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AU-08/01/2017 Fishers Island
r. FISHERS ISLAND FERRY DISTRICT VENDOR 001409 ADVANTAGE TECH, INC. 08/01/2017 CHECK 4217 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.500 170021 IT OUTSOURCING-7/17 1,100.00 SM .5710.4.000.500 170021 ADDT'L IT SUPPORT-6/17 1, 807.00 SM .5710.4.000.500 170021 AWS HOSTING,VPN-7/17 195.00 TOTAL 3,102`.00 ar .grit•� _ a-�.'Ne> :.a:*> u Awira z�::::Y � 1 .y ' 11 e i � J • 0 0 B • B 0 B B B .. t _ . . FISHERS-ISLAND FERRYDISTRICT = _AUDIT Jos 53095 MAIN,ROAD;PO BOX,1-179 SOUTH OLD,'NY;1,1971,0959 ,-' - CHECK,',NO. 4217 �.•i'•�, -THE SUFFOLK CO'NATIONAL BANK- - - curcrlocuE,NY 11935 DALE. :AMOUNT _ - i50-546%274' — 08/0.1/201.7 -_43,.;102 - THREE, 'THOUSAND';ONE HUNDRED-TWO AND 0 0,./10 O,.iDOLLARS " ply , ADVANTAGE ,TECH, INC. T,O T IE _ 'P_0`BOX ='951 ORDER ,._ SUFFIELD CT';06678 no004 2 17ii' 1:0 2 L4054ELoi: 68 00 L 50`2 Li,:, Vendor No. --- — iCeciad�do:,,; oi�•i Gi 'Town of Southold, New York- Payment Voucher 1 9 Vendor Address Eiit&ed b� 60 Maplewood Dr Clintmn,CT 06413 Ait�ii� Advantage Tech, Inc Vendor Telephone Number "A ® {20 860-668-0044 T oi�rii'G$erk Vendor Contact "' Invoice invoice Invoice Net Purchase Order -, Number Date Total Discount Amount Claimed Number Description of Goods or Services General. ,edger Fund and AccountNuiinbef -170021 7/1/2017 $3,102.00 , ®t, u L;.' SMSMA000.600, i, tG� 6u�s u m I y1 , 1 i 907t0 t 'jF,,;�•.�.f*,'•`,of„ •` ;•' f,=}.. ?�,, �•'i,iv.i yn: $3,102.001 $3,102.00 Payee Certification Department Certification The undersigned(Claimant)i 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 claun is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that,taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. -Signature Title Signature C Company Mame Fishers Island Fern District Date 7/18/2017 Title Date_ /� t Advantage Tech, Inc. Invoice P.O. Box 951 Suffield, CT 06078 Date Invoice# 7/1/2017 170021 Bill To Fishers Island Ferry P.O.Box 607 Fishers Island,NY 06390-0607 P.O.No. Terms Project Due on receipt Description Qty Rate Amount Prepaid Consulting_-Ju-y 2017(20 hours) 1,100.00 1,100.00 Ticketing Support-Maheswari-6/1/17 thru 6/30/17 12 36.00 432.00 IT ppo Surt-Ed_611/17 thru 6/30/17 _ 11.5 55.00 632.50 -- --- ------- --- ---- ------------ - - -- --- - ----- - - ------ ---------- ---------- - - it Support_Joh6-6/1/17 thru 6/30/17 __ _-_ ,_ _ _ ___ ._ _ 13.5 _ _ _ _ _ _____55.00 _ __ - 742.50__ AWSHostin .July 2017 ____ _.125.00 __-- - _ 125,00- g _ AWS VPN Tunnel:July 2017 - - - - - -- - - - ---- — - - - -- - -45.00 - -----------45.00- - --- - - - ----- AWS VPN Client(10 users);July 2017 _ _ 25.00 _.- _- _ _ 25.00 Thank you for your business. Subtotal $3,102.00 Sales Tax (0.0%) $0.00 Total $3,102.00 Payments/Credits $0.00 Balance Due $3,102.00 Phone# E-mail (860)573-3957 billing@advantech.biz ®; ,y:®; , FISHERS ISLAND FERRY DISTRICT \ VENDOR 001332 ANDREW RAMSEY AHRENS 08/01/2017 CHECK 4218 FUND & ACCOUNT P.O.# INVOICE (DESCRIPTION AMOUNT SM .5712.4.000.`000 063017 '17 COMM MTG APR-JUN(7) 350.00 TOTAL 350.00 N$' s t•< I /l o , I J _ • 0 0 0 0 D D e s D l _ FISHERS,`ISLA FERRYDISTRI,CT ' . ., = „53095MAIN ROAD,PO OX 1179,; _ AUDIT,a08/01/ .� SOUTHOLD;NY'11971- 959' — CHECK NO. :421$' _ THE SUFFOLK' 0 NATIONAL BANK " CUTCHOGUE; Y,11935 DATE "_ AMOUNT ao=easi td ;x,350''.00. THREE .HUNDREb FIFTY''/AND 0-6/160' DOLLARS PAY,_ ANDREW`RAMSEY AHRENS _ .86,=WINdHROP `DRTO THE3 OnRIJER_',-�rFISHERS ISLAND -NY` 06390 = - 004 2 113 1:0 2 140 54641: 68 00 i 50 2 I'i' 1 Vendor Mo. Town of Southold, Nemv York - Payment Voucher 1332 Vendor Address itere3 386 Winthrop Drive,#719 Fishers Island, IVY 06390 Audit'Daee; ;'• ` Ahrens,Andrew Vendor Telephone Number �'otivn•�Gie�`��' ',4'' Y ,. Vendor Contact Invoice Invoice Invoice Nei Purchase Order ,i Number Date Total Discount Amount Claimed Number Description offioedsorServices tNumber; : t5FIE= 61301201 $360.00 360.00 , .' '., � Commissioner lee#i�� '.�t�4��'12.�£:C#2i0.�iC30�:, I1201 i 7 Mitgs a S5()jMt $350 00 $350.00 1'. tn:4{r.t!rl``` ��y,,t r• ''y`. ., Payee Certification Department Certification The undersigned('Claimant)(Acting on behaif of the above named claimant) I here'y certify that the.materials above specified have been received by me does hereby certify that-thee foregoing claim is true and correct,that no part4m,s in good'condition siithaut substitution,the services properly been paid,except as therein stated,that the balance therein stated pis actually performed and that the quantities daereof%have been verified with the exceptions due and owing,and that taxes from which the Tovr is exempt are excluded or discrepancies notes,and,pay meat is approved- Signator Title Signatare Company Name Fishers Island.Pery District Date 7119/2017 � 3'itie_ _ Date Z Oslo Aimalov Proem. Kasia Asmolov Seat: Wednesday,July 19, 17 9:23 AM TO; Kasia Asmolov Subject: FW:commissioner stipend spreadsheet- spreadsheet updated From Gordon Murphy Mentz Thurodaye July 6, 201711:21 Ali Too, Dion: Manson c; mala Asmoloy OkOject.v RE: commissioner stipend spreadsheet- spree isheet updated Rugg, Ahrens, Burnham, Peter Andrew Shillo DI l3loothe. W H 4/3/2017 x r1 4 4117/2017 x x ;K 5 6/212017 x X x 4 5/15/2017 x X x 4 5/2212017 x X x 3 6/30/2017 X x X x X 5 0/12/2017 x x x x 4 6/20/2017 x X x X x 5 Total Meetings 6 7 5 6 32 1000 2 17 300' 260 $-00 - ao0 �,00fa Minutes of the MeetinE of the Board of Commissioners Fishers Is and Ferry District / Aril 3, 2017 J Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 3, 2017 at 4:30 PM. Commissioners Heather Burnham, Peter Rugg,and Dianna Shillo were present.Also in attendance were Geb Cook, RJ Burns and Deanna Ross. Commissioner William Bloethe was absent. Commissioner Ahrens established that a quorurn was present. Everyone in attendance pledged allegiance to the flog. Minutes of the Meetingof the Board of Commissioners Fishers Island Ferry District Apri 117, 2017 Commissioner Rugg at the New London terminal conference room called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 17, 2017 at 3:41. PM. Commissioners William Bloethe, Heather Burnhain,and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook, RJ Burns, Diane Hansen, Deanna Ross,and members of the public. Commissioners Ace Ahrens and Dianna Shillo were absent. Commissioner Rugg established that a quorum w is present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting c f the Board of Commissioners Fishers Isla id Ferry District May 2, 2017 Commissioner Ahrens at the Fishers Island Comm nity Center called a meeting to carder of the Board of Commissioners of the Fishers Island Ferry District "the Ferry District") on May 2,2017 at 4:30 PM. Commissioners William Bloethe, Heather Burnharn and Dianna Shillo were present.Also in attendance were Gordon Murphy,Geb Cook, Deanna Ross and Jane Ahrens. RJ Burns and Diane Hansen were present via phone. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flpg. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District Ma y 15, 2017 Commissioner Ah7mns at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on May 15,2017 at 4:33 PM. Commissioners William,.Bloethe, Heather Burnham and PeteF Rugg were present.Also in attendance were Gordon Murphy,Geb Cook, Diane Hansen And Deanna Ross. RJ Burns and John Haney were present via phone.Commissioner'Dianna Shillo was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. '� � Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District J May 22,2017 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commission rs of the Fishers Island Ferry District("Ferry District") on May 22nd,2017 at 8:45 AM. Commissioners Heather Burnham and William Bloethe were in attendance.Also in attendance was Gordon Murphy, Commissioner Ahrens establi 3hed that a quorum was present.Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June, 12,2017 Commissioner Ahrens at the Fishers Island Comm nity Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on June 12,2017 at 4:30 PM. Commissioners Dianna-Shillo, Heather-Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook and Diane Hansen. RJ Burns attended by phone. Commissioner William Bloethe was absent.There was one member of the public present. Commissioner Ahrens established that a quorum as present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—Pio correspo Bence was received.There was no public comment. I Minutes of the eeting of the Board of Commissioners Fi hers Island Ferry District Me y 30, 2017 a� - Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Cgmmissioners of the Fishers Island Ferry District("the Ferry District")to order on May�0, 2017 at 4:38 PM- Commissioners William Bloethe, Heather Burnham, Peter Rugg and D,3hillo were present,Also in attendance were Gordon Murphy,Jeb Cool:and canna Ross. RJ Burns,John Rainey and [Mane Hansen were present via phone. Commissioner Ahrens established that a uorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—No c orrespc ndence was received,There Is no public comment. Minutes RE$OLUTION 2017-090 Minutes of the lJieeting 3f the Board of Commissioners Pis iers Island Ferry District June 26,2017 Commissioner Ah' ans at the Fishers Island Community Center called a meeting:of the Board of Commisslppers of the Fishers Island Perry District("the Ferry District")to order on June 26, 2017 at 4,30 PM. Commissioners William Bloethe, Heather Wrnhain, Peter Rugg and D.Shlllo were present.Also In attendance were Gordon Murphy,Jeb r o k, RJBurns, Diane Hansen and Deanna Ross, One member of the public was present, Commissioner Ahrens established that a quorum as present, Everyone In attendance pledged allegiance to the flag. Correspondence/public Comment-b No c rrespo dente was received.There is no public con, ment, Minutes RESOLUTION 209.7-108 FISHERS ISLAAD FERRY DISTRICT VENDOR 001316 AIRGAS USA, LLC 08/01/2017 CHECK 4219 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2;000.200 90G488434G (2)PROPANE-NLT FORKLIFT 103.5G SM .5709.2.000.200 9065102107 (2)PROPANE-NLT FORKLIFT G9.56 33G (2)PROPANE-NLT FORKLIFT 103.22 SM .5709.2.000.200 90G5418 SM,- .5709.2.000.200 9946226959 CYL LEASE RNW-7/17-G/18 171.82 TOTAL 448.16 7- �.. .............. n �p, F -RSISL4ADFERRYDISTflICT " �' --'-' UDiT-"08'/01/1:7 ISHE - -A 11791- S11 :11 1�_,__ _', , I �- _ ,� c ,�` "',,-,-- 7_Kl NO 4�l Si, OUTHI s XD,NYAl 971-0959- -CHE C L GUE,' HE SUFFOLK'60'.�NAT,10NA BAN I Y 1105 J, AMQUNT� CUTCHO DATE.-, Y '"08/01/2017 '�4 4, 50- b/21 _HUND9EIY,,FbRTY EiGHT,AND�'161'10,0'11�bb- 'USA, LLC kly AIRGAS T6 hiE -13OX _8025�'7(5 ORL?ER- -CHICAGO -It 6 8,6-'�8 7 6 llmobi. 2 1911- 1:0 2 1L.0 5 4641: G a 00 150*2 1110 • Vendor No. Check No. Town ®f Southold, New York - Payment Voikher 1318 4219 Vendor Address Entered by P.O. Box 802576 Vendor Name Chicago, IL 60680-2576 Audit Date Airgas USA,LLC AUG 0 12017 Vendor Telephone Number 860-444-3055 800-962-0285 'own 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 —71 V7— (- 9946226959 6/1/2017 $171.82 $171.82 Cylinder Lease Renew NLT SN15709.2.000.200 9064884346 6/26/2017 103.56 103.56 Propane c 1 2 NLT Forklift SM5709.2.000.200 9065102107 6/30/2017 69.56 69.56 Propane c 1 (2) — - NLT Forklift SM5709.2.000.200 9065418336 7111/2017 103.22 103.22 Propane c 1 2) NLT Forklift SM5709.2.000.200 $448.16 $448.16 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. Signatur v„ Title Signature Company Name Fishers Island Ferry District Date 7/19/2017 Title Date �� TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL:216-520 6000 ORDER NO. INVOICE NO. IINVOICEDATE1 SOLD TO NO. SOLD TO NAME 7045903494 9946226959 06/01/2017 1 2576547 FISHERS ISLAND FERRY DISTRICT PO/RELEASE ORDERED BY I SHIP VIA, PAYMENT TERMS ORDER DATE Lease Renewal NET 30 04/21/2017 DELIVERY NO./ MATERIAL NUMBER OTY UOM QTY B/O CYLINDER UNIT PRICE UOM AMOUNT DESCRIPTION, SHIP'D I sHRO REf D 7045903494 LSECYL 3 CL 51.04 YR 153.12 N LEASE CYL (H) LEASE RENEWAL 07/01/2017 TO 06/30/2018 Sale subtotal: 153.12 Airgas Hazmat Chg ML 18.70 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To:2576547 ,AMOUNT 171.82 RUN. _ FISHERS ISLAND FERRY DISTRICT an Alr Liquids company 261 TRUMBULL DRIVE Acct N USA,LLC FISHERS ISLAND NY 06390 Acct No k,AB No 318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv retumedmail@airgas com Page 1 of 1 orcall 216-520.6000 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER'NO. iN N I Vol . . L N . IJLDT NAMI 1059497883 9064884346 06/26/2017 2576547 FISHERS ISLAND FERRY DISTRICT P5{RELEASE ORDERlWQ 8Y. aPAYMMIERMS. ORDER DATE ARGTRK NET 30 06/23/2017 DELIVERY.NO-JQTY • CA NAER Li��CFtlf'T'iON ,° MRTEFtI}11.NL#MBER UQiut QTY 610 UN4TPRICE LI£1M - Ah+ICUNT : .. .... . .. SH1P'A• .. sljlku 1� 8064963439 PR 33A 2 CL 2 2 30.38 CL 60.76 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) i Sale subtotal: 60.76 Delivery Flat Fee �` � JQ 25.49 Fuel Surcharge Flat 8.51 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP TO.2576547 AMOUNT 103.56 Airgas. FISHERS ISLAND FERRY DISTRICT ir Airgas USA,LLC an Air Liquide company 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390 Acct No 6074318 Airgas USA,LLC PNC Bankk,,ABA No No 031000053 6055 Rockslde Woods Blvd Independence,OH 44131 For change of address email to:ndn.returnedmail@airgas.com REV 6 1 16 0012862 Page 1 of 1 or call 216-520-6000 Disclosure Terms of Sale Each sale of Goods or services by an Airgas*ra company is and shall be governed by the terms and conditions on this Disclosure.the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http,N nw airgas com/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions 'Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cvlmder Rentals/Leases and Resoonsibility. This document shows the total number of cylinders charged to Buyer(i.c,,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any error Buyer clai ns within 60 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof. Refrigerant Cylinder Returns/Deposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e g,refrigerants) Each refillable cylinder will be subject to a cylinder deposit fee,as established by Argas`from time.to-time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned. tR+arranty; Ail products, other items of sale, cylinders and other containers furnished by an Argas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of I iabiit . SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL. INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERVVISE. Terns of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1 5%on the unpaid.past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surha(ges Upon notice and receipt of underlying documentation,Buyer shall pay to Seiler a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel. Title to Equipment: Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify.remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. Taxes. Any taxes imposed by federal,state,or other governmental authority on the'sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges (a)The total amount due from the Buyer may include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel.None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things.. (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts: Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No.11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBustness Now doing business with Airgas is easier than ever with our eBustness website,http://www.airgas.com Visit us online today to see how www.airgas.com can save you time and money NEAREST Alrgtla ATION DELIVERY ORDER FOR VISITCWWW.AIRGAS COMOU an Air Liquide company SHIPPER: SOLD BY: ry DELIVERY ORDER#8064963439 AIRGAS USA, LLC 'AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/23/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204• SCH SHIP DAT :PN23/2017 800-962-0286 800-962-0285 4 PRINTED: 15:30' 06/23/2017 SALES ORDER: 1059497883 1 SHIPMENT: 3671160 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICTCUST PO# 261 TRUMBULL DRIVE FISHERS ISLAND FERRY DISTRICT RELEASE# " FISHERS ISLAND,NY 06390 US 261 TRUM60LL DFj,, �„,���” = ORD BY 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY GARYDUBATO Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Order Standand NET 30 Airgas Truck -F Airgas Truck N329 N309 N000 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2` CL X -UN1978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 2 2 64 LB PROPANE 32LBS ALUMINUM i •�:�;• ;�;�;f�'K'. _ 136.000 LB EM E f G-6 CY CONTACT:'-866734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dNWW AIRGAS COhD OR BY CALLINGEl THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR ACCEPT REJECT THE ABOVE THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MARKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE /� NAME 1q n 11,,- /-,9 /Z I PLEASE PRINT AIRGAS PERSONNEL 91� DATE% T.O D. INTERNAL USE ONLY Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight. Delivery#8064963439 ❑ 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'Total WPiaht for matenala wdh weiaht dianlaved pnly AIRGAS TERMS AND CONDITIONS OF SALE IVARNING TRANSPORT AND USE OF COMPRESSED GASES AIAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALIVAYS TRANSPORT CYLINDERS IN A SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS")APEA VAILABLE AT AIRGAS COAT EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP H , WWW AIRGAS COM,7ERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER L CYLINDERS•UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTERESTAT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS 1 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT 1S SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3.TAXES TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS'NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FORA PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE ASA RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR 1S RELATED TO STRICT LIABILITY,OR OTHERWISE 7 REMEDY.BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OFTHE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OFSUCH QUANTITY OF PRODUCT HEREUNDER. 8 COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9 ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS ATAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHERTHINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O, LIOUIDARGON LIQUID N, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FlRE OR EXPLOSION FIRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE •Substance does not burn but will support combustion Vq da,ahes oras h.une—shoul 'Vapors may cause docalls ,raphy—ton •Will be easily igh—by halt sparks Or items .Will be eazlyri by heat sparks or llamas •Some may react e.olOLwiy wire fuels cap ning Ycause P Y ,roma warning •Will lam eapl.siro mxbms wN an WIN loan esplaslro,stares wN air May ronin,cmmusnbla(wood paper,al clothing ea.) Vapas I'm 4 tietl Vail twaner than an, Vapors Iran touched gas ere Inliat,heavier than air •Vapas from Ilqueled gas are mniany b either Nan all saead aYmg Slane call I qua gas ere ini y gone spdenugh usiy m air Veong Iran liqueled gas sat mTVaay heof Igr Nan air spread and spread," q,,tl IT spread along grsarM gond and Yawl I sauce:d grtme end fusionSM Dark Those absianc n tlevgmbd wN a(P)may polymerize unief geamtl and may Vocal b wura:m tgMvn antl hash back Canmcl wM gas or Vqueietl gas may cause burns FINEOR—f[EXPLOSION CAUTION Hydmgen(URiDiol Mama (UN19 1)1,Hytlhts, aspbsrvemora,e align auloNed In Para Cr m.ayaeatebe or pW.wbenh hazard EOREXPLOSIO frostbite NortlNrInTly en gores refrigerated llqub(UN1Bfi6)e^d McVam(UNl9T1)em 1l9Mer Nen vapors from llquelletl gas ere laually beanerlMn air Cmturedcmayes myrocke haafetl FINEOMmX bl S/ON Coniauftsmayes my,am en heated ::,ami Hydrogene^tl0eutcaumllrea ered11Ra11thi spreatlalong ground and may Vavel to®arca Pl lgnlllon HEALTH Ruptured cylinders my rocket Nol—es, ygases RuplureticyimPUBLI r SA dates)bey Mm wilD(til lame,hon Use en el[ama@method of aylmd hDeck HEALTH Conbinsc render,atle when heated PUBLIC SAFETY tlelectio111 e.moadto Ire broom Mndb,me) go, preedlb ave mwwna antl release flammable VapoComeac ay cause tlizbness or gomy caalm usew rns it warning RUPluretl cyllndss LI racks isolate.- (330fal)a 11 lmmediataiy lar of least log •Cyllntler.essul,aloluemay vent antl release liamrrable gas gas Woughprymplorelielomhos wdlo Nolan, gas sliquelledgaz may cause burns sever Inlury PUBLIC SAFETY mlpu-30lebg Inallledw C...pmsareeelrod.won Rw,nedicome Prrayroenheatr;tl File MrI,prod. Iwilsosplll Pr leak ar—embedludy lama least lw 'Keep uneuNbrizo0 personnel away •Cemamers maY a,Plode when healetl R.PIteTd cylindgrs rmY rocket Rre maY Produce maanrg Lois rove gases —,.a(330 feet)In all Eeeceam, Say upwnd •Ruptured cylace s may rocket. HEALTH PUBLIC SAFETY Kee unaulh mri m ewe Marry gazes to beans Van an end wTI spreatl HEALTH •Vacors may cease diuiness a asphy—o-w 1p wernmg .Isolates V a leak area rmmodamly fora least 100 meters(]311 P persom y (long ground and coned In IPw or calfro,i mess •Vapors may cares,divimss eresphyvalkm whi,oul vrunln9 Some may be tan.AInbaladat high mn,amr,mans feet)In ell Ciruclom slyupases (sewers basements ranks) •Some ma be,nua,m 1 Inh.lad at hi h core-r.h.. vera n •Marry g are hea,Pa than o and call spreatl ebng • areas Conlaclwth a o iq Irstl g burns sever Inu •Contact wnh gas uelletl gas may causo burns se •Keep ze0 per50 nal away ground and Tallecl In low or c.nlinatl ar¢a9(aPwoea •Keep Out closed spec g s r qua gas may cause e I ry Ni yprod... ine •Stay upwintl Oasem .I tanks) •VOTECo VECL THIN D¢IDre enlenng andloryphnite Fre may protluce l PUBLIC to-FE gases maectssesare heavi.rlha,,,(s asatetldimg gountl antl Keep Dul of low areas PflOTECT/VECLOTNING •Fre rtaypratluco uritPUBLISAFEases POBLIC SAFETY ceep but tlow ,,linetl seas(sexars basements tanks) PROTECTIVE halos¢ntering •Wear ratus(opressabsaif�onlalnea breathing PUBLICSAFEml I(330fll)Pr led—soimmetlately la el leasttw meters Keep outbllowareas Pg07ECTIVECpreanuNO apparatus •Imbb stall a leak tea Immetlatety form least 100 meaurs (3w feet)tr ell deg.a so •Venmal9 closed spaces Dela¢enitmg .Wes paow,Orawre solltmtalnal brealM1lrq Structural Nebo pr. proleairw clothing call only 330 Keep,lt)melldir parvotrans SKeep lay.raumatzetl persrxmelaway -we.,cal ePPambs(SORA) .rbvitl Tight prmeciron •Keeppwind rxetl ptsmnel evrdy Say gases Wearpwipva peasara s(Ilconminetl b+eaNing apparatus Sl—drat nleplot prorocllw clmhng call Doty EVACUATION Stay upwind Many gases are-11 la Nan arendwarspreadalong (SEBA) prwitla limnetl protectron Large Spill-Cansl(33,meal tlowrwntl evacuation Lor •Many gases are Deane(Nan am(nticall spreatl Prongground and grwnart,fork,) In low or conllne0(road(sewers •Weare—ldel by Thll11hufIingwhIt scold.of yheme wearineemal pmbciwe cloNing when mlea51100 melt,(,omen, co0 fect) lla yin iof ow area¢tl areas(sewers besemenis tanks) pasemeneten are recoml woia,by Ne manuleclu,er Itmay omwtlbinlleano ACUAgrPlrigeratetl/cryogenic liquitlsor relied FIm-Il for rel as,ort(nk V ra is lnwivodin a,.,a e •Keep but Dl lbw teas •Keep buTN low teas Thermal Pr firefighters Long.Spill-RON I T a KIEcon d—Inteoters(12 mIb,8 die ner.r.ons PROTECTIVE CLOTHING pFOar pond pr,asuNG Slructueel erNLY,,i etecet,emsll bremes who,tl realar e Last100 s(WOflnieai tla+mwintl wacuati.n la at also censitler lnillal ovecuanm la BlXl meters •Smul.aWater dveluhlel.renin clothed ieg It onty,. Im Wearpoawa pressure,elltgnlalnetl breathing apParalus 611ua wONLYnlsrime..,tvem spnl vluamns where tivect lease if tank ink her 3ltal lt2 mile)mallERGEm •We— iv¢Vghlem pmtecme cbNing will Doty provide Lmbtl (SCM) confect all tioa0.,mmeaposvble Rm-Tlank,rel coal I(1/tuck Is termnaebre EMERGENCY RESPONSE Always •S.uctaal Vreolle, prolttlle elofhieg well only prwMe Alwdye wear uecis prdoctrw cbdvrg what harrmmg relrgtenV ISOLATE for Bin meters 112 le)ll (V2 ns5 In FlRE •Alwayswearycg a liquid We cbthmg when harfmmg landuallACOA Pmixlmn cryogenic lqulds .11dr—,mealewcuatim la 800 meters(12 mile)in •Use awguishing agent enable Lor dyPe of rACUATION genic liquids EVACUATION EVACUATION ell tivectime ountling Ilre I.,g.Split-Consider eLargegg.spnl-cansiaor Nnal eawwme wacue.m ror at m,ye spm-pensiaar mmol dowm was wacumian mr as least egg EMERGENCY RESPONSE •Maw cpmamprs from Ire areas a you can ap o Large S1/2.,'omltler lnitlal tlownwin0 w.cuetWnfor at least 800 BOO meters ,,,Ice) mmme(1D mlie) FIRE .0-Ilk Ic meler5(al mala) far 16 [ankr,(1 mI )Ink Vuckls Ire alsoIcarus ISOLATE Toro-Iltase raJcsa)1 1Muck ledrociinsalso lnafee ISOLATE Use o ,guishrgegenteNblelalype of Damagetl cylinders shoultl be bentlletl onlyby Flm-Il tank call raabnk truck l.InwlwO meive lSOIATE far Ica 1fi00 melers(1 mlla)In all Ovecalms also consltler lnitlal for 600 msers(12 mlle)In art dro.am4 also crosltlerineial Burr speaiallse i6co metels(l mala)In all accocas elm co'¢Itler,mal—.I— aeuaeon lar la00 Move I,me)mall dvectond sternen la 8og meters o2 m mm an anter" ountling lire Fire lnwlving The la Iwo miners D rob)in en daay,ebe EMERGENCY RESPONSE EMERGENCY RESPONSE 'Mow ennblrars from fire areas d wa all m n ,Fight bre ban ma.meae dmarf.e or use unmanned EMERGENCYRESPONSE FIRE-00 NOTEXTINGUISH A LEAKING GAS FIRE UNLESS FIRE-Use eaVegnsb ng rue wNaul rak te'sse Mltlbrsammrta noules ug agent sortable la type of anouMl Derbi cylinder should be hrmi only by FlRE-DO NOT EXTINGUISH A LEAKING GAS PRE UNLESS LEAKCAN,lESTOPPED Smil F/ms-Dry c^rbnnnal a CO, sysbllsls Call containers wN libelling quarn,—.l watt fmN LEAKCANSESTOPPED Smell Files-Drymical chea CO, Large Fire. File Involving Tank. wall atter 11 re is am CAUTION Hydmgen(UN10i Deuterium(UN195B end Large Fires Water spray log or regular loam Fight ire from masimum instance or use unmanned Do-doom wales al sauna of leak.,salary Hydrogen,mfdga..dliquid(UN1966)bum 11lh.nInvisible •We,,,spray.,log Move=,a,,,,,Nom lir,area it you can tled wtIoul risk base hold,,sar monitor nozzles tlewca king may occur /tame Hydmgm,,d Molhane nel,tumcompm.setl(101204) •Move contain...atom lire wolf you can do ltwiVob ,k. Damaged cylindtd should be handad only by spocalisfa Cool containers wnh Ilei quirme,res of water unit Wfhd.w len—melym case of Iling sound from rely bum wIlh an Invl.lb/e Dame Fire Inmlving Tanks Fire lnvolvkar Talks wellaltaire Isoaf —i tlevicesar discoloration of Tank Small Flees-Dry chamlcal a CO, Fight fire from makimum distance auseunmanned hose Fight II,a from mavmure liyahcet use—,,had hose holders Do not direct wale,at source of leak or salety dentes ALWAYS slay. way Iron Iona,engulfedin lira Lege R.. okim a n-mules t monitormules Icing may occur SPILLOR LEAK •Watt spray or lag Coo,comenere wN flobdrng quannties bl water that well Cam cbnbmers wlh floodufg gosmties of water uhat well IN, Withdraw usnediaael I m M Iran D^not touch s wink through spilled hai •Mwe mmalners from fire sea d d,rt wVwl tisk Y'^cera o mi sou Stat leak it do A wMeul ink antl II bre Yin c=" after rue rs out Ile Is art vemng salary tlences or dlscoloratim a1 lark P can Poa' Fire Invol Tons, Do-tl.ecl water at source of leak s solely tlences King Do rot tluect water at seenco of leak a safety tlencesong ALWAYS stay away Iron tanks engulletl In tire tum leaking-m—a Vat gas escapes.Ner •Fght lire from masimum disc,c a use wmanned hose holders may occur may occur SPILL OR LEAK than, d or Dollar nozzles Wmtlrawimmetlalely In case of nsmg sound lromvesmg Wandraw lmmadI.1sIYincasebini sountl from venting saletY Do net toucher walk through spool malenal Use water spray to reduce vapors or d,envapor •Coolcontainers wnh Neemng quanbees of watermfl wellafter safety tlwice(or dlscdoralim of lank tlences e,tliu.leratbn of tank Step leak11ybu can I.nwmo hakand If possible could cllfl Avoid aiii water runoff oro,cnlecl Ise is out ALWAYS stay away I.m Vfa ends of me lank ALWAYS stay away ban tanks engulletl In file tum lookingNat sptietl mili •Db rot daectxmermsauce of leaks sof dwices oro mase use unman ma u ubma cmNiners so gas escapes rather ell' 9maYP¢w •no ItIva neo Meebm0asa oldlla •M serve Iva metlhose Maderaa mmrta^Doles it Use,a, •Re res,dwallatsw assorts,of leak •d-. ml colon ly In case of nsmg sountl hon ron[Ing salary mules II Ws a unpossible wMtlraw Irom area antl @I N5 a v LEAK fa wNdraw Ivan area and let Iva ben .Use wader spray Io lowng-pas or dr-r!yaps confine entry unp waterways salvors baamenTs a tlences a msawa Nee of a en Iva bum SPILL ca LEAK sclouldpre tlrdf AwrcJ elbvnng water mmH to concoct confined.—a •ALWAYS slay..a Von VTI ends of me Vva SPILL IN LEAK Do h much 11 a(whoa papa Ne etc.)away,Itvn mlleral •Allow su,the or to emdporale • F.masslw foe,ua hdraw Intl hose totdas ir rtorubr ns,ulss d ELIMINATE all,onium scarce(no smoong Uses sparks ar Do rot touch o,walk throughw ris and if l settled .pop m�tlirelcirwal ter el eplll a seats of I¢ak FIRI.huSTAID me area NIs Is OR LEAK wiNtlraw tram area cad Is,Iva burn (lama In ro use le sea) Stop leek II you cans a es.p.tisk and it qu.ol la tum leaking pooh neemry into waterways sewers basements or FIMoT ,c GP/LLOq LEAK Allunded nor usetlwnenhantlinglhe protlucdmusa De conotdr,mNatgazescasource of then liquitl csowstls¢as Mbv¢vicoreirssneu •ELrharab E ncouitbn sources(no smoking Ibres spares or grounded Do not Overt water at spill or source bl leak gll.w su.slance to ewporeta Ca 11911 or emsgehcY medical services Ibmes In Immediate sea) Stop leak a you can ties wr—tisk and it possible tum Use water spray la redme Vapas or df a vapor,cloud drift Avad Venlllala Ne tea Give ru,f c el resarenon d at.b net breeming •All equipeea used wha,handi the Proculd nerd be grunmd Imkmg containers a Nal gas¢crapes rather Nan liquid aibwing water taro"to tinted sp,all mensal CAUTION When/n confect 111h mfdgeraf,,V AdmuVster o,ygw it breathing is tlAicat •Do rum touch al-A Vvbu90 aln[W ms ad Do bell touch or was Waugh sPJled m(bnal Prevent an"sub wabnvays sexes basements or ccmfned vy gent.l/quid.,many m.tede/s become bell Pnd Keep.cone warm.ntl qurel •Stop leak II you can do n w rout ruk and id possible Nm lealung Do net onmi were,Pt wu a source of fall areas am likely to break wallet worming Easuen tMf meacei cersonrwl are aware of the canterhas so IMI gas escapes mtmr mn nquid Use wafer spray to reduce,apes It tliveet,apar cland Orin Abow subsWee to ewporate FIRSTAID materrraw nrYi dna lake preceurem to pl l L •Use water spray to reduce maws or Ewart vapor cbud drift Awitl allowing water runoff to=nett spilled m anal Isorst.tea imel gas Ms aspersed Mwe noun ore fresh air ma..N.. Awitl albwng water runoff b contact spilled malenal Prevent entry into Nm,c ys sewers basemems or CAUTION When In confect with mMgemledycryogenle liquids, Cell 911 or emergency medical services •Do not direct wetar as spill or source of leek confinedereas many m emial,borome briUl..nd.m likely to brook wIIhIlf GiveenAicalmspiretion 11 victim'is not breathing •P—ent spreading of vapors through sowers venVlanon systems .Isolate are—ew gas has dopersed w.mley Atlmmisas.,Ygenil to—mmga MAID, ,undermine areas FIRSTAID FIRSTAID Clothing Not—to the skin should be maxed before •labbte area until gas has aspe,sed Mwe victim to fresh w Mwe ,oho to Iresh au camg remowd CAUTION Whenln rorrUct wlNreMge.nfbdiXyogenle fkrykls,mnnY Cell 911 s emergmry medicel semces Call 911 er emergeroy madded Mahn— In calls of commct wnh lqueled go maw Irostetl mmerNlsfaccrrc bdlLbeMs.IXety t.brtmk mNartwsnlrg. G-aMOlal respuaemlf Yeti arot bropuri G-arelical respmuah a-,,.,a no,breamuq pans won lukewarm—Ter FlRSTAID Administer orygen rf bremhing is Mirculb Admmisaer o ygen 0 bbaNrng at MIT Keep- mine,= caunMow=it,to Iresh Dir •Rome,eand Isaus amusbruletl.lolbing.ndshoes •Romwe and timatem amra1,d,bXT and SDbaz •Ensure that madiCea pe,ablealare,ware fNe •Call 911 or emmgenby metlicol services In case of cbnmcl wih liquefied gas thaw frosted parts with ciomng frozen in me son s1wk1 be IhawaO b0ore being removed malarious)Inwlved and lake Precautions to protect •Give anibmal resolution it vie-o rel breathing lukewarm water In case of embcl will lqueled gas thaw Irostetl pans with mem itl •Atlmmeter brygen 11 Dr¢aPung a difficult In case of bums Immeolately call aHe.btl skin lora, lue.-mr water •Rembw and Isdime.ommen-ted clothing andsMes long as posvble ,IN antl water Do Wb-Clothing II Keep neem warn antl quiet •Clb.Tvg boron b vin skin shared be Pax tl before bevlg eero+N pdearl to skin Ensure that nra retll perse,ml...ware pl Ne casemaleral(s) In d cenb.lwl,,,,uefim gas fh.v floated pans cam Kial. Keep v .warm snot quo) T--antl lake p,ecatmstb protect fhareelves lukewarm-1. Ensure mal Medical Pirelli are aware of the mmeme(e) •bCaeemburm vrvrretlimeA'and a"CcleO skinbssbfg sspa.,IDb IrrvoNed antl lobo lar.—ons fo pr.f thenveNes wm metl wmt Ue mf r—cldNrg it abtlsdg To skin •Keep" imwarm(ntl quiet •Ensure'he'motl�cat personnel are(ware of the mateml(s) Inrolve0 end take procaulime to protect menhTi TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 RBE N . NV ICE NO, i Vo E ATSOLDTNO LB.T NA 1059713187 9065102107 06/30/2017 2576547 FISHERS ISLAND FERRY DISTRICT PCJ{RELIwASE . ... ORDEREU-BY` '::SHIP VIA PAY lVIENT TERMS- 'ORDER DATE CUPU NET 30 06/30/2017 DEI IVERY No.fQTY CYLIODE j 141ATERIRL tJUMBER 04M :QTif H1Q t1NlT PRICE UQM A4AOUN1 DESCRIPTION .. [ ."SHO'Cis, _ " • 'stlr�o., rtE:'rro,: 8065251076 PR 33A 2 CL 2 2 30.38 CL 60.76 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) Sale subtotal: 60.76 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To:2576547 AMOUNT' 69.56 Airgas® FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an Air Liquide company 261 TRUMBULL DRIVE Accts SA,LLC Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to*ndiv retumedmad@airgas.com REV 61 100010874 Page 1 of 1 or call 216520.6000 Disclosure Terms of Sale, Each sale of Goods or services by an Airga 'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed) and the Terms of Sale found at http//wwv,,.aiLgas comitenns-of-sale(collectively the`Terms of Sale").Each Contract for > the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Salo,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regarding Cylinder Rentals/Leases and Resoc mnsiWy, This document shows the total number of cylinders charged to Buyer(i e.,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 64 days after the date hereof. Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(I)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cast thereof. Refri erg ant Cylinder Returns/Deposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e g,reingerants). Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after[tie cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sate and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. I-imitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL ANWOR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY OR OTHERWISE. Terms of Payment, Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2.00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less. Surcharges Upon notice and receipt of underlying documentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used In the production of Products and/or(b)fuel. Title to Equipment Title to all rental equipment shall remain in Sellers name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes. Any taxes imposed by federal,state_or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price Itemized Charges (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel None of the charges represent a-tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller.The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things . (b)No such charges not already provided for in a Rider will be imposed without mutual consent Government Contracts. Certain Airgas companies are U.S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended. Airgas eBusiness Now doi rig business:with Airgas is easier than ever with our eBusiness website,http://www.airgas.com Visit LIS online Today to see how www.airgas.com can save you time and money. 1 r FOR LOCATION NEAREST YOU nDELIVERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8065251076 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 06/30/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:06/30/2017 800-962-0286 800-962-0285 PRINTED: 08:10 06/30/2017 SALES ORDER: 1059713187 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE FISHERS ISLAND FERRY DISTRICT RELEASE# FISHERS ISLAND,NY 06390 US 261 TRUMBULL DRIVE ORD BY 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY GARYDUBATO Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Acct Front NET 30 Customer Pick up Airgas Customer Pick Up N329 N309 NOW Counter Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UN1978 PROPANE 2.1 Line# 10 Materlal#PR 33A Stor.Loc.F001 2 2 2 64 LB PROPANE 32L65 ALUMINUM 136.000 LB Ii Iv •, EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS ❑ ❑ PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SEE REVERSE SIDE FOR I PORTANT SAFE _TY INFORMATION SOURCES,POINT OF PURCHASE,AIRGAS WEB SITE AT 4MWW.AIRGAS.COW OR BY CALLING ACCEPTED FOR THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPT REJECT THE ABOVE THIS IS TO CERTJFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,PoRKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDIN b THE APPLICAALE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME PLEASE PRINT AIRGAS PERSO NEL — ATE T 0 D ❑� '' INTERNAL USE ONLY Delivery#8065251076 136 LB Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' 0} I I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III III AIRGAS TERMS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES AL1 Y BE EXTREAfELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IAIPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS'1 AREA VALLABLEAT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COMITERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH TH E DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERM IT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTERESTAT THE LESSER OF ONE-AND-ONE-HALF PERCENT(I S%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUIHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS.SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6.LIMITATION OF LIABILITY.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7.REMEDY BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8 COMPLIANCE/SDS:BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(T)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9.ITEMIZED CHARGES.THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE COT LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID OT LIQUID ARGON LIQUID N, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FlRE OR EXPLOSION FlRE OR EXPLOSION FlREOR EXPLOSION HEALTH HEALTH EXTREMELYFLAMMABLE EXTREMELY FLAMMABLE Substance does mot burn but will support cpmbustum Vapor, duinlaactI s M1 thou) Vaphismaym...tllTzinew or asphyxiation • Will be easel Ignited by heal ks or flames wmay cause p yxiat on wI YB Y sear Will beeaslll picalN hoduealsparks or homes some c—lbu bees,olywmusion Ip wuhoulwarnlq •Vaporil mum Tntive ml gas ahemelr Silawmightlpornereswrmar May Irmo Jqm lied gas arenpapermldoming,1,sp Vaporsin=himglgroun erelnihally Mower the,air Vapors Isom lquefiedalong gasare lnl,iellyheather Man air •Vepws from flay,-Bas ere I.1fg heavies Vanh b ci ebrg Sllone well Ignite designated In ar •Vapors from liquefied gas are.sour heavier Ivan all,spread and spread along ground end spread along gmuntl gMO acki trawl m saace w gnawn UN flash burn •Thom substances eared orad whoa(P)Tray mlymer¢e long ground and may Trawl m e,h se of Ignlwn and flash back .Contact fur gas or bgoefied gas may cause bums FlREOR EXPLOSION CAUIIONHytlre(UNI 16m Metedre(UNIiTI)shll,h.n, ea,hely rwhenheabar.inetl power RuroH may weals faaor Bhem herself rzvare mry LOSIO lros,blle Cmumenmoby9°soe okan wall Ire HyUN186cand Do eer,(UNI B/1)mellgfrtorUmn .Vapors from liquefietl gas arernnl911yhmviw man av C°ntamersmeY plache healed FINEOflmmableg.. CmtarnwermYexpmay when heated dr and willdm Hytlmgen erstl pout.dum Brea ere tlllfimXto doted :weed along ground and may thwal to lwurm of rgruhon Rupturetlryllntlera may rmkel •Non flammable gess° •Ruptured ryfintl¢rs mayrockeL .Ince they bum wl9san lmdalbe hems Uee pit ellemaw memodof end flash back HEALTH Containers may explode when heated PUBLIC SAFETY dalecgon It chreal tamer°,broom handle,els) Cylinders exposed,°lire may vardard release flammable Vapors may muse dulhmacn asphycheanwlthoutwwm ig Ruplurmcyhnders may rocket Isolate apple,leekereelm,loh—ly fare,least 100 •Cybhoers exposed to tae may vent and release llamrmbl°gas gas through pressure relief dwices •Conmclwhhgasorliquafaagasrnaycaus¢burns sever fury PUBLICSAFETY melem(330 feet)In all c,rIItona bough pressure robot Cocas C..Taham may rixplow when heated antllw fission, Isolalo sptll or leak area mvnetlialely for el least I W Keep uneuNoriied peril,wily •Containers may explotle when heated Rupluma cylinders may rocked •Fre may produce Irritating all mac gases —,.a(330 fact)m all mumdna Stay upwm0 •Ruptured cyllhoers may rmket HEALTH PUBLIC SAFETY Keep unaulhor¢ed personnel away Many Baso.era hmwu Van an antl yell spread HEALTH •Vapors rmY cause dulness or asPlryxialon wlmwA x-drmnp .Isolala wfl w Hak ereammada,ely Iw et least 100 meters(390 Stay u d along grwM and mllecl m low w confined weal •Vapors may wasp tininess br ophyawlen wmwa warning Setae may be toxic d thread e1 high com°nuaLw¢ feel)m ell d amene Ma Pon we arm ev and wills tl.lon (sewers basements larks) •Sema may be Irha nng d[—led al high warommunew Centel wlh gas w howled gas my muse burns severe Nee u authoruetl aura Wm9eses are ores B Keep out°f low areas cent-I gas or liquefied gas may cause burns severe Injury Ing P n sOMB y gr d-d mncen,ow,w cgnllnedar...(s.wera l ryantl/orfipstDlta Stay upwind basements tanks •Ventilate cipsed ....mforearnermg antl!.,11-to4e Fre my prod.m meting smd/o,toxic Bases Many gasoline heavl°r then elr antl well spread along wound and .Keep out of low arae. PROTECTIVECLOTHING •Fre may prooklm Initaling thel°r toxic Bases PUBLIC SAFETY mllsot Inlow or command areas(sewers besemenls ranks) Ventilom clpsetl spaces pelwe enlenng Wearpositive pressure safcormined lonso,ing PUBLIC SAFETY Twice spill or leak area Immediately fora,Ieast a03 meters •Keep out of low arms PROTECRVECLOTNING eppamtus(SCBA) •Isolate spill or leak wee ma ei,ly lo,al lmsl 11X1 meters (3301ea1)m loll direcllons Ventilate closed spaces before mumng Wear pwllNe pressure sallcontaned broiling SWDtuml fvefigheare pro,ectwa cbmrng will poly (330 feed m oil tlrtecimns Keep unaulhorged perswmel°way PROTECTIVECLOnaNG ePpawtbs(SOBA) a—ce,un-m!pro,.— •KeepunaNha "d w persme,away Smyupw,d Wear more,pressure selhconlamad b—i apparatus Swctural firefghlem'prolechve cfothmg wd]mly EVACUATION •Slayupwind Many gases we hower Nan an and will spreadelwg (SCBA) proade limned plowman, Large Spill-Consider initial eowrmwd a,ammum lar •Mary gases are Mauler Von art antl all soreatl acongmwgrmntl er,d grpumd end collect In low or confined—be(sewers •Wear chemical weleciwe clothing will specifically Always wear thermal prou ceve clothing when at least too movers(330 feel) N bwwconhrm weas(sewwa mcomere, s) basements tanks) r---need by me man.-I—r tt may prwida lmloor no h.ndbngoI,i ate-r,c, .Lqulds°1muda FIre-I lmnk roll ear or tank Wcxla Involved ineli,e •Keep cut of law weas •Keep out of low press thermal protection EVACUATION ISOLATE for 800 maxle(12 mite)In all elections PROTECTIVE CLOTHING PROTECTIVECLOTHING Structuralfrabghlers'wwoom.lethmgls rmommended for fire falls Spill-Consider inulol mwnwmdC cmt,w for at also consider Initial wocuotion Tor 000 m¢ter. •Wear postlw presses capmmairep bowhmg appwatus(SC8A) Wear maim pressure self-omen tl brmNing apme- emanons ONLY rt Is not shat ren..Pit slNalons where dlrmt han,o meters(3301eoQ (t2 mile)m all dr°cli°ns •strucm,d firefighters protacme clothing wee only provrtle limitetl (SOBA) contact amt me mbstarcoIs prsvble Fre-II tack.rat ear or mrm yuck is awali qcim a fire EMERGENCY RESPONSE rw pemm .Spucwra mr n,efigha prweetwe ck>wng win mN ar—d. .Always,waw mems,wweclwe clothing when who,mg raingarmil ISCIATE for 803 rmmrs arz mite]In dT drmuwrs aim FIRE Always mar Thermal protectors dolling when handbag lamed wplecliwt cryogenic liquids considermad ewcumen for 000 mels s(12 cella)m •Use admil.ishmg agent suitable for Model •refrgemnVcryogamc Iiq,nd. EVACUATION EVACUATION ell drawwns suuoimdmg lire EVACUARCowl Ofy LaTe,Spil/-Cl Ionia,downwind wecua,ipn fent least LDg,Spill-Cori l°Iual downwind womtwn lw eueast 500 EMERGENCYRESPONSE •Mwe containers from fire arem,f you can disc Large Spill-cpnsld—Is Tdownwind evacuation for a,leas,800 800meters(12mno) rwhia(In mile) waI ask meters(12 mile) Fire-II tank Tall car or rank truck Is Involved Ina lire ISOLATE Fire-If rank rail ear or tank truck n mwived In a bill ISOLATE ,TUE axon uishin enc suitable for Damaged cyhnCem should M handlotl only by Flea-Il lank reilmrwmnk lruck,s lnwlvetl lnefre ISOLATEN, Iw 1600 meters(,mlle)Inelld�recapns cm cmetlerimtiai for a00 meters o/2 me9)m ell dvecams also consider initial surrounding 9 gag typ°°f wecutras 1600 meters(1 This]m all dnerotons also canoder wMl aa°cm,bn omation Iw 16M miners(I mita)In ell ol—t ons acmtim far 000 meter°(12 mile)m ail&.1-. ora Fire Involving make for 1600 anter.IT This)mail dvsotrwm w Movo containers from fire weas Ii you can do rt EMERGENCY RESPONSE EMERGENCY RESPONSE EMEg ag-nu BESP"of w,vrorn Tisk •Fight hem mwlmum aalarwewum uwrwnnee FlRE-00 NOT EXTiMGU1SNA LEAKING GAS FIRE UNLESS FlRE-Use eamgulshing egeN suitable la type of surroundng fire Damaged ryfindws ofwuld be handled only by Mea holders or ancenor rwulos FIRE-DO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS LEAKCANBESTOPPED Small Flres-Cry manniical or CO, •Cow cenmmws who flooding quantities of water unlll LEAKCANBESTOPPED Small Flres- chemicd or CO, Lo Fires aPmmisrs weneMrllre la out Dry r8° FlA InvolWng Ionics CAUTION Hydrogen gandea liquid i,Deuledum(U111,..°nd IArye Fires Wafer sprayfogwhgular,Tins.,call foem Fos firehers rt mmum-Tolle, use unrmnnetl Donot al Cmect wam,et source ollmkpr safety Hydrogen,remgereled liquid mirlurdi burnwellsen(nyiaeble Water spray clog Mawged cylinders fro°T ea ayor+ran dip b whinrl ask hose holders armonitor nm,itu tlithdre Icing Theyoccur /lame Hytl th,,1 tlaillhana mlXfure,rompreesetl(UN2r139) Mo rmolvigTankom lire area 11 you can tlo M1wlmout risk Damaged lTeers should be handled only by apooallsts Coal con,anerswith llmdinB quanh,les of water until WcMmwl hatyomtely i or ms at u,miomilg muntlirwn may bum with an Invla/bie/lama Flea ht hiving Tanks Flip ht le I,gTonka wdl cher Ire Is put wn.ng eatery dwices or inks engulfed of bilk Small F/res-Cry chemlrel w CO, •Egli,bre fromreemerihoodes once or use unmanned hose Fightlemaximum dlsmrwe w use rmrtmnnetl lime Mltlers pq not may wafer at source of metal salary dwices 'WAYS stay away horn lanks engulletl m lira Large a hNdcrs emus with floods orrl—narra 5 SPILL tt LEAK •Wafer soreY or log Cool rgnmimrs with flooding ores of wafer anal well Coal contalnws who IlooOm ting maY occur as 9 P rg qmn g quantmes of water until mail Wimdew ice y d wery m r e of nsng sound from O°roe tenth u walk o I tis Ibis and 0 l .Move containers born fue wen d your ran rb n vnlhw4 ask atter Ilse Is out bre rs rat wnung eatery devices w mfedwaaon of rank •Step leak II you can do d bad g risk and rl possible Kra hirrohing Tonka Do,hot many-creel water an source al Hakormlory dwices icing Do may accuec,water etsmem of kakwsafety tlwwas Icing .ALWAYS stay ,awayfrom tanksengulfedlnfire tum lligaid conlamersramal ms amapes rather •Fghl Tire from maximum distance w use urvrlanrretl hose holtlers may mcur Tray occur SPILL OR LEAN man liquid or rmNlor noules Wm safety w immediately in case d fang sound from wn,Ing Withdraw Immediately ds .ria h rase sinning sound Irani venling salary DD not couch a walk,.rowan spilled mnu if Use water spray m reduce vapors w door,vapor •fic containers wmllDodng quantll�es of water until well efiar sLWAY wicesoryfro oralionpl rank tleviceswdsco yIT on ollank tStop urnle lum,m an rs so, uncamp etheble clouspit of rift Avoltl elloxmg water runpll to contact braisout •Forms-fl away from lheendhol the tank •ALWAYS-felow,mmnxsenguttedld fire turn leakid tartars ellmat on.1 rmtenel •Do roe Ovew wdiwwsmsedleakwsale dwwes.ori gem gas escapes rethor 7 ,g Q calla u Far rtwsswt fire,uso unmanned hose from ms w manila For massae Ire use unmannetl hose mdllot w monitor ronles,I Non Ilpuitl Do not draw water a,spec w source of leek •d—or d scommry in rase of nsmg muM from vlmtlrg salary males it,Ns u unpasvble wnmdew from arm erld lel this IsR LEA Dle wNbraw born wen antl let Iv°born Use wales spray b reduce wows il own vapor Prevent envy Into waterways sewers besemenls w Aerates or ay away ran d IoM fire bum SPILL OR LEAK cloud tlnit Avwtl ellpMng wafer rams to cmmcl cnow.la°Teas •ALWAYS Slay away born the entls of Ne lank SPILL OR LEAK Keeps mrtbr9rb4(wood papa oil ek)av/.ry htm spaw •Allow subslence to evaporate •For,,=fue use rmrnanned hose holders or mao,w noules II spJled material ms Ism w°withdrew from area and lel fire bum tichos m mall anion mortes Ino smoking flares sparks w Do roe Imrh gr can mrawh soiled—,IT.?If Do roe drocl water at spill w source of leak Venlila,p Ilia area posse flames In Immediate urea) Stop leak it you can con without risk and If possible Nrn leaking Prawn,snoy int°waterways sewers basements or FIRS AID SPILL OR LEAK Afiequpmont used wren handing me Product must be aonan¢ma so that gas escapes rather than liquitl confined areas Move victim to fresh wr •ELIMINATE aII Ignition sources(no smoking fiares sparks a, grounded Do not direct ,is,at spill or source of leak Allow substanceelp,°armaCall 911 or emergency medical services names In ImmeCiwa°Tea) Stop leak a you can do It wMmt nsk antl I moble,urn •Use water spray,o reduce vapors w dawn vapor cloud doh Awd! Gwe artificial respir°lion d octan Is col breathing itlat •yU ION ms erm Ygan •ASI.111 error walk 9Vre mad°cl,tlo B,ounOetl Ieakmg cnch or rsmhiclmsescapes Tellier than Ilquitl dowsmi oratoromal°waysTxOPadmsiwial CAUTION When In ronleel with re/rlgemfed/ Aee,,cbrox IbreacrmgIs dlticuV •Do rottwwhorwad mrmgh spilled material Derotloathwwant Ihrmghsomoo.11.1kT Prevent entry Into waterways sewws besemenlswconMed cryogenic Ilquitl;many mefnna/a beromo bdUlaantl Emuwclm warm eM quiet •Stop leak II yea ran Do d wimwn ask antl II ppaslLle wen Ieakmg Do roe tluepl water al spell w Iwurm of lock areas p •Ensure thoi medical mrconnel pre awant,of me mmaewrs m mat qui am b break wilhpv(wem/ng mal •Use wale,spry to coda cams tame dart Iva tl bud doh Us°walar spray w reduce wears or dnert vapor time duh •Allow l are area w awpwaw FlflSTAIO enal(a)lnwlvetl end take precaNims m protect y apwsor pore Awent entry walwruroytoawers milled material •Isolate area arta,gas Ms tlispersetl Mw 911 or m emergency nars me,r¢olwa Avwtlallowmgwater,Ijloconmcesculled material .confintenery title waterways sewers basements or CAUTmany nNWhl,bomenlaclwdhreMger°lad rypgen/dllho.,, •Ge ar1icial—pian—froalsemms •Doroctiredding fape,wswrca dI.er mnateaareas many momriela become bdNp and are likely(°break tvilhoul Gwa artificial respuetion II victimrscol beetling Prevent spreading of vapors throuBM1 sewers vemtlabon systems .Iwlele areauntil gas has tlisperse0 wam/n9 •Atlministeroxygen if brealhmg 1.tllHlcul, antl cortlmatl areae FlRSTAID FmSTAIO Ck hmg I,oien to me skin should be Hawed before •Ie0late area un.gas Mw s dispersed •Me vohn,to fresn all •More—tan to fresh els CAUTION In eordxl-MreldgomisMkry°genkgqudl4—Y•Can 911 oremer en m;dml mrwms •Can 911 wtimer medical semces being ea m.erded,txxlcaa Mmes--firelyfolwcak whhwrlwarns1. Gwewrfc.1rasphia.dvwwnrsrotbnsuall Gweimbricei respuapasit victim is roe brasihmoi In case.eIcontactwho Iiqueletl gas Vow hosted FlRSTAID .Atlmlmist,,o librmthl tlnficult Administer° Itnems dII pace aimlmintawwaandq •Mevewctim,eboshair Remove-disease comamniaied claming and shoes Ramoane lsel-cow—mateticlaNlng°nashces Kmuviwm wee-Ip quo •Can 911 or emergency aw,iral mrncas Inc...f contact win liquefied gas mew frosted pens with Claming Irazm w rhe stun should ho alawe0 Mtore Mmg removed a mal medical personnel r aware I tM •Glue ad,/sial resplrasonavichm is not breathing lukewerm-,a, In rase of mntec-ar,llqueLed gas thew frosted pans with lerlel(s)Implvetl and take precauions to protocl •Acm,mll,,oxygen 11 tomormg is dallcun Inc ase of burns Immenmmly cm.filchw skin for es lukewarm water themselves •Remove and lmlato mnmmmuml clothing and shoes long as possible with cold water Do not mmow clothingil Keepvlctim wenn and quiet •Clod trworr le Po skm should be mawetl before being reamed adhering tell Ensure mac mou l personnel are aware of the malenal(s) •Incase.1cenwclwhobqueliedgars mewfr mdpanswho Keep—umwarmendquiet kwoNetl and rake Precamwm Io Pratt,mw (,— luke earm-1.1 Ensue met medical personnel are.ware of ma malwal(s) •In rose dbras lrtm uchawy and alls,ea sera for as log as pcoul —Irsd antl lax°p,—..ne to prelect lnemselvas who sold wane,Dp trot Terrors Gwhirg II adrewq,o sks, •Neep weem warm end quiet •Ensumptadtakcplpe,s°nnelaproz lhmseTves (.) Involved antl lake precautions to protea Ihomselves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 kdER:NO:. INV ICE No. . I V IC ATF oLd T N OLd.To NAME' 1059918356 906541.8336 07/11/2017 2576547 FISHERS ISLAND FERRY DISTRICT POI RELEASE '' flFtd�RI Q BI'. S6iIP VIA, F:.. PAYMENT TERMS O C1Ef2'DATE DAN ARGTRK NET 30 07/10/2017 UELIVERY>No,:L Q7 Y 'CYLINDER oESFtIPTIt?I > MATERI,ALNUMBEf flolVl ; Q '$)ci UNIT PRICE UC7M_ AMOUNT sIaIP :.;. .., sio arra. 8065587130 PR 33A 2 CL 2 2 30.32 CL 60.64 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) Sale subtotal: 60. 64 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.29 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 _ AMOUNT 103.22 Airgas. FISHERS ISLAND FERRY DISTRICT U an Air Lquide company 261 TRUMBULL DRIVE AirAcct C USA, 4318 ,LLC Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv returnedmaii@airgas.com REV 6 1.16 0013202 Page 1 of 1 or call 216.520.6000 Disclosure Terms of Sale, Each sale of Goods or services by an AirgasT'•'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http 1/www airges com/terms-of-sale(collectively the"Terms of Sale') Each Contract for the sale of Goods or services between Seiler and Buyer("Contract")shall include these Terms of Sale together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions, "Goods'refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Reg_ard€ng C iy order Rentals/Leases acid R s onsibility, This document shows the total number of cylinders charged to Buyer(€e.,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown.The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller is good working order or(n)pays Seiler the replacement cost thereof Refrigerant Cylinder Returns1Dgposit Refillable refrigerant cylinders shall remain the property of Argas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Argas or the return and reclamation of certain gases(e.g,refrigerants) Each refillable cylinder avill be subject to a cylinder deposit fee,as established by Argas from time to time. Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder s condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned iftrranty, All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES. OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY-PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT,ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice. Continued open account credit is subject to Seller's assessment of Buyer's financial condition and ability to pay.A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2.00),or the maximum lawful rate allowable in the state where the Goods are deiivei ed,whichever is less, Surcharges Upon notice and receipt of underlying documentation,Buyei shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power andior raw materials used in the production of Products and/or(b)fuel. Title to E u�c ipment Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or othenvise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes- Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. itornized Charges' (a)The total amount due from the Buyer may include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping,and/or charges for energy or fuel.None of the charges represent a tax or fee paid to or imposed by any government authority, and all of the charges are retained by the Seller.The Seiler has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things, (b)No such charges not already provided for in a Rider will be imposed without mutual consent. Government Contracts Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No.11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:/t www.airgas.com Visit us online today to see how wvAv.airgas.com can save you time and money FOR LOCATION NEAREST YOU ® an Air Liquide company -DELIVERY ORDER VISIT WWW.AIRGAS.COM SHIPPER: SOLD BY: DELIVERY ORDER#8065587130 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: . ,07/10/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:07/10/2017 800-962-0286 , 800-962-0285 PRINTED: 15:35 07/10/2017 SALES ORDER: 1059918356 SHIPMENT: 3700733 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US 261 TRUMBULL DRIVE ORD'BY DAN 631-788-7463 FISHERS ISLAND, NY 06390 US ENT BY GARYDUBATO •,Order Type Payment Terms Incoterm Route Sales Total Containers Sales Office Plant Org Ship- Return StanStandard NET 30 Airgas Truck Airgas Truck N329 N309 N000 'p'. Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UNI 978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 2 2 64 LB PROPANE 32LB5 ALUMINUM 136.000 LB Ltlj�7 RS , EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO,AIRGAS'STANDARDTE SAN ONDITIONS SEE REVERSE SIDE FOR IMPDRFA SAFETY INFORMAT 8 [THE CHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ ❑ RCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dVA W AIRGAS CO hD OR BY CALLING ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR ACCEPT REJECT THE ABOVE THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED;DESCRIBED, CUSTOMER PACKAGED,MARKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING TO THE APP,bIC BLE REGULATION'S`�OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE j�°��\� 1? -16_/�I NAME PLEASE PRINT AIRGAS PERSONNEL DATE T O.D • �_ INTERNAL USE ONLY ` Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8065587130 ❑S 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII AIRGAS TERMS AND CONDITIONS OF SALE {YARNING TRANSPORT AND USE OF COMPRESSED GASES AIA Y BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALIVAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETYDATA SHEETS("SDS")AREA VAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP - WW W AIRGAS COMiTERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER LCYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OFDELIVERYRENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT.UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYSAFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTERESTATTHE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASS ESSM ENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS.NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS'SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENTAND ANY WARRANTIES THAT MAYBE ALLEGED TO ARISE ASA RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6.LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDI RECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/ORPUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. `- 7 REMEDY BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8.COMPLIANCE/SDS:BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9.ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE COI LIQUID COI ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID OI LIOUIDARGON LIQUIDNI HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FIRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Substance does not burn but wll s,wwtcomb,,hon Vapors may cause do-hass&asphyxiation vmh.ut Vapors may Cause morass or asphyxm„en •Wit be easdy Ignited by heal sparks or flames Wll be-Illy ignded by heal sparks&flames Some may now,eapl.—ly In fuels warnng wmout waming •Wll farm erplosrve mixtures with eur •Wall form eapiosrva, res with air May,glue combuelibles(wead paper If claming all Vap&s from hqu,fled gas are anally hea-,l,an a„ or 'Vaps iron tiqualed gas&.initially heavier than art •Vapors Mann quened gasamnatlafy heavier than art sprood,ung Slane veil,guile sponlnecusly in air Vapors homl,quefieo gas are,nnially heavier done,spread and spread long ground and spread along ground gmundand may trawl awes oflgaral and UBM back .Thronesubstances designated whh a(P)may polymerize long grounCard nay travel to source oa,gnho.ano flash back Contact.nth gas or o,,fad gas may cause burns FIRE OR EXPLOSION CAUTION Hydmgen(UNIM9),M,I,d,,(UN195T),Hydmgen, e,pi,,,,,y,ren heat.tlormvolvede,a fee Runoff may create Ines explosi-W,d severe injury Intl/or fros'bn. Non flammable gases refrigerated hgmd(UNt966)end Module(UNt9T1)em lighter than vapors from tiquer�ed gas are initially heavier Nan ear •CIMMMers may eaplod.when heated FIREOREXPLOS/ON •Cama,.&smayexpfod.wh.nhemed air end win rl.a Hyamgentna Deumdum drf It...mecultmd,tuW spreadalmg ground and may hail to source al ignition Ruptured cylinders may rocket Nan flammabl.,.Bos Rumored cyhuders Myrecort ro they bum with an lml,at name Use an auamatememadof and flash back HEALTH C.maners may e.y.de when healetl PUBLICSAFETY d-eflon(thennl camem,tomato handle,etc) •Cylinders e.p...d to No may veal andr¢lease flammable Vapors may cause tluzaess or azphyaafton.nh,r warning Ruptured cylinders m.y,.,e, II-M,pol or leak—Itanmedalely forst least 100 •Cyl,ntlersexposMto bra may vent and rel ease flammable gas gas through pressure relief d-cal Contact win gas or liquefied gas may cause burns saweenjury PUBLIC SAFETY —ars(330(aeon all d—bons through pressure relief devices •C,nlainers may e.plode when heated andlor Imsmde •Isalale spill en leakem immedmely tare'least 100 'Keep on,Mar st personnel away •Contorts may eaplodewhen healed Ropt,,,d,yl,ndere may rocket Fre may produce I sn,aga.d/&mnc gases •Slay upwind melero(3301eeo in all orr.l.a Man heaver Van wr and wll s d •Ruptured cybntlarsmay„cke' HEALTH PUBLIC SAFETY SKeep tayupauthor,zetl Iowa Many prea HEALTH Va tliuiness or as haa[ron w'h.ul warnin personae y a tlentl'.Ileciin low or continetl areas •Vapors may dosMasswo, sones&Cotwaml Some p y g •Isalale salla cinuchk prea irrvnetl,ally for al least 100 motors may gases long grown ycause phyma g •Some may be toxic ilinhaled at high concenVailons leel)in all tlaecli.ns many gases are heavier Nan air antl will spreatlalong Is Cp no'.asements tanks) •Same may beuntah.g,l,nhaied at high Concern-... Contest with gasor liquefied gas may cause bums severe Keep onaulh-ced pe—Malaway ground and Colleen love.,continetlareaI(Bower, Keep outllow areas •Contac,with gasor liquelied gas may cause bums,severe njur, injury and/or art Stay upwnd basemer,S tanks) Vemmia'e of.setl spaces b.mm ialwag antl/or frostbite Fre may pmouce,hawngantl/or toxic gases Many gases are heavier Nan air and w,[I,p,,ad along ground and Keep—llowareas PROTECTIVE CLOTH/NG •Fee may prow—r-angand/&,oa,c gases PUBLIC SAFETY Collect in low or connnetla,eas(sewers basements tanks) Venb1h,closed spaces belor.enten.g •Wear positive pressurear,i—II.Med brealhng PUBLIC SAFETY ISolamspil or leak area,mmedotely torah I...I im—mrs Keep,utol low..IS PROTECTIVE CLOTHING apparatus(SCBA) •,nolle Sp,llor leak weachan-lely for at least 100 meters (330fee'),n all d,recbons Venblela closed spacasbel,re emenng •Wool pos,t,,pressure selfconlainetl breathing Structural lirefighiers protactwe clolhng will only (330 aaeona1l dueetons Keepunaumonzedpersawel away PROTECTIVECLOTHING appemwa(SCBA) ACUA limited protection •Keep unaumonz.tl personnelaway Stayupwind •Wear posit,e pressure self-Con,swul fta.MMg apparatus Stluclurallirefightem prC,aC,e CMM,gwillonly EVACUATION •slay upwMd Many gases are heaver than art and wil spread along (SCBA) Apiwide limned prolesion Large Spll/-Consitler moral tlownw,n0 evacvab,n for Mary cases,re heavier mon.—Id will spmad-no ground end amund.ndcaleclmlowm con fnetlareas(a,wers Wear chemical prme—cl.Ih,hg wh,ch,s specifically waysar mermal protecnvo c,o,h,ng wren aleest lW an-la(3301eet) collectinlav or confinetl areas(sewers basements larks) basements tanks) recommended by Ne manufacturer tl may p—om lime ora. heading relrigeretea/cryogenic liquids or s.has Fire-Iltank railcar or,enktruck,s,hwNod ne • Keep.1.1 low areas Ke,P..l of low areas thermal pmachon EVACUATION ISOLATE Ion 600 me'ers(12 mile)in all directions,e PROTECTIVE CLOTHING PROTECTIVECLOTHING •Structural lvefigbIna protective clomng,s recommended for tiro Large Spill-Constler initial d.wnwintl......lior lar at also C.rsdet inihalew'aaa,,for BW meters Was,poll pressure Sell corna�ned brealhng appermus(SCBA) •Wear post1,a pressure self contained brealhng apparatus Billions ONLY des n.l enecirv¢in BIllsnuabons where tlueci least 100 maters(330 feet) (12mne)Inelld,recb.ns •Strucwml bmngmers promer-ej.mng w,ll.nly pend,finned (SCBA) toren whiraha substance is possible Fine-If mnk ran car or lank tieck,a,rnometl,n,III EMERGENCYRESPONSE projection •Structural fr,fightere pacloonve Clothingw,il,,Iy pr.vda Always wear thermal prolee..sathmg when handling 10119e1nV ISOLATE for 300 meters(12mile)in all ditecw.slI,, FIRE •Always wear thermal protect,,Clnhngwhe,handling meed protection cryogen.ti .ds nsidermitiowIcuahon for 300 owwa(112 mn.)n use extmgu,shing agen—mole lar type of refage—tt,ryogenc ftquids EVACUATION EVACUATION all hr-Ion. sunound,ng Ino EVACUATION Loge5p11-Cons w I,ai d.wnw,ntl,vaa.ab..for It leas, Large spm-Coawdemnnal downwind..iodation for et leas'500 EMERGENCYRESPONSE •Mwe..noswes from t,,,reasd y.ucan ren Large splu-Considerla,l di—nd—cuation Intal least am BOO meters(12 mile) meters(113m,le) FIRE w,ih,l,risk meters(tl2 mile) Fire-II Ink rel Calor lank puck lsinvolvedin a fire ISOIATE Fire-Il tank ran C&or lank lock,.lnwlwdm a aim SOI-ATE Damaged cyindersshould be handled only by Dre-If bink rail car wink Muckisinwlvad,n.fns ISOLATE for Lor 16M meters(imne),n ell directions also chhkw,r.t,aI far am meters(112 mile),n all drecho.s also co,,.d,r nnlal Useeatingu,shing agent suitable for of saacmhsts lam meters(,mdainaft d,ractions also coardle—aulevac.m.n aq ac s undrog ane uabon for 1600 meters(l mile)In Ell tlirecnons u6lion far 300 meters(12 mde),n all Directions M,we conlainare from fur easel do ft Flre/nvolving Tanks Lor 16W me'&s(1 m,le),n all directions you can EMERGENCYRESPONSE EMERGENCYRESPONSE wimM1oul ask •Fghl ire from maximum dslance or use unmannetl EMERGENCYRESPONSE FIRE-OO NOTEXTINGUISHA LEAKING GAS FIRE UNLESS FIRE-Useexangoohnii.,al suhable for type.Isu,m,ding lira Damaged cyle,d&sshould be handledonly by hose holders ormo.,hpr n..Ba FIRE-OO NOTEXTINGUISHA LEAKING GAS FIRE UNLESS LEAKCANBESTOPPED Small Fires-Drychemmelor CO, spa BlIll Cool..nl,ners wnh llconng quantities of wafer until LEAK CAN BE STOPPED Smoll Fires-Ory cM1emical or CC, Lange Fire. Fine lnvoly/ng Tanks well after lire,s out CAUTION Hydrogen(UN10s9),Deuterium(UN1967)end Large Fres Wafer spray tog or mgulat loam Fgmfr,fr,,ma.,mum dlBla,cB or use unmannetl Donot direct water at source of leak or safety Hydmgen,mfrigereled liquid(UN1966J bum wuh on lnvlaible Wate'.PmYor fog Mave...mans,from lire set you can do I wale—sk hose h.ld,aw monnornozzles devices„ng,eyeecur Rpm,Hydmgenand Melhanem/ilum,compressed(UN204I M,veconlan„s from fire MaIrf you can don wnhoul ask Oamagetl cylinders should be handed-ly byspeeahsts Cool-hourersw,m flooding quanbron of welar until WMdr—ormedalely a caseolrang Bound from may bum wall an Invisible flame Fire Involving Tanks Fico Involving Tanks wall alter tiro is out ventingsafetydevicesn C,lB-guie oftank Small F/ms-Dry chemical a,CO. Fight eve from maximum tlisiance or use unmannetl hose Fight lire from mar�mum dstars—useunmanned hose holtlers Do not direct www.,source pl leakor safety devices •ALWAYS stay away frgm Inks enqulle0 in line Lave Fl.. holder,or mohtor nozzles or m.nlor nozzles Tang may occur S Do not LEAK •Watetsprayorf.g •Cool conl,ners wM llootl,ng quantities of wafer until well •Cesiconlaner—a-flo.tlingq...nes of water until well after Wlhdraw,m,,dawiy,ncaz..Ining sound from D touch on walk through spilletl matenal •Move c-smare from fire area it you can all.1hout ask ahar t,m i u, fire rs aul er”ng safety de—r.r d-dor&ron of lark Shop leak if you can Coal w,lhoui hlk and,,l posable Fire I.-Mag Tanks •Donol dnec,water at source of leak or safety d—as long Do not tlirect wafer 9l source of leak or salary tlevices icing ALWAYS shay away from hanks engulfed,,fire turn leaking...owners So that gas escapes ramer •Fight Fire from maximum dstenceor use unmanned hose holes may occur mayo'cur SPILL OR LEAK than bq',d monlenoules Wmdmw immediatelpn case of nsngoound from venting Wttal—a menately m case of nsmg sound from venting safety Do not much or walk mhrough spliad matenal Use weer spray to reduce vapors or drvenvap.r •Cool containers win flooding quantities If water until wallafiner solely devices.,hocol.r.,—f Irk devices ne discdonw,on,f tank Stop leek d you.an dolt wthoulnsk antl it possible cl.utl,nlm Awid ellowmgwater runoff to'onlcl lire ,um •ALWAYS stay away from theend-1 the Ink ALWAYS stay a way from Mrkow ll fro 'urnleaking,wdw,em so Nat gas escapeeram, spdied matenal Do,rel rnr¢m wafer el coerce ai leakasalary deices Ing traycoeur Farm.evve fire use unmanned hose holders,,monitor Formasswefveu unmannedhase holders or manner nal2les,f khan liquid D.notda,y MtCralsway,swe,, leak •Wthd,,w mediamlym case of long....d from venting safety ,.les d this S,mp....ble wiredraw from area and let thsa,mp.spble wnhdrawlrom area aad,.,lire burn Use wuwapray to red...vapors,,drven vapor Pmnfired Try into waterways sewers basements on device,ar d,SC,loration,f lank lire burn SPILL OR LEAK cloud duh Avnd ef—Ig water runclf,,."Llai continetl areas •ALWAYSsmyaway from Vleendsef the lank SPILL OR LEAK Keep crvhbusbbies(wood paper of et c)away fool lletl matenal spilled matenal Allow suballes.'.evaporate • For massive fire u unwanned hose hddarsor—Mrnozzles rf ELIMINATE.,l,gnitio.B.urcee(nosmok,ng flares sparksor Do not touch of walk mmugh soiled material Oa not dactamlerat sell of sourceol leak •Venin ID the area i a,mpossmle w„htlraw homareaand let lire bum flamesin,mmedate a,ea) Stop leak,(you can do d whhon ask and Ipossmle turn leaking Pr even tenlry,nloawwwaya sewers basements or FlRSTAIO SPILL OR LEAK Allequ,pmen,used whe,handling the product must be contan&ose that gas ehnpesmlher man nqud continedareas Cavev1cbm tof,arcy •ELIMINATEail ignaon se,ces(no smoking flares sparksor grounded Do notOr-wales,spill or oaurceoa teak Af—substancet.ewpora Ce11911 or emergency medical services Ilameem,mmetlale&ea) •Slop leakd you con do it wnhoul nskand,l possmle turn •Use Ovate,spray to reduce wpomar d,erl vap,rcloud daft Avoid Vepb1-Moarea 1e Grve&bhcul—wetionil valine is not brestang Al equpmertmedwhenhantll�ngftprod,d IISLbegm ded leaking cruor&s somal gas escapes ramer than hqufo allomng welar noes to comacl spilletl matenal CAUTION When In ronlac1 w11hrefrigerafeN •Administer o.ygen,f breathing is droll •Do nal touch or walk thmughsplled matenal Do not touch,,walk through,plied malarial Prevent entry,nta w&e Ys sewers base...msorcona,ned cryogenic llqurds,many materials become baltteend K¢epwcht arm and quiet •Stop leak,,you can lot wnh-ask old,f possible furl leaking po n.I men water at spill on source of leak areas ane likely 1.break whim.,waming •Ensure that mmi,ed personnel ere aware pl the as Nat gas esc.pes ramher than liquid •Use walar spray t.mduce vapors or d,.n vapor cloud dr,h Allow substancetoevaporale FIRSTAID mwhsei B)involwd and lake precautions to pr01et1 •Use water spray to reduce vapors a,d—r!vapor'food tlnh Awal olio.vng w,ter,unoq to contact spilled matenal Iary,olr-walgashastl,spersed MMev,cbmtolreshur themselves A-dall—Igwaterrunoff la contact apoled matenal Prewntentry,ntowalerways sewers basements or CAUTION Wha In conl.cl m1h,oldgemledreryogenlc liquids, C¢]1911 or emergency medical services •Donol duectw&er—wilarsource of leak continetl Brea, many melerial,become broare antlers likely to break salft— .G,e areaclIlresprewn,Iwcn—a III I It •Pmventsp d.ag olvap.,s through sewers v,-eon systems .Isolate areaenm gas has dispersed Ing •Admin,sleroxyg,nbream,ng,sd,flicull and conbned areas FIR.A. FlRSd TAID Ckw,Mgfrozenmtheskitshouldbema—cibefore •Isalale&..until gas has dSparsed Move victim to fresher •Maw ncnm io fresh&r th—,n moved CANNON When fn crontacl with reMgemfed'cryogenic kqurds,many.Call9lioremergencymed,calsernces Call 911 ar emergency mod,col Berv,ces In casa.Ic,nlcl wdhl,quetied gas,law frosted mal Mels bevnme brmb.ndamhk.1yf.break wrmavd waming G,.amtical mawkw,nd wn,m,not Creaming •Give arNnial rewmi dv,c"m is hot bmamng padow,thluFewarmwater FIRSTAID •Admin&&oaygend brealhng Is tldnc,it Keepv,cbm or,and qu,al •Move wnh,to 11.0.11 •R—ow,antl dol-co"ann"aled clothing and ahaes •Remove and sot&e corth—haled clmhng and shoes •Ensure that metlndl personnel are ewam qa the •Call 911 or em&gene,on-C.1—nes In.,lot c.-II w,lh liquelied Cloning gas maw frastld pans.,in Clofrom,to Ne skit should be mawad bel.,bang mmowtl rawarlal(s—Ned and take preceuhome to protect •G,e aminal respabond—war.not breamin9 lukewarm..,or In cal.of contact wire lique(ied gas Vow fmoled pans wih memselv.o •Adma—,oxygen,f brealhng is nHreult In IM-1 burns Immemamely cool ehec,ed Ilan far as lukeohnwater •'ama..and,solate canammated clolhng and shoes long as posy,bi.wm cold water Donolramovecl,Mw;d Keep victim warm and quint •Claming homn to mask,BIMld be mawetl e loon,ranneed aahwMg to skin •Ensure personnel—al med,c,l personnelaware of In.mal&al(S) •In case olcontaci"In ftquefted gas maw hosted pans will Keepvntimwartnantlq&el inwl,,a and Ike prool,hms as protect themselves lukewarm wafer •Ensue that m.d,Cal personnel are aware of the rawarl.l(,) •In nee albums immetliamly'pel eHecmetl skater a8lMgazpassibl. ,rnoNed and take precator,to protect memsel.IS wire and wafer D.rot,ennow cfoming n adhering 1.skit •Keep wnm wamr end quiet •Ensure mal metl,cal personnel are aware of me materm,(s) Iwtl antl lake pracaW ons'.protect Ihem,elves FISHERS ISLAND FERRY DISTRICT ,I VENDOR 001492 CORY ANDERSON 08/01/2017 CHECK 4220 A - FUND & ACCOUNT P.O.#' INVOICE ,_ DESCRIPTION AMOUNT I SM .5610.4.000.000 062717 ARPRT SVC-6HRS-6/11,6/25 120.00 SM .5610.4.000.000 070217 AIRPORT SVC-3 HRS-7/2 60.00 SM .5610.4.000.000 1 070917 J AIRPORT SVC-3 HRS-7/9 60.00 3 SM .5610.4.000.000 \071617 AIRPORT SVC-3 HRS-7/16 60.00 TOTAL 300.00 4 i * ` «« .. eJ 4J.•+: , Rio'rr �l+n o t �P• I 12 I I FISHERS ISLAND-FERRY DISTRICT, AUDIT '0 8/01/-1 53095 MAIN ROAD,PO BOX 1179 - 4 SOUTHOLD,NY 1,1971-0959 - CHEC'K' NO:- 4220 IT -SUFFOLK CO.NATIONAL BANK,' \ CUTCHOGUE,-NY 11935 DATE, j AMOUNT 50-5461214 08/01/2017 $300 00 THR-tE,-HUNDRED AND 0 0/1.0 0_ DOLLARS. . PAY ICORY,.ANDERSON-_ TO'TIIE 133 HILTOP-DR'ZVF,` 1 ORDER .NORTH WTNDHAM CT 06256bF �+ 004 2 20un 1.0 2 14054641. 68 00 150 2 1V L , •. . � I Vendor No. Check No. 'own ®f Southold,-New York® Pa ent Voucher Vendor Tax ID Number or Social Security Number Vendor Address Entered by 33 Hil'top ®r _ Audit Date Anderson Co North Windham CT 06256 AUG Vendor Telep one Number ToWi]Clerk 'Vendor Contact �rE Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 062717 6/27/201 $120.001 $120.00 Airport Service'6/11 (MER$20)6125(3hr $20j SIiH56104.000.000 070217 712/2017 $60.00 $6000 Airport Service 712(3hr(&$20} ; 'SM6610.4.000.000 J z s $180.001 $180.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certrfy 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,substitutton,the services properly been paid,except as therein stated,Aliat the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions "due and oivmg,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature iT[e Signature 'Company Name Fishers Island Ferry District Date 7/5/2017 Title x+ ' Gordon Murphy From: cory.j.anderson@aol.com Sent: Sunday,July 02, 2017 7:49 PM To: Gordon Murphy Subject: Elizabeth Field Operations invoice 2 July 2017 Categories: Airport After hours airfield Operations 2 July 2017 1630-1930 $20.00Hrs $60.00 Thank you i r Gordon Murphy From: coryj.anderson@aol.com Sent: Tuesday, June 27, 2017 10:59 PM To: Gordon Murphy Subject: Invoice Elizabeth Field operations Cory Anderson 33 Hilltop Road North Windham Ct 06256 Airport Sunday service at $20 per hour. June 11, 2017 3 hours $60 June 25, 2017 3 hours $60 Total $120.00 i Vendor No. kZ irlt Payment Voucheriilt Town of SonthoK New York Vendor-fax ID Number or Social Security Number Vendor Address 33 Hiltop Dr Axidif lAnderson Coy North Windham CT 06256 �YrAl 20171, Vendor Telephone Number Vendor Contact 4 Invoice invoice invoice 4- et Purchase Order Number Date Total Discount jAmount Claimed Number Description of Goods orServices X tad Accoupt Nitin 070917 711012017 $60.00 $60.00 Airport Service 7109(3h!@ _;20) 00 DjO,_ 1-IA 071617 711712017 $60.001 $60.,00 Airport Service 7116(3hFW20) 10 0" -4, �T .7 $120.00 $120.00 Payee Certification Department Certification The undersigned(Claimant)(Acting onbehaff of the above named claimant) thereby certify that the materials above specified have been received by me does hereby certify that the foregoirig,claim is true and correct'that no part has in good condition without substitution,the services properly beta paid,except as therein stated,that thebalance therein stated is actually performed and that the quantities thereofhave-been verified with the exceptions due and owing,and that taxes from which the Town is exempt are=xcluded. or discrepancies noted,and payment is approved. Signates"jnt—Tjtle Signaturq___ ry Districtl)ate711812017 Title Gordon Murphy From: coryj.anderson@aol.com Sent: Monday,July 17, 2017 4:25 PM To: Gordon Murphy Subject: Invoice EFO 16 July 2017 Sunday After hours operations at $20.00 1630-1930 3 hrs = $60.00 i Thank you V JVNI-� 1 Gordon Murphy From: cory.j.anderson@aoI.com Sent: Monday,July 10, 2017 4:37 PM To: Gordon Murphy Subject: Invoice: Elizabeth Airfield Operations (EAO) OB8 9 July 2017 (Sunday) After hours operations at $20 9 July 2017: 3 hrs $60 Thank you 1 FISHERS ISLAND FERRY DISTRICT July 24,2017 Airport RESOLUTION 2017- 133 Whereas the Ferry District would like to collect landing fees from aircraft that land and depart after business hours. Therefore it is RESOLVED to contract Mr. Cory Anderson as an independent agent with effect June 1, 2017 to monitor the after business hours airport activity, assist pilots to complete the landing fee documents, and provide the Ferry District with airport statistics. Moved by: Commissioner A Ahrens Seconded by: Commissioner H Burnham Ayes:A.Ahrens,W. Bloethe, H. Burnham, P. Rugg and D.Shillo Nays: None FISHERS ISLAND FERRY DISTRICT VENDOR 002437 ANTHEM BLUE )CROSS BLUE SHIELD 08/01/2017 CHECK L 4221 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8,.000.000 0201707410305 VISION-GRP#A75986-8/17 144.96 SM .9060.8.000.000 0201707410305 CRDT-GRP#A75986-7/17 33.64- 13 \ TOTAL 111.32 .:0k'wn 0 0 � I "5 I � ' FISHERS.ISLAM FERRYDISTRICT 53095 MAIN ROAD;PO sox 1176 a SOUTHOLD;NY 11 971-0 959 :.CHECK N6. :4.221 THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE ;s'3 AMQUNT. 50-546/214 0 8 /'01/2017 S"111.3 2' \ ANE IiUNDRED..ELEVEN AND '32/'100 .D6LhAR'S-' PAY ANTHEM BLUE CROSS BLUE SHIELD TO THE PO -BOX, 1:1'792„ _ 012DER --NHWARK, NJ"071.01='4,792 = r OP - ii'004 2 2 Lii' 1:0 2 14054F3Lo: 68 00 L 50 2 Lig' =` VendorNo. Check No. Town of Southold, New York- Payment Voucher 2437 Ll (921 Vendor Tax ID Numbu or Social Soceffity Nurdber Vendor Address Entered by P.O.Box 11792 VendorName Newark,NJ 07-101 Audit Oke Anthem AUG 0 12011 Vendor'Felephone Number Tovm Clerk VendurContact Invoice invoice Invoice Net Ptuchase Order Number Date Total Discount Amount Claimed Number Description of Goads orSenrices Goneral Ledger Fund and Account Number 0201707410305 71812017 $144.961 $111-32: Vmlbr.insurancePlan Group#A7,6988 SM906O.&COO.1000 (33.64)i lovetWiffin Julyprem-lun) 111.321 111.32 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 a-eceived by me does hereby certify that the foregoing claim 6,true and correct,that no part has in good condition without substitution,the servkes properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof havebean veafied with the exceptions due and-owing,and that taxes ftin which the Town is exempt are excluded or discrepancies noted,and payment is approved. signatu":�h-ami Title Signature Company Name Fishers island Ferry Date 7/20/2017J 3 ilii Date I Or 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049 NORTH HAVEN,CT 06473 Anthem® A B1ueCross B1ueShield �1��1�11�1�1�11�11"IIIIII11111111��1���1�1��1��1�11111111�'I"I' 000070 1 SP 0.460 000070/000070/000139 00102 AGUSZW WPT132 SMGRP 07/08/2017 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://=Iaer1.anthem.corn/wps/portal/eeaemplo�er 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.ojzb@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. 0000701000139 AGUSZW S1-ET-Mt-000001 4 F 3OF4 ri Anffiem.lp B1ueCross B1ueShield Billing Summary Invoice No.: 0201707410305 Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 Billing Period: 08/01/2017 to 09/01/2017 Date Billed: 07/08/2017 Due Date: 08/01/2017 Billing Summary Prior Billing Net Amount Due Amount Paid Balance ANTHEM $144.96 $178.60 -$33.64 SubTotal -$33.64 Current Billing ANTHEM $144.96 $0.00 $144.96* SubTotal $144.96 Total Amount Due $111.32 *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 Chg Amount Amount Amount 557M90436 COOK,GEORGE B BW A5 EE/CH/ 03 $16.12 $0.00 $16.12 045M90439 DOUCETTE,DEBORAH A BVV A5 EE 01 $5.85 $0.00 $5.85 223M90439 ESPINOSA,NICHOLAS S BW A5 EE 01 $5.85 $0.00 $5.85 558M90436 MORA,MICHAEL A BW A5 EE 01 $5.85 $0.00 $5.85 763M90436 FORD,POLLY C BW A5 EE/CH/ 03 $16.12 $0.00 $1612 046M90439 HANEY,JONATHAN F BV V A5 EE/SP 02 $10.24 $0.00 $1024 358M90438 HANSEN,DIANE K BVV A5 EE 01 $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 $000 $10.24 508M90439 MARHSALL,JESSE A BW A5 EE/SP 02 $10.24 $0.00 $10.24 224M90439 MORGAN,JOHN E BW A5 EE/CH/ 05 $16.12 $000 $16.12 509M90439 PARADIS,JOHN L BW A5 EE/CH/ 03 $1612 $000 $16.12 360M90438 SCROXTON,DEREK E BW A5 EE/CH/ 04 $16.12 $000 $16.12 Membership Detail Subtotal $144.96 $0.00 $144.96 *Rate Change Legend• B=New Age Rate C=Ncw Arca Category D=Ncw Age Rate&Arca Category E=Next Bill Reflects New Age Rate F=New Arca 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. B1ueCross BlueShield m ® Invoice No.: 0201707410305 Group Name: FISHERS ISLAND FERRY DIST ® Group Number: A75986 Billing Period: 08/01/2017 to 09/01/2017 Date Billed: 07/08/2017 Due Date: 08/01/2017 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 premiiuns by Anthem. For billing questions,please call(855) 886-6154 i FISHERS ISLAND FERRY DISTRICT — VENDOR 001016 AT&T _ 08/01/2017 CHECK 4222 ° A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT• SM .5710.4.000.200 03046865150617 FI LNG DSTNC-6/1-6/30 123.61 r TOTAL 123.61 • stv..: . �: • + 1 � I i r _ z FISHERSISLANDFERRYDISTRICT --ALrDzT. 68/,Of—1-7'• _ '53095M-AI,N ROA0.,P10 80X,-1179 = 1 'SOUTHOLD;NY,1A97d-0959 CH K'NO. THE SUFFOLK C0:'NAilONAL BANK, AMOUNT' -CUTCHOGUE,NY 1,1935 DATE, /,61j20'1T _08 -546/214 ONE -HUNDRED TWENTY,THREE AND; 61/100 DOLLARS:-_7 _ TQOF T#E_- P„O, _BO_X,=105068 ORDER ATLANTA GA -,3'D 3 4 8-5 GG 8-';,, r um00 L, 2 2 2u 1:0 2 L 40 51, 6 L,1: 68 001502 Lei' Vendor No. Ciieck`,N©: Town of Southold, New Fork Payment Voucher 1016 Vendor Address Eiiteietl by,=:,, ' AT&T Vendor Name PO Box 106068 Aurlit'I3ate AT&T Atlanta,GA 30348-6068 Vendor Telephone Number 877-325-0446 Tovrn Cleric Vendor Contact ^U . Invoice Invoice Invoice Net Purchase Order Number Date Total I Discount Amount Claimed Number Description of Goods or Services pt Ledger Fundand Account'Number, .' 6617 , 030 468 6576 004- 6/30/2017 $123.61 j $123.61 F1 long distance .1j' 'y SM6770A.,0�00.200 ,u 6/1-30/17 '� $123.61 $723.61 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 isapproved. Signature r)\ Title Signature Company Name Fishers Island Fenn District Bate_ 7/18/2017 Title // Date �� Account iil�il. Siff POLya►en#Due FISHERS ISL NY 06390-0607 `®C� FISHERS ISLAND FERRY DIST -umber _ iilii DatePaste- P.O. BOX 607 030 468 6515 001 JUN 30, 2017 JUL 25, 2017 , TELEPHONE NUMBER: 631 788 7463 For Rmduct 1lidy AT&T AN in:OU6 Ser�ke _ _ = li €r r 877-325-0445 AT&T All in One Service ACCOUNT STATUS AT&T LONG DISTANCE $61.98 PREVIOUS BALANCE $124.31 ® PAYMENT RECEIVED $0.00 TOTAL SERVICE CHARGES $61 .98 ADJUSTMENTS0 TOTAL CURRENT CHARGES $123.6 OTHER CHARGES AND CREDITS $1 .86 SURCHARGES AND TAXES $59.77 ", TOTAL CURRENT CHARGES $123.61 TOTAL AMOUNT DUE' 57�.� See Summary�of Charges page for details Pay online at www-.att.com/paymybill * News From AT&T ,Just For Your Business Login now at http://www.att.com/loginnow to view your billing call details online. Then, when you're ready, select your preferred method of payment: PAY ONLINE - Once logged in, click "Pay Your Bills" to setup one-time or monthly payments with a credit card or bank account. PAY BY PHONE - Call the toll-free number at the top of this page to setup a one- time payment with a.,credit card or bank account. , PAY BY MAIL Submit the lower portion of this page with a check payable to AT&T. Whatever's most convenient for you! You can manage all of your'' oi^dering and billing inquiries with just a click. Visit us at www.att.com/customercare for details on AT&T on-line customer service. Pay Your bW online at www.att.com1paVmyb111 or pay by postal mail using the = --_-_ treo ittance slip helauu When paying -eck, make it payable to AT&T, include your a 'count nuinber on payment and-make stir:lbat the AT&T PA. Box address&viewable = 14,�hrou the envelope window. AUT is not able to reply to inquiries wrftn on this ikemittance ddeument:Please visit www.iW.�nit2ecountmanailemeiat for assistance. - AT&T ALL in One Service - Reference Guide AT&T ACCOUNT HIERARCHY *Account Number:The Main Billed AT&T account number for your All in One account * Subaccount Number: Customers with toll free service, or those who have more than one location, will have their toll free/location level charges summarized under subaccounts. Multiple subaccounts can be associated with one. Example: * 030-555-1111 (Account Number) -Total Charges * 011-555-1234 (Subaccount)-Charges for Location#1 * 161-555-1235 (Subaccount) -Charges for toll free service SUMMARY OF MONTHLY CHARGES LONG DISTANCE SERVICE Monthly Charges * Toll-Free Service:A monthly charge, billed one month in advance, applies for Customers with AT&T Toll-Free Service. * Minimum Usage Charge: Assessed when the total AT&T Long Distance Usage charges are below the monthly minimum. LOCAL SERVICE Monthly Charges * Line Charge:A monthly charge applies for each line subscribed to AT&T Local service. * Local Feature(s):A monthly charge may apply for specific Local Features and/or Feature packages. SURCHARGES * Subscriber Line Charge:The Subscriber Line Charge is an FCC-approved, flat-rated monthly charge paid by consumers to their Local Telephone Company so that4he Local Telephone Company can recover the costs associated with connecting customers to the network which are not recovered in local rate. * In State Connection Fee:AT&T is charged by your local telephone company to carry your AT&T in state long distance and local toll calls over its lines. In order to help recover these costs, AT&T includes in your monthly bill an In State Connection Fee. The fee applies to Customers subscribed to AT&T for Business long distance or local toll service. The fee does not apply to customers that subscribe only to AT&T Local Service. FISHERS-ISLAND FERRY DISTRICT : VENDOR 002438 WILLIAM R. BLOETHE 08/01/2017 CHECK 4223 A .j FUND & ACCOUNT P.O.# INVOICE / DESCRIPTION AMOUNT< ns SM .5712.4.000.000 063017 117 COMM MTG APR-JUN(6) 300.00 TOTAL 1 300.00 f.'• 1 _ , r� In _ Ly,C4'o .. _ .:gam-^:':•{:;;.c`:;:;::3'>•�': I lit t, r _ II as n _ FISHERS ISLAND FERRYDISYRICT 53095 MAIN-ROAD;PO'BOX 11-79 = .•_ SOUTHOLD,NY 11971-0959' _ _- ,CHECK-NO. `4 2 2 3.•` •�t ' THE-SUFFOLK C0:NATIONAL BANK CUTCHOGUE,Nv,,11s35. DATE- AMOUNT „ 50:54s121 4`• , 08/01/2017" $300 ''00 THREE -HUNDRED._AND- 0'0'/10 0 DOLLARS } PAY, WILLIAM R. BLOETHE. - TOTHE, '2932, CRESCENT AVE. ? 14;w OORDERFO '$OX'• 446 _FISHERS ISLAND NY 0639. 0 _ : a'; ii'004223no 1:020,05464 1: 68 00L502 IIIVr l Vendor,No Check No. Town of Southold, New York - Payment Voucher° 2438 Vendor Address Entered by P.O. Box 446 Fishers Island,NY 06360 Audit b6te William R Bloethe _ Vendor Telephone Number �� 2D17 Town Clerk Vendor Contact Invoice Invoice Invoice ! Net Purchase Order u Number Date Total Discount jAmouritClanned Number Description of Goods or Services General Ledger Fund and Account Number 66ZM.S+W&M 6/30/2017 $300.00 -$300.00. Commissioner Meeting SM5712.4.000a000 Ager-Jun 2017 I ! 6 Pelts @$50LM J� d 1 1 $300.00 $3AO.A0 Payee Certification (Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) S hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has m good condition without substitution,the services properly been paid,except as*therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature �a.-i– ,r�i _Title Signature Company Name Fishers Island Ferry District Date 7/19/2017 Title — Kola Asmolov From: Kasip Asmolov Sent: Wednesday,July 19, 2917 9:23 AM TO: Kasla Asmolov Subs FW,commissioner stipend spreadsheet-spreadsheet updated From; Qprdon Murphy Gento.Thursdoy,July 6, 2017 11:21 AM TO; Dione Hanson fts Kosla Asmolov Ou4jecte. RE.- commissioner stipend spreadsheet-spreadsheet updated Rugg, Ahrenq, Burnham, Peter Andrew Shillo, DI Bloethe, W H 4/312017 x 4 4/17/2017 x x x a 0/2/2017 x X, x x 4 0/15/2017 x x x x 4 542/0.017 x x x 5/3012017 x x x x x 6/12/2017 x x x x 4 6/251201 7 x x x x x 6 Total Wisating 0 7 5 6 8 32 1600 400 $ 1,600 2017 $ 300 $ 350 $ 250 $ $$ Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 3,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on Aprii.3,2017 at 4:30 PM. Commissioners Heather Burnham, Peter Rugg,and Dianna Shillo were present.Also in attendance were Geb Cook, RJ Burns and Deanna Ross. Commissioner William Bloethe was absent, Commissioner Ahrens established that a quorum was present. Everyone In attendance pledged allegiance to the flag, Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 17, 2017 Commissioner Rugg at the New London terminal conference room called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 17, 2017 at 3;41 PM. Commissioners William Bloethe, Heather Burnham,and Peter Rugg were present.Also in attendance were Gordon Murphy, Geb Cook, RJ Burns, Diane Hansen, Deanna Ross, and members of the public. Commissioners Ace Ahrens and Dianna Shillo were absent. Commissioner Rugg established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 2,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting to order of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on May 2,2017 at 4;30 PM, Commissioners William Bloethe, Heather Burnham and Manna Shillo were present.Also in attendance were Gordon Murphy, Geb Cook, Deanna Ross and Jane Ahrens, RJ Burns and Diane Hansen were present via phone. Commissioner Rugg was absent, Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 15, 2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on May 15,2017 at 4:33 PM. Commissioners Williani, oethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook, Diane Hansen and Deanna Ross. RJ Burns and John Haney were present via phone.Commissioner Dianna Shillo was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 22,2017 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on May 22nd,2017 at 8:45 ANI. J Commissioners Heather Burnham and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present.Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 12,2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on June 12,2017 at 4:30 PM. Commissioners Dianna Shillo, HeatherBurnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook and Diane Hansen. RJ Burns attended by phone.Commissioner William Bloethe was absent.There was one member of the public present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—No correspondence was received.There was no public comment. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 30,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on May 30, 2017 at 4:38 PM. j Commissioners William Bloethe, Heather Burnham, Peter Rugg and D.Shillo were present,Also in attendance were Cordon Murphy,Jeb Cook and Deanna Ross. RJ Burns,John Malney and Diane Hansen were present via phone. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag, Correspondence/Public Comment—No correspondence was received.There is no public comment. Minutes RESOLUTION 2017-090 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 26,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry plstrict")to order on June 2.6, 2017 at 4;30 PIS. J Commissioners William Bloethe, Heather Burnham, Peter Rugg and D.Shillo were present,Also in attendance were Cordon Murphy,Jeb Cook, RJ Burns, Diane Hansen and Deanna Ross. One member of the public was present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—No correspondence was received.There is no public comment. Minutes RESOLUTION 2017-108 FISHERS ISLAND FERRY DISTRICT VENDOR 002791 HEATHER FERGUSON BURNHAM 08/01/2017 CHECK 4224 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT >5 I i I SM .5712.4.000.000 '063017 117 COMM MTG APR-JUN(8) '400,.00 TOTAL ' 400.00 I i n I ; i.S.�•33 r ..,..:•nriar-TC"':'. >T'';:., 1 ti�Y:i vm4`g:; ! .c. n>'-«' .r,}»'..s ••},♦s<'...� �"�R;?�..K'::...,b.'.ry-:..:=:iy.�s ^C��>: "•'�- .�.. e..,m.�: I I f� /\ �`Ni i x.54{ / �T? r 1 , I i`Itt.• FISHERS ISLAND FERRY DISTRICT ':{ _ ` 53095 MAIN ROAD,P,0 sox 1179,^ =AUDIT .08'/,OI%-iT r 1971=0959 is S,OUTHOLD,NY,1. " - CHECK`^NO': 4224= -THE SUFFOLK C0:NATIONAL BANK AMOUNTV C_UTCHOGUE,NY 11935 DATE i tt^, T 08f 0`1/201,7 $40`0 ,0,0: tt; FbUR'_HUNDRED AND=,_0 0/1 00 'DOLI; RS 7At PAY _ 'HEATHER FERGUSON•BURNHAM TOTE PO`B6:k-335`!. _ ' ISLAND'NY 06'3'90 OF :FISHERS y, ii'004 2 2L um 1:0 2 1405464i: 68 00 L S0 2 1110 �VZ2&rN1,.a. Meek�'^i`o. Town of Southold, New York-Pz.meut Vlondier 2791LA 19aL � Vendor Address 'Enteredb! Ow P.O.Sox 335 Fishers island, NY 06390 Audit Date Heather Ferguson Burnham AUG 0 12017 Vendor Telephone Number Town Clerk Vendor Contact invoice Invoice Invce Net Purchase t}rder Number 1 Data Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number d6�oi� 61301.2017 $4019.00 1 $400.00 Commissioner Meeting SM5712.4.000.000 Ap"un 2017 9S WIMN R I $400.fl63 ; $400.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim-is true and correct,'that no part has in good condition without substitution,the services properly been=paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verifial 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 O4-r— Title Signature Company Name Fishers Island Ferry District Date 7/19/2017 Title Date 'Ii+°/ Kasia Asmalov From: Kasia Asmolov Sent: Wednesday,July 19, 9017 9Z AM To: Kasia Asmolov Subje ; FW:cornmissiom-r stipend spreadsheet-spreadsheet updatqid Fmm; Gordon Murphy Gems Thursday,July 6, 201711:21 Aft TO; alone Hansen Cc; Kasia Asmolov Subs ; ISE: commissioner stipend spmadsh6et A sipr dsheet updated Rugg, Ahrens, Burnham, Exeter Andrew Shlllo, 01 §Ioethe W H 4/3/2097 x x x X �• 4 4/17/2017 x X Y 3 5/2/2017 x Y X X 4 5/15/2017 X k K 4 5/22/2017 x x X 3 6/30/2017 x X x x X 5 6/12/2Q17 X x x X 4 6/26/2017 x Y X x X 5 Total mestin a 6 7 5 6 5 32 1600 2017 $ 300 S 350 $ 250 $ 300 400 $ 1,600 x Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 3, 2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 3, 2017 at 4:30 PM. / Commissioners Heather Burnham, Peter Rugg,and Dianna Shillo were present.Also In attendance were Geb Cook, RJ Burns and Deanna Ross. Commissioner William Bloethe was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 17, 2017 Commissioner Rugg at the New London terminal conference room called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 17, 2017 at 3:41 PM. / Commissioners William Bloethe, Heather B�3rnham,and Peter Rugg were present.Also in attendance were Gordon Murphy, Geb Cook, RJ Burns, Diane Hansen, Deanna Ross,and members of the public. Commissioners Ace Ahrens and Dianna Shillo were absent. Commissioner Rugg established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 2,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting to order of the Board of Commissioners of the Fishers Island Ferry District("the Ferri;District")on May 2,2017 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Dianna Shillo were present.Also in attendance were Gordon Murphy, Geb Cook, Deanna Ross and Jane Ahrens. RJ Burns and Diane Hansen were present via phone.Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. ,_ 1----9W_.6_a!_ A_.__.__- n •.- . .. .. . r Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 15,2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry T rict("the Ferry District")on May 15,2017 at 4:33 PM. Commissioners William Bloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook, Diane Hansen and Deanna Ross. RJ Burns and John Haney were present via phone.Commissioner Dianna Shillo was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 22,2017 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on May 22nd,2017 at 8:45 AM. Commissioners Heather Burnham and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present.Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 12, 2017 Commissioner Ahrens at the Fishers Island ComMunity Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District')on June 12,2017 at 4:30 PM. J Commissioners Dianna Shillo, Heather-Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook and Diane Hansen. RJ Burns attended by phone.Commissioner William Bloethe was absent.There was one member of the public present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment No correspondence was received.There was no public comment. Minutes of the Meeting of the Board of Commissioners Fishers island Ferry District May 30, 2027 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on May�0,2017 at 4:38 RM. I Commissioners William Sloethe, Heather Burnham, Peter Rugg and D.3hIllp were present,Also In attendance were Gordon Murphy,Jeb Cook and Deanna Ross, RJ Burns,John Hainey and Diane Hansen were present via phone, Commissioner Ahrens established that a quorum was present, Everyone in attendance pledged allegiance to the flag. Correspgridence/Public Comment—No correspondence was received.There Is no public comment. Minutes RESQLVTIQN 2017-090 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 26, 2417 Commissioner Ahrens at the Fishers Island Community Cgpter called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on June 26,2017 at 4;30 ISM. j Commissioners William Bloethe, Heather Burnham, Peter RuSU and D.ShiHo were present,Also in attendance were Gordon Murphy,Jeb Cool;, RJ Burns, Diane Hansen and Deanna Ross, One member of the public was present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Co.mment.-No correspondence was received,There Is no public comment. Minutes RESM TION 2017-108 IF 03230 I x �•'i�1 FISHERS ISLAND FERRY DISTRICT ' VENDOR 003891 CWPM, LLC 08/01/20,,17 CHECK 4225 ='t FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT i SM .5709.2.000.1200 1132353 REFUSE RMVL/NL-7/17 448.29 I TOTAL 448.29 .. s-;, ....... .. ... ..I:R>,.�°•r:�.M:}3::?. his;, aft •., .y4 � "'ate •.v^ f .'� �Y�n• ��'?�' `r11�:::::•:�:• h_`fnl:Y{•:.••sv ro• r_,'1�.��i...•,♦- v�+�S Ff•' _ x.... ftlf-g"- �' •%=" a. . __. ..xR"�rn�...'.,,:. ;x�',rb. .. ;f ` l �I> ?.,t I v•-V. I _ `FISHERS ISLAND FERRY ,-DISTRICT AUDIT;'.os=/,-of/i?':_ 53095 MAIN,ROAO;PO 80X,1179; 0959 4�22SOUTHOLD,NY 11971= ( Scc'''• _ - - THE NATIONAL--BANKSUFFOLK,CO.' CUTCHOGUE,NY 1-1935DATE_ - 117, _ - �- ' 29t t 50-546/21'4- 0 $, . 44 jF6Ui HUNDRED,t'FORTYEIGHT_AND' '2917:00 DOLLAR'S - •y - _ �, - ' .' - tic- -.,i-�. .� 1 'CWPM'. =LLC'' -_,_., _; _� --- - � `-. - _ -' - - - �- ,- � ' �l� >__�•,`�, -. - TO'THE, -PO`'HOX �hDER; "PLAINVILLE -CT 0^6062;1" _ un004 2 25u• 1:0 2 14054640: 68 00 150 2 ilii• _ ,l Vendor No. �VV� vi�J�;z x+,. },t= ;{>�r,., `:5�`j..nsii,4 •�.;,#F',t ;N = Town of Southold (j]pam�(�(®®New York m Payment Voucher Vendor AddressEift PO Box 415 Vendor Name Plainville, CT 06052ti Audit'Da e` CWPM,LLC Vendor Telephone Number 860-447-1473_ Town'Cl&kv Vendor Contact {'� f,E 4• Invoice Invoice Invoice Net Purchase Order „;r..•;-. ,r a. -Number Date—--Total-----Discount—Amount Claiin — Number General edgerFand'and-AccountNtirnber_•=, 9932353 7!112 ;,,c•, ,;r`,t`-",';':. ' ,•. 017 $448.29, $448.29 Jul 2017 Refuse and Rec ,lclin pi L? �gid,��.; •; ,f ` :rfi,h,: $448.290 $448.29 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance 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. SignatTitle Signature f Company Name Fishers Island Ferry District Date 7/18/2017 Title Date /� CONMMR.CLAL E-INVOICE JULY AclNbr 12761300 SwName:FISHERS ISLAND FERRY DIST. I STATE ST NEW LONDON,CT 06320 7/1/2017 MONTHLY SERVICES j 100 $22156 I $22156 7/1/2017 RCY MONTHLY SERVICES 100 $8522 $85.22 7/1/2017 MONTHLY SERVICES 2.00 $4545 $90,90 I � � I � i 1 I � I I 1 I 1 1 i I CWPM,LLC x o Charges: $397,68 i PO Box 415 � � � ( Taxes: $2676 Plainville,CT 06062 i Baas zs So 0o so 0o Fo 00 Phone:1-888-966-CWPM L _ Fuel Surcharges: $23 85 Fax:860-793.2624 Finance charge: $0.00 www.cwpm.net I_ Invoice Total. $448.24 +I� TOTAL DUE: $448.29 FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 08/01/2017 CHECK 4226 \A {1 ax' 1 FUND & ACCOUNT (� P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.300 48574 RP 4506 GAL@$1.5754/GL 7,098.75 SM .5710.4.000.300 48574 CT EXCISE TAX—$.4170/GAL 1,879.00 SM .5710.4.000.300 48574 S—F COST` RECOVERY .0021 9.46 SM .5710.4.000.300 48574 LUST TAX—$.0010/GAL —4.51 :s TOTAL 18,991.721 _ a ,A x'"\-•,n .• '`t a.rw„,y. , v.—.�.�.,.. .,.�x•.,rv.,..'S.x,>.+`' x e>_::•.w r.. ,.-..»r.w.+ r.w » ....n. ' ...a.. iary. .-a'"y. 'i:•Ydv '•15.3: :•.�if'ti 'i 4r I I I -a C I I I 1 I \ i j I1�t I ' I f O D O D 0 D B D 0 D } FISHERS ISLA7�ID FERRY DISTRICTAUnIT°o s ''o i'/_'i.�''4' ' 53095 MAIN-ROAD,PO BOX 1.179 /_ SOUTHOLD,'NY 1197.1,0959_. - CHECK' NO. `:422§ 9' THE,SUFFOL'K'CO.NATIONAL BANK " CUTCHOGUE,,NY 11935. DATE AMOUNT'' ;,ri`:_ -, -,,,,`,,-{;.�-_ - �_ - �-• , - `-_�,,;,, _� -_ ,_ _ - • - ;;; 50-54,6%2,14' ,' EIGHT'—TFTOUSAN'D'"NINE`HUNDRED NINETY ONE `AND 72 100 -D_OLL�AAS'- _ _-d, i ;I Y. DIME OIL•'COMPANY, 'LLC' r? ' 'TO THE ' -93 INDUSTRY,_ ; PO, BOX ORDER -11125: OF _WATERBURY CT' 06704 u8004 2 2C3on 1:0 2 1405464x: 68 00 L50 2 1,ii' Vendor"No. Check Town ®f Southold, New York - Payment Voucher 4 277ALI t. , Entered by,`" P.O. Box 11125 Audit Date Waterbury, CT 06703 Dime OBI Company SLC .,AUG, 0,1- 017 Vendor Telephone Number 203-754-5334 To` 'n Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services " General LedgerTund'arid'Account Nuwuber' 48674 7/18/2017 $8,991.72 $7,098.75 RP 4606.0 Gaal @$1.6754/ al S1t�57.1`0:4a000.300 $1,879.00 CT Excise Tax-$0.4170/gal 1 $9.46 S-F Cost Recovery.0021 1 $4.51 LUST Tax-$.0010/ al OPBS attached Federal S-F tax increased on ! 1/1/2017 $8,991.72 $8,991.72 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 �,.. /y—� Title Signature Company Name Fishers Island Ferry District Date 7/20/2017 Title ` Date z�� Phone: 203-754-5334 - Dime Oil LLC Date 07/18/17 PO Box 11125 Waterbury, CT 06703 Page Dime Oil LLC www.dimeoi1co.qoM' IMICE ACCQUNT bU-tMR 4420165 Fishers Island Ferry District 'AMIOUNT ENCLOSED: P4 I pBox 607- (EMAIL) Atta Accounts Payable Fishers Island, Ny 06590-06,07 Re: Fishers Island Ferry Dist 5 Waterfront Park-Race Point, New London Terms, Net 30 Days from Invoice 'Date --------------------------------------- Amount Date Invoice Charge and Credits L------------ -------------------- ---------------------------- 07/18/17 48574 #20R Off Road Diesel__; GALS @ 1.575400 7098.75 Pickup No: TM 4500 Dyed Diesel Fuel for Off Road USe ONLY. S-F Cost Recovery 9A 6 CT EXCISE TAX DSL 1879.00 LUST TAX 4.51 ---------- 07/18'/17 48,574 Fuel Invoice Total 89-81.72 Amount •DuA- 89,91'.72 Effective Jars 1st t1je Federal, Spill RecQveryL Fee increased to 0021 for Off! /Diesel 4 .0019 for Gas Dime oil LLC P.ccount:4420165 J TERMS:WE RESERVE THE RIGHT TO MAKE+A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 15%PER MONTH WHICH RVW. 'T r IS AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST_DUE 36 DAYS OR MORE AND TO'ADD ALLCOLLECTION FEES. ®;��� �I u C} (i qg o o" ® . `o o •rk1 r' °rd9',°il rtt,i ;;� ❑ 30 O� 20 1000 ORDER DATE C� p t S/H; /C ©7/13/201 , r Sh�Z , i3YY 7, DELIVERY DATE ;'\. • ,." , • • ; .. nwN c c 4420l615 7' ' ''WtCT ; Park-Race POdAc GALLONS State FOR GPS 860-442®0165 f New �:,6ndon OT .0,632`90 20528 00� FULL PRICE PER GALLON , Factor:°-� 21 .000 :Gas: b61v 06/'30/�17V b.0072 1 - - � _ _ y �... ® volik S60-�3O3®83 .1 ��'Sxn� x83®�trdzt®S.' ?" "DISCOUNTPRICEPERGALLON "trackstd4 L.6rm � V` m o �_ PAY bISCOUNTAMOUNT - G ! o' a 0 . 0621 f i PAY THIS AMOUNT o CD a _ = '$ 0.4170 0 `001.0 ;AFTER DAYS; '� w 0 i I �q, DIME ®IL COMPANY LLC TRUCK, TAX �— � &' " - _ � � `,'DRIVER � I �l P.O. BOX 11125, WATERBURY CT 06703 TMST TIME )CAM iPAYMENTRECEIVED• (203) 7545334 TMFI OF D ❑PM r� ❑CASH El CHECK C TO ER Tl1RE "N"N' ' .1y� S ® ❑CHARGE D L Aasia Asmolov From: Kasia Asmolov Sent: Thursday,July 20, 2017 8:26 AM To: Kasia Asmolov Subject: FW: Invoice for 48574 Attachments: Fisherisland07182017Delivery.pdf From: Beth Skojec [mailto:beth@)dimeoil.coml Sent: Thursday, July 20, 2017 8:19 AM To: Kasia Asmolov Subject: RE: Invoice for 48574 **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No,2 Move No.1 Move Pre Move Date Time Global u N-10 153.97 - 1.78 179.00 - 2.00 156.00 1.55 07/17 18:00 NWENGLPTR u N-10 154,10 - 1.00 -- -- -- -- 156.60 - 1,00 07/17 18:00 Valero u N-10 154.10 - 1,55 -- -- -- -- -- - -- -- 07/17 18:00 S.R.& M. u 1-10 154.55 - 1.65 -- s- -- -- -- -- 07/17 1.8:00 Shell u N-10 155.46 - .90 -- -- -- -- -- -- -- -- 07/17 18:00 Sprague u 1-10 155.67 - .20 -- - -- -t 156.11 1.30 47/17 18:00 Valero b 1-1Q 156.Q5 - 1,55 -- -- -- -- -- -- R-- -- 07/17' 18:00 Shell b 125-3 157.03 - .91 -- -- -- - __ __ __ __ 07/17 18:00 BP b 1-10 157.21 - 1.08 -- -- -- -- -- -- 07/17 18:00 XOM b 1-10 157.34 - .44 -- -- -- --- -- -- 07/17 19:00 Coastal b 125-3 157.47 - .70 -- -- -- -- - -- -- -- 07/17 18:00 Sunoco b 125-3 157.47 - .70 -- -- -- -- -- -- -- -- 07/17 18:00 Gulf b N-10 157.90 - .90 -- -- -- 160.40 - .90 07/17 18:00 GULF-GIE u Net 157,90 - .90 -- -- -- 160.40 - .90 07/17 18:00 Irving u Net 158.01 - 1.12 -- -- -- -- -- -- 07/17 18:00 Irving b 1-10 158.35 - .37 -- -- -- -- -- -- -- -- 07/18 00:01 Citgo b 1-10 15$.44 - .61 -- -- -- -- -- -- -- -- 07/17 18:00 Citgo u 1-10 158.44 - .61 -- -- -- -- -- -- -- -- 07/17 18:00 G1oba1XOM b 1-10 160.16 - .75 -- -- -- -- -- -- -- - 07/17 18:00 LOW RACK 153.97 179.00 156.00 HIGH RACK 160.16 179.00 160.40 179.00 157.90 „ ,..... N,...... Plus vendor mark-up .72 Total 157.54 Convert to dollars $1.5754 Katarzyna Asmolov Fishers Island Ferry District 1 FISHERS ISLAND FERRYDIS7RICT I VENDOR 004441 DOCKO, INC. 08/01/2017 CHECK 4227 A ; FUND & ,ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 17032824.3 PROF SVC—DOLPHINS—ENGINR 962.50 SM .5709.2.000.200 17032824.3 PRJCT ADMIN—DOLPHINS RPL 165.00 TOTAL ( 1,127.50 mum I ' T.�.e ?•:p'i: :,•`.�do 1 I 0 0 � I I\ i — I l • 0 • D 0 D 0 D 0 D � � FISHERS ISLAND`FERRY,-DIS7RICT - AUDIT'oa/o'i`/i7, '53095 MAIN ROAD,PO-BOX 1179 r SOUTHOLD,NY 11s�;�-o95s' NO`. " THE SUFPOL'K CO'NATIONAL BANK'.'` AMOUNT CUTCHOGUE,NY 11935. DATE•; -56 546/214 08_/01/.2017_' rI $1 ,,-1'2'7 50:;_ -ONE -THOUSAND'ONE_',HUNDRED-,TWENTY_ SEVEN- AND.-50/,10'0 DOLLARS_ PAY_- DOCKO, INC. _ TOTE"' 18,STAFFORD STREET-,--', ORDER' ..PO''BOX, 421''' 01" ;MYSTIC :CT 06355 6B 00 L 50 2 L��' ill 00 2 27us 1:0 2 1405464 : 4 Vendor No. - -- Check No. I Town of Southold, New Fork- Payment Voucher 4441 Ha07 'vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O.Box 421 Vendor Name Mystic,CT 0636--0421 Audit Date DOCIW,Inc. - -- -- - AUG 0 12017 Vendor Telephone Number Town Cleric Vendor Contact ! 1` Invoic-e I2]VO7CL' Invoice Net Purchase Ordes Number Date Total f Discount Amount Claimed Number Description of Goods or Services General Ledges Fund and Account Number i 1703 '2624. 101 7 1,127.60 , � 962.60, EngineeriProject Ma agemeni � SM.6709.2.000.200 166.00 Project Administration SM.6709.2.000.200 Silver ieelloove daipi9inipiiin replacement 1 I I � I $1,127.50 $13127.60 Payee Cert€ficarlon Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby cestifj that the materials above specified have been received by me does hereby cer:ufy that the foregoing claim is true and correct,that no part has in good condition w thout substitution,tate services properly been paid,except as therein stated,thatshe-balance therem stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing and that.taxes from which the Town is exeirgt are exciuded or discsepancies noted,and payment is approved Sagnawr� a Title Sigrratiare_.�_��� Company Narne Date 1 Title_ c Invoice DOCK®, INC. PO BOX 421 MYSTIC,CT 06355-0421 ���EIIITTOVGJM PH:(860)572-8939 7/7/2017 17032824.3 BILL TO: Fis ers Island Ferry District c/o Mr. R.J. Burns, Gen.Mgr. P. O. Box 607 Fishers Island,NY 06390 DESCRIPTION • PROFESSIONAL SERVICES -DOLPHIN REPLACEMENT, SILVER EEL ? COVE- CONSTRUCTION ADVISORY-June 1 - 30,2017 Professional Engineer/Project Management- 5.5 hrs. @$175/hr. 962.50 Project Administration- 1.5 hrs. @$110/hr. 165.00 Invoices are payable upon receipt. Thank you. I 3 , s s t 1 ca, o l 7 ' r ( T®TA L $1,127.50 E— _ ' a i FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX 08/01/2017 CHECK 4228 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710:4.000.000 1 5-859-08586 'AP(5) ,PAYROLL(3) ,INS(1) 211.31 TOTAL 211.31 i ' I co :•c a .. <,.a. >-.�- .a.,c.. =..�. �....>..,,, .'h. •� �' ,fie r i o , I e o e e t r� FISIIERS ISLAND,FERRYDISTRICT._ _AUDIT_'O8 - .53095=MAIN,ROAD,PO BOX-1179= - - _ - 'SOUTHOLD,NY'11971-0959 = CHECK',-NO. 4,22'8 .—..+ THE SUFFOLK(CO NATIONAL BANK- 4 CUTCHOGUE,NY 11935. DATE' I AMOUNT, 50-54W214' _ 08/01/2017-` _ _ $'211,31 TWb 'HUNDRED ELEVEN AN6 3T1/10 0' DOLLARS TO-THE Pch,,BOX=37146,T -__ � °_ ORDER: = PITTSBURGH 'PA 152'50 74'6'•1' OF ov004 2 2Buw i:0 2 140 54640: 68 00 150 2 1110 ` t_ J ' Vendor No. Town ®f Southold, New York- Payment Voucher Vendor Address Ent9ted'bj P.O.Box 371461 Vendor Name Fittsburgh,PA 15250-1461 Audit'Da e7 Fedeu`tAll ;, VendorTelephoneNumber - ----- - ,;i 600-622-1147 TO' -t >; VendarContact Invoice invoice An Lee 3det Purcliase Llyder ,r '.r•a.r°'''i,,,i- ;t,' ` .`?",,,•,+,' '., , ` Number Date Total •Discount TAmount Claim Number Description of Goods or Services tieaerai Leder Fund and Account 1'timber 5-659-06566 7/10120117 211,3 i� 1 $211.31 A� 5)-PR 43)9ns�urane� 1 ,�,, 'l'j`T.,•'.,;Sir'" 'm;",�+' �r:'"'` Payee Certification dDepartment'Certifacation T he,andersigned(Claimant)(.aching on-behalf of the above named claimant) I hereby certify that the materials obove specified have beer received'by tree does hereby cer*that the foregoing claim is true and correct,that no part has it good condition without substitution,the services properly been paid,except as therein stated,that the balance therem stated is actually performed and that the quantities thereof have Been,venr3ed with the exceptions due and owirt and that taxes from which the To"%is exempt are excluded. or discrepancies-noted,and payment is approved Signature�}�O ev-_ Title Signature _ Company Name,Fishers Island Ferry District Date__ %11612017 Title �`" Date. � /� ® Invoice Number . Invoice Date Account Number Page 5-859-08586 Jul 10,2017 1206-0334-5 1 ots Billing Address: Shipping Address: FISHERS ISLAND-FERRY DISTRICT FISHERS ISLAND FERRYTERMINAL- Invoic"luestions? ACCOUNT PAYABLE _5 WATERFRONT PARK Contact FedEx Revenue Services PO BOX 607 NEW LONDON CT 06320 Phone: ' ;(800)-622-1147- FISHERS ISLAND NY 06390-0607 M-F7.AMto 8 PM CST, Sa 7 AM to 6 PM CST Fax: , (800)548-3020 , Invoice-Summary Jul 10,2017 Internet: 'www.fedex.com FedEx Express Services Transportation Charges 227.72 Base Discount -26.73 Special Handling Charges 10.32 - Total Charges USD $211.31 TOTAL THIS INVOICE USD $211.31 You saved$26.73 in discounts this period! Oth-er discounts may apply. - -Detailed descriptions of-surcharges can 6e located atfedex.com_ Invoice Number Invoice Date Account Number Page 5-859-08586 Jul 10,2017 11 1206-0334-5 2 of 6 Adjustment Request Fax to (800) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons,including service failures, should be submitted by going to www.fedex.com or calling _ 800.622.1147. Please use multiple forms for additional requests. C Please complete all fields in black ink. Requestor Name I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 Date W/ W/ W a Phone I I I I -I I I I -WWWJ Fax# .c t E-mail Address DYes,I wantto update account contactwith the above information. R' Tracking Number BIII to Account $Amount oll I I I I I I I I I I I I I I J I I I I I I I I I I IIIIII• W bllllllllllllllll IIIIIIIIII IIIIII• W j'Illlllllllllllll llllllllll IIIIII• W 11111111111111111 llllllllll IIIIII• W ��IIIIIIIIIIIIIIII llllllllll IIIIII• W ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other C DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) C Tracking Number Code $Amount LBS L W H r d.1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1. 1 1 1 1 11 1 1 X1 I IX1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I• W WI I I I I IX1 I I Ix1 1 1 1 t l I I I I I I I I I I I I I I I I I I I I I I I I I• W WI I I II X1WX1 I I s I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I Ixl I I IX1 I I I ,I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I Ix1 1 1 1x1 1 1 1 Invoice Number Invoice Date Account Number Page 5-859-08586 Jul 10 2017 1206-0334-5 3 of 6 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Weight Transportation Handling flet Chg/Tax Payer Type Shipments lbs Charges Charges Credits/Other Discounts Tetatcharges Shipper 4 4.0 95.84 7.85 -12.22 91.47 Recipient 5 6.0 131.88 2.47 -14.51 119.84 Total FedEx Express 9 10.0 S2' .7Z $11032 6.73 $2111-31 TOTAL THIS INVOICE USD $211.31 1189-01-00-0012839-0002-0033492 Invoice Number Invoice Date Account Number Page 5-859-08586 Jul 10,2017 11 1206-0334-5 4 of 6 FedEx Express Shipment Detail By Payor Type(Original) Ship Date_Jun 12,2017 Gust,Ref.'NO REFERENCE INFORMATION Ref.#2: Payer:Shipper Rei.#3 • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 2 75%to this shipment • Distance Based Pricing,Zone 2 e Automation AWB Sender Recipient Tracking ID 810997041401 KASIAASMOLOV LAURA ARENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUYTHOLD ACCOUTING Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2 0 lbs,0 9 kgs t Declared Value USD 100.00 Transportation Charge 4 2597 Delivered Jun 13,2017 15 17 Declared Value Charge 000 Svc Area AB Discount -260 Signed by L.ARENA Fuel Surcharge 064 FedEx Use 016381412/1283/_ Total Charge USD $24.01 Ship Date.Jun 28,2017 Gust;Rei,:NO REFERENCE i NFORMATI ON Ref12: Payor.-Shipper Rei#3. • Fuel Surcharge-FedEx has applied a fuel surcharge of 200%to this shipment • Distance Based Pricing,Zone 2 • The package weight exceeds the maximum for the packaging type,therefore,FedEx Pak was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810997041412 DIANE HANSON LAURA AVENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD ACCOUNTING Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs,0 9 kgs Declared Value USD 150.00 Transportation Charge 2597 Delivered Jun 26,201710:20 Declared Value Charge 3.00 Svc Area A8 Discount -260 Signed by L.MOORE Fuel Surcharge 047 FedEx Use 017482085/1283/_ Total Charge USD $26.84 Ships ilate,Jun 21.2017.......:......... .:... .. Gust.Ret,:NOREFERENCEfNFORMATION, Rof..#2: ... ... .. ..... --- Payer:Shipper Rei.#3 • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 200%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 810997041423 KASIAASMOLOV LAURAARENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD ACCOUNTING DE � Package Type FedEx Envelope 5 WATERFRONT PARK 54375 MAIN RD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight N/A Declared Value USD 2000 Transportation Charge 21.95 Delivered Jun 28,201715.18 Declared Value Charge 0.00 Svc Area AB Discount -351 Signed by LARENA Fuel Surcharge 0.37 FedEx Use 017851503/200% Total Charge USD $18.81 Ship We:Jun 28,2417 Gust.Rat,INSURANCE Ref.#2: Payor:Shipper 1118(13.. • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 00%to this shipment. • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient `V1S Tracking ID 810997041434 DIANE HANSEN DAN KIKOSICKI Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL ANTHEM BCBS OF CT Package Type FedEx Envelope 5 WATERFRONT PARK 108 LEIGUS RD Zone 02 NEW LONDON CT 06320 US WALLINGFORD CT 06492 US Packages 1 Continued on next page 1189-01-00-0012839-0002-0033492 l C Invoice Number Invoice Date Account Number Page 5-859-08586 Jul 10,2017 1 1206-0334-5 5 of 6 Tracking ID:810997041434 continued Rated Weight N/A Declared Value USD 300 00 Transportation Charge 21.95 Delivered Jun 29,201710.26 Declared Value Charge 300 Svc Area A4 Discount -3.51 Signed by C COCORAN Fuel Surcharge 0.37 FedEx Use 017965444/200% Total Charge USD $21.81 Shipper Subtotal USD $91.47 Ship Date;Jun 15,2017 Cuss,Ret.;NO REFERENCE INFORMATION Ref.#2: Payer Recipient Ref#3~ • Fuel Surcharge-FedEx has applied a fuel surcharge of 275%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount. The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak. Automation AWB Sender Recipient Tracking ID 810601922222 DIANA WHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 10 lbs,0.5 kgs Delivered Jun 16,201710 22 Transportation Charge 26.59 Svc Area A9 Discount -2.66 Signed by N ESPINOSA Fuel Surcharge 066 FedEx Use 016660388/1486/ Total Charge USD $24.59 Ship Date:Jun 21,2017 Cast Bel.:NO REFERENCE INFORMATION Ref#2: Payor;Recipient Rel'ft • Fuel Surcharge-FedEx has applied a fuel surcharge of 2.00%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 810601922211 LAURA ARENA GORDON MURPHY Service Type FedEx Standard Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT Package Type FedEx Envelope 53095 ROUTE 25 5 WATERFRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US - Packages 1 Rated Weight N/A Transportation Charge 2195 Delivered Jun 22,2017 09.55 Discount -351 Svc Area A4 Fuel Surcharge 037 Signed by D E Courier Pickup Charge 000 FedEx Use 017256098/200% Total Charge USD $18.81 Ship Date:Jun 26,2017 Cust,Rei.:NO REFERENCE INFORMATION Ref#2: Payer:Recipient Rei#3. • Fuel Surcharge-FedEx has applied a fuel surcharge of 2 00%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Pak was rated as Customer Packaging Automation AWB Sender Recipient Tracking ID 810601922200 CHRISTINE FOSTER GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTH OLD FISHERS ISLANT FERRY DISTRICT Package Type Customer Packaging 53095 ROUTE 25 5 WALTERFRONT PARK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 3 0lbs,1A kgs Delivered Jun 27,2017 09 54 Transportation Charge 30.16 Svc Area A4 Discount -3 02 Signed by N WHITE Fuel Surcharge 054 FedEx Use 017798045/1486/_ Total Charge USD $27.68 1189-01-00-0012839-0001-0033491 Invoice Number Invoice Date Account Number Page 5-859-08586 Ju 110,2017 1206-0334-5 6of6 Ship Date.Jun 30,2017 Gust.Ret.:NO REFERENCE INFORMATION 11e1,0: Payor:Recipiem Rd* • Fuel Surcharge-FedEx has applied a fuel surcharge of 2.00%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810601922196 DIANAWHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF S0UTH0LO FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 10 lbs,0 5 kgs Delivered Jul 03,2017 12 16 Transportation Charge 2659 Svc Area A9 Discount -2.66 Signed by B.LAVIN Fuel Surcharge 048 FedEx Use 018191451/1486/_ Total Charge USD $24.41 Ship Date.,lul 06,2017 Gust.Ref.:NO REFERENCE INWRMATION Ref#2: Payor:Recipient Ref.#3 • Fuel Surcharge-FedEx has applied a fuel surcharge of 175%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipmentfor correct packages,weight,and service.Any changes made are reflected in the invoice amount. a (1 • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810601922185 LAURA ARENA GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF S0UTH0LD A FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 5 WATERFRONT PK �/�/�� Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US(/ Packages 1 Rated Weight 10lbs,05kgs Delivered Jul 07,2017 10.01 Transportation Charge 26.59 Svc Area A4 Discount -266 Signed by N WHITE Fuel Surcharge 042 FedEx Use 018771745/1486/ Total Charge USD $2435 Recipient Subtotal USD $119.94 Total FedEx Express USD $211.31 1189-01-00-0012839-0001-0033491 FISHERS ISLAND FERRY DISTRICT VENDOR 006340 FISHERS ISLAND DEVELOPMENT 08/01/2017 CHECK 4229 FUND & ACCOUNT P.O.# -INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 15784 CRACK FILLER/PAVEMENT-FI 1,410.00 TOTAL 1,410.00 I , N ; e.xd .v`M ••'•T.l>w':: ••rye's v uvq,•� �•.Sv..�^z. 1 t_4 � y ® • 0 D 0 D • 1 • D � t ,.. FISHERS ISL, FERRY DISMET AUD '08 .' _ _ : 'IT 3 `53095 MAIN ROAD,F O BOX'1179' ® SOUTHOLD,'NY 1,1.971;0959 CHECK ,THE-SUFFOLK CO.NATIONAL-BANK, ''` -AMOUNT CUTCHOGUE,NY 11935 DATE,'_ 08/O1/2'A17`';' _ ;'$'1',,4a6"oO'` ,50-5416%214 ,P,' , ONE 'THOUSAND..''FOUR HUNDRED :TEN .00/ -00 N - } P,AY FIS'HFRS `ISLAND (DEVELOPMENT -•'- _ "Y z TO THE CORPORATION_ OF PO,BOX=-604 ~^ FISHERS ,ISLAND NX'-06390 s3 ''k u'004 2 2911' 1:0 2 L40 5464 : 68 001502 L°' ` TA-or iso. Cfi&,,,k No. Town ®f Southold, New York- Payment Vouches Vendor Tax ID Number-or Social Security Number Vendor Address Eiitsied,by'y Fishers Island, NY 05330 Fl Development Vendor Telephone Number :, .0" "?��;��" , 'l Wn"C,lerk' Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Genetal;Ledger Fund and Account I$umber � 15784 5/25/2097 $9,490,00 i $1,410.00 Crack Filler/Pavement Fl 11 ',if' 'l4s,f a $1,410.00 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 To vni is exempt are excluded or discrepancies noted,and nayinent is approved_ Signature oIsq—� yv `itle Signature Company Name Fishers Island Perry District Date Title Date 7/L Fishers Island Development Co. Invoice Drawer E Fishers Island NY 06390 Date— Invoice# 5/25/2017 15784 Bill To Fishers Island Ferry District Attn-Geb Cook 5 Waterfront Park New London Ct 06320 Due Date 5/25/2017 Amount Rental of Pavement Filler 8 days 8 200.00 -T T–ell e, ` GJ - 4 d Please make checks payable to FIDCO Total $1,410 00 FISHERS ISLAND FERRY DISTRICT VENDOR 006398 FISHERS ISLAND TELEPHONE CO 08/01/2017 CHECK, 4230 � � 4 A _ FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .7155.4 .000.000 4067 TRBLSHT, )FIX THEATR ALRW 220.75 SM .5709.2.000.200 4080 TRBLSHT ALRM PNL INTRFCE' 85.00 — TOTAL 305.75 I / ; •..yam;. •f' r Vii.• , } '1 r aM I _FISHERS ISLAND FERRY.DISTRICT_-_ _ 'AUDIT~ -' 53095-MAIN ROAD,PO,BOX 1179 .� SOUTHOLD,'NY11971-0959 -HECK',Nb-.- "4230 'THE SUFFOLK CO.NATIONAL BANK SATE' AMOUNT, CUTCHOGUE,NY 11935 50 546/214 2;01,7 3 0 5 75 , THREE_' HUNDtED' FIVE.,AND'7 5'/10 0 DOLLAR'S_ ' ,, pAy:. FISHERS ISLAND ,TELEPHONE CO 21 TQTHE-' 'DRAWER=.E OF' FISHERS' 'ISLANDNX "06390 :4 ii'00 4 2 30nn 1:0 2 140 51, 6 4i: 68 001 50 2 iu' j i Vendor No. 6ic4c'`No. ' 'own of Southold, New York - Payment Voucher 6398 Vendor Address Ert4ered iy= ^` Drawer E Fishers Island, 14Y 06390 Audit 0a e° Fishers island Telephone Corp. Vendor Telephone Number 631-788-7001 To 'Irlerr. , Vendor Contact ..11.1; Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services `,`'GefiemfUdgA.iJZur6d and Acebunt Number• 't 4067 71512017 $220.77 $220.76 'Troubleshoot and fix theater issues2 4080 7/6/2017 $85.00 $85.00 FI Troubleshoot alarm panel interference '',' t;'';', a°;'ry�'�fl5�0�.2:000:2't!0' '1• ,�,t 1,:':'= •.fel��� 6 110 $305.75 $306.75 z Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) i hereby certify that the materials above specified have been received'by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually perforated and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signatur �0.+_ Title Signature Company Name Fishers island Ferry District Date 7/1$/217 Title' Date l/ a . t" Fishers Island Telephone Corp. Invoice Po Box 604 Date Invoice# Fishers Island NY 06390 7/6/2017 4080 Bill To F.I.Ferry District PO Box 607 Fishers Island,NY 06390 P.O. No. Terms Due Date 30 days 8/5/2017 Quantity Description Rate Amount 6/21/17;report of"no dial tone,light lit on 788-7463"-troubleshoot and determine 8500 85.00 alarm panel interference. Advise customer to repair/replace alarm panel. PLEASE MAY CHECKS PAYABLE TO"F.I.TELEPHONE".......THANK YOU! 631-788-7001 fitelephone@fishersisland.net Total $85.00 Fishers Island Telephone Corp. Invoice Po Box 604 Date Invoice# Fishers Island NY 06390 7/5/2017 4067 Bill To F.I.Ferry District PO Box 607 Fishers Island,NY 06390 P.O. No. Terms Due Date 30 days 8/4/2017 Quantity Description Rate Amount 2 6/28/17;report of"no internet connection at Movie Theater"-troubleshoot and replace 85.00 170.00 defective equipment;modem,phone&DSL filter Wall phone 46.00 46.00 DSL Wall filter 4.75 4.75 -- NO-CHARGE FOR MODEM-(used)------— ------------— — ----- --— — — —-- f PLEASE MAY CHECKS PAYABLE TO"F.I.TELEPHONE".......THANK YOU! 631-788-7001 fitelephone@fishersisland.net Total $220.75 -< q_. - FISHERS ISLAND FERRY DISTRICT VENDOR 008081 HARVARD PILGRIM HEALTH- CARE 08/01/2017 CHECK 4231 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000074705118817' MEDICAL PREM(22)�_AUG 1,7, 150.50 i TOTAL / 17,150.50 •ice. �3'`.: $gig::;•;'•; 3 f , i.,>..�itS^: r _ ». :Ea°c�acb•""'"°Ki �;,�ah.Y'+ �w�;F ".• ,«^✓' .T ..,m,.5< ` I _ 1 12;• � 1, ' FISHERS ISL,;4ND FERRYDISTRICT° :AUDIT ro's 'o =/i�:4 ;,53095 MAIN POAD;PO,BOX,1179,- / ® SOUTHOLD,NY 1197;1;0959' CHECK' NO:_'. 423'1 •THE SUFFOLK CO NATIONAL BANK,-,«- _ CUTCHOGUE,NY 11935, AMOUNT;" - '0 8,401./2 %l•7: ,150' 5D-546121'4,_ - SEVENTEEN''THOUSAND.,,bNE'-HUNDRED FIFTY'=AND,'5'0/100 DOLLARS: PAY '9ARVARD PILGRIM HEALTH'_CARE - 'PO:`BOX._9700-50-• ORDER „'4�OSTQN MA,'02297-0050- i,'004 23 Lii' 1:0 2 ILO 5464i: 68 00 LS0 2 I0 L'J Number Harvard Pilgrim Health Care 000053 IMPORTANT:INVOICE ENCLOSED s 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: 08/07/2017 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 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 FISHERS ISLAND_FERRY DIS -- - 261 TRUMBULL DR INVOICE#: 074705118817 - PO BOX 607 INVOICE DATE: 07/07/17 FISHERS ISLAND,NY 06390 BILL PERIOD: 08/01/17-001/17 PAYMENT DUE ON/BEFORE: 08/01/2017 PLEASE MAIL PAYMENT WITH THIS STUB TO: CUSTOMER ACCOUNT#: 0150930000 HARVARD PILGRIM HEALTHCARE P.O.BOX 970050 PLEASE PAY THIS AMOUNT $33,220.55 BOSTON,MA 02297-0050 Enter Payment Amount Here F.$ PLEASE DO NOT WRITE BELOW THIS LINE 0150930000 0747051181171 0001715050 0003322055DC e PILGRIMHEAL"T"H CARE aO.BO � : 07470511817 ` I °�, �� � �����b���� INVOICE DATE: 0X07/17 g BILL PERIOD : 08/01/17-08/3-1/17 PAYMENT DUE ON.IBEFORE: 08/01/2017 CUSTOMER ACCO•IJNT#: 0150930000 FISHERS ISLAND FERRY DIS �Q Y 261 TRUMBULL DR PO BOX 607 FISHERS ISLAND,NY 06390 - W- 1 � _.cam+-xrr,•..�t �iy •?..r F -,.... c 04467 # - `u ; •' ',0446719BURKE,STEPHEN 07 01/16 08/01/17 09/31/17 � 1F 3 $1,580,46 HP55233�4 COOK,GEORGE 03/01/17 08/01/17 08/31/17 P 3 $1,628,99 HP5436198 DORSETT,KRISTOPHER 07/01116 08/01/17 08/31117 I 1 $338,57 1.1P5436199 D©UCE`ITE;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 SPINOSA,NICHOLAS 07/01/16 08/01/17 08/31/17 1 1 $334.11 P05436205 MORA,MICHAEL 07/01/16 08/01/17 08/31/17 I 1 $340,80 HP5436206 FORD,POLLY 07/01/16 08101/17 08131/17 F 3 $1,153.20 HP5436203 FRANCO,MICHAEL 07/01/16 08/01/17 08131/I7 I 1 $756.96 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 $1,482.86 HP5544596 JONES,XAVIER 06/01/17 08/01/17 08/31/17 1 1 $177.09 HP5436210 MARSHALL,JESSE 07/01/16 08101/17 08/31/17 D 2 $715.07 HP5436200 MASON,IIHAMIR 07/01/16 08/01/17 08/31/17 I 1 $292.28 HP5436213 MORGAN,JOHN 02/13/17 08/01/I7 08/31/17 F 5 $1,210.64 HP5436212 MURPHY,GORDON 07/01/16 08/01/17 08/31/17 EK 2 $1,005.95 HP5547209 NORTON,KEVIN 06101/17 08/01/17 08/31/17 1 1 $278.89 HP5436214 PARADIS,JOHN 07/01/16 08101/17 08/31/17 F 3 $1,394.45 HPS436215 SCROXTON,DEREK 07/01/16 08/01/17 08/31/17 F 4 $1,027.13 MP5436201 WILCOX,CARLTON 07101/16 08/01/17 08/31/17 I 1 $343.03 ToW,. $17,150.59 M-0`1 311 �� � ,F1,cr• _v'..'��g°�u .� v� 5. u_—F �s•'y I"�`-� ��m.•`y,, ryx a.. �,� Y,U'vh.� :S. ^q {.,,N _, vc ~.i.Ax � F:> lbU.'L'lkd;,L .'.:.�. b b 'G �.*'a E' Y,ya- ',' ?i•l r. II'Sd "1$ BLIRKE,STEPHIEN 47/0//17 07/31/17 F MR $1,5814 HP5523364 COOK,GEORGE 07/01/17 07/31/17 F MR $1,628.99 RP5436198 DORSETT,KRISTOPHER 07/01/17 07/31/17 1 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 H03436209 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 SUMMARY OF BILLING '�x��^Jv>:Ss.e�ii'�''wmaa.s,z. �r,`s{-a"��� t:� �-��t "w'��" �j^ �:;.,;y,`;1 ��`�.;dj ..• v4, - r;l*:'• s','�+ s7. � �M�«�_. _-�;€,v9�a�'i ,� $4,172,45 1 31 $1,00195 6 186 $7,"4.87 X 10 310 $3,977.23 PREMIUM TOTAL $ 7, 500 D 4 124 $4,172.45 EK 1 31 $1,005.45 P 6 186 $7,9g4,£i7 i 11 1040 $3,977.23 _..._.. _.,.. . ADfUSTMEt r TOTAL Cory ,r,P' ".^ars r .r.�, '7' v.�rv,,.y� �;i.»...., k'*+"•"��'wY;�:^i,3x. .�..ir ^#::.^�'-^. *'-s�'�.: -o,[GA:,a'T't,•,__3"-a .�x�b °i�'y,. �,,. ��-» ••'e xar;, _ t �:.. dy.,,,"'.,.,.�-.:"+" c"a r'sr y�4�aT'3 c:�„F;„ _ 'lit. "- (}..�,jo.:�R;*.r,;::'rs':}3� r.�.:�~'."�--r wm .�...�;�,a_.s:`" - ';,.'," 's�. .K+a Jb`�,�--"' �.t',.�`•A,.'?;;n.t 4+ s•.. �.�,.t�4�... 7-„V '^-"r�.'�.�''. "�t�i',� Fi; J� �4% A � ':., f' Y/+�� �b .+-..^@•. �.N�%. .3;5 ,�.i�r -4" yZ5'�.... lYtr:k"�W, r'I• rel - .� ..�'��.;r:,s.`''4Tk'�'�`,%`::^L_�. �"�``'�;'�=�-:w w` �:,tih :.,�`�.�rr"��,";;3' •3sw'� �s',�,ur��.�ry,': �: �., —w;Y;�-�" j r '.xF_^K€��;.�� -„-��..� :.r_ �^-•-...,,� ,.-..,^-”. ;nik..�'t,�c .-9r. ��`xia'':`�-.:vr W�_ :.�:.s' n:`�r�r^:� i�`^�'�'�=%s,,�:,; v.;�;;r,A..F,fi�ij"�. ,__{ t'..e.... c.ws'y..-` ..z�w.�.,-.�*.r_io;`�� r,,!,,,;, .: �..v-$ �t -,�:c'Eioa_r^r:g..yv.-r`.o. ;� _ ?�,,:: r='SC.._:=y :a;=;'�.�y....�,.i.,ak'�:_ti r-,�.r,-`�_,-. *•.�5s,�.._ I:.-n-:.�:-'j?s wt���H�: P5436208 HILLER,JONATHAN +07/01/17 07/31/17 D AM $756.90 P5544596 JONES,XAVIER 07/01/17 07/31/17 I MR - $177.09 P5436210 MARSHALL,JESSE 07/01/17 07/31/17 D MR $715.07 P5436200 MASON,RHAMIR 07/01/17 07/31/17 I MR $292.28 P5436213 MORGAN,JOHN 07/01/17 07/31/17 F MR $1,210.64 P5436212 MURPHY,GORDON 07/01/17 07/31/17 EIC MR $1,005.95 P5547209 NORTON,KEVIN 07/01/17 07/31/17 I MR $278.89 P5436214 PARADIS,JOHN 07/01/17 07/31/17 F MR $1,394.45 P5436215 SCROXTON,DEREK 07/01/17 07/31/17 F MR $1,027.13 P5436201 WILCOX,CARLTON 07/01/17 07/31/17 I MR $343.03 Totals $17,150.50 AM ADD MEMBER MC MODIFY CONTRACT MR MODIFIED RATE I I �Illi!IIII�I�I IIS ll dill VIII �lll��III� I I�II �!illi IIS Il�il �l �IIIII it ll * 38423600005302030* FISHERS ISLAND FERRY DISTRICT ' VENDOR 008137 HAY HARBOR CLUB, INC. 08/01/2017` CHECK 4232 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT h SM .5710.4.000.000 i'r X155-A STAFF APPRCTN EVENT-7/12 108.00 TOTAL 108.00 '?; w. I I •. r-'} •r r as..^. a, ,.,..,.aa...... ....,x.I'.:^_.,.-......:,�„", `'y�.• � �., •• YZ�a� •aF:..r.., w<..., ., , .. Rn.n.. ...Jy -�r'f .V •�Y x '`t Y'. :,rte r 4�• •}.. \I x�^°•• •:�ie. '=Y`�, -h::f'•n x�•"7•:.i.«`v•�r:C...-�.•'�A't✓,`.e+y r.r w1,R f ` � r FISFIERS-ISLAND FERRY'DISTRICT = AUDIT--'08/'01/17' -T-. 53095 MAW ROAD,PO 80X 1179 F +r ® SOUTHOLD;NY,11971-0959'': CHECK°�NO. 4 2 2- r r THE SUFFOLK CO.NATIONAL BANK DATE-t, AMOUNT- , CUTCHOGUE,NY 11935 08/01/20,]7,' $708 0,0' -_ 50-546/214_ ,"_- ' 0 'HUNDiED_1 EIGHT, AND S, DOLIsARS' NE: PA'3 HAY I HARBOR CLUB, `INC'. _ ToTFIE_= PO'`BOX ORDER F,TSHER'S ISLAND NYa"0,6-390=0477 ii'004 23 21:0 2 L40 54641: 68 001502 111' Vendor No. Town of Southold, New York- Payment Voucher 813 Vendor Tax ID Number or Social Security Number Vendor Address PO Box 609 Fishers Island, NY 06390 Audit-EDate Hay Harbor Club, Inc. Vendor Telephone Number AU.i7; Vendor Contact . v Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Adoant Number. i -7+4 1-7 X1 55 7/19/2017 $908.00 i $108.00 Staff appreciation event k ' .w Gln $10.8,00 1 $908.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition withoutsubstiaition,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the rexcegtsons due and owing,and that taxes from which the Town is exempt are'excluded. or discrepancies noted,and payment is approved. Signature rte- Title Signature Company Name Date Title Bate �� 1 STATE11ENT K Hy HAY HARBOR CLUB, INC. P.O. Box 477 • Fishers Island, NY 06390 Total Due 108.00 office@hayharborclub.com o (631)788.7323 www.hayliarborclub.com Fishers Island Ferry District 7/19/2017 X155 PO Box 607 - Fishers Island NY 06390 v MISCELLANEOUS AMOUNT ENCLOSED$ PLEASE DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT ---------------- D ATE REF HOUSE CODE] DESCRIPTION 'PAYMENT AMOUNT cHARGE' Fishers Island Ferry District Bal Fwd-AIR 0.00 0.00 07/12/1 softball R10 FOOD Harbor Deli 108.00 108.00 Total-A/R 108.00 0.00 0.00 108.00 TOTAL 108.00 SUNE ET DRINKS ON THE POOL DECK*SATURDAY,JULY 7 6:30ptn-8:301 im FAMILY BBQ*SL NDAY,JULY 9-6pm LADIES DRINKS ON THE! PORCH*TUESDAY,JULY 11 6pm Bpm AWARDS DAY*JULY 2 -8am Walsh Park Open GOLF COURSE CLOSED SATURDAY,JULY 29 12pm-4p E-MA L STATEM NTS:o ice@hayharborclub.com All bills are due within 30 days. Late fees are posted automatically. The House Charge is an administrative fee and is not distributed to your server as a gratuity. Dues,contributions or gifts to Hay Harbor Club,Inc. are not deductible as charitable contributions for federal income tax purposes � .• .0 . • •o • • DAYS TOTAL '108.00 0.00 0.00 0.00 0.00 108.00 HAY HARBOR CLUB,INC. • P.O.Box 477 • Fishers Island,NY 06390•%vimhayharborclub.com Main Club(631)788-7323 • Golf Pro Shop(631)788.7514 • Tennis Pro Shop(631)788-7468 o Billing(631)788-7701 • office@hayharbordub.com HHC - IN CLUB EVENT DISTRIBUTION Name of Event HHC/Ferry Softball and Pizza Date of Event 7-12-17 Bill To(ie Pro/instructor etc 50%Ferry and 50%HHC Mgrs.Expense GL-Debit 6316 General Ledger Credit Description/Comment $ Purchased Sunset Deck 5100 18 Pizzas @ 12.00=216.00 Purchased Sunset Deck 5100 Purchased Sunset Deck 5100 Total GL 5100: Purchased Deli 5110 Purchased Deli 5110 Purchased Deli 5110 Total GL 5110: 216.00 Purchased Bar 5111 1 Keg Yuengling @ 126.00 Purchased Bar 5111 Purchased Bar 5111 Total GL 5111: 126.00 Supplies Sunset deck 5310 Total GL 5310: Supplies Deli 5309 Total GL 5309: Supplies Bar 5311 Total GL 5311: Setup/Rental/Other # Total 07/03 TOTAL: 342.00 I , FISHERS ISLAND FERRY DISTRICT - VENDOR 013054 MAPLE PRINT SERVICES, INC. 08/01/2017 CHECK 4234 A r ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT j SM .5710.4.000.400 3746 (1000,) 117 FALL SCHEDULES 267.00 / TOTAL 267.00 1 co co i yfy za"., i I I =`f 7 7- rs I\ d 0 0 0 �= e a a e o o � � x• FISHERS�ISL-AND°FERRY'DISTRICT_ _ -AUDIT,d8%oi%1? 53095 MAIN-ROAD,PO`BOX 1179 3 a SOUTHOLD,NY 1197,1'-0959 ;NO.- 4234` ! f THE SUFFOLK C0:NATIONAL BANK - CUTCHOGUE,.NY 1'1935 DATE- AMOUNT; „ 50:546/214 .., 08fp,,1/2017,'„- _ $2G7.00 „ TWO .•H, DRED:SIXTY SEVEN AND' 00/100 DOLLARS = • .- _ ,7J PAY MAPLE` PRINT SERVICES, INC. TO THE' ,3 9=,1%2 WEDGWOOD DRIVE,BOX 19 9 6hDER'' W, TT "06351 ';' [I'004 2 34ii' 1:0 2 140 S P,L,1: 68 00 L 50 2 Lii' ' Fvendor N". Town of Southold, New Y Ork- Payment Voucher j 1305 WO w9-3J2 Wedgewood Drive Box 399 Jewett C4,CZ 06353 P.uditLate Maple Print Services,Inc. Vendor Telephone Nrmaber t, S1• t:��: e �:7C, 669-383-5470 lATn1n Cie" Vendon Contact •t. wti Invoice Invoice Invoice Net Purchase Order t,Gijf^3 r ;.•,_,,s5 2 iwnb-.x Lute Total Discount ,Amowd Claimed Number Description of Goods or SaMces `,',`4'G�rsatsl,Ledgei Fund'and Account Number' 3746 7/1112017 $267.00l � (1,000) $2s7.®0 2�V37�sil Schedules(3,0 {3 ;„ M67`10.4.C1Q0.4®® 1 F `',{wp ,'La°;t 1,�};;,"y�r= ,l�,'`'•'t'd ',d $267.001 $2,67.00 Payee Cerflficuden Depa'etseat Cerfification The'undersigned(Claimant)(Acting on,b&alf afthe above named claimant) I hereby certify that The materi&Z above specified have been received by the does hereby certify that the Soregoing claim is true and correct,that no part has in good condition zn3tltn>3tsubs itutron,the servicer,properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities diereofhave been verified-with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and pa9rment is approved- Signature l Signature Company Name Fishers Island Feng District Date 7118/2017 Title Date � �� a Maple Print Services Inc. 39-1/2 Wedgewood Drive Box 199 Jewett City, CT 06351 (860) 381-5470 INVOICE INVOICE# 3746 DATE 07/11/2017 DUE DATE 08/10/2017 TERMS Net 30 BILL TO SHIP TO Fishers Island Ferry District Fishers Island Ferry District attn:Accounting Fishers Island Ferry District PO Box 607 attn:Gordon Murphy N.Y. 261 Trumbull Dr. Fishers Island, NY 06390 Fishers Island, N.Y. 06390 Please detach top portion and return with your payment. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ACTIVITY � �.. 'QTY AMOUNT Printing 1,000 242.00T 2017 Fall schedules Design 1 25.00 type changes ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- SUBTOTAL 267.00 TAX(0%) 0.00 TOTAL 267.00 BALANCE DUE $267.00 Visa, MC and Discover accepted. FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 08/01/2017 CHECK 4235 FUND &' ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 37778207 NLT-PIPE FTTNG,PLSTC PNS 134.14 TOTAL 134!,,14 "?V w�v g. 1,41 % FISHERS ISIA TERRY_DlSV]l;ik`T,':" 0 8 %53095 MAIN'ROAD,PO BOX 11-79 't SOUTHOLD,NY 11971--0959,- CgE ;:'4 2 -,,THE*SUFFOLK CO.NATIONAL BANK DATE, e AMOUNT CUT.CHOGUE NYA 1935 -OW o ONE_'ITUND&ED ,THIRTY FOUR, AND-,14/160' MCM-ASTER-CARR SUPPLY CO. TO THE -PO,;B OX 7690: OO '' 4 -11 ;CHICAGO IL '-6,0680_769,0�,��' 11000 L, 2 3 Sum 1:0 2 L4054641: 68 00'L50 2 L L A , Vendor No. Ch6ck 1114o, Town of Southold, New York - Payment Voucher 13564 , f'U35, Vendor Address Eni6fd b' s, „2 P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit•Date: McMaster-Carr Supply Co. Vendor Telephone Number 609-669-3000 Town Clerk: " Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total 'Discount Amount Claimed Number Description of Goods or Services '',Gerieral Udger;Furid and Account Number" C ►x- :.S "' =" 37778207 7/3/2017 $ 134.14 $134.14 NLT maint supplies .dlWli�09.2.000.200•-t.' m R $ 134.14 $134.14 — Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has - in good condition without substitution,the 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 Signabsre11 a�� 1► Title Signature Company Name Fishers Island Ferry District Date 7/20/2017 Title - Date �zw MAASTERmCARR® . invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order JOHN P Tota i $134.14 Invoice 37778207 Billed to Invoice Date 713117 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Pa ment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$2.50 on merchandise if paid by 7/13/17. 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 4141T4 Food-Grade Polyethylene Plastic Pan,20-3/4" 2 2 0 41.59 83.18 Long, 16-1/2"Wide,3"High Each Each 2 36895K162 Thick-Wall Through-Wall Pipe Fitting,Threaded 2 2 0 21.03 42.06 PVC,for Water,3/4 NPT,2-7/8"Long Each Each Merchandise 125.24 Shipping 8.90 Total $134.14 Packing List Shipped Weight Carrier Tracking 5406649-01 7/3/17 11 Ib UPS Ground 1Z0835200360405508 Federal ID 36-1458720 McMaster-Cart Supply Company Page 1 of 1 SP 224 VMcMASTERmCARR, :- Packing List 200 New Canton Way Fishers Island Ferry District) Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park JOHN P 609-689-3000 New London CT 06320 07/03/2017 nj.sales@mcmaster.com Order Placed By John Paradis McMaster-Carr Number f 5406649-01 Line-. Product Ordered Shipped 1 4'141 T4 Food-Grade Polyethylene Plastic Pan, 20-3/4"Long, 1p-1/2"Wide, 3" High 2 2 Each 2 36895K162 Thick-Wall Through-Wall Pipe Fitting, Threaded PVC, for Water, 3/4 NPT, 2-7/8" Long 2 2 Each I I 1_ I / I I I I -________________ _ _ _____i_ __ _______-_____________ --- ----------- -- ------ -- 213 c ESE � FISHERS ISLAND FERRY DISTRICT VENDOR 013282 MORRIS & MCVEIGH LLP 08/01/2017 CHECK 4236 ' A 6,i FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT { SM .1420.4.000.000 00010-51870A PROF.SVC-4/1-4/30/17-SUP 750.00 TOTAL 750.00 ...3'"�LM,E�rw,.y.•r' "�:4v3'1,r.;• . .rye° ... �y�'r yv'%� � �� r'..�:`-•`�'�.�°"x�`"�''�'��...;win— .s;"'•� �..F'�'•��cµ•.c;�"�••...,- .,r�,�"�•:9� �...t.i.'.`�' r ,j �Sr 51 x t ! :t 9 FISFIERS ISLAIVD'FERRYDISTRICT _ ` _ 'P,UDIT`ti08Y/01%17.' 53095-MAIN ROAD,PO BOX-1179 SOUTHOLD,'NY,1,1971'-0959" CHCK-NO.. 4236 4c � • _ THE SUFFOLK'CO.NATIONAL BANK SATE` AMOUNT'.' CUTCHOGUE,NY 11935` 08/01/201,7, $,750' 0'0;.`:, _ t —_ 50-546!214 SEVEN"HUNDREDI°'FI TY AND. 00%'ti00 DODLP;R'S' PAY MORRIS.-&' MCVEIGH LLP TO THE 767,.THIRD AVENUE ORDER ,NEW. YORK NY;:'1001`7' un004 2 3Gum 1:0 2 140 54.641: 168 00 150 2 111 L , L 1 VendorNo. z's t3:1 'own of Southold, New York- Payment Voucher 13282 Vendor Tax ID Number or Social Security Number Vendor Address Efitered'b} 767 Third Avenue Vendor Name New Yorks, Nein York 10017-2023 ,Audit Date, morfis&McVeigh LLP Vendor Telephone Number (212) 418-0600 FY 17 T-6yl ti Clerk. Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claime Number Description of Goods or Services r'`�eneial Ledger Fund and Account Number S17 6/8/2017 $760.0,0 ; I $760.00 Enabling Act Legislation 411-30117 ''.;BM1420:4.000.000' ,I•, tf, 'i q}760.00 � � $7.50:00 Payee Certifleation Department Certification The undersigned(Claimant)(Acting on behalf of the above.named,claimant) I hereby certify that the'materiais above specified have been received by me does hereby certify that the foregoing clans is true and correct,that no parthasin 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 havebeenverified with.the exceptions due and ovtiring,and that taxes from which the Town is exempt are excluded .oi discrepancies noted,and payment is approved Signaturz-k�1141a'---^ Title Signature Company Name -ishcrs Tstar d Ferry District 7118/2017 Title Date tl ��� MORRIS MCVEICY-I LLP ATTORNEYS AT LAw I TELEPHONE(212)418-0500 767 THIRD AVENUE TAX ID#13-5519786 1 FAx(212)755-4476 NEw YORK,NEw YORK 10017-2025 i FAX(212)421-0922 "MAY 8, 2017 Billed through 04/30/17 j . CLIENT#229140/10 51962* 04/07/17 QJGF TELEPHONE CONFERENCE WITH RICHARD J. MILLER, 2.50 hrs JR. REGARDING PREPARING UPDATED COMPARISON DRAFT OF PROPOSED REVISIONS TO ENABLING ACT; REVIEW PRIOR AMENDMENTS TO LEGISLATION AND PREPARE DOCUMENT COMPARING LATEST AMENDMENT TO LANGUAGE APPROVED BY THE BOARD; SEND SAME TO RICHARD J. MILLER,JR. 04/08/17 QJGF PREPARE REVISED DRAFT REFLECTING PROPOSED .50 hrs AMENDMENTS TO ENABLING LEGISLATION AT REQUEST OF RICHARD J. MILLER,JR.AND EMAIL SAME TO HIM BILLING SUMMARY TOTAL FEES $ 750.00 PLEASE REMIT PAYMENT TO: MORRIS & MCVEIGH•LLP,767 THIRD AVE, NEW YORK, NY 10017 NOTE: THIS BILL REFLECTS TWO ENTRIES LEFT OFF PREVIOUS MAY 8, 2017 BILL. FISHERS ISLAND FERRY DISTRICT VENDOR '014144 NU LOOK CLEANING SERVICE 08/01/2017 CHECK 4237 A FUND & ACCOUNT 1 P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000600 169 JANITORIAL SVC' 6/19-6/30 362.50 SM .5710.4.000.600 171 JANITORIAL SVC-7/3-7/14 362.50 .i SM .5710.4.000.600 181 CARPET CLEANING—CONF—NLT 175.00 TOTAL 900.00 3::t4 ...." d_. '''.a�">z ��:„,. '':• ...a ..„•,�%"r;'�x,•� ..�:i•^;.�• .r .rye- ,r. ,, - ; t 0 0 _ t� I \i a e o - FISHERS ISLAND FERRY DISTRICT_ - `-' 1530957 MAIN ROAD, Poeoxit7s' - - .AUDIT,'>08'/_01/171 • ';SOUTHOLD,,NY11s7,1,-0959, _ - CHECK'',NO-,�.;,; 4237' - THE SUFFOLKCO.NATIONAL BANK DATE AMOUNT, CUTCHOGUE,NY 11935 k'- osn-$9,00 0'o 50-545,!214- _-NINE:HUNDRED<'e'AND-:0 0%10 0 'DOLLARS ,L' OK •CLEAN LEANING SERVICE PAY, Q z ; i TO THE= '663�OLD=COLCHESTER, RD_.- ORDER;'.' SALEM--CT 064:20' _ ',i 7 4 �� a■0'04,2 3 Iii■ 1:0 2 1'40 54641: 68 00 150 2 1u■ ,: Vendor No. Town of Southold, New York_ Payment Voucher 14144 Vendor Tax ID Number or Social Security Number Vendor Address Eeiteced li+ 663 Old Colchester Rd Vendor Name Salem CT 06420 -;�=' Aitdif Date � NU Look Cleanin Service Vendor Telephone Number (860)866-3624 Vendor Contact ''t yrry y' Invoice Invoice Invoice Net =Purchase Order 1t• "".s "T Number Date Total Discount Amount Claimed Number Description of Goods or Services ,General Ledger Futiii and Account-.Number `t 169 6/30/2017 $362.60 $362:50 Janitorial Services 6119-30117tMd 0'A606.600. ! 181 7112120'7 $176.00 $175.00 Caret cleaninsJ cai7f r�exst i��T ,, ' Silfl� X000.600 171' 711'412017 $362.50 $362.60 Janitorial Services 713-14117 ;. '�; >+iSi�J1a79�.4:000.60® f(' :...1` , .•�•�i:r'g: �J,t�` rel' L �4i $900.00 $900.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have beenaeceived 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 whicb the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature Company Name Fishers Island Ferry District Date 7/18/2017 Title � ➢ate i ■ NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD ® J SALEM. 420 (860)859-3-3 622 4 e , • 6/30/2017 169 BILL TO: P.O. BOX 607 FISHERS ISLAND,NY. } 06390-0607 ATTN: ACCTS.PAYABLE Due on receipt • DESCRIPTION • JANITORIAL SERVICES FOR 2 WEEKS-JUNE 19-30 2017 362.50 362.50 � f Thank you for your business. - TOTAL $362.5 NU LOOK CLEANING SERVICE 663 OLD COLCHESTER ROAD Invoice SALEM,CT 06420 (860)859-3624 D g 7/12/2017 181 BILL fO- FISHERS ISLAND FEIMY-IMSTIUCT P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN: ACCTS. PAYABLE P.O. (?J ECT' Due on receipt ' a o . , s CARPET CLEANING-2ND FLOOR CONFERENCE 175.00 175.00 ROOM-PRE-SPRAYED FOR STAINS &CARPET CLEANED. F M1,M1 - j �1 • i, _ Thank you for your business. $175. TOTAL NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD SALEM,CT 06420 (860)859-3624 mm 7/14/2017 171 BILL TO: P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN:ACCTS.PAYABLE P.O. NUMBER ® • � MJ Due on receipt DESCRIPTION I 1 _. JANITORIAL SERVICES FOR 2 WEEKS-JULY 3-14 2017 362.50 362.50 - w Neo" ' 110-7flp IS; a aene� __ 4a•� �� + � p\ wtt ��a'i:4 s�='S_'�iii`,- Via, _ Thank you for your business. TOTAL $36�,I2..550 rtr�. F. FISHERS ISLAND FERRY DISTRICT VENDOR 014232 NYS DEPT OF LABOR-UI DIV 08/01/2017 CHECK 4238 A FUND- & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9050.8.000.000 04-643094 2ND QTR-AC,RICKER X283 .25 SM .9050.8.000.000 04-643094 2ND QTR-J WEAVER 320.24 TOTAL 603 .49 I tj i I � J a }. r r, s.., r.`.3L^ ..�:<j. ,,,_.. ...., �`Px•�,nL:S••V•S.rAi"' r:•'t.``? - ..1' �.Utt>'.`� " - d - -r I e - I ,3 I i - I tti I FISHERS ISLAND FERRY-DISTRICT AUDIT 08/o`i%P _ 53095 MAIN ROAD,PO,60X 1179' sOUTHOLD,NY 119 1'-0959- t, C '�.4,�K'�NO:- ,;4238, _ 1 -THE SUFfOLK'CO.NATIONAL BANK DATE AMOUNT t CUTCHOGUE,NY 11935 50-546121'4 0 8f/,b 1%201 $50 3 49 ST.X,_HUNDRED-THREE=AND:=4 9/,1 Q 0,, DOLLARS _ Pk NYS DEPT .OF LABOR=UI DIV _ to PO BOX>-4301_ _ _. &WI ,BINGHAMTON NY 13,902,,-4303' OF" ii'004 2 38u 1:0 2 1405464l: 68 00 50 2 Ills . r Vendor No. Town of Southold, New York Payment Voucher 14232 Vendor T<`m M Number or Social Security Number Vendor Address Eli ere yl' P.O.Box 4309 Vendor Name Binghamton,NY 93902-4301 AuditDate",- New York Mate Unemployment Insurance Vendor Telephone Number �01 FY 5 `Town IBI k Vendor Contact Invoice Invoice Invoice ! Net Purchase Order ;'x,M :ys,i r,;;,.•.; ,•,, ,` Natuber Date Total Discount l Amount Claimed Number Description of Goods or Services General i edger Fund and Account Niimber 04-643094 7/3/2017 $ 929.24 $253.25 nicker 2nd Qtr 2017 ` :'' S tM9050:$.000.000' $ (26.76). Richer disputed pa ment ` $320.24 Weaver 2nd Qtr 2017 '�SM6d60A0C0.000 E $603.49 $603.4'9 ` 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 ciaun 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 A.A—r "Title Signature - � 9 I Company Name Fishers island Ferry District Date 7/20/2017 Title `�� .Date DEPARTMENT OF LABOR ,NEW UNEMPLOYMENT INSURANCE YORK PO BOX 4301 For Office Use Only STATE BINGHAMTON NY 13902-4301 WWW.LABOR.NY.GOV Dist.Ind. Assign.Type Form Type X U Received Date CI Al FISHERS ISLAND Employer Reg. No. Account Status as of FERRY DISTRICT 04-64309 4 07/03/17 PO BOX 1179 SOUTHOLD NY 11971-0959 For Completion by Employer Enter Payment ,yI Amount Enclosed —,———,� .! Return this form to the return address shown above. Notice of Reimbursable Billing Any amount now due for Unemployment Insurance Benefit Reimbursement charges, Interest or Penalty is shown below as "Current Balance" preceded by the word "Underpaid." A check for this amount plus any additional interest should be mailed promptly. Enter the payment amount in the employer box above and return this form with your payment. If the amount shown as "Current Balance" is preceded by the word "Overpaid"you will be receiving a refund of this overpayment. Payment on current quarter charges shown as "BR" is due by the end of the month following the end of the quarter or 15 days from the billing date, whichever is later. This notice does not include amounts assessed for Failure to File Penalties or Benefit Claim Penalties. If you have penalties due you will be advised by separate notice. Interest is assessed on late payment of benefit reimbursement charges at the rate of 12 percent per year. Charge Notices, IA 96R, included in billing are dated: 1 Q17 02/03/17 through 04/07/17 2017 05/05/17 through 07/07/17 Your Previous Balance Was 3Q17 08/04/17 through 10/06/17 4Q17 11/03/17 through 01/05/18 NONE $0.00 The symbols In Transaction Col 1 Column 1 show Claimant Date Period Type Column 2 Column 3 the type of SSAt Acct# of Amount Due Amount Paid liability Mo Day Yr Qtr Year Llab BR- 07 01 17 2 17 BR $629.24 Benefit Reimbursement IN- Interest PE- Penalty Enter your Employer Registration Number as shown above on your remittance Current Balance payable to New York State Unemployment Insurance. Keep a copy of this notice for your records. UNDERPAID $629.24 Use this form for payments only. If you have questions,please call(518)457-1090 for assistance. - G®ID .4 9 Carl N Boorn, Director IA 126R(2/17) Unemployment Insurance Division NEW YORK STATE DEPARTMENT OF LABOR Unemployment Insurance Division PO Box 15122 ALBANY,N.Y. 12212-5122 www.labor.ny.gov NOTICE OF BENEFIT REIMBURSEMENT CHARGES DATE MAILED EMPLOYER REG. NO. FISHERS ISLAND 06/02/17 04-64309 4 FERRY DISTRICT PO BOX 1179 SOUTHOLD NY 11971-0959 THIS IS NOT A BILL PLEASE REVIEW PROMPTLY BENEFIT PAYMENTS MADE TO THE CLAIMANTS LISTED HAVE BEEN CHARGED TO YOUR ACCOUNT, EACH PAYMENT IS FOR FOUR EFFECTIVE DAYS(ONE WEEK) UNLESS OTHERWISE INDICATED. TO HELP PROTECT YOUR ACCOUNT AND THE UNEMPLOYMENT INSURANCE FUND. 1. Verify that each claimant was employed by you 2. If you failed to respond to information requested in the Notice of Potential Charges(FORM LO 400) or any other subsequent request for information about a claim in a timely or adequate manner, the law prohibits the relief of charges under most circumstances. 3. If you have any Information you were not aware of when you received the Notice of Potential Charges that might affect the claimant's benefit rights, we must receive your response within ten calendar days of the date of this notice in order to be relieved of charges. Please write to the NYS Department of Labor, PO Box 15122, Albany, NY 12212-5122 or fax to (518)485-6172. 4. If you have wori<-avail able, please contact the claimant directly.-Should the claimant refuse the job or not=report to-oric,-please write to the NYS Department of Labor, PO Box 15130, Albany, NY 12212-5130 or fax to (518) 485-7377. If you are unable to contact the claimant or would like assistance in meeting your hiring needs, contact the DOL Employment Service nearest you. 5. A (P) printed next to the amount of benefits paid shows that a pension reduction is already being made. If you are aware that a claimant is receiving a pension to which you contributed and no reduction is shown, please write to the address In#4 above or fax to (518) 485-7377. 6. If you object to any of these charges for other reasons, write to the Liability and Determination Section at the address in the header or fax to: (518)485-6172. Provide the claimant's name, SS# week ended dates, and reason s) you believe the charges are incorrect. IF YOU DISAGREE WITH THIS'DETERMINATION,YOU MAY R QUyEST A HEARING WITHIN 30 DAYS FROM THE MAILING DATE OF THIS NOTICE. PAGE 1 'SOCIAL SEC. WK ENDED EFF DOL SOCIAL SEC. WK ENDED EFF DOL ACCOUNT # NAME MO DY YR AMOUNT DAY OFF ACCOUNT # NAME MO DY YR AMOUNT DAY OFF '041-80-5311 J WEAVER 1213116 320.24 3E 901 089-34-4524 AC RICKER 413017 51.50 2 801 1089-34-4524 AC RICKER 510717 25.75 1 801 089-3474524 AC RICKER 511417 25.75 1 801 089-34-4524 AC RICKER 512117 25.75 1 801 1 1 1 1 1 1 1 I I 1 1 I I 1 1 I 1 I 1 I I 1 1 I I 1 I I 1 1 I I 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 I I 1 1 1 1 1 1 1 1 1 1 I 1 1 IJI 1 1 i i 1 1 1 I 1 "D JUN 9 201 1 1 i '�i�J l� - { I 1 1 !�J d 1 I y! I 1 1 1 1 1 1 1 1 1 TO`hN OF SOUTHOL 1 ACC)UNtiPlG&-M DEPt. 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 WE WILL SEND A BILL AT THE END OF 5448.99 TOTAL THE QUARTER FOR THE TOTAL AMOUNT DUE. A CR SYMBOL CANCELS A PREVIOUS CHARGE. AN ASTERISK (36) IS AN ADJUSTMENT. �w IA 96R(12-13) CARL BOORN, DIRECTOR UNEMPLOYMENT INSURANCE DIVISION FOR THE COMMISSIONER OF LABOR NEW YORK STATE DEPARTMENT OF LABOR Unemployment Insurance Division PO Box 15122 ALBANY,N.Y. 12212.5122 www,Iabor.ny,gov NOTICE OF BENEFIT REIMBURSEMENT CHARGES DATE MAILED EMPLOYER REG. NO. FISHERS ISLAND 05/05/17 04-64309 4 FERRY DISTRICT PO BOX 1179 SOUTHOLD NY 11971-0959 THIS IS NOT A BILL PLEASE REVIEW PROMPTLY BENEFIT PAYMENTS MADE TO THE CLAIMANTS LISTED HAVE BEEN CHARGED TO YOUR ACCOUNT, EACH PAYMENT IS FOR FOUR EFFECTIVE DAYS(ONE WEEK) UNLESS OTHERWISE INDICATED, TO HELP PROTECT YOUR ACCOUNT AND THE UNEMPLOYMENT INSURANCE FUND: 1, Verify that each claimant was employed by you, 2. If you failed to respond to information requested in the Notice of Potential Charges(FORM LO 400) or any other subsequent request for Information about a claim in a timely or adequate manner, the law prohibits the relief of charges under most circumstances 3. If you have any information you were not aware of when you received the Notice of Potential Charges that might affect the claimant's benefit rights, we must receive your response within ten calendar days of the date of this notice in order to be relieved of charges Please write to the NYS Department of Labor, PO Box 15122, Albany, NY 12212-5122 or fax to (518) 485-6172. 4 If you have work available, please contact the claimant directly Should the claimant refuse the job or not rPpnrt to work, please write to the NYS Department of Labor, PO Box 15130, Albany, NY 12212-5130 or fax to (518) 485-7377. If you are unable to contact the claimant or would like assistance in meeting your hiring needs, contact the DOL Employment Service nearest you. 5, A (P) printed next to the amount of benefits paid shows that a pension reduction is already being made. If you are aware that a claimant is receiving a pension to which you contributed and no reduction is shown, please write to the address in #4 above or fax to (518)485-7377. 6. If you object to any of these charges for other reasons, write to the Liability and Determination Section at the address in the header or fax to: (518) 485-6172. Provide the claimant's name, SS week week ended-dates, and roason s) you believe the charges are incorrect IF YOU DISAGREE WITH THIS DETERMINATION, YOU MAY R QUEST A HEARING WITHIN 30 DAYS FROM-THE MAILING DATE OF THIS NOTICE. PAGE 1 SOCIAL SEC. WK ENDED EFF DOL SOCIAL SEC. WK ENDED EFF DOL ACCOUNT # NAME MO DY YR AMOUNT DAY OFF ACCOUNT # NAME MO DY YR AMOUNT DAY OFFS 089-34-4524 AC RICKER 410217 25.75 1 801 089-34-4524 AC RICKER 410917 51 .50 2 801 089-34-4524 AC RICKER 4116 ;7 25.75 1 801 089-34-4524 AC RICKER 412317 25.75 1 801 1 ! 4 I I I 1 1 I t ! t f l 1 I 1 I t t 1 I ! 1 1 1 i I 1 t 1 1 I 1 1 ! I 1 1 ! I I 1 1 1 i ! 1 ! I 1 1 t I i ! 1 ! I < 1 I 1 1 1 F 1 f I d 1 ! ! J 1 t 1 1 I ! 1 1 1 1 1 I 1 1 I 1 1 1 1 ! ! 1 1 1 1 ! 1 1 1 I 1 1 1 1 t i 1 1 I 1 i 1 I I 1 1 I ! 1 i 1 f I $128.75 TOTAL WE WILL SEND A BILL AT THE END OF THE QUARTER FOR THE TOTAL AMOUNT DUE. o, A CR SYMBOL CANCELS A PREVIOUS CHARGE° I. ° AN ASTERISK (*) IS AN ADJUSTMENT. ,,� IA 96R(12-13) CARL BOORN, DIRECTOR UNEMPLOYMENT INSURANCE DIVISION FOR THE COMMISSIONER OF LABOR NEW YORK STATE DEPARTMENT OF LABOR Unemployment Insurance Division PO Box 15122 ALBANY,N.Y. 12212-5122 www.labor.ny.gov NOTICE OF BENEFIT REIMBURSEMENT CHARGES DATE MAILED EMPLOYER REG. NO. FISHERS ISLAND 07/07/17 04-64309 4 FERRY DISTRICT PO BOX 1179 SOUTHOLD NY 11971-0959 THIS IS NOT A BILL PLEASE REVIEW PROMPTLY BENEFIT PAYMENTS MADE TO THE CLAIMANTS LISTED HAVE BEEN CHARGED TO YOUR ACCOUNT, EACH PAYMENT IS FOR FOUR EFFECTIVE DAYS(ONE WEEK) UNLESS OTHERWISE INDICATED. TO HELP PROTECT YOUR ACCOUNT AND THE UNEMPLOYMENT INSURANCE FUND: 1. Verify that each claimant was employed by you. 2. If you failed to respond to information requested in the Notice of Potential Charges(FORM LO 400) or any other subsequent request for information about a claim in a timely or adequate manner, the law prohibits the relief of charges under most circumstances. 3. If you have any information you were not aware of when you received the Notice of Potential Charges that might affect the claimant's benefit rights, we must receive your response within ten calendar days of the date of this notice in order to be relieved of charges. Please write to the NYS Department of Labor, PO Box 15122, Albany, NY 12212-5122 or fax to (518)485=6172 4. If you have work available, please contact the claimant directly. Should the claimant refuse the job or not report to work,-please write to the NYS Department of Labor, PO Box 15130, Albany, NY 12212-5130 or fax to (518)485-7377. If you are unable to contact the claimant or would like assistance in meeting your hiring needs, contact the DOL Employment Service nearest you. 5. A (P) printed next to the amount of benefits paid shows that a pension reduction is already being made. If you are aware that a claimant is receiving a pension to which you contributed and no reduction is shown, please write to the address in#4 above or fax to (518)485-7377. 6. If you object to any of these charges for other reasons, write to the Liability and Determination Section at the address in the header or fax to: (518)485-6172. Provide the claimant's name, SS#, week ended dates, and reasons) you believe the charges are incorrect. IF YOU DISAGREE WITH THIS DETERMINATION, YOU MAY R QUEST A HEARING WITHIN 30 DAYS FROM THE MAILING DATE OF THIS NOTICE. PAGE 1 ISOCIAL SEC. WK ENDED EFF DOL SOCIAL SEC. WK ENDED EFF DOL ACCOUNT # NAME MO BY YR AMOUNT DAY OFF ACCOUNT # NAME MO BY YR AMOUNT DAY OFF ;089-34-4524 AC RICKER 6 :18 :7 25.75CR� 3E801 089-34-4524 AC RICKER 5;28 ;7 25.75 1 801 1089-34-4524 AC RICKER 6 ;04 ;7 25.75w1 801 089-34-4524 AC RICKER 61187 25.75 1 801 WE WILL SEND A BILL AT THE END OF $51.50 TOTAL THE QUARTER FOR THE TOTAL AMOUNT DUE. A CR SYMBOL CANCELS A PREVIOUS CHARGE. AN ASTERISK (*) IS AN ADJUSTMENT. • IA 96R(12-13) CARL BOORN, DIRECTOR UNEMPLOYMENT INSURANCE DIVISION FOR THE COMMISSIONER OF LABOR I Z, " - - , 17,10 FISHERS ISLAND FERRY DISTRICT VENDOR 016071 PASSER6 ASSOC ENGINEERING, 08/01/2017 CHECK 4239 FUND & ACCOUNT-, P.O.# INVOICE I, DESCRIPTION AMOUNT SM .5610.4.000.000 66089 AIRPORT PAVEMENT MNGMNT 1,500.00 TOTAL 1,500.00 Lo :k. F. tol FISHERS ISLAND FERRY AUDIT"0 8/-01/,17 53095 MAIN ROAD,POi'BOX 1179 SOUTHOLD,NY 1-1'9710959 = CHECK NO 2 39,` 'CUTCHOGUE,NY,l 1935 C0:"NATIONAL BANK -,.AMOUNT,"',- i;7 �66 06, '08/6, 0 50-'5461214 ONEr THOUSAND FIVE -HUNDRED •AND 06/100DOLLARS' , v.- 2' PAY -PASSE -b-ASSOC ENGINEERING, TO Tid -'ARCHITECTURE, SURVEYING,` DPC ti bRDEli' -gA,2':W,.MASUITE STREET, -T- E 100 OF' ROCHESTER NY, 14614 11.004 2 3 TIN 1:0 2 140 5464!: 68 00 150 2 li'm Vendor No. Chedk.No; ['own of Southold9 New 'YCher York - Pay�� went Voucher .,..... _ F Vendor Tax ID Number or Social Security Number Vendor Address Entered by" 242 West Main Street,Suite 100 Audit Date . Passer®Associates Rochester,NY 146142017.® � 2017 Vendor Telephone Number Town-'Clerk . Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund arid Account Number 66089 7/13/2017 $1,600.001 $1,500.00 Fee Estimate-Airport pavement management :"-,..,SM5610:4.000.000 $1500.001 $1500.00 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 7/20/2017 Title Date / ol �o� l 242 West Main Street, Suite 100 PAP�s, ERO ASSOCIATES Rochester, NY 14614 gineering architecture Office 585.325.1000 Fax 585.325 1691 MR.GORDON MURPHY July 13,2017 FISHERS ISLAND FERRY DISTRICT Invoice No: 66089 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390 Project Manager Bruce Clark Project 20172417.0001 INDEPENDENT FEE ESTIMATE -AIRPORT PAVEMENT MANAGEMENT SYSTEM Professional Services for the Period: June 1,2017 to June 30.2017 Total Fee 1,500.00 Percent Complete 100.00 Total Earned 1,500.00 Previous Fee Billing 0.00 Current Fee Billing 1,500.00 Total Fee 1,500.00 Total Project Invoice Amount $1,500.00 Please review this invoice and contact the Project Manager within 10 days if you have any questions.*** Terms: Net 30 Days *** C � r A finance charge of 1-1/2% per month (18%per annum)will be added to overdue accounts, INVOICE FISHERS ISLAND FERRYDISTRICT •1 ,_ VENDOR 018115 REED SMITH LLP 08/01/2017 CHECK 4240 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1420.4.000.000 2907833 PROF SVC-1/26-2/28/17 1,080.00 '.a TOTAL 1, 080.00 L-• \1 .. »..<..., ... .z. .. ._+„<>>.•�� a..»'"a z'• .. �..a_.• :a~�x .r;:•.':�.v:'.F.;::�¢..:i:...t:•�::.:^;:.iSl r'V ,,`1 �V.yxx. .33:i s yMb�l i ••.fin. �h.y e`6,` .:ehv`„ .:. - JoC rM .`E�..x:?Y<`•..-°� :.d4_ti:.�.•:.". r a J i 1 F.ISHERS•ISLAND.FERRY DISTRICT AUDIT"o s/0 a, 53095 MAIN,ROAD,PO,BOX 1179 SOUTHOLD,Wll971-0959, �, =,C.',HNCK,�NO: '4240, THE kI FOLK,CO:NATIONAL'BANK DATE: AMOUNT; CUTCHOGUE,NY 11935, 1';;0'80 00' _— 50-546121'4 = _ THOUSAND:'EIGHTY AND, 0_0/100','DOT�LARS PAY,. REED` SMITH LLP 225; FIFTH TO •AVEN B bRDER' PITTSBU�2GH'PA 15222 _ or u0004 240um 1:0 2 140'S4641: 68 00 L 5012 Lii' L .1 1 Vendor No. kleck Town of Southold New York Payment Voucher 18115 Vendor Tax ID Number or Social Security Number Vendor Address l~iter d;bit 225 f=ifth Ave 31 Pittsburgh, PA 155222 Addit-Bate„ Reed Smith _ !;i ;, �'' 2017 Fs„ '' Vendor Telephone Number �'ovi ,Clerk'. Vendor Contact Invoice Invoice Invoice Net Purchase Order Niunber Hate Total Discount Amount Claimed Number Description of Goods or Services F�ieite al LedgerY�isi d Acco`aittP7umbvr,; 2907833 3122/2017 $1,080.001 1 $1,080.00 Consultation 1/26-2128/17 ' `' '` SM1420.4.600:000 $1,080.00 X1,080.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been-received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services propeily been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature Title Signature �7 Company Name Fishers Island Ferry Distnct Date 7119/2017 Title Date I e Reed Smith LLP ReedSmith 599LexingtonAvenue 22nd Floor New York,NY 10022 Telephone -+1212 5215400 Fax--+1212 5215450 Tax ID#25-0749630 ABU DHABI♦ATHENS•BEIJING♦CENTURY CITY CHICAGO DUBAI FRANKFURT•HONG KONG HOUSTON KAZAKHSTAN LONDON LOS ANGELES♦MUNICH♦NEW YORK PARIS♦PHILADELPHIA♦PITTSBURGH♦PRINCETON•RICHMOND SAN FRANCISCO♦SHANGHAI SILICON VALLEY♦SINGAPORE•TYSONS WASHINGTON,D.C.•WILMINGTON Fisher's Island Ferry District Invoice Number: 2907833 Gordon Murphy Invoice Date: ,� ! 3/22/2017 PO Box 607 Client Number: ! ! 382100 Fishers Island, NY 06390-0607 Matter Number: 382100.40001 US - UNITED STATES j ! J RE: Operational Advice INVOICE SUMMARY ' Total Current Fees.......................................... .:.................:................................$ 1,080.00 Total Due This Invoice:..- -- $ 1.080.00 �1 I i �, it i ✓ i i "II 1 i ( `r Please Remit to: Mail To: Wire Instructions: Reed Smith LLP BNYMellon Bank N.A. P.O.Box 10096 Philadelphia,PA Uniondale,NY 11555-10096 ABA Number: 031000037 Swift Code:IRVTUS3N(International) Account#2-022-986 (Please Reference Invoice Number) r�1 Reed Smith LLP ReedSrnith 599 Lexington Avenue 22nd Floor New York,NY 10022 Telephone -1212 5215400 Fax.-+1212 5215450 Tax ID#25-0749630 ABU DHABI•ATHENS•BEIJING•CENTURY CITY CHICAGO DUBAI FRANKFURT•HONG KONG HOUSTON KAZAKHSTAN LONDON LOS ANGELES•MUMCH♦NEW YORK PARIS#PHILADELPHIA#PITTSBURGH•PRINCETON•RICHMOND SAN FRANCISCO♦SHANGHAI SILICON VALLEY•SINGAPORE#TYSONS WASHINGTON,D.C.•WILMINGTON Fisher's Island Ferry District Invoice Number: :'{ 2907833 Gordon Murphy Invoice Date: ,%` ? 3/22/2017 PO Box 607 Client Number: 382100 Fishers Island, NY 06390-0607 Matter Number: ( 382100.40001 US - UNITED STATES i DETAIL FOR PROFESSIONAL SERVICES RENDERED THROUGH February.28, 2017 'Date Timekeeper Description Hours 01/26/17 L. Forsberg Correspondence`regarding engine room 0.30 insulation requirements'and"related matters. 02/08/17 L. Forsberg Correspondence regarding\altemative vessel use 0.20 (hovercraft). 02/10/17 L. Forsberg Telephone conference with client regarding 0.40 .requirement to seek outside bids for alternative ferry/delivery services; Draft and forward correspondence after researching issues. 02/14/17 L. Forsberg i Draft correspondence regarding requirement to 0.40 seekYbids,for alternative ferry services. 02/28/17 L. Forsbeirg' _ Review revised consulting agreement and 0.30 description of services; Correspondence regarding same. Total Hours 1.60 I l` ' SUMMARY OF PROFESSIONAL SERVICES: Timekeeper Hours Rate Total Lars Forsberg 1.60 hrs @ $ 675.00/hr 1,080.00 Total Professiona[Zervices 1,080.00 INVOICE SUMMARY Total Fees $ 1,080.00 TOTAL CURRENT INVOICE DUE $ 1,080.00 File No. 382100.40001 Invoice No. 2907833 Page 1 F Reed Smith LLP Reed ©�1� 599 Lexington Avenue 22nd Floor New York,NY 10022 Telephone:-+1212 5215400 Fax.-1212 5215450 Tax ID#25-0749630 ABU DHABI♦ATHENS•BEIJING•CENTURY CITY CHICAGO DUBAI FRANKFURT•HONG KONG HOUSTON KAZAKHSTAN LONDON LOS ANGELES•MUNICH•NEW YORK PARIS PHILADELPHIA PITTSBURGH♦PRINCETON♦RICHMOND SAN FRANCISCO♦SHANGHAI SILICON VALLEY SINGAPORE TYSONS WASHINGTON,D C. WILMINGTON Total Amount Due $ 1.080.00 I ,I I 6 ---- -- f% �J I+ j JJ 41 f •1 r' File No. 382100.40001 Invoice No. 2907833 Page 2 FISHERS ISLAND FERRY DISTRICT VENDOR 018752 PETER RUGG 08/01/2017 CHECK 4241 FUND & ACCOUNT 'P.O.# INVOICE DESCRIPTION AMOUNT , I SM .5712.4x.000.000 063017 117 COMM MTG APR—JUN(6) 300.00 TOTAL .00 300 a � � •"� :•moi ; :[ f� :•:..f.L?x .moi' "-_.•''•,"3";:;: :•: 2'` Y i. 0 0 I � -tom; � I r = FISHERS—ISLAND,FERRY DISTRICT`'— y' •.4. ,; .:_<.,; - ' _ s - _ 53095 MAIN,ROAD,PO,BOX 1179 - " SOUTHOLO,NY-11971-0959 ,CHECK';NO, 42'41 THE SUFFOLK-CO.NATIONAL BANK ;AMO CUTCHOGUE,NY;11935 DATE..; }. UNT, _ 08/'6,i/-2 6i%` i• 50 546(219 THREE HUNDRED ``AND'�00/100 'DOLLARS,_ „x PAY, PETER',RUGG. _ ORDER„ 'FISH$R8. ISLAND -NY� 0'6`390 110004 24 Lei' 1:0 2 140 546411: 68 00-1,502 111' — , _aJ Vendor No. Town ®f Southold, New En2er ';bu;. . , TX Vendor Name - 135 E.75TH STREET APT SA � At3T kitt,h? 'Rugg,Peter I'w'EWYORK,NY 10021 Vendor Telephone Number FY37 ' fJ4�A1�+Br$C'','r 3 Vendor Contact Invoice invoice Invoice Net -Order hase Number Date Total Discount Amount Claimed Number Description of Goods or my ?` " p 8 ices ;;�eiieix3�T�edgar,�iirii4�-�d ficcoizic Nuiiiver,.;'; 6017 613812��7 3®0.0 £0.oa Commission Me-e ing STIPEND Apr-Jun 2017 ,I`�`�'* '�`� �•'+.a!'lt'}r'>�t`�,�J. ,.,Y,+�4+ ;r3 \ I � tip , Y', ,`�-f, t��`'y4 ,S n,�,•, 7777 r 1 V ,,n 'Ir, ,i:)'rt:�4�;fi tc,:. '•r�'�.i r�..n ' $30L�:00a00.d�j Payee Certification Reps tent Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by ane does hereby certify that the foregoing claim is true and correct,that no part has in good condition uathout sub tatian,,the servicesJ)mperiy been paid,except as therein stated,that the balance therein stated is actually performed and that'the quantities thereofhave been verified vath-the exceptions due and owing,and that taxes from which the Town is exempt are excluded. ondiscr pancies noted,and payment is approved. Signature -Title Signature Company Name Fishers Island Ferry District Hate 711912017 Title Date Z4// / Kasla Asmolov From: Kasia Asmolov Sent: Wednesday,July 19, 2017 9!23 AM To: Kasia Asmolov Subject: FW: commissioner stipend spreadsheet - spreadsheet updated From: Gordon Murphy Sent; Thursday, July 6, 2017 11;21 AM To." Diane Hansen CC.9 Kasia Asmolov t r stipend spreadsheet., R : commissioner et spreadsheet updated Rugg, Ahrens, Burnham, Peter Andrew Shillo, QiBloethe, W H 4/3/2017 x x x 4 4/17/2017 x x x 3 5/2/2017 x X, x 4 5/1512017 x x x 4 5122/2017 x x x 3 5/30/2017 x x x x x 5 6/12/2817 x x x x 4 6/26/2017 x x x x x 5 Total Meetin s 7 5 a 8 32 1600 2Q17 $ 350 $ 250 $ 300 $ 400 $ 1,600 C!� r Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 3,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 3,2017 at 4:30 PM. Commissioners Heather Burnham, Peter Rugg,and Dianna Shillo were present. Also in attendance were Geb Cook, RJ Burns and Deanna Ross. Commissioner William Bloethe was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 17, 2017 Commissioner Rugg at the New London terminal conference room called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 17, 2017 at 3:41 PM. / Commissioners William Bloethe, Heather Burnham,and Peter Rugg were present.Also in attendance were Gordon Murphy, Geb Cook, RJ Burns, Diane Hansen, Deanna Ross,and members of the public. Commissioners Ace Ahrens and Dianna Shillo were absent. Commissioner Rugg established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 2, 2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting to order of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District") on May 2,2017 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Dianna Shillo were present. Also in attendance were Gordon Murphy, Geb Cook, Deanna Ross and Jane Ahrens. RJ Burns and Diane Hansen were present via phone. Commissioner Rugg was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the meeting of the Board of Commissioners Fishers Island Ferry District May 15, 2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on May 15,2017 at 4:83 PM. Commissioners Williaralloethe, Heather Burnham and Peter Rugg were present.Also in attendance were Bordon Murphy,Gel?Cook, Diane Hansen and Deanna Ross. RJ Burns and John Haney were present via phone.Commissioner Dianna Shillo was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 22,2017 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on May 22nd,2017 at 8:45 AM. Commissioners Heather Burnham and William Bloethe were in attendance.Also in attendance was Cordon Murphy. Commissioner Ahrens established that a quorum was present.Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 12,2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on June 12,2017 at 4:30 PM. Commissioners Dianna,Shillo, Heather-Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Ceb Cook and Diane Hansen. PUI Burns attended by phone.Commissioner William Bloethe was absent.`there was one member of the public present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—fro correspondence was received.There was no public comment. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 30, 2017 Commissioner Ahrens at the Fishers island Community Center called a moving of the Board of Commis,sioners of the Fishers Island Ferry District("the Ferry District")to order on May 30,2017 at 4:38 RM. .ommissioners William l3Ioethe, Heather Burnham, peter Rugg and D,ShllIQ were present,AisQ in attendance were Gordon Murphy,Jeb Cook and Deonna Ross, RJ Burns,John Hainey and Diane Hansen were present via phone, Commissioner Ahrens established that a quorum was present. Everyone In attendance pledged allegiance to the flag. Correspondence/Public Comment—No correspondence was received.There is no public comment. Minutes RESOLUTION 2027-090 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 26,2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to ordQr on June 26, 201.7 at 4:30 >�M1 J Commissioners William Bloethe, Heather Burnham, peter Rugg and D.Shillo were present,also in attendance were Gordon Murphy,Jeb Cook, RJ Burns, Diane Hansen and Deanna Ross, One member of the public was present, Commissioner Ahrens established that a quorum was present. Everyone In attendance pledged allegiance to the flag. Correspondence/Pubilc Comment—No correspondence was received.There is no public comment. Minutes RESOLUTION 201.7-1.08 it ' �_� -".,�`.�'- ;ri - ;i. <-+..�,q / ,,�}r ,.S".,.'+: 1 ?'4.1:'.••,• `go FISHERS ISLAND FERRY DISTRICT' VENDOR 019751 SCIALABBA REMODELING 08/01/2017 CHECK 4242 ' FUND & ACCOUNT P.O.# "INVOICE DESCRIPTION AMOUNT `t SMC.5709.2.000.200 229128 NLT-CONFRNCE RM PAINTING 1,600.00 7w. 'hr TOTAL w 1,600.00 ; 4 .. i t�r�},...,<.,s.d,.�i.x.r... ...... ...... ..,.... >. '.�., .,i�teq'vn+"'S::•:c:•yv.��J 3-�, 1 u i 1 • BMW• 0 • • D • • 7 1 FISZ AIVD'FERR-Y--DISTRICT `-53 HERHERS 7SMAIN-ROAO,-PO Box'ii�s - "AUDIT,-;08/<0-1 7 _ l F SOUTHOLP,,,NY11.971-0959' „ ,rte CHECK^NO. 4,242 THE-SUFFOLK CO.NATIONAL BANK 3• CU_TCHOGUE;NY-17935' DATE MOUNT, ._ 3o-sas�z�a _ _08'/'01/'2017._ _ 1 - ob r` ONE -mHOUSAND"'SIX=HUNDRED_.AND 0 0/10'0 DOLLARS f' PAY,', SCIALABBA REMODELING , fY TO THE'. GAR;FTELD'_.AVE EXT ORDER NEW LONDON-`CT 06320 ' ��'00'4 24 2��' i:0 2 L405464 :OF 68 00150 2 1110 s ` L J T Vendor No. Ciieckla`, l Town of Southold, New York e Payment Voucher 19751 d,®.sy+sPg Vendor Tax ID Number or Social Security Number Vendor Address Enteredlby 1 Garfield Ave ext n' New London, CT 06320 Aatdit ate .•'.p Sclalabba Remodeling • 1, ' Vendor Telephone Number t1 V G --0,1,1017;, . ., Tovi%Ii Clleik',�,; Vendor Contact :' Invoice Invoice Invoice Net Purchase Order Number Dade Total Discount Amount Claimed Number Description of Goods orServices '"G--nera],Udger,Fund and=Acconnf Number'r` 22912$ 7/112097 $9,600.00j $1,600.00 N9LT conference room painting 2.006.200` 1•{•is '�'rr• h,i RPV _-• ,�4 i+''=fes •ry•_ ... f : 'i:a§ii F)1 ^.4 :t• Yoc •,,.fix. Y• f" Y.-N' j.� ? •ti '1:,� t •=a $1,600.00 $1,600.00 'rY i 'N ♦t Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services property been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature t A: L— Title Signature Company Name Fishers vIslaannrdvFegy District Date 7/19/2017 Title Date �� i ,..--..� a���`-...�-tt.,,r.,... -. .;'''-- +—ry;-'-r�•i,..,«_..,"x. _ _•.y^-..'; v+.^x.•;m->.. _ � 4 fVIC �� G- - SOLD TO' ^LO SHIP TO ADDRESS ADDRESS CITY ST TE, IP CITY,STATE,ZIP CUST'MER ORDER NO. SOLD BY TERMS F.O.B. DATE f ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT ;! lr 1,' nn -k- ,lam 614 1 (l rf✓e o, A-5840 T-46706/46721 01-11 'I ...i.F-' .k,..:;sG.,.«..o.,.."5�+.:,.,W.w..r•_,:.+.sw,"J,F:.�'".>.._...,.,;rw...�srr.,..a<..............._-_..,o.:.,.�,.._-.,,..,.,i.�t�,.,:.�-ti«N,.r..�ia.4.v...:ru��w.l:ia,.,.w.........:::..ia�.sx.,:.=L,a._..Ly.:d,.v,.,.......;.x:.w.u:,-.:.;t,.:..:w�....?!r:...._._.. u / FISHERS ISLAND FERRY DISTRICT VENDOR 012315 SHELTERPOINT LIFE INS.CO. 08/01/2017 CHECK 4243 A FUND & ACCOUNT P.O.# INVOICE \ DESCRIPTION AMOUNT SM .9060.8.000.000 423'8170817 (24)LIFE INS PREM-8/17 67.20 \ ' TOTAL ~ 67.20 s:5$r: ::^ }: S$F°i: vEEe<- 3PZ$�-3 , .,, ..,.- .,....ev,.;^'EE..-"-va. .,,d✓.vrTv.^:,;v',^...s..✓r'-.v.-'+✓-:-... ..-:.. ..,.- I t ~i a o � I � f i r � I . � 0 Q • D O � F� 0 D� 0 � . q ",ya t , -FISHERS ISLAND^FERRYDISTRICTAUDIT'uo'a%o'117 ` 53095 MAIN ROAD,PO,BOX 1179 r^„ SOUTHOLD,NY 11971-0959' CHECK0. 4243' THE SUFFOLK CO.NATIONAL BANK J SATE- AMOUNT' CUTCHOGUE,.NY 11935 _s r_ 50-SasCzld` 08/01/2017 _ $67.20, ; SI%TY.SEVEN'.ATD'^ 20%100 DOLLARS ; PAY_ SHELTERPOINT'LIFE INS,..CO. TO THE 12 2 5 FRANKL-IN AVE_,SUITE 4 7 5 ORDER - GARDEN CITY:NY 11530 "Is ��'00L. 243Ila 1:0 2 14054CJ,II: 68 OO L 50 2 LI'' ', VendorNo. Town of Southold, New York - Payment Voucher 12315 Vendor Address it $y,,,, 600 Northern Blvd Suite 310 Great Neck, NY 11021 Audif,'Oke'{ ShelterPoint Life Insurance Company Vendor Telephone Number 800-366-4999 Tovarii a✓l'erk. Vendor Contact Invoice Invoice Invoice Net Purchase Order n•; ,r ,`iw.,' ,,4 Number Date Total Discount Amount Claimed Number Description of Goods or-Services Gerieral'i tiger Rind=atid;Ar' sunt Y3umlier ' 3817 617 ,::.a 7 7/6/2017 $67.20 $67.20 August 2017 Life,AD&D ins Premiums ` :f; : ° ;6M9b60.8.,d00:060 24 participants 14)�kTrg fern-E)] '� ,.4- •5'• .�° 1. f a.'jr $67.20 $67.20 s� Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named-claimant) I hereby certify that the materials above specified have been-recei sed by me does hereby certify that the foregoing claim is true and correct,thatno 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 Swat � v� Title Signature Company Name Fishers Island Ferry District Date 7/19/2017 Title Date��� Shelter Point Life Insurance Co Monthly Billing for 8/1/2017 MPBR0003 OperNo:2 Run:07/05/2017 02:16 PM Page.5 Premium: 23817 FINAL FISHERS ISLAND FERRY DISTRICT(Grp:23817/Loc:10) PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390-0607 Location Totals Total Due Volume Totals for Location Life. $240,000 Sup Life: AD&D: Sup AD&D: Salary: Sps Life Dep Life: STD. LTD: Misc Vol 1 Misc Vol 2. Misc Vol 3: Mise Vol 4. Misc Vol 5: Insureds Billed: 24 Balance Forward: $13720 New: 0 Payments: - $137.20 Termed: 0 Adjustments: + $0.00 Make Check Payable To: Shelter Point Life Insurance Co. Beginning Balance: $0.00 1225 Franklin Avenue,Ste.475 Garden City,NY 11530 Current Amount Due: + $6720 Current Adjustments: + $0.00 Total Amount Due. $6720 This is a premium invoice for the above mentioned policy. Please remit payment by the 25th of this month to avoid a lapse in coverage. It is very important that you remit your premium as shown on this billing statement. Any enrollment/roster changes should be reported to us under separate cover,and vall be credited accordingly on the next months' billing statement Delinquent payments and outstanding balances may result in the suspension of claim payments to your employees If you have any questions regarding this invoice or your insurance coverage,please call our customer service department at 1-800-365-4999 or email us at customerservice@shelterpomt cam. Please return this entire form with your payment in the envelope provided e."�, ' � t ( FISHERS ISLAND FERRY DISTRICT VENDOR 019269 DIANNA L. SHILLO 08/01/2017 CHECK 4244 A FUND & ACCOUNT \- P.O.# tINVOICE DESCRIPTION AMOUNT , SM .5712.4.000.000 063017 117 COMM MTG APR-JUN(5) 250.00 ' - 1 TOTAL 250.00 } - tB:T.;e. � p i FISHER$ISLAND FERRYDISTRICT AUDIT 0,8/01/i7, 53095 MAIN ROAD,PO BOX 7179 ti v SOUTHOLD,NY 11971-0959 - ; CHECK„NO'., 4244'. THE SUFFOLK CO:NATIONAL BANK DAT,E', AMOUNT, CUTCHOGUE,NY 11935 50-546/214 08/bl/2017 $ti 80.00 , 'TWO _HUNDRED-FIFTY AND' p6-/100 DOLLARS PAY- MANNA L. SHILLO _ TO TH9 Pb BOY .161 ORDER FISHERS ISLAND NY 06,390 OP ' ii'004 2L,L,no 1:0 2 1L,0 54641: 613 00 150 2 iii' Town of Southold, New York .Ay- eVoucher 19269 Vendor Address y•. P®Box 961 Fishers Island,NY 06390 ae: i DiiannaShiiioAUG .0 11,,"' . Vendor''elephone Number ;•,;,i`,,'.` T®wI�t Clerk Vendor Contact Invoice Invoice Invoke Net Purchase Order Number Date Total I Discount Amount Claimed Nurnber Description of Goods or Services `^:Genes*'e3 I edgei'Ftirtd:aiid'lrcount dumber ,� 6130/2017 $260.00 1 $260.00 Commission Meeting 'SUi6712.4.000.000' ! Apr-Jun 2017 5 $50 per meeting $260.00 i , $260.00 Payee Certification Department Cerfifieafion 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 ate— Title Signature Company Name"Fishers Island Ferry District Date 7119/2017 Title Bate ?,-- �� sla Asmalov From: Kasia Asmolov Sent: Wednesday,July 19, 2017 9:23 AM To: Kasia Asmolov Subject-, FW:commissioner stipend spreadsheet- spreadsheet updated Fromi Gordan Murphy Sanaa Thursday, ,duly 6, 2017 11:2 . AM Tape Diane Hansen ft Kasla Asmolov SOJe ® RE: commissioner stipend spr�.pdsheet- spreadsheet updated Rugg, Ahrens, Burnham, Peter Andrew Shillo, lei 6loethe, W H 4/3/2017 X x X 4 4/17/2017 x x 3 5//2/2017 x x X X 4 5/15/2017 X x x 4 5/22/2017 x x x 3 6/30/2017 x x x x x 6 6/12/2Q17 X x X x 4 6/20/2017 X x x X X 5 Total Meetings 6 7 6 6 8 32 1600 2017 $ 300 350 $ 250 '300 $ 400 $ 1,600 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 3, 2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 3, 2017 at 4:30 PM. j Commissioners Heather Burnham, Peter Rugg, and Dianna Shillo were present.Also in attendance were Geb Cook, RJ Burns and Deanna Ross. Commissioner William Bloethe was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District April 17,2017 Commissioner Rugg at the New London terminal conference room called a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")to order on April 17, 2017 at 3:41 PM. Commissioners William Bloethe, Heather Burnham,and Peter Rugg were present.Also in attendance were Gordon Murphy, Geb Cook, RJ Burns, Diane Hansen, Deanna Ross, and members of the public. Commissioners Ace Ahrens and Dianna Shillo were absent, Commissioner Rugg established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 2, 2017 Commissioner Ahrens at the Fishers Island Community Center called a meeting to order of the Board of Commissioners of the Fishers Island Ferry District("the Fer District")on May 2, 2017 at 4:30 PM. Commissioners William Bloethe, Heather Burnham and Di nna Shillo were present.Also in attendance were Gordon Murphy,Geb Cook, Deanna Ross and Jane Ahrens, RJ Burns and Diane Hansen were present via phone. Commissioner Rugg was absent, Commissioner Ahrens established that a quorum was present, Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 15,2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("the Ferry District")on May 15,2017 at 4:33 PM. Commissioners Williarn.Bloethe, Heathen Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook, Diane Hansen and Deanna Ross. RJ Burns and John Haney were present via phone.Commissioner'Dianna Shillo was absent. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 22,2017 Commissioner Ahrens at the Fishers Island Ferry District's Business Office on Fishers Island called to order a meeting of the Board of Commissioners of the Fishers Island Ferry District("Ferry District") on May 22nd, 2017 at 8:45 AM. Commissioners Heather Burnham and William Bloethe were in attendance.Also in attendance was Gordon Murphy. Commissioner Ahrens established that a quorum was present.Everyone in attendance pledged allegiance to the flag. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 12,2017 Commissioner Ahrens at the Fishers Island Community Center called to order a meeting of the Board of Commissioners of the F'hers Island Ferry District("the Ferry District")on June 12,2017 at 4:30 PM. Commissioners Dianna Shillo, Heather,Burnham and Peter Rugg were present.Also in attendance were Gordon Murphy,Geb Cook and Diane Hansen. RJ Burns attended by phone.Commissioner William Bloethe was absent.There was one member of the public present. Commissioner Ahrens established that a quorum was present. Everyone in attendance pledged allegiance to the flag. Correspondence/Public Comment—No correspondence was received.There was no public comment. Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District May 30, 207 Commissioner Ahrens at the Fishers island Community Center called a moeting of the $,oard of Commis,51onprs of the Fishers Island Ferry District("the Ferry District`{)to order on May,0, 2017 at 4:38 P N4. Commissioners William Bloethe, Heather Bvrnham, Peter Rugg and D.Shillo were present,Also in attendance were Gordon Murphy,Jeb Cook and Deanna Ross. RJ Burns,john Halney and Diane Hansen were present via phone. Commissioner Ahrens established that a quorum was present, Cveryone in attendance pledged allegiance to the flag, Correspondence/Public Comment—No correspondence ryas received.There Is no public cpmment, Minutes RESOLUTION 2017-090 Minutes of the Meeting of the Board of Commissioners Fishers Island Ferry District June 26,2017 Commissioner Ahrens at the Fishers island Community Center called arneetlng of the Dmrd of Commissioners of the Fishers Island Ferry District("the Ferry DlstrlcO�.')to order on June 26, 2017 at 4:30 P . j Commissioners Willigm Bloethe, Heather Burnham, Peter Rugg and D.Shillo were present,Also in attendance were Gordon Murphy,Jeb Cook, RJ Burns, Diane Hansen and Deanna Ross. One member of the public was present. Commissioner Ahrens established that a quorum was present. Even/one in attendance pledged allegiance to the flog, Correspondence/Public Comment—No correspond-,pce,was received.There is no public comment. Minutes RESOLUTION 2017-108 FISHERS ISLAND FERRY DISTRICT VENDOR 019282 SHIPMAN'S FIRE EQUIP ' 0. 08/01/2017 CHECK 4245, - A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 277445 RECHARGE OXYEGEN CYLINDR 24.30 TOTAL 24.30 4_� co Tl� /.9 rFISHERSISLAND-FERRY DISTRICT ._-.�.AUDIT,-:�08[01 17,"._� -MAIN ROAD,7PO BOX 1179- ,WUTHOLb,'�Y,, l 1971zO969 C H ECK 90 42 17 bt7 53095 THE SUFFOLK CO..NATIONAL'BANK' DATE. AMOU , NT .. CUTCHOGUE,NY 11935 - 08/01: '2 0 17, _24 '0 50 3. -54W214, TlwENTY"'Fbtjk .AND '30/10'0:DOLLARS PAY 8HIPMAN1,9' FIRE EQUI,P_ Ca., M7H-k,_ 3'72 ,CROSS ROAD" OPER -P BOX 257 OF WAT'ERFO'RD CT 06,385-_0257 K, F38 OOLS02 111' 00 2 L, Sul 1:0 2 1 0 S 4 P-Lo 1: �Vendor No. Town of Southold, New York- Payment Voucher 19282 Vendor Address Enterecd {,. P.O. Sox 257 Vendor Name Waterford,CT 06385-0257 Auda�'1�a#e'l Shi man's Fire Equipment Co.,Inc. J. UG :0 `1 '200 Vendor Telephone Number f; 800-776-7332 TowClerk . Vendor Contact - y; ' Invoice Invoice Invoice Net Purchase Order • ' •,a ' Number tate Total Discount !Amount Claimed Number Description of Goods or Services ("';'Geper'al L6dger Fund,and,Account;`lumber 277445 711012017 $24.30 1 $24.3.0 Recharge olcygen cyHnder F1 ;' SM57€19.2.006.200 $24.30 $24.30 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 satbstitution,the services properly been paid,ewept as therein stated,that the balance therein stated is actually performed and that the quantities themeof 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. Signateme QA��Tide Signature Company Name_Fishers Island Ferry District Date 7120/2037 Title Shipman's NNYORCIE Invoice No PG ° Fire Equipment Company, Inc. F277445 1 PO Box 257 Invoice Date 172 Cross Road Waterford. CT 06385 7/1o/zo17 Tel: 8604420678 Fax: 8604447395 email: info@shipmans.com www.shipmans.com CT DMV LICENSE#U8329 Bill To: Shin To: Fishers Island Ferry District Fishers Island Fire Department P.O. Box 607 Fishers Island, NY 06390 Ordered By: Us Fishers Island, NY 06390 Us PLEASE REMIT PAYMENT TO P.O. BOX 257, WATERFORD, CT06385 Customer ID Customer PO Payment Terms Order No F6040 Net 30 272711 Sales Rep ID Shipping Method Ship Date Due Date 7 John Fratus OUR TRUCK 07/10/2017 08/09/2017 1.00 0034 18.80 18.8 Recharge"D" Oxygen Cylinder 1.00 HAZMAT 5.50 5.5 Hazardous Material Compliance Charge. Comments: Sub Total 24.30 Miscellaneous amount: 0.00 Freight: 0.00 x Sales tax: 0.00 Total Invoice Amt 24.30 Payment Amount 0.00 Thank you for your order Balance.I�ue. 24.30 We sincerely appreciate your business Customer Copv FISHERS ISLAND FERRY DISTRICT '+ VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 08/01/2017 CHECK 4246 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5711.4.000.000 334386097.6 MARKERS,BATTERIES,WATER 35.68 SM .5711.4.000.000 3344754882 5-BROCHURE & 1-TIER HLDR 22.41 SM :15711.4.000.000 3344754916 3-BROTHER LC75C CYAN INK 28.29 SM .5711.4.000.000 3344754926 2-YELLOW,2-MAGNETA INKS 37.72 ;. TOTAL 124.10 • °N •mow,. M . i uetiy F 7i - ) Ir'•� I - { - ' =__-FISHERS'ISLAND'FERRY DISTRI_CT z= AUDIT ,,0-8' -01 53095 MAIN ROAD,PO BOX 1179' SOUTHOLD,NY 11971-0959 - - . CHECK ANO-. 12 THE SUFFOLK CO.NATIONAL BANK' ' DATE AMOUNT., CUTCHOGUE,NY 1'1935 50.54612141`= = 08/01/,2017;`" ONE HUNDRED- TWENTY_FOUR AND, 10/16,'0 DOLLARS i STAPLES •CONTRACT, & COMMERCIALI r PAY,, ' TO THE_ DEPT.�NY ORDER- PO ;BOX 41525'6 OF BOSTON MA -02241'-5256 - - 118004 24611' 1:0 2 140 5464 : 68 00 150 2 111- � , 1 ti VendorNo. Che-1k No. Town of Southold, Neu, York® Paymenffouche 19711 14 Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY PO Box 495256 Audit Date STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 AUG 0 1 2011 Vendor Telephone Number 888-753-4107 Town Clerk Vendor Contact Invoice Invoice Invoice Net rehar.Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number; 334 860976." 6/2412017 $35.68 $35.68 Markers(lbx)%Nater24/cs(2)13attery4 pk 1) SM5711.4.000.000 3344754926 719/2017 $37.721 $37.72 Ink a o�nr(2) 1 Sac esata(2 i LT SM5711.4.000.000 33447649/6 71'1120'17 $28.29 1 $28.29 1n-k Gy3)NLT SM5711.4.000.000 3344754882 7/1120/7 $22.41'� $22.41 Brochure Holder(5)4 tier holder�l) S..M5711.4.000.000 $124.9 0 $124.10 Payee Certification Department Ce kation The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certil}that the materials above specified'have been r ceived by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without subst:bstion,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have bean venfied with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and,payment is approved - ,5, Title Signature 06 Company Name Fishers Island Ferry District Date 7/1-912017 Title Date �� STAPPIES Business Advantage 6/24/17 NYC 1032952 8045110141 'TOW, 7/24/17 Net 30 Days 35.68 r1wo"TCE D.ETA4jL staples Business Advantage Federal ID #:04-3390816 Bill to ACCount: IQ17907 Ship to Account: FIFERRY FISHERS ISLAM FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN,. ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRMOULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS XSLAND, NY 06390-0607 <334jB�60976�? Budget ctr 1010 Invoice Number 00_ Budget Ctr Desc: order 001 P 0 Number F1 TERMINA4 ordered By GORDON MURPHY P 0 Desc order Date 6/19/17 ROease Release Desc Order order 0/0 unit ship Unit Extended Line Item Number Description Qty Qty Meas t Price Price 1 036619 MARKER 15001 PERMANENT BLACK 1 0 DZ 1 9.36 9.36 2 571863 NESTLE PURE LIFE .5L 24/CT DEP 2 0 CT 2 5.88 11.76 3 503573 COPPERTOP 9 VOLT BATTERY 1 0 PK 1 14.56 14.56 Freight: .00 Tax:( OOQO .00 Sub-Total: 35.co Total: 35.6'08 VIA_ q\AT Customer service inquiries 0 877-826-7755 Invoice Payment xn3ujrigs 8EIS-755-4107 page: I Make checks pMabl_e to Staples Contract & Commercial, Rept NY Po Box 525 , Poston MA 02241-5256 Gordon Murphy From: Staples Business Advantage <orders@staplesadvantage.com> Sent: Monday,June 19, 2017 4:07 PM To: Gordon Murphy Subject: Your Staples Business Advantage Order#7178382601 order status i Hello Gordon Murphy, STAPLESWe have received your order and are preparing your items for ; Business Advantage fulfillment. ORDER NUMBER: 7178382601 Account: 1032952 1 Order Date: 06/19/2017 Order Time: 4:07 PM ET SHIP TO ACCOUNTING INFORMATION PAYMENT INFORMATION t FIFERRY PO#: Subtotal: $35.68 261 TRUMBULL DR FI TERMINAL Shipping: Free FISHERS ISLAND, NY 06390 Budget Center: Tax: $0.00 i 1010 Order Total: $35.68 • f " t ° SHIPPING SOON Expected Delivery: Tuesday, June 20, 2017 Item Price Qty Subtotal - Sharpie@ King Size TM Chisel Tip Permanent $9.36 1 $9.36 r y. ; Markers, Black, Dozen a— Item#: 36619 1 Customer Item#: 036619 C ON CONTRACT s� Nestle@ Pure Life@ Purified Water, 16.9-ounce $5.88 2 $11.76 .�. b ! Plastic Bottle, 24/Case ' Item#: 571863 1 Customer Item#: 571863 SS , ON CONTRACT t/ Duracell@ CopperTopTM 9 Volt Batteries,4/Pk $14.56 1 $14.56 *was Item#: 503573 1 Customer Item#: 503573 F • :� ON CONTRACT i 1 STAPLES Business Advantage 7/01/17 NYC 1032952 8045222724 7/31/17 Net 30 Days 88.42 liffOICE DETAIL staples susiness Advantage Federal ID #:04-3390816 Bill to Account; 1017907 Ship to Account; FIFERRY FISHERS ISLAND PERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: ORDERS FIFERRY PO BOAC 507 261 TRUMBULL DR #FC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 invoice Number: 3344754926 Budget Ctr pest: order 7178920852-000-001 P 0 Number 0628201702 ordered By ORDERS FIFERRY P 0 Desc order Date 6/28/17 Release Release Desc order order s/o unit ship Unit Extended Line Item Number Description Qty Qty meas Qty Price Price 1 889124 BROTHER LC75Y HY YELLO%,J INK 2 0 EA 2 9.43 18.86 2 889127 BROTHER LC75M HY MAGENTA INK 2 0 EA 2 9.43 18.86 [Freight: .00 Tax:( .0000 %) .00 sqb-Total: 37.72 Total: 37.72 Service inquiries 0 877-8?6-7755 Invoice Paympnt Inquiries 888-753-4107 Page; I Make checks atable to Staples Contract & commercial, Dept NY PO DoX 41S256, Boston MA 02241-5256 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please dial (877)285-8852. CUSTOMM NO. aSET1>*-DA K'iPMER NO, 0001032952 6/28/17 7178920852-000001 ZLyIM99 b£tD3JR 0628201702 OVIST CANTER EEQUI S ITIONER MAKE More HAPPEN 1 Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROIITE:SP1/FDX /F3 FISHERS ISLAND FERRY DISTRICT ORDERS FIFERRY FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 iT Contact: (860) 442-0165 - ORDERS FIFERRY T FISHERS ISLAND, NY 063900607 EI ip PAGE: 1 SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM •CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. EMS 1 889124 BROTHER LC75Y HY YELLOW INK /LC75YS EA 2 2 0 ENGINEERING 2 889127 BROTHER LC75M HY MAGENTA INK /LC75MS EA 2 2 0 'i ENGINEERING Check your order status online by News selecting My Order Status from the &,Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. STARES Business Advantage 7/01/17 NYC 1032952 8045222724 h- A� 7777MWWOWT' 7/31/17 Net 30 Days 88.42 1AW0,-TCED,ETjvL Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: ORDERS FIFERRY PO HOZ 6Q7 261 TRUTMULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06399-0607 Budget Ctr : 1010 invoice Number; 3344754916 Budget Ctr Desc: order 7178913736-000-001 P 0 Number 06282017 ordered By ORDERS FIFERRY P 0 Desc order Date 6/28/X7 Release Release Desc F order order B/D Unit Ship Unit Extended Line(in e iteM Number Description ' qty Q Meas "t Price Price 1 889130 BROTHER LC75C HY CYAN INK 3 0 EA 3 9.43 28,29 Freight: .00 Tax:( .0000 .00 Sub-Total: 28.29 Total: 28:29 ServiceCustomer inquiries # 877-826-7755 invoice Payment Inquiries 888-753-4107 slake checks fable to Staples contract & commercial, Det NY PO Box 5256, BostonMA02241-5256 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please dial (877)285-8852. LIQ. 'SHIP p{}m 01MR No 0001032952 6/28/17 7178913736-000001 M1=48 ORDER NO, RELVA92 90. VMS 06282017 MAKE T Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:SP1/FDX /F3 FISHERS ISLAND FERRY DISTRICT t ORDERS FIFERRY FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR V PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 Contact: (860) 442-0165 - ORDERS FIFERRY FISHERS ISLAND, NY 063900607 PAGE: 1 SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. S3'k XOPM Ty 9TH ae P# 9yMOk moaunwN i NMS o ExEn SNrp:R:%E[ Edo qty*' 1 889130 BROTHER LC75C HY CYAN INK /LC75CS EA 3 3 0 ENGINEERING ell f i Check your order status online by News selecting My Order Status from the &Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. PIES Business Advantage 7/01/17 NYC 1032952 8045222724 7/31/17 Net 30 Days 88.42 1AW010E RETAIL Staples Business Advantage Federal 10 #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFERRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN; ORDERS FIFERRY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr ; 1010 Invoice Number: 3344754882 Budget Ctr Desc: order 7178829342-000-001 P 0 Number 06272017 ordered By ORDERS FIFERRY P 0 Desc order Date 6/27/17 Release Release Desc Order order B/O Unit Ship unit Extended Line item Plumber Description Qty Qty Meas Qty Price Price 1 474445 BROCHURE LITERATURE HOLDER 5 0 EA 5 3.24 16.20 2 665661 I0X47/8 MULTI PKT RIGID HOLDER 1 0 EA 1 6.21 6.21 .00 Tax:( .0000 %) .00 sub-Total: 22.41 Total: 77:41 Customer service in4liries 877-826-7755 Invoice PyayT.ent In2uirjes 888-7S3-4107 Make checks )ayable 1) Staples I Contract & commercie Dept NY Box 15256, Boston MA 02241-5256 Page: To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL IN UIRIES please dial (877)285-8852. CUSTOM= NO. 'SHIP -DA 01W.SR go- 0001032952 6/27117 7178829342-000001 '•:, 06272017 , ;M0,PKEmorep,PPEN" COST CeNTER REQUISITIONER Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:SP1/FDX /F3 FISHERS' ISLAND FERRY DISTRICT ORDERS FIFERRY FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR L PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 Contact: (860) 442-0165 - ORDERS FIFERRY FISHERS ISLAND, NY 063900607 PAGE: 1 SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. U'L3�.t�j�'PB3J2� � X1EtE ORFJERRP ,SFT�BPE'F� � . 1 474445 BROCHURE LITERATURE HOLDER /25329 EA 5 5 0 2 665661 1OX47/8 MULTI PKT RIGID HOLDER/16653-CC EA 1 1 0 r ,' ft'J M Check your order status online by News selecting My Order Status from the & Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. FISHERS ISLAND FERRY DISTRICT VENDOR 019621 STEWART & STEVENSON PWR PROD. 08/01/2017 CHECK 4247 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000,.1100 2477365 ENGN KIT,CYLNDR,SEALS—MU,-14,764.061 SM_5710.2.000.200 11 2478065 HOSE KIT,CCV ADAPTER—RP 2/29.98 TOTAL 4,994.04 cl) x r. .ez" Q D HISUNb �TERRY DIS IRICT IT ,0801 17- FST / -53095 MAIN ROAD,PO BOk 1179 S UTHOLD NY,11 971 CHECK;'NO.` 424 jtY THCSUFFbLK'CO..NAI rIONAL BAN MOUNT.'—, CUTCHO-GUE,NY 14935 -`-'DATE- �A $ __y 4' -9§4'- 64•- 501546/214, "{tH6USAND'N,If4E-,HI*f).REIj,'-NINETY 'FOTjR ANT,'; 4 PROD.ROD Box 07644 bF L104 119004 24 ?v 0 2 140 546411: 68 00LS02 Lill Vendor No. ek7o Town of Southold, New Yard - Payment Voucher 19621 , , Y Vendor Address tnfeiied by DBA Atlanrtic Detroit Diesel Allison P® Box-950 Vendor Name Lodi, NJ 07644 Ai1idi't.Date Stewart&Stevenson Power Products LLC y-}f J ="`.S�U� •�, � ZO17 ADDA Division Vendor Telephone Number �ovi1 Clerk, 201.4892800 f Vendor Contact y1 Invoice Invoice Invoice Net lurchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services ";,,Qenerdl Ucdger:Fund and,Acoount Number• , 2477365 612912017 $4,764.061 $4,764.06 Munn Eng kit(1)cylinder(12) 571.0.2:000.100 seal(2) Steal set(12)Solenoid(1) 4 2476065 71612017 $ 229.96 $ 229.96 ISP dose kit(1)'CCV adapter(1) 1-tf '''vl•r-F` 'ffst - a $4',994.04 $4,994.04 h ; .Payee Certification Department Certification The undersi,-ned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby'eertify that the foregoing claim is.true and.oriect,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 Fern,District Date 7/20/2017 Title Date ?/ n�E�,rnsan Stewart&Stevenson ATLANTIC DETROIT DIESEL-ALLISON CUSTOMER NO. INVOICENO. Power Products LLC ATLANTIC POWER SYSTEMS Please make all checks payable and remit to: STEWART&STEVENSON POWER PRODUCTS LLC Invoice P.O.Box 950•Lodi,New Jersey 07644 Phone: (201)489-5800 BILLED TO SHIPPED TO f `;4"1! ,.P,c .1:f;4..i'it'llj I"I::I.,Iv,( 1):!:{;'t'!i::4'I:::'T' I: .I:.: {-{4:1., :I t:}{_.f'-'tfi� � ! '! :9�:1 n6: ,..:•I i'I�:1.hf l:i.11..1•, r�i :9:V.:, ►�.►r's'�'C::1�a''Iei:71�!i" !'ti114,9:: F't3 r,=':1:; '/ ��I4::.►�i I...+:19�I-i{i-191 r: 'i' c1 {3 F*.'I.t:::l'1! :R.,-a :1::::i1...rli'Il?,. i l i 6:-.'-90 DATE-INVOICED DATE SHIPPED PURCHASE ORDER,NO' BILL'&LADINO°NO, REFERENCE'NO, Li... .:a:1.: SERIAL NO.` MODEL NO., CUSTOMER(D NO°- - FREIGHT VIA TERMS " I-tj1:::1'4 I`II::.i I)1.11::. •."0 �tr 1`f<3 •lel i■.QIT,iI� DESCRIPTION EXTENSION ORDERED ORD� SHIPPED 6f : .•t f::f.:' {;S ')f.:;l::' :°(° ::..!•,:l.f.:..1: :9. 9�:::!: i' FINK.-.i i'i/9••i '1. 'I. •:...r�.�,. ::+: ;•.. .•..�„.:° >} t;;:i.1 `?9,.,-,6,3 t:•'i1.. 1`:'1.'I' :!.2 :I.L: :?f4?:%'..i?:�` :'t:)8'.,4 8w 0f^'J:i ,+.t{,1.:1: :... ::a••1l:J_.I_ f::+4:' { r:i (C:' J.2 12 I*;..tz 01 F I i"I4' '.11-301-FT,1 f.tc_iR iv j f Y F 53'1*1* !ai LJ4),A'17 1...tiH1-.0 -.'1i).iA.,C.f*j Ni ° ' ' ' . 1)1 i3' :', �41 ' . =I:111: 'i11 ' i :P!{:;i' f`i:)A :9: ! ILl, � : ) (.(:1i SI I:!:9"`4''.1: 00 ` 1111 fii..« .476,4..ter:) 1 1 FORM NO 005 WE HEREBY CERTIFY THAT THESE GOODSWERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REO UIREMENTS OF SECTIONS 5, 7 AND 12 OFTHE FAIR LABOR STANDARDS ACT AS AMENDED AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF SEE TERMS AND CONDITIONS OF REVERSE SIDE GENERAL TERMS AND CONDITIONS 1. DEFINITIONS As used in these General Terms and Conditions, the term "Goods" shall mean the products, parts and accessories (including fluids)offered for sale by Seller. The term"Services"shall mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller. "Seller" shall mean Stewart&Stevenson Power Products LLC (also d/b/a Atlantic Detroit Diesel-Allison and Atlantic Power Systems)and"Buyer"shall mean the customer(person or entity)to whom Goods or Services is sold or offered. 2. ACCEPTANCE. Upon acceptance by Seller,Buyer's request for quotation and/or purchase order for Goods or Services is expressly conditioned upon Buyer's agreement to the following terms and conditions and no other terms unless authorized or otherwise supplemented in'writing by Seller. All offers by Seller expire 30 days from the date of issue unless terminated earlier by Seller befoi a acceptance or extended by Seller in writing. 3. PRICES AND PAYMENT. All prices are in U.S. Dollars. Seller reserves the right to adjust prices if changes are made in specifications,delivery or scope of work for Goods or Services. Unless otherwise agreed in writing,any Buyer with pre-approved credit terms shall pay the purchase price for Goods or Services within thirty(30)days of the date of invoice. Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit department. Seller reserves the right to change credit tennis 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 all acceptable tax exemption certificate. 4. FACTORY AUTHORIZED WARRANTY REPAIRS. Whenever Seller provides at a Buver's request factoy authorized repair services or replacement parts to Goods covered by a manufacturers limited warranty, the manufacturer's warranty applies first over the linuted warranty of Seller in paragraph 6 and the responsibiliti,for the repair and/or replacement cost shall be apportioned between the Buyer and the manufacturer according to the terms and conditiotis of'the applicable manufacturer's warranty. Unless otherwise ygreed by Seller. the Buyer,shall be liable 1 the cost of=airs or replacements made on all Goods to the extent that fire manufiiclurer•does not pai,for said repairs and/or replacements under its warranty. 5. LIMITED WARRANTY OF MANUFACTURERS. When Seller sells directly to the Buyer Goods covered by a manufacturer's lanited ivarranty, the terms and conditions of the manufacturer's limited warranty only shall apply A ropy of the manufacturer's warranty shall be provided upon request. G. 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 Buyer: a For ncgv, r•einarntfac'tured or used parts and components supplied in connection with Services, the manufacturer's limited warranty on such parts and components shall apply. b Seller warrants that its Services shall be perforirted in a good, workmanlike manner and shall be free fi•otn defects in materials or workmanshipfor 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 hj;Seller that are used in any repair or replacement shall be,free front defects in materials or workmanship for a period of ISD days from the date such work is completed. d. Substandard or incomplete repairs made at the Buyer's request and/or pat-is furnished by Buyer and installed fv Seller at the Buyer's request are not warranted by Sellcr 7. CONDITIONS OF LIMITED WARRANTY. In the event the limited warranty of Seller in paragraph 6 above applies,Seller will fulflil its limited warranty obligations by correcting any malftanction during the warranty period under the following conditions: a. If anv repairs or replacement parts provided fail to conform to the Limited Warranty of Seller, Seller will, at a location of Seller's choice and during nnrtraal Woking hours, replace any de,,fective parts or correct any deficiencies in workmanship free of charge to the Buyer if such defects in parts or deficiencies in workmanship are verified in writing by any authorized Seller employee. Such replacement of parts or correction of deficiencies to workmanship will be commenced as soon as manpower and necessmy parts and equipment are reasonably available to Seller b. When, at the Buyer's request repair work is performed outside of S'eller's normal business hours, or is pef formed of weekends or holidays, the Buver shall be responsible fol•the difference beAveen regular time labor rates and the applicable overtime or prince time laborrates Unless the original repair services here perlormed in the field, tfwarranty repair Services are performed outside of Seller's finalities, the Buyer shall'be responsible for the cost gftravel time,mileage and other travel expenses. Any transportation cost to pada tap andlor deliver tools and machinery to Buyer's job site in order to perforin warrantable repairs will be charged to the Buyer at prevailing rates, unless the original repairs_inCluded pick tip and delivery by Seller. 8. WARRANTY DISCLAIMER. THE i•YARRANTIES PROVIDED HEREIN ARE THE ONLY WARRANTIES APPLICABLE TO THE PRODUCTS,PARTS AND/OR SERVICES PROVIDED BY SELLER. SELLER MAKES NO OTHER WARRANTIES,EXPRESS,L11PLIED OR STATUTORY AND SPECIFICALLY DISCLAIMS ANY IMPLIED WJRRAN'I'IES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Sonne states do not allow the limitation of how long certain warranties may last or limitations or exclusions of certain damages,so some limitations map not be applicable. The limited warranties give Buyers specific legal rights which may wary front state to state. 9. NEGLIGENCE DISCLAIMER.,Buyer's understands and agrees that Seller and Seller's officers,agents.representatives and employees Shall not be liable for injury to property,whether based on negligence,strict liability,or any other theory of torr liability, for any action or failure to act in respect to the repair,replacement of parts or workmanship involved as to any Services. 10. DISCLATNIER OF INCIDENTAL OR CONSEQUENTIAL LIABILITY. The limited warranty of Seller and other manufacturers' limited warranties described herein do not cover any incidental or consequential damages or other economic losses of any kind whatsoever, including without limitation, communication expenses, meals, lodging, loss of use of equipment, loss of time, dountiine, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty. 11. LIMI'T'ATION 014 LIABILITY. In any and all events, the limitation of liability of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handling of any Goods,equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12. OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment. If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the laws of the state where the Goods or Services are provided. Invoices not paid when due are subject to a finance charge of 4.5% per month(1$%per annum). Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge In the event Seller retains an attorney in connection with the collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. CUSTOMER COPY ATLANTIC DE=TROIT DIESEL-ALLISON san Stewart & Stevenson st��p �yrn Power Products LLC ATLANTIC POWER SYSTEMS � L 6/29/1.7 All..Al\)'T':I:C: X??f?A RIEF-10:N•T" '300 11:1)HlT 1-1 CITREIET D1 .1"'T ;iPARTS MTDDl...0 T(.)1.4N CT 06457 D0(.`.t.1M1::.NT#s; F-18 '6 ',':a.1.5 01*5 ?:I.0 8 60?c:r::;2....02:1.8 (NIDI.. •T'Yl '1 :;. G T•(:)(:'3:: TSI AND F1'..:Rl: Y ?v?l,'3'T*F :l:(,'T' S'l-I:E F' 'T(];;F-T l:il'iER :U-331 AND f i:::f'RY �t 26:1. 'Tl:iUM.13t.)1...1... T:?I:' TVl::' :i 1"' 11::1:: at 1::' 1 C: K: 'T' :I' (:: V: 1::: 'T' �< I:'CT 130X 607 Nl:::I)J LONDON,,, (:`,'T 06,-.'-;2 0 F'1131-1 :I:,:rJ...ANif?., NY 06590 I._:1:J�TT-E:D C:fI:::T3:C'T' F'Oft^0617:1.7 (::/[:: (::I I[:i .... DATE1 ROUT]:NG!,DE::I...T VI:::fi �'- F'T I...I...E:D�y3Y;, 1:31L-. 6RF'D _ COL.. 1=°t.9_ _ I�N'T'I:::f+:f:D ICY:; ytata!atxat f'1. ;" :i.N/C,`CTC? 0....F'F-TiwiARY C',t1,3T(liYt1 :Fti CONTACT:, J-(:TI"IN E'I J("'NI:C {6::.:L ? 788 •i'46 : FIC C'T'i":J�i i 8:�:(:Tt.l1::' EV 11 (:J'TY C'I'TY JT'Y UIN T' E X•TI:::NI}I:I? Nt.1d 131HR I?E::;a(:IWI 1��'T T.ON L..r]C` 01:11j) ;31•'I! B/0 PRI CIHK 1::,I:Z a:C:I::' :1.4 ?',•:51 h}t~'+31. is"T' EI (li 0,''1-•1 T6' l . :1. :L 255..; i25 5., Y :14 { '11.49�6-, 'C:YI_. (z) 1.2 ;•507.07 :;604..84 :1.4 00927148 ;:iEE-Al... 1.A 2 2 X t"'..5 f 59.; :1.4 1.4 {? :I. ti�:'"a x:31 it: I...1... ::31:::'T' w:3'T'li? :J.IN :1.2 12DC 'M?:❖;..lir? 307..n'{? :1. 2,.!.-,;04:1.97 •Cll...l•::N(_1 D 414. :I. :! :1.73' . 02 :1.73.02 ANY (:10RE. NOT 1.-dE'Tt. RNFA) WE TI•1:i:4 60 DAYS (1131.1... BE: TO A 1•'ANI?L::1\10 t:l--lA 't(:if NO 1:ETUl:ZN,:3 til: 'T'E::I:: 180 DAYS V.G,:3.l j- OUR WI:B,:3:l T WWW u AT LAN'T 1.CDDA..C:(Dl "i ,»�, �. ° '7 ` Gl t•.ai O.+LI"Ii f R@ll' ..` f aiatatytatatxatatxtua!atataiatatatytatat7tat ,ak3T='T(:T'T'c�l...;o 4479.5? TAX,-: 204.,47 "9 .,.>.., '" 7 :~ }t}tatakai 3t)F)tat 7tatatatat)t)tat3tat 3@at at 7i Ate: y �' ,? 22 a ..{` f%k:S 7ch.,:.�,•.L.., � aB=f���'T:i':f.t�t��. ...{}::...r:>..•..�:. �Y �{? 3:VET Z:tY;; �,/�tIGf� �<� T'C3'T'caL.. C�I-if;rz(A.: 4764.,06 GENERAL TERMS AND CONDITIONS el, 1. DEFINITIONS.As used in'these General"Ietms and Conditions,die teuhi"Goods"shall mean the products,parts anis accessories(including fluids)offeree{for sale by Seller.Ibc,terrn"Service's"'shall mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller."Seller"shall mean Stewart&Stevenson Power Products,LLC(also d/b/a Atlantic Pow er.Systems)"and "Buyer"shall mean the customer(person or entity) to whom Goods or Set vices is sold or offered. 2. ACCEPTANCE.'Upon acceptance by Seller,Buyers requesrfoi quoration,end/or'ptirchase order-for Gobds or Services is expressly conditioned upon Buyers agreement to the follo-,+ring terms and conditions and no other terms unless,autboti7eci or otlicrvise supplemented in tiiriting by Seller,All offers by Sellci expire 30 clays from the ciate of issue unless terminated earlier by Seller before acceptatice'oi extended by Seller in�N'friting, •' •P ;,. 3. PRICES AND PAYMENT.All prices are in U.S Dollars.Seller reseives the right to adjust prices dchanges are made in specifications,;deltvc,ry cr.scope pf,rvork Pot Goods or.Seiyices.Unless&6twiscl-.igt•eed., in writing,any Buyer with pre-approved credit nuns shall pay the purchase price for Goods of Services within thirty(30)days of the date of invoice.Credit terms are provided only to Buyers'wbose credit is approved in advance by Seller's credit depaitrnent.Sellei reseives the right to change credit teinis and to Iegtrire payment in cash or other lomat ai.'itttrn ciiirte,paymecti,`aec peable to Seller. Buyer will be ' unvoiced for the applicalzle sales tax or other taxes due,in'connection with Bu'yer's purchase'of Goods'acid-Services unless Buyer provides an acceptable tax exemption certificate. 4 FACTORYAUTHORIZED WARRANTYREPAIRS. Whenever,Seller provides at a Buyer's;equest factor}'atathorized repair services or replacement parts to Goods covered by a inanrifacturers warranty,the inanufacturer's warranty applies first over the limited warranty of Seller in paragraph 6and the responsibility for the repair and/or mpkicerzent cost shall be apportioned het-ween the Brayer and the manufrtcttger according to the tea ins and conditions of'the applicable rnunu factrzrer's 1Y%arrant}J finless nthc noise agreed by Sells; the Buffer shall be daub/e fir the costo f r cpyz_s nr_r lrzeguents made on all Gogt-b to_the_e ant that the inamzfacturer does not-pay-Cor said rWairs and/or replacements under its wa a rtrr . S. LIMITED WARRANTY OFMANUFACTURERS. When Seller sell directly to the Buyer Goo&covered by a innmtfiacturer's warranty, the terms and conditions of the manufacturer;limited wa7•ranty oiily shall apply,A copy ref the manufacturer's zvarrauti,shall he provided upon request. 6. LIMITED WARRANTY OF SELLER. When Seller provides at a Buyer's request any Services or replaremenr parts to any Goods, the following limited wartuaiizes apply to the Brayer: a. For new, reinanti ctuted or used par is and components suppled in connection with Ser vices, the manufacturer's limited warranty on such part,aazal components shall apply b. Seller warrants that its Services shall be performed in a good, workinanhke manner and shall be free fcorn def its in materials or workmanship for a pet iod of 180 drays froin the date such work is completed or such material is provided. C. Seller warrants that any exchange components or assemblies rebuilt by Selly, that are used in any repair or replacement scall be free fa om defects in materials or workmanship for a period of 180 drays from the date such work is completed d Substandard or incomplete repairs made at the Buyer's request and/or parts f arnisbed by Buyer and installed by Seller at the Buyer's request are not warranted by Seller. 7. C0IVDIT10A7'S OF LIMITED WARIb4NTT:hr the event the limited warranty of Seller in paragraph 6 above appIzes,5'etller willfulfill alfill its limited warranty obligations by correcting any ma nctroaz during the rzjar•ranty period under the follorvirr;conditwizs: a. If any repairs or replaee7irent pal-ts piot,i,,hd fail to conform io the Limited IC,au rant)'of'Seller,Seller will,at location of Selle'r's choice,and during normal working holm, replace ally defective par is or•correct any r eficiencie,in workmanship f ee of charge to the Buyer if such defects in parts or deficiencies in workmanship are verified in writing by ary authorized Seller employee.Stich replacement ofparts or correction of deficiencies in workinan,hip will be commenced as woa as manpower and;zecessa;y parts and equipment are reasonably available to Seller A Iyaben, at the Buyers request repair work is performed outside of Seller's normal business hours,or s performed on weekends or holidays, rhe Btfyer sh.all be responsible frir the dif rence between argubu time labor antes and the applicable overume or prime time labor rates. Unless the original repair services were perlbnned in the field,if ivarranty reyarn.,ervices are pei formed outside o f Seller's facilities,the Buyer hall be responsible for the cost of travel time mileage and other travel expenses.Any tramportation cost io pick up andlor delis-err tools and machinery to Bri},er slob site in order•to perforiii warrantable repairs will be charged to the Buyer at prevailing relates, uninu the original repairs ntchided picle tap and delivery by Seller 8. WARRANTYDISCLAIMER, THE WARRANTIES PROVIDED HEREINARE THE ONLY WARRAN77FSAPPLICABLE TO THE PRODUCTS,PARTSAND/OR SI RVICES PROVIDED BY SELLER.SELLER IIIAKES NO OTHER WARRANTIES,EXPRESS,IMPLIED OR STATUTORYAND SPE CITICATLYDISCI AIMS ANY IMPLIED WARRANTIES OFMERCI-TANTABILITY OR FITNESS FORA PARTICULAR PURPOSE.Some states do not allow the liimiation of how long certain warranties niay last or limitations or exclusions of certain damages,so some limitations way not be applicable 77ie limited warraizttes give Brayer s specific rights which may vary from state to state. ). NEGLIGENCE DISCLAIMER.Buyer understands and agrees that Seller and Seller's officers,agents,representatives,and employees shall not be liable for injury to property,whether based on negligence, strict liability,or any other theory of tort liability,for any action or fAute to act in respect to the repair,replacement of parts or workmanship invoked as to any Services. 10. DISCLAIMER OF INCIDENTAL,OR CONSEQUENTIAL LIABILITY'ihe 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 iesulting from a defect covered by the applicable warraihty. 11. LIMITATION OF LIABILITY In any and all events,the limitation of liability of Seller or its agents and employees for any and all losses,injuries or damages resulting from the use or lian(Iiiiig of any Goods, equipment,pacts 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 of Services when due in accordance with the agreed terms of payment.If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the lades of the state where the Goods or Services are provided.Invoices not paid when due are subject to a finance clharge of 1.5%per month(18%per armum).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 collect on of any amounts due front Buyer to Seller,Buyenagrees to pay Seller's reasonable attorneys fes and expenses and all Bout r costs. y' nsan Stewart&Stevenson ATLANTIC DETROIT DIESEL-ALLISON CUSTOMER • -INVOICE • grtWAfllEST Power Products LLC 2 00 ;:•:a ATLANTIC POWER SYSTEMS ff® 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 i I.]]� _; BILLED TO SHIPPED TO I :f `::if-df:::f:;,'=; '{:,: i..rlt??11 I {:f,{;;1' D*I' a't'1*K:1:(:::'ii'teff, FT.. f :'•f 261 i'!'.i.il�tl:ba.s►...{... 1'I;.i. :s_ lair: 11:'.'r+:{ 'I,i.; ('1 f`I..il: l.. I :l:`:,l`II:,:'R,3 :1::::11...f*,M,, k!-( 06,590 0 „DATE INVOICED DATE SHIPPED PURCHASE ORDER NO BILL OF LADING NO. REFERENCE 140.•" SERUtI NO, I• MODEL N0 --" -� CUSTOMER 10.NO, FREIGHT VIA TERMS - DESCRIPTION- EXTENSION' t.F„l•• „,'}n 1�l1•:. i t}i..lP::. ::,,, t,F� f;� •'D •'� 1'.a.:•. •..1•..x.1..1.'-. (::e.,f (:,�1L.,(.. ),..L, .... 16.7 A 7.F) r. ...,.... ?1 it il.. ,i..... t {.. .....,, i-•(.11•. MOFI::, :l:i,{•:.: r•'1i:(]t.l'1” (:'R..rt l�'{i:t i1::k.:.. ('•.:;:,l 'I�yl=:'�':: iii! :�{::.1.1�v LCI:— i 1...i10':"l: f'1..1.:f1`.:i{::: l�f:::Yi'I: I ]'(.l t :::;'Y'1:::ia,i'iit:l ::r'!'1:::'J1:::`1',••. f')i� l ]i,4il::.l, F- {:'i'e-., z r ' 1:31'1.1-FIF,.f i`r 7..! 1 FORM NO 005 WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REG UIREMENTS OF SECTIONS 5, 7 AND 11 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 TkRNIS AND CONDITIONS OF RFVERSE SIDE GENERAL TERMS AND CONDITIONS 1 DEFINITIONS. As used in these General Terms and Conditions, the term "Goods" shall mean the products, parts and accessories (includizag- fluids)offered for sale by Seller. The term"Services"shalt mean the labor for diagnosis,repair and maintenance to vehicles and other equipment provided by Seller. "Seller" shall mean Stewart& Stevenson Power Products LLC (also d/b/a Atlantic Detroit Diesel-Allison and Atlantic Power Systems)and"Buyer"shall mean the customer(person or entity)to whom Goods or Services is sold or offered. 1 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 Seilet before acceptance or extended by Seller in writing. 3. PRICES AND PAYMENT. All prices are in U.S.Dollars. Seller reserves the right to adjust prices if changes are made in specifications,delivery or scope of work for Goods or Services. Unless otherwise agreed in writing,any Buyer with pre-approved credit terms shall pay the purchase price for Goods or Services within thirty(30)days of the date of invoice. Credit terms are provided only to Buyers whose credit is approved in advance by Seller's credit department. Seller reserves the right to change credit terms and to require payment in cash or other form of immediate payment acceptable to Seller. Buyer will be invoiced for the applicable sales tax or other taxes; due in connection with Buyer's purchase of Goods and Services unless Buyer provides an acceptable tax exemption certificate. 4. FACTORY AUTHORIZED WARRANTY REPAIRS. Whenever Seller provides at a Buyer's request factory authorized repair .services or replacement parts to Goods covered by a mruaufacturer's limited warranty, the manufacturer warranty applies first over the limited warranty of Seller in paragraph 6 and the responsibility for the repair and/or replacement cost shall be apportioned between the Breyer and the manufacturer according to the terms and conditions of the applicable manufacturers warranty. Unless other wise a r�h,Seller, the Btiyer shall be liable or the cost of Meairs•or replacements made on all Goods to the extent that the manufacturer does not pav or said repairs andior replacements under its warranty. 5 LIMITED WARRANTY OEMANUFACTURERS. When Seller.Sells directly to the Buyer Goods covered by a manufacturer's limited warranty, the terms and conditions of the manufacturer's limited warranty only shall apply. A copy gf'the inain f teturer's warranty shall be provicled upon request. 6. LIMITED WARRANTY OF SELLER. 6i bre n Seller provides at it Buyer's request any Services or replacement parts to any Goods, the folloivinfr limited warranties apply to the Buyer: a For new, reinani f tetur ed or used parts and components supplied in connection with Services, the manufacturer's limned warranty on such parts and components shall apply. b. Seller warrants that its Services shalt he performed ur a good m%orkrnanlike manner and shall be free figrn 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 workmanship jbi-a period of 180 days from the date such work is completed. d. Substandard or incomplete repairs made at the Buyer's request and/or parts furnished by Buyer and installed by Seller at the Buyer's request 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,frilfill its limited warranty obligations by correcting any rrurlfunction during the warranty period under the following conditions- a. onditions-a. If any repairs or replacement parts provided fail to conform to the Limited Warraiuyv of Seller,Seller ivill, at a location of Seller's choice and during normal working hours, replace any defective parts or correct anv deficiencies tri ivorlcmanship free of charge to the Buyer if such defects in parts or deficiencies in workmanship are verified in writing bi,any authorized Seller employee. Such replacement of parts or correction of deficiencies in workmanship will be commenced as soon as manpower and necessary parts and equipment are reasonably available to:Seller. b. When, at the Buyers request repair work is perforined outside of Seller's normal business /lours, of is performed on weekends or holidays, the Buyer shall be responsible for the difference between regular time labor rates and the applicable overtime or prune time Tabor-rates. Unless the original repair services were performed in the field, if warranty repair services are performed outside gjSeller's facilities, the Buyer shall be responsible for the cost of travel time,mileage and other travel expenses. Any transportation cost to pick rip and/or deliver tools and machinery to Buyer's job site in order to perform warrantable repairs will he charged to the Buver at prevailing rates, unless the original repairs included pick zip and deliver%by Seller 8. bl%AIZRANTY DISCLAA1_E_, t, THE WARRANTIES PROVIDED HEREIN ARE THE ONLY WARRANTIES APPLICABLE TO-THE PRODUCTS,PARTS AND/OR SERVICES PROVIDED BY SELLER. SELLER AIAKES A'O OTHER WARRANTIES,EXPRESS,IMPLIED OR STATUTORY AND SPECIFICALLY DLSCLAL11S ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FIT/VESS FOR A PARTICULAR PURPOSE. Some states do not allow the limitation of how long certain warranties moy last or limitations or exclusions of certain damages,so some limitations may Trot be applicable The lirnrted warranties gree Buyers specifrc legal rights which may vary front state-to state. 9 NEGLIGENCE DISCLAMIER. Buyer's understands and agrees that Seller and Seller's officers.agents,representatives and employees shall not be liable for mjury 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 fosses of any kind whatsoever, including without limitation, communication expenses, meals, lodging, loss of use of equipment, loss of time, downtime, inconvenience, overtime, transportation costs or any other cost or expense resulting from a defect covered by the applicable warranty, 11. LIMITATION OF LIABILITY. [n any and all events, the limitation of liability of Seller or its agents and employees for any and all losses, injuries or damages resulting from the use or handling of any Goods,equipment,parts or Services provided or performed by Seller shall be limited to the purchase price paid by Buyer for such Goods or Services. 12 OTHER REMEDIES OF SELLER. The limited warranties provided herein shall not become effective unless the Buyer pays Seller for the Goods or Services when due in accordance with the agreed terms of payment. If the Buyer fails to pay as agreed,Seller shall have all the remedies provided under the laws of the state where the Goods or Services are provided. Invoices not paid when due are subject to a finance charge of 1.5% per month(18%per annum) Equipment not picked up by Buyer within 5 business days of completion is subject to a$100 per day storage charge In the event Seller retains an attorney in connection with the collection of any amounts due from Buyer to Seller, Buyer agrees to pay Seller's reasonable attorney's fees and expenses and all court costs. CUSTOMER COPY ATLANTIC DETROIT DIESEL-ALLISON g"Saa Stewart & Stevens®n Won S Power Products LLC ATLANTIC POWER SYSTEMSX. Zf',t; ,4X 1C-'� DA,'T'Ea 7/05/17 ATI—ANT1C DDA RIEFIRTNIT F'AGE: :1. DI::F"T F'ARTS Jj:1:X)X)1 1:7 TOWN Cl' -06457 DOCIUMENTH',' F'896.1195 ER "TOCE". (860)632 02:1.(3 4:11-"D E. TYP'l: IM31 D 'f(*.),.,I-*I�1:1)1-11'4:1'i,1:1) TELAND FERF�Y Dl8"T'R'.I:(."'r 131111"' TO-1-F.'USHER T'SLAND F'I-7 RRY S 261 TRUMBIJI L DI:Z:I:Vl::" 115 WATIERF'RONT F'ARI::: F, 1: Cr V: T 1 C, 1::: T F'O ViOX 607 NF:W 1 ('16320 CRIEDTT NY 06,,'i'{? CUISITOMER POO,: .......... .......... 1••I.._......_4:'.(7X?............ DATE. (3 H FIFIE,1) ROUT lNG B/L. NUME".E:Ra, F"F'D COI FU ENTIE1`E-1) BY YOUNT :I'C-3LJ:I'.OT66:1. /J. 2 :1.N/C01) LJNTT CJJSVTOME:F� CONTACT.: JOVIN Fll.-IONE. (6*,'.!;:I.Fj 788 7463 ................................................................................................................................................................................................................................................................................................................................................................................................ :(,T*I.-*m Birk.,(X.jF' Ell N (:Q'T'Y QTy LJ Nl'l' E X T E.*N 1)F.D ;:1111'F, 1. FIR 3:CI:_ NUME.1r.E.R 1:F'T 3:ON 1 0(1 ORD 41 ? 'I1. :1.57.3;., .1 2:1. (.'CV55047 I--I(X:)I" ['-J'T'..:L .,25"--1 ,.25" CR 013"E30 Vl:.'I:;" - 7 2:1. C(."V155:1.1 4 ADAF,TE:Rj 11/411 FIOISEF BARB 42.1.7 ANY CORE: NOT FUHJURNE'D WIJI-11N 60 DAY,: W'.1 L.I BE. '13IJBJECT A VIANDI.-TING NO AF*TER V30 DAYS Vl:S'l:T OUR WIE13S11T.- WWW.,ATI AN'T'l(:'DD(4,.COill x Merce � s iU '�Tlc�,-' L (".UBTOTAL.: 199-150 '1101-1) COMIL'Ll-:'TTOIN TAX :1.2,.67 F'13961195 131-4 1 F'Pl NO 000 # .00 F,E:J:.E:lVED 13Y TOTAL 21.a?., 17 GENERAL TERMS AND CONDITIONS I. DEFINITIONS.As used iii these General Teens and Conditions,the corm'`Goods"shall mean the products,'parts and accessories(including fluids)offered for sale by Seller."The term"Services',!9b'all- die 11 die Jabot for diagnosis, repair and maintenance to vehicles and other equipment provided-by Seller."Seller"shall mean Stewart&Stevenson Power Products,LLC.(also dlblaAtlantic Power,Systems)and "Buyer"shall mean the customer(person or entity)to whom Goods of 5CrY1CC5 is old or offered. 2. ACCEPTANCE.Upon acceptance by Seller,Buyer's request for quotation andlor purchase order for Goods or Services is expressly conditiotied'upon Buyers agreement to the-following terms and conditions and no other terms unless authorized or otherwise supplerrrenred in xv'riting by Seller.All'offers by Seller expire 30 day's from the dare of issue unless tct ininared earlier by Seller before acceptance or extended by Seller in%X%ritirig. 3. PRICES AND PAYMENT All prices are in U.S.Dollars.Seller reserves the tight to adjust prices if changes arc made in specifications,delivery or scope of work for Goods or Services.Unless otherwise agreed in writing,any Buyei with pie-approved credit turns shall pay the putehase price for Goods or Services within thit ty(30)days of the dare of invoice.Ciedir ter ms arc provided only to Buyers whose credit is approved in advance by Seller's medic department.Seller reserves the right to change credit terms and to require payment in cash or other forth of iimmechate payment acceptable to Seller.Buyer will be invoiced fbr'the applicable sales tax ut other taxes clue in connection with Buyer's purchase of Goods rind Services unless Buyer provides art acceptable tax exemption certificate. 4 FACTORYAI7THORIZED WARRANT'YREPAIRS. Whenever Seller provide,at'a Buyer's tequest factpry authorized repair services or replacement part,to Goody covered by a ntani firciurers ivarrnnr�,the. rnaniifir Curers warranty applies first over the limited wart-anty o fSeller in panignzph band the responsibility fur the repair andlor replacement cost shall be apportioned between ibe Buyer arid-the nutniifaciurer according to the terms and conditions of the applicable manufacturer's Wirran4, Unless otherwise agreed 4L&ler he Biger shall be liable for the cost orepairs or replacements made on all Goods to the extent that the manufacturer does nor pay-fbr said repairs and/or replacements under its warrants: 5. LIMITED WARRANTY OFMANUFACTURERS. tVhen Seller sell directly to the Buyer Goods covered by a nranuf cturers wan anty,the terms and conditions of the manufacturer's limited urarnunty only shall apply.A copy r fthe manufacturer's warranty shall he provided upon request. G. LIMITED WARRANT['OF SELLER. VVben Seller provides at a Buyer's request any Services or replacement parts to any Goods,the fallowing limited warranties apply to the Buyer. a. 1-,or new, remanufactured or used parts and components suppled in connection ivith Services, the manufitcturers limited warrano,on.such patty and components shall app!;t b Seller warrants that its Services shall be performed in a good,ivorlemanlike manner and shall be five from defects in materials or workmanship for a period o f I80 days from the date such work is completed or such mater ial is provided. C. Seller warrants that an,,exchange components or assemblies rebuilt by Seller that are wed in anti repair or replacement shall be fire from defects in materials or workman,hip for a period of I80 days f om the date such worle is completed " d Substandard or incomplete repairs made at the Buyers request andlor parts furnished by Brayer and installed by Seller at the Buyers request are not war i-anted by Seller. 7 CONDITIONS OF LIMITED WARRAN7Y.In the event the limited warranty of Seller in paragraph(aboveapplies, will fie ll its liarrited torr rarNy obligctdivns by'correcting any malfrinction during the warranty period under the following condition,: '. a. If any repaits or ttplacemeut parts provided fail to conform to the Limited lV arranty of Seller,Seller will,at location tfSeller's choice and during normal working ho urn replrtce atty dqf ctive part,of correct any deficiencies in workmanship fee of�ch age to the Buyei•ifsuch defects in parts or deficiencies in workmansbip are verified in writing by any authorized Seller employee Such replacement of parts or correction of deficiencies in workmanship will be eonirnenced as soon a,manpower and necessary part,and equipment are reasonably available to Seller: b. When,at the Buyers request repair ivork s peifi),wed outside of Seller's normal business flours,or is peifonned on weeleends or holidays.the Buyei,Bali be responsible for•the difference between regular time labor rates and the applir•able overtime or prime tine labor rates. Unless the of iginal repair sery wes were performed in the field, if'warranty repair ret vices are peformed outside of Seller's ftcilfties, the Biiyer shall be respon,ible for the cost of travel tune, mileage and other travel expenses.Any transportation rost to pick",up andlor deliver tools aril machinery to Buyers7ob site in order to peijbrra warrantable repair:,will be charged to the Buyer at pi evailing rates, unless the original repairs include(!pick up and deliverl by Seller. 8 WARRAN'TYDIS CLAIMER, I HE WARRANT[ES PROVIDED HEREIN,ARE THE;ONLYWALtRAN77ES APPLICABLE TO 7 H PRODUCT S,1'ARISANDIOR SERVICES PROVIDED BY SELLER SELLER MAKES NO OTHER WARRANTIES,EXPRESS;IMPLIED OR STATUTORYAND SPE CIFICA LL YDIS CLAIMS ANY IMPLIE D WAR&WTIE5 OFMERCLUIS A9 ILIT Y OR FITNESS FORA PARTICULAR PURPOSE.Sonie states do not alloiv'the lin titat_ion of'hetiv long certain ivananties may lasi or h7nitations or exclusions o f'certatnt darnaves,so sone limitations may not be applicable. The limited ivar-rantiesgive Buyeis,pecifc iightc which ay iy fiorn state to state. 9. NEGLIGENCE DISCLAIMER.Buyer understands and agrees that Seller and Seller's officers,agents,representatives,and employees shall nor be liable for injury to property--whether based on negligence, sti ict 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 Tie limited warranty of Seller and other nianufacturets'limited warranries 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.downtline, inconvenience,overtime,transportation costs of any other cost or expense resulting from a defect coveted by the applicable warranty. 11. LIMITATION OF LIABILITY In any and all events,the limitation of liability of Seller or its agents and employees for any and all losses,injuries or damages resulting from the use or handling of any Goods, equipment,parts of Services provided or performed by Seller shall be limited to the purchase price paid by Buyei for such Goods or Services. 12. OTHER REMEDIES OF SELLER The limited warianties provided herein shall not become effective unless the Buyer pays Seller for rhe Goods or Services when clue in accordance with the agreed terms of payment.if die Buyer falls to pay as agreed.Seller shall have all the remedies provide([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 annurm) 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 collect on of any,amounts due fiom Buyer to Sellet.Buyer agrees to pay Seller's reasonable attorney:s fees and expenses-and ah court costs, rt Quotation https://www.powerlineconiponerits.convquotes/show_Quotationpbp Quotation Date 26 Jul 2017 Page 1 of 1 :s Quote By Quote Number PC InduStrm-S, LLC Q17207130412 1088 N.Washington FOB Terms P. O.Box 490 Afton,WY 83110 Cash Account Facsimile 3878 Afton,WY 83110 Telephone 97-885-4724 85-3215 Ordered By Ref Number Federal ID No.83-0325342 The quotation evidenced bythis document is subject to the terns and conditions on the front and reverse of this document Bill To: Account CODACT Ship To: VIA: Linea;+ PartNumber-Serial Qty Description UnitWelghl Unit Price Extended Price 1 5149263 12 Cylinder Kt,4V RATrunk,010"OS 1590 $31364 $3,76248 2 23512681 1 Overhaul Gasket Set,12V71 750 $275.57 $27557 ;3 23504197 1 Solenoid,24-36VDC 450 $17570 $17570 4 5149572 12 Con-Rod Shell Set,V71-92,Std 040 $2761 $331 32 5 5103329 2 Seal,Crankshaft Rear,Double Lap 0.90 $12682 $26364 Total Weight(Lbs)l 20940 Totall $4,79871 M cannot accept merchandise returned without our permission.Ahandling charge will he made on all returned merchandise. 1 of 2 7/26/2017 3:14 PM Arena, Laura From: Diane Hansen <dhansen@fiferry.com> Sent: Wednesday,July 26, 2017 3:29 PM To: Arena, Laura; Kasia Asmolov; RJ Burns;jon haney Cc: Gordon Murphy;Whitecavage, Diana;Geb Cook Subject: RE: Stewart &Stevenson Attachments: P C Industries LLC quote.pdf Here is the quote from PC industries—sorry, the quality is awful,we are waiting for a replacement part for our-copier. Original will go in the mail to you. From: Arena, Laura [mailto:lauraa@southoldtownny.gov] Sent: Wednesday, July 26, 2017 9:37 AM To: Kasia Asmolov; Diane Hansen Cc: Gordon Murphy; Whitecavage, Diana Subject: Stewart&Stevenson Good Morning, Please see attached. Invoice#2477365 is for$4764.06, do you have any RFP/RFQ's or are they under a state/county contract? Thank You, La,GrwAj-e4q,w Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 1 LEM FISHERS ISLAND FERRY DISTRICT VENDOR 0,19823 SULLY'S MOBIL MART 08/01/2017 CHECK 4248 A I •1;, FUND & ACCOUNT —P.O.# INVOICE DESCRIPTION AMOUNT , SM .5709.2.000.200 572546 13.847 GAL GAS-7/13 35.16 {l t TOTAL 35.16 r . I l�yu I I • i ^ I o - a o e e e o e e � � •.•.t FIS53095 "AUDIT 0801 -MAIN' 53095 MAIN'ROAD;PO`BOX 1179 ® SOUTHOLD,,NY,1,1971,-0959 r ,rCHECK:;NO,. THE SUFFOLK CO`.'14ATIONAL BANK curcHocue,Nv.11935- DATE,, = =AMOUNT" = 50=5461214,t_ THIRTY'FIVE AND`:,1,6/•l00'''DOLLARS`- " i PAY ' '.SULLY S,,MOBIL_MART = 1 aR1JER NEW-LONDON;,CT 06320 - ,;I v 11500L, 248115 j:0 2 1t,r0546t,1: 613 001502 1u ,; Y Vendor No. 13ec 1l' i Zv E `ry Town of Southold,New York - Payment Voucher 1582 Vendor Address Enter0d"by' 382 Vauxhall Street t,'J Vendor Name Nev.,London,CT 06320 Sully's Mobil "1"1017 Vendor Telephone Number 860-443-6938 Vendor ContactIn Invoice Invoice Invoice Net Purchase Order ; : ;;.'*.' ".;`j, ' Number Date Total Discount Arnourat'Cia' Number Description of Goods or Services ?'Lrenerat'I edger trill till Accotinf'tiuniber,, "';;", a';V�,;,',;,;:;; ti`s: ,• ; 672546 711212017 $35.96 � � $36.15 93.847 al F-350 as ''j� f :Si5�D9:2.001?`.200 ca rd,• az<i,,`, r h •'r`{`✓5 t:. 1 '-a ..- r,�,Mk. $35.96 $36.96 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) Fhereby certify that the materials abovespecified have been received by me does hereby�certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services'prgperly 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. Signa Title Title Signature Company Name Fishers Island Ferry District Date 7121/2017 Title Yate ?/��/F i l i I z*¢�7 lTflfl 382 Vauxhall Street New London, CT 063/0 (860) 443-5938 SOLD BY DATE NAME ADDRESS //�� FS tJ-0 �I CASH - COD. CHARGE ON ACCT --- - - -- -I- G� RECEIVED BY j All claims and refumed goods MUST b e�ccompanled by this bill 57Thank ou FISHERS ISLAND FERRY DISTRICT VENDOR 019812 SUPERIOR REMEDIATION `- 08/01/2017 CHECK 4249 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 12388 CARPET CLNING-FIT WTG RM 80.00 i TOTAL 80.00 t r lei- A+ yrs 1 i , t 1 FISHERS ISI'AND FERRYDISTRICT ' AuT `o8.%oti/17 t' 53095 MAIN ROAD,PO BOX 1179, _ SOUTHOLD,NY 1.1971-0959 CHECK NO. 4249.',;,` THE SUFFOLK CO:NATIONAL BANKDArE,. AMO.UNT�, CUTCHOGUE,NY 11935` . „ 5o•5aslz14 08/-01/2'01.7 $80' 00". I' EIGhTY'.AND '00/0 ,DOLLARS PAY SUPERIOR, REMEDIATION = E•c;` TOTHE ;-12,- CORPORATE DRIVE ORDER NORTH,,HAVEN _CT. 06473 =� „ ,A; ii'00L, 2L,9111 1:0 2 L405461L,1: 68 00 L50 2 1110 ft; 'dendOT AN . `._:c={:,'. -.trine c:A>' -- v}:;_" _ - _ `::,✓�,3� t{:,:�i f v�T; _ _ ..i',"'r�!���.�3 Town of SouthoK New K ,�1 n York Payment Voucher 3tin -,Icv& w.&SYs',�j•SI�bwYe a9l'ald a'Y' wi 1NiinntiCQ 'tl Gl1UYJrY'AY'+ltli iS 'II�AY PZI x92 Corporate Dri :EY, - u Au WD�t e. y�� ` RemediationoRemediationoaf l� eaa;C`�06473 >.�•x;;�`��w``�?All � � �:efiRdt"F:'td �3tl?Y1v�Sffiirfl8>f i Znnailce dausoice sruce Net Purchase Order $:..;.: Ndyer Date T Discount )Amount d+laaenber 1?esctiptmn��oaads�r�uffrires "nr£a xzaL d paid aiuIirab�r:° 4 $80.08' Carpet -FIT waffing room (1,062,23); ; (Frlends of F1 Theatre pai 'r,'S4's+''',ti�;'i,>a l�� `t�;+'�"''#C ri' �r"$Jic.�.�. _ ;��{z.•.i',r� -ii,i`Y��SYt>�''�'fj,�'x ki�'�tl°3 ��51'. i s y"µ"r''°' ,•,i�,_fs:,'.,F i `a k"?t:z ,�- ,2. :,•4 r 'h+'±%r,41 t.>r.`•u. ���+vn dpi,' '�rilr',',y.' }rS�r�.•,.s'e,.E,,,�. rs��';+;'. '4''�,`?�j�;t�#,r•„L�rS :i�,+t;t.>s,y°^„i;p.,"'f„ ,.;{��P.,1Y,' .S.t'%'`��}; � "t�>:r.,a,a,¢,,;�<v.`r,�.��s�Y?rE;.,••'" 'c+a�:�.�rt ,�s ..>,` r,�,t f{:.fr,r:yy .=§''tzc�?;'Pia..",�r,•t,.t',�;�X;,�S�`.stai�,�:,s;ri',..4��v _ `i{'e==, F �a�7"�''ij�trra�t{s=,_f��,� '� t:�•C`f= r-'' '���y�t ,� � > ,€�"..�� ;,{`, ,•< - :, a,�'° ppm a,'t. •'�'�lf�ftaYi"tk`}r +, �r f 3 t zr {k f•rt h �� r i�;��y.�t+,r>`.:gi, 'z",tl,);;•r.�"h'� �ii'.�k.;fti �`L' SyF .9���,,aP,9�,}}q� ',t+,`=,;zk.,f�E `k:x �r:{,lYz j ,.2, i* ,;may,•°,Y Payee Cerfifation Deparhumt CwffiIk*doB ?ase undersagaed(,)Claivaaant)(Acting on behalfofthezbove named claimant) I hereby certifyidiai the nvfl &aWw specified have hen jivedb by me does herby ce&fy that telae&renting claim is true and couccl' hat no part has via oo d condition'WRha l ab;s=tion,the services uroptily bLaA paid,eir c t as therein stated,that the balance 3dwrm stated is acta.aliy performed and that Oze edt antitiesAher&f have been Arefifi ;Mffi t ae xceptions dne and mving,;and tthat,taxes fmm which theTo%%is ex ptare,exclaaded. or discregaar cies nobA- ,ansdPayment is approvait tea Qom - Tide 'cnn3�acvy as33ess lshind Eem-DistrrictrDaatte 7121,12017-1 Safe Prop6r Remediation ation Date Invoice# SUPERIOR REMEDIATION 12 CORPORATE DRIVE NORTH HAVEN;CONNECTICUT 06473 7118/22017 12388 (203)390-5589 FAX(203)985-9100 MECHANICAL HYGEINE-DIVISION 23l h FEDERAL I.D.#: 11-3708403 Teepone 203 -8000 ( )985 Bill To Ship To N4w*R44mid-tb-zMefN—"ct Fishers Island Theater Mr.Gordon S.Murphy 510 Whistler Avenue 261 Trumbull Drive Fishers Island.NY 06390 PO Box 06390 Fishers Island,NY 06390 1% Service Charge Applied"Tb All Rep P.O.No. Terms Due Date Invoices Over 60 Days. RC 07-05 Due On Receipt 7118/2017 Description Qty Rate Amount Commercial Carpet Remediation per attached Work Order 1 900.00 900 OOT Additional 20'x 20'Carpet Cleaned at agreed price ail'5811.00 1 80.00 80.001, Miscellaneous Ferryfrtansportation(Flat Fee per VRF) 1 100.00 100.00 Subtotal 1,()80 rul a7—"KJ— A Sales Tax (6.35%) $6223 l-13 n& z , 2-37 Total $1,142 23 U r. — Payments/Credits $0.00 Balance Due $1 142,23 //n A MICROBIAL REMEDIATION 24 HOUR EMERGENCY SERVICE - NEW YORK STATE CIC. # 514-730-785 FISHERS ISLAND CONlIM1 LAITY CENTER"INC. 1172 ;FRiENDS`OI°''�'HE' �1'THEAT'ER PO BOX 464 - 51-57/119 CT ATSL'IN N G-MURPHY 063 , 35 1 FISHERS ISLAND NY 06390 0464 DATE !I PAY TO THE ORDER OFA �? �?d $ , OA, DOLLAR OAF.I., �«.,a I : BankofAmerlca- j ' ACH R1T 071900571 i FOR 23 {�,Z7ULJ' im } I120OLL7211° ll:0.LL900S7Llm 38SO1236057611' i CARPET CLEANING 12 Corporate Drive,North Haven,CT 06473 t�taJtv. ¢en�at#cCl,ccrrt7 Phone 203-985-8000/Fax 203-985-9100 Fishers Island Ferry District :Ship To BIII To I,c/o Mr.Gordon S.Murphy (Jop Sife) Fishers'Island Theater Street Address 1261 Trumbull Drive,A.O. Bax 06,390 Street Address `510 Whistler Avenue City Fishers Island City j Fishers Island State NY `State- !'NY Z#p Code 06390 ;Zip Code 106390 Phone'(631)788-7463 =Date June 23,2017 E Cell 1(860)389-2277 Job Number 40-'05 Emall'2MUr Scheduled `July-11,2017 FAX Referral Salesperson!RC I `P.O. Number Item Special Instructions Amount STEAMATIC service as follows: The area(s) as noted will be cleaned using the STEAMATIC Hot Water,Extraction Method in accordance with all IICRC protocols.All stains will be pre-spatted as needed.Please•noie some stains may be permanent. I (3)Three 85'x 5'Indoor/Outdoor aisles--heavy duty/heavy foot traffic. i $ 900.00 I Ferry/Transportation(Flat fee per VRF) j $ 100.00 Lt ct � I II Additional Recommendations/Notes: Subtotaij $ 1,000.00 2.57o Fuel Surcharge, $ 25.00 TAXI $ 65.09 TOTAL_$ 1,090.09 Authorized by; e k € t t .. •, 9�$ * a # I I I i I CARPET CLEANING 'VORK "ORDER .ATI#RR.n. 12 Corporate Drive,North Haven,CT 06473 4 rZ .SreenaaticCT.com Phone 203-985-8000/Fax 203-985-9100 IFishers Island Ferry District 'Ship To Bill To .c/o Mr.Gordon S.Murphy (,lob Site) Fishers Island Theater Street Address 261 Trumbull Drive, P.G. Box 06390 Street Address 510 Whistler Avenue City Fishers Island :City Fishers Island State NY State NY flip Code 06390 'Zip,Code -(06390 Phonet(631) 788-7463 IDate !June 23,2017 Cell (860) 389-2277 ;Job Number 07,05 EmailScheduled 'July 11,2017 FAX i Referral p Salesperson;RC _ F `P.O.Number Item Special Instructions i Amount STEAMATIC service as follows: The area(s) as noted will be cleaned using the STEAMATiC Hot Water Extraction Method in accordance with all (ICRC protocols.All stains will be pre-spotted as needed.Please nole some stains may be permanent. (3)Three 85'x 5' Indoor/Outdoor aisles-- heavy duty/heavy foot traffic. $ 900.00 Ferry/Transportation(Flat fee per VRF) $ 100.00 Additional Recommendations/Notes: Subtotal $ 1,000,00 2.5%Fuel Surcharge $ 25.00 TAX $ 6509 TOTAL $ 1,090.09 Authorized by: F° - t FISHERS ISLAND FERRY DISTRICT t VENDOR 012307 THE GILMAN CORPORATION 08/01/2017 CHECK 4250 _ A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 2017-437 (4)FENDERS-MU/RP 4,636.00 ,* TOTAL 4,636.00 I I ! N - 7 •iti': _ x - - - •r ~i, I i i o I - I i 4j f FISHERS•-ISLAND FERRY DISTRICT / ,53095 MAIN ROAD,PO-BOX,1179 SOUTHOLD„NY 11971-0959- ._ _, - CHECK,••NO': 4'250"- THE 50 -THE SUFFOLK CO:'NATIONAL BANK AMOUNT CUTCHOGUE,NY 11935 DATE „_ 08/OT/2017 $4,',G-3_, 6.00 ti 50-546/214 = FOU�Z,,THOUSAND SIX,' HUNDRED,.THIRTY'SIX'AND 0`0;/10 0 'DOLLARS pgy, THE, GILMAN, CORPORATION TO THE : PO;,BOX 68 = _ = _ Cdtf' ORDER - GILMAN CT 06336'. _ ^' _ ' u'0042 50ii' 1:0 23140 5464 : 68 001502 Lig' t... , L J Vendor No. Town of Southold, New York- Payment Voucher Vendor Tax ID Nwnber or Social Security Number Vendor Address Entered fly P.O.Box 66 VendorName Audit Date a„ he Gilman Cor ora&ion Calrrlan,CT 06336 ! AUG ® 1 2017Vendor Telephone Number o,vyn Clerk ' Vendor Contact n I )Cc Invoice Invoice Net Purchase Order Number Date Total � Discount Amount Claimed Number Description of Goods or Services General I edger,Furid and Account Nuartbei' 2017-437 713/2017 $4,636.001 $4,636.30 Fenders 4)MuIR ' SM6710.2.000.000. $4,636.001 $4,636.00 Payee Certification DepartmentCertification The undarsrgned(—laimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does-hereby certify that the foregoing claim is true and correct,that no parthas in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from Much the Town is exempt are excluded or discrepancies noted,and payment is approved ,Signature I G\Q,4� 0�r._ Title Signature Company Name Fishers island Ferry District Date 112()120 1 7 ,y Title Date CORDO RATION NVOICE P.O.BOX 68 GILMAN,CT 06336-CUSS 800-622-3626 LOCAL 860-887-7080 FAX#8£+4.886-5442PAYMENT IN web site-vAqw gilmancorp.com U.S. DOLLARS e,mafl-mail Qhqllmancorp com BILL TO.- SHIP TO: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN, RONALD BURN$ 261 TRUMBULL DR CPU FISHERS ISLAND,NY 06390 INV DATE PO,NUMBER TERMS REPSHIPDATE INVOICE BSI®. 07/05117 EMAIL NET 30 iM 2017-437 ITEM NUI' DESCRIPTION i Q-Ty--1UNIT PRICE EXTENDED PRICE 51990-32X50 iFENDER s 4 i 1,159,00 4,636.00 :32"OD X 1.5" ID X 50" L I TYPE:450,COLOR: BLACK ANGLE CUTS EACH END COMPLETE WITH fqDG HARDWARE SHIPPED ASSEMBLED I TOTAL $4,636.00 . -balanoe Due $4,636.00 Ifflill III 1111011 Pil PStgl J7'7140(7,1ji, Z+wl STRAIGHT BILL OF LADING ORIGINAL-NOT NEGOTIABLE Shipper No.—)R!-!--—1_3_t (_A Date No.. Date (Name of Carrier) TO: Consignee �-.`s Lie�s ��S��n�__.r r �,S4/—i c FROM: CNITIB ATION-- --- Street�N-___ Street LeM Destination Origin Gilman. Conneditad 06336 Emergency Response Vehicle Route Phone No. 14NO422-BM �Number pp- gi Kind of Packaging, Description of Articles, — Weight-- Rate CHARGES No.Shi In f HMS I (subject to correctlo7) Units I Special Marks and Exceptions — _ _— _1 f ITEM 157320 PLASTIC ARTICLES EXPANDED GROUP SUBJECT TO ITEM 157352 i IATtIrItrwl�arY+Qtqudaw mefeWaYsclydlr IIN br>?rYalar dl�tioalnwri�1wriot+.4td dfiwwl�rpae wWnsfeifiKatpBarr of maMAY vaEt appraplb UNaW1flrarOw d�16>,d InusooTErtrowicvolnllmntoknsunmdPA-i 7. PfalOearrOencY PMQOrrlio pltcrurwnibONdbd tloldlril araaclderu In bmf REMIT C.O.D.FEE: ADDRESS: Con Amt: $ COLLECT ❑$ NOTE—Where the rate Is dependent on valve shippers Tlvs is in certify that the above named materials are prop- Subject to Section 7 of the conditions•d this shipment is to be TOTAL $ are•equired to state specifically in willing the agreed or erly classified,described.packaged,marked,and labeled. delivered to the consignee w•ihout recourse on the consignor,the con- CHARGES: declared value of the property and are In proper condition for tmnsportatwn according to signor shall sign the following statement The agreed or declared value of the property is hereby the applicable regulations of the Department of Trans- The carrier shall not make delivery of itis shipment without payment FREIGHT CHARGES' specifically stated bytheshipper Lobe notexceeding portation of freight and all other lawful charges. FREIGHT PREPAID Check box it charges S per _ Signature lss&„nrure w co.is�anorl nghs checked when x et ❑ are RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the date of the issue of and conditions in the governing classification on the date of shipment this BIII of Lading,the property described above in apparent good order,except as noted(contents Shipoer hereby certifies that he is familiar with all the BIII of Lading terms and conditions in the and condition of contents of packages unknown),marked;consigned and destined as indicated above governing classification and the said terms and conditions are hereby agreed to by the shipper and whic't said car er he word carrier being understood'throughout thus contract as meaning any person accepted for himself and_his assigps. — __ or corporation in possession of the pcoperty under the•contradj agrees to carry m its usual place of NOTICE: Fe gM moving under this Bill of Lading is sub}eci foto the classifcations and lawfully hied delivery at said destination if Of its rothe,otherwisefo deliver to another tamer on the route to said tariffs in effect on the date of this BIII of,lading. This notice supersedes and negates any claimed, destination. It.s mutually agreed as to each carrier of alt or any of card property over all or ary alleged or asserted oral of written contract,promise,representation or understanding between the portion of said route to destination and as to each Darty a[any time interested in ail or any said parties with respect to this freight,except to the extent of any written contract which establishes property,thateveryservicetobeperformedhereundershafibes.blectt.alltheBillofLadingterms IawfulcontractcarriageandissignedbyauthorizedrepresentattvesofboihpaRiestnthecontract SHIPPER Glu CORPORA CARRIER —�— — PER _ — --— PER - ..—--•--------- — �'�Jz ------- — DATE - _ 'HATAFli)0US VATERWS MAFlK VMH'7r To DESKMTE HAZAFM 18 MATERIMB AS FWEREWW W U#CFfi/1T12trd. . d�� - GILMAN PACKING SLIP CORPORATION P.O.BOX 68 GILMAN,CT 06336-0068 800-622-3626 LOCAL 860-887-7080 THANK YOU FOR FAX#860-886-5402 web site www gilmancorp com YOUR ORDER e-mail mail @gilmancorp com SHIP TO: SHIP TO: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CPU CPU DATE PO NO. SHIP VIA TERMS REP EST SHIP ORDER NUMBER -- 06/07/17 EMAIL CPU NET 30 07/05/17 4727 ITEM NUMBER DESCRIPTION QTY 51990-32X50 FENDER 4 32" OD X 1.5" ID X 50" L tl'Vr TYPE: 450; COLOR: BLACK J ANGLE CUTS EACH END COMPLETE WITH HDG HARDWARE SHIPPED ASSEMBLED M V 0 O t V W U Z rF t- M - U O 29684 J127140(7/16) II"I II I III' ,II"II • II g.m�mu, ., _ � , ""' �'-' " ,�,,,,�V�'-,-' --!,,r�-, : , , " , , ,. , , , ,, - ",-, , -, "'.,,,- , �," " "', , , ,, � ,,- ii � ", - -, ,, - - �-� I ll�'. �, �� �I, � -, .I �, " , ,- �,, � - , -�, , ,� ,j ,! , �, ' ' I,,,--"'"' , ", � 1. 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"I 111- 1.n� .r 11" :,*' $, °f'- S °I ,.s Wc. mac± ;, ^-, ;„; f' N' f" t r . • - ' .�,>_ _ -,-ray.g 'J•,•>vTOD ,`�.,I ��'%,,^, ,r',`,,s ..Y_ y a,_ e"j.,1 .`: .1!'.`;�: 't'"(`!•4"' .y,!:j°<" .:a„t -,.:5� ��C.c-,: RJ Burns From: Kyle Harrington <harrington@bilcogroup.com> Seat: Thursday,April 20, 2017 7:52 AM To: RJ Burns Subject: Fender Quote from Bilco RJ, 4 pcs. 32" OD x 50" long with 1.5" Ili on hardware, Gilrnan Fomn Fenders, Black, $1,755.00 ea. Delivered price to New London, CT Ship: 4 weeps Please take a look at our website at mvw.bilccg ip.corn. We have a huge stock of mooring ropes. Over 600 coils of rope from 1" dia to 5" diameter. Regards, Kyle Harrington VP, Heavy Marine Rigging Bilco Wire Rope& Supply Corp. , Inc. Doran Sling&Assembly Corp. , Dic. Shaw Belting Company 1285 Central Ave. Hillside,NJ 07205 Office : 908-351-7800 Cell: 908-482-7566 - www.bileoproup.com www.chafeauard.com Vildng Marine South, Inc® Quote 455 NE 5TH AVE., UNIT D-308 Lr. 13EL1ZAY BEACH,Fl,334$3 Date Quote 855NNKRI dE(toll free) 4/19/2017 2526S Name/Address Ship To Fisher Island Ferry District To Be Advised I Contact: Qty Description U/M Total 4 VIKING CLOSED CELL FOAM FENDERS WITH SWIVEL END 2,260.00 9,040.00 PLATES 32 IN.O.D.X 50 IN.LONG,INCLUDING HARDWARE,BLACK ALLOW 3-5 WKS. TERMS: 50%PREPAY WITH PO#-BALANCE DUE UPON RECEIPT OF GOODS. ALL MAJOR CREDIT CARDS OR BAND TRANSFER ACCEPTED Subtotal $9,040.00 Sales Tax (0.0%) $0.00 Total $9,040.00 Phone 0 Fax# E-mail Web Site 561-243-4514 561-243-4318 vikingfender@gmail.corn WWW.vikin&nder.com FISHERS ISLAND FERRY DISTRICT VENDOR 014606 TWOMEY,LATHAM,SHEA,KELLEY, 08/01/2017 CHECK 4251 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT l SM .1420.4.000.000 85705-OOM-0617 LEGAL SVCS-6/19-6/23/17 1,560.00 TOTAL 1,560.00 tx iK I- xFs> ;•oar; a;..na. _ - ':::Fi?�•r'4$''rr,:; I 1 � ` Y 1 1 I 0 0 I � I o ® ® o ' t _ FISHERS7SLAIVD FERRY DISTRICT. AUDIT 'o a/'o` /171 - 53095 MAIN'ROAD;PO BOX 1179 SOUTHOLD,NY-11971-0959 - _CHECK N0. -4251. ' THE SUFFOLK CO NATIONAL BANK ;€ CUTCHOGUE,NY 11935' DATE AMOUNT r 50-5a8/z14' 08/'01/2017' $1;'560.00.. ONE THOUSAND°FIVE' HUNDRED SIXTY AND:00/100 -DOLLARS PAY TWOMEYiLATHAM,SHEA,KELLEY, " TO 773E DUBIN & ,,QUARTARARO LLP, ORDER, 'r; OF -PO'BOX, 9398 RIV_ERHEAD NY 11901-9398 ii°004 25 1u° 1:0 2 140 546411: 68 00 150 2 1i�° `` r 3 Vendor NO. 3 �l�e�� i+Jc: Town of Southold, e York - Payment Voucher 14606 , r. :-. Vendor Tax ID Number or Social Security Numbor Vendor Address Ent6red.b, P.O.-Box 939E Vendor Name Riverhead,NY 11901-9399 Audit,Date_ Twomey,,Latham,Shea,Keii , Dubin&Quartararo, LLQ Vendor Telephone Number 631-727-2180 Town Clerk Vendor Contact -- — Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General 1-dger Fund,an3 Accounf Number 7/14/2017 ' ,5 j 1,560.0085705-fl01 6/99-6/23/17 legal services 511942fl:4.9i?Q`:UOQ Al w 9,660.00 1,550 00 : ; Payee Certification (Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no pari has in good condition vothout 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 9 Signature Title _ Signature Company Name Fishers Island Ferry District Date 7/19/2017 Title Date �� Twomey, Latham, Shea, Kelley, Dubin & Quartararo LLP Attorneys at Law Post Office Box 9398 Riverhead,New York 11901-9398 631.727.2180 Fishers Island Ferry District July 14, 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 06/19/2017 MDF Review and reply to correspondence from Gordon; review of Fishers Island Theatre��' Agreement . - 0 . 80 06/21/2017 MDF Review of file regarding Airporter Project and Theater Agreement; conference with Town Attorney ,regarding same; advice to Gordon. 1 . 20 06/22/2017 MDF Revise Management Agreement; telephone conference with Gordon regarding Airport Hangar and Theater. 1 . 60 06/23/2017 MDF Communications with Bern and Geb s � regarding Airport Project Agreements . 0 .40 V 4 . 00 1, 560 . 00 RECAPITULATION Hours Hourly Rate Total Martin Finnegan 4 . 00 $390 . 00 $1, 560 . 00 Total Current Work 1, 560 . 00, Previous Balance $3 , 003 . 00 Continued Fishers Island Ferry District July 14, 2017 85705-OOM Re : Town of Southold Management Agreement Balance Due $4, 563 . 00 N " 171 I FISHERS ISLAND TERRYDISTRICT VENDOR 021304 ULINE i 08/01/2017 CHECK 4252 A " FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 88478350 16-ROLLS OF WRAP-FREIGHT 332.89 TOTAL 332.89 '2 I 3s P 08 01 17 FISHERS ISLAND ERR DISTRICT 53095 MAIN ROAD,PO BOX,1179 SOLITIHOLD,NY 11,971-0_959 CHECK _NO. 4252.` NATIONAL BANK -61LI THt __FFOLKCO axj CLITC�HQGUE,NY 1'1935 F% DATE:,_'_ ,AMOUNT,,, 3 2 89 ollibi7 50-546/�14 : T EHUNDR`hD"-THIRT-Y-TWb-'�ND--dsi/1oV,J),OLL HR"'E_ AIZS:- TO TIM- AtTU: ACCOUNTS RECEIVABLE ORDER PO'-BOX 88741 OF j CHICAGO- IL- 6068,0-1741 ii'004 25 2 1:0 2 140S L.G t.1: 68 00 1 50 2 Lil "own of Southold, New York- Payment Vendor Address3A ,Mitre:Accounts Receivable PO Box 8874 ", Iii_NE Chicago,IL 6068 4741 Vendor Telephone Plumber Vendor Contact Invoice invoice Invoice NeY Iharclaase Number Date Total Discount i Amount Claimed Number Description of Goods or Services 3land and Account Number, 88478350 717120/7 $332.89; 1 $332.89 Wrap for freight j 16) ;fid, n,.u. ^,;,^ ': t�" , • jk •; ,�;+�'?fix'.i;� ;.rt�`,: t 'xt. `nr ;,.1•,fix�.,y i ..`j• ,,,h tt111 nV�'t c tif'}ltl' r11j- $332.891 $332,09 :+t Payee Certification Dzpartment Cerflitacatioti The ivadersigned(Claimant)(Acting on behalf of the alcove named claimant) 11 ereky certify that the materials above,specifted have been received by me does hereby certify that the fomgoing claim is true and cenect,that no part has in good condition mdthoul substitution,the services properly been paid,except as therein stated,that the balance,theiein stated is actually performed and 4hat the been verified with,the exceptions due and owing,and that taxes from which the Town is exempt are excluded, ordiscreparicies noted,aridpayment is approved. Signatu Title Signature, Co np my Name rashers Island Peary District Date 7118/2 31 T Title _ D INVOICE NO. 1-800-295-5510 ** 88478350 uline.com PO Box 88741 •Chicago IL 60680-1741 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID# 36-3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2005 YOUR ORDER# 93945442 SOLD TO: SHIP TO: MDG2014 00000391 1 AB 040 3 2461167 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 BOB LAVIN NEW LONDON CT 06320 • ui o0-9-2oi s PURCHASE ORDER NO.. 2461167 BOB J.P. EXPRES 7/07/17 7/07/17 NET 30 DAYS 7/07/17 16 RL S-642 18X1500 80GA ULINE BLOWN WRAP 17.00 272.00 ORDER PLACED BY: BOB LAVIN SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE TMORRISON/P 272.00 .00 60.89 332.89 FromsULINE Toz8604436851 Uline Msg##81808.0.901 07/07/2017 15205 Page 1 of 1 1-800-295-5510 ORDER uline.com CONFIRMATION ORDER # 93945442 PO# BOB Thank you for your order! SHIPMENT 1 of 1 SOLD TO: FISHERS ISLAND FERRY DISTRICT SHIP TO: FISHERS ISLAND FERRY DISTRICT PO BOX 607 5 WATERFRONT PARK FISHERS ISLAND NY 06390-0607 BOB LAVIN NEW LONDON GT 06320 CUSTOMERORDERDATE WILL SHIP TERMS 2461167 J.P. EXPRESS 07/07/17 07/07/17 NET 30 AUANTITY U/M ITEM NUMBER DESCRIPTION UNIT PRICE EXT.PRICE 16 RL S-642 ULINE STRETCH WRAP-BLOWN, 80 GAUGE, 18"X 17,00 272.00 1,500' SUB-TOTAL SALES TAX SHIPPINGMANDLING TOTAL 272.00 .00 60,89 332.89 NOTE: ATTENTION: BOB LAVIN TRACK YOUR ORDERS ON ULINE.COMITRACK Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 08/01/2017 CHECK 4253 A FUND & ACCOUNT P.O.#, INVOICE DESCRIPTION AMOUNT f SM .5710.4.000.700 26639277 WE 7/7/17 194.52 SM .5710.4.000.700 2663928,7- WE 7/14/17 89.71 TOTAL 284.23 Ei ,4 FISHERS ISLAND.FERRY DISTRICT ,AUDIT`-o8/01/il - 53095 MAIN ROAD,'PO,BOX 1179 , SOUTHOLD,NY 11971-09$9- COCK NO. 4253 � ' THE SUFFOLK CO.NATIONAL BA CUTCHOGUE,NY 1 1935� NKATE 'AMOUNT. -08/ l,/2017 -50- 4 ,Q 23' TO IGHTY, FOUR "AND '23f1b0 DOLLARS 1. z . plyUNITED, CEI; SERVICE TO THE Pb- BOX 724!-0244 ORDER � -, .. , - - , -i ' ciaV PHilAbELPHIA- PA 19170-- 0001 11'004 2 S Do 1:0 2 1405L, 641: 613 00 150 2 1110 Vendor No. 15' v, Town of Southold, New Payment '®> che - ;y Vendor Address3itCT4}33ir " P.O.Box 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 United Parcel Service Vendor Telephone Number Vendor Contact �.,,. Invoice Invoice Invoice Net Purchase Order X� ;1, 33;'r,';r.i`•;,' ;,, .. Y x ;; 3 Date Total Discount Amount Claimed Number Description ofGoods or Services "il, Geaeaadi+I ec?ger Fund and+,Account Number', ! 26639277 71812017 $994. 21 $194.62 �9=717197 ''''r'`,59�?957.14: bOb' 00< 26639287 7!'6812017 $89.71, $89.71 WE 7/14117 i.,,j. ,T'+'fir;���. *� `•�1;�`%t?�,,: '', ! 1=ty sari'.8`�i�''�'`�'f'' ^.�'+'�tt:•' ,4 $284.23 1 $284.23 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 foregomg claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with.the exceptions due and owing,'and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved. Signature `O�v.-< Title Signatute_Z-Company Name Fishers Island Ferry District Date 7/21!2017 Titre DateV�W/ � Delivery Service Invoice Invoice Date July 15,2017 r Shipped from- Invoice Number 0000026639287 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID K726 1 STATE ST Page 1 of 4 NEW LONDON,CT 06 a320 g Sign up for electronic billing today! _® 0736A00000266394 77366030022258 Visit ups"corn/bi@lung ® AB 01 003712 00631 H 11 A For questions about your invoice,call: ® (800)8114648 I°lull""°Il°lull°•lull"lllllllllnlllalllllldllllllllllla°llll° Monday-Friday ® FISHERS ISLAND FERRY8:®®a m.-9:00 p.m.E.T. ACCOUNTS PAYABLE or write: PO E(S)C 607 UPS FISHFRS ISLAND,NY 06390-0607 P_®.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary y Thank you for using UPS, ' kl�Payment Plan Summary of Charges Amount Due This Period $89.71 Page Charge Amount Outstanding(prior invoices) $410.67 Outbound Total Amount Outstanding $500.38 3 UPS WorldShip $60.91 t"'e Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $3.00 � your payment See Account Status for details. Service Charges $25.80 Questions aWut your charges? Amount due this period $89.71 To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at UPS payment terms require payment of this invoice by August 6, ups.comlitnv'oiceguide. 2®17_ Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.comn for details) Note.This invoice may contain a fuel surcharge as described at ups.com.For more information,please visit ups.com. Delivery Service In voice Invoice Date July 15, 2017 ' Invoice Number 0000026639287 Shipper Number 026639 Page 2 of 4 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 0000026639267 07/01/2017 $104.32 0000026639277 07/08/2017 $194.52 Total $410.67 Outstanding balances reflect any payments received as of 07/14/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. f Delivery Service Invoice Invoice Date July 15, 2017 1 Invoice Number 0000026639287 Shipper Number 026639 n Page 3 of 4 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 07/12 6853513240 1 1Z0266390347253786 Ground Residential 05672 3 16 11.96 Customer Weight 6.8 Residential Surcharge 3.40 Delivery Area Surcharge-Extended 4.20 Fuel Surcharge 103 Customer Entered Dimensions= 20 x 15 x 7 in Total 20.59 1st ref:FINY-DON LAMB 2nd ref:FI NY-DON LAMB Sender :ACCOUNTS PAYABLE Receiver: WYATT ROSELIP 498 SYLAN PARK ROAD STOWE VT 05672 Message Codes:r Total for Pickup Number: 6853513240 1 Package(s) 20.59 07/13 6853513251 1 1Z0266390348861199 Ground Commercial 01527 2 43 16.82 Customer Weight 12.8 Additional Handling 10.85 Fuel Surcharge 0.88 Customer Entered Dimensions= 27 x 17 x 13 in Total 28.55 1st ref:FINY-FI ELECTRIC 2nd ref:FI NY-FI ELECTRIC Sender :ACCOUNTS PAYABLE Receiver: HI-LINE UTILITY SUPPLY — _ 175 WEST MAIN STREET MILLBURY MA 01527 Message Codes:r Total for Pickup Number: 6853513251 1 Package(s) 28.55 07/14 6853513262 1 IZO266390346924400 Ground Commercial 11954 2 6 8.78 Customer Weight 2 Delivery Area Surcharge-Extended 2.40 Fuel Surcharge 0.59 Customer Entered Dimensions= 18 x 13 x 4 in Total 11.77 1st ref:FINY-KELLY YOUNG 2nd ref:FI NY-KELLY YOUNG Sender :ACCOUNTS PAYABLE Receiver:STORE MANAGER CALYPSO MONTAUK 99 THE PLAZA MONTAUK _ MONTAUK NY 11954 _ Message Codes:r Total for Pickup Number: 6853513262 1 Package(s) 11.77 Total UPS WorldShip 3 Package(s) 60 91 Total Outbound 3 Package(s) 60.91 Adjustments & Other Charges Miscellaneous Billed Explanation 'Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 14-JUL-2017 Total Miscellaneous „L 3.00 Total Adjustments&Other Charges 3.00 003712 212 i Delivery Service Invoice . Invoice Date July 15, 2017 UCTPA Invoice Number 0000026639287 Shipper Number 026639 Page 4 of 4 Invoice Messaging Code Message r Dimensional weight applied �- 6 - Delivery Service Invoice Invoice Date July 8, 2017 ShIppud from: Invoice!Number 0000026639277 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 375A 1 STATE ST Page 1 of 3 NEW LONDON,CT 06320 g ® Sign up for electronic billing today! 0736A00000266394 77366020020371 Visit ups.corri/billing AB 01 026380 95309 H 73 A For questions about your invoice,call: ® (800)811-1648 °l°l°lll°l�lll�ll0°l�lll°l'°lllll0�l��ll�°"l°l�°�ll°l°ll°l°l°l°I Monday-Friday ® FISHERS ISLAND FERRY 8:®®a m.-9:00 p.m.E T. ACCOUNTS PAYABLE or write: PO BOAC 607 UPS FISHERS ISLAND, NY"06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-0081 Account Status Summary Thank you for using UPS gee y EgZMent Plan Summary of Charges Amount Dare This Period $194.52 page Charge Amount Outstanding(prior invoices) $216.15 Outbound Total Amount Outstanding $410.67 3 UPS WorldShip $178.62 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $3.00 your paymentSee Account Staters for details. Service Charges $12.90 _® Questions about Vour charges? Amount due this period $194.52 To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at LIPS payment terms require payment of this invoice by July 30, ups.conaifinvoiceguide. 2017. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) _ (dote.This invoice reap/contain a fuel surcharge as described at asps corer.For more i nformadon,please visit ups com. Delivery Service Invoice Invoice Date July 0, 2017 1 Invoice Number 0000026639277 Shipper Number 026639 TM Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portion of each outstanding invoice with your payment Invoice Plumber Invoice Date Balance Due 0000026639237 06/10/2017 $28.80 0000026639247 06/17/2017 $54.23 0000026639257 06/24/2017 $28.80 0000026639267 07/01/2017 $104.32 Total $216.15 Outstanding balances reflect any payments received as of 07/07/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. F Delivery Service In voice Invoice Date July 6, 2017 Invoice Number 0000026639277 Shipper Number 026639 TU Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 07/03 6853513225 1 1Z0266390348790364 Ground Residential 90803 8 90 69.76 Customer Weight 25.8 Residential Surcharge 3.40 Large Package Surcharge 70.00 Declared Value$1,500.00 13.50 Fuel Surcharge 7.52 Customer Entered Dimensions= 99 x 14 x 8 in Total 164.18 Sender :ACCOUNTS PAYABLE Receiver: MARJORY SOCHI 32 RIVO ALTO CANAL LONG BEACH CA 90803 Message Codes:ba KD Total for Pickup(dumber: 6853513225 1 Package(s) 164.18 6853513236 1 1Z0266390348618176 Ground Commercial 01370 2 19 11.42 Customer Weight 18.6 Delivery Area Surcharge 2.30 Fuel Surcharge 0.72 Total 14.44 Ist ret:FINY-JOHN SPOFFORD 2nd ref:FI NY-JOHN SPOFFORD Sender :ACCOUNTS PAYABLE Receiver: CLARK'S COVAIR PARTS.INC. 400 MOHAWK TRAIL SHELBURNE FALLS MA 01370 Total for Pickup Number: 6853513236 1 Package(s) 14.44 Total UPS WorldShip 2 Package(s) 178.62 Total Outbound 2 Package(s) 178.62 Adjustments &Other Charges Miscellaneous Billed = Explanation Charge WEEKLY PRINTER SERVICE FEE 3.0W FOR 1 PRINTERS AT$3.00 EACH FOR 07-JUL-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges _ 3.00 _ Invoice Messaging Code Message ba Large Package Minimum Billable Weight Applied KD Charges based on Customer-provided information 026380 212 +,4�4 "5• 'i„<ti�'i,�i"�'6`n z. �." `�`4YL Y'ike t '4:".-' wa:• Ill FISHERS ISLAND FERRYDISTRICT ' VENDOR 024539 W.B. MASON CO.INC 08/01/2017 CHECK 4254 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .57,11.4.000.000 I45523059 1 BOX OF ENVELOPES 18.35 SM .57'09.2.000.200 I45834894 K-CUPS,SPLENDA,SUGAR,CPS 298.89 a' TOTAL 317.24 ; F ar x. .«,.., a >,. - 't•:.�Si:.?• ,xh%�' .�`;'.. > 'S - r •o _ �:`L;:• - - ;.fib tc�s xvs ,���Mme?�✓�✓,�Y;���'�••i:•�`�•'F�`r .I. �F I o r t 3095FISHERS ISLAND'FERRY DISTRICT 9`'r ; 'y;u I - 5MAIN.ROQD SOUTHOID,'NYi1 X971=0959 CHECK 'NQ, ! 25,4:' p - - •�-�. I THE FF C0'NATIONAL BANK - CUTCHOGUE,NY 11935 DATE AMOUNT.:, 777� =, _; _ = _ 08101/2'017;` 317,:24' 50 X5461214 _ �t_ r, "THREE-''•HUNDRED 'SEVENTE'EN AND:;24/1.0.0''DOLLAR'S' PAY, W.B'. .-MASON, CO.INC TOTHE==- :PO''BOXY;-9&11•d1 ORDER: „-BO STON''MA 02298=1101 _ uv004 254ii' 1:02140546 L,1: 68 00 L50 2 Lii' Vendor No. CcC,tiI©: �F Town of Southold, New Fork- Payment Voucher 24539 Entered�by � s P®Box 981101 Audi x Bate_ W.B.'Mason Boston, MA 02298-1101 _ .Y`1 2017 Vendor Telephone Number 888-WB-Mason Town Clerk Vendor Contact , Invoice Invoice Invoice Net Purchase Order Number Date Total Discount 1 Amount CJaimed Numbei Description of floods or Service General U-ilgiffund and Account Number, 145523059 8130/2017 $18.35, $18.35 Office Suplies� �iYlYt-b�eS �1 5711':�.00fl.0Q0 145834894 711312017 $298.891 298.89 Coffee cups,cofffeelsplenda,sugar 00.200 $317.241 i $317.24 , Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct that no part has in good condition without substitution,the services properly been paid.except as therein stated,that the balance therein stated is actually performed and that the quantities thereofhave been verified with the exceptions due and owing,and that taxes from which the Tovm is exempt are excluded, orrlrscrepancies noted,and payment is approved Signature Title Signature 77 Company Nanre Fisbeis Island Ferry District Date 7/2112017 Title Date �i �� yiI (Page 1) NO PM #05011 Delivery Address Invoice Number: 145523059 WS Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. 5 Waterfront Park Reference Number: 145523059 59 Centre St-Brockton,MA 02301 New London,CT 06320 Invoice Date: 06/30/2017 Address Service Requested Due Date: 07/30/2017 888-WB-MASON www.wbmason.com PO Number: new london terminal Order Date: 06/28/2017 *2 4 G1519 71*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 Illl�llllll�ll�llllllllllllllIiIIIIIIJill III IIIIIIIIIIII 111111111 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 UNV63568 ENVELOPE,OFFICE,STRING,10X13,2SIDE,100/BX 1 BX 183 18.35 SUBTOTAL: 18.35 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 18.35 r Total Due: 18.35 To ensure proper credit,please detach and return below portion with your payment T T T T — — — - -� - — — _ _ � _ _ — — — — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - VNG SU7 Packing Slip -U,,j-rURE PRINTING Mode of Delivery: 00140 V0)M6,0 1,211 W B. Mason FOR OFFICF- PO Box 111 Warehouse:...... ... ... OLE-CT :U 59 CENTRE ST N Delivery Number:....... 36984957DEL L BROCKTON, MA 02303 Customer Number . . C2024302 1-888-WBMASON Phone Number:..... .. 8604420165 www.wbmason.com Sales Rep. Russell Sheikowitz Special Instructions- new london terminal Ship To: -,zE Fishers Island Ferry District 5 Waterfront Park New London, CT 06320 Sales Order # S049873036 Ship Date::-6/30/2017 r�Iul. 0. Number:- new london terminal Attention Name:: Backorder Fill Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility UNV63568 I 1 0 0 BX ENVELOPE,OFFICE,STRING,lOX13,2SIDE, 100/BX UNTD-CNJ 1 Del V1 Number 36984957DEL �^':�'":,<vr�.>,,a,,:�,, is :�_ -_ `.° s+�•'•."" ` i 4p, 4 5 Off ? - z lOR ., T �x�YS�Ur aft,1 h4 �l�� T 1 .� ilk --^---`•�°«„------""---"--.�.,_....- ,....., ••\• `` 4,t \.i� yq w�Riw_ty`�".MQ��`�571! ��• ry 'i y�� ���r�.7& �yi :§bv ''� � -. ,„..,��yF':� -�;� \���C „� i'i�” � l'�V H t! \� } � � � � < `S � - 1't�•r{ o t1�� "��� ��� LLLbbb .e. - ^_ - .. .�\..- ` _� „ � � �c 1, w..-_ •..,.- - .�� e,._.. -,-. ' No (Page 1) PM woggosomDelivery Address Invoice Number: 145834894 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:NL T/COFFEE Reference Number: 145834894 59 Centre St-Brockton, MA 02301 Address Service Requested 5 Waterfront Park Invoice Date: 07/13/2017 New London,CT 06320 Due Date: 08/12/2017 888-WB-MASON www.wbmason.com PO Number: NLT/COFFEE Order Date: 07/12/2017 *277056351*HO***********ALL*FOR*AADC*060 Order Number: S050277894 FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 'Jill IIIIII'"I111111"l'Jill l"ll"I"'I'lllllll'I�lllllllllllll 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 DXE5342CD CUP,HOT,120Z,PERFECTOUCH,COFFEE HAZE,IM/CT ' 1 CT 149.99 149.99 GMT4061 KCUP,DARK MAGIC EXTRA BOLD,24/BX<2 4 BX 12.49 49.96 GMT6663 COFFEE,KCUP,NANTKT BLND,24/BX 4 BX 12.49 49.96 SCJ200094 BEVERAGE,SPLENDA,700CT A 1 BX 25.99 25.99 SGR827749 FOOD,SUGAR IN THE RAW,6LB 0 1 CT 22.99 22.99 SUBTOTAL: 298.89 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 298.89 Total Due: 298.89 To ensure proper credit.please detach and return below portion with your payment - - — — — — — — — — — — — — _ - - - -- - - - _ _ - - - - , - - - wt - ww - — _ — — — — — — — — 711212017 WB Mpson—Order Confirmation CHECKOUT $hipping le Billing Preview t,• Order Confirmation Thanks! Your order 9s complete � and your psi°der member is: 050277894 Thank you for shopping with W.8,Mcls ►n! wider Number;S050277894 Your order has been;subme(tett, i Shipping Address J I Billing Address Fishers Island Ferry District V primary address 5 Waterfront Park Accounting New London CT 06320 / � PO Box 607 Fishers Isle NY 05390 Additionai Shipping � � J i Attention:nl It/ooffee „( ` Payment and Additional Info (V Purcha,e Order#:NLTICOFFEB Payment;Bill Me On Account Item Numbor item Description type Prlee/UQM CITY Ext,Price GMT4061 Dark MagIL0 Extra Bald Coffee KRCupS Pads,2418X $12.49/8X 4 $49,g6 GMT6663 Nantucket Blende Coffea K-Cupid Pods,24/BX $12,49/13X 4 $49.€.15 SGR827749 Single-Serve Sugar PacF.ets,500iCT $22,99/CT 1 $22,99 SCJ200004 No Calorie Sweetener Packets,7001OX b25.991t3X 1 $25.99 > DXE6342CL) Pori'ecTaucht)Hot Oups,Ptappr,12ox,Coffee Oroama Dogign,1090/Carton $149.99/0T 1 S149,99 Product Subtotal $290.99 Tax Subtotal sq.00 (soy includo bottle dopusils) Order Total $2fi,z3 See our a r, Pai(oy;. If you have any questions rogarding this order,piea:ae aWL Uitr3Ja f-nt . , or vall 1-888-WB-MASON(1-688.926.27661) p1nev 1998,the dedicated group at W.EJ,Mason has boon passicnele about}fringing y"dhatt Satgalol Clearance Zone Frint Shop WhatlaDargaini onlpt.ingiy low prices,superior delivery and outstanding personal service to buslnesscs brand Stares Rebate Confer of ell sloes.Frorn our humble beginnings In a small warehouso in Brockton,MA,we have cdrown to become the Irargapt,privately avined office products dealer In the United Contact Us About UK. Privacy Pelicy Web AceeWNlty btates.We have gll your workplace ossyntial's,from office supplies:end furniture,to Terms of Use Careers bronk loom and facilities maintonancp,Let us be your one source for all of your oftlaa near/s. Copyright W.B.Masan.All Rights R erved, r Z Y Pal[p���M'.Qtl4seats.���p An;.,V pryer t;.kmlol hil,ps://wwjv.wbmason.com/OrderConfirmaUori,espx?\&IAM-1 i!4 lY� ;,9iC`i - - �vre =r:°,;'i`7 Fa'�"N, t - ✓«rr,,._ -;� `l 'fit: • � "�i}.amt. „ - a-- 'E+; .r:. - ,. -• �;,� ` t �` FISHERS ISLAND FERRY DISTRICT ' VENDOR 025038 Z & S FUEL & SERVICE, INC. 08/01/2017 CHECK 4255 ; FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I r i SM .5709.2.000.200-' 22059 10.002 GAL GAS-6/13 32.60 SM .5709.2.000.200 22076 15.649 GAS,10.634 DIESEL -88.85 SM .5709.2.000.200 22119 10.974 GAL GAS'-6/28 35.76 I TOTAL 157.21 I .... ............ i - ;:r I •^i'w 0 o I I, f i I ` _. - ,-_- .'.r.•.l - _• s '� .������..�,r�l q,:t': 7 i' I FISHERSISLAND',FERRYDISTRICT_ _ _- AUDIT 53095 MAIN'ROAD,FOB0 1179 N SOUTHOLD,AY-'11971-0959 !C$ECK NQ,' 4 5,5 f,^ ;'. I - •1�• _- - - =THE SUFFOLK CO:� X3 ioNAL BANK -_ CUTCHOGUE,NY t19a5 DATE = :�°' AMOUNT 157•.21 „0,8/0,_ b0-546/214 y k n_'ONE 'HUNDRED -FIFlY'SEVEN, AND,'27./l00 DOLrL;ARS' PAY' „_Z & S:,-,,FUEL' & -SERVICE,, _INC, _- ''3 ` TQTHB ORDER _ 'FISHERS ISLAND NY-� 063910 004255ii' 1:02L4054641: 68 00L502 Lii' 4rq,� - � IT _a spy; -- �!�{j�,�},,.4}.�..ry1•... �r:,l.. �S�, 4��. •_ �U}�'A,r;..��'L'N�. _- .— _ � it:inlSili,A'u.'"""'i,.r"a'l'b:1'.f+t��+ Artr^r,"' i Town of So�hal New Vafk-Payment ouches � AC'�ndvs$R.�t�ss F�7.ii�e�2i�s�iq'' 'S�`i:,,"u•'r,,�3=;`r�;'` �.�e'�i vcniwNme — -- - 1tsL tY #i9'hv;t,'v; <S+ ,r•,. ; :a;"fi :i _ �' f Ale�,�a t Ye� �l�i'®:�tii"•'1.4M�a ;; 4aadosYxleploarcSiab (af,,�/ !1 L'' .:4 •r�;3l�a•t`i�F',ar� fir ;y�,, ,4.5 �) �Samaiue acsrne imaarare j N"a P=has.^OTdar' e,✓�'Kyr`:+'ti?,,1's�.�,r'j,'rr:.i'1�:,i�,:�'�'•fi�.t;'..��•� �:.:�,' r,i,%' ;t Numtras Total ; Discoati* � itG' 3i /S_3�� noamY'ssvulsas�enwarrs ,',`�rc�a���S=�P��3mdaui'rsiri�u t,�T�bg 'r 220.r7O 'Nn3117 �0r� b' � �lOo �1-lTU-S •��I'�3 3,;=sfi_`3,tit.'`',`jt;�:r,;,Ai,%w;+{;y-'�:�:"%rK��S.>'�,".''�:sr��fitj�,�,p,�3.,�`^'�ft W. 1����4G Ga\CsUs � �0� 3'f�SecS — I � "`��};�r�;;'f;,���•':�;:e y>;;)?�Y. t` '� '':'�;� '°•'� 22076 6I 517 $ 8.85 .�35 a ham- ;� �e d, � ' a �e5� 3�ssr 1 g s 9 sP>,, x;,, .r: 1kb3 9A : t3$ f9 •, , + �6 q-7y s—bag ,,', ;„ ,;..... '22119612NI7; .71's a. b to* U $3.259 `A <; #i t 9'2 3: Ota 44 i )�"f,�,.,i'��j'�'fY'il�c�',s'W�;.,�rj_a�,t't,yy^^{,f' r3�.r,�n z^,;i`^f• ci e th -h �`,"r e4 }�•-\y`f,.s�r"1';�.r, y,lV7r yr'. i.u, ',^^ ;t• r 3 { l'�A�ikrx,�41;; _'F{:1�7p.��.i�,•s�,e'yf,.',^,'':i'.'-' � ,;�i„ $157.21A fix° ",,�";� ;:e;,. ;,y., r_ ;• ray"cru-mr-adom lbmtdmsLmedt!C=ma Yr)'1,Acbvgx�nbdiOs£,vftw.8btwcnmsadY.Immwf) Ufu cby &9t'thrmrVAl,sab-f'e%necifi&J Me'iu).mXcru ival rsr Anesbzarr�y'verkfij�t13YEt filie�'� .raac-c cd�e n isus a.�,d s�cL.n,d�e�i ,set kms asi�+anS xxaac�cxie iwS.Ruasas*�b-'�:EaN.c�u,dlze�,r��c�es,{+��e�,p Saxe;.Ld,L---qit ufi&cmm st2=4,that d, balame ahem isL stxtaY is zaually raed�d �treaa3T�sse R xfieti nvs a isa 2a t. ada^¢ndasvrts gtcu c3Yta+ s.taamza�tich7haTt tic•istaernptraserAdus3ah. o disc „�mv}analy4mr1sc3s, myl? Cocapaw•31azna�FsbLvs 9sla 6 FeasH d)istssat Dab; -6�'t r11 W 17 1nt`a d�iate ----------------------------------- ---------- al i M E x _j M Cn C) P M z LU ir 0 y LU x ;< NF: <! ICY— v U)0 N cc ko 0 7 0 LLJ w w ca U5 0 < LL. LL 4) M LO 0 z z 22 0 0 —j -j —j U) [Q- C\j --Its ir 0 LU =1 0 0d 0 z < F- U) C) Q 7-1 Z & S FUEL & SERME, In. Z & S FUEL SERVIdE, INC. DRAWER B DRAWER FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390 (631) 788-7343 (631) 788-7343 rREGISTRATION NO Tt4` . REGISTRATION NO I DATE- 6/1,� NAME eC f j NAME STREET STREET CASH 0 O,D I CHARGE I ON ACCT.I MOM RET'D, PAID OUT AOCT,FORWARD I CASH ON ACOT MDSE.RET'D.I PAID OUT ACCT FORWARD Liters/Gals. Gasoline S ?S--1 0'5 Liters/Gals. �gjpllne,-O' Liters/Qts. Oil Liters/Qts. 011 Lubrication Lubrication Oil Filter Oil Filter '24- TAX TAX Ejl 0SNtZ CUSTOMER'S SIGNATURE TOTAL TOTALI C PRODUCT 608 All claims and ret red goods MUST be accompanied by this bill C PRODUCT 608 All claim and returned goods MUST be accompanied by this bill 2207622119 9'h,wk`;You c rhank"You