLING ACCEPTED FOR THE ABOVE LISTS EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPT REJECT THE ABOVE THIS IS TO CER FY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,M k NO-LABELED-AND-AREIN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDI HE APPLICABLE REGULATIONS OF'THEDEPAR MENT OF TRANSPORTATION INITIAL CHOICE NAME PLEASE PRINT AIRGAS P RSON L DATE T.O.D. 0 ■ INTERNAL USE ONLY ti Delivery#8064564016 r■ Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight* 74LBIII IIIIIIIIII IIIIIIIIIIIIIIIIIVIII IIII ❑}r �r tr AIRGAS TERMS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES All BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER AIANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')ARE AVAILABLE AT AIRGAS COM - EACH SALE OF PRODUCTS BYAIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- •- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER. I CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR ATTHE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT-UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4,RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF S.WARRANTYAND CLAIMS.SELLER WARRANTS THAT,ATTHE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FORA PERIOD OF NINFTY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY:SELLER SHALL NOT BE LIABLE FORANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALANDIOR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7.REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8 COMPLIANCE/SDS:BUYER SHALL COMPLY WITH ALLAPPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9 ITEMIZED CHARGES:THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O, LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FmEOR EXPLOSION FlRE OR EXPLOSION FlREOR EXPLOSION HEALTH •EXTREMELY FLAMMABLE HEALTH Win Im.sen db hoot sparks or flames EXTREMELY Sol mncatices not burnbaa all support combustion Vapors may cause tlizziness or esphyxln,len without Vapor.maycause tlrxilnesa or esphysialion y gn'te y •Wlllan,.pl eawly wmanIhheat sparks wilomes •Mayr y renctesploevelywM fuels wwnm9 xlhoua ars Iso • Will tom exploswf million.gwith els Will loom gone economical vnh our May g�ne comue Pied je(w e r paper of ,Meng sac) Vapwe Iran a.aggr Nall hearer Than air •Vapors fie d fiqu grouid p ere maaaly burner than els •vapwa Iran r Iietl sae are an y qua gas are ei f grhwnN Vim av swine akng .Slane wJl gone sppnlereously sit art .Vapors born d and gas are rniaax beaver ban art spread era spread elan d and RNP along grountl g groan LITIO and may Mewl I source ofl.d..era clash back Thosa aubsMncw tl.,.a,red wIN a(P)may polymerize along Braune end may Vasal to source of IgnlLon and fish back Contact with Bas w hquelletl gas may masa bums FIRE OR EXPLOSION CAUTION Hytlrod(U.1910C9),Met...(U 1971),Hytlht.,t exptmivelywhonund,.orinwlwa melte Cwhomwff ycrsaleploce xplosionhaiartl ewer IO lrosab�ta C'smammeblogaeee neld9amMd liquid(UN19w)antl Me)bana(UN19]1)ore Iighim Nan •Va Irom I. a inlurY on ,Ir and x111 dco Hytlrpgenend Oeutvdum Oroe aro OlmcuV to tletect Pore queaedgd—h. am •Contumdeyi eyex my tad FIRo Ofl,, Ll,g.. •Comamersmay explotle when heated` slneo they WmwiahanlmbMle Halle.Use as enemata rocUl of spmetleb flach acgrountl end may Vavel to source al igmwn •Rupaumtl cyl�n0ers may rocket NorNtammeblo gases RUP,urstl consistsmayI rocket_ dwectlon(Memel comem,broom handle,ate} and esus ex,c d to lire may t end release Ilanunabb „VeLTM do idess or az h lion,of warns CanMimrs mayum may when hmbtl PUBLIC SAFETY •Cylinder,eRposed to fire ma vent endrel,ase f1wasnabloa Mss ywn nous my cause pyran ar rg CupMeO rylin PUBLIrocka IsaloM a(330pul fawk pea lmmedalely lou al least 100 Y gas g.-Inane ntry..l.d—lalmo and/orCenraawmges or lipuefietlgaz may cause burns cev eiryury PUBLICSAFETY metersl3W lined ersll onn lar, through rsma premium relief e-eddle�lceRuphasersmayers my rocket hsalOtl end/sr iros,bim •Isolate s3mfemkpea immustral yfor et least Too Stay Keep personnel away Containers may Ovplodawnen heated •Cupluretl rylintlere may racket •Fire may protlucenriMung and/or toxic ease meters(3W leet)anell director"• •Stay upwintl •Ruptured cylinder.may rocket HEALTH PUBLIC SAFETY s Keep urMmnonzea personnel away Many gases em heanw Nan air and will spread HEALTH •Vapors may cause durnws w esphycmmw,,thw warning .Iselae s llor leak pea Immedwe lar a1 feast 100 meters(330 along ground arm collect In lox or cwafed areas •VaporemaYcrosedus....orminhpidl—ifthoutwarmng Some may be loxmdmbaled at high comembabons Iee)aaml Crschons y Many gmea (sewers basements Maks) •Some may benrlehngdmhaled at high conconawlons CorMet with i fetl burns severe Manygasesereheeww Nanmendmss(se along gas or qua goo may cause Stayup aulhprired personnel away grountlantl called in law or confined Brew(sewers, Keep outoflad arses •CAnaeCi win gas or liquefied gas may cause burns severolnlury Inluryantllarlrosibilo SMyupwintl basements tanks) VenaloM closed spaces balers entering antl/w frwlbas Fro may produce ssawrog.nor bus gazes Many gasps are hearer thanes and kali spread along ground anal Keep put of low areaz PROTECTIVE CLOTHING •Fre may pmauee mnaang and/or Mxro gases PUBLIC SAFETY rolled m lox a conimod areas(sewers basements tool .Ver talo clemed spaces belle dawmq •Wear positive pressure selltonwn¢a DrmNirg PUBLIC SAFETY Isolate spill IT look area Immediately for at least top meters Keep but of low areas PROTECTIVE CLOTHING apearmus(SCBA) •Imlatesplll or leak weermmedeMly lore,less,100 meters (3301ex)mell dimer—s VenUaeclosed spaces balers enMrl^g West pwlaw pressure sell-contained breathing Stuclural llrellghleds protective clothing Will only (3M I..I)ia els directions Keep unauthorized personnel away PROTECTIVE CLOTHING epparatus(SCBA) puma¢lladed protection •Kmp u."Mon ci parsonnel Away •Stay Al Wear pwnwe pressure setltonumed xsemirg apparatus EVACUATION •Sley upvnnd Many gases are banner Man air and.11 sprsad along (SOBA) Swcawel firefighters prweclwe cbNing w9 only Lenge Spill-Generator kill downwnm evacumbon fm •Ma Oro heave,than es and w9 spread el ground and prondo[a led profession eM 9a� clang grou ground wad collect in low or cml�netl areas(sewer. wear ttunnicel prwecaw clothing which Is spemficelly ./.aya wane iumal prolaaNe clOhinq when ,t lead TOO meters 13T01aet) nloxwem(vwtlwena(ww bw.em.me wakal ,samemo Make) recommandetl by Na manuliclum,Il m.y pmW time qr no h.—ng relrlgereledlcryog,nit lrgWw or solids Flm-Il took raA[ar ori nk ruck la lnvmvatl in para •Kaap ow of low Drees •Keep out at low arms thermal pratecaon EVACUATION ISOLATE for 800 meters(12 mile)In all directions PROTECTIVECLOTHING PROTECTIVECLOTHING Structural firefighters'proscMe mothingeremnvmndad far bre Lame Spill-Consider lnmal doxnwnd vvacualion for It •lease lowuri-1 vac—lonlor900mn.r. •West pasMe WON mSleve pressure self—assured bukuhnageop anumorm ONLY ne nstaff, aTa,stall wit tmn.w cited Iewt lWmeMrs(3301eel (12 rmie)Inelltlueelipm •Structural firefighters pac mwe clothing wil only prance limited ($CRA) scham with the substances;possible Flak-If lank all car ar look(ruck m m,nI m e bre EMERGENCY RESPONSE pror.— •RWczxai rusagmere protectwe clothing will only pal •Always,roar Varmal proem—aimnng when treadling mingerrrV ISOLATE ler SW mears(112 mile)in all tlnecaiani also FIRE •Al-ye weer merrom protaceve clothing when handling limited protection cryogenic liquid, rew,Imeiel evacuetlan farBW meers(t/2 mile)in uatire Usaexl aBulsleg agent tunable for type of r¢frlgemallcryogenic liquids EVACUATION EVACUATION all Cl EVACUATION Largo spm-Cere dor mmol do—and amea.whon for m Ie uld Urge Spill Consider tourist dp mwmw ecumon for at Inst 5W EMERGENCY RESPONSE •mon,[anon's loom is.woos d you can bad Lenge Spill-Consider Waal downw,nd ewcimen all least 800 BWmelers(Lemlo) —I..(in rob) FIRE —'eek rs(12 rode) Flee-Il lank rail cw w Mnk Vuck Ie Involved m e Imo ISOLATE Rm-If lank mil car N tank Muck m rmol,mc in a fine ISOLATE .Use ennpuishng agent suMbla Iw type of Damaged cylinders should be handled wily by Fle Mak mfcarortank truck,m Il.dm¢fm ISOIATEIor iw l6W melers(l milo)Inall tlre[aons also conslderlmllal lar BW mw¢rs(112 mit¢)In all Cmemons also cansidwasim Ang Ina apecietista 16M meters 0 mile)met dbeowns also corisidar initial ewcueaon acuark lou i6m meters(I mils)In ell direction, scmuon Iw 800 meter,(12 mile)m all daemons surroundMoue comNners from fire areas it you can dol F/e Involving Tanks Iw,600 meters p mem)ban Nretaons EMERGENCY RESPONSE ev EMERGENCY RESPONSE wlhoul risk Fight fire from manmlrm disMme as use llman and EMERGENCY RESPONSE FIRE-DO NOT EXTINGUISHA LEAKING GAS FIRE UNLESS FlRE-Use enrgurb rg agent autabto Iw type al surrounding fire Damaged cyliMers should be handled only by hese)alders or mnmor miles FIRE-DO NOT EXTINGU/SHA LEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED Small Flow;-Cry chemical w GO. speclahsts •Gaol sconerare wM heal subsidies W xatw.abl LEAK CAN BE STOPPED Small F/es-Dy.h.dreal n CO, Large Flres Flzelnvolving Tanks xell fashmrsoul CAUTION Hydrogen(UN10d9),Daumrlum(UN19MAnd Largo Flres W.,eraprey log—ingularfoam Fight fire from a—mune distance or useunmannetl Do net direct water at sourceaa le.kwsaloly Hydrogen,saidgealed bqald(UN1966)bum saline,1,0alb/e Wets,spray or log Mwaconlasom,from how.it you can do I,—d risk hose holders w mpnmr mnlos devices ieingmayacce flame Hydragen and Methane mbdue,compressed(UN]0.T.) Mow coommer.from tire ansa f you can dolt wihout utak Damaged cylinders should be handled oNy by specialists ,Cool conM,ngrs wM Itoadmg quanNiw of wafer anal •Whtlrew mnmedaeey Incase of rising mora Irom may barn arm an/nvislele same R.ImmIkMg Tank. Flee Inyolying Tanks well aftx fine Is M mg safety dencw w discobratron of Milk Small Pal-Dry mora al ar CO, •Fight Fre tram mnnmum distance wase unmanned hose •Fight lir.from maximum dlstame or use unmannetl hose holders .Do ml direct waterw source of teakar safety dere. ALWAYSslay—,lromtanks engillOtl b life Large Flres holders,r monitor noules ar monitor noIIlei SPILL OR LEAK •Welerepe to icing may occur you g Goal containers wuh flooding quenfipes of wamr until well Gael cgnlomer.wM llooO�ng quanahes al water unau well after Whdraw Immediately In case ofnsng sound from Do not touch or walk through spilled maerial •Mow containers ft=fire wee It you can do It wMroul and, after face ouL fire a put Stop Isak rl you can do it nvMrout ask and if possible F/ro Masa ng Took. Do ml dune)—or at—seat look er safety deuces rcmg Do rill oimc,waver w—,cast look or salary devices sting ALWAYS may dw¢es®a ke engulfed of file fn leaking cpmamers so that gas escapes rather •Fight fire from mesanum distance or use unmanned bess babas may occur may occur •ALWAYS EA.ray Irom ranks enguilotl In lire than hall or yin cavo rising g y gsoum ga 1y SPILL OR LEAK onimisnem s Wlfetydemmedr d1 Iain tlirom venin WNtlraw it mic,lis Inca se of nsin tlirwn venin ale stop lealichor walk oI,ouMbua risk melena, Usudier,sprayiali—mg-farsorarveavapor Cool conMinere with llowJingquenaaes of water anal well elMr salsry tlevicw or tllscoloralienoi lank tlevicw or tliscoleretonol lank Rbpleak rl You can do It wihoN risk Pntl dpmsible cloutl daft Awid ellpwingwaler runpM to contact N.[.out ALWAYS may away from the ends of the tank ALWAYS stayaway from tanks engulfetlrn file turn leakinghal bar mi'ledsomenal •Do hal dux]vete as al Hakes sale d—le conlNnws to gas escapes re ry ug may oma •Fou massive Ine rue unmarred Icon bolder.w monitor •Fair mnimpa fire use unmanned bme ambers a rmmtw mnlw If Biwa liquid •Do rot direct x'mw at Loup ee iourm of leak •dmcm,cimmediately in case of nwng sountl from venting wlery noules d Nis is impossible withdraw boon arm ara lel his IsR LEA ble wNtlrew ham area and lel five boon .Use water spray b rectae wpws w dived wpw P Dol,.envy IoM waterways severe basemen)s w ALVewardisc ayfron of leek Fre burn SPILL co LEAK confined Brew ALWAYS se from ka antle of he lank ciputl tlnit Awitl allowing—w—off to Contac) y away SPILL O ATE ml Ke not touch combustibles(weotl sr of etc)emit spl'Im matenal spilled,read l Allow substanee b eveppre)e • For massive arts use unmanned tio,a belo¢rs or monitor mules d ELIMINATE all dlet.n sources(no smcWng IINes sparks w Do not touch u walkoitthrough spum kmaterial Do hal wrap water e,spill w—cast leak RSTAte the pea Ns b wposvblo wwaraw Iran area antl Jct Ine bum Nantesp ant um sa pea) Stop leak it you can li II wnbealath and it pourable tan leakng Pmvwt¢nby into wafervmyc sewers besomene w FlRSTAm SPILL OR LEAK •All equipment used when hmtlW g the pmtluca meat be containers w Nal gas esmpw rather Vann liquid confined pew, Move i 1 or m hash air •ELIMINATE e9gneon murces(an all llnrw spark w grounded Do not direct water at spat or source of look •Cap ell or emwgencYmedimiservices llamas in immeNNewea) •Ste leak It do,wdtmul risk and A •Allow Subs,anCe to evapwela •All squrpmem used when hand'ng are pmdirt'I mus be gmundW p you possible turn Use weler spray to co tact soil dmwer ppr cloud antl Avoid .CAUTION When Gweanc�iel respmalionilvichm Isnot breaking •Do m,louch er walkmou hs Illbe rnalenal leaking containers mi that gas Os[apes Tamer than liqua allowing weer runoll to contact spilled material KeeAdmp-eroxygen libroehing is mllrobt CAUTION When In contact with mldgenefeN g P •Domitouch wweh spucsociulcamatwial •Prevent entryinto waterways sewers basements or cont ed 1. Ids,many forlels Dacome bdn/e antl •Ensure hathad warm and gweL •Stop leak A you wit.it,name risk and it possible tum leaking Do rot dr epwalar w stall w sorsa of leak areas cryogenic qu y ma Ensure kat nedeal and Tak el r .—,the conMimrs m Nat gas escepw reecer Ven liquitl •Um wader s to retluce vapwe w tlwer va loud tlriM1 •pJlox subsenca b low le a skely m break wllhauf weming aterial(s)InvoNpa and bks precaNmns M prgeea •Usa rspre to issues vapor,ar divan roper cloud drift Prey port Pave FIRST A/O Y Awaeentryitomg me,,my,contactsccomas orinl IUTIO er lYhenlgaonas t,,Iwi mf Call a,mergency themselves DoAwid no direct ialat snot to cpntadf leak malenal Preaneconfined into waterways,sowers basements or CAUTION 4telsso eon,IsdalMretwelial�ryogen/cllqulde, .Ce11911.,.asegenty 11—tilsis I c •Donaltspe water e,sans mune of mak conlite, areas any weed•la bemme bdllle enders likelybbm,k wllhaut Gawmifbiatrw dbroching lsm)brmhinq •Proven(sweatlng of vapors Through sexers wnalaaan system .Isobae saw umil goo etas disposal weming end confined weds FIRSTAID FlRSTAID •Atlmnetx oxygen d breathing l die uft •Isolate area anal gas has sh,Pwwd Movo victim to lrwh tar Mw¢victim m fresh our being Cbhmg Iroien la he skin should be Naxatl before CALTON WAcn In canocl with m/dgemledkryogenlc liquids,many Call 911 o,emergency medical services Call 911 a,emergency maircalservcee ,case mwetl aubdals beaads bdflle and we likely to break wlMom weming .Glp critical res Lor d, lcamrs ml bmalhin •Giro amfcau esp,alron 11 wctimrs ml breahm •1,casecontact with aquplietl gas thew(roitetl FlRSTAID pica g g pads.0 lukewncrac •Mow wcwn)q(reals av Administer oxygen ft brsahing a dmrouh Ressom a d salol If breatnng is I difficult- Keepe t h t wpm end rsom • ICI or emergency medical semces Rwmve if ..I ,,an,aminwsd clothing antl shoes Reining end to a conMmmbd vainkng and show Ensure that medical pxwnml are aware of pr •InrasarmcnaMci with liquefetl gal Naw Irosletl peas wih Clothing borer Mt curn he,before being removed m.Mriei(s)inwlvedantl take pressWmstoprotect •Grw emero re,and on thing 1,circuit breaking lukewarm water luk-wofctmact with liquefied gas thew lrasmtl parts with kemselves •Adminrsmrorygen it breathing is tliVCNt In case of burns immetliately,cool aftecfed skin for as lukewarm water •Comoro antl Isolate cemamimmd clothing and show long w possible wM cNtl wale,De not remove clashing II Keep—she warn antl quiet •Chhug hoien mike mw should be Vexed Won.beug remo.•ed adhering m iWn Ensure that medical Maonred are aware of Me mare alts) •In case of cmMct vmh h rmfied gas haw bowed pare with Kwp—son warn antl gNet imviwd end Mke Pmeauliwa fo TuM am Nam weN I=weer Ensure hal sa l pemonnel era aware O,Me romeral(a) •In case of bums,unmedwely caul ahecta In lou as long w possible Involved and take precautions to potem themselves ooh/d waw po ma rermw call daatmrmg as slue •Keep nclw wenn and quiet •Ensure kat madmal personnel are aware of Vm sawar al(s) Involved and Mk0 gemuWns la prptew ihernealves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 :ORDER NQ. . ..: INV I E'N : ' INVOI E BATE OLD TD N OLD TO NAME 1059121467 9064450240 06/13/2017 2576547 FISHERS ISLAND FERRY DISTRICT ORDERED,BY . ",.,-SHIP VIA..`3: . < . `.PAYMEN f TERMS`< CJR ER-DAT EVEN EXCHANGE 06/12/2017 POLLY FORD @ FISHER'S ISLAND T ARGTRK NET 30 06/12/2017 MIVERY,NO;1 i. �, QT '..: ' CYL NAEt? :'DESCRIPTJQN .M/#TERiAL lUMBER, Y, , UQM< 6TY.610, UNITPRICE. UOM 8064714981 PR 33A 2 CL 2 2 30.38 CL 60.76 N PROPANE INDUSTRIAL 33A CGA 510 (Vol: 64 LBS) (H) Sale subtotal: 60.76 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.51 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale AMOUNi j 103.56 SHIP To 2576547 Airgas® POLLY FORD @ NEW LONDON TERMINAL FISHERS ISLAND FERRY DISTRICT PROPANE EXCHANGE PER POLLY Airgas USA,LLC an Alr�quide company FSHER'S ISLAND FERRY NEW LONDON Acct No 8606074318 Airgas USA,LLC 261 TRUMBULL DRIVE PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd FISHERS ISLAND NY 06390 Independence,OH 44131 For change of address email to:ndw returnedmail@airgas cam REV 6 1 16 0011967 Page 1 of 1 or call 216.520.6000 Disclosure Terms of Sale Each sale of Goods or services by an Airgas"'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to _ the Account Application(if one has been completed),and the Terms of Sale found at httl2*www aircas comiterms-of-sale(collectively the"Terms of Sale').Each Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cvtinder Rentals/Leases and Reseonsibility This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seder's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seiler in writing any errors Buyer claims within 60 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(n)pays Seller the replacement cost thereof. Rgfngerant Cylinder Returns/Deposit Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors. Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants) Each refillable cylinder will be subject to a cylinder deposit tee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WiTH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR-EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE Terms of Payment, Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1.5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges, Upon notice and receipt of underlying documentation.Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel Title to Equipment Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes Any taxes imposed by federal,state,or other governmental authority on the sale use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price itemized Charges (a)The total amount due from the Buyer may include various itemized charges, including.charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials;charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seiler.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government Contracts Certain Airgas companies are U S.government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No. 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness Now doing business with Airgas is easier than ever with our eBustness Website,http://www airgas.com Visit us online today to see how www.airgas.com can save you time and money ATION DELIVERY ORDER FOR VISITCWWW.AIRGAS.COMOU an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8064714981 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/12/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/12/2017 800-962-0286 800-962-0285 PRINTED: 15:28 06/12/2017 SALES ORDER: 1059121467 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3646787 POLLY FORD @ NEW LONDON TERMINAL CUST PO# EVEN EXCHANGE FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT 06/12/2017 PROPANE EXCHANGE PER POLLY 261 TRUMBULL DRIVE RELEASE# FISHER'S ISLAND FERRY NEW LONDON FISHERS ISLAND,NY 06390 US ORD BY POLLY FORD @ 261 TRUMBULL DRIVE FISHER'S ISLAND TERMIN FISHERS ISLAND,NY 06390 US ENT BY RANZARMSTR 860-442-0165 Order Type _ Payment Terms Incoterm Route Sales Sales Total Containers Office Plant Org Ship Return StandOrder Airgas NET 30 Airgas Truck Airgas Truck N329 N309 N000 --^� Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret Mt 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 ,�511 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 4AM M AIRGAS.COIW OR BY CALLING THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR ACCEPT REJECT THEABOVE THIS IS TO CERTIF THAT TF�E "ROVE N D MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGEAR Ef5 AND LED AND IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCOR IN TO HE AP BLE REG TIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME . 9 / / PLEASE PRINT AfeGGAS ERSdN�L DATE / T.O D. ------- �---------------INTERNAL USE ONLY -- ------ ---------------___-------__.,.------ Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8064714981 0 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII AIRGAS TERMS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREA VAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP It WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") 1F YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER'PRODUCTS)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER I.CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYERAT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS-SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEM ENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS. 6 LIMITATION OF LIABILITY-SELLER SHALL NOT EfE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALANDIOR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7.REMEDY-BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8.COMPLIANCE/SDS'BUYER SHALL COMPLY WITH ALLAPPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES ANDAGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(I)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(DI)ATAIRGAS COM 9.ITEMIZED CHARGES.THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shlpping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO,, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID 0, LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIREOR EXPLOSION FlRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Substance deal not can but will support combustion Vapors may cause dusmess or asphyrfoal—amat 'Vapors mayeaue.doumessoresphy.lition •WJ lb�c fly lg^we Ilad by mere sparks N dames Will be easly fti ned by beet spalls or flames Some may react expl,,N,ly wad fuels ova "Most warning •WII lair exp,osmodules wMer Will I—explasw-,rune w,M on •May lgMe combustbwaotl les( paper ole clot etc) Vaporsvran kquefied gas are initially hearer than- Vapors lrWn figoefied gaserembally heavier Nan Wr •Vapos from fiquefietl Q.are-say hearer than w spre.tl dMag Snane will,grata spontaneously In or Vapm hon liquefied gas are vlully lot—Than arT ransatl entl sprood,long ground and spdad along ground giamdaMTliay Vevele,—.1 Ig—road flash bade .Those submences designated with a(P)may adymenze ,tang gmun and may travel to searced,gnnmand nash back Conbm Wth gas a iquenod gas may cause bums FIREOREXPLOSION CAUTION Hydrogen(UN10l9),Deuterium(UN1957),Hydrogen, explosnely when heated,,lnwlved In,No Runch may create fire a,Miele—Hi severemlury anevor faster. Non R.mmable,IT.... mtagon,led liquid(UN1966),nd MaM8M(UN1971)em lighter Nan Vapors from tiguefietl gre—sutl,lly hearer than a„ Conners may expladowhen heated RREOREXPLOSION C-sms.mayexpiadewhen heated Wr and w10 dsa Hydrogen ell Oeubdum oma em dlinalc to detect ¢pr,,d airing g,mnd entl may tr.vel To source of ign,tion Rupturetl ry,mde,,may rocket Non-Rammable gale, Ruplured cy„nders may rocket ¢Nov Tiny bum wlN enlmlWble Ilam,UleoneMmeterrsaft of erWlieshback HEALTH Comeneremay,xple—fienhealed PUBLIC SAFETY adleceon(Rrermal camere,broom handb,of Cylinders exposed to lire may vent entl refects flammable Vapwt may cause-ernes m asphyuation wMcan wemmgRupturetl cyime. may rocket lsdale sell W Irak area awnetlalely la at lean 100 •Cylinders,•posed to lee may vent entl releasem flammable gas gas through pressure relief tlnces eIT.—w,M gas W Ilquelied gaz may cause burns,w ere injury PUBLIC SAFETY -mere(3301ae0 in,0 d,r., G through pressure Tell,?d,.,ces CDmemersmeymrood—henhamdd andror frostbite m IsNfieapii or leak area lmmeaiNy for at jan eton Keep untral letl perswmal away •Containers may axpiede when heated Ruponedcylmdersmayroclaa Fre may produceuncating andlar toxic gases anners(3301eeff—I.—Nis Slay upwmtl •Ruplaad cyi ndere may rocket HEALTH PUBLIC SAFETY •Many gases me heav,arNan air and Mfi spread HEALTH Ve aaa—ar ,os tun wMout wefmn Kee.u sliTal etl personnel away round and attract m lav W confined areas •Vapors ma drzmess W Mi liar wMoat warm, Pws"fly cause PMfla g Isolate spill ir leak area Invnadab lar et lean 100 meters(330 along B em My phyma B •Contact in mac?Inhaled at go,may abuse burns, leepuall directions y •Manygrasscall-mi lad a,afanedwiff or.peal a (eep bas errs larks) •Som,may h gas or,ngd quefie gas m y con o burns 1,jur,wN gas or frostbite el,ad gas may cause borne,severe sury up unauthorized Personnel away Mae.,,. .it.),n low or confined areas(sewers VoeP our of lox areas •Cantaclwilhgae or liquefied gas may canto bums severe lnlurY Nle my pro uceIrn Mary owes basements lonka) •VOTECeVE CLOTHING before entering end/-y onc,b Fire may produce tinUBL mtllor bxm Bases .Many gases are heavier than air as wall spread along gramtl entl Keep aA of lox areas PROTECTIVE CLONING •Fw may Pratluca,rtMmg antl/or Iwo gases PUBLIC SAFETY collect m low or onnl,nad arses(sewers,basements tarUcs) Venfilata tbse0 spaces before onlmvg Wear pazltNa Wessae aeliconm,nad breaNmg PUBLIC SAFETY Imlab spill N leak area im Mololy far at least 100 meters Keep oro of lox areas PROTECTIVE CLONING apparatus(SCBA) •Iwlalaspolar leek areaimmedotely lar It least 100 meters (3301eet)—ftd—bans VentAamciosed space,babreenlemg Was,posiaw pressure saff-awl—al breaNing Structural firefighters prmomive clD,hmg wail only (330 feet),,all dfi—aan, Keep unauNonzed pardonne,swey PROTECTIVECL0771/NG opparalue SCBA) provide ilmned potation •Keepunaalmmrrad p¢rsonnolini Stay upwmtl Wear pas—pmssmasellumaeed b,.M,ng apparatus Structured firefighters pdbchvecielh,ng at ally EVACUATION •Sby up+nnal Marry gases are hoawm than tar and wll spread Wong (SCBA) p—dr,limited protecrom Large Split-Consider inial do—nnal—a.—for •Many gases aro hc,wer Nan da and w„spread along grassd¢nd grand and collect m IN,W confined areas(sensors Wear chemical ecUw cMihm Nch Is specifiIsatcally It least 100 are,,(330 feel) alMCl vl kry W cmh,retl ereaz(sax¢rs basements rales) b.eements tanks) mentletl by the manot,rom ar 11 may p—ol,kNa w n. •hmidi ng ml^B�d/cr,ageprofixeLa tooldea rot Rre-If lank iii tar or lank luck,,I—el m,tae •Keep cut'froI..... Keep out It lawareas roanI plaraluen EVACUATION ryogen qu ISOLATE far 800—as(Im mile)In all directions PROTECTIVECLONING PROTECTIVE CLONING •Structural firelighters protective claWng is recommended lar fire Large Split-Consider lnilnl de—sel eaocuatwn da m also consider lmLalevdauaa.n for 800 meas •Wearposnwe'"bar-sof—heatereolNrguPPr(SCBA) wear posNve pressure sev—eco bra—mgsppoolas ala.—ONLY n Ie.,of,—m ¢ spmtoaaan Ter,direct leas,100—,1.(330 feet) (1mm,la)m Wldneefleo, •SWcturalf figMms prmectiva cMtrung wll mNp,ov,dolunited (SCBA) mtac,wthlhembstaaeapasble Fire-1l Tank fall car or lank trucks thohad m a fire EMERGENCYRESPONSE protecoan Saactural fleE9hrers prosecweclothing will only prontle •Alwaya weal thermal pmletln,claiming wbm handing refnge,enV ISOLATE lar 800 meters(1m m,1.)m Nc dnectuns arm FIRE •Al—ye wee,Namd polecli alerting whom handing larmted p,olection cryogenic fiqulde coms,do,ilial evdcnan for 800 meters(112 mle)m Use extripunatimgigem suitable for typeof relrlgerenucryoge^,c liquids EVACUATION EVACUATION .l dnusaw, eounotng lire EVACUATION Large Spill-Consder m,tial dowmvrnd—obs on for el least Large Spin-Conatler mars!mars!dowmmnd evacuaom ion a11saal 500 EMERGENCY RESPONSE Mw¢conbiners bean fee meas II ya can doll Large Spill-Com ads,mrson cl—nd evacuation fa,at has,800 ages marsh,(Ion mif.) moss(13mad) FIREwMoat risk malas(1m talo) Rm-If bad,lel car W tank tea n,Invw dd Ino Ere SCI-ATE rel a m TE Rm-If tank car tank WGk rs,mioNad ,fire ISOLATE Use elurtsu,shing agent suitable lea type of Damaged ryl,Mere,Mule be handiad only by Flre-Il took Tal car ar lank Wck le lmDN¢d Mglae ISOLATE IW IW 1600-,ears(1 ,Is)in all tl,redions also consider lniral lar 800 meters(Ion mile),,ell tl,rections elm consoler lnnlal and ng lira spemalsts 1600mewre(IIsla)hall cnica—and cdnsldo,maa,evacuation —non for 1600 metars(l rola)1^all directions acaato^for 800-eters(1/2.,Is)mail dretmns MoIcumIn firs from Eva oces,l tlo0 Fire Involving Tonka IN,Two macro,(1 mm m all tlnecros ev yet can EMERGENCY RESPONSE EMERGENCYRESPONSE vaNean risk •right fr,nom maonam catmae ea uta on—r—al EMERGENCYRESPONSE FIRE-00 NOTEXTINGU/SHA LEAKING GAS FIRE UNLESS FIRE-UmeNmgushmgogentmnable for,,..smrcu^mrg fire •Damaged ryWders should be handled only by Kass haltlers Wmon,as mules FIRE-DONOTEXTINGUISHA LEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED Smell Fires-Dry chemical car CO, spectal,sts Coolconls,nersvWh lMotlig ouam,Vee of oval-unfl LEAKCANBESTOPPED Small Fire-Dry cheats,or CO, Longe Fine. F/minvdlv/ng Tnk- —Metter lira ra cot CAUTION Hydrogen(UNIOa91,Ueulerlune(UN195T)end Longe Finite Water spray log en regale,foam Fghc fire from maximum tlnbnee or use unmannetl Do not cirect-Mr.,source N looker safety Hydrogen,refrigerated liquid(UN1966)burn w/th en Inv/slble W,fi spray w log Move costs a from wall you can boa vntt, t risk hose hold—or man,a noar,es dances Icing may occur &me Hydrogen and Me Nene mOrems,compressed(UN20 4) Mnv9 conbmms from lire area II yet can don wdrout mak Damaged cyindefs Would be hentlietl only by ific-al,sts Cool cmtaines wad aad,ng queneaes o1 water unul Whe rew Immedubly In case of nsmg sand!Iran meybum w1N en Invlsibb name Fire/nwlving lbru a Rn,.-Mng Tanks "Iff aha Fees ami. wnang safety dentes W dacobatun W tank Small FIre--Dry chemical a CO, Fight fire Iron mv,mum one. e W uta unmanned base •Fight fire Ifo-mavmum ardente or use unmanned hose holders Do sat drecl wale,at source at leak or safety dentes 'ALWAYS slay away Ilan lanky engWfad,n fire Largo Rres holders or mm„D,noaries or monitor nonlas SPILL OR LEAK •Walwspay W log •Gaal comanera with flooding quanicedwator until ell Cool conalmso,sith ll000n Ic,ncl—tar ur gquanrniaz of water un,il well,her WNaisimmetliat—arcose,=br,tng sound from Oonaebuthea—do alk If Mostmikan if •Mme canla,nen from fine area If you can call wr9rout risk eller Ire rs cal- l,m,s pm y •Step leak II you can DD II wlhout link entl it possble Roe Inwlv/ng Thrills Do al direct wafer el—,coal look W safe devices Do nal dnaG,wafer al source m leak w sated dente,umg ALWAYS safety devices W mks engulfed al tank to. Imslung comamas m Nal gas escapes rather • Fight Ere Iran maa,rmm tl,stahce or use unmannetl hose hattlos y u,ng Y •ALWAYS may away Iran tarda mgullad m lire quid Nmo Nes decor may star SP/LL OR LEAK Nan E ,nornossios WNdlew urvnedia,ery,n Nam of,sing soon fromwnting •WNtlrex urvnetl,alely In case of rising so,lntl ham venlsngsafery •Do no,Touch or walk through spilletl-,ectal Usewaldr spray to reduce vsears.,I,anvapor •Coal cmtainor,with flooding quantities of wot,,,nt„well after safely dentes or discoloration of tank devices o,mscolorm-11 tank •Step leak,[You can do ltwithout risk and,I possible cloud driftAwd allewing water runoff to contact ire i out ALWAYS stay away Isom me amen al Ne lank ALWAYS stay away from tanks engulfed in duetum leaking cameras so that gas escapes rather spilled malerbl •Op rXa duel oval[+m source d Matra atery tlevY•as cog mayocaa FW m cess—he use unannetl hose holders or moneor Fm--fireose uta un-mr ed hholders W uvula liquid d than liquid Do moldnecl water le sWij easource of leek •Wini smarradstalt case of hang sand Iran—irg safety roarrice,I Mail.unpossbre vnrhdr-holm ore.and led this u,mposs,ble mthd—from area entl lel tae bum Use walar spiny b reduce vapors W d,wrl vapor Prevent entry to watemays worms,basements or d ces a d,ecdmatian of bnk fire burn SPILL OR LEAK cloud drift Awd allo wng wale,rui to contact coni^ad meas •ALWAYSmay away from mo ends of Ne lank SPILL OR LEAK •Keep mnbusl,bles(wood paper of etc)away franspelod material spilled mabnal Aff w substance to wapw„ •Formeso,tiro use umnennad Mm haldars W moniv noarle f ELIMINATE WI tsnllon sources(no smolong flares soaks or Do not toucher wok dlagh settled material Do at dnee water et spill or mune of leak Venfilete mo mea Sus is bl repase,wMdln-hal area slid mit foe barn flames In ursmetl,me area) Slop Mwnak,I you can dol—irsk and 11 possible torn leaking Prevent envy alio waterways sewers basements or RRSTAID SPILL OR LEAK AD equipment used when barreling Ne product mist be anramors m Mot gas escapes rather Nan bged confined!areas Move vMlan to hash art •ELIMINATE all Ignition smaccs(no smoung filmes sparks a grounded De ret d—1 avatar m Sall orsconce of leak Apex substance to evapo,eb CWI 911 W emergenry mad,tal samces IGmas,I Immedl,le mea) •Stop leaklyou can doe ,thalnsk and,I possible turn use nate,spray to reduce vepa,a.r dwerlvapor cloud drift Awd Vemlare the area •GovamfiWalrespalson l,atmnnof bni-mg •Mequpmentusatl when taadt�ng the p,aduW rm,madgrantletl leaking ronraiersmlhal gas escapes,erne,than liquid ellpwmg warm runoH,D[onbcr sp,llad material CAUTION When/n wnfsct with reldgam(ad •Admneme,olygen It braothmg la difficult •Do not touch or walk Waugh selletl-alarm, Do not tach or sail,timugh spilled melena, Preven entrymho waterway!sewers basements or confined cryogenla llqultl-,many materials became bNU/e and Keep—ar warn e^d groat • Stop, l you can don wigrout risk and,I posit,,clan Ioakmg Do rot dnect water at sell W source of leak areas are likely Ip break Mlhend,o ming Emon,Nat medical pw¢onnel are aware of Ne mnb,ne s m Hol gas escapes letter WTI hW,d Um water spray to reduce wawa m own vepw cloud doll Al Ifistarue to evaporate FlRSTA/D marenal(6)mvolvM end take precautions 1.Protect •use water 6pray,00duc,vaporsor Calan vaporcladd^h Awd asoxmg water m,,If to com splled matadal Isalale area until gas has aspersed Mm,wCrm to Tisch an Ihemml— Avoldallewingwabrm,am toconbrot spied materw Prwemmerylntowalerways sowers basemmiser CAUTION Whmic,,.ef wilbmlrlgomie ,,ygenbllqu/d8, CWI 911 or emergency medical semcee •Do nor direct wale,at spall or source N leak confined areas may mafadl become bdHle sod em likely to brook without GNa,M Gula reep luon II Wcam,s IN breatmng •Present spern ng N,epos through aewars ventilation systems .,sista area unld gas bas dispersed _ming Admmster owgen d bfeaNing G difficult Wd confmadareas RRSTAID FIRST AID •Isorace area until gas has d5pemed Mare wcim w hasher Mora Wcon to fro W er Clothing maAr to Ne skin Would De Nawad be1We CAUr/cw=In contact war reMgerefe60ryoten/c squids,many.Call 911 a,emergencymedca,ar—ces •C.I 911 or emer nisda.l.—set b,mace cod mofedant Msm,bmd/eorderelantyb break Whole wamlrg G,weraficwlmspar—I,cimsa not bmemin Gwe amicial resgantlarf l—turn-net fila •Incase rM ok n. liquehad gas thaw irgstetl RRSTAID •Administe r fbrealhar 1.dir,ot g Ad-mane Prif breachin ciffic.11 Keeg Pens wad luk-and coral r • Mann,nam to fresh arr Remove tentative canbrtunmad clothingand Woes Remove dad Isdare coMarmne ed ciolhm d stores Ensu ee Met mann end rsta •Call 91,.emer mad,ael se-ces gen � Nmnm1,W and akelareewaro T fa perry In case of anlacd vnN liquel,ed gaz VWv Iroscad pans w,N Clothing f Contac Ne ski Wad be Men,,basad harts for +7 en I(s),calved end leko p,etaNbns co prolecc •Give malty.,,,spastics a victim It roc bre9rh,ng lukewarm water In case of contact wsth liquefied gas Now frosted Pans w,N ,hemsalvea •Atlm,nistand boon 11 brsaN,ng le dComil lIn ong as of burns Immemal—far affected skin fares Luk vNineamr •flpmove end Isalata tpntamin,btl cioN,ng entl sbces long sa 1.stare wad cold wale, ad remora doNmg,1 Keep victim wmm end accar •Ckcesedcoass Ne dun shWdtlMsMi Trete parrs tl Keep,gan stun E—fiedlalmadwjpemmnel to pnNea, lNemmerml(s) •In cam of rmtacl w,N squel,ed Bas Naw hosted pans vnN Keep,Nanthat warm ell pout ,nwNad antl take Preceutions,o ProleC,lnemseNeS lu—of wafer Ensure that mean,p peasmnel are awect Th Uro materal(s) •.0cadbums o—arayaolanecMdsMi fa aztongazpvssble Involvetl antl,axe precautions to prolate inemsalves wthpdafirn rmrml ounat cbWnglddvmgbslw •KceP v,tlun v2rtn mtl quml •En¢we Naimediae,arsdfineTare.—dthematund(.) InwKmd entl deka ocanotons to protect ares-1 s FISHERS ISLAND FERRYDISTRICT VENDOR 001016 AT&T 07/05/2017 CHECK 4152 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 03046865150517 FI LNG DSTNC-5/1-5/31 124.31 TOTAL 124.31 ....... ... -'J I ` `I I v ' 1'7`1 ........... Z,11131iml I YIN C11,11MM 't�61Y --AUDI FISHERSISLAAD-FERR-YDISMlit ,,,��,,I' -05, 17 53095 -MAIN-'ROAD;PO BOX 1179 ;CHECK'- O-'-,,-'4tl5 �':SOUTHOI.Di NY•11971-0959-,, 2 THE SUFFOLK 0 C"':'gATib�NAL'BANK-NY11935 PATE' AMOUNT , �r ",CUTCHOGUE 'E' , 05, 201 `�'O 7 24 =ONE, 146NDRp Twtk�Y `FOUR AN�L` /16 0DOLLARS PAY= AT&T, J 'TO THE' 1-1 g5 0 6 8, Pe BOX, ORDER= - ATLANTA 6A `10348 50W 0 11'004 IS tum a:0 2 140 5L, 11iLoa: 68 00L502 L J Vendor No- Town own of Southold, New York - Payment Voucher 1016 Vendor Address 1✓Ctt6reCl by AT&T • Vendor Name PO Box 105068 ttUd'tt'�Sa e. Atlanta,GA 30348-5068 _ �,4,' it,.�,� L''0�':�' 2017 Vendor Telephone Number 877-325-0445 Tow'' Jerk=; Vendor Contact • X Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Generali:e'y 5` p dgei Fund anrl,Account"1y`umber s 6517 :: ` •' .;, <.,,,. ,.'_ .' ' 030 4686615 t64. 5/31/2017 $124.31 $124.31 F1 long distance <:.,.` f;. �1��T1 ):4.000.2006/1-31117 , t !- .,�„:�;�*i{fir• ;''t.` ti��r,'�t'- „ i $124.311 I $124,31 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 goodiondition without substitution,the services properly bewn 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 QMH Title Signature Company Name Fishers Island Fern DlsirrsS mate 6/2012017 Title Bate /� AAittlii Evill payment O Number Date mate FISHERS ISLAND FERRY DIST auct P.O. BOX 607 FISHERS TSL NY 06390-0607 030 468 6515 001 MAY 31, 2017 JUN 26, 2017 Q§ . p�� zl �l3Gw S Z 5-3& TELEPHONE NUMBER: 631 788 7463, For L�rodunL Irf'a: www. t.ccvm j U8inek&centX ATAT' ' ] in Ilii SC iCFor CwWmer CLW. : 1877 !144 AT&T All, in One Service ACCOUNT STATUS AT&T LONG DISTANCE $63.83• PREVIOUS BALANCE $228.95 PAYMENT RECEIVED $228.95% TOTAL, SERVICE CHARGES $63.•83 ,ADJUSTMENTS TOTAL CURRENT CHARGES $124.31,1f SURCHARGES AND TAXES $60.48 TOTAL' CURRENT CHARGES $124.31 TOTAL AMOUNT DUE1• #. See Summary' of Charges page for details Pay 'online at www.att.com/paymybill f lit # News From, AT&T' * Just For Your Buslhesb you for usingr-AT&T where every customer counts Login now at http://www.att.com/loginnow, to view'your billing call details online. Then, when you're ready, select your preferred method of .payment': PAY ONLINE -Once logged in, click "Pay Your Bills" to setup one-time or monthly payments with a credit card or bank account. 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' *-Subaccount Number: Customer•s•with toll free service, or those who-have more.than one location,-will have their, : toll free/location level charges,summarized under subaccounts Multiple subaccounts'can be associated with one. Example: * 030-555-1111 (Account Number) -Total Charges * 011-555-1234 (Subaccount):-t Charges for Location'#1 ~ * 16i-555-1235 (Subaccount)-•Charges for;toll free service, SUMFAARY OF MONTHLY CHARGES LONG DISTANCE SERVICE Monthly Charges * Toll-Free Service:A monthly'charge, billed one month in advance, applies for Customers with AT&T Toll-Free Service.., *, Minimum Usage Charge:Assessed,when,the total AT&T'Long Distance Usage charges are,below,the monthly minimum. LOCAL SERVICE , Monthly Charges * Line Charge:A,monthly charge applies for each line subscribed,to AT&T'Local service. *,'Local Feature(s):A'nmonthly charge niay,apply for specific Local Features and/or Feature packages. 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'7 FISHERS ISLAND FERRlY DISTRICT VENDOR 002142 BD REMODELING ,& 07/05/2017 CHECK 4153 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .7155.4.000.000 31186 PLUMBING- SVC-TURN ON WTR 146.63 TOTAL 146.63 s:<< CQ EAS FERR I 'FISH, 1SMAD� AUDIT-0710 YDlS7W- CT , /' '5l 53095 MAIN RQAD,,PO 60X'1179 4,153 SOUTHOLD NY,1197170959 CHECK 0, THE SUFFOLK CO NATIONAL BANK CUTCHOGUE,NY 11935 -DATE, AMOUNT V 7 50.546!214' 0 ONt .HUNDRED FORTY Silk'-'AND-' 63/100 DOLLARS BD REMODELING & ti TO TIIE RESTORATION NY, -LLC 'PO' ;BOX 44-7 OF F SHERS; iSLAND'NY, 06390 lim004153110 1:020,054641: 68 ; 001502 Lain Vendor No. Check No.' ' Town ®f Southold, New York - Payment Voucher 2142 Vendor Address Entered by 1420 The Gloaming,#447 vendor number changed Vendor Name Fishers Island,NY 06390 1.17J7 AudifDate SD Remodeling and Restoration JUL 0 512017 Vendor Telephone Number 631-7613-7919 Tq lerk . Vendor Contact • 631-766-7192 4fl • �w Invoice Invoice Invoice { Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or;Services General iedger Fund and Account Number 31186 6/1.9/2017 $146.63 $146.63 Plumbing Service to turn on water W7155.4.000,000 at the Movie Theater summer 2017 $146.63 1 $146.63 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 SignatureTitle Signature Company Name Fishers Island Ferry District Date 6/22/2017 Title Date r, P.O.Box 447 P.O.Box 1355 Fishers Island,NY 06390 Greenwich,CT 06830 (631) 788-7919 __ (203) 983-6083 Fax: (631)788-7192 ��]-6DF Fax: (203)983-6084 TERMS: UPON RECEIPT Fishers Island Ferry District INVOICE ID: 31186 P O Box H DATE: June 19,2017 Fishers Island,NY 06390 CUSTOMER ID: FIFERR-104 Amount Enclosed: 1461 Amount Due: $146.63 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TERMS: UPON RECEIPT INVOICE ID: 31186 RE1V/1 MEUNG Sc RES'TORATLON DATE: June 19,2017 CUSTOMER ID: FIFERR-104 Please Remit Payment To: P.O.Box 447 Fishers Island,NY 06390 Amount Due: $146.63 Amounts Job#:51-325 Scope of Work: Service call to turn on water at the Movie Theater for the 2017 summer season. Division 15-Plumbing&HVAC Plumbing Service BD Labor 146.63 Subtotal for Plumbing dam'HVAC 146.63 Subtotal for Job#:51-325 146.63 Subtotal of Current Billings 146.63 Sales Tax 0.00 Total $146.63 `� Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 002433 WILLIAM BLOETHE 07/05/2017 CHECK 4154 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5713.4.000.000 063017 MAIL TRANSPORT-2ND QTR 2,400.00 TOTAL 21t400.00 _7 ....... .. 'PISHEP — 'I) '?fC y YISLAN D,Aa '&7_7 "r AUDIT 0705117 53095 MAIN ROAD,PO-BOX 1179,- C SOUTHOMNY11971-0959' ESUFFOLK -_CHRCK NO. 415 4 F '7_ j '-__'�1 TH LK CO.NATIONAL BANK ' 0 CUTCHOGUE,NY,,l 1935, DATE, AMOUNT, -50-548i214. 01/'0'5./201'7 _ ".7-Wo THOUSAND,FOUR 'HUNDRED, AND, 00/100 DOLLARS P WILLIAM BLOETHE, 716 mE -- 0 PO"'__'sOX-:446 ORDEk" FISHERS ISLAND NY-'0'6390 , CC. `"f.�+.�!• OF X 0041SI,ii' 1:02 140 54641: E iB 00L502 Io C- Y Vendor No. Check No.: Town of Southold, New York - Payment Voueher 2 33 tt ltT : Vendor Address Entered by„ P.O. Box 446 ' Fishers Island, NY 06390 1AudifTate' William Bloethe 2017 Vendor Telephone Number To`�Clerk Vendor Contact ..!G�..ef. � Invoice, Invoice Invoice Net Purchase Order ;,M Number Date Total Discount Amount Claimed Number Description of Goods or'Services 06neiall&dgerFund and Account Nuniber U6301:7 *EF- 6/30/2017 $2,400.00 $2,400.00 Dail Transport n SM5713.4.0110. 00 411 -6130117 Contract 111/16-6/30116 • ,1 a 't i s. ' $2,400.00 $2,400.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has . in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. SignatuTitle Signature a Company Name Fishers Island Ferry Distract Date 6/20/2017 Title Date Circ. V lam—� ' Fishers Island Ferry District Ma 'il D'el 'ivery Contract' The Board of Commissioners of the Fishers Island Ferry District he'reby enters into a contract for services of island mail delivery with Mr. William B,lQeth' e ("Contractor"), Term: I July 2016 -r 30 June 2018 $9,600 per annum paid in arrears The following are the requirements of the contract: o Monday - Saturday pick-up mail at the ferry dock at 8:00 AM, o Monday— Friday pick-up mail at the Post Office at 4:OOPM. Saturday pick-up mail at the Post Office at 11:00 noon. a Mail delivered to the ferry at a special morning charter and/or at the mid-day ferry will also require pick-up delivery to the Post Office. a Deliver mail directly to the Post Office, e Deliver mail directly to the Post Office box at the ferry dock. o During transport mail must.be enclosed and protected. 9 The above duties MUST be adhered to on a daily basis. o Term of the contract will be for two (2) years, Contractor must show proof of liability insurance naming the Fishers Island Ferry District as an additionally named party and proof of a workers compensation policy. This contract may be terminated by either party by written notification (return receipt) of no less than thirty (30) days. Wk William l3loethe Fisher , and Ferry�D�'11 s r I c t Date: 10 IF FISHERS ISLAND FERRY DISTRICT VENDOR 002945 CAPALBO ACCOUNTING SVCS, LLC 0//05/2017 CHECK 4155 V3 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 5167 ACCTNG CONSLTNG-5/22-6/2 1,138.44 TOTAL 1,138.44 y "','"Q 7 CHECK NO'_ THE SUFFOLK CO.NATIONAL BANK E CUTCHOGUE,NY 11935 �DAT AMQUNT, , $1.;13 "•'44' 566 4W14' �_ ONE 'THOUSAND, ONE HUNDkED TH "' IRTY---EIGHT AND '44/100 DOLILAkS'. - CAPALBo:ACCOUNTING- SVCS., 's 4 FORT HILL- ROAD'"'o T ORDEh6 : ,GROTOW-CT' 0 34 OF ,4, 1 iioOOL, 0 5 Silo 1:0 2)0.0 54 6411: 68 00 150 2 111.0 "f Vendor No. Check No. Town of Southold, New York- Payment Voucher141 Vendor Tax ID Number or Social Security Number Vendor Address Entered by 4 Fort Hill road Audit Date Capalbo Accounting Services Groton, CT 06340 'JUL 0 5 2017 Vendor Telephone Number To 1 rk 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 5167 6/3112017 $1,138.44 $1,138.44 5.22,6.1 and 6.2 CPA consulting 4Q I*L�- SM1310.4.000.000 y - i i $1,138.44 $1,138.44 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part,has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that 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 Stguature Title Signature Company Name Fishers Island Ferry District Date 6/20/2017 Title A-ADate r. Invoice CAPX r , 95z Ps Date Invoice # 4 Fort Hill Road 5/31/2017 5167 Groton, CT 06340 Fisher's Island Ferry District PO Box 607 Fishers Island, NY 06390 Services Received Amount 5/22/17 - to FIFD NL terminal with Diane, issues for 2016 audit. 375.00 Getting TB for YE 2015 to tie to audit, reviewing accounts with Southhold to see what needs to be adjusted. Fixing changes to prior year after audit, working with AR to tie out 6/1/17 - logging into to look for $27 for Busse 75.00 6/2/17 - to NL terminal with Diane, getting ready for audit, tying out 675.00 TB numbers for FIFD to Southhold, issues with AP and voiding of checks, fixed assets, journal entries for adjustments Mileage 13.44 � k Terms Net 30 Total Due: $1,138.44 v 777 7-5 FISHERS ISLAND FERRY DISTRICT VENDOR 003053 CDW GOVERNMENT, INC. 07/05/2017 CHECK 4156 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 JBV3743 NLT(1)BROTHER DRUM UNIT 115.00 TOTAL 119.00 r ,z .....1.4 ...............ip am ..ew ,�LY ,' l ��,7 4z A-IS E 53095,MAIN ROAD, SOUTHOLD,NY 119 7777777 I SUFFOLK CUTCHOG 50-546121407/'05%2017, X119:00 - - �ONE`1:10NDkft-NINETEEN AND bo,l-160 ,DOLLAkS GovE PAY,' CDW RNMENT,, INC'. W THE J -REMITTANCE DRIVE-SUITE 1515- ORDER CHICAGO`_IL 66675-15-15. 1 OF 119004L56iil 402140546L,1: 68 00 150 2 Lit' Wendor No, � Check f4d. 'down of Southold, New York. - Payment Voucher '003053 Vendor Tax ID Number or Socia!Security Number Vendor Address Ekered by 75 REMITTANCE DRIVE-SUITE 9595 CHICAGO, IL 60675-9575 Audit CDW GOVERNMENT,INC. Vendor Telephone Number WT. To Clerk - Ar Vendor Contact Invoice Invoice Invoice Net Purchase larder Number Date Total Discount Amount Claimed Number Description of Goods or Services Geueial`'I edgei Fund and Account Number ; JSV3743 M5711 .0. 3a � ra00.000 „ ,t w,a' Payee Certiflea'tion Department Certification The undersigned(Claimant)(Acting on behalfof 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 beer,paid,except as therein stated,that the balance therein stated is.actually performed and that the quantities thereofhave been merified with,the exceptions due and owing,and that taxes from which the Town is exempt are excluded, or4screpancies noted,and payment is.approved Signature Signature Company Name Fishers Island Ferry District Date 6120/2017 Title Date :.:PNVOICE_DATE °__ INYOICE NUMBER-',' ..,a, PAYMENT TERMS. _ _-_,"_ 'DUE DATE.. 06/05/17 JBV3743 Net 30 Days 07/05/17 ORDER DATE SHIP.VIA :PURCHASE ORDER-NUMBER CUSTOMER'NUMBER 06/05/17 FEDEX Ground BROTHER DRUM 11821911 ITEM;NUMBER DESCRIPTION QTY QTY QTY ':UNIT PRICE TOTAL ORD $HIP BIO 2770768 BROTHER DR720 DRUM UNIT 30K 1 1 0 119.00 11900 Manufacturer Part Number.DR720 GO GREEN! CDW is happy to announce that paperless billing is now available! If you would like to start receiving your invoices as an emailed PDF, please email CDW at paperlessbilling@cdw.com. Please include your Customer number or an Invoice number in your email for faster processing. REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS! Begin transmitting your payments electronically via ACH using CDW's bank and remittance information located at the top of the attached payment coupon. Email credit@cdw.com with any questions. ACCOUNT-MANAGER SHIPPING ADDRESS: - SUBTOTAL $119.00 RYAN COLT FISHERS ISLAND FERRY DISTRICT 203-851-7272 DIANE HANSEN SHIPPING $0.00 ryan colt@cdwg.com 261 TRUMBULL DR FISHERS ISLAND NY 06390-8021 SALES-TAX $0.00 SALES.ORDER-NUMBER.'.., HZLK671 AMOUNT DUE 119.00 Cage Code Number 1 KH72 HAVE QUESTIONS ABOUT YOUR ACCOUNT? DUNS Number 02-615-7235 PLEASE EMAIL US AT credit@cdw.com ISO 9001 and ISO 14001 Certified VISIT US ON THE INTERNET AT www.cdwg.com 0001:0001 CDW GOVERNMENT FEIN 36-4230110 Page 1 of 1 Customer understands that Seller is not the manufacturer of the Products pummsed by Customer hereunder and the only warranties offered in those of the manuf anter,not Seller or its Affiliates In purchasing the Products,Customer is relying on the manufacturer's spemficauons only and is not relying on any statements,specifications,photographs or tither illustrations representing the Products that may be provided by Seller or it,Affiliates SELLER AND ITS AFFILIATES HEREBY EXPRESSLY DISCLAIM ALL WARRANTIES EITHER EXPRESS OR IMPLIED,RELATED TO PRODUCTS,INCLUDING,BUT NOT LIMITED TO,ANY WARRANTY OF TITLE,ACCURACY,MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,WARRANTY OF NONINFRINGEMENT,OR ANY WARRANTY RELATING TO THIRD PARTY SERVICES THE DISCLAIMER CONTAINED IN THIS PARAGRAPH DOES NOT AFFECT THE TERMS OF ANY MANUFACTURER'S WARRANTY Customer expressly waives my claim that it may have against Seller or its Affiliates based on any product Itabilny or infringement or alleged infringement ofany patent,copyright,rade secretor othermmllemml property rights(each a"Clam)with respect m any Product and also waives any right to mndemmficatiun from Seller or its Affiliates vgamst my such Clmm made against Customer by a third parry Customer acknowledges that no employee of Selleror as Affiliates is authored to make any represenmuon or warranty on behalfof Seller or any efats Affiliates that is not in this Agreement Seller warrents that the Services will be perforiired in a good and workmmhke roamer Customers sole and eaclmrve remedy and Sel let's entire habAnrywith respect to this warranty will be,at the sole option of Seller,to either(a)use ns reasonable Montreal cf am to mperfono or cause to be " reperformed any Services not in substantial compltence with this warranty or(b)reload amounts paid by Customer related to the portion of tic Services not m substantial compliance,provided,in each care,Customer notifies Seller lin writing within five(5)business days after performance ofthe applicable Services EXCEPT AS SET FORTH HEREIN OR IN ANY STATEMENT OF WORK THAT EXPRESSLY AMENDS SELLER'S WARRANTY,AND SU 13JECT TO APPLICABLE LAW,SELLER MAKES NO OTHER,AND EXPRESSLY DISCLAIMS ALL OTHER, REPRESENTATIONS,WARRANTIES,CONDITIONS OR COVENANTS,EITHER EXPRESS OR IMPLIED(INCLUDING WITHOUT LIMITATION,ANY EXPRESS OR IMPLIED WARRANTIES OR CONDITIONS OF FITNESS FOR A PARTICULAR PURPOSE, MERCHANTABILITY,DURABILITY,TITLE,ACCURACY OR NON-INFRINGEMENT)ARISING OUT OF OR RELATED TO THE PERFORMANCE OR NON-PERFORMANCE OF THE SERVICES,INCLUDING BUT NOT LIMITED TO ANY WARRANTY RELATING TO THIRD PARTY SERVICES,ANY WARRANTY WITH RESPECT TO THE PERFORMANCE OF ANY HARDWARE OR SOFTWARE USED IN PERFORMING SERVICES AND ANY WARRANTY CONCERNING THE RESULTS TO BE OBTAINED FROM THE SERVICES THIS DISCLAIMER AND EXCLUSION SHALL APPLY EVEN IF THE EXPRESS WARRANTY AND LIMITED REMEDY SET FORTH HEREIN FAILS OF ITS ESSENTIAL PURPOSE CUSTOMER ACKNOWLEDGES THAT NO REPRESENTATIVE OF SELLER OR OF ITS AFFILIATES IS AUTHORIZED TO MAKE ANY REPRESENTATION OR WARRANTY ON BEHALF OF SELLER OR ANY OF ITS AFFILIATES THAT IS NOT IN THIS AGREEMENT OR IN A STATEMENT OF WORK EXPRESSLY AMENDING SELLER'S WARRANTY Customer shall be solely responsible for daily back-up and other protection ofus data and software against Joss,damage or corruption Customer shall be solely responsible for recormactmg data(including but not limited to data located on disk files and anemones)and software that may be lost, damaged or corrupted during the performance of Services SELLER,ITS AFFILIATES,AND ITS AND THEIR SUPPLIERS,SUBCONTRACTORS AND AGENTS ARE HEREBY RELEASED AND SHALL CONTINUE TO BE RELEASED FROM ALL LIABILITY IN CONNECTION WITH THE LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE,AND CUSTOMER ASSUMES ALL RISK OF LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE IN ANY WAY RELATED TO OR RESULTING FROM THE SERVICES Seller will not be responsible for and no liability shall result to Seller or my of its Affiliates for my delays lin deli cry or in performance uh[ch result from my areumstmces beyond Seller's reasonable control,including,but not limned to,Product-availability,canter delays,delays due to fire, severe weather conditions,failure ofpowar,labor problems,acts ofwnr,turansm,embargo,acts of God or acts or laws ofany government or agency Any shipping dates or completmn dams provided by Seller or my purported deadlines contained in a Statement of Work or any other document we estimates only P Information,Availability IDSAaimer Seller reserves the right to make adjustments to pricing,Products and Service oft rings for reasons including,but not limited to,changing market conditions,Product discommuatnon,Product m—flabnhty,manufacturer pnce changes,supplier price changes and errors in advertisements All orders are subject to Product availability and the avambihry of Pcrsomcl to perform the Services Therefore,Sella cannot guarantee that it will be able to fulfill Customer's orders If Seances are being performed on a nine and materials basis,my cstimntes provided by Seller are for planning purposes only Credits Anycrednissued by Sellerto Customerformyiewon must be used within two(2)yearsfrom the date that thecreditods issued and mayonlybeuvedfor future purchases of Products and/or Services Any creditor portion thereofnot used within the me(2)year penod will automatically expire Land tion"Liability UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY REMEDY SET FORTH HEREIN,WILL SELLER,ITS AFFILIATES OR ITS OR THEIR SUPPLIERS,SUBCONTRACTORS OR AGENTS BE LIABLE FOR.(A)ANY INCIDENTAL,INDIRECT,SPECIAL,PUNITIVE OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO,LOSS OF PROFITS,BUSINESS,REVENUES OR SAVINGS,EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE OTHERWISE FORESEEABLE,IN EACH CASE,WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED U1PON BREACH OF CONTRACT,WARRANTY,NEGLIGENCE,STRICT LIABILITY OR OTHER THEORY OF LIABILITY,(B)ANY CLAIMS,DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY,(C)ANY LOSS OR CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON,RESULTING FROM,ARISING OUT OF OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES,OR(D)ANY UNAVAILABILITY OF THE PRODUCT FOR USE OR ANY LOST,DAMAGED OR CORRUPTED DATA OR SOFTWARE IN THE EVENT OF ANY LIABILITY INCURRED BY SELLER OR ANY OF ITS AFFILIATES,THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF(A)THE DOLLAR AMOUNT PAID BY CUSTOMER FOR THE PRODUCT(S)GIVING RISE TO THE CLAIM OR THE SPECIFIC SERVICES GIVING RISE TO THE CLAIM,OR(B)$50,000 00 Confidential Infommtion Each parry anticipates that it may be necessary in prostate access to uiformmon of a confidential nature of such parry,the Affiliates or a third patty(hereinafter retrred to ss'"Confidential Information-)to the other party in the performance offlus Agreement and any Statement of Work. "Confidential Information"means any information or data inoat,electronic or written form which the receiving parry knows or has reason to know is proprietary or confidential and which is disclosed by a parry to connection with this Agreement or which the recavmg parry may have access to in with this Alpeemrnt,including but not limited to the[mini and conditiova af..h Statement of Work. wn Confidem,al Inforinvnon will not include information which(a)becomes known to the public through no act of the receiving party;(b)waz known tv[hc receiving Parry.or becomes knoto thereceiving parry from a thud parry having the right to disclose it and having n,obligation of confidentiality to the disclosing party with respect to the applicable information,or(c)is independently developed by agent,employees or subcontractors ofthe receiving party who have not had access to such mforrnanon To the eaten[practicable,Confidential Information should be clearly hdenhfied or labeled a9 such by[be disclosing pazry at[he time of disclosure oras promptly ihcreaRcr as possible,however,failure to so idcnhfy or label such Confidential Sao. wall not be evidence that such mfotmation is not confidenral orpretectable Each party agrees to hold the other part's Confidential Information confidential for a permit of three(3)years following the date ofdisclosure and to do so in a manner at lest as protective as it holds its own Confidential Information of like kind but to use an less than a reasonable degree of care Disclosures ofthe other partys Confidential Information will be mamcmd(i)to these mdmduals who are participating lin the performance of this Agreement or the applicable Statement of Work and need to know such Confidential Informanon for purposes ofpmv,d,ng or receiving the Products or Semeas or otherwise in conneotton with this Agreement or the applicable Statement ofWork,or(it)to its business,legal and financial advisors,each ono confidential basis Each party agrees not to use my Conditions]Information ofthe otherparty for any purpose other than the buamess purposes contemplated by thrs Agreement and the appitcablc Statement of Work Upon the written request ofa parry,the other party will either mad,or cemfy the destruction ofthe Confidential tnfonamon ofthe other parry If a recemng party,,required by Irv,rale or regulation,or requested m myjudmcial or odmmevauvc proceeding may my governmental or,egularory,authority,to disclose Confidmual Information of the other parry,the receiving parry will give Ne iii closmg patty prompt nonce oCsuch request so that the disclosing parry may seek an appropriate protective order or smular protective measure and will use reasonable efforts to obtain confidential treatment ofthe Confidential Information so disclosed Return Privileges To obtain Seller's ream policy,Customer should contact CDW Cuseemar Relations at 866 SVC 4CDW or email at CusmanuRelm—0i cdw mm Customer mist notify CDW Customer Relations ofany damaged Products within ton(10)days of receipt Arhmanon Any dam,dispute,or controversy(whether lin contract,ton or otherwise,whether preexrstmng,present or fare,and including,but not limited to,statutory,common law,intentional ton and equitable claims)msmg train or relating to the Products,the Servmes,the interpretation or application of these Terms and Conditions or my Statement of Work or the breach,teniunanon or validity thereof,the relationships whmh result from these Terms and Conditions or my Statement of Work(including,to the full extent pumnted by applicable law,relationships with third parties who ace not signatories hereto),or Sellers or my of its Affilaime advertising or marketing(collectively,a"Claim)WILL BE RESOLVED,UPON THE ELECTION OF ANY OF SELLER,CUSTOMER OR THE THIRD PARTIES INVOLVED,EXCLUSIVELY AND FINALLY BY BINDING ARBITRATION Ifarbiamon is chosen,it will be conducted pursuant to the Rules ofthe American Arbitration Association ifarbitation is chosen bymy party with respect to a Claim,neither Seller nor Custemerwill have the right tolitigate that Clam in coup or to have ajury mal on that Claim surto engage m pre-mbnmuon discovery,except as provided for inn the applmable arbmanon rales or by agreement efthe parties involved Fuller,Customer will not have the right to participate as a representative or member ofany class of datmmts pertaining to any Claim Norwalutandmng my choice of Jaw provision included in these Terms and Conditions,this arbhtiahon agreement is subject to the Federal Arbnratmn Act(9 US C§§1-16)The.btratton will mke place exclusively m Chmago,lllinms Any coun havingjunsdicam may enterjudgment on the award rendered by the abua[or(s)Each parry involved will bear its own cost ofany legal representation,discoveryor research required to complete arbitration The oast n a,or maul[ofany estimation will be treated as confidential Notwithstanding anything to the contrary contained hcrcin,all matters pertaining to the collation ofamounts due to Seller arising out ofthe Products or Services will be exclmtvcly litigated in court rather[Ilan through arbitration Miscellaneous Seller may assign or subcontract all or my portmri of its rights or obligations with respect to the sale of Products or the performance of Services or assign the right to mcerve payments,without Customers consent Customer may not assign these Temps and Conditions,or my of its rights or obligations herein without the prior written consent of Seller Subject to the resmmons in assignment contained herein,these Terms and Conditions will be binding on and mare to the benefit ofthe parties hereto and their successors and assigns Nopmvrsnonofthis AMementorany Smtementof Work will be deemed waived amended or modified by either party unless such wavey amendment or modification is in writing and signed by both pries no relationship between Seller and Customer is that of incontractors and contractoand not that of employer/employee,partnership orlomt venire Harry term or condition of this Agreement or a Statement of Work is found by a court of competent jurisdiction to be invalid,illegal or otherwise unenforceable,the same shall not aebet the other terms or conditions hereof or thereof or the whole of this Agreement or the applicable Statement of Work Notices provided under this Agreement will be given lin writing and darned received upon the cadwr of actual receipt or three(3)days after mating[Emailed postage prepaid by regular mail or areal or one(1)day after such nonce is seat by courier or facsimile umsmissran Any delay or lotlure by either parry to exercise my right or remedy will not constitute a waiver of that party to thereafter=to=such rights Versmn Date 0223/2010 FISHERS ISLAND FERRYDISTR7CT ; VENDOR 003371 CITY OF NEW LONDON 07/05/2017 CHECK 4157 ,> A I FUND & ACCOUNT P.O.#- INVOICE DESCRIPTION AMOUNT I -- SM .5710.4.000.100 27360-0417 1 NLT WTR,SWR 1/5-4/3/17 1,874.76 TOTAL 1,874.76 1 ;fir" .. r_,� ... .. Fri•",''<< .<... •��, A ..1 �. e«r .......`ortfa.�!h,/"fin fx.S'"� a.•v. ,,;�`6i�^,�,•r•'^s *,SN�•r'�.'� •tet>�[^'i•�A"�"` '• ' 1I IYr} I 0 o i I qj • 1 � 1 I �^T J,w! r - .e� :I,i / '3.iL'� iSt'i<%:'��'�t�Y. ��a.' - - l'1�I CL _ - FISHERS�ISLAND,FERRYDIS ;AUDZTpto`�' o5=. _,',53095-MAIN ROAD;PO BOX 1179 'T7,53095-MAIN :CHECK;!�7 Q. THE SUFFOLK_CO.NATIONAL BANK,• �ATEt'' _gM(IUNT -CUTCHOGUE„NY11935 _ Q 7, _O5 ,2`017= 'xr 1',',&7'4� 7 6 rg 'S0 546/214, _ /, ,+ 'ONE';,THOUSAND EIGHT -HUNDRED' F",QUR ANI)''",76/'100';'DOLLARS' =CITY_OF' •NEW'_LONDON ` TO ,DEPT.=`OE- 'PUBLIC:UTILITIES-WATER' OFPO ;$OSS 41'27., WOBURN' MA' 0'1888,4127 0004 1 5 7110 1:0 2 L40 54641: 68 001502 Lii' 1. Vendor No. iititr Payment 337° Town of ® l* l®ld, New York � 1`57 - Vendor Address Ei18red'by£,; P.O. Box 4127 Vendor Name Woburn,MA 01888-4127 Aiad'►t,I?ate�.`;,- `} ' City,of New London/Dept.of Public 4Jfiiities `'4t. L. Vendor Telephone Numberi3 r y 860-447-5222 T' ;Cl'eck`, f' Vendor Contact Invoice InvoiceInvoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Gerierai',I edges 4�und;iuid AccountNumber' 6/15/2017 $1,874.76 $1,874.76 cuter,sewer and Fire NLT "''" 'S 71VA00U.100 "x/511%-413117 L$1,87.4.76 $1,874.76 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is hue and correct,that-no part'has in good condition without substitutien,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 Signature6—)\ Title Signature r Company Name Fishers Island Ferry District Data 6/23/2017 Title Date Z4 � �/ Page 1 of 1 r"'toieAccciiht," Amour#,Die, N6 te6flG City of New London ,•.',. Department Of Public Utilities 039337-027360 .' $1,874.76 120 Broad Streetue- nuenEate ;�, : 'z „ "s �$ �l? tZafe� ? ,;z; ReliqiD `M New London,CT 06320 I 06/15/2017 07/17/2017 Phone:860-447-5222 for customer service and 5 WATERFRONT PARK l a~•t-�� after-hours emergencies www.ci.new-london.ct.us - 1 CF=1 unit of usage=7 48 gallons .�r,yk:,{,sv:^ �,'t" 4^+ t;ny ?c s - f,F s•„ �,.. ,.f - '•.0 ... ..: T.,xl" u r .ns' _�,� �, �: s.. ,s„ .�.� 'mi•`' '+.` w�Reaii°l)a es' ,, MeterReadin' ,a 9.. ;.'s':•�to �e�'-:"r ;"u, c ve"fi1gQ^p8i�y,rv$, Meter<� "��;` a.r"dur•'e't.,� Previoiis:r� r n °`e"' 's; current" ., �,�,... �'��M; ��.P.r viqu ,,�' ;�� %�+!< _r=;��..,,. .ra•;u« r; ,. ;.��,._ _ - .:n�.:`�._ ,.��r �c+,e - .--sem:sw;n�rv;�� x7ti.• 5;`� �;�. -�•;'>�_��,_.5 60421510 1 1/5" Actual Read 01/05/2017 04/03/2017 34030 34030 r 28,450 88 2,418 n,°�:'�'S-,,';:�".,°s�i `%`�,,.��J`rrvn,��,�y.�;�., «y:;g•;z,;: �,�•'�s'�'�""'rxs,; �:r^sKz;<ni.,,r:r;• _ '',�eS Your Monthly Usage ;;, ;y} "': ,.+ Ac'COUnt':SUIT1m8iC�i, 7.•'y ya, a':r;: _ 3 x�.". '.y 32,000 Balance Forward $0.00 28,000 • Water 24,000 } New London Consumption 28,450 CF x $002065 $58749 m20,000 NL Replacement Surcharge 28,450 CF x $000324 $9218 116,000 New London 1 5"Customer Facility $2474 12000 Fire Service 8,000 j Fire-New London-4" Charge $10754 4,000 ! Cly 4� 4� Ca Sewer Consumption 27,950 $003719 $1,03946 Tr, ._. R,,Y r.., `„}s $7 48 MESSAGESt '' .£. z k, Base Charge Pleasereviewthe Insert for detailed Information on now to read Customer Facility Charge $1587 your bill. Total Current Charges $1,874.76 Your Customer-Account Number may have changed Please be sure to include both numbers when using online bill pay to TOTAL AMOUNT DUE: $1,874.76 avoid additional penalties. To view the 2016 Consumer Confidence Report please follow this link: hftpComing soon newtloners if usrvice octal that aspx clod Coming soon customer self service portal that wt11 include online payment,paperless billing and account history On behalf of the City of New London and 0 VEOLIA J the Town of Waterford by CONTACT US: r' WATER&SEWER EMERGENCIES: 24 hours a day call 860-447-5222 BY TELEPHONE: Non-emergencies during normal business hours Monday-Friday 8.30am-4.00pm 860-447-5222 BY MAIL: Send correspondence(no payments please)to: City of New London Department of Public Utilities 120 Broad St New London, CT'06320 BY EMAIL: watermeter@ci new-london.ct.us BY FAX: 860-437-6323 IN PERSON: Monday-Friday 8.30am-4.00pm. Second floor of the Martin Center 120 Broad St New London. To view the 2015 Water Quality Report please follow this link: http://ci.new-london.ct.us/fiilestorage/7495/7518/7924/7926/Annual_Water Quality_Report=_2015.pdf ry I 6t HOW TO MAKE A PAYMENT: Accounts not paid by the Delinquent Date are subject to interest from the Due Date (3%or$2.00 minimum per-service)and 1 5%per month thereafter(18%-annually) Unpaid bills will result in a lien on the property ELECTRONIC PAYMENT �, When setting up the payment through your bank use include your . utilities account number on the front of this bill and use this address City of New London Department of Public Utilities PO Box 4127 Woburn,MA 01888-4127 BY MAIL Please use the enclosed return envelope to mail your payment If you've lost your envelope,mail payments to Mal PO Box 4127,Woburn,MA 01888-4127 IN PERSON/DROP BOX Payments may be made in person at our customer service center Lrvalr�.i•.n 41v�ser+...v7 Fliv..nF 4L.g ill+.fin i ,?,+,.4�n Q... -4 C+ IU-. 1.....1— .,.._ , .. . FISHERS ISLAND FERRY DISTRICT VENDOR 003567 GEORGE B COOK 07/05/2017 CHECK 4158 A A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT '{ SM .5709.2.000.200. 06101'7 REIM-PIPE,BUSHING-FIT 14.47 TOTAL 14.47 ` `_.= m at;4, 1 =i `vim:"ti iv�;i:'`�`•::i. I I Y'•) \��i I \�5 � J ` t l•F� I _ , — I - u 1 o LLo, 1 :"a 1 —0;4— ----WWMEMR s / o o e m oMM7795-MAN -IS.�A�ND''FERRY�DIS7R "$'�, - 95-MAfN ROAO'PO BOX 1179 • �1] t`''SOUTHOLD;NY,11971-0959- - - - O: 4,1J8`•,t- 4THESUFFOLK CO:,NATIONAL BANK •AMOUNT - 1 '`M,r f} CUTCHOGUE,NY 11935 a s 54-sa'stzla` 07/'05'/2017 $14:47 FOURTEEl� -AND,.•4'7/100'• DOLLARS' PAY' GEORGE .B' COOK Qy TO THE, WARPAS RPAD �►y k C)RI�ER MADISON 'CT,'06443 ' ±' ' 11•004 158ii' 11:0214054C3 L,1: 613 00150 .2 1Ill Vendor No. Check No. -3567 Town of Southold �� _ Payment ,i> =}`- Vendor Tax ID Number or Social Security Number Vendor Address Entered by 169 War-pas Rd � " Vendor Name Audit Bate eor e B Cook Madison,CT 06443 Vendor'releplione Number 203.410-8156 Clerk Vendor Contact Invoice Invoice Invoice NetPurchase Order Number Date Total j -Discount Amount Claimed Number Description of Goods or Services General Ledger Bund and Account.Number• _R&N �` � 6/10/2017 $14.47 $14.47 � e aclshin for fence repair F'1"t u1U15709,2.060.200 . $14.47 $14.47 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by'me does hereby certify that the foregoing clam is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance tkrem stated is actually parfarmed and that'the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or-discrepancies noted,and payment is approved Sig ature� O-A-1- t/-- Title Signature n_ Company Name Fishers Island Ferry District Date 6/22/2017 Title Date `i THANK YOU FOR SHOPPING AT STEWARD'S ACE HARDWARE 114 EAST MAIN STREET CLINTON CT, 06413 STORE #14685 (860) 669-0505 06/10/17 10:41AM TZL 553- SALE ---------------------------------------- 45558 1 EA 9.99 PIPE BLACK TBE 3/4"X36" 9".99 47540 1 EA 2.49 BUSHING 40PVC1.25MPT1FPT 2.49 1455922 , 1 EA 5.9 ACETONE PT 5.99 47538 `1 EA 1.99 EA BUSHING PVC40 1MPT3/4FPT 1.99 DONATE - 1 EA .24 EL- Charity Donation .24 SUB-TOTAL:$ - 20.70 TAX: $ 1.30 TOTAL: $ 22.00 BC AMT: $ 22.00 BK CARD#: XXXXXXXXXXXX3308 MID: 267001325880 — AUTH: " 271743- - - ' AMT: $ 22.00 THANK YOU GEORGE COOK Host reference #:159462 "Bat# -FOR YOUR PATRONAGE 1 Chip Read CARD TYPE:VISA EXPR: XXXX � AID :" A0000000031010 TVR : 8080008000 IAD : 0601OA03600000 TSI : 6800 Name X ARC : 00 1 ( I agree to pay above total amount, MODE : Issuer _ �r according to card issuer agreement CVM Name VISA�DEBIT (merchant agreement if credit voucher_)' - Acct: CASH CUSTOMER TxnINVa l Code': 122935 Bank card USD$_ 22.00 Customer Copy i Thank you for your donation - ' 24 ' Jo CLINTON AMBULANCE JRNL#859462/1 CUST N0:*1 FISHERS ISLAND FERRY DISTRICT VENDOR 003667 CROSS SOUND FERRY, INC. 07/05/2017 CHECK 4159 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5710.4.000.000 17-1114026789 N.STAR-6/22/17-6 HRS 4, 800.00 SM .5710.4.000.000 17-111 026790 N.STAR-6/24/17-7 HRS 5,600.00 TOTAL 10,,4 0 0.0 0 ir' r m t F^ r...... a �?tom 1':.:,;� •'[T<`".e.i>a •• r n"'`•�.,n�.r• ..N.I...za,. ^. .a. ' ••. • t i...S:.. ��,. n^�1 F 1�/ `'I $"..f�t. at-z.- -a, v .^ a"„zw..n.. h _ +T. -4J.a•J�j.. ovi:•:�- '^'.•P.;Y.:. . I 'r ��}::: �f4a •.�},mac ::GY - - •JH: {� .�.: id•Xril "m•" �� .,fit.�� .-W�',�^''"''�' '41.J ,. "Y•'J+ ..»•; ""r"'�,t>�'} r: `.i:�- "r„`'>.� t..ia�a°wv e • o - � - e a ® � o e � FISHERS ISLAND=FERRY DISTRICT 153095 MAIN ROAD;PO,BOX 1179 ® - _ 'SOUTHOLD,NY.1,1971-0959 - - CHECK;NO: THE SUFFOLK CO'NATIONAL BANK CUTCHOGUE,NY 11935 DATE,• AMOUNT. <•," - - 50-5aslzia' 07;.'05/,2,017_ ' $]04'00•x,;.00' ;TEN",THOUSAND: FOUR HUNDRED'AND00/-'100- DOLLARS' r. J,. pAy CROSS- SOUND FERRY, INC. TO .HE, BOXL3.3= ORbER, EW'•LONDON''CT. 063.20,' ��'004 I Sii' 1:0 2 140 54641: 68 001-S02 Lii' Vendor No. ?s = �:` 4; .: Y; ' Town,of Southold, New YoA- Pa meat' o c erREEMZM V9 VendorTax ID Number or Social SeeurityNumber Vendor Address EtkteTmd'y' 06 2 Felfy Street =" Alt$i�st3age`".`-,:�w:`�-:�'��:a=��,�`.;.•�';=Y:r Cross Sound Ferg Service,Inc. New London,CT 06320 _ ;. _' �UU; Vendor Telephone Number To" „clerk: - -VeadorContact ,invoice invoice Tnvomce { Net Parobase Order' Number Date Total ? Discount Amount Claimed NLmber Descrijuien def Goods or Services Mind'rna"Aeciiunt Nurimbet'-` 026709 6122-12017 4,600.00 4 4,800.00 � — "No?r Star charter 6122117 :: 671 O.4:O0L►.09D6; br $800 =4,800.00 41,DL9f19.0Sir - Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certiff,that the materials above specified have'been received by me does bereby certify that the foregoingclaim is true and,correct,that no part has in good condition without substitution,the services property been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and That taxes.from which the Town is exempt are excluded or,discrepancies noted,and payment is approved. Signature ` Title Signature Company Name_Fishers Island FerryDistrirt Date 6/23/2097 Title Bate �� CROSS SOUND FERRY SERVICES, INC. 0PAV09- CE 2 FERRY STREET NEW LONDON,CT 06320 Invoice Number: 026789 I nvo ice Date: Jun 22,2017 Page: 1 Voice: 860-443-7394 Fax: 860-440-3492 FISHERS ISLAND FERRY DISTRICT Fishers Island Fishers IslandCh arter CHARTER Net 30 Days 3�-" - .1 1", .it 7/22/17 B 6.00 CHARTER NORTH STAR CHARTER TO FISHERS 800.00 4,800.00 ISLAND 6/22/17 @$800/HR 0�- Subtotal 4,800.00 Sales Tax Total Invoice Amount 4,800.00 Check/Credit Memo No: Payment/Credit Applied An Affirmative Acton/Equal Opportunity Employer Vendor No. Check No. Town of Southold, New or - Payment Voucher 3G67 L! VendorVendorTar ILI Nurtbex-of Social Security Nuttllxl t Erdor Address Entered by - 2 Fe&y Street Audit DYe Cross Sound Feur Service,Inc. New London,CT 06320 JUL 0 5 2017 Wadoi Tclephoac Nuiriber - To rk Vendor Contact Invoice Invoice Net Parchase0i&r Gem-ml L'Wge-,Fund and Account Number NurnbcT Dale Total Discn�(I Discount Amount Number DescnPtiofGO(di or Services 6 26790, 612412017 5,600.00 5,600.00 11-7-11 North Staucharter 6124M SM6710.4-000-000 5,600.00 6,600.00 Payee Certification Department Certificatiou I he undersigned(Claimitnt)(Acting on behalf oftbp at>ove named claimant) I hereby certify that the materials above specified have been received by me does riercoy certify!hat the Foregoing claim is tree and correct.that no part has in gf)od condition.without substitution,the services propei ly ken 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 awing,and that faxes from which the Town is exempt are excludel or discrepancies rioted,and payment is approved. :Z`i "m tALhsTs Is; and Name to j)� Date 6/27/2017 1-1, L4 1 At Vendor No. Check No. 'own of Southold, New York- Payment Voucher 3G6 7MI-59 Vendor Max.ID Number or Social Security Number Vendor Address Entered by ; 2 Ferry Street Audit'D JUL Cross Sound Fe J Service,Inc. New London,CT 06320 O :5' ZOIC Vendor Telcphoae Number T4W perk 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 0 26790 6124/2017 5,600.00 5,600.00, North Star charter 6/24/17 SM5710,4,000.000 7 hr $900 5,600.00 5,600.00 Payee Certification Department Certification I he undersigned(Claimart)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has - in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved i Signature 0 Title Signature Company Name Fishers Island Ferry District Date 6/27/2017 Title Date CROSS SOUND FERRY SERVICES INC. L'Al Fd 1\1j ' 2 FERRY STREET NEW LONDON,CT 06320 Invoice Number: 026790 Invoice Date: Jun 24,2017 Page: 1 Voice: 860-443-7394 Fax: 860-440-3492 Bili To: Ship to;. FISHERS ISLAND FERRY DISTRICT Fishers Island Customer ID Customer PO Payment Terms Fishers lslandCharter CHARTER Net 30 Days 'Sales°Rep ID--, ..e r Shipping Method_ "; Ship.Date,- Due Date 7/24/17 Quantity Item Des.cription", Unit Price,:' - Amount, 7.00 CHARTER NORTH STAR CHARTER TO FISHERS 800.00 5,600.00 ISLAND 6/23/17 @$800/HR � u Subtotal 5,600.00 Sales Tax Total Invoice Amount 5,600.00 Check/Credit Memo No: Payment/Credit Applied TOTAL.' 5,600.00 An Affirmative Action/Equal Opportunity Employer FISHERS ISLAND FERRY DISTRICT • Febrt4ary 10,2017 The following resolutions were approved at special meeting of the Commissioners of the Fishers Island Ferry District on February 10, 2017 RESOLUTION 2017-030 RESOLVED that the Board of Commissioners of the FIFD hereby rescinds resolution 2017-007 authorizes; and, it is further RESOLVED with effect January 9, 2017 to contract with Cross Sound Ferry to provide emergency transportation services to Fishers Island in the event FIFD Ferry Boats are inoperable at a rate of$800 per hour with a four(4)hour minimum and an eighteen (18) hour maximum per day, and authorizes Geb Gook,RJ Burns,Jon Haney or Gordon Murphy to request said services if needed to restore FIFD operations. Moved by; Commissioner H. Burnham Seconded by: Commissioner D.Shillo Ayes: A.Ahrens,W.Bloethe,H.Burnham and D. Shillo Nays: None Southold Town Board- Letter Board Meeting of February 14, 2017 33_g5u(FOeR RESOLUTION 2017-179 Item# 5.20 $ a ADOPTED DOC ID: 12767 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-179 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 1.4,2017.- RESOLVED .4,2017:RESOLVED that the Town Board of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island Ferny District Board of Commissioners dated February 10, 2017 in regard to the Cross Sound Ferry, EUabeth A. Deville Southold Town Cleirk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated February 15, 20 t 7 Page 30 FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 07/05/2017 CHECK 4161 A FUND & ACCOUNT P.O.# , INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 48772 RP 5231 GAL@$,1.5705/GL 8,215.29 SM .5710.4.000.300 48772 CT EXCISE TAX-$.4170/GAL 2,181.33 SM .5710.4.000.3;00 48772 S-F COST RECOVERY .0021 10.99 SM .5710.4.000.300 48772 LUST TAX-$.0010/GAL '--5.23 Rpm cm TOTAL r 10,412.84 F .s.•.ta 'fl , � ` /� to;�•: �^�:��'{ I-' i L. u yw`•' •x:b' "'Z.} �. .r—av�r�'.l.•.�..r^'.''<_ __. ,P. i Cit o I . d `^t FISHERS ISL'AND'FERRY•DISEk 6, _- ; 5-/17 - ' AUD l-T:`-b 1/-.0 . ' ; 53095 MAIN-ROAD,PO BOX J W9'' „P I ' SOUTHOLD,NY 11971-0959',,: CHECK',NO,:' 4161' > d ® THE SUFFOLK CO.NATIONAL BANK GUTCHOGUE;NY 11935 - 'DATE= - .AMOUNT'' -„•'.'-.. so=5dsizia?; 07%0,5/2'017 - -$10'1 412':,84';:',,; '.'T_Ek -THOUSAN_D' FOUR HUNDRED t_TWELVE'=AND,_84/10 0-DOLLARS PAY. DIME OIL, COMPANY, 'LLC A r TO THE' = 93 -INDUSTRY ORDER. _ of p0"';1inX 11125 - ._WATERBURY CT 06704 ii'004 L6 111' 1:0 2 140 54641: 68 00 L 50 2 Lill t. ] l Vendor No. CiteckNo Town ®f Southold, New York - Payment Voucher 4277 untered,by ' P.O. Box 11125 '.Audit, to Dime Oil Company LLC Waterbury,CT 06703 'K L Vendor Telephone Number "" �o'� ' 203-754-5334 T�jbrk ; Vendor Contact Invoice Invoice Invoice Net Purchase Order Y ; Number Date Total Discount Amount Claimed Number Description of Goods or Services ,, Gerieral Led ger,Ftiitd arid Account Number 48772 6/212017 $10,412.84 $8,215.29 RP 5231.0 gal @$1.5705/gal > `SI�5710.4.000300 ` $2,181.33 CT Excise Tax-$0.4170/gal { 10.99 $ S-F Cost RecO�e .0021 $5.23 LUST Tax-$.0010/ al ; { 3 OPTS attached °a Federal S-F tax increased on 111/2017 s: $10,412.84 1 $10,412.84 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Ferry District Date 6/20/2017 Title Date Dime ail LLC Phone-:, .203-754-5334 PO Box 11125 Date :• 06/02/17 Waterbury, ,CT 06703 page 1 . Dime Oil LLC vrv,M.dz.meoil:co>com Fishers Island Ferry Distric PC Box 607 ,(EMAIL) Att4 Accounts Payable Fishers, Island', -141Y 06390--0607 Re: .f'i'shers Island. Ferry Dish Waterfront -Park—�'c 66 Paint, New'London Terms: Net �30-,Days From Invoice Date _ Date, . InvoiceWCharge and 'Credits � ___-.�_'---------- - ,. .�.:.._--- -- „. 06/02/x,7' 48772 ', f, COR Oft , RoadAFPiesel� 5231.0 C7ALSM � @1: 570500_ Dyed Die"I Fzkel for Off R64d,Uae Qt LY. S--F Cost ,Recovery 10.99 CT EXCISE TAX DS.,r 2181.33 LUST TAX 5.23 , 06/0:2/17 4877.2 Fuel .izivQi&e `o'tal -104x2.84- Amount Niue 10,412.84 Effective k7an 1st the Federal Spial Recovery Fee ir�crase ^ to .0021 forilliiese3 ',061'9 t6r Gas 203#-754--5334 Ac{."`C?unt:A 420165 TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 1 5%PER MONTH WHICH I IS A4 ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION,FEES 4_877.2 - ❑ ❑ i r �r2C' � ORDER DATES C) -� liu35 s � 0 I. 06 '~20~ 1000 % /C _ 05/30/20 7 DELIVERY DATE 3 [[jj ii11j ��I Cr d Fishers -Island ferry Dish 5 r ®Y3t ,Park Race Point • • � GALLONS S ..' I State Street 0 GPS 860-442L016-5 New London. CT 06320 2112 SOX co 21 .'-000 p /� Last p� ` p ry �pqg 1 0.0072 ' ��y FULL PRICE PER GALLON o 2f z ! ° JOHN 860$343®8311*I9,54, -ex83_ etrait-follw � `J DISCOUNT PRICE PER GALLON n o '6igns-t State St—ovr RR tracks Vis,' termE `± F PAY:01SCOUNTAMOUNT SRI D L °9 .A 5200 GAS'S 5%30, ' PAY THIS AMOUNT `faxes= 0 .0021 $ 0. x•170 O .O�D10 AFTER DAYS m TRUCK TAX DIME ®IL COMPAM ,\ LLC DRIVER ` l �`7 P.O. BOX 11125 TMST 'P WATERBURY, CT 06703 TIME �� 7CAPM PAY TREC " (203) 754-5p�— TMFI OF DEL ,VV OO ❑CASH ❑CHECK SWAWE ! ' t !1 ❑CHARGE 09 i .Kasaa Asmolov From: Kasia Asmolov Sent: Tuesday,June 13, 2017 11:03 AM To: Kasia Asmolov Subject: FW: Fishers Inv&tix Attachments: CORRECTED INV FISHERS.pdf ~ CT 2017-06-02 17;07:58 EDT **OPIS CLOSING BENCHMARK FILE** **OPTS GROSS ULTRA LOW SULFUR DISTTLL,ATE PRICES** Move Terms No.2 Move No.l Move Pre Move Date Time Gulf b N-10 153.$0 - 2.20 -- -- -- -- 156.30 - 2.20 06/01 18:00 GULF-GTE u Net 153.80 - 2.20 --- -- -- 156.30 - 2.20 06/01 18:00 NWENGLPTR u N-10 154.15 - 2.20 156.65 - 2.20 06/01 18:00 Shell u N-1Q 154,81 - 2.17 r- F- -. __ _- . r -- -- Q6/01 1$:00 Global u N-10 155.OQ - 1.20 179.99 - 1.81 155.60 - 2.77 06/01 18:00 S.R.& M. u 1-10 155.87 - 2.17 -- -- _- -- __ -- -- _- 06/01 18:00 Valero u N-10 156.20 - 1.20 -- -- -- -- -- -- -- -- 06/01 18:00 Shell b 125-3 156.37 - 2,20 s- -- -- -- - -- 06/01 18:00 Irving b 1-10 156.47 - ,3.17 06/02 00:01 Sprague u 1-10 156.72 + 1.57 -- -- - 160.00 - 1.82 06/01 18:OQ Valero b 1-10 156.95 -1,25 -- -- -- -- -- -- -- -- 06/01 18:00 Coastal b 125-3 157.02 - 2.29 -- -- -- -- -- -- -- -- 06/01 18:00 Sunoco b 125-3 157.02 - 2.29 -- -- -- -- -- -- -- -- 06/01 18:00 Citgo b 1-10 157.05 - 2.34 - _- -- -- -- -- -- -- 06/01 18:00 Citgo u 1-10 157,05 - 2.34 -- -_ __ __ __ __ -- _- 06/01 18:00 XOM b 1-10 157.39 - 2.04 - -- -- -- -- -- -- 06/01 19:00 BP b 1-10 157.73 - 1.91 -- -- -_ -- -_ - -- 06/Ql 18:00 Irving u Net 158.22 - 2.33 __ __ -_ _- -- T- 06/01 18:00 GlobalXOM b 1 -10 158.61 2.50 - -- -- __ __ __ __ 06/01 18:00 LOW RACK 153.80 179:99 155.60 HIGH RACK 158.61 379.99 160.00 179.99 156.97 Pius vendor mark-up w .72 Total 157.05 Convert to dollars $1.5705 Katarzyna Asmolov Fishers Island Ferry District ' 1 FISHERS ISLAND FERRY DISTRICT VENDOR 0054'42 EMPIRE -DENTAL r 07/05/2017 CHECK 4162 a` A - '! FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 6937890 DENTAL PREM(26) -7/17 2,114.88 TOTAL 2,114.88 ^'F , .. r. ....... .. .� , , „-,•- •:`•'-fit: :�a. I :_ ny.. i.1 n I ✓� { l y J+ 1 I i N " I f I — I ' ,p. A FISHERS,ISLAND.FERRYDISTRIGT`•- ' `: 0 53095 MAIN ROAD,PO BOX 1179 AUDIT' 07°/05/;17', SOUTHOLD,NY 11971-0959 ,r __ - •CHECK' NO', 4162•:" ..THE SUFFOLK CO NATIONAL BANK _ CUTCHOGUE,NY,11935, DATE - =AMOUNT so5461214- 07/05/2.017 TWO Tf6USAN'D' ONE HUNDRED„FOURTEEN: AND 88/100_.DOLLARS = PAY EMPIRE DENTAL-"- To NTAL--To THE8 -DEPARTMENT, 83703" ORDERPO ''$OX 20'2837 „ OF. DALLAS TX. 7532,0-218371 lie 004 L6 2ii' 1:0 2 140 54641: 68 001.50 2 Lilo : '' r c � ' Vendor No. Check 14o.' 'down of Southold, New York - Payment Voucher 5442 1G 2 ' Vendor Tax ID Number or Social Security Number Entered by a!t�_ PO Box 202837 - Department 83703 Audit.Date ry Empire Dental Dallas,TX 75320-2837 AUL 0 5 2017 Vendor Telephone Number 877-606-3409 Town Clerk Vendor Contact a. Invoice Invoice Invoice Net Purchase Order Number - Date Total Discount Amount Claimed Number Description of Goods or Services Generat;Ledger Fund and Account Number, 6937890 6/14/2017 2,114.88 2,114.88 Jvngg 2017 Dental Premiums (26) SIW6060.8.000.000 2,114.88 2,114.88 Payee Certification Department Certification The undersigned-(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature —S Title Signature Company Name Fishers Island Ferry Date 6/21/2017 Title Date e– EmpireB�,E INVOICE PAGE , EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT# ENY4561251 INVOICE# 6937890 MINNEAPOLIS MN 55440-0856 BILLING DATE 06/14/2017 SUBSCRIBER PE IOD 07/01/2017 — 07/31/2017 BILLING/PYMT 877-606-3409 CLAIM PERIOD REMIT TO: FISHERS ISLAND FERRY DISTRICT EMPIRE DENTAL ATTN: ASSISTANT MANAGER GORDON S. MURPHY PO BOX 202837 ATTN: ACCOUNTING DEPARTMENT 83703 PO BOX 607 DALLAS TX 75320-2837 FISHERS ISLAND NY 06390 CUSTOMER NUMBER OF NUMBER OF CLAIM ADJUSTMENT RATE TOTAL REPORTING NUMBER CURRENT EMPLOYEES CLAIMS AMOUNT AMOUNT AMOUNT AMOUNT 456125-0001-0001-550 26 571.48 43.96/EE/MO 627.90 89.70/EE/MO 106.45 106.45/EE/MO 809.05 161.81/EE/MO 2,114.88 INVOICE TOTAL 26 0 $0.00 $0.00 $2,114.88 $2,114.88 YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. Sennas provided by Empire He®tlhChame Assurance,Ina,a licensee of the Blue Cross and Blue Shield Association,an association of Independent Blue Cross and Blue Sheld plane -" . FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 07/05/2017 CHECK 4163 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.,4`:000.000 ` 5-830-73400 AP(5) ,PAYROLL(3) ,AUDT(1) 300.81 SM .5710.4.000.000 5-830-73400 SHORTPAY PER VENDOR J 83.46- -TOTAL 217.35 co i _ ... r �—I ;FISFIERS-I-L4,M FERRYDIS7RICT,, 53095 MAIN ROAD,RO'BOX 1179 AUDIT:•'07,/,05/1,,-7. x , �. SOUTHOLD;NY 11971-0969, CHECK NO:• ;14163 :.'f _ 's THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE„NY.,1 T935 DATE AMOUNT 50-yds/z1a' >>” 07/'p'5/2017 r $'21'7'35` ; TWO'14UNDRED SEVENTEEN AND 35/100 DOLLARS ;'' PAY. Z'O THE,,' PO BOX. 3714-61 ORDER PITTSBURGH PA. '15'2'50-74-6111 us004 L6311, 1:0 2 L4054641: 68 00 L50 2_ L��' -' Vendor No. Town of Foothold, New York- Payment Voucher Vendor Address 911tered VV• , ` P.O.Box 371461 VendorName Pittsburgh, PA 15250-7461 Fedex Vendor Telephone Number '800-622-114.7 Merit Vendor Contact Invoice Invowe Invoice met Purchase Orde Number Date Total Discount lAmountClaimed Number Description o€Goods or Services general Leder Pund a'lud Account Number 5-830-73400 611212017 $300.811 $217.35 'AP(5)PR(3)Audit(1) SM57fO.4.000.000 .I Shortpay per vendor $217351 5217.35 Payee Certi0catiata Cerfifecation The undersigned(Claimant)(Acting on behalf of the,above named claimant) I hereby certify that the materials above specified have been recerved by me does hereby certify that the foregoing claim is true and conect,that no part has in good condition ti%ithout 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, Srgnatu� \ _ Title Signature_ Company Name Fishers Island Ferry District Date 6123/2017 , Title Dats_��/✓`- / Invoice Number Invoice Date Account Number Page 5-830-73400 Jun 12,2017 1206-0334-5 1 of 7 Billing Address: Shipping Address: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY TERMINAL Invoice Questions? ACCOUNT PAYABLE 5 WATERFRONT PARK Contact FedEx Revenue Services PO BOX 607 NEW LONDON CT 06320 Phone: (800)622-1147 FISHERS ISLAND NY 06390-0607 M-F 7 AMto 8 PM CST Sa 7 AM to 6 PM CST Fax: (800)548-3020 Invoice Summary Jun 12,2017 Internet:, www.fedex.com FedEx Express Services Transportation Charges 312'.75 Base Discount -36.57 Special Handling Charges 2463 Total Charges USD $300.81 TOTAL THIS INVOICE USD $300.81 You saved$36 57 in discounts this period! Other discounts may apply r -_ Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 5-830-73400 Jun 12;2017 11 1206-0334-5 2 of 7 r Adjustment Request Fax to (000) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments _ due to other reasons,including service failures,should be submitted by going to www.fedex.com or calling 800.622.1147. Please use multiple forms for additional requests. C Please complete all fields in black ink. n Requestor Name 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I Date W/ W/ W a Phone ► I I I -WW -I ► I I I Fax# WWW - I I I I -WWW C t E-mail Address ❑Yes,I wantto update account contactwith the above information. R. Tracking Number Bill to Account $Amount e I I I I I I I I I I I I I I I J I I I I I I I I I I IIIIII• W bIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W j,llllllllllllllll llllllllll IIIIII• W 11111111111111111 LIIIIIIIII IIIIII• W sllllflllllllllll IIIIIIIIII IIIIII• W ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other C DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) C_ Tracking Number Code $Amount LBS L W H r IIIIIIIIIIIIIIIIIIIIIIIIII• WblWW► IIIX1I IX1III I I I I I I I I I I I I I I I I I I I I I I I I I I I• W —L—I I—I 1 X1 I I I X1 I I # I I I I I I I I I I I I I I I I I I I I I I I I I I• W WW-1II I X1 I I 1 x1 I I S I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I I I x1 I I IxWW I I I I I I I I I I I I f I I I I I I I I I I I I I. W I I I II I I 1x1 1 1 1x1 I I I Fact-b Invoice Number Invoice Date Account Number Page 5-830-73400 Jun 12,2017 1206-0334-5 3 of 7 FedEx Express Shipment Summary By Payor Type \ FedEx Express Shipments(Original) Rated Special Weight Transportation Handling Etat OWTax Payer Type Shipments lbs Charges Charges credits/OEher Discounts Utat Charges Shipper 6 32.0 188.42 21.60 -21.47 188.55 Recipient 4 2.0 - 97.74 2.43 -12.44 87.73 Third Party 1 1.0 26.59 0.60 -2.66 24.53 Total FedEx Express 11 35A $31275 $24.63 -$35,61 $30081 TOTAL THIS INVOICE USD $300.81 1161-01-00-0014040-0003-0036320 Invoice Number Invoice Date Account Number Page 5-830-73400 Jun 12 2017 1206-0334-5 4of7 FedEx Express Shipment Detail By Payor Type(Original) Ship Date.May 08,2017 Cust.Ret.:NO REFERENCE INFORMATION Ref12: Payor:shipper Ret#3: • Fuel Surcharge-FedEx has applied a fuel surcharge of3.00%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 810997039732 GS MURPHY J FASLLE Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHELD Package Type FedEx Envelope 5 WATERFRONT PARK 54375 MELAN RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight N/A Delivered May 09,2017 10 48 Transportation Charge 21.95 Svc Area A8 Discount -3 51 Signed by T.DWYER Fuel Surcharge 055 FedEx Use 012849938/200% Total Charge USD $18.99 Ship Date.May 15,2017 Cust.Ret.:NO REFERENCE INFORMATION RefJ2. Payor:Shipper • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 50%to this shipment • Distance Based Pricing,Zone 2 Automaton AWB Sender Recipient Tracking ID 810997041364 DIANE HANSEN LAURAARENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD-ACCOUNTING DE Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX AD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2 0 lbs,0 9 kgs Declared Value USD 20000 Transportation Charge 2597 Delivered May 16,2017 15 02 Declared Value Charge 3.00 Svc Area A8 Discount -2.60 Signed by D DIANA Fuel Surcharge 0.58 FedEx Use 013558294/1283/_ Total Charge USD $26.95 Ship Date.May 16,20 11 Cust.Ref.:NO REFERENCE INFORMATION Ref#2. Payor.Shipper • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 50%to this shipment • Distance Based Pricing,Zone 2 Automaton AWB Sender Recipient Tracking ID 810997039743 GWS MURPY W DUFFY Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHELL Package Type FedEx Envelope 5 WATERFRONT PARK 54375 MALA RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight N/A Declared Value USD 10000 Transportation Charge 21.95 Delivered May 17,201710 31 Declared Value Charge 000 Svc Area A8 Discount -351 Signed by M SILLECK Fuel Surcharge 046 FedEx Use 013671695/200% Total Charge USD $18.90 Ship Date:May 30,2617 Cast.Ref:NO REFERENCE INFORMATION Ref•#2: Payor.Shipper .Ret,#3 • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 75%to this shipment • Distance Based Pricing,Zone 4 • Package Delivered to Recipient Address-Release Authorized Automaton AWB Sender Recipient Tracking ID 810700463681 FISHERS ISLAND FERRY TERMINAL DOUG BIGELOW Service Type FedEx 2Day A.M 5 WATERFRONT PARK STR MATER SERVICES Package Type Customer Packaging NEW LONDON CT 06320 US 595 BRADFORD ST Zone 04 PONTIAC MI 48341 US Packages 1 Rated Weight 28 O lbs,12 7 kgs Transportation Charge 7511 Continued on next page 1161-01-00-0014040-0003-0036320 Iff— Invoice Number Invoice Date Account Number Page 5-830-73400 Jun 12;2017 1206-0334-5 5 of 7 Tracking ID:810700463681 continued Delivered Jun 01,201710 02 Discount -751 Svc Area A2 Fuel Surcharge 186 Signed by see above Account Number Correction 1400 FedEx Use 015075250/8/02 Total Charge USD $83.46 Ship Date:May 30,2017 Cast.Rai.,NO REFERENU INFORMATION RdV: Payor:Shipper Ref U • Fuel Surcharge-FedEx has applied a fuel surcharge of 2.75%to this shipment. • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 810997041375 KASIAASMOLOV LAURAARENA Service Type FedEx Priority Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD-ACCOUNTING DE n Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX /I\ ` Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs,09l(gs Declared Value USD 10000 Transportation Charge 2694 Delivered May 31,2017 1120 Declared Value Charge 000 Svc Area A8 Discount -269 Signed by D DIANA Fuel Surcharge 067 FedEx Use 015075250/1486/_ Total Charge USD $24.92 Ship Date;Jun-07,2017 Oust.Re v,i E1DIT ..Ref<#2 Payor.Shipper WAX • Fuel Surcharge-FedEx has applied a fuel surcharge of 3 25%to this shipment. • Distance Based Pricing,Zone 2 • Package Delivered to Recipient Address-Release Authorized Automation AWB Sender Recipient Tracking ID 810997041386 DIANE HANSEN KATHERINE PATNAUDE Service Type FedEx 2Day FISHERS ISLAND FERRY TERMINAL 0 CONNOR DAVIES ackage Type FedEx Envelope 5 WATERFRONT PARK 100 GREAT MEADOW RD Zone 02 NEW LONDON CT 06320 US WETHERSFIELD CT 06109 US coo Packages 1 Rated Weight N/A Declared Value USD 100.00 Transportation Charge 1650 Delivered Jun 09,2017 09.14 Declared Value Charge 000 Svc Area A2 Discount -165 Signed by see above Fuel Surcharge 048 FedEx Use 015898839/1108/02 Total Charge USD $15.33 Shipper Subtotal USD $188.55 Ship Date:May 10,2017 CusLRef.:NO REFERENCE INFORMATION ROW: Payor:Recipient 4 let4: • Fuel Surcharge-FedEx has applied a fuel surcharge of 300%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 809196800180 LAURA AREN GORDON MRPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT Package Type FedEx Envelope 53095 ROUTE 25 5 WATERFRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight N/A Delivered May 11,2017 09 44 Transportation Charge 22.28 Svc Area A4 Discount -3.56 Signed by C.WILCOX Fuel Surcharge 056 FedEx Use 013076596/186/ Total Charge USD $19.28 1161-01-00-0014040-0002-0036319 Invoice Number Invoice Date Account Number page 5-830-73400 Jun 12 2017 1206-0334-5 6 of 7 Ship Date:May 19,2017= Cost Ref.:NO REFERENCE INFORMATI ON' Ref#2: Payor:Recipient Ra1A 3*. • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 50%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service.Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pako, Automation AWB Sender Recipient Tracking ID 810601922244 JANICE LFOGLIA GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 10 lbs,0.5 kgs Delivered May 22,2017 09 05 Transportation Charge 2659 Svc Area 49 Discount -266 Signed by N CAPOLA Fuel Surcharge 0.60 FedEx Use 013950197/14861_ Total Charge USD $24.53 Ship Date.,Jun 01,2017 Cust.Rot:NO REFERENCE INFORMATION HOW: Payor:Recipient fief.#3�. • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 75%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipmentfor correct packages,weight,and service.Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak. Automation AWB Sender Recipient Tracking ID 809196800250 JANICE FOGLIA GORDON MURHY / Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT _ Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1.0 lbs,0 5 kgs Delivered Jun 02,2017 10 05 Transportation Charge 26.59 Svc Area A9 Discount -266 Signed by D.EAGAN Fuel Surcharge 066 FedEx Use 015242836/1486/_ Total Charge USD $24.59 Ship Date;Jun 07,2017 Cast.Ret.:NO REFERENCE INFORMATION Ref#2: Payor:Recipient fief.#3. • Fuel Surcharge-FedEx has applied a fuel surcharge of 3 25%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 809196800240 LAURA ARENA GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI PERRY DISTRICT Package Type FedEx Envelope 53095 ROUTE 25 5 WATER FRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight N/A Delivered Jun 08,2017 09 58 Transportation Charge 2228 Svc Area A4 Discount -356 Signed by N CHARLES Fuel Surcharge 0.61 FedEx Use 015898757/186/ Total Charge USD $19.33 Recipient Subtotal USD $87.73 Ship Date:Mayy24,2017 Cost,AeL NO REFERENCE INFORMATION Ref#2: Payor-.Third Parry Ret#3: • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 2.50%to this shipment. • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak ^ n Automation AWB Sender Recipient /�✓ / ,�" Tracking ID 810601922233 LAURAARNA GORDON MURPHY v Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRYDISTRICT Package Type FedEx Pak 53095 ROUTE 25 5 WATERFRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 10 lbs,0 5 kgs Delivered May 25,2017 09:54 Transportation Charge 2659 Continued on next page 1161-01-00-0014040-0002-0036319 Invoice NumberIn-voice Date F Account Number Page 5-830-73400 Jun 12,2017 '1206-0334-5 7 of 7 Tracking ID:810601922233 continued Svc Area A4 Discount -2.66 Signed by D.EAGAN Fuel Surcharge 060 FedEx Use 014493051/1486/_ Total Charge USD $24.53 Third Party Subtotal USD $24.53 Total FedEx Express USD $3 .81 1161-01-00-0014040-0001-0036318 r• Package kpu Express US Airbill N ' Q ®� Q 2®p n. FedEx Copy 8 iram Sonou Account x 4 4poessPackage Sgrvice •Yogw pofk".p 11 (?PI,�pl1, HRI t�YfeNF N e��9' Dots I AccountNumwn6or Sendersa_ b j FadExFrstOvarnipht radERc2DayA,M. Namo : ��. /ji) Phan Bii❑ Eerregn,tb 0�44mdM delMHme•e61 49 s.4-ntl bwm+,mmn np• r �c ��Y� .1.W+WYaoMaV NOr WeLbb FadEx Pnanly Oeamlght F4dEx 20ay Company �9❑ NugkueFae4 nwa.2ma ppT7ayw9ka 030 UmW bwwm RR4muon•rliund.Yly'q-r1j 6. �ludarur 4fMaP000+4 OsluYri aEwcvc�p,s pat>ed+r6edw S+ru Q+Y Addross 1 t�� rCC� I pry 053❑Nes Wede�dOvorniAht 200 Fnadb QoysaSavar p� ' oepq�om SeeRtiviOwrNynarenpeum rcepnrvn0r•wr,ge J. .�� 0_ �r 5.� ( 5 Pachaging •apclewA-0k,6M8W clRy k1 n_ _ stats z1P (1/ ? Your Internal billing Rafaroraca 00[]FodEx Fnalopo- 02E]FedEx Pak' 03[D®%Ex OA[]Tuba 010, ,O0'ar 3 To 16. Spacial Handlling and Delivery Signature Options Fee;m4Y,p*s,ewrK samocuw nOCIPlant7 Nam 03❑St'WrdaV Delivery� ..`)� n A—a l J Phono v tndunclSi rtauRrQ �t /I ,y 9 No Slgnutura Hequirad Onoct Signature p d,ap,�pn,Q+bQ,,,19pif1, Commy �'Pf �Q�V�e�_ �rhW®emryGkhwdout ®� omaonoatAC7emY.tldule 3.0❑edA+e�esu,meq,MQ7be�8 / 4[M ee M.1 -owe rmreien l4rdeW,N N Wi�eNm�yopnfot d.Mry nv Ha1d Vyaatday C'•°"ep`v r0ea hs sAlpmarA contain dangamwgoadal Addrufa Q� QqR baa raa+tbe chackcm, —� We 4mol AWei b YO,eprn-r pQYYYZ---p 6-401 C.pYRsi49Wa.M" 405 YOG HoldSaturduy NO 04E] oa [:1n u r,w,00[ Orylca y,pp-�pexn, rra�6 aYsa0.uN1W..._.,.�•..•.�.�.bq Addrasa 39❑ r "" Rswama,4 a W401W m © eo, Only use lfinlineluuw1107V140eban+ddnef4rlar0pma AiiadlwmeMppinp-Ydroep r�iepaeybegral p •�1°'p"e'"'e"rFwFnSm•R�eep Caf AItCEBfl /� � � A dd ,, 7 f BginaQt Bi}!/o• Am�wcip Stato 21P y �Sc+�er r---- FmnFaiExAtaNpaa�n�+aNand6vY — Am Na ❑ '❑ rwua ❑ CoshlChack TalalPastagos TotalWOlgts 7otelOadorodValual �rm�ryd,aW, y tau blbWs4psrJb7 aS]IW udmyadniacef�+wL450,ea mrenhdC.SenkpaW-wae6X �`� 8907 0048 388 1 net a+uea:]•►att,lU�7•rhBl]•f01f fe,f.•pNHfra W U:A 0]W o6cm Diane Hansen From: Gordon Murphy Sent: Friday,June 23, 2017 9:51 AM To: Accounting Department Subject: FW: Requested Documents from FedEx Attachments: Fed ExDocs062317209006.pdf Bigelow is not ours. FedEx has issued an$83.46 credit-our bill is now$217.35. It is for the Waterworks, -----Original Message,---- From: donotreply@fedex.com fmailto:donotreply@fedex.coml Sent: Friday,June 23, 2017 9:45 AM To: Gordon Murphy Subject: Requested Documents from FedEx Email request to gmurphv@fiferr)t.com was sent at Fri Jun 23 13:45:11 GMT-00:00 2017 request was sent to Enterprise Email service. Comments: Details: Tracking ID-Document Image are:810700463681-AWB Thank you. The Enterprise Document Management Team i pag"z FISHERS ISLAND FERRY DISTRICT( ' 1 , VENDOR 009615 FISHERS ISLAND COMMUNITY CENTR 07/05/2017 CHECK 4164 ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 767 PHONE USE 5/2&15 BOC MTG 15.74 €� TOTAL 15.74 iI :ik'i t � °F.ISHERSISLAAD-�FERR'Y'DISTRICT A" DIT': ©`5'/17` 53095 MAIN ROAD,PO'BOX 1179 SOUTHOLD,NY 11971-0959CHECK NO:- 47 64• THE SUFFOLK'CO.NATIONAL BANK i CUTCHOGUE,NY 11935', , :DATE.°,r', AMOUNT,',. 50546/214 07/05/2017, :`]5.,74 ka> FIFTEEN AND r74-/100, DOLLARS :; \ PAS' FISHERS :ISLAND COMMUNITY CENTR, T'777E PO ,BOX , '6'4 f? ORDEK FISHERS -IST;AND NY- '06 3 9 0—0 6/0-7 OF 111004 L64ii' 1:0 2 14054F3L, 68 00 L50 2 Iun Vendor No. Check No: " 'down of Southold, New York - Payment Voucher 9615 Vendor Address Entered by. PO Box 464 Vendor Name Fisher's Island, MY 06390-0607 Audit e Fishers Island Community Center, Inc. f � 2017 Vendor Telephone Number T Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services r-`General Ledger Fund and Account Number 767 Z/13/2017 $15.74 $15.74 Telephone usage during SM6710.4.000.200 } E 5/2/17,5/15/17 BOC meeting__ r $15.74 1 $15.74 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 `Qi�` Title Signature Company Name Fishers Island Ferry District_Date 6/20/2017 Title _Date — �� The Fishers Island Community Center, Inc. PO Box 464 Fishers Island, NY 06390 Invoice Date Invoice# Bili To 6/13/2017 767 FI Ferry District PO Box 607 Fishers Island NY 06390 Terms Due Upon Receipt Description Class Amount Conference Phone Date 5/2/17 Space Rental 1.93 Conference Phone Date 5/15/17 Space Rental 6.42 Conference Phone Date Space Rental 7.39 SUbtotal $15.74 Sales Tax $0.00 Thank you for choosing the Island = Total $15.74 Community Center! PaymentslCredits $0.00 Balance Due $15.74 Page 9 f ff M : FISHERS ISLAND C014MUNITY PO BOX 464 aut FISHERS ISL NY 06390-0464 030 468 5991 001 MAY 31, 2017 JUN 26, 2017 Location: 150 985 3463 001 TELEPHONE NUMBER: 631 788 7683 9 m "M MR ME RM z m FROM 1 REM- LONG DISTANCE SERVICE BILLED NUMBER: 631 788-7683 STATE-TO-STATE CALLS ve- 1 5/02/17 4:25:40P TUE TO LAKE PARK TA 712 432-0490 2 5/05/17 2:08:31P FRI TO WOODBRIDGE NJ 732 694-5476 2-.-0ff-1JDC-- 3 5/06/17 12:28:20P SAT TO 22 26:,00 DD 1*79 L-_-6- - �5 4 5/06/17 1:03:03P SAT TO IA IfLr- 1-.08:wOU DDWco�4 CoLtl 5 5/09/17 12:05:35P TUE TO 'STAMFORD CT 203 667-5616 1:00 DDC 0.07 6 5/09/17 12:23:37P TUE TO NORWICH CT 860 885-9877 2:00 DDC 0.14 7 5/10/17 10:09:30A WED TO STAMFORD CT 203 667-5616 4:00 DDC 0.28 8 5/10/17 1:22s13P WED TO NEW LONDON CT 860 442-0669 3:Oq 0 - -._. RD 9 5/15/17 4:32:55P MON TO J_AKE_PARK lAU - _ 6___ 10 5/26/17 12:52:36P FRI, TO NEW LONDON CT 860 442-0669 ---1-7(rlr-DD 11 5/27/17 11:02:39A SAT TO BOSTON NA 617 226-8181 2-.00- DDQ,rcn�5 0. 5'.38 - DDC_>C,,,J�tettu_ - 12 5/27/17 11:05:13A SAT TO BOSTON 14A b 1:18:00 13 5/27/17 2:03:04P SAT TO PRINCETON -wi 609 865-11004 1:00 DDC C,o<<I 7 14 5/30/17 11:25:15A TUE TO'BLOCK IS RI 401 466-2626 6:00 DOC 0.41 15 5/30/17 3:25:40P TUE TO COLUMBIA CT 860 359-9182 1:00 DDC_ 16 5/30/17 4:30:32P TUE TO LAKE PARK IA 712 432-0490 _15 10. 17 5/30/17 4:36:27P TUE TO JLXU=muuc::�7�12_45 ==(Fi .STAMFORD 20t 9� 2_4� —D 18 5/31/17 10:28:16A WED TO STAMFORD 203 352-4465 '--2..00 0. 19 5/31/17 12:59:09P WED TO STAMFORD CT 203 352-4465 1:00 DDC 0.07 20 5/31/17 3-:59:43P WED TO WPALMBEACH FL 561 329-5838 2:90 DDC 0.14 21 5/31/17 4:04:02P WED TO WPALMBEACH FL 561 329-5838 2:00 _ DDC 0.14 NORM IN-STATE CALLS 22 5/27/17 4:04:48P SAT TO NEW YORK NY 646 521-7362 1:00 DOC 0.06 23 5/27/17 4:06:52P SAT TO NEW YORK MY 646 521-7362 1:00 DDC 0.06 24 5/27/17 4:08:12P SAT TO NEW YORK NY 646 521-7362 1:00 DDC 0.06 WE Et BILLED NUMBER: 631 788-7990 STATE-TO-STATE CALLS 25 5/12/17 3:50:53P FRI TO MIDDLETOWN CT 860 347-2189 6:00 DDC 0.41 26 5/12/17 4:24:24P FRI TO RUSSELLVL KY 270 743-715 17:00 DDC 1.17 27 5/13/17 10:15:10A SAT TO RUSSELLVL KY 270 743-715 1:00 DDC 0.07 28 5/13/17 10:25:04A SAT TO NEW LONDON CT 860 442-0669 7:00 DOC 0.48 29 5/15/17 11:18:40A MON -TO NORWICH CT 860 705-9064 2:00 DDC 0.14 :;M 3 ..... ....... MWEIP" FISHERS ISLAND FERRY DISTRICT VENDOR 006482 PAUL J. FOLEY 07/05/2017 CHECK 4165 "'INVOICE AMOUNT FUND & ACCOUNT P.O.# DESCRIPTION SM .9060.8.000.0!00 070117 REIMB RX-JULY117 102.16 1 SM .9060.8.000.000 129943249 REIMB 3RD QTR STND ALONE 354.77 TOTAL 456.93 /+ x gg- iTT-T0111 -TO C�J 5, pr --FISHERS 5 ISMAD,FERRY DISTRICT AtIM11 53095 MAIN ROAD,PO,BOX 1119 ;' F $OUTHOLD,NY 11971=0959 CHECK NO.,t' tHE'SOFFOLK 60,NATIONAL BANK. J, ', AMOUNT, 'CUTCF�OPUE,NY 11935 TE �.: . " 01 93,` 0,-5461214 FOUR AU1qDR)!Z,- 'VfF',TY _S1 AND 93/100,' DOLLARS PAY 'PAUL FOLEY- :F` t 690 WILLIAM STREET 6P NE-W LONDON 'CT 0,6320 ii,001, L6511 1.02 14051, 6 : 68 00 1 S 0 2 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 6482 Vendor Address Entered ly 690 Williams Street New London, CT 06320 Audit Date Foley, Paul JUL"O 5 2017 Vendor Telephone Number To 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 29943249 6/8/2017 $443.46 $354.77 Anthem Medigap Plan N 7/1-9/30/17 SM9060.8.000.000 ($88.69) 80%Reimbursement Paul Foley Ck#2755$443.46 6/20/2017 $127,70 $102.16 Anthem Retiree Prescription Ilan Jul 2017 tiW9060.8.006.000 ($25.54) 80% Reimbursement Pe6 m RX-5 ` 'P Paul Foley Ck#2756 $127.70 a $456.93 $456.93 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 ` a,41 Title Signature /} Company Name Fishers Island Ferry District Date 6/22/2017 Title Date !i Blue.1VJedcareReS11L Premier;{PDP) _ 0, Customer Care: 1-888-620-1747 B1ueCross B1ueShield l Blue MedicareRx"(PDP) TI P1 951(260)093316106449 II'11�11i1III�II(' ttt�Il""' t1�'�Ii�t'��t'�'It'1i111'ill'1�1� Payments received after the due date may PAUL J FOLEY appear on your next invoice. 690 WILLIAMS ST NEW LONDON,CT 06320-4132 :x� ;_- -z:�- z..,..,,�'.Y''s?`-.::#'��:-t"-:0.�•�v?:.c��_�t: _.r�s,��s_ L,�-r�a..�z z3:.E,i'� �_{3=�^�.s. �"°..-4��..-a� �re 3=�,v��.- _ �Vll'+U'iL71JJ, $127.70 07/01/2017 j I 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 SSA/RRB check, call 1-888-620-1747. • For one time credit card payment through our automated system, call 1-877-358-6792. s i Previous Ballance $127.70- Payment Activity Since Last Invoice -$127.70 Payment Type Date Received Amount Check Payment-Lockbox ,�,Pr 05/23/2017 -$127.70 00002743 Activity Detail `�\�� $127.70 Transaction Tvne Premium Month Amount Premium j/ \� JULY 2017 $127.70 Amount Due $127.70 E 1 r PAUL J.FOLEY 2756 i i 690 W{LLIAMS ST. 51 72IW2211 s _ NEW LONDON,CT 06320 d r , Date 13s { Pay to the i Order of !o�}'� 70 I V 3 d lb / Dollars 1 ---- y—A- Peqplle6Ug4Sd x —=Bank peoplescom Ford�i i 2 75 6 - + PO Box 659816 -- -----_--- �_�--- 1 of 4 San Antonio, TX 78265 An-them. �o®� 13lueCross$lueShield i.udlI �l.ihilgqu.1,uIlilq.l.elul.11lullllul,un� 0094361 AV 0.370 01590/009436/003179 0042 2 ACUQBG WPT170 GBDMS 06/09/2017 06/13/2017 PAULJFOLEY 690 WILLIAMS ST NEW LONDON, CT 06320-4132 _ - '=TFn`vo a o.. 00299432 r Nsrt . -42au1=3=Fd16y—•------ — -_--�-�— Member ID No.: 406M84759 i Billing Period: 07/01/2017 to 09/3012017 Billed Date: 06/08/2017 Payment Due Date: 07/01/2017 Prior Bill Amount $443.46 Paid Amount $443-46 Other Adjustment Subtotal lA $0.00 Prior Balance Due ") $0.00 Retroactive Eligibility Adjustment Subtotal $0-00 Manual Adjustment Subtotal $0.00 Current Charges Subtotal $443.46 Billed Amount (1 Vl`' $443.46 A TRA1-D-009436/003179 ACUQBG S1-ET-M1-C00003 4 PLEASE PAY THE BILLED AMOUNT UPON RECEIPT TO AVOID CANCELLATION - I PAUL J.FOLEY i 690 WIWANJS ST. 2755 F NEW LONDON,CT 06320 G; 51-77IM211(01 139 ` Date = Pay to the E Order of 6 : Dollars inP e&u r r . peoples.com I C, 13 5 4T ' I 4i'',°'1,�'I i��4 _ s'.:-�( ',rl�z.f' � :tcr—c• _. C= �-v.vli�^Yta' 'T'� - < FISHERS ISLAND FERRY DISTRICT VENDOR 006803 FRONTIER 07/05/2017 CHECK 4166 A FUND & AC/COUNT P.O.# INVOICE DESCRIPTION AMOUNT { t , SM .5710.4.000.100 86044201650617 NL TERM TEL-6/15-7/14/17 286.42 TOTAL 286.42 I IV I •• �-:I r .ter. • .........+� i ta' ;?rS,'-. r.;s xS 1 .n yF�Y'ry I < < I I , �1 t -- • _ 0 0 • D D 0 D 0 • � `,.; PISHERS,ISLAND'-FERRY DISTRICT, AUDZT =oa-%,65'/l '� - 53095 MAIN ROADr'P,0'BOX 1179'' _ •-'-_- "'-'• �"' r•, - ® _ ' SOUTHOLD,NY'L1'971.0959 I ti =THE SUFFOLK CO.NATIONAL BANK ' " 'CUTCHOGU_E,NY a 1935, -DATE, +AMOUNT -0'7,'/05'/20`17 _- 50,546/214 ;.TWO ,HUNDRED:,EIGHTY SI%=.AND '`42/100:DOLLARS P,AY FRONTIER, TO THE .+- , Q OR17ER - CINCINNATI OH'45274--0407 - lie 0�04 1GG110 1:0 2 14+054641: 68 00 150 2 1110 - f / 1. J Vendor No. Check No.,., Town of Southold, New York o Payment Voucher 680 L (G Vendor Address 7 ntered by Frontier Vendor Name PO Box 740407 Audit ate Frontier Long Distance Cincinnati, OH 45274-0407 'JUL Q 2017 Vendor Vendor Telephone Number T n Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number r, Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number " OG 17 860-442-0165= 6/15/2017 $286.42 $286.42 NL Terminal Tel SM5710.4.000.100 6/16-7/14/17 $286.42 1 $286.42 Payee Certification (Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signatures itle Signature Company Name Fishers Island Ferry District Date 6/22/2017 Title Date �W ti 77 aim'r,' 'rou tier,® FISHERS ISLAND FERRY DISTRICT Pagel of 7 Your Monthly Invoice COMMUNICATIONIS Ace,ount Summaty New Charges Due Date 7/10/17 Billing Date 6/15/17 Account Number 860-442-0165-011484-5 PIN 3876 Previous Balance 437.62 Payments Received Thru 5/16/17 -218.03 Thank you for your payment! Balance FoRtvard 219.59 New Charges 86.42 kA TPI-al A pkint Du -06,01 a I Get TV ttets P To Pay Your Bill Add DISH Business and create your own TV package. a Online:Frontiercom 0 1.800.801.6652 • Liven up the waiting room or lunchroom 15 • Make your establishment the go-to place Pay by Mail Get great TV programming at really great prices! ® To Contact lis =F:f all1e 44.217®420 :s BUSINESS Chat:Frontiercom Online:Frontiercom/helpcenter All offers require husmessvenficatmn and 24-month commitment with earlytermmanonfee All prices,charges,packages, programmmgfeatures,functionality,andoffer:sub)eC:ochangewitnoutnotice5peaficchanaekmayvaryfromtesidential 1.800.921.8102 Email:ContactBusiness@ftr.com packages and package names do not necessarily reflectchannel counts 02017 Frontier Communications Corporation — 6 _ e ®p R ntier Date of Bill Pa 6/15/17 COMMUNICATIONS Aq ount Number 860-442-0165-011484-5 For Billing and Service Questions,Call 1,800-921.8102-,7 am-7 pm Monday-Fridsay,9;30 6m-4 pm Saturday or visit www.Frontier-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 • 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 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 regcb a consultant trained to support their communication needs., I ®iu FISHERS ISLAND FERRY DISTRICT Page 3 of 7 t7r - Date of Bill 6/15117 1p Account Number 860-442-0165-011484-5 COMMUNICATIONS CURRENT BIL ill CUSTOMER TALK Local Service fro 06/15/17 to 07/14/17 Oty Description 8601442-0165.0 Charge If your bill reflects that you owe a Balance Forward, you Basic Charges 4 Centrex Bus Line 84.00 must make a payment immediately in order to avoid 3 Ace Rec Chrg Multi-Ln DCS 5.28 collection activities. You must pay a minimum of$333.74 Ace Rec Chrg Multi-Ln Bus 1.76 by your due date to avoid disconnection of your local 3 Federal Subscriber Line Charge 17.52 service. All other charges should be paid by your due date Multi-Lane Federal Subscriber Line Charge 5.84 to keep your account current 4 Inside Wire Protection 29.40 Other Charges-Detailed Below 3.29 Federal Excise Tax 3,45 Effective with your next bill, the new applicable late 4 CT Service Fund .20 payment fee will increase to$9.00 or 1.5%,whichever is CT State Tel Sales Tax 7.61 greater, for customers who subscribe to Voice, Internet, or CT State Sales Tax 2.09 TV. Please contact Customer Service with any questions. 4 911 Surcharge 1.12 Federal USF Recovery Charge 5.32 Total Basic charges 166.88 Non Basic Charges Rental - Gong 2.25 GSF1 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 LONG DISTANCE OF CT -Detailed Below 54.91 CT State Tel Sales Tax 6.64 Federal Regulatory Fee 2.11 Frontier Long Distance - Federal USF Surcharge 12.95 Total Toll/Other 111.61 j TOTAL 286.42 --------------------------------------------------------------------- **ACCOUNT ACTIVITY** Qty Description Order Number Effective Dates 1 Late Payment Fee 6/11 3.29 8601442-0165 Subtotal 3.29 :t^y Subtotal 3.29 -Detail of Frontier Charges - Toll charged to 6601442-0165 Ref # Date Time Agin *Type Place and Number Called Charge 1 MAY 15 12:49P 1.4 DO WILLIMNTIC GT (860)208-1005 .00 2 2 MAY 15 2:13P 9.6 DD COLCHESTER CT (860)537-1003 .00 2 3 MAY 17 1:41P 1.2 DD HARTFORD CT (860)883-2525 .00 2 4 MAY 17 6:38P .6 DO HARTFORD CT (860)883-2647 .00 2 5 MAY 18 8:49A 4.9 DD WINDSORLKS GT (860)623-8374 .00 2 6 MAY 16 2:43P .6 DD NEW HAVEN CT (203)988-4123 .00 2 7 MAY 19 10:OOA 1.0 DO BRISTOL CT (860)261-2892 .00 2 8 MAY 19 11:06A 4.2 DD HARTFORD GT (860)993-5064 .00 2 9 MAY 19 1:56P .6 DD NEWBRITAIN CT (860)774-4612 .00 2 10 MAY 19 2:24P 4.0 DO MIDDLETOWN GT (860)347-4688 .00 2 11 MAY 23 9:44A .5 DD BRIDGEPORT CT (203)209-6386 .00 2 12 MAY 25 9:54A 2.2 DO NEW HAVEN GT (203)641-9494 .00 2 13 MAY 25 10:08A .8 DD NEW HAVEN CT (203)641-9494 .00 2 14 MAY 30 8:05A .5 DO WATERBURY CT (203)754-5334 .00 2 15 JUN 02 11:44A 4.3 DO HARTFORD GT (860)760-3981 .00 2 16 JUN 05 10:45A 8.1 DD NEWBRITAIN CT (860)770-4612 .00 2 17 JUN 05 1:09P 2.7 DO DEEP RIVER CT (860)526-9836 .00 2 18 JUN 05 2:30P 2.0 DO WILLIMNTIC CT (860)208-1005 .00 2 19 JUN 07 2:43P 2.1 DD GUILFORD CT (203)458-4128 .00 2 20 JUN 08 10:02A 1.3 DO NEW HAVEN CT (203)410-6968 .00 2 - ® Rontier FISHERS ISLAND FERRY DISTRICT Page 4 of 7 Date of Rill 6115117 Account Number 660-442-0165-011484-5 COMMUNICATIONS Ref # Date Time Alin *Type Place and Number Called Charge 21 JUN 09 1:20P .5 DD BRIDGEPORT CT (203)395-6270 .00 2 22 JUN 09 1:41P 4.6 DD BRIDGEPORT CT (203)395-6270 .00 2 23 JUN 12 9:44A .5 DD ANSONIDRBY CT (203)893-1959 .00 2 24 JUN 12 12:55P 1.2 DD OLD SAYBRK CT (860)510-8981 .00 2 25 JUN 12 2:47P 3.3 DD HARTFORD CT (860)263-3143 .00 2 26 JUN 12 3:19P .8 DD NEW HAVEN CT•(203)410-8311 .00 2 27 JUN 12 3:49P 1.2 DD WILLIMNTIC CT (860)208-6148 .00 2 860/442-0165 subtotal .00 Detail of Frontier Charges Toll charged to 860/447-9371 Ref # Date Time Min *Type Place and Number Called Charge 28 MAY 16 9:46A .5 DD MIDDLETOWN CT (860)301-5930 .00 2 29 MAY 16 9:46A .5 DD MOODUS CT (860)873-8488 .00 2 30 MAY 16 9:47A .5 DD MOODUS CT (860)873-8488 .00 2 31 MAY 16 9:48A .5 DD MOODUS CT (860)873-8488 .00 2 32 MAY 16 9:49A .7 DD MIDDLETOWN CT (860)301-5930 .00 2 33 MAY 16 11:32A 2.7 DD PLAINVILLE CT (860)747-9911 .00 2 34 MAY 16 1:17P 4.9 DD HARTFORD CT (860)310-9284 .00 2 35 MAY 19 10:43A 5.2 DD BRISTOL CT (860)589-3500 .00 2 36 MAY 19 12:49P 4.7 DD HUNTINGTON CT (203)924-2000 .00 2 37 MAY 19 1:53P 1.2 DD GUILFORD CT (203)453-1200 .00 2 38 MAY 23 9:18A .5 DD BRIDGEPORT CT (203)209-6386 .00 2 39 MAY 24 9:01A 5.8 DD HARTFORD CT (860)263-3143 .00 2 40 MAY 24 9:12A .5 DD NEW HAVEN CT (203)468-4509 .00 2 41 MAY 26 2:24P .5 DD NEW HAVEN CT (203)468-4509 .00 2 42 MAY 30 9:56A .7 DD NEW HAVEN CT (203)410-0861 .00 2 43 MAY 31 2:57P 1.5 DD CANTON CT (860)693-2828 .00 2 44 MAY 31 3:10P 1.8 DD SOUTHINGTN CT (860)621-1451 .00 2 45 JUN 01 10:05A 3.1 DD HUNTINGTON GT (203)924-2000 .00 2 46 JUN 01 10:27A 2.7 DD HUNTINGTON CT (203)924-2000 .00 2 47 JUN 02 11:06A 1.4 DD MANCHESTER CT (860)474-1000 .00 2 48 JUN 02 12:36P .6 DD SOUTHINGTN CT (860)621-1451 .00 2 49 JUN 02 12:52P 1.0 DD SOUTHINGTN CT (860)621-1451 .00 2 50 JUN 05 2:20P 2.7 DD HUNTINGTON CT (203)924-2000 .00 2 51 JUN 07 10:32A 1.9 DD HUNTINGTON CT (203)924-2000 .00 2 52 JUN 09 11:54A 4.9 DD HARTFORD CT (860)263-3143 .00 2 53 JUN 09 3:01P 35.4 DD HARTFORD CT (860)263-3000 .00 2 54 JUN 12 2:21P 24.3 DD NEW HAVEN CT (203)468-4506 .00 2 55 JUN 13 10:11A 3.6 DD HUNTINGTON CT (203)924-2000 .00 2 56 JUN 13 11:52A 2.7 DD NEW HAVEN CT (203)410-6968 .00 2 860/447-9371 Subtotal .00 Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/442-0165 Ref # Date Time Min *Type Place and Number Called Charge ............57-MAY-15 -9:26A- - .5- DD ---FISHERS IS NY (631)788-7744 .00 2 58 MAY 15 9:49A .5 DD FISHERS IS NY (631)788-7744 .00 2 59 MAY 15 9:51A 3.0 DD FISHERS IS NY (631)788-7744 .00 2 60 MAY 15 10:00A 2.2 DD FISHERS IS NY (631)788-7255 .00 2 61 MAY 15 10:09A 1.0 DD FISHERS IS NY (631)788-7857 .00 2 62 MAY 15 10:22A 4.7 DD FISHERS IS NY (631)788-7632 .00 2 63 MAY 15 10:38A 3.7 DD FISHERS IS NY (631)788-7463 .00 2 64 MAY 15 1:09P 1.8 DD ALBANY NY (518)474-7736 .00 2 65 MAY 15 2:22P 1.7 DD FISHERS IS NY (631)788-7345 .00 2 66 MAY 16 8:35A .9 DD FISHERS IS NY (631)788-7857 .00 2 67 MAY 16 2:53P .5 DD SOUTHAMPTN NY (631)702-5920 .00 2 68 MAY 16 3:14P 20.1 DD LAKE PARK IA (712)432-0490 .00 2 69 MAY 16 3:35P 1.7 DD FISHERS IS NY (631)788-7719 .00 2 70 MAY 16 3:39P 2.9 DD FISHERS IS NY (631)788-7719 .00 2 71 MAY 17 7:14A 3.1 DD FISHERS IS NY (631)788-7463 .00 2 72 MAY 17 8:51A 1.3 DD FISHERS IS NY (631)788-7345 .00 2 73 MAY 17 9:18A .5 DD FISHERS IS NY (631)788-7632 .00 2 74 MAY 17 9:19A 2.7 DD FISHERS IS NY (631)788-7632 .00 2 75 MAY 17 10:25A 1.1 DQ SOUTHOLD NY (631)765-2600 .00 2 76 MAY 17 10:27A 1.5 DD FISHERS IS NY (631)788-7345 .00 2 77 MAY 17 2:17P 1.1 DD FISHERS IS NY (631)788-7255 .00 2 78 MAY 18 10:15A .5 DD WH PLAINS NY (914)557-0640 .00 2 79 MAY 18 10:16A 1.0 DD NWYRGYZN03 NY (917)557-0640 .00 2 80 MAY 18 10:20A .8 DD OSSINING NY (914)762-1512 .00 2 I- R - ® FISHERS ISLAND FERRY DISTRICT Page 5 of 7 ontier, Date of Bill 6115117 COMMUNICATIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 81 MAY 18 10:22A 1.2 DD WH PLAINS NY (914)557-0640 .DO 2 82 MAY 18 12:54P .5 DD FISHERS IS NY (631)788-7225 .00 2 83 MAY 18 1:15P 1.2 DD FISHERS IS NY (631)788-7345 .00 2 84 MAY 18 3:22P .5 DD FISHERS IS NY (631)788-7455 .00 2 85 MAY 18 3:26P .5 DD FISHERS IS NY (631)788-7444 .00 2 86 MAY 19 9:19A .5 DD WH PLAINS NY (914)557-0640 .00 2 87 MAY 19 11:18A 1.9 DD FISHERS IS NY (631)788-5673 .00 2 88 MAY 19 11:45A 1.3 DD AIKEN SC (803)649-6315 .00 2 89 MAY 19 1:57P 1.5 DD CHARLOTSVL VA (434)249-0317 .00 2 90 MAY 19 2:12P 2.1 DD FISHERS IS NY (631)788-7227 .00 2 91 MAY 19 2:33P 6.4 DD HOLYOKE MA (413)534-8171 .00 2 92 MAY 19 4:28P .5 DO TUCKAHOE NY (914)202-0284 .00 2 93 MAY 19 4:29P .5 DD FISHERS IS NY (631)788-7463 .00 2 94 MAY 19 4:30P 4.5 DD VENICE FL (941)202-0284 .00 2 95 MAY 21 1:OOP 1.2 DD NEW YORK NY (917)620-0167 .00 2 96 MAY 22 8:18A 15.0 DO FISHERS IS NY (631)788-7741 .00 2 97 MAY 22 11:35A 1.4 DD FISHERS IS NY (631)788-5673 .00 2 _ 98 MAY 23 9:37A 3.1 DD FISHERS IS NY (631)788-7345 .00 2 99 MAY 23 10:22A .7 DD FISHERS IS NY (631)786-7345 .00 2- 100 MAY 25 8:11A 3.0 DD FISHERS IS NY (631)788-7463 .00 2 101 MAY 25 2:40P 1.1 DD NEW YORK NY (917)207-3559 .00 2 102 MAY 25 2:45P 1.0 DD FISHERS IS NY (631)788-7255 00 2 103 MAY 25 2:49P 2.8 DD NARRAGNSTT RI (401)789-1021 .00 2 104 MAY 25 3:22P .7 DD ALLENTOWN NJ (609)259-8900 .00 2 105 MAY 26 7:43A .5 DD FISHERS IS NY (631)788-7463 .00 2 106 MAY 26 7:47A .5 DD FISHERS IS NY (631)788-7345 .00 2 107 MAY 26 10:28A .9 DD FISHERS IS NY (631)788-7444 .00 2 108 MAY 26 10:43A 1.5 DD FISHERS IS NY (631)788-7311 .00 2 109 MAY 26 12:43P .9 DD FISHERS IS NY (631)788-7463 .00 2 110 MAY 26 2:28P 2.1 DD FISHERS IS NY (631)788-7701 .00 2 111 MAY 26 2:31P 2.7 DD PROVIDENCE RI (401)441-0871 .00 2 112 MAY 26 3:39P 1.0 DD PROVIDENCE RI (401)641-8995 .00 2 113 MAY 26 3:54P .7 DD FISHERS IS NY (631)788-7345 .00 2 114 MAY 26 10:05P 1.8 DD NEW YORK NY (917)207-3559 .00 2 115 MAY 27 10:47A .7 DD BOSTON MA (617)519-5366 .00 2 116 MAY 27 3:55P .5 DD FISHERS IS NY (631)788-7255 .00 2 117 MAY 29 11:20A 5.5 DD ALLENTOWN NJ (609)259-8900 .00 2 118 MAY 30 6:05A 2.1 DD FISHERS IS NY (631)788-7394 .00 2 119 MAY 30 11:40A .8 DD RIVERHEAD NY (631)255-0540 .00 2 120 MAY 30 11:52A 1.4 DD FISHERS IS NY (631)788-7115 .00 2 2-ki 121 MAY 30 3:OOP 1.0 DD HOUSTON TX (281)684-7718 .00 2 122 MAY 31 8:29A .5 DD FISHERS IS NY (631)788-7463 .00 2 123 MAY 31 9:08A .8 DD FISHERS IS NY (631)788-7221 .00 2 :'•• 124 MAY 31 10:14A 2.3 DD FISHERS IS NY (631)788-7520 OO 2 125 MAY 31 12:45P .6 DD SOUTHAMPTN NY (631)377-6442 .00 2 126 MAY 31 2:27P .5 DD NEWPORT RI (401)832-5518 .00 2 127 MAY 31 3:18P 2.7 DD SOUTHAMPTN NY (631)377-6442 .00 2 128 MAY 31 3:21P 1.4 DO PROVIDENCE RI (401)829-5046 .00 2 129 JUN 01 6:42A 1.4 DD FISHERS IS NY (631)788-7400 .00 2 130 JUN 01 7:08A .5 DD WORCESTER MA (508)753-4300 .00 2 - 131 JUN 01 9:52A .7 DD FISHERS IS NY (631)788-7345 .00 2 132 JUN 01 9:54A .5 DD ALLENTOWN NJ (609)259-8900 .00 2 133 JUN 01 9:55A 3.9 DD ALLENTOWN NJ (609)259-8900 .00 2 134 JUN 01 1:38P 7.7 DD FISHERS IS NY (631)788-7127 .00 2 135 JUN 01 2:39P .8 DD MERCERVL NJ (609)689-3000 .00 2 136 JUN 02 9:41A 1.2 DD EXETER NH (603)418-0470 .00 2 137 JUN 02 9:43A .5 DD WILLOUGHBY OH (440)856-2246 .00 2 138 JUN 02 10:52A 8.9 DD FISHERS IS NY (631)788-7251 .00 2 139 JUN 02 11:25A 4.1 DD FISHERS IS NY (631)788-7255 .00 2 140 JUN 02 1:10P .5 DD FISHERS IS NY (631)788-7463 .00 2 141 JUN 02 1:36P 5.0 DD AIKEN SC (803)649-6315 .00 2 142 JUN 02 2:03P .5 DD FISHERS IS NY (631)788-7325 .00 2 143 JUN 02 2:20P 1.3 DD ALLENTOWN NJ (609)259-8900 .00 2 144 JUN 02 4:02P .6 DD FISHERS IS NY (631)788-7719 .00 2 145 JUN 02 4:04P .5 DD FISHERS IS NY (631)788-7653 .00 2 146 JUN 02 4:13P .8 DD FISHERS IS NY (631)788-7742 .00 2 147 JUN 02 4:16P .8 DD FISHERS IS NY (631)788-7174 .00 2 148 JUN 02 7:02P 1.8 DD COLDSPGHBR NY (516)340-0592 .00 2 149 JUN 03 9:52A 1.1 DD FISHERS IS NY (631)788-7281 .00 2 150 JUN 03 10:25A .7 DD FISHERS IS NY (631)788-5550 .00 2 151 JUN 03 10:26A .8 DD FISHERS IS NY (631)788-7215 .00 2 152 JUN 05 9:31A 2.2 DD FISHERS IS NY (631)788-7463 .00 2 153 JUN 05 9:45A 1.2 DD FISHERS IS NY (631)788-7251 .00 2 • • w••® FISHERS ISLAND FERRY DISTRICT Page 6 of 7 rtim Date of Sill 6/15/17 COMMUNICATIONS Account Number 860-442-0165-011484-5 Ref # Date Time Min *Type Place and Number Called Charge 154 JUN 05 9:50A 2.5 DD FISHERS IS NY (6$1)788-7251 .00 2 155 JUN 05 10:21A 9.5 DD RICHMOND VA ($04)357-7733 .00 2 156 JUN 05 10:32A 3.1 DD BABYLON NY (631)943-7487 .00 2 157 JUN 05 12:48P 8.3 DO PAWTUCKET RI (401)723-4180 .00 2 158 JUN 05 2:01P 3.4 DD TROY MI (248)930-5039 .00 2 159 JUN 05 3:15P 2.5 DD MERGERVL NJ (609)689-3000 .00 2 160 JUN 06 11:44A 3.1 DD FISHERS IS NY (631)788-7632 .00 2 161 JUN 06 1:10P 2.6 DD FISHERS IS NY (631)788-7345 .00 2 162 JUN 06 2:59P .5 DD FISHERS IS NY (631)78$-7255 .00 2 163 JUN 07 11:26A 1.0 DD FISHERS IS NY (631)788-5673 .00 2 164 JUN 07 2:27P 2.6 DD FISHERS IS NY (631)788-7857 .00 2 165 JUN 07 2:34P .5 DD FISHERS IS NY (631)788-5674 .00 2 166 JUN 08 8:30A 1.0 DD FISHERS IS NY (631)788-7345 .00 2 167 JUN 08 9:28A 1.0 DD ROCHESTER NY (585)406-1746 .00 2 168 JUN 08 9:35A .9 DO GRTQRRCKWL NG (704)279-0355 .00 2 169 JUN 08 9:52A 2.7 DD FISHERS IS NY (631)788-7444 .00 2 170 JUN 08 9:56A 3.5 DD GRTQRRCKWL NC (704)279-0355 .00 2 ' 171 JUN 08 10:03A 2.6 DD PROVIDENCE RI (401)649-2563 .00 2 172 JUN 08 12:13P 1.2 DD PROVIDENCE RI (401)649-2563 .00 2 173 JUN 08 1:46P 4.0 DD FISHERS IS NY (631)788-7323 .00 2 174 JUN 09 9:52A 2.9 DD FISHERS IS NY (631)788-7345 .00 2 175 JUN 09 9:55A 3.8 DD FISHERS IS NY (631)788-7251 .00 2 176 JUN 09 11:17A 2.8 DD FISHERS IS NY (631)788-7251 .00 2 177 JUN 09 1:17P 1.0 DD ATLANTA GA (404)694-1054 .00 2 178 JUN 09 3:05P 3.0 DD FISHERS IS NY (631)788-5673 .00 2 179 JUN 09 3:10P 1.7 DD FISHERS IS NY (631)788-5546 .00 2 180 JUN 09 3:56P .5 DD FISHERS IS NY (631)788-5682 .00 2 181 JUN 11 2:09P 1.6 DD NEW YORK NY (917)620-0167 .00 2 182 JUN 11 2:50P .5 DD HACKENSACK NJ (201)621-1811 .00 2 183 JUN 12 9:26A .7 DD FISHERS IS NY (631)788-5673 .00 2 184 JUN 12 1:45P 1.3 DD FISHERS IS NY (631)788-5673 .00 2 185 JUN 12 1:52P 1.1 DD FISHERS IS NY (631)788-7444 .00 2 186 JUN 12 2:03P .5 DD FISHERS IS NY (631)788-7463 .00 2 187 JUN 13 11:21A .5 DD OSWEGO NY (315)529-0284 .00 2 188 JUN 13 12:46P .6 DD BRENTWOOD NY (631)357-4692 .00 2 : - 189 JUN 13 4:08P .7 DD FISHERS IS NY (631)788-7116 .00 2 190 JUN 13 4:56P 5.6 DD FISHERS IS NY (631)788-7116 .00 2 191 JUN 14 8:35A 1.0 DD FISHERS IS NY (631)788-7919 .00 2 192 JUN 14 8:38A .6 DD FISHERS IS NY (631)788-7919 .00 2 860/442-0165 Subtotal 100 Detail of FRONTIER LONG DISTANCE OF CT Cha_ roes Toll charged to 860/443-6851 Ref # Date Time Min *Type Place and Number Galled Charge 193 MAY 17 3:48P .6 DO FISHERS IS NY (631)788-5523 .00 2 194 JUN 02 1:47P .5 DD SELDEN NY (631)696-5428 .00 2 195 JUN 02 1:49P 3.2 DD SELDEN NY (631)696-5428 .00 2 860/443-6851 Subtotal ,00 ------------------------ Detail of FRONTIER LONG DISTANCE OF CT Charges Toll charged to 860/447-9371 Ref # Date Time Min *Type Place and Number Galled Charge 196 MAY 19 1:54P 38.0 DD KEEWATIN ON (807)547-2322 4.4.08 197 MAY 30 5:28P 48.2 S DD LAKE PARK IA (712)432-0490 2.41 S 198 MAY 31 2:27P .7 DD BRISTOL RI (401)297-7938 .04 199 MAY 31 3:20P 1.0 DD BRENTWOOD NY (631)456-9822 .05 200 JUN 01 1:30P 2.4 DD FISHERS IS NY (631)788-7444 .12 201 JUN 01 4:09P .5 DD FISHERS IS NY (631)788-7345 .03 202 JUN 02 12:17P 3.6 DD WILLOUGHBY OH (440)856-2246 .18 203 JUN 02 12:36P .5 DD SELDEN NY (631)764-1889 .03 204 JUN 02 12:37P .7 DD SOUTHOLD NY (631)765-1889 .04 205 JUN 02 1:24P .7 DD BRENTWOOD NY (631)456-9822 .04 206 JUN 02 1:31P 2.3 DD BRENTWOOD NY (631)456-9822 .12 207 JUN 02 1:57P .5 DD FISHERS IS NY (631)788-7463 .03 208 JUN 02 3:42P 2.5 DO FISHERS IS NY (631)788-5673 .13 209 JUN 06 10:09A 1.8 DD FISHERS IS NY (631)788-7463 .09 210 JUN 06 10:42A 2.0 DD KEEWATIN ON (807)547-2322 2.32 -4k,kAG?Goxye 211 JUN 06 1:31P 1.0 DD FISHERS IS NY (631)788-7255 .05 212 JUN 07 10:05A .5 DD FISHERS IS NY (631)788-7233 .03 213 JUN 07 10:06A 1.6 DD FISHERS IS NY (631)788-7323 .08 214 JUN 08 8:04A 2.9 DD FISHERS IS NY (631)788-7463 .15 J ®®® FISHERS ISLAND FERRY DISTRICT Page 7 of 7 o Date of Bill 6115117 Account Number 860-442-0165-011484-5 COMMUNICATIONS Ref # Date Time Min *Type Place and Number Called Charge 215 JUN 08 10:OOA 1.4 DD FISHERS IS NY (631)788-7345 .07 216 JUN 48 10:43A .5 DD FISHERS IS NY (631)788-7463 .03 217 JUN 08 11:28A 1.5 DD PROVIDENCE RI (401)575-7689 .08 218 JUN 08 12:24P 10.6 DD FISHERS IS NY (631)788-7463 .53 219 JUN 08 3:47P .7 DD FISHERS IS NY (631)788-7323 .04 220 JUN 12 10:14A 3.7 DD FISHERS IS NY (631)788-7463 .19 221 JUN 12 1:13P 5.7 DD MORRISTOWN NJ (973)223-5430 .29 222 JUN 12 4:32P 69.7 DD LAKE PARK IA (712)432-0490 3.49 223 JUN 13 8:15A .5 DD NEWBEDFORD MA (508)996-6266 .03 224 JUN 13 8:17A .8 DD NEWBEDFORD MA (508)999-1600 .04 225 JUN 13 8:18A .7 DD NEWBEDFORD MA (508)999-6266 .04 226 JUN 13 9:26A .5 DD FISHERS IS NY (631)788-7463 .03 227 JUN 13 9:28A .5 DD FISHERS IS NY (631)788-7463 .03 228 MAY 15 9:37A 4.4 DD FISHERS IS NY (631)788-7632 .00 2 229 MAY 15 2:48P 5.1 DD SALEM MA (978)744-3806 .00 2 230 MAY 15 4:12P 1.8 DD FISHERS IS NY (631)788-7463 .00 2 231 MAY 15 4:30P 93.4 DD LAKE PARK IA (712)432-0490 .00 2 232 MAY 16 8:49A 3.5 DD ALBANY NY (518)474-7736 .00 2 233 MAY 16 10:36A 1.2 DD FISHERS IS NY (631)788-7345 .00 2 234 MAY 17 2:49P 9.6 DD FISHERS IS NY (631)788-7463 .00 2 235 MAY 19 9:56A 1.0 DD FISHERS IS NY (631)788-7463 .00 2 236 MAY 19 3:36P 3.3 DD ROCHESTER NY (585)406-1746 .00 2 237 MAY 22 11:06A 3.9 DD FISHERS IS NY (631)788-7463 .00 2 238 MAY 23 3:47P 3.7 DD FISHERS IS NY (631)788-7463 .00 2 239 MAY 24 9:14A 17.7 DD HINGHAM MA (781)740-8193 .00 2 240 MAY 24 9:52A 7.5 DD FISHERS IS NY (631)788-7632 .00 2 241 MAY 25 11:18A .9 DD NEW YORK NY (917)539-3654 .00 2 242 MAY 25 12:36P .5 DD FISHERS IS NY (631)788-7463 .00 2 243 MAY 25 12:54P .6 DD FISHERS IS NY (631)788-7463 .00 2 244 MAY 25 1:23P .5 DD FISHERS IS NY (631)788-7463 .00 2 245 MAY 25 1:57P .5 DD FISHERS IS NY (631)788-7463 .00 2 246 MAY 25 2:04P .5 DD FISHERS IS NY (631)788-7463 .00 2 247 MAY 25 2:17P .5 DD FISHERS IS NY (631)788-7463 .00 2 248 MAY 25 2:51P .5 DD BOCA RATON FL (561)289-6362 .00 2 249 MAY 25 3:12P .5 DD FISHERS IS NY (631)788-7463 .00 2 250 MAY 25 3:32P 7.5 DD FISHERS IS NY (631)788-7463 .00 2 251 MAY 26 9:59A 7.3 DD FISHERS IS NY (631)788-7463 .00 2 252 MAY 26 10:24A 1.2 DD FISHERS IS NY (631)788-5673 .00 2 253 MAY 26 12:31P 2.5 DD FISHERS IS NY (631)788-7463 .00 2 254 MAY 26 3:56P .5 DD FISHERS IS NY (631)788-7463 .00 2 255 MAY 26 6:03P .6 DD NASSAUZN04 NY (516)669-6878 .00 2 256 MAY 30 4:31P 1.9 DD LAKE PARK IA (712)432-0490 .00 2 y` 257 MAY 30 4:37P 51.2 S DD LAKE PARK IA (712)432-0490 .00 2S 860/447-9371 Subtotal 54.91 700 MIN BOT 11 Summary 700 Mins. @ $ .00/Min. .00 Total Charges .00 - -------------------------------------------------------------------- -- - - - - - - - --- - ----------------------------- Call Types: DD - Day Caller Summary Report calls Minutes Amount Main Number 163 344 .00 860/443-6851 3 4 .00 860/447-9371 91 559 54.91 ***Customer Summary 257 908 54.91 ---------- ---------------------------------------------- Caller Summary Report Calls Minutes Amount Intra-Lata 56 181 .00 Interstate 199 686 6.51 International 2 40 46.40 ***Customer Summary 257 908 54.91 .a„>\; :J - ,�" " - , -.fir_- _ J Enllflmll I' ' FISHERS ISLAND FERRY DISTRICT VENDOR 007126 GENCORP INSURANCE GROUP, INC. 07/05/2017 CHECK 4167 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1910.4.'000.100 644015 ' PLOY CHNG 45000004824-09 100.00 SM .1910.4.000.100 644017 PLOY CHNG #50M0004824 09 839.00 v , TOTAL 939.00 i s J l • i i -I ' h r c q 0 • B 0 • • B D • , i •'• Y ;FISHERS7MAND-FERRY91STRICT jr, 6`7/0 53695-MAIN ROAD,FO'BOX 1179 AUDIT" 517' /, ® - - SOUTHOLD,NY 1,197-1=0959' _ CHECK NO: J 4'1`67 =' THE SUFFOLK C0:NATIONAL BANK DATE t CUTCHOGUE,NY 11935 AMOUNT ti _07,%05/2017=.,, _ X939 00 _ 50-546/214 - - NINE ETUNDRED.°THIRTY;NINE AND '001160 DOLLARS.', P,4r GENCORB INSURANCE GROUP, INC. _ yi TO THE';' •1'6. MAIN'',STREET - -fG/�t,' - -' . <` ORDER- TEP.ST _GREENWICH -R1--_-.0 2 8-18 ;s n8004 167118 1:0 2 140 54641: 6'8 00 150 2 1118 t Vendor No. Check No.. , ['own of Southold, New York - Payment Voucher 7126 '167 Vendor Address Entered by 16 Main Street Gencorp Insurance Group East Greenwich, RI 02818 Audit Vendor Telephone Number I -AL,Q. 5 201 401-884-7800 T Jerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Generdl Ledger.Fund and Account Number 644015 6/9/2017 $100.00 $100.00 Policy change Add Blackbird VII "SM19.10A.'000.100 . 8/1/16-8/1/17 polis 5000004824-09 644017 6/9/2017 $839.00 $839.00 Policy#50M0004824-09 Add Airport Equip .,,SM1910.4.000.100 08/01/2016-08101/2017 5( t $939.001 $939.00 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. e, Signature e, N&, Title Signature Company Name Fishers Island Ferry District Date 6/22/2017 Title Date �� NEW r• Fishers Island Ferry District ENGLANDCustomer GROUP 15677 pate 06/09/2017 Customer„• " , Randall Carnahan service, Carol Branch Fageq 1 of 1 Pa01 nt9n4orMAti0n1 invoice Summary, _ 100.00 Payment Amount Fishers Island Ferry District Paymentfoir` ' ": Invoice#644015 P.O. Box 607 5000004824-09 Fishers Island,NY 06390-0607 i'I::i.�.f:)w,,:}i i.`i=�rC:iL(11 b.SII()d'y;•i<"f 1Y Customer:Fishers Island Ferry District Invoice, Effective :"'ti ti Tran'sa,ction. : pescription'' Amounf' Policy#5000004824-09 08/01/2016-08/01/2017 North American Specialty 644015 05/05/2017 Policy change Package -A.BLACKBIRD VII AS Al 100.00 ADD ADDITIONAL INSURED: BLACKBIRD VII,LLC. PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK YOU. Total,, 100.00 The Hilb Group of New England,LLC (800)232-0582 pate 16 Main St East Greenwich,RI 02818 infc_ne@hilbgroup.com 06/09/2017 NEW g Fishers Island Ferry District GROUPENGLAND yGustomer `�. 15677 Date $• 06/09/2017 Customer a Randall Carnahan Service- Carol Branch Page, 1 of 1 -�Paymerit'["rifgrmafion`. " lmvWce Summary ,. - 839.00 Payment Amount 4• Fishers Island Ferry District payment for. N Invoice#644017 P.O. Box 607 Fishers Island,NY 06390-0607 50M0004824-09 I hank you Customer.Fishers Island Ferry District :Invoice..: Effective, - ` ,•a� Transactioh;; Descriptiom - F 'Amount, Policy#50M0004824-09 08/01/2016-08/01/2017 North American Specialty 644017 04/07/2017 Policy change Package -ADD $402,490 Airport Equipment 839.00 ENDORSEMENT 3 ADDING$431,000 OF AIRPORT EQUIPMENT. PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK YOU. - 839.00 The Hilb Group of New England,LLC (800)232-0582 g"'"' "Date a, 16 Main St East Greenwich,RI 02818 infc_ne@hilbgroup.com 06/09/2017 PROJECT; CONTRACTOR: Elizabeth Field Airport Airfield Lighting&Signage.Repairs a Baseline King Corporation FEMA No,6946304 111 Liberty Lane PA ID No. 103-6946 Bameveld,NY 13304 TO THE TOWN OF SOUTHOLD Pursuant,to the germs of the Contract,dated November 23,2015,by and between the Town of Southold an Airfield Lighting&Signage Repairs project(FEMA No.6946304;PAP No. 103-6946)we hereby subm; ITEM ORIGINAL . UNIT TOTAL PI NO, DESCRIPTION QUANTITY UNIT PRICE ITEM AMOUNT Qi Base Bid 1.L-108 No,8 AWG,600V, 1/C Airfield Lighting 25,300.00 LF $1.38 $34,914.00 Cable 2.L-108 No.8 AWG,AV, 1/C Airfield Lighting 12,500.00 LF $1.60 $20,000.00 Cable 3.L-108 No,6 AWG Counterpoise Wire 715.00 LF $1.67 $1,194.05 4.L408 No.6 AWG Counterpoise Wire and 220.00 LF $6.53 $1,436.60 Trench 5.L-110 2-Inch Dia.PVC Conduit.in Turf 730.00 LF - $9.43 $6,883.90 6.L-110 2-Inch Dia.PVC Coated RGS.Conduit 150.00 LF $27.55 $4,132.50 in Turf 7.-L-119 Single Airport Obstruction Light 2.00 EA $2,102.50 $4,205.00 Assembly with New Base 8.L-119 Double Airport Obstruction Light 2.00 EA $1,160.00 $2,320.00 Assembly on Existing Base 9,L-119 Obstruction Light Transformer/ 1.00 EA $3,045.00 $3,045.00 Disconnect 10,L=125 Removal ofExisting?recision Approach 4.00 EA $1,305:00 $5,220.00 Path Indicator(PAPI)System - 11.L-125 Removal of Existing Runway End 4.00 EA $870.00 $3,480.00 Identifier Light(REIL)System 12.L-125 Replacement of Existing R/W Edge 39.00 EA $797.50 $31,102.50 Light with Medium Intensity R/W Light(L-861 (L))on Existing Base 1 ` r /, ITEM ORIGINAL UNI'!' TOTAL Pl, NO. DESCRIPTION QUANTITY UNIT PRICE ITEM AMOUNT Qi 13.L-125 Replacement of Existing R/W Threshold 24,00 EA $870.00 $20,880.00 Light with Medium Intensity R/W Light(L-861E(L))on Existing Base 14,L-125 Replacement of Existing Taxiway 4.00 EA $5,220,00 $20,880.00 Guidance Sign Assembly(L-858,4 Characters,Size 2,Style 2,Class 2)on Existing Base 15,L-125 Replacement of Existing Taxiway 4.00 EA $5,220.06 $20,880.00 Guidance Sign Electrical Components 16.L-125 Replacement of Existing Precision 4.00 EA $26,970.00 $107,880.00 Approach Path Indicator(PAPI) System(L-881 (L),Style A,2 Lamp, LED)on Existing Base 17.L-125 Replacement of Existing Runway End 4.00 EA +$16,095.00 $64,380.00 Identifier Light(REIL)System(L-849 (L),Style C)on Existing Base t 18.L-125 Re-mounting of Existing Wind Cone 1.00 EA $2,755.00 $2,755.00 Transformer on Existing Base 19.L-125 Electrical Junction Can(Non-Load 1.00 EA $1.,087.50 $1,087.50 Bearing) L-125 Contractor Support for Follow-IJp 1.00 TRIP $3,625.00 $3,625.00' FAA Flight Check 21.M-100 Maintenance&Protection of Traffic 100.00% LS $1'33,050.00 $13,050.00 �- M-150 Project Survey and Stakeout 100.00% LS $'x;'250.00 $7,250.00 23.M-100 Mobilization 100.00% LS $15,600.00 $15,000.00 Add-On No.1 1.L-108 No.8 AWG,600V, 1/C Airfield 14,000.00 LF $1.38 $19,320.00 Lighting Cable Add-On No.2 1.L-108 No.8 AWG,600V, 1/C Airfield 10,700.00 LF $1.38 $14,766.00 Lighting Cable Add-On No.3 1.L-108 No.8 AWG,600V, 1/C Airfield 8,500.00 LF $1.38 $11,730.00 Lighting Cable TOTALS $441,417.05 s ' '•.i`lr_ ti?�a`? ._, .. ,rte,_. .5,' , FISHERS ISLAND FERRY DISTRICT VENDOR 007638 GRAINGER 07/05/2017 CHECK 4168 k` BUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.100 i 9468881850 MUNN(2)HOUR METERS 106.68 TOTAL 10G.68 ;0131; j I !I �•'{wdx:t•- �r _< � ..,. .."x+s.•�'::53:^,.a- s`-w' '^r \mss i 'l- r s1 W I s{c :i rA t� ;n'eti n e. ver: �`'• .,.. '�... :}b.:' , H .,`oty+.: I ;6 FISHERS..ISLAND°FERRYDISTRXGT';'_'i'`` AUDI:T.,ol ._o 53095 MAIN-ROAD,PO BOX 1 179,• _ - -- - 't/" SOUTHOLD,NY 11971-0959'-' •THE SUFFOLK.CO.NATIONAL BANK, DATE AMOUNT _ CUTCHOGUE,NY 11935 0,7,/05'/,2;0`17,, $1;06c:•6'8 rFr; 50-545!2'14 ONE`.`HUNDRED°.SIX AND '68'/10-O-DOLLARS Fh; PAY,,' GRAINGER !'OA ,DEPTt,4825224-3'55- Oltl?ER PALAT-;INE,.Ili�':6 0 0 3 8,_O D;O`i'— 110004 168110 1:0 2 140 54641: 68 00 150 2 1110 r L^J , Vendor No. Check-No. 'down of Southold, New York - Payment Voucher 7638 Vendor Address Entered.by Dept. 869168477 Palatine, IL 60038-0001 Audit Date, Grainger �JUL"0,5 2017- Vendor Vendor Telephone Number 877-202-2694 Towi Clerk Vendor Contact nV d' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number �D�escnption of Goods or Services General Ledger Fund and Account Number 9468881860 6/9/2017 $106.68 $106.68 Munn- ur meter St' 5110.1.000,100 $106.68 $106.68 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing 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 la_- Title Signature ^ �� Company Name Fishers Island Ferry District Date 6/22/2017 Title - � / ✓" Date PAGE 1 OF 1 ORIGINAL O GRAINCER® r" GRAINGER ACCOUNT NUMBER 869158477 �I INVOICE NUMBER 9468881850 78 JEFFERSON BLVD. INVOICE DATE 06/09/2017 WARWICK, RI 02888-1064 DUE DATE 07/09/2017 www.grainger.com AMOUNT DUE 106.68 PO NUMBER: MIKE FRANCO CALLER: MIKE FRANCO CUSTOMER PHONE: (860)442-0165 BILL TO ORDER NUMBER: 1293130907 MDG2017 00000341 1 AB 0403 INCO TERMS: FOB ORIGIN FISHERS ISLAND FERRY DISTRICT PO BOX 607 _ FISHERS ISLAND, NY 06390-0607 v Interested in receiving Invoices via email? x Sign up for paperless invoicing at: www.grainger.com/paperlessinvoicing THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL The following items were for: (- FISHERS ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320-0000 2A643 HOUR METER,DC QUARTZ,ROU ND,2.86 IN. 2 48.10 96.20 MANUFACTURER#085097 45 Delivery#6362801133 Date: 06/09/2017 Carrier: UPS GROUND No. of pkgs: 1 Wt: 0.60 Trk#: 1Z2FX9030337710610 SHIPPED FROM: DC BORDENTOWN, NJ-010 -400 BORDENTOWN-HEDDING RD BORDENTOWN NJ 08505 THIS PURCHASE IS GOVERNED EXCLUSIVELYBY GRAINGER's TERMS OF SALE,INCLUDING(t)DISPUTE RESOLUTION REMEDIES, INVOICESUB TOTAL 96.20 AND(H)CERTAIN WARRANTY AND DAMAGES LIMITATIONS AND DISCLAIMERS IN EFFECT AT THE TIME OF THE ORDER,WHICH SHIPPING 10.48 ARE INCORPORATED BYREFERENCE HEREIN.GRAINGER'S TERMS OF SALE ARE AVAILABLE AT WWW GRAINGER COM PRODUCT RETURN INSTRUCTIONS ARE AVAILABLE AT WWW.GRAINGER COM'RETURNS These items are sold for domestic consumption. If exported,purchaser assumes full responsibility for-compliance with US export controls.-Diversion contrary to US-law prohibited.-- - — PAY THIS INVOICE;NO STATEMENT WILL BE SENT.PAYMENT TERMS NET 30 DAYS IN U.S.DOLLARS. AMOUNT DUE 106.68 GRAINGER STANDARD TERMS AND CONDITIONS • A.SALES POLICY FOR PRODUCTS 4.Warranty Product Return. Grainger saris�ts complete offering wholesale Io business customers,wine also sery ng individuals Before returning any product,customer shall(i)write or cell the local Grainger branch from which the product was purchased,(d)in the case 1,-prices, of an internet order,contact Grainger by logging on to w,,Av gramgercom,clicking on the"Contact Ue link at the bottom of the page,then Prices listed are wholesale,do not include freight,heading fees,taxes,and/or duties,and are subject to correction or change without notice clicking on the"Email US"link and provide the date,the original invoice number,the stock number and a description of the defect,or(bQ call Market sensitive commodity products will be priced according to current market conditions,Customer should contact the local Grainger - Customer Care at 1-888-361-8649,and provide the date,the original invoice number,the stock number,and a description of the defect,Proof branch or check online at tgnw,gniggercom tar current pricing Export orders may be subject to other special prang Grainger reserves the of purchase is requ,rad in all cases right to accept or resect am,order 5.Mamillp urer's Warranty. 2 Saes Tax. The manufacturers complete warranty for any product can De obtained free of charge by contacting the local Grainger branch or calling Customers are responsible for payment of all applicable state and local taxes,or for providing a valid sales tax exemption certificate When Customer Care at 1-888-361-8649, placing an ord-,,customer shall indicate which products are tax exempt 6 Product Compliance and Surtabdity 3.payment and Credd Terms. Jurisdictions have varying lases,codes and regulations governing corstructmn,installation,and or use of products for a particular purpose Grainger accepts cash,checks,money orders.Visa,MasterCard,and American Express For business customerswith established Grainger Certain products may not be available for sale in all areas Grainger does not guarantee compliance or suitability of the products it sells with credit,payment terms are net thirty(30)days from the date of shipment or pick-alp All credit extended by Gramgar,to customer,and the any laws,codes or regulations,nor does Grainger accept responsibility for construction installation and/or use of a product It is customers limits of such credit,is at Grainger's sole discretior,and may be reduced or revoked by Grainger at any time,for any,reason Grainger responsibility to reviawthe product application and all applicable laws,codes and regulations for each relevant jurisdiction to be sure that the reserves the right to charge a convenience fee for late payments Grainger further reserves the right to charge cusromer a late oaymentlee at construction,installation,andPor use involving the procdets are compliant the rate of one and one-half percent(1.112'!)of the amount due for each month or porion thereof Nat the amount due remains unpaid,or D.PRODUCT INFORMATION ` such amoaat as may be permitted underaoplicable laei Anticipation and cash discounts are not allowed Export orders are subject to special 1.Catalopli site Information export payment terns and conditions All payments must be made in U S dollars Grainger shall have the right of set-off and deduction for Grainger is a distributor of products and information abaci the products in the Grainger catalog or web site is provided by the manufacturers any sums owed by the customer to Grainger If the customer fads to make payment within thirty(30)days of sh,pment or pick-tip,or fads to and/or suppliers.Grainger reserves the right to correct publishing errors in its catalogs or anv of its web sites Product depictions in the comply with Grammars credit terms,or fads to supply adequate assurance at full performance to Grainger with,n a reasonable time atter catalog or web sites are for illustrative purposes only Possess on of,or access to,any/Gra ager catalog,literature orwob sites does not requested by Granger(such time as specitied in Graingers request),Grainger may deter shipments until such payment at compliance is constitute the right to purchase products made,require cash in advarce for any further shipments,demand immediate payment of all amounts then owed,elect to pursue collection Despite our efforts,occasional pricing errors may occur in the Grainger catalogs and web sites Grainger reserves the right to cancel any and action(mciadiig without limitation,attorneys'foes and any and all other assoc-ated casts of collection),and/or may,at its option,cancel all all orders resulting from such pricing errors,even it customer has received an order confirmation from Grainger or any part of an urshipped order 2.Product Su uhstitutlon Products(and country of origin)may be substituted at it may riot be identical to catalog or crab site published descnpbons and/or images Customer agrees to assume responsibility for.ano customer hereby unconmtonaliy guarantees payment of as provided herein,all 3 Occupational Safely and Health Administration(`OSHA")Hazardous Substance. pumriases made by customer,its subsidiaries and affiliates Each of customers subsu ares and affiliates purchasing from Grainger will be Material Safety Data Sheets('MSOS')for OSHA de5ned hazardmis substances are supplied by the manufacturers earlier suppliers. Jointly and severally liable for purchases with c,istomer,and customer is also acting as agent for such subsidiares and affiliates GRAINGFR MAKES NO WARRANTIES AND EXPRESSLY DISCLAIMS ALL LIABILITY TO ANY CUSTOMER OR USER WITH RESPECT TO THE 4,-Credit 3a(aggo- ACCURACY OF THE INFORMATION OR THE SUITABILITY OF THE INFORMATION IN ANY MSDS CUSTOMER END USER IS SOLELY Customer agrees*hat any credit balances)issued by Grainger will be applied to customers accountvulhm ore(1)year of its issuance RESPONSIBLE FOR ANY RELIANCE ON OR USE OF ANY INFORMATION,AND FOR USE OR APPLICATION OF ANY PRODUCT Send MSDS requests to Grainger,Dept 11-57,100 Grainger Parkway,Lake Forest,IL 60045 or log onto www graingercom and click an'View the Material B FREIGHT POLICY Safety Data Sheet"or call 1-877-286-9860 Prices stated are FO B ongln,fre-ght prepaid to lest nation specified in the orde,Grainger charges a shipping and handling fee(wh,ch 4 Californiayropo ds inn 65, includes interim handling and related costs)on each order which is applied attne arae of order and reflected on customers invoice The Slate of California renuires that certain wam,ngs be given concerning products whicri contain chemicals subject to Proposition 65 A Receipts for shipping and handling charges will not be furnished Grainger covers sh ppmg and handling for standard ground delivery for complete list of Proposition 65 regulated chemicals is available atvanvoehha ca gov For identification of products whica contain a chemical orders over US$1500 before tax and freight(including any back orders)C 0 D shipments are not permitted Other terms and conditions subject to Proposition 65,go to wvav graingcrcom Applicable Proposition 65 wammg(s)are provided directly on tha:wrw graingercom may apply for other than standard delivery("Othar freight Services"),including without mutation,expedited same day delivery,air freight, product page and upon product purchase. freight collect,export orders,hazardous materials,customer's carrier,shipments outside the contiguous U S,gr other special handling by 5 ImpprtanI Nptige to Federal Cpslamm He Sougtry_ot Origin, the carrier Any charges incurred for Other Freight Services must be paid by customer Fuel surcharges may be applied Title and risk of loss While products listed an GSA Advantage'@ meet the requirements of the Trade Agreements Act(TAX'),as implemented by Federal pass to customer upon tender of shipment to the carne",If the product is damaged in transit,customer's only recourse is to file a claim wqh Acquisition Regulations Pal 25,other products sold by Grainger may not meet the requirements At the time of purchase,Grainger will advise the Garner properly identifies and authorized schedule customers if a product is"TAA-compliant"Any federal customer purchasing a non-TAA item will be making an"open mark.-!"purchase that is not covered by any contract Federal cus'omers are advised that the open market purchases are C.PRODUCT WARRANTY POLICY NOT GSA schedule im chases.By purchasing any p oduct en the open market,the federal customer represepts that it has autho i to make 1 SATISFACTION GUARANTEE TO ALL CUSTOMERS such purchase and has compiled with all applicable procurement regulations Customer should contact Grainger if not satisfied mth a product for any reason Grainger will promptly provide an exchange or refund it the E.GENERAL TERMS product is returned within 30 days of delivery,in its original packaging and with proof of purchase from Grainger 1 Force ajooro, Grainger shall not be liable for any delay in,or impairment at,performance resulting in whole or in part from any force malaure event, 2.GRAINGER LiMITED WARRANTY FOR BUSINESSES including but not limited to acts of God,labor disruptions,acts of war,acts of terrorsm(e+hether actual or threatered),governmental decrees ALL PRODUCTS SOLD TO BUSINESS CUSTOMERS ARE WARRANTED BY GRAINGER ONLY FOR USE IN BUSINESS,GOVERNMENT, or controls,msurrectiois,epidemics,quarantines,shortages,commumcabon or power failures,tire,accident,expicsion,mabdityto procure RESALE,OR ORIGINAL EQUIPMENT MANUFACTURE AGAINST DEFECTS IN WORKMANSHIP OR MATERIALS UNDER NORMAL USE FOR or ship product or obtan coconuts and licenses,mabibty to procure supplies or raw matenals,severe weather conditions,catastrophic events, ONE(1)YEAR AFTER DATE OF PURCHASE FROM GRAINGER AT GRAINGER'S OPTION,THE EXCLUSIVE REMEDY FOR ANY PRODUCT IT or any other circumstance or cause beyond the reasonaTe control of Gramgor,n the conduct of its business DETERMINES TO BE DEFECTIVE IN WORKMANSHIP OR MATERIALS WILL BE REPAIR,REPLACEMENT OR REFUND OF THE PURCHASE 2 Grainr�er's Performance of Services. PRICE. Customer will hold harmless and indemnify Grainger,its officers,directors,employees,agents,subcontractors or representatives from and against any and all claims,including bodily injury,deatn,or damage to personal property and all other losses,liabilities,obligations,demands, 3.WARRANTY DISCLAHAER AND LIIM TATiON OF LIABILLTY TOAIUSTONtENS actions and expenses,whether director indirect,known or unknown,absolute or contingent,incurred by Grainger related to the performance a.EXCEPT ASSET FORTH HEREIN AND WHERE APPLICABLE,NO WARRANTY OR AFFIRMATION OF FACTOR DESCRIPTION,EXPRESS of services for customer(i9cludmg without limitation,settlement costs,attorneys'fees,and any and all other expenses for defending any OR IMPLIED,IS MADE OR AUTHORIZED BY GRAINGER.GRAINGER DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTIES OF actions or threatened actions)arising out at,in whole o.m part,any act or omission of customer,its employees,agents,supeontractors or MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NONINFRINGEMENT OF INTELLECTUAL PROPERTY RIGHTS. representatives GRAINGER ALSO DISCLAIMS ANY LIABILITY FOR CLAIMS ARISING OUT OF PRODUCT MISUSE,IMPROPER PRODUCT SELECTION, 3-Canc I atmn. IMPROPER INSTALLATION,PRODUCT MODIFICATION,MISREPAIR OR MISAPPLICATION, All product order cane lotions must be approved by Grainger,and may be denied ersubject to restocking fees and other charges 4 Product Return for Business Customers. It.GRAINGER EXPRESSLY DISCLAIMS ANY LIABILITY FOR CONSEQUENTIAL,INCIDENTAL,SPECIAL,EXEMPLARY,OR PUNITIVE For business customers,product returns,if allmved must be made within one(1)year from date of purchase,unless otherwise indicated DAMAGES TO THE EXTENT PERMISSIBLE.GRAINGER'S LIABILITY IN ALL EVENTS IS LIMITED TO THE PURCHASE PRICE PAID FOR Customer should goto wumgratggerrqm)retinns,for instructions Returned product must be In original packaging,unused,undamaged,and THE PRODUCTTHAT GIVES RISE TO ANY LIABILITY in saleable conait.gn Proof of purchase is required in all cases Product returns may be denied or made subject to restocking fees and other charges by Grainger F.EXPORT SALES Orders tot export sales are subject to the terms conmfons found at vrrr,v maingercom,and can be accessed by c'ickmg on the"Terms of Sale"link A FULL STATEMENT OF GRAINGER'S TERMS AND CONDITIONS IS AVAILABLE ON WWW.GRAINGER.COM AND IS INCORPORATED HERE BY REFERENCE KIM , ` I _ FISHERS ISLAND FERRY DISTRICT VENDOR 013682 PETER MROWKA JR. ; 07/05/2017 CHECK 4170 ^, 3 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION r AMOUNT SM .1930.4.000.000 052417 REIM',TOILET DROPPED 45.44 TOTAL 45.44 1° m L 11 iy .. ,a �� {.yx ., xxW.. > ,.an ...e >_..>.xi>,.F_:.>>w+>„ xex._ t 4:• e •� 4Fr> •••1•:r ••Av: f .•�Fe I I I - I �— '; I e e ® 0 01111E,0 m® e o o - _ = -_ I HERS IS 1VD=FERRYDIS7RIGT= _ °AUDIT;;07%"05 �'' 53095 MAIN;ROAD,PO'BOX 1179 a i SOUTHOLD,NY,11971-0959CHECK NO. ;4170-` v THE SUFFOLK CO.NATIONAL BANK'- CUTCHOGUE„NYi�s35 DATE' _' ;AMOUNT,s; = 45.,44”, asiz�q 67/,0;5/201;7 - $ .lit ,J = _ ORT�C FTS7E'AND ;4�4/160-DOLLARS, r a 'ii . ,'_ 'fe _ 'f,; •'J�r„ 'i ., off,. '. Ay.:.. ',,PETER,,,MROWKA TQ'THE,_?°':DBA PETE,'5;-.HEATING-"&' PLUMBING ORI�ERa 95),MEETINGHOUSE' LANE OF. „IlEDYARD.CT; �,,x� �''�'', , i � � , - ''- 0000 ' , .r, - � -'- ■ . ',-- - -„ ,-,.f', !, -- ,.,-- • -' j�;x x' 110004 170110 1.0 2 140 54641. 68 00 150 2 111 Vendor No. Check No. Town ®f Southold, New York ® Payment Voucher 13682 4170 Vendor Tax ID Number or Social S curity Number Vendor Address Entered by O f 95 Meetinghouse Lane wz!�A_ — Vendor Name Ledyad, CT 06339 Audit Dat Pete's Plumbing and bleating 'JUL ® e 2017 Vendor Telephone Number 9601267-37B2 Town Clerk Vendor Contact Pete Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number FIFD Freight D1amage 5/2412017 $45.44- $45.44 Toilet drop ed off of d SM1930.4.000.000 3 $45.44 1 $45.44 Payee Certification department Certification The undersigned-(Qaimant)-(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature e Signature Company Name FI Ferry District Date_ 6/22/2017 Title Date Z,61 Fishers Island Ferry District Freight Damage/Accident/Lost Items Report Date of Occurrence: U�/241) Time of Occurrence: Id Freight Agent: b� Was the item insured: Insurance Carrier: Item(s) Description: Value*: lie , , i J14) c� �r�,qA �� h-� Owner Details: � Scz-%' — �'-?J�A Z ��`\uxnb I n Provide detailed account of incident, including accurate description of the damage, burden of blame, witnesses, etc.: 0 Value: Claimant must ultimately provide proof of value. Ferry District will only pay to third- parties. \\fiservl\d$\fd network directory\general ops\templates\freight accident report docx THE 7GRANITE Ship From PICK TICKET GROUP The Granite Group BR 41 Reprint SOLID AS OUR NAME 1425 Gold Star Highway www.tegranitegroup.com Groton, CT 06340 Order# 10003737-00 www.ultimatebathstore.com (860)629-7700 Page # 1 Ship Point The Granite Group BR 41 Via OUR TRUCK Terms Cash Bill To: 70656 Ship To D Entered 05/23/17 CASH--- PETE'S HTG & PLBG CASH---PETE'S HTG & PLBG Promised 05/23/17 -------CASH ACCOUNT------- ---'---CASH ACCOUNT------- Picked 05/24/17 95 MEETING HOUSE LN 95 MEETING HOUSE LN T hipped 05/24/17 LEDYARD, CT 06339 LEDYARD, CT 06339 E Request 05/23/17 S rioted 05/24/17 07:33 alc PETE MRO lnstruCf%OnS COLLECT CASH FOR EVERY ORDER Taken By I a1C Sales in a1C Sales out I kit Placed by PETE 1% jcustomerPlol Staging Line Product Bin Quantity Quantity Quantity Qty unit # Amount # And Description Location Ordered B.0. Shipped UOM rice arton (Net) 3 12.4CPBRN AA/05/002/003 12.00 10,00 2.00 EACH 10.85 21.70 1/2" X 4" C/P Brass Nipple Tied to WT Order: 2956123-00 6 BRA130AC AA/05/007/004 6.00 0.00- 6.00 EACH 11.92 71.52 1-30A-C CP 3/80D X 30 LAV RISER 2 VIE94031 AA/07/001/004 6.00 0.00 6.00 EACH 11.0.1 66.18 9,4031 1/2" X 3/8" P X STRGHT C TS 1/4 TRN ST OP 1 VIE98000 AA/07/001/005 2.00• 1.00 1.00 EACH 26.68A 26.68 98000 1/2" PEX VALVE ICE MAI CER BOX Tied to WT Order: 2956119-00 11' HER90241 AA/07/007/002 4.00 0.00 4.00 EACH ,8 s 15.56 90241 JUMBO WAX JOHNI-RIN W/HORN -000 01 4 BRALFORI2XC AA/12/003/002 12.00 7.40 ''5-00 EACH lo,2a 51.15 OR12X-C LF CP 1/2FIP X 3/80D STR STOP Tied to WT Order:2956131-00 9 BRA641 I - AA/12/0031006 24.00 0.00 24.00 EACH 0.-91 647 SS 1/2 IPS SHALLOW ESCUTCHEON 16 db7195 AA/12/004/002 10.00 0.00 10.00 EACH 0.21 2.10 7195 1-1/2 POLY SINK WASHER 7 4PRO112CPPTRAP AA/12/004/007 5.00, 0.00 . , SAO EACH 16.55 77.75 1-1/2" CP P-Trap 20 Gauge 0000 8 DB793A201 AA/12/005/004 5.00 0.00 5.00 EACH 19.00 95.00 793A-20-1 1-1/2X12 CP SJ EXT 5 DB813B1 AA/12/005/005 2.00 1.00 1.00 EACH 2?.73 27.73 81313-1 1-1/2X8 IPS/SWT BRANC FI TAILPIECE Tied to WT Order: 2956131-00 ,12 BRA120DLC AA./SW/003/0 1 4.00 0.00 . 4:00 EACH 9.9z 39.68 1-20DL-C CP 3/80D X 20 CLST _ISER 13 GERVP21528WIH BB/051003/005 1.00 0100 •1.00 EACH x46.91 146.91 VP-21-528 Whi Viper 17" El Bowl Only 000, 14 GERWS28590WHI BB/05/004/005 1.00 0.00 1.00 EACH ••4,5.44 45.44 WS-28-590 Whi 12 Viper 1.28 T Only 15 K4712TWHI BB/06/004/003 1.00 0:00 1.00 EACH 23.00 23.00 K4712-T WHI TRIKO ELONG WOOD ST CF W/ APRD CVR Customers Copy Page 1 of 2 dEShip From PICK TICKET ` 3RANITE The Granite Group BR 41 Reprint GROUP 1425 Gold Star Highway SOLID AS OUR NAME Groton, CT 06340 .t egranitegroup.com order# 10003737-00 w.ultimatebathstore.com (860)629-7700 Page # 2 Ship Point The Granite Group BR 41 Via OUR TRUCK Terms Cash Bill To: 70656 Ship To ntered 05/23/17 CASH---PETE'S HTG & PLBG CASH---PETE'S HTG &.PLBG romised 05/23/17 -------CASH ACCOUNT------- icked 05/24/17 -------CASH ACCOUNT------- T hipped 05/24/17 95 MEETING HOUSE LN 95 MEETING HOUSE LN E LEDYARD, CT 06339 equest 05/23/17 LEDYARD, CT 06339 s rioted 05/24/17 07:33 ale PETE MROWKA Instructions COLLECT CASH FOR EVERY ORDER Taken By aic Sales in alC Sa/es out kjt Placed by PETE Customer P/0 Staging y y Unit # Amour Line Product Bin Quantity Quantity Quantit Qty # And Description Location Ordered B.0. Shipped UOM Price anon (Ne. Line Total 732.2 Taxes 46.° Invoice Total 778.1) ATHIS ND CONO TTIONS'LOCATED AT BYAND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLCS STANDARD'TERMS AND CONDITIONS,LOCATED A T HEREBY INCORPORATED BY REFERENCE INTO H S DOCUMENT.BY PURCHASING GOODS ONS/ THE'TERM EE TO AND INTEND TO BE BOUND By THE'TE FROM THE GRANITE GROUP WHOLESALERS, LLC, YOU ACKNOW LEDGE YOU HA VE READ THE'TERMS AND SANDCONDITIONS.BOTH PARTIES CAGREE THA T THESE RTERMS AND CONDI ONS ARE SUBJECT TO CHANGE. CONDITIONS'LOCATED A. #of Lines Not Printed 0 Qty Shipped • 15 Lines Tota/ Pallets Cartons Bundles Reel Picked By: Packed By: Checked By: Cube: Weight: 1018.50082 43.65800 Received By: Date Received: Customers Copy Page 2 ozm FISHERS ISLAND FERRY DISTRICT VENDOR 014588 NRPC - AMTRAK 07/05/2017 CHECK 4171 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION \ AMOUNT J SM .5710.4.000.000 054558 PIPE & WIRE LEASE-NL 10.00 TOTAL 10.00 � e n i'>1s. :e....A.. ..vv.E>?:+:-:>r��.•y.r...tx.9 s r..<A•N:^y:��S.;r.:✓;5r,:is��':+7d<�'�?��::v3rx6...;•iPid:�?I�7f:G�:....rr,•.. . { Y,x «moi" r ,E { i }: . .s ,a - ,., - - 'i.., ,,f• 01.x, ,x .�'`-'g _ FISHERS'ISI A1VID FERRYDISTR7GT = - - - - - - -_ 0-7,/05/_, - _ -- s 53095 MA1WROAD,PO BOX 1179', - _ SOUTHOLD;NY 1197,1-0959- , _ ;C 1HCK,r'NO. 4-171' .,; tHESUFFOLK.CO.NATIONAL BANK" ''•"' _ CUTCHOGUE,,Nv,11935 -DATE," AMOUNT; 50-546/214 0°: _�T•EN AND',0 0/_10 0 '1�OL"CARS ., PAY,'' `NRPC; K . - AMTRA GROUP ;S;REAL ESTATE DEPT- _tit - bPb R-' 23`6-�5 -NET' PLACE --_' _ :Zoo, OF ;CHICAGO 'IL ,60673.1236 i ' ii'0 f0 4 I ? Lila 1:0 2 11,0546 4 1: 611 Oro L 5 0 2 L ill' Vendor'No. "own of Southold New York Payment Voucher 14588 Vendor Ta.ZD33umber or Social Security Number Vendor Address E'rtteied, 23+595 Network Place „'fw Vendor Name 'Group 5—Real Estate Dept kudif`Date` NRPC-AMTRAK Chicago,Bt_,60673-9235 -VendorTelephone Number ��_ 216-329-2013 ;Clerk; Vendor Contact .sf Invoice Invoice Invoice i Net Purchase Order ,t. :-,j'. Number Date Total_ Discount 1 Amount Claimed Number Description of Goods or Services General i:edgermf d Acebunt Number -054558 71912097 $90.00 $10.00 Plpe&Wire Lease-tai- , ;`-' "SM6710.4.'000.000 4 i ,rp„ i,3`''% �x r,s�.�x�;1{,'>:s<,ylti'��".•`,i,. 'n .�,t,� *t';R .:5� •� 1."1. 1Y' F $9+0.00 , $90.00 -r. Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of theabove named claimant) I hereby certify that the materials abovespecified 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 mrith.the exceptions due and o%ving,and that taxes from whieb the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature X0-1pkL�title Signature Company Name Date Title Date INVOICE Invoice Number: 054558 Invoice Date: 7/1/2017 Mail Remittance To: Amount Due: $10.00 NRPC-AMTRAK Due Date: UPON RECEIPT 23615 Network Place Group 5-Real Estate Dept. Chicago, IL 60673-1236 Billing Detail for: Fishers Island Ferry Lease ID Date Code Description Charges Payments Amount Due A02430 7/1/2017 NPWO Pipe&Wire-NEC $10.00 $0.00 $10.00 Total Due This Invoice: $10.0 Account Detail: FdeID- 06014401 Customer ID: 0003000395 Budding ID: NPWNH LeaselD- A02430 Bill To Email: Description: Crossing of one 2"iron water pipe New London, CT Interest will be charged on late payments in accordance with the terms and conditions of the agreement. Please direct questions regarding this document to ARRealEstate@Amtrak.com or 215-349-1202 or write to the remittance address above Please Include Lease ID & Invoice Number on Remittance to Ensure Proper Application of Payment INVOICE - _- Fishers Island Ferry _R P JMau 1Aaaager-- Avoek, INVC POBox H Fishers Island, NY 06390 FISHERS ISLAND,FERRY DISTRICT 4172 VENDOR 014144 NU LOOK CLEANING SERVICE 07/05/2017 CHECK 4172 ;1. >d FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ;''' SM .5710.4.000.600 156 JANITORIAL SVC-6/5-6/16 362.50 TOTAL 362.50 1 ' I I ` .M 4. xw `J.Ye.°i " `n ( 's"l ' ' 4••' eY J,z fth+4 a`xryi*b.tii ti^«?`n. .L+'_,. ^ / r , • "x•' iY`:`' r W d .... ,t",.b-„} .t r. w"if.», Hi•^t•.xJ I( •_''•e 1 r', J O t I I I o e e o 0 0 a e oMUMMAF'•','; __ •;T,lit. ., , FISHERS•ISLA`NIDFERRYDIS_TRICT_,` Al 53095"MAIN ROAD,PO BOX 1-179' - :SOUTHOLD,NY,,,!1971:0959 ,CHECK -THE'SUFFOL'K C0.`NA710NAL BANK" CUTCHOGUE,NY 11935' DATE: AMOUNT 5o=s sz,ia' 0 7/0 , 5'/201.7` ° ',THREEr HUNDRED SIXTY 'TWO AND-'501/100 'DOLLARS _ PAY - -NU LOOK, CLEANING SERVICE t TO TIYErti 6'63;'OLD COT;GHESTER RD dRDER`' .-SALEM-'C-T`OF 06,420, u000-4-Ly7 211' -1''0-2 1`' . - - 4054641. GIB' OO LS0 2 iii Vendor No. Che*90'. Town of Southold, New Fork - Payment Voucher 14144 r Vendor Tax ID Number or Social Security Number Vendor Address Entered by r 663 Old Colchester Rd Vendor Name Salem, CT 06420 Audit Date ICU Look Cleaning Service `?JO ..' 05 NO Vendor Telephone Number - 660)'859-3624 T ' "n Clerk` Vendor Contact ' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services -GCnetdl't.edger,Fund and Account Number 156 6116/2017 $362.50 $362.50 Janitorial Services 6/5-16/17 ;" ,SM6710A.000.600 $362.501 1 $362.50 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that 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 6/22/2017 Title NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD ® SALEM,CT 06420 (860)859.3624 6/16/2017 156 YISHERS ISLAND FERRY D11111111� P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN: ACCTS. PAYABLE P.O. NUMkIER- .. Due on receipt - i QUANTITY DESCRIPTION RATE 0 ' JANITORIAL SERVICES-FOR 2 WEEKS-JUNE 5-16 2017 362.50- 362.50 = 4AIl r . i `-.� mat M1 `'b� a•�n 4� � ° - 4 d,+ }�'.' e�" y�a � - Gam".^ 'a..,�rvxy {�a�L�w.7.�, +� ,�' sY • . ' t e"�a •'"'6".,.,�a. �Lx �1 r:.m.;r��'g;�,�', u�.:i':rr�^k�`�'�,,.��{,�� , ' t-""QTc,. - - - .e• .�„.i 1`Re \'r. . _ .. `-,�.. T a _ "b^ry., �`�"^'�+... "4,'.��1�sy`a:�. �r.°'.�w'�.'-k" ,?•rr'h..•.k_,. a.:n°+”` .er+.rn�,.,. ..,v-. -..�., _ •,' '�<'sia�'-.;4+'ter_'Sh'.n%w Z'4; `:„4?�.y_�"44H`�,'` -- i Thank you for your business. = $362.50 TOTAL FISHERS ISLAND FERRYDlSnUCT/' VENDOR 016492 PITNEY BOWES, INC.' 07/05/2017 CHECK 4173 A FUND & ACCOUNT P.0.# INVOICE DESCRIPTION AMOUNT 11 SM .5711.4.000,100'0 1004429021 PSTG METR RNT 7/1-9/30 85.24 TOTAL 85.24 1 Ka, gi p 4 FISHERS=ISLAND'FERRY DISTRICT' o 53095 MAIN ROAD;PO B05(,1179" j -SOUTHOLD,NY l 1971-09,59: CHECK N0. THE SUFFOLK CO.NATIONAL BANK, CUTCHOGUE_NY 11935, DATE: ,'AMOUNT. 7/b5/na 4 6/2' 14 'Y _EfbHTY FI,-V,E: .AND 24/100 DOLLARS P_A'Y 'PitNEY BbwEs,' INC, Or, TO THE Po,-B "-3 7-18 6 011WER '9' 7, ,PlTTSBURdH-'PA_ 152,510-78. 6-' "' nobot, I ? 31,1l 1:0 2 140SL, GliI: 68 001502 1110 Vendor info. }luck"No.... Town,o€Southold, New York - Payment Voucher 164921-73 Vendor Address Entered by" PO Box 371896 Pittsburgh, PA 15250-7896 Audit llate Pitney Bowles 2017 Vendor Telephone Number 800-228-1071 Vendor Contact Invoice Invoice Invoke Net Purchase Order' ,e ; Number Date Total Discount Amount Claim 'Number Description of Goods or Services Generat6d,er Fund and'Aeoouni Nuttibar ' 1004429021 -511212017 $85.241 $85.24 Postage Meter Rental .07/01-09130117 =C f ' W. $85.241 $85.24 Payee Certification Department Certification .The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby-certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated:hat 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 fes-+- Title Signature Company Name Fishers Island Ferry District,Date 6/2012017 Title Date� (/► '�� Account number: 0015132475 pitney bowes C(jJJ Account name: FISHERS ISLAND FERRY Page 1 of 2 Rental invoice# 1004429021 June 12, 2017 SUMMARY OF YOUR C14ARGES PAYMENT INFORMATION Current charges $85.24 Payment of$85.24 is due by July 12,2017 Total tax $0.00 Pay online r Pay by mail with pitneybowes.us/signin attached coupon TOTAL DUE, 07/12/2017 ��.�� Pay by Phone 800-228-1071 See reverse side for invoice details. Questions on your invoice? •Please see the line item details on the following pages. •Oryou can call 800-228-1071 Monday-Friday 8AM-8PM EST Additional important information follows the invoice details. Manage your account online for 24/7 access to view and pay bills -Ensure on time payments by signing up for automatic payments. -It's efficient,easy,secure and the best part about it-there's no extra charge. Get started at pitneybowes.us/signin To pray by mail,ptaase complete and send the impon below,Please atlGW 7-16 days for mai€and prr6cessingi time. Page 1 of 2 DUNS 00116-1793,TAX ID 06-0495050 Tear off here N-003251 Account number invoice number Invoice date pitney bowes C 0015132475 1004429021 June 12,2017 Page 2 of 2 DETAILS OF YOUR CHARGES Contract#0040360520 Biding pbr :07/0112017 009130/2017 Totats Location account: 0015133256 Location: FISHERS ISLAND FERRY,261 TRUMBULL DR,FISHERS ISLAND,NY 063908021 U�sttigtidn = Total K7M0-Mailstation2Tm Meter $77.25 v N_ Product#:K7M0 ,o 0 Product/Serial#:K7M0/0594495 0 K7M0-Mailstation2 Meter o Subscription Service for K7M0 $0.00 C, Product#:K7TT C, Postage Refill Fee $7.99 0 0 Product#:RESETS o Activity dates: 04/10/17 C3 0 Postage Advance Fee $0.00 Product#:ADVANCE Wire Transfer $000 Product#:WIRETRANSFER Total tax $0.00 Contract# 0040360520 Total $85.24 TOTAL DUE $85.24 Important information Access the following activities on our website: This transaction is governed by the terms and conditions of the applicable Pitney Bowes agreement,current as of the date of this invoice unless otherwise agreed -View and pay bills to in writing by the parties. -Order Supplies -Update account information Payment -Access technical support If we do not receive your payment by the Payment Due Date,late fees will apply. It's easy. Go to pitneybowes.us/signin If your payment is returned,you're liable for any charges we incur.If you make a partial payment of the payment due,it doesn't change your contract or obligations to us. Page 2 of 2 FISHERS ISLAND FERRY DISTRICT VENDOR 014156 READYREFRESH BY NESTLE 07/05/2017 CH i ECK 4174 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 07FO441584661 ' DLVRY,WTR,RNT-5/11-6/10 251.97 TOTAL 251.97 41 vrx gg ti -4 _4 AUDI t`)O 7/ 05/17"," -- CHECK BANK- , CUTCHOGUE,NY i 19351, DATE' :AMOUNT 07/,05/20 17 Eiq-5461214 TWO'_'HbNi)RED' FtFtY -ONE AND, 97/10_;0, DOLLARS. "Z PAY= READYRtVRESH BY NESTLE ; DIV,OF: N2 T6 THE _R NESTLE',WATERS' N.A ,4g, ICA,-- BO', 18 1-92;,— LOUISVILLE ,KY .-40285-6192 : 11'004 17411' 1:02140546L,I: 68 00 150 2 L Vendor No. Check Nc.� Town ®f Southold, New Fork- Payment Voucher 14166 Vendor Address Entered Oy ' Vendor Name P®Box_ 856192 ReadyRefresh by Nestle Audit Date Div of Nestie Waters-North America Inc. Louisville, KY 40285-6192 Q 5 2017 Vendor Telephone Number 800-950-9396 T 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 07FO441584661 6112/2017 $251.97 $259.97 5111-6110/17 SM5710.4.000.000 1 delivery,rent, CT sales tax 1 S , $251.97 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 ale Signature Company Name Fishers Island Fenn District Date 6/22/2017 Title_ ate Rpaideservice.readyrefresh.com C ' •it^ NUMBERs #215 6661 DIXIE HWY,SUITE 4 05/11/17-06/10/17 07FO441584661 .� LOUISVILLE KY 40258 JUST CLICK\ INQ DELIVERIES ACCOUNT NUMBER AND DUENCN ADDRESS SERVICE REQUESTED . • FRI- JUN 30 0441584661 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TUE- AUG 01 WED- AUG" 30 Access your delivery calendar FRI- SEP 29 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 0"II'�IIIIIIII�I�II'I��Ill��lol�llll��ll�llll��l"III��I'll'I�I convenience,you can pay your bill online. If payment has been made,we thank you. .n. a=-We--are excited t® ontroiuce to ou` e:NEW=Nested! Nested isno�nr=avallatile-in=real=Breed ®r anicaarid Y :j9- . . - - _- classic all this Wlth ra® hlgh,fructose corn-syrup and noµartlficlalycolorstiorfiavors Tryatie<varietyu®fflavors! :. -- - _.�o_to_ aa4yf3ef�asla;com, - - - _ - - - - - -- - w ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. DATE REFERENCE ■ ■ Delivery address: FISHERS ISLAND FERRY,5 WATERFRONT PARK, FERRY OFFICE,NEW LONDON CT 06320 PREVIOUS BALANCE 19988 5/18 478283 PAYMENT-THANK YOU J -9414 4631869841 15 5 GAL NESTLE PURE LIFE DRINKING WTR 8235 15 5 GALLON NPL BOTTLE DEPOSIT 9000 3 5 GALLON NPL,EMPTY BOTTLE RETURN i } J -1800 BOTTLE DEPOSIT 0 CHARGED, 8-CREDITED -4000 6/01 4635829684 10 5 GAL PS HANDLE SPILL'PROOF 6880 BOTTLE DEPOSIT. 10 CHARGED,0 CREDITED' 5000 6/10 4643209903 1 DELIVERY,FEE3 _ 395 F2257863 RENT 1398 SALES TAX 89 TOTAL 35771 _ III f ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side 19988 — 94.14 + 251 97 35771 BILLING RIGHTS SUMMARY Date range of this invoice IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR SAMPLE INVOICE • BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: --,fig 9 ESERVICE.READYREFRESH.COM OR WRITE US AT; ^' 5 1z3ase7890 ,-your Account Number oo1R01oo-00100100 Ready - ! 123456789 READYREFRESH BY NESTLE MON o0. Watch here for a Nov n #216 WS NE-DEC t0 } 1P to J ersonalized account Y. 6661 DIXIE HW ,SUITE 4 Important aa�tr,�ylthllisiatlt4r'S t'�itilre'dts® P news and onnooe cost^merse�=e eoo-274 5282 message LOUISVILLE,KY 40258offers 23 Main SVee Thank You far us^9 ReadyRelrasM1P ad^s G,tl Sute np and aerkee� ___.. m,tq,a,t3l�atPlnhnit}n�,114tldEtn�i!t - — " = =". 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 " Raad a�;,rod�_ _ .":..:.�= ,:.,.:> Make sure this separate sheet of paper.We must hear from you in writing no et`Fk :;=r: ;," n RUR=d__YkmF-1 a�amount has been Activity p-: ... ReadYRef esM1 co n m M Pm q t P later than thirty(30) days after we sent you the first bill on PaYY^��IILo bnesLese �,,,; aid in full to sinceyour ACOOEINTavoid late fees last invoice �ery ACTNm " which the error or problem appeared.You can telephone us, AddreszlahnDO 123 Main St,Gty,State00000 rax oel� but doing so will not preserve your rights.In your letter,give p,e loas Balance y%Rx 00/31 461898 5 Payment�TbankY^'^Water ". �� us the following information: p3/1, 3,70.0.5+^ ^ 8 SGallon Na dtal5pr g %x% /11 31100914M4 S SGallon Deposit w' %%%X 09111 31y886144Ya 1 SGallon ReLUM 091,1 3/81638811 Debvery Pee., • Your name,address,telephone and account numbers. 09"' to 0 97 T^tat• • The dollar amount of the suspected error. W .N env,xi pMaaM • Describe the error and explain if you can,why you N Nr believe there is an error. ACCOUNT SUMMARY y w `— Paymentstub _ _________ PAY aY PAY THIS AMOUNT -- amdi W,swb ena rew^s`'•N>p1f 0,ya.m ACCOUNT NUM8E0. 12345670.900100100 0 pry„'ENCLOSE You are obligated to pay the parts of your bill that are not NVOICE NUMBR 81WNG s6)890 00/00100 DAE ,234 in question. You do not have to pay the disputed amount 00407018 while it is being investigated. During the investigation,we 0420096307 04262712619 000341049 ° Amount due cannot report your account as delinquent or take any action = lo"^Dpe 113 Mam St 00000 to collect the amount in question. ❑ORCUte MERSE FOR CUSTO MER SERV ICE GALL 1 80x1345381 Rut�d,glilm!tdtatltgis}rettNil�'4�tGtn` P..a,AMU 9 sO R rers S.de ,`Submit your ".N,,.FREEAUMPAYl SI9^UPRe4uired On Reverse 3lde payment by GENERAL INFORMATION 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 • r7: j1G t FISHERS ISLAND FERRY DISTRICT VENDOR 017962 KENNETH RICKER 07/05/2017 CHECK 4175 A t FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8:000.000 061717 AARP RX PLAN-3/17 66.39 SM .9060.8.000.000 061717 AARP RX PLAN-4/17 61.80 s SM .9060.8.000.000 061717 AARP RX PLAN-5/17 61.80 SM .9060.8.000.000 061717 AARP RX PLAN-6/17 61.80 t; SM .9060.8.000.000 061717' AARP SUPPLEMENT-2/17 130.17 SM .9060.8.000.000 061717 AARP SUPPLEMENT-3/17 128.47 SM .9060.8.000.000 0617-17 AARP SUPPLEMENT-4/17 128.47 SM .9060.8.000.000 061717 AARP SUPPLEMENT-5/17 128V.47 SM .9060.8.000.000 061717 AARP SUPPLEMENT-6/17 128.47 R TOTAL 895.8,4 i vds t o o f v f FISHERS ISLAND,FERRY'DISTRICT _' --°AUI)IT'•07//`0'5-=1T., ;i 53095 WAINAOAD,,PO BOXJ179 ECK';;10CH 75SOUTHOLD;`NY 11971=0959 S ' 1 THUFFOLK- NATIONAL BANK CUTCHO_GUE,NY_11935 DATE= AMOUNT, - - = o-5as zia. 07/052:017='- -$'8-95` 84,, EIGHT 'HUNDRED N'INETY' ',FtVE 'AND 8'4/100`:'''DOLLARS' ' PAYKENNETH RICKER c T01FrE_ =-'1,73, °'NE=LEE 'PLP.CE _ '•f. ORDER _ 'OF, -LINCOTaN, CITY,:OR;"'9.7,3,67_',','._ ... _.. , 11.004 L 7 5 ' 1:0 2 L40 54641: 68 00 L 50 2 &V , x . L _t _ - •{ t Vendor-No- — Check No.' Town of Southold, New York- Payment Voucher 17962 , L�A �. Vendor Address Entered by", 9734 NE Lee Place Lincoln City,OR.97367 Audit Nrte,. Ricker,Kenneth ----- -- ht9L r.� Vendor Telephone Number 860-675-9438 _ T •lent ' _ ; VendonContact Invoice Invoice Invoice Net Purchase Order Number Dat- Total Discount ` ; Alnolmt Claimed Number D;scriptian of Goods or Services ,�;Genaral LedgerI+und and Account Number` ro L-7 1� 6117/2017 $78.101 $ (11.71)1 $66.39 AARP Afar 2097 MadicareRx$78.10 0 85%rtaimbursement .;: := SM9060.8.000.060 $72.70 $ (90.90)1 $69.80 AARP Apr 2097 Medicare'R472.7085°I°�eisx�€raeanent a- SM9060.8D00.000 i $72.70 '$ (10.90)1 $69.80 AARP May 2017 iVledicareRx$72.70 @ 86%reimbursement ' -" ` 9M9860.8.,000.000, $72.70 $ (10:90)1 $61.80 AA!!tj rae 2097 MedicareRx$72.70 F5%reisntinrseenent '{``°;` SiU19�660.9.600.066 i $153.141 $ (22.97)1 $130.17 AARP sups lenient Feb 2057$9 53.74 85%reimbursement 5' S6 9060.8.000.tf00 $151.141 $ (22.67)3 $128.47 AARP supplement Mar 2017$151.14 @ 85%reimbursement f,{ _,.. ,' SM9®60.9,000.CliO' , $151.14i $ (22,67),' $128.47 AARP supplement Apr 2097$161.14,@ 85%reimbursement $151.941-$ (22:67)3 $128.47 AARP supplement May 2097$159.14 86%reimbursement :4,';x SM9060.8.000.000 °f $159.941 $ (22.67)11 $928.47 AARP supplement Janne 2077,$151.94 Q85%TerIrrlbtarsenaent ; ' SM9060.8.06®.000 $9,053.90 $ (1,58.{!6 $895.84 Payee Certification Department artment Certification 'The undersigned(Gainumt)(Acting on behralfof the above named claimant) I hereby certify that the materials above specified have been received by me does hereby ce.ify that the foregoing claim isAme and correct,that no part has m good condition mithout snbstitution,the services properly been paid,except as therein stated,that the balance therem stated is actually performed and that the quantities thereof have been verified with the exceptions due and awing,and that xaxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved �`b l Signature �_� �C _Title Signature _ Company Name Fishers Island FeiU District Date 6123/2017 , Title Date�� Peenlium Payment History littps://member.aarpmedicareplans.com/content/aarpm/liome/my-pla... AAM'l Medicare Plans Search from Unitedfle<-dthf.c` re Visit AARP org My F Welcome KENNETH RICKER ]nsu20 since 2016 You are here: My Account Home» My Plans» Payments» Premium Payment History My Account Home My Plans My Health and Wellness AARP MEDICARE SUPPLEMENT PLAN s View details for a different p Summary I Benefits and Coverage I Claims I Payments I Order Materials I Forms and Resources Note: the billing history below includes payments for the following plans: • AARP MedicareRx Preferred (PDP) • AARP MEDICARE SUPPLEMENT PLAN Premium Payments Overview 1 of 3 6/17/17,2:43 PM ,Pilemittm Payment History https://member.aarpmedicareplans.com/content/aarpm/liome/my-pla. . C mount due: $0.00 rough date: 06/30/2017 nt method: EFT When recurring payments using Electronic Funds Transfer(EFT) you well save $2.00 off the household! With recurring EFT, your household payment will be deducted from your checking account every mont Payment History You may search payment history for the previous 24 months. You can also search for future premium plan year. View payments for: i m Last 6 months {_ With payment status: Paid Unpaid Total search results for premium payments from the Last 6 months. If you have questions about your I: Premium payment search results: r Premium Due Date Premium Amount (/ 05/31/2017v4 . �"" $151.14 11z, 04/30/2017 $151.14 03/31/2017 $151.14 02/28/2017 lAw $151.14 Z 01/31/2017 e b $153.14 \ 12/31/2016 $153.14 IMPORTANT NOTE: The total amount due applies to your entire household. It includes payment amo supplemental plans and also includes required coverage payment amounts for other members of your to AARP-branded supplemental plans. My Account Home I My Plans I My Health&Wellness I My Personal Health Record About Us I Contact Us I Privacy Policy I Terms of Use I Disclaimers ©2017 Unite 2 of 3 6/17/17,2:43 PM Premium,Payment History littps://member.aarpmedicareplans.com/content/aarpm/liome/my-pla. . AARP MEDICARE SUPPLEMENT PLAN Member ID: 302307704-11 Plan Activity Qui Plan Status: ACTIVE Search medical claims Elec More Information: Plan Benefits Search drug claims Ord View recent premium payments Phe CONTACT US GET FORMS&RESOURCES Update my profile Rec Order replacement member ID card for health Prir plan Res Order replacement member ID card for drug Bec plan BACK TO TOP My Account Home I My Plans I My Health&Wellness My Personal Health Record About Us I Contact Us I Privacy Policy I Terms of Use I Disclaimers ©2017 Unite Last updated 04 28 2017 at 12 01 AM CT 3 of 3 5/2/17, 1:54 PM Premium Payment History https:Hmember.aarpmedicareplans.com/content/aarprn/liome/niy-pla.. � " �` Ml di care Plans Search flnrn Unitedflealdicare, Visit AARP org My F Welcome KENNETH RICKER Insured since 2016 You are here: My Account Horne» My Plans» Payments » Premium Payment History My Account Home My Plans My Health and Wellness AARP MedicareRx Preferred (PDP) _. . .p._ a View details for a different Summary I Benefits and Coverage I Claims I Payments I Order Materials I Forms and Resources Premium Payments Overview Total amount due: $0.00 Payment method: EFT-Checking Payment History You may search payment history for the previous 24 months. To view the details for your next bill, sele and include a To date from next month. View payments for: Last 90 days (kld Total search results for premium payments from the Last 90 days. If you have questions about your pa UnitedHealthcare. Due Date Billed Amount Paid Date Amount Paid Balance 04/30/2017 $72.70 05/01/2017 $72.70 $0. 03/31/2017 $72.70 04/01/2017 $72.70 $0. 1 of 2 5/2/17, 1.53 PM Premium•Payment History https://member.aarpmedicareplans.com/content/aarpm/liome/my-pla... 02/28/2017 $78.10 03/01/2017 $78.10 $0. 01/31/2017 $67.30 01/31/2017 $67.30 $0. Making your payments If you'd like to make changes to how you pay your premiums, we have these options available. • Automatic deduction from your checking account. • Monthly Bill. • Automatic deduction from your monthly Social Security benefit check. View more information about ways to pay. My Plan Information AARP MedicareRx Preferred(PDP) My Health&Wellness Begii Member ID: 01 31 041 231 GO Plan Status: ACTIVE More Information: Plan Benefits My P AARP MEDICARE SUPPLEMENT PLAN Member ID: 302307704-11 Plan Activity Qui Plan Status: ACTIVE Search medical claims Elec More Information: Plan Benefits Search drug claims Ord View recent premium payments Pi1e CONTACT US GET FORMS&RESOURCES Rec Update my profile Order replacement member ID card for health Prir plan ReE Order replacement member ID card for drug Bec plan BACK TO TOP My Account Home I My Plans I My Health&Wellness My Personal Health Record About Us I Contact Us I Privacy Policy I Terms of Use I Disclaimers ©2017 Unite Last updated 04 28.2017 at 12 01 AM CT 2 of 2 5/2/17, 1:53 PM :.°':"z 2• >dip: t. rfn,: :,k •, ', r+_ ",_a ^-,i,;,.._ . q->; _ ,. 2, t , .r' ," ' . - . =``-:,`.g 1^ -'f irk•) 1-,• FISHERS ISLAND FERR Y DISTRICT VENDOR 019719 STAPLES CREDIT PLAN 07/05/2017 CHECK 4176 FUND & ACCOUNT P.O.# 'INVOICE DESCRIPTION AMOUNT ; SM .5711.4.000.000 20295 BROCHURE & LETTER HOLDRS 60.56 LS TOTAL 60.56 -11 i n i,r1 % «>n. :; x. 3 zqy_ ' ., ,Sn •its -iC^," <' 'x"•'° 3 '''v.:t:^ ' ..e.:., a..,e, iRi`^x:` ' ., e ' Y: . ...Y ` e• .-'_• A-? . > .,u jF.x^':.sy d >. .r ',/V1 1 \ r'M,{ ) •. ` Cyt; - ',": ,i, - - - _ - -., q', , ,i'" f )'s; „t FISHERS ISLAND FERRO'D_ ISTRIGT 'm ' ---os i Po'eox i s ;fAUDTT>0, ./ / 53095 MAIN AOAD, _ 1 <` SOUTH04D NY,74'971-os5s;; :CHECK,NO;.': ;,' 41,76„ ` '; iq•: 1' THE SUFFOLK CO:,NATIONAL'BAN K' r u' CUTCHOGUE,NY..r1935 DATE• 'S $ .AMOUNT: SiXTYrAND' 6/,.100? 'DOLI;AR'S P.AY :STAPLES CREDIT PLAN, _ ^_ TOTHEt 'DEPT,:';51''-. 7,820657673, O}t 'ER OF` „Po,;,3 X ' 7.8;0.0,40 . ' PHOENIX AZ 85,062=8004' "'”' lie 004 0GO 1:0 2 140 54641: 68 001502 111' Vendor No. Cheek No. Town of Southold, New Fork o payment Voucher 19719 Vendor Tax ID Number or Social Security Number Vendor Address Entered'by Dept 59-7820657673 _ P®Box 78004 Audit Mite.- STAPLES ate_STAPLES CREDIT PLAN Phoenix,AZ 85062-8004 '^ L 0 S 17 + Vendor Telephone Number 800-767-1291 "k Vendor Contact a .Invoice Invoice Invoice Net Purchase Order- Number rderNumber Date Total Amount Claim Number 'Description of Goods or Services Geiibr4'Udger Fund and Account-Number, 20295 5/24/2097 $60.56 $60.56 -Brochure holder(1)Letter Holder(,)larnin pouches(,) .SIVI5799.4,000.000 J F $60.56 $60.56 Payee Certification .Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature (ice+-- Title Signature Company Name Fishers Island Ferry Date 6120/2017 Title_ Date STAKES 292 US ROUTE 1 New London, CT 06320 (860) 439-1872 SALE 1801083 2 001 20295 0187 05/24/11 12:15 Your Sales Associate was: Lashay C C11,11( SIQJ PIR I C E REWARDS NUMBER 2)????'817 4 BROCHURE LITERATUR 118103203272 4.79ueii 19.16 1 EDISON LETTER HOLD 095787196817 8,99 1 HOT SPLS LAM FOUCH 718103108089. 28.79 SUBTOTAL 56.94 Standard Tax 6,35% 3.62 TOTAL $60,66 Staples Charge USD$60.56 "ard No. : XXXXXXXXXXXX7673 [S] uth No. : 024001 -1-0'['A 11— 1 T EMS 6 Staples brand products. Below Budget. AbM'fxpect'ations, lHANK YOU FOR SHOPPING AT STAPLES 1 Shop online dt www'staples'com Get with the Program, Staples Rewards members get up to 5% back in rewards and free sliipping every day. Exclusions apply, See an associate fur full prograin details or t.o enroll . For information on where Connecticut reside(its can go to recycle used electronic.; devices, please visit littp://Pjww,ot.gov/dep/ewastedi-opoff or call, this toll-free telephone number: 1-888-424-4193. Illllllllllllllllllllllilllllllllllllillllll 11111 ILII SIGN UP AND GET $10' OFF your purchase of h0 ,or more Never miss aro"ther great deal ., Text your email address to 555-444 to sign up for Staples emails today. Offer valid for new subscribers only. Coupon will be emailed within two days of signing LIP. Account Statement Customer Service: Commercial Account FISHER ISLAND FERRY DIST lopstaples.accountoniine.com M nn ((�� Account Inquiries: 1 1 1 O re�( (�®lam L] 1-800-767-1291 Fax 1-801-779-7425 Account Number:'6035 5178 20657673, Summary of Account Activity Payment Information Previous Balance $164.34 Current Due $25.00 ' Payment. � -$0.00 Past Due Amount` +' $25.00 Credits x$0.00 Minimum Payment Due _ $50.00 Purchases �,+$60.56 _ -----_-----�-----------�— ----------------�-- Debits +$0.00 Payment Due Date 07/03/17 FINANCE CHARGES + 000 Credit Line $10,500 Late Fees +$0.00 - - - - New Balance $224.90' Credit Available $10,275 Closing DateV 06/08/17 Send Notice of Billing Errors and Customer Service Inquiries to: STAPLES CREDIT PLAN NeXt Closing Date ' 07/09/17 a., 9/ _ PO Box 790449,St.Loins,Mo 63179-0449 Days in Billing Period30 Your account Is 1 month past due This is a courtesy reminder that we did not receive payment for last month.We're here for you and would like to help you bring your account current.»For assistance call us today at 1-877-740-2971.For the hearing Impaired,call our TDD line at' 1-800-995-9305. Hours of operation.Monday-Thursday:6:30 a m.to 11:00 p m.CT•Friday:6:30 a.m.to`9.00 p.m.CT Saturday and Sunday-8.00 a m.to 5.00 p m.CT -`1 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. Er 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 W you at the number by autodialer,recorded or artificial voice,or text Your phone plan charges may apply. 0 Please-note that if we received your pay by phone or online payment between 5 p.m.ET and midnight ET on the last day of your billing period,your, payment will not be reflected until your next statement. Reminder:Payments can be made by mail,online,or by calling 1-800-767-1291 Note:In-store payments are not accepted. TRANSACTIONS Trans Date Location/Description PO# Order# Amount 05/24 OFFICE SUPPLIES NEW LONDON CT $ 6056� FINANCE CHARGE SUMMARY_ Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Percentage, Daily Periodic ,Balance Subject to - Type bf,Balance� - -AA*(APFjL' Rate- Finan_ce Charge` Finance-Charge' PURCHASES _ REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0 00' NOTICE SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4- . - _ This Account is Issued by Citibank,N.A. u y-- Please detach and return'lower portion with your payment to insure prop`p?,credit yRetam 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 M 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 M 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 v 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. charges separately for each balance.Balances include regular purchases, Attn:Commercial Payment Dept.,1820 E.Sky Harbor Circle South, n" regular cash advances(if available on your account),and different STE 150,Phoenix,AZ 85034.Payment must be received in proper form -�� promotional balances. at the proper address by 5 p.m.Central time to be credited as of that UJ To get a daily balance,we start with the balance as of the end of the day.All payments received in proper form at the proper address after L_J previous day.We add any new charges,We then subtract any new credits that time will li credited k of the next day. or payments and make other adjustments.A credit balance is treated as u you send et eligible check with this payment coupon,you authorize a balance of zero If the rate on a balance is a daily rate we include.in the us c complete your payment ed electronic debit.If we hedo,the daily balance any periodic finance charge on the previous day's balance. checking account will be debited ei the amount. the check.check may (This results in daily compounding of finance charges.) de this as soon as the day we receive the check.Also,the check will be 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 Custorner 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 N 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 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 appeared.In your letter,give us the following information: Other Account and Payment Information. Your name and account number. When Your Payment Will Be Credited.If we receive your payment in 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 co 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. days in crediting a payment we receive that is not in proper form or is not ST OS CRC JUN16 v c ST-9194-1550-0002-//-N-00-6035517100088887- -//- -0•D-96-//-P-B-0-N-//-1-- 0-//-04/01/02-182-May 9,2017-*0- - ST09-//- •0- -//- -May 25,2017 w - Page 2 of 4 Remit payment and make checks payable to: INVOICE DETAIL - - STAPLES CREDIT PLAN • DEPT.51-7820657673, PO BOX 78004 1 1 1 O re Ck.G U[MY PHOENIX,AZ 85062-8004 BILL TO: SHIP TO• Acct: 6035 5178 2065 7673 FISHER ISLAND FERRY-DIST Amount Due: ;Trans Date:. Invoice#: PO BOX 607 20295 FISHERS ISLAND,NY 06390-0607 $6056 05/24/17 PO: Store: 100001872,NEW LONDON,CT PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE BROCHURE LITERATURE HOLDE -474445 4.0000 EA ' $4.79 _ $19.16 EDISON LETTER HOLDER GRAY '2495149 1 0000 EA $899 $8.99 HOT SPLS LAM POUCH'LTR 3M 677045 1.0000 EA $28.79 $2879 SUBTOTAL' $56.94 TAX $3.62 SHIPPING $000 TOTAL $60.56 W o - ' ru Page 3 of 4 1-800-767-1291 staples.accountonline.com This page intentionally left blank. 0 M - N " M , v m _ n M M v N cr .-j w C3 ru N LL O N t7 _ a .a n N 0 N O QN " N , v a J O W Page 4 of 4 1-800-767-1291 staples.accountonline.com E lmo FISHERS ISLAND FERRY DISTRICT ,J VENDOR 001876 THE RIG LOFT 07/05/2017 CHECK 4177 A _J ; AMOUNT FUND & ACCOUNT ` P.O.# INVOICE DESCRIPTION , SM .5710.2.000.000 3 /(3) 100'HEAVING LINES 300.00 ` TOTAL 300.00 ? m x YFri. pS : "} 0 1 1 :y + ` FISHERS ISLAND FERRY DISTRICT i - - = 53095 MAIN,ROAD,Po eox ins' AUDIT,_0.7./,05/17. SOUTHOLD;NY 11971:0959` -CHECK' NO: •_ _^ THE SUFFOLK CO'NATIONAL BANK AMOUNT Na CUTCHOGUE,NY 11935. ,. DATE-` ;+ 50-546/2'14-,, 07/05/201.7`' - ;$300 .OA,° THREE_-HUNDRED: AND 0,0/100`-,DOLLARS _ 4t PA THE RIG' LOFT 6'90',COLONEL_LEDYARb,;HIGHWAY- _ _ ' - _ _- • dRDER- :T EDYARD.:CT:-06339: n8004 L17 7119 1:0 2 140 54'6'41: 68 00 L 50 2 Lig' 876" VendorTaxl'D i nalier r w P 3 Sewfqy Number VandarAddren- Entei�d b 7w;, Audi Mate", THE RIG LOFT Ledyadl,CIT W= c Number UL""q�""5, TM , IBV07= lavoicc, "Infroicz Nal Dau. M=U�er Number lfe& m-Oura bac rap6wl orGoads or Sers-10M General,Ledger F4fid ai4 Accomt iiunibpu 412112017 sseww"*., .......... V A 1:23111:30C PROCEED SEV: The u ndc rs i gn ed r,laima n t)(YUU ng%in b ud 6fdhc zbcw f-,n ai P.edc lvznann, 4 lbareby ceftiij ftxthe inaledals above 6pw;fied have bee a received by Inc does hereby cm ify tbal t)ie fore-go 41 aim is•,Ir=sines•curtea,that no part has in good cceidition 6viffiout m&siilutiorl,the services property beets,paid.excpp t as i herai ii sWe d,,Apaa t23e balance lbereak stated is.ac tu zal y pniornaed and thattliaquantities Aheregbave been mrfied with the exceptions e and awi rig,anddat i axes fwn t-wh i ch the Timm 5c evern p!are Pxcaudc d. L–,TISC mpan Cl e s 410 tect and payment i s approved. C- 6Y23Y2017 Zvxie1-110� ---Pee T e RIg Loft Invoice Invoice # 3 Date: Apr 219 201'7 A Due date: May 219 2017 Bill TO 690 Colonel Ledyard Hlgkway Fishers Island Ferry District Ledyard Ct, 06339 P,3 Burns 06339 P: (860)912-0523 therigloft�a gmailocom Unit cost .... .... Tota l I Heaving Line9 loo' 3 $100,00 $300000 Price per unit Subtotal: $300000 Total: $300000 Paid: $0000 Balance Due: $300000 JM " FISHERS'ISLAND FERRY DIS TRICT VENDOR 020730 TRAWLWORKS, INC. 07/05/2017 CHECK 4178 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 51675 RP/MU-PCS ROPE,HARDWARE 1,470.80 TOTAL 1,470.80 TM c v 'AD-FERRYblsTRlC.P-, FISHERS-ISLA AUDIT.,0' Q'511.7 53095,MAIN ROAD,PO BOX 1179 SOUTHOLD,NY'll 971-0959 CHECK No.- -4178 F THE SUFFOLK CO:NATIONAL BANK ,--7- _ -CLITCHOGUE,NY 11935, ,DATE, AMOUNT J ',EiO-546/214' 07/05/ 017,' l';47 0, 'ONE 'THOUSAND 'FOUR HUNDRED' SEVENTY 'AND-80/100- DOLLARS TRAWLWORKS, INC. ,. ' -, ' ' - .- / - I,( PAY TO THE 30WALTS-WAY. ORDERQ `BOX 3 4J -PO OF' NARRAGANSETT RI 02882, 1 ii'00 Lt 1 71311, 1:0 2 14054P 3 Lo: GB 00L502 Ino Vendor No. C}aecc4c'A1o:'" Town of Southold, New York a Payment Voucher 20730 7 rL Vendor Address Entered}n'' P.O. Box 342 _ Vendor Name Narragansett, RI 02882 Audit ate Trawlworks,Inc. IIJULl-® 5-2017 Vendor Telephone Number Clerk - 401-789-3964 i =�� ' Vendor Contact 1. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount l Amount Claimed Number Description of Goods or Services 'Ledger Fund and Account Number 59675 6/14/2017 $1,470.815 $1,470.80 RP/Munn Pcs rope amd hardware(3) SM6710.2.000.200 $1,470.8011 $1,470.80 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 FerryDistrict Date 6/20/X17 Title Date �lii^� TRAWLWORKS, INC. www.trawlworks.com u 30 Walts Way P.O. Box 342 Narragansett, 8102882 51675 401®7693964 DATE ORDER NO � p _ SHIP TO TO f 7 ,�` �...- \* -8, L.- �'V!� ......... `�.��. Po --- - - ------- - ----- -- - - --- ---- -- -- ------- - ------------ - -------- ------------ ---- SALESPERSON_ -DATE SHIPPED ___---�_-._-_ SHIPPED VIA___- -- ___ _F_O B. POINT _- __ _ TER_MS ( tas - UNI-QUANTITY .._-� - _ - __T_. - - -.__--__- --_ ___--DESCRIPTION-- -_- _.__ -_ __ PRICE-- -- -TOTAL A0_ ►� �a c� CIA � ��, 'Yews FloF, CUSTOMER COPY o FISHERS ISLAND FERRY DISTRICT F-99PPff'oN 5 WATERFRONT PARK PO BOX 8908 PENACOOK,NEW HAMPSHIRE 03303-8908 s NEW LONDON, CT 06320 (603)753-4176•FAX(603)753-8614•N E WATS 1-800-762-5966 G N Route#C10 NEW LONDON E ID: FISHNN06 Page 1 of_ 1 s1 TRAWLWORKS, INC. DELIVERY I r37 WALT'S WAY RECEIPT P PO BOX 342 PAYMENT METHOD E NARRAGAN S ETT, RI 02882 PRO NUMBER: 4607243 PREPAID R ID: TRAWNT02 Phone: 401-789-3964 TRANSFER PICKUP DATE F BILLER SHIPPER BILL OF LADING APPOINTMENT 06/13/17 HAP 3012 PLT PIECES H/M DESCRIPTION CLASS WEIGHT LBS RATE EXTENSION 1 3 PCS ROPE AND HARDWARE FAK 400 1 PALLET SPACE RATED AS 1 PALLET FUEL SURCHARGE 12% Ross Express will be closed Monday and Tuesday, July 3 and 4 in observance of Independence Day. 1 3 TOTALS 400 CONCEALED DAMAGE MUST BE REPORTED WITHIN 5 DAYS ALL FREIGHT BILLS MUST BE PAID WITHIN 15 DAYS RECEIVED IN GOOD ORDER EXCEPT AS NOTED PCS RECD DRIVER NAME OR NUMBER DATE DELIVERED TIME IN TIME OUT SIGNATURE PRINTED NAME • I b:wu. ' I ~ .. a ,U . `t _ r'3"'` ;'."' „.`r ' r."r'<:k'. i' .T. ® i ' S FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 07/05/2017 CHECK 4179 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION _ AMOUNT SM .5710.4.000.700 26639237 WE 6/9/17 28.80 SM .5710.4.000.700 26639247 WE 6/16/17 54.f23 TOTAL 83.03 v+<`t Em sm r r r i I r I ' t't,a FISHERS'ISLAAD :;;: ,,•..,:.. .,;i,t,; .s FERRYDISTRICT' v -AirDZT- 6?Jo`5ji ' C 153095 MAM ROAD;FO'BOX 7179' SOUTHOLD,NY 1,1971,-0959 ` CHECK' 'THE SUFFOLK'OO:,NATIONAL BANK +t CUTCHOGUE,NY,11935 DATE.• , .AMOUNT - - J o7/ 0 5: 2 017, 50-5461'21-4 = EIGHTY7THREE-"P.ND:''03/1`OU.'DOLLARS " ` ' - ( ._,- - = PAY. - =UNITED PARCEL- SERVICE ?s TO THE_ P'Q 'BOX`7247,= D244 -' — ORaDER P IIL7-DELPHIA0.001- 1 ' u'004 1 7911' i:0 2 L40 SL GL l: G8 00 L 50 2 L ' t. F7 Vendor No. ClteckNo:.,, _ t Town of Southold. New York- Pay ent Voneher � 21506 1 .79 'vendor AzMress Ente,red'by P.O. Box 7247-0244 Vendor Naine UPS Philadelphia, PA 19170-0001 1�iimitT3ate , United Parcel Service Y. J% 0' ,2017 Vendor Telephone Number 800-811-1648 `Clerk Vendor Contact ; Invoice Invoice Invoice Net Purchase Order •, Date Total Discount Amount Claimed Number Description of Goods or Services „General WgerFund and Account-Number 26639237 '611012017 $28.80 1 $28.80 WE 6/09/17 : -"'4T 5710.4:000.700 26639247 6117/2017 $54.23 $54.23 WE 6116/17 ..�M5710.4.000.700 $83.03 $83.03 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 m good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signator � \ell Title Signature_ Company Name Fishers Island Ferry District Date 6/2312017 Title Date a Delivery Service Invoice Invoice Date June 17, 2017 - elm Shipped from• Invoice Number 000002663924.7 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 6N72 1 STATE ST NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366030022096 visit ups.com/billing AB 01' 031377 77402 H 86 A• For questions about your invoice,call: 11. .I II. I II IIIIII•I� I I. .11. 1 •• (800)811-1648 III I III I I I I I I II I I I I 11111 III 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 $54.23 Page Charge Amount Outstanding(prior invoices) $538.52 Outbound Total Amount Outstanding $552.75 3 _ UPS WorldShip $8.44 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $19.99 / your paymentSee Account Status for details. Service Charges $25.80 to, Questions about your charges? Amount due this period $54.23 —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 July 9, ups.com/invoiceguide. 2017. Payments received late are subject.to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Note.This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. — i Delivery Service Invoice Invoice Date June 17,2017 ' Invoice Number 0000026639247 Shipper Number 026639 n , Page2'of 3 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639197, - 05/13/2017 $53.01 0000026639207 05/20/2017 $66.89 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 0000026639217 05/27/2017 $45.75 0000026639227 06/03/2017 $463.97 0000026639237 06/10/2017 $28.80 Total $538.32 Outstanding balances reflect any payments received as of 06/16/2017.Please ignore this message if a•recent•payment has been made for any outstanding invoices. I Delivery Service Invoice Invoice Date .dune 17, 2017 Invoice Number 0000026639247 Shipper Number 026639 Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 06/13 6853513192 1 1Z0266390346828318 Ground Commercial 17603 3 1 8.00 Fuel Surcharge 0.44 Total 8.44 1st ref:FINY-DEB DOUCETTE 2nd ref:FI NY-DEB DOUCETTE Sender :ACCOUNTS PAYABLE Receiver: MEGAN HURRAY 509 LONG LANE LANCASTER PA 17603 Total for Pickup Number: 6853513192 1 Package(s) 8.44 Total UPS WorldShip 1 Package(s) 8.44 Total Outbound 1 Package(s) 8.44 Adjustments &Other Charges Address Corrections Number of Billed Tracking Number Service Packages Charge 1ZO266390346828318 Ground 1 13.40 1st ref:FINY-DEB DOUCETTE 2nd ref:FINY-DEB DOUCETTE Recorded:MEGAN MURRAY Corrected:MEGAN MURRAY 509 LONG LANE 501 LONG LN LANCASTER PA 17603 LANCASTER PA 17603 Total for Reference Number: FINY-DEB DOUCETTE 13.40 .� Total Address Corrections 1 13.40 -- Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE FOR 1 PRINTERS AT$3.00 EACH = FOR 16-JUN-2017 Total Miscellaneous 3.00 Residential/Commercial Adjustments UPS WorldShip Shipped Pickup Recorded Billed Adjustment Date Record Entry- Tracking Number Corrected Charge. Amount — 06/13 6853513192 1 1ZO266390346828318 ' Commercial -8.00 Residential 8.00 Residential Surcharge 3.40 Fuel Surcharge 0.19 3.59 tst ref:FINY-DEB DOUCETTE 2nd ref:Fl NY-DEB DOUCETTE Total UPS WorldShip 1 Package(s) 3.59 Total Residential/Commercial Adjustments 1 Package(s) 3.59 Total Adjustments&Other Charges 19.99 031377 2/2 Delivery Service vices 11'voice Invoice Date June 10, 2017 1 Shipped from: Invoice Number 0000026639237 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID U120 1 STATE ST NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! 0736A00000266394 77366020021645 Visit ups.com/billing AB 01 028863 71967 H 80 0 For questions about your invoice,call: (800)811-1648 1111'1°IIIIIIIIII°°II'II,II,I,I,I,III„IIIIIIIII°111'IlI,1,lIIIII Monday-Friday ® FISHERS ISLAND FERRY 8:00 am.-9:00 P.m.E T. ACCOUNTS PAYABLE or write: PO SOC 607 UPS FISHERS ISLAND, NY 06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 ACCO int Status Suanrnary Thank you for using UPS Weekly Payment Plan Summary of Charges Amount Due This Period $28.80 Page Charge Amount Outstanding(Prior invoices) $629.62 3 Adjustments&Other Charges $3-0 0 / Total Amount Outstanding $658.42 Service Charges $25.80 v Please include the Return Portion of each outstanding invoice with Amount due this period $28.80 your payment.See Account Status for details. — Questions about your charges UPS Payment terms require payment of this invoice by July 2, To get a better understanding of the charges on your invoice, 2017. — visit our invoice guide and glossary of billing charges at Payments received late are subject to a late payment fee of 60%of = ups.com/invoiceguide. the Amount Due This Period.(see Tariff(ferms and Conditions of Service at ups.com for details) Note.This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. Delivery Service Invoice Invoice Date June 10, 2017 OTM Invoice Number 0000026639237 Shipper Number 026639 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 0000026639197 05/13/2017 $53.01 0000026639207 05/20/2017 $66-89 0000026639217 05/27/2017 $45.75 0000026639227 06/03/2017 $463.97 Total $629.62 Outstanding balances reflect any payments received as of OW09/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. ti r Delivery Service In voice Invoice Date June 10, 2017 ' Invoice Number 0000026639237 Shipper Number 026639 Page 3 of 3 Adjustments &Other Charges Miscellaneous Billed Explanation; Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 09-JUN-2017 R / Total Miscellaneous 3.00 v Total Adjustments&Other Charges 3.00 028863 212 I ,+ FISHERS ISLAND FERRY DISTRICT VENDOR 024539 W.B. MASON CO.INC 07/05/2017 CHECK 4180 A FUND & ACCOUNT P.O.# ' INVOICE DESCRIPTION AMOUNT \'' ' N SM .5709.2.000.200 244315238 4 BOXES-K-CUPS 44.96 SM .5709.2.000.200 I44548267 8 BOXES-K-CUPS 62.42 SM .5710.4.000.600 245101849 LNRS,GLVS,TOWLS,CLEANERS 398.49 SM .5711.4.•000.000 245101849 SCISSORS,SHARPIE MARKERS ,16.61 SM .5709.2.000.200 245101849 . 6 BOXES-K-CUPS 74.94 SM .5710.4.000.600 245102729 (6) 1GL-SIMPLE'GREEN CLNR 77.99 TOTAL 675.41 m .`................ . - ,:. tig Ey: :4 '•S t , >'w 1 ' x, Ft; 0, r 4'+ - -- FISHERS ISLAND FERRY DISTRICT 53095 MAIN ROAD;PO BOX 1179 SOUTHOLD,NY 11971-0959 ,•CHECK N0. THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE,o AMOUNT' 50-546/21 a G7/0-5/20,11 . ` $6'7 u SIX ,HUNDRED SEVENTY FIVE ,AND '41/100 DOLLARS ' PAY-, W.B. ,MASON CO.INC y' y TO THE PO BOX,',981101' ORDER BOSTON_.MA 0229,8-1101 110004 L8011' 1:0 2 140 5464x: 68 00 L 50 2 Lig' ° l 1 Vendor No. Check No. Town of Southold, New York - Payment Voucher � 24539 14 %0 Entered by PO Box 961101 Audit Date W.B. Mason Boston, MA 02296-1101 / L 0 ,e5 2017 Vendor Telephone Number 666-1613-!Mason To Jerk Vendor Contact Invoice Invoice InvoiceNetaimPurchase Order ` Number Date Total Discount Amount Cled Number Description of Goods or Services General Ledger Fund and Account Number 144315236 5117/2017 $44.96 $44.961 Coffk%k�ps SM57MI000.200 144546267 512512017 $62.42 $62.421 Coffee�cups SM6709.2.000.230 i irer2l,Cr\o.res,-bwe%z,ClectrJe� 145101649 6/15/2017 490.04 $396.491 janitorial supplies SM6710a4:000A00 $16.61 office supli s 81'�G�o1�S "SM571'1,4.{100.000 $74.94 'o Slbr#5709.2,000.200 a = 5"iMA'CCin 0-carw 145102729 6/15/2017 $77.991 $77.99 1janito al supplies 51'315710.4.000,600 $675.41 $675.41 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually 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�0h. @� cjffitle Signature �^ Company NameFishers Island Ferry District Date_ 6/22/2017 Title Date d� (Page 1) tin a �►�'f1 PM(P) L-AL1 Delivery Address Invoice Number: 144315238 Fishers Island Ferry Coffee Customer Number: C2171920 W.B. MASON CO., INC. Acct Reference Number: 144315238 59 Centre St-Brockton, MA 02301 ATTN.:NL-CARLTON Invoke Date: 05/17/2017 Address Service Requested 5 Waterfront Park Due Date: 06/16/2017 888-WB-MASON www.wbmason.com New London,CT 06320 PO Number. NL-CARLTON Order Date: 05/16/2017 Order Number: SO48546548 FISHERS ISLAND FERRY COFFEE ACCT Order Method: WEB ATTN:NICK PO BOX 607 FISHERS ISLAND,NY 06390 W.B.Mason Federal ID#:04-2455641 Important Messages Please send all remittance couoons with your payment to our REMITTANCE ADDRESS: W.B. Mason Co., Inc. PO BOX 981101 Boston, MA 02298-1101 ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE MAGO1401 COFFEE,KCUP,SHAZAM,MEDIUM,24/BX D 'T- 2 BX 999 1998 GMT4061 KCUP,DARK MAGIC EXTRA BOLD,24/BX a 2 BX 12.49 24.98 SUBTOTAL: 44.96 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 44.96 Total Due: 44.96 To ensure proper credit.nlease de fch and return below portion with your payment _ — _ _ _ _ _ _ _ LOUNGE COLLECTION rL 01 „ i' 4✓ 1\l0pfj1 ,rr List Price =� List Price t - Sgppo qq BK 3®y'y SST 25710BK-3GE List Price List Price 0 u 1 SSY25820CN®3GE `----.- F®r our Ball selecti®n visit www.wbmason.com SST 2581OVff 3GE `While supplies last Quantity restrktions may apply. i F w 1QN®SU7_ Packing Slip FURN�7URE&PRINTING Mode of Delivery: 00140 W.B. Mason FOR OFFICE SUPP PO Box 111 Warehouse............... OLE-CT _ •�ti y 59 CENTRE ST Delivery Number:...... 35571800DEL . �•. ._ BROCKTON, MA 02303 Customer Number:..... C2171920 1-888-WBMASON Phone Number:.......... 8604420165 www.wbmason.com Sales Rep: Russell Sheikowitz Special Instructions **NO SUBSTITUTIONS** Ship To: '•�'. **PLEASE** Fishers Island Ferry Coffee Acct ~� 5 Waterfront Park New London, CT 06320 r � , Sales Order # S048546548 Ship Date:: 5/17/2017 P.O. Number:• NL-CARLTON Attention Name:: NL-Carlton Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility MAGO1401 2 2 0 0 BX COFFEE,KCUP,SHAZAM,MEDI UM,24/BX BOS,-MA GMT4661 -2 2 a 0 o"-, BX ' KCUP,,.'DARK MAGIC"EXTRNBOLD; 24/BX �UNTD'-WOB ;'" x Delive Number 35571800DEL II II I II II II I IIII IIII II II II I II I II I I I I II (Page 1) PM(P) Delivery Address Invoice Number: 144548267 Fishers Island Ferry Coffee Customer Number: C2171920 W.B. MASON CO., INC. Acct Reference Number: 144548267 59 Centre St-Brockton, MA 02309 ATTN..WILCOX:STAFF- Invoice Date. 05/25/2017 Address Service Requested FACILITY 5 Waterfront Park Due Date: 06/24/2017 888-WB-MASON www.wbmason.com New London,CT 06320 Order Date: 05/24/2017 Order Number. SO48804036 Order Method- WEB FISHERS ISLAND FERRY COFFEE ACCT ATTN:NICK PO BOX 607 FISHERS ISLAND,NY 06390 W.B.Mason Federal ID#:04-2455641 Important Messages Please send all remittance coupons with your payment to our REMITTANCE ADDRESS: W.B. Mason Co., Inc. PO BOX 981101 Boston, MA 02298-1101 ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE GMT4061 KCUP,DARK MAGIC EXTRA BOLD,24/BX j 3 BX 12.49 3747 MAGO1605 SHAZAM SUMATRA POD,15 PER BOX 5 BX 4.99 24.95 SUBTOTAL: 62.42 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 62.42 Total Due: 62.42 To ensure proper credit,please detach and return below portion with your payment -0- 8 U A Packing Slip O� ��-a URE&PRINTING Mode of Delivery: 00140 W.B Mason FPO Box 111 Warehouse:......... . .. OLE-CT OICE Sup4`lE • •1 L•WIV 59CENTRE ST Delivery Number:.... 35843750DEL BROCKTON, MA 02303 Customer Number...... C2171920 }= 1-888-WBMASON Phone Number: . . ... . 8604420165 www.wbmason.com Sales Rep: Russell Sheikowitz t Special Instructions:**PLEASE****NO Ship To: • SUBSTITUTIONS** Fishers Island Ferry Coffee Acct +_ 5 Waterfront Park New London, CT 06320 f r .•{ Sales Order # SO48804036 • Ship Date. 5/25/2017 P.O. Number:. Attention Name.:WILCOX: STAFF-FACILITY Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility GMT4061 3 3 0 0 BX KCUP, DARK MAGIC EXTRA BOLD, 24/BX BOS-MA MA001606 V 5 _ 5-- ' . 0 0 BX" SHAZAM SUMATRA POD, 15 PER BOX BOS-NIA Delve Number 35843750DEL ��Jj II VIII iiIII ill I I ii� (Page 1) �H g PM e� Delivery Address Invoice Number: 145101849 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. 5 Waterfront Park Reference Number: 145101849 59 Centre St-Brockton, MA 02301 Address Service Requested New London,CT 06320 Invoice Date: 06/15/2017 Due Date: 07/15/2017 888-WB-MASON www.wbmason.com PO Number: nl terminal/janitor Order Date: 06/14/2017 *2 6 92 55312*HO***********ALL*FOR*AADC*0 6 0 Order Number: SO49428768 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 Itltll�tlllt��t�llllllll�ttl�tl��lt�tlltlt�lllll��tt�ttl��l�ltl�l W.B Mason Federal ID#:04-2455641 Important Messages -Sign up for Paperless.lnvoicing at wbmason.com/paperless. Your-Registration Code: 5637419782- Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view' -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE _ .- EXT-PRICE _ HVN410112 TOWEL,NATURAL,CONFIDENCE,6/CT(41500) 1 CT 4249 42.49 HVN410112 CONFIDENCE HARDWOUND ROLL TOWEL,WHITE,7.6" 1 CT 4249 42.49 700%6/CT fJ HERZ6037HNROl LINER,30X37,13 MIC,20-30 4 CT 56.39 225.56 GAL,NATURAL/CLEAR,500/CT CL097301 CLEANER,PINE-SOL,LAV,144,3/C � 2 CT 3499 6998 CSWVECPFGL VINYL EXAM GLOVE,PF,4 MIL,LARGE 3 BX 5.99 17.97 SAN3B264PP MARKER,SHARPIE CHISEL,BK O 2 PK 1.75 3.50 ACM13529 SCISSORS,TITANIUM 8',STGY O 3 EA 4.37 13.11 GMT6663 COFFEE,KCUP,NANTKT BLND,24/BX 6 BX 12491 7494 SUBTOTAL: 490.04 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 490.04 Total Due: 490.04 To ensure proper credit please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ®BUT- }R Packing Slip BH •� .±�p, y y i . .. Q-1E5 FURNITURE&PRINTING W.B. Mason Mode of Delivery: 00140 FOR OFFICE 5UPVV' PO Box 111 Warehouse:........ ..... OLE-CT U. • •�• • 59 CENTRE ST Delivery Number. ... 36485220DEL • r 16 BROCKTON, MA 02303 Customer Number:..... C2024302 1-888-WBMASON Phone Number:.......... 8604420165 ' www wbmason.com Sales Rep: Russell Sheikowitz Special Instructions* Ship To: Fishers Island Ferry District ti •h 5 Waterfront Park New London, CT 06320 ,�• Sales Order # SO49428768 F Ship Date:: 6/15/2017 P.O. Number:: nl terminal/janitor Attention Name:. Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HERZ6037HNR01 4 4 0 0 CT LINER,30X37,13 MIC,20-30 GAL,NATURAL/CLEAR,500/CT BOS-MA HVN410112 1 ,.1 0,` ?0 _ CT,4 TOVVEL,NATURAL,CONFIDENCE,6/CT(41500) BOS-MA HVN410113(S) 1 1 0 0 CT CONFIDENCE HARDWOUND ROLL TOWEL, WHITE, 7.6"-700', 61 BOS-MA ACM13529 -. 3 3. 0 ,' 0 EA' 'SCISSORS,TITANIUM,8",STGY.., ''S.- . I BOS-MA° ' CSWVECPFGL 3 3 0 0 BX VINYL EXAM GLOVE,PF,4 MIL,LARGE bos-ma GMT6663 6 ; -y6 0:: 0 BX COFFEE,KCUP,NANTKT BLND,24/BX BOS-MA CL097301 2 2 0 0 CT CLEAN ER,PIN E-SOL,LAV,144, 3/CT UNTD-woB SAN38264PP0 0',` PK MARKER,SHARPIE CHISEL,BK UNTD-,1N06' , Delve Number 364135220DEL I VIII III VIII IIII IIII VIII I III II II II (Page 1) %4H (C1-1)(1-1) PM go'som Delivery Address � Invoice Number: 145102729 e Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. 5 Waterfront Park Reference Number: 145102729 59 Centre St-Brockton, MA 02301 Address Service Requested New London,CT 06320 Invoice Date: 06/15/2017 888-WB-MASON www.wbmason.com Due Date: 07/15/2017 PO Number: boats Order Date: 06/14/2017 Order Number: SO49432300 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 W.B Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE SMP13005CT CLEANER,SIMPLE GREEN 1GAL,6/CT 1 CT 77.99 77.99 SUBTOTAL: 77.99 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 77.99 Total Due: 77.99 To ensure proper credit,please detach and return below portion with,your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — VMHO BUT, =p Packing Slip S;FURN�7uRE&PRINTING Mode of Delivery: 00140 W.B. Mason FOR OFOFICE SUPpL10 PO Box 111 Warehouse:......... .... OLE-CT •�_ •„s. _Y ,n.• 59 CENTRE ST Delivery Number:...... 36485221 DEL 59 CENTRE T 02303 Customer Number:..... C2024302 BROCKTON, M N Phone Number:.......... 8604420165 •t:. Sales Rep: Russell Sheikowitz www.wbmason.com Special Instructions. Ship To: Fishers Island Ferry District • _ 5 Waterfront Park New London, CT 06320 4i r i Sales Order # SO49432300 Ship Date:: 6/15/2017 P.O. Number;: boats Attention Name:: Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility SMP13005CT 1 1 0 0 CT CLEAN ER,SIMPLE GREEN 1 GAL, 6/CT UNTD-WOB Delive Number 36485221DEL III II I IIIIIIII I I IIIIII II VIII II I III c FISHERS ISLAND FERRY DISTRICT L VENDOR 025038 Z & S FUEL & SERVICE, INC. 07/05/2017 CHECK 4181 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .,5709.2.000.200 21934 22.095 GAL GAS-5/1 72.01 SM .5,709.2.000.200 21968 \1 26.694 GAL GAS-5/15 87.00 SM .5709.2.000.200 22001 8.823 GAL GAS-5/25 28.75 \ J TOTAL 187.76Egg i \ .. y xwux x, v ,. ..,..x .,,.awe . :'Xr,• r' -::`Fe-. ; 'rf Y 'v r ,.. ...n^' x ~.F s ♦ .fi.< ...,.. ...._r ...eA•hv' .... ''k.% ^y'b,r,... , j v • • • • o s o o ® e s _ FISHERS.ISLAND FERR'YWSTRICT AUDIT.;10x'/,'0-5'%17-', = ' 53095'MAIN ROAD,PO BOX 1"179'„` ",,,• "' '' ' _ T a SOUTHOLD,NY]197..1-0959 CiIECK' N ,. e 41'$1 THE SUFFOLK CO:,NATIONAL BANK' + 1 AMOUNT- CUTCHOGUE,NY,11935 ,DATE, ' ;t _ % 50-546/214- _ 05/201,7 :$"187.76 ',,ONE--HUNDRED_-EIGHTY SEVEN':'AND:'76/100 'DOLLAR'S-,, PAY- - Z- & S' ,FUEL- &, SERVICE,1-INC. TO THE DRAWER '$ ORDER ;FISHERS-ISLAND'W-.-063''9OrbF .. _ 110004 18 Lila 1:0 2 L40 54641: 68 00 150 2 1, Check Nb--, Town of Southold,New York-Payment Voucher 25038 Vendor Address Entered b- `` 2 476 P.O.Drawer B Vendor Name Audit Date Z&S Fuel&Service,Inc. Fishers Island,NY 06390 �JL Q 5,1017 Vendor Telephone Number 631-768-7343 Vendor Contact , l invoice dnvrnce Invoice Net Purchase Order Number Date `Total Discount Amount Claimed Number Description of Gcods or Services Creaeral dredger Fund and Account Number, 21934 511/17 $72.01 $72.01 FI fork 10 F-350(12.095 al)Q$3.259 SM!09.2,000.200. 21968 5/15/1.7 $87.00 $87.00 FI fork 10 �'-hb6.694 $3.259 SM5709.Z000.200 Q-,ga3 � 22001 5125/17 $28.75 $28.75 FI fork 8.823 $3.2585 `SM5709.2.000.200 $187.761 $187.76 Payee Certification Defrartincnt Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that thevmatenals above specified have been received by in,- does edoes hereby certify that the foregoing claim is-true and correct,that no part has in good condition without substitution,the services property been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified wiah the exceptions due and oixnng,and that taxes from which die Town is exempt are excluded or discrepancies noli,and payment is approved Sigetaeure{_` /Yt.Q��7'iile Sr�liLue Company Name Fishers island Fenv District Date 6/2112017 'title i t Z S FUEL & SERVICE, INC. Z S FUEL & SERME, IICo DRAWER B, DRAWER B FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY U6390 (631) 788-7343 (631) 730-7343 REG ISTRATION NO DATE / REGISTRATION NO DATE 'I-. `� �y NAME NAME p.STREET STREET J CASHGOD CHARGE ON ACCT, MDSE RET'D PAID OUT ACCT FORWARD CASH C OA CHARGE ON ACCT, MDSE RET'D, PAID OUT ACCT FORWARD Tites/Gals. Gasoline(�e„ ;, `Tz . ! �J(,-(off Liters/Gals. Gasolinedg �•z ��s/QtsOil Liters/Qts. Oil ication Lubrication ilter Oil Filter _ 619E s S 1GAt_ C19 N err d TAX TAX -• P4 I C � CS �RREUSTOM NAT E' 1TOTAL 72• ) 1 [` e TOTALiff • ?BCS C PRODUCT 608 All claio returned goods MUST be accompanied by this bill C PRODUCT 608 All claims c(returned goods MUST be accompanied by this bill 21-934 ms a `Thank`You 21968 `T1'liank`You ' - -_- ---a - ' --- - - - - - � - C - O D w o N m m - o M J Z r o r r ° ° p 7 rt rt p z z n ® D Cr � N C I I B,� m .� C7 � L O a rt p > FIT C N m �9 w I � rri O y♦ Z j g� � �n , c 07 p d� Q F N os � r— > � a cG > U o C) m a m CIO G o O o M o E3 0 ID ' q O , w 0 H 1� a ' 1_ Q ___------------ -------------------------- _________________f__