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Home My WebLink AboutAU-08/29/2017 Fishers Island w ,* w: '; -, , _,,`-':..F7Si:'.�' , E.>s.;.--•LL71 F_r MFa-.•c•,. . Z"c` p i FISHERS ISLAND FERRY DISTRICT VENDOR 001318 AIRGAS USA, LLC 08/29/2017 CHECK 4288 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1602636662 LATE FEE-6/17 2.54 SM .5709.2.000.200 9066393512 (2) PROPANE—NLT FORKLIFT, 104.80 l TOTAL 107.34 r H4.Xn� ....t.•..e < , e •.gree: '•.1'..^... . o , .i r z I FISHERS ISLAND-FERRY-DISTRICT =__-`AUDIT =08/,29-/-17' 53095 MAIN ROAD,PO BOXt1179, SOUTHOLD,NY 11971.0959; - - ---_`_- - 'CHECK, NO: " THE SUFFOLK C0:'NATI0NAL BANK- 1 CUTCHOGUE,NY 11935 _ DAM'V AMOUNT,, 50-546l214'II ONE'HUNDRED SEVEN AND: 3,4/1'0:0"DOLLARS . , /r PAY , AIRGAS USA, LLC TD 7'HE . PO�BOX.=802576- ORDER={_.CHICAGO- IL 606801-2576= n°00 E, 21313 1:0 2 1E,05E, 6E,I: 68 00 150 2 L"a ----- Town,of Southold, New York Vendor IST©.Payment Voucher 1318 Check-b4f0. Vendor Address Entered by P.O. Box 802576 _ Vendor Name Chicago, IL 60680-2576 Audit dna Airgas IDSA, LLC AUG 2 9 2011 Vendor Telephone Number 86.0-x-3065 800-962-0285 +Cle 0 Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 1602636662 713112017 $ 2.54 $ 2.54 Late fee -9 V7 SM5709.2.000.200 9066393512 8/8/2077 $ 104.80 '$ 104.80 Propane c 1(2)NLT Forklift SM5709.2.000.200 $107.341 $107.34 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance thercin 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 I _j / -Company Name Fishers Island Ferry District Date 8/15/2017 Title Date TO ENSURE PROPER CREDIT,PLEASE RETURN THE UPPER PORTION Witk YOUR REMITTANCE.FOR 60L8TIbNS ON YOUR ACCOUNT PLEASE CALL 216-642-2800 Past Due Invoice Detail INVOICE INVOICE INVOICE LATE CHARGE LATE CHARGE #LATE CHARGE LATE CHARGE NUMBER DATE AMOUNT START DATE END DATE DAYS 9946226959 06/01/2017 $' 171.82 07/02/2017 07/31/2017 30 $ 2.54 Late Charge Rate 18.0% Amount Due $ 2.54 Airgas. •- Airgas USA,LLC an Alr uqutda company Acct NO 8606074318 PNC Bank,ABA No 031000053 REF 1602636662/0002576547 For change of address email to:ndnr.returnedmail@airgas com REV 6 1 160021214 or call 216-520-6000 Disclosure . Terms of Sale. Each sale of Goods or services by an Airgas-i:,cornpany is and shall be governed by the terms and conditions on this Disclosuro,the Terms of Sale affixed to the AccointAppkation(€t one has been completed),and the Terms of Sale found at htto'//,,,AAv arrgas corn/terms-of-sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Sellor and Buyer("Contract")shall include these Terms of Sale.together with any other material describing the Goods or services being cold,their price delivery terms,and all other special provisions, "Goods"refers to any items of tangible personal property described in any Contract or otherwise piov;ded,by Seller to Buyer. Notice Regard€ng Cy€index F'ep talsrLoases arA Responsib€Ly This document shows the total number of cylinders charged to Buyer(I a,cylinders vi,h€ch Sei;ei has ranted 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 ars contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date r,:ereof. Buyer agrees to continue to pay rent on all cy€inder's charced to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(i€)pays Seder the replacement cost thereof kefriger?nt Cylinder RetuULtDopost± Refillable refrigerant cy:inders shall remain the properly+of Airgas or its third-party vendors. Such c y(€nciers 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,rerrigerant=.) Each refillable cynnoer will oe 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 i;yl€nder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas which determination shall be irrefutable sixty days of ter the cylinder was returned We ranjy 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 IMARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. f imitat€en of t.€ability- SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE OAS 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 V41TH ITS PERFOPMAiICE OF ANY OBLIGATIONS ORANY PRODUCT,OT14ER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROftr'i ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY OR OTHERWISE, Terms ot Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days atter 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 paymont charge of 1 5%on the unpaid pant due balance,will be assessed monthly (minimum two dollars($2 00),or the maximurn€awtui rate allowable in the state where the Goods are delivered,whichever is less. Surcharge, Upon notice and receipt of unrierlying 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 Titlo o E-:tu€rarngnt T41e to all rental oquipmont shalt remain in Sellers name Buyer shall not cover,modify,remove or otherwise disturb any€dorrancat€on or other indicia of Seller's ownership on any rental equipmen, 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.shal be paid by Buyer in addition to the purchase price Itemized Chafes. (a)The total amount due from the:Buyer may Include various itemized charges, rnciuding�charges for the handling of hazardous materials and for compliance with laws and regulation`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 wilh the charges,which can vary by product,service time and place,among other things (b)No such charges not already provided for in a aider will be imposed without mutual consent Government Contacts. 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 an =d the Vietnam Era Veterans Readius€mni Assistance Act of 1974,ail as amended Airgas eBusiness Now der rig business with Airgas is easier than ever with our oBusinass website,http:!/www.airgas.com Visit us online today to see how vvww.airgas.coin can save you time and money. TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER N tNVOtO RNOINVOICE 0ATEo.05 0,N . SOLD-TO NAM 1060785911 9066393512 08/08/2017 2576547 FISHERS ISLAND FERRY DISTRICT PO!REt EASE O.DERED BY: SHIP VIA PAYMENT TERMS. ORDER DATE Polly Ford 8604420165 AMw NET 30 08/07/2017 DELIVERY NO.4, MATERIAL NUMBER .QTY Uo!M QTY$10 UNIT PRICE UOM AM©UNTDESCRIPTION SHIP'I3 . . 8066506667 PR 33A 2 2 2 31.14 CL 62.28 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) Sale subtotal: 62.28 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.23 Airgas Hazmat Charge 8.80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Ai.rgas.com/terms-of-sale SHIP To 2576547 AMOUNT 104.80 Airgas. FISHERS ISLAND FERRY DISTRICT Airgas USA,LLC an Nr Liquide company 261 TRUMBULL DRIVE ACCt NO 8606074318 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 ndry returnedmail@airgas.com REV 6 1 16 0011645 Page 1 Of 1 or call 216-520-6000 Disclosure Terms olo,_ Each Salo of Goods or services by an AirgasT`company is an.d shall be governed by the terms and conditions on this Disclosuro,the Terms of Salo affixed to the Account Application(if one has been compleled),and the Ternns of Sale found at htt�lroas ipaM terms-of-sale(collectively the"Terms of Sale") Each Contract for the sate of Goods or services between Seller and Buyer("Contract`)shall include these Terms of Sale.toaothor with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods'refers to any items of tangible personal property described in any Contract or otherwise provided by Seiler to Buyer Notice Regard€g Qv1Ir dcr Rcr€ra€:,Lea:_es and Rxspons€bility This document shows the total number of cylinders charged to Buyer(i e,cylinders=which Soller 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 shat€be considered correct for all contractual purposes bett^reon buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to ccritinue to pay rent on all cylinders charged to Buyer Cantil Buyer has either(€)returned such cylinders to Seller in good working order or(it)pays Soller the replacement cost thereof RcYriaerarit CylirnderteturrlsipeposEt 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 siorare of gas products puichased from Airgas or the return and reclamation of certain gases(e g i efrigeranis) Each refillable cylinder will be subject toe.cylinder deposit fee,as established by Airgas from time to time Airgas vnli 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 triefutable sixty-days afte-the cylinder was returned kNarrantv_, 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 al the time of sale and will nice,Seiler's pur€dy specifications roc ail gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,. OR tAIARRANTIES, INCLUDING ANY WARRANTIES OF 101ERCHANTABILITY, FITAIESS 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_ia;jilily: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF CASES THAT DO NOT BEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY, AND FULLY ASSUME$THE RISKS OF TRANSPORTING AND US14NG COMPRESSED G.'kSES.SELLER SMALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIA',INCIDENTAL,COMSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFOR10ANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITENIIS 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 a €ynent U€'less otherwise_specified in a Contract,Buyer shall make payment in full within 3i)days after the date of Seller's:nvo:ce. Corit€need open account credit is subject to Seller's assessmont of Buyer's financial conuit'son and ability to pay A late payrnent charge of 1.5%or:the unpaid,past due balanco.will be assossod rnonthly (minimum two dollars($2 OD),or the maximum lawful rate allowable in the state where the Goods are deliveted whichever is less Surchaaes Upon notice and receipt of underlying documentation.Buyer shall pay to Seiler a surcharge in the event of any extraordinary or emeigency increases in the cost df(a)power and/or raw materials used in the production of Products and/or(b)fuel Title#o_f c ui moaL Title to all rontai equipment shall remain in Seller's name Buyer shall not cover,inodiry.remove or otherw!se 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 Itemizer!Ch"es (a)The total amount due from:he Buyer may include various itemized charges, €nclud,ng charges for the handling of hazardous materials and for compliance with(aws and regulations concerning hazardous materials:charges for handling,delivery and shipping,and/or charges for energy or fuel None:of(he charges represent a tax or fee paid to or imposed by any government authority, and alt 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 wi€I be imposed without mutual consent Governmeyt Contracts Certain Airgas companies are U S,government contractors and subcontractors and are subject to and adhere to the requirements offedera€,arcs executive orders,and attendant rules and regu,ations,specifically Executive Order No. 11246 the Rehabiltfation Art of 5973 and the Vietnam Era Vaterans Readjustment Assistance Act of 1974,ail as amended Airgas eBusiness Now doing business with Aircas€s easier than ever tivith dui eBus€Hess websife,irfifp:tl urwuf.airgas.com Visit us online today to see how www.alrgas.com can save you time and'money_ CATION DELIVERY ORDER FOR VISOCWWW.AIRGASCOM°u an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8066506667 AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF,�1 130 CROSS RD 130 CROSS RD ORDER DATE: 08/07/2017 WATERFORD,CT 06385-1204 WATERFORD,CT 06385-1204 SCH SHIP DATE:08/07/2017 800-962-0286 800-962-0285 PRINTED: 15.49 08/07/2017 SALES ORDER: 1060785911 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3755940 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US 261 TRUMBULL DRIVE ORD BY Polly Ford 8604420165 631-788-7463 FISHERS ISLAND,NY 06390 US ENT BY JOSHTHEODO Order Type Payment Terms Incoterm Route Sales Plant Sales Total Containers Office Org Ship Return Standard NET 30 Airgas Truck Airgas Truck N329 N309 N000 Order , 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 0 64 LB PROPANE 32LBS ALUMINUM 136.000 LB X UNI 978 PROPANE 2.1 0 Line# 20 Material#CY-PR 33A 0 0 2 - r EMERGENCY CONTACT:11-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ ❑ SEE REVERSE SIDE FOR IMPORTANT SAFETY INFORMATION SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dNW W AIRGAS CONb OR BY CALLING ..._. ��h _a , THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR t A�EEPT REJECT THE ABOVE h l /l L 14 T THIS IST E��33Tl�V THAT�,j�HE ABOVE NAMED MATER IALS ARE PROPERLY CLASSIFIED,DESCRIBED, 1' CUSTOMER 'w. J� `4. PACKAGE �Iy1A KED ANP LABELED NO ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST _ ACC ORDI Gllhh, HE AP1 ABLE ULATIONS OF THE DEPARTMENT OF T NSPORTATION INITIAL CHOICE �,/f C G— p� NAME ./' PLEASE PRINT 1 At rA's OERSONNEL DATE' T.O.D. 0� INTERNAL USE ONLY Filled By Staging Area Total PKGS, Tracking/Pro Number , Freight Charges Total Weight* Delivery#8066506667 ❑. p 136 LB III Illl�llilllllllllllllllllllllll 111 ill' ,yy =@ 40rotal weieht for materials with weight(jmnlnvArinnly ^r AIRGAS TERMS AND CONDITIONS OF SALE _ WARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER MANNER ALWAYS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')AREA VAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COM/YERMS-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 r 1 CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BYTHESE 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 RETUrkN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT:UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKEANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(15%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3.TAXES-TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4 RETURNS:NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY A FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS.SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABH.ITY:SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN,INDIRECT,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 OF ANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8.COMPLIANCE/SDS.BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(Il)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 OXIDEARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID O, COs LIQUIDHELIUM LIQUID ARGON LIQUID N,� POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FIREOR EXPLOSION HEALTH •EXTREMELY FLAMMABLE HEALTH •EXTREMELY FLAMMABLE Svbslanceticesral burn but viii support combustion ya dissmessoazphyx'aLm wiM1oul 'Vapors maycause dzvness er asphyxiaeen •W II f easel ted b heat sparks or flames apron may cause YIBnI y Will be easily lgnlletl by neat sparks or Hames Sam r,acl,zplosivaood fuels w g withal from ha •Wil form cmficr'vem'xtas are ar Wlllerm explos.emlxtueausi r Va,,csMay,ghtlom riq sLbles(wpptlPaper Dl,clotan oil)Ir Veporsirom bquel'etlgazaralnnaily heavkr Man e�r Vaporsirom.I.ngeedgal eralnitially hearer lheneu •VapD,shonliquebedgas are lnnally heavier ,than ar splead al •9lanewlll ignrtesmntaneoudy Iran •Vapors from iquelietlgas are mitiellyheavier Nan ar spreatl antl spreatl alonggrwnd ground antl,ray travel tD swrceol'gniuonInd Mast-back gra )mayp Ymslze along group ytrave gni and spreatl g,,,rl,bmtl •Thosesulta he,h,st redwlhalP d tlane ma Itowurcaoli Lon and llazh beck contact win II ietl burns FIR EOR E.on.bl.ON CAUTION Hydregen(UH1009),Demedum(UN199T1,Hydrator, Bas or qua gas may cause M rated liquid N19¢e tlmeasure UN1 ri rights,Nan s,,.fica wh,nhealetl brN lI.[y inahre RunoHmay create lure ezplosienhazard severeln,uryaSIO lrosNlle Non-gemmable 9eses re 9¢ qu (U )en ( )ere 9 •Vapors lmmggr„ d,nd,,rnrllalllt,,,,rManan Conlamarsmayexplotle when healed FIflEOfl EXPLOSION Captured syl,cm,lotleocke healetl Alr and will Use Hytlregen erN DeNedumgres are diMeult tq delM spreatlalong ground antl may travel tlo sburcadlgnnlon •Ruptureticylintlersmay rocket •Nonllammeble Raptured cylmtlers may rocket cirrpo Hey burn wlN enimisible genre Ura anelkmate method of dflaNback HEALTHInce Bases PUBLIC SAFETY det¢ctlon(Ihemldmmere,bream hantlle,°le) l,ndersex dI,lire me t and release flcmmable Va tl'umess or saph Lon wanon waren R,pw,,,d clfay ex res when neatetl • Cy Indiana exposed to fro ma l andlelease flammable pree yven pt,ct,, cause yxa ,r 9 .pup r dcylntlse LI rocket •Isolate seri or look areal eeflon tory rural leas1100 Yvan gas go, y.pIWalleh.e kes Contac[wilh gas or llquer�eo gas my cause burns sew e'nryry PUBLIC SAFETY melers(3301eet)in.rS. [hens Canthropremytriplssure ef,*,,” Comamdoyind zmyrocke he9led and/Or my Siay,pleutMmetl personnel away •Containers lnaynx myrohen healetl •Rupturetl cylintlers may rocket •Fire may protluce vrilating and/or lOx'c gases Isolatespllor, look area uscucrelely for at least 100 Sle d •Rupturetl cyl'ntlss may rocket HEALTH m,p,.0301eeDlnellduecbons Many ass HEALTH - Va dulness or es h Mout waren area —d SAFETY Keep uneulnorlEetl personnel away Many gases are n wile Nan au and will spreatl •Va dizziness or h eonwlhout warmn Sam pydslome 9 Isolate sell or leak vnmedalelyfor al latest 100 meters(300 along groasemets ran in law a,rgnhnetlareaz pors may cause asp y,aa 9 .Some ma be 1Ox'c it lnhaletl el high •Say upwintl •Some may lo.annum Imhaled at high y g feet)inalldrnzedp Mr2ldS e!are heavier than onfi,e ares,(Sawersg (sep ca basements ranks) Y 9� 9 DonaCiwm gas gilled Baa my cause bums severe •StayepavNodietl personnel ewaY grnndmo collecl In low or conimetl areas(sewers Keep oulollod areas •Cbnlact with gas or llquslletl gas may cause burns severe lnryry infury endo frostbite Stay upwnd basements Jenks) Vendale closed spaces before enronng antl/°,ftelle Fire may produce lnnaung and/or tozm gases Many gasestue hearer mout,a and wlllspread along grounoend Keep orf of lox areas PROTECTIVE CLOTHING •Fro may p,educe vrlalingendmlox'e gases PUBLIC SAFETY collect in low or confined areas(sewers basements leak,) Ventilate closed spaces before entering Wearpos'tive pressure sellcmtamed breathing PUBLIC SAFETY .Isplaa spill or leaka,ea'Innnadmely fore)kall 100 meters Keeppul of lowereas PROTECTIVE CLOTHING spparats(SCBA) •Isolate spate,leak aremst almedally loI... Wmeters (SOO feet)mall carecuons Venulalecbsetl spaces before enienng Waar positive pressure eellcont...d breathing Structural infighters prolective clotting wmonly (330 feel)In ell Olrectims •Keep vnaumonzed mnel away pe,sPROTECTIVE CL07N/NG appareNs(SCBA) prcnde binned protection •Keepunaulhoriz.d personnel away Stw,PWlnd •Wearmpressure salkmaunad bre 11nng apparatus Structure faefighlers proleoma clothing wlil only EVACUATION •Stayupwll Many gasesare hearer mane"antl will spread along (SCBA) pronde limited Prblaclen Large Spill-Comatlerinillal downwind wacuallon for •Menyy u gasesere heavier Haaren an alwinspread along ground III growl antl collect In loworcmfm.dareas(all Wear chem'cd Protocol clotlmg which Iaspemically ,Always wear gwrmal rust.—crathuig wren el leazt 100 ra—(MOfast) az(sewers wSorm ns tenets) basements tankmufacturer s) rmallln by the anIl may pmvlde llnle no handlingate nargard/eryugemc Ilqu'tls a,s,I.d, Flre-II IoM an[.,roe.vus—led Ina the •Keep out of Igo areas •Keep out of lav areas thermal protector EVACUATION ISOLATE to,BOD metersdckt (12 mile)m all drecLm, PR OTECOVECLOTHING PROTECTIVECLOTHING Structural PeriBhters protect........anis recommended lar lire Large Spill-Consider lnruel down—evecueron forst also[made,Nvyr evacuatlon for e00 meters •Wear poscal pressure caAmmaretl onleMeg apparatus(SCBA) Wear pose.,pressure seli<onlamed breaming eppaatus situations ONLY It is not,l m spll situations where direct least 100 meters(330 feet) (112 muslin all dvecems •Slmclural(veighlem proecme clotning wll onlyprowl,111 (SCBA) contact rth the subsancels posstnle Flre-Il rank ten rs,or lank vuckts mwroedm a bre EMERGENCY RESPONSE proteclen •Snctu,al finu,,his Phase ve clothing wIl iy proud° •Always ,or 9armal pmtectiva-111 B whennandmg refng,rmV ISOLATE to1600 melena(12 mile)In all dsecuons also FIRE •Always wear,h.,ml Prof.—cloning when hantlling limited prolecach. cryogenic liquitls cructiratal evacuation for Poe malers(1/2 mile Usaazln nth is table for 1 reingerenVcryogemc llqultls EVACUATION EVACUATION ell CnectimS )In ...all fire9 ager ryPeo EVACUATOM Large spill-C,,,,d,nntbal downwind avaceatibn for at least LengeSplit-Comudenml'al dwmwlnd evacuation for at least SIU EMERGENCYRESPONSE •Mwe cbmaner,film me areaelf you can don Lenge Spl/I-Cms,dsrinaal down—evacuation lost least age SOOmeters(12m1e) meters(113,me) FIRE wlhoulnek meters It/2 m'Ie) Fare-If lank rel car or tank nck rs Involved Ina Ire ISOLATE Fire-It lank nal car or lank luck Is M,mlv,tl Ina tire ISOLATE Use ext'nBUlshinB agent sutlablo Ibr rye.of •Damaged cylinders sheultl b.handled only by Fire-Il Nnkrmlcarsta,Kthc* Irl kedhrl ISOLATEto Ion lfeWmeters(tmle)Inantlaeclons also conatle mllal for 600m micro(112 role)in all dveclons also consul Burr sp%altsis 1600 meters(l rule)in all claclans see,consider Waal evacuaust avacuatim Ibr 1600 matersl mllemell d,eclons evacuatiDn lar 600 metals(v2 drecural ountlinBlee for 1600 melen(I mis)men dmecoons ( ) move comeners from lire areas a you can do,t Fire laminating Tenke EMERGENCYRESPONSE EMERGENCYRESPONSE EMERGENCYRESPONSE wmom nsk •Flgnt bre linin maxtmlun d�stancem ase unmarred FlflE-DO NOT EXTINGU/SHALEAK/NG GAS FIRE UNLESS FlRE)Use exLnguls,ml 1gentsuitable for type of surrmndnglino Camaged c'i'nders Should be handed only by hosehbitlersorm°rvlornazzles FlRE-ANBESXTINGUISHALEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED Sme/IF/ree-Ory chemical or CO, Seecet— Cod contansa with flooding quantities of waterunLl LEAK CAN BE STOPPED Small Flre.-Dry chemical or CO, Lange Fires Flre lnmlving Tenke -letter lire is out CAUTION Hydnbgen(UN10091,Deuterium(101196TJ end Lang°Fire. •Wafer spray fog or regular loam Fight fxi ie from maximum dm stance or use unmnetl Dealt dvect water at source of leak or safely Hydrogen,reh/gerefed liquid(UN1966)bum wrot en Invisible Wafer ay spror fo' Move cc,leners from la,areal you can do a wllnbN nsk nose harder.orml noulea devices fang may our ff..Hydregm and Methane mholt,compnessed(UNW,3uI •Nova containers from ill arena you can led wtautnak •Corm dcyladms ahead be handled ally by specfallsis Deal co ,nere with ll000ng quantities ofwmeruntll Wnhdrawimmed'alely In case of rang sound from may bum wren an Invisible gem° Fire Involving Tenke Flre Invol Tbnke ..,letter eve is out venunB salary devices or discoloralon of tank Smell Fires-Ory,lunneaior CO, Fight it,from maximum Eatancs ,S,unmannetl hose Fight fire from maximum d,,iance,r,sevnmanned hose holders Do nottiv,ct water ars°ercebl leak arsalety tlevices 'ALWAYS stayaway Irbm ank.enguged In fire Lege Pill holders or monlior nozzles or monitar nozzles SPILL OR LEAK clnB may ecce, •Water s n ar 1 Dot touch or walk through spied material P Y oil •Coal fl,.,.cut w'm lloo0ing quantities of water unM well Cwl emainere with lloo0mg quantiles of wafer until we t ager W Ndaw lfety c.eiy or d a.l,rail som0 from B p •Mbve containers from Ire sea it you can all w,ihom r¢k alter fire Is al fee Is ON p g sq ry, •Stop leak it you can tlo it wnhpul risk and it possible Flre la-h/ng Tank, •Dealt direct water at source of leak ar safe del Do not dneci wale,at sburce or leak or safe devices,cin ve tin to tl ay fro t hkc nulla of tank Ium Ienkn containers co final Fight ire from mex'mum distance or useunmannetl hose holtlers tl clog fY B ALWAYS say away Irbm looks engulledin lire than llultl9 gas escapes rather B may occur may occur SPILL OR LEAK q Innitbrpules •Withdrawvice,or d,s mcase onsmg sound hem vent'ng •Withdraw ed,,c,l ,I,.cele of,,sing sovntl hem venting salary .D°not much u walk through spilledmaterial •Use wale,spraytoreduce vapor,ordivedvapor •Cool containers with Ilootling qudrallles of wafer unW well eller salary tlevices or dscolmaLon of IoM devices or discoloalOn of lank •Stop leek It you can do It wlNout r,sk antl If possible cloud tlng Aveitl allbwmg water.nog to contact Iul Is oN •ALWAYS stay away Irbm ma ends bl the imk ALWAYS stay away treat links engufisd m ire ton leaking comamers s°that gas escapes rather sp'Iled material •Do(Ill dvenw etawrceofleakp wletydencesrcmgm =,r •Fprmos ve lire u,.,manned hose holders s monaer •Far mass..fire u unmamed hose hold—,Irma les a than fiquitl •Do noldrecr water at seal or source of leak •Wthdawlmmediately m case Drilling sound from venengsafay rt lasif Use—possible withdraw from area and lel 9uslslmpbssible wmd,sw from area end lets re burn Use water spay to reducevapos br o.edvapor Preva dm7intowat,l sewes,basementsor dances o c le.k.mI.M of tank fire bum SPILL OR LEAK confinetl areas •ALWAYS stayaway from me ands of the tank SPILL OR LEAK •Keep Scrutosables(wmtl paper of etc)away frmisplktl mould cloud ncil ellow'ng water mnog tlo contact ,Allbwsulaslance to evaporate •Fb,mazs.efve useunrharmedhos tutIderso,mahcornozzlas l ELIMINATE ou Ignition sources(no snaking flares sparkso Do nd toucher wdkthl spelled materiel Donal .Venlaleth.,r Nis rs Ira ble wimtlraw Iron sea ono al fire burn •DD mol dneci water at spillys a. Sd leak Poaz' flames In sin ,un to area) writ leak II youcan l nwl9t°rnskantl 1ppssEle Nrn leaking ,prevententry Into waterways bazernenis or FIflo—c SS AID PILL OR LEAK Allequepment usetlwhen handling the product must be comate,„Dthaigat escapea.r,eo than liquio confined •Movencllm Is hash av • ELIMINATE ignition sources(nOsinking flares sparks or grpuntled Db rid direct waterelspillor source of leak .Allowsubsance to evaporele Car 911 or emergency rmdlcalservices lames In,mmed'ate area) Stop leak d you can tlo a without nsk and II Possible turn Use wale,spray to reduce vapos or d'v,d vapor cloud dug Avoid Venilate the area G.e amfipel respira[Ion II victim rs not breaming =t reach Iaakm,comemers so Net Bas escapes rather than liquid glial water rung to contact spied mammal CAUTION When In contact with refrigerated' Admmisarbxygen d breaking is difficult •Do nbl touch or walk through Spliled material Co rel l...h or walk Mal spllleo—least Prevent entry m,waterways sewers b.Stura to or cmrrneo 1e 11 Ida,man (er/els became brdf/e and Keep vioim warm and quiet •Step Isak II do,t wllh,iArisk andH ole tum laakn areas cogen qu many personnelere aware of the you posse g Do not tlirectwaler al spill or apprge of leak she ISTAy(o break wMput waming Ensure that lacteal sDaytt,e,ce,, named than,,, r •Use waterspray later lVapbrscadlvea.epm Cloudtlrfi Aaow substani1gsMada,p Flflo,e o maarlarts)involvetl andta4e Orecaullons 1p prptecl •Usetwaler spray to retluce vapors br tl'ver vapor clo,tl tlnt gvo,d allowing wafer nun°Il to cbnlacl spilled material folate area enol gas has dspersetl •Nov ncllm m fresh air themselves Avoid allowing water rung to contact spied Pratenal Prevenleniry I.waterways sewers bassourmsor CAUTION When In contact wIfh rehigereledvcryogen/e liquids, Call 911 or emergency medical services •Oo not tlerect water al spill or source Dl leak confined areas may meledals,become brlmeend are likely to break Willet G.e artificial resplrauon,f ihois net b,eathng •PrewM1,preaCmg olvapas through sewers vcaulat,onsystems .I sall—itunlllgashasclapereed warning Adm,nister°zyBen,f breama,gis tligicult and confined areaz FlRSTAID FlRSTAID Cut lnB Ir...n to Ne akin Should be thawed bell,, •Isolateseaunia gas has dispersed Now wcare to fresh sr Moe victim to fresh air beingremoved CAUTION When In coact and,reingerehd'ayagenle liquid;many Can 911 o,,mergenry medcal services Call 911 wr rgenrym,caisawiceS In case of con tact wM liquefied gas thaw trosntl melariahliKenme brittle ahem Maty he break wghpul—Ing Gw°aru l respaabon lvlcl'm Isnot Weathng •Give acral al lsepratlon 11 nc''m is not breaming partswMlukewermwater FlRSTAID •Atlminlste,oxygen,fbrmth,ng,sdllucdl •Admn'd,r,xg,ndbreath'nglsd'IiculL Keepv'cbmwarmantlquel •Mover .t.lre.h9e Rerwveandisolats...ttem.,ad cloning and arms Remevaand'aplats contaminsted clothing and Mms Ensure Nal medical personnel are aware of Me •Can 911 or emergency medicalservices In case ofcentacl withliquefied Bas thaw frosted pans with Claming how to me Stan should be Cawed belom bong removd mmenel(s)Inw1wid and take precautions Id prefect •Glve emfloal res,Ar...n d vmlm is nor breathing lukewarm water In was of contact wlh l'quefi al gas thaw bested parts wth themselves •Administer oxygen I/breathing Is dl,ftull .In case of bums Immndmt,ly cal of et,di stun Ibr es lukewarm water •Remove antl Isolate ccmammat d clothing and shoes long a,possible writ cold water Do net remove clothing d Keep v'cbm warm and tract •Claiming ft—mto Skin should be thawed before heir,remained adhering iD skin •Ensure that m,d,,l persmnal—we,e of the m,cruill .In case oI cmacl with I'ga.Fad gas Thaw Rested pans with Keep scam warm antl quell mwNetl antl lake preeaullora t°protect themselves lukewarm water •Ens re mat medical personnel are aware of the matsial(s) •In caged bum^brvnedatelymdagecled dun loazlmg ea possible Involvedantl take precautrons to protect lhemselves wM colo water Do not rerrloe clommg it adrer'rg to shit •Eric,,d'm w-arm en arson •Ensrnechat take ppersonnel ereawaredthe malarkl(s) Invdve0 antl take precaNlms Ip protect themsalv¢s Tv A FISHERS ISLAND FERRY DISTRICT VENDOR 001400 ALTERNATIVE SAFETY & TESTING 08/29/2017 CHECK 4289 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ; SM .5710.4.000.000 79437 DRUG TEST (8) RANDOM 320.00 SM .5710.4.000.000 79437 LABCORP COLLECT SITE(8) 80.00 TOTAL 400.00 w:F ... `c'?r^,. — s�:` it:• . 4r v�G r�;eC• i t �T , / t•t t, :P ;1 a FISHERS ISLAND•FERRYDISTRIGTl " 53095 MAIN ROAD,PO BOX 1179 AUDIT',0S'/2.9/r17, v SOUTHOLD,'NY 1'1,971-0959 _ `_ _ CHECK-NO.- 4 ' ? THE SUFFOLK`CO NATIONAL BANK AMOUNT' C,UTCHOGUE,NY.11935' 'DATE,: o8/29/2:o,i7 -; $4-00`00'., '! 60=5461214 ' i FOUR 'HUNDRED AND 'lop 10 o. DOLLARS PAY_- ALTERNATIVE SAFETY & TESTING' TO THE SOLUTIONS" INC. } .0k ER 678 ,FRONT AVE.NW,; SUITE -256 GRAND RAPIDS MI, 49504' _ { u2004 289v 1:02140546 44 68 00 L 50 2 1110 swi, 4�etfldor ®. — -j Ch ed t��o 'own of Southold, Neter York Payment Voucher „r r Vendor Address Enkred by. " 678 Front Avenue NW j — Vendor Name aliAte 256 tAudit Date ALTERNATIVE cu, FETY&T ES'�ING SOLUTIONS Grand Rapids, M0 4660 d`rn. Vendor Telephone Number ,;,AU,G' -201/•9y ' 800-477-3177 er Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount lAmount Claimed Number Description ofCoods or Services Geraerai,Ledger pond and Aebount Number , 79437 81112017 $400.00 , $320.00 Random(8) w-'SM671'OA000.000...LL. $80.00 Collection Fee(8) ';S96796.4.600.b00 i $400.00 1 $400,0 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of Che above named claimant) I hereby certify,that the materials above specified have been received by me does'lnereby 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 Siginatu1ej1�_1t.,,_ rat_ Title Signature_ Company Name Fishers Island Perry District Date 8/1412017 Title Bate l o Remit Payment To: Invoice A& Ar9we 678 Front Avenue NW EXCELLENCE Suite 256 Grand Rapids NII 49504 Date Invoice# Phone:800-477-3177 Alternative Safety&Testing Solutions Fax:616-534-5545 8/1/2017 79437 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 include the invoice number for 261 Trumball Drive Fishers Island,NY 06390 proper posting. Payments can now be made online at; Terms PO Number www.astscorp.com or www.astsmaritime.com. Due on receipt Quantity Description Rate Amount 8 Drug Test 40.00 320.00 8 Quest Collection Fee 10.00 80.00 Federal Tax ID#38-3510664 Total $400.00 FISHERS ISAWb FERRY DISTRICT VENDOR 001016 AT&T 08/29/2017 CHECK 4290 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 03046865150717 FI LNG DSTNC-7/1-7/31 108.47 TOTAL 108.47 .A 1"N ear 7 .`'LS I � 4Y`� WWI 1, FISHER AUDIT'DIT ;'O-B'/2'5 53095MAIN'ROAI),'POBOX,11791, SOUTHOLQ,NY11971-0H,959 -'C EC K - 4290, THE'SLIFI`61.1(CO.NATIONAL BANK - CUTCHOGUE,NY,11935 DATE - AMOUNT 50-546/214 08'/29/20'17-' $,108,:.4+7', EIGHT AND. 4 1 1'0'P DOLLARS Rkb ONE' HUND 91 RS P,4y AT&Txh - i0TliY- PO 'BOX. 168068 ORDER- ATLANTA GA 30348=5016'9 ' ,.- op, us00 . 290ilm 1:0214054641: G8 00LS02 L ATendor€o. Town of Southold, New York- Payment Voucher 1016 ;, Vendor Addrzss E i f VeaaderNam PO Box 105068 ate, AT&T Atlanta,GA 30348-5063 VendorTvl,tsarsnel�iumher ;U's Vendor Cmilact IM,oice Invoice lnvoice Net l'urc}aase(�rder ,�'�i1 r„”, ,.,. • .�,s,,,„••J -. ^: ., =zm9mr Rate TOW � Discount Amount Claimed Number Desaiption ofGoods.or Services 743aneral4A effarad`nd'AccountNuniber' 030 4636516 M 7131/2017 $108.471 '$10$.4.7 Fl long disUi a �"� . .Q�9�f,200 1 t { u', .''b4k`,ry�t�r•1''�' ',<rE�,' `i"' ' 4" c. .•' L.+r. $1 471 1088 'Payee Certification Deparhnent C&CtUication The xmdemigned(Claimanx)(Actino on behalf of the above named S aimant) l hereby cer*that the mScn&abmz 'aiived'di*a ae Imn rived by ane dom bereb,-,=tify that the foregoing claim is true and roaaect,that no pard has in goad condition niftx,sa , dtattaon,gie sp..micas pmperhv beenpaid,kept as therein stud,dvat the balance dhzrin slated is actually perfennod and drat the quantities 1hereatftieve beers verifred Mlh the exceptiors due%md owin'EL and that•taxes from which the Town is,eNumpt am excluded_ t or drscreparcies noted,and pq.y teaat is ra fmd "siraiFzre Title Signalers: C-ApattyNarneL�irhers island l<err+r District Date gla Sf2fl 17 Title Date R7_�!��V Account Bill payment Dun ��,� V Number Date Q8� �� FISHERS ISLAND FERRY DIST P.O. BOX 607 ............ FISHERS ISL NY 06390-0607 030 468 6515 001 JUL 31, 2017 AUG 26, 2017 TELEPHONE NUMBER: 631 788 7463 AT&T AN in One Semee = ror Cwtower Circ 1 877mS 0445 AT&T All in One Service ACCOUNT STATUS AT&T LONG DISTANCE $57.48 PREVIOUS BALANCE $247.92 PAYMENT RECEIVED 5124.31% TOTAL SERVICE CHARGES $57.48 ADJUSTMENTS $0.00 TOTAL CURRENT CHARGES $108.47 SURCHARGES AND TAXES $50.99 ll�� r TOTAL CURRENT CHARGES $108.47 TOTAL AMOUNT DUE See Summary of Charges page for details Pay online at www.att.com/paymybill News From AT&T .lust 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. 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FISHERS ISLAND FERRY DISTRICT 1 VENDOR 0,r029451CAPALBO ACCOUNTING 'SVCS, LLC 08/29/2017 CHECK 4291 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .1310.4.000.000 1 5306 ACCTNG CONSLTNG-7/18 75.00 ( TOTAL 75.00 ;t \ i ;r .r co 4 :A 1 0 o i !` I 'M1V�.1 t 5h.•, FISHERS:ISLAIVD•FERRYDISTRICT AUDIT 0s' a x.53095 MAIN-ROAD,PO'BOX.7179 ` - SOUTHOLD,NY 71971-0959 CHECK 'NO. 42 91 THE SUFFOLK CO.NATIONAL BANK {,p CUTCHOGUE,NY 1.1935 DATE' „ AMOUNT., i08/29,/2b17 , 4 _• 75'.00 k SEVBNTY..FTVE 'AND, 00'%100 DOLLARS- - a PAY .CAPALBO'•ACCOUNTING 'SVCS,' 'LLC TO TIE ,4-FO1ZT-,HILL ROAD = OkDER` GROTON''CT 063'4.0_ ii'004 29 1ii• 1:0 2 X40 5464x: 68 00 150 2 Lei° ~ - ~ _~__ Title —~--r Invoice a CAPALBO aCCL,tny z-. �5 Date Invoice # 4 Fort Hill Road 7/31/2017 5306 Groton, CT 06340 Fisher's Island Ferry District PO Box 607 Fishers Island, NY 06390 Services Received Amount 7/18/17 - logging in to look at Bruce issue. Printing reports, finding 75.00 error wiVrent, mounts for 2015.. Talk to Diane about issue CJ ' 4 Terms Net 30 Total Due: $75.00 (, Fps "'• t�-s+7 ;r,,^ \_�'''. s a,1 + FISHERS ISLAND FERRY DISTRICT VENDOR 004277 DIME OIL COMPANY, LLC 08/29/2017 'CHECK 4293 A - ,, ACCOUNT _� _P.O.#_- IN�VOICE_N =_y DESCRIPTIONv — --_= Y k_. _.,AMOUNT �w3, SM .5710.4.000.300 48299 MU 5240.10GAL@$1.7072/GL 8, 945.90 SM .5710.4.000.300 48299 CT EXCISE TAX—$.4170/GAL 2,185.12 w3 SM .5710.4.000.300 48299 S—F COST RECOVERY .0021 11.00 SM .5710.4.000.300 48299 LUST TAX—$.0010/GAL 5.24 SM .5710.4.000.300 48331 RP 5214 GAL@$1.6932/GL 8, 828.34 ISM .5710.4.000.300 48331' '_CT EXCISE TAX—$.4170/GAL 2,174.24 SM .5710.4.000.300 48331 S—F COST RECOVERY .0021 10.95 m SM .5710.4.000.300 48331 LUST TAX—$.0010/GAL 5.,21 Y° TOTAL 22,166.00 •• Y'.-r1 .....Vr rs .4::�va1C.t ..... >•h i' 1 a�c •;"s�,,--`i�-N3.-sat^. .F: 0 of a - • a o ®` • o ® • o o • • + FISHERS`ISIANDEERRYD,ISTRICT' AiiDZT.os"/29ji'!-"_ ' 53095 MAIN,ROAD;PO 60X-•1179 ; f SOUTHOLD,NY 11971-0959CHECK NO.: :4293 •�• THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 11935 DATE 'AMOUNT_ 50.546(214' TWEIVTX 'TWO THOUSAND'ONE :I�UNDRED SIXTY'SIX AND 0'0/10 0''DOLLARS PAY DIME OIL,;COMPANY-; 'LLC TO'TFIE 93 INDUSTRY LANE ORDERPO 'BOX-' 1T �S Or- ' WATERBURY,CT 06704 11.001, 29311' 1:0 2 L405464l: 68 00 L50 2 LII, �' VPYYdtDTN19. "'_ ;;,;, ,w; t' ,s: j•; 'own o Southold, New York Payment Voucher 427 � ;"" r'14' 'Entered,by.-.; P.O. Box 11125AUdit<' D ime tail Company LLC ;r K, Idllatetba;lr�,CT 067493 Vendor"Telephone Number 2493-7334 TR VendorCoantacY Invoice invoice Invoice k Net Purchase Order• _'n5-- ''`°'^':`„` :_;.1=r ' ..;;,;'.:;r>.,,.`,,`iv,';;„ ” Number Date Total I Discount Amount Claimed Number Description of Goods or Services ;' C7eneralljedgier;Fdind'�sid;'AMount!,i7iintber 98299 8/412017 $11,147.26ygrq�yt/�w p "' ' k � $87e745.90 Munn 5240.10 gal gR*1.f 68t 2/ a� $2,185.12 CT Excise Tax-$0.4170%al $11.04 S-F Cost-Recovery.0021 R $5.24 LUST Tax-$.0012/gal s 48331 8/9/2017 $11,018.741 $8,828,34 RP 5214.0 gal @$1.69321 of $2,174.24 CT Excise Tax-$0.41719 al i $10.05 S-F Cost'Recove .0021 $5:21 LUST Tax-$.049149/ al ;,; CPIS attached x% Federal S-F tax increased on 1/112017 $22,166.001 $22,166.490 Payne Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) Ihereby certify fliat the matenals above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good-zonditionwithout substitution,the services properly been paid,except as therein stated,that the balance therein stilted is actually performed and that the quantities thereof have been Nerified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or dismv-pancies noted,and payment is approved - Signature Signature Title_ .Signature J Company"Name Fishers Island Ferry District Date 8/'1612017 Title Date / y -Dime Qin. LLC Pham: 203- 754-5334 PO Box 111—?? Date 08/04/?.7 Waterbury, CT 06703 Page 1 Dime Oil LLC wwo-dimoiloo.com INVOICE ACCOUMT ER 4420165 F1.9her's -Island Ferry Piskrict AMOUNT ENCLOSEDi 0 Box 607 (EMAIL), Attn Accounts Payable Fishers Island, NX 0' 390-0607 Re: "Fishera Island Ferrer Dist 5 W ter�ront "Park--aee Pero -, New London Terms: Net 30 Days From Invoice• Date Date Invoice Charge axed Credits Amount 0.8/04/17 „ ' 48299" 4420165' -A Fishers Island Ferry 5'Waterfropt Pk iii ##20R•Off .Road WLese�. 5240'.1 GALS @ 1. o 8945.90' Pickup No.- tm f'ul,1 Dyed Diesel Fuel for off r as Use M41Y. S--T Cost Recovery 11.00 C:T EXCISE T DSL 2185.12 LEST TAX 5.24 08/04/17 48299• Fuel Invoice Total 11147.26 Amount Due 11147.26 Effective Jah tut the Federal Spill Recovery Fee increased tsa ,0021 - for Coil/Diesel & ,,0019 for Ga;s • Dime Oil :SLC �0��'754-5334, Aceptint;4420165 TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 1.5%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%ON AMOUNTS PAST DUE 30 DAYS OR MORE AND TO ADD ALL COLLECTION']I 'I-L-1'.�2 9 9 �20.. gq�gPpaaORDERDATE_P9 Q Fal Q� /' ' c39 B =� f DE DATE".' w �S FiAhoirs Island Fevrry 4420 w IIr D I �V GALLONS PLL-munnSa 4m44!—Q,p L Sry�.. �� 3 / C 1 State, Stt �co ' O Mem London6T '663 9'9 FULL PRICE PER GAL'L'ON S o 0 _ -. ' 'tri Q 000 � ' I��?� i�o�R4/2- /17if 0:007 ` �� :�ySL1�Ft1 �� as 95-ex83-strait®-f 0 _�,�3w Sitj Z a'"°Aa ` 1 Gy®C4�iF DISCOUNT GALLON, y a ! RR Tracks to, Term,3oHW 860-303 -8311 q PAY DISCOUNT AMOUNT .} i_`- _ ORD 520-0- 18/3 9AM • �_ K ,' P THI^IAMOUNT w1 'Faxes=$ 0.0021, $ 0 .4170, $4170. $ 0e0010 � '.AFTER Days a� � r o + TRUC TAX - DIME OIL COMPAN LL' - P.O. BOX 11'125 a Y T TIME y> SAM PAYMENT RECEIVED w WATERBURY,CCT 068703 TVMF DEL V �p�pM 2®3 75�-53�� CASH CHECK C T SI AT } i ( ) I ❑ ❑ e I ❑CHARGE _ ._...__.._ Lk,w •`- y Kasia Asmolov From: Accounting Department Sent: Tuesday,August 8, 2017 8:10 AM To: Kasia Asmolov Subject: FW:08/04/2017 delivery Attachments: fisher island 8.4.2017.pdf Attached please find the invoice and opis for Friday's Q/4 delivery. Beth **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES*' Move Terms No.2 Move No.l Move Pre Move pate Time NWENeLPTR a N-10 167.10 - 2.10 -- - -- -- 169.60 - 2.10 08/03 18:00 Valero u N-10 167.90 - 2.25 -- -- -- -- -- -- 08/03 18:00 Shell u N-10 168.45 - 1.34 -- -_ __ -_ 08/03 18:00 Sprague u 1-10 169.15 + 1.69 -- -- 170.16 - 2.27 08/03 18:00 Valero b 1-10 170.05 - 1.80 - -- -- -- -- -- -- 08/03 18:00 Gulf b N-10 170.10 - 2,.10 -- 172.60 2.10 08/03 18:00 GULF-GIE u Net 170.10 - 2.10 t- - -- -- 172.60 - 2,10 08/03 18:00 Shell b 125-3 1.70.15 - 1.36 __ __ __ -- __ -- 08/03 18:00 S.R.& M. u 1-10 170.34 - 2.09 -- -s -- _- -- __ __ 08/03 18:00 Coastal b 125-3 170.40 - 2.99 -- -_ __ __ _- __ __ __ 08/03 18:00 Sunoco b 125-3 170.40 - 2.99 08/03 18:00 KOM h 1-10 170.55 =- 1.77 -s -- - -- -- -- - -- 08/03 19:00 Irving u Net 170,78 - .1.88 -- -- _-- -- -- -- -- -- 08/03 18:00 BP b 1-10 170.85 - 2.47 -- -- -- -- -- -- -- -- 08/03 18:00 Citgo b 1-10 171.21 - 1.61 -- -- -- -- -- -T -- 08/03 18:00 Citgo u 1-10 171.21 - 1.61 -- -- -- -- -- -- -- -- 08/03 18:00 Irving b 1-10 171.31 - 1.61 -- -- -- -- -- -- -- -- 08/04 00:01 LOW RACK 167.10 -- -- 169.60 HIGH RACK 171.3_1 -- -- 172,60 94, 171.24 Plus vendor mark-up .72 Total 170.72 Convert to dollars $1.7072 ICatarzyna Asmolov Fishers Island Ferry District 1 Phone: 203-754-5334 Dime oil LLC 'Date 08/09/17 L PO Box 11125 Page' Waterbury, CT 06103 Dime Oil LTC www.dimeoilco.com IMMICE ACC6VW-_- NUMER a 4420165 ,Fi,ghers island rlerry District MOUNT ENCLOSED: PO Box '007 (EMIAIM Atte Aocounts Payable Fishers, Island, Ny 06390-0607 p,e: Fishers island Forty Dist' 5 Waterfront Park-Race Point, New London Terms; Net 30 Days From Tniroice Date ---------- -----------7------- ------------------------- --------- Date Invoice Charge gild QVGC1_4t$ ymount �------------------------------- ----------------!-------------- 48331 42QR Off Road Diesel 5214.0 GIALS @, I,G-93200 3324.34 Dyed piese! Fuel for 0f Ao4d U50 ONLY. SwF Cost Recovery 10.95, CIT-EXCISE TAY. DSL 217'&°24 LUST TAX 5.'21 - ---------- 06/09,/17 48331 Fuel invoice Total '11018.74 A_xftotinxt Due Effective Jan 1st the Fede-ral spil! Recovery Fee inoreazed to .0021 for Oil/DiPSel -.0019 for "as Dime Oil LLC '203-754-5334 Aopount24420165 TERMS:WE RESERVE THE RIGHT TO MAKE A FINANCE CHARGE COMPUTED BY A PERIODIC RATE OF 15%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE-OF 18%ON AMOUNTS PAST DUE 30'DAYS OR MORE AND TO ADD ALL COLLECTION FEES. 4-813-1 j °q /� �y px +ORDEMD06/0V2011 , ATE' mayry' C; v O _ 08+ 20 .L4!00 trF,. r C 06/0 9 jt 201 7 ' — cn cn ti u c DL!_4 ERY DATE ellkh_7 j*� ® 1 -VVS�'�,ter ront R��si®°A�i'ace «,®�L�1� • • ;GALLONS �Im - ty �.y a, vc f r` �?� ",9 �`t,� � � �� 0k `_t& u? _ _8'6b-442,-0i65 j, � ✓ ��- '- cri� kew L�indo' n TT 6 8 3 2 20'1 3 9 FULL,PRICE PER GALLON_ -97c;o j � 00 ft 60 �� ! -7 , z z f UTZ ast ✓" o °a OW 860-303,�-,€3311 n.-ex03'-�ztz,e`� .m OZ,�. 'DISCO,UNTPRICEPERGALLON PAY DISCOU1dT'AMOUNI ORD,'5200 x`200 WED 8/91-__ f , - J' P T• . PAY T o=w oS Taes=$ 0 -00� 0`af4170 $ 0 •00.10" 1AFiER, DAYS 4 TRUCK 9AX®IMOIL ®MIPyLL1,S , 1125r DRIVERP.O. BOX rTM WATERBURY, CT 06703-. , TIME (('��' �M TMFI PAYME_NTRECEIVED i OF DELsJ'J 60?PM (203) 754-5334 1 �{ ❑CASH ❑CHECK _ t�) TH ® • ❑CHARGE . r Kasaa Asmolov From: Accounting Department Sent: Monday, August 14, 2017 8:05 AM To: Kasia Asmolov Subject: FW:8.9.17 DELIVERY Attachments: FISHER ISLAND 8.9.17.pdf From: Beth Skojec jmaifto:bethCc>Jdimeoil.cnma .��, �. �.µ.. �.M.�.. _M�._ ,�.�.�...�,..�__�,... ....�....._. Sent: Friday, August 11, 2017 10:08 AM To: Accounting Department Subject: 8.9.17 DELIVERY **OPIS CLOSING BENCHMARK FILE** **OPIS GROSS ULTRA LOW SULFUR DISTILLATE PRICES** Move Terms No,2 Move No., Move Pre Move Date Time Gulf b N-10 165.60 - .90 -- -- -- -- 168.10 - .90 08/08 18:00 GULF-GTE u Net 165.60 - .9Q -- -- -- 168.10 - .90 08/08 18:00 NWENGLPTR u N-10 166.45 - .85 -- -- -- -- 168.95 - .85 08/08 18:00 Valero u N-10 166.65 - 1.05 -- -- -- -- M - 08/08 18:00 Shell u N-10 167.48 - 1.16 -- -- -_ __ __ __ __ __ 08/08 18:00 Sprague u 1-10 167.99 + 1.68 -- -- -- -- 169.00 - 1.11 08/08 18:00 Valero b 1-10 168.30 - .80 -- -- -- - -- -- -- -- 08/08 18:00 BP b 1-10 168.99 2.00 -- -- -- -- -- r- 08/08 18:00 Shell b 125-3 169.18 - 1.16 -- -- -- -- -- -- -- -- 08/08 18:00 Irving b 1-10 169.19 - 1.92 -- -- -- -- -- -- -- -- 08/09 00:01 S.R.& M. u 1-10 169.37 - 1.06 -_ __ __ -- __ __ 08/08 18:00 XOM b 1-10 169.65 - .95 08/08 19:00 Coastal b 125-3 170.20 - .09 -- -- -- -- -- -- - 08/08 18:00 Sunoco b 125-3 170.20 - .09 -- -- -- -- -- -- - 08/08 18:OQ Irving u Net 170.21 - .68 -- -- -- R- -- -- -- -- 08/08 18:00 Citgo b 1-10 170.59 - .95 -- -- -- -- -_ -- -- -- 0$/08 18:00 Citgo u 1-10 170.59 - .95 -- -- -- -- -- -- -- -- 08/08 18:00 ' LOW RACK 165.60 -- 168.10 HIGH RACK _ 170.59 T- -- 169.00 168.54 Plus vendor mark-up .72 Total 169.82 Convert to dollars $1.6932 Katarzyna Asmolov Fishers Island Ferry District 1 ' i FISHERS ISLAND FERRY DISTRICT VENDOR 005414 ELECTRICAL WHOLESALERS, INC. 08/29/2017 CHECK 4294 A� INVOICE DESCRIPTION AMOUNT ` SM .5709.2.000.200 S107779262.001 FEMA(21)LED LIGHTS—YARD 10, 005.41 SM .5709.2.000.200 S108600576.001 FEMA—CNNCTRS,CVRS,BOXES 152:69 _Y a SM .5709.2.000.200 S108603079.001 `CONNECTOR,COVER LNCTN BX 16.49 SM .5709.2.0,0''0.200 5108605180.001 FEMA—CONNCTRS,TEK SCREWS L 20.10 r' TOTAL 10,194.69 .. r'^7 "!Y... �'�::�- '•5 ars, ri'�•.. i_ r.� r.�„ ,<.,en ,..K Nf...aN ...�-. .,.. ..,-r.. >,,.,-• . ... A. ..o ':.�,x^_:•:•:<+y={i'4-"�Y-�:•:�•'�:4�.P'-":•0.•6 •a limp •:r2 2 - a ..tea�:�"<, ., .. .... ,. 1:'<. •c�._ :�' - 7 I i t FISHERS;ISLAND FEWAUDIT"r o$%29.i7' -_ ' - -- 53095 MAIN ROAD,P0,BOX 14.79 SOUTHOLD;NY,11971-0959,'_. _ -; CHECK NO: 4294 THE SUFFOLK CO NATIONAL BANK` AMO41NTa: _ CUTCHOGUE,'NY 11935 DATEr, ;' 50-546/214 '' gB/2'9/2017,;' '_.TEN; THOUSAND'ONE'_HUNDRED-NINETY FOUR AND' 9/'1'0 0 DOLLARS"' PAY 'E'LECTRICAI, 'WHOLES_ALERS, INC. PO` ,BOX_789.7.61 ORDER PT-TTT.ALnFT,PHTA. PA--19178 Ox - r - 1 iia 004 291,115 1:0 2 140 54641: 68 00 150 2 111' 1 Vendor No. CNet k'No:'';'., Town of Southold, New 'fork o Payment Voucher 541 Vendor Address Entered by Lockbox 9761 `- Vendor•Name P.-O.Box 8500 At t Date-, Electrical Wholesalers Inc. Pf iladsriphia,Pay 19178-9761 — _ 1'AUG`:2.9`''2017' -Vendor Telephone Number F $00-522-3232 Vendor Contact °1 Invoice Invoice Invoice Net Purchase Order Number Date -Total j Discount lAmount Clar Number n' Description of Goods or Services ! :;;I General T edg�'r,Fua3 and.Accaent Nairriiber.' 5908603079.009 898/2097 16.49. 1, $16.491 FEMA li hting ISL parking lot M6709.2.000.200 5908600576.009 8/8/2097 '$952.59'`. � $952.69 FEMA fighting NL pa ldrig lot S11570902.000.200 ' C6 Y-�ne dor s TFk 5=, S „ S108605M.009 818/20`17 $20.901 $20.10' FERIA light!nQ NL parldng lot 00:206 S107779262.,001' 81812097, 510,005.491 1 $90,1105.49, New LED lights for tl ST15709:2:000.200,' s ! Quotes attached ''rbc .<s' `( • 5'10,994•,69 { $90,994.69 ; Payee Certification Department Ctrtifieation 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 cer:Qiy that the foregoing claim is true and correct,that no,part has in good condition witbout-subst4ation,the services propwly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof haae been venfied with the exceptions due,and owing and that-taxes from which.he Town is exempt areexcluded or discrepancies noted,and payment is approved Signature (9,, Frtle-- Signature Company Name Fishers-Island Ferry District Date 8/1712,1017 Tale Dave Electrical Wholesalers inc. INVOICE a US nectima S—es Co CUSTOMER NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S108603079.001 08/08/17 "REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 2116 1 AB 0.403 E0058 10113 02730982723 S2 P4526285 0003.0004 SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO# JOB NAME/RELEASE4 ORDERED BY SALESPERSON SHORE POWER SHORE POWER MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE SALLY LEWIS PICK UP MFG DISC 10TH, NET 15TH 08/08/17 08/08/17 ORDER QTY , " SHIP QTY, DESCRIPTION UNIT PRICE EXT PRICE lea lea ARL NMLT100 1" NM STRAIGHT 232 000c 2.32 LIQUIDTITE CONNECTOR lea lea CLN E987N 4"X 4"X 4" PVC SCREW 1319.000c 13.19 COVER JUNCTION BOX `e .,y...a: .��. ® ■ ® ■ ® o ® asLl e ■ f ® d MU 2017108/08 01 19 56 PM 6108603079 I Subtotal 1551 If paid by 09/10/17 you may deduct$0.23 Invoice is due by 09/15/17 net of any cash discount. Shipping Chgs 0.00 r Tax 098 For complete Terms&Conditions go to. 4APayments 0.00 http://tinyurl com/EWCT-Customer-TC-pdf MIKE Amount Due 16.4 A Electrical Company Visit us at www.usesi.com . .Services Inc 0003:0004 TO VIEW ONLINE GO TO: HTTP:/IEW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 - III 1111111111111111111111111111111111111111111 � = �� Ship Ticket U.S.n,,:tl•,cai se,vict,Glc.C'tampnrry SHIP DATE ORDER NUMBER', PAGE N0. EW-NEW LONDON 08/08/2017 S108603079.001 1 of 1 163 STATE PIER ROAD NEW LONDON,CT 06320-5817 OUST Po#: SHORE POWER 860-443-4381 Fax 860-443-4570 JOB/REL#: SHORE POWER SOLD TO: SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 CUSTOMER NUMBER CUSTOMER PHONE# ORDERED BY SALESPERSON 27352 860-442-0165 MIKE HOUSE ACCOUNT WRITER SHIP VIA WAREHOUSE ORDER DATE FREIGHT ALLOWED SALLY LEWIS PICK UP Ship: NELO Price: NELO 08/08/2017 No 860 443-4381 ORDER QTY SHIP QTY DESCRIPTION - lea lea ARL NMLT100 1" NM STRAIGHT LIQUIDTITE CONNECTOR lea lea CLN E987N 4"X 4"X 4" PVC SCREW COVER JUNCTION BOX 2017,98108 01 10 58 PM S108603079 1 MIKE fe Subtotal Any shortage, damaged or incorrect material must be reported within Shipping Chgs 24 hours Tax For complete Terms & Conditions go to: http://tinyurl.com/EWCT-Customer-TC-pdf Payments Amount Due Printed By LEWSAL on 8/8/2017 1 19 59 PM EST INVOICE IN�®Elcctr•ic:rl Wholesalers,Inc. a US nectmal S—es Cc CUSTOMER NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S108600576.001 08/08/17 REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 2116 1 AB 0.403 E0058 10112 D2730982719 S2 P4526285 0002.0004 SHIP TO: I�I�IIII�II�II��III��III��II�IIIIII�II�I�II��IIII��IIIII�II�� FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER'PO# . JOB NAME/RELEASE# ORDERED BY SALESPERSON 16PSGP 16PSGP MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS SHIP DATE ORDER DATE SALLY LEWIS PICK UP MFG DISC 10TH, NET 15TH 08/08/17 08/08/17 -'ORDER QTY SHIP QTY DESCRIPTION UNIT.PRICE. . EXT PRICE - 21ea 17ea TAYMAC BC300S GRY ROUND BLANKD 172.000c 29.24 COVER !!TAGGED ITEM !! 21 ea 13ea TAYMAC RB550S 5 1/2HOLE GRY RIND BOX Qc 591.000c 76.83 !!TAGGED ITEM !! (� 25ea 25ea ARL NMLT50 1/2"NM STRAIGHT V 150.000c 37.50 LIQUIDTITE CONNECTOR i ri If paid by 09/10/17 you may deduct$0.56 2017N8/0801 2009 PM S1086006761 Subtotal 14357 Invoice is due by 09/15/17 net of any cash discount. Shipping Chgs 0.00 {� Tax 9.12 For complete Terms&Conditions go to: Payments 0.00 hftp://tinyurl.com/EWCT-Customer-TC-pdf A Electrical Company Visit us at www.usesi.com MIKE Amount Due 152.69 19"Services Inc 0002:0004 TO VIEW ONLINE GO TO: HTTP://EW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 0 1 INVOICE INNElectrical Wholesalers mc. a DS neeCieO S—es Ca CUSTOMER-NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S108605180.001 08/08/17 REMIT TO: ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 21161 AB 0.403 E0058 10114 D2730982725 S2 P4526285 0004.0004 SHIP TO: I�I�Illl�ll�ll��lll��lll��ll�llllll�ll�l�ll��llll�rr�lllll�ll�� FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO.# JOB NAME/RELEASE# ORDERED BY SALESPERSON 16PSGP 16PSGP MIKE HOUSE ACCOUNT WRITER SHIP VIA TERMS. SHIP DATE ORDER DATE SALLY LEWIS PICK UP MFG DISC 10TH, NET 15TH 08/08/17 08/08/17 ORDER QTY SHIP QTY DESCRIPTION UNIl`PRICE EXT PRICE -25ea -25ea ARL NMLT50 1/2" NM STRAIGHT 150.000c -37.50 LIQUIDTITE CONNECTOR **Original Sale: S108600576.001 ** **Cus PO 16PSGP** 25ea 25ea ARL LPCG50 1/2"STRAIGHT STRAIN 178 000c 44.50 RELIEF CORD CONNECTOR 100e 100e MET JTEKD5 10X1/2 HEX TEK SCREW 11.900c 11.90 G oke �e mum NA n, J 1Y. ® n If paid by 09/10/17 you may deduct$0.11 2017/08/08 03 28 09 PM S108006180 1 Subtotal 18.90 Invoice is due by 09/15/17 net of any cash discount. Shipping Chgs 0.00 Tax 120 For complete Terms&Conditions go to: Payments 0.00 http://tinyu rl.com/E W CT-Customer-TC-pdf Amount Due 20.10 A [Electrical Company Visit us at www.usesi.com ° seances Inc 0004.0004 TO VIEW ONLINE GO TO: HTTP://EW.BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 I NN Electrical Wholesalers inc. INVOICE a as neetrinl s•,vk•s Co CUSTOMER NUMBER SUB ACCOUNT# EW-NEW LONDON 27352 27352 163 STATE PIER ROAD NEW LONDON CT 06320-5817 INVOICE NUMBER INVOICE DATE 860-443-4381 Fax 860-443-4570 S107779262.001 08/08/17 REMIT TO:. o ELECTRICAL WHOLESALERS,INC PO BOX 789761 PHILADELPHIA PA 19178 BILL TO: 2116 1 AB 0 403 E0058X 10111 02730982717 S2 P4526285 0001 0004 SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI t PO BOX 607 PO BOX 607 FISHERS ISLAND NY 06390-0607 FISHERS ISLAND NY 06390-0607 CUSTOMER PO# JOBNAME/RELEASE# 6RDERED'I3Y SALESPERSON 16PSGP 16PSGP JOHN HANEY HOUSE ACCOUNT WRITER SHIP VIA .TERMS SHIP DATE, ORDER DATE SALLY LEWIS WILL CALL MFG DISC 10TH, NET 15TH 08/08/17 08/02/17 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT,PRICE 21 ea 21 ea RAB FXLED150T 150W LT FX 448.000E 9408.00 !!TAGGED ITEM !! V f \. m: �: �_ :``�.0 ;�•. \; Sia`: .�,�:`.\;;:��; ® m 2017ro8ro8 01 1106 PM 5107779262 1 Subtotal 9,408.00 Invoice is due by 09115/17. Shipping Chgs 000 4t�(�2— Tax 59741 For complete Terms&Condltlons go to: Payments 0.00 hftp-//tinyuri.com/EWCT-Customer-TC-pdf MIKE Amount Due 10,005.41 A Electrical Company Visit us at www.usesi.com h 14 a Services Inc 0001 0004 TO VIEW ONLINE GO TO: HTTP://EW BILLTRUST.COM USE THIS ENROLLMENT TOKEN: FML HKS FSK Page 1 of 1 HENorthEast Electrical D 1 8 T R I B V T 0 R S Quotation • 15 NORTHEAST ELECTRICAL DISTRIBUTORS 02/26/I6 S024725117 91 CRYSTAL AVE NEW LONDON,CT 06320-0409 -OR2 860-443-7191 Fax 860-442-5066 gary.lakowskyfteedco-com SHIP TO: 1 of I QUOTE TO: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT PO BOX 607 261 TRUMBULL DR 261 TRUMBULL DR FISHERS ISLE, NY 06390-8021 FISHERS ISLAND, NY 06390-0607 631-788-7463 631-788-7463 :<`.' 79640 FLOOD LIGHTS JOHN HANEY GORDON MURPHY GARY LAKOWSKY BID No 02/25/16 �7, 24ea 01981303155 RAB FXLED78SF 522.410 e 12537. 84 FLEXFLOOD 78W COOL LED SLIPFITTER BRONZE 5ea 01981310453 RAB FFLED39T 307 .130 e 1535. 65 FUTURE FLOOD 39W COOL LED TRUNNION BRONZE TERMS & CONDITIONS TAXES NOT INC' :D Subtotal 14073 .49 This order is subject to Company Terms and conditions of sale, which provisions shalt govern S&H CHGS 0.00 in the event of any conflict with any Terms or conditions of Purchaser's proposal, purchase order or other documents. All quotes/bids for Pipe and wire are good for the date of the bid only. No extension of the pricing of these items is authorized by any employee of the Company without express written consent in the form of an official Letter or signed acknowledgement Amount Due 14073 .49 of an Officer of the Company. III 1!I MIMI 11111111 III!11111 a$i ! ��ls��l� l �� Inc. Quotati®n U S FteitriCA S#W�kt•tris.CVRDJMUn� QUOTE DATE QUOTE NUMBER PAGE NO. 04/12/2017 S107779262 1 of 1 EW-NEW LONDON 163 STATE PIER ROAD CUST PO#: fab NEW LONDON,CT 06320-5817 F 860-443-4570 JOBIREL#k quote QUOTE TO- SHIP TO: FISHERS ISLAND FERRY DI FISHERS ISLAND FERRY DI PO BOX 607 PO BOX 607 FISHERS ISLAND,NY 06390-0607 FISHERS ISLAND,NY 06390-0607 CUSTOMER NUMBER CUSTOMER PHONE ORDERED BY SALESPERSON 27352 860-442-0165 mike HOusE ACCOUNT WRITER SHIP VIA TERMS EXPIRATION DATE FREIGHT EXEMPT SALLY LEWIS WILL CALL MFG DISC 10TH,NET 04/11/2017 No a (860)443--4 1 15TH ORDER QTY DESCRIPTION UNIT PRICE EXT PRICE 21ea RAB FXLED15OT 150VV LT FX 446.000/ea 9408.00 ew stock price based on this qty Prices listed on this quotation are subject to change without notice beyond expiration date, include only the equipment listed and do not Subtotal 9408.00 include any sales tax unless noted otherwise. Expiration date does Shipping Chgs 0.00 not apply to wire pricing which may be subject to change after 24 hours. Special order items cannot be cancelled unless the manufacturer permits cancellation. Amount Due 9408.00 Pnnted By LEW SAL on 4/12/2017 1.0321 PPA EST Shopping Cart Page 1 of 1 _ P • t Product Unit Price QTY Subtotal RAB 150 Watt LED Floodlight-5000K 120V-277V 72 CRI 18,755 Lumen Bronze Fixture-Trunnion Mount- DLC Standard(FXLED150T) 5570.00 .1 Up-date $11,970-00 16 will be placed on cackorder x Remove P�romohonal Code+ :l f� I...G .. Need Help Checking Out? ��v �, � �a, -: ,. o_ �za, •<, Call 877.231.2852. 14 Subtotal: $11,970.00 Click to chat _ _ k RA-F 7:00am-6:00Pm E51" 3 Estimated Order Total:(bofore tax) $11,970.00 U .- Secure Ch"Itout 51-p".9 m x ala A"ani uwr•: i ,s• a /SihZing Caf/877,231.2652 IidFORMATION CUSTOMER HELP ACCOUNT 02017 Liantina Suppl;,in,-All rights reserved AbaLt Us Contac'Us Jiv orders Ernployn>rm. ordering&btu0pmg My Quick Wer List Site Map Prwacy Po." Aeooum Dashbcard Enter email for special offers Newsroom ;,earn Dtstnnutor:trr..oum 6109 26 Ik pairgt http://ivwN,v.iightingsupply.conVeheckout/carU 8/1/2017 RAB Lighting-FXLED150T- 150 Watt LED Landscape Lighting-Bronze Fi—Wholes... Page 2 of 11 Wmholesdlge nome Improvement Products A All WF10LESA l-Ei-l0M E,C0M Home Shop By Category Contact Us Wholesale Search MAIN MENU Home Shop By Category + Contact Us Wholesale Search SHOP BY TYPE AC Filter AC Parts Audio Baby Monitors Bakeware Baking T ools Bidet Boiler View n lore http ;Hvvv,rev.Wi)ales.tich;)me,ccm/paoducts/rab-lightiizg-fxled150t-150-•N,itt-ied-landscape-la... 8/1/2011 RAB Lighting-FXLED150T- 150 Watt LED Landscapf:Lighting-Bronze Fi-Wholes... Page 1 of 11 Shopping Cart ED LANDSCAPE K LIGHTING-BRONZE FINISH it C Remove S:rz� Brice Quantity Total i i6bo - 21. + $11,970,00 Add a note to Mous order Subtotai $11,970,00 5hipping& taxes CalCalat°eCl Z1.-t Cht- IWU Check Out WHOLESALE1-OME.COM ` w hurt Y Cart 011 Menu Ci i',rh I i s t(0) P Cart(2 1) https://www.v-rholesalehome.com/proaucts/rab-liglitiiig-fxicd 150t-150-watt-led-landscape-li... 8/1/2017 247 FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 08/29/2017 CHECK 4295 FUND & ACCOUNT- P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 6999013 DENTAL PREM(26) -9/17 2,114.88 TOTAL 2,114.98 7 X, 4 ..... ..... ............ ......... ........ .�a ...... . ........ V Lj - F SL _'j?RY'DJSTWfi7T 7SHERS--1SA1Vb,�PF AUDIT%,08-- �2' -MAIN ROAD;PO BOX,1179 53095 '4295- j THE SUFFOLK CO.NATIONAL 6Ak ��AMQUNT,,_ r,,` CUTCHOGUE;NY 11935; 5 -546/214� 0 08'/29/2,017'; '_TWO',THObSAND_,'°'ONE'_HUNDRED. FOU' T P,411 EMPIRE -DENTAL, 0 kg' ,TEPA�RtME� IT 0-_j (S 'DER -20 ' -_ � 'I " "'-'-`" '2 'PO--BOX 8-3 OF 'I � " � _. "I'' 1Jd1LA" S_�--'TX 7 3 2 6 2�8)3'7 % 109 021 ,05461 : 68 , 001S02 Ls 110L1: I •,T Vendor No. Cfi1&ciCNo`,,. Town of Southold, New York® Payment Voucher 544 Vendor Tax ID Number or Social Security Number Entered ily;'' - - PO Box 202837 Department 83703 Empire Dental Dallas,TX 75320-2837 ,2 L9: .20i 7 Vendor Telephone Number 877=606--3409PC _ wn Clerk" Vendor Contact W11" g ti Invoice Invoice Invoice Net Purchase Order r`: '''•` Number Date Total Discount lAmountClaimed Number Description of Goods or Services General Ledger Fund acid"Account Number 6999013 8/14/2017 2,114.88 ` 2,114,88 Sept 2017 Dental Premiums 426) ;`.$1V39960'.8.000:600 `'fp 4 'r•• ( 2,114.88 2,114.88 {: ' Payee Certifleation 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 O_ Title Signature Company Name Fishers island Ferry Date 8/15/2017 Title Date t� Em ��O INVOICE PAGE 1 ` BLUECHO55 EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT PO BOX 856 ACCOUNT ENY4561251 INVOICE 6999013 MINNEAPOLIS MN 55440-0856 BILLING DATE 08/14/2017 SUBSCRIBER PERIOD 09/01/2017 - 09/30/2017 BILLING/PYMT INQUIRIES 877-606-3409 CLAIM PERIOD REMIT TO: FISHERS ISLAND FERRY DISTRICT EMPIRE DENTAL ATTN: ACCOUNTING SUPERVISOR DIANE HANSEN PO BOX 202837 261 TRUMBULL DR DEPARTMENT 83703 PO BOX 607 DALLAS TX 75320-2837 FISHERS ISLAND NY 06390 CUSTOMER NUMBER OF NUMBER OF CLAIM ADJUSTMENT RATE TOTAL REPORTING NUMBER CURRENT CLAIMS AMOUNT AMOUNT AMOUNT AMOUNT EMPLOYEES 456125-0001-0001-550 26 571.48 43.96/EE/MO 627.90 89.70/EE/MO 106.45 106.45/EE/MO 809.05 161.81/EE/MO 2,114.88 INVOICE TOTAL 26 0 $0.00 $0.00 $2,114.88 $2,114.88 YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT. Services provided by Empire HealthChoice Assurance, Inc., a licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans ';S?�7T` 'y,tr FISHERS ISLAND FERRY DISTRICT „r VENDOR 008081 HARVARD PILGRIM HEALTH CARE 08/29/2017 JCHECK 4296 r, ' ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ISM .9060.8.000.000 074705121917 MEDICAL PREM(41)"-SEP 17,150.50 i' TOTAL 17,150.50 t'v %l ' J •rte\ lit is y ,,,a€�v s•�s%,'�fi�.x , >_ .. _k F fy ;. ........ ....., ...... ��.�:Vie•,^'•..•:. M.x� 'E`er+ e ns""'„t`'•_';ai: Z.�„ jj n.wy" d.`.s•' a tM.°x• ....,`•:.. :wy.+�az\,:`•.. o% \ IJ o I� �F Yak; • . • • • • O O O • ' • „ t FISHERS.ISLAND_FERRY DISTRICT AUDIT'_;0 8,/2`9/i7 r_ `53095'MAIN TOAD,PO BOX YI 79 _ a _ SOU_THOLD,NY 1197.1-0959', _ CHECK`,N_O. __-,`42: _ 9E';;'; T. E. t THSUFFOLK CO rIATIONAL BANK 'CUTCHOGUE,NY 1'1935., DATE' AMOUNT` 50-546%214 08/ 9/'2017 - _ $17, 1`50 50__ -SEVENTEEN 1THOUSAND ONE' HUNDREb.'FI-FTY;AND' :5 0/10'0 -DfJI;LARS_- ,7 it .�fl� — _ `5t - - - -" I� i _ _ „ � -`x-� , _ , ,- , -_ _'•�4'.-•,�_ ' _ ' , _ - �f� PAY; HARVARD: PILGRIM -HEALTH_CARE cat TOT$E'' ,„7,0,05,.0 - _ .9 ,,, •1 ORDER-„ '''j = 1maA n790-00- j us00L• 29611'- AM 2 140 54 641: 68 00 150 Il�+",.;�;:.�;`!1{3:`'.x','%%�`"J•';•�:1.^ ;>; Tows.'of Southold, New York- Payment Voucher 8081 Vendor Address Ehk 't> P® Box 970050 'Halves Ped e`1tra 3ea$$a Care C3+tas0n02297- 50 ep7wne Nwnber `Invoice InyRace Invaice PsTet PurelaaseOrder ?, p�i$ .� TOW ,� 13a�zllat Amount'Clamas TtararbeT s�' ti'at%t`d��'`.`'r'r s�-•�1„ri, St-, �,;:,�„`” „n ” Iaescripzion of Csc;fJads tur sz`�aices =''�Caenerai Ledger Fziudtand:i4•ccauntNumber�; 1�;4y*3.o.: a�';�ry i''+i 4);Jri w,4,'hit{y'�i'.Gl., •.v, "OV" .074705124917 $17,160.50 1 $17,150.58 September 17 Medical Premiums 41) .1 y a; :e,rF#;.t.0,1r,�`t�SLP1" .,r:.i`:E" ',:;.Fri Z'�' •;„'`w .; '" y 1t>KW `y .�(}^i1,+.:i,t r}�'VSA'ap�s2�td,>�P�'�•;'•'13,r;� {,tit'+y��.y;'i'i`t,3,.'r� ri' '!,'y,' ' �Fi Y;:'<'�w•"�'�'' 7J .E `)Jlhsl�t,:I�;:ti...c iL'�i;fd,.,`'.Y`xr4,'r, +`'.,: '• <i�; $17,150.50} $77,150.50 Payee Cer4afieat on Department Cerfficataoa x unda—rigaed(Claintar, (AWng on behalf of the above named claimant) I hereby certify thatthe mzleri&above sptCilaed hm-,-been received by me dwg lemby Tc Ai€y that the foregoing claim.s trate and corr'ect,that zio part has in good condition 3n itftout ubstitiziiwr gic ser'vaces properly _been paid,except as therein stated,Ib at the,balance'thmin stated is aetually perl'nrmed and that she quantifies dx,.wf haw tbeen wrMed ivith the exceptions ,dw mad>z¢xiu&and that 1wLes frimn vihic h the Town is exempt am excluded_ or cfrscrepancies noted,and payanen2 is approved. �agi:asYt _Title signahue Corcagam Nante fisbas Island Fem,District Base '8115/2017 Title Date ]H[aryard Pilgrim HealthCare 000596 IMPORTANT:INVOICE ENCLOSED ATTN:DIANE HANSEN INVOICE#: 074705121917 FISHERS ISLAND FERRY DIS INVOICE DATE : 08/07/17 261 TRUMBULL DR BILL PERIOD : 09/01/17-09/30/17 PO BOX 607 PAYMENT DUE ON/BEFORE : 09/01/2017 FISHERS ISLAND,NY 06390 TOTAL CONTRACTS 41 CUSTOMER ACCOUNT#: 0150930000 TOTAL MEMBERS 41 PREVIOUS BALANCE $ 33,220.55 MEMOS $ 0.00 ADJUSTMENTS $ 0.00 AMOUNT PAID $ -16,070.05 BALANCE FORWARD $ 1715050 CURRENT PREMIUMS $ 17,150.50 TOTAL AMOUNT DUE $ 34,301.00 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 DISTRICT , VENDOR 013082 ELLEN MCCANCE PARKER 08/29/2017 CHECK 4298 ;t ?* FUND & ACCOUNT P.O.# -INVOICE DESCRIPTION AMOUNT =;ti SM .5710.4.000.000 17-668 080817 ELECT INSPECTOR-4.75 HRS 57.00 k TOTAL 57.00 5 r> ••a. >•SSA. .n 1:t• rm'aF< I ' o o i 9 - - _ ,,,'ti ' ERS'ISIA F'ERR-YDIS'TRICT =, FISH ND = AUDzz:,as/2'9" i7 ,53095 MAIN ROAD,'P,O BOX`1179; _ ___- „SOUTHOLD,NY 1197-1=0 959, _ CHECIG','NQ'.' -.4'2 9,8 '1 I THE SUFFOLK-00:NATIONAL BANK,' ~ CUTCHOGUE,NY 11,935„ DAT ,` AMQUNT E' 08 :29 '20.'17 - - -: - - - 50.54 / 1 - F,IFTXs,-SE',VEDtf AND: ',00�/1`00 Ay,- ELLEN',MCCANCE,,-PARKER = „ E;,t TO:TFtE ;PO BOX ORDER`'a "FISHERS' ISLND WIS390 ' 0r' t , t` 00Lir 2913 1:0 2 140 5461,1: F38 00 150 2 1i�= -Vendor Nm- iq Town of Southold, New York- Payment Vouches 13082 �� Vendor Address �Il�f}� �`t`-r', ;- off•, 1`� Box 426 S-/�—LL3n�.L1� r en Fishers island,NY 06.1'90 Abdgt° e. Parker,Ellen Vendor Telephone Number s' 91'f:ndgr Wntact Invoice Invoice Invoice Net Purchase Order Y, i+" f;;,',.,x, ;5�}'`�r,,;._`•;,:;,;A•-'; "`a,,r,t.,p' '•,^rs Number Date Total Discount Amount Clanned Numberapse eraeral 1 gni B rt¢nii sial Accciunt Nuu;beg_ '�k C, {� on dffmoods>orervice5 ��J�017 $57.001 � $57.00 — � Board of Commissioners `f,i`:r d'' �, ��,��3:�:t�00JO,09election inspector SIS117 ':1;'; 'r�!rly,4 {' ,.'i•,•'rfi;{ t`ra ry '�>',,/, •4�' £•E;rr:r (4.755 hours) is"�'CS'I'.7i, •t=''r�,�,�j I „I• t��F' rt'`il, 'r;++:,r, islet•,•�rf;jfo,x'��,�sf�•1�'r'}`r"''��_}7t.S;}�4,r�..+�;ir''• ,t'+•,`+'M1 �.+; ,!'••%'4e•�iYi,�t', �r�75$-:r,�//lE;��l�'ur C'3; ,t,G.',,i Ei�.fn -'•'l,j,h,` +i�4�t'Y;P t':� "tin':^K: ,+;ti�i='V � •. -? it/',, N<7�,�r ��1,• `y,,i..lr/r.{y.1�.`,fi i ,�,,.Y',i ��1%r:. c�F+.t ,. .,$,;,t�,�,r'1,:'4jiJ�„_+,•v r�_{� _.r• „” }, f" t r„ ,4',,'4r"..'NtX,n S',`v`�'i''•"vr,•'�}t'"',' ,., o-t'yy'�,,`,•1�.'4? .,.;,.i .`.i�, $67.001 $67.00} ; u, Payee Certification uepartnmxf cerfiricaflon The undersigned(Claimant)(Aeting an behalf ofthe above named claimant) I hereby derti khat The maateiias shove specified haw been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition tsiil:eut saibstitution,the semces V.upe;a beeal paid,except as therein stated,that the balance therein stated is actually perform cd and r1at Ilse gluantiF es ttweofbave been Verified avitla the exceptions due and o%ving,and that taxes frons which the Town is exempt are excluded or dtsewpancirs ted,and Payment is approve& 5ignaturshl�Cl..a__ Title Signature Company Name Fishers Island Feiry District Date Title /� 2017 Election Inspectors Rate: $ 12.00 8-Aug Total Payment Mary L Strunk 4.75 4.75 $ 57.00 PO Box 143 Fishers Island NY 06390 Harry S. Parker, III 4.75 4.75 $ 57.00 PO Box 426 Fishers Island NY 06390 Sarah Malinowski Had to decline PO Box 402 Fishers Island NY 06390 Ellen McC. Parker 4.75 4.75 $ (5:7:0:0 E, PO Box 426 Fishers Island NY 06390 Total: $ 171.00 /� Southold Town Board a Letter Board Meeting of August 1, 2017 RESOLUTION 2017-668 Item # 5.13 ADOPTED DOC ID: 13252 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-668 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 1,2017: SOLVED that the Town Board of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island Fen-y District Board of Commissioners dated July 24, 2017 in regard to Flection Inspectors. a6'ia�wo'4,0" Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS) MOVER.: William P.Ruland, Councilman � SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Russell ABSENT'': Louisa P. Evans Generated August 2, 2017 Page 22 FISHERS ISLAND FERRY DISTRICT July 24,2017 Election Inspectors Resolution 2017- 132 The Board of Commissioners hereby appoints E Parker, H Parker, S Malinowski and M Strunk to be Election Inspectors for the August 8`" Fishers Island Ferry District Board of Commissioners election at a rate of$12.00 per hour. Moved by: Commissioner P Rugg Seconded by: Commissioner W Bloethe Ayes: A.Ahrens, W. Bloethe, H. Burnham, P. Rugg and D. Shillo Nays: None - `Le ,r w. ';• ,"•l `t •`r4~- ' fr`. FISHERS ISLAND FERRY DISTRICT VENDOR 013564 MCMASTER-CARR SUPPLY CO. 08/29/2017-, CHECK 4299 4 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.'2.000.000 42700670` CHIP BRUSHES,FOAM STRIP 181.53 TOTAL J 181.53 ism Lo .• +, ' . . .xrx.u. .. .a... n. • ro• .. .., ,,yam n f,,t4 ,I ,f SFS: rf • ai, f / M. ,.. •` .• •• -" .v .,.. «., ,nom •,.). .s 1 x f ' :, i • o o s o 0 0 0 • e s , . - .' _ • = _•FISIIERS.ISLAND`;°FERRYD STRI AUD,zT'r°o,8/°29 53095 MAIN ROAD,'P0 BOX 1179 /' SOUTHdLD,,NY1.1977-0959'= - 429,9,., } ,,THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 1-1935' i DATE tti,°:s';t." ;''•AMOUNT ;' s 2; 0;1-7 ' -1,8-1' ,53 S = r> ONE;HUNDRED EIGHTY "ONE`JAND_ 5,SA'o 0:"-DOLLARS _ NlCMASTER-CARR,.SUPPLY' CO--, __ ki {;5 TO THE', ,1, - ORDER ---CHICAGO TL 60680-7690''L•' _ ! 'j- Ila00299i,' 1:0 2 140546L,': e8 00 L50 2 Lu Vendor No. t%eck.N®: :;, Town of Southold, New 'York e Payment Voucher 1356 d Vendor AddressEntered;'by v�' ; P.O. Box 7690 ^'' es Vendor Name Chicago, IL 60680-7690 MidiL McMaster-Carr Supply Co. ,,.,f :A. --- ----- ,��:; .',AUS:��2�:�9 �Z01 Vendor-Telephone Number ;. 609-689-3000 n Clerk,' `' �! �•;.,.,. Vendor Contract Invoice Invoice Invoice Net Purchase Order r,:^'. 'r, ", ,;;;;'' ` ";.,`t': •„;ti r.,j s';t':U, >s, Number Date Total Discount Amount Claimed Number -Description of Goods or Services Six'a_er'al l edger Furid aril`�;oataat 1`umb r,'';"'' 42.700670 8/4120/1 183,53 ; ) $181.531 RPIMU maint supplies y;;':, _,'`''":��5116.2.000'.000;;'Ea t ins, !1'^ t,F,,� aj 1, .+'-.'(:•,:r't ,^Ai', f`r!'.''„C ' h• J�{ •'yf it`y �` t� k''�� ; .,`tri L,\ -5 181.53 j �°I81.53 Payee Certafication Department Certification The undersigned jCtaimant)(_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 connect,that no part has in good condition without substitution,the semices 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 diser4pancies noted,and payment-is approved. Signature4 Title Signature Conzpavy Name Fishers Island Ferry District Date 8/1712017 � 'Title �� Date WMASTER•CARR® Invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0804MFRANCO Tota l $181.53 Invoice 42700670 Billed to Invoice Date 814117 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$3 48 on merchandise if paid by 8/14/17. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park- - Chicago IL 60660-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product I Ordered Shipped Balance Price Total 1 7798T306 Chip Brush with Plastic Handle, 1-1/2",Wide 1 1 0 34.92 34.92 Natural Bristle, Packs of 36 Pack Per Pack 2 779BT406 Chip Brush with Plastic Handle,2"Wide Natural 1 1 0 26.88 26.88 Bristle, Packs of 24 1 Pack Per Pack 3 7798T506 Chip Brush with Plastic Handle,2-1/2"Wide 2 2 0 18.00 36.00 Natural Bristle, Packs of 12 Packs Per Pack 4 7798T606 Chip Brush with Plastic Handle, 3"Wide Natural 2 2 0 22.92 45.84 Bristle, Packs of 12 Packs Per Pack 5 J3725K76 Weather-Resistant EPDM Foam Strip with 1 1 0 30.27 30.27 Adhesive-Back, 1/4"Thick,3/4"x 50 Feet Each Each Merchandise 173.91 Shipping 7.62 Total $181.53 Packing List Shipped Weight Carrier Tracking 6833188-01 8/4/17 11 lb UPS Ground 1 ZO835200362595514 0 Federal ID 36-1458720 McMaster-Carr Supply Company Pagel of 1 SP 411 MMASTERmCARR. Packing List 200 New Canton Way Fishers Island Ferry District Purchase Order Page 1 of 1 Robbinsville NJ 08691-2343 5 Waterfront Park 0804MFRANCO 609-689-3000 New London CT 06320 08/04/2017 sales mcmaster com Order Placed By n 1 @ Mike Franco McMaster-Carr Number 6833188-01 Line Product Ordered Shipped 1 7798T306 Chip Brush with Plastic Handle, 1-1/2"Wide Natural Bristle, Packs of 36 1 1 Pack 2 7798T406 Chip Brush with Plastic Handle, 2"Wide Natural Bristle, Packs of 24 1 1 Pack 3 7798T506 Chip Brush with Plastic Handle, 2-1/2"Wide Natural Bristle, Packs of 12 2 2 Packs 4 779BT606 Chip Brush with Plastic Handle, 3"Wide Natural Bristle, Packs of 12 2 2 Packs 5 93725K76 Weather-Resistant EPDM Foam Strip with Adhesive-Back, 1/4"Thick, 3/4"x 50 Feet 1 1 Each -- ------ - - - - - - - - - - - -- -- ----- - - - I / - /vim � o 800 ' _ ,_; -. . s., , ..f,. ram;®- .. ,.,., ;R•; ®.m- 3 , FISHERS ISLAND FERRY DISTRICT ?} -VENDOR 014144 NU LOOK CLEANING SERVICE 08/29/2017 CHECK 4300 '- A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 186 JANITORIAL SVC-7/17-7/28 362.50 SM .5710.4.000:600 200 JANITORIAL SVC-7/31-8/11 362.50 TOTAL 725.00 n o i J t t, FISHERS:7SLAND FERRY,DXSTRICT ?AUDZT';'o 8 , Al" /17' 53095 MAIN ROAD,PO 80X 1179, !; / "f:!_ __ ' 'I,- - SOUTHOLD,`NY 1197,'1-0959_ CHCK='NO: ;43003" o THE'SUFFOLK CO NATIONAL BANK= CUTCHOGUE,NY 11935 ,'DATE, ,AMOUNT;,' 08. .29 .2,017 ,x50:546/214; /_ - _ SEVEI T HUNDRED•'TWENTY'FIVEAND 00/100,-DOLLARS; -; _ . ,, _ - _ "- _, - fix`';' _ _• ,' .` , . Nb LOOK`;CLEANINGr_SERVICE' TO,THE 663, OLDxCOLCHESTER= RDW. .' _ r ,'SALEM:; CT- 0:6420 umD04 300li' 1:0 2 140 5,4641: GB 001502 1 ° L J Vendor No. Town of Southold, New York o Payment Voucher 14144 Vendor Tai ID Number or Social Security Number Vendor Address Entered i7y '`"�" '• 663 Old'Colchester Rd Vendor Name Salem,CT06420 Audits c; NU Look Cleaning Service `AUG;'29 2011 Vendor Telephone Number (860)969-3624Isrk VenaorCautact .invoice hal ice Invoice Net Purchase Order Nunsber Date TOW i Discoum j Amount Ciai nie Number 'Description Ayf Goods or•Services `.fienesai l�:d�e,For d�nd`;3c aunt-number,' 'F 186 7/2812017; $362,50 $362.60 Janitorial Bevel-es-7117-281,17 -200 '811112017 $362.6% { $362.60 Janitorial services 7131-SM1117 �7{ { � ;;tis , , `• . $726.041 ! $726.00 Payee-Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above,named claimant) I.Hereby certify that the materials abotiT specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in goodcordition without substitution,the sernces properly been-paid,except as therein slated,that the balance therernstated is actaLdly perrurmed and that Ilse quantities thereof have be_rn-verified with the exceptions due and owing,and shat taxas from which thu Town is exeinIA are excluded. or discrepancies noted,and payment as approved. -Sigrsahrre \[3.-- a t Title Signabure Z�� //V\— / � CompanyName Fishers island Ferry District Date W16/2017 Title ///l" `— Date__�� `" y \\\\\III // NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD ® SALEM. 420 (860)859-3-3 622 4 � , • 7/28/2017 186 BILL • FISHERS ISLAND F P.O.BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN: ACCTS. PAYABLE P.O -. Due on receipt ' • DE§CRIPTION • JANITORIAL SERVICES FOR 2 WEEKS-JULY 17-28 2017 362.50 362.50 ©<<- C "4� ' ,yam"' � ��' � •J" - - '�•'a'= .. -•'�.,• +_tib.'y'.ir� • _ - • - • _ a..cvw+w.,.y..........".,..,.->• ....... %�`^1•x.�-_^r'Tt_,....G,�u. ..e-.,,_ _•:�e ..`C.�`:� -.—s: -.�.. _a.__.,w.. .._. _ 1 _ - 1 Thank you for your business. $362.50 -- - - TOTAL �� \��i i r ►/�/� NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD SALEM,CT 06420 (860)859-3624 8/11/2017 200 I"ISHERS ISLAND FERRY DISTRICT P.O.BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN:ACCTS.PAYABLE P.O. NUMBER t Due on receipt • DESCRIPTION JANITORIAL SERVICES FOR 2 WEEKS-JULY 31-AUG.I 1 362.50 362.50 2017 - i � ate• -Z a�. _ "' • _ v .r`^,,.;°�•�,-':,''�,` r.`�x:Yee �.. t - Thank you for your business. TOTAL $362.50 FISHERS ISLAND FERRY DISTRICT VENDOR 011866 OCCUPATIONAL HEALTH CENTER 08/29/2017 CHECK 4301 >; r =' ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 181729 POST OFFER FUNCTION SCRN 75.00 TOTAL 75.00 ; l 5,• ,-.`:, x,y> x„'.'Sn,''MXi.? asu: 'i M:•>'s.. .. '" Z.,Q:: .,. ...w...«.._,_x.,«>. w,•Via, .,. .s' . , .✓ i, , R Z., .<. ,t. ' ''.;µ;", r >P' ''e:;S °•`,'` MMnN;`„ •.<Y; `'...° °°s°'.`..,h<' ' ';•w•:,,,. :'a•F'T''f` . ,r.. ,\ 9 , i ,S *• :' - . dab Ri tt'i FIShTERS ISLAIKD FERRY DISTRICT ~,AUDIT 08/29'%'17° " I "53095-MAIN'ROAD'PO.BOX 11,79 =4 - SOUTHOLD,NY 1,1971-0959 -,,—CHECK;'146 ',THE SUFFOLK CO'.NATIONAL BANK`> - _ - = r-_ - . __ -___.S • _ - „may CUTCHOGUE;:NY„11935 'DATE:• „AMOUNTr',`,.'; I° _ _ - 50_'5461214=” t 08/29/'2'017 SEUENTY'- FIVE'AND, 0`0/>T60 DOT,LARS ` PAY,, .' ,OCCUPATIONAL _HEALTH-CENTER, k 'O;,T1YE,°=.''LAWRENCE,•'& .MEMO,RIAli',HOSPITAI -' _ --_ _ - _ •,;,-,- .- :- = ;, ;y ORDER, ---'5 2 'HAZELNUT-HILL GROTON' CT- 06-3,4 0 u=uOL, 30 in= G02140546i f: F38 001502 L'ii- L EkM >~r. �own'of Southold e York- Pay ei f uuc er �2,)■,/ V F Vendor-Tax ID Number or Social Seco:ity NumbAr 'Vendor Addrew m Occupational Health Center s�•Y stir;; Vendor Maine 52 Hazeinut Hill Road - --- Dyte,.,;'"' Lawrence Mem,orial Hospit Groton,CT 06340 VX71.dDrTt'1;£fI&USRB',{M'u.1;<4bL? - ;''''rtw''�'.t�•,�1!"y!;^i,�S>%^t'�°'t,' .t i,t,• s'u:;' NO-446-826,6 X707 Ier `S,o L'ra41i1r Contact P Invoice Invoice InvoiceYhc�t 1'aira.;laseCiu�er' ta�'t;",;a`:�:°1r„�: �'. Y,", '.',,,• � ,,`. ,�,,.;.-' � Ntunber Date Total � Discount AmouutClaimed Nmubrr Description ,;',;+Cry 11 �'Iyer,`i=',undanpt'.Acicsaulit'I�us>}'t?ei';,,, , � �rJ; ` ';,x°'si1;'�;t,,f',��"r„1<.'�„,',`L•,,;.",�.�-.,. 'tt4 ,rc� .;,r 89729 81812017 $ 6. 343 € 7 ,00, ' l a�lerl� ticaelre' �a ° , :,;'`t,;r i :lal�Q. 0t3t...:,,, _ � � hr; cMfi`,�'i ,�,a r"�s •�i£"Gt�l�l'' �"�,I �. �'X�5 r�5 yx5,- i'1�{{'^';ri.:i.' ``•,"I,:n �i .1 ;1,4,t�.� `''1+tl,ti"1'''�ISI,'h :l, �';, •tl* tsr if a Vit• ,.li''°; �lS;fyi, � pia l�',�Ai,•. -,t.titl'"'.T nv n'-'}', 1 i •,il�j„�i"�•'i i,�r�..,ni e'1,''7,°;',f1'`?7'=�`:+ � h,� ("'�;,.f e, `ir•`;lti..'ii°��7r'�t'�d,�':NL1;3�«t'.��.4�'it'°,?,;'�r:`;;' °"'��'F%,,•' 1 t �,1L�� 'r,'M;YtS?�i>'/,' „��i''Y h�-i• f,4,,'' ':'�;tj',f>,i� dY 't } � � _.. AyyAfirG``n,,.,h yv;.R'•�.;,^.,''� ",.':� `;^ apt ;p�'' 't�t(r'',r,"t' { e $75.0® $76.00 Payee Certification DetaRs<✓Meat Celti radion Tile undersigned(Ciaimant)(Acting on behalfofthe above named claimant) 1 lalareby cwIfy that the inattvials above speiifredbase Izem received by me does hereby o riify that the foregoing claim is true and,correat,that no part has an,good,conditiur vhthnil[sanbstitutioa,the senkes properly been paid,except as therein stated,that the balance therein stated is actually prxxiermed and Haat:the gaaluffos qh'erwf-ha3.e bezu veffied-with the.erccptions due and owing,and that taxes from v&d1 the Town is exempt are excluded. or discrepancies moted and payment appiwnsed. 5agrlatYsxe `-�`�^a- Title SagaaaLlnreAl Comprany Name £isbers`lsland iFerry Qlstrict 'Dale 811512, 17 Title Occupational Health Center 52 Hazelnut Hill Road Groton, CT 06340 Phone: 860-446-8265 ext. 7074 FEIN: 06-0646704 Invoice August 08, 2017 Bill to: Gordon Murphy For: Fishers Island Ferry Fishers Island Ferry District P.O. Box 607 Fishers Island,NY 06390 _.__._.�_. ._...... ___.. .._. .._. �... ___.._.._ _.._...._. �........_._... ....... �..�Invoice#-_..181729 -_.....__.. .. ..��..�...�. _.. __.. �.. .�. -_ _...�.. -..__ ._ _._._._....... Proc Code Date Description Qty Charge Receipt Adjust Balance 08/03/2017 Post Offer Functional Screen 1.00 75.00 IC'tqs 75.00 Adolph C Ricker XXX-XX-4524 Balance Due: 75.00 Invoice# 181729 Balance Due: 75.00 Please note new remit address below. Cut and return with payment -------------------------------------------------- ----------------------------------------------------------------------------- -- - ----- ---------- ------------ --------- - ----- ------ Please remit 75.00 to Lawrence+Memorial Hospital, Inc. Occupational Health Please place invoice number 181729 on check P.O.Box 419761 Boston,MA 02241-9761 Phone: 860-446-8265 x7074 EM FISHERS ISLAND FERRY DISTRICT VENDOR 016028 HARRY S. PARKER III 08/29/2017 CHECK 4302 =Y ;'- FUND -& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT t,=t SM .5710.4.000.000 17-668 080817 -- ELECT INSPECTOR-4.75 HRS 57.00 TOTAL 57.00 I, Hsi ' wF•„ ,..,•r. s:.au»_ xz:. :e .o.gin' ,t"r .. ... ..x.. .. .,- ._...-.cn<u,. ^'" " xk?;55:,•;yfr;:;5 .::SJA h ' :• :G?Lu':':fF. 1 ^45x5 aid Y':. > + of%: '"v$x> •"`.) ; .. .i'«`j,.'• .,'.`:j' `•:: ...` :•..>..> ,n •`, ,it, ... o i , • • o e e vI Fall FISHERS,ISLAND_FERRYpISTRICT AUD I2 MAIN ROAD`'PO:BOX 1179 SOUTHOLD,Nr,t t say-os5s =,, CHECK;,NO: 43 02 :,•. A'BANK',' x' ;^c 7 ; THE SUFFOLK,GO:NATION L '`) + DATE.' .AMOUNT:..}' "' CUTCHOGUE;NY 1193.5. " -081/29'2.- 't - -$.57 .00- -FIFTY, SEVEN--'ANDS `:0'0/100=''DOLLARS x , -1* 1 0 _ _ l PAY - 'HARRY; PARK,ER,,, TO E,'.'-PQ, 'BOX ;42,6 012DER,-'=L.FISHERS ISLAND 06,3 90 OF: a 00 150 2 1110 ,u•oo4t3o 21l' 1:l0'2 1 051: Vendor No_ 4:3 p.' Town of Southold., New Vork-Payment Voucher 16028 Vendor.dAddress r'. P.O.Box 4.26 ,,} Fishers Island,NY€6390 Aualbate Parker,Harry :a AU,G Vendor Telephone Number T`�iia C,�trr.�-;,,� �,,4,- ,.. „• ,,, ;;;tk Vendor Contact Invoice Invoice Invoice � Net §'urc9tase Number Date Total l Discount jAmountClaimfd Number Description of foods orServices Ihfiia :'g'rr'F't.->n;fd�iisd'Ac -c oii"t�}I`..,un,ber'x,, V 1 j t*`^.• ";1�A,4''` r,A,,1,k r„u,',p,�:i,''.,.,{+. s;',,,,..,,�t�_'.:,,<;•pi;''dri'v..< sti'�'C'''- 'x• r.i 3/382017 $67.00) $57.00 Board of Commissioners a({ election inspector S IBI17 - }�''}li"y."Y,�?�,';�'fJS,�},#:�'(t��f��.•,,'1"'L„F�d}i„4'..'�iv"'f�•� (4.75 hours ,i' !4! :.,",, :�yi� rity�`ty' ;,•e., •!, +s t , 3 'i7 1,,, .`-`,.',,cV,J',,`}i.'ky'.r:k5`�it�(.:.,.', •.,t;'n z,'•�I,,�� - �� {i;:1,�k✓'�:'i nzy,iia,':�yY}�=�:�p;tinr�y+rt+'d:,":J', "� `"'"" ;y> 't�i` �,titre,Ir'� ,.,s;t,4; 4,17 2 i+° '' .1 x., < ,.r• � r,! '0' ''ij*�ti5 in''1�'),' '•i Payee aCertafiration Departm,ent CcrfiiScation The undersigned tC'iaimant)(Acting on behalfof the above teamed claimant) I iwyeby certil�r that the materials above specified have been'receiived by me does Hereby certify that tate foregoing claim is ruse.and wrne.t haat no part has in good condition without,subsintttYima,the services pwperly been paid,except as there"n stated,that the balawe therein stated is actually performed and that the quantities ti3.eereof have,been verified wills the exceptions ,dueand owing and haat takes froin which the Town is exempt are excluded. os di'screpancies,,=ed,and payment is approved- Slgnatu�a--L-7f94Crtk4- TtYi£ Signature Company Name Fishem Wand'Ferrr.,District Date 8/11,512017 r 'Title Date �� 2017 Election Inspectors Rate: $ 12.00 8-Aug Total Payment Mary L Strunk 4.75 4.75 $ 57.00 PO Box 143 Fishers Island NY 06390 Harry S. Parker, III 4.75 4.75 n57.�Oy, PO Box 426 �}�( Fishers Island NY 06390 Sarah Malinowski Had to decline PO Box 402 Fishers Island NY 06390 Ellen McC. Parker 4.75 4.75 $ 57.00 PO Box 426 Fishers Island NY 06390 Total: $ 171.00 /� Southold Town Board-Letter Board Meeting of August 1, 2017 RESOLUTION 2017-668 Item # 5.13 .ADOPTED DOC 1D: 13252 THIS 1S TO CERTIFY THAT THE FOLLOWING RESOLUTION NO, 2017-665 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD Tho'tVN BOARD ON AUGUST 1,2017.- RESOLVED 017:RESOLVED that the Tovm'Board of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island perry District Board of Commissioners dated July�4, 2Q17. in regard to Election Inspectors. . Elizabeth A,Neville Southold'Town Clerk RESULT: ADOPTED [UNANIMOUS) MOVER: William P, Ruland, Councilman SECONDER:Robert Ghosio, Councilman AWES: Dinizio Jr, Ruland, Doherty, Ghosio, Russell ABSENT: Louisa P. Evans Generated August 2, 2017 Page22 FISHERS ISLAND FERRY DISTRICT July 24,2017 Election Inspectors Resolution 2017-132 The Board of Commissioners hereby appoints E Parker, H Park,S Malinowski and M Strunk to be Election Inspectors for the August 81h Fishers Island Ferry District Board of Commissioners election at a rate of $12.00 per hour. Moved by:Commissioner P Rugg Seconded by:Commissioner W Bloethe Ayes:A.Ahrens,W. Bloethe, H. Burnham, P. Rugg and D.Shillo Nays: None uS '_e`IC,: 1, . ,? r° `" ',:,, . .'' ? zS.: :''ti•, \ iri _-''i}6 .'c+^'xc •®Tv ",. ' "; FISHERS ISLAND FERRY DISTRICT VENDOR 016735 JAMES PRZYBOROWSKI 08/29/2017 CHECK 4303, ;!„y "`. FUND & ACCOUNT P.O.# INVOICE DESCRIPTION J AMOUNT a' SM .5709.2.000.200 081517 CONVERT SCALE PIT—GARDEN 1,600.00 ( TOTAL , L,600.00 ! Y 1 y». .n rx e ...ea . r.x a k.-r.•evn ..+ r:'.+.I -.V+.zs :s°'>8t ''' ; :•f•:: m.:.'•.;ay 1 ,•tom: ?i§:s ..A; Kf' --ems— !. 1 1-C 't i ;•i T C S'ISLA'1VD•'FE.RIZYDISTRI -s° 2.9•' i: '-' - 't'. 53095 MQIN'ROAD;FPO BOX 1179 SO UTHOLD;,NY.7,197.1-0959. HECK'`N,O;'` =430,3 - °BANKS THE-SUFFOLK CO:NATIONAL gMQUNT'.> = CUTCHOGUE,NY 11935 -DAl `e01,7' 08./29/20 50-546(21'4.. -ONE THOUSAND S IX'' iUNDREI}''°,SND.,0 0/-'10 0 DQ-LAR'S' PAY, JAMES',-PRZYBOROWSKI, TO THS__ l DHA,=•'JAM”S'KT_'CONSTRUOT"ION'„ ORDER- - F, 31 . HSS'TNUT,',;HILL,RD. _ COLCHE8T8R_,CT, 06415= us 00 30 3u 1:O`2 14054641: P38 001S02 iu= L+J , J Vendor No. Town of Southold, York - Payment Voucher � ��5 f -•�; �� i19r�,=>i.2t 1},� �'',6',4''}.ti�,h`�'�j' Vendor Tax ID Number or Social Security Number $I1tt PeZ l br`1?=,: 31 Chestnut Hill Road Auciir,l�ate<s' Piz borowski/James DBA Jim Ski Construction .; :' ;s,'�`.,f,' r' „,:.••;;;; Colchester,CT 06415 Vendor Telephone Number 860-334-3974 To M", Vendor Contact Invoice Invoice -Invoice Net Purchase Order Number Date Total i Discount Amount Claimed Number Description of or Services ' ;,G neral p i,edger,Piisaci;and'Account Number,= 8/15d2017 $9,600.00 $1,600.00 Convert scale pit to garden 'i{•� f i•�Z 1- if-?.1 �%j,:fir";fk�n"•�f:11,,, vi .- F $9,600.00 $1,600.00 i' z Payee Certification Department Certification The undersigned(Claunant)(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 thereofbave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signatures Title Signature Company Name fishers Island Perry_Date 8/15/2017 Title Date Jim ski Construction Jimskiconstruction.com Complete Site Work/Road Work/Land Clearing/General Contracting 8/15/2017 Bill to:Fishers Island Ferry Scope of work, 1.Scale pit demo and supply 24cy of backfill and compaction. 2. Replace 2 dock planks Total$1200 Additional material requested by G. Cook -10 Cy backfill, Qriginal estimate by ferry district was wrong. $100 -6 cy topsoil. Deliver and spread in place.$300 Total project cost$1600 $cope of work has been completed amount due=$1,600.00 0 (C CC Y C-e^- 4- 6L� 2500 Montauk Ave,#352 Fishers Island,NY.06390 (860) 334-3974 jLmmygki&rQcke %L FISHERS ISLAND FERRY DISTRICT VENDOR 018749 RUBY GLASS CO. , INC 08/29/'2017 CHECK 4304 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ' SM .5709.2.000}.200 110733 FORKLIFT ROOF PLEXIGLASS 119.79 TOTAL 119:79 "l co Lo i, .• f-'1 1 x` v':.. , f, xvn .s.,..,.....:tiS✓n'F2 .wM. ,.,. . ....... :s3 •ro i' : .«;,.. arm ... •''r''` xs , t ,.-_>" u ' "'''.f.•'? ., ^ ti..r..rx•`. ::err- ,;'x,K,.' .„„ ', `> . r„e.:"•_..';.r r `5'a"•w a, . v . V I t k' , a l ' . e e • e o s e ` FAUDcIfT,ISTWCT C0K8ISHERS TSLAND FERRY'D 53095 MAIN ROAD;poeoxlns N-NY 11971-0959 17 404.SOUTHOLD, 7HESUFFOLK CO' NATIONAL BANKGf AMO CUTCHOGUE,NY,11935' _ ; DATE, UNT;* g. %214 7 - 1'1`9'' 79, __ ,t, '$ - _- 50``546 _ - - -_ _ - - - .-,j .D O.ILLARS' ONE Hi7NbR D.'NINETEEN_AND 7.9/100 O PAY; RUBY- GLASS;,,CO,. ; INC 't TD TATE =`1'51;;JEF'F'ERSON:,AVENUE _ OF' =NEVI=,I;ONDIION .CT' 06320_ l „ •rte_ ;ii - x, _ __ __ _ _ - - _, - _- x 1 a'00430 1:021405461,1: 68 00 150 2 t Vendor No.Town of Southold, New York -Pay l _-•s`5,��'�:jF�' - - Cr til "tir ment Voucher r.. 44 t Vendor Tax iia Number or Social Security Number Vendor Address �11t0T8 d b 159 .Jefferson Avenue AiiditDate IF.Uby Glass New London,CT 06320 rt;,,,::;;'I:AU,�, 2,°9'•20;17',`f:. ",� Vendor Telephone Number of si,Clerk ' Vendor Contact a'>",'�r4tr ;i;s'r'.r':V�1in• t, sF��•,�t,� 'i�^t Yt�Y Invoice invoice invorce I et t'vtrctrase Order `,{`k•;;.',t„ '.,^c,.< ;i „'° ,;"_a, i Number .Date Total Discount Amo rmt Claimed Number Description of Goods or Sonices ."+-'Geaerai I,ed cr Fund and Account Numl er',� ', ski` �,a,'�rti;,< t�i`i,." t�^,,•t ._-^ "'•, }'��S^«�p 110733 818120' 7 $119.79 $119.79 ForltliS�t,ecaof,plexiglass `',,,;t" «';:sJVlS?J)9:2.0(80.2b0,: .n" „t�',a:F;�ta\'��GS<.�'1'r,"i�''�'{�i�' 'j'` ,`��^'„'7�rnStAt` �'k•''`.C,;�;� I�,p<i.',:',l. ti`Y.'/•,.fie, y�'i $119.79 � $119.79 �,,'^M`:;ykn ;.:,i,°;,';: t „�s ,a Payee Certification Detsartitent'CertHication 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 herebf+ceM6,that the foregoing claim is true and correct,that mo part has in good condition avithout substitution,the services properly been ymid,[accept as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and ovring and that taxes from:which die Town is exempt ar+e-excluded” or discrepancies noted,arid,paymment is approved. 5ignatwe�v 8 �tle Signature_ Coinjuingr Natne Fishers Island Ferry Mstrict Date 8/1412017 Title Date /� )-- iuby GIA55 151 JEFFERSON AVENUE - Phone: (860) 442-0373 CO.,INC NEW LONDON, CT 06320 Fax: (860) 442-1356 Name r` `-A r ,,. ,�J to r r, , Date-R 1;,� Address Project 1,V�1- Purchase Order QUANTITY DESCRIPTION PRICE AMOUNT Irk 4�, �� ► C r�� I This merchandise is accepted subject to buyer's agreement to pay all attorney's fees if it becomes necessary to collect amount due by means of legal proceeding We are not responsible for glass broken after same is set and leaves our control A Service Charge of 1%per month(12%per annum)charged after 30 days i p f 1 n c•�� OT3 oa Received By / '�.,!{f� i _ SALES--_',.T G 1A150 o65072 151 JEFFERSON AVENUE ORDER' NEW LONDON, C-1-05320 j x - L OUSTOMER ORDER NO DATE / PHOME 660-4-42-0373 FAX 3,60-442-135G fAX EXEMPT NO •SALESPE SON I a SOLD TO: ° - ---- --.( off- �,- -------- --_ TERMS, CASH CHARGE_ C O D MDSE RET'D PAID OUT SHIP VIA FOB POINT , QUANTIT STOCK NUMBER _ _ DESCRIPTION UNIT PRICE Vi'µ AMOUNT rv— --------- ------------ — Hems will _b d8spos d.0L_______ _ after 60'D YS from order — — date, Wit all deposits a TH NK YOU - -- - ------- ------------ ------ -HAVE NICE DAY! RECEIVED BY TOTAL r-RI It,�1V G� -521 C;nu 665072 _ 15 i SEFFEIR3 N AVENUE ORDER- N r CUSTOMER ORDER NO DATE PHONE 86w'4-42-0373 F;' RK0-442- 33.536 TAX EXEMPT NO SALESPERSON s f SOLD TO: cam- _ v X ' jSHIP TO:- TERMS: t CASH CHARGE C O D MDSE RET'D PAID OUT I SHIP VIA FOB POINT SQUANTI __ STOCK NUMBER- , °— DESCRIPTION _v — — w UNITPRICE s AMOUNT !3 1 : It \ O ------- ----- ----------- -- --- ---- — ------ --- -- - - � r 1 J RECEIVED BY TOTAL TO BE FOLLOWED UP ON CONTACT DATE- RESULTS MAIL PHONE VISIT NAME COMMENTS: r 1j FISHERS ISLAND FERRY DISTRICT VENDOR 012315 SHELTERPOINT LIFE INS.CO. 08/29/2017 CHECK 4305 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT sm' .9060.6.000.000 238170917 (24)LIFE INS PREM-9/17 67.20 TOTAL 67.20 Y'A --------------- Af, R_1 11__ yYY :fF ICT FISHEASISLAAD ERRYDISTW 08/2-9p17"` 53095'MAIN'RO'AD;PO BOX 1179- o C SOUTHOLD,NY,11 971-0959 CHECK tO 4 THE SU0OLK,dO'.NATIONAL BANK- ' ' CUTCHOGUE,NY A 1935 DATEAMOUNT, 0 7"9'0 50-5461214 2 1 - 'S'fkTy SEVEN AND'1,20 -100"'DOLILARS' JI PAY, ' SHELTERPOINT.LIFE INS.Co. - SUITE 47,5,- 12 ATRAN N-:AVE .'_, 1 _GARDEN 'N,' 11530 ORDER II• OF 0 0 0 L, 3 0 S 0 2 1 L,0 5 L, 13 li 1: Fitt 001502 1 V Vendor No. Tow of Southold, New York Payment Voucher Vendor Address lrntered ley; 600 Northern Blvd Suite 310 Creat Peck, NY 11021 ;t ddit D ShelterPoint Lite Insurance Coma an AUG,'-•2 9 ,20'11,x' 'vendor Tetephone Number 800-365-4999lerk Vendor Contact mnvaioe Invoice Invoice gleet Purchasc Order ; Number Date Total Discmint Amount Claimed Number Description of Goods or Services General Ledger,Fund and,Accourit�3umYier 038176917 !3/2/2017 67.2® September -,- ;.,_.:•�r- ,, ,•,J.�, - •.: $ $67,20 Septemm ber.2017 Life,AD&D Ins Premymium s „Sf�k�061��:OOff3:�il0'; j 24 participants "Al `_ � .•fir 4i fqi r..4'•ri.``'. '"'� ' e $67.201 $67.20 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the.,above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct that no part kiss 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 \ ,n Signature_ � ^-�- Title _ Signature Company Name Fishers Island Ferry District Date 8/1512017 Title �Date �Shelter Point Life Insurance Co Monthly Billing for 9/1/2017 MPBR0003 OperNo.2 Run:08/02/2017 09:59 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: $6720 New. 0 Termed: 0 Payments- - $0.00 Adjustments: + $0.00 Make Check Payable To: Shelter Point Life Insurance Co. Beginning Balance: $67.20 1225 Franklin Avenue,Ste 475 Garden City,NY 11530 Current Amount Due: + $67.20 Current Adjustments: + $0.00 Total Amount Due $134.40 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 will 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 customerservwce@shelterpoint cam. Please return this entire form with your payment in the envelope provided. • —rte / , / ',` — `i FISHERS ISLAND FERRYDISTRICT - nC VENDOR 019711 STAPLES CONTRACT & COMMERCIAL, 08/29/2017 CHECK 4306 € A _ FUND & ACCOUNT P:O.# INVOICE, DESCRIPTION AMOUNT % I SM .5711.4.000.000 3347379534 1-DRAFT STYLE 'BLCK BINDR 109.24 SM .5711.4.000.000 3348489110 (1)HP NOTEBOOK BATTERY 49.00 SM .5711:4.000.000 3348489233 (1)2017 MONTHLY DESKPAD 3.19 <: ' TOTAL 161 43. ,a iS ,,, - 1 . =J FISHERS,'ISLAND FERRY DISTRICT ' 53095 MAINROAO:.FO.BOX fns - A iT-08•/29/_17 'Sr _SOUTHOLD,NY 11971-0959 - - ;:CHECK NO. -4306 ` f s THE',SUFFOLK C0:NATIONAL BANK AMOUNT'` "CUTCHOGUE,,NY 11935' DATE 1, so-5asizin'i 08%29`/20-178$1 _4I_ ONE HUNDRED SIXTY ONE ,AND..:43/100' DOLLARS ; PAY; STAPLES,•;CONTRACT :&'COMMERCIAL,, TOTHE l7EPT,-NY OADER PO BOX,-4152,56 _ K OF BOSTON MA,o22,41-'5256 i' ii=00L, 30eue = i:0 2 i ,05 , L,1: 68 00 i50 2 U J Vendor No. Check No. Town of Southold, New York ® Payment Vouche 19711 1/30(0 Vendor Tax TD Number ar Somal Security Number Vendor Address Entered by Dept NY - PO Box 415256 Check 15ate STAPLES CONTRACT&COMMERCIAL 'Boston, MA 02241-5256 AUG 2 9 2017 Vendor Telephone Number 888-753-4107 Vendor Contact 10TV01ce Invoice Invoice l Net rcKase Order Number Dale Total Ammint Claimed Number] Description of Goods orServices Generat Ledger Fund and Account Number Ie 3347379534 7/2912017 $109.2,41 $1,09.241 21=bindarS(�) 5M5711.4.000.000 3348489233 8/512017 ra.lqi 2017 Mnth-d-----kpad 4,1) SfAS711.4.000.000 3348489110 81512017 $49.001 N.U.O-k Befteg!�1) -SM5711.4.000.000 $1,61.431 ayee Cerfifivation Department CerAfication The undersigned(Claimant)(Acting on belralf of the above named clain=t) I hereby certify that the materials above specillied have t=n received by me does hereby certify that the foregoing claim is Prue and correct.that no pwt has in good cmidjumi without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quamities thereof have been verified'Nyith the exceptions due and owmg,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is appraved. Title_ Signature CompanyNamefisligns Isknd Ferry District Date al-16/2017 Title Date STAPLES INVOICE DATE ' CUSTOMER SUMMARY'INVOIC_E Business Advantage 7/29/17 NYC 1032952 8045632950 PLEASE PAY BY TERMS AMOUNT DUE 8/28/17 Net 30 Days 109.24 I"OICEDETAm Staples Business Advantage Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFERRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: ORDERS FIFERRY PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3347379534 Budget Ctr Desc: order 7180178758-000-001 P 0 Number TICKET - ISLAND ordered By ORDERS FIFERRY P 0 Desc Order Date 7/21117 Release TICKET - ISLAND Release Desc order order B/o unit ship unit extended Line Item Number Description Qty Qty Meas Qty Price Price 1 083674 DRFT STL FT RING BLK FX LHR/CH 1 0 EA 1 109.24 109.24 Fei rght: .00 Tax:( .0000 9� .00 sub-Total: 109.24 +, Total: 109.24 �( L Customer Service inquiries # 877-826-7755 invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to Staples Contract & Commercial, Dept NY PO Box 415256, Boston MA 02241-5256 STAPLES INVOICEDATE , CUSTOMER SUMMARY INVOICE Business Advantage 8/05/17 NYC 1032952 8045762666 PLEASE PAY BY' TERMS AMOUNT DUE 9/04/17 Net 30 Days 3.19 v INVOICE DETAIL staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFBRRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: DIANE HANSEN PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr : 1010 invoice Number: 3348489233 Budget Ctr Desc: order 7180395301-000-002 P 0 Number DIANE Ordered By DIANE HANSEN P O Desc Order Date 7/26/17 Release Release Desc Order order 8/0 unit ship unit Extended Line item Number Description Qty Qty Meas Qty Price Price 5 1832642 2017 AAG MNTH DESKPAD 22X17 1 0 EA 1 3.19 3.19 Freight: .00 Tax:( .0000 %) .00 sub-Total: 3.19 'n Total• 3.19 customer service inquiries # 677-826-7755 invoice Payment inquiries 888-753-4107 Page: 1 Make checks payable to Sta les Contract & Commercial, Dept NY PO Box 415256, Boston MA 02241-5256 ST APLES INVOICE DATE CUSTOMER SUMMARY INVOICE' Business Advantage 8/05/17 NYC 1032952 8045762636 PLEASE PAY BY TERMS AMOUNT°DUE 9/04/17 Net 30 Days 49.00 1"OICED.snm staples Business Advantage Federal ID #:04-3390816 Bill to Account: N017907 Ship to Account: NC-FIFBRRY FISHERS ISLAND FERRY DISTRICT(NC) FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: DIANE HANSEN PO BOX 607 261 TRUMBULL DR FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390 Budget Ctr : 1010 Invoice Number: 3348489110 Budget Ctr Desc: order 7180515116-000-001 P 0 Number DIANE Ordered By DIANE HANSEN P 0 DeSC order Date 7/28/17 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 IMIKT6557 HP QK646UT NOTEBOOK BATTERY 1 0 EA 1 49.00 49.00 Freight: .00 Tax:( .0900 %) .00 sub-Total: 49.00 Total: 49.00 Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4107 Page: 1 Make checks payable to Staples Contract & Commercial, Dept NY Po Box 415256, Boston MA 02241-5256 q STAPLES DBA STAPLES TECHNOLOGY SOLUTIONS NEED TO RETURN AN ITEM? STAPLES ORDER/REF 500 STAPLES DR FRAMINGHAM MA 01702-4474 SELECT 'ONLINE RETURNS ' FROM #1051-7180515116-000-001 'MY ACCOUNT' AND CLICK 'RETURNS ' TO GET STARTED DIANE HANSEN FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DR FISHERS ISLE NY 06390=8021 07/28/2017 FEDEX GROUND DIANE NOVPKB 1 Line PO Qty I Qty Item# Description/Model No. Nbr Line Order I Ship 1 1 1 SMART BUY PR06 NOTEBOOK BATTERY /1 NEED TO CHECK THE STATUS OF YOUR ORDER? SELECT'MY ORDER STATUS'FROM THE'MY ACCOUNT' �1 DROP DOWN MENU TO VIEW DETAILS , I Trk Nbrs: 013840254517275 Total Quantity Shipped: 1 Total Cartons Shipped: 1 Page- 1 Dest: USCSLPSH01 L SID: 60-MVLMP-11 PC: 1 Combo FISHERS,ISLAND FERRY DISTRICT VENDOR 019719 STAPLES CREDIT( PLAN 08/29/2017 CHECK 4307 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 1 1857949281 (I)CASE-TOILET PAPER 59.99 SM .5711.4.000.000 1857949281 (1)CALCULATOR INK ROLLER 4.99 SM .5709.2.000.200 28089 ARMY CORP REPORT-PILINGS 2.32 SM .5711.4.000.000 ' 32254 (l)-SURGE PROTECTOR 36.,68 SM .5710.4.'000.600 65473 PPR TWLS,9V BATT,SWIFFER7 \45.69 TOTAL 149.67 4 7 ... .............. a -P I _ "FISHERS,ISL4M6_PEP kYblStRICT DIT' i9 53095MAIN,ROAD;PO,30X1179 r -THE SUFFOLK CO'.NATIONAL BANK -SOUTH NY 11971.0959, HEc ,O AMOUNT,, ,c "30 7 35,' CUTCHOGUE,NY 1'19 05/2912-017— y"; -l' 50-546121_ ONEEFORTY NINt'AWb Gjj 10 6 ''DO LLARS" 21 0 P,4 y ST- APLES .'CREDIT -PLAN-- ' -8206576 ot JE 7_3_ ORDEROF PO -BOX ip 1, -78-004, PHOENIX,AZ 85062-8'004', 3 11600L, 307o IIOM02140SLCAS: 68 00L502 Lila Te m of Soq6Payment ay .3N1g 971+ 1°•`f'�`ka��.' W ndor i ax M 3,b,mbar or Swua 5eeaaull jy Number lwrlwwAd&esS7 '; Dept 61-7820657673 PO Box 78004 STAPLES CF=—DIT PLA14 Phowfix,AZ 85962.609 Yassenre {r cdce av h a Net 3'archase 013 Ni{rra'bff lTDatc TOW 'AM otu{t�da{m Pier , :Des+zra�ssscanmf'{'v�nds,{�r�cxa�ces 4C�ia�a93:erl er.3?u�idaiict',Accff�rc{s-�3sa{atier, g $4.99i 'cla9r.,W Ink Roller(J,� �;w r`�`;;� .'a, 't,..7: 28069 71IW2017 $2.32; $2:321 Army rcorpMport hIMS ! 32264 '712612017 $36.68i t $36.68 fi 65473 FfP 2017 $4+,69 V S X4'1>'",� 1 3 .�63 :f�➢Yb;w „r { '{ C, a .�""i','•"rfii%'�7�(,r„4.- 'r�,�d, ,a;.r` n,«i r'�', • t� �,�`J�f:ft�}„`I„_}ir 7E::f r. ,+•1M, ay`'r j,�x`ry',`r.�n'-Z,l•.kl,4 t(� i`t^fl.j-;h "tl'�;•„�t''e`.'�,�,i!t�' i�Gn't..'t < ,rCr"13`ls'lt+it`„ '' a.ts}it`,jar3,'"1r.r'`f � ,p:f��7 4a�^�t'�•sj,Y,.`�,.i" ,,{,�. Ky t7,';':,:i.=y',;,;'� 'i $149.671 1 $149.67 Payee Cee ificafaora �a� a� df est Baa sa�� Tbo undersig{a>l(Claimant)KAmi ag on baalf of ffie above named claunau{tb ��{erz�y �z�{e sratarit#is�{7se:spq��d�{a*�a been racer:y„il��xne does {ecet?v t91w, aY tae rfwragaittg claim is tr=and'rsar{ea,am aan ¢suras an�r Ll��p�irr{a�y�dr�t eta ez�r:,, sem�ces y�rAme�?y ,b--,u pa4 except as dberem w.wed,that the bake 4bwein stated,is zcYy ally +ararTnYsdae+r ,vataesY&.Mo hmv;beda verified s4*1 the vX,ptiMs due end maNin&and xha¢taxes dam Which the To-vmm is exempt we e•zludz& azr.u%{s�r�x�crer ano e3 u{�d �,-utss apprs#ed- D ,S{ e y 1 -Title ^ graa#s�ca Company?Nxrxae {en Nma Femr DziM2 Account Statement CCommercial Account Customer Service: FISHER ISLAND FERRY DIST staples.accou ntonline.com Account Inquiries: _ w .:ww•,,"_.1,,h = ' _.=~ ,: ;.<,.; _, 1 1 1 O I V 1-800-767-1291 Fax 1-801-779-74251ccQurrt }uti��r' "aiX7t'y6734< Summary of Account Activity Payment Information ` Previous Balance $60.56 Current Due $25.00 Payments -$60.56 Past Due Amount + $0.00 Credits -$0.00 Minimum Payment Due = $25.00 Purchases +$149.67 Debits +$0.00 Payment Due Date 09/03/17 FINANCE CHARGES +$0.00 Credit Line $10,500 Late Fees +$0.00 New Balance $149.67 Credit Available $10,350 Closing Date 08/09/17 LPTO�Box Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date 09/08/17 LES CREDIT PLAN g 790449,St Louis,MO 63179-0449 Days in Billing Period 31 Please update your phone number,including cell phone number on the back of the payment coupon,or call customer service at 1-800-767-1291 to update. By giving us your phone and/or cell number or a number later converted to a cell number,you agree that Citibank or its service providers can contact you at the number by autodialer,recorded or artificial voice,or text.Your phone plan charges may apply. Reminder:Payments can be made by mail,online or by calling 1-800-767-1291. Note:In-store payments are not accepted. TRANSACTIONS Trans Date Location/Description PO# Order# Amount 07/13 OFFICE SUPPLIES NEW LONDON CT $ 2.32 07/18 PUTNAM CT 9757859187 $ 64.98 07/25 OFFICE SUPPLIES NEW LONDON CT $ 36.68 08/08 OFFICE SUPPLIES NEW LONDON CT $ 4569 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 07/11 PAYMENT-THANK YOU P9194006109A100VE $ 60.56- FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account Anti '1=Percen�ta'•"e>- -,D>'iiI'•'f�eiriadic. -.Bal`ticeSaB a:t,#o=��=:� ':. a PURCHASES REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 8 ST 4 This Account is Issued by Citibank,N.A. Please detach and return lower portion with your pavment to insure proper credit Retain uooer oortion for vour records- J' INVOICE _Lnvot 391857949�jl ice . Please pay from this Irivolce. SHIP TO: Account xxxx iI;xxx xxxx 7673 GORDON MURPHY Amount Due $64.98 FISHERS ISLAND FERRY 261 fRVMBOLL DR FISHERS ISLAND.NY 06390 Transaction Date 07118/17 Payment Due Date 09103117 , PRODUCT SKU#R QUANTITY UNIT UNIT PRICE TOTAL PRICE PORELON PR40 KAQK 0ALPM 223214 1.0000 EA —$4.60 $4.Q9 SUSTAINABLE EARTH BY SWAP 375081 1,0000 EA $59-09 $59.99 SUDT®TAL $64.98 TAX $0.00 SHIPPING $Q.00 TOTAL $64.98 Please pay from this Invoice. NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page I of 4 Is This Accotint Is ISQUed by Citibank,NA. + Please detach and return lower 0 ---------- ----- --- ... porti n h rpa aq�ji�lnsurop�o a4j�aLrLv r�� ------------—nq_y�� _p4q�r riLo�rr Xou revordgi Your Account Number Is xxxx xxxx xxxx 7673 Amount Due $64.98 Due Date September: 3,2017 Invoice Number 1807949281 Invoice Enclosed L a Print address changes on the reverse side. Make Checks Payable tu® STAPLES CREDIT PLAN DEPT,xx-xxxxxx7073 PO BQX 78004 PHOENIX,AZ 85062-8004 Staples.comOO I Printable Order Summary Page 1 of 1 STAPLES Thank You for Your Order A confirmation email will be sent to you at accounting@f-iferry.com with your complete order details If you have any questions about your order,please visit our Help Center OrderNo 1 9757859167 You'll also find complete details of this order in the Order Status section of My Account You can Order date July 17,2017 view this Information 15 minutes after your order is submitted Deliver to: Gordon Murphy,261 Trumbull Dr,Fishers Island,NY 06390 Delivered By:Wednesday,July 19 Item No. Name _ Price_ _Qty Coupons&Rewards_ Subtotal 375681 Sustainable Earth by Staples®Bath Tissue,2-Ply,White, $59 99 BO Rolls/Case µ 1.0 $000 Price: 552 Sheets/Rolll,80 Rolls/Case(SEB21989-CC) $59.99 223214 Porelon PR-40 Black Calculator Ink Roller(11202) $4 99 Ink Roller Only 10 $000 Price $499 Billing Address Order Subtotal: $64.98 Gordon Murphy Shipping: FREE Fishers Island Ferry Estimated tax Tax Exempt 261 Trumbull Dr Remain g Balance $$64.98 Fishers Island,NY,06390 aining Balance villi be applied to following (631)788-7463 Staples Credit Card ending in 7673 Hold on to your Staples Rebate Visa Cards and Prepaid Gift Cards until your order has been received If you have any questions or concerns about your order,please call 1.800-STAPLES(1-800-782.7537)or email support@orders staples com Important Information concerning coupons and sales tax can be found at coupons and sales tax The tax shown is estimated Your Order Confirmation Email will Include shipment details,product availability and estimated tax Important Information conceming return policy can be found at return policy For complete order details like sales lax,shipping info and Software Download instructions,keep an eye out for an email from Staples at the address above You'll also find complete details of this order in the Order Status section of My Account You can view this information 15 minutes after your order Is submitted Sign up to receive Staples emails with great online and In-store offers and exclusive money-saving discounts This Web site Is intended for use by US residents only See International Sites See Our delivery policy for full details Copyright 1998-2016, Staples,Inc,All Rights Reserved Site Map I Privacy Policy I AdChoices IF Have a questi;lti? Ghat with a Staples ex—rt https://www.staples.com/office/supplies/orderconfpmt?catalogld=10051&orderld=4543 07... 17-Jul-17 Questions about your order? REFER TO THIS ORDER NO. FOR ALL INQUIRIES Visit our Help Center at CUSTOM NO. SHIP D-AW 00, www.staples.com/help-center 4051825224 7/17117 9757859187-000001 RELEASE NO :M MAL � COST CSI:TBRAPPEN ��QT3�S�T�CN�A iAAKE MOre Staples Make More Happen SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:SP1/FDX /F3 FISHERS ISLAND FERRY GORDON MURPHY TOTAL PACKAGES: 2 261 TRUMBULL DR FISHERS ISLAND, NY 06390 Contact: (631)788-7463 - GORDON MURPHY T PAGE: 1 ?ECIAL INSTRUCTIONS iitap N S 1�4a3 � QTY il� £tagleE Es:Lsnd�ci }�LSORxSR IJX# j XIi tHffi2 010M BL ;WTP11= Amount 1 223214 Porelon PR40 Black Calculator /11202/PR40 EA 1 1 4.99 4.99 2 375681 Sustainable Earth by Staplesre/SEB21989-CC CT 1 1 59.99 59.99 M rc andise Total. . . . .. . 64.98 D alivery. . . . . . . . . . . . . .00 T 3.x. . . . . . . : . . . . . . . . . .00 ----- ------- Check your order statuE online by going to www.Staples.com and clicking on "Track rder". m"' Need to return something? Visit we www.staples.com/returns. For store TOTAL VALUE Previews returns, bring this pack slip. PAYMENT METHOD: OF ORDER: 64.98 001 Thank You For Your Order! Staples, Inc. THIS IS NOT ANINVOICE mF` VY� STAPiIJES 292 US 0UTE 1 New London, OT 06320 (860) 4"39-1872 SALE 1330233 11 005,26089 0187 07/13/17 01 :28 QTY SKU PR10E REWARDS NUMBER 2922224817 Custoii,r.,, Order '20k944450 1 Core Exp,ress 2623897 '0.511, 10 Custom Copy , ,P,-_ 10' 1) 0.170ea 1 .70 Q�Ie_ ul)s on Customer Order 2092944450 'Call Customer-Service at 1-800-3STAPI-EIS SUBTOTAL 2.21 Standard Tax'6.35% 0.11 rOTAL '$2.32 Staples Charge' USD$2.3'd UA I ,,I ard No. : XXXXXXXXXXXX7673 [31 Zth No. : 013797 iOTAL ITEMS 11 Staples brand products. Below Budget. Above Expectations. 1HANK YOU FOR SHOPPING AT STAPLES Shop online at www.staples.com Get with the program. Staples Rewards members got up, to .5% back in rewards and free shipping every day. Exclusions apply, See an associate for full program details or to-enroll . or information on where ,Co'nn ectibut asidents can go to recycle used lectronic devices, please visit- Ltp://www,ct.gov/dep/ewastbdropoff or call this toll-free telephone number; 1 P98-424-4193. 0 1 7 O.-_7, 1 3 1 7-2 8 0 8 9 0 5 INVOICE Invoice#; 28009 Please pay from this Invoice. 6HIP TO: Account xxxx xxxx xxu 7073 FISHER ISLAND FERRY DI$T Amount Due $2.32 PO BOX 607 FISHERS ISLAND,NY 06390 1007 Transaction Date 07/13/17 Payment Due Date 09/03/17 r�� lo�. o `',� `'r � ik,3143,x%",Y',w;t'M w.?t;a-�'i` YY t r. �,.'£ � �;{� Ep - t L'.lik_�1,`'S`�'a—^.. ¢ ,;,r F..•; '; ,°.�':�;�:.�"�ls y��l�'. � ��`k''"ia4..c,,Ty""•,"+- 'N��'v,1- ."_� u t,. - .. ... r •�� _ -.. �. "fir� �� '-�:��s:��` v:y.�.,.. . �_;.,.,u Store/Ra0later#;10000187,Z NgW I.ONr)Q!N PRODUCT SittJ# 4ffllfY UNIT UNIT PRICE TOTAL C� wrigi�OUAWNTU 8k7 1,13000 i0.�i $01 CUSTOM COPY 4v PRINT 1080362 � 10,0000 EA $0,17 St1f3TO7'A6 $2.29 TALC $0.11 SHIPPING $0,00 T-O ALC $x.32" Please pay from this invoice, NOT10g:SEE REVERSE SIDE FOR IMPORTANT INFORMATION wega 1 of 4 13 Thls Account le Issued by Citibank,N,A„ .........�'w,a�l�a��detach�n�i r®tum IQw©r Rort�an��►h�r�ur��Ym®nt to ir,svyq�Fe�®3er�ditp�aet�ln up�af�a0rtl9 rfo�Your F9ar�rd�aew� �......A q 4, _ _ Your Account Number Is xxxx xxxx xxxx 7473 Amount Due $2,32 Due Date September 3,21017 Invoice Number 28088 Invoice Enclosed 1i,a"r xx* a sx Ar`�.�"�w,'i�er.`��''.xd..`^ta;�(.i'S.�`R.::'''t'�:�u'b x2�`!�w+i�rta�H" ;r..•�""m,�"'.. Print address ohanges on the reverse side, Maks Checks Payable tow STAPLES CREDIT PLAN DEPT,xx-uxx)=7673 PO BOX 78004 PHOENIX,AZ 8$082-8004 ' "STAPLES 292- US ROUTE '1 New London, CT G6320 (b60) 439-1872 "ALE 1850665 4 001 3225'f: 0187 07/25/17 01 ;4,', QTY SKU PRICE REWARDS NUMBER 5001146082 1 INK RECYCLING LlMI: 725137 .00 Instant Savings <-0.01> 'I SPLS 80L SURGE,330 718103196833 34.49 iUBTOTAL 34.49 Standard Tax 6.35 ; 2.19 TOTAL - -- -- _ $36Y68 Itaples Charge USD$36.68 Ard No. ; XXXXXXXXXXXX7673 [S] Guth No. : 025449 -F0T'AL I T EMS 2. Item is currently• on, promotion,. Some ..oupans`are ohly valid an regular-priced , terns. Please see coupon terms and onditions far' details'. Staples brand products. Below Budget, Above'Expectations. THANK YOU FOR SHOPPING AT STAPLES ! Shop onl i rye at www,stap'1 es.colli ' Get with the program. Staples Rewards members g'et up to 5% back in rewards and free shipping every j day. Exclusions apply, See an associate for full program details or to enroll . For information on where Connecticut ' residents can go to.,recycle used electronic devices, please visit http;//www.ot,gov/dbp/ewastedropoff or call this toll-free telephone number; 1-888-424-4193. II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III '� n 1 o R-n -7 G 1 7 1 9 ? F d n 1 INVOICE ��32254 Please pay from this InvQl6e. SHIP TO; Account =x XX%x=x 7673 FISHER ISILANP FERRY DIST Amount Due $36,60 PO PDX 607 FISHERS ISLAND,NY 063940607 Transaction Date 07/25/97 Payment Due Date 09/03/17 �'.i'.r=1•in= .-, lQ4Cf1 ;r'-.,' `"r`!i ,,' ,��aa y��y ��"=:'',•us-x;ex 3F�; •.,t ;Ks7:=x ,...�,"'1'(� ^Y "- v.1f} �n�•i, . - Stere/Register M 100001872 NEW LONDON PRODUCT SKU# QUANTITY UNIT UNIT PRICE TOTAL PRICE INK RECYOLINQ LIMIT 10/MO 728937 �,l 000 i5A $0,01 $0 01 SPLS BOL SURGE 3300)OFT 198085 1,0000 EA $34,49 $34.40 STAPLES FUNDED COUPON 558100 1,0000 EA $0,01- SUDTQTAt ¢ $34. 9 TAX $2.19 SHIPPING $0100 7 UT—AL Please pay from this InvQlce, NOTICE;SEE REVERSE SIDE FOR IMPORTANT INFORMATION Rage 1 of 4 25 This Account is Issued by Citibank,PLA„ �, Plea* dotach and return lower eortian tvithy rga�rnent to Insuye er credits Retam uppar�oRion for 4�r r dards, 4. ��ana�mampWPea� ---- R _ Your Account Number Is xxxx xxxx xxxx 7673 Amount Due Dee Date September 3,2Q17 Invoicq Number 32254 invoicG Enclosed 1.}1 ItLtirf'IQ �'iQ-:".utr`�YAyy Forint address changes on the revorse afdo, Make Checks RaYable tam STAPLES CREDIT FLAN DaPT,xx-xxxxxx7O73 PQ BOX 76004 PHOENIX,A;Z 05009-8004 i i 292 US R'0L1TE 1 C106320 433. 1872 SALE . j111211,1#12 65473 7 10:22 'E),Eek LJl F'f T iC E' I 1 OUR CELL 9V 44PI D 04032;5560 14.99 TWOon h ,9555J?054125 _- I 1 9W FE; WST R361-D . , ' I 03i70OC328DAl 4.99 i Coup n-h ,, 1559555540014125 -0.94, 1 SWI=FERS60 DUSTER- ' I 03700C327283 9.99 Coupon to. 1559555540054125 -1 .89 I 1 BCiU0 12 MEGA PAP I 037'.iOC 3502'2 E) 22.99 I Coupon ho. 1559555540054125 -4.34 42.96 SUBT'07A.., I Standard lax 6.35% 2.73 TOTAL I , I , 1 $45.69 StaWas i0rarde USD$45,69 Card No, : y>XXXXXxXXK•X7f 13 [91 Aut i No,: 3008B ***OM MSIAPLE:S COUPINS REDEEM********** Cown to, 1559555!40034125 -10.00 $10.00 off reoular pri3ed purchase j of $30.00 CR mor Expirat'ior Date: OE/26117_ -1-C)-r f�,1_ 1-000 E:.IN1 INVOICE Invoice M 6547 i5Ti"07wy_from 610 Invol"o. SHIP TO: Awount Wx x)=xxxx 7073 FWHER ISLAND FERRY DIST Amount Due $45.00 PO BOX 607 FISHERS ISLANO,NY 063900007 Transaction Pate 00/08117 Payment Due Mite 09/03117 ri�,- A Axu g M 600 FE NOR-0_00_915MR PRODUCT SKU# QUANYITY UNIT UNIT PRIP, 9`01._I.PRICE LLPV4/PKQQU" 1.0000 1A $14.00 W_F POR PU5TER300 Ff)r5'jflF 1'990490 $4.0 SWIPFIMQO 9U,5T9R Rta ILk6 BOUNTY 12 MEGA RAPOR TOWRT042N $22.99 STAPLE,$FUNDED COUPON 009904 1.0000 KA $10,00. SUOTAL TAX $2,73 SHIPPING $0.00 TQfA__LT40,_69 Platop pkly figm thla invaloQ, N97100;P49 REV9R§@!5lPri FQM IMPOR17ANT INPORMATION F0.9p I of 4 B ThIp Awount 14 li by 0jtI4arAk,N.A., low �l Rlpogra dotplKhAlwallfff". r r 4, Your Acigou,tiit Nurnbar Is xxxx wixx xx4x 7673 Amount Due $40,60 Due Date September 3,2017 Involing Number 00973 Pr Make chagh pay4ble tow 6TAP40 ORROIT PLAN WT.m iio-wo,79N PO BOX TBQQ4 1311914-NIX,AX-060OR7600-4 FISHERS_ISLAND FERRY DISTRICT VENDOR 019554 STATE OF CONNECTICUT 08/29/2017 CHECK 4308 FUND & ACCOUNT P.O.4 INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 78413 INSP/CERT FEE-BuRNHAm 80.00 SM .5709.2.000.200 78413 INSP/CERT FEE-HUBBELL 80.00 TOTAL 160.00 S j m "FI APS-ISLAAD FERRYDISTRICT '53095 MAIN ROAD,PO BOX,1179, 'AUDIT 8 29 7 -NY 11971-0959 -,CHECK 'NO SOUTHOLD, ' 43081 -THE SUFFOLK'CO.NATIONAL BANK r--7 c -DAW -AMOUNT,, UTCHOGUE,NY 11,935 7 0-8 /2 /201 50-546/214, -6 ONE' HbNDkE6,,'S'iX' TY AND,00/100- fjOLLARS PAY STATE,-OF 'C'O'NNECTICUT THE DEPT OF ;CON A .', _ -. , " ,, TO ;CONST-BdRtAtj OF B61iEP,, ORDER 16 s C AP'l.TOL VEROOM266 OR HARTFORD, CT,'O 6 10 G 1(5 2 0 11 004308us i:02140SLGiil: 68 DOLS02 III Town of Southold, New York- Payment Voucher 19554 Vendor Tax ID plumber or Social Security Number Vendor Address Etiter(�d`by Mate of Connecticut 3 ' 460 Columbus Blvd-Suite 1303 - — AtiditDto Dept.of Administrative Services, Bureau of Boilers Hartford,CT 06103A.AUG' "'2017 Vendor Telephone Number 860-713-6880 i�i.Gler ' Vendor Contact a Invoice Invoice Invoice Net PurchaseOrder rt t Number Date Tota( Discount I.Amount Claimed Number Descrip?ian nf"tioods or Services Cvetrerbl zLedger, Ytind and Account Numb r 764"13 $160.00 $80.00088274-Burnham-2004 '�i�s709:2.t100:��IfJ:s. j $30.00 200 { 1, Boiler Inspection/Certification t+ 3 til_Terminal Bldg $160,00 i $160.00 r. Payee Certification Department Certification The undersigned(+Cieimant)(Acting on behalf of the above named claimant) I hereby.cortify that the materials above specified have been received by me does hereby ce.tify 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 vern6ed ninth the exceptions due and owing,and that taxes from~which the To-mi is exempt are exOuded or dismepancies noted,and payment is approved. SIgnat U .-� Title Signature Company Name Date _ Title Date / Page 1 STATE OF CONNECTICUT CT Department of Administrative Services OSBI—Bureau of Boilers 450 Columbus Blvd—Suite 1303 Hartford, CT 06103 Phone:(860)713-5880 Boiler[Water Heater Invoice ATTN: R.J. Burns Fishers Island Ferry District/Attn R.J. Burns Pay This Amount $160 00 PO Box 607 Fishers Island NY, 06390-0607 INVOICE NUMBER: 78413 DATE PRINTED: 08/11/2017 TERMS-Payable upon receipt of invoice Please keep this copy for your records. The operating certificate required for legal operation may be issued only after amounts specified herein have been paid INSP DATE FEE TYPE DESCRIPTION LOCATION AMOUNT 8/712017 INSP/CERT FEE 088274-Burnham-2004 P Fishers Island Ferry 5 Waterfront Park,New London $80.00 District CT,06320 8/7/2017 INSP/CERT FEE 088275-Hubbell-2004 Z Fishers Island Ferry 5 Waterfront Park,New London $8000 District CT,06320 I FISHERS ISLAND FERRY DISTRICT VENDOR 019672 MARY L STRUNK 08/29/2017 CHECK -,4309 FUND & ACCOUNT \ P.O.# INVOICE DESCRIPTION J AMOUNT ' I SM .5710.4.000.000 17-668 080817 ELECT INSPECTOR-4.75 HRS 57.00 TOTAL 57.00 ^ ' •Vis., 0 o I c3 — r I .I FISHERS,ISLAND`FERRY DISTRICT,_ 2 9 AUDIT',,08%2 9/17. a _ _ 53095 MAIN ROAD,PO BOX 1179 SOUTHOLD,NY 1.1971=0959 - - _ _ 'CHEC_K N0. - 43-0- _ - } ~ • - THE'SLIFFOLK,CO:NATIONAL BANK ' CLITCHOGUE,NY 11935 DATE, "AMOUNT - - - • - ' -' - = - _- --- - ---,-- -• ___-_' --•-- ' - - --- - - - `08%29/2,01.7 ' - -- ' '`$57:0,0'` ,' 50 546!214 FIRTY' SEVEN' AND 00%1,00 DOLLARS ' PAY :. TOTIE, PO 'BOX 'I 4 3 QRDER ' , ETSHERS -ISLAND NY 06390 [7043C]um i:U 214054G 6ti 001502 1112 't i'., Town of Southold, New York m Payment Voucher � 19672 SJeudorTaux ID Number or Social Sczurity-Numbcx Vendor Address t6fM byu P.O. Box 143 Fishers isiand, NY 06399 Mary L.5tSwik b'enilor Teflephonz Number [; U i.' veiWor Contact 8� Invoice Invoice flnvoice Net pulchase 6MI27 Iwttnaher Date Total Discount J.AvromitClaimcd 2aazsaaber Description of Goods orSeMces ,s',.�se�at�ai,T�dg�atas+elari�'s�ccinant<�turrilier, $57.00 Board of commissioners election inspector =117 1 # " I { S' — �•' "i f'j�t�` �1� � ire '��, 't $57.491 $57.00 Elayee cefifieazion DepaitmemitCexf$fieadan 'The undmigned(Claimant)(acting on behalf of the above named clairria mt) T hereby cert7t,that the materials dbove specified have,been received kv me does hereby certify that thz foregoing claim is Areae and correct,that no part has in good cmidition vdthout s,6h titut-son,the services properby been paid,except as therein stated,that the balance tberein stated is actually perfmme d amT that ttae:quantities t3rereof have been iwified iviih;he exceptions due and owing,and that taxies-fwm which the T'mun is exempt are excluded +ordi crepaancies anoicd,and payment is approved. w Signature 4 •lmd a le Signature Company Name.Fishers Island Ferry Mtrici,Date 81151201 17 'T'itle 2017 Election Inspectors Rate: $ 12.00 8-Aug Total Payme Mary L Strunk 4.75' 4.75 57.00 PO Box 143 Fishers Island NY 06390 Harry S. Parker, III 4.75 4.75 $ 57.00 PO Box 426 Fishers Island NY 06390 Sarah Malinowski Had to decline PO Box 402 Fishers Island NY 06390 Ellen McC. Parker 4.75 4.75 $ 57.00 PO Box 426 Fishers Island NY 06390 Total: $ 171.00 /� Southold Town Board - Letter Board Meeting of August 1, 2017 �Sureo�r� RESOLUTION 2017-668 Item # 5.13 ADOPTED DOC ID: 13252 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-668 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 1,2017: RESOLVED that the Town Board of the Town of Southold hereby ratifies and approves the resolution of the Fishers Island Ferry District Board of Commissioners dated July 24, 2017 in regard to Election Inspectors. ov,a4o 40em, Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Russell ABSENT: Louisa P. Evans i iI 1 i t I t i 7 Generated August 2, 2017 page 22 FISHERS ISLAND FERRY DISTRICT July 24,2017 Election Inspectors Resolution 2017-132 The Board of Commissioners hereby appoints E Parker, H Park, S Malinowski and M Strunk to be Election Inspectors for the August 8th Fishers Island Ferry District Board of Commissioners election at a rate of $12.00 per hour. Moved by: Commissioner P Rugg Seconded by: Commissioner W Bloethe Ayes:A.Ahrens,W. Bloethe, H. Burnham, P. Rugg and D.Shillo Nays: None a. FISHERS ISLAND FER Y DISTRICT VENDOR 020230 THAMES SHIPYARDi & REPAIR CO. 08/29/2017 CHECK 4310 FUND ,& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .57102.000.200 10139 RP COOLANT-5 GAL 107.79 TOTAL 107.79 RRY-DISTRICT,- FISHERSISLAM-A. -MAKROAD;PO 90X.9179'- ' 53095 ', ! , -,,, I OUTHOW,Ny,1 19?1,0959 NALBAN MOUNT -r4 31 NA 6 CHECK; CuTCHOGU,E,NY'1'1 935 10'7.79, HNRE . SEVENpnD 39 0DOLL--AR- D - — -HAME8',,'8HIP- MRD,:& REPAIR CO. TO6M FERk -REET RDI I-NEW,'L NDON-CT 06320-'0791 °i ' 11000 L, 3 10115 1:02L40546411: 68 001502 1 Vendor No. e 5, Town of Southold. New York- Payment Voucher 2023 Vendor Address Enter d;b 2 Ferry Street VendrarNarne New London,QCT 06320 Thames Shipyard&repair Co. Vendor Telephone Ntunber c I, Vendor Contact -- - --- — .•,i .r ` ;,' 'Invoice Invoice Invoice ti Nef Purchase Order ,,' t^`-,},y,r=;;'..;;';g''',5,•v°,,;',fr.= _,si•i;,; r Nurnber Daze Total , Discount Amount Claimed Number Description ofConds or senices ,''fi; eP' a1-I edger:Faiid atxd AccounkNuniber ` 10139 713112017 $107.791 d $107.79 RP coolant 5g a@ '7' {! `F`�i ';'n, •c"i°,,i '`S+n Sf b•�q�lf 1, °t°i, n�o`" ,rj, $'107.79 i $107.73 does hereby eeitify that She foregoing claim is'true and correct,that no part has in goad candiflon a,-dthout substitution,the services,property hewn Inaid,'except as therein stated,that the balance therein states is actually performed and that thequantims,lbereof£save been wrrfied with the exceptions due and owning,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and,pa m=t is approved. 5fgne � fsYle _ signature__ .�i Company Name Fishers Island Ferry District Date 81/4/2017 Title THAMES SHIPYARD & REPAIR CO~ 2FERRYSTREET INVOICE .NEW LONDON, CT 06320 Invoice Number: 10138 Invoice Date: Jul 31,2017 Page 1 Voice: 880442-5349 Fax: 880-440'3492 to- FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 FISHERS RACE POINT Net Due _ _ iopT Courier 7/31/17 it Pri Descr Un Ce . Amount. SALES-MATERIAL 101.35 Subtotal 101.35 Sales Tax 6.44 Total Invoice Amount 107.79 Check/Credit Memo No: Payment/Credft Applied Tof Y THAMES SHIPYARD AND REPAIR CO. ` Material P.O. Box 791 New London, CT 06320-0791 (860) 442-5349 f s CHARGE TO: Fi �z c c, P-f DATE: CSI 1O � 1 SELLING QUAN DESCRIPTION UNIT EXT S �e-�ro t �oc� ercon l �ooc 2 o7k�� 3 S t f TOTAL D , 3 a . r FISHERS ISLAND FERRY DISTRICT VENDOR 001459 TOWN OF SOUTHOLD A&T ( '-08/29/2017 CHECK 4311 AMOUNT FUND & ACCOUNT P.O.# INVOICE DESCRIPTION SM' .9710.7.000.000 09012017-2015A 2015-REFUNDING BONDS 12,849.40 TOTAL 12,849.40 14 I p hr -F a, X = FISHERS ISI AAD,FERRY DISTRICT- ;AUDIT,;089; 7 ,,53095-MAIN ROAD,PO BOX 1179 -NY 1 1971-op5q K SOUTHOLD, 31 '14i SUFFOLK,C6`NATIONAIL-BANk-' ;,DATE ,,, --,,-':AMOUNT - CUTCHOGUE,NY,1 1935 Yk 08 29/2b , 50-5'46127 4 TW,ELVE T k H t,-HUNDRED FORTY'NINE -40,100, DOLLARS' J PAY, --'TOWN OF SOUTHOLD'-A&T -AGENCK,VAND,TRUST -25 ORDER"---,53095 1-19,71 SOUTHOLD MY 1180043 1 Ills 1:0 2 1405454 : F38 00 150 2 Ill. Vendor No. Check No. Town of Southold, New York - Payment Voucher 1459 y 311 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 1179 Vendor Name Audit Date Town of Southold Agency &Trust Southold, NY 11971-0959 AUG 9 2p1j Vendor Telephone Number (631) 765-4333 To Clerk Vendor Contact ' John Cushman Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 09012017-2015 9/1/2017 0.00 0.00 2015 Refunding Bonds SM.9710.6x000.000 09012017-2015 9/1/2017 12,849.40 12,849.40 2015 Refunding Bonds SM.9710.7.000.000 12,849.40 Total Payee Certification Depart ent ertification The undersigned (Acting on behalf of the above named claimant) I hereby certify thaMe mate is s abov specified have been received by me does h reb rti t at th iforegomg claim is true and correct,that no part has in good ondit n wi o sub rtution,the services properly bee paid, cep as er ' stated,that the balance therein stated is actually performed and at the auantit es h o have been verified with the exceptions du and owing,a d t axe �TitleDepu own is exempt are excluded. r d� epancie' no ed, ayment is approved Signature KComptroller Signature Company e Town of Southold Date August 22,2017 Title Deputy Comptro r Date August 22,2017 FISHERS ISLAND FERRY DISTRICT I I ' VENDOR 021506 UNITED PARCEL SERVICE 08/29/2017 CHECK 4312 {` FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT J SM .5710.4.000.700 26639317 WE 8/4/17 536.04 SM .5710.4.000.700 26639327 WE 8/11/17 1,296.71 ; c• TOTAL 1,832.75 V S r :4tT.:Gve :•>3:r i ' `•: : r=::iii •E 1 . `sE`pit: 5::55if'::';>'.•r ° ` 1 4 , -'t • O • 0 0 8' • D • p - t 'J FISHERUSLAAD,TERRYDISTRICT ,r 53095;MAIN ROAD,PO BOX-1179., = AT7D T'34Q8/2,9 1_ ° ^- 'QOUTHOLD,,NY 11'9,1=0959 - _.CHECK 'NO. ,4312 THE SUFFOLK`C0.'NATIONAL BANK,'' # CUTCHOGUE,NY]1935, DATE;' AMOUNT: -;_ - - - =- =j;=.- - -- __ ; _ - :--- - - ----- -- - -- - — -- - - - - - _ _ __- _ __ 8 2 - 20.173•_ .1-."- __ --_ - _ '' - - - _ 50-546/214 _ _ ONE :TTiOUSAND::.EIGHT 'HUNDREDI ,THIRT -:,TWO,-AND'_75/,10'0- DOLLARS ,:1, Ay, UNITED, PARCEL. SERVICE 1 TO THE -: PQ`BOX 7247==0244 " ORDER-.- ;, - - - • ' - _ , 'O1 OF .PHI'LADELPHIA; Vendor No. Check N6 Town of Southold, New York- Payment Voucher 21606 .z Vendor Address Ente!ed.,� ,3 P.O.Box 7247.0244 Vend,.r Name UPS Philaddphia,PA 19170-0001 --- � Audit,'D United Parcel Service -- — — ;2 .9';,2017 Vendor Telephone Number 8:00-811-1649 Clerk Vendor Contact 9 68➢9' Invoice Invoice Invoice NO Purchase Order Date "total � itiseourat �AmauntXlainaed ISunabsr I�rsrsifianafGoods,orSexvirzs Genec�tii,dxr'Ftsdand'AccauhtAuinber 26639317 81512017 $536.04� $536.04 WE 8141177'10:4 000.7O0',.,:' 26639327 8/1212017 $1,296.71� ! $1,296.71 '�J5 E SMJ117 t ="SM5740.4;000.700' $1,832.755 1 $1,13332.75 i Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the abovic rained claimant) I hereby certify that the materials abcsv r specified have been received by me does hereby certify that the foregoing clam is true and corract,that no part has in good condition.vitho rt subsiktition,the services.properly been pard,except as therein stated,that the balance thereat stated is actually performed acid that the tlnantities thereofhave been verified ith:he exceptions due-rind owing,and that taxes from%Wtch the'foRm-is exempt are excluded or disc elancres rioted,and payment is approved signature ` Title Signature Company Name Fishers Island dFFerry �'District Date 8/1712017 Title___ Late ��— Deli vary Service Invoice Invoice Date August 5, 2017 1 Shipped from: Invoice Number 0000026639317 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 8V47 1 STATE ST Page 1 of 6 NEW LONDON,CT 06320 9 Sign up for electronic billing today! 0736A00000266394 77366010022932 Visit ups.comlbilling ® AB 01 028478 18470 H 81 A For questions about your invoice,call: (800)811-1648 ILII°Il�l�'�1"'I�'I"`��I1I�I'1111 'II'�Illlllll��ll�'��II�`�1 Monday-Friday FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.E.T. ACCOUNTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND, NY 06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Flan Summary of Charges Amount Due This Period $536.04 Page Charge Amount Outstanding(prior invoices) $444-46 Outbound Total Amount Outstanding $980.50 3 UPS WorldShip $520.14 Please include the Return Portion of each outstanding invoice with 6 Adjustments&Other Charges $3.00 your payment.See Account Status for details. Service Charges $12.90 Questions about Your charges? Amount due this period $636.04 -_ 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 27, ups.comlinvoiceguide. 2017. _ Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Note:This invoice may contain a fuel surcharge as described at ups-com.For more information,please visit upscom. G/% — Delivery Service Invoice Invoice Date August 5, 2017 Oyu Invoice Number 0000026639317 Shipper Number 026639 Page 2 of 6 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 0000026639277 07/08/2017 $194.52 0000026639287 07/15/2017 $89.71 0000026639297 07/22/2017 $59.24 0000026639307 07/29/2017 $100.99 Total $444.46 Outstanding balances reflect any payments received as of 08/04/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice Date August 5, 2017 Invoice Number 0000026639317 Shipper Number 026639 Page 3 of 6 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/01 6853513332 1 IZO266390347643935 Ground Residential 04662 3 71 27.43 Customer Weight 43.8 Residential Surcharge 3.40 Delivery Area Surcharge 3.25 G� Additional Handling 10.85 Fuel Surcharge 1.79 Customer Entered Dimensions=25 x 23 x 17 in Total 46.72 ist ref:FINY-LIESE BROWN 2nd ref:FINY-LIESE BROWN Sender :ACCOUNTS PAYABLE Receiver: LIESE BROWN 64 MANCHESTER ROAD NORTHEAST HARBOR ME 04662 Message Codes•r 2 1ZO266390348108342 Ground Residential 75206 7 32 33.10 Customer Weight 22.4 Residential Surcharge 3.40 �(12 ��3 Fuel Surcharge 1.92 Customer Entered Dimensions= 22 x 18 x 11 in Total 38.42 1st ref:FINY-SOLOMON 2nd ref:FINY-SOLOMON Sender :ACCOUNTS PAYABLE Receiver: MARGARET SOLOMON 3630 OVERBROOK DRIVE DALLAS TX 75205 _ Message Codes:r _ 3 IZO266390348688556 Ground Residential 75205 7 18 21.72 Customer Weight 7.6 Residential Surcharge 3.40 Z'3;3 Fuel Surcharge 1.32 — Customer Entered Dimensions= 22 x 16 x 7 in Total 26.44 ist ref:FINY-SOLOMON 2nd ref:FINY-SOLOMON _ Sender :ACCOUNTS PAYABLE Receiver: MARGARET SOLOMON 3630 OVERBROOK DRIVE t DALLAS TX 75205 Message Codes:r 4 1ZO266390346588560 Ground Residential 02138 2 8 9.39 Customer Weight 4.2 Residential Surcharge 3.40 g' Z Fuel Surcharge 0.67 S Customer Entered Dimensions= 13 x 11 x 9 in Total 13.46 1st ref:FINY-RENTSCHLER 2nd ref:FINY-RENTSCHLER Sender :ACCOUNTS PAYABLE Receiver: DAVE&LIZ FORNEY 9 CLEMENT CIRCLE CAMBRIDGE MA 02138 Message Codes:r 028478 2/3 - II i - Delivery Service Invoice Invoice Date August 5, 2017 Invoice Number 0000026639317 Shipper Number 026639 Page 4 of 6 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/01 6853513332 5 1Z0266390347532377 Ground Residential 06824 2 18 11-37 ,:642 Z$ Customer Weight 6-6 �'L Residential Surcharge3.40 L Fuel Surcharge LZ 0.78 Customer Entered Dimensions= 14 x 13 x 13 in Total 15.55 1st ref:FINY-MCCANCE 2nd ref:FINY-MCCANCE Sender :ACCOUNTS PAYABLE Receiver: SIERRA STITES 1550 FENCE ROW DRIVE FAIRFIELD CT 06824 Message Codes:r 6 IZO266390348363987 Ground Residential 83340 8 13 19-28 Customer Weight 12.4 Residential Surcharge 3.40 u S Delivery Area Surcharge 3.25 Fuel Surcharge 1.36 Total 27.29 1st ref:FINY-GRACE HARVEY 2nd ref:Fl NY-GRACE HARVEY Sender :ACCOUNTS PAYABLE Receiver: JOHN BAILEY v 511 ONYX DRIVE KETCHUM ID 83340 7 1Z0266390346647399 Ground Residential 83340 8 17 23.13 Customer Weight 11 Residential Surcharge 3-40 Delivery Area Surcharge 3.25 Fuel Surcharge 1.56 Customer Entered Dimensions= 14 x 14 x 12 in Total 31.34 1st ref:FINY-GRACE HARVEY 2nd ref:FINY-GRACE HARVEY Sender :ACCOUNTS PAYABLE Receiver: JOHN BAILEY 511 ONYX DRIVE V KETCHUM ID 83340 Message Codes:r Total for Pickup Number: 6853513332 7 Package(s) 199.22 08/02 6853513343 1 1ZO266390347266601 Ground Residential - 75205 7 74--- -- 56.20 Customer Weight 43 Residential Surcharge 340 2 Additional Handling 10.85 Fuel Surcharge 3.13 Customer Entered Dimensions= 33 x 22 x 14 in Total 73.58 1st ref:FINY-GLENN SOLOMON 2nd ref:FI NY-GLENN SOLOMON Sender :ACCOUNTS PAYABLE Receiver: GLENN SOLOMON 3630 OVERBROOK DRIVE DALLAS TX 75205 Message Codes:r J i Delivery Service Invoice Invoice Date August 5, 2017 ' Invoice Number 0000026639317 Shipper Number 026639 Page 5 of 6 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/02 6853513343 2 1Z0266390348025619 Ground Residential 75205 7 74 56.20 Customer Weight 48 Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.13 Customer Entered Dimensions= 33 x 22 x 14 in Total 73.58 44 Z 1st ref:FINY-GLENN SOLOMON 2nd ref:FINY-GLENN SOLOMON Sender :ACCOUNTS PAYABLE Receiver: ✓ GLENN SOLOMON 3630 OVERBROOK DRIVE DALLAS TX 75205 Message CoAes:r 3 1Z0266390346248427 Ground Residential 75205 7 74 56.20 Customer Weight 46 (L Residential Surcharge 3.40 , .5 Additional Handling 10.85 Fuel Surcharge 3.13 0Customer Entered Dimensions= 33 x 22 x 14 in Total 73.58 1st ref:FINY-GLENN SOLOMON 2nd ref:FINY-GLENN SOLOMON Sender :ACCOUNTS PAYABLE Receiver: GLENN SOLOMON 3630 OVERBROOK DRIVE ®_ DALLAS TX 75205 Message Codes.r 4 1Z0266390348379032 Ground Residential 75205 7 74 56.20 Customer Weight 44 Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.13 Customer Entered Dimensions=33 x 22 x 14 in Total 73.58 1st ref:FINY-GLENN SOLOMON 2nd ref:FINY-GLENN SOLOMON Sender :ACCOUNTS PAYABLE Receiver: GLENN SOLOMON 3630 OVERBROOK DRIVE DALLAS TX 75205 _ Message Codes:r Total for Pickup Number: 6853513343 4 Package(s) 294.32 08/03 6853513354 1 IZO266390346581441 Ground Commercial 77027 7 3 1099 Customer Weight 1 Fuel Surcharge 0.58 Customer Entered Dimensions= 10 x 8 x 6 in Total 11.57 1st ref:FINY-KELLY YOUNG 2nd ref:FINY-KELLY YOUNG Sender :ACCOUNTS PAYABLE Receiver: LILLY PULITZER 4035 WESTHEIMER ROAD HOUSTON TX 77027 Message Codes:r 028478 3/3 I r Delivery Service Invoice Invoice Date August 5, 2017 Invoice Number 0000026639317 Shipper Number 026639 TM Page 6 of 6 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/03 6853513354 2 1Z0266390346339650 Ground Residential 22903 4 6 10.88 Customer Weight 2 Residential Surcharge 3.40 tp Fuel Surcharge 0.75 h Customer Entered Dimensions= 16 x 13 x 4 in Total 15.03 1st ref:FINY-WEBEL 2nd ref:FINY-WEBEL Sender :ACCOUNTS PAYABLE Receiver: BUSS WEBEL 109 RAYMOND AVENUE CHARLOTTESVILLE VA 22903 Message Codes:r Total for Pickup Number: 6853513354 2 Package(s) 26.60 Total UPS WorldShip 13 Package(s) 520.14 Total Outbound 13 Package(s) 520.14 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 04-AUG-2017 Total Miscellaneous 3.00 Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 6 Delivery Service Invoice Invoice Date August 12,2017 Shipped from: Invoice Number 0000026639327 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID 874T 1 STATE ST Page 1 of 9 NEW LONDON,CT 06320 g ®_ Sign up for electronic billing today! 0736A00000266394 77366020022288 Visit ups.com/billing AB 02 028665 23379 H 79 A For questions about your invoice,call: (800)811-1648 Monday-Friday ® FISHERS ISLAM® FERRY 8.00 am.-9:00 p.m.ET. ACCOUNTS PAYABLE or write: ® PO BOX 607 ups FISHERS ISLAND,NY 06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $1,296.71 Page Charge Amount Outstanding(prior invoices) $696.27 Outbound Total Amount Outstanding $1,992.98 3 UPS WorldShip $1,258.90 Please include the Return Portion of each outstanding invoice with 8 Adjustments&Other Charges $24.91 your payment See Account Status for details. Service Charges $12.90 Questions about Vour CI761geS? Amount due this period $1,296.71 —_ 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 September ups.cotnlinvoiceguide. 3,2017. 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) 1 Note.This invoice may contain a fuel surcharge as described at �1 ups.com.For more information,please visit ups.com. Delivery Service Invoice Invoice Date August 12, 2017 Invoice Number 0000026639327 Shipper Number 026639 Page 2 of 9 Account status Weekly Payment Plan Payments Applied Invoice Number Invoice Date Amount Paid 0000026639277 - 07/08/2017 $194.52 0000026639287 07/15/2017 $89.71 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include thelteturn Portion of each outstanding invoice with your payment. ; Invoice Number Invoice Date Balance Due 0000026639297 07/22/2017 $59-24 0000026639307 07/29/2017 $100.99 0000026639317 08/05/2017 $536.04 Total $696.27 Outstanding balances reflect any payments received as of 0811112017.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice Date August 12,2017 1 Invoice Number 0000026639327 Shipper Number 026639 n Page 9 of 9 Adjustments &Other Charges Shipping Charge Corrections(continued) Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges. Pickup Original Service/ ZIP Billed Adjustment Date Tracking Number Corrected Service Code Zone Weight Charge Amount 08/07 1Z0266390346410492 Ground 94115 8 46 51.39 Ground 94115 8 51.0 54.79 b Audited Dimensions= 34 x 16 x 13 in °I( C7Customer Entered Dimensions= 32 x 14 x 14 in Fuel Surcharge 0.18 3.58 1st ref:FINY-HOLLAND LYNCH 2nd ret:FINY-HOLLAND LYNCH Sender :ACCOUNTS PAYABLE Receiver: FISHERS ISLAND FERRY HOLLAND G.LYNCH NEW LONDON CT 06320 SAN FRANCISCO CA 94115 1ZO266390346659475 Ground 94115 8 74 62.85 Ground 94115 8 77.0 63.42 Audited Dimensions= 40 x 19 x 14 in Customer Entered Dimensions= 34 x 20 x 15 in Fuel Surcharge 0.03 0.60 g( 1st ref:FINY-HOLLAND LYNCH 2nd ref:FINY-HOLLAND LYNCH�) ��( /Sender :ACCOUNTS PAYABLE Receiver: i FISHERS ISLAND FERRY HOLLAND G.LYNCH NEW LONDON CT 06320 SAN FRANCISCO CA 94115 08/09 1ZO266390346528802 Ground 80209 7 34 34.87 Ground 80209 7 36.0 36.99 Audited Dimensions= 17 x 17 x 17 in �a Customer Entered Dimensions= 17 x 17 x 16 in t, 0 Fuel Surcharge 0.11 2.23 _ 1st ret:FINY-MENA MORGAN 2nd ref:FI NY-MENA MORGAN — �/ Sender :ACCOUNTS PAYABLE Receiver. / I FISHERS ISLAND FERRY MENA MORGAN V NEW LONDON CT 06320 DENVER CO 80209 1Z0266390346723814 Ground 80209 7 34 34.87 Ground 80209 7 36.0 36.99 Audited Dimensions= 17 x 17 x 17 in O l b "7 Customer Entered Dimensions= 17 x 17 x 16 in Fuel Surcharge 0.11 2.23 0, 1st ret:FINY-MENA MORGAN 2nd ref:FINY-MENA MORGAN / Sender :ACCOUNTS PAYABLE Receiver: FISHERS ISLAND FERRY MENA MORGAN NEW LONDON CT 06320 DENVER CO 80209 IZO266390347629906 Ground 94115 8 62 59.64 Ground 94115 8 84.0 66.01 _ Audited Dimensions= 37 x 26 x 12 in (' Customer Entered Dimensions= 38 x 16 x 14 in Q 6\ 1 /I Fuel Surcharge / `, A I ct� 0.34 6.71 t 1st ref:FINY-HOLLAND G S L�`(� 2nd ref:FINY-HOLLAND GOSS Sender :ACCOUNTS PA ABLE Receiver: L FISHERS ISLAND FERRY HOLLAND G.LYNCH NEW LONDON CT 06320 SAN FRANCISCO CA 94115 Total Shipping Charge Corrections 6 Package(s) 21.91 Total Adjustments&Other Charges 24.91 Invoice Messaging Code Message r Dimensional Weight applied KD Charges based on Customer-provided information 028665 5/5 Delivery Service In voice Invoice Date August 12,2017 Invoice Number 0000026639327 Shipper Number 026639 m Page 3 of 9 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/07 6853513365 1 1Z0266390346057660 Ground Residential 94115 8 50 54.69 Customer Weight 49 Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.05 Customer Entered Dimensions= 31 x 17 x 13 in Total 71.99 1st ret:FINY-HOLLAND LYNCH 2nd ret:FINY-HOLLAND LYNCH Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r 2 1Z0266390346659475 Ground Residential 94115 8 74 62.85 Customer Weight 61 Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.48 Customer Entered Dimensions= 34 x 20 x 15 in Total 80.5$ ice �yC 1st ref:FINY-HOLLAND LYNCH 2nd ret:FINY-HOLLAND LYNCH Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE — SAN FRANCISCO CA 94115 = Message Codes:r 3 1ZO266390346189081 Ground Residential 94115 8 74 62.85 Customer Weight 70.6 Residential Sutcharge 3.40 — Additional Handling-Weight 10.85 Fuel Surcharge 3.48 — Customer Entered Dimensions= 34 x 20 x 15 in Total 80.58 1st ret:FINY-HOLLAND LYNCH 2nd ret:FINY-HOLLAND LYNCH ®_ Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r KD – 4 1Z0266390346410492 Ground Residential 94115 8 46 51.39 Customer Weight 26.2 Residential Surcharge 3.40 Additional Handling-Weight 10.85 Fuel Surcharge 2.88 C�3 Customer Entered Dimensions= 32 x 14 x 14 in Total 68.52 1st ref:FINY-HOLLAND LYNCH 2nd ret:FI NY-HOLLAND LYNCH / Sender :ACCOUNTS PAYABLE Receiver: / HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r 028666 2/6 Delivery Service Invoice Invoice Date August 12, 2017 ' Invoice Number 0000026639327 Shipper Number 026639 n Page 4 of 9 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/07 6853513365 5 1Z0266390347407708 Ground Residential 94115 8 50 54.69 Customer Weight 12.2 Residential Surcharge 3.40 Additional Handling-Weight 10.85 Fuel Surcharge 3.05 �y Customer Entered Dimensions= 34 x 17 x 12 in Total 71.99 1st ref:FINY-HOLLAND LYNCH 2nd ref:FINY-HOLLAND LYNCH Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r Total for Pickup Number: 6853513365 5 Package(s) 373.66 08/08 6853513376 1 1Z0266390348184715 Ground Residential 80205 7 39 39.75 j \� �Sti Customer Weight 8.2 ? Residential Surcharge 3.40 Fuel Surcharge 227 Customer Entered Dimensions= 25 x 18 x 12 in Total 45.42 1st ref:FINY-RENTSCHLER 2nd ref:FINY-RENTSCHLER Sender :ACCOUNTS PAYABLE Receiver: ADAM RENTSCHLER 2426 EMERSON STREET DENVER CO 80205 Message Codes:r 2 IZO266390347265522 Ground Residential 94305 8 24 30.79 Customer Weight 9 G� Residential Surcharge 3.40 Fuel Surcharge 1.79 Customer Entered Dimensions= 20 x 15 x 11 in Total 35.98 1st ref:FINY-BRYAN 2nd ref:Fl NY-BRYAN Sender :ACCOUNTS PAYABLE Receiver: l SUKEY BRYAN 921 CORYELL WAY STANFORD CA 94305 Message Codes:r - 3 120266390346294136 Ground Residential 94305 8 44 49.72 Customer Weight 13.2 40 Residential Surcharge 3.40 Declared Value$500.00 4.50 Fuel Surcharge 2.79 Customer Entered Dimensions= 36 x 13 x 13 in Total 60.41 1st ref:FINY-BRYAN 2nd ref:FINY-BRYAN Sender :ACCOUNTS PAYABLE Receiver: SUKEY BRYAN 921 CORYELL WAY STANFORD CA 94305 Message Codes:r Delivery Service In voice Invoice Date August 12, 2017 1 Invoice Number 0000026639327 Shipper Number 026639 Page 5 of 9 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/08 6853513376 4 1ZO266390347634543 Ground Residential 94305 8 45 50.55 Customer Weight 12.8 v Residential Surcharge 3.40 7 Declared Value$500.00 4.50 Fuel Surcharge 2.83 Customer Entered Dimensions= 37 x 13 x 13 in Total 61.28 1st ref:FINY-BRYAN 2nd ref:FINY-BRYAN Sender :ACCOUNTS PAYABLE Receiver: SUKEY BRYAN 921 COVELL WAY STANFORD CA 94305 Message Codes:r 5 1ZO266390348970759 Ground Residential 94305 8 18 24.25 Customer Weight 8.2 Residential Surcharge 3.40 401 Additional Handling-Length 10.85 C/V Fuel Surcharge 1.45 Customer Entered Dimensions=49 x 7 x 7 in Total 39.95 ist ref:FINY-BRYAN 2nd ref:FINY-BRYAN Sender :ACCOUNTS PAYABLE Receiver: SUKEY BRYAN 921 CORYELL WAY STANFORD CA 94305 Message Codes:r KD 6 1ZO266390346906760 Ground Residential 94707 8 30 37.54 Customer Weight 7.2 Residential Surcharge 3.40 —_ Fuel Surcharge 2.15 Customer Entered Dimensions=33 x 25 x 5 in 7 Total 43.09 —_ 3 `1st ref:FINY-BRYAN .2nd ref:FINY-BRYAN ®_ Sender :ACCOUNTS PAYABLE Receiver: SALLIE C.BRYAN 922 SANTA BARBARA ROA BERKELEY CA 94707 Message Codes:r 7 IZO266390346566575 Ground Residential 94707 8 8 14.18 Customer Weight 7.6 Residential Surcharge 3.40 1 Fuel Surcharge 0.92 tr Total 18.50 1st ref:FINY-BRYAN 2nd ref:FINY-BRYAN Sender :ACCOUNTS PAYABLE Receiver: SALLIE C.BRYAN ./ 922 SANTA BARBARA ROAD BERKELEY CA 94707 Total for Pickup Number: 6853513376 7 Package(s) 304.63 08/09 6853513380 1 1Z0266390347194180 Ground Commercial 06776 2 14 10.93 Customer Weight 7 A Fuel Surcharge 0.57 b l R S~ Customer Entered Dimensions= 19 x 14 x 7 in dw Total / 11.50 ist ref:FINY-JAN GENIESSE 2nd ref:FINY-JAN GENIESSE Sender :ACCOUNTS PAYABLE Receiver:JULIA GENIESSE-GIRLS BUCK'S ROCK CAMP' 59 BUCK'S ROCK CAMP NEW MILFORD CT 06776 Message Codes:r 028666 3/5 Delivery Service Invoice Invoice Date August 12,2017 U07M Invoice Number 0000026639327 Shipper Number 026639 Page 6 of 9 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/09 6853513380 21ZO266390348753592 Ground Commercial 60185 5 7 11-76 Fuel Surcharge 0.62 Total 12.38 1st ref:FINY-KANE BAKER 2nd ref:FINY-KANE BAKER Sender :ACCOUNTS PAYABLE Receiver:RETURNS:CUSTOMER#6 IN THE SWIM 320 INDUSTRIAL DRIVE WEST CHICAGO IL 60185 3 1ZO266390346528802 Ground Residential 80209 7 34 34.87 Customer Weight 15 Residential Surcharge 3.40 Fuel Surcharge 201 060 �,�� Customer Entered Dimensions= 17 x 17 x 16 in Total 40.28 1st ref:FI NY-MENA MORGAN 2nd ref:FINY-MENA MORGAN Sender :ACCOUNTS PAYABLE Receiver: MENA MORGAN ` 5 POLO CLUB ROAD c/ DENVER CO 80209 Message Codes:r 4 120266390346723814 Ground Residential 80209 7 34 34.87 Customer Weight 29.8 Residential Surcharge 3.40 0 1� Fuel Surcharge 2.01 l / Customer Entered Dimensions= 17 x 17 x 16 in (yW _ Total 40.28 1st ref:FINY-MENA MORGAN 2nd ref:FI NY-MENA MORGAN Sender :ACCOUNTS PAYABLE Receiver: MENA MORGAN 5 POLO CLUB ROAD DENVER CO 80209 Message Codes:r 5 1ZO266390346062627 Ground Residential 80209 7 30 31.85 Customer Weight 18 Residential Surcharge 3.40 1 �q Fuel Surcharge 1.85 1 Customer Entered Dimensions= 24 x 13 x 13 in -- ------ —- - Total 37.10 _ 1st ref:FINY-BEACH PLUM 2nd ref:FINY-BEACH PLUM Sender :ACCOUNTS PAYABLE Receiver: BRIANA LILIESTRAND 2500 CHERRY CREEK S-DRIV DENVER CO 80209 Message Codes•r 6 1Z0266390347389238 Ground Residential 80206 7 25 27.47 Customer Weight 12 Residential Surcharge 3.40 I� vq Fuel Surcharge 1.62 Customer Entered Dimensions= 24 x 16 x 9 in U Total 32-49 1st ref:FINY-BEACH PLUM 2nd ref:FINY-BEACH PLUM Sender :ACCOUNTS:ACCOUNTS PAYABLE Receiver: BOBBY&STEPH HARVEY 1620 STEELE STREET DENVER CO 80206 Message Codes:r L Delivery Service Invoice Invoice Date August 12,2017 Invoice Number 0000026639327 Shipper Number 026639 uq7m Page 7 of 9 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08109 6853513380 7 IZO266390348267644 Ground Residential 28226 4 40 22.33 Customer Weight 13.6 Residential Surcharge 3.40 i/ Fuel Surcharge 1.35 Customer Entered Dimensions=20 x 17 x 16 in Total 27.08 1st ref:FINY-BEACH PLUM 2nd ref:FI NY-BEACH PLUM Sender :ACCOUNTS PAYABLE Receiver: LINDA&MATT FOX / 1147 TURNBRIDGE ROAD V CHARLOTTE NC 28226 Message Codes:r 8 1Z0266390348379283 Ground Residential 94115 8 62 59.64 Customer Weight 30.6 Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.31 Customer Entered Dimensions= 38 x 16 x 14 in Total 77.20 1st ref:FINY-HOLLAND GOSS 2nd ref:FINY-HOLLAND GOSS Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r 9 1Z0266390347676696 Ground Residential 94115 8 62 59.64 Customer Weight 32.4 q`o� Residential Surcharge 3.40 Additional Handling 10.85 Fuel Surcharge 3.31 Customer Entered Dimensions= 38 x 16 x 14 in _ Total 77.20 = 1st ret:FINY-HOLLAND GOSS 2nd ref:FI NY-HOLLAND GOSS Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH / 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115, Message Codes:r 10 IZO266390347629906 Ground Residential 94115 8 62 59.64 Customer Weight 25.8 Residential Surcharge 3.40 ct;lol j�(o Additional Handling 10.85 K 3 Fuel Surcharge 3.31 Fi Customer Entered Dimensions=38 X 16 x 14 in Total 77.20 ist ref:FINY-HOLLAND GOSS 2nd ret:Fl NY-HOLLAND GOSS Sender :ACCOUNTS PAYABLE Receiver: HOLLAND G.LYNCH 2972 PACIFIC AVENUE SAN FRANCISCO CA 94115 Message Codes:r Total for Pickup Plumber: 6853513380 10 Package(s) 432.71 028665 4/5 Delivery Service Invoice Invoice Date /august 12, 2017 U07M Invoice Number 0000026639327 Shipper Number 026639 Page 8 of 9 Outbound UPS WorldShip(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 08/11 6853513391 1 1Z0266390346642910 Ground Residential 94960 8 46 51.39 Customer Weight 37 Residential Surcharge 3.40 Fuel Surcharge 288 �+ Customer Entered Dimensions= 21 x 19 x 16 in Total 57.67 1st ref:FINY-LYMAN 2nd ref:FINY-LYMAN Sender :ACCOUNTS PAYABLE Receiver: DIANA LYMAN 169 CRESCENT ROAD SAN ANSELMO CA 94960 Message Codes:r 2 1Z0266390348639724 Ground Residential 94960 8 78 63.47 Customer Weight 42.6 Residential Surcharge 3.40 Additional Handling 1085 q-S Declared Value$1,000.00 9.00 Fuel Surcharge 3.51 Customer Entered Dimensions= 51 x 15 x 14 in Total 90.23 1st ref:FINY-LYMAN 2nd ref:FINY-LYMAN Sender :ACCOUNTS PAYABLE Receiver: / DIANA LYMAN 169 CRESCENT ROAD SAN ANSELMO CA 94960 Message Codes:r Total for Pickup Number: 6853513391 2 Package(s) 147.90 Total UPS WorldShip 24 Package(s) 1,258.90 Total Outbound 24 Package(s) 1,258.90 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.00 FOR 1 PRINTERS AT$3.00 EACH FOR 11-AUG-2017 - Total Miscellaneous 3.00 Shipping Charge Corrections Learn how to avoid future shipping charge corrections_Visitwww.ups.com/avoidcharges- Pickup Original Service/ ZIP Billed Adjustment Date Tracking Number Corrected Service Code Zone Weight Charge Amount 08/07 1Z0266390346057660 Ground 94115 8 50 54.69 Ground 94115 8 64.0 60.92 Audited Dimensions= 37 x 17 x 14 in Customer Entered Dimensions= 31 x 17 x 13 in 10 `/I f'� Fuel Surcharge 0 33 6.56 J 1 ist ref:FINY-HOLLAND LYNCH 2nd ref:FINY-HOLLAND LYNCH Sender :ACCOUNTS PAYABLE Receiver: =r FISHERS ISLAND FERRY HOLLAND G_LYNCH == NEW LONDON CT 06320 SAN FRANCISCO CA 94115