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AU-07/18/2017 Fishers Island
FISHERS ISLAND FERRY DISTRICT VENDOR 001400 ALTERNATIVE +SAFETY & TESTING 07/18/2017 CHECK 4182 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 78922 DRUG TEST (9) RANDOM 360.00 SM .5710.4.000.000 78922 LA13CORP COLLECT SITE(9) 90.00 TOTAL 450.00 1 a Z` l t \ / I 1 / - I 1 FISHERS ISLAND FERRY DISTRICT ` 53095 MAIN ROAD„PO Box 1,179, _ 'AUDIT'' 07%18/17 - SOUTHOLD,NY 11971-0959 CHECK NO.. .4182THE SUFFOLK CO. " CUTCHOGUE,NY 11935 NAL BANK DATE AMOUNT 50-5461214 07/18/2017_ - _ $450:0,0 - FOUR -HUNDRED FIFTY `AND '00'--/100 DOLLARS PAY _ALTERNATIVE SAFETY & TESTING , TO THE, SOLUTIONS,, INC. ORDER OF, 6781 FRONT AVE.NW, : SUITE 125,6 ; -- GRAND RAPIDS MI 49504 11'004 113 2ii' 1:0 2 140 5464 : G8 00 L50 2 Lii' " i' Vendor No. � Check-No;,. Town of Southold, New Fork- Payment Voucher 1400 ;41 Sg Vendor Address Entered ts�g 678 FrontAvenue GVW Vendor Name Suite 256 Audit Date ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids,M1 49504 UL 18 2017 Vendor Telephone Number 800-477-3177 Town Clerk. Vendor Contact 29 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 78922 7/5/2017 $450.00 $360.00 Random(9) SM57,10.4.000.000 Z $90.00, Collection Fee(9) SM6710.4.000.000 j 1 1 } +1 $450.001 $450.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the-matenals 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 Mth the exceptions due and owing,and that taxes from winch the Town is exempt are excluded. or discrepancies noted,and payment is approved qIN;Signature Ovw. Title Signature Company Name Fishers Island Ferry District Date 7/5/2017 Title Date " 1 Retort Payment To Invoice 678 Front Avenue NW EXCELLENCE Suite 256 Grand Rapids W1 49504 Date Invoice# Phone 800-477-3177 Alternative Safety&Testing Solutions Fax 616-534-5545 7/5/2017 78922 Bill To Fishers Island Ferry Disti ict Attn•Accounts Payable When submitting payment,please PO Box 607 261 Trumball Drive include the invoice number for Fishers Island,NY 06390 proper posting. Payments can now be made online at; Terms Rq Number www.astscorp.com or wwwv,astsmaritime.com. Due on receipt Quantity Description Rate ! Amount 9 Drug Test 4000 36000 9 LabCorp Collection Site Fee 1000 9000 SCP Federal Tax ID#38-3510664 Forel $45000 `� EF FISHERS ISLAND FERRY DISTRICT `VENDOR 001405 AMERICAN LONGSHORE MUTUAL ASS. 01/18/2017 CHECK 4183 -A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1910.4.000.300 120983 PLCY#ALMA01799-01-8/18 31, 028.00 TOTAL 31, 028.00 I - It RM ' N X % X30 "ti's. ....... 1: ' f 1 t , I q .e . Jig I t 1\ I s! FISHERS ISLAND FERRY DISTRICT - 53095-MAIN ROAD,PO BOX 1.179 - .AUDIT 07/,18'/17, SOUTHOLD,NY 11971-0959 ' '+, -- - - ' CHECK'NO. 41.83 t ' - - THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE `AMOUNT 50-546/214 07/18'/,'2.017: -$31" 028.,0'0' THIRTY ONE THOUSAND, TWENTY''EIGHT AND 00/1,00 DOLLARS _ PAY I AMERICAN 'hbN' GSHORE MUTUAL ASS TO TFIE': _ - - PO,BOX=934368 ORDL'R= , ATLANTA GA',31193=4368 � 115001-. 18 3115 1:0 2 1405464G 613 00 150 2 L11' Vendor No. Check No., } Town of Southold, New Fork- Payment Voucher 1405 Vendor Tax ID Number or Social Security Number Vendor Address Entered'by ' P.O.Box 934368 Audit Date' American Lon shore Mutual Association Atlanta,GA 31193-4368 ` ;';i6i�eL 2017` Vendor Telephone Number To , lerk`" Vendor Contact • n • („�• Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger;Fund'and Account Number 120983 7/7/2017 $31,028.00 $31,028.00 USUH Workers Compensation -SM1910.4;000.300 Insurance coverage ` 8/1/2017 8/1/2018 7- Policy ALMA01799-01 $31,028.00 $31,028.00 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, that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature Title_ OA"V SignatureI Company Name Fishers Island Ferry District Date 7/10/2017 Title Date ��/ a, �� American Longshore Mutual Association, Ltd 6th Floor,Cumberland House,1 Victoria St. Hamilton HM 11 Bermuda Phone (441) 292-7505 Fax (441) 292-1243 Invoice TO: Fishers Island Ferry District P.O. Box 607 Fisher Island, NY 06390 Invoice Date: 7/07/2017 Past Due After: 8/11/2017 Invoice No: 120983 Cc: ACCOUNTS PAYABLE DEPARTMENT Description Amount COVERAGE: USL&H PROGRAM: ALMA CERTIFICATE NO: ALMA01799-01 COVERAGE PERIOD: 8/01/2017 - 8/01/2018 ESTIMATED PREMIUM FOR COVERAGE PERIOD: Premium 28,904.00 DOL Assessment 2,124.00 TOTAL 31,028.00 PAYMENT DUE: 8/01/2027 Annual Installment Contribution 28,904.00 8/01/2017 Annual Installment DOL Assessment 2,124.00 TOTAL $31,028.00 REMIT TO: American Longshore Mutual Association, Ltd PAYMENT BY CHECK: PAYMENT BY WIRE OR ACH: ALMA Wells Fargo P.O. Box 934368 420 Montgomery Street, 7th FI Atlanta, GA 31193-4368 San Francisco, CA 94104-1298 Routing#121000248 Account#2000681942857 Amounts not paid when due accrue 1.5%per month interest(or highest amount allowed by law)plus attorney fees incurred during collection 1 Am FISHERS ISLAND FERRY DISTRICT ; VENDOR 002437 ANTHEM BLUE CROSS BLUE-SHIELD 07/18/2017 CHECK 4184 A 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 444M81629-0817 N SCHMID 8/17 MEDICAL 1,270.48 i I TOTAL 1,270.48 1 "1 r — — is:- _ r,.,.. ,>`';•. ..< '--per „ 1 I , c. I i I 1 ' ^ e e © s ® o e o o f - FISHERS ISLAND FERRY-DISTRICT AUDIT 07, 18/17" 53095 MAIN ROAD,PO BOX 1178 = ® SOUTHOLD,NY 11971-0959 ''CHECK_NO.. 4184,: THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE;NY 11935 DATE. AMOUNT 07' 18/2017 1"270.4;8'_ 50-548/214 ONE ,THOUSAND 'TWO'HUNDRED SEVENTY -AND 48-/10 0' DOLLARS_ ). r PAY ANTHEM'^BLUE CROSS BLUE•SHIELD a`e TO THE "PO -BOX -11Q7-92,. �RDERI Aa ;NEWARK NJ� 07101=4792 �. I\ 1100041841's 1:0 2 140 54641: 68 00 L SD 2 111' Vendor No. Check No. Town of Southold, New York - Payment Voucher 2437 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 VendorName Newark, NJ 07101 Audit Date Anthem JUL 18 2017 Vendor Telephone Number Town Clerk Vendor Contact / 1 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 444M81629$� 7/10/2017 1,270.48 1,270.48 Medical Insurance Premium SM9060.8.000.000 Nina J Schmid 8/1-9/1/17 ' 1,270.48 1,270.48 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing Clain is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature �. 1 Title Signature Date Company Name Fishers Island Ferry—Date 7/5/2017 Title f !�U / r ' 8(1117 MemberAndlem.41 (V Nina.J Schmid B1ueCross B1ueShield ID 444M81629 Plan Medical Please pay $ 1 :20"' 7 0 40 7 by due date August 1 , 2017 Bill summary Coverage from 08/01/2017 to 09/01/2017 Previous balance $1,270.48 Payments received $1,270.48 Amount due from previous bill $0.00 Current premium,charges $1,270.48 More ways to pay: Online at anthem.com or by phone. TRA1-D-0058551055281 ACUAA8 S7-ET-M1-C00002 4 t Please detach and return the bottom portion with your payment t f,. Tm FISHERS ISLAND FERRY DISTRICT VENDOR 014223 BANK OF AMERICA 07/18/2017 CHECK 4185 -.` FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 7335-0617 ISLND HRDWR—KEYS—FIT 21.94 SM .5709.2.000.200 7335-0617 FASTSGNS—STICKERS/DECALS 416.46 — ' SM .5709.2.000.100 — 7335-0617 EMPIRE TIRE—TIRE DISPOSL 44.00 SM .5711.4.000.000 7335-0617 STONEWALL—FI PRINTER CBL 4'6.72 SM .5709.2.000.200 7335-0617 WHALING—RPR FORD F-350 1,575.59 SM .5709.2:,000.200 7335-0617 RTRN—ISLAND—NAILS,SCREWS 6.65— SM .5709.2.,000.200 7335-0617 ISLND HRDWR—NAILS,SCREWS 9.16 r SM .5711.4.000.000 7335-0617 USPS—POSTAGE FOR METER 200.00 SM .5710.2.000.100 7335-0617 .; NA POWER—RUBBR BLOCKS—MU 365.64 SM .5710.2.000.100 7335-0617 'A—QCK—CHANGE BOAT ENG—MU 1,227.13 * SM .5709.2.000.'200 7335-0617 YDl'i'PDR—BLADES FOR KNIVES 147.58 SM .5709.2.000.200 7335,06.17 =. :RETURN—MRO—LED FLOODLGHT 481.40— —� SM .5710.4.000.000 J 7.,.;335='0627 ,•,;rSP/SHP—STAFF APPRECIATN 120.58 SM .5709-.2.000.200 7335-0617 AMZN A$TCDIGSPRAY PNT 88.56 SM .5710.4.000 0_00 ,r 7335-0617 DUNKN='STAF �AP<PRECIATION 22.73 j SUPPLIES 35.88 10 2 0 SM .5 7 0 3 v'S• SM .5709.2.0 �-� ����.,�~'�•••-•• ,,7�3�.5;='Or5�7�z�>�:a�=,..�N°.$M�<D�'•I'.:$L�7EPAINT TAPE 12.54 TOTAL 3, 846.46 I • 7 '1 _ - FISHERS ISLAND FERRY_DISTRICT_ _ AUDIT-0'7/•is/i?:'__-_ • ,, 53095 MAIN ROAD,PO BOX 1179 - _ _ _ I _ — ® ',SOUTHOLD,NY 1'1971-'0959-7,` CHEEK' ATO`: 4185 THE SUFFOLK CO.NATIONAL BANK- "d CUTCHOGUE,NY 11935 DATE AMOUNT '20.17 $3;,84'6.46 !,' 50-546/214, -THREE -TH'QUSAND EIGHT __HUNDRE_D 'FORTY' SIX AND'.'=!46/100'' DOLLARS _ PAY ' BANK OF AMERICA TOTIIE:,, PO'.,BOX 15.731•. _ = ORDER: -WILMINGTON DE 19886=`57,31 004 IRSnu 1:0 2 140 54640: 68 `00 150 2 10 Vendor No. Check No. Town of Southold, New York - Payment Voucher 14223 Vendor Name Vendor Address Entered by Bank of America PO Box 15731 }. Vendor Telephone Number Wilmington, DE 19886-5731 Audit ate` 888-449-2273 JUL`` . 8 201-7 Clerk Vendor Contact Invoice Invoice Invoice Net General Ledger Fund Number Date Total Amount Claimed Description of Goods or Services and'Account Number STATEMENT 7/2/2017 $482.40 $ 21.94 ISLAND HARDWARE' Keys for FIT terminal SM5709.2.000.200 5_ $ 416.46 FASTSIGNS . - Vinyl Stickers/Decals SM5709.2.000.200 $ 44.00 EMPIRE TIRE Tires disposal SM5709.2.000.100 $1,824.82 $ 46.72 STONEWALL CABLE FI Printer cable SM571 I A.000.000 $ 1,575.59 WHALING CITY Ford F-350 repairs SM5709.2.000.200 $ (6.65) ISLAND HARDWARE Nalls,screws&fasteners refund SM5709.2.000.200 $ 9.16 ISLAND HARDWARE Nails,screws &fasteners SM5709.2.000.200 $ 200.00 USPS postage for meter 6120/17 SM5711.4.000.000 r $1,539.24 $ 365.64 NORTH ATLANTIC POWER MU rubber blocks (52) SM5710.2.000.100 $ 1,227.13, A-QUICK PICK CRANE MU change out boat engine SM5710.2.000.100 $ 147.58 DEFENDER INDUSTRIES KILT blades for knife(1)hotknife(1) SM5709.2.000.200 $ 481.40) MROSUPPLY KILT LED floodlight refund SM5709.2.000.200 $ 120.58 STOP&SHOP Staff appreciation 6113/17 SM57,10.4.000.000 $ 88.56 AMAZON FI parking lot - SM5709.2.000.200 $ 22.73 DUNKIN Staff appreciation 612217 SM6710.4.000.000 $ 35.88 DEFENDER INDUSTRIES RP/MU cleaning supplies SM5710.2.000.000 $ 12.54 THE HOME DEPOT NLT painting supplies - e_ SM5709.2.000.200 $3,846.46 $ 3,846.46 Payee Certification Depati tment Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature ' Title Signature r Z Company Name Fishers Island Ferry District Date 716/2017 Title Date� � 04_ Bank ofAmerica FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 Commercial Card June 02,2017-July 03,2017 Company Statement Mail Billing Inquiries to: Statement Date ......................................... 07/03/17 Previous Balance .................................... $7,069.07 BANKCARD CENTER Payment Due Date .................................... 07/23/17 Payments .......................................... -$7,069.05 PO BOX 982238 EL PASO,TX 79998-2238 Days in Billing Cycle ......................... ........... .... 32 Credits ................ .............................. .. -$488.05 Customer Service: Credit Limit .................................................. $40,000 Cash ............... ............................... . $0.00 1.888 449.2273 24 Hours Cash Limit ....................................................... $0 Purchases .............................................. $4,334.51 TTY Hearing Impaired: Total Payment Due ................................. $3,846.48 Other Debits .................................................... $0.00 1.800.222.7365 24 Hours Overlimit Fee ................................................. $0.00 Outside the U.S.: Late Payment Fee .. ... ............................ $0.00 1.509.353.6656 24 Hours Cash Fees .................................................... $0.00 Other Fees ....... ........ ................................ $0.00 For Lost or Stolen Card: 1.888.449.2273 24 Hours Finance Charge ............................................. $0.00 Current Balance ..................... ...... $3,846.48 IN III !I Account Number Purchases and Credit limit Credits Cash Other Debits Total Activity BURNS,RONALD J XXXX-XXXX-XXXX-2360 20,000 481.40 0.00 2,020.64 1,539.24 COOK,GEORGE B XXXX-XXXX-XXXX-6764 40,000 0.00 0.00 482.40 482.40 MURPHY,GORDON XXXX-XXXX-XXXX-4379 40,000 6.65 0.00 1,831.47 1,824.82 UJ `I 'r IIE Posting payments: Payments received by mad at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received. If we receive your mailed payment on a non-banking day,we will post it to your account on the next banking day There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing address listed on the front of your payment coupon Service for the hearing impaired(TTY/TDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service,Bank's supervisory personnel may listen to and/or N record telephone calls between Bank employees and any person acting on Company's behalf. o 0 0 Disclosure: We may furnish to your employer information concerning your use of your account. To read more about our information disclosure, please visit www bankofamenca com/corporatecarddisclosure or call the customer service number listed on your statement to request a copy o � N Q In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent o you the first statement on which the error or problem appeared Please mail this information to BANKCARD CENTER, PO BOX 982238,EL PASO, TX 79998-2238 Your letter must include the following information. The company name,cardholder name and account number in question. The dollar amount of the suspected error. °t A written description of the error and why you believe there is an error. If you need more information,describe the item you are unsure about Customer Service For questions regarding transactions,general assistance,and reporting lost and stolen cards,call. Within the U S Outside the U.S. 1 888.449 2273 1 509.353 6656 (collect calls accepted) �� ��=� ��� FISHERS ISLAND FERRY DIST 0�m�0N�&��0 ��0�N��NNc�� ~��' GORDON MURPHY June o2,uo17'July 0u.2o17 Page o of4 Transactiods Posting Transaction Date FISHER&ISLAND FERRY 06126 06124 PAYMENT-THANK YOU 17615300000000516876906 0008 7,069.05 ii 4 rh 06/05 06/02 NORTH ATLANTIC POWER 603-4180470 NH 24555367154135206817553 5046 365.64 0e07 0600 A'QU|uKPICK CRANE aERv|CoEn8Y CT 240186e7157300521240282 7394 1.227.13 0009 06/08 DEFENDER INDUSTRIES INC WATERFORD CT 244310e7159083707495e78 44ee 14758 0013 06/12 MRoSuPPcY.CoM LOS ANGELES CA 74323037163207389101180 50e5 481.40 06/14 06/13 STOP&SHOP uOV7 xv*TEnrono CT 246921e7164100607e54e*3 5411 120.ee 06x16 06de AMAZON MKTPLAoEPMTS 8MZN.coMKB|LLVVA 246921e7166100058671197 5942 88.56 06/23 0022 oUNNN#un7o1%Qo5 NEW LONDON CT 24431067174838000037542 5814 22.73 06/26 06/23 DEFENDER INDUSTRIES INC WATERFORD CT 2443106717*0837e1537e08 4468 35.88 06/26 06/23 THE HOME DEPOT#6215 WATERFORD CT 24610437175010184088122 5200 1254 06112 06/09 ISLAND HARDWARE SVSTR FISHERS ISLANNY 24138297161091003954477 5251 21.94 0e/14 06V13 FAaTa|oNn400701 860-4377446 CT 247554271e4271045451346 noou 416.46 06/21 06/20 EMPIRE TIRE PLAINFIELD CT 24013397171003278249364 7538 44.00 06/07 06/06 STONEWALL CABLE,INC. 603-536-1601 N H 24323007157200832500021 5039 46.72 06/09 0008 WHALING CITY MOTORS|N e60-443e361 CT 242707471e9900019500072 5511 1.575.5e 0604 06/13 ISLAND HARDWARE eVsTR F|SHERe|oLANNY 241382e7165091003957252 5251 9J6 06/14 06/13 ISLAND HARDWARE 8VSTR F|SHERa|SLANNY 74138297165091003957398 5251 6.65 06/21 06/20 POSTAGE REFILL 800-468-8454 CT 24430987171083515518831 7339 200.00 Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Balance Subject Finance Charges uy Percentage Rate to Interest Rate Transaction Type PURCHASES 10.25% V $000 $0.00 CASH 10.2eY6V $V.Po $000 V~Variable Rate(rate may vag).Promotional Balance=APR forxmmad Unoonspecified transactions. ` ` ' W Rx. -9 Bankof uric � _ FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 June 02;2017-July 03,2017 Page 4 of 4 o 0 ® o N O -� O � O co O V ® W W r ' Global Search Nelp My Profl'e Logodt Home Financial Account Manager Reports Company User K ) Search Reporting Structure ) Transaction Summary TRANSACTION SUMMARY GEORGE COOK•XXXX-XXXX-XXXX-6764(Active)•PO BOX 607•FISHERS ISLAND,NY 06390060707 SEARCH CRITERIA Advanced Search Date Range: From:i 06/01/2017 Tori 07/04/2017 Date Type: Posting Date Data available starting:07/04/2014 Search SEARCH RESULTS ExpandAll I i olianse All Search Total,482 40 Page 1 of 1 Page !Go Detail PostingDegcriptjQn Transaction Transaction Tax Additional Dae Date A oun Amoun Information ISLAND HARDWARE 06/12/2017 06/09/2017 SVSTR 2194 1.74 FISHERS ISLAN,NY -06390 06/14/2017 06/13/2017 FASTSIGNS 420701 416.46 24.87 860-4377446,CT-06385 06/21/2017 06/20/2017 EMPIRE TIRE 44.00 2.63 PLAINFIELD,CT-06374 ( Pagel of 1 [ Page 3{Go Expand All I Collapse All Sea ch rotal;482 40 Currently logged in as Gordai Murphy(mur pnyg8335,Company Pmgi am Adnnmstratm) General Disclaimer for Bank of Amer Ica Merrill Lynch i Pi Ivacy Policy Last Visit 07/04/2017 t THANK YOU FOR SHOPPING AT ISLAND HARDWARE INC (631) 788-7233 I 1HANK YOU FOR SHOPPING AT ISLAND HARDWARE!! 6/09/17 8:29AM ISI 552 SALE ------ -------- ----------------------- 838706 1 EA 3.051EA CN SC4 TV Schlag Lock KeyBlank 3.0E 838706 1 EA 3.051EA CN SC4 TV Schlag Lock_KeyBlank -- 3--x5- - 637275 4 EA 2.871EA CN SCHLAGE LOCK KEY BLANK 11 .48 1 4 EA 1 .09 EA N MISC. ITEMLt,()-S A - F( 4.36 SUB-TOTAL: 21 .94 -TAX: TOTAL: 21 .94 BC AMT: $21 .94 BK CARD#: XXXXXXXXXXXX6764 C C r\ ID: 062204151997 6 C AUTH: 052203 AMT: 21 .194n Host reference #:395447 Bat# 0-?SWIPED CARD TYPE:VISA EXPR: XXXX Trace # 031236 ==>> JRNL#D95447 `<== OUST # 721 1HANK YOU GEORGE COOK FOR YOUR PATRONAGE Name: X4 Jt ---- Acct: FxWaY DISTRICT I agree to pay above total amount according to card issuer agreement (merchant agreement if credit voucher) (`i re+nm r Pnnw S 40 Boston Post Road ® INVOICE 11\�/O'C/ C G More than fast.More than signs" Waterford,CT 06385 (ice N (860)437-7446 0� INV-7149 More than fast.More than signs. www.fastsigns.com/586 FULL Created Date:6/13/2017 DESCRIPTION:Vinyl-Stickers/Decals . Bill To: Fishers Island Ferry District Pickup At: FASTSIGNS Waterford 5 Waterfront Park 40 Boston Post Road New London,CT 06320 Waterford,CT 06385 US US Ordered By: Geb Cook Salesperson: Cam McCormack Email: gcook@fiferry.com Entered By: Cam McCormack Work Phone: (203)410-8156 Cell Phone: (203)410-8156 NO. - QTYUNIT'PRICE `AMOUNT Final Logo Pickup Doors 14" DiameterRecreating Logos 6 $3.7550 $22.53 2-,',, Wave Logo Tailgate 6"x 12" 6 $7.5100 $45.06 3 ,;, Final Logo Stickers 4" Diameter 100 $1.2800 $128.00 ,4 - Wave Logo 2"x 6"Stickers 100 $0.9600 $96.00 S,-,,]Design-Recreating Logos 1 $100.0000 $100.00 Subtotal: $391.59 Upon placement of an order and all artwork has been received from the customer, Taxes: $24.87 FASTSIGNS will typically provide a proof(when required)by the end of the next Grand Total: $416.46 business day,based on the information provided to us. If required,a second revision or correction is included in the price of each sign.Thereafter,each additional revision Amount Paid: $416.46 will be billed in 15 minute increments at$25, Please allow one additional business day BALANCE DUE: $0.00 for each revision. Unless you have specifically requested a sample color proof,the colors you see on a monitor or paper print out are simply a representation of the colors to be utilized. PMS colors will be matched as close as possible. Exact matches are not guaranteed. Once the customer has approved the artwork,any mistakes in color,content and accuracy will be the customer's responsibility.There is a $50 fee on any cancelled order in addition to any other work that has been performed. PAYMENT POLICY:Payment is due at time of order. DEPOSIT POLICY:A minimum deposit of 50%is required prior to any work commencing. Generated On:6/13/2017 10:18 AM Page 1 of 2 TRANSACTIONS Date` Type - Amount 6/13/2017 Other $416.46 U/A Terms Each invoice past 30 days will be assessed a$25 late fee. Each invoice past 60 days will be assessed an additional$50 late fee. Each invoice past 90 days will be assessed a$75 late fee recurring every 30 days until paid in full. Pay your bill on time Signature: Date: Generated On:6/13/2017 10:18 AM Page 2 of 2 LIOZ/£I/9 op-ssa9oad/queuoioWjvn A/utooju-euoxauzit,t inAtUnnnAIA//:sd •XuawRed jnoA joj no/(�{u-4, u0l191dwoo :(AAAmQ(i/WW)ajea ain:pedaa 6t4L :jagwnN aoionuI 00,0 :xel sales 6KL :apoo jewolsno 9ti•9 Lti :}unowy :(,VIWW)aaea uol}e�ldx3 b9L9 �, :jegwnN pJe0 U01paS aapio 5E60ti66�9 :aagwnN aouaaaJad uol}oesueJl 00'0 mueleg jun000y W :esuodseU ZMO z :esuodsa�j SAV L96000 :apoO Ieno.,,ddy lb'R08ddV :96essaW VV :esuodsa�j INV 96:60:0 L L HOZ/£d/90 :awl; /elea 99 6LGVOU 6t L-0006-90 WZ0 490-8£9L L90E L :al uoljoesuej� alb's :ads_L uoljoesuej_L CIUV:D!ICIE3UO :edTl luawABd AedaSJ :.iasn slinsoM u0i exI.Oglnv Ileloa uoijoesuej� mue:) Ouldd0q,5 Ile ost%1=91smm" 13o I 0213d INVOICE NO. 1 '0253 'EMPRE.ThRE OF EDGEINATER 80, LLC 7- 1414 NORWIC11. ROAD. TDG 1.7 TEL: (860},,564-8811 PAX: (860) 564-3006 SOLD TO: SHIP TO: n CASH OLISTOMER ; COD 6.(2'012017 o ' slflvl:M:lmJMM7PE�D . ITEM NO. DESCRIPTION- UNIT PRICE -��XTEADED PRI,01- .:v 11 22.E 10.PASS ROUTE TIRES, PASSENGER 2.001 44.00 7j� �0' �S S � � 17, WI $44.00 $0.00 Signature „-4.00 THANK YOU • f 5 r t r + EMPIRE TIRE 1414 NORWICH RD PLAINFIELD,CT 06374 860-564-8811 Date:6/20/2017 Time:9:35 AM Transaction Type Credit Sale Transaction Number 1641033571 Street 261 ZIP Code 06390 Account ************6764 Card Type Visa Entry Method Manual Invoice Number 17-2253 PO Number 1 Authorization Code 093280 Result Approved Message Clerk ID VINCENT CONTESTABILE Subtotal $44.00 TotalAmount $44.00 Customer Copy Clobal Se@,ch Hein I My Pmfde l 1.0goat Home Financial Account Manager Reports Corr;pany User 1A > Search Reporting Structure > Transaction Summary TRANSACTION SUMMARY GORDON MURPHY•XXXX-XXXX-XXXX-4379(Active)>261 TRUMBULL DR o FISHERS ISLAND,NY 06390802161 SEARCH CRITCRIF. tldvanced 5earrh Date Range; From, 06/01/2017 To: 07/04/2017 1 Date Type; I Posting Date Data available starting;07/04/2014 Search SEARCH RESULTS NxpP,d All 1 crll�nce All 11836 51 Page 1 of 1 i Page ftp Detail Postingqransactia2 D �crigetity�l ra sa io1 I Additional %1W PRIQ Awynt AmQqnt Information ISLAND HARDWARE 0 lietF FISHERS ISLAN,NY -06390 STONEWALL CABLE,INC. 06/07/2017 06/06/2017 603.536-1601,NH 46.72 0.00 -03266 WHALING CITY MOTORS 06/09/2017 06/08/2017 IN 1,57559 94,08 860-4438361,CT-06320 ISLAND HARQWARE 06114/2017 06/13/2017 SVS1R (6,65) (0,53) FISHERS ISLAN,NY -06390 ISLAND HARDWARE 06/14/2017 06/13/2017 SVSTR 1i6 0.73 FISHERS ISLAN,NY -06390 POSTAGE REFILL 06/21/2017 06/20/2017 800-468-8454,CT 200.00 11,94 -06926 Page i of 1 ; Page `Go F.vand All ; C,�an2e_Alj Search Total 1,83F.S1 Currently logged In a,, GorQ4o thlrphv(murphyg8335,Company Program Adrnmistmtor) General Dlscialmer for Bank of Apletnca Merrill Lynd1 I Pnv3cy Policy last Visit 8//04!2017 Stonewall Cable: Receipt: QH9T47WJ6U2E8M8TTF66KP7U43 Page 1 of 1 z -' Stonewall Cable, Inc. _; We build the cables that connect the world. Search Products: OEM Cables Product Selection I GO Select OEM Name Select Category Home Search Product Map Basket Partners Cable Quote Contact Us Login Receipt#39880 Ship To: Bill To: Date: Gordon Murphy Gordon Murphy 6/6/2017 Fishers Island Ferry District Fishers Island Ferry District 261 Trumbull Drive 261 Trumbull Drive Payment Method: Fishers Island, NY 06390 Fishers Island, NY 06390 Card Phone:631 788 7463 Phone: 631 788 7463 Ref#: SKU Description Options Length Unit Price Qty Total Price *SC-9100 Serial Conversion D69F/DB25M Standard PVC 6 Ft. $34.00 1 $34.00 Subtotal: $34.00 UPS Ground S g H: $12.72 Tax: $0.00 IRI Total: $46.72 I ' Shipping Notes: Return to Stonewall's Home Page. Secured, PC byf y?�S Pdxs' 410 .d ium MIA Member 21117-116-0fs Stonewall Cable, Inc. Phone:800-525-3303 webmaster@stonewallcabLe.com 126 Hawkensen Drive 603-536-1601 techsupport6stonewallcable.com Rumney,NH 03266-3548 Fax:603-536-3240 sales@stonewallcable.com V.2012.a 6 https://www.stonewallcable.com/receipt.asp?order_id=QH9T47 WJ6U2E8M8TTF66KP7U... 06-Jun-17 r From Stonewall Cable, Inc. 126 Hawkensen Drive Packing Slip Rumney NH 03266 Date: 06/09/2017 Page: Page 1 of 1 Order#: 125170 PO#: Credit Card S{2lfl TO Gordon Murphy Fishers Island Ferry District 261 Trumbull Drive Fishers Island NY 06390 United States Qty This Total Prod Code Rev Description Length Ordered Shipment Shipped Balance 'SC-9100 2 Serial Conversion DB9F/DB25M 6 0 1 1 1 0 PO Line No: Service Department Hours: RO: 324748-OPEN Mon-Fri:7 AM to 5:30 PM 475 Broad Street at Colman Saturday 8AM-to' PM WHALING , New London, (CT 06320 ) Cashier: Service Fax:(860)437.4451 Date Out: 0 6/0 8/2 017 service@mywhalingcity.com JIM @LINCOLN tjmazoa Phone:(860)443-8361 Status: MODIFIED REPRINT Body Shop Fax,(86Q)701-6075 CERTIFIED PRE-OWNED www mywhalingcity.com Tag: L7135 michael.canova@mywhalingcity,com Time-In: 09: 40 Out: 10: 02 Est. Mileage: 38655 Customer: 34572 VIN: 3FTSF31�'L43MB49126 2003 FORD F-350 WHT FISHERS ISLAND FERRY DISTRICT �y +eIr3 Tr� PO BOX FISHERS ISLAND NY 02891 Delivered: 10/19/2005 Office: 631-788-7463 Other: 860-442-0165 Contact: GORDON MURPHY FISHERS ISLANDFERRY DISTR Advisor: 000620-Lyndsay Titus Hat: Date In: 06/05/2017 OP Acct Tech Hours Complaint/Cause/Correction Per Unit Extended Price [ CUSTOMER PAY ] A FOCS 000242C WRKS Labor Total: 23. 16 CUSTOMER STATES: THE WORKS - GAS ENGINE - OIL CHANGE, TIRE ROTATION AND MULTI-POINT INSPECTION Parts: 1 FlAZ6731BD FILTER ASY - OIL 3.81 3.81 6 X05W20DSP OIL - ENGINE 3.29 19.74 1 SOLVENT WW SOL 2.79 2.79 Total Parts: 26.34 Operation Total: 49.50 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] B FOCS 000242C 99P Labor Total: 0.00 CUSTOMER STATES:, FORD MULT-POINT INSPECTION SHEET PERFORMED Operation Total: 0.00 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] C FOCS 000242C 10ELEC Labor Total: 0.00 CUSTOMER STATES: NO TIRE ROTATION Operation Total: 0.00 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] D FOCS 000242 DIAG Labor Total: 0.00 CUSTOMER STATES: CRANK WOULDN'T START, LEFT OVERNIGHT STARTED NEXT DAY. UNABLE TO VERIFY CUSTOMER CONCERN. Operation Total: 0.00 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] *E FOCS 004751C 04AXLE Labor Total: 812.00 CUSTOMER STATES: REPLACE R/F AXLE SEAL REPLACED INBOARD FRONT AXLE SEAL. REMOVE DIFF. COVER AND CARRIER TO GAIN ACCESS. REPLACED AXLE BOTH AXLE SEALS ,RESEAL FRONT HUBS AND ADDED NEW FUILD. Parts: 1 3C3Z3254CA SEAL ASY - OIL 60.80 60.80 1 F81Z1S175HCA SEAL 21.56 21.56 1 EC3Z3254A SEAL ASY - OIL 40.71 40.71 Printed: 06/08/2017 10:07:34 AM Page 1 of 3 Service Department Hours; RQ: 324748-OPEN Mon-Fri:7 AM to 530 PM 475 Broad Street(at Colman) Cashier: Saturday 8 t1 PM WHALING - New London,CT 06320 Szrwce Fax.(8686 4 0)437-4451 w - Date Out: 06/08/2017 service@mywhalingaty,com AM j L I N C O L N FJ MaWa Phone;(860)443-8361 Status: MODIFIED REPRINT Body Shop Fax:(860)701-6075 CERTIFIED PRE-OWNED www.mywhalingcity.com Tag: L7135 michael.canova@mywhalingcity.com Time—In: 09: 40 Out: 10:02 Est. Mileage: 38655 Customer: 34572 VIN: 3FTSF31L43MB49126 2003 FORD F-350 WHT FISHERS ISLAND FERRY DISTRICT PO BOX FISHERS ISLAND NY 02891 Delivered: 10/19/2005 Office: 631-788-7463 Other: 860-442-0165 Contact: GORDON MURPHY FISHERS ISLANDFERRY DISTR Advisor: 000620-Lyndsay Titus Hat: Date In: 06/05/2017 OP Acct Tech Hours Complaint/Cause/Correction Per Unit Extended Price 1 F81Z3254CB SEAL ASY - OIL 60.80 60.80 1 EC3Z3254A SEAL ASY — OIL 40.71 40.71 1 F81Z1S175HCA SEAL 21.56 21.56 3 XY80W90QL OIL — REAR AXLE 5. 63 16.89 Total Parts: 263.03 Operation Total: 1075.03 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] *F FOCS 004751 DIAD Labor Total: 0.00 CUSTOMER STATES: CHECK FUEL PUMP NORMAL AT TIME OF SERVICE. Operation Total: 0.00 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] *G FOCS 004751) AIR FILTER Labor Total: 0.00 CUSTOMER STATES: REPLACE AIR FILTER REPLACE AIR FILTER Parts: 1 F50Z9601BA ELEMENT ASY — AIR CLEANER 14. 96 14. 96 Total Parts: 14 . 96 Operation Total: 14 . 96 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] *H FOCS 004751C FUEL FILTER Labor Total: 116.00 CUSTOMER STATES: REPLACE FUEL FILTER REPLACED FUEL FILTER Parts: 1 FOTZ9155B FILTER ASY — FUEL 15. 97 15. 97 Total Parts: 15.97 Operation Total: 131. 97 ------------------------------------------------------------------------------------------------ [ CUSTOMER PAY ] *I FOCS 004751C 03STER Labor Total: 116.00 CUSTOMER STATES:REPLACE STEERING DAMPNER REPLACED STEERING DAMPER. Parts: 1 NPNSC2961 STEERING DAMPNER 65.00 65.00 Total Parts: 65.00 Operation Total: 181.00 zzlll� Printed: 06/08/2017 10:07:34 AM Page 2 of 3 Service Department Hours: RO: 324748—OPEN Mon-Fri:7 AM to 5:30 PM 475 Broad Street at Colman Saturday 8AM to 860)43 PM WHALING I ( ) Cashier: New London,CT 06320 Date Out: 06/08/2017 Service Fax:(860)437-4451 service@mywhalingcity.com 01M 1LINCoLN ryrna=a Phone;(860)443-8361 Status: MODIFIED REPRINT Body Shop Fax:(860)701-6075 CERTIFIED PRE-OWNED www mywhalingcity,com Tag: L7135 michael.canova@mywhalingcity.com Time-In: 09: 40 Out: 10:02 Est. Mileage: 38655 Customer: 34572 VIN: 3FTSF31L43MB49126 2003 FORD F-350 WHT FISHERS ISLAND FERRY DISTRICT PO BOX FISHERS ISLAND NY 02891 Delivered: 10/19/2005 Office: 631-788-7463 Other: 860-442-0165 Contact: GORDON MURPHY FISHERS ISLANDFERRY DISTR Advisor: 000620-Lyndsay Titus Hat: Date In: 06/05/2017 OP Acct Tech Hours Complaint/Cause/Correction Per Unit Extended Price ------------------------------------------------------------------------------------------------ Customer Pay Labor: 1067.16 Customer Pay Parts: 385.30 ENVIRONMENTAL DISPOSAL: 29.05 Customer Pay Subtotal: 1481.51 Customer Pay Sales Tax: 94.08 Customer Total Due: 1575.59 Thank you for bringing your vehicle to Whaling City Motors! We appreciate your trust, and we promise to do our very best for you on every visit. We welcome your questions, comments, and suggestions. Jeff Janssen, Service Manager, (860) 443-8361 Signature: Thank you for allowing us to serve you! Printed: 06/08/2017 10:07:34 AM Page 3 of 3 / CX_ CJ THANK YOU FOR-SHOPPING AT, ISLAND HARDWARE 1Nc_ I THANK YOU FOR SHOPPING AT ' (631) 788-7233 � ISLAND HARDWARE INC (631) 788-7233 THANK YOU FOR SHOPPING AT ISLAND THANK YOU FOR SHOPPING AT ISLAND HARDWARE!! I HARDWARE!! 6/13/17 9:21AM ISI 552 SALE 6/13/17 9:49AM IS1 552 SALE I ------------------------------------------- -------------------------------------------- N 4 EA_ 2.29 EA N N -4 EA 2.29 EA NR MISC. NAILS & FASTENERS 9.18 MISC. NAILS & FASTENERS -9,16 SUB-TOTAL: 9.16 TAX: H8968 1 EA 2.511EA ON TOTAL: 9.16 1/4X1-3/4 HX TAPCON 2.51 I BL' AMT: $9.16 SUB-TOTAL: -6.65 TAX: J j T01AL: -6.65 BK CARD#: XXXXXXXXXXXX4379 ID: 062204151997 BC AMT: $-6.65 AUTH: 001153 AMT: 9.16 BK CARD#: XXXXXXXXXXXX4379 Host reference #:395725 Bat# wvi Tp; 062204151997 SWIPED AUTH: 0 CARD TYPE:VISA EXPR: XXXX Host reference #:395739 A!�Bat# -6.65 SWIPEDtuft Trace # 031392 CARD TYPE:VISA EXPR: XXXX r I Il�flllltll�ltlt I�II�II�II�I� Trace # 031400 rr ==>> JRNL#D95725 « OUST # 721 THANK YOU GORDON MURPHY ==>> JRNL#D95739 FOR YOUR PATRONAGE OUST # 721 �< THANK YOU GORDON MURPHY I Name: X—, __ ______.W_-- FOR YOUR PATRONAGE Acct: F I'FERRY DISTRICT I agree to pay above total- amount Name: X according to card issuer agreement Acct: F I FERRY DISTRICT (merchant agreeripnt if credit voucher) � `oi, .r , ,y - - I agree to pay above total amount according to card issuer agreement (merchant agreement if credit voucher) 04 w/-Z-y s em-. R fill Receipt [gate: JUN 20 17 Time: 08:12 Am Account Number: 39900634 Meter Number: 0594495 Postage in Meter: $221. 260 Prepaid on ACcount: $0.000 Refill Amount: $200. 000 credit Line Available: $0. 000 Global SearcP(Help I My Pi ofi P I I ocpa` Home Financial Account Manager Reports Company User Search Reporting Structure > Transaction Summary TRANSACTION SUMMARY RONALD I BURNS•XXXX-XXXX-YXXX-2360(Active)•PO BOX 607•FISHERS ISLAND,NY 06390060707 SEARCH CRITERIA Advanced Search Date Range: From:' 06/01/2017 To: 07/04/2017 Date Type: Posting Date Data available starting:07/04/2014 Search SEARCH RESULTS f-Xoand All CoPapse All Sea ch Ictal 1,539 24 Page 1 of 1 Page Go PostingTransaction Transaction Tax Additional Detail Date Date Descriptiolz Amount Amount Information 06/05/2017 06/02/2017 NORTH ATLANTIC POWER 365.64 29.03 603-4180470,NH-03833 A-QUICK PICK CRANE 06/07/2017 06/06/2017 SERVIC 1,227.13 73.27 DERBY,CT-06418 DEFENDER INDUSTRIES 06/09/2017 06/08/2017 INC 147.58 11.72 WATERFORD,CT-06385 06/13/2017 06/12/2017 MROSUPPLY COM (481 40) (38 73) LOS ANGELES,CA-90023 06/14/2017 06/13/2017 STOP&SHOP 0667 120.58 7.20 WATERFORD,CT-06385 AMAZON MKTPLACE PMTS 06/16/2017 06/15/2017 AMZN.COM/BILL,WA 8856 8.12 -98109 06/23/2017 06/22/2017 DUNKIN#337312 Q35 22,73 1.36 NEW LONDON,CT-06320 DEFENDER INDUSTRIES 06/26/2017 06/23/2017 INC 35.88 28S WATERFORD,CT-06385 06/26/2017 06/23/2017 THE HOME DEPOT#6215 1254 0.75 WATERFORD,CT-06385 Page 1 of 1 Page Go Expand All 1 Collapse All Search Total 1,539 14 currently logged In as Gordon Murp°9y(mw py98335,Company Program Adm'nis.lator l General Disclaimer for Bank of America Merrill Lynch I Privacy Policy last Visit,07,104/2017 North Atlantic Power Products INVOICE Exeter Branch M 15 Continental Drive r Exeter,NH 03833 Invoice Date Customer CQ170528879 05/30/2017 101065 375382 12 P:(603)418-0470 F:(603)418-0471 ,2 q C� /9cC j ?A/I (1 Sold to Shipped to. (/t_1C 5� FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY EMAILACQOUNT 5 WATERFRONT PARK P O BOX 607 NEW LONDON,CT 06320 261 TRUMBULL DR FISHERS ISLAND,NY 06390-0607 lie f ISalesperson: Exeter Salesman Registration: l� Foe— Notes o""Notes Quantity:~Brod ct:lii t Des�riptiori -Unit Pace' Tgtal Prece R:r , rvwaa.., .._ ...a...w...... . .......,,...s.. ..x,.. . u.,..... .....w 14.:..a...e._...,.a.x...i..a .,.. ,. .w..-c�.,...... n.....w..:ba ..-.. e. ....a. .,..........n -.... ..x..k.....a,..y. .. .aw..,sam ,w.,..m ,-,. Delivery: CQ42255-1 Entered by. Shawn Herzog Shipping Method' Will Call Order: CQ42255 05/30/2017 Cust PO#: Verbal John P � 52 TD B3073C RUBBER BLOCK / % 645 335.40 HC Handling Charge J( l 10.06 FO Outbound Freight 2018 I' 1 365.64 Tracking#:1ZA8X6030376346687 ue date, PavmentTM -'Arisount= Paid='.' Tax ax rate --T. . Tex_A _ ._ m.u ~06/09/17 On Account 365.64 Non-Taxable –365.64 0.0000% 0.00 - - - - - - - - - - - - - - o.mmaelln.andrewmylmPaym.- - - - - - - - - - - - - - - -�g— nt LIKE US ON FACEBOOK Total Amount: 365.64 »- @GreatLakesPower Sales Tax 0.00 Total. 365.64 Amount After 06/30/2017 Pay. 371.12 REMIT To: North Atlantic Power Products Invoice CQ170528879 Accounts Receivable-Admin 7455 Tyler Blvd. Date 05/30/2017 Mentor,OH 44060 Customer 101065 All amounts are in US Dollars($) TERMS NU10 DAYS Amounb ov.r 30 days aresubje be 1.5%m IkI cbarp.(annual rat.1S%),and e0 mab of mlkctlon h,.11 maaomblo eltormys bo AO manufodu 'mrrea,n—b—,.ymbob.,d&. ptbm are im.d for mf.m= purposo.only Intl H la rrot ImpOed.ny ped IbWd la Wo product of ib...mandoCurom 5aliarrmkmmxumamleswNcb.a.nd bp.M.d.s OWonthe tam hor.W Tdle W N.Boma b roWi Id by Ih,mlbr uW full paym br.wrved cln/s_Q.pw.m>Q.�..mluw ddomcr_Rcpmul('iIP oe_mw�.a!daza2an,pl Page 1 of 1 5130/2017 8 03 34PM RJ Burns From: North Atlantic Power Products <notifications@paytrace.com> Sent: Friday,June 02,2017 12:25 PM To: RJ Burns Subject: North Atlantic Power Products transaction receipt. 6/2/201712:24:32 PM Eastern - Invoice:71-CQ170528879 North Atlantic Power Products 15 Continental Dr Exeter,NH 03833 603-418-0470 603-418-0471 6/2/2017 12:24:17 PM Reference Number: 161477331 Total: $365.64 Transaction Type: Sale Transaction Status: Pending Settlement Card Type: Visa Card Number: xxxxxxxxxxxx2360 Entry Method: Keyed Approval Code: 094943 Approval Message: APPROVED 094943 AVS Result: Zip Match Only CSC Result: Match Customer Name: RONALD J BURNS Company: FISHERS ISLAND FERRY Customer ID: 101065 PO Number: VERBAL JOHN Invoice: 71-CQ170528879 X Please sign here to agree to payment. 1 North Atlantic Power Products INVOICE Exeter Branch 15 Continental Drive " Exeter,NH 03833 Invoice Date Customer CQ170528879 05/30/2017 101065 3753M W P:(603)418-0470 F (603)418-0471 Sold to: Shipped to FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY EMAILACCOUNT 5 WATERFRONT PARK P O BOX 607 NEW LONDON,CT 06320 261 TRUMBULL DR FISHERS ISLAND,NY 06390-0607 Salesperson. Exeter Salesman Registration Notes "Quantity Prdduct Id Description= Unit Price Dotal Price Delivery• CQ42255-1 Entered by, Shawn Herzog Shipping Method Will Call Order: CQ42255 05/30/2017 Cust PO#: Verbal John P 52 TD B3073C RUBBER BLOCK 6.45 335.40 HC Handling Charge 10.06 FO Outbound Freight 2018 36564 Tracking#: 1ZA8X6030376346687 t)uettate Payment, Amount Paid' :7ax_. Basis J Tax rate_ Tax Amount 06/09/17 On Account 365.64 Non-Taxable 36564 0.0000% 0.00- — — — — Dar m at Ilia end rae,m Vam payman� — — — — — — — LIKE US ON FACEBOOK Total Amount 365.64 @GreatLakesPowerSales Tax: 000 *` k ,fi, Total. 365.64 04 Amount After 06/30/2017 Pay 371.12 REMIT TO: North Atlantic Power Products Invoice CQ170528879 Accounts Receivable-Admin 7455 Tyler Blvd Date 05/30/2017 Mentor,OH 44060 Customer 101065 All amounts are in US Dollars($) TERMS NETfe DAYS Acmunb over 30 days ere subfoctto a 15%saMra charge(armual rata 18%)eM a0 msb of mlbcbon indudinp mwonabie attorneys No All nanufadurerd names numbers symbols and doscdphons aro used only for mfemnw purposes y and It Is not IW II d airy part listed is Ne product of these nunV durors Soper makes no vanendos vfikh oatond boyoM Na cl e q on on the Noo hereof 7Nlo to No perm I.roIalned by 8ie¢aper uolil NII payment is received cwls_Q,npasRl�a�,..rau)w a,uM�_RponACW of tm�re_.y�aumt7,p Page 1 of 1 5130/2017 8 03 34PM . , North Atlantic Power Products Delivery Order Exeter Branch Standard Sale• �,; , , �- 15 Continental Drive Packing slip Date Customer Exeter, NH 03833 CQ42255-1 05/30/2017 101065 9 P:(603)418-0470 407,350 Page 1 of 1 F:(603)418-0471 Bill To Ship To FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY EMAILACCOUNT 5 WATERFRONT PARK P 0 BOX 607 NEW LONDON, CT 06320 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 Order Contact: UP:(860)442-0165 Delivery Contact: UP: Shipping: PP&A-UPS Ground Will Call Salesperson : Exeter Salesman Ord:,`Ship.B/O`P Del. Wf Produict ld , . - :Descr`iption; .;r ti;'`;;-„'.``''' ;Net Price To Prepared by: Napp Shipping Order : CQ42255 PO# : Verbal John P Entered by: Shawn Herzog 52 52 - TD B3073C RUBBER BLOCK , 0.00 1 1 - MISC Outbound Freight NR 0.00 1 MISC HC Handling Charge Customer X Pkg qty 0 #Pallet 0 Shipping Date 05/30/2017 Payment On Account Weight Lbs Tax Group: Non-Taxable Tracking ID : 1ZA8X6030376346687 Taken by Legends>, v€`5.1:4".is';i:('.zt.'»ci'.i�— •v - °'�'/,i 8",. :vt u , Ord-Quantity Ordered B/O-Remaining Back Order Ship-Shipped on this delivery P Del-Quantity previously shipped for this order C 1Progmm Files(x86)lDIS\QwpWsm\ReportlQW OE Delrvery_sgl rpt 5/30/2017 10 57 34AM A-Quick Pick Crane Service Inc. Sales Receipt TIN: 06-1092032 15 Royal Court DATE SALE NO. Shelton, CT 06484 6/5/2017 17060501 SOLD TO FISHER ISLAND FERRY PO BOX 607 FISHERS ISLAND,NY 06390 CHECK NO. PAYMENT METH... 067382 VISA DESCRIPTION QTY RATE AMOUNT 21-23 Ton Nat'l: Reg rate per hr 8 141.25 1,130.00 21-23 Ton Nat'l : O/T rate per,hr _ 0.5 194.25 _ 97,13 Fishers Island Ferry, 5 Waterfornt Park,New London Travel to New London Change out boat engine__-_ Travel toDerby Sales Tax 6.35% 0.00 V '''l N 4 0 o c^v' UPJ 3J0 � 1Y U� — ? 51 W S cD W L�1 J¢�Bpm — U Y L L }C Q O D L - - --- -- - - - -- - ---- Total $1,2/.13 Phone# Fax# E-mail 203-924-2000 203-924-8720 QuickPickCrane@sbeglobal net pdismbprt.21364902 ; Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SCM Chelsea Mo oust 100202676 Fishers Island Ferry Q� PO Box 607 Fishers Island NY 06390 REPLACEMENT BLADES FOR KNIFE 9M752503 1 @ 8.10 8.10 BAIN ENGEL NOTKNIFE 9M100890 1 @ 130.67 130.6'? r Subtotal 138.77 Tax 8.81 notal 147.58 ( - Items are taxable) ----- Payments ---------------- Credit Card Visa **** 2360 147.58 Auth: 010436 X Signature ----•--------------------- I I RETURN POLICY (abridged version) I I I * 30 Days for most items returr;ed in I original packaging and in resalable I condition I 10 Days on electronic items, unopened I software and charts in resalable I condition I I * Boats, Motors & Trailers, Cut goods,, I special orders and clearance items I are not returnable I For the complete copy of Defender's I return policy please visit the Terms of I Sale section on our website I (hank You for your business! Invoice Order Reg Date Time 700464181 1004 ; 'i., 717 03:46pm jon haney From: customerservice@mrosupply.com Sent: Monday,June 12, 2017 10:53 AM To: jon haney Cc: cs@mrosupply.com Subject: MROsupply- Credit Card Refund Issued ������ ������ ��� �� Cardcustomerservice@mrosupplycom Mon P�y 888-671-2883 TRUSTED SINCE 1898 Order Details Order#........................... 53527-1491316005 Your PO#.................................. N/A Order Date...................... 04/04/2017 Your Account#........................... 53528 --__----Shipping Information ------; ;-__ -T—v-filling Information �--------- I I Jon Haney I Jon Haney FIFD !FIFD 5 Waterfront Park ! 261 Trumbull Drive P.O Box 607 ;New London, CT 06320 ;Fishers Island, NY 06390 '.United States ;United States I i ' I 4 Refund Issued-- / Hello, This email is to inform you that a refund in the amount of$481.40 has been refunded to your card ending in -2360. Reason for refund: Order returned A receipt has been sent in a separate email. Please note it normally takes 1 -4 days for domestic cards to show a credit. Feel free to contact us if you have any further questions or concerns. Kind regards F Stop&Shop- 117 B03TON POST ROAD WATERFORD, CT 06385 Store Telephone: (860) 444-6772 Pharmacg Telephone: (860) 442-6698 Store #667 06/13/17 07:58am BAKERY - COMMERCIAL S&S FRAIJK ROLLS 1 ,39 F S&S FRANK ROLLS 1 .39 F S&S FRAIJK ROLLS 1 ,39 F KAYEM BUNS 6P12Z 2.99 F BONUS BUY SAVINGS 0.99-F PRICI: YOU PAY 2.00 KAYEM BI1NS 6P12Z 2,99 F BONUS BUY SAVINGS 0.99-F PRICI: YOU PAY 2.00 KRYEM B6NS 6P12Z 2.99 F BONUS BUY SAVINGS 0.99-F PRICI: YOU PAY 2.00 KAYEM B6NS 6P12Z 2.99 F BONUS BUY SAVINGS 0.99-F PRICI: YOU PAY 2.00 KAYEM BUNS 6P12Z 2.99 F BONUS BUY SAVINGS 0.994 PRICI: YOU PAY 2.00 KAYEM BUNS 6P12Z _ - 2.99 F BONUS BUY SAVINGS 0.99-F PRICI: YOU PAY 2.00 .. ..... ...... KAYEM BIJ'NS 6P12Z 2.99 F I Payment Type: V[SR CREDIF BONUS BUY SAVINGS 0.994 i CHIP Purchase V=RIFIED BY PIN PRICI: YOU PAY 2.00 Card: *********E**2360 DAIRY Payment Amt: $120.58 SB WH A11RCN IWS 7.99 F BALANCE: $ FROZEN FOOD I AID: AOOOOO00031010 NAT RCKS I-CUBE 2.69 F I RUTH#085953 RC#00 06/13/17 08:02am NAT RCK3 I-CUBE 2 69 F f *^*************E********R***x******** GROCERY FUN POP;i 24CT 1 ,69 F VISA 120.58VT FUN POP!; 24CT 1 .69 F CHANGE 0,00 SB BBQ CHIPS 2.49 F * *#** SAVI14GS SUMMARY SB RIPPLE CHIPS 2.49 F FRNCHS 11S YW30 2.99 F ( Card Savings: 20.93 SB S4UEGZE MAYO •-2 99 FY our Total Savings: 20.93 SB CATSP 642 2,99,E NUBL PI'R GRU6C_ i-7"-t - 06/13/17 08:02aia 667 5 7 118 MT DEW 2L 2.19 B Customer 22****E*0001 DP BTL/CAN DEPOSIT 0.05 F PEPSI 21. 2.19 B DP BTL/CAN DEPOSIT 0.05 F - - - MEAT " OUR BES1 PATTIES 26,99 F BONUS BUY SAVINGS 7.004 PRICI: YOU PAY 19.99 OUR BEST PATTIES 26 99 F BONUS BUY SAVINGS 7 00-F PRICI: YOU PAY 19.99 DEUTSCH N/C FRNK 14 99 F PRODUCE MELON BABY WHOLE 3.99 F Total Bitfore Savings 141 .23 Your_Sa-iings 20.93 Total A•'ter Savings 120.30 TAX 0,28 i * ** BALANCE 120 1;8 Amazon.com- Order 111-8345039-1320211 Page 1 of 1 /fA�ZKtNC-� Lv'- �J Details for Order #111-8345039-1320211 Print this page for your records. Order Placed: June 15, 2017 Amazon.com order number: 111-8345039-1320211 Order Total: $68.56 Not Yet Shopped Items Ordered Price 1 of: Aervoe 710 White Line Striper Spray Paint - Lot of 12 $88.56 Sold by: IndustrialSupplies (seller arofile) Condition: New Shipping Address: Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 United States Shipping Speed: Standard Shipping Payment information Payment Method: Item(s) Subtotal: $88.56 Visa I Last digits: 2360 Shipping & Handling: $0.00 Billing address Total before tax: $88.56 Fishers Island Ferry District Estimated tax to be collected: $0.00 P.O Box 607 Fishers Island, NY 06390 United States Grand Total•$86.56 To view the status of your order, return to Order Summary. Conditions of Use l Privacy Notice© 1996-2017,Amazon.com,Inc. or its affiliates https://www.amazon.com/gp/css/summary/print.html/ref--oh aui_pi_o00_?ie=UTF8&orde... 6/15/2017 k Box Packing List 24 Applegate Drive Robbinsville, NJ 08691 Your PO# Page Ship To : Bill To : 111-8345039-1320211 1 of 1 Fishers Island Ferry District AMAZON.COM INC Order No. Order Date 5 Waterfront Park AP NONINVENTORY NEW LONDON, CT 06320 PO BOX 80683 7000081537-1 06-15-2017 SEATTLE, WA 98108 Ordered By - Freight Fishers Island Ferry District PREPAID VIII VIII IIIIII II IIIIIIIIIIIIIIIIIII I II III FOB Point Ship Via Robbinsville, NJ 7000081537-1 Line No. Quantity Model ;Inventory Stock No.I Description. 1 12 i 962393 i 962393 White Line Striper Spray Paint Direct Inquiries to: Customer Service Dept. For Sales Help and Quotes please call Welcome Lo Dunkin Donuts PC# 337312 175 Broad St 6/22/2017 N7:47ew :377 AM CT 06320 Eat In Order = 062 Register:2 Tran Cashier:Rebecca P. n Seq No: 3297062 *****SALE***** 2 Ice Cof MD OrigBlnd 4. 90 1 Ice Cof LG OrigBlnd 2. 75 1 Ht Cof LG OrigBind 2.29 1 Ht Cof SM OrigBlnd 1.59 1 Ht Cof MD OrigBlnd 2.05 1 12 Donuts — 8.29 Sub. Total: $21.87 Tax: $0.86 Total : $22. 73 Discount Total : $0.00 Change Visa: $0.00 /j// V $22. 73 I VISA Card Num : ************2360 Terminal : 2 Approval : 072913 USD$ 22. 73 !!9lOi' aYearaerahluk,6 i1r♦!R!0lIA400l1 11 1 oalsmbprt.52353455 Defender Industries 12 Great Neck Road Naterford CT 06385 '(860) 701-3400 Ent. By: SCJ Chealsea I Cust 100202676 Fishers Island Ferry PO Box 607 Fishers Island NY 06390 BELL CHEMICAL AMAZING ROLL OFF ; 1N756666AMZGAL 1 @ 16.87 16.8� * BELL CHEMICAL AMAZING ROLL OFF 1N756666AMZGAL 1 @ 16.87 16487 * j subtotal 33.74 ax 2.14--------------------- otal 35.88 * - Items are taxable) ------------- Payments ---------------- 'redit Card Visa **** 2360 35.88 FA- ,uth: 002017 --------------------------------------- 9ignature ' I ------------------------------------------- ' I RETURN POLICY (abridged version) I * 30 Days for most items returned in I I original packaging and in resalable I condition I I � I * 10 Days on electronic items, unopened I I software and charts in resalable I condition I I I I * Boats. Motors & Trailers, out goods, I I special orders and clearance items I are not returnable I I For the complete copy of Defender's I return policy please visit the Terms of I Sale section on our website I --------------------------------------------- hank You for your business! Invoice Order Reg Date Time j --------- --------- ----- ---------- ------- 700467992 100471602 1 -0 06/23/2017 01:02pm more saving � hELgMore doing," 816 HARTFORD TPKE. WATERFORD, CT 06385 RICH BRADLEY, STORE MCR. (860)437--1900 6215 00002 163-33 6/23/17 01.:34 PM CASHIER FRISS 051115036811 2090 <A> SCOTCHBLUE .94" 2090 3©3.93 11.79 SUBTOTAL 11.79 SALES TAX 0.75 TOTAL $12.54 XXXXXXXXXXXX2360 VISA =-•YSD$ 12 54 AUTH CODE 066067/9023794 TA Chip Read t AID AOOOO000031010 VTSA CREDIT TVR 0000088000 IAD 06010A03600002 TSI ARC 000 0 4/) 2 P.O.#/JOB NAME: FIFD �IIIII��IIIIII��III�IIIII�II�III�IIII�I ii II II I IIIII�I��II 13,115 02 16333 06/23/2017 7634 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 09/21/2017 1HE`HOM&DEPOT RESERVES THE RIGI-I1 10 HE / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS. BUY ONLINE PICK-UP IN STORE AVAILABLE NOW ON HOMEDEPOI .COM. CONVENIENT, EASY AND MOST ORDERS READY IN LESS THAN 2 HOURS! ENTER FOR A CHAN TO WIN_ A, $5 , 0 00 i iOME�f]EP ) FT CAR I1 us about your stare visit,+ Complete our short survey rid nater fior a chance tu- .i-r�t www.homedepot.com/survey OPORATl.I1VT_DAD DE GAN AF� UNA TARJET A DE REGALO DE THC) DE $5 . 000 ! Comparta Su Opinion! Complete la breve encuesta sobre su visita a la tienda y tenga la oportunidad de ganar en: www.homedepot.com/survey U ter- TD F189 391-70 32,957 paSSWcDr-d - 17'323 32955 Entries must be completed within 14 Ckys of purchase. Entrants must be 18 or olden to enter. See complete rules on website. No purchase necessary. Ed FISHERS ISLAND FERRY DISTRICT VENDOR 00277-6 CHARLES BURGESS 07/18/2017 CHECK 4186 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 043017 ANTHEM MED RX-4/17 108.55 SM .9060.8.000.000 I 053117 ANTHEM MED RX-5/17 108.-55 SM .9060.8.000.000 060117 ANTHEM MEDIGAP-2ND QTR 358.10 SM .906-0.8.000.000 063017 ANTHEM MED RX-6/17 108.55 '% TOTAL 683.75 .. r.-� ' ^:..... .. ....•. r.... ..,cf. :iw`YM-:<4:•'.'::nw�.:"<_.«fit._ 1 , •. «.........�,=a•x.•.4!<<.n..,x y.::'v.'� �� ♦fie ♦<{3,r; ,der.—-� "r�.Y. •�^ n�. 'rbc <':">,.-. �,"::. ^•x.•, .';.5`' :�J..""„'f' ar,',�,^<::s'�' , • I, t "i FISHERS ISLAND FERRYDISTRICT' AUDZTV.o'fi-/'i`s%`i; = 53095'MAIN ROAD,PO BOX 11-79- - - a SOUTHOLD;,NY11971'0959' CHECK NO. r�l'86 THE SUFFOLK CO.NATIONAL BANK 'CUTCHOGUE,NY 11.935, DATE, ,AMOUNT , s 07/1.8/201'7,' 50-5461214 - S'IX'':HUNDRED 'ETGH`PY THREE-;'AND 75/10'0 DQLLAR'S PAY CHARLES, BURGESS i TO-7IiE= 4 HAD ',COURT. - i GW f•, dRDER,' ,WATERFORD CT'' 0 6-3 8 5 --�- OF - - - - - I ua004 L86ii' 1:0 2 L4054641: 68 00 L50 2 L`li5 Vendor No. Clieck.No: Town of Southold, New York - Payment Voucher 2776 1 '� Vendor Address Entered by- 4 Hamel Court Waterford, CT 06385 Audit Date Burgess, Charles " 'JUL" 14 2017 ' Vendor Telephone Number FY 17 Town Clerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number MGM4941M 6/1/2017 $421.29 $358.10 Anthem Medigap Plan N 411-6/30/17 'BM9060.8.000.000 ! ($63.19) $421.29 @ 85% reimbursement 4 IVIED REMVHE� 4/12/2017 $127.70 $108.55 Anthem Blue Medicare Rx Apr 2017 SM9060.8.000.000°, 5 ($19.15) $127.60 @ 85% reimbursement , MEM REMB 5/8/2017 $127.70 $108.55 Anthem Blue Medicare Rx May 2017 SM9060.8.000.000 E d 17 ($19.15) $127.60 @ 85% reimbursement NE-9-RUIRAR 6/8/2017 $127.70 $108.55 Anthem Blue Medicare Rx June 2017 SM9060.8.000.000 ($19.15) $127.60 @ 85% reimbursement $683.75 $683.75 ! Payee Certification tment Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as-therem stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signatur Title Signature !/ Company Name Fishers Island Ferry District Date 7/5/2017 Title Date (/ X 4 ®ISCOVEW CHARLES W BURGESS,KAREN BURGESS 4 HAMEL CT,WATERFORD,CT,06385-2008 (860)442-8383 Search Transactions: We found 3 matches, Note: Please review your statements for interest charge information. Transactions Trans.Date a Post Date Description Amount Category ❑04/10/17 04/12/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical NASHVILLE TN Services ❑05/08/17 05/08/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical NASHVILLE TN Services ❑06/08/17 06/08/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical NASHVILLE TN Services Results Total =$ 3$3.10 Need to dispute a charge? Can't find a transaction? Suspect Fraud? Contact us immediately at: U.S. 1-800-DISCOVER(1-800-347-2683) Outside U.S. 1-801-902-3100 TDD/TTY 1-800-347-7449 r 0 Printed on 06/20/2017 ©2014 Discover Bank, Member FDIC. 6/20/2017 ' � S S Online Bill Pay I Payment Center OT c� / Pending Processing Delivered I Anthem BCBS ELECTRONIC Pay ` W LLJJ Pay From PREMIER CHECKING WTH _ INTEREST DELIVERED i ! Amount $421.29 Jun 1 ' Withdraw On Jun 1, 2017 Category Insurance i Confirmation LKNRV-WNPVV 1 �tR U El FISHERS ISLAND FERRY DISTRICT VENDOR 003370 CITY OF NEW LONDON 07/18/2017 CHECK 4187 r A r FUND & ACCOUNT P.O.## INVOICE ' DESCRIPTION AMOUNT SM .1950.4.000.000 '40404-063017 PERS PROP TAX 7/1-12/31 524.26 SM .1950.4.000.000 6614-063017 REAL ESTATE TAX-12/31/17 35,729.05 TOTAL 3b,253.31 l _ i - m —� 3�^ Vii`:�{F�'>.;��••,.... • >' :.�?, \ �— '"' �K„-X`p°''v�i..r.� �s..,'»..ce �^a�y_.�::e'".�i,-: -.� ;,r,.,,,»5:;i<:d�<:t:i.I.�,•-:..•�;;.tr�:r' .,T fir.,.. _ r r r � 0 0 • D 0 D 0 D- • D t 1 FISHERS�ISLAW FERRYDISTRIGT - � 7117— AUDI,T;.0 7.%18/17 53095 MAIN ROAD,P,0 BOX 1179__ _ _- _ - ''' SOUTHOLD,-NY-11971.0959,_ - :_, CHECK Nb,-. ,'__14187 - - THE SUFFOLK CO:NATIONAL BANK", - - -'• --CUTCHOGUE,NY 11935 DATE ; AMOUNT, eo=5dsizi'a' _ = 07%'18/2017.1' _ _ $36,253.'31 .THIRTY' S_TX,`.THOUSAND'TWO HUNDRED FIFTY THREE 'AND 31/100' DOT�LAR_S,'' _ -- � - - '. - =. - - � _' --I � ., _ � "• � .-: ,: ,_ ,,- , iii± PAY , CITY OF NEW LONDON TO THE= 181 STATE STREET ORDER .. & PO-BOX -13 0 5', _ NEW LONDON CT 06320=1305 u8004 113 7n 1:0 2 140 54641: 68 00 150 2 1110 ' , J J -- - Vendor No. Check leo:' m 'own of Southold, New York - Payment Voucher 3370 1 -9 .71 Vendor Address Entered by'. P.O. Box 1305 Vendor Name New London,CT 06320-1305 Audit Date City of New London-Tax Dept. JL 1, 2017 Vendor Telephone Number 860-447-5208 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order 1 Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 8814 7/1/2017 $35,729.05 $35,729.05 Real Estate Tax 7/1-12/31/17 'SM1960.4.000.000 0484 7/1/2017 $624.261 $524.26 1 Personal Property tax 711-12/31/17 .SM1950.4.000.000 { �040� 44.26 mils plus 1.38 mils on RE tax for City Center;District $36,253.31 $36,253.31- Payee 36,253.31Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated_is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Signature / Company Name Fishers Island Ferry District Date 7/5/2017 Title Date ` REAL ESTATE TAX BILL WITHOUT STATE ASSISTANCE OF$30,472,430 CITY OF NEW LONDON TAXPAYER'S COPY THE MILL RATE WOULD BE 70.05 MILLS PO BOX 1305 (See reverse side for important information) P'op erty Mp/BloLocation: SWATERFRONT PARK NEW LONDON,CT 06320-1305 ack/Lot: G12108 2Volum e860-447-5208 Unique D:ID: 266 43 I� Unique G12 0108 0002 Located at: 15 Masonic Street TAX COLLECTOR Tel.860-447-5208Hours:8:30 AM-4:00 PM(Mon-Fn) LIST NUMBER DIST BANK ON GRAND LIST 2016 010006614 C OCTOBER 1 2016 -. ._. " - city 69,297.44 ;5��=Ju�Ty=1 2`017;� °t January 1,2018 MILL RA 1,565,690 Dist 2,160.66 GROSS ASSESSMENT _ $35 7 9;05— $35,729.05 Town 44.2600 = _ EXEMPTION 0 District 1.38001 NETAssFSslvmvT $71,458.10 , , 1.2017 DELBV UENTAFMIZEB1,2018 T8 P3064***********ALL FOR AADC 060 ® SOUTHOLD TOWN OF GO FISHERS ISLAND FERRY DISTR PO BOX 607 FISHERS ISLAND NY 06390-0607 DISTRIBUTION OF TAXES BOARD OF EDUCATION 46.33% GENERAL GOVERNMENT 14.20% 'I��'1'�11'��11�'II""1111'I'I'I����II11�'�'�1111111'�'1'�IIIII PUBLIC SAFETY 23.20% PUBLIC WORKS 9.11% DEBT SERVICE 7.16% If the notation"Back Taxes Also Due"appears on your bill,call(860)447-5208 or go to Tax Collector's Office at ci.new-london.cM, for updated interest charges on what you already may owe.Back Taxes and interest must be paid in full before payment on current bills can be accepted. REAL ESTATE TAX BILL NO BILL WILL BE MAILED FOR CITY OF NEW LONDON RETURN WITH 2nd PAYMENT THE JANUARY 1sT PAYMENT PO BOX 1305 LAST DAY TO PAY WITHOUT PENALTY IS FEB 1,2018 NEW LONDON,CT 06320-1305 Make checks payable to: 860-447-5208 TAX COLLECTOR Tel.860.447-5208• CITY OF NEW LONDON Located at: 15 Masonic Street Hours:8:30 AM-4:00 PM(Mon-Fri) LIST NUMBER DIST BANK ON GRAND LIST 2016 010006614 C OCTOBER 1,2016 ' ` "" `` "` ,•m, city 69,297.44 July 1,2017 MILL RATE ';Janiaryl 2018 GROSS ASSESSMENT 1,565 690 Dist 2,160.66 ry° > 44.2600 $35,729.05 Town EXEMPTION o ;ra•;vx `, > ::<,`; . Q Q,...,.• .:w:. rict 1.3800 NET 1,565,690 $7145810 DELB+I UENTAFTERAUG12017 DistDELIIV UBNTAFfERFE81'2018 CIO FISHERS TOWN OF �'JA/ I ��� GO FISHERS ISLAND FERRY DISTR U R1111UHH111 PO BOX 607 1� WII 11 FISHERS ISLAND NY 06390-0607 5 WATERFRONT PARK G12 0108 0002 77 REAL ESTATE TAX BILL NO BILL WILL BE MAILED FOR CITY OF NEW LONDON RETURN WITH 1st PAYMENT THE JANUARY 1STPAYMENT PO BOX 1305 LAST DAY TO PAY WITHOUT PENALTY IS AUG 1,2017 NEW LONDON,CT 06320-1305 Make checks payable to: 860-447-5208 TAX COLLECTOR Tel.860447-5208 CITY OF NEW LONDON Located at: 15 Masonic Street Hours:8:30 AM-4:00 PM(Mon-Fri) LIST NUMBER DIST BANKON GRAND LIST 2016 010006614 C OCTOBER 1,2016 city 69,297 44 July 1,2017 January 1,2018 MILL RATE GROSS ASSESSMENT 1,565,690 Dist 2,160.66 $35,729.05 $359729.05 Town 44.2600 EXEMPTToN 0 71458.1 District 1.380 NETAssFssMENT 1,565,690 $ , DELIIVQUENTAFfERAUG1,2017 DELINQUENT AMR FEB 1,2018 SO TOWN OF IIII��I'IIII�I��II�IIIII��I��IIIIII����I GFISHERO FISHERS ISLAND FERRY DISTR UIW 11 WU W IW UI1111 PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 G12 0108 0002 PERSONAL PROPERTY TAX BILL WITHOUT STATE ASSISTANCE OF$30,472,430 CITY OF NEW LONDON TAXPAYER'S COPY THE MILL RATE WOULD BE 70.05 MILLS PO BOX 1305 (See reverse side for important information) WATER ST NEW LONDON,CT 06320-1305 I111III1I1IIIIME11I�V11ull1 040404 860-447-5208 Located at: 15 Masonic Street TAX COLLECTOR Tel.860.447-5208 EDP EQUIP AMT:540.41 Hours:8:30 AM-4:00 PM(Mon-Fri) LIST NUMBERDIST ON GRAND LIST TOTAL TAX DUE PAYMENTDUE PAYNNIENTDUE, BANK 2016 02 0040404 OCTOBER 1, 2016 July 1,2017 January 1,2018 NUL RATE GROSS ASSESSMENT 23,690 0 $524.26 $524.26 44.2600 EXEMPTION 4wt1_ NETASSESSMENT 23,690 `k a " e w, DELINQUENT AFTER AUG 1,2017 DELLYQUENT AFTER FEB 1,2018 T3 P923***********ALL FOR AADC 060 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND NY 06390-0607 DISTRIBUTION OF TAXES BOARD OF EDUCATION 46.33% GENERAL GOVERNMENT 14.20% PUBLIC SAFETY 23.20% mill iIIIIIIr-I"I'11H--111'11-111111P111111'I11'I'llI llll' PUBLIC WORKS 9.11% DEBT SERVICE 7.16% If the notation"Back Taxes Also Due"appears on your bill,call(860)447-5208 or go to Tau Collector'sOffice at ci.new-london.ct.us for updated interest charges on what you already may owe.Back Taxes and interest must be paid in full before payment on current bills can be accepted. — — --- -_ - - -- -- ------- -- -- ---- ------------------- --------------- -- PERSONAL PROPERTY TAX BILL 2017 NO BILL WILL BE MAILED FOR CITY OF NEW LONDON RETURN WITH 2nd PAYMENT THE,JANUARY 1sT PAYMENT PO BOX 1305 LAST DAY TO PAY WITHOUT PENALTY IS FEB 1,2018 NEW LONDON,CT 06320-1305 Make checks payable to: 860-447-5208 TAX COLLECTOR Tel.860-447-5208- CITY OF NEW LONDON Located at: 15 Masonic Street Hours:8:30 AM-4:00 PM(Mon-Fri) LIST NUMBER DIST BANK ON GRAND LIST msim I No 0 bill 2016 02 0040404 OCTOBER 1 2016 July 1,2017 `- i-`7 -- ;;203 Sw MILL RATE �� �>t:�: �,M,&.w��. N GROSS ASSESSMENT 23,690 _:�,.-•� :., - _ $1048.52 $524.26 44.2600 EXEMPTIONSM:<'= - NETASSESSMENT 23,690 I)ELINQUENTAFTERAUG1,2017 D L�NQtIL :A�?1EItF B;3 208 FISHERS ISLAND FERRY DISTPO BOX o FISHE 607 SISLAND NY 06390-0607 I��IuII�II�II�IWIWII��W���I�WIIW WATER ST 040404 ------------- PERSONAL PROPERTY TAX BILL 2017 • NO BILL WILL BE MAILED FOR CITY OF NEW LONDON RETURN WITH 1st PAYMENT - THE JANUARY 1sT PAYMENT PO BOX 1305 NEW LONDON,CT 06320-1305 LAST DAY TO PAY WITHOUT PENALTY IS AUG 1,2017 Make checks payable to: 860-447-5208 TAX COLLECTOR Tel.860447-5208 CITY OF NEW LONDON Located at: 15 Masonic Street Hours:8:30 AM-4:00 PM(Mon-Fri) LIST NUMBER DIST BANK ON GRAND LIST �16F&Vallmnklv plum 1 -1 2016 02 0040404 OCTOBER 1, 2016 ' January 1,2018 MILL RATE GROSS ASSESSMENT 23,690 "' FL "~ = % 524.26 0 $1,048.52 �$54ZG` $ 44.2600 EXEMPTION :_ NETASSESSMENT 23,690 D fQGElil iTERAUG:1;2012 DELWQUENTAFTER FEB 1,2018 FISHERS ISLAND FERRY DIST IIIIII IIII IIII�II �I� FISHERSPO BOX 6ISLAND NY 06390-0607 I��II�IIW�u�Alu�l���lll�l�l�llll���� WATER ST 040404 FISHERS ISLAND FERRY DISTRICT -- VENDOR 014693 COMMIS.OF TAXATION L FINANCE 07/18/2017 CHECK 4188 A FUND & ACCOUNT P.O.#' INVOICE DESCRIPTION AMOUNT , SM .1980.4.000.000 '063017 MTA TAX 2 QTR-4/1-6/30 - 388.19 TOTAL 388.19 .. r �°s,:.M::�< rya ,„.......,.,m .` ..,,...<:...x.xw:•.•. ...,..ar r`:Y�;"+•- e iib.. <':'s':• ::rte..-.3'.i '.4••�. :•`ice \ "r pI e ID B B B ® B 0 D - FISFIERS ISLA'1VD FERRY,DISTRICT'_ ` ` _ '53095=MAIN'ROAD',PO BOX 1,n9 _ '.,AUDIT--07/18=/`17, o 'SOUTHOLD,,NY1197,1-0959-, „ CHECK'NO: 4188 I THE SUFFOLK CO.'NATiONAL BANK , 1 ``- — CUTCHOGIYE,NY•11935 DATE.• -AMOUNT - - 1 -=f' 50546!214 1 07/1:8''/2:017 „ $3$8, 19 'THREE -HUNDR$D EIGHTY' EIGHT_A�tD' 19/10 Q' DOI�LAi2S' PAY COMMIS'.'OF;,TAXATION' �&,• FINANCE'- fO THE: MCTMT-,-PROCESSING ,CENTER, 6PER PO BOR41319 _ OF , - BINGHAMTON'NY,;13902-4139 110001-. 11313110 1:0 2 140 54641: 68 00 1 50 2 10, Vendor No. Check LAv3g qGq3Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Entered by State of New York M_CTMT Processing Center Vendor Name Audit Date Commissioner of Taaxation & Finance PO B ox 4139 11JUL 10 2017- Vendor 0 ,1_Vendor Telephone Number Binghamton, NY 13902-4139 Town Clerk Vendor Contact - � n Pete Invoice Invoice Invoice Net Purchase Order Number Date Total Discount �AmountClaimedNumber Description of Goods or Services General Ledger Fund and Account Number 6130 _QJ30!? 6/30/2017 $388.19 $388.19 2Q 2017 MTA Tax I SM1980.4.000.000 $388.19 $388.19 Payee Certification Department Certification The undersigned" riActmg 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 FI Ferry District Date 7/14/2017 Title Date T NEW Department of Taxation and Finance MTA-305 YORK Employer's Quarterly Metropolitan Commuter (12/16) STATE Transportation Mobility Tax Return Amended return For help completing your return,see instructions, Form MTA-305-1 Legal name Employer identification number(EIN) Fishers Island Ferry District 116003307 Mailing address(numberand street or PO box) Address change Mark X Mark an X In only one box to indicate the quarter(a PO Box 1179, Route 25 (see mstr.)❑ separate return must be completed for each quarter) City,village,or post office State ZIP code and enter the last two digits of the tax year. Southold NY 11971-0959 Mar 31j Alun 30 X 'Sep30 Dec 31t_.€ yearl�17 Number of employees—Enter the number of covered employees whose wages are included in the 48 amount of payroll expense reported for the quarter....... ...... ... ... ....... ... . .. ................ ..... ............. .... ............ Enter your 2-character special condition code, if applicable(see instructions) . ....... ....................... ... . ............ ........... ..... .... _ If you permanently ceased paying wages subject to the metropolitan commuter transportation _ I mobility tax(MCTMT),enter the date(mmddyyyy) ... . . .......................... ........... . .... .... ...•••••• ............• ......••••• - - -- -- - -- - -- - - 1 Payroll expense subject to the MCTMT(see instructions) : ........ ... ... .......... . ........ . .. . ...... .. . ... . 1. ` 352902 ,�67 2 MCTMT due for quarter(see instructions) . ..................... .... ........ .................................... ...... . ..... 2. 388 19 3 Total prepayments Including PrompTax payments and/or overpayments from previous quarter(see instructions) 3. > m w 0 .,00 4 MCTMT balance due(if line 2 is more than line 3,subtract line 3 from line 2;pay this amount) .............. 4. ---388-,.119 5 Total MCTMT overpaid(if line 2 is less than fine 3,subtract line 2 from line 3,enter here and mark an X in box 6a or 6b) 5. 6a. Refund lir..,; or 6b. Credit to next quarter MCTMT Sign your return: I certify that the Information on this return and any attachments is to the best of my knowledge and belief true,correct,and complete. Third-party Print designee's name Designee's phone number Personal identification designee?(see instr) ( ) number(PIN) Yes Q No 0 E-mail "Paid preparesrhUsfcoinplete'(seeinstructions) 7' `: Date ayertii'u§t s' eye'`. Preparers signature ►Preparer's NYTPRIN Taxpayer's si at Firm's name(oryours,if self-employed) ♦ Preparer's PTIN orSSN Print signer's name Scott A. Russell Address • Employer identification number Title Supervisor Preparer's e-mail NYTPRIN Date Telephone number excl code 07-19-2017 ( 631 )765-4333 Payroll service's name Payroll service's EIN E-mail Scott.Russell@town.southold.ny.us Note: If you are using a paid preparer or a payroll service,the section above must be completed. Make your check or money order payable in U.S.funds to: Commissioner of Taxation and Finance Mall this return to: MCTMT PROCESSING CENTER PO BOX 4139 BINGHAMTON NY 13902-4139 0121160094 FISHERS ISLAND FERRY DISTRICT VENDOR 003667yCROSS SOUND FERRY, INC. 07/18/2017 CHECK .4189 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM 5710.4.000.000 026791 N.STAR-6/24/1776 HRS 4,800.00 • ,i s. TOTAL 4, 800.00 1 k m , z .. nr rkz^' -;'„ti^p ,-YnY .., ... _ > i.` •`�•y•�>"r" e{�`r.',•::•• �;�V`o"".�.;.-.k` "Vy<', . 1 , i k FISHERS ISLAND FERRYDISTPJCT AUDIT.�,o,7/38%17 _ '53095 MAIN ROAD;•P0 BOX 1179,' a _ SOUTHOLDs NY'11971 0959 CHECK NO: 418 THE SUFFOLK CO.NATIONAL BANK' DATE, CUTCHOGUE,NY 11935 AMOUNT,;' 50-5461214_ s 07/'18'/2017' _ s4 A0,0 0o'• _ 'i FOUR-,THOUSAND.EIGHT 'HUNDRED--AND 0 0/10'A_ DOLL7�R'$ _ - '_ ', - . _ ; AY- - CROSS, SOUND FERRY, INC, - „ TO THE BOX,3 3 ORDER- -NEW,'>LONDON ''CT 063'20* _ :_ u'004 18911' 1:0 2 140 54641: 68 00 L 50 2 111' L , k � - Vendor No. Cliec3c'1*l�i.r Town of Southold, New York- Payment Voucher 3667 t, Vendor Tax ID Number or Social Security Number Vendor Address Entered by; 2 Ferry Street ; Audit Date = Cross Sound Ferry Service, Inc. New London,CT 06320 Vendor Telephone Number A L "� 20 u., To -Clerk,.' Vendor Contact nn Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General L.edger,Fund and Account Number , 026791 6/26/2017 4,800.00 4,800.00 Porth Star charter 6/24/17 - 5m57m4m0.000 6 hr $800 " E 4,800.00 4,800.00 - Payee Certification department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good-condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature ,,": 1 ttle Signature J Date Company Name Fishers Island Ferry District Date 7/5/2017 Title �f/ �� /�- CROSS SOUND FERRY SERVICES, INC. 'ONVOICE 2 FERRY STREET NEW LONDON,CT 06320 Invoice Number- 026791 Invoice Date: Jun 26,2017 Page. 1 Voice: 860-443-7394 Fax: 860-440-3492 p; FISHERS ISLAND FERRY DISTRICT Fishers Island W—V Fish 4'slslan'dCharter CHARTER Net 3'0'Days -wo wk 7/2 6/17 6.00 CHARTER "NORTH STAR CHARTER TO FISHERS 800.00 4,800,00 ISLAND 6t24/17 @$800/HR Q7 Subtotal 4,800.00 Sal-as Tax Total Invoice Amount 4,800.00 Check/Crqdit Memo No: Payment/Credit Applied An Affirmative Acton/Equal Opportunity Employer Arena, Laura From: Kasia Asmolov <kasmolov@fiferry.com> Sent: Wednesday,July 12, 2017 10:58 AM To: Arena, Laura Subject: RE: Cross Sound Ferry Voucher Hi Laura, I'm really sorry but I put the wrong date for the service date for invoice 26790 that was paid on previous warrant. It should be 6/23 not 6/24. It was paid by ch#4159 and the date of the invoice is 6/24. Sorry for the confusion, Kasia From: Arena, Laura [mailto:lauraa@southoldtownny.gov] Sent: Wednesday, July 12, 2017 10:35 AM To: Kasia Asmolov; Diane Hansen Cc: Whitecavage, Diana; Gordon Murphy; Geb Cook Subject: Cross Sound Ferry Voucher Good Morning, Please see attached. We paid an invoice (#026790) on the last audit for the same date of service 06/24/17. Please advise why we are getting a second bill for the same date. Thank You, Lmt wc(lA meal Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 1 - ,n: -`" .Y•' ., .,. -. , -® ,rix ; ;,> ,. _ ! ;x I FISHERS ISLAND FERRY DISTRICT ' t VENDOR 003891 CWPM, LLC 07/18/2017 CHECK 4191 - A 1 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.100 1119117 REFUSE RMVL/NL-RNTL PROP 1,483.45 TOTAL 1,483.45 "{ C' >+ 11 _ _ y � l �— I I ry •raa. .k ;3,S;i 3�,.;��i:�i`'. �— I ' , o � t ,t i 1t.• . 14 ':4 f I FIS ERS ISLAND FERRYDISTUCT .H AUDIT;,`07 18- 17 �- , 53095 MAIN'ROAD,P,O BOX 1.17.9 - - '.SOUTHOLD,NY 11971.0959_ _ . CHECK ;•4191', - _ THE SUFFOLK CO,NATIONAL BANK' 6, CUTCHOGUE,NY 11935 I DATE AMOUNT _ 1 `- 5o=5asizi'a` r07/1°8/20'17`_ ~-f--$1y 483 4'5' ,I a :ONE,_THOUSAND FOUR--HUNDRED 'EIGHTY -THREE--'AND '45%100: DOLLARS=„' - , i PAY, CWPM, LLC _ - _t TOTHE' ORDER, P,LAINVILLE 'C;T 06062 OF „ . t ii'004 L9 lum 40 2 L405464l: 68 00 LS0 2 Lii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 3891 Vendor Address Entered by PO Box 415 Vendor Name Plainville, CT 06062 Audit Date', CWPM, LLC JUL I , 2017 Vendor Telephone Number 860-447-1473 TOMClerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger Fund and Account Number" 1119117 6/21/2017 $1,483.45 $1,483.45 Waste removal rental properties SM5709.2.000.100 f E $1,483.45 $1,483.45 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved i SignaturTitle Signature / Company Name Fishers Island Ferry District Date 7/6/2017 Title I Date ' CWPM,LLC INVOICE Page 1 of 1 PO Box 415 EEL— � Plainville,CT 06062 ' Phone. 1-888-966-CWPM Account Number 17913700 Fax: 860-793-2624 Invoice Date 6/21/17 www.cwpm.net Invoice Number 1119117 P.O.Number Date Due 7/21/17 Previous Balance: $0.00 Current Charges $1,483.45 FERRY DISTRICT BUSINESS OFFICE Please Pay: $1,483.45 PO BOX 607 FISHERS ISLAND,NY 06390 Y —PLEASE DETACH HERE AND RETURN ABOVE PORTION WITH YOUR PAYMENT USE REVERSE SIDE WITH ENVELOPE— Weekly 6/15-21 1 . s • a ® 1 eSubtotAit ActNbr.17913700 SiteName:FERRY DISTRICT B USINESS OFFICE 261 TRUMBULL DR FISHERS ISLAND,NY 06390 6/21/2017 287193 GEB COOK 30YD ROLLOFF HAUL 1.00 $495.00 $495.00 6/21/2017 287193 GEB COOK CONT SER PER HR-CONTAINER/HR 2.45 $125.00 $306.25 6/21/2017 287193 GEB COOK MISC CHG 1.00 $519.00 $519.00 6/21/2017 287193- 2620 C&D 1.92 $85.00 $163.20 1-15- CWPM,LLC a a m e a Charges: $1,483.45 PO Box 415 Taxes: $0.00 Plainville,CT 06062 $ 1,483.45 $0.00 $0.00 Phone: 1-888-966-CWPM Fuel Surcharges: $0.00 Fax: 860-793-2624 Finance charge: $0.00 www.cwpm.net Invoice Total- $1,483.45 TOTAL DUE $1,483.45 FISHERS ISLAND FERRY DISTRICT VENDOR 004007 D.H. MARVIN & SON, INC. 07/18/2017 CHECK 4192 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 105946 FI—BRUSH HOG—ROTARY CTTR 1,999.00 TOTAL 1,999.00 r^;` J auar�.e r I 1 y1 • I F I`'• I - _ @ B 0B B D 11 NO FISHERS ISLAND,FERRY DIS AUDIT 07./i's-% ,7' - ;53095MAIN ROAD,Pb BOX 1179n %' 'S•_ ' SOUTHOLD,NY;1-1971'-0959 CHECK N0. _ 4`192 "-THE SUFFOLK C0:NATIONAL BANK, CUTCHOGUE,NY 11935 DATE AMOUNT 50546!214`_ 07-�18�4�2017 $l;'�999 00 ,''ONE THOUSAND NINE'HUNDRED 'NINETY'-N'INE AND--'0'0'/100 ''DOLLARS- _ _ PAY_- D.H. MARVIN & SON; INC. I = TOL 35'9. SOUTH•.MAIN •'STR.EET ORDER pA'B'OR".,226' OF COLCHESTER- CT 06415 ii'004 19 2no 1:0 2 3140 54641: 618 00 L 50 2 Lit' Vendor No. 'own of Southold, New York- Payment Voucher 4007 Vendor Address 5ttedP{�•by 359 South Main Street w Vendor-Name Colchester,CT-06415 audit' e, ." ` D.H.Marvin&Son,Inc. Vendor Telephone Number 860-537,2344 Vendor Carttact Invoice Invoice Invoice f Net Purchase Order r.',.:,;,;r,y,:F;_i r'.,,:• .'wr<<; Number Date Total Mwount Amount Claimed Number Description of Goods or Services G.r&rai'T:edger Fu and Accorfnt Number 905946 612812017 $9,999.001 $9,999,00 Fd "Brush;log"rotaKycutter ?,<�;';r< `'S6�3 7��,'2, 0.20 ' `]�£�' '•'�r�i��,��;'}i`_iii°; �. 4.{,.J,yC,tea. +, . }„4 Vi=a.•l” '��AF`�;i' ,'!`,. . i.",,. tau,. e j'rr l,'i�•5• v f5 -...� r,Vr r $9,999. 01 I $9,999:00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above naaned•claimant) I hereby certify thatthe materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from Which the Towm is exempt are excluded or discrepancies noted,and pa)ment'is approved Signature_ e Signature Company Flame Fishers Island Ferry District Date, TitleDate e Invoice 105946 r «� !; /o Parts must be returned in the original package and a minimum of 15 '�� =` 1r restocking fee will be charged on all special order parts l d� 1 ljp6 b 1 5 Ph 160-5'7.2344 F-ax 860-537-5711 Bill To Ship To Fishers Island Ferry District PO Box 607 261 Trumbull Drive Fishers Island, NY 06390-0607 I Contact Customer Tax Number Phone Alt Phone PO Number Transaction 6317887463 8603674414 Charge Counter Person Sales Person InvoiceDate Reference Department Tim Marvin TM 06/28/17 118768 Sales Model Line Description" Ordered 13/0'd Shipped List Net Amount BB60XC VVOVVVV Rotary Cutter 1 1 $1,99900 $1,99900 $1.99900 SN 1351207 Invoice Total $1,99900 Sales Tax $000 Grand Total $1,999 00 .`, Our Summer Hours begin April 1 st Monday-Friday-8.00-6:00, Saturday- 8 00-5 00, Sunday- Closed We recommend starting and running equipment to operating temperature every 30 days Use only a premium fuel stabilizer- Manufacturers do not recommend the use of fuel over 30 days old' Notes ' c 'y Customer acknowledges receipt thereof D H Marvin & Son, Inc, Invoice# 105946 - Fishers Island Ferry District Page 1 of 1 D. H.margin saSim Inc. Work Order 118768 PO B=226<!r, Parts must be returned in the original package and a minimum of 15% 359 SOU&Maw met restocking fee will be charged on all special order parts. Cokhwbff,CT U4 15 MIW37-M4 FU W537-V1 1 Fishers Island Ferry District PO Box 607 261 Trumbull Drive Fishers Island, NY 06390-0607 (631)788-7463 (860)367-4414 1 Estimate ^ <.&v TM TM 06/26/17 118768 Sales ( "�iF.;¢ J ::-r.'>4.'fl"'F`y.'.i ..<..`%'f:.:r<>�`Sw'<,„"2;,. '"xis,:-syi 1„.axy:•�.y �;r..'.. `�km'.,-x., 'c;%''4'�;- x' 17`9.<e,•`;, ,,;• ,th�' ✓:yam ":r "i�;�'�f;J��„ �;4,.. t? 2�r-.5+.;:'3 ,`s.. 2°`,ss�-.a>.., rf<.. +s, „r-) ., w'� y �;:_�(,'.�;�*'y �'R n>.��•,-, ✓'Se�tNO7i;Wj i* y^,. �4.?� .�";.°:S. :`'Nyr ;•��'.�.�':,"�,-w.:.v..r Y:k,, .A', r•,"?:; r`-�'k'ixy;p. .a„t.',��,."��`�'�:.• 4-x.Y.F•• ,�+., ;s`;�; 's,,.,:' z:t� �"�� ":ie�z�' .:.Gti�=.'' {.,'� ., a,-L'.rc�.c:x•x. ..,.a(;:^�, < sr%�, �"¢¢t¢�77� �% £, � _ $mac' �„3=, �• F^?'r�.S. .,%�Y;s°�,a`n..R-. e.�4's;:;au't':;'i:ti BB60XC WOWW Rotary Cutter 1 1 $1,999,00 $1,999.00 $1,999.00 Section 1 SubTotal $1,999.00 .c.r'i�u' i.,,_ L,,�.ri Q��'. s-„si�"e v”✓i�ff. :;s=1.:.3.',CE.'^.�.°s ir'te{.� '4i..f.L"u.„`S ':S✓a, i$i, 3Yn �q.A,°.NRL`„+i�'.'{::P,3;.�r"rJ..” .LtK:x1'::r'o t ' s �t;;. ;G;:y"ra 5c-^„{,• .�±;s”?, .. 'S;r>. ..:`'✓r�M„s.. 5:,.z` .N ,.i.:;-., .t,": r.;"r;s .a�..<i:.;�a .,�< .:i:;;,�„�'% xrg`Fr�-�!yvg:�a`' moi.,. F'�, `, .`€gab.', 9.s.. ,A%s .•x ur..,:�ay.�v6'�.�.. .a� ....,,z.<..... ... .isP`...,•v,�,xt,�<�=wz:4'ti:::.zs;`x w,'�h, m'�<�'w`�aYis;YeS:�i�f�'�Y�'isn§�C�:'',isz[;�F'�'���.'':!l"F�rF•srv"+.�_',=:.S:os.:1,::��r,�'u�.(>g.�T�; Section 2 SubTotal $0.00 Invoice Total $1,999.00 Sales Tax $0.00 Grand Total $1,999.00 Our Summer Hours begin April 1st: Monday-Friday-8:00-6:00, Saturday-8:00-5:00, Sunday-Closed Notes: i Customer acknowledges receipt thereof: i D.H. Marvin &Son, Inc, Work Order# 118768-Fishers Island Ferry District Page 1 of 1 12c'p d� L t' - � l If i 0--(so� �,9 7,003 ti 9 VAL L `yam" e o crape 960' C3-:�. 774S' ' ai—V „e�.em �'� d' Z.��O' `�dYV f/.l; ��l �.�d\J �i���✓ �� LO Oct-& /E�l 1119_4� �c �j I^)jb-, 1 0^ /,x- [) ��� �G�-� l��- dh�,�,4.,. - e• mare � � ��/fib ��'0 �`.- � ��l/ O(7 -� �6�J V !.� we P V , ��� �1 6+��a t L G.e,yi „� 1 �yf l �C/S '�yl _�I �/�✓ G 7/0 grlq,Q. ,>,e vi�y Ir B/0►a.�i-(,� @.a. �1/-Pv(�i ®�, iP k,-r `oe_r,1(. J r.- Ag 4 a • �� �fv��. �1 0 ��P tct.G rvs L La.s {c•• S m y4 �j rb �� I h i c -lf� b y v' e e- ✓V1dl���^ �i&%34, Gi✓d he- t {v § (�' •�� LGS� /��6i r• C),j ate`14 ii 11 G C/V h ( 0 6 01 3 7i� Ste' �` �®r''`�`�.c'`�/s ✓�J '��/ �orc (..eco,er dp vF W005 I� Civ S res L �.=5 CP 470"a �1 G�r p r ' y �f{aC 1b'C D Ch� �d r'(/ ��1; I � LIAJ dltC.`"' (/4 /1 rte , l�i7i �i� L� �'O.Cd�� � tJ � #.16 s 2e � r 906, fid l L 2 �.✓'�,��, lT Indo t- C14 L,, 4d `� � -� � `ttT 51�`t�.�l'®� PL yr lC.99> �� �(� � l!. , �1��� -•�GI� ��d ky- qrH�, (qylj 76 r 0,,-- �+ v G EIT 7- FISHERS FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 07/18/,2017 CHECK 4193 A FUND & ACCOUNTr' P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 48457 RP 5217 GAL@$1.5187/GL 7,923.06 SM .5710.4.000.300 48457 CT EXCISE TAX-$.4170/GAL 2,175.49 48457 S-F COST RECOVERY .0021 10.96 SM .5710.4.000.300 SM .571014.000.300 48457 LUST TAX-$.0010/GAL \ r I r TOTAL 10,114.73 xk, ''y{r 3 S I I J 1 t > 4 -1'FISHERS ISLAND FERY DISTRICT _AUDf T 0 7/_l'8_/1 7' ,53095;MAIN,RDAD;PO-BOX 11,79.' _ SOUTHOLD,NY 11971=0959 - - -CHECK'-NO. •4193'1-1 A ' THE SUFFOLK CO'NATIONAL.e NK CUTCHOGUE,NY 11935 1 DATE,, _ ''AMO.UNT 5'Z 4' _- ;.07/.1'8/,1201,7;'''_-_ _ - $'1U':;'11'4•.73'' _ ; 50 54 I 1 TEI�. THOUSAND ONE;°HUNDRED 'FOURTEEN,`AND 7 3/10 0 tOLLARS ` PAY,.'_ DIME 'OIL COMPANY, LLC TO TIDE; 93: INDUSTRY LANE ORDER`, PO'=BOX`, 11125 �F 'WATERBURY CT 06704 lid 0 0 4 19 3 0 211,0 5 4 6 i41: 6 8 O O L 5 0 2 1110 L J Vendor No. Check No: Town of Southold, New Fork - Payment Voucher 4277 Entered by P.O. Sox 11125 Audit Dae. '• Dime Oil CompanyLLC Waterbury,CT 06703 Vendor Telephone Numbe , 203-754-5334 Clerk Vendor Contact a Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Gerierai Ledger Fund and Account Number 48457 6/30/2017 $10,114.73 $7,923.06 RP 5217.0 gal @$1.5187/ al SMStI0.4.006.300 $2,'175.49 CT Excise Tax-$0.4970/ ai t $10.96 S-F Cost Recovery.0021 $5.22 LUST Tax-$.0010! al ®PIS attached - Federal S-F tax increased on 1/9/2017 $10,114.73 $10,114.73 ' Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,ex pt as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owi and that tax from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature L Title A C-L— Signature Company Name Fishers Island'Ferry District Date 7/7/2017 Title Date Dime Oil LLC Phone: 203-754-5334 -PO Box 11125 Date 06/30/17 Waterbury, CT 06703 Page 1 Dime Oil LLC www.dimeoilco.com INVOICE ACCOUNT NUMBER : 4420165 Fishers Island Ferry District AMOUNT ENCLOSED: PO Box 607 (EMAIL) Attn Accounts Payable Fishers Island, NY 06390-0607 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms: Net 30 Days From Invoice Date ------------------------------------------------------------------------------- Date Invoice Charge and Credits Amount ------------------------------------------------------------------------------- 06/30/17 48457 #20R Off Road Diesel 5217.0 GALS @ 1.518700 7923.06 Dyed Diesel Fuel for Off Road Use ONLY. S-F Cost Recovery 10. 96 CT EXCISE TAX DSL 2175.49 LUST TAX 5.22 06/30/17 48457 Fuel Invoice Total 10114 .73 Amount Due 10114 .73 Effective Jan 1st the Federal Spill Recovery Fee increased to .0021 for Oil/Diesel & .0019 for Gas Dime Oil LLC 203-754-5334 Account: 4420165 I — TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF LL PER MONTH WHICH ❑ 1 t 57 IS AN ANNUAL PERCENTAGE RA-1`E OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD LLQ COLLECTION FEES i ` o 0 494 0 F °. i i o o a ORDER DATE� a-- 1 SJH -9 /0 06/2$/2017_20l06/2$/2017_20 6/2$/ 7_ 201 #.a 3 3 z ` DELIVERYYr DATE • i x;Si �!t 7i ish rs island 'e(rrlr-,Pi:f. •y to w n + u I} Chi • GALLONS 1 17 e o4 5 waterfr®nt Park-Rai � -n� _ �a, State .street FOR GPS B-60-4 -.�1�5 ,�o� ( / �+ �' i�1 Z Z `10 fJ Fl)LL PRICE PER GALLON o = y a �1L�i+sT Lon CT,-06320- „- E Factor° 21 000 mast Dely o 06/-j02�'17 ° 0 2 f - � 0 = a r- � � �� �exO—S'traii — 011W DISCOj'NTPRICE PER GALLON o -J o JOHN � 04303-831 ® Q� RR track RC1 $. TCl' sr � w signs-L State St - *0 d� pAY 6tSBOUNT AMOUNT 0 0 d Y, O 6/28 _1 4 PAY THIS AMOUNT jAFTER DAYS a f Taxes=$ °0021 $ 0 °41:70 $ 0 ° 0010 TRUCK TAXA l` ®IME OIL COMPANY; LLC DRIVER I/ P 'P.O.'BOX 111L TMST TIME I G PAYMENT RECEIVED ! i _ AM x WATERB�IRY, C f'06703 TMFI OF DELq I �PM (203)'54-53 4 (11-11 12- ]CHECK El � y � a Kasia Asmolov From: Kasia Asmolov Sent: Friday,July 7, 2017 8:22 AM To: Kasia Asmolov Subject: FW: Invoice for order 48457 Attachments: FISH ERISLAND063017.pdf NEW HAVEN, CT 2017-06-30 17:03:30 EDT **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No,2 Move No.l Move Pre Move Date Time NWENGLPTR u N-10 148.75 + 1.65 -- -- -- -- 151.25 + 1.65 06/29 18:00 Global u N--10 148.83 + 1.43 173.33 + 1.33 150.14 + 1.09 06/29 18:00 Valera u N-10 149.10 - 1.2Q -- __ -_ -- -_ -- Q6/29 18:00 Shell u N-10 149.59 + 1.50 -- -- -- -- -- -- -- 06/29 18:00 Valero b 1-10 150.40 + 1.30 -- -- -- -- -- -- -- -- 06/29 18:00 Sprague u 1-10 150.67 + 1.51 -- -- -- 152.69 + 1.27 06/29 18:00 S.R.& M. u 1-10 150.70 + 1.10 -- -- -- -- -- -- -- -- 06/29 18:00 Shell b 125-3 151.10 + 1.52 -- -- -- -- -- -- 06/29 18:00 XOM b 1-10 151.15 + 1.71 -- -- -- -- -- -- -- -- 06/29 19:00 Coastal b 125-3 151.45 + 1.43 -- -- -- -- -- -- -- 06/29 18:00 Sunoco b 125-3 151.45 + 1.43 -- -- -- -- -- -- -- 06/29 18:00 BP b 1-10 151.57 + 1.74 -- -- -- -- -- -- -- -- 06/29 18:00 Gulf b N-10 151.85 + 1.50 -- -- -- -- 154.35 + 1.50 06/29 18:00 GULF-GIE u Net 151.85 + 1.50 -- -- -- -- 154.35 + 1.50 06/29 18:00 Irving b 1-10 151.90 + 1.45 -- -- -- -- -- -- -- -- 06/30 00:01 Citgo b 1-10 152.03 + 1.36 -- -- -- -- -- -- -- -- 06/29 18:00 Citgo u 1-10 152.03 + 1.36 -- -- -- -- -- -- -- -- 06/29 18:00 Irving u Net 152.96 + 1.57 -- -- -- -- -- -- -- -- 06/29 18:00 GlobalXOM b 1-10 154.51 + 2.20 -- -- -- -- -- -- -- 06/29 18:00 LOW RACK 148.75 173.33 150.14 HIGH RACK_ 154.51 173.33 154.35 RACK 1iV.G = 4._ - vk5115 173.33 152.56 Plus vendor mark-up .72 Total 151.87 Convert to dollars $1.5187 Katarzyna Asmolov Fishers Island Ferry District 1 FISHERS ISLAND FERRYDISTRICT ' VENDOR 004441 DOCKO, INC. 07/18/2017 CHECK 4194 : A ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 17032824.1 CNTRCTR BOND RPRT-EEL CV 1,655.00 SM .5709.2.000.200 1703-2824.2 CNTRCTR BOND RPRT=EEL CV 481.42 TOTAL) 2,136.42 Em ' - J FISHERS ISLAND FERRY DISTRICT :AUDIT 0-7/18-/-1,7 -- , - -- - -'53095-MAIN ROAD,PO BOX 1179- SOUTHOLD,-NY 1197,1.0956, - _ - -CHECK NO.-- 14194 - - -THE SUFFOLK C'O:'NATIONAL BANK t AMOUNT, CUTCHOGUE,NY 11935 DATE 50-546/214 -018'/2 017 - _ $2', 13 6•.:42' ;TWO THOCJSAND ONE, HUNDRED, SIX AND '42'/100 DOLLARS PAY DOCKO,_ INC. TO THE = 18 'STAFFORD STREET- ORDER PO BOX-'421 OF MYSTIC CT 06355 11.004 19411' 1:0 2 L 4 0 54641: 68 00 L 50 2 iii' Vendor No. Check No. Town of Southold, New Fork- Payment Voucher 4441 --] A 14 Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 421 Vendor Name Mystic,CT 06355-0421 Audit Date Docko, Inc. JUL 18 217 Vendor Telephone Number Town Clerk Vendor Contact 0 . 0 Invoice Invoke Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 17032824.1 6/1/2017 1,655.00 1,655.00 Contracting bonding reaw SM.5709.2.000.200 17032824.2 6/13/2017 481.42 481.42 Contracting bondingreport SM.6709.2.000.200 $2,136.42 $2,136.42 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 pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature �J x Title Signature 5�t Company Name Date Title -`G%s V Date �� Invoice ®OCKO, INC. PO BOX 421 MYSTIC,CT 06355-0421 00 • PH:(860)572-8939 6/1/2017 17032824.1 BI LL TO: .is ers s an erry istnct c/o Mr. R. J. Burns, Gen. Mgr. P. O. Box 607 Fishers Island,NY 06390 DESCRIPTION • ADDITIONAL SERVICES -May 1 - 31,2017 relating to preparation of contractor bonding report relating to the dolphin replacement project at Silver Eel Cove on ; Fishers Island,New York. There was no specific prior agreement for this work. These services are billed as additional services on a Time&Materials Basis based t on your verbal request for assistance.. Professional Engineer-6 hrs. @$175/hr. 1,050.00 Project Administration-5.5 hrs.@ $110/hr. 605.00 Invoices are payable upon receipt. Thank you. ape � i Og� W i , 01 i rn, $1,655.00 TOTAL A ®®Nc pa�/f�®, INC. Invoice V PO BOX 421 MYSTIC,CT 06355-0421 • PH:(860)572-8939 6/13/2017 17032824.2 BILL TO: A s ers Mum P erry Visfn-ct c/o Mr. R. J. Burns, Gen. Mgr. P. O. Box 607 Fishers Island,NY 06390 •ESCRI PTI• • I REIMBURSABLE EXPENSES -BID DOCUMENTS -May 1 -31, 2017 relating to permitting of the dolphin replacement at Silver Eel Cove and not previously billed on our May.4', 2017 invoice in accordance with our verbal agreement. Bid documents printed and assembled by Ciel,Inc. (copy of invoice attached) 276.72 REIMBURSABLE EXPENSES -PERMITTING-May 1 - 31, 2017 -Various reimbursable expenses relating to the permitting process for dolphin replacement at Silver Eel Cove. ' Application documents sent to US Army Corps of Engineers via Certified Mail. 13.90 Application-documents sent to the Town of Southold via Federal Express 22.72 Notice of Application mailed to adjacent property owners as required by the Town 118.08 of Southold. - 18 x$6.56 ea. L Final Inspection Fee paid to the Town of Southold(copy of invoice attached) Q� ' 50.00 'Invoices are payable upon receipt. Thank you. �01 G Dd r M O C? . Q1 M � 1 7; $481.42 TOTAL r CIEL INC Invoice P.O. Box 763 Old Saybrook, CT 06475 Date Invoice# 4/30/2017 4073 Bill To Ship To Docko Docko P.O.Box 421 P.O Box 421 Mystic,CT 06355 Mystic,CT 06355 P O. Number Terms Rep Ship Via F O.B. Project Verbal Net 30 4/30/2017 Pickup Quantity Item Code Description Price Each Amount 1 3 Large Format Copies-Gilbert 21.00 21.00T 1 5 Xerox Copies-Gilbert 6.16 6.16T 1 4 Large Format Scans-Gilbert 18.00 18.00T 1 5 erox Copies-Fishers Island 183.00 183.00T 1 7 Scans-Fishers Island ,prL 77.20 77.20T Sales ax ayable ^ 1�`L 6.35% 19.39 0 ED ems) a G � F L, r Cove- 7 & -7c31-- Thank .7c31-- Thank you for your business Phone# Total $324.75 8603880883 Michael J.Domino,President A �Q C0 Town Hall Annex John M.Bredemeyer III,Vice-President `,��4 Gym 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith �v� ® Southold,NY 11971 A.Nicholas Krupski ,y p�,¢ Telephone(631)765-1892 �o� r}F Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: FlSt e s (Sc, O req Pis-40 Please be advised that your application dated PAIL, 11912-011 has been reviewed by this Board at the regular meeting of dh,41-71 7-ot and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ `50 � BY: Michael J. Domino, President Board of Trustees IT FISHERS ISLAND FERRY DISTRICT VENDOR 005738 EVERSOURCE 07/18/2017 CHECK 4195 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000,.100 51981034010JUN NL TERM SVC-6/1-6/30/17 1,915.76 TOTAL 1,915.76 l d J 1 int->`fi�ie. ;``_• —cra_ .., .• .mks _ - - - ?• ,'. Kt-R Aft •bor •.Er" :.K 0 + + ' - r i FISHERS,ISLAND FERRY DISTRICT AUDIT 07/;L6/13 53095 MAIN ROAD,PO BOX 1179, _ 0 SOUTHOLD,NY-11971-0959 _ CHECK--NO., - " THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 1 'DATE A� OUNT 50-546%21'4 - - 07/18/2017_- _ '$--i 915.76 ONE THOUSANDNINE:HUNDRED' FIFTEEN'AND'-76/1'00_ DOLLARS' „ 4 PAY„ EVERSOURCE TO THE' ''PO -BOX 650032 ODER DALLAS- X' 7 5''2 6 5-L0 0 3 2oT 112004 3195ii' i:0 2 0405464o: 613 00 150 2 ilii- � J l J , Vendor No. Chdck No. Town of Southold, New York- Payment Voucher 1 5738 Vendor Address Entered by ' PO Box 650032 Dallas,TX 75265-0032 Audit Date Eversource "JUL 18 2011 Vendor Telephone Number 888-783-6617 tovsI Clerk Vendor Contact �• {���Q'.(lG.CXPi Invoice Invoice Invoke Net Purchase Order Number Date Total I Discount Amount Claimed Number Description of Goods or Services General Ledger.Fund and Account Number, 5198103401 6/30/2017 $1,915.761 $1,915.76 HILT elec sere 6/1-6130/17 . ,SM6710.44.000.100 1 I777777 ` $1,915.76{ i ;1,995.75 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have lren.received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature _ itle Signature Company Name Fishers Island Ferry District Date 7/5/2017 Title Date. G� �� EVER U CE d ®° 1e Account Number: 5198 103 4010 Statement Date: 06/30/17 Amount Due On 06/29/17 $4,150.11 FISHER ISLAND FERRY DISTRICT Last Payment Received On 06/29/17 -$4,150.11 5 WATERFRONT PARK Balance Forward $0.00 NEW LONDON CT 06320-6310 Total Current Charges $1,915.76 kWh/Day Supply Delivery 400- $1 y236.90 $678.86 Cost of electricity from Cost to deliver electricity 300- CONNECTICUT GAS&ELECTRIC from Eversource INC 200- 100- $0 $385 $770 $1,155 $1,540 $1,925 0 Jul Aug Sep Oct Nov Doc Jon Feb Mar Apr May Jun Jul 73* 72' 65* 52* 42* 320 32* 34* 33* 51* 550 66* 0* Your electric supplier is Average Temperature CONNECTICUT GAS&ELECTRIC INC 222 MAIN ST FARMINGTON CT 06032-3623 866-568-0289 This month your This month your average daily usage stayed the % electric use was same compared to 0 USAGE 290.0 kWh same time last year. News For You You can do business with Eversource anytime!Visit Eversource.corn to pay your bill,use the interactive Energy Savings Plan,report and receive power outage information,and many others. Remit Payment To:Eversource,PO Box 650032,Dallas,TX 75265-0032 (',F 170RIfIPROD7YT.7dl7l-finnrin14ss EVERS.-',`. URCE Account Number: 5198103 4010 Customer name key:FISH FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK Electric Account Summary NEW LONDON CT 06320-6310 Amount Due On 06/29/17 $4,150.11 Last Payment Received On 06/29/17 -$4,150.11 Balance Forward $0.00 u u Current Charges/Credits o 0 0 lil✓�� o,C3�3��1 o . Electric Supply Services $1,236.90 Meter Current Previous Current Reading Delivery Services $678.86 Number Read Read Usage Type Total Current Charges $1,915.76 Total Amount Due $1,915.76 892582072 41947 41105 842 I Actual Total Demand Use=26.10 kW 842 X Meter Constant of 10=8,420 Billed Usage Supplier(CONNECTICUT GAS&ELEC) Jul Aug Sep Oct Nov Dec Jan Generation Srvc Chrg** 8420.00kWh X$0.14690 $1,236.90 8700 11220 11170 9560 9170 10080 9280 Subtotal Supplier Services $1,236.90 Feb Mar Apr May Jun Jul 8500 8910 11070 10390 8370 8420 Delivery(DISTRIBUTION RATE:030) Contact Information Transmission Dmd Chrg 24.1 OKW X$7.33000 $176.65 Emergency:800-286-2000 Distr Cust Srvc Chrg $44.25 www.eversource.com Distribution Dmd Chrg 24.1 OKW X$12.37000 $298.12 BusinessCenterCTQeversource.com Revenue Adj Mechanism 8420.00kWh X$0.00136 $11.45 Pay by Phone:888-783-6618 CTA Demand Chrg 24.1 OKW X$402000 -$0.48 Customer Service:888-783-6617 FMCC Delivery Chrg 8420.00kWh X$0.00935 $78.73 Comb Public Benefit Chrg* 8420.00kWh X$0.00791 $66.60 Distribution Adj Chrg*** 8420.00kWh X$0.00042 $3.54 Subtotal Delivery Services, $678.86 Total Cost of Electricity $1,915.76 Total Current Charges $1,915.766 CF-170630PROD TXT-74172-000001966 EVERS" URCE Account Number: 51981034010 ® � ' Customer name key:FISH FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320-6310 Continued from previous page... Supply Rate Dollars/kWh 0,15 01- 005 1 005 rR. o Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Demand Profile Max.kW Demand 40- 30- 7- 030 x, 20 } 10 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 2 CE_170630PROD.TXT-74173.000001966 k: .'r;�rk'S5"�®'' .w G.S__ ,�. - `'>=c.�'Zzr�®''v'� ,- . ' '��� ••3 " FISHERS ISLAND FERRY DISTRICT VENDOR 006373 FISHERS ISLAND FERRY DISTRICT 07/18/2017 CHECK 4196 FUND & ACCOUNT P.O.# 'INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 071017 USPS—POSTAGE 3 .22 SM .5710.2-.000.000 071017 MICHAELS—BRUSHES—RP/MUNN 21.25 SM .5710.4.000.000 071017 CTZNS BNK—CHECK FEE—BNDR 10.00 .; SM .9060.8.000.000 071017 ' CTZNS BNK—INS.BINDER 178.60 TOTAL 213.07 Lo WWV:•i '"' N �^iv+s r♦,*Si>--•y..•`♦-'_^�e. <%.?i, .k Y�� I I I I I .. III US 0 0 0 P 0 B ® 6 © p 1 FISHERS ISLAND FERRY DISTRICT._' -AUDIT '07 -191. 1 1' _ ;53095 MAIN ROAD,PO'BOX 11'79' _- = SOUTHOLD,,NY111971-0959 - CHECK-N0: 4-196' - - THE SUFFOLK CO NATIONAL BANK CUTCHOGUE,`NY,11935• DATE AMOUNT so-5asizla 07/1'8/2017, , 213, Q7 TWO",HUNDRED IRTEEN'AND -07/10 0 bOLLARS ; PAY;,- FISHERS ISLAND FERRY DISTRICT- TOTHE' °; ''PETTY-CASH - ORDER_' PO BOX ''60'7 OF, FISHERS' ISLAND NY 06390 = %'_' _ n•00419 [ iuz i:0 2 140 54641: 68 001502 11'' t ' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6373 14,19, Vendor Address Entered by P.O. Box 607 Vendor Name Fishers Island, NY 06390 Audit Me Fishers Island Ferry District Pefty Cash JUL 18, 2017" Vendor Telephone Number ler �• 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 fi 7/10/2017 $213.07 $3.22 USPS mail large envelope(2) SM5709.2.000.200 $21.25 MICHAELS Brushes SM5710.2.'000.000 $10.00 CITIZENS BANK check fee for vision ins binder SM5710.4.000.000 $178.60 CITIZENS BANK July 2017 vision ins binder -.SM9060:8.000.000, = E $213.07 $213.07 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I-hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Stgnature Title Signature `e^ Company Name Fishers Island Ferry District Date 7/5/2017 Title Date �.3i��nL.�3`'+1 x. _ i dY _•3��3�a I''.�#+i lien. �^r. '+.: '�= :, (►'{1 2 Qint com `' C', k� V�e-,,u s 2--Z- 1 ALe 179-60 9-9 0 7.off, - III - 5 I i I I � c � I 1 _-_________________________. __=_ NEW LONDON 27 MASONIC ST STE 1 NEW LONDON CT 06320-9998 0847600320 06/05/2017 (800)275-8777 12:50 PM Product Sale Final Description Qty Price First-Class 1 $1.61 Mail Large, Envelope (Domestic) (PLANTSVILLE, CT. 06479) (Weight:0 Lb 3.90 Oz) (Expected Deli very Day)-- (Wednesday ay)-(Wednesday 06/07/2017) First-Class 1- $1.61 Mail Large Envelope (Domestic) (RIVERHEAD, NY 11901) (Weight:0 Lb 3.40 Oz) (Expected Delivery Day) (Wednesday 06/07/2017) - ---`_- Cash $5.00 Change ($1.78) J Order stamps at usps.com/shop or call 1-800-Stamp24. Go to ,asps.com/clicknship to pririt shipping labels with postage. For other, information call 1-800-ASK-USPS. Get your mail when and where you want it with a secure Post Office Box. Sign I up for a box online at usps.com/poboxes. Y(�YC 7t 7k Yf Y1CY(YC�YC�Y(�YCXYC:tY[YC Yf 7P YC Yf KYC�YC���7C YC�iCYCK -u a `_lt" l CSS•`_ c Where Creativity Happens" j MICHAELS STORE #3759 (860)949-6900 hA 915 HARTFORD 11R11I1E 0 'm �1 h WATERFORD, CT 06385 J 8 9991-3091-3055-3025-9111-8118-1693-1312 r i 3619 SALE 6700 3759 009 6/28/17 9:27 ! ZEN ALL MEDIA SH 90672081070 3.99 1 @ 3.99 AL BRSHSET WS VRT 900100802910 15.99 1 @ 15.99 SUBTOTAL 19.98 Sales Tax 6.35% 1.27 TOTAL 21.25 I ! CASH TENDER 25 00 CHANGE 3.75 �_This_r_viceipt_exPlres at 180 days an 12/30/17 Now Hiring! Apply at http://www!michaels com/,lobs Click Buy. Create. Shop michaels.com today!1 Get Savings & Inspirat>on! Text* SIGNUP to 273283 � i10 Sign Up for Email & Text Messages. *Msg & Data Rates May Apply f You will receive 1 autodialed message } with a link to join Michaels alerts. ! THANK YOU,FOR SHOPPING AT MICHAELS- Dear Valued Customer- Michaels return and coupon Policies are available at michaels.com and in store at registers ,•Plnaco coo ❑ cl•;-oa<cSr it is fit M,flP nit.d'utr,inii ahem k r -T-Aj -20 )7 ' i/,S.o�. --rt,r uj- Kut 6,4 , I New London Shopping Ctr, WEDNESDAY, JUNE 28, 2017 10:47 i Ioe Amount: $10,00 I Teller Number: J056978 iBank: 022 Branch: 083 Transaction #: 0083016853 I wag citizensbank.com I 1-800-922-9999 p Please see back for important disclosures. 1 � Gc. sl. ' ` � ` OFFICIAL CHECK 057-0012 514278319�:-g 0115 0l7 citizens Bank \ Anthem BCSS Of MEMO OF SAVE TMS RECORD This official Check MaY not be replaced for 90 days after the,3,01.1�,&-te if lost or stolen UNIIE�S"" Copy IS PRESENTED ORMATION OR SEARCH RECORDS THIS WE CANNOT GIVE INF � ' � ' ` . ' Diane Hansen From: Krista Danko <kristad@gowrie.com> Sent: Tuesday,June 27, 2017 3:49 PM To: Diane Hansen;Gordon Murphy Cc: Rick Bagnall Subject: Anthem Vision Hi Diane I will put together a better invoice for you with some additional information, but I believe this has all enrollees listed. Unfortunately Anthem won't issue the policy without a binder check—I realize this is incredibly inconvenient,so we have a few options 1) Is it possible to get just a copy of a binder check that they can move forward with? 2) If not,would you be okay moving forward with an August 1St effective date,and that gives you plenty of time to get me the actual check I apologize for the inconvenience,Anthem is becoming more and more strict with their paperwork requirements Thank you! Krista Burns ES $10.24 Cook FAM $16.12 Doucette EE Only $5.85 Espinosa EE Only $5.85 Fiora EE Only $5.85 Ford FAM $16.12 Franco. EE Only $5.85 Haney ES $10.24 Hansen EE Only $5.85 Hiller ES $10.24 Lavin ES $10.24 Marshall ES $10.24 Mason EE Only $5.85 Morgan FAM $16.12 Norton EE Only $5.85 Paradis FAM $16.12 Scroxtdn FAM $16.12 Wilcox EE Only $5.85 ��,/� $178.60 KO Thank you, Krista Krista Danko Account Manager kristad gowrie.com p: 860.399.3668 f:860.399 3669 p:800.262 8911 ext 1668 i GowrieGroup Insurance• Benefits• Finance 70 Essex Road,Westbrook, CT 06498 www.gowrie.com Gowrie Group Health Care Reform News 2 J I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD POAnthem® NORTHRTH HAVEN,CT 06473 B1ueCross B1ueShield 000014 1 SP 0.460 000014/000014/000027 00102 AGUSXB WPT132 SMGRP 07/07/2017 07/10/2017 FISHERS ISLAND FERRY DIST PO BOX 607 ® FISHERS ISLAND,NY 06390-0607 Your Premium Statement Is Enclosed Beginning May 1, 2017, we are going PAPERLESS, Anthem's standard will be to issue bills (invoices)and accept premium payment online via EmployerAccess. Register or sign up now on EmployerAccess by logging onto htips:Hgmployerl.anthem.com/wps/portal/eeaemployer All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly email notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject line to: CT.ogb@,anthem.com. Provide your group number, contact name, email address, phone number and reason for opting out of the electronic billing and payment process Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc. Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 000014/000027 AGUSXB S1-ET-M1-000001 4 RETURN THIS PORTION WITH PAYMENT DUE DATE: 07/01/2017 ,-TOTAL AMOUNT DUE: $144.96. DO NOT SEND CASH Amount "r ;` Group Name: FISHERS ISLAND FERRY DIST Enclosed x M V V V „-4 iM �r,,i,` wry `Y F `., ,.,i t Group Number: A75986 PLEASE MAKE CHECK PAYABLE TO ANTHEM BLUE CROSS AND BLUE SHIELD WRITE YOUR GROUP#ON YOUR CHECK AND REMIT TO ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 11792 NEWARK,NJ 07101-4792 0021081876711205018A7598600000000000820170700225807011700000000000144965 3OF4 . nffiem® ME B1ueCross BlueShield Billing Summary Invoice No.. 0201707002258 Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 Billing Period: 07/01/2017 to 08/01/2017 Date Billed: 07/07/2017 Due Date: 07/01/2017 Billing Summary Prior Billing Net Amount Due Amount Paid Balance $0.00 $0.00 $0.00 SubTotal $0.00 Current Billing - ANTHEM $144.96 $0.00 $144.96* SubTotal - $144.96 Total Amount Due $144.96 *Applicable fees are included in the premium amounts. FEES-ACA Insurer Fee,$3.69 Membership Detail Contract No Rate* Subscriber Dep Premium ID# Subscriber Product Volume Type Cov Cbg Amount Amount Amount 557M90436 COOK,GEORGE B BW A5 EE/CH/ 03 $16.12 $0.00 $16.12 045M90439 DOUCETTE,DEBORAH A BW A5 EE O1 $5.85 $0.00 $5.85 223M90439 ESPINOSA,NICHOLAS S BW A5 EE O1 $5.85 $0.00 $5.85 558M90436 FIORA,MICHAEL A BW A5 EE O1 $585 $0.00 $5.85 763M90436 FORD,POLLY C BW A5 EE/CH/ 03 $16.12 $000 $16.12 046M90439 HANEY,JONATHAN F BVV A5 EE/SP 02 $10.24 $0.00 $1024 358M90438 HANSEN,DIANE K BW A5 EE O1 $5.85 $0.00 $5 85 359M90438 HILLER,JONATHAN I BW A5 EE/SP 02 $10.24 $0.00 $10.24 047M90439 LAVIN,ROBERT F BW A5 EE/SP 02 $10.24 $0.00 $10.24 508M90439 MARHSALL,JESSE A BW A5 EE/SP 02 $10.24 $000 $10.24 224M90439 MORGAN,JOHN E BW A5 EE/CH/ 05 $16.12 $0.00 $16.12 509M90439 PARADIS,JOHN L BW A5 EE/CH/ 03 $16.12 $000 $16.12 360M90438 SCROXTON,DEREK E BW AS EE/CH/ 04 $16.12 $0.00 $16.12 Membership Detail Subtotal $144.96 $0.00 $144.96 *Rate Change Legend: B=New Age Rate C=New Area Category D=New Age Rate&Area Category E=Next Bill Reflects New Age Rate F=New Area Category&Next Bill Reflects New Age Rate T=Tobacco Use Premium Adjustment Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc.Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 4OF4 Anthem.l& B1ueCross B1ueShield Invoice No.: 0201707002258 Group Name: FISHERS ISLAND FERRY DIST ® Group Number: A75986 Billing Period: 07/01/2017 to 08/01/2017 Date Billed. 07/07/2017 Due Date: 07/01/2017 PAYMENT POLICY *Remember to PAY AS BILLED-pay the total amount shown as due on the bill. *Do not add or delete members by writing on your bill-your payment goes to an automatic deposit box that cannot read your changes. * Submit membership changes to Anthem as they occur. We will adjust your premiums, when applicable,on a future bill. This invoice reflects all membership information processed to date. If additional payments or member changes have been mailed,they will be reflected in a future invoice. According to Anthem eligibility guidelines, all membership changes must be received by Anthem within 31 days of the qualifying event. IMPORTANT NOTICE: If this bill reflects an outstanding premium balance for the prior month's bill,Anthem's issuance of this invoice does not extend any premium grace period applicable to the outstanding balance and does not waive Anthem's contractual right to automatically terminate your group's coverage for failure to timely pay premium. Any premiums received by Anthem or its designee are received conditionally subject to actual acceptance of the premiums by Anthem. For billing questions,please call(855) 886-6154 —``�— FISHERS ISLAND FERRY DISTRICT VENDOR 006412 FISHERS ISLAND UTILITY CO 07/18/2017, CHECK 4197 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT t SM .5710.4.000.200 028000-0617 AT&T COMM.CHARGE-6/17 4.45 SM .5710.4.000.200 028000-0617 TELEPHONE-6/17 390.73 SM .5710.4.000.200 028000-0617 INTERNET-6/17 312.00 SM .5710.4.000.200 028000-0617 ELECTRIC-6/17 477.30 SM .•5710.4-.000.200 028000-0617 WATER-6/17 70.34 TOTAL 1,254:82 co gianf n I «F s � t f i FISHERS ISLAND FERRY DISTRICT � 53095 MAIN ROAD,PO BOX 1179 =AUDIT 07/18/17 _ - 0 -SOUTHOLD,NY,11971-0959 _ _ ' CHECK NO.--_' -''.4,197 i THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE'. AMOUNT. _ 50-5481214 07/18/2017 $1,2'54;.82 ,ONE-,THOUSAND, TWO:HUNDRED_ FIFTY -FOUR AND 82/,100 DOLLARS PAY FISHERS ISLAND UTILITY CO TO THE'-`PO,BOX. BOX 604 ORDER -FISSHERS"ISLAND- NY 06'390=0604 110004 19711' 1:0 2 140 54641: 68 00 L50 2 111' � Town of Southold, New York- Payment Voucher Vendor No. 412 Check N4197 o. Vendor Tax ID Number.or Social Security Number Vendor Address Entered by PO BOX E Vendor Name Fishers Island, NY 06390 Audit Eate FISHER ISLAND UTILITY COMPANY 'JUL 18 2017 Vendor Telephone Number 631-188-0023 Town Clerk Vendor Contact Invoice Invoice Invoice + Net Purchase Order Number Date Total J Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 028000 6/30/2017 $ 1,254.82 $ 4.45 AT&T Communications-Charge June 2017 SIEti.5710.4.000.200 17 $ 390.73 Telephone June 2017 SM.5710.4.000.200 $ 312.00• Internet Jane 2017 SM.5710.4.000.200 $ 477.30 Electric June 2017 SM.5710.4.000.200 $ 70.34 dilater June 2017 SM.5710.4.000.200 T-$ 1,254.82 $ 1,254.82 ?ayee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature le Signature Company Name Fishers Island Fem,Date 7/5/2017 TitleDate C/ / Page 1 of 10 Billing Telephone Number 631-788-5522 i Account Number: 00028000 Billing Date. June 30, 2017 Due Upon Receipt-Past Due After: July 25, 2017 r' Bill must be paid by the due date to avoid a late charge. Total Amount Due $1,254.82 _ - . . _ _yam.;-• Po aox 604 Summary of Charges FISHERS ISLAND,NY 06390-0604 Balance Information Important Messages Last Bill $2,977.12 Total Payments -$2,977.12 40 Current Charges (see details on following pages) Go Paperless! Fishers Island Telephone $390.73 Would you like to have your FI Utility Bill emailed? AT&T Communications $4.45 Fishers Island Internet $312.00 It's simple!Visit www.fiuc.net Fishers Island Electric $477.30 Click on the"View my Bill"link and sign up. Fishers Island Water $70.34 Also,to pay your bill online,go to www.fluc.net Total Current Charges $1,254.82 Click on the"Pay my Bill"link and sign up. Total Amount Due-Please Pay this Amount $1,254.82 If you have any questions please call(631)788-7251 and we will be happy to assist you. Questions about your bill?Contact our office by phone (631)788-7251 press 4 for Telephone; press 5 for Electric or Water; Monday- Friday, 8am-noon & 1 pm-4:30pm; or by email: Telephone-fitelephone@fishersisland.net Electric&Water-fiuc@fishersisland.net If you pay by check,this is notification that the check may be converted to an electronic deposit.Please detach and return below. How to Reach FISHERS ISLAND UTILITY CO. For Inquiries • By mail: PO BOX 604 FISHERS ISLAND NY 06390-0604 • By Phone: 631-788-7251 press 4 for Telephone, press 5 for ElectricMater • Website: www.fiuc.net For Payments by Mail FISHERS ISLAND UTILITY CO. PO BOX 604 FISHERS ISLAND NY 06390-0604 For Payments Online • www.fluc.net CONSUMER COMPLAINTS In the case of a dispute between the Customer and the Fishers Island Utility Company which cannot _ be resolved with mutual satisfaction,the Customer may file a complaint by contacting the New York State Department of Public Service by phone or by mail. A. By Phone: Helpline(for complaints/inquiries): 1-800-342-3377 for Continental United States or, 1-800-662-1220 for Hearing/Speech Impaired: TDD or, 518-472-8502 for fax B. Online: http://www.dps.ny.gov/complaint.htmi C. By Mail: NYS Department of Public Service Office of Consumer Services 3 Empire State Plaza Albany, NY 12223-7350 If however, you feel that your problems may be handled at the local level, please ask to speak with the President of the Utility Company, Chris Finan,who may be reached during business hours at 631-788-7251; press 5 for assistance. I , • Page 3 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 ' 07/25/2017 Detail of Monthly Service Charges Payments and Adjustments Fishers Island Telephone Total $41.67 CHECK June 26, 2017 -1,384.76 CHECK June 05, 2017 -1,592.36 (631)788-5673-UPS LINE Amount Total Payments Applied -2,977.12 Current Charges for July 01 -July 31 Basic Local Service -Business Local Service $23.00 -End User Charge-Multi Line $9.20 Fishers Island Telephone -Access Recovery Charge 3 $3.00 - -FREIGHT DSL LINE ount -Ee911 Surcharge $0.35 (6317885522 Am ) Federal Universal Service Charge $2.12 Subtotal $37.67 Current Charges for July 01 -July 31 Basic Local Service Local Service Total $37.67 -Business Local Service $23.00 Local Service can be disconnected for non-payment of Local Service Total. -End User Charge-Multi Line $9.20 -Access Recovery Charge 3 $3.00 Fishers Island Telephone Total $37.67 -E-911 Surcharge $0.35 Federal Universal Service Charge $2.12 (631)788-7031 -MOVIE THEATER Amount Subtotal $37.67 Current Charges for July 01 -July 31 Local Service Total $37.67 Basic Local Service Local Service can be disconnected for non-payment of Local Service Total. -Business Local Service $$4.00 -Toll Restriction-Business $4.00 Fishers Island Telephone Total $37.67 -End User Charge-Multi Line $9.20 631 788-5523-FAX/DSLIMAINOFFICE Amount -Access Recovery Charge 3 $3.00 ( ) -E-911 Surcharge $0.35 Federal Universal Service Charge $2.12 Current Charges for July 01 -July 31 Subtotal $41.67 Basic Local Service Local Service Total $41.67 -Business Local Service $23.00 -End User Charge-Multi Line $9.20 Local Service can be disconnected for non-payment of Local Service Total. -Access Recovery Charge 3 $3.00 -E-911 Surcharge $0.35 Fishers Island Telephone Total $41.67 Federal Universal Service Charge ��( $2.12 Subtotal F,(631)788-7345-FREIGHT OFFICE Amount " $37.67 Local Service Total -$37.67 Current Charges for July 01 -July 31 Local Service can be disconnected for non-payment of Local Service Total. Basic Local Service -Business Local Service $23.00 Fishers Island Telephone Total $37.67 -End User Charge-Multi Line $9.20 - -PUBLIC DOCK PHONE Amount -Access Recovery Charge 3 $3.00 (6317885559) -E-911 Surcharge ' $0.35 Federal Universal Service Charge $2.12 Current Charges for July 01 -July 31 Subtotal $37.67 Basic Local Service Local Service Total ��_ $37.67 -Business Local Service $23.00 -Toll Restriction-Business $4.00 Local Service can be disconnected for non-payment of Local Service Total. -End User Charge-Multi Line $9.20 -Access Recovery Charge 3 Z711- $3.00 Fishers Island Telephone Total $37.67 -E-911 Surcharge $0.35 Federal Universal Service Charge $2.12 (631)788-7463-MANAGERS OFFICE Amount Subtotal $41.67 Current Charges for July 01 -July 31 Local Service Total $41.67 Basic Local Service Local Service can be disconnected for non-payment of Local Service Total. "Business Local Service $23.00 -End User.Charge-Multi Line $9.20 Page 4 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 ' 07/25/2017 -Access Recovery Charge 3 $3.00 -E-911 Surcharge $0.35 Federal Universal Service Charge $2.12" Subtotal $37.67' AT&T Communications Optional Local Service Questions about your billing?Call 800-222-0300 Basic Line Hunt-Residential $4.00 Alarm Service Monthly Charge $30.00 Subtotal �_ $34.00 at&t Local Service Total $71.67 Local Service can be disconnected for non-payment of Local Service Total. Charges for(631)788-5522 - - r Fishers Island Telephone Total $71.67 AT&T Toll Credit -$3.38 ( 631)788-7580-FIO ROLLOVER Amount Total -$3.38 Current Charges for July 01 -July 31 Calls for(631)788-5522,0288-AT&T Communications Date Time Called# - - Called Place *type Min Cost__ Basic Local Service 1 05/24 1211p (847)968-1814 LIBERTYVL IL DOS 2.0 $2.78 -Business Local Service $23,00 206/01 04'08p (860)583-3369 BRISTOL CT DOS 2.0 $2.78 -End User Charge-Multi Line $9,20 2 Calls for(631)788-5522 4 $5.56 -Access Recovery Charge 3 $3.00 Total for(631)788-5522 $2.18 -E-911 Surcharge $0.35 Federal Universal Service Charge $2.12 *Type CALL TYPE:EXPLANATION Minutes Amount Subtotal $37.67 DOS • Direct Dialed Out of State 4 $5.56 Optional Local Service Charges for(631)788-5559 Basic Line Hunt-Residential $4.00 Subtotal $4.00 Local Service Total $41.67 Calls for(631)7885559,0288-AT&T Communications " Date Time Called# Called Place *Type Min Cost Local Service can be disconnected for non-payment of Local Service Total. 105/28 11,47a (917)330-7771 NEWYORK NY DIS 1.0 $1.051 Calls for(631)788-5559 1• $1.05 Fishers Island Telephone Total., $41.67 W2�Total for(631)788-5559 $1.05 (631)788-7744-FI TICKETING Amount *Type CALL TYPE:EXPLANATION Minutes Amount Current Charges for July 01'-July 31 DIS Direct Dialed In State 1 $1.05 Basic Local Service Taxes and other Surcharges -Business Local Service $23.00 Universal Connectivity Charge-Interstate $0.97 -End User Charge-Multi Line $9.20 Interstate Gross Receipts Tax 4.44% $0.25 -Access Recovery Charge 3 $3.00 Total AT&T Communications Taxes $1.22 -E-911 Surcharge $0.35 Total AT&T Communications Charges 4.45 Federal Universal Service Charge $2.12 Subtotal $37.67 Optional Local Service Off Premise Charge - $0.50 Off Premise Charge 1/4 Mile-Business $5.20 Customer Information Subtotal $5.70 - If your_business makes outbound telephone solicitations,you must Local Service Total $43.37 comply with federal do-not-call laws and regulations (47 C.F.R.64.1200,&16 C.F.R.310)and any applicable state laws. Local Service can be disconnected for non-payment of Local Service Total. Fishers Island Telephone Total $43.37 Total Fishers Island Telephone $390.73 Charges - Page 5 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 Fishers Island Internet (100)101-0112-MOVIE THEATER Amount Current Charges for July 01 -July 31 S Internet Service "Basic"4M Business $100.00 Subtotal $100.00 Internet Total $100.00 Fishers Island Internet Total $100.00 (100)101-0113-FERRY.FREIGHT OFFICE Amount Current Charges for July'011-July 31 Internet Service "Basic"1210 Business $90.00 Subtotal $90.00 Internet Total $90.00 1 Fishers Island Internet Total $90.00 (100)101-0114-FERRY MAIN OFFICE Amount Current Charges for July 01 -July 31 Internet Service "Better"12M Business ��1 $122.00 Subtotal G%v v $122.00 Internet Total $122.00 Fishers Island Internet Total $122.00 Total Fishers Island Internet $312.00 Charges Page 6 of 10 qWp Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 Fishers Island Electric - (300)101-0167 - FREIGHT SHED, BLDG 208 Electric Class-50 Current Charges Energy Charge(See Detail below) $122.31 Fuel Adjustment $8.33 Total Current Charges $130.64 Meter Readings Energy Used Amount Current Previous MASTER 70521 70190 REG. 331 KWH $72.04 DEMAND 4.5 0 DMD. - 4.5 KW $50.27 DATE 06/19/2017 05/23/2017 DMD. MIN. 2.77 $0.00 NY SURCHARGE $0.00 FUEL ADJUSTMENT FACTOR 0.02517 PER KWH Fishers Island Electric Charges $130.64 Fishers Island Electric - (300)101-0168 -THEATRE Electric Class-50 Current Charges Energy Charge(See Detail below) $15.90 Fuel Adjustment $0.00 Total Current Charges $15.90 Meter Readings Energy Used Amount Current Previous MASTER 763 763 REG. 0 KWH' $15.90 DEMAND 0 0 DMD. 0 KW $0.00 DATE 06/19/2017 05/23/2017 DMD.MIN. 0 $0.00 NY SURCHARGE $0.00 METER MULT. 80 FUEL ADJUSTMENT FACTOR 0.02517 PER KWH Fishers Island Electric Charges $15.90 Fishers Island Electric - (300)101-0169 -AIRPORT Electric Class-50 Current Charges Energy Charge(See Detail below) $33.37 Fuel Adjustment $2.59 Total Current Charges $35.96 Meter Readings Energy Used Amount Current Previous MASTER 11977 11874 REG. 103 KWH $33.37 DEMAND 0 0 DMD. 0 KW $0.00 DATE 06/19/2017 05/23/2017 DMD.MIN. -- 0 $0.00 NY SURCHARGE -$0.00 FUEL ADJUSTMENT FACTOR 0.02517 PER KWH Fishers Island Electric Charges $35.96 Fishers Island Electric - (300)101-0171 - BUSINESS OFFICE Electric Class-50 • Page 7 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 Current Charges Energy Charge(See Detail below) $264.24 Fuel Adjustment $30.56 Total Current Charges $294.80 Meter Readings Energy Used Amount Current Previous MASTER 20541 19327 REG. 1214 KWH $221.79 DEMAND 2.86 0 DMD. 3.8 KW $42.45 DATE 06/19/2017 05/23/2017 DMD. MIN. 3.8 $0.00 NY SURCHARGE $0.00 FUEL ADJUSTMENT FACTOR 0.02517 PER KWH Fishers Island Electric Charges $294.80 Total Fishers Island Electric Charges $477.30 Page 8 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 Fishers Island Water - (200)101-0140 -THEATRE Water Class -21 Current Charges Water Charge(See Detail below) $35.17 Total Current Charges $35.17 Meter Readings Amount Meter Date Current 58499 06/19/2017 Previous 58499 05/23/2017 Cubic Feet 0 (Cubic Feet x 7.5= Gallons)= 0 TOTAL WATER CHARGE $35.17 Fishers Island Water Charges $35.17 Fishers Island Water - (200)101-0142 - BUSINESS OFFICE Water Class - 21 Current Charges Water Charge(See Detail below) $35.17 Total Current Charges $35.17 Meter Readings Amount Meter Date Current 98140 06/19/2017 Previous 97830 05/23/2017 Cubic Feet 310 (Cubic Feet x 7.5=Gallons)=2325 TOTAL WATER CHARGE $35.17 Fishers Island Water Charges $35.17 Total Fishers Island Water Charges $70.34 Page 9 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 UNDERSTANDING YOUR ELECTRIC BILL Your contract is on a non-transferable annual basis. Federal and State Taxes are billed when applicable. A complete copy of our rate schedule can be obtained at the offices of the Fishers Island Utility Company office building. BASIC MINIMUM CHARGE: Covers maintenance of electric lines, meters and other costs.This charge will be billed whether or not you use energy. KWH(KILOWATTHOUR): A KWH equals 1000 watt-hours of electricity use. One KWH equals the energy needed to run a 100 watt light bulb for 10 hours. FUEL ADJUSTMENT: A charge reflects changes in the actual cost of fuel purchased by the utility. RESIDENTIAL ELECTRIC RATES CLASS 1. CLASS 2. CLASS 7. Minimum Charge $10.60 Minimum Charge $32.37 Minimum Charge $23.12 First 1,000 KWH $0.1790 All KWH $0.3237 All KWH $0.2255 Over 1,000 KWH $0.2067 COMMERCIAL ELECTRIC RATES CLASS 5. Minimum Charge $15.90 Demand Charge $11.17 per KWH Energy Charge $0.1696 per KWH UNDERSTANDING YOUR WATER BILL Water usage is billed monthly. Your contract is on a non-transferable basis. Monthly minimum charges are based on meter size and class. Federal and State taxes are billed where applicable. A complete copy of our rate schedule can be obtained at the offices of Fishers Island Utility Company office building. CLASS 1. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $27.38 3,000 3/4 $41.08 4,500 1 $68.46 7,500 11/4 $95.84 10,500 11/2 $136.92 15,000 2 $219.07 24,000 3 $438.14 48,000 4 $684.60 - 7b;000 6 $1369.19 150,000 Water usage over the minimum is billed at$9.13 per thousand gallons. CLASS 2. Meter Size Minimum Charge Minimum Usage (Inch) (Gallons) 5/8 $35.17 3,000 314 $52.76 4,500 1 $87.93 7,500 11/4 $123.10 10,500 11/2 $175.86 15,000 2 $281.38 24,000 3 $562.76 48,000 4 $879.31 75,000 6 $1758.61 150,000 Water usage over the minimum is billed at$11.72 per thousand gallons. Page 10 of 10 Account Name Billing Date Account Number Due Date F I FERRY DISTRICT 06/30/2017 00028000 07/25/2017 Page intentionally left blank - ---- -- - - - --- -- - --- ---- --- - - ---- - - I a I TO: -TP Acct.# Q cbDCD Your water classification has been changed to a _from a I , Your winter usage (October through May)was to gallons. Your summer usage (June through September)was 5 .'�� gallons. If you have any questions please call the Fishers Island Utility Company at 788-7251. L 16 FISHERS ISLAND FERRY DISTRICT VENDOR 006803 FRONTIER 07/18/2017 CHECK 4198 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 86003757640`617 INTERNET-6/27-7/26/17 106.55 / TOTAL 106.55 }` ` r a � h`�• rows` —®— .2121: i _- � "• x ¢ r ren .-. < .a.."•\4n^ fv^•� ».. ..t i FISHERS ISLAND FERRY DISTRICT „AUDIT- o T '53095:MAIN ROAD,P¢80X 1179',, _SOUTHOLD,-NY 11971-0,959 - -CHECK.-NO: 4,198` _ THE SUFFOLK C0:'NATIONAL B ' ANK CUTCHOGUE,NY 11935 - _ DATEAMOUNT _ = 50-5as�zld - 07_/,i8/,2'017_ = _ :$=1'06 5`5 = ' _ ONE''!HUNDRED"'SIX 'AND` 55'/100';DOLLARS . i ;t, PAY, FRONTIER 714040.7 ORDER CINCINNATI 0H 45274--',04,07 �i'004 1913Ii' 1:0 2 L4058 00 LS0 2 Vendor No. ChEck,�Io, Ton Southold, New York _ Payment Voucher 6803 Vendor Address Eiite'red by Frontier Vendor Name PO Box 740407 Altdlt DatE Frontier Long Distance Cincinnati, OH 46274-04C7 A `I 8' 2017 Vendor Telephone Number Town Clerk Vendor Contact ' www• m In7M2 Invoiez Invoice Net Purchase Order Number Date `total Discount Amount Claimed Number Description of Goods or Services ,General Ledger Fund and Account Number 8E;1-7 660-037-5764-'i'9 -5 612712017 $106.56 $106.66 NL 9nernet Service Sil IM0.4.000.100 6127-7126117 $106.65] i $106.65 Payee-Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature r )} o Title SignatureL_ Company Name Fishers Island Ferry District Date 7/5/2017 Title �r Date v l .e FISHERS ISLAND FERRY DISTRICT Pagel of 3 F1 ' rTM Your Monthly Invoice COiAMUNICATIONS Account SuatamM New Charges Due Date 7/21/17 Billing Date 6/27/17 Account Number 860-037-5764-111413-5 PIN 1245 Previous Balance 259.10 Payments Received Thru'6/01/17 -152.55 Thank you for your payment! Balance Forward �`` (` 106.55 New Charges 106.55 Total Arnolunt Vue Get T that fits . . your business. To Pay Your BIII Add DISH Business and create your own TV package. Online:Frontiencom 1.800.801.6652 • Liven up the waiting room or lunchroom • Make your establishment the go-to place Pay by Mail Get great TV programming at really great prices! •;; ® To Contact CJs Call 1.844.217.420 2 s sn BUSINESS 10Chat: Frontierconn Online: Frontiercom/helpcenter All offers require business verification and 24-month commitment with early termination fee All prices,charges,packages, pragrammingfeatures,functionality,and offerssubecttochange without notice Speaficchannelsmayvaryfromresidential 1.800.921.8102 USEmail: ContactBusiness@ftr.com packages and package names do not necessarily reflect channel counts 02017 Frontier Communications Corporation 6 r gyp'Fr Page 2 of 3 Date of Bill 6/27/17. COMMUNICATIONS Account Number 860-037-5764-111413-5,, For Billing and Service Questions,Call 1-800-921-8102,7 am-7 prn Monday-Friday,9:30 am-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 o,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 reach a consultant trained to support their communication needs. M FISHERS ISLAND FERRY DISTRICT Page 3 of 3 Frontier Date of Bill 6/27/17 COMMUNICATIONS Account Number 560-037-5764-111413-5 CURRENT BILLING SUMMARY CUSTOMER TALK Local Service from 06/27/17 to 07/26/17 Qty Description 860/037-5764.0 Charge If your bill reflects that you owe a Balance Forward,you Basic Charges Other Charges-Detailed Below 9.00 must make a payment immediately in order to avoid CT State Sales Tax .57 collection activities. You must pay a minimum of$213.10 Total Basic Charges 9.57 by your due date to avoid disconnection of your local seance All other charges should be paid by your due date Non Basic Charges to keep your account current Broadband Max Ultra Static IP 114.99 Other Charges-Detailed Below 1.99 Partial Month Charges-Detailed Below -20.00 Effective with your next bill, the new applicable late Total Non Basic Charges 96.98 payment fee will increase to$9 00 or 1 5%,whichever is greater, for customers who subscribe to Voice, Internet, or TOTAL 106.55 N• Please contact Customer Service with any questions. -------------------—-------_---------------------------------------- Upon termination of service,you must return equipment — owned by Frontier. Failure to return Frontier Equipment, or "ACCOUNT ACTIVITY' returning Equipment in a damaged condition (subject only Qty Description order Number Effective Dates to reasonable wear and tear)will result in the imposition of an Equipment fee that may be substantial 1 Late Payment Fee 6/23 9.00 1 Business High Speed Internet Fee AUTOCH 6/27 1.99 860/037-5764 Subtotal 10.99 Partial Month Charges Broadband Term Bus PROMOTION 6/27 7/26 -20.00 860/037-5764 Subtotal -20.00 Subtotal -9.01 ?i. .0 .. . . . . ............................. .. 'M FISHERS ISLAND FERRY DISTRICT VENDOR 007126 GENCORP INSURANCE GROUP, INC. 07/18/2017 CHECK 4199 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1910.4.000.200 649351 PLCY#AP04582315506-8/18 3,253.00 SM .1910.4.000.100 649352 PLCY#MASILBNO003117-8/18 11, 000.00 SM .1910.4.000.100 649398 POLICY#CAP1402246-8/18 2,319.00 SM .1910.4.000.100 649400 POLICY#MAC1402245-8/18 7,230.41 "x SM .1910.4.000.100 649409 POLICY#OMH1854351-8%18 33,714.00 i TOTAL 57,516.41 o "•ay o � —a rt _ J 'FISHERS ISLAND FERRY'DIS7R_ICT , - _'AUDI 1T� -0,7 18'/,17 _ w 53095'MAIN ROAD,PO BOX 1779, _ SOUTHOLD,NY 11971-0959, CHECK .NO: THE SUFFOLK CO NATIONAL BANK' CUTCHOGUE,NY 11935 DATE_ AMOUNT' ` - - 50-546/214 : . � =07/18/2017, --_FIFTY"'SEVEN;'THOUSAND. FIVE','HUNDRED_'SIXTEEN :AND' ,41/100 DOLLARS2 - pgy- GENCORP INSURANCE GROUP, INC. - TOTHE' -16`-MAIN STREET ORDER OF 'EAST''GREENWICH RI , 02818' 11.004 199115 1:0 2 140 54 641: 68 00 X 50 2 Lii' 1 ♦ � Vendor No. �lieckgNo: 'own of Southold, New York - Payment Voucher 7126 Vendor Address Erttered'by" 16,Main Street _ Gencor,Insurance Group East Greenwich, R102818 Adit°Da Vendor Telephone Number L1 2017 401-884-7800 T6wm;C1er}c Vendor Contact Invoice Invoice Invoice 'Net Purchase Order , Number Da* Total Discount ,Amount Claimed Plumber Description of Goods or Services :`General Ledger,Fimd'and Account Number 649351 71612017 $3,263.Wl 1 $3,263.00 Airport Liability renewal , , 'SM1910:4.000.200 811/17-811!18 AP04582316606 649352 7/612017 $11,000.00 $11,000.00 Umbrella renewai St 1910.4.000.100 I J 811117-811118 MASILBNOOD3117 649409 7/712017 $33,714.00 $33,714.00 Marine Package „ �1�1i1g10A060.100 811117-811118 Policlr#C�i` H1864351 649398 71712017 $2,319.00; $2,319.00 NY Automobile/CT Garagek ee ers ' , ;"',�i�1991_0.4.000.100 i 8/1117-811/18 CAP1402246 649400 717125317 $7,230.411 II1 $7,230.41 Probe /Crime rewrite ' ,,SMI`91-64.000.100 i 8/1117-8/1/1.8 MAC1402246 $57,516.411 $57,516.411 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that-the materials above specified have beenreeeived by me does hereby certify.that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owin d that taxes from which-the Tovni is exempt are excluded. or discrepwicies noted,and payment is approved VA 4(L_ Signature uie IE- S 5iViature Company Name Fishers Island Fen),District Date 7/1012017 Title Date NEWFishers Island Ferry District cusfomer= '''Y° CROUP ENGLAND 15677 6W4 <f a° 07/06/2017 Customer Randall Carnahan .Servjce� Carol Branch Page " 1 of 1 "Raymehilnformatl,on� ' Invoice Summary,, 3,25300 Payment Amount: Fishers Island Ferry District , P.O. Box 607 Paymeatfors ' Invoice#649351 Fishers Island,NY 06390-0607 AP04582315506 �i>-;i C?Ci B•�e Customer:Fishers Island Ferry District y �,.>.,` mount- Injib[ce'` Effecfive � 'F°Transaction- -• pesbription: A Policy#AP04582315506 08/01/2017-08/01/2018 AIG 649351 08/01/2017 Renew policy Airport Liability-Renew policy 3,253.00 Please make your check payable to GenCorp Insurance Group. Thank you. Tbtaj .< 3,25300 �Ae:,rdfa �i�4n The Hilb Group of New England,LLC (800)232-0582 tate 3 r- 16 Main St East Greenwich,RI 02818 info_ne@hilbgroup com 07/06/2017 �m 11MV*CA-I NEW Fishers Island Ferry District Customer.. 141� GROUP ENGLAND 15677 Date, 07/06/2017 C"tornek', Randall Carnahan Sinilbe w Carol Branch �Rav' • I of 1 4 4 Payminflnf 1nii4'C"e sum'M'a-ry 11,000.00 PaymentArnook, Fishers Island Ferry District ,Payment foi.• Invoice#649352 R 0. Box 607 Fishers Island,NY 06390-0607 MASILBN0003117 Customer Fishers Island Ferry District lnvolce�;::,] ° Effectl Description. a Amount Policy#MASILBNO003117 08/01/2017-08/01/2018 Starr Indemnity& Liability Company 649352 08/0112017 Renew policy Umbrella-Renew policy 11,000.00 PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK YOU. Total 11,000.00 The Hilb Group of New England,LLC (800)232-0582 16 Main St East Greenwich,RI 02818 info—ne@hilbgroup com 07/06/2017 NEW .r Fishers Island Ferry District Fustorjiq�' . G OUP ENGLAND 15677 2 .Date 07/07/2017 Randall Carnahan ,Service Carol Branch !Page I of 1 zPaynnen'tinforril'atio Invoice Sui;;M—a 33,714.00 Payment Amount Fishers Island Ferry District Payrrid'htfoei Invoice#649409 P.O. Box 607 - Fishers Island,NY 06390-0607 OMH1854351 Customer*Fishers Island Ferry District Ihvo1cq'.' tffeetive.'.- Transaction- Descriptloti, "Amount,, Policy#OMH1854351 08/01/2017-08/01/2018 Great American Ins Co 649409 08101/2017 Rewrite Marine Package Policy Rewrite-Rewrite 33,714.00 MARINE PACKAGE POLICY. PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK Y OU. Total, 33,71400 l,'T The Hilb Group of New England,LLC (800)232-0582 16 Main St East Greenwich,RI 02818 info—ne@hilbgroup.com 07/07/2017 . . ,�,ar•-� spa �r..�. ECS " t dJi 3 rs�ko NEW Fishers Island Ferry District GROUPENGLANDCustomer r >` •>•... ., 15677 tate W ' 07/07/2017 Custtitiier Q Randall Carnahan Sentice;; Carol Branch P ay1Mq t lnfarniatlon' 6voic@5uminary' 2,319.00 .Naymenti��mount;,': �. Fishers Island Ferry District E; P.0. Box 607 Pajirnent`fOr: %` Invoice#649398 Fishers Island,NY 06390-0607 ISSUING 'ss2�nls you ' ''Ix?r,fiN;.�kfd"t,,i'I ri,t,•t .. ':<"y r'tF°'t4 Customer:Fishers Island Ferry District Invoice Effective; ;s,,, 4 Transactidn r Descript►on , M;.s ;,,. Amounts' Policy#CAP1402246 8/1/17-8/1/18 GreatAmencan Ins Co 649398 08/01/2017 Rewrite NY AUTO/CT GARAGEKEEPERS-Rewrite 2,319.00 NYAUTOMOBILE/CT GARAGEKEEPERS LIABILITY. PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK YOU. t-� �Total 2,319.00 `( "arlk Y€au The Hilb Group of New England,LLC (800)232-0582 =�` `,,A,,�,D7 tej 16 Main St East Greenwich,RI 02818 infone@hilbgroup cam 07/07/2017 _ 6 'r''S Svc t �fAi `ir:� W�> '�� •#sem NEW °. `<. r Fishers Island Ferry District Cu'toinor GROUPENGLAND £: 15677 Pate; >;;., 07/07/2017 ;Customer: Randall Carnahan $erYice ` Carol Branch Page y 1 of 1 Payrnentinfarmation= Invoice Summary 7,230.41 `,PaymentfAmount.". Fishers Island Ferry District pInvoice#649400 P.O. Box 607 Payment:for. .�. _� ...��... ISSUING Fishers Island,NY 06390-0607 - - _ at�xrt;z'a'rtza Ul;,..e�3�t„rtr r.�'t ru4t;rii.,ti,;�ayr•i...at - Customer Fishers Island Ferry District Invriice "Effective 'vTransactipn _ ... Desori}ition AtnotinY Policy #MAC1402245 8/1/17-8/1/18 Great American Ins Co 649400 08/01/2017 Rewrite PROPERTY/CRIME REWRITE-Rewrite 7,230.41 PROPERTY/CRIME REWRITE. PLEASE MAKE YOUR CHECK PAYABLE TO GENCORP INSURANCE GROUP. THANK YOU. Toto 7,23041 r 7,230 41 �( sxs�t'a.a v.c The Hilb Group of New England,LLC (800)232-0582 16 Main St East Greenwich,RI 02818 info_ne@hilbgroup.com 07/07/2017 FISHERS ISLAND FERRYDISTRICT VENDOR 009682 GOOSE ISLAND CORP 07/18/2017 CHECK 4200 FUND', & ACCOUNT P.O.# -INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 352777 10.207 GAL GAS-7/3 38-.78 SM .5709.2.000.200 352777 10.438 GAL DIESEL-7/3 41.12 TOTAL 79.90 i - .41 1 .. .fir><.. .w ...... ....,__...>.-»«..>r.,,.- r.•:c+•:c - ' '°' :fi-�,'- .z.'>^''•"� `�•� w Y � ,l'..�`�Eri.9..s'yA ���•���• �N����e^.�.�Sip'•-•µ ,?4...-•"-�rc~.� , ± j • I _ FISHERS ISLAND FERRY-DISTRICT - • +° — 53095WAIN ROAD,PO BOX 1179- , 'AUDIT, 0 7/,18/1'7_ , _ - - souTHOLD,Nv-9997-9-0956 - " .._ CHECK `NO._ ,'42.00 = THE SUFFOLK CO.NATIONAL BANK " CUTCHOGUE,NY 11935 1 DATE _ AMOUNT = 50-546/29'4, ,07/18/201,-7 — , $79 9,0 _ SEVENTY NINE. AND:,°90%100' ,DOLLARS PAY-- GOOSE„ ISLAND,CORP_ 1°0 TI�E,'i=f DBA=ISLAND',-SERVICE STATION ORDER` .PO=BOX '49 OF' FISHERS ISLAND NY 06390-004,9• ;y; uN004�200113 1:0 2 140546'41: 68 00 150 2 Iii' Vendor No. Cli 'k No., Town of Southold, New York m Payment 'Voucher 96.82 ; b' ' Vendor Address Eritered"by LA 1633 Central Avenue Vendor Name P.O. Box 49 Audit Date Goose Island Corporation Fishers Island, NY 06390 � � 181 ���� Vendor Telephone Number 631-788-7311 nlyn Clerk Vendor Contact Susan nod hivoice Invoice Invoice , Net Purchase Order Number Date Total Discount lAmount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ' 352777 7/392017 $79.901 FI fork(10.438)$3.939 F-350(10.207 gal) $3.799 „',,SM5709.2.000.200 &7& j �IIl►� 161H3 GSI �5�1 -- 6� 1? 771 7 $79.90 $79.90 f Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the excepfiions due and owing, that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title_ V C-``" Signature Company Name Fishers Istatid Fem District Date_ 7/6/2017 Title mate r r Goose Island Corporation Invoice 1633 Central Aive #49 Fishers Aland,NY 06390 Date Invoice# 7/3/2017 352777 Bill To FI Ferry District P.O.Box H Fishers Island,NY 06390 I i' P.O. No. Terms Project Net 10 Description Qty Rate Amount 87 Octane Gasohol 10.207 3.799 38.78 Low Sulfur Diesel 10.438 3.939 41.12 gas cans S u btota I $79.90 Sales Tax (0.0%) $0.00 Total $79.90 Payments/Credits $0.00 Balance Due $79.90 t ' L 4 J aJ i i Goose Island Corp P.O. Box 49 Fishers Island, New York 06390 i 631-788.7311 ' CUSTOMER'S OD�NORPHONE DATE NAME ADDRESS e �� CASH C O D CHARGE ON ACCT MDSE RET'D PAID OUT I C-11 I I � I - I I I I I I TAX SOLD BY RE CEI D IY ��- TOTAL E PRODUCT 609T ® All claims and returned goods MUST be accompanied by this bill 3 5 2 7 7 7 . THANK YOU' FISHERS ISLAND FERRY DISTRICT VENDOR 008081 HARVARD PILGRIM HEALTH CARE 07/18/2017 CHECK 4201 A , FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ,SM .9060.8.000.000 074705115817 CRDT-J.MOORE-JUNE PREM 436.75- SM .9060.8.000.00iO % i 074705115817 CRDT-K.NORTON-JUNE PREM -643 .70- SM .9060.8.000.000 074705118817A MEDICAL-, PREM(22) -JULY 17,350.50 ( ; TOTAL 16,070.05 "y m ,y`i`n+.3:.. �:✓'� •^ R,:.. .. r., ,.:>t :v<x.x a <.. .,,+ ........x.-...,,,�-rr°x� �t.S:.? '.•:•:••f ih�;.�;y•ri:: .•E�x _ hfi 1�, r 1 k3�„ u.L :... :<d� a:•-'ti%• '.d.< y>",.• •• >s ..tc.:•'r�•`.y.•».��'=c,Mc;Y% dti<a•• i7'. sri'a- ,•4•i.,.M �••xt . .. FT°a�^:,"•x'y . .. Y:�ui.w* w ...y� �� rw - y rvet< FISh_IERS_ ISLAND FERRY•DISTRICT. " AUDIT •07%'L 8:/17 53095 MAIN ROAD,PO BOX-1,179 ' SOUTHOLD,'NY 11.971-0959'- = CHECK"NO'', 4201- _ ` M. _ C0: t THE SUFFOLK NATIONA NK w CUTCHOGUE,NY 11935 DATE, . AMOUNT; ao=sa'srzia` 07'/,1.8/2017` _ $16',,07-0.05 - -S SAN 'SEVEN'T'Y AND '05/16'0 DOLLARS = t - 4_ �•, PAY_ HARVARD',`PILGRIM HEALTH CARE,- 1 "3 TOWE,, PO ;BOX."=97'0050' ORDER", ;BOSTON, MA 02,2 9 7-0'0 50OF u4 a■004 20 1!i' 1:0 2 140 54 6441: 68 00 1 50 2 Li,• e Vendor No. Check No Town of Southold, New York - Payment Voucher 8081 4901 Vendor Address Entered by PO Box 970050 Audit Date Harvard Pilgrim Health Care Boston, MA 02297-0050 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 074705115817 6/7/2017 ($1,080.45) ($436.75) Moore J Adj June premium SM9060.8-.000.000 $ (643.70) Norton K Adj 'SM9060.8.000.000 074705118817 7/7/2017 $34,301.00 $17,150.50 July 17 Medical Premium (22) SM9060.8.000.000 -$17,150.50 August 17 Medical Premiums (22) SM9060.8.000.000 insufficient amount resolved on 7/10/17 $16,070.05 $16,070.05 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 ��Titic- Signature Company Name Fishers Island Ferry District Date 7/13/2017 Title Date /✓ Harvard Pilgrim HealthCare 000144 IMPORTANT: INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705115817 FISHERS ISLAND FERRY DIS INVOICE DATE : 06/07/17 261 TRUMBULL DR BILL PERIOD : 07/01/17-07/31/17 PO BOX 607 PAYMENT DUE ON/BEFORE: 07/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 0 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 0 PREVIOUS BALANCE $ 20,064.57 MEMOS $ 0.00 ADJUSTMENTS $ -1,080.45" AMOUNT PAID $ 0.00 BALANCE FORWARD $ 18,984.12 CURRENT PREMIUMS $ 0.00 TOTAL AMOUNT DUE $ 18,984.12 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. I For questions regarding your invoice please call Account Services at'1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company FOLD AND DETACH AT PERFORATION FTCAFR c TCT 4 Am PPP Pv TITC HARVARD PILGRIM HEALTH CARE ., P.O.BOX 970050 INVOICE#: 074705115817 INVOICE DATE: 06/07/17 BOSTON, MA 02297-0050 BILL PERIOD : 07/01/17-07/31/17 PAYMENT DUE ON/BEFORE: 07/01/2017 CUSTOMER ACCOUNT#: 0150930000 FISHERS ISLAND FERRY DIS 261 TRUMBULL DR PO BOX 607 FISHERS ISLAND,NY 06390 CONTRACT SUBSCRIBER'S NAME COVERAGE" BILL BILL CONTRACT FAM DAYS PREMIUM ] NUMBER EFFECTIVE FROM TO. TYPE SIZE AMOUNT Total: $0.00 ADJUSTMENT SECTION ,CONTRACT SUBSCRIBER'S NAME ADJ ADJ_ CONTRACT DAYS REMARKS ADJUST" NUMBER EFF END TYPE AMOUNT I HP5436211 MOORS,JAMES m� 06/01/17 06/30/17 I TC _ -$436.75 HP5543230 NORTON,KEVIN 04/01/17 06/30/17 I TC -$965.55 HP5547209 NORTON,KEVIN 06/01/17 06/30/17 I AC $321.85 Total: -$1,080.45 AC ADD CONTRACT TC TERMINATE CONTRACT Page 3 SUMMARY OF BILLING CONT•TYPE CO[JNT: -, ,- _} :.,DAYS - - -� AMOUNV IW._.....�._.-.�___.-.__..vw__._.�... . _0_..�... _.�.__.z..__........__ ..____._.....0. _$0.00� PREMIUM TOTAL $0.00 I 3 151 -$1,080.45 ADJUSTMENT TOTAL -$1,080.45 1111111111 Hill Hill Hill 111111111111111 Hill 11111 Hill 111111111 lill *38113700014402020* Page 4 Harvard Pilgrim Healthcare 000053 IMPORTANT: INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705118817 FISHERS ISLAND FERRY DIS INVOICE DATE : 07/07/17 261 TRUMBULL DR BILL PERIOD : 08/01/17-08/31/17 PO BOX 607 PAYMENT DUE ON/BEFORE : 08/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 41 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 41 PREVIOUS BALANCE $ 18,984.12 MEMOS $ 0.00 ADJUSTMENTS $ 17,150.50 x AMOUNT PAID $ -20.064.57 BALANCE FORWARD $ 16,070.05 CURRENT PREMIUMS $ 17,150.50 TOTAL AMOUNT DUE $ 33,220.55 Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice. For questions regarding your invoice please call Account Services at 1-800-637-4751. HPHConnect allows you to perform transactions online"real time",please go to www.harvardpilgrim.org to logon. Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company FOLD AND DETACH AT PERFORATION FISF?ERS ISLAND FERRY DIS 261 TRUMBULL DR INVOICE#: 074705118817 PO BOX 607 INVOICE DATE : 07/07/17 FISHERS ISLAND,NY 06390 BILL PERIOD : 08/01/17-08/31/17 PAYMENT DUE ON/BEFORE : 08/01/2017 PLEASE MAIL PAYMENT WITH THIS STUB TO: CUSTOMER ACCOUNT#: 0150930000 HARVARD PILGRIM HEALTH CARE P.O.BOX 970050 PLEASE PAY THIS AMOUNT $33,220.55 BOSTON,MA 02297-0050 Enter Payment Amount Here PLEASE DO NOT WRITE BELOW THIS LINE 0150930000 0747051188171 0001715050 0003322055DC This page intentionally left blank HARVARD PILGRIM HEALTH CARE P.O.BOX 970050 INVOICE#: 074705118817 • BOSTON MA 02297-0050 INVOICE DATE: 07/07/17 BILL PERIOD : 08/01/17-08/31/17 PAYMENT DUE ON/BEFORE: 08/01/2017 CUSTOMER ACCOUNT#: 0150930000 FISHERS ISLAND FERRY DIS 261 TRUMBULL DR PO BOX 607 FISHERS ISLAND,NY 06390 C©NTRACT SUBSCRIBER'S NAME —COVERAGE --BILL-- $ILL CONTRACT _ FAM - DAYS__ PREMIUM, iNUMBER EFFECTIVE FROM TO TYPE- SIZE AMOUNT 3 L __ HP5446719 BURKE,STEPHEN 07/01/16 08/01/17 08/31/17 F 3 $1,580.46 HP5523354 COOK,GEORGE 03/01/17 08/01/17 08/31/17 F 3 $1,628.99 HP5436198 DORSETT,KRISTOPHER 07/01/16 08/01/17 08/31/17 I 1 $338.57 HP5436199 DOUCETT E,-DEBORAH 07/01/16 08/01/17 08/31/17 D 2 $1,306.04 HP5436204 EAGAN,DAN 07/01/16 08/01/17 08/31/17 I 1 $292.28 HP5436202 ESPINOSA,NICHOLAS 07/01/16 08/01/17 08/31/17 I 1 $334.11 HP5436205 FIORA,MICHAEL 07/01/16 08/01/17 08/31/17 I 1 $340.80 HP5436206 FORD,POLLY 07/01/16 08/01/17 08/31/17 F 3 $1,153.20 HP5436203 FRANCO,MICHAEL 07/01/16 08/01/17 08/31/17 I 1 $756.90 HP5436207 HANEY,JONATHAN 07/01/16 08/01/17 08/31/17 D 2 $668.49 HP5436209 HANSEN,DIANE 07/01/16 08/01/17 08/31/17 I 1 $823.28 HP5436208 HILLER,JONATHAN 07/01/17 08/01/17 08/31/17 D 2 $1,482.85 HP5544596 JONES,XAVIER 06/01/17 08/01/17 08/31/17 I 1 $177.09 HP5436210 MARSHALL,JESSE 07/01/16 08/01/17 08/31/17 D 2 $715.07 HP5436200 MASON,RHAMIR 07/01/16 08/01/17 08/31/17 I 1 $292.28 HP5436213 MORGAN,JOHN 02/13/17 08/01/17 08/31/17 F 5 $1,210.64 HP5436212 MURPHY,GORDON 07/01/16 08/01/17 08/31/17 EK 2 $1,00595 HP5547209 NORTON,KEVIN 06/01/17 08/01/17 08/31/17 1 1 $278.89 HP5436214 PARADIS,JOHN 07/01/16 08/01/17 08/31/17 F 3 $1,394.45 HP5436215 SCROXTON,DEREK 07/01/16 08/01/17 08/31/17 F 4 $1,027.13 HP5436201 WILCOX,CARLTON 07/01/16 08/01/17 08/31/17 1 1 $343.03 Total: $17,150.50 ADJUSTMENT SECTION CONTRACT SUBSCRIBER'S NAME ADJ ADJ CONTRACT DAYS REMARKS_ ADJUST BER _ EFF END TYPE w4 AMOUNT HP5446719 BURKE,STEPHEN 07/01/17 07/31/17 _ F MR $1,580.46 HP5523354 COOK,GEORGE 07/01/17 07/31/17 F MR $1,628.99 HP5436198 DORSETT,KRISTOPHER 07/01/17 07/31/17 I MR $338.57 HP5436199 DOUCETTE,DEBORAH 07/01/17 07/31/17 D MR $1,306.04 HP5436204 EAGAN,DAN 07/01/17 07/31/17 I MR $292.28 HP5436202 ESPINOSA,NICHOLAS 07/01/17 07/31/17 I MR $334.11 HP5436205 FIORA,MICHAEL 07/01/17 07/31/17 I MR $340.80 HP5436206 FORD,POLLY 07/01/17 07/31/17 F MR $1,153.20 HP5436203 FRANCO,MICHAEL 07/01/17 07/31/17 I MR $756.90 HP5436207 HANEY,JONATHAN 07/01/17 07/31/17 D MR $668.49 HP5436209 HANSEN,DIANE 07/01/17 07/31/17 I MR $823.28 HP5436208 HILLER,JONATHAN 07/01/17 07/31/17 D MC $725.95 Page 3 CONTRACT SiJBSCRIBER'SNAME A ALtJ �ADf ' CONTRACT—DAYS AbFU T-.j NUMBER EFF END. TYPE AMOUNT ! 6HP5436208 HILLER,JONATHAN _ 07/01/17 07/31/17 D _ AM $756.90. HP5544596 JONES,XAVIER 07/01/17 07/31/17 1 MR $177.09 HP5436210 MARSHALL,JESSE 07/01/17 07/31/17 D MR $71507 HP5436200, MASON,RHAMIR 07/01/17 07/31/17 1 MR $292.28 HP5436213 MORGAN,JOHN 07/01/17 07/31/17 F MR $1,210.64 HP5436212 MURPHY,GORDON 07/01/17 07/31/17 EK MR $1,005.95 HP5547209 NORTON,KEVIN 07/01/17 07/31/17 1 MR $27889 HP5436214 PARADIS,JOHN 07/01/17 07/31/17 F MR $1,39445 HP5436215 SCROXTON,DEREK 07/01/17 07/31/17 F MR $1,027.13 HP5436201 WILCOX,CARLTON 07/01/17 07/31/17 1 MR $343.03 Total: $17,150.50 AM ADD MEMBER MC MODIFY CONTRACT MR MODIFIED RATE 111111 VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII 38423600005302030* Page 4 SUMMARY OF BILLING CONT TYPE _. .COUNT `_..,, D 4 124 $4,172.45 EK 1 31 $1,005.95 F 6 186 $7,994.87 I 10 310 $3,977.23 PREMIUM TOTAL $17,150.50 D 4 124 $4,172.45 EK 1 31 $1,00595 F 6 186 $7,994.87 I 11 1040 $3,977.23 ADJUSTMENT TOTAL $17,150.50 Page 5 IINIIIIIIIAIIIhVlll�ll�llllllllllllllllllllllllll�lllllllllll 384360000530300 Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Thursday,July 13, 2017 2:33 PM To: Gordon Murphy Cc: Arena, Laura;Whitecavage, Diana Subject: HPHC voucher Attachments: Harvard Pilgrim.xls; HPHC Invoice August.pdf, HPRMBCOMINV2016755489_out.pdf, Warrant C 7.10.17.pdf Gordon, Please print tab 7.10.17 C,sign in both places, scan to Laura and Diana. Laura, Here are the July and August invoices.July is credit memo for adjustments.August has July premiums and August premiums. We will pay only the July premiums and take the credit, as our resolution was not sufficient to cover the August premiums. We will submit the August premiums (same invoice) on a future warrant. Here is Warrant C 7.10.17 Diane i ' C FISHERS ISLAND FERRY DISTRICT VENDOR 013113 RHAMIR MASON 07/18/2017 CHECK 4202 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION 'AMOUNT SM .5710.4.000.000 062317 REIMB-TWIC CARD 125.25 l TOTAL 125.25 co co .. 6��°.f-♦:.... ,...w. �. � tis:..,> , ... -e. :S fao st...,r'„.v nr,."z :�` ('y°� :'``::� ,., '„,>k�._`^.e'?: i;5.�-,/'>'•,�'°. ajr,•••.,.,d.� r � y I � 1 .• FISHERS ISLAND FERRY DISTRICT ' AUDIT, 07/18/17 ,53095 MAIN ROAD,PO BOX 1179 - •' - _ SOUTH LD,NY11971;0959- - _ CHECKNO. 4202 ' THE SUFFOLK CO NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT So-5461214 , 07,/18/2017_" ,ONE-HUNDRED- TWENTY FIVE AND-,-'25/160 DOLLAR'S = _ P,AY ,RHAMIR MASON, TO TIE- 103 OAK=.RIDGE DRIVE ORDER_; OF HADDAM 'CT 0 6'438- uE004 20 2 u 1:0 2 140 54641: 68 00 150 2 11'' 4 ' It Vendor No. Town of Southold, New York - Payment Voucher Vendor Tax ID Number or Social Security Number Vendor Address Entered by 103 Oak Ridge Dr Vendor Name Audit Date Mason Rhamir Haddam,CT 06438 Vendor elephoneNumber � � 3 2017 IT` 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 600231? &1 7RSW6/23/2017 $125.25 $125.25 T 1C card reimbursement SM 5710.4.000.000 ktc f l $125.251 $125.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition 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 7/6/2017 Title Date Nam am t r IdentoGO (1006) 106 Truman St. New London, Connecticut 06320-5632 Q nj� 'U Universal ENROLL Credential pick-up location: i IdentoGO (1006) 106 Truman St. New London, Connecticut 06320-5632 i IMPORTANT NOTE: Date 06/23/2017@10 46 AM Customer RHAMIR S MASON Service status is available at: UE ID: U5V1-837HBB http://universalenroll.dhs.gov Services If you have not been contacted by TSA j TWICqD- Enroll $12525 j within 30 days after enrollment, please f contact Customer Support by calling: SubTotal' $12525 I 1-855-DHS-UES1 Total: I (1-855-347-8371) $125.25 Payment i If you do not contact customer support, Credit Card ending in (2792) $12525 i you may be required to re-enroll and pay the enrollment fee again. Please Amount Paid: $125,2 note that no refunds are given. Credit Card Authorization B,y signing, I authorize MorphoTrust USA and/or their agents to charge my credit card for service(s) performed and/or products purchased I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement Signature 1 FIS,(-IERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 07/18/2017 CHECK 4203 FUND & ACCOUNT P.O.#') INVOICE DESCRIPTION AMOUNT SM .5710.2:000.100 33437230 ASSTD NUTS & SCREWS-MUNN 59.60 5 SM .5710.2.000.200 35553730 CPPR & BRSS TUBING,NZZLE 69.82 r SM .5710.2.000.200 36275049 11-HOSES,30-CLAMPS-RP 479.33 SM .5710.2.000.200 37124393 2=ALUMINUM W/ 90 ANGLE 73 .30 `;rx SM .5710.2.000.000 37218256 251HEAT-SHRNK TUBING 92.59 1 TOTAL, 7,74.64 � 1 1 .. .. .. ,. ... ,rye.;-; :r�.,t••.". - i:•�s- ., S ♦ ' o o m FISHERS ISLAND FERRYDISTRICT AUDIT 07/1s-/i7 53095 MAIWROAD;PO BOX 1179 SOUTHOLD,NY 11971-0959 . CHECK-NO,,, 4203 THE SUFFOLK CO'NATIONAL BANK `CUTCHOGUE,NY x1935 DATE AMOUNT_ 50-546/214- 07/18/2017 $.774''64, ' SEVEN HUNDRED -SEVENTY FOUR AND 64'j100' DOLLARS , PAY, MCMASTER=CARR SUPPLY CO. TO THE PO-BOX-:715,9' 01' - ORDER,', _CHICAGO, iTL 506'80-7690. 110004 20 3110 1:0 2 3140 54641: 68 001502 1110 L S � Vendor No. Check No: 1 Town of Southold, New York - Payment Voucher 1356 , 03 Vendor Address Entered by,. ' P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. AUL 1 2017 Vendor Telephone Number k Cler 609-689-3000 Town - Vendor Contact 01 - Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services 'Genera.]Ledger Fund and Account Number 33437230 6/5/2017 $ 59.60 $59.60 Munn maintenance supplies SM5710.2.000.100 (�gppe�t-'&ass i ulo� , 35553730 6/19/2017 $ 69.82 $ 69.82 RP maintenance su�plies SM5740.2.000.200 36275649 6/23/2017 $ 479.33 $479.33 RP coolant hose (11) clamp(30) SM57,10.2.000.200 a num-190 0 61,Ie_ 37124393 6/28/2017 $ 73.30 $73.30 maintenance supplidd SM5710.2.000.200 37218256 6/28/2017 $ 92.59 $92.59 RP/MU tubing 25ft SM57101.000.000 t I F $ 774.64 T $774.64 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signatures Title Signature Company Name Fishers Island Ferry District Date 7/6/2017 Title Date M�MASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0605MFRANCO Total $59.60 Invoice 33437230 Billed to Invoice Date 615/17 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.09 on merchandise if paid by 6/15/17. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 9185BA720 316 Stainless Steel Slotted Flat Head Screw 10 10 0 _ 4.15 41.50 Super-Corrosion-Resistant, 1/2"-13 Thread Size, Packs Per Pack 2"Long, Packs of 1 2 94804A340 Super-Corrosion-Resistant 316 Stainless Steel 1 1 0 3.96 3.96 Hex Nut 1/2"-13 Thread Size, Packs of 10 Pack Per Pack- 3 90107AO33 316 Stainless Steel Washer for 1/2"Screw Size, 1 1 0 8.82 8.82 0.531"ID, 1.25"OD, Packs of 25 Pack Per Pack Merchandise . 54.28 Shipping 5.32 Total $59.60 Packing List Shipped Weight Carrier Tracking 4172713-01 6/5/17 2 Ib UPS Ground 1Z0835200358503639 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 558 MMA U.- STERoCARRe Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHNP Tota l $69.82 Invoice 35553730 Billed to Invoice Date 6119117 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 Y FISHERS ISLAND NY 06390-0607 Deduct$1.28 on merchandise if paid by 629/17._ __ Px Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District 1 PO Box 7690 _ 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance . Price Total 1 50635K382 45 Degree Flared Fitting for Copper&Brass 4 4 0 2.96 19.84 Tubing,Adapter for 3/8"Tube,5/8"-18 UN x 3/8 Each Each NPTF Male 2 7239T11 Insulated Lever-Activated Garden Hose Nozzle, 6 6 0 870 52.20 Plastic Grip Each Each Merchandise 64.04 Shipping 5.78 Total $69.82 Packing List Shipped Weight Carrier Tracking 4803430-01 6/19/17 4 Ib UPS Ground 1ZO835200359474080 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 534 , Fd 6YFIWY>t�� J t Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park JOHNP 609-689-3000 New London CT 06320 06/19/2017 nj.sales@mcmaster.com Order Placed By John Paradis McMaster-Carr Number 4803430-01 Line Product Ordered Shipped 1 50635K382 45 Degree Flared Fitting for Copper&Brass Tubing, Adapter for 3/8"Tube, 5/8"-18 LIN x 4 4 3%8 NPTF Male Each 2 7239T11 Insulated Lever-Activated Garden Hose Nozzle, Plastic Grip 6 6 Each i 891 d WMASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHNIR Total $479.33 Invoice 36275049 Billed to Invoice Date 6123117 FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30 P O BOX 607 y FISHERS ISLAND NY 06390-0607 Deduct$9.20 on merchandise if paid by 7/3/17, Shipped to 1" Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 5296K351 High-Temperature Coolant Hose with Yarn 3 3 0 13.83 41.49 Reinforcement, 1"ID, 1-3/8"OD,3 Feet Long Feet Per Foot 2 5296K421 High-Temperature Coolant Hose with Yarn 2 2 0 20.95 41.90 Reinforcement,2"ID,2-3/8"OD,2 Feet Long Feet Per Foot 3 5296K451 High-Temperature Coolant Hose with Yarn 3 3 0 23.95 71.85 Reinforcement, 2-3/8"ID,2-3/4"OD,3 Feet Long Feet Per Foot 4 529SK481 High-Temperature Coolant Hose with Yarn 3 3 0 28.71 86.13 Reinforcement, 3"ID,3-3/8"OD,3 Feet Long Feet Per Foot 5 5281K16 Constant-Tension Clamp for Soft Hose and Tube, 10 10 0 7.18 71.80 304 Stainless Steel with Zinc-Plated Steel Screw, Each Each 1"to 1-3/4"Clamp ID 6 5281K19 Constant-Tension Clamp for Soft Hose and Tube, 6 6 0 _ _ 7.34 44.04 304 Stainless Steel with Zinc-Plated Steel Screw, Each Each 2-1/4"-3-1/8"Clamp ID 7 5281K18 Constant-Tension Clamp for Soft Hose and Tube, 6 6 0 7.22 43.32 304 Stainless Steel with Zinc-Plated Steel Screw, Each Each 1-3/4"-2-5/8"Clamp ID 8 5281K21 Constant-Tension Clamp for Soft Hose and Tube, 8 8 0 7.41 59.28 304 Stainless Steel with Zinc-Plated Steel Screw, Each Each 2-3/4"-3-5/8"Clamp ID Merchandise 459.81 Shipping 19.52 Total $479.33 Packing List Shipped Weight Carrier Tracking 5048655-02 6/23/17 101b UPS Ground 1Z0835200359848873 5048655-03 6/23/17 91b UPS Ground 1ZO835200359848882 5048655-01 6/23/17 1 Ib FedEx Priority 738908288745 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 407 J MAASTER-401n Packing List 200 New Canton#ay Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ_,V08691-2343- 5 Waterfront Park { JOHN P 06/23/2017 609-689-3000 New London CT 06320 i Order,Placed By nj'sales@mcmaster,com Y , � John Paradis , ' 9 McMaster-Carr Number 1 5048655-02 Line Product Ordered Shipped 2 ' 5296K421 ' High-Temperature Coolant Hose with Yarn Reinforcement, 2" ID, 2-3/8"OD, 2 Feet Long 2 2 ! r Feet 5 5281K16 Constant-Tension Clamp for Soft Hose and Tube. 304iStainless Steel with Zinc-Plated 10 7 Steel Screw, 1"to 1-3/4"Clamp ID Each' 6 5281K19 Constant-Tension Clamp for Soft Hose and Tube, 304 Stainless Steel with Zinc-Plated 6 `. 6 Steel Screw, 2-1/4"-3-1/8"Clamp ID Each 7 5281K181`11 onstant-Tension Clamp for Soft Hose and Tube, 304 Stainless Steel with Zinc-Plated 6: 1 ,ySt I Screw, 1-3/4"-2-5/8"Clamp ID Each 8 5281K2i Constant-Tension Clamp for Soft Hose and Tube, 304;Stainless Steel with Zinc-Plated 8 ;8 Steel Screw, 2-3/4"-3-5/8"Clamp ID Each yid � $',,Shipped separately from our Chicago warehouse on 06/23 5t; 5281K16 Constant-Tension Clamp for Soft Hose and Tube, 304 Stainless Steel with Zinc-Plated 10 3 Steel Screw, 1"to 1-3/4"Clamp ID -Each --- - ..- _- - -� ------------•---- --- ---------- �- n _ ----------- ------------------- - -- � \ Gev-, C i , ' , 580 e 'i r :, WMASTERwCA R- R invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order RACEPOINT Total $73.30 Invoice 37124393 Billed to Invoice Date 6128117 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.16 on mbrchandise if paid by 7/8%17. _ Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District, PO Box 7690 5 Waterfront Park Chicago IL 60680-7690 New London CT 06320 - Your Account 260910000 John Paradis placed this order. Line Product Ordered Shipped Balance Price Total 1 8982K13 6061 Aluminum 90 Degree Angle, 1/8"Wall 2 2 0 28.94 57.88 Thickness, 1-1/2"High x 1-112"Wide,8 Feet Long Each Each Merchandise 57.88 - Shipping 15.42 gp Total $73.30 Packing List Shipped Weight, Carrier Tracking 5239742-01 6/28/17 11 Ib UPS Ground 1Z0835200360139672 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 co 259 1 u�J �- McMASTERoCARR. Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbmsville NJ 08691-2343 5 Waterfront Park RACEPOINT 609-689-3000 New London CT 06320 08/28/2017 nj.sales@mcmaster.com Order Placed By John Paradis McMaster-Carr Number 5239742-01 Line Product Ordered Shipped 1 8982K13 6061 Aluminum 90 Degree Angle, 1/8"Wall Thickness, 1-1/2" High x 1-1/2"Wide, 8 Feet 2 2 Long Each - -- ------ - -- - - - -- -- - --------------- --- - - ----- --- -- - - -- --- I 325 r:4 MtMASTERmCARR® invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0628MFRANCO Total $92.59 Invoice 37218256 Billed to Invoice Date 6128117 FISHERS ISLAND FERRY DISTRICT P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.72 on merchandise if paid by 7/8/17. . Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park Chicago IL-60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 7856K82 Heat-Shrink Tubing,25 Feet Long,2"ID Before 1 1 0 86.24 86.24 Shrinking,White Each Each Merchandise 86.24 Shipping 6.35 Total $92.59 Packing List Shipped Weight Carrier Tracking 5221237-01 6/28/17 4 lb UPS Ground 1ZO835200360111405 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 co 259 �i[--"` WMASTERmCARR, Packing List 200 New Canton Way Fishers Island Ferry District; Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park 0628MFRANCO 609-689-3000 New London CT 06320 06/28/2017 nj.sales@mcmaster.com Order Placed By Mike Franco McMaster-Carr Number 5221237-01 Line Product Ordered Shipped 1 7856K82 Heat-Shrink Tubing, 25 Feet Long, 2"ID Before Shrinking, White 1 1 J Each � r ✓r ----------------------- ---- ---- --------- ------------- ------ ---------- ---- -- - 669 - ---- - ----------- ------ --- ------- ---- -- -669 LI. � F �:` FISHERS ISLAND,FERRYDISTRICT , VENDOR 013282 MORRIS & MCVEIGH LLP 07/18/2017 CHECK 4204 A � ' FUND & ACCOUNT P.O.#'- INVOICE DESCRIPTION l AMOUNT SM .1420.4.000.`000 00010-52125 PROF.SVC-5/1-5/31/17 2,844.00 TOTAL 2,844.00 , �r m..s.x_h ..,;,w..,..>xx«w«ssn a.v..rc. 4:{. ,..+0.✓.�•,,:rftt.N'•�•.x-^'E,�S. •• a9xew J.• ..•.wx vv ai w-..r a=ate" � , ' e 1, i �Ma.. �rEs- x la.�``w ;`^,�;Sw"��r homy�~ �^.'."•^�{;.., ..o-•�,�"4.`,;�.,y;S2:�-�:;_��r.#:t`°ax.,,.�,•?'•,,.,,.,.er' ` '=a FISHERS ISLANDFERRYDISTRICT = _.AUDIT 07/, 8117 53095-MAIN ROAD,PO,BOX 1179 ® SOUTHOLD,NY,11971 -0959 CHECK„NO: ,42044 _ THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT 5__ ,844.Q0 07-/.18/2017, _ ,844.Q0 f, ,;TWO ;THOUSAND'EIdHT HUNDRED=FORTY'-FOUR'-AND 0.0/100 DOLLARS , PAy- MORRIS & MCVEIGH LLP 1D'TI�E;`! r767',THIRD AVENUE• �� _ , , OF` NEW-YORK 'NY==10 017 110004 20411' 1:0 2 140 54641: 68 00 L 50 2 Lii' Vendor No. CheckNo. ' Town of Southold, New York - Payment Voucher 13282 Vendor Tax ID Number or Social Security Number Vendor Address - Fitired,by 767 Third Avenue _ Vendor Name New York, New Fork 10017-2023 Audit Date Morris&McVeigh LLP _ JUL 2011 Vendor Telephone Number (212)498-0500 FY 17 a,Yn-Clerk, Vendor Contact a o ` Invoice Invoice Invoice Net Purchase Order Number Date Total Discount ,Amount Claimed Number Description of Goods or Services 'General Ledger Fund and Account Niunber 10-90010-52925 RJ ,,A 611312-017 $2,844.00 ' $2,844.00 � En ion g'Act'egislation 611:31117 SM1420.4.000.000 a , $2,844.00 i $2,844.00 J Payee Certification -Department Certiffieation 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 dire and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signatu- G� Trkle Signature J Company Name Fishers Island Fen District 7/512017 Title Date // / 5 MORRIS & MCVEICH LLP ATTORNEYS AT LAW 767 THIRD AVENUE TELEPHONE(21 2)418-0500 TAx ID#13-5519786 NEW YORK,NEW YORK 10017.2023 FAX(21 2)755-4476 FAX(21 2)421-0922 June 13, 2017 Billed through 05/31/17 BILL NUMBER 229140- 00010 - 52125RJMA FISHERS ISLAND FERRY DISTRICT MR. PETER RUGG, COMMISSIONER P.O. BOX 607 FISHERS ISLAND, NY 06390 BALANCE FORWARD FROM LAST BILL DATED 05/19/17 $3, 555. 00 PAYMENTS APPLIED SINCE LAST BILL 2, 805. 00 CR NET BALANCE FORWARD $750 . 00 FISHERS ISLAND FERRY DIS -GL FOR PROFESSIONAL SERVICES RENDERED: 05/01/17 RJM TELEPHONE CONFERENCE WITH BRIAN MURPHY; 1 . 50 hrs EMAILS FROM M. FINNEGAN AND PETER RUGG; ATTENTION TO BILL DRAFT (AGE 21 PROVISION) 05/04/17 RJM EMAIL FROM BRIAN MURPHY REGARDING TOWN 0. 50 hrs ATTORNEY REVIEW AND FOLLOW UP. 05/08/17 RJM TELEPHONE CONFERENCE WITH BRIAN MURPHY; 1 . 00 hrs FOLLOW UP WITH PETER RUGG AND GORDON REGARDING SUBMISSION OF BILL. 05/10/17 RJM EMAIL TO/FROM PETER RUGG, G. COOK. 0 . 50 hrs 05/11/17 RJM TELEPHONE CONFERENCE WITH PETER RUGG; FOLLOW 0 . 50 hrs UP. 05/13/17 RJM TELEPHONE CONFERENCE WITH BRIAN MURPHY; 1. 50 hrs REVISE REDLINED VERSION OF BILL, ETCETERA. 05/19/17 RJM CONFERENCE WITH BRIAN MURPHY REGARDING THE 0 . 50 hrs STATUS . 05/23/17 RJM FOLLOW UP ON STATUS OF BILL; TELEPHONE 0.50 hrs CONFERENCE WITH BRIAN MURPHY. 05/24/17 RJM TELEPHONE CONFERENCE WITH BRIAN MURPHY 1.50 hrs (TWO) ; TELEPHONE CONFERENCE WITH G. COOK; ATTENTION REGARDING STATUS OF SENATE BILL. TOTAL FEES FOR THIS MATTER $3, 160. 00 FISHERS ISLAND FERRY DISTRICT BILL NUMBER 229140 - 00010 - 52125 PAGE 2 BILLING SUMMARY TOTAL FEES $3, 160. 00 LESS PROFESSIONAL COURTESY 31 CR TOTAL CHARGES FOR THIS BILL $2, 844 . 00 NET BALANCE FORWARD $750. 00 TOTAL BALANCE NOW DUE $3, 594 . 00 PLEASE REMIT PAYMENT TO: MORRIS & MCVEIGH LLP; 767 THIRD AVENUE; NEW YORK, NY 10017 ------------------------ FED WIRE PAYMENT OPTION: THE BANK OF NEW YORK MELLON; ABA # 021000018; CR: MORRIS & MCVEIGH LLP; A/C # 090201-8647 ------------------------- FINANCE CHARGE OF 1% WILL BE APPLIED TO YOUR UNPAID BALANCE AFTER 60 DAYS v7 _Vi •i z�^,�R .�. J FISHERS ISLAND FERRY DISTRICT VENDOR 013945 GORDON MURPHY 07/18/2017 CHECK 4205 FUND & ACCOUNT i P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 062817 REIMB-TWIC-UZZYIXNV74 125.25 TOTAL 125.25 -V,Z-1 ..�, ;�`a.`z•, r:-i F.sy: f =_ FISHERS ISLAND FERRYDISTRICT = t-AUDIT-,o7/ls/17 _ - " ,,53095 MAIN ROAD,F'0 BOX 1179 • - - _ ® SOUTHOLD,NY 1,1971-0959 '� _ _.; CHECK .NO'. :4205 I. THE SUFFOLK CO.NATIONAL BANK pArE AMOUNT CUTCHOGUE,NY'i 1935 50-546/21.4 -_ OZ�1S/2017= ,ONE' HUNDRED''TWEN'TY ,FIVE AND''25/100 DOLLARS PAY., GORDON MURPHY TOTNE _ PO;'BOX=E07,=,_ _ __ _ : , - -_ �. ' OItD'ER, -_,,FISHERS ISLAND NY_' 0,63-90' u0004 2051,' 1:0 2 14054640: 68 00 150 2 115 _r' Vendor No. Check No. Town of Southold, New York- Payment Voucher 13945 Vendor Address Entered+by ., P.O. Box 607 Fishers Island, NY 06390 Audit.Date Murphy, Gordon 1 �. � �",Zo17 ' Vendor Telephone Number To 11 Clerk Vendor Contact a Invoice Invoice Invoice Net Purchase Order Number— Date Total Discount Amount Claimed Number Description of Goods or Services ;, General1ger'edFand'and Account'Number O /7 IZEMStReEMENT 6/26/2017 $125.251 $125.25 Reimb for'TWIC ��,Sm57.1t?:4.000.00,0 € UE ID UZZYIXNV74 d . ♦ +4 ' e $125.251 $125.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition 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 tSM.d (v>/ — Title Signature J� / Company Name Fishers Island Ferry District Date 7/6/2017 Title Date t7 �� IdentoGO (1006) 106 Truman St. New London, Connecticut 06320-5632 ; I Universal mn ENROLL , Credentials will be shipped to: PO Box 454 Fishers Island, New York 06390-0454 (� I Date 06/213/2017@09 29 AM Customer GORDON S MURPHY UE ID UZZYlXNV74 Services TWIC®- Enroll $12525 I SubTotaI IMPORTANT NOTE: $12525 Total: Service status is available at: $125.26 http://universalenroll dhs.gov Payment i ' Credit Card ending in (4674) $12525 If you have not been contacted by TSA within 30 days after enrollment, please Amount Paid: $126-26 contact Customer Support by calling: 1-855-DHS-U ES1 '� (1-855-347-8371) Credit Card Authorization By signing, I authorize MorphoTrust USA If you do not contact customer support, and/or their agents to charge my credit card you may be required to re-enroll and for service(s) performed and/or products I pay the enrollment fee again: Please purchased I agree that I will pay for this I note that no refunds are given. purchase in accordance with the issuing bank cardholder agreement L .• I 9 FISHERS ISLAND FERRY DISTRICT ` VENDOR 014021 NATIONAL 'PARTS SERVICE, INC. 07/18/2017 CHECK 4206 A ) FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM :5710.2.000.200 113662 (6)OIL FILTERS-RP 132.00 SM .5710.2.000.200 114248 HOSE,SNDPPR,GASKET MAKER 100.86 TOTAL 232.86 r`Ra? b4' FISHERS ISLAND FERRY DIS77ICT _ "AUDIT; - - -- 53095 MAIN ROAD,PO BOX 1179 -. - - - - SOUTHOLD:NY 11971-0959 .r - _ - _ .CHECK:NO _- . =4206, _ THE SUFFOLK CO.NATIONAL BANK' CUTCHOGUE,NY 11935 DATE,' AMOUNT,- , ', , - - - ,- -. 50-546/214, 0T/ 8/21 r r . 2132' 8;'6' .TWO-,HUNDRED-THIRTY TWO:AND_ 86/100'-DOLI;ARS_ PAY' NATIONAL PARTS SERVICE_ , INC. TO,THE 150'' BRIDGE_ STREET, ORDER �F GROTbN--CT 06340 ;- r _ _• *' 115004 206ii' 1:0 2 LL,05464l: 68 00 L50 2 L'i' � , Vendor No. CheckNo.' '_ = Town of Southold, New York a Payment Voucher 14021 Vendor Address Entered bq.; 150 Bridge Street Vendor Name Groton,CT 06340 Audit Date, NAPA '., 1 L 18 1017 Vendor Telephone Number 860-445-8181 « clerk, , Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Geriemi Ledgez Fund and Account Number 113662 6/20/2017 $132.00 $132.00 RPO filter SM5710.2.000.200 114248 6/26/2017 100.86 100.86 RP Main Supplies ' ` SM5710.2.000.200`" A $232.86 $232.86 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services property been paid,except as therein stated,that the balance 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 Signaturet Title Signature Company Name Fishers Island Ferry District Date 7/5/2017 Title r 200001180 — E National Parts Service Inc. Time: 14:19 Invoice Number 113662 El . 150 Bridge StreetI�III�IIllllllflllllll�llllllll�llllll�lt c� Groton, Ct. 03640, CT 06340 Date: 06/20/2017 � (860) 445-8181 Page: 1/1 1297 Employee�7 Strickland.._._ _ w» ® Fishers Island Ferry District Sales Rep 0 Salesman PO Box 607 i Accounting Day: 17 ® 261 Trumbull Drive Fishers Island, NY 06390 � 1 x i p Quantity' Price" l Net, e' Total Paxt"Numbez ,�nei T3escri tion_ mai _. '.._ 1792 FIL fAPAGOLD OIL FILTER 6.00? 44.00 `� 22.0000 132.00 JR b .. ._._..._.. ._ .._...._Delivery: ....�_.._.....��. ..._..._. _.._......,._._..__ ..... _. Subtotal 132.00 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: Terms: Net 20th Customer Signature Charge Sale 132.00 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY L e 200001180 National Parts Service Inc. Time: 11:47 ' Invoice Number 114248; NAPAI ° 150 Bridge Street IIIIIIIIIIIIIIIIIfIII�II�IIIIIIIIIIIIIIIE � Groton, Ct. 03640, CT 06340 Date: 06/26/2017 � - (860) 445-8181 0 Page: 1/1 ;......_._._.........._....,....... _ ,..._. ._. : 1297 Employee 35 Erik ® Fishers Island Ferry District Sales Rep: 0 Salesman ; PO Box 607 Accounting Day: 22 m 261 Trumbull Drive 1 [I Fishers Island, NY 06390 ._.,._ _ .. _.._ ..._._... , I f " Paxt Numbs 'dine;�' Descripta _: Quantity PxiCe,;; Net: Total X630 yJ _.. ., NBH j ICK3HOSE GOLDry 3.00; _ 22.06 ._. 13.37 40.11 17651589 JBK :PTEX ULTRA BLACK 30Z 4.00 14.82) 7.6900( 30.76 119779 :MMM 'P180J UTILITY ROLL 1.00 42.98 29.99005 29.99 a I j 11 3 t E jj� (jj ✓ g "4 3 Delivery: S Subtotal 100.86 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: mike Terms: Net 20th '100:R6 Customer Signature Charge Sale 100.86 ` ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 1"' RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY FISHERS ISLAND FERRY DISTRICT VENDOR 014144 NU LOOK CLEANING SERVICE 07/18/2017 CHECK 4207 1; FUND & ACCOUNT P.O.# ' INVOICE DESCRIPTION AMOUNT; SM .5710.4.000.600 156-REIS REIS-JANTRL SVC-6/5-6/16 362.50 TOTAL 362.50 •:SfR; 1 �l o o o o o e e m o e = 'FISHERS ISLAND FERRY DISTRICT AUDIT' '07/1&/17, MAIN ROAD,PO BOX 1179 - - - - SOUTHOLD.NY 11971-,0959 CHECK, -4 2 0�7 THE SUFFOLK CO'NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT 50 /214018'/201'7` _ $3.62.50- _ „THREE;HUNDRED SIXTY_TWO AND-5 0/100 D'QLL P.RS P.4k - NU _LOOK CLEANING_SERVICE TO THE 6;63 OLD .COLCHESTER RD - (>hDER" -'SALEM'=CT, '0 42 0 _ _ -•�� _ 0004 20 7ii' 1:0 2 140546,41: 68 00 L 50 2 ON Vendor No. Check No. Town of Southold, New York o Payment Voucher 14144 07. Vendor Tax ID Number or Social Security Number Vendor Address Entered v, _ 663 Old Colchester Rd Vendor Name Salem,CT 06420 AuditD «' NU Look Cleaning Service JUL 18 2011 Vendor Telephone Number " 860 859-3624 L�Izwn i lerk 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 156 6/16/2017 $362.50 $362.50 Janitorial Services 6/5-16/17 SM6710.4.000.600 $362.50 $362.50 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been venfred with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. cz Signature 0...+c' rA� Title Signature n / j Company Name Fishers Island Ferry District Date 6/22/2017 Title Date !z(� I//�_i r r, FISHERS ISLAND FERR Y DISTRICT VENDOR 016723 PROGRESSIVE BENEFIT SOLUT. ,LLC 07/18/2017 CHECK 4208 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 PBS—HRA-0617 HRA TOTAL UTITLZTN-6/17 1,252.75 SM .-9060.8\000.000 • 39736 (21)MNTLY CRD ADMN-6/17 94.50 TOTAL 1,347.25 xe - I FISHERS ISLAND FERRY DISTRICT -AUDIT 0 7/_l a/17 -_ .53095 MAIN'ROAD,PO BOX 1179 SOUTHOLD,NY-1 1 971-0959 _ = CHECK-NO-. .,4-208 " "'THE SUFFdLC' CUTCHOGUEK NY 111935 ATIONAL BANK DATE - AMOUNT 50546/214 07/18/2017 ;.ONE''-THO•USAND:' THREE HUNDRED-FORTY 'SEVEN` AND '25-/10 0 DOLLARS V- ; PAY PROGRESSIVE BENEFIT SOLUT-. ,LLC l TO THE'"- 14-BUSINESS'.PARK' -DRIVE ,##8 'ORDER' BRANFORD CT_ =06405' OF ii'00L, 208ii' 1:0 2 1405L, 6L l: 68 00 150 2 III' t . Vendor No. Check No. Town of Southold, New Fork - Payment Voucher 16723 Vendor Address Entered iA� 14 Business Park Dr#8 Branford, CT 06405 .audit Date Progressive Benefit Solutions(PBS) JUL 18 2017 Vendor Telephone Number To Clerk Vendor Contact a Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number (3361 PBS-HRA 613012017 $1,252.75 $1,252.75 HRA Total utilization,lune 2017 SM9060.8.000.000 39736 6/30/2017 $94.501 $94.50 IVlonthl card administration June.2017 SM9060.8.000.000 1 i 1 $1,347.25 $1,347.25 Payee Certifaeation Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has 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 7/5/2017 Title Date Progressive Benefit Solutions LLC Invoice 14 Business Park, #8 Date Invoice# Branford, CT 06405 6/30/2017 39736 Bill To Fishers Island Ferry District Attn: Gordon Murphy P.O.Box 607 Fishers Isle,NY 06390 P.O. No. Terms Project Upon Receipt Quantity Description Rate Amount 21 Monthly Benny Card Administration 4.50 94.50 r i July 2017 Invoice(Active Participants thru 06/30/2017) Total $94.50 14 Business Park, #8 DATE: June 30, 2017 Branford, CT 06405 PH: 203-208-4800 FAX: 203-234-1139 FOR: 2016 HRA Utitilization Invoice Bill To: Fishers Island Ferry District DESCRIPTION: HEALTH REIMBURSEMENT PLAN UTILIZATION AMOUNT Required Funding Health Reimbursement Total Utilization $ 1,252.75 Make all checks payable to: Progressive Benefit Solutions 14 Business Park, #8 Branford, CT 06405 THANK YOU FOR YOUR BUSINESS! Total : $ 1,252.75 rt.7 "i0,I amu® FISHERS ISLAND FERRY DISTRICT VENDOR 018110 RED HAWK FIRE & SECURITY, LLC 07/18/2017 CHECK 4209 ,A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 3000099 SEMI—ANNL FIRE ALRM INSP 1465.00 F TOTAL 465.00 i \ , m , of _ F r 1 • • • S � • D B D 0 - 1 _ FISHERS ISLAND FERRY DISTRICT AI7DLT -07/18/,i-7 -- _- - - - 53095-MAIN ROAD,PO BOX 11.79 - - - v _,SOUTHOLD,NY 11971.0959 - - CHECK -NO. - -4209 THE SUFFOLK CO:NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT - 50-546i214, _ 07/18/,2017,', ' 465.00 FOUR--HUNDRED SIXTY FIVE-AND. 00/160 DOLLARS ` PAY RED HAWK FIRE_ & SECURITY; LLC TO THE 'P0, BOX ,842422 ORDER 'BOSTON MA Q2284=242:2' ��°004 209 1:0 2 140 54641: 68 001502 ;kno Vendor No. Check No. ' Town of Southold, New York - Payment Voueh 18110 Entered by PO Box 842422 Boston, MA 02284-2422 Audit Date Red Hawk l=ire&Security JUL 1 8 ,201,71 Vendor Telephone Number 877-387-0178 Xwn Clerk Vendor Contact Invoice Invoice Invoice Nct ore aseOrder Number Date Total Discount Amount Claime Number Description of Goods or Services General Ledger Fund and Account Number 3000099 5/11/2017 $465.001 $455.00 Semi-Annual fire alarm inspection NLT SM5709.2.000.200 $455.011 $465.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above reamed 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 bas 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 `",yr,n,� Title Signature Company Name Fishers Island Ferry District Date 7/6/2017 Title A Date Service Invoice REIN HAWK Invoice Number: 3000099 Page 1 of 1 Fire & Security 55 Robinson Blvd Orange,CT 06477 Phone:877.387 0178 Fax 713.752 5991 Remit To.PO Box 970071,Boston, MA 02297-0071 Bill To: FISHE-04-031 Ship To: WST-1648-US1 FISHERS ISLAND FERRY DISTRICT Fisher Island Ferry NY PO Box 607 5 Waterfront Park Fishers Island, NY. 06390-0607 New London, CT. 06320 Invoi-ce-Date Customer PO Salesperson Payment Terms Reference# Workorder# 06/15/2017 Due Upon Receipt 33911 3196366 Item ID Description Service Date Hrs/Qty Unit Price Ext. Price SEMI-ANN-ISP-FA-ESSENTIAL 06/11/2017 1.00 437.24 437.24 Summary of Work Performed Job Scope Semi-Annual Fire Alarm Inspection r Work Summary Semi-Annual Fire Alarm Inspection Completed Sales Total $437.24 Tax Total $27.76 Net Amount $465.00-W A FINANCE CHARGE WILL BE ADDED TO PAST DUE ACCOUNTS AT THE RATE OF ONE AND ONE-HALF PERCENT(1 5%)PER MONTH, OR AT THE HIGHEST LEGAL RATE,WHICHEVER IS LESS 70, FISHERS ISLAND FERRY DISTRICT VENDOR 018297 RHODE ISLAND ENGINE,'CO. , INC. 07/18/2017 CHECK 4210 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 180621 ER RPR ENG,GEAR TRAIN—RP 21,464.62 I l TOTAL 21,464.62 ;t n .. f '1 ( •���• 144 i E-..r.,, ...:'ll.:::• .�an ..�.." :�C•�"�_j t' C``� {,: a:-x;. - - .macer<�<>er•:> :<:22�: I y 1.r .t' •,�rr , yM�z , ..w- n`cwWi 4 n`eax�•.ar1,• •-• n`.'";` ` � x'Y�•<«'•. ••.•.•trey-".,�:'ii' .�l�yh�� u�a4•rte' :f 4 s Ji , t +5 _ _ FISHERS,ISLAND FERRY DISTRICT %Yl? • 5- '•53095 MAWWROAD-,P0'00X-1179" - _ - - _ SOUTHOL'D,NYt1s71;0959- CHECK NO. 4210 THE SUFFOLK CO.�NATIONAL BANK CUTCHOGUE,NY 11935 ,,DATE - ,AMOUNT, '60-546/24 _ _ _' -201'7'- �': $'2- 62 = `TWENTY •ONE,THOUSAND FOUR ''HUNDRED-_,SIX'TY',FOUR--AND 62/-100 .DOLLI�RS' PAY„ RHODE, ISLAND ,ENGINE CO.', INC. Y TO THE ORDER - - _ OF NARRAGANSETT, RI 028'$2'` ?� ii'004 2 LOii' .u:0 2 140 54641: 68 00 L50 2 Lii' V —� +�'ia�ee�C Vendor No. `awn of Southold, New York - Payment Voucher 1 297 Vendor Address Eiitrred-by, P.O. Box 543 Vendor-Name Marragansefit, RI 02682 dit'Date Rhode Island Engine.,Inc , Vendor Telephone Number r, 401-789-1021 n,�Ierk.", Vendor Contact Invoice Invoice Invoke I Net Purchase Order Number Date Total i Discount Amount Claimed Number Description of Goods or Services Cie`nerul-Ledger Fund'and Account Number 180621 6121/2017 $21,464.6211 $21,464.62 RP emergency repair ,..`' `'W87101-060.200 def�•,;1'+S ,{ z,"t, ,, , $21,464.62 $21,464.62 ' Payee Certification Department,Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature�i�11�f�n-title Signature q P� Company Name Fishers Island Ferry District Date 7/6/2017 Title_ Date / tJ Rhode Island Engine Co., Inc Invoice 79 State Street PO Box 543 Date Invoice# Narragansett RI 02882 6/21/2017 180621 Phone-(401)789-1021 Fax (401)783-7784 Bill To: Ship To: FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390 FISHERS ISLAND NY 06390 PO# JOB REFERENCE Ship Via Terms Entry by. RACEPOINT 617-0$1 PORT 3412 Net 28 SK - O Nu be`w rri _ :��Ezterided` I?iice_: 5 XX/ENG MECHANIC 06-21 MC TROUBLESHOOT OVERHEATING ON lu 12500 625.00 PORT MAIN+R/T _M.EC�IAIVIC:- ._,it .«• p,_w , -_G.,��._.- _._..� A1��,.'�:� $�--_ • ~96 XX/MIL .�,r .._,., .�,._� ._.�.._ 06-21 R/T MILEAGE TO NEW LONDON,CT 7 0_ :,; „E,w = ;:, MIL 2,09 .= 192,00 NERAL_AI30R :oG 22`dL?:ASSISI _ ;:_. :� 8 XX/ENG MECHANIC 06-22 MC PICK UP TOOLS,DRIVE TO NEW hr hr 125.00 1,000.00 LONDON,REMOVE OIL PAN,FRONT COVER, CAM+GEAR TRAIN,MAKE PARTS LIST ' 2 5 .XX/E1O`MECHAI*IT =Q, = rw :, . Q6= a�1IVLE3' _µ - O TE`' ". ,•f:a ., ...96". ... ,.,.,_.�._F.�i.:w„ 06 2 �..�• (1.,,;,,RA .,�`�' �'::;;�t, .�.....�1&750;. .�; .�..wb:'468,75� ^2 R/T MILEAGE TO NEW LONDON,CT MIL 2.00 192.00 . .0 "8` XX%ENGsIVIENb ,' 'U6 �. . , ,rte. Y� _.Y.. - 3``MC. SGRt SSS CI IART$, 1ti: , :Y25.UQ: _ 1;000.AQ" .A w.;��`'RE1'I�ACEGEARS��2NOITaP[JMI'-.+-P;AR1'S=:�=:RiT � <0 5 XX/ENG MECHANIC OT ` 06-23 MC "SAME" - O/T RATE hr _. 187 50 µ.y. ✓" �..•,,��..(� � .._ . . ,93.75 :305-23RCT�iIVVJ _ -<..� a < v:,.._ n ...-._. Illi R T{)yIJNDN,'GI '. M r RMII" _.., c.�•2.00.' 192:00 1.5 XX/DRIVEI2 ��06-23 JD PICK IJP PARTS w>.... ;<,. WY` `"12 5 �.,� • � •• " hr 75 00 _ 112 50•� .77R -11 2t:. % NG MEGHANZ = t, 46;'45`MC PAL�YTS,r OLS-LOAD-TR. r.tJ'S P r _ t. . .c, PRESS;, 87:50 _ _ s IDS 1✓ItGE/3R' 8 XX/GE 7 �v LABOR 06.26 JD ASSIST MC hr 0 00< ry56000 �560-00~ 8 XX/ENG MECHANIC 06-26 MC ASSEMBLE GEAR TRAIN,INSTALL _- =06 •JD.a;SAME.. - _��: OITItAT'I✓- ,hc.,x-<; ,,�x�,. INSTALL _ . ..�...:;31'S�QQ'.K, - _ lux M._. 125.00 h 1,000.00 CAM,LIFTERS,ROCKERS,DAMPER,ADJUST VALVES �C'Sn±TANiCO'I�.�• A5=26�,MC=u� �� $Z.50 "'�;�_--t., -2.5 XX/DRIVER `` 06-2 :r w/ RAATI«:: _ ._ 937;S 6 TD PARTS TO BOAT V .. :r hr 75.00187.50 9k6; XX _ aN. µlamb a ,.,.,.. _._. '':` • ;', _`I2lT Iv1II':I✓A,GB'Tfl�NE y)~;Q N;,�T 8 XX/GENERAL LABOR` 06-27 JD ASSIST MCH M. � �» _ hr { " 70.00 � 4 _�� 560 00 f, 77 1: XXIGEIVEI ABOI�'-`Q Q6_27', _ _ _F;; . ._ _,... t ` _ `,5A1VIEM z.. ?,� ,x. _>x`(JIT`R_ATB`:' 8 XX/ENG MECHANIC 06-27 MC Ii�STALL V' + ,. x _. ,_-,>�_,_..u_ .5.: ;, TURBO '%ATER LINES,OIL <hr Y 125 00 1,000.00 SUMP+PAN,FILL OIL+COOLANT,SEA TRIAL+ !L]±if MECF1rJIC1=-QT w. ,� - ,�.� Subtotal M �J� Sales Tax (7.0%) Less Payment/Credit balance Due Rhode Island Engine Co., Inc Invoice 79 State Street PO Box 543 Date Invoice# Narragansett RI 02882 6/21/2017 180621 Phone (401)789-1021 Fax.(401)783-7784 --- $ill To: Ship To: FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY PO BOX 607 PO FOX 607 FISHERS ISLAND NY 06390 FISHERS ISLAND NY 06390 PO# JOB REFERENCE Ship Via Terms Entry by: RACEPOINT 617-081 PORT 3412 NGt 28 SK - `.'lterri:hiurribe" s - - %vet--� ---- rf`�%v�'j'xy; %-•Sry -�!X;w''`•�r'.�?• 96 XX/MIL 06-27 R/1'MILFAGE TO NEW LONDON,CT MIL 2,00 19200 .=- .,.:.<_k"�,==�: ;. �.. =K.�. rr'•`.�r,.. - _ .rs .r .r ' - - - �..:T+"kkx'�'?::Sl`..,...-.�..:•".,.a.'.'.3im.rt..�v..v.m�:�"�'.'w�i�...,:`�3f.i=�-a.�.':': 2 CA4W4011 REGULATOR_ ea 44.88 39.76T i r"Q<_R1NF*:�GJSF_W 10 �2''_Y _ ;' r,._ . �� ._...�..,..�_ _-�I`_?_.�..��' �_A��_�_.�:Y - =:�a.�.;_'ea>_ 435;: .v`:�:�_3,�K-:".�s:.:;,.,,.• 2 CA4�N3858 " ^GASKETy ea 4,28 4,28 8 56T f �GASICE'�'r' 2 CA9F4446 ORING~, , .,�•- ea 4.53 9.06T �:.`_.�„R��,. ��s,K _ ,��.� ,--: _ mow,: ..�;.._ ,�';s�"=�• - ��r����� d��_ �_ _ ��: ::��,-�-z,= .':.�=�s'=:''ear" :�:•4%�2-' � - 4 CA110-7752J; OILING_ 7.8 .:' .,. .,. �: ea 7.83 3132T C�2I�f19 '1' ' ;;�,�-' - -;.�•�- - Nom. _ _;� >.4..CA109-007.2 `QRITVG.>_�>:�,_,_,.,, ,r."�.,._w:,_-.,.rn ::za=r:.�._���s��-"�'W'-ea.�_ :.s:::'~:;1.$2s; `==`•, r .,�:�. ��82T� ea 595 23 80T 1 CA9H2282 GASKET .::���:. i'•. y. ea 1 87 1 87T 2 3S 643 SEAL ea �K12.90 25.89T w,i.� ;x' :,+;s;- a:�'ya.- °r`3%��':i'..c-d�r:.....s'FC:w.,�::�yy<:ti.,._ <;t,_ _ �.y'-rs •Y.-„,,--�,,w..__ "• _ 1` aCA126-27U2'� _ ,> S” s :...a.-�u,..t-a�_,.w`.•'.:ht 4 �':`.:`•� �`ar v.��:. ::i.',Ci' _ ;`+-YS•y�W " 1 cAii•z-3sao" ::�� _�'-�,.:.�_._�.��:-��.-�.��:�.� >�.�::"�v.�=�„� .:-��_a;� `� :F.,s:a���:.�,<_u�,4:-�..-.;F;3• SEAL Q-RING ea 8.48 8:48'T �,.;��.�z.�.''�� w�_ w�:w .���= rte._-�;���_-�'- =,..•'� �`_'"�~ .eaK�x 23<,88°" 2 CA7W5648 GASKE ,.r .m.:<_ . r ' ... x:, ea SSS _ _ 1110T �. _ XGHY41 06= ..r; H4SE YI5 i.-' .F •� µ U.� - H A%aI?islG = .>�.•:-. ,. 0.671.64= - p m v-^.k.._.�. .� ...r. _va. �.:L xY�y 2 <HYIAA6FJ4 „ kITTING " K:_w �.s..,:,..•_ e 9.411 18,82T SPECIAL"ORDER�63079� f ..0, ,�, ]� fie;✓","_., SPE(°IAL=w: 1 /� q ��F�T*,�{ ,:. .,. ._, . _ ,•w.r, y_ ,, -�V.'.1:�t(9 n,}.v:,77�'1l' '`',� .,':k<:ry";?'.r_.°'.:r�:.,; zy�r c",� _r,...<%� c...•. :'�'':�« •SFECIaL 4N0342µ P -:.;�k._._. _LATE-THRU,5T 49.$9, 49.89T ,2URl'82�'I:1F It=.. Tib .y_t:,�.,.:z.�...-.-,��. -=:8.�:(?2°� -s-�U8 4•T_� 24 SPECIAL 405-6843 LIFTER SPRINGS -°- r. ",^.� ,a.•, �-� ,.,,t�� .Z _.�„_ .- ~8.33 199,92T -1 _ (� ? I `l7 _.: -�:.x� k�.: ��a��,.��:>,...�_..._. ::�;�7I�175SS;TC]-L.lrit(iDA1�:.k. 1 SPECIAL 2«�4.Sb5 O1L PUMP GEAiZ N>. " _ `.,=._=..r�.._.�,._. -». _ �,3Q7�62�a�;`� �_ .._,y,•'�07.62T- ~ �v 253.19 253,19T 6Nt197�7 C?TI ?[JMN 7UI It QEAR;k3T7aF 1 SPECIAL 131-7123 IDLER GEAR BUSHING µ ' - ___.�. ._ 36,87 36.87T , Subtotal Sales Tax (7.0%) Less Payment/Credit dal-Ince Due Rhode Island Engine Co., Inc Invoice 79 State Street PQ Box 543 Date Invoice# Narragansett RI 02882 6/21/2017180621 Phone.(401)789-1021 Fax.(401)783-7784 Bill To: Ship To: FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY FISHERS ISLAND FERRY DIST OF SOUTHHOLD,NY PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390 FISHERS ISLAND NY 06390 PO# JOB REFERENCE Ship Via Terms Entry by: RACEPOINT 617-081 PORT 3412 Net 28 SK QtF Itm.:lVumber ;==. - Y =:v [7escriptiorj' U%1�3.`:YUnit Price Extended Price =y. i> S)'ECIAIJ p' t 17-9 12 IDi J Ii`.GE1I2 S AM=; ; _._ Z -, H. 32$.81` 32 IT 1 SPECIAL 6N3195 TIMING ADVANCE_ GEAR 2,185 86 2,185.86T w1 ;SBE1At� _.,, 7N7591CRttk°GEAR=. 323.93' 1 w.,` ..`. M -._. _....m 323;93T SPECIAL 420-0925 CENTRA OWER KIT 212.18 212.18T f" II,-COOLER O .I';LT-�.";� �,. ._,.,�_,. 227.72 127.Z2T. I SPECIAL 419-5116 FRONT KIT _-~ _. `203 165 203 16T 1 SPECIAL 5.W 7T2443VTfIRIJS'C 1 SPE GIAL 1B8705 KEY _ 057 0 57T `SPED IA _ 2'N4437:OI PU_MI'IDT.ER_GEAR- µ - 231.86 1 SPECIAL u OR4680 WATER PUMP .._._uV 231:86T >. .. s. 70980 709.80T 1 SPEGIAI, .. r•.^: FREIGkII IN' 'SHIPiiIEIVTS I2ED+'SATII2ED) ;M 2409 Subtotal $20,76448 Sales Tax (7.0%) $70014 Less Payment/Credit $0.00 Balance Due $21,464.62 ��4pND ENGLAt . oi�t�udith, Rhode`5�a� June 26, 2017 Efishers Island berry District RJ Burns rburns@fiferry.com Re: Race Point Port 3412 Gear train repair ESTIMATE Estimate for the repair of the engine referenced above due to the gear train failure. Parts replaced will include all the gear train gears, idler shaft, camshaft, water pump and lifters (Parts list included). Work will be performed in New London, GT. Parts $11,476.78* Labor 8,642.50 Mileage, 960.00 Estimated freight and miscellaneous parts 760.00 ESTIMATETOTAL................................................................$ 21,839.28 *Remanufactured part core charges included '' nn � 79 State Street - P.O. Box 543 - Narragansett, Rhode Island 02882 Telephone(401) 789-1021 - Fax(401)783-7784 Office I OF 1 PART# DESC. SELL PRICE QUANT TOTAL$ OR3018 OR3018 CAMSHAFT 1561.89 1 $1,561:89 4NO342 4NO342 PLATE-THRUST 49.89 1 $49.89 20R1828 20R1828 LIFTER 87.02 24 $2,088.48 305-6843 305-6843 LIFTER SPRINGS 8.33 24 $199.92 7N7585 7N7585 IDLER GEAR 807.62 1 $807.62 2W4565 2W4565 OIL PUMP GEAR 253.19 1 $253.19 6NO977 6NO977 OIL PUMP IDLER GEAR 24.96 1 $24.96 131-7123 131-7123 IDLER GEAR BUSHING 36.87 1 $36.87 117-9712 117-9712 IDLER GEAR SHAFT 328.81 1 $328.81 6N3195 6N3195 TIMING ADVANCE GEAR 2185.86 1 $2,185.86 7N7591' 7N7591 CRANK GEAR 323.93 1 $323.93 420-0925 420-0925 CENTRAULOWER KIT 210.52 1 $210.52 421-8976 421-8976 OIL COOLER KIT 126.72 1 $126.72 419-5116 419-5116 FRONT KIT 203.16 1 $203.16 7N2443 7N2443 THRUST WASHER 38.82 1 $38.82 1 B8705 1138705 KEY 0.57 1 $0.57 2W4.437 2W4437 OIL PUMP IDLER GEAR 231.86 1 $231.86 OR4680 OR4680 WATER PUMP 709.80 1 $709.80 TOTAL ON PARTS: $9,382,87 CORE REFUNDS ARE SUBJECT TO PHYSICAL CONDITION OF CORES. OR3018 CAMSHAFT CORE 880.91 1 $880.91 OR4680 WATER PUMP CORE 491.32 1 $491.32 20R1828 LIFTER CORE 30.07 24 $721.68 n S TOTAL ON CORES: $2,093.91 �c 1�� PARTS+CORES. $11,476.78 FISHERS ISLAND FERRY DISTRICT June 26,2017 Rhode Island Engine RESC>LUT|(JN3O17' Ill WHEREAS, one ofthe two engines inthe M/VRace Point malfunctioned;and WHEREAS this occurred during the District's peak season; and WHEREAS, District Management determined that the immediate repla�ement of the starboard engine water pump and gear train was eVsentia|tumaintain the safe and uninterrupted operation ofthe M/V Race Point and that the required repair constituted an emergency situation; and WHEREAS,onJune 21/ 2Ol7/ Management xV0s able toobtain the services¢fRhode island Engine Company, Inc.; NOW,THEREFORE, WE |TRESOLVED,that the Board ofCommissioners ofthe Fishers Island Ferry District ratifies and approves Management's determination that the required repair ofthe W4/VRace Point was anemergency; and beitfurther RESOLVED that the Board of Commissioners waives the requirements of the procurement policy for competitive bidding to obtain the services of Rhode Island Engine Company, Inc.;and be it further RESOLVED,that&1anagemnent|sauthmrizedanddirectedtmpeYtheinVpioms ofRhode Island Engine Company, |nc,the amount not toexceed$3CLOOO.00. Moved by,Commissioner P. Rugg Seconded by:Commissioner H. Burnham Ayes:A.Ahrens,VV. B|omthe, H. Burnham, P. Rugg and Q.Shi||o Nays: None � � �-» u-�� / �^/ /-� | (7 c/ /h- . / O~«=^ ��� RESOLUTION 2017-617 ADOPTED DOC ID: 13220 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-617 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 18,2017: RESOLVED that the Town Board of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island Ferry District Board of Commissioners dated June 26, 2017 in regard to the Rhode Island Engine Company, Inc. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell PAM FISHERS ISLAND FERRY DISTRICT VENDOR 018875 SAFETY—KLEEN SYSTEMS, INC. 07/18/2017 CHECK '4211 FUND 1.1& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 73980204 VAC SVC,HAZMAT-6/23/17 747.46 ( TOTAL 747.46 J s, m v - Lo rxi ..�N p B • B p B ! B p B - I FISHERS ISLAND FERRY=DISTRICT AUDIT 9,7/18/17- 4,211 7/18/17- 53095-MAIN,ROAD,PO BOX 1179, SOUTHOLD,Nv�11971;095s CHECK,NO. 42'1.1 ® s THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT 07/18J2017. - $747:46 _ 50-546/214 _ - - - SEVEN HUNDRED FORTY -SEVEN','AND 46/100 DOLLARS _ PAY-, „SAFETY—KLEEN SYSTEMS, _INC. TOME- Pp-BOX'-382066 f ORDER' 8'06 .. It VF" PITTSBURGH ''PA 1-5250—' '6 'H' a 0042LLii' 1:021LOS , 641: 68 0015,02 1110 Vendor No. Check 30. Town of Southold, New York - Payment Voucher 18875 . Vendor Address Entered by PO BOX 382066 Vendor Name Pittsburgh, PA 15250-8066 Audit Date Safe -Meen Systems,Inc. a Vendor Telephone Number L 201" 800-669-5740 Nyn'CIexk ' Vendor Contact G Invoice Invoice Invoice Net Purchase Order w "r Number Date Total Discount Amount Claimed Number Description of Goods or Services General-Ledger-Fund and Account Number 73980204 6/23/2017 $747.46 $747.46 6/23117 vac service SM5710.4.000,000 Haz-mat $747.46 $747.46 f„ Payee Certification - Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature , tle Signature 2 Company Name Fishers Island Ferry District Date 7/5/2017 Title Date J f GI NI Ha I011 SIA 116 --_- CrSOG rr 1,1,le Customer cert ties that (i) tine au-ve ed classified, packaged, marked anti labeled, and,are in�proper+condition for transportation according to the applicable regulations of the Department of Transportation (ii) 110 material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees topay the above charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and-SK-'. and (2) incorporated herein by reference. Unless otherwise indcated in the payment received section, SK is authorized to charge Customer's account for - this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (1896 per annum or (ii) the maximum amount sl lowed by law, will be added to all unpaid Harris 06/23/17 08.08 PAGE 1 mnounts outstanding. Customer certifies that the individual signing CSG SK-PSB-VAC-41 Anthony this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining au EPA ID number if required by Safety-K 1 e e n Systems Inc. applicable law. The following provision is applicable to I 9 Safety-Kleen's parts cleaner and paint gun cleaner services. Customer 2600 N Central Expy, Suite 200 Richardson, TX 75080 agrees that it will not introduce any substance into tine solvent or aqueous cleaning solution, including without limitation any hazardous CORPORATE: 800-669-5740 waste or hazardous waste constituent, except to the extent such 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) introduction is incidental to the normal use of the machine. Customer 8607542400 , further agrees that it will not Clean parts/paint guns that have been REFERENCE NBR. contaminated with or otherwise introduce polychlorinated biphenyls CUSTOMER# FI30857 Fishers Island Ferry District 73980204-1702978595 GCB's), herbicides, pesticides, dioxins or listed hazardous waste 5 Waterfront Park SRVC WEEK: 2017-24 into tine solvent or aqueous cleaning solution. Safety-Kleen has the New London CT 06320 SRVC DATE: 06/23/17 capacity and is permitted to accept, store, and/or reclaim the spen PHONE 860-442-0165 parts washer solvent; paint thinners, solvents and paints generated by BILL TO CUSTOMER# BILL TO ADDRESS: customer; or dry cleaning filter cartridges, powder, and still - FI24659 Fishers Island Ferry District residues containing perchloroethylene, petroleum naphtha, or PO Box 607 261 Trumbull Drive triflurot•ichlo•oethmhe dry cleaning solvents. Customer agrees that it Fishers Island NY Trumbull Drive is responsible for prm properly classifying its waste streas as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CFR PHONE 860-442-0165 262.11 and applicable state laws. Customer agrees that it will not I PURCHASE ORDER# TAX EXEMPT# i introduce any non-conforming substance into the SK Property, PRODUCT/SERVICES including, without limitation, any hazardous waste or hazardous waste SERVICE/ TOTAL constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides, PRODUCT QTY UNIT PRICE TAX CHARGE pesticides, dioxins, or listed hazardous wastes) except.to tine extent 1189326/ such introduction is incidental to the normal use of the SK Property. \ In tine event of the introduction of such non-conforming hazardous 66666/` VACUUM SVC LIQ (PQUAL) 605.000 0.0000 0.00 0.00 waste, Customer agrees that it will be responsible for all costs and SERVICE TERM 24 WEEK remediation expenses related to or arising from the proper management HALOGEN / CLOR-D-TECT TEST RESUL1 PASS: PPM < 1000 and disposal of the non-conforming waste, including tire cost of VAC PH TEST: 6 equipment decortannination and subsequent disposal. Final invoicing I # CONTS: 1 TSDF: MANIFEST#. 00000 FORM CD: BL SHIP# 222649900 will be based on the actual services provided, which may include CNT#: 170623872484 QTY 605 WT/VOL G PROF# 1189326 SKDOT 7933019 10901 VAC SVS SERVICE FEE 1 1.000 87.0000 5.52 92,52 additional charges fol- off specification waste and surcharges. F mal j 100001 FEE, FUEL SURCHARGE 1.000 10.8300 0 69 11.52 receipt amount way be more than tile amount listed on the alleged 10970 FEE, VAC SVC NO SOLIDS 605.000 1.0000 38.42 643 42 receipt. If any legal action is commenced because of an alllleged dispute, breach, default or misrepresentation, the Customer also ----------- - agrees that the prevailing party will be entitled to recover TOTAL SERVICE/PRODUCTS 98.8300 44.63 747.46 reasonable attorney's fees and costs associated with tine roll-conforming contamination event Safety-Kleen's failure to screen TOTAL CHARGE 747.46 Customer's material or take a retain sample, in no way onstitutes a CREDITS 0.00 waiver of Customer's obligation to properly classify its materials. --------------- Safety-Klee" relies on Customer's representations and Customer is TOTAL DUE 747.46 responsible for infovming Safety-Kleen of any process changes that may alter the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL **24-HR NUMBER** 1-800-468-1760 (Safety-Kleen) UNPAID BALANCE THIS RECEIPT 747.46 Per, BOG M420-001 the halogen detecting instrument has been ��� zeroed and validated. ' Sig", e CUSTOMER / GENERATOR. Fishers Island Ferry District I ' Signature TRANSPORTER. Anthony Harris 1 AST"Are OEM L FISHERS ISLAND FERRY DISTRICT - VENDOR 019621�STEWART & STEVENSON PWR PROD. 07/18/2017 CHECK 4212 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.200 2476112 RP—CRANKCASE VENT FILTER 506.25 TOTAL 506.25 I _ r: :, =x• 3• r..r tM_,.�'+ ,.%S%Q.. ,3 .r e�.is ...+` -ua `'4.•••A•PS!,�-•`'> 'f'.qq -.',we�i•'..xr a yp-xfl f I > r i FISHERS ISLAND FERRY DISTRICT -AUDIT, 07/1.8r/.,1,7, 53095,MAIN,ROAD,PO BOX 1179 - _ a _ _ SOUTHOLD,"NY 1197,1-0959'_ = CHECK.NO:' 421-2 THE SUFFOLK CO"NATIONAL BANK „ CUTCHOGUE,NY 11935 DATE AMOUNT s 50-546!214 _ 01/18/2017; _ - y506.25 - FIVE_ HUNDRED ,SIX AND-25/100DOLLARS pgy- STEWART & STEVENSON_ PWR_ PROD., j TO THE'= 'PO-=BOX;950 .,, OF ='LODI NJ07644 11.004 2 12 1:0 2 140 54641: 68 00 L 50 2 L11' - t~J L"J Vendor No. Check<146: Town,of Southold, New York - Payment Voucher 19621 Vendor Address Entered by DBA Atlantic Detroit Diesel Allison PO Box 950 Vendor Name Lodi, NJ 07644 Audit Date ' Stewart&Stevenson Power Products LLC �, ; 2017 ADDA Division Vendor Telephone Number Totivn Clerk-,=. , 201-489-5600 Vendor Contact Invoice Invoice Invoice Net lurchase Order "_,- Number Date Total Discount Amount Claimed Number Description of Goods or Services General,Udg&,Fund and Account Number 2476112 6/21/2017 $506.25 $506.25 RP crankcase vent filter . ' = SM67.10.2.000.200 i 4' $506.261 $506.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature itle Signature Company Name Fishers Island Ferry District Date 7/6/2017 Title Date Stewart&Stevenson ATLANTIC DETROIT DIESEL ALLISON @I O OMER NO. INVOICE NO. Power Products LLC ArLANwPowasysums Mfg frl'0 6-1 1.2 Please make all checks payable and remit to: STEWART &STEVENSON POWER PRODUCTS LLC Invoice P.O.Box 950-Lodi, New Jersey 07644 Phone:(201)489-5800 BILLED TO SHIPPED TO F'T SL r)N)) X3.1.;:} (I ClUT I"'.1 I-?I I 1.:.31_.('1!''!1"r j j-*j::'j4,j:s_)' T*1*JI.IMT_'A.11 L. DRIVF, F:-Ci h"Ox F']. I F*R(3 ['3 L.i•*.l H 1"; DATE INVOICED DATE SHIPPED REFERENCE NO PURCHASE ORDER NO- BILL OF LADING NO. FIE,9 11_� 15 SERIAL NO. MODEL No. CUSTOMER I D,NO FREIGHT VIA TERMS U F 'T 'At 11::. 0 Iii.)y, 131'� DESCRIPTION EXTENSION BACK DAM SHIPPED VF'N'y FL'TIR J. 1 4!.*.;'-."J,, 77 f, 01.1R TT WI it'l F 1,01 F 14T1:_7"- :*N -_'*f teal 01"4.4 ......................................................... .............. ..................... .......... ......... ..... ......... C. 1 7 71 FORM NO 005 WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE RE"UIREMENTS OF SECTIONS 5, 7 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF SEE TERMS AND CONDITIONS OF REVFRl_e PIPE GENERAL,TERMS AND CONDITIONS 1 DEFINITIONS As used in these General Terms and Conditions,the term "Goods" shall mean the products, parts and accessories (including fluids)offered for sale by Seller. The term"Services"shall mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller. "Sellef'shall mean Stewart&Stevenson Power Products LLC(also d/b/a Atlantic.Detroit Diesel-Allison and Atlantic Power Systems)and"Buyer"shall wean the customer(person or entity)to whom Goods or Services is sold or offered. 2. ACCEPTANCE.Upon acceptance by Seller,Buyer's request for quotation and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherwise supplemented in writing by Seller. All offers by Seller expire 30 days from the date of issue unless terminated earlier by Seller before acceptance or extended by Seller in writing. 3. PRICKS AND PAYMENT. All prices are in U.S. Dollars. Seller reserves the right to adjust prices if changes are made in specifications,delivery or scope of work for Goods or Services. Unless otherwise agreed in writing,any Buyer with pre-approved credit terms shall pay the purchase price for Goods or Services within thirty(30)days of the date of invoice. Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit department. Seller reserves the right to change credit teens and to require payment in cash or other form of immediate payment acceptable to Seller. Buyer will be invoiced for the applicable sales tax or other taxes due in connection with Buyer's purchase of Goods and Services unless Buyer provides an acceptable tax exemption certificate. 4 FACTORY AUTHORIZED WARRANTY REPAIRS. T11henever Seller provides at a Buver's request factory authorized repair .services or replacement parts to Goods covered by a manufacturer's limited warranry. the manufacturer's warranty applies first over the linnied warranty of Seller in paragraph 6 and the responsibilily for the repair and/or replacement cost shall be apportioned between the Buyer and the manufacturer according to the terms and conditions of the applicable manufacturer's eva•ranty. Unless otherwise agreed by Seller, the Buyer shall be liable lbr the cast nfrt�pairs or re placements made on-all Goods to the erlent that the manu%arturer does not Pay for said repairs and/or replacements under its warranty. 5 LIMI'I'Iil) WARRAN7'YOP',VIINUFAC7'URERS When.Seller,sells directly to the Buyer Goods covered by a manufacturer's limited warranty, the terms and conditions of the nnainrfactur•er's limited warranty only shall apply. A copy of the manufacturer's warranty shalt be provided upon request 6. LIMITED WARRANTY OF SELLER. When Seller provides at a Buyer's request any Services or replacement parts to any Goods, the following limited warranties apply to the Buver: a. For new, rerrnanzfactured or used parts and components supplied in connection with Services, the manufacturers limited warranty on such parts and components.shall apply. b Seller warrants that its Services shall be,performed in a good, workmanlike manner and.shall he•fr•ee from defects in materials or workmanship for a period of 180 days from the date.such work is completed or such material is provided C. Seller warrants that any exchange components or assemblies rebuilt by Seller that are used in any repair or replacement shall be free from defects in materials or workmanshipfor a period of 180 days frons the date such work is completed. d. Substandard or incomplete repairs made at the Buyer's request andior parts furnished by Buyer and installed by Seller at the Buyers request are not warranted by Seller 7. CONDITIONS OF LIMITED WARRANTY. In the event the limited warranty of Seller in paragraph 6 above applies,Seller will fulfill its limited warranty obligations by correcting any mal fiinctron during the i arranty period under-the following conditions- a. onditions-a. If ariv repairs•or•replacement pea is provided fail to conform to the Limited Warranty of Seller,Seller will, at a location of Seller's choice and daring nor root working hours, replace any de,fective parts or correct any deficiencies in workmanship free of charge to the Buyer if such defects in parts or defdcrencies in workmanship are verif<ed in writing div any authorized Seller employee. Such replacement of parts or correction of dcfciencies in workmanship will be commenced as soon as manpower and nnec(-ssaiy parts and equipment rare reasonably available to Seller. b. When, at the Buyer's request repair work is perfoinned outside of Seller's normal business horns, or is performed on weekends or Izolidays, the Buver shcr/1 be respon ible for the dilference between regular time labor rates and the applicable overtime o•prime time laborrales! Unless the original repair services were performed in the field, if warrant),repair servicer are peifoi-meed outside of'Seller's facilities, the Buyer shall be responsible for the cost of travel time,mileage and other travel expenses. Any transportation cost to pick rip ancdior deliver tools and machinery to Buyer's job site in order to perform warrantable repairs will be charged to the Buver at prevailing rates, unless the o•iginai repairs included pick up and delivery by Seller_ 8. WARRANTY DISCLAIMER. THE WARRANTIES PROVIDED MERELY ARE THE ONLY WARRANTIES APPLICABLE TO THE PRODUCTS,PARTS AND/OR SERVICES PROVIDED BY SELLER. SELLER MAKES NO OTHER WARRANTIES,EXPRESS,IllIPLIED OR STATUTORY AND SPECIFICALLY DLSCLATUS ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Some states do not allow the limitation of'how long cei twin warranties may last or limitations or exclusions of certain damages,so.some limitations may not be applicable. The limited warranties give Buyers specific legal rights which may vary from state to state. q. NEGLIGENCE DISCLAIMER. Buyer's understands and agrees that Seller and Seller's officers,agents,representatives and employees shall not be liable for iniury to property,whether based on negligence,strict liability, or any other theory of tort liability, for any action or failure to act in respect to the repair,replacement of parts or workmanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY. The limited warranty of Seller and other manufacturers' limited warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever, including without limitation; communication expenses, nmcals, lodging, loss of use of equipment, loss of time, downtime, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty. 11. LIMITA'T'ION OF LIABILITY. In any and all events, the limitation of liability of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handling of any Goods,equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of paynment. if the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the laws of the state where the Goods or Services are provided. Invoices not paid when due are subject to a finance charge of 1 5% per month(18%per annuni). Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge. in the event Seller retains an attorney in connection with the collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. CUSTOMER COPY ATLANTIC DETROIT DIESEL-ALLISON X0500 Stewart & Stevenson -- st�Iwo� Power Products LLC ATLANTIC BOWER SYSTEMS 1)AT E612:1.1:1.7 ATI A H'T,1:CDi)(', F IEFIR:I:NT FIAGE:: :I. '1"1:HF::: :1. 5,6 .2;:; E'Tt:JWN CT 06457 1)CIC:'C.Ji4E:N'TW: F''09".5$.' OZ.;0:1.C, C06C}} ";.-;2....02.I.#:3 I:JFiI)€ :I: 1"`e'€'L'e:, f:i'T'Cl(:'•I•: 1301 1) I S: I...AND €::•IERRY D I S'TF-Z T.C T' 11:31••1:1:1*1" 'T'CJ::l* :I:::31••11: FZ :I:f:al...AN AND f l:::F",Ri' �t tit at at fc zt yc yt�c at 7�ai r�i6:a4�4�c�r.�t��7t xt at�r _ 5 W A,TIF+,I I"Z 0 ITT, F'r oI V: 74 F' :I: C' !•:: 'i' :I: Cl V: E T Nl::UJ LONDON.,,, (., 1 C}c; 20 C'Fi€:::DI T 0/00/00 RCIC.J'1 T NG:,1.)„€ ,+#:3,. F I L.l...l:::X} 1.1y x3/I_. i�EU iX:�1:F4r, 3 9"'X)" _ C'(.)L,. F,(4 I:�N T1:-:.REE) BY.-. I...E,0 F'0Fil:;:3'T':I:I :Fd : :CC SIU1:C)11:11: /J. 2 I.N COD UNIT ;:3r:F0:A1...H....F•R1:Wd:ZY:: C'CDN TACE T: JOHN 1-'I••IONI::: 780 746 i:,RC)I. F" X.;:1:11! Q'T'Y GIT•Y (:I'T'Y UN:1:'T I:::X'TI MIDI:X) X}I:::{3C R3:€"T [0i'd I...CJC: CDI=LX} f:31 II ' X:�/C:J I�'F?l:t:l: 151 (.,(. V6000C}f3F� C'l�s11�If::C�il:al:" Vl*..N•T" F't._'T'!� f�;i"�:! J. :L 4,`.5 7 7 4,r-5,,,.,77 ANY CORE:: NOT R(ETC.JRNF:X) WITFI:1 N 60 DAY;:) W:CI...I_. BF.:: TO ft C;€•ICtRGE NO Rf:"CCJFi`:t3 c"+l T'k:14 180 X) Y::3 V1:::3:I"T OUR lei:DS:C'Ti:: , WWW, A.COM Uv �� ' r t w.x. }fx" fq r 1 el''v"..��..ds L�lad€ E�.,� ��aa zCt:: �__ ' '�`�`�,:r,�.�t_.. vy. 7 ,+r.. •_.. }-;t;:'5,.7 t 1'•1113{."X) FT)R T'f• XN 28.','4 NB;. C)C}4) -H ,.00 RE'CEIVI:"X) YiY; T-OTAL. 484.71. GENERAL'TERMS AND CONDITIONS 1. DEFINITIONS.As used in these Gencral Terms and Conditions,the term"Goods"-shall mean the products,parts and accessories(including fluids)ofleied for sale by Seller.the term"Setvrces"shall mean ` the labor for diagnosis,repair-and maintenance to vehicles and other equipment provided by Seller."Seller"shall mean Stewart&Stevenson Tower Products,LLC(also d/b/a Atlantic Pow_er Systems)and "Buyer"shall mean the customer(person or entity)to whom Goods or Services is sold or oif red. 2. ACCEPTANCE.,Upon acceptance by Seller,Buyens request for quotation'and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherwise supplemented in writing by Seller.All offers by SelJcr expire 30 days from the date of issue unless terminated earlier by Seller before acceptance of extended byrSellei in Wiiring. 3. PRICES AND PAYMENT.All prices are in U.S Dollais.Seller rescives the right to adjust pi ices if changes arc made in specifications,delivery of scope of work for Goods or Services.Unless othetivise agreed in writing,any Buyer with pre-approved credit turns shall pay the purchase price fot Goods of Services within thirty(30)days of the date of i;xvoice.Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit depai tment.Sellei reserves the right to change credit tei ms and to require payment in cash or other form of immediate payment acceptable to Seller. Buyer will be" invoiced for the applicable sales tax or other taxes due in connection with Buyer's purchase of Goods and Services unless Buyer provides an acceptable tax exemption certificate 4. FACTORYAUTTIORIZED WARRANTYREPAIRS. IV'henever Seller provides ata Buyet 1 request factory authorized repair services or replacement parts to Goods coverrd_b,a 1n7 av_fr_ctzrr ens warranty;the manufacturer's warranty applies f ret over rhe limited warranty of Seller in parqraph band the respomibda-,,for•the repair and/or replacement cost shall be apportioned between the 13rsyer�tnd the';nanufactumr according to the terms and conditions of the applicable manufactrue•rs Marrarrt): Unless otherwise agreed�_Sfll�r_the_13uyer s Jq Fie ligbie fr_tr_t , cost of_ j�rdrs at,replrtcements made on a_ll Goode to the evtent that the ruanttfacturer does not pavfor•said repairs anchor re lacenienrs!ander zts ivaunnty j, LIMITED WARRANTY OF,MANUFACTURERS. lVlhen Seller sell directly to the buyer Gooch covered by a maniafacturer'c warranty; the terms ancd conditions of the nuznufaettirer•s•hmitecl warranty only shall apply.A copy ref the manufacturer's warranty,shall he provided upon request. 6 LI11I71D WARRANTY OF SELLER. Mhen Seller provides at a Buyer's request any Services or rc plarenaent harts to any,Goods, the lollowin?hilimed uutrrantics apply to the Brayer: a. For new,reinani factured or lased parts and components Suppled In ConnCCtZOn will?Set Z ices.the mant facturer5 limited warrant}on such parts and Components shall apply b. Seller warrants that its Services shall be performed in a good workmanlike mannee and shall be free f torn defects in materials or workmanshipfor n per and rrf`180 di from the date such won/z is completed,or such material is provided. C. Seller warrants that any exchange contponents or assemblies rebuilt by Seller that are used in any repair or replacement 3hal/be free(torn defects zu matertals or zvorkrnanship for a period of 180 clays frow the date such wo;k is completed. d. Substandard or incomplete repair,made at the Buyer's rerlunrt andlor parts litrnished 6} Buyer arad ira,stalled 1i1+Seller at the Brag+en's request rare not warranted b;Seller 7. CONDITIONS OF LIMITED WARRANTY. I a the event the limited wariawz ,of:Seller in paragraph G above anplie,,Seller will fiditll its limited warranty obligations by rorrerting art}•ma4lunrtion during the rva,runty period under the folloivir;conditions. a. If any repairs or replacement parts provided fail to confor w to the Limited lEii ranr�,o f Seller,Seller will,at location of Seller's choice and during normal worletng hour,replace any defective par is or correct any deficiencies in workmanship free of charge to the Biayer if such defects in parts or deficiencies in work,nianshzp are verified zrr writing by arty authorized Seller employee.Such replacement ofparts or correction of dffcaenczes in workmanship will be coinrneneed as soon as manpower and necenaiy parts and equipment arc reasonably available to Seller. b. Moen,at the Buyerc request repair work a per formed outside al•Seller's normal business hours,of is per formed on weekends or holidays,the Brayer shall be re�ponsible f r the drff-rence between regular time labor crater and the applicable overtime or prime time labor rates. Unless the original repazr services were performed in the field,if wa,rauty repay,sr'r vires are performed outside of Seller's fariliues,the Buyer shall be responsible far the cost o f trzavel time, nuleage and other travel expenses.Any transportation cost to pick up and/or deliver tools and machinery to Bitwr's•job we in order to perfor nz warrantable repairs will be charged to the Buyer at prevailing rates, unleu the original repairs included pick lap anddelivery by Seller: _ 8. WARRANTY DISCLAIMER, THE WARRANTIES PROVIDED HBREINARE THE,0 LY ARX 77ESAI'PI WAIr SLE 70 I7"HL'PRODt7C`IS,1'AR7SANDJOR SFRVICFS I'ROVII3ED BY SELLER.SELLER t'f7AKESNO OTHER WARRANTIES,EXPRESS,I1fTPLiE OR STATUTORYAND SPEC'IFICIILLYDISCI.A-IMSA/bYIMPLIED WARRAN'IILS OFIIIERCHANI BiLITY (ORF'ITNES,S FOR A PARTICULAR I�URPOSE.Sonne states do not allow the limitation of how long rertazn warranties may last or llmatatzons or exclusions of eei twin damages,so some limitations may nor be applicable. TIJe lira ted warranties give Buvers,specif c rt;hts which may vary f oni state to state. 9. NEGLIGENCE, DISCLAIMER.Buyer undersrands and`agrees that Seller and Seller's officers,agents,representatives,and employees shall not be liable for injury to property,whether based on negligence, Strict liability.or any other theory of tort liability,for any action or failure to act in respect to the repair,replacement of parts or workmanship involved as to any Services. 10. DISCLAIMER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY`rhe limited warranty of Seller and other manufacturers'limited warranties described herein do not cover any incidental' or consequential damages or other economic losses of any kind whatsoever,including without limitation,communication expenses,meals,lodging,loss of use of equipment,loss of time,downtime, inconvenience,overtime,transportation costs or any other cost of expense resulting fiom a defect covered by the applicable war ianty. 11. LIMITATION OF LIABILITY In any and all events,the limitation of liability of Seller or its agents and employees for any and ail losses,injuries of damages resulting from the use or handling of any Goods. equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12_ OTHER REMEDIES OF SELLER.The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance-,with the agreed terms of payment.If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the laws of the state where the Goods or Services are provided.Invoices not paid when due are subject to a finance charge of 1.5%per month(18%per annum).Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge.In the event Sellei retains an attorney in connection with the collect on of any amounts clue from Buyer to Seller,Buyei agrees to pay Seller's reasonable attorney's fees and expenses and all coui r costs. L FISHERS ISLAND FERRY DISTRICT VENDOR 020260 THE AMERICAN EQUITY 07/18/2017 CHECK 4213 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT 1 ' SM .1910.4.000.300 120984 PLCY#0904912Y-8/17-8/18 788.00 i- TOTAL 788.00 41 .. _; d gig.." ...w ...... .. .......«.»a•> :s.: ^•?f'� �;- ..;ng z� 0 - K 1111-103:0113 9:11E.11117111:11;9 11113 Z 0 B 0 y FISHERS ISLAND FERRY DISTRICT AUDIT 07/18/17 53095 MAIN ROAD,PO BOX 1,179 _ SOUTHOLD,'NY 1197;1=0959 - CHECK NO: --_ :.4213 ® THE SUFFOLK C0:NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT, 1 50546/214 _ -07/18�2�17- $8.0,0 SEVEN'HUNDRED EIGHTY" EIGHT'=AND 00/100_' DOLLARS PAY;-. THE AMERICAN EQUITY , TO THE :`UNDERWRITERS, INC-, � -- '� OF ;Pb $0X_ 602424' _ - CHARLOTTE NC 282'60-2424 11'004 2 13ii' 1:0 2 L405464o: 68 00 LS0 2 110 L J Vendor No. CheckrNo: Town of Southold, New York - Payment Voucher 20260 ,.+0( Vendor Tax ID Number or Social Security Number Vendor Address Entered'by P.O. Box 60242.4 Aitdit Date The American,P ui!M Underwriters Charlotte,NC 28260-2424 ;� �: ` ;1011 Vendor Telephone Number ;,,•; "'Clerk Vendor Contact n Invoice Invoice Invoice { Nei Purchase Order tv f Number Date Total I Discount Amount Claimed Number Descr,ptron of Goods or Services ,General,Ledo-r Fund and Account Number 120984 71712017 $788,00 $788.00 Workers Compensation ,'-SM1990.4.000.300 Insurance coverage 8/1/2017-8/'812098 Policy 0904912'► ,F4 Vit, ';i;`; •: < , " $788.007 $788.00 t Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct that no part has in good condition without substitution,-the services properly been paid,except as therein stated,that the balance.therein stated is actually performed and that the quantities thereof have been verified with the-exceptions due and Ming,ad4 that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Title a.r gn to Signature Si Company Name Fishers Island Fe:ry District Date �1 7/10/2017 Title Date :'r r V The American Equity Underwriters,lnc. 11 North Water Street, Mobile, AL 36602 Phone (251) 690-4230 Invoice TO: Fishers Island Ferry District P.O. Box 607 Fisher Island, NY 06390 Invoice Date. 7/07/2017 Past Due After: 8/11/2017 Invoice No: 120984 Cc: ACCOUNTS PAYABLE DEPARTMENT Description Amount COVERAGE: State Act Worker's Comp PROGRAM: PMA POLICY NO: 0904912Y COVERAGE PERIOD: 8/01/2017 - 8/01/2018 ESTIMATED PREMIUM FOR COVERAGE PERIOD: Premium 476.00 Surcharges and Taxes 47.00 Terrorism Premium 65.00 DTEC 20.00 Expense Constant, 180.00 TOTAL 788.00 PAYMENT DUE: 8/01/2017 Annual Installment Premium 476.00 8/01/203.7 Annual Installment Expense Constant 3-80.00 8/01/2017 Annual Installment Terrorism Premium 65.00 8/01/2017 Annual Installment Surcharge/Tax 47.00 8/01/2017 Annual Installment DTEC 20.00 TOTAL $788.00 REMIT TO: The American Equity Underwriters, Inc. PAYMENT BY CHECK: PAYMENT BY WIRE OR ACH: The American Equity Underwriters, Inc. Wells Fargo P.O. Box 602424 420 Montgomery Street, 7th FI Charlotte, NC 28260-2424 San Francisco, CA 94104-1298 Routing#121000248 Account#2000049249752 Amounts not paid when due accrue 1.5%per month interest(or highest amount allowed by law)plus attorney fees incurred during collection �-- FISHERS ISLAND FERRY DISTRICT VENDOR 014606 TWOMEY,LATHAM,SHEA,KELLEY, 07/18/2017 CHECK 4214 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 85705-OOM-0517 LEGAL SVCS-4/13-6/15/17 3, 003.00 TOTAL 31003.00 I - pip nil m ' r� v .. :Y9 n anrzt..«.-....sr .,.,.. �.H�m.A.--...e.;✓�• <an.,» s ...x..eam ..>w,�.•<....�.. ::E.:.. x ...(.s��•: F i '•F ,... -x«y"".s.5'.'c,`..,a ,�_.. ,.< �.;3:,%•`�.,,w^`*Yp k"l:.N..V�WM� ,. 3,;•. �•°j;... t FISHERS ISLAND FERRY DISTRICT - - - 53095 MAIN,ROAD,PO BOX 1179 - - AUDIT_ 07118/17 _ v SOUTHOLD,NY 11971.0959 CHECK' NO: - 4214 THE SUFFOLK CO NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT- 50_54672i4 07,%Y'8/201,7' $;3',4003.00 THREE -THOUSAND THREE AND,.,00/100 DOLLARS-; ply ,TWOMEY,LATHAM,•SHEA,KELLEY; TOTHE': ' DUBIN, -&;,QUARTARAROLLP r ORDER - OF „'PO;,BOX- 9398 RIVERHEAD NY' 11901-9398 - m ii'004 2 L4it' 1:0 2 1140 54641: 6B 00 L 50 2 Lii• Vendor No. Check No.-, . 'down of Southold, New York - Payment Voucher 14606i'o zM Vendor Tax ID Number or Social Security Number Vendor Address Entered by. P.O. Box 9398 Vendor Name Riverhead, NY 11901-9398 Audit Date ; Twomey, Latham,Shea, Kelly, Dubin &Quartararo, LLPi''JL 18 2017 Vendor Telephone Number 631-727-2180 7 -Clerk Vendor Contact Invoice Invoice Invoice i Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services 'General I.edger Fund and Account Nuiiaber,,i 85705-00 6/27/2017 3,003.00 3,003.00 4/13-6/16/17 legal services SM1420.4.000.000 , &17 i .. F ' f x 3,003.00 3,003.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Island Ferry District Date 7/5/2017 Title Date ��/ Twomey, Latham, WIA Shea, Kelley, Dubin & Quartararo LLP Attomeys at Law Post Office Box 9398 Riverhead,New York 11901-9398 631.727.2180 Fishers Island Ferry District June 27, 2017 261 Trumbull Drive 85705-OOM Post Office Box 607 Fishers Island, NY 06390-0607 PAYMENT DUE UPON RECEIPT Please call us if you would like to transfer this balance to your Visa or Mastercard FOR PROFESSIONAL SERVICES Re: Town of Southold Management Agreement Hours 04/13/2017 PBF Review correspondence from client and W. Finnegan regarding questions regarding amendments; correspondence to M. Finnegan regarding quorum requirements . 0 . 10 04/17/2017 MDF Communications with Geb regarding bid package and C&S Services; review of bid package; telephone conference with Town Attorney regarding same; advice to Geb. 0 . 80 04/24/2017 MDF Review correspondence from Geb Cook; advice to Geb regarding permissive referendum and FAA grant oversight process; telephone conference with East Hampton Town Attorney regarding same . 0 . 80 05/01/2017 MDF Communications with Peter Rugg and Rich Miller regarding Enabling Act. 0 .40 05/08/2017 MDF Communications with Geb Cook regarding Town Board meeting. 0 .20 05/19/2017 MDF Review correspondence from Geb and Bob Smith regarding Bond Anticipation Note; communications with Geb; telephone conference with Town Attorney regarding required resolution; draft resolution , r (Continued) Fishers Island Ferry District June 27, 2017 85705-OOM Re: Town of Southold Management Agreement Hours and proposed letter to Supervisor Russell . 1.60 05/22/2017 MDF Communications with Gordon and Bob Smith regarding bond anticipation notes resolution. 0 .40 05/25/2017 MDF Communications with Geb and Bob Smith regarding bid acceptance. 0 .20 06/13/2017 MDF Review correspondence from Geb regarding airport hanger; advice to Geb regarding same; review and analyze proposed hangar Lease; draft comments . 1 . 80 06/15/2017 MDF Review and reply to correspondence from Geb and Bern; review of survey; review of proposed Project Agreement and related documents; draft comments. 1 .40 7 . 70 3 , 003 . 00 RECAPITULATION Hours Hourly Rate Total Martin Finnegan 7. 60 $390 . 00 $2, 964 .00 Patrick Fife 0 . 10 390 . 00 39 . 00 Total Current Work 3 , 003 . 00 Previous Balance $1, 677 .46 05/15/2017 Payment -1, 6,77 . 46 J Balance Due 003 . 0 FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 07/18/2017 CHECK 4215 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639257 WE 6/23/17 28.80 SM .5710.4.000.700 26639267 WE 6/30/17 �" 104.32 TOTAL 133.12 m .. r,^t i .(tri` .. ... < n........�.. x."w:p r•- w.,.,, .,:iK RY- "%• o....w....,>.. ..�� - ...:'Aar:- .,�r ;�"• .. i i>:;:. ^... �, ,.< ..._., .,,. ,.<—<'v:: ter•:\ - ,:y:��d -+� :sr8: 1 y,�l o � 0 0 0 ■ 0 ■ ■ 0 0 ■ f FISHERS ISLAND FERRY DISTRICT -AL7DIT 07/l8/17-'_ 53095-MAIN ROAD,PO BOX 1179 ® S0UTHOLD,NY 1197,1'0959 CHECK"NO: 4215 THE SUFFOLK C0:NATIONAL BANK 'CUTCHOGUE,NY 11935 DATE, AMOUNT 50-546/274 01,/18/ 0171-'' -'ONE HUNDRED,'THIRTY- THREE AND 12/100 DOLLARS. :i PAY, UNITED PARCEL SERVICE TO THE .PO BOX 7;247•,=•0'244 ; ORDER: OF .,PHILADELPHIA PA-'191 _ 70=0001 i�'004 2 1,51:0 2 140 54641: 6ii 00 L 50 2 Lii' Town of Southold, New York -.payment Voucher �- 21506 Vendor Address SitSt' y RO.Box 7247-0244 � Vendor-Namo UPS Philadelphia,PA 19170-0001 A dit Dike United Panel dami ceJJL Vtmdor Telephone Number 6 -911-16 6 b ler. ` Vendor Contact - - Invoice Invoice Invoice Net Purchase Ordera mase Total { Discount Amount Claimed Number 1 Description ofGoods or Services ; aeverad'L1,itid.aod'Acc...t,Number- ' 26639257 6/2A12017 $2S.'130( U&M WE 6123117 1�1 7.1 .4,,#iIDt3. fs0 26639267 711121317 $104.32� 1 $104.32 WE 6130117 5710.4.001700", $1.33.121 $133.1.2 Payee Certification Department Certification The undersignedf f Oairant)fActing on behalf of the above named claimant) I hereby certify that the materials abovc specified have-been receiN ad by me does hereby(certify that the foregoing claim vs true:and correct,that no part has in good condition without substitution,the services properly been paid,except as-tiiwr,in stated,That the balance therein'stated is actually perfbrrned and that the quantities thereof have been verified ufith the exceptions ,due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,ward payment is approved. 5ignatureQ/h t '"'Title Signature Compare}Name Fishers Mand Ferry District Date 7I612017 � Title_ � Date_� Delivery Service Invoice Invoice Date July 1, 2017 Shipped from: Invoice Number 0000026639267 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 722V 1 STATE ST Page 1 of 4 NEW LONDON,CT 06320 9 Sign up for electronic billing today! 0736A00000266394 77366010023207 Visit ups.com/billing ®_ AB 01 029260 89723 H 82 C For questions about your invoice,call: II' °11'1�1'll0llollln�lllll°I111�1�1'10'1 "11�1�'11111�11�1i01 s -1648 Monday-Friday 8:00 a.m.-9:00 p.m.E.T. FISHERS ISLAND FERRY ACCOUNTS PAYABLE or write: ® PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 P.O.Sox 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $104.32 Paye Charge Amount Outstanding(prior invoices) $111.83 Outbound Total Amount Outstanding $216.15 3 UPS WorldShip $88.42 Please include the Return Portion of each outstanding invoice with 4 Adjustments&Other Charges $3.00 your payment.See Account Status for details. Service Charges $12.90 - Questions about your charges? _ _. _Amount due this period $104.32 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 invoi a by July 23, ups.comlinvoiceguide. 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 EMEM 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. ®eliivery Service in voice Invoice Date July 1, 2017 Invoice Number 0000026639267 Shipper Number 026639 Page 2 of 4 Account Status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639217 05/27/2017 $45.75 0000026639227 06/03/2017 $463.97 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 0000026639237 06/10/2017 $28.80 0000026639247 06/17/2017 $54.23 0000026639257 06/24/2017 $28.80 Total $111.83 Outstanding balances reflect any Payments received as of 0613012017.Please ignore this message if a recent Payment has been made for any outstanding invoices. Defl '''ery Service In voice Invoice Date July 1, 2017 Invoice Number 0000026630267 Shipper Number 026639 Page 3 of 4 Outbound DPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 06/29 6853513203 1 1ZO266390347877120 Ground Commercial 30060 5 48 / 31.71 Customer Weight 7.2 Fuel Surcharge 1.66 Customer Entered Dimensions=23 x 22 x 13 in Total 33.37 1st ref:McLean-FINY 06390 2nd ref:McLean-FINY 06390 Sender :ACCOUNTS PAYABLE Receiver:RETURNS rOYALL.AMPSHADES.COM 515 Commerce Park Drive MARIETTA GA 30060 Message Codes:r Total for Pickup Number: 6853513203 1 Package(s) 33.37 06/30 6853513214 1 1ZO266390346713736 Ground Residential 55359 6 14 15.27 Customer Weight 9.6 Residential Surcharge 3.40 6 0 5 Delivery Area Surcharge 325 �--Fuel Surcharge- 1.15 Customer Entered Dimensions= 16 x 11 x 11 in TOU 23.07 1s@ ref:K.PARSONS-FINY 06390 2nd ref:K.PARSONS-FINY 06390 Sender :ACCOUNTS PAYABLE Receiver: SUSSAN AND KURT BJORKLUND 1875 HIGHSTED DRIVE MAPLE PLAIN MN 55359 Message Codes:r —_ 2 120266390346902148 Ground Residential 55110 6 4 11.17 _ Customer Weight 3.5 Residential Surcharge / 3.40 Fuel Surcharge 0.76 ®_ Tota9 15.33 — 1sf ref:K.PARSONS-FINY 06390 2nd ref:K.PARSONS-FINY 06390 — Sender :ACCOUNTS PAYABLE Receiver: MR.&MRS EDWIN J.MCCARTHY 14 DELLWOOD AVENUE – ST PAUL MN 55110 3 1ZO266390347326369 Ground Residential 33480 6 8 12.42 Customer Weight 5 Residential Surcharge / 3.40 Fuel Surcharge / 0.83 Customer Entered Dimensions= 16 x 11 x 7 in Total 16.65 1st ref:K.PARSONS-FINY 06390 2nd ref:K PARSONS-FINY 06390 Sender :ACCOUNTS PAYABLE Receiver: MR.THOMAS O.MCCARTHY 140 BRAZILIAN AVENUE PALM BEACH FL 33480 Message Codes:r Total for Pickup Number: 6853513214 3 Package(s) 55.05 Total OPS WorldShip 4 Package(s) - 88.42 Total Outbound 4 Package(s) 88.42 029260 2/2 Delivery Service In voice Invoice Date July 1, 2017 Invoice Number 0000026639267 Shipper Number 026639 n Page 4 of 4 Adjustments & Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 30-JUN-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied Y- 6 Dell very Service invoice Invoice Date June 24, 2017 1 Shipped from: Invoice Number 0000026639257 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID D180 1 STATE ST Pagel of 3 NEW LONDON,CT 06320 Sign up for electronic billing today! 0736A00000266394 77366040021682 Visit ups.com/billing AB 01 028253 83666 H 77 A For questions about your invoice,call: (800)811-1648 I°L°ISI°�I'II'°I�I111'10°��11111(e�lll'I1I111IIII111�°III°111��1 Monday-Friday FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.E T. ACCOUNTS PAYABLE or write- PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 P.O.sox 7247-0244 Philadelphia,PA 13170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $28.80 Page Charge Amount Outstanding(prior invoices) $$32.75 3 Adjustments&Other Charges $3.00V, Total Amount Outstanding $621.55 Service Charges $25.80 Please include the Return Portion of each outstanding invoice with Amount due this period / $28.80 your payment.See Account Status for details. Questions about your charges? UPS payment terms require payment of this invoice by July 16, 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 Tate payment fee of 6%of — UpS.com/invOlceguide. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Note:This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. Delivery Service Invoice Invoice Date June 24, 2017 Invoice Number 0000026639257 Shipper Number 026639 n Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment Invoice Number Invoice Date Balance Due 0000026639217 05/27/2017 $45.75 0000026639227 06/03/2017 $463.97 0000026639237 06/10/2017 $28.80 0000026639247 06/17/2017 $54.23 'total $592.75 Outstanding balances reflect any payments received as of 06/2312017.Please ignore this message it a recent payment has been made for any outstanding invoices. r I Delivery Service Invoice Invoice Date June 24,2017 OT.M Invoice Number 0000026639267 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 23-JUN-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 028253 212 L FISHERS ISLAND FERRY DISTRICT VENDOR 024539 W.B. MASON CO.INC 07/18/2017 CHECK 4216 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 CR4363456 CREDIT-MULTIFOLD TOWELS 101.97- SM .5711.4.000.000% I45442437 2 CASES-COPY PAPER 77.98 SM .5710.4.000.600 I45442437 TOILET PAPER,MLTFLD TWLS 228.95 SM .5710.4.000.600 I45455962 2 CASES-LINERS 69.98 SM .5710.4.000.600 I45486251 2 CASES-PAPER TOWELS 41.98 SM ,.5711.4.000.000 I45486251 ' ENVELOPES,LEGAL PADS 62.96 SM .5710.4.000.600 I45495045 3 CASES-MULTIFOLD TOWELS 101.97 TOTAL 481.85 *' 1 g�1 p>�n Z , FISHERS ISLAND FERRY DISMICT, AUDIT 0-7/-18/17 53095,MAIN,ROAD,PO BOX 1179 ,-� o SOUTHOLD,NY 11971-0959 = CHECK'.NO: 4216 THE SUFFOLK CO-NATIONAL BANK -CUTCHOGUE,NY 11935 DATE. AMOUNT:. _ ' - 50-54`6(21'4' , _, .07/18/2017: _ _ _ _$481.8'5 '';FOUR =HUNDRED EIGHTY'ONE AND-,'8 5/10,0_ DOLLARS W.B. MASON_ CO.INC TO'TF'E POF-BOX ,9&1101, - ORDER: $OS 'ON%MA 02298 1101OF- - 110004 2 16ii' 1:0 2 140 54641: 6B 00 150 2 Ills Vendor No. Town ®f Southold, New York - Payment Voucher 24539 {`' i? Entered'by PO Box 981101 Aizilit:43a e,^ W.B. Mason Boston, MA 02298-1101 Vendor Telephone Number - 888-WB-Mason ~~ Tr Clerk Vendor Contact ° Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General'Udger Faiid and Account Number, Qts a er 145442437 6/28/2017 $306.93 $77.98 Office up�lies „„,' S1573'i.4.000.000 $228.96 Janitorial sues , \S `SM6710.4.000.600 146456962 6/28/2017 69.98 � ° r1erS $69.98 Janitorial su Pies SM57,10A000.600_ 146495045 6/29/20'17 $ °101.97 $ 101.977 anti® is s ' Pes To S '.:'T h'''SM5710A.000,600 CR4�363456 6/28/2017 $ (101.97)1 $ (101.97) CR'a itor�B sal�plie "',"s 710.4.000.600 , n 146486261 6129/2017 $104.94 supplies $41.98 Janitorial su ` S'IM5710.4.0ti0.606, $62.96 Office Suplles_ "`.51157,11. : 00:000 $481.85/ I $481.86 M Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) 1 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 itle Signature_ Company Name Fishers Island Ferry Distract Date 7/6/2017 Title Date 0-7— WH-� ®� (Page 1) (c1-2)(1-2) PM IB Delivery Address Invoice Number: 145442437 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:TERMINAL Reference Number: 145442437 59 Centre St-Brockton, MA 02301 5 Waterfront Park Invoice Date: 06/28/2017 Address Service Requested New London,CT 06320 Due Date: 07/28/2017 888-WB-MASON www.wbmason.com Order Date: 06/27/2017 Order Number: SO49845971 Order Method: WEB FISHERS ISLAND FERRY DISTRICT ATTN.ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 W B Mason Federal ID#.04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE HAM105007 PAPER,92BRIGHT,WE,LTR,20# 2 CT 3899 77.98 HVN410001 TISSUE,TOILET,96/CT,4 1X3.5(11232) `2 CT 63.49 12698 HVN410163 TOWEL,MULTIFOLD,NAT,HVNLY,4000/C 61230 3 CT 33.99 101.97 SUBTOTAL: 306.93 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 306.93 Total Due: 306.93 0. To ensure proper credit please detach and return below portion with your payment VNG SO Packing Slip W, O)m �, Mode of Delivery: 00140 ©A"O" E&PRINTING W B MasonFCR OFFICE SUP - PO BOX 111 Warehouse... . ........ OLE-CT _ "h+:Ly ti• 59 CENTRE ST Delivery Number:...... 36882770DEL ._ y 59 CENTRE T 02303 Customer Number...... C2024302 ' BROCKTON, M N Phone Number: ........ 8604420165 ,• www wbmason.com Sales Rep: Russell Sheikowitz ti Special Instructions. "PLEASE NO Ship To: SUBSTITUTES" Fishers Island Ferry District - 5 Waterfront Park -Y } r New London, CT 06320 � r s -Q Sales Order # SO49845971 Ship Date:: 6/28/2017 ar P.O. Number: Attention Name:: TERMINAL Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HAM105007 2 2 0 0 CT PAPER,92BRIGHT,WE,LTR,20# OLE-CT HVN410001 2 2 -0 0 CT TISSUE,TOILET,96/CT,4.lX3.5 (11 232) bos-ma HVN410163 3 3 0 0 CT TOWEL,MULTIFOLD,NAT,HVNLY,4000/CT(61230) BOS-MA Delive Number 36882770DEL IIIIIIIIIII VIII IIII II IIIIIII II VIII IIIIIIII - R' c ,..,y��.,��. �'$�'� r C�zbvt«<:.,i��y.b.:e�..� .�w`�•'.\ . . �; �'.:'`"��`�,�, fir" • ,ta.. _� Li Elf , :. :' 4 7, J 6, AN 471 04 AQ Off .. ___..,`�----��_..-_._.. ^�___. Wes �' ._. �Y` }! .� ��:• = � "�'p� :�: It �•: .� �. OAS ; 'L?y; `°�t111f 1 f i _ ��"�ay� �[��3 � \ y� ^�}'� }'j \ ,�`?�• am>.v n"a ,� `. t xa�,�;g����,�,�?w'-,—'-':'".�,_;� ° I 'A:.-� �'7�M1�L����L��,y+�4� �59 ��"1� �4A:•��,t �!U��\ °; .,�i40.�5014�.zy{yB. '� '- - ..Yhaw t�i���--�-' -.. ���^"?Y�� [� at 1{ Q��Y` •��S{{.'FVgNen \• �+ _1 _ iy��!_a�{y(�'�,�'���JF1����}l-� ..... .., ,j\ \�� , - tgln���V A ����frP E 8����L��'i5 `y""_•` 2@� . 1 " � Xz,Lo, r.-4 o i i w _ r ®� (Page 1) NO (c2-2)(1-2) PM 0 Delivery Address Invoice Number: 145455962 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:BOATS Reference Number: 145455962 59 Centre St-Brockton, MA 02301 5 Waterfront Park Invoice Date: 06/28/2017 Address Service Requested New London,CT 06320 Due Date: 07/28/2017 888-WB-MASON www.wbmason.com Order Date: 06/27/2017 Order Number: SO49862949 Order Method: WEB FISHERS ISLAND FERRY DISTRICT ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 W.B Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code: 5637419782 Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY Ulm UNIT PRICE EXT PRICE I HERX8046SK LINER,40X46,12MIL,BLK,100/CT 2 1 CT 34.99 69.98 I SUBTOTAL: 69.98 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 69.98 Total Due: 69.98 To ensure Grover credit.please detach and return below portion with your payment %imff Packing Slip �. j 1,_iOB�P�}ES,PURNI7URE&PRINTING W.B Mason Mode of Delivery: 00140 FGR OFFICE SUP Warehouse:...... ...... OLE-CT PO Box 111 Delivery Number...... 36882772DEL 59 CENTRE ST Customer Number* . C2024302 _ BROCKTON, MA 02303 Phone Number:. ........ 8604420165 1-888-WBMASON www wbmason.com Sales Rep. Russell Sheikowitz '�• Special Instructions: **NO SUBSTITUTIONS** Ship To: Fishers Island Ferry District 5 Waterfront Park Y New London, CT 06320 ti r Sales Order # SO49862949 + Ship Date:: 6/28/2017 P.O. Number: Attention Name:: Boats Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HERX8046SK 2 2 0 0 CT LINER,40X46,1.2MIL,BLK,100/CT BOS-MA �L� Delive Number 36882772DEL IIIIII VIII III VIII II I VIII III I III I I�III I IIIIII II IIII `'' "mak=�`��'�'.aa'' ' ! _r..-.�-•..�•�-...r,�`_.a.-r 77'777`7 `ice\',..,` ��.• !R \Z•��. ., �` \\:�� `�• 1 `� CTI \.\^Z^fie :.\� :\�.. :4.• (. �.\�... �\` � :\; °':J��,V\!►enr° yr....b �.-• SSV a° �\,`a°��.. <a\'�"42: �'. '\�` ... 1 P.,7 a._�..�f „`..�.�,a n �\�. "t.�, `g��\` .�< a moi' � jr��}. � �"�ljB .. '!1' ��\}. • � Rmae ip s� � {~� � .•:: !d �. ?: (? us cif � t ,. .. ' ° a.�� a °.< ', ,�:,\ ..a ::?'; ;� 'Yuri' r,:e. '\.°°. ° t` •'moi;; ° i` ` o 4 V011, V AI S A 3• � :.aim" x:a Fy �x��� Tw ------------- M ai u } 14iitls g e aVF A`vAr oWW&U, d D t5 C fi (Page 1) �H_0 OJN (C1-1)(1-1) PM ©S Delivery Address Invoice Number: 145495045 05 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:TERMINAL Reference Number. 145495045 59 Centre St-Brockton, MA 02301 Address Service Requested 5 Waterfront Park Invoice Date: 06/29/2017 New London,CT 06320 Due Date: 07/29/2017 888-WB-MASON www.wbmason.com Customer Reference: SO49701424 Order Date: 06/28/2017 Order Number: SO49905084 FISHERS ISLAND FERRY DISTRICT Order Method: PHONE 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 HVN410163 TOWEL,MULTIFOLD,NAT,HVNLY,4000/CT 61230 3 CT 33.991 101.97 SUBTOTAL: 101.97 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 101.97 Total Due: 101.97 To ensure proper credit please detach and return below portion with your payment — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —,— — Packing SliIMp Na&PRINTING W.B. Mason Mode of Delivery: 00140 FOR OFFICE SU PO Box 111 Warehouse. . . ........ OLE-CT •r •�+tiy Lc' 59 CENTRE ST Delivery Number....... 36932803DEL BROCKTON, MA 02303 Customer Number... C2024302 1-888-WBMASON Phone Number:... .... www.wbmason com Sales Rep: Russell Sheikowitz f :ti Special Instructions- "PLEASE NO Ship To: SUBSTITUTES`* Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 r •',. Sales Order # SO49905084 •1 s Ship Date:. 6/29/2017 P.O. Number: Attention Name:: TERMINAL Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility HVN410163 3 3 0 0 CT TOWEL,MULTI FOLD,NAT,HVNLY,4000/CT(61230) BOS-MA �V Delive Number 36932803DEL IIIIIIIVIII IIIVIIIIIIIIIIIIIIIIIII IIIIII IIIIIIIIII _ "c.� ���.'.t\Vii•*;�_.. ^'�r�"""-�..t._.-.-°- , y AT its i NF f $ei ` \,<` �! �l,+'�} ,=qi •-.+-e� �t^^-s d,+�� per' �e�'��c_ � i. 1 4 �'=`,w•3� �� j;y\� A ° rq 'mow-tw!^" \Coo �� 1� OWNS: ��,���•�'� �s::, i - � _ a!^;$9s�t.�'.t�' ti 1 Ct tatQNma OAF l+ A �" g• 4 " _ $meg AM "S tl.. I nil oil SHA (Page 1) PM � #Isom ® Delivery Address Credit Number: CR4363456 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:TERMINAL Reference Number: CR4363456 59 Centre St-Brockton, MA 02301 Address Service Requested 5 Waterfront Park Credit Date: 06/28/2017 New London,CT 06320 Customer Reference: SO49845971 888-WB-MASON www.wbmason.com Order Date: 06/28/2017 Order Number: SO49904905 *2 6D85 6103*10***********ALL*FOR*AADC*060 Order Method:' PHONE FISHERS ISLAND FERRY DISTRICT ATTN ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 Il�llttllll���titl�llll'll'll'llllltt�tl�tllll��llll�lt�tl��lltl� , W.B.Mason Federal ID#:04-2455641 Important Messages Sign up for Paperless Invoicing at wbmason.co6Vpaperless. 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/pape;riess ITEM NUMBER" DESCRIPTION QTY U/M UNIT PRICE EXT PRICE HVN410163 TOWEL,MULTIFOLD,NAT,HVNLY,4000/CT 61230 -3 CT 33.99 -10197 SUBTOTAL: -101.97 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: -101.97 J Credit Amount: -101.97 N ► (Page 1) VITRO ®� PM Delivery Address Invoice Number: 145486251 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. 5 Waterfront Park Reference Number: 145486251 59 Centre St-Brockton, MA 02301 Address Service Requested New London,CT 06320 Invoice Date: 06/29/2017 Due Date: 07/29/2017 888-WB-MASON www.wbmason.com PO Number:' new london terminal Order Date: 06/28/2017 *2 7 7 8 5 6 312*HO***********ALL*FOR*AADC*0 6 0 Order Number: SO49873036 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 �1�1�11�111��111111111111Jill 111111111111111111111111111111111111 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 UIM' UNIT PRICE EXT PRICE PGC92970 TOWEL,BOUNTYBASIC,12/CT 2 CT 2099 41.98 QUA42353 ENVELOPE,CAT,12 5X18.5 3 PK 9.70 29.10 MMM6756SSUC PAD,NTE 4X4 LINED 6PK,RIO DE JANEIRO 2 PK 695 13.90 TOP71533 PAD,LGL RL,LTR,12/PK,WHT 1 1 1 DZ 1 19.961 19.96 SUBTOTAL: 104.94 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 104.94 Total Due: 104.94/ To ensure proper credit,please detach and return below portion with your payment Packing Slip O�op4URNITURE&PRINTING W.B. Mason Mode of Delivery: 00140 F01.1 OFFICE SUP PO Box 111 Warehouse:. . ......... OLE-CT Y •� {� w• • • • 59 CENTRE ST Delivery Number....,. 36932762DEL _ BROCKTON, MA 02303 Customer Number. . C2024302 1-888-WBMASON Phone Number:.......... 8604420165 www.wbmason.com Sales Rep: Russell Sheikowitz Special Instructions new Iondon terminal Ship To: �- Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 1z r Sales Order # SO49873036 Ship Date: 6/29/2017 ��� Y P.O. Number:- new Iondon terminal Attention Name" Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility PGC92970 2 2 0 0 CT TOWEL,BOUNTYBASIC, 12/CT BOS-MA MMM6756SSUC 2 2 0 0 PK PAD,NTE 4X4 LINED 6PK,RI0 DE JANEIRO BOS-MA TOP71533 1 1 0 0 DZ PAD,LGL RL,LTR,12/PK,WHT bos-ma QUA42353 3 3 0 0 FK ENVELOPE,CAT,12.5X18.5 UNTD-WOB Backorder Item Number Qty U/M Description UNV63568 1 BX ENVELOPE,OFFICE,STRING,10X13,2SIDE, 100/BX Del ive Number 36932762DEL I VIII II IIIII I IIII IIIIIIIII IIII I I II - mi `:\;> `\_���. `;��:>< \�,« \\: \���\�"\\�\. \� Vii. 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