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Home My WebLink AboutAU-09/26/2017 Fishers Island r7, FISHERS ISLAND FERRYDISTRICT VENDOR 001318 AIRGAS USA, LLC 09/26/2,017 CHECK 4340 f FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM 15709.2.000.200 9067142883 (1)PROPANE-NLT FORKLIFT 69.26 SM ,5709.2.000.200 90673009,99 PROPANE TORCH TIP-NLT 79.95 r SM .5709.2.000.200 9067350807 (2)PROPANE-NLT FORKLIFT 108.48 1 TOTAL 257.•69 y"f \ co W. ' � max•';.aza: �'� ;:!•3'';;;55 - ':�.:5 }y.a f. ,I _3 O I I V o} I \ �I rY✓! FISHERS ISLAND FERRYDISTRICT .AUDIT\ 09126/17 53095 MAIN ROAD,P,O BOX 1179 SOUTHOLD,,NY t1971-0959 CHECK-' NO. 4340 THE SUFFOLK CO NATIONAL BANK, ,q CUTPHOGUE,NY 11935, DATE' AMOUNT 50-5a6/21a 09/26/201.7. ,`5 $257.69 TWO 14UNDRED 'FIFTY'''SEVEN AND 69/100 ,,DOLLARS 5: PAY'; _AIRGAS USA, LLC - TOTHE PO",B&kl'8;02576 " „ ORDER CHICAGO.'IL '60680-2576- - OF ' ii'004 34011' 1:0 2 140 54641: 68 00 L 50 2 Li'• -;' Vendor No. Check No. Town of Southold, New York - Payment Voucher 1318 �'0�0 Vendor Address Entered by P.O. Box 802576 Vendor Name Chicago, IL 60680-2576 Audit Date Airgas USA, LLC Vendor Telephone Number SEP 2 6 2 17 860-444-3055 800-962-0285 Town Clerk 'n �/�/� Vendor Contact /� f 12VLC.e2 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 9067142883 8/30/2017 $ 69.26 $ 69.26 Propane cyl (1) NLT Forklift SM5709.2.000.200 9067300999 9/5/2017 $ 79.95 $ 79.95 Propane torch tip NLT SM5709.2.000.200 9067350807 9/6/2017 108.48 108.48 Propane c I (2) NLT Forklift SM5709.2.000.200 $257.69 $257.69 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature CL-- Title Signature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ROER Alb:.: I VOIC NO.'. INVO CE GATE SOLD TO NOsomtoMi 1061489970 9067142883 08/30/2017 2576547 FISHERS ISLAND FERRY DISTRICT PO i RELEASE ORDERED BY SHIP VIA PAYMENT TERMS ORDER DATE POLLY FORD ARGTRK NET 30 08/29/2017 QELlVERY NO,d MATERIAL NUMBER QTY UOM QTY BIA CYi iNR R . UNIT PRICE V UOM AMOUNT DESCRIPTION. SHIF"D sllPo 1.cera 8067273635 PR 33A 1 CL 1 1 31.14 CL 31.14 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 32 LBS) (H) Sale subtotal: 31.14 Delivery Flat Fee 25.49 Fuel Surcharge Flat 8.23 Airgas Hazmat Charge 4.40 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale SHIP To 2576547 AMOUNT 69.26 Airgase FISHERS ISLAND FERRY DISTRICT AUSA,LLC an Air Ligwde company 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390 Acctcct No 8606074318 Airgas USA, LLC PNC Bank,ABA No 031000053 6055 Rockslde Woods Blvd Independence,OH 44131 For change of address email to:ndnr returnedmail@airgas.com REV 6 1 16 0011200 Page 1 of 1 or call 216.520-6000 Disclosure Terms of Sale- Each sale of Goods or services by an,AirgasT"-'company is and shall be governed by the terms and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completod) 'and the Terms of Sale found at http-/!vy_w ajrgsis gom`terms-of-sa(e(collectively the"Terms of Sale"),Each Contract for the sale of Goods or services between Seller and Buyer("Contract")shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Notice Regardinu Cvhnder Rentals/Leases and Responsibility: This document shows the total number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(ii)pays Seller the replacement cost thereof. Refrigerant Cinder Returns/Depnsit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-pasty vendors Such cylinders shall riot be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g,refrigerants). Each refillable - cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seller's purity specifications for all gas products SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. Terms of Payment Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial'condition and ability to pay A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful nate allowable in the state where the Goods are delivered,whichever is less Surcharggs Upon notice and receipt of underlying documentation Buyer shall pay to Seiler a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/or(b)fuel Title to Equi_. Title to all rental equipment shall remain in Seller's name 3uyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment Taxes Any taxes imposed by federal,state,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company,shall be paid by Buyer in addition to the purchase price. Itemized Changes- (a)The total amount due from the Buyer may include various itemized charges, including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping;and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller The Seller has not specaficaliy quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things (b)No such charges not already provided for in a Rider will be imposed withauL mutual calsent Government Contracts Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No.11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http:D www.airgas.com Visit us online today to see how www.airgas.com can save you time and money. ATION NEAREST DELIVERY ORDER Aimrgas. FOR VISITCWWW.AIR AS.COMOU an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8067273635 AIRGAS USA, LLC AIRGAS USA,LLC PAGE 1.OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 08/29/2017 WATERFORD,CT 06385-1204 WATERFORD,CT06385-1204 SCH SHIP DATE:08/29/2017 800-962-0286 800-962-0285 PRINTED: 15:31 08/29/2017 SALES ORDER: `1061489970 SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3799862 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT CUST PO# 261 TRUMBULL DRIVE 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND,NY 06390 US FISHERS ISLAND, NY 06390 US ORD BY POLLY FORD 631-788-7463 ENT BY GARYDUBATO Order Type Payment Terms Incoterm Route Sales Office Plant Sales Total Containers Org Ship Return Standard NET 30 Airgas Truck Airgas Truck N329 N309 N000 J 1 Order Qty UOM HM Description&Hazard Classaj Qty Containers Vol Ship Type Order Ship Ret NVt 1 CL X UN1978 PROPANE 2.1 ` Line# 10 Materlal#PR 33A Stor.Loc.F001 1 1 I 0� 32 LB PROPANE 32LBS ALUMINUM 68.000 LB 2 s EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARD TERMS AND CONDITIONS ❑ ❑ PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SEE REVERSE SIDE FOR IMPORTANT SAFETY,INFORMATION SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT dNW WG OND OR BY CALLING THE ABOVE LISTED EMERG�GY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR ACCEPT REJECT THE ABOVE THIS IST C RT YTHAr/ EABO NAM ED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAG@@D A�f CED AN6 LABELED IN ARE IN PROP�R CONDITION FOR TRANSPORTATION CUSTOMER MUST / ACCO/1N2F HE AFrIP41IC�ABL' REGULATIONS O HE DEP R3TNTIETR70RTATION INITIAL CHOICE NAME // !(/��/1!JI / PLEASE PRINT AIRGAS PER96NNEL DATE/ T O.D. _--------------- —__-------- —---- -------------- ----------------------------- ---- 0' INTERNAL USE ONLY J Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight• Delivery#8067273635 68 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII `Total weight for materials with weight dispiaved oniv AIRGAS TERIVIS AND CONDITIONS OF SALE WARNING TRANSPORT AND USE OF COMPRESSED GASES XL4Y 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 H WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS")IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE'BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER I CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2.PAYMENT*UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKEANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSM ENT OF BUYER'S FINANCIAL CONDITION AND ABI LITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3.TAXES TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5.WARRANTY AND CLAIMS:SELLER WARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENTAND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE.ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FORANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE 7.REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER S.COMPLIANCE/SDS•BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(Il)BY CALLING 919-368-8518,OR(III)AT AIRGAS COM 9.ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIQUID M LIQUIDARGON LIQUID Nr HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTEN77AL HAZARDS POTENTIAL HAZARDS FlRE OR EXPLOSION FlREOR EXPLOSION FlRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Subsanca does not burn bol will sullen combustion Va dulness or ash Nout Vapors-eye....Cazmu..rasphYeboon •Will uaaall Indo heat works or llamas ygnn y ymac yea, wamnmay cause pyxarionw Y nc Y Will ben" enb heal sparks or llamas Meyg., Iewbll.( N ape wnhou[wam,ng •VAw,acepbsrvfi mwlawfinan Walm mengna—mtannidolh all Vaorsfr liques.blea.amupaper ale,Man.,,spread yaparprad along gr gas ere,nNallyhwver Nan av Vapwalrad.lang gr gas ora,nNally rimv,er thanair •Vapors Iranmay valiquefied gas ma a oMly heaver Nan w spread ebg Sham con r l....uslgl ml il an Vapors Iran dquefetl rtan hod,g Nan ar slash b antl sprwtl wrong ground raa,a and o-awl ro mares M i ane pad,bay go.are m r and spread wrong ground g nay gnioal •Thom substances designated w,m a(n)may pdymaize along my create and may lmvel nacorea of,gml,m end Irish back Connal w,N I. petl bums FlRE OR EXPLOSION CAUTION HydmBan(UN1859),Oemedum(UNiB57J,Hydrogen, explm,vel •eve gas or quo gas may cause ywquefedtlor inwlwdlnalire Runoff may erye.plew explosieated rd amluryanIO irdslbde Nonflams resynplae mfdgom llr[so ld(UN1s9e)andee d=(UN,,dire llgtW&an y¢pors from tiqueoodgadar yl lallyh¢avierihan Manor Common eyex my ckeL heated FIRE OR EXPLOSION Conamdelmd xplCtlowhanheated M,mthelll rLso fthmgenend OeuaduUwmWWdlffimlltarsetem sproatlhim grcontl end may Vawla soumo of ign,um •Rupiwed cylinders may rocket Nomnnens my gases RuplurCtl ryraPU may rocket slow Wry bum wlth m Imisaa game Um an MWmate momo0 of and flash back HEALTH •Containers mars,my when nmlatl PUBLIC SAFETY d CYIocn(thermalwm.cd,broom h and gas through press to Oremaywnt endrelease llamnabri Vaparsmay rause dII gs may cause bull, nog Rupluretl cyladeU may racket Isare,6330 leak wee immedalely la at least 100 •CYlintlers expewtlto Fire may wntantl releaseflammable gas geslhrough pressure relieltlw�ces •Contact wnhgasor 1,quCfigtl gas may cause bums sovere lnryry PUBLIC SAFETY mears(33thonze Inersonnlm Through pr....m relief doncos Containers may explod.when healed and/or lrclatala Isolate spill or laak.m.lmmedalely for at 1...1100 Keepumumonietl personnel away •CC maeersmayexpridewhanh¢eed Rupluredlyinneem may racket •Fremaypreduce umeVngend/ortoucgow. mel •Ste tl •Ruptured rybrelcm nay rocket REALM —,Its(33 III all dmc.ons Y uPw,n HEALTH Vapwe may du,ness oras ton vnNoul pram, PUBLIC SAFETY Keep unawhaasd Perseenel away -Many gssm ere hasp.,M-Or and coal abroad •Vewrs ma tllzzness or esphyxaean wiNaur warn,n y coum prayou ^9 IsaWle split w Iaak area m rsoulsly In at lust too maters(330 Say upwind along ground arrd collect m low an confined ureas my B Same may ba 011 enaledal high cencanhalena feel)io MI drediCns (Be-,.bassm.m.bwoQ •Some a belrrilaon f,nhalodalh,hconconlratows a,p manygere ct1,i mor ermtlwitl..e,a along ni Y 9 B •Cantedwith gest IiqueOed gas may cause burns sev KeepenmlM1Crizetl permnnol away ground and LCllecl In low or confined areas •Keep out of low areas •Cen1aLl with gas or liquel�etl gas may cause burns severe injury injury and/or lost to Sley upwntl basements lanky) (sewers yenT,lare dosetl spaces bCi...nlonng endbr hosibla •Fre may prodube hruh,arldlor imm gases Many gases ore meows than Or and von speed along ground antl Keep cul d 01 areas PROTECTIVECLOTHING •rw may pradeco rremang-d1or Ionic gases PUBLIC SAFETY ca eat m rico or confined areas(sevmrs baBem¢lis tanks) VenMam closed spews bolwe mterug Wear pe,ow pressure s Jfiwimincd brtaNing PUBLIC SAFETY .lwlela spill or leak area ewademly lora,fees,loo meters Karp Cot of lox seas PROTECTIVE CLOTHING appru...ISOM) •Isolate spill or loakarea,mmedatety,forellwet100malars (3m fm1),n sit drectrons Venew.closed crew.bal.m.mereg Wear posnlva pressure sell contained br-Ill SWcturalamlighters p,ect-cicam will only (330 Iee11mbll cae .. KeapunouMbrimdpersonn¢Ieway PROTECTIVECLOTHING apparatus(SCBA) pbI limned protection •Kmp unawhonwd pe ,cl bway Slay upmnd •Wear pbsuwe pressure sell com a ned braalhing eppamlus EVACUATION •Slay upwind •Many gases ere heaver Nan ar antl coil spread bring (SCM) ponar.11 f iced p¢m praechw cbN,ng will Doty coun Lame split-Consider mrtim downvintl pra—.n Ion Marryreal are heavier man ar area von spread al round and group (sewers pml¢cuvoc gw ty porDe emltedpr Poe g cog ie d antl collect m low w confined seas •Wear chomical IoN,n him,,s spmd,wl aye vmar Ihemul pmed,w UCmeg when elk,,100 movers(330 icon .a we or mminetl emas(awmrs bmementt ante) pasp.a I tanks) merman p dodMmo manulonurar Ir may prw,tle litho erre hen egmlr,gerare0/cryogenic lmuitls or.olitls FOLATE for mitm aank ruck led In. •K.m PROTECTIVE L THI •Keep Cut Cl lCLOTHI thermal EVACUATION IS. n...d r n1a.l ars(12mda)In all eactions PROTECTIVE CLOTHING PROTECTIVE CLOTHING Slrucluraf laalgmer.proleeewdle wissualken. her. Lsrge Spill-Gondol Inlrol for el also III ,niralevpcuaronfor B00meters •Wee ceols um,c pesumsetluoaredbenll ppaaaa 1-fie (SOBA) lwv pressure aaH<onainotl brmN,ng ePParalus ares ONLY pis rolenecoarbspill slluaren.where tl,recl lust Am-11 I mC1 ml or II (12 nuTe)NMIERGEN •pmect al hrefyhlers'prgimwp cbN,ng w1T omy prwitle em,tetl (SEBA) confod vos,I subs roa a possible Fm-T lank ran per r lana vmk a mwlwd e e ire EMERGENCY RESPONSE Al eye SUuc protepghars protective doN,ng will only prwitle Alway.wear Normal prolmllve ciClhing when nentli,ng rCingermV ISOLATEfar a).....Is to mxm eils(1/2m.1 mw flRE •AlwayswearyNaric iqudlelw clClhngwhon handling III potecllOn cryogenic liquids nr-oral ielevpcual,Oil lDr BllO maler9(1/2mile)in •Use regulsh,ng agent 6uirBbla for type of raingarenVcryogeno I�gwtls EVACUATION EVACUATION ail drect,ons ountl,ng to EVACUATION terga Spill-C r mrlal downvnntl evacu9l,m Tor of least Large Sp111-CCns,tler rn,tial downvnnd wacuaeen lar el IeazI500 Mwa cpnra,nem Irpm Iva areas rl yds con do EMERGENCY RESPONSE ILarge SPIT/-Convtla,nael tlowmNnO ewcuahm for et least 800 000 meters(1/2 rare)raldl meters(1/J mile) FIRE wilnoul rak ms(12 mile) Flrc-If tank rel ear a lank Wek Is,molwtl,n a lira ISOLATE Flm-II rank rail car or lank yuck rs avMwtl In a lire ISOLATE ,Use axwgwshng agent suitable ICr typo oI DPac a cyliMers shmitl ro handled Onty by Flm-1l lank real car or ank trucksinwlvedaokra ISOLATE Iso Iso 1600 meters(t mile)mon dnecions also Consider,nhal Tor goo m,lors(112 moo)In an drections also cbnad rinitial Burro speaaosa t,joill,Ioldl)in al:aen also consic,irnnalawcualim ua-for 1600 arae omIts)In Ml directens ac-In,lar Boo motor, mne)o all druchons und�ng lir¢ I'll,Involving Tania lar 1600 maters 0 mile)a al dn.flons evoc MCva conlalnem Irem lire aroas d you condo rt EMERGENCY RESPONSE EMERGENCY RESPONSE EMERGENCY RESPONSE y„rhlw rek •Fight ova bum no-mum d-rice w um unmanned FlRE-00 NOT EXTINGU/SHA LEAKING GAS FRE UNLESS FlRE-Use,na nguahmg,B wrabb for typed surrounding fue Damaged cylindm should be handled Only by hose hMtlers or pend.nalcus FIRE-DO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS LEAKCANHESTOPPED Small Flm.-Dry chemic.a C11 spedaiae •Cour cmminers prim flooding quanhbes M weer until LEAK CAN BE STOPP£O Small Flm.-Dry chum-I or CO, Lame F/ms Flm Inwly/ng Tank. wall after lira elout CAUTION Hydrogen(UNIDA9J,Deuledum(UNi95TJund Large Fkas •Water spray log or reBurorlpem •Fghl hre from maximum dsanceor use unmanned Do not drect wafer el source of leak or salary Mytlrdgen,rcIdgemfedllqu/d(UN1966)burn 11i lnvlelblo Wmarspoy arlog klI wmainers from lire,nail you can do-Moulesk. raise hnitlCrs 0,—no.mules tlewws icingmayoccur Roma Hydrogen and lderime rob lum,rompmasur(UN2034) Move cone—ors from fine area If you can III mti o oak •Demigod cylinders shei be handled only by wacialisls Cool concenom with Ilobdng quanhlies of weer until WNdrow,n—dalety In case Cf rising.bund year moybumt wllb sit 1OWBIb/e Ram. Flre Involok Tanks Rm lnwlvin Tania venting salary devoos w dsco�ohal M lank Small Fhb-0 chemical pr GO, g g well atm fue a or Dry FgM1I tae Iron maximum disance w use unmennetl hose F,m fire fie,no maximum dsance or use unmanned hose hdtlers pp rel tl y ocwater at source of leak or salary tlencos 'ALWAYS say away Irpm ranks enguifad In fre Large Fres ho l c e monitor floo s or monitor nozzles SPILL OR LEAK ting may occur •ml¢r spray w log Goer fro ainere w,N flooding qubnl�Les of water until well Cool containers wN llmdng quanidles Cl water until well alter Yfrobing safety date, closing d from Do lettouch0 you c a dolt r,h out risk and if l •Move cona,ners Iran hen arm II tlo,t mthoul r,Bk yin epee o B soon Yen con titer bre a out fue a Cul wmag salary nancas nt Ors s anguOn of fil SIW leak i you can do s whom risk antl d possible Fire ht to,from i oke Do col dueci wales el scorca of leak a salary dances ouy m rot Cutlet water el scarce M leek a salarydevices ming .ALWAYS say away bum inks ergulletl m fue tum leaung cdnlaners m that gas oscapm aNar •ora fue Iran maemum distance a use unmannetl hose roltlars may coeur may occur SPILL m 1 LEAK Nan(quid Doles Wifetyd lmmodbalyakmi a, nseg.bane tram venting WMdrswwmcolorayln ease Clrmng sound from vonting solely sop task 11 you walk o11 ,Moutl,rs mineral UseBairdrift spray to reduce vapaeadf to •Cbolcontamers with lloodng quantities Cl wear unl,I oil after solely tlev,ces or tliscaoration of rank tlencm ordmoloretion Cl ink stop leak 11 you can tlP It w,Noul r,sk antl if Possible cloud OnH Avoid ellpwing water mnoll lb Lonlacl lire Is out •ALWAYS slay away Iran Ne ends of me lank ALWAYS slay away from ranks engulfed,n Iva turn col king container,se that gas escapes sorer spled maleral •Ddwl dnemweam mow d leak erslay dey say nay wan •For masa,o Ise use—rad rose homers or moats Fa massive emu unmanned has.held..orOvules d Nan III int direct wear 61 wpm or score.P!leak •Willwmad,aety in cow d rising scontl Irpm venting salary npuJes A this a unpws,ble wiNdraw man area and lel Nis is mpass,ble wNdrew Iron area and la fue own Use wear spray ri reduce vapors a divan,upor Pre,n nt way onto walCmaYs sewem baaemanls an tloncasor dr.colbrelwn Cl ank fire bum SPILL OR LEAK cloud arm Aw,d Ilo g water runoff to eart- confined areaz •ALWAYS slay away Ira.the.nos of the ank SPILL OR LEAK •Keep cambus blas(wmd paper of ale)away Iron wiled man"' spilletl malanai All"substance b evappralo •For m an,elue use unmanned ham holders or mondor mules I ELIMINATE all igealbn so—u(no smokeg Maes sparke or Do not touch or peek Through spilletl matenal Do col Ahad water or wit,or source of task Venlnalo the area Ns em wsVWraw Iron sea erltl al fue Win harries rn,mmedaa area) Slop leak If you can do It wimout rak end II possela lure III Prevent en ova Nrwa s sewer basemems w FIRSTAID SPILL OR LEAI( All egapmem used when handleig her preducl mull be comae,se,Nal gas Cscapearamex Van liquid wnlined a— y Move perm to fresh air •ELIMINATEell,mealsmrcos(nosmoking flares sparks. grounded Dowtdirectwateraspmorsowce Chink All-subslenw to—,..Is Call 9110,enorgemy sued Iwinces h.......nvwdaaarea) •Slop lukd you can call IMout risk and if possbTe Turn •Use water spray lo,wucovepors Cr dfverlvopor cloud drift Awed ,venerate no area •Give andi lrmpirallon it-finer nal brealhmg •All oqu�prrrl used when huldarg Vo proem,rrwe WgnwrNed lasting cdmaners be that gas escapes racer than hqu,d eiimgwear ru,oil to contact willed mndral Atlminislor III breathing is C,tllcall •Do let touch or walk through wined matenal CAUTION lgald In canmct M!h mfr/bo-fu B Do not touch alk,III or Bunce maook •Prevent entry onto walerwaya sewers bemmems or conivW Ic❑ id arlals bacomo bdtt/a antl En-to e,warn aneracel • Step leak it de d wahwt r¢k aM d Ible Icon Ieaka eras cryaagen qu A many rto Fs:ora itNl medical I are ewae CI ma you can pees 9 Do ml le,spray wales re spill w mune M leak a likely to break MNdul proming Pod are. cona,wrs w gal gas escapes rerher Nan kqu,e •Use water spray,o reduce rota or Ow¢n d I cloud dnV •Aaow sOr..e e to s h-1.Be FlRSTAIO melena(.)urwNetl antl aka prewwms Io prwml •Umwat¢rsp ..an,u.1 vapors ortlnon wruarei tlr,X A.dlruenteomnano wneunoff to con,acr spnletlmaoriel IU77O array lgashastlapersed Mw 911 oraofresher ItlemseNes Avoid direct wafer eatVrsource to full, malarial Provente^Iryinto waterways sewers basernente or CAUTIONWhenlnunaulw/NmlrlBeraleNcryoBak ithout, GCall-crecul—,encanIf 0.aa services •Dorot orsp d.N meatier link ll laeaun many msaHals berome bdttle entlerc l/kelyto break without GiveaNlKialmspuenaem.ageddlbrmNmg • Pea,or spreatl,ng of vapors Through sewers vanl,Wtron syslerta .IsolatC area unV1 gas has dispersatl preening antl al-cl areas RRSTAID FlRSTA/O Admmaar o n to d skro should Is d e •led.,.area until gas has dspersed Mow nctim a fresher I nclim to fresh all Claming frozen to me skin shmltl be mavroU belie CAUTION When In woad MN Mdgemkd'eryoganlellqulds,many.Calgil oremer dceeervices •Cal 911 or emer medical semces ncouemwe0 nlasdole bemrna britt/eaMamlikolym brook MNout—.IV Give artificial marnmanna,ctim is ret LaaMN •Give endicalrespiirremn if,can,re not breallI Iw ofcdnleci with liquonod gas,how irostetl FlRSTAID Adern,s er o If burring d ill—I Ad.inistor o Il u-M IIX,tul, parts wM l-r.n d q. •Move nmm a Izmh ar Rmove",Before conaminated ebbing and shoes Remove eM oba a con erseuted cbaneg ark sFose Keele Metch.warm and geeL •Cell 911 a emer mcry meeiml serv,ces In mea of mnmct with louehetl gas Naw basted pans M C—In ImzOn ro be skin Moue be hawed be,am W n ermve0 Ensure Val mad,m and takparBarae M amm t pr •Give all respirenondv,cLm soul bre MnN lukewarmwaer In case of wined with fouaetl gas thaw lrosred pam, memselvesellinwlved and lakeprecaueonsroprCleci •Administer orygen 11 brearleg is difficult In cam of burns,monad sly cmleltededskin fares lukewemwaar • Rorrant and lbotale contaminated cbh,ng and.hoes long as possible with cold water Donal onovn clothing,[ Keep vict,m,,rm,,d qua •CodughazeroaodeseholAdecNavel be!ae bevy re d adhenng m stun Ensure Val medrea personnel ae ewaro of me matenal.) •In cam of comet with equahod gas Naw boated pens w,N Kebp ntl,m warm pntl qu,el ,moNed antl aka precautions to ucacl NemseNes lukewarm wale! Ensure that mak ictal pereonnel III—of tho Manenal(s) •Inwso of burr.nnrnk,alely Cool affected skin for as lenges pmeble Involvod sod take preceunons to Protect themselves wM r Ytl—"111 ralerDoint rerrwC call d edhavy N.keit •Kmp voan warm end quiet •Enazrc Met m okend p¢rsonne no exam of this ma,en va) lornal and aka precamons to polee,mane-Muss TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDERNO. INWICE N INVOICE ATE .. LE5 T 0 b40 Tb NAME 1061455772 9067300999 09/05/2017 2576547 FISHERS ISLAND FERRY DISTRICT PO t RELEASE " .:ORDERED.BY • .. .:SHIP VIA' PAYMENT TERMS .. ORDER DATE JESSE@860 608 0481 CUPU NET 30 08/28/2017 AELIVER'(NO._i MATEWRIALNUMBEI2 QTY UOM _ QTY 810 CYLINDER R UNIT PRICE UOM "AMOUNT DESCRIPTION SHIP,b EE 8067363125 MIL1495 1 EA 79.95 EA 79. 95 N HEAD TIP HTNG ST615 AMD MT615 Sale subtotal: 79. 95 SHIP To 2576547 AMOUNT 79.95 Airgas. FISHERS ISLAND FERRY DISTRICT an Air Liquide company 261 TRUMBULL DRIVE Airgas USA,LLC FISHERS ISLAND NY 06390 Acct No 8606074318 Airgas USA,LLC PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to:ndiv.returnedmail@airgas.com REV 6 1 16 0012404 Page 1 of 1 or call 216.520.6000 Disclosure Terms of Safe; Each sale of Goods or services by an Airgas"I company is and shall be govarned by the terns and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at http Hwww.aimas comite mr .s-of_sale(collectively the"Terms of Sale") Each Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms of Sale together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions "Goods"refers to any items of tangible personal property described in any Contractor otherwise provided by Seller to Buyer Notice Reciardincl Cylinder Rentals/Leases and Responsibility This document shows the Lotal number of cylinders charged to Buyer(i e,cylinders which Seller has rented or leased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes between Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hereof. Buyer agrees to continue to pay rent-on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(a)pays Seller the replacement cost thereof Refrigerant Cylinder Returns/Deposit. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e g,refrigerants). Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder's condition Is deemed to be unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned Warranty All products, other items of sale, cylinders and other containers furnished by an Airgas company shall conform to the description thereof published by the manufacturer at the time of sale and will meet Seliet's,purity specifications for all gas products. SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES_INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liability: SELLER SHALL BE LIABLE'ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WiTH GASES THAT DO MEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USIAG COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEMS OF SALE,OR EQUIPMENT SOLD OR LEASED BY SELLER.WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACT OR OMISSION OR 15 RELATED TO STRICT LIABILITY,OR OTHERWISE Terms o_P n Q_nt- Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued Open account credit is subject to Seller's assessment of Buyer's financial'condition and ability to pay.A late payment charge of 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars(a2 00),or the maximum lawfu±rate aliowable in the state where the Goods are delivered,whichever is less. Sttrchgpgps.. Upon notice and receipt of underlying documentation,Buyer shall pay to Seiler a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power and/or raw materials used in the production of Products and/Or(b)fuel " Title to Equipment Title to all rental equipment shallremain in Seller's name Buyer shall not cover,modify,remove or otherwise disturb any identification or other indicia of Seller's ownership on any rental equipment. faxes_ Any taxes imposed by federal,state,or other governmental authority on the sale,dse or possession of Goods,or the sale or performance of serrices by an Airgas company,shall be paid by Buyer in addition to the purchase price itemised Charges (a)The total amount due from the Buyer may include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials charges for handling,delivery and shipping;and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority,and all of the charges are retained by the Seller.The Seller has not specifically quantrfied the relationship between the charges and the actual costs associated with the charges,which can vary by product,service,time and place,among other things (b)No such charges not already provided for in a Rider will:be imposed without rmiival consent Government Contracts- Certain Airgas companies aro U.S,government contractors and subcontractors and are subjcc:to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No. 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as arnended. Airgas eBusiness Now doing business with Airgas is easier than ever with our eBusiness website,http;//www.airgas.com, Visit us online today to see how www.airgas.com can save you time and money 0 I , r. FOR LOCATION NEAREST YOU ® DELIVERY ORDER VISITWWW.AIRGAS.COM an Air Liquide company SHIPPER: SOLD BY: DELIVERY ORDER#8067363125 AIRGAS USA, LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD ORDER DATE: 08/28/2017 WATERFORD, CT 06385-1204 WATERFORD,CT 06385-1204 ! SCH SHIP DATE:08/31/2017 800-962-0286 800-962-0285 PRINTED: 13.04 08/31/2017 SALES ORDER: 1061455772 SHIP TO:2576547 SOLD TO:2576547 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT . CUST PO# 261 TRUMBULL DRIVE RELEASE# FISHERS ISLAND, NY 06390 US FIS ERS ISLAND, DRIVE ORD BY JESSE@860.608.0481 631-788-7463 FISHERS ISLAND, NY 06390 US ENT BY GARYDUBATO Order Type Payment Terms Incoterm a Route Sales Plant Sales Total Containers Office Org Ship Return Standard NET 30 Customer Pick up Airgas Customer Pick Up N329 N309 N000 Order Qty UOM HM Description&Hazard Class Qty Qty Bin WT Ship Type Order BIO Loc 1 EA Line# 10 Material#MIL1495 Stor.Loc.F001 1 0 0.3 LB HEAD TIP HEATING ST615 AMD MT615 EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGQS'STAIVJDARD T MS AND CONDITION$/' ❑ ❑ SEE REVERSE SIDE FOR IMPORT i�T /ItCFE�Y i FO ION PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING SOURCES,POINT OF PURCHASE,AIRGAS WEB SITE AT~AIRGAS.COhU OR BY CALLING ACCEPTED FOR THE ABOVE LISTED E ERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION#3 ACCEPT REJECT THE ABOVE THIS IS T T,TH,E ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGEAA D AE ND LALBECEDMND.�E IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST ACCORDING E-AP.PJJCABLE,B�10E-OEPARTWMEPEF TRANSPORTATION INITIAL CHOICE NAME �( PLEASE PRINT AIRGAS PERSO N L DATE T O.D %s- 2 INTERNAL USE ONLYFilled By Staging Area Total PKGS Tracking I Pro Number Freight Charges Total Weight• elivery#8067363125 o LB IIIIII Q _ .... IIIIIIIIIIIIIIIIIIIIIIIIIIII 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 VAILABLEAT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP// WWW AIRGAS COM/TERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS:UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALLNOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS(S2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL- LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/011.TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS, IN ADDITION TO THE AMOUNT OTHERWISE UNPAID 3 TAXES:TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE 4.RETURNS NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED, EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF 5 WARRANTY AND CLAIMS SELLERWARRANTS THAT,AT THE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE ASA RESULT OF CUSTOM OR USAGE.ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/ORPUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE. 7 REMEDY-BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION.BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY SELLER TO DELIVER PRODUCTAS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER 8 COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANT SDS SDS ARE AVAILABLE (1)AT THE LOCAL AIRGAS BRANCH,(II)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM 9 ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper first PROPANE METHANE ACETYLENE AIR NITROUS OXIDEARGON NITROGEN LIQ HYDROGEN MAPP OXYGEN LIQUID O, LIQUIDHELIUM IQUIDARGON LIQUID N, POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE OR EXPLOSION FlREOREXPLOSION POTENTIAL HAZARDS ILTII •EXTREMELY FLAMMABLE HEALTH pars may cause p ya,en.n •Wm be Gas IT tetlD M1eal sparks or llamas •EXTREMELYFLAMMABLE Substancetltes not bum eltwill support c.muuwch y d,IImare or asph Ihout Va dume,sor s h YIgm Y Will M,wit db heat works or flames Sane mwreacl ax bru"It lh fuels wapors may cause ya,elwon w, wer.,,warn,n a •Wll form aaplgawe mixtures w,lnwr yessvq y e yes nmg 9 •W,e arm l,gr m,mures wVt or May lgnb se hquesables(wood paper on w man etc) Vanus in=aquw,M gas ,nnlolly M1eavier then e,r •Vapors from liqLmold gas we lmh.11y heev,er m.n e,r •Vapors and fqudretl gas are moody won al spread Bang Trane will,gate dowgromed m art Vapaos koro d mullml gas ere 1.Platly heaver Nan air spread d era and spread Leap grwn0 an spread along ground ground Hy may m(U I sleeve d gmalet UN S h back Tfusse vubslarrces designated wM a(P)may polymeme gong may coantl may Uavel Io novice of ignnron ent1flesh back. Cm,ere nju Lquefetl bums FlNon h EXPLOSION CAUTION Hydmgen(UN1019),Deaedum NN1957J,Hydmgun, gases gas may cause haft/emted liquid old Memenv(UN19T1)are lights,man eaptosrvoy when heated grrm,lved mire RuroH may aymprele earm hen.aratl EORE PLOSIorlrostblte Cohen-may Bases g 9 ) 9 •Varma Isom hq round gasand may msmrman rev •Conlamersmnalmsayrods cen neal.0 FlREflammale gone. •C.nlamersmeyesmay nonbn Meth ::,andwillbran Hytlm,In end Deua,Usu ideareadicwtlodelof radflaotonggrountl and may travelmsource of gn,i.n •Ruplureticyl,ntlers may rocket NonflammableRUPluretl cylwnPU may SA sllot oes they burn with en lmlelble flame Ussan ellemam memotl of ntl flash becK HEALTH gees olallon(mermzl comare,broom MMle,etc) ,ndwam dto ire m. l andrelease llomnnali Va mumess mesh uonxuMul warms Copeurersmuyeramme i,ceheated PUBLIC SAFETY Clone—exposed to Irre may t and release cammable tree re van pars may ceuso p yca 9 fluplurM cyl,n PUBLIC may rocket Inh ale¢r 3 m leek�rea,mmMlw¢ly(a al Ieaw 100 Y Y w^ gas gas through preuae repel dances •Contact vim pas or l,quefetl gas may cause Darns sawre,nryry PUBLIC SAFETY meters(330 fear)on.,,tl,r¢CIOra •through pressune rel,al eonces •Containers may eapbtla when healed and/or frostbo. 19olale sail le look sea,mmed,ate lar m leas)100 Keep uho"'I'ee personnel away •Cmamae may eaplotle whin healed Ruptured waMers may rocket Fre may produce Irrhatong antllor but gases mels ry Stay upwind •Ruptured cylknows maymckel HEALTH meters all d,ramme Hwy aro HEALTH PUBLIC SAFETY Keep unautherted personnel away •Man heavier than er and vim spread •Vaporam,y cause dizz,nossor asphyamom,ahoul warning .solatesplllar lvakwr mmwhw,1y lar m least lM meter,(330u,nalong grountl and collect In low b,confned areas •trepan may cause diume99 or azphymwen woh,ra—m,ng .Syms may be rho fmh.leeal login concentrations feel),,If comfit, Stay (,ewme basements tanks) •Some may beo-oiing,f Inhaled of loge concemrebe^s C.nactxalh Ilso burns severe Many glace we nearer man an antlw,Il spreatl ebng •Gonad wile gas or I,morred gas may cause bums nevem mlury gas a roue gas maY cease .Keep uraummU.tl persmnel away grouts antl wood m law a confined I.(sewers 'Keep out bl low areas errtllm Irawiboe I^Nry arW/m Irosibse •Slayupwind bersemares banks) •Vemale clmetl spaces bele.enleneg •Flre may produce chafing and/or b.a,c gases Many gases are hvaner gar ar antl-II spread along ground and Keep wb of lox areas PROTECTIVE CLOTHING •Fire may prddecennaungend/.,bm,¢Us— PUBLIC SAFETY collect m low or oonfnetlareas(sowers basements hanks) VeneTwo closed spaces halon enewmg •wear past.rressure sell com.med breammg PUBLIC SAFETY •Isolates ill or leak area lmmemwel farm I...I 100mears Kwin-allbwarea9 apparatus(SceA) •Iwlwa split or leak area lmmedately tare I...t100meanP y PROs,ecorwprerurs (330 aeOln ml drem.ns (330Knopuntallith all erections •VOTECT VE CL spaces belare enterwng •Wear rosnlve pressure sell conrelnatl bream,ng Structural Ilreighlms proacave cl.lh,ng w,ll only •stay personnel away PROTECTIVE these LNG aw,tloimnatl pr.lecl,on •Keep unautMrrzetl personnel away Sa aPraraNs(MCRA) yugare, Wear posorvo pressure sellconamM uream,ng apparatus SVannur lemindnl aaedna chafing will Dory EVADUATIDN •Say upwind M,ou gasps via heavrer Non au aM wore aeatl along wear tle amnM Large Spill-Cme(33 nmol zlgwmnntl wacralren lm re heanor Pan rev and spreatl d eM rtes, ep�aedmn Many gmsbs a groin brtene and a011ec1,n bw a cmlmM areas(sexers •Wear chemical prolective calhmg,11 m a sr—dr.1lly Always wear,m Oro mmo clo,ods when et least 100 morer9 r I fee0 mnru,etl ar®a( bas.menu bu,t¢) .rep let nndotl bymemanufururer Il mayprw,tlq 1.1—r no heUATIO lr�peralod/cry.gon,c hqu,dsasol,.s F/m-Ilt 11,red car or lanktruck,Iran 6 tl,nal,re • Keep tool.1 law areas Keep out of Imo areas t�a proathm EVACUATION SOI-ATE Iqr 800 mreters(12 mile)Iran dwrectron, PROTECTIVECLOTHING PROTECTIVE CLOTHING Sv LeatI ireigmera prmeclrva clothing sheconmended for ire Largo Spill-Cmader ,for downwind evacuafm for at also corelow meal evacuation Iqr 800 meters •Wear unwous prexsum¢encmrwned mee.ongappgaeu(SCBA) •Wear Post—pressure well<.na,med merall,opporalus aeons ONLY It Is not effeatrvo,n¢p,ll wuahgna where duecl "Who es(3301ew) 02 eno.)mall d,rechms •Structural Lmighlers'Protectors Uoeung will only prwWe em,atl (SCgA) comacl w,Pt In.substance.passwblu Flre-If lank rel car or tank buck b on,co etl on.hue EMERGENCY RESPONSE Plolechan •Structural lveighars pleenc—cbmmg.11 only prw,da •Always wear thermal aicermeblNng when filmongrwismanl/ ISOIATE fm am memers oro le),,ell deeceora FIRE •Always wear lMdnal Protect-clNNng when funding l,mad Pmlaciron cryogeorc kquds dnSNw,nmal Bvacurfach for 800 meters o m m,a mm •Una val,n h,n Iculable lm I rel,,.hmVc,,Nm ie I,quds EVACUATION EVACUATION ) su gas g ago^ ryPo 0 EVACUATION Lar Split-Cons,dw oreml tl.wmwmd evacuaean for at leas) LA Spill-Cons ler moral d—nwi,al—cuason form least 500 all tloechons dunemg fro Large a Split-Cm"da lmnal tlow—hal ovaauaMn form roast Bdc gamotors EMERGENCY RESPONSE •r�we,f risk ors koro ire around you can do u hue p ammarere(1 mo ce, (tri m,lb) FIRE ,m,ged!k meters(12 m,le) Fire-U auk,i car a lank Id—lo,ns to O,n a I,re ISOLATE Flm-11 tank rail car or tank truck Is mis els,n o ire ISOLATE Use wren won t su,aDa for trident •Damaged wlmders shte,tl be hentlletl only by Fem-Ila"k rglcar or IoM lruM L^mvwvctl,neara wlme.-t ea1500minrifico if maters aria)—wso constler,nmw far 800 m,=weters(12 m,te)mail rhowh ns also eems tlo,,noel Burr gw gopen ypao elao.In 1500 rMmm r roan m.116—else arn,rtlar auto evacualvt acualron Im 1 WO mel¢rs(1 m,te)rn all mreghmw atealron la B00 meters 12 m,la malt tlrteclmrt, tentl,rg Ira Im 1600 melee(1 rode)m ell arecnms ev ( ) Mese cona,rars Iron Irze areas,I you can tle n Fire Iht fro from ieMs EMERGENCYRESPONSE EMERGENCY RESPONSE w EMERGENCY RESPONSE w,magedc Fight holdersor,mcnumhowas leLtd LaDannad FIRE- NOT EXTINGUISHALEAKING GAS FIRE UNLESS FIRE-Use eaengu,hwhcum suitable la type vi surrtendng lee Damaged cylinders sttteltl be handled only by Mss eats norm'floodong lqa FIRE-DO NOT EXTINGUISHALEAKING GAS FIRE UNLESS LEAK CAN BE STOPPED Small F/res-Ory chemical ar COo •Cool conlelners won ilaM,n quanLEAK tit,es vi xaar Lnfl speoaisa 9 CAUTION TOPPED SmellFlres-Drycnemwcela CO, Large Fires File Involving Tenke welmor notafam water CAUTION Hydrogen(UNIOd(Deuterium,e with,t9Sr)and Largo wr •Water spray log m rlguar loam Fla lha ham a,aro em msar,co a use unmanned Uo nal orad wale,et source of leak a celery Hydrogen,reh.inured liquielfin(UNlgaay burn�neen lnvla1 N •Wafer spiny m log •Dowd Downward! cy nd tom rue area II you can tle n worm roti hose aaldgm a monrtw rozzlas tlev,cew,Ing tray occa y an llama Hydrogen antl Invisible m/Hare,rnmpres¢ed(UNTOJC) .Mese omignors Isom ire wee d you can do I,wilhoub nM DamaoM cylmtlers should be Mnmetl only by speclal,sts Coal cmlwners with Pinang quanhhes of water unl,l wnhdrew,m,Immorally,c case of,nmg souM Iran maybarn,-[Man hives leflame Fine Involving Tanks Five Involving ienks well her InaI tqui vanang sstay dwces tanks enrahm alauk Smell Fires-Dry cnem,calor CC, Fl,fd,,,iommsa,mummeanee or useunmannetl M1ose Rght fin lrleo,zl,s umtl,wengear vee unrrannetl hose M1wtlers Oohot ghr.yotwaterel source of lookersslety tlev,ces ALWAYS slay away from tanks engulletl,n l,re Large r w holden i monitor moulaz w m.n,ile nozzles SPILL OR LEAK •Weber'praylet.g •Call canlalners vnm ll.ptl,n Iwamr until well Coco mnawnars w,lh lloodn angmayoccur •Mesa conlelners Iran flowered can tlo It womakl risk 99uanuues. gquanUlwesgl waferunN wellether Wmaawfetyoalelyl or cusolrsng soum]Irom Do rrol larches walko"maalled and'I trol R./nvoloft Tanks eller foo V out Ino no tel vLWAY salary tlencaz a d tis m,auan m auk Stop I Ito,f you vin hre n wiVrout rsk antl d.,nor 9 Do rob tlaem water ab source of leak a salary tlov,ces romp Do not direct weber at source d leak m salary tlwrces icing . ILL OR say away Irmo inks ergulle0,n I,re turn leglang mnainers so mal gas escapes tamer •Fight fro from maa,nlum osance or use unrnennM hose M1wders may occur maY ocwr SPILL OR LEAK WTI I,qutl rrrenlmr noules Withdraw,mmemIlly,ncasae nswngswntl lromvemmg Wlhal,wmmachaaly,n case of hang sound trgmvenhng safety Do not tDLChal all through caned metahm Use wear away to reduce wirers.,tlrven vapor •Caw contgners w,m noodng quanl,tiesofweter unto w 11,ftw salary tlevlcaz o,chin, roto,of tank dances.r d'colont-of tank Slop leak,f you can cloth who- dposs,role cloud anit Avswd wowing water runoff to contact frelsout •ALWAYSsay away from who ancient the bank ALWAYS sayoway from auks enguted,n fire turn leek,ng confiners an that gesescepes rather wiledmaiwal •Dgrotdradw-ymarwurceofbkasallydrov— ngmayanu .For mazans Ina useunmomned Mtn hol me.,rromla Fle massrvo fir,us,urenwhowr hose holders or mane roIIle9 d man aped •Do net drum water at sae or'aurCe of leak •Wmdraw ianMarely a case of nsmg sound baro venting ssloly ,mules If vis et onPoaz,ulo wilndraw from arca and let INs m unpwvble wchdram,Iran seasonal lel foe bum Use worm'Play ro reduce vapors a evert vapor Prevent envy rule wwaway.sewer,bazeem m ,m tlenays m deucdmafgn of tank foe bum SPILL OR LEAK clat&A Award allewing wale,runoff 1.[matt runt d ares •ALWAYS slay away from the ends of me lank SP/LL ORLEAK •Keep caMusbtes(weed Papa N etc)away fah w okscl rtelaW AIIow¢ubsanceloevapares •For mass h,ire use unmanned hese holders m monitor noIIles If ELIMINATE all, so notdract,h ma is vim gun on sourcaz(no smM,ng tiaras sparksle D.not loath dr walk through sp,lletl maler,al Do trot drect wane el sp,Il or source.)leak Venftale Ino area Pa, wathdraw from lel lee burn lames in lmmeficho res) •Step leak,f you can do It wolkub nskrmd,I pustule turn leakmg Provent entry Into wweways sewers basements or FIRSTAID SPILL OR LEAK Allequpmenl usedwhen handingthe prMuctre-be coma,ners so that gas....pwnuhw lha^I,ged cbnfnwitucare M--shlolrechwr •ELIMINATE wI,gno,on swrces(no smoking lions spark,or grounded Do nalilact wearw tall a count.of leak. Ai svbe—..to wap.rre. Cut 911 memergency mamgw services flames m Imnetl,afa sea) Stop blood you can do It vnmteb ask and of possbla tum Use wafer spray to reduce We le tlwen vapor cat do 1.Awad VmLlwe the was Grve meln:al—fdamvin,f-1 ,s owl urealh,ng • All syu,prmm t�whm formal me product mrd be gmulded leakmg comesucrs w that gas escapes refiner man fqu,d wlpwang wafer ruraffn conacl saltie marsor l CAUTION When/n oohed with mldgemadV Adearoar roaygendurmmmg,smf/II • On nottrocha wa,k mrwgh sp,lletl metenal Do oaf loucna walk mraugh spIIIM meatal Present entry Iola watervrays sewers basernenlsm conl,netl cryogenic liquids,many materials become bdtt/e and Keep-tanwarmantlquw •cSionmt leak a you can do It wwthoLt ask and If pessble turn look,,, Do not erect water w 0111 or swrce vl leak .rade are likely to break without waning Ensure Nat memcal personnel ara aware of 1M onlelnore so met gag c.petramer than llqud use water slew to rettucevep.,or dwelt sopor cloud dill Allow substance to ovaderalo FIRSTAID nsile)Imalved and lake precautions to protect •Usa wwor spray to redo ,apars or drvenvap.r clautl tlrft Avo,d ellgvnng water runelf to conactep,Ilod mrichm Isolalearea umll gas has-called Mw.—the m trachea themselves Awrd allowing weerrunaH to cmlacisallsd maternal Preventmery,nlowaleways waxers basements., CAUTION When In canacl w/m reflganatederyogelf,liquids, Call 911 a emergency moment a—ces •Do rob mond water at sa0 a source m talk mnlmotl seas mmymaterGll,become bdR/e sectors ikely to break abli Gum odor,w rasp,mtm^,I let,mrs rot bremeN •Prevent spreading of vapors Waugh sewers who lefo^symenne .Isoam area unei gas has d,spersed —Ing cult and co fined!uveas FIRSTAID F/RSTAm Cl m,rvster oxygen d alkn should rs e e th, •Ise'-wo.onhl ges hoe alsomand •Move nchm to fresher •Ma,vi fil to trash ah bocmg•Cl.mmg lroien to the skwn shoultl be mawetl before CAUTION When In woad w/m rel,/gumleWcryogenlc fqu/tl;many.Cao 911 or emergencymedical semces •Ceti 911 or emergency medical seMcce In omwed materiels became bdNeerd mIdes to bmek went waml me gencyme •In cas.blulaglw,inpquefetl gas thaw Irosled Y ^9 Gne.mfls mongndbadwmmrsnm breathing Gdm,h,.cinl reshIf bramonghdnm bream,n9 pans voclan ewarmwwer FlRSTAIO Atardxnuolme breathmg,edflrl Remove undryg.n 11 breromma,ed hull Ensure met wermmd queL Move 11,r,to fresh ars R=cawofand contract o tract cma alId g clothing and shoes Remove antl isolate conarrould bar and re bear E^sure IMI medical and a el are aware t the •Call91 t w emeganr,if chat b r,ces In carom water with I,quvfred Bas Naw IroslM pans vim 1,case Yazoo cPre skin ref ed ga mavmd belle¢berg-lb •G,wan,l,c,alresp,retronll v,ctvn is no[brsshhwng lukewarm water In case of contact w,lh iqueietl gas thaw lrosletlpans w,m molar,al(s),nwlvod and oke preceulrons[oprarect •Admmistw axy f balld,V,cult •Incase of burns wmmeaatol Ilectetl M,nlor es l,oew weer memsolves cool e •Renrov.entl,solele cmf.m,netetl clommg ane wh.e9 long es Pass,ple war cold water Do ole r¢mOvO Clgihwnq,l •Keep vwGhm warm and queL •Cbm,rg Irozcn t.Pm dun anduld M mawsd lemc a Deng rerravae atlnenng to sk,n Ensure mal mamcal personnel are aware of to mele^al(s) •Incase of cmact with I-eiM gas Naw Irosled pans with Karlorm m warm aM club/ rmdvM aM akp a.CauhPrs ID Prmecl mmra¢Iva9 lukewarm water Ensure Vat mod,cal rersonnol we aware of me mausim(s) •In case of b,sra vnr 4aNc.a eHectetl shat iaaz bgazpces,bB meshed and lake precautims to protect themselves wM cold waler Do not mane camwng,l whorog an skin •Kaep—thn rmendqus •Ensure Inst medwcal perwannal ere award of me meanal(') welved end take aeweuli ns to p tum mem,elves TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE.FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000 ORDER NO. INVOICE Nb ! V O ICE DATE fl T N S LD Tfl NAME- 1061668535 9067350807 09/06/2017 2576547 FISHERS ISLAND FERRY DISTRICT PO t RELEASE ORDERED BY SHIP VIA PAYMENT.TERMS IORDER DATE ARGTRK NET 30 09/05/2017 DELIVERY NO,I MATERIAL NUMBER QTY Uom QTY 810 CYIINDER UNIT PRIES UO AMOUNT DESCRIPTION SHIP`D I stlo 8067471503 PR 33A 2 CL 2 1 32. 98 CL 65.96 N PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H) Sale subtotal: 65. 96 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.Airgas.com/terms-of-sale AMOUNT. 108.4:8:& SHIP To-2576547 Airgas FISHERS ISLAND FERRY DISTRICT Airgas USA, C LL an Air Liquide company 261 TRUMBULL DRIVE Acct No SA,LL4318 Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053 6055 Rockside Woods Blvd Independence,OH 44131 For change of address email to.ndiv.returnedmail@airgas com REV 6 1 16 0012310 Page 1 of 1 or call 216-520-6000 Disclosure Terms o,Sale Each sale o`Goods or services by an Airgas"I company is and shall be governed by the tornis and conditions on this Disclosure,the Terms of Sale affixed to the Account Application(if one has been completed),and the Terms of Sale found at httri Pwwwairoas com/terms-of-sale(collectively the"Terms of Sale").Each-Contract for the sale of Goods or services between Seller and Buyer("Contract')shall include these Terms of Sale,together with any other material describing the Goods or services being sold,their price,delivery terms,and all other special provisions. "Goods"refers to any items of tangible personal property described in any Contract or otherwise provided by Seller to Buyer Noill Recia[d jn_q Gy[Mder Reritals&eases and Responsibility. This document shows the total number of cylinders charged to Buyer(I e,cylinders which Seller has rented or (eased to Buyer,and which Buyer has not returned)according to Seller's records as of the month ending date shown The number of cylinders thus charged to Buyer shall be considered correct for all contractual purposes Letween Buyer and Seller,unless Buyer reports to Seller in writing any errors Buyer claims within 60 days after the date hero-of Buyer agrees to continue to pay rent on all cylinders charged to Buyer until Buyer has either(i)returned such cylinders to Seller in good working order or(h)pays Seller the replacement cost thereof. Refrigerant C"in t3E Retmosip il. Refillable refrigerant cylinders shall remain the property of Airgas or its third-party vendors Such cylinders shall not be used by - Customer for purposes other than the storage of gas products purchased from Airgas or the return and reclamation of certain gases(e.g.,refrigerants). Each refillable cylinder will be subject to a cylinder deposit fee,as established by Airgas from time to time Airgas will refund the deposit fee when the Customer returns the refrigerant cylinder unless the cylinder'G condition is deemed to bi?unfit for reuse,as determined by Airgas,which determination shall be irrefutable sixty days after the cylinder was returned, Wayyarjty. 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 S12ECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES, OR WARRANTIES, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON- INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE. Limitation of Liab;litv: SELLER SHALL BE LIABLE ONLY FOR THE REPAIR OR REPLACEMENT OF DEFECTIVE GAS CYLINDERS AND PRODUCTS,INCLUDING THE REPLACEMENT OF GASES THAT DO NOT MEET ITS PURITY SPECIFICATIONS WITH GASES THAT DOIMEET SUCH SPECIFICATIONS. BUYER KNOWINGLY AND FULLY ASSUMES THE RISKS OF TRANSPORTING AND USING COMPRESSED GASES.SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN), INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNITIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ITS PERFORMANCE OF ANY OBLIGATIONS ORANY PRODUCT,OTHER ITEfAS 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 iumsofPaympnt Unless otherwise specified in a Contract,Buyer shall make payment in full within 30 days after the date of Seller's invoice Continued open account credit is subject to Seller's assessment of Buyer's financial,I:ontfition and ability to pay A late payment,charge of, 1 5%on the unpaid,past due balance,will be assessed monthly (minimum two dollars($2 00),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less Surcharges' Upon notice a-,d receipt of underlying do'cumentation,Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost of(a)power arid/or raw materials used in the productio'n of Products and/or(b)fuel TitletoF.qqjp�ent Title to all rental equipment shall remain in Seller's name Buyer shall not cover,modify,remove or othoRmse disturb any identification or other indicia of Seller's ownership on any rental equipTent. Taxes Any taxes imposed by federal,-,late,or other governmental authority on the sale,use or possession of Goods,or the sale or performance of services by an Airgas company shall be paid by Buyer in addition to the purchase price Itemized Char as (a)The total amount due from the Buyer may include various itemized charges,including charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials,charges for handling,delivery and shipping;and/or charges for energy or fuel None of the charges represent a tax or fee paid to or imposed by any government authority and all of the charges are retained by the Seller The Seller has not specifically quantified the relationship between the charges and the actual costs associated with the charges,which can vary by product,service time and place,among other things (b)No such charges not already provided for in a Rider will be imposed without mutual consent. (3aygEnment Contractg. Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws, executive orders,and attendant rules and regulations,specifically Executive Order No 11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment Assistance Act of 1974,all as amended Airgas eBusmess Now doing business with Airgas is easier than ever with our eBusiness website,http://www.airgas.com. Visit us online today to see how www.airgas.com can save you time and money. Airpas® FOR LOCATION NEAREST YOU an Air Liquide company DELIVERY ORDER VISITWWW.AIRGAS.COM SHIPPER: SOLD BY: `� DELIVERY ORDER#8067471503 AIRGAS USA,LLC AIRGAS USA, LLC PAGE 1 OF 1 130 CROSS RD 130 CROSS RD , ORDER DATE: 09/05/2017 WATERFORD,CT 06385-1204 WATERFORD,CT X6385-1204 SCH SHIP DATE:09/05/2017 800-962-0286 800-962-0285 PRINTED: 15:50 09/05/2017 SALES ORDER: 1061668535 SHIP TO:2576547 SHIPMENT: 3810920 FISHERS ISLAND FERRY DISTRICT SOLD TO:2576547 FISHERS ISLAND� RRY DISTRICT COST # 261 TRUMBULL DRIVE � RELEASS E# FISHERS ISLAND, NY 06390 US 261 TRUMBULL DRIVE ORD BY 631-788-7463 FISHERS ISLANb,°IVY 06390 US ENT BY GARYDUBATO Sales Sales Total Containers Order Type Payment Terms Incoterm Route Office Plant Org Ship Return OrderStand NET 30 Airgas Truck Airgas Truck N329 N309 N000 Qty UOM HM Description&Hazard Class Qty Containers Vol Ship Type Order Ship Ret /Wt 2 CL X UNI 978 PROPANE 2.1 Line# 10 Material#PR 33A Stor.Loc.F001 2 2 64 LB PROPANE 32LB5 ALUMINUM 136.000 LB EMERGENCY CONTACT:1-866-734-3438 PLACARDS OFFERED THIS AGREEMENT IS SUBJECT TO AIRGAS'STANDARDTERM NDCONDITIONS PURCHASER AGREES TO OBTAIN SAFETY DATA SHEETS(SDS)FROM ONE OF THE FOLLOWING ❑ ❑ SEE REVERSE SIDE FOR IMPORTANT TY INFORMATIO SOURCES;POINT OF PURCHASE,AIRGAS WEB SITE AT NVWW AIRGAS COHb OR BY CALLING THE ABOVE LISTED EMERGENCY CONTACT PHONE NUMBER AND SELECTING OPTION 113 ACCEPTED FOR ACCEPT REJECT THE ABOVE THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER PACKAGED,MARKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST :ACCORDING TO THE APPLICABLE/^9REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION INITIAL CHOICE NAME PLEASE PRINT 666III YYY„�� V ✓ AIRGAS PERSONNEL DATE T.O D. 0 :0 INTERNAL USE ONLY ---'----"`-"'---------------- Filled By Staging Area Total PKGS Tracking/Pro Number Freight Charges Total Weight' Delivery#8067471503 136 LB III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'Total weight for materials with weight displayed only AIRGAS TERMS AND CONDITIONS OF SALE IVARNING TRANSPORT AND USE OF COMPRESSED GASES MAY BE EXTREMELY DANGEROUS DO NOT TRANSPORT WITHOUT PROTECTIVE CAPS,IN CONFINED SPACES OR IN ANY OTHER IMPROPER AfANNER ALWA YS TRANSPORT CYLINDERS INA SECURED UPRIGHT POSITION SAFETY DATA SHEETS("SDS')ARE AVAILABLE AT AIRGAS COM EACH SALE OF PRODUCTS BY AIRGAS USA,LLC,OR ONE OF ITS AFFILIATES("SELLER"),SHALL BE GOVERNED BY THE TERMS AND CONDITIONS BELOW AND THE TERMS OF SALE FOUND AT HTTP WWW AIRGAS COMiTERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS- TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER 1.CYLINDERS'UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON- TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS, CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3) MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BYTHE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST IN THE CYLINDERS TO THE BUYER 2 PAYMENT UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE 1F BUYER FAILS TO MAKE ANY PAYMENT WHEN AND AS DUE,SELLER MAY CHARGE BUYER INTEREST AT THE LESSER OF ONE-AND-ONE-HALF PERCENT(1 5%)PER MONTH(MINIMUM TWO DOLLARS($2 00))OR THE HIGHEST RATE PERMITTED BYLAW CALCULATED FROM AND EXCLUDING THE DUE DATE THEREOF TO AND INCLUDING THE DATE OF PAYMENT IF BUYER REQUESTS PAYMENT TERMS OTHER THAN CASH OR CASH ON DELIVERY(COD), BUYER REPRESENTS THAT THE PURCHASES ARE MADE FOR BUSINESS,COMMERCIAL OR AGRICULTURAL PURPOSES AND NOT FOR PERSONAL,HOUSEHOLD,OR FAMILY USE IF BUYER HAS RECEIVED CREDIT APPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COI, 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,FORA PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS, GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAY BE ALLEGED TO ARISE AS A RESULT OF CUSTOM OR USAGE ALL CLAIMS BY BUYER HAVING ANYTHING TO DO WITH ANY PRODUCTS FURNISHED BY SELLER SHALL BE MADE IN WRITING WITHIN TEN (10)DAYS AFTER THE DELIVERY OF THE PRODUCTS AND FAILURE OF BUYER TO GIVE SUCH NOTICE SHALL CONSTITUTE A COMPLETE WAIVER BY BUYER OF ANY SUCH CLAIMS AND DEFENSE FOR SELLER AGAINST ANY SUCH CLAIMS 6 LIMITATION OF LIABILITY SELLER SHALL NOT BE LIABLE FOR ANY DIRECT(EXCEPT AS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIALAND/OR PUNI- TIVE DAMAGES,ARISING OR ALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM ANY NEGLIGENT ACTOR OMISSION OR 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 THC LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER. 8.COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALLAPPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT SELLER HAS PROVIDED RELEVANTSDS SDSAREAVAILABLE(1)AT THE LOCALAIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)ATAIRGAS COM 9.ITEMIZED CHARGES THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BY PRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS EMERGENCY RESPONSE INFORMATION CALL Emergency Response Telephone Number on Shipping Paper IHsf PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN HYDROGEN MAPP OXYGEN LIOUID O, LIQUIDARGON LIQUIDN, HELIUM POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS FIRE OR EXPLOSION FRE OR EXPLOSION FRE OR EXPLOSION HEALTH HEALTH •EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Substance deal net burn but wfl mplel combustion Vapors may cause 6.11,111,or ophyvleuon wthoul Vap.fi may ceusediuunws or asphyxauan •Will be easily lg,,I,d by heal sparks or flames Wll be w,.ly lgmled by haat m.,s or flames •Some may react expl.sewly wtn fuels wemingwithout warning •W lI lone exploswe mmmi win a., Will form.vpline mixtures left w, May ignAe cemflood!umblwflood! IllPaper aI cletc) Vapors from eu.hnd go ere m1 nilly heavier Nan au 'Vapors ham Uquelled gas are molly heavier Nen o •Vapors Iron hquefmd gas ma mbapy Ireano Than au spread along Snare will,g.m nt spoeneausy Vapors from w, Vfrom liqefiho ued gas are.. 11y h¢aner Nan air spread and splead along ground antl s.mtl along grcuntl ground she may revel b murce cidjauch and Bash barb Thaw mbsNxas desgnalad with a(Ix)may p.ynm¢e along ground and may travel as source of rgnbon and hash back colamt with gas Cr liquefied gas may cause balm FIRE OR EXPLOSION CAUTION Hydmgen(UNIG19)Dautedum(UNI957),11yomip, eaplosnely wren heated nmaelwtlm a fin Rumll may create fue.expfoor,laird mmu.mpry.,dl.hedbu, Nomnme—ta,9.as. .Mgerefed liquld(UN19i ad McWne(UNI9TI)we lighlar than Vamrs from liquefied on.anti lly healer than or Cenle,we may explode when healed FIRE OR EXPLOSION colmn—may oplotle lion healed sir antl will dm Hydrogen and De-duan fires ora difficult to doth spread along ground and may to-1 to source of Ignition R,PW,ed cyhntlom may rocket •Non-flammable gas.. Rupluretl cy,,ndars may rock. ,Ince they bum enth an lmislble flame Use an alivmda method W and flash beck. HEALTH •Containers may explode wnen neared PUBLIC SAFETY !election(thermal®ni broom haelm) Lylmcme exposed to file may wnl and releaseilarwnabte Vapors may CC—dillmess or asPhtnunen wiftei wnmg Ruptured Cylinder.may rocket •Isolate spul or leak area unmeaamlylor at least 1W •Cylinders exposed m Ivo may vent and release flammable gas gas Thruaga pressure relief devices Comacl wM gas or Iii gas may cause bmf severe mmry PUBLIC SAFETY rmlers(330[set)m all duamros mmugn pressure relief dances C-awners may explode wnen healed andlor"'lIsolate sob or leak mea umned.aloy lm at Tom 100 Keep umulft b al permnml away •Containers may explode-an healed Ruptured cyhntlers mayracket Fre may produ arnahog antllo Toxic gases meters(330 fact)In ell duectiens stay upw.d •Rupluretl cyfnders may molal HEALTH PUBLIC SAFETY Many gases are heaver man err end w.OI cpraa6 HEALTH -Vapors desmoss or ash Ion w,thoutwwra Slay p.md izedpersonnelaway elan tl endocitact.Iawarc finedmeas •V.W. mis ore h umion whom wartime pore mob cause p Cent g Isolate spill or leak area Immeaately Ion et least 100 meters(3'10 .Stay upwmtl g grown porermyrmo sp yx g Camrmyba lout lllMelatl m M�M1Co—burnna leep.nail tln mind!P Many ft,-,In Nan mrantl a tlelon (sewer of Im ruiarea tanks) •Sema may be.mlaT.ng.I lnnolnd at high cotooei.os Courcy xsN a 1. Iletl bums severe ground ere Pr�sg Keep out of low areas •Contact w gas m equefe d gas may couso bums savers mlury Ofor frostbite tae gas my luso Stay uumuNerDnd Personal away gr d and untes)In lay.conl.netl ereaz( Value-clo,ad spaces befoe weerng and/.froslbne Fir,my Wuco.mft tller tion Way pond baso-I ranks) •Fra ma prw,cam,t,t,n a ypr LC gases coegases are heavier Iranauentlwm mhod buseralonglks) and Keep.A ofrod areas PROTECTIVE CLOTHING y panyor toxic gas s PUBLIC SAFETY ctlllmT.n low or wnflnetl areas(sewers bazemenls tanks) .yenlaale dosatl spaces belie entering •Wearpimw.essmo 6elli.nta.mtl breathing PUBLIC SAFETY Is,iwo spill or leak s,,lrn—d ately for at least 100 meters Keep out oI row areas PROTECTIVE CLOTHING was mlus(SCBA) •I,olote spill onset,arealmmadialely for m least 100 miners (330 foom ell dear,co Valli—closed spaces before w1wirg Wear poshvo orcemse self commend brea0.mg St..L.,infighters prolootwo cloNmg will only (330 fact)m eft Cnmhos Keep unauthorized persmnel away PROTECTIVECLOTH/NG a,peemus(SCBA) prC a hunted pratever, •Keep mmuihami parsonnal sway stay upwind Wear pos.pve pressure soltolalnod breaNmg apparel. SWcl.m frefigtems prociwe clothing will Illy EVACUATION •Stay upwmtl Many gases we hanaer Nen air and will spread Blmtg (SCBA) pmvrde Ell pnlmvon Lenge Spill-Coos fttr mmol d—.rd ewcl—Iw •Many gases are re—,-a ar en1.11....a along ground crrtl ground no caleotm low e,conlmed....(so a •Wow chem.cal ple-uw.1mll h,Ch is ToMlicaly .Alla Ihormm domin ran at least 100 mate's(330 fest) colleen.low w comma.arae,(severe o—I.tenths r.cOmmended b l.-or II ma do I.ale or m handling wear pried n. ,w Fre-If rank ran ter or tank truck Is,—in.fro •Kee tel low areas ) •Keep out Ol ITH,areas thermal Ilonme mane yprov. handling ralrgaralo.cryogen.[liquids or mods ( ) Keep eta .retic EVACUATION ISOIATE for BIXI molars 12 moo.all direckmna PROTECTIVE CLOTHING pROTECnVECLDTHING •Svuclural l.r.light,r6protean,clothing is recommanold fpr fre "Me Split-Cmudw in,lel Cownwmd C,...at—far of .1...side,initial..Cohen for Boa hunwit .Wear pobtive pressure Ienw red breaNmg Tuswaha(SCBA) •Wear poxiwe pressure sell Contained breathing apparatus tualons ONLY It is nit effective In¢p.11 stumar,-sre duel I.am mto meters(330 feel) (t2m)in m,dina.n, •Svuctarm hrahgMers wooctwo cloNmg win only plan5l Ilmted (SCBA) Contac,-0 the bar.-.s sel le FA-If Nnk nal car.Tank hock lo imalvnd m a fro EMERGENCYRESPONSE pralectron Svumural fuafigh...pAloctwe clotting wt only pmvAe Allays wear to rml prtemzw ebthing wnen hendlmg roug—le, ISOLATE ler we mime(12 rope)m NI directions also FIRE •Always wear lhemal.atechve clothing wnen handling hmeed pAtecaon cryogenic ho.de cons.de,ausal eyacumon 10 B00 metals(1/2 mile)In Use wemgufshmg agen suTabto lir yfea of refrlgeranVcryogeno I.quM, EVACUATION EVACUATION all d.reclers mm.,xdlng fire EVACUATION Lary,Spill-Consider initial dewmvmd ewcuagon for m lest LongaSpill-Consider wtial tloxnwnd avacuamn far mlom 500 EMERGENCYRESPONSE M^veCarl a.neTo from fire area,11 you Co.doh LongeSpill-C.-dermo.1 downwind ewcuw.n lar IT least lim BOO memra(,2 rte) mmwe(113m1.) FIRE .,,he.risk almers(12 nine) Rm-If tank real car.lank buck lsmvolwtl N a lure ISOLATE Fr-If Wtk rel car.rank Vuckm n Vetlm erre ISOLATE Use exunguahmg agent.0 Ion far type of Damaged eyfmders stewld bo handled only by Fm-If lent,rat car oL truck o ar,owd me Ive ISOLATE I. I.1600 melen(1 rua)m ell ducc.ces also oamider mrhal f.80D I--(12 mea).an directions also,der mool summading fire spemml5ls tow remora(t role)m oII dueclmns,else consider eu6l aa-- cunar,I.1600 rmlers(1 m,I,)in all deemxxl, —ran f.900 meters(12 m.Ia).ell ducctwn. Move conmmms from fire area,a you can tlo n FTA Invo/v/ng Tenn. f.16010 meta,(,nine)m an dnmwnc eye EMERGENCYRESPONSE ova EMERGENCY RESPONSE •Fght Tura frommum dismnca or era unnal EMERGENCYRESPONSE FRE-OO NOT EXTINGUISHA LEAKING GAS FIRE UNLESS FOE-Use samg-ftn agent far roof surr...din Il,a without wk has hobos or man„.mules ga y g Daneged cyl.ntlere should be hennnd only by FIRE-DO NOT EXTINGUISH A LEAKINO GAS FIRE UNLESS LEAKCANNESTOPPED Small F/res-Dry chemical o COn apecalsls •Cool containers wulM1 llandlnp Quantities of wafer until LEAKCANBESTOPPED Sone/lF/rex-Cry chemucal or GO, Large Fes Fire Involving Tonka well her fir—ml CAUTION Hydmgon(UNI019),Dealeduce(UN1957)and Longa Ft— Water spray,fag o regutar foam Fill hon hem maximum distance or nae unmannetl De,nit d,r.,wont in source of leak o surely Hydrogen,reldgemled liquid(UNI956)bum wife en Invisible .Water¢pay a log •Moue confte—a from fire area of you can m a Imust risk hose hold none.mules I—crag may occur name Hydrogen and Malhono.1..,compressed(UNTI Ta) .Move conlalnars horn Imre area If Van can a ,,valn.A rusk Damaged cylmdem should nd hundred ally by specielm, .Cool elinins nth flooding qumotiw m weler until 'Wthdmw.mymdtatey m case of r1.ag sound from may bum w11h en Invlsllue flame Fire Ime lying Tank, F/A Involving Talks well cher No Is out venting salary dw,co o,dacolorabon at tank Sales Fares-Dry Chemical or CO, Fight ire Item maximum distance or use unmannetl hose Fight Ere from maximum distance Cr use unmanned hwe hdowe Do not dt,amwater el source of leek or safety dances 'ALWAYS may away Irani tanks engulfed In fire Large Fires holders or mons.mules or mann.,fte, long may occur SPILL OR LEAK •water spray.log Gael c.mmmue wM flooding q.w,lbo al wafer In,,, ,If Cml cola.mrs lith Baad,ng quantums a,..,ar-If well eller WNtlr—mannedalel Iraln dlrom Do nm to-1,or walk through spilled mwwm1 ymcaseo gsou^ ,Step leak! do II hare tisk end II posvbm •Move melaenas Iron Ina urea.1 you wl do A vngmut tisk akar ire a ouL Troia- venting Toy..yIm.nes anglma of iank can Fre InvoMng Tanks •Do nit direct water at sartca of Irak.safety dowel.crag Ib hot direct warm et ware of leak.salary tlevxes romp .ALWAYS slay away from Tanks orgulled in fire ..caling cenNenms.,hot gas.—P.raft, •Fom maximum dilan ghlfuefrsceor I.uunmnn aetl hose holders mayom.ur Withdrawn SPILL OR LEAliquid K Iran liquid or m”'""I" WN.awlmmeaalelyo ratio of fork from wnT.ng Withdraw rdodtatelyln case ofrang smntl from venting solely SDo nottep,,k,f you walk through spilled and IT •Use water spray tareducelloing Vapors.dvedwpat •Cool conlalners lite llodmg quanbtles of walaruntilwell alter salarydevices.yftorrorel.and lank dmoes.disa-yfr—mri,e Stop.ming ocendo 11 that g risk mber soudof Avo.tlalieningwaterrunoff To contact Ive is out •ALWAYS s,few ay from Neendsm The Tder Far=ALWAYslay e use luremks hose nine turn bake laln.am that ember spllletl roCt l •Do rot direct wa'.aT mrcenlaak.sale tlewce Torg mayoccur goon gas iiPes ra •Wd dinit,mmed.mel In case of using y d bole vein. lel Far mass I t fie use unmanned hie from a m modelet For r unpa Ino use unmannetl naso antlers fu mon.,.males ml Ulan Immd Do nom army warm at spill or source n lesk Y p sou^ m u Y mules.1 Ws a impossible wMdraw h.n area antl let taus a.IPosyblo.iNdiaw iron area and let fue bran Usa rater spray To Indlme wPors.tl.wn vap. RevenT entry into waterways,sowers basements or d.—in,.dismn.mon of rank Fre bum SPILL OR LEAK cl ud drill Avold aaow.g wamr runoff To conoci Continued!areas •ALWAYS stay away from Ing and,of In.lank SPILL OR LEAK Keep wnbw-ublac wood Papm 1 mc)away from Spilled mm ad Allow¢ubsmnce m evaporate •F.rwssne Ive use unmannetl hose holtlere or nnoutor null.I s ( soo net direct heel l mus isarecomewMtlraw from mea and lot fre burn fieramATmurgnbon sources(.making lfw spalls er •Den at cado,,ghspfued malenal D endaem veto latmays source of leak ySTAID the area Ilamazlrort...d line, Slopleare you,g tlo ucapo lrl9lgntl dliquId to Turn leaking Prov eamry d w...lo waterways selene basements or STAID SPILLORLEAK •Allerdtadl nT usetl when hanneng the protlucT run be Do.,a, .Bos escapes mN.1111 hqu.0 col.netl area, Mme victim tofreshcy •ELIMINATE aII.gnmon source,(m snmk.ng[farm sparks. grounded D.nittlrspray-edu .s�urce dieak Allow wbhea Navapoate Gmi 911.em.gemymaV. Is Ib ms Au bes.Irrvmaate mea) •Slop leak A You can do a gas a tisk entl A possible Tum Uro later l spray to mtluce vacs.ave!Vapor cloud tlrm Avatl ,Venhlale The area Glw m-,wte.bi Vg..0 bonrl vm.n lo nit breaNmg •AD eglnpmem Inatl wtro't ImrpYlug W product oval nd grounded IeaWng onla.mrs m Nat gas eswPes rattier than Ilqu.tl tlowrg rater Amll Ta contact 6P.Iletl mamrmt CAUTION Whan In ronlacl wllh relrl9orefed Admm.zyer orygen A breatnmg Is tlnfouR •Oo ml much or lark through sp.iled meermi Do net Touch or walk,,r g,sp.Tled maleml Prevent enynto wmerv+,ys¢alar¢basement,or confined cryogenic equlds,many amearaa/s become bdg/e and Keepwcht come person d quiet •Stop lack If you can tlo a wuhout tisk and I Possible turn 1,811 Do net direct wafer et spill or—me of look areas one likely to break without laming Ens re mel loam al personal are sxare of No onWmom so Nat go assures rather,an liquid •Use..,or spiny to reduce vap.s or tlwen vapor cIo Jtl^fl Moll..!Clmnco t.evapemle FIRSTAIO matenar(e)mwlved entl Take pre....ns t.p,NC1 •Use wale,spray to reduce vop.s.divert Vow cloud drift Avad wimung x ale,wmff I,a moot ipllml mmenal •Isolme area ural gas has dispersed MoVe wmm.fresh as tlremselws AVad uslkrw.ng nal.Anoll 1.contact Killed malmtal •Preventenvymtawatemays sewers basements or CAUTION When/n-meet wIN Alrlgmemaltryo9anld liquid.. Call 911.emergemy medical muVams •Do nit direct wmer al spill.scarce of leak relined arms many marerL/s baceme bdllle and am likely to break Without Grv,wallras..n If wcbm is rut browl •Prevent spreading el vapors Ihr.rgh sews ventilalon systems •Isolate area umd gas has delawsetl laml Atlm.lsler oxygen.f brain mg N dllllcufl and=fine tl areas FRSTAID FRSTAIO Clolnmg frozen yo The skin snduld be Wwed before •Isomole area until gas has delpere Move wcom To barn air Move lob,to fresh air being re.—C! CAUTION When In contact MIT reMgwaWdkryog.nlc liqultl;moW,Cap 911 o,emergency n ills oo Cali 911 or emergency medical services In case of Contact ,h,mI,f,ed 9.1 Ila.lrostetl mamdels become bdl/e oMeA barely la brook wAhs.mamas, G.w artificial r,,P,,wnmf nom e,not breathing Gwe aNlolal resp,mil Iam a her breaNmg pans wM lA—m water FFSTAIO Administer oxygen d breaNmg rs difficult Admuudm arygan A area h a difficult Keep vmmn warm and quit •M.nmun To fresh eta •.—and rse—conhammletl clothing end mases •Renew end.,am--,.led d.rr mg and straw •Ensure,thm reed-I personnel erg aware CI the •Cap 911 or emergency medical services In case of contact with i.qunod gas Naw frosted parts wont Clo orq hozon To The skm should be thii bef.a wag remolci malenal(s)Inwlvod and take w.cam.os tI prount •Glvoen,l,c.l rooms,11 v.Cftm.,not breaNmg Iukew2m wife, •in Case of Contact w,,h 1.qu0lmtl gas Thaw frosted pm16wth Ihum.1— •Atlmmalor oxygen..bremhmg 1sdilf.cult In me of burns mmmnduamly m.el affected film III as lAmam water •Remavo and.snan c.nftne—ed nothing and cones long as possible wen cum water Donitremovecfaling II Keep v.ctmwarm and quem •Cb mrg frozen to W durt should be Wound before neN re e7 adhemg to skm Ensme Nat Ime cal come,ml se awme of Ne revenml(s) • In..a of—fact..Lquehed gas to.ho and parts wmN Keep net.un warm and quoT Involve!and take precamons to mmol th .Ivw kr alwan watt Ensure that medical mhounnot are aware of 0m nmtenal(s) in ran al buns mannaatey cod wfanetl skin for az long es pwsble Inwlved and fake precaumn,topresetlhemsoi— x+Ncold-an Do hat remove cbNmgt adharvlgmskn •Keep Wa.m wmm antl quilt •Ensure mm.mmol personnel are aware of Nam CmC1Tm mwlvnd and take mrzaumn,1,protect therrstves FISHERS ISLAND FERRYDISTRICT VENDOR 001400 ALTERNATIVE SAFETY & TESTING 09/26/2017 CHECK 4341 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 79958 DRUG TEST (1) RANDOM 40.00 SM .5710.4.000.000 79958 LABCORP COLLECT SITE(1) 10.00 i TOTAL -� 50.00Mid fi� N .. ry .. ... .vt4:•rre:^Y,-N.�,.•r - e;•:t-.E;qi,¢5^.;....»'n.:^:,:,}:-::�v..F�,. I .rr��l'r�•;•+::;r?_;.r,.y;;-a,•',_p,,?egg;,4@ei3:S:•:•re?:,;...s.�::n;•;vgt' �f sr?vr r.•.Fve •rr...^. �aY::�t�:{:'Soy.'v:�'ZJ°<:�•-<<-.R?rrrrr,,s..:e57€�sJ: ;y»^Gi: .. I - ' r ' I } t .� fJ ' @ @ FISHERS ISLAND FERRY,.D_ISTRICT.• AUDIT' 09/2'6/17- 53095 MAIN ROAD,PO BOX 1179, , SOUTHOLD,NY 11971-0959. CHECK NO. 4341 ' y '" �" •-�a.»1.' • -- , -THE SUFFOLK CO.NATIONAL BANK _ - - - CUTCHOGUE,NY 11935 DATE, -AMOUNT F - 09/26/2017 $5'0.00 50-5461214' 1 FIFTY,AND'-00_/1f00' DOLLARS,' c; PAY, ALTERNATIVE SAFETY & TESTING ' TO THE SOLUTIONS,', INC:_, ORDER -.678 FRONT AVE.-NW 1 SUITE 2'56 _..A GRAND RAPIDS •MI 49504, 4r y ii'0043L, Ino 1:0 EL40SL. 641: 68 00 150 2 1[llm Vendor No. Check No. Town of Southold, New York - Payment Voucher 1400 Vendor Address Entered by 678 Front Avenue NW Vendor Name Suite 256 Audit Date ALTERNATIVE SAFETY&TESTING SOLUTIONS Grand Rapids, Mi 49504 SEP 2 6 2017 Vendor Telephone Number 800-477-3177 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 79958 9/1/2017 $50.00 $40.00 Random (1) SM6710.4.000.000 $10.00 Collection Fee(1) SM6710.4.000.000 $50.00 $50.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature, Title Signature Company Name Fishers Island Ferry District Date 9/11/2017 Title Date � Remit Payment To: M v®l ire 19 678 Front Avenue NW EXCELLENCE Suite 256 Grand Rapids MI 49504 _• ,7 P Date Invoice# {K Phone:800-477-3177 Alternative Safety&Testing Solutions Fax:616-534-5545 9/1/2017 79958 Bill To Fishers Island Ferry District Attn:Accounts Payable When submitting payment,please PO Box 607 261 Trumball Drive include the invoice number for Fishers Island,NY 06390 proper posting. Payments can now be made online at; Terms PO Number www.astscorp.com or www.astsmaritime.com. Due on receipt Quantity Description Rate Amount 1 Drug Test 40.00 40.00 1 LabCorp Collection Site Fee d 10.00 10.00 rA tj e� C� Federal Tax ID#38-3510664 Total $50.00 MIM I FISHERS ISLAND FERR Y DISTRICT - VENDOR 002439 ANTHEM BLUE CROSS BLUE SHIELD 09/26/2017 CHECK 4342 A ' FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT C^ SM .9060.8.000.000 0201709405247 VISION-GRP#A75986-10/17 178.60 TOTAL 178.60 m r� �:rs I o i \ }r I •t I l ' • • s e • ® a e e ® e � *y 11, FISHERS ISLAND•FERRYDISTRICT. - AUDIT 0.5= 26/17 ' 53095 MAIN ROAD,PO BOX 1179 _ souTHOLD;NY 11971-0959 CRECK NO. 4342. THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,NY 119315, 1 DATE,, AMOUNT•,` 50-546/21'4Q9/26/2,0iT $178,.60 ' 0142 HUNDRED 'SEVENTY.E YGHT,AND 6 0/10 0 DOLL'AR'S t PAY 'ANTHEM BLUE 'C BLUE SHIELD TO THE PO 'BOX''I11792 • r. ORDER NEWARK; NJ 0710 4,192 —I} a ( 1110043421i' 1:021405464I: X68 00L502 Lei' Vendor No. Check No. Town of Southold, New York - Payment Voucher 2409 143 R Vendor Tax ID Number or Social Security Number Vendor Address Entered by P.O. Box 11792 Vendor Name Newark, NJ 07101 Audit Date Anthem SEP 2 6 2011 Vendor Telephone Number Town Clerk Vendor Contact f4p��, , Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 0201709405247 9/1/2017 $178.60 $178.60 Vision Plan#A75986 Oct 2017 SM9060.8.000.000 178.60 1 1 178.60 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature oe n--�ttle Signature Company Name Fishers Island Ferry Date 9/12/20171 Title Date z r I OF 4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 1049AV Anthem NORTH HAVEN,CT 06473 ® �� B1ueCross B1ueShield �I��I��II��II��1�111"IIT111'I'I�'1111'1��111'Illl��l�ll�ll 031865 1 AB 0.400 000695/031865/001404 162 02 AGUY137 W PT132 SMGRP 09/01/2017 09/04/2017 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND,NY 06390-0607 Your Premium Statement is Enclosed Beginning May 1, 2017, we are going PAPERLESS, Anthem's standard will be to issue bills (invoices) and accept premium payment online via EmployerAccess. Register or sign up now on EmployerAccess by logging onto htips:Hgmplgyer1.anthem.com/wps/portal/eeagmplgyer All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly email notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject line to: CT.ogb(&,anthem.coin. Provide your group number, contact name, email address,phone number and reason for opting out of the electronic billing and payment process Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc.Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 6)_4Z5�� 0318651001404 AGUYB7 S1-ET-M1-C00009 4 a 1 01`4 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOH 1049 � � v NORTH HAV EN,CT 06473 �• 1/�9-+y B1ueCross BlueShield w �II��Ialll�lllll��lllll..I I°I.III'I'll'llll'llllll'lllll�Illll�ll 031865 1 AB 0 400 000695/031865/001404 162 02 AGUYB7 WPT132 SMGRP 09/01/2017 09/04/2017 FISHERS ISLAND FERRY DIST PO BOX 607 FISHERS ISLAND,NY 06390-0607 Your Premium Statement Is Enclosed Beginning May 1, 2017, we are going PAPERLESS,,Anthem's standard will be to issue bills (invoices) and accept premium payment online via EmployerAccess. Register or sign tip now on EmployerAccess by logging onto https://employed anthem.coin/wps/portal/eeagmploer All it takes is a few clicks! It's free, secure and accessible 24/7! All you need is your group number, Tax ID number, and recent Invoice number. Just select the Billing Tab on the EmployerAccess overview screen to get started today! You will receive a monthly cmail notification when your group invoice is available to view, download or print. If you need to opt-out of online statements or payments, send an email with Opt-Out in the subject line to: CT.og_b@anthem.com. Provide your group number, contact name, email address,phone number and reason for opting out of the electronic billing and payment process Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans,Inc Independent licensee of the Blue Cross and Blue Shield Association.®ANTHEM is a registered trademark of Anthem Insurance Companies,Inc.The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 031865/001404AGUYB7SI-ET-M1-C00009 4 RETURN THIS PORTION WITH PAYMENT DUE DATE: 10/01/2017 TOTAL AMOUNT DUE: $178.60 DO NOT SEND CASH Amount Enclosed Group Name: FISHERS ISLAND FERRY DIST Group Number: A75986 PLEASE MAKE CHECK PAYABLE TO ANTHEM BLUE CROSS AND BLUE SHIELD WRITE YOUR GROUP#ON YOUR CHECK AND REMIT TO Illll'IIIII'lIIif II[I'll'11°IIIIII,II"III°""I111°iiIIII'llll°' ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 11792 . NEWARK, NJ 07101-4792 f 002134427875120501,8A75986000000000008201709405247100],1,700000000000178609 FISHERS ISLAND FERRY DISTRICT VENDOR 001016 AT&T 09/26/2017 t CHECK 4343 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.200 r 03046865150817 FI LNG DSTNC-8/,l-8/30 96.42 TOTAL - 96.42 I � 4 � lei J " FISHERS ISLAND FERRYDISTRICT AUDIT', 09/26/'17- 53095 MAIN ROAD;PO BOX 1178 ` ,�' • - _ 0 - SOOTHOLD,NY 11971-0959 - _ - CH ,Z.'K NO, ,4343),-- - ,a, - - .THE SUFFOLK CO NATIONAL BANK CUTCHOGUE;NY 1'1935 DATE AMOUNT „ 50-546/214 09/,26/2017 $96.,42 NINETY SIX ANP- 42/100 DOLLARS . PAY AT&T TO TRE PO, BOX, 105068 OORDER ATIiANTA GA 30348-•5068 ; 11'00Is34311' 1:0 2 L140546468 00 L50 2 L��' s' 4 .i , i• 1 i Vendor No. Check No. Town of Southold, New York - Payment Voucher 1016 Vendor Address Entered by AT&T Vendor Name PO Box 105068 Audit Date AT&T Atlanta,GA 30348-5068 SEP 2 6 2017 Vendor Telephone Number '877-325-0445 Town Clerk Vendor Contact Invoice - Invoice_ Invoice Net Purchase Order_ Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 030 468 651508417 8/31/2017 $96.42 $96.42 FI long distance SM5710.4.000.200 8/1-30/17 $96.42 $96.42 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature ^Ct, Title Signature Company Name Fishers Island Fenn District Date_ 9/12/2017 Title Date L Account 13iti PayMent Orae-_ - - FISHERS ISL NY 06390-0607_ FISHERS ISLAND FERRY DIST Number Date Date �� P.O. BOX 607 030 468 6515 001 AUG 31, 2017 SEP 26, 2017 �;„ TELEPHONE-NUMBER: 631 788 7463 Fur PfodudL-lufu:wvw,att.com fb ysirmssomner AT&T All in One Service, - iier_Cwto or Care-. 1 071-329-044 AT&T All in One Service ACCOUNT STATUS AT&T LONG DISTANCE $48.01 PREVIOUS BALANCE $232.08 PAYMENT ,RECEIVED $123.61q TOTAL SERVICE CHARGES $48.01 ADJUSTMENTS $0.afl TOTAL CURRENT CHARGES .42 SURCHARGES AND TAXES - $48.41 V TOTAL CURRENT CHARGES $96.42 TOTAL AMOUNT DUE See Summary of Charges page for details Pay online at www.att.con/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. PAY BY PHONE - Call the toll-free number at the top of this page to setup a one- time payment with a credit• card or bank account. PAY, BY MAIL - Submit the Power portion.of this page with a check payable to AT&T. Whatever's most convenient for you! You can manage all of your ordering and billing inquiries with dust a click. Visit us at www.att.com/customercare for details on AT&T on-line customer service. Pay dour krill cmfine'a"t www.att.6brnt aaVrnylri1F ar pay ley costal rnAl using the: _• _..... reinittar e_slilx below.When pgiis ley chemo,,snake it-payable to AT&T.la clods"ur� - = acr;ariRt nfimber-oar_payntdat and fnai -sure thafi the AT&T,�O. Mix addies� al a _ = _- through the envelope window.AT&T is not male to reply to inquiries Wriiteia-on this rfernnoe,doeu nt.Tease visit-www.aff.cafnfaccountmanagament for assistance. _ _ AT&T ALL in One Service - Reference Guide AT&T ACCOUNT HIERARCHY *Account Number:The Main Billed AT&T account number for your All in One account. *. Subaccount Number:Customers with toll free service, or'those who,have more than one location, will have their Moll free/location level charges summarized under subaccounts. Multiple subaccounts can be associated-with one. . Example: „ *. 030-555-1111 (Account Number)-Total Charges * , 011-555-1234 (Subaccount) = Charges for Location#1 * 161-555-1235 (Subaccount) =Char'ges for toll free.service SUMMARY OF MONTHLY CHARGES r° ' LONG DISTANCE SERVICE Monthly Charges *_.Toll-Free Service:A monthly charge, billed one month in advance, applies for Customers with AT&T Toll-Free Service. * Minimum Usage Charge:Assessed when the total AT&T Long Distance Usage charges are below the-monthly minimum. LOCAL SERVICE Monthly Charges * Line Charge:A monthly charge applies for each line subscribed to AT&T Local service. * Local Feature(s):A monthly charge may apply for,specific.,Local,Features,and/or Feature packages. SURCHARGES' * Subscriber'Lin'e Charge:-The Subscriber`Line Charge is'an FCC-approJed,'flat-rated'monthly charge paid by consumers' to their Local Telephone Company so that the Local Telephone Company can recover the costs associated with , connecting customers to the network which are.not recove're'd in local rate. * In State Connection Fee:AT&T is charged by your local telephone company to carry your AT&T in 'state long distance and local toll calls over its lines-In order to help recover these costs, AT&T includes in your monthly bill an In State Connection Fee. The fee applies to Customers subscribed to AT&T for Business long distance or local toll service. The fee does not apply to customers that subscribe only to AT&T Local_Service.. c.F i 6' FISHERS ISLAND FERRYDISTRICT VENDOR 014223 BANK OF AMERICA 09/26/2017 CHECK 4344 A w, FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.2.000.000 7335-0817 DFNDR-CREW VESTS,FLARES 438.10 SM .5710.2.000.100 7335-0817 DEFENDER-MU-HELM CHAIR 143 .57 '? SM .5709.2.000.200 7335-0817 AMZN-STRIPING PAINT-FIT 88. -6 X, -; SM .5710.2.000.100 7335-0817 DFNDR-HELM_CHAIR SLIDER 142.83 SM .5709.2.000.200 7335-0817 HM DPT-SHOPVAC FILTERS 54.14 SM .5_710.4.000.600 7335=0817 AMZN-VACUUM BAGS /, 22.44 SM .57'0,9:2.000.200 7335-0817 STAPLES- (2)CASH, BOXES 51.03 SM .5710.2.000.000 7335-0817 ALLEN-INSP.DIVE-8/6 310.00 t a SM .5710.2:000.000 7335-0817 ALLEN-INSP.DIVE-7/23 310.00 r, f ti � SM .5709.2.000.200 7335-0817 °;WALDRO-SHIELD MIX-NLT 2, 000.'00 :,"..,r, * SM .5710.2.000 000 7335-0817 :8�' -AY JNCTN-LANTERN BTRY 67.57 "- SM .5710.".2.000.100- 7335-0817d� „ ..,:,IENDI:-HELM CHAIR SPDR-MU 61.59 r , SM .5710.'2.000.200 7,33. 0$;lfi,. ; 'r4..E... .QGOV0,W-STARTER REBUILD 398.81 , SM .5709.2.0.00:200 7F33;5-0817 HM .DP`1'`='PPE';S.EAT;=NLT 252.39 • SM .5710.4.000.600 7335-0817 AI�1ZN-RTRN'VACUUM BAGS 22.44- ,:.; .;.; .: .:: fG`:QGGN + NDI GATOR 101.06 SM 710.2 0 0 0 ..'': ^::0: ;17: ...�•. SM .5709.2.0*00:2'00^ 7, 5=y08�-7'x"-.4u ?. SLND','IHRDWR-KEYS-FI TERM 7.99 a; SM :5710.4.000.000 7335-0817 PEOPLEFNDRS-BCkGRND CHCK 0.50 SM .5710.4.000.000 7335-0817 PEOPLEFNDRS-BCKGRND CHCK 19:9,5 ' SM .5710.4.000.000 7335-0817 INTELIUS-BACKGRND CHECK 7.27 f'S `Fv I SM .5709.2.000.200 7335-0817 RACE ROCK-PLANTS-FIT 78.21 +'o SM .5711.4.000.000 f-7335-0817 USPS-POSTAGE FOR METER ) 200.00 ' '`$` i SM .5709.2`.000.200 7335-0817 EBAY-SPARE BOCA SYSTEM 222.19 ; TOTAL (` 4,'955.76 a f?si "k FISHERS ISZ:AND FERRY'DISTRIgT r1„4 53095 MAIN ROAD'•POWX 1179 - i' SOUTHOCD,NY 11971-0959 _- •CHE6KK_%NO. 4344' ~�• \7,tHE'SUFFOLK CO,NATIONAL BANK AMOUNT, 'CUTCHOGUE,NY 11935, i° DATE-' 50-5ds�z14 09%26%2017 $4','955.76x'`;;`; F, -FOUR"THOUSAND NINE:HUNDREt);'FIF.TY -FIVE"AND .76/00 DOLLARS , PAY, BANK OF 'AMERICA °y PO' BOX TO'77E . 15.73]_ ORDER_~ ` 6F, L„W I I,MINGTON 'DE 19886=5 731'", ' ry u@;004 344ii'\ 1:0 2 L40,S464I: 68 OO i 50 2 ins' �. Vendor No. Check No. Town of Southold, New York - Payment Voucher 14ZZJ H M!4 Vendor Name Vendor Address Entered by Bank of America PO Box 15731 Vendor Telephone Number Wilmington, DE 19886-5731 Audit � t 6 Z�� 888-449-2273 own Clerk Vendor Contact Invoice Invoice Invoice Net General Udger Fdrid Number Date Total Amount Claimed Description of Goods or Services and Account Number TS wENT 4f 9/2/2017 $4,419.65 $ 438.10 DEFENDER INDUSTRIES Crew life vests,flares MU,RP SM5710:2.000.000' $ 143.57 DEFENDER INDUSTRIES MU Helm chair SM5710.2.000.1.00 $ 88.56 AMAZON Striping paint FIT SM5709.2.000.200 $ 142.83 DEFENDER INDUSTRIES MU helm chair slider SM5710.2.000,100- $ 54.14 HOME DEPOT shopvac filter(3) SM5709.2.000:200 $ 22.44 AMAZON Janitorial d aCU SM5710.4.000.600 $ 51.03 STAPLES cash box(2) SM5709.2.000.200 $ 310.00 ALLEN WATROUS Dive inspections 8/6 SM5710.2.000.000 . $ 310.00 ALLEN WATROUS Dive inspections 7/23 SM5710.2.000.000 $ 2,000.00 WALDO BROS Shield mix NLT SM5709.2.000.200 $ 67.57 BATTERY JUNCTION MU PR rescue equipment SM5710.2.000.000 $ 61.59 DEFENDER INDUSTRIES MU Helm chair spider SM5710:2.000,100. $ 398.81 SOGOLOW STARTER RP Starter rebu 8/17 SM5710.2.000.200 $ 252.39 HOME DEPOT PPE for seal NL terminal SM5709.U00.200 $ (22.44) AMAZON Janitorial SM5710.4.000.600 $ 101.06 FILTRATION & FLUID RP clogging indicator SM5710.2.000.200 9/2/2017 $113.92 $ 7.99 ISLAND HARDWARE Keys for FI terminal SM5709.2.000.200.. , $ 0.50 CFK PEOPLEFINDERS Background check `SM57%4.000.000' $ 19.95 CFK PEOPLEFINDERS Background check SM5710.4.000.000 $ 7.27 INTELIUS Background report SM5710.4.000.000= $ 78.21 RACE ROCK GARDEN CO Plants for FIT SM5709.2.000.200 9/2/2017 $422.19 $ 200.00 USPS postage for meter 8/18/17 SM5711.4.000.000 $ 222.19 PAYPAL Q spare BOCA system SM5709e2.000.200': $4,955.76 $ 4,955.76 - Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is 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 owl and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved C �L\J�j� Signature (k/� dl eJt— mottle Signature d� Company Name Fishers Island Ferry District Date 9/15/2017 Title Date / Bank®f rica' FISHERS ISLAND'FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335- Commerclal Card August 02,2017-September 01,2017 Company Statement • e • • o " • Mail Billing Inquiries to: Statement Date ........................................... 09/01/17 Previous Balance ................................... $11,947.37 BANKCARD CENTER PO BOX 982238 Payment Due Date .......................:..:.:....... 09/21/17 Payments ............................................. -$10,463.90 ELPASO,TX 79998-2238 Days in Billing Cycle ........................"................... 31 Credits ...................................... ........ -$1,505.89 Credit Limit .................... $20,000 Cash ....... . : ... $0.00 Customer'Service: 1.888.449.2273 24 Hours Cash Limit ...:........................................................ $0 Purchases ............................................... $4,978.20 Total Payment Due .................................. $4,955.78 Other Debits ... .............. ... . .. . ... .. $0.00 TTY Hearing Impaired: 1.800.222.7365 24 Hours Overlimit,Fee ................................................... $0,00 Late Payment Fee ....:.............................. .... $000 Outside the U.S.: Cash Fees ................. $0.00 1.509.353.6656 24 Hours Other Fees .... .: :.......................... $000 For Lost or Stolen Card: 1.888.449.2273 24 Hours Finance Charge ............................ ...... . . $0.00 Current Balance ............. ..... .. ... .. $4,955.78 tardhol&rLJ Account Number Purchases and Credit Limit . Credits Cash Other Debits Total Acdvity BURNS,RONALD J XXXX-XXXX-XXXX-2360 20,000 22.44 0.00 4,442.09 4,419.65 COOK,GEORGE B, XXXX-XXXX-XXXX-6764 40,000 0.00 0.00 11392 113.92 MURPHY,GORDON XXXX-XXXX-XXXX-4379 40,000 1,483.45 000 42219 -1,061.26 Posting payments: Payments received by mail at the remittance address shown on the Payment Coupon portion of the face of this statement on a banking day will be posted to your account on the day received'" 'If we,receive your mailed payment on a non-banking day,we`will post it to your account on the next banking day. There may be a delay of up to 5 banking days in posting payments made at a location other than the mailing'address listed on the front of your payment coupon. Service for the hearing impaired(TTY/TDD): Contact our service for the hearing-impaired at 1.800.222.7365. Telephone monitoring: For the purposes of monitoring and improving the quality of service,Bank's supervisory personnel may listen to and/or N record telephone calls between Bank employees and any person acting on Company's behalf:' Disclosure:'We'may furnish to your employer information concerning your.use of•your account. To read more about our information disclosure, o please visit www bank6fam-6rica.com/corporatec6rddisclosure'or call the customer service number listed on'your statement to request a copy. In'case of errors or questions about your bill: Error's or questions about your bill must be,recelved in.writing no later than 60 days after we sent Y6 u,the first statement on which the error or problem appeared. Please mail this information to BANKCARD CENTER,PO BOX 982238,EL PASO, o TX 79998-2238. Your letter must include the following information: g The company name,cardholder name and account number in question. ; The dollar amount of the suspected error. A written description of the error and why you believe there is an error. If you need more information,describe the•item you are unsure about. Customer Service:. -For questions regarding transactions,general assistance,and reporting lost and stolen cards,call: ` Within the U.S.' Outside the U.S. 1.888.449.2273 1.509.353.6656 (collect calls accepted) hankof ,� ®� FISHERS ISLAND FERRY DIST GORDON MURPHY XXXX-XXXX-XXXX-7335 August 02,2017-September 01,2017 Page 3 of 4 mil • 4" PdsdngTransacdon Date, Date Description Reference Number MCC Charge Credit " FISHERS ISLAND FERRY DIST „ Total Activity Account Number:XXXX-XXXX-XXXX-7335 -$10,463.96 08/21 08/18 PAYMENT-THANK YOU 23115300000000523246898 0008 10,463.90 BURNS,RONALD J Total Activity, Account Number:XXXX-XXXX-XXXX-2360 4,419.66 08/07 08/04 DEFENDER INDUSTRIES INC,WATERFORD CT 24431067216083754276610 4468 438.10 08/07 08/04 DEFENDER INDUSTRIES INC WATERFORD CT 24431067216083712356405 4468 143.57 08/11 08/10 AMAZON MKTPLACE PMTS AMZN.COM/BILLWA 24692167222100966087801 5942 88.56 08/14 08/11 DEFENDER INDUSTRIES INC WATERFORD CT 24431067223083710069654 4468 142.83 08/14 08/11 THE HOME DEPOT#6215 WATERFORD CT 24610437224010181180147 5200 54.14 08/15 08/15 AMAZON MKTPLACE PMTS AMZN.COM/BILLWA 24692167227100639148548 5942 22.44 08/16 08/14 STAPLES 00101873 NEW LONDON CT 24164077227105001365257 5943 51.03 08/17 08/16 SQ*ALLEN WATROUS LLC gosq:com CT 24692167228100615957226 8999 310.00 08/17' 08/16 SQ*ALLEN WATROUS LLC gosq.com CT 24692167228100616320416 8999 31000 08/17 08/15 WALDO BROS.COMPANY 860-289-9500 CT 24122587228030013394061 5039 2,000.00 08/17' 08/16 BATTERY JUNCTION 860-581-4540 CT 24431057229207266623342 5999 67.57 08/18 08/17 DEFENDER INDUSTRIES INC WATERFORD CT 24431067229083703201953 4468 61.59 08/21 08/17 SOGOLOW STARTER'&ALTERNANORWICH CT 24.498137230030052479233 5533 398.81 08/21 08/18 THE HOME DEPOT#6215 WATERFORD CT 24610437231010197353911 5200 252.39 08/24 08/23 AMAZON MKTPLACE PMTS AMZN.COM/BILLWA 74692167235100193666518 5942 22.44 08/30 08/28 FILTRATION&FLUID TECHN 508-835-3200 MA 2.4431057241206000096132 5085 101.06 ;COOK;GEORGE B Total Activity, Account Number:XXXX-XXXX-XXXX-6764 113.92 08/04 08/03 ISLAND HARDWARE SVSTR FISHERS ISLANNY 24138297216091004002172 5251 799 08/11 08/10 CFK*PEOPLEFINDERS 800-7188997 CA 24906417222042969821938 5968 0.50 08/11 08/10 CFK*PEOPLEFINDERS 800-7188997 CA 24906417222042969821920 5968 19.95 08/14 08/11 PCH*INTELIUS.COM/RT ` 877-893-6132 WA 24692167223100701492018 4816 7.27 08/28 08/25 RACE ROCK GARDEN COMPANY,FISHERS ISLANNY 24394697239030106912691 5072 7821 ,MURPHY,GORDON' Total Activity, Account Number:XXXX-XXXX-XXXX-4379 -$1,061.26 08/02 07/31 CWPM LLC 860-747-1335.CT 74498137213016035017774 4900 1,483.45 08/21 08/18 POSTAGE REFILL 800-468-8454 CT 24430997230083361554095 7399 200.00 08/28 08/25 PAYPAL*GAFANAENTER 402-935-7733 CA 24492157237894567942846 5999 222.19 /7' • • (/ Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Balance Subject Finance Charges by Percentage Rate to Interest Rate Transaction Type PURCHASES 10 25% V $000 $000 CASH 10.25% V $000 $0.00 V=Variable Rate(rate may vary),Promotional Balance=APR for limited time on specified transactions. rlll FISHERS ISLAND FERRY DIST Bankof GORDON MURPHY XXXX-XXXX-XXXX-7335 August 02,2017-September 01,2017 Page 4 of 4 N N O O N O ' � r 04 N n o � o " � n Defender Industries `�y 42 Great Neck Road Waterford CT 06385 (860) 701-3400 �J Ent. By: `''.J Chealsea J ` I Cust 100202676 I Fishers Island Ferry ; RETURN POLICY (at' version) II PO Box 607 I I I * 30 Days for most items re'_urned in I Fishers Island NY 06390 I, I original packaJing and in resalable condition I I -------------------------- - -- - - -- ------- IND TYPE III MESH VEST 1 * 10 Days on ele(trr, 1Leets, unopenedSTEARNS I ZZ5500100RA-L- 4 @ 42.83 171.32 *CrcL.> I software and charts in resalable STEARNS f IND TYPE ILT_MFRta vccr___-_ — I I condition ZZ5500i00RAXLG 2 @ 42.83 85.66 * okp} I ORION RED LOCATER FLARESI * Boats, Motors & trailers, cut goods, I 11111711 1 @ 25.99 25.99 * I special orders and clearance items 1 IORION RED LOCATER FLARES are not returnable Z7550788 1 @ 25.99 25.99 * I I ORION ORANGE SMOKE SIGNALS For the complete copy of Defender's I I * �,P I return policy please visit tha Terms of ZZ552075 1 @ 51.49 51.49 I I ORION ORANGE SMOKE SIGNALS I Sale section on our website - ZZ552075 1 @ 51.49 51.49 * I Subtotal 411.94 1 / Thank You for your business! Tax ---- -26.1 Total 438.10 Invoice Order Reg Date Time Items are taxable) -------- Payments ---- 700476508 1004$0167 1 -0 0$/04/2017 12:23pm ! I Cr, i<. �'ard Visa **v 2sr,,; j Au' )23415 Stq , E_, Defenje, Industries 42 Great Neck Road Waterford CT 01,T (860) 701-3400 Ent. By: SCJ Chealsea J 1+� ( --t 100202676 Fi hers Island Ferry PO [3ox 60( F sl it:r, Island NY 06390 RG WHEELHOUSE RECLINE SEAT 651061BLKCl.3 1 @ 135.00 135.00 1htota1 135.�)O v ax-__--- 8-57 otal ;=13.57 °I/U * - Items are taxable) ------------- Payments ----------------- ,;relit Card Visa **** 2360 143.57 Auth: 099439 X ------------- I I I -]URN POLICY (abridged version) I I I I * 30 Days for most items returned in I I original packaging and in resalable I I condition I I I I * 10 Days on electronic items, unopened I I software and charts in resalable I I condition I b I I + P Motors & Trailers, out goods, I I di orders and clearance items I I not returnable I I - I I For the complete copy of Defender's I return policy pleas(, visit the Terms of i I Sale section on our website I Thank You for your business! Invoice Order Reg Date Time - -------- ---------- ----- ---------- ------- 700476577 100480235 1 -n nR/nnign17 no.rp-- Amazon.com- Order 1118511884-4865035 Page 1 of 1 etaft for Order #121-8511884-4865035 Print this page for your records. Order Placed. August 10, 2017 Amazon.com order number., 111-85IM4= 005035 Order Total., $88,50 Not Yet Shipped Items Ordered, Price 1 of: Aervoe 710 White Lire Striper Spray PaInt - Lot of 1 $60.56 Sold by: Indo5trlaftpplles (aOW tors fele) Condition! New Shipping Addreps: Fishers Island Ferry District 5 Waterfront Park New London, CT 06020 United States Shipping Speed. Standard Shipping Payment Wormation Payment Method: Item(s) Subtotal; $80.$6 Visa I Last digits: 2360 Shipping SL Handling: $0.00 Billing address Total before tgxo $80.56 Fishers Island Ferry District Estimated tax to be collected; $0.00 P.0 Box 607 Fishers Island, NY 06390 Grand Total X88.56 United States To view the status of your order, return to Qr�er�M,M. C'onditlons of Use I f CNZ4a y_�Oc 1996-2017,Amazon.com, Inc. or its affiliates D v� http,s//WN'VW,',Imazon.coo/,gp/css/suriiniary/priiit.htii l/ref--oh�auiTpiYo00_?ie=1JTP8&orde,.. 8/10/2017 PG1SIrlpprT.ZT13ElZ8 Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SCJ Chealsea J 1 Cust 100202676 Fishers Island Ferry PO Box 607 Fishers Island NY 06390 ,ODD SEMI-AUTOMATIC SLIDER 3N650505 1 @ 134.30 134.30 Subtotal 134.30 Tax 8.53 v Total 142.83 v�� (* - Items are taxable) --------------- payments ---------------- Credit Card Visa **** 2360 142.83 " Auth: 099747 Y, Signature '\ I I \ RETURN POLICY (abridged version), I I 130 Days for moss items returned in ( original packaging and in resalable I I condition I * 10 Days on electronic items, unopened J I software and charts in resalable I I condition I I I * Boats, Motors & Trailers, cut goods., I I special orders and clearance items I I are not returnable I For the complete copy of Defender's I I return policy please visit the Terms of I I Sale section on our website ------------------------------------------ Thank You for your business! Invoice Order Reg Date Time 700477558 100481224 1 -0 08/11/2017 11:42am i G I� i More saving. More doing. 816 HARTFORD TPKE WATERFORD, CT 06385 RICH BRADLEY, STORE MGR „_t60)437--1900 6215 000O2 277T1_ 08?Tr^i- 11:20 AM CASH -R-JORDAN 6 8846000190 PAPER FILIER 4 STNDRD PLEATED PAPE R FOR RIDGID 3016.97 50.91 SUBTOTAL 50 91 SALES TAX 323 TOTAL $54.14 XXXXXXXXXXXX2360 VISA U5D$ 54.14 AUTH CODE 030740/0022971 TA Chip Read Verified By PIN AID AOOOOO00031010 V[SA CREDIT TVR 0000048000 IAD•06010AO3600002 TSI F800 ARC 00 P.O.#/JOB NAME: SHOP SUPPLIES _ � •III II IIIII slllllllillllllllllllllllllillilll�lllllllll 6215 02 27777 08/11/2017 3527 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON' A 1 ' 90 11/09/2017 THE HOME• )EPOI RESERVES THE RTGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR -DETAILS. BUY ONLINE PICK-UP 1N STORE- AVAILABLE NOW ON HOMEDEPOT.COM. CONVENIENT,_EASY AND MOST ORDERS PFADY -IN_[FF",¢ THAN ' HO!'P'�` Jon hane From: Amazon.com <auto-confirm@amazon.com> Sent: Monday, August 14, 2017 12:16 PM To: jon haney Subject: Your Amazon.com order of"Kenmore 5231F13779A Vacuum Bag". Order Confirmation Hello Jon Haney, Thank you for shopping with us. You ordered "Kenmore 5231 FI$779A Vacuum Bag". We'll send a confirmation when your item, ships. Details Order#111-2022482-6368239 -Xrriving:' Ship t1b, Mdrday,-AuqusUl Fishers bland eft District ThursdLy Augdst 24 -6 Waterfront,Park.- Za Total Before Tax:- $21-10 . -Estimated Tax: $1.34 Order Tdtal: $22.44 LLQ We hope to see you again soon. Amazon.com Buy 'it main tdl 3M Full Faceplecce Fxl 2"x150' Dot-c2 Reusable... Reflective 10 5,5 6 $37.06 The payment for Your invoice is processed by Amazon Payments,Inc P.O.Box 81226 Seattle,Washington ?8108.1226,If you need more information,please contact(866)216-1075 By placing your cider,you agree to Amazon com's Privacy Notice and Conditions of Use,Unless otherwise noted,items sold by Amazon com LLC are subject to sales tax in select states In accordance with the applicable laws of that state.if your order contains one or more items from a seller other than Amazon.com LLC,it may be subject to State and local sales tax,depending upon the sellers business policies and the location of their operations Learn more about tax and seller information. This email was sent from a notification-only address that cannot accept incoming email.Please do not reply to 1 Staples brand products. clow Budget. Above Expectations. THANK YOU FOR SHOPPING AT STAPLES STAPLES 292 US ROUTE 1 Shop online at www.staples;com New London, CT 06320 ! Get with the program. (860) 439-1872 Staples Rewards members get up to 5% SALE 1857983 A 001 36525 back in rewards and free' shipping every =0187 08/14/17 10:02 day. Exclusions apply, See an associate QTY SKU PRICE f 6 full program details or to-enrol,l", , REWARDS NUMBEF! 4150340240 For information on where Connecticut"',, 1 VAULTZ. BLACK CASH residents can go to recycle used 826030010020, 26,99 electronic devices, please visit Your Rewards Price $23,99 -3.00 http://www.ct.gov/dep/ewastedropoff or 1 VAULTZ ,BL'ACK CASH ' call this toll-free telephone number: 826030010020 26.99 1-888-424-4193. Your Rewards Price $23,99 -3.00 f SUBIOTAL 47.98 — Standard Tax 6.35% 3.05 I II III IIII III IIIIII�IIIIII III�II�II IIS II II I I I I TOTAL $51 .03 01870814173652501 VISA CREDIT USD$51 .03 Card No. : XXXxXXXXXXXY7.360 [C] Win a $50K scholarship ! Chip Read L�/,� Staples Fere- Students I Auth No. : 019199 N 1L sweepstakes AID. : AOOOOO00031010 JD'o ` Thank you for your purchase. :neer the following code for a chancE }��"`��' win a $50,000 scholarship and a trip Congratulations! You received special see Lady Gaga in concert! pricing on this purchase because you are a valued Staples Rewards customer. Remember !ways use your rewards number to earn cls and save at Staples! TOTAL ITEMS 2 Diane Hansen From: Polly Ford Sent- Monday,August 14, 2017 11:01 AM To: Diane Hansen Cc: Geb Cook Subject: Petty Cash Good morning Diane, We have purchased a small combination lock cosh box for petty cash swrage. Our thoughts are that it should be stored upstairs as access to petty cash should be done with management approval anyway,The combination for she petty cash box is 261. WPhave also purchased a 2nd one which will hold "pending envelopes".These include checks that are to, be shipped to FI (I.e. Oyster Farm).Also, checks that are shipped to NL for pick up by vendors(i.e. Red Bull, Ne Bever-age), This box will be kept locked in the bottom drawer of the freight counter. The combination to the pending envelopes box is 73�. Thank you, Polly Polly Ford Senior Freight Agent Fishers Island Ferry District W-442.0165 Invoice Page 1 of 2 Allen Watrous LLC Thank you, invoice paid Diving services 0/6/17 Invoice#000014 August 16,2017 YA Customer Fishers Island Ferry District rburns@fiferry.com Additional Recipients jhaney@fiferry corn Charlie Allen diving services rendered 8/6/17. Next dive planned 8/20 unless needed sooner. Dive Inspection of both Race Point and Munnatawrket ferries. $300.00 Race Point totally free of any debris,Munnatawket had rope in port wheel.Removed. credit card charges $10.00 Sub-Total $310.00 Total Due $310.00 W` VISA 2360 08/16/17, 10:22 AM https://squareup.com/invoices/ChQxNj c3NTY4ODA0OTI INzl5MDMxNRCAgLzKpsHV... 8/16/2017 Invoice Page 1 of 2 YF Allen Watrous LLC Thank you, invoice paid Dave job Sunday 7/23/17 Invoice#000013 August 16,2017 J Customer Fishers Island Ferry District lJy rburns@fiferry.com Additional Recipients jhaney@fiferry.com Charlie Allen diving services rendered Dove both Race Point and Munnatawket boats,both were clean $300.00 with no rope or debris in screws or bow thrusters. credit card fees $10.00 Sub-Total $310.00 Total Due $310.00 VISA 2360 08/16/17, 10:20 AM https:Hsquareup.com/invoices/ChMyNzY5MjIyMTYxOTk3MTk3NTMOEICAge2ivNUC... 8/16/2017 WA Q Order Acknowledgement- Quote Order 000000 407715-00 BROScj3 t N W2 LAI,3 915��N1 08/10/17 1 COD CONST CONN EHspy dance.T l Waldo Bros.Company 39 'CT 202 Southampton Street Boston,MA 02118 Phone:617-445-3000 Fax:617-427-5691 E-Mail:Sales@WaldoBros.com Web:www.WaidoBros.com M: Shirt Tse NY Municipality ., . lnstriietirsns '`. Attu Jon RE:Fishers Island Ferry Shfp-}?oJtit ;L7 t%ia�,°""qi O'rlt8ted .Shfppet! TBrt»S' New London,CT Waldo Bros.Company-CT eh Cash/Prepaid Ln' Product. Quantity'' Quantity.' Quantify Unit " Price Amount #.And Description, Ordered Backordered' Shipped Price . UM (Net)' 1 2231100 11 11 175.00 5GL 1925.00 5 GAL SHIELD M/MX-VOC CONPRO UN1993 FLAMMABLE LIQUID, OS (PETROLEUM NAPHTHA)PG3, OMBUSTIBL MATERIAL A 1993 1 Lines Total Qty Shipped Total 11 Total 1925.00 FREIGHT IN 75.00 Taxes 127.00 Invoice Total 2127.00 Last Page Customer Copy Page 1 of 1 Sales Order Conproco Corporation Order Number: 0048277 17 Production Drive Order Date: 8/15/2017 Dover NH 03820 Salesperson: 1000 Ph: (403)743-5800 Fax:(603)743-5744 Customer Number: WAL001 f , Sold To: Ship To: Waldo Brothers Fishers Island Ferry District 202 Southampton Street Attn:John Haney 860-442-0165 Boston, MA 02118 5 Waterfront Park New London,CT 06320 Cathy Freeman 1 Customer PO Ship VIA Freight Terms F.O.B. Terms Warehouse Estimated Ship Date 401820-00 Ross Express 3rd PTY COLLECT Origin Net 30 Bow 8/16/2017 Item Code Item Description Ordered Shipped Back Order UoM Weight SHMX05 CONPRO SHIELD MX-5 GAL 11 PA 498 CSPALLET Customer Service Weight Pallet ) ** LB 50 SSNC Pallets Returned Totals Weight(#'s) 548 Signature Print Name Date: ® CUSTOMER COPY C FISHERS ISLAND FERRY DISTRICT N 5 WATERFRONT PARK_ PO BOX 8908 PENACOOK,NEW HAMPSHIRE 03303-8908 I JOHN HANEY 860.442.0165 (603)753-4176•FAX(603)753-8614•N E WATS 1-800-762-5966 N NEW LONDON, CT 06320 Route#C10 NEW LONDON E ID: FISHNNO6 ` Page 1 of 1 HCONPROCO CORPORATION DELIVERY 1655 RIVER ROAD RECEIPT P BOW, NH 03304 , EN PRO NUMBER: 4552307 3rd PARTY R ID: CONPBWOI Phone: 603-743-5800 TRANSFERPICKUP DATE BILLER SHIPPER BILL OF LADING APPOINTMENT 08/16/17 WRR 2350953067 1" PLT PIECES H/M DESCRIPTION CLASS WEIGHT LBS RATE EXTENSION 1 11 PCS SHIELD MIX FAK 548 DO NOT STACK SKIDS 1 PALLET SPACE RATED AS 1 PALLET FUEL SURCHARGE 12% Ross Express will be closed Monday, September 4 in observance of Labor Day. 1 11 TOTALS i 548 CONCEALED DAMAGE MUST BE REPORTED WITHIN 5 DAYS ALL FREIGHT BILLS MUST BE PAID WITHIN 15 DAYS RECEIVED IN GOOD ORDER EXCEPT AS NOTED PCS RECD DRIVER NAME OR NUMBER DATE DELIVERED TIME IN TIME OUT SIGNATURE PRINTED NAME I jan hangy From: BatteryJunction.corn <orders@ batteryjunction.com> 6c, Sent: Thursday,August 10, 2017 1:26 PM rot- To: jon haney e- el ox Subject: Your Batteryjunction.com Order; 1060372 Has Been Placed c6co Order confirmation V Thank you for your order, J. This email confirms the receipt of your recent order with us. You can view the status of your order at any tin le at BATTERYJ UNCTION-1060372. Vied order status Thur�day,August, 10,2017 NAME CODE QTY PRICE Rayovac 94584 9700rnAh 6V Zinc Chloride (ZnCl) Heavy- RAYOVAC- 13 4.25 Duty Lantern Battery with Screw Terminals-Shrink Pack 945R4 Subtotal 65.26 Shipping 11.80 Tax 4.03 Discount Grand Total -SHIPS TO BILL TO Jon Haney RJ Burns Fishers IsImid Ferry District Fishor� Is(iind Ferry District 5 Waterfront Park P-0 Box 607 New London,c,r 06320 461 Trumbull Drive US Unitud States Fishers Island,NY 06390 860442,0165 US United stateS 860-442-01 015 fli,ancyCalfferry,corn You arp- receiving thi,5 email because you placed an order with BatteryJ u notion.corn Privacy Policy I Contact Us poismbprt.11534573 Defender Industries 42 Great Neck Road Waterford CT 06385 (860) 701-3400 Ent. By: SAK Autumn Kel Cust 100202676 Fishers Island Ferry PO Box 607 Fishers Island NY 06390 ---------------------------------------- TODD ANODIZED-ALUMINUM SPIDER 3N655343 1 @ 57.91 57.91 Subtotal 57.91 Tax 3.68 ---------------------- Total 61.59 (* - Items are taxable) ------ ----- Payments ---------------- ;relit Card Visa **** 2360 61.59 Guth:VO2,,403 signature ------------------------------------------- RETURN POLICY (abridged version) * 30 Days for most items returned in I original packaging and in resalable condition I * 10 Days on electronic, items, unopened software and charts in resalable I condition I ,� I Boats, Motors & Trailers, out goods, special orders and clearance items are not returnable I I ' j I For the complete copy of Defender's I return policy please visit the Terms of I Sale section on our website _ -- -;----------------------------------- ; Thank You for your business! Invoice Order Reg Date Time -------- --------- ----- ---------- ------- 700478435 100482102 1 -0 08/17/2017 10:49am c ) ' Sogolow Starter Alternator Works Sales Receipt 499 East Main Street Date Sale No. Norwich, CT 06360 8/17/2017 7781 Sold To Fishers Island Ferry 5 Waterfront Park New London, CT 06320 Check No. Payment Method VISA Qty Item Description Each Amount 1 SRI Starter Rebuild 375.00 375.00 Subtotal $375.00 N �p CO r Sales Tax (6.35%) $23.81 Y Q Total _ $398.81 51 Q 3; More saving. More doing, 816 HARTFORD TPKE. WATERFORD, CT 06385 RICH BRADLEY, STORE MGR. (860)437-1900 6215 00007 21654 08/18/17 09:19 AM CASHIER SABRINA 026156913568 4G ECHO P <A> 4G ECHO BACKPACK DIAPHRAGM 2@94.47 188.94 6948542300193 N95 DISPOSAB <A> 7.47 HDX N95 VALVE RESPIRATOR 3PK 731919555106 FG10PRNTRL <A> FIRM GRIP 10 PACK NITRILE COATED 2@10.00 20.00 051141332192 STL OUTDR <A> 3M OUTDOOR SAFETY GLASSES - TINTED 3@6.97 20.91 SUBTOTAL 237.32 SALES TAX 15.07 TOTAL $252.39 XXXXXXXXXXXX2360 VISA �l AU1H CODE 040000/3074144 USD$ Z5z TA Chip Read Verified By PI:: AID AOOOOO00031010 VISA CREDIT TVR 0000048000 IAD 0601OA03602002 J'�C TSI F800 ARC 00 P.O.#/JOB NAME: BLIUDING &- V /U/- TerminJ II_ILII(I»�' IIIIIIIIIIIIIIIII�I!IIIlI{Ill(!►II ___ � ILII 6215 07 21654 08/18/2017 7399 RETURN POLICY DEFINITIONS I POLICY ID DAYS POLICY EXPIRES ON A 1 90 11/16/2017 1HE HOME DEPOT RESERVES THE RIGHT TO LIMETRETURNDPOLICYTSIGN IN STORESEFORHE DETAILS. BUY ONLINE PICK-UP IN STORE CONVENIENT,LE NOW AND MOST ORDERS READY IN LESS THAN] ? mince on hone From: Amazon.com <payments-messages@ amazon.co m> Sent: Wednesday,August 23, 2017 6:39 PM To: jon haney Subject: Refund on order 111-2022482-6368239 Hello, We're writing to let you know we processed your refund of$; 2.44 for your Order 111-20224826368239 from Sears PartsDirect. This refund is for the following item(s): Item: Kenmore 5231F13779A Vacuum Bag Quantity: 1 ASIN: B073XW6LS4 Reason for refund:Account adjustment Here's the breakdown of your refund for this item: Item Refund:$21.10 Item Tax Refund:$1.34 We'll apply your refund to the following payment method(s): Visa Credit Car :$22.44 We've processed d for the above order in the amount of$22.44. Inmost cases,once a refund has been submitted,the issuing bank will post it to your account within 3-$ business days when issued to a credit card. Refunds issued to a k ank account or pin-less debit typically take 10 business days to reflect on the account balance.This time frame may vary from one financial institution to another. Have questions about our refund policy? Visit our Help section for more information: httP:!/www.amazon,comJrefunds We look forward to seeing you again soon. Sincerely, Amazon.com We're Building Earth's Most Customer-Centric Company http:/fwww,amazon.com Note:this e-mail was sent from a notificationRonly e-mail address that cannot accept incoming e-mail. Please do not reply to this message, z FILTRATION & FLUID Invoice TECHNOLOGY Division ofTrifax LLC Date Invoice# 9R Prospect Street 8/28f2017 9613 West Boylston,MA 01583 Bill To Ship To FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY P.O.BOX 607 5 WATERFRONT PARK 261 TRUMBULL DRIVE NEW LONDON,CT 06320 FISHERS ISLAND,NY 06390 ATTN. JOHN P. S.O.No. P.O.No. Terms Rep Ship Via 8129 VERBAL-JOHN P. -CREDIT CARD MRH SEE BELOW - scri tion Ordered -Backo[d.:': `.Invo'%ced Rate'_ 'Rmoiant - "Item _ _ -De p - _ VR2C.1306823 HYDAC CLOGGING 1 0 1 88.12 $8.12 INDICATOR_ SHIPPING&HANDLING,V�;,V."SHIPPING-&•FIANDLING SHIP UPS GROUND PREPAY AND ADD - - tiackin _ - B 1Z1768850356553184 _ :_ i pp, Q J� Subtotal $101.06 VX Sales Tax (0.0%) $0.00 Total $101.06 Phone# Fax# E-mail Payments/Credits -$101.06 508-835-3200 508-835-3222 filtrationtluidt@verizonnet Balance Due $0.00 I jA- THANK YOU FOR SHOPPING'Al j ISLAND HARDWARE INC i (631) 788-7233 THANK YOU FOR SHOPPING AT ISLAND HARDWARE!! I 8/03/17 8:17AM ISI552SALE _------ V- - 637275 l FA 3.19 EA -S��Lr,ac—�r„_i�KEY BLhPIh 6.38 1 T-r--49_EA Pit: C. ITEM SUE-;OTAL: 7.3b I r„'i .63 iLIAI : 7.0() BC AMI : $7.90 BK CW0#: XXL v\XXXXXX6764 ID: 062'204151997 RUTH: 042516 AMT: 7.99 Host reference #:40Lr21r Bat# SWIPED CARD TYPE:VISA EXPR: XXXX Trace # 034113 IIIII�IIlI�II��I�I��I�I�i��llll�il ==>> JRNL#EO0217 CUST # *5 s 1HA YOU GLORGE COOK OR YOUR PAIRONAGE I Name: j Acct: CASl CUSTOMER I I” I agree to pay above lc,tal :i+uount I I_ according to card issuer (merchant agreement if credit voucher) Customer Copy My Home Page 2 of 5 Payment Information Card on File: ;xxxx-xxxx-xxxx 6764 Expiration Date: 3/2020 Update Payment Information Account My Reports My Emails Contact If you have questions/comments please use one of the following categories: FAQs Testimonials Customer Care Business Development Reports Show 10 „ entries Search: #: Date: Name: Price: 1 08/10/2017 PDF- Background Check- Raymond G Lefevre $0.50 2 08/10/2017 Background Check Report- Raymond G Lefevre $19.95 ✓ lC { Showing 1 to 2 of 2 entries < 1 6 '9 Account C 01W My Reports My Emails Contact If you have questions/comments please use one of the following categories: hitps:// �eoplefmdm/myhome 8/21/2017 My Purchases I Intelius Page I of 3 2 PHONE BACKGROUND CHECK MORE. NAME MORE- - ORE �1 First Name M.i. Last Name(Required) City,State 0 Unlimited with your Premier Plus membership t t dna- 1— S -mor l _ �I (/people- (/reverse- / re ( R p ? InTELIU Receipt for Order#/120187973 Your Ver hasAeen ®cessad ears p ne- reccr S/ � _..ItomDescrlptio�n:.._._...._.,_ ,,.._�...., �Price��w-,�..----�.�:�.;z :-.:.�:.:-.. ..,�....�...�,.._,_ View re�.e9 tfpr your purchases i People SeaPeh lus Report $9.95 with Intelius Premier Plus Discount -($300) I Repert Typo Itemoubtotal $6.95 I Safes Tax. _$0.32..,__ Sayings Total _ 43.00) ( From,Dctc NATE: Tu cardstgtemen tshow his-line PCH" VdWS.COMIRT $7.27 t � To D - ..�.� Date _ ..__... �......_..,_.._._._ _____ .�_..�..._...�._,......�._.�.....f i I c org at -purchase History p@ar F�0trers-F5!and;N1F-0839 Ppv[pkRt jgrSnatian: i i Credit Card:VISA ending with 6764 ; Date:Aug 10,2017 10:54ANI PDT I 1 Order ID: 120187977 $0.00 �- --RcNorv-q'1•'Ka;-Saykgraurstf-?cport--..•--.-�.�....�........�...�._....�..�.-_,.�..._..._.....,.....,..�.�._.�,..._._�.�.._.� ..,_ .w.._.._,.,...._.�._...�.,, tfiaYB:A�19�1"0'2097"`t'0'�4ttt _ I i 1 $0.00 i I 2 Order ID: $31.34tasio� 120187976(/myaccountfpurchases/receiptl120187975) View Dashboard (Ftttps:ilisetvicEs.inteiis1P Report Type: Intelius Premier Plus Date:Aug 18,2017 2:08AM i View Receipt(/myaccount/purchases/receip $31 34 i hltps://wNvw.intelius.com/myaccouriUpurchases 8/21/2017 RACE ROCK GARDEN COMPANY, 705 MOSQUITO HOLLOW FISHERS IStAN,NY 06390 631-788.7632 �)8,,25i2017 10:14:15 ,Merchant ID: 54092495030091:: Device ID: 061f Terminal ID: PD061 CREDIT CARD VISA SALE CARD# XXX)O(XXY=676y TRANS# _ 0.01 Batch#: 6 Approval Code: 08046( ACI Code: N TRANS ID: 28723752484095a Entry Method: Swinec Mode: Onlint Tax Amount: $0A(• SALE AMOUNT $78,21 . THANK YOU! CUSTOMER COPY : _..._w.... .� .. R_ v ..terConneictV Refill Receipt Date: AUG 18 17 Time: 09: 50 AM Account Number : 39900634 ►Meter Number: 0593495 Postage in Meter : $242.140 Prepaid on account: $0.000 Refill Amount: $200.000 credit Line Available: .$0. 000 Gordon Murphy From: eBay <ebay@ebay.com> Sent: Friday, August 25, 2017 8:00 AM To: Gordon Murphy Subject: ❑ ORDER CONFIRMED: Boca Systems Micro P... Thanks for your order, Gordon! Your order is confirmed and we'll let you know when it's on the way. It will ship to 261 Trumbull Dr#607 Fishers Island, NY 06390 United States I 71t I Protected by / 111I�✓^'// � �/ f kUQ • I�� '1�'�:,:a` „fir"•. 'k''fW;.`1��'Y',,�q'�,�`�� v'R�'a: tom"'^ � ��,�,y •� rl zea >'-�'�=;u .�rE'`- :-::a.+ - s Mr:'•`":: .:tai y��'.A,o�i�;� sR^R�n�•'�w'�1`e«5 ,�s� ..•'«�`. �(��:r.�' .:Ai.nII±�i��:�'.vii �•4;�i hytil�o`)1>�§;�� Boca Systems Micro Plus 200dpi, PC Serial, 2" Item ID: 152586041668 Quantity: 1 Estimated delivery: Tue. Aug. 29 -Wed. Sep. 6 Paid: $222.19 with Credit card V Seller: gafana04. 1 Gordon Murphy From: service@paypaI.com Sent: Friday, August 25, 2017 8 00 AM To: Gordon Murphy Subject: Receipt for your payment to gafanaenterprises@gmail.com r ay Aug 25,2017 05.00.06 PL)J Rneipf No:2.204-2409-76-93-567R Hello Gordon Murphy, This email confirms that you have paid Sign Up for a Free Payl?al (gafanaenterprises@gmail.com ) $222.19 USD using •Account PayPal. 100% protection for buyers against unauthorized account This credit card transaction will appear on your bill as use "PAYPAL *GAFANAENTER". :j5 Your financial information is Now that you've completed your payment, sign up for a free never shared when you send PayPal account by clicking Sign Up Now below. You'll be a payment able to check out faster next time and track your payment r3 Free for buyers q�� history for all of the items you purchase on eBay. Sign Up blow! Payment Details Purchased From: Receipt ID:2204-2409-7693-5678 Item Quantity Price_ Subtotal' 152586041668 1 $169.00 USD $169.00 USD !Boca Systems Micro Plus 200dpi, PC Serial, 2" Shipping & Handling: $0.00 USD 1 (includes any seller handling fees) Shipping Insurance (not offered): -- Total: ($:2:22.19 This charge will appear on your credit card statement as "PAYPAL *GAFANAENTER". Payment sent to gafanaenterprises@gmail.com Business information Business: gafanaenterprises@gmail.com Contact E-Mail: gafanaenterprises@gmail.com Shipping Information Shipping Info: Gordon Murphy Gordon Murphy 261 Trumbull Dr #607 Fishers Island, NY 06390 United States Address status: Confirmed Receipt Number: 2204-2409-7693-5678 If you have been unable to resolve your questions with the merchant, PayPal offers a free buyer = complaint resolution service that offers a quick, easy resolution to your concerns. It covers physical goods purchases made through PayPal, and is offered at no charge when you register for a free PayPal account. To sign up for an account, click on the 'Sign Up Now!' link above. Keep your receipt number(shown above) for future reference. You will need to refer to this number if you need customer service from or from PayPal. 2 1 � FISHERS ISLAND FERRYDISTRICT VENDOR 002433 WILLIAM BLOETHE 09/26/2017 CHECK 4345 A FUND &'ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT t SM .5713.4.00.0.000 r 093017 MAIL TRANSPORT-3RD QTR 2,400.00 — ITOTAL 2,400.00 i i .. r.n ......: ..... .... .....a...:fin+ry S,i 'w�� ni... ?r:•`S.,',-.:,.:: Em•• ' ..wA'` m... � •. _ .cis:".�'!�h. - ..T.. w . 1 . i, ` ulp i•e 1 � I �:!°V� I - _ • o a e • • e e • c t FISHERS ISLAND FERRY DISTRICT. AUDIT 'p"9%z6%;i7',- ' 53095 MAIN-ROAD;FO BOX 1179 -SOUTHOLD,NY,1197,1-0959`== _ = _ _ '` CHECK-.-NO-.=.•,-,4345 •�, THE SUFFOLK.CO,'NATIONAL BANK rCUTCHOGUE,NY 11935, DATE, AMOUNT 50-5461214., :09,/'26/'2017;(' $2,400•.00` TWO`THOUSAND-FOUR• HU_ND_RED' AND 0 0/10 0 _DOLLA_RS_ PAY_ WILLIAM`BLOETHE TO,THE 'PO-BOX,-4'46' ORDER' ;, ' t. OF `FI$HERS.,_ISL�AND-_N! 06390 - _ 1, r ;u• I1000L, 345il' 1:021 L,0, 5t, 64i: 68, 001502 1u I - Vendor No. Check No. Town of Southold, New York - Payment Voucher 2433 !A Vendor Address Entered by P.O. Box 446 A- c Fishers Island, NY 06390 Audit Date William Bloethe SEP 2 6 2011 Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ® S®-'FEE 9/30/2017 $2,400.00 $2,400.00 Mail Transport SM5713.4.000.000 7/1 -9/30/17 Contract 1/1/16-6/30/18 G` $2,400.00 $2,400.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Signature ` Company Name Fishers Island Ferry District Date 9/13/2017 Title Date 0 Fishers Island Ferry District Maell The Board of Commissioners of the Fishers Island Ferry District hereby enters into a contract for services of island mail delivery with Mr. William Bloethe ("Contractor"). Term: 1 July,2016 -- 30 June 2018 $9,600 per annum paid in,arrears The following are the requirements of the contract: • Monday - Saturday pick-up mail at the ferry dock at 8:00 AM. • Monday— Friday pick-up mail at the Post Office at 4:OOPM. Saturday pick-up mail at the Post Office at 11:00 noon. • Mail delivered to the ferry at a special morning charter and/or at the mid-day ferry will also require pick-up delivery to the Post Office. • Deliver mail directly to the Post Office. • Deliver mail directly to the Post Office box at the ferry dock. • During transport mail must.be enclosed and protected. • The above duties MUST be adhered to on a daily basis. • Term of the contract will be for two (2) years, • Contractor must show proof of liability insurance naming the Fishers Island Ferry District as an additionally named party and proof of a workers compensation policy. This contract may be terminated by either party by written notification (return receipt) of no less than thirty (30) days, William Bloethe Fisher and Ferry District Date: f'' � '�kaa��ii®i ..•r,. .. � W.."Y ., I / . P>(•^a. '* 1 Y'. p J,: av t `, i FISHERS ISLAND FERRY DISTRICT VENDOR 003371 CITYOFNEW LONDON 09/26/2017 CHECK 4346 fit, A - FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.100 27360-0717 NLT WTR,SWR 4/3-7/3/17 2, 961..98 TOTAL 2, 961.98 a r At I m eF<'S t v5.» , ""• x:.u»'^ <fAw'� . r'> �Yl<p_ '••1,-��s:,o �„; v:aY:�'w::u:�3y�s-•�.,vr't+�{'.. .rd.5�,��. a:!�>'.��,t� , 't?I a•'r r ' t F + FISHERS-ISLAND.FERRYDISTRICT ,•AUDIT 0-9'-/'2- 6Y/17%, 53095 MAINIROAD;PO-BOX 11,79 SOUTH_OLD,NY)197,-t-o95s, '; .:' "CHECK=-NO 4'3.4 61 i I _ THE SUFFOLK CO.NATIONAL BANK, '< i CUTCHOGUE,NY 11935 DATE: AMOUNT ' 50T546/2J4„ _0.9/26/2,017- _ - $2,9161.9,8, ,TWO;;THOUSAND NINE'"HUNDRED SIXTY ONE AND 9,8-/100F DOLI;ARS = - = -�� ' ' L- -CITY, ,OF•�NEWLLONDON PAY,= = - , TO THE pEPT, ,OF'rPUBL'IC',UTZLI,-TIES-WATER. .� at" ._, r OF' BOX'=41'2 7.- _ - ,`�`, _ WOBURN,''MA :01,88,8,',4127 ii'004346ii' X1:021 05464 : 68 00IS0•12 III' L 3 r 4 Vendor No. Check No. Town of Southold, New York - Payment Voucher 3371 M-( .,- Vendor Address Entered b� P.O. Box 4127 Vendor Name Woburn, MA 01888-4127 Audit Date City of New London/Dept. of Public Utilities SEP 2 5 2017 Vendor Telephone Number 860-447-5222 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number -A3®337-02736 9/11/2017 $2,961.98 $2,961.98 water,sewer and Fire NLT SM6710.4.000.100 (371-7 4/3/17-7/3/17 4 k $2,961.98 $2,961.98 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded r discrepancies noted,and payment is approved q,."4 Signature Tale Signature 1-1 ,p� Company Name Fishers Island Feny District Date 9/15/2017 Tale Y Ute(/ .J Date Page 1 of 1 `n �r�P�p ALM City of New London Customer-Account Amount Due Department Of Public Utilities 039337-027360 $2,961 98 1,5" �\ 120 Broad Street Due Date Delinquent Date New London,CT 06320 09/11/2017 10/11/2017 N l Phone:860-447-5222 for customer service and 5 WATERFRONT PARK after-hours emergencies www.ci.new-london.ct.us 1 CF=t unit of usage=7 48 gallons Meter Read Dates Meter Readings Usage Average Daily Meter#- Size Read T' a Previous Current CF Das Usage(gallons) Yp Previous Current ( ) Y 0 60421510 1 1/5' Actual Read 04/03/2017 07/03/2017 36875 41500 46,250 91 3,802 Your Monthly Usage Account Summary• 50,000 Previous Bills $1,87476 45,000 71 Payment-Thank You -$1,87476 40,b00 Balance Forward $0.00 ,35,000 "'30,000 Water X25,000 New London Consumption 46,250 CF x $002065 $95506 20,000 15;000 NL Replacement Surcharge 46,250 CF x $000324 $i49 85 10,000 New London 1 5 Customer Facility $2474 5,000 Fire Service O^ 41" C� O� Fire-New London-4" Charge $10754 ;MESSAGES•` , Sewer Consumption 45,750 $003719 $1,701 44 Your Customer-Account Number may have changed Please Base Charge $748 be sure to include both numbers when using online bill pay to avoid additional penalties Customer Facility Charge $1587 Please make checks payable to-City of New London. Total Current Charges $2,961.98 Coming soon customer self service portal that will include online payment, paperless billing and account history TOTAL AMOUNT DUE: $2,961.98 To view the 2016 Consumer Confidence Report please follow `7S this link, X/ http 1/www ci new-london ct.us/content/7495/default aspx On behalf of the City of New London and O VEOIIA the Town of Waterford by "R CONTACT US: WATER&SEWER EMERGENCIES: 24 hours a day call 860-447-5222 BY TELEPHONE: Non-emergencies during normal business hours Monday-Friday 8.30am-4.00pm 860-447-5222 BY MAIL: Send correspondence(no payments please)to City of New London Department of Public Utilities 120 Broad St New London, CT 06320 BY EMAIL: watermeter@ci.new-london ct.us BY FAX: 860-437-6323 IN PERSON: Monday-Friday 8.30am-4 OOpm. Second floor of the Martin Center 120 Broad St New London. To view the 2015 Water Quality Report please follow this link: http'//ci new-london.ct.us/filestorage/7495/7518/7924/7926/Annual_Water_Quality_Report=_2015.pdf HOW TO MAKE A PAYMENT: Accounts not paid by the Delinquent Date are subject to interest from the Due Date (3%or$2 00 minimum per service)and 1.5%per month thereafter(18%annually). Unpaid bills will"result in a lien on the property. - ELECTRONIC PAYMENT iv When setting up the payment through your bank use include your utilities account number on the front of this bill and use this address City of New London Department of Public Utilities PO Box 4127 Woburn,MA 01888-4127 BY MAIL AM4Please use the enclosed return envelope to mail your payment If you've lost your envelope,mail payments to 6 PO Box 4127,Woburn,MA 01888-4127 IN PERSON/DROP BOX Payments may be made in person at our customer service center 11114 looted on the second floor of the Martin Center 120 Rrnarl Rt NPw 1 onrinn .. C7. rK{Lc• ,. •3^ .� r' ,"h:-77-'ttieeHle ., -Ir�' ®` .J � t FISHERS ISLAND FERRY DISTRICT V VENDOR 003891 CWPM, LLC 09/26/2017 CHECK 4348 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 1170211 REFUSE RMVL/NL-9/ 7J 455.01 1 � , TOTAL 455.01 r, r1,n 41 u'} w.4-. ,e mss,' `•'�`:•,,"�:.`••1,`�.�-'.:.'.:. `i�':e r''+b.•. < `.a I �— f I r _ ; FISHERS,ISLAND FERRY`DISIRICT ,AUDI�` :;09%2;6'/1-7r = 53095 MAIN ROAD,PO BOX 1179• "w t •l _ `SOUTHOLD,NY.'11971L0959'' \\, CHECK_NO'. =43:48: . _ THE SUFFOLK CO:'NATIONAL}B`ANK "\ CUTCHOGUE,WY,1-1935 DATE ,:". - -AMOUNT,,,, ,•t: 'o5asnla _ `' _ _,0,9/�'6/201,T._r - 455 Ol'. _ FOUR1)",FIFTY FIVE.;AND_ •'01/1.0'0' DOLLARS t PAY• T6 A�E PO.;-B'0 =.415' s OF' ' PLAINUZL'LE'•CT' 06062::,° P i 11500 348V 1:0 2 L40 54641: 68 00 L 50 � L J L J ' 0 Vendor No. Check No. Town of Southold, New York - Payment Voucher 3891 3 Vendor Address Entered by PO Box 415 Vendor Name Plainville, CT 06062 Audit Date CWPM, LLC SEP 2 6 2017 Vendor Telephone Number 860447-1473 To Clerk - Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number General Ledger Fund and Account Number 1170211 9/1/2017 $455.01 $455.01 Sep 2017 Refuse and Recy1cling SM5709.2.000.200 I $455.01 $455.01 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name Fishers Island Fegy District Date 9/12/2017 Title Date CWPM,LLC INVOICE Page 1 of 1 PO Box 415 Plainville,CT 06062 � Phone:1-888-966-CWPM Account Number j 12761300 Fax:860-793-2624 Invoice Date 9/1/17 www.cwpm.net Invoice Number 1170211 P.O Number Date Due 10/1/17 Previous Balance- $0.00 Current Charges $45501 FISHERS ISLAND FERRY DIST. Please Pay: $455.01 P O BOX 607 FISHERS ISLAND,NY 06390 ° I PLEASE DETACH HERE AND RETURN ABOVE PORTION wrrH YOUR PAYMENT USE REVERSE SIDE WITH ENVELOPE------- I COMMERCIAL E-INVOICE SEPTEMBER ActNbr. 12761300 SiteName:FISHERSISLAND FERRYDIST. STATE ST NEW LONDON,CT 06320 9/1/2017 MONTHLY SERVICES 7mi.00 $221 56 $221.56 9/1/2017 RCY MONTHLY SERVICES 1-00 1, $8522 $8522 9/1/2017 MONTHLY SERVICES 2.00 $4545 $90.90 This invoice reflects our yearly cost of operations incre ise i I Y J � i I CWPM,LLC , e Charges: $397.68 Elm PO Box 415 Taxes: $26.76 Plainville.CT 06062 $ass-ol $000 $0.00 $0.00 Fuel S Phone:1-888-966-CWPM wchazgI $23.85 Fax-860-793-2624 Finance charge: $672 www.cwpm.net Invoice Total: $455.01 TOTAL DUE: $455.01 j h, I 7 ®• a ° : — j,; FISHERS ISLAND FERRYDISTRICT VENDOR 004038 THE DAY PUBLISHING CO. 09/26/2017 CHECK 4349 # FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ;rr SM .5709.2.000.200 D00738510 MU—ENGINE RPLCMNT QUOTES 138.40--- TOTAL 138.401 co .• Y' 'S � ........ « s .«•. ..A.... 'E'inJ � '��-t,v..�%. �e4`,,:�y•�tY \� , •• � e � ..,.w ..or..a ... �.r.-.,...... -. . .:n. ..tis.E.:<. ,x .`xis.:A;l.`.,.Y3.�::::.....4,•.�..�.'�y =inti' �i...y NC• xi,,n Y � I FISHES ISLAND FERRY-DISTRICT' AUDIT';09'%26''/'T7 53095 MAIN,ROAD;PO BOX,1-179 �. SOUTHOLD,'NY 11911-095-91 _ CHECK N0: _ - .4 3A - -_ ,+, - -_ - •< - THE SUFFOLK CO.NATIONAL BANK - - !AMOUNTf ''�_• %^.CUTCHOGLIE,NY 11935, DATE; a•^ 09/26/2.Q,171 -$138•..4'0 t 50-546/214 _ - _ ONE 'HUNDRED`,THIRTY. EIGHT .AND' ,40/1'00 DOLLARS _ 1'= P14 Y-* THE DAY 'PUBLISHING CO. - TO'TH, 4'7 -_EUGENE'-,O'•NEILL'.DR�IVE'' ORDER OF PO,,BOX''12,3,1,; NEVI`LONDON_ CT,;,0632,0-1231 = _ - ,° 11'0 0 4 3 4 9110 , 1:0 2 1405L, 64l: E8) 00 L50 2 Lii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 4038 'A'34`9 Vendor Address Entered b 47 Eugene O'Neill Drive Vendor Name New London, CT 06320 Audit Date The Day SEP 2 6 2017 Vendor Telephone Number 860-437-7504 Town Clerk Vendor Contact /1 Invoice Invoice Invoice Net Purchase Order Number Date TotalDiscount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number x D00738610 8/30/2017 $138.40 $138.40 MU engine replacement request for quotes SM6709.2.000.200 i $138.401 $138.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been venfied with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature-,' Title Signature Company Name Fishers Island Ferry District Date 9/12/2017 Title Date a �� PLEASE RETURN UPPER PORTION WITH YOUR REMITTANCE REFERENCE#/ SIZE/LINES GROSS NET DATE DESCRIPTION PUBLICATIONS POI#'- or QTY AMOUNT OTHER AMOUNT Previous Balance $0.00 08/30/17 24320 LEGAL NOTICE Request for Qu DAY,DWB D00738510 2 Col X 23 $138.40 Lines Day Publishing Company 860-442-2200 Accounting Fax 860-437-7504 Community Classifieds-Toll Free 800-582-8296 Advertising Fax 860-437-8780 Day Publishing Company-Toll Free 800-542-3354 Classified Fax 860-442-5443 BILLING PERIOD ACCOUNT NUMBER CUSTOMERICLIENT 08/01/17-08/31/17 D24103 FISHERS ISLAND FERRY DISTRICT CURRENT DUE OVER 30 DAYS 60 AND OVER TOTAL DUE $ 138.40 $ 0.00 $ 0.00 1 $ 138.40 Payment Terms-Net End of Month A FINANCE CHARGE OF 1.5%PER MONTH ON ACCOUNTS NOT PAID WITHIN THE MONTH FOLLOWING PUBLICATION PUBLICATION Abbreviation Publication Title Abbreviation Publication Title ASP Aspire MSR Managed Services CCE Community Classified East MVT The Montville Times CCW Community Classified West MYT The Mystic Times CTF Connecticut Family NHC North Haven Courier DAY The Day N LT The New London Times DWB Digital Banners OSG Old Saybrook Guide EHC East Haven Courier PRO Digital Contest EML Email Advertising SCM Sound and Country Magazine GOW Go Westerly Magazine SGC Guilford Courier GRT The Groton Times SHN Harbor News HTJ Monster SND The Sound IMAG Digital Magazine SRC The Source IMS Digital Agency STT The Stonington Times - LGY Legacy Svc Valley Courier LYT The Lyme Times TRT The Thames River Times MCM Mystic Country Magazine WFT The Waterford Times Times Group Shore Publishing Weeklies The Groton Times, The Lyme Times, East Haven Courier, North Haven The Montville Times, The Mystic Times, Courier, Guilford Courier, Harbor News, The New London Times, The Stonington Times, The Sound, The Source, Valley Courier The Thames River Times, The Waterford Times Tearsheets are available online at ts.theday.com Contact your account executive for log in and password information. Paper tearsheets are available at the cost of$5.00 for each requested copy. oxtrBFRn] Pau �s 47 Eugene O'Neill Drive New London,CT 06320 860-442-2200 www.theday.com Classified Advertising Proof Order Number: d00738510 Gordon Murphy FISHERS ISLAND FERRY DISTRICT N/A FISHERS ISLAND,NY 06390 860-442-0165 Title:The Day I Class:Public Notices 010 Start date:8/30/2017 1 Stop date:8/30/2017 Insertions: 1 I Lines:0 ag Title:Day Website I Class:Public Notices 010 Start date:8/30/2017 1 Stop date:8/30/2017 Insertions: 11 Lines:0 ag A preview of your ad will appear between the two solid lines 24320 LEGAL NOTICE Request for Quotes The Fishers Island Ferry District requests quotes for Port and Starboard Main Engine replacement for the M/V Munnatawket The RFQ may be obtained or down- loaded from Fishers Island Ferry District website P,FQ/ RFP tab,or by contacting Mr RJ Burns at 860-442-0165 or rburps@flferry.com, Completed, sealed submissions shall be received by 1:30 September 8,2017 and can be hand-delivered or couriered to the Fishers Island Ferry District,Attn.M/V Munnatawket,5 Waterfront Park, New London,CT 06370 or mailed to the Fishers Island Ferry District, Attn M/V Munnatawket, PO Box 607, Fishers Island,NY.06390. E-mail submissions will not be accepted Submissions will be opened at 2.00 PM on September 8,2017 at the Fishers Island Ferry District terminal in New London,CT Contract will be awarded September 15,2017. Total Order Price: $138.40 Please call your ad representative by 3PM today with any ad changes. Salesperson: Sharon Foret Printed on: 8/29/2017 Telephone: 860-701-4292 Fax: 860-442-5443 Email:Legal@theday.com FISHERS ISLAND FERRY DISTRICT j VENDOR 004443 DOCKSIDE ELECTRONICS SVCE,LLC 09/26/2017 CHECK 4350 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION i AMOUNT SM .5710.4.000.000 — 11877 REVIEW SECURITY FOOTAGE 354.52 `( TOTAL'' 354.52 ' .....emw ... aia.6?E w.. ��.A^.iy.a�•y Fl ::•f.•:•SSo ,i k nor•' ..M•� �•+•4"•'''< ,wM=.. 'k'°h c,:::•"° .,_ate ..�;=.::�> �I.. ..-e d;.• ';,;,";��"��>', `i J:s � g.�.cj's."F� ...>c., • i ® o o � o 0 0 0 o r � - FISHERS,7SLAAD.-FERRYDIS*tOT'-_ AUDiT.`.09/_'2°6/1�. _ ---53095 MAIN,.ROAD;PO BOX 1.179 - ' SOUTHOLD'JNY,11971-0959 - ', _ CHECK'•NO:= `4350 h THE SUFFOLK'C0:NATIONAL BANK - ' COTCHOGUE,NY 11935 - DATE.. AMOUNT',- ' 50546/21'4 _ /,26/2QT,T = ''$3-54.52 09 o'"THREE,`Hh kED 'FIF_T' FOUR''`'AN 52/,1.0:0 DOLLARS _ PAY DOCKSIDE ELECTRONICS SVCE,LLC 5. 18 -oil FFORD' STREET' ; ORDER:a ii'00'43S011m 1:0'2 L4054641: 68 00 L50'2 1110 Vendor No. Check No. Town of Southold, New York - Payment Voucher 4443 - �A?) Vendor Address Entered by 18 Stafford Street Vendor Name Audit Date Dockside Electronics Service LLC Mystic, CT 06355 SEP 2 6 2011 Vendor Telephone Number 860-536-1919 Town Clerk Vendor Contact a Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 11877 9/6/2017 $354.52 $354.52 Review security footage SM5710.4.000.000 $354.52 $354.52 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Ct&�---4u-- Title Signature ^� Company Name Fishers Island Ferry District Date 9/15/2017 Title G _ Date ��7— ®exsd® DOCKSIDE ELECTRONICS Invoice SERVICE LLC _ax h 18 Stafford Street DATE INVOICE# Mystic, CT 06355 9/6/2017 11877 860.536.1919 BILL TO SHIP TO FISHERS ISLAND FERRY DISTRICT PO Box 607 FISHERS ISLAND,N.Y.06390 Boat Name P.O.NO. TERMS SHIP VIA FOB NET 30 ITEM QTY DESCRIPTION SERIAL NO. RATE TOTAL SERVICE 3 Review security footage 115.00 345.00 MILEAGE F... 1 Mileage Fee 4 S G , 9.52 9.52 l� Fax# E-mail Subtotal $354.52 860-536-9272 tim@dockside-electronics.com Sales Tax (6.35%) $0.00 All service calls are subject to a minimum charge of$115.A 50%deposit is required on all new installations. If final payment has not been received after 30 days of completion Total of services,the credit card we have on file for you will be billed the invoice total in $354.52 addition to a 3%service fee. :'�y.,g`r• , I FISHERS ISLAND FERRY DISTRICT VENDOR 005442 EMPIRE DENTAL 0'9/26/2017 CHECK 4351 I, FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 7034470 DENTAL PREM,(26) -10/17 2,114.88 TOTAL 2,114.88 .• , ir�l,'=�•»-F r. xvr..w.. .M•:Yn`vi?.. � 4�r .p,L-} v:li':; �.,Y` i 1 ..SeS ..y 5va ^1• -a tee; •� .,�r f ;a . I 1 ® 0 0 0 D 0 C 0 q r FISI�ERS ISLAND'FERRY-DISTRICT` ' 53095 MAIN ROAD,Po Box. 179 _ _ _ .AUD2T` 0,9•/26=/_17''` - SOUiHOLD,'NY:11971-0959' F ;CHECK_,"NO. 's'` ••�- TH6SUFFOLK COlNATIONAL'BANK CUTCHOGUE,NY-11 935 _ DATE .AMQUNT 'f? '0�9/26/201T_ :, - _ 1% .88-`- 50-54612 14' TWO,''THOUSAND ONE;''HUNDRIW FOURTEEN,AND;,8 8 00 ,DOLLARS 'EMPI•RE" DENTAL- -7 ENTAL' ^, TO 7'HEe DEPART MENT 1„8 3'7 OF03 31 ORDER'_ r; =kBOX 20,283 `7 '- F,.`, _ „ . _ J.} a' DALLAS TX 7,532 0-,283.7 '4 00435 Lli' 1:0 2 LLoo 5464i: 68,--00 L50 2 L►I', ' b Vendor No. Check No. Town of Southold, New York - Payment Voucher 5442 LA S51 Vendor Tax ID Number or Social Security Number Entered by PO Box 202837 Department 83703 Audit 1Wte Empire Dental Dallas,TX 75320-2837 SEP 2 6 207 Vendor Telephone Number 877-606-3409 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number, 7034470 9/14/2017 2,114.88 2,114.88 Oct 2017 Dental Premiums (26) SM9060.8:000.000 i F 2,114.88 2,114.88 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature itle Signature Company Name Fishers Island Ferry Date 9/15/2017 Title Date Empire INVOICE PAGE 1 BLUECROSS EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT - PO BOX 856 ACCOUNT ENY4561251 INVOICE 7034470 MINNEAPOLIS MN 55440-0856 BILLING DATE 09/14/2017 SUBSCRIBER PERIOD 10/01/2017 - 10/31/2017 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. t _ ,< —®— ,FISHERS ISLAND FERRY DISTRICT VENDOR 005738 EVERSOURCE 09/26/2017 CHECK 4352 A - FUND & ACCOUNT P.O.# INVOICE' DESCRIPTION AMOUNT J SM .5710.4.000.100 51981034010AUG NL TERM SVC-8/2-8/31/17 2;_135.91 I - TOTAL 2,135-.-91 . �•�i 5 y"3c,... ,�iv.Ie,�-,rr'..°et'a.:P.4- :l' :>.• 8.. k - .......`•'• " .,, ..s .+ :e�.�'••>� ., ••:G?rµ<.�•:.ryb,.cyq" 'ski✓ -�' e..> t ` t�T �4 ,f 'Flv I FISHERS ISLAND-FERRY DISTRICT. MAIN ROAD,-]O BOk'1179 _ AUDIT"'09'/2,6'/`17-'' SOUTHOLD,Nv la9710959 r 'CH8 K =NO. 4'352• '4 •�;v "I' THE SUFFOL`K'C0:NA710NAC BANK " CUTCHOGUE,,NY 11935 DATE,-'- 'AMOUNT 09 26/2017 $2`;'„13'5 91.'' ;t ;'I- -, _ -50=5467214- / - Tl lWO'-lTHOUS'AND.,-ONE�i HUtIDRED';':THIRTY,:FIVE AND 91/100DOLLARS + � - _ Irl..•.-,”- - - _t': - :� - - �,�Yr� � - 1 ,,AY' EVERS;OURCE H "PO';BOX`:,65'0032, _ ORJSE2, :DALLAS TX 7-5265-003'2' OFf ;. I _ o, 11000435211' 1:02 4�05464O: 68 OOL502 Lila - L -1 l J i t Vendor No. Check No. Town of Southold, New York - Payment Voucher 5738 t35 a Vendor Address Entered by PO Box 650032 Dallas, TX 75265-0032 Audit Date Eversource SEP 2 6 2Q1� . Vendor Telephone Number 888-783-6617 Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number F 51981034010 8/31/2017 $2,135.91 $2,135.91 NLT elec sery 8/2-8/31/17 ,,SM5710.4.000.100 Aub- . , f i b $2,135.91 $2,135.91 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Stgnatur" (f...s_A n-P Title Signature Company Name Fishers Island Ferry District Date 9/12/2017 Title - Date EVERS.'. URCE Account Number: 5198 103 4010 Statement Date: 08/31/17 Amount Due On 08/30/17 $2,423.78 FISHER ISLAND FERRY DISTRICT Last Payment Received On 08/28/17 -$2,423.78 5 WATERFRONT PARK Balance Forward $0.00 NEW LONDON CT 06320-6310 Total Current Charges $2,135.91 kWh/Day Supply Delivery 400- $15404.36 $731.55 Cost of electricity from Cost to deliver electricity 300- CONNECTICUT GAS&ELECTRIC from Eversource INC 200- 100- $0 $429 $858 $1,287 $1,716 $2,145 Sep Oct Nov Dec Jan Fob Mar Apr May Jun Jul Aug Sep 65* 52* 42* 32* 32* 34* 33* 51' 65* 66* 711 69* 0* Your electric supplier is Average Temperature CONNECTICUT GAS&ELECTRIC INC 222 MAIN ST FARMINGTON CT 06032-3623 866-568-0289 This month your This month you used average daily 11.3%less 113 % electric use was than at the 330.0 kWh same time last year USAGE News For You Did you know you can report an electric outage quickly and easily by texting OUT to 23129?Text REG to 23129 to enroll today.Visit Eversource.com to learn more. Remit Payment To:Eversource,PO Box 650032,Dallas,TX 75265-0032 CE 170831PPODTXT-90229-000002111 E V E R S".`.URCE Account Number: 5198103 4010 Customer name key:FISH FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK Electric Account Summary NEW LONDON CT 06320-6310 Amount Due On 08/30/17 $2,423.78 Last Payment Received On 08/28/17 -$2,423.78 Balance Forward $0.00 a a s o o a ] o , Current Charges/Credits Electric Supply Services $1,404.36 Meter° Current Previous Current Reading Delivery Services $731.55 Number Read Read Usage Type Total Current Charges $2,135.91 Total Amount Due $2,135.91 892582072 44021 43065 956 Actual Total Demand Use=26.20 kW w 956 X Meter Constant of 10=9,560 Billed Usage � - - ;•" �-, ' ' Supplier(CONNECTICUT GAS&ELEC) Sep Oct Nov Dec Jan Feb Mar Generation Srvc Chrg** 9560.00kWh X$0.14690- $1,404.36 11170 9560 9170 10080 9280 8500 8910 Subtotal Supplier Services $1,404.36 Apr May Jun July Aug, Sep 11070 10390 8370 8420 11180 9560 Delivery(DISTRIBUTION RATE:030) Contact Information Transmission Dmd Chrg 24.200 X$8.45000 $204.49 Emergency:800-286-2000 Distr Cust Srvc Chrg - , $44.25 www.eversource.com Distribution Dmd Chrg 24.200 X$12.37000 $299.35 BusinessCenterCTQeversource.com Revenue Adj Mechanism 9560.00kWh X$0.00136 $13.00 Pay by Phone:888-783-6618 CTA Demand Chrg 24.200 X$-0.02000 -$0.48 Customer Service:888-783-6617 FMCC Delivery Chrg 9560.00kWh X$0.00955 $91.30 Comb Public Benefit Chrg* 9560.00kWh X$0.00791 $75.62 Distribution Adj Chrg*** 9560.00kWh X$0.00042 $4.02 Subtotal Delivery Services $731.55 Total Cost of Electricity $2,135.91 Total Current Charges $2,135.91 CE_170831PROD.TXT-90230.000007111 EVERS.',�.URCE135-9-1 Total ' Account Number: 5198103 4010 by'11 '/30/17 t Customer name key:,FISH FISHER ISLAND FERRY DISTRICT 5 WATERFRONT PARK NEW LONDON CT 06320-6310 Continued from previous page... Supply Rate Dollars/kWh 015 01- 005- o4— Sep 10050Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Demand Profile Max.kW Demand 35- 30- 25- 20 5302520 15- 10 5 0 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep ' 1 2 CE_170831PROD TXT-90231-000002111 FISHERS ISLAND FERRY DISTRICT VENDOR 006155 FEDEX - 09/26/2017 CHECK 4353 's FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 J f 5-924-99899 AP(4) ,PAYROLL(3) 195.44 TOTAL 1195.44 t' t •• :-::^'4;•:3..dv:5:^::•.:o=isCi^'-`•:0^4:4-:a^-??:•:•••.•i^:4.°vW. - v.h4^.hv• - ".; :e;:d;:•` `v ri?:" " ,a, . : cC•. xv •'•':«S :fi ,;df' ik°pv'i< e.3,F,« 4 ::i'F;« `t' i I - / } I ® . , :. FISHERS'ISLAND FER1?.YDISTRIT ` jUDiT - 53095 MAIN ROAD„PO BOX 1179 ” / /' SDUTHpLD,NY 1,1971-0959 CHECK NO: - "43'53' ,`' - THE'SUFFOLK CO.NATIONAL BANK • _ +' •`'' ° _ .I CUTCHOGUE,NY,1;1935', DATE AMOUNT, = '; 50-5461214.. _09/202'07.'7; $195.4 1 HUNDRED NINETY FIVE AND'44/1100 DOLLARS „r7 PAY, -FEDEX': PO' BOX,''3114 61' ORDER+ PIT,TSBtMGH ',PA 15250-7461 = _ 11.004353110 1:0 2 L405464I: 68 00 L50 2 1115 Vendor No. Check No. Ic Town of Southold, New York- Payment Voucher 6155 M) Vendor Address Entered by P.O. Box 371461 Vendor Name Pittsburgh, PA 15250-7461 Audit 15de c� Fedex SEP 2 6 2013 Vendor Telephone Number 800-622-1147 E�Cjierk Vendor Contact Mo r Invoice Invoice Invoice Net Purchase Order i Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number, 1 5-924-99899 9/11/2017 $195.44 $195.44 AP(4) PR(3) SM5710.4.000.000 i ` F $195.44 $195.44 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been venfied with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature+„V Title Signature /�^ Company Name Fishers Island Ferry District Date 9/15/2017 Title /�/_ Y \ Date ® Invoice Number Invoice Date Account Number Page 5-924-99899 Sep-11,2017 1206-0334-5 j 1 of 6 Billing Address: Shipping Address: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRYTERMINAL Invoice Questions? ACCOUNT PAYABLE 5 WATERFRONT PARK Contact FedEx Revenue Services PO BOX 607 NEW LONDON CT 06320 Phone: (800)622-1147 FISHERS ISLAND NY 06390-0607 M-F 7 AMto 8 PM CST Sa 7 AM to 6 PM CST Fax: (800)548-3020 Invoice Summary Sep 11,2017 Internet: www.fedex.com FedEx Express Services Transportation Charges 206.53 Base Discount -17.71 Special Handling Charges 6.62 Total Charges USD $195.44 TOTAL THIS INVOICE USD $195.44 c You saved$17 71 in discounts this period! Other discounts may apply. Detailed descriptions of surcharaes can be located atfPdPx.com Invoice Number Invoice Date Account Number Page 5-924-99899 Sep 11 2017 1206-0334-5 2 of 6 Adjustment Request Fax to (800) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons,including service failures,should be submitted by going to www.fedox.com or calling 800.622.1147. Please use multiple forms for additional requests. C Please complete all fields in black ink. n Requestor Name I L I I I I I I I I I I I I I I I I I I I I I I I I I Date W/ W/ W t A Phone WWW -I I I I - I I I I I Fax# WWW -I I I I -WWWW c E-mail Address ❑Yes,I wantto update account contactwith the above information. Tracking Number BIII to Account $Amount ellllllllllllllll IIIIIIIIII I ' IIIII• W b. IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W � IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W 11111111111111111 IIIIIIIIII IIIIII• W sLlllllllllllllll IIIIIIIIII IIIIII• W c ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other 0 DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.tedex.com or call OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) C Tracking Number Code $Amount LBS L W H r e l I I I I I I I I I I I I I I I I I I I I I I I I I• W WWWWWx1 1 1 1x1 I I I d,l I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I Ix 1 I I I X1 I I t l I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I IX1 I I Ix1 1 1 1 S I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I IX1 I I Ix1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I Ix1 1 1 lXl I I I Fe'-c F o Page Invoice Number - Invoice tate Account Numwer � 5-924-99899 Sep 11 2017 1206-0334-5 3 of 6 FedEx Express Shipment Summary By Payor Type FedEx Express Shipments(Original) Rated Special Might Transportation handling Ret Chg/Tax PayerTiMe Shipments lbs Charges Charges Credits/Other itiseennts Tetal Charges Shipper 2 2.0 77.89 2.65 -3.51 77.03 Recipient 5 4.0 128:64 3.97 -14.20 118.41 Totalled iExpress 7 6.0 9206,53 $6.62 41711 $195,44 TOTAL THIS INVOICE USD $195.44 1252-01-00-0015629-0002-0040070 Invoice Zlumber Invoice Date Account number Page 5-924-99899 Sep 11,2017 1206-0334-5 4of6 FedEx Express Shipment Detail By Payor Type(Original) Ship Date.,Aug 18,2017 Cus€.Rei:.:NO REFERENCE INFORMATION RefJ2: Payor:Shipper RAN: • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 375%to this shipment • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 810997041489 KASIAASMOLOV LAURAARENA Service Type FedEx Standard Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTHOLD-ACCT DEPT Package Type FedEx Envelope 5 WATERFRONT PARK 54375 MAIN RD TOWN HALL ANNEX Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight N/A Declared Value USD 10000 Transportation Charge 21.95 Delivered Aug 21,2017 14 36 Declared Value Charge 000 _ Svc Area A8 Discount -351 Signed by L.ARENA Fuel Surcharge 0 69 FedEx Use 023067013/200% Total Charge USD $19.13 Ship Date:Sep 05,2017 Gust.Ret;NO REFERENCE INFORMATION Ref#2: Payor:Shipper Ret.#3 • Fuel Surcharge-FedExhas applied a fuel surcharge of 3 50%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipmentfor correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak. Automation AWB Sender Recipient Tracking ID 610997041490 KASIAASMOLOV LURA ARENA Service Type FedEx First Overnight FISHERS ISLAND FERRY TERMINAL TOWN OF SOUTH OLD ACCT DEPT Package Type FedEx Pak 5 WATERFRONT PARK 54375 MAIN ROAD Zone 02 NEW LONDON CT 06320 US SOUTHOLD NY 11971 US Packages 1 Rated Weight 2.0 lbs,0 9 kgs Declared Value USD 10000 Delivered Sep 06,2017 09.31 Transportation Charge 5594 Svc Area A8 Declared Value Charge 000 Signed by C VANDOR Fuel Surcharge 196 FedEx Use 024893602/6/_ Total Charge USD $57.90 Shipper Subtotal USD $77.03 Ship Date:Aug 11,2017 Cus€.Rei,:NO REFERENCE iNFOHMATION Ref.#2: Payor:Recipient Ref-ft • Fuel Surcharge-FedEx has applied a fuel surcharge of 3 25%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 808844240529 DIANA WHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF S0UTH0LD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 10 lbs,0.5 kgs Delivered Aug 14,2017 09 29 Transportation Charge 26.59 Svc Area A9 Discount -266 Signed by N WHITE Fuel Surcharge 078 FedEx Use 022359222/1486/_ Total Charge USD $24.71 I& 1252-01-00-0015629-0002-0040070 FecF�Ko. Invoice Number Invoice DAccount Number Page ate 5-924-99899 Se 11 2017 1206-0334-5 5 of 6 Ship Date:Aug 16,2017 Cust.Rdf.c NO REFERENCE INFORMATION Ileflz, Payer:Recipient Ref#3 • Fuel Surcharge-Fed Ex has applied a fuel surcharge of 375%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service.Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 811669302000 LAURAARENA GARDAN MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT / Package Type FedEx Pak 53095 ROUTE 25 5 WATERFRONT PK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight 10 lbs,0.5 kgs Delivered Aug 17,2017 09 55 Transportation Charge 2659 Svc Area A4 Discount -266 Signed by D EAGAN Fuel Surcharge 0.90 FedEx Use 022841803/1486/_ Total Charge USD $24.83 Ship Elate;Aug 24,2017 Cust.Ref.NO REFERENCE INFORMATION ON Ref.#2; Payer;Recipient Ref,, #3 • Fuel Surcharge-FedEx has applied a fuel surcharge of3 50%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 808844240507 DIANA WHITECAVAGE GORDON MURPHY Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1.0 lbs,0 5 kgs Delivered Aug 25,2017 09.42 Transportation Charge 26.59 Svc Area A9 Discount -2.66 Signed by B.BOB Fuel Surcharge 084 FedEx Use 023660410/1486_/_ Total Charge USD $24.77 Ship hate:Aug 30,2017 trust.Ref:NO REFERENCE INFORMATION Rt f.#2. Payon Recipient Ref#3: • Fuel Surcharge-FedEx has applied a fuel surcharge of 3 25%to this shipment. • Distance Based Pricing,Zone 2 Automation AWB Sender Recipient Tracking ID 811669301996 LAURAANENA GORDON MUPRHY / Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FI FERRY DISTRICT V Package Type FedEx Envelope 53095 ROUTE 25 5 WATERFRONT PK Zone 02 SOUTHOLD NY 11971-4642 US NEW LONDON CT 06320 US Packages 1 Rated Weight N/A Delivered Aug 31,2017 10 27 Transportation Charge 22.28 Svc Area A4 Discount -356 Signed by N WHITE Fuel Surcharge 061 FedEx Use 024253368/186/_ Total Charge USD $19.33 Ship Date.,Sep 07,2017 Cust,Rel'.:NO REFERENCE INFORMATION Re02. Payer.Recipient lief#3 • Fuel Surcharge-FedEx has applied a fuel surcharge of350%to this shipment • Distance Based Pricing,Zone 2 • FedEx has audited this shipment for correct packages,weight,and service.Any changes made are reflected in the invoice amount • The package weight exceeds the maximum for the packaging type,therefore,FedEx Envelope was rated as FedEx Pak Automation AWB Sender Recipient Tracking ID 810601922141 DIANA WHITECAVAGE DIANE HANSEN Service Type FedEx Priority Overnight TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT Package Type FedEx Pak 53095 ROUTE 25 FISHERS ISLAND NY 06390 US Zone 02 SOUTHOLD NY 11971-4642 US Packages 1 Rated Weight 1 0lbs,0 5 kgs Delivered Sep 08,2017 09 55 Transportation Charge Qom/ 2659 Continued on next page 1252-01-00-0015629-0001-0040069 Invoice Number Invoice Date Account Number Page 5-924-99899 Sep 11 2017 1206-0334-5 6 of 6 Tracking ID:810601922141 continued Svc Area A9 Discount -266 Signed by B.BOB Fuel Surcharge 0.84 FedEx Use 025058986/1486/_ Total Charge USD $24.77 Recipient Subtotal USD $118.41 Total FedEx Express USD $195.44 1252-01-00-0015629-0001-0040069 FISHERS ISLAND FERRY DISTRICT VENDOR 006485 POLLY FORD 09/26/2017 CHECK 4354 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.000 091517 REIMB-TWIC UZZYIYHFY6 125.25 TOTAL 125.25 Ci rt t it ` " , `•r•',+', ? g ` - y?J s x ,a• e I' jJ r +l , I i I 1 I I 1; ` •L- I ' Y I f - I tri i.F 0 0 ® o • e B ® • D ` f FISHERS-I5I:AIVD:FERRY-D STRICT 53095-MAIN'ROAD,PO BOX 1179 — { SOUTHOLD,NYJ197,1.0959 __ -4 'CHE,CK NO 3 5'4 THE SUFFOLK CO:^NATIONAL BANK''_ -'CUTCHOGUE,•NY 11935 -DATE,,,- AMOUNT a' 09;x'I2'6' 2017,' _ 50=546/214 / :ONE -:T HUNDREDWENTY, FT_VEWiAND.-25%1^00 -D'OL'LARS PAY.' ,fPOLLY, FdRD ; 1-6,-NE, TUNE _AVE dRDER: , = 'NEW./LONDON-CT 0-6-3 0-. 12 ' OF'' 11.00435411' 1:0 2 140 54641: ''68 00150 2 111' Vendor No. Check No. Town of Southold, New York - Payment Voucher 6485 3 Vendor Tax ID Number or Social Security Number Entered by 76 NEPTUNE AVENUE Audit D e POLLY FORD NEW LONDON, CT 06320 Vendor Telephone Number 7017 ITown Clerk Vendor Contact ° Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ! (-)q�517 -RSM 9/15/2017 $125.25 $125.25 TWIC Reimb UZZY1YHFY6 SM5710.4.000.000 , $125.25 $125.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly . been paid,except as therein stated,that the balance therein stated-is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature a Signature Company Name Date 9/15/2017 Title Date IdentoGO (1006) 106 Truman St. New London, Connecticut 06320-5632 U m i Universal E N OR 0 L L Credentials will be shipped to i ' pp I j ; �qynature 76 Neptune Ave New London, Connecticut 06320-2836 IIMPORTANT NOTE: j Date OW 15/2017@10 34 AM lstomer POLLY C FORD ! Service status is available at: I 1 _ ID UZZY1YHFY6 http:/luniversalenroll dhs gov I 1, Services If you have not been contacted by TSr TWIG- Enroll � $12525 within 75 days after enrollment, please c10 contact Customer Support by calling: SubTotal �� $125 25 1-855-DHS-UES1 Total: $125.25 (1-855-347-8371) 1 F c�,r, If ycu do not contact customer support, x--rlit a d -nding 1n (755F,) $12525 you ++,ay be required to re-enroll and pay the enrollment fee again. Please Amount Paia. $125.25 mate that iso refunds are given. 1 I cret.:: +;iorization By s1gr,,ng, I - \AorphoTrust USA and/or their agenic to charge my credit card for service(s) performed and/or products purchased I agree that I will pay for this pur-hase in accordance with the issuing bank cardholder agreement I II FISHERS ISLAND FERRY DISTRICT VENDOR 009682 GOOSE ISLAND CORP 09/26%2-017 CHECK 4355 FUND )& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM ,.5709.2.000.200 353778 20.829 GAL GAS-9/9 79.13 _SM .5709.2.000.200 \ 353778 10.168 GAL DIESEL-9/9 40.66 TOTAL 119.719 co Fair _ - - FISHERS ISL AW FERRY DI_STRI_CT _ -- AUnITF 0'9% 53095 MAIN'ROAD,PO BOX) ' g o S.OUTHOLD,<NY11971-0959'; = GHECK"NO •'4'355 'THE S606F K`CO. NATIONAL BANK _ i. CUTcH0GUE',Nv 11935 DATE, .AMOUNT' ,09%`26/2.017` _ :$'119.:79 50 546/214 = . :ONE--HUNDRED NT((NETEEN, ,AND` T9/°100 •DOLWS le ;r c./t s ,i. ^• t _ .. - 'n' { V 'r= •'L>`t`, 3 PAY :GOOSE-ISLAND -CORP , I -TTE-_-DBA- ISLp.ND; SERVICE ST-AT-ION =- ORDER' '-P'O',BOX' ' 9' OF' FISHERS, •ISLAND.NX•,•-063-90=0,049_ j ii®0043551, !:Or2 L4054641: 613 OO L50 2 L Vendor No. Check No. Town of Southold, New York - Payment Voucher 9682 , H355 Vendor Address Entered by 1633 Central Avenue Vendor Name P.O. BOX 49 Audit ate Goose Island Corporation Fishers Island, NY 06390 SEP 2 6 2017 Vendor Telephone Number 631-788-7311 To Clerk Vendor Contact s Susan Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services . General Ledger Fund and Account Number 353778 9/9/2017 $119.79 J9,Z9 FI fork(10 gal) F-350(10.829) 3.799 SM5709.2.000.200 Tractor(10.168 gal)@ 3.998 3 ,s-& 'Cr Cis,— E $119.79 $119.79 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature 1( - 1f A —itle Signature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date �� Gdose 1sl"and Corporation Invoice 1633 Central Ave#49 Fishers Island,NY 06390 Date Invoice# 9/9/2017 353778 Bill To FI Ferry District P.6 Box H Fishers Island,NY 06390 P.O No. Terms Project Net 10 Description Qty Rate Amount 87 Octane Gasohol 20.829 3.799 79 13 It Low Sulfur Diesel 10.168 3.999 40 66 Gas 2-5 gallon cans,forklift&Truck Diesel 2-5 gallon cans Tractor l/ ov Subtotal $119.79 Sales Tax (0.0%) $000 Total $119 79 Payments/Credits $000 Balance Due $11979 a T r t - ' I Goose island Corporation P.O. Box 49 Fishers Island, NY 06390 I 631-733.7311 CUSTOMER'S ORDER NO PHONE 1 I NAME s ADDRESS CASH COD CHARGE N ACCT MDSE RET'D PAID OUT � g I I I I GAS Qtl,.,�s �- TAX SOLD BY RE D BY E PRODUCT 6097 All claims and r urned goods MUST be accompanied by this bell. 353778 THANK YOU ! F''e . W ' FISHERS ISLAND FERRY DISTRICT VENDOR 013054 MAPLE PRINT SERVICES, INC. 09/26/2017 CHECK 4356 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.400 3800 p (500)ENVELOPES 87.00 i TOTAL ( j 87.00 i .. i .;\ .>--«.s.<- ,....wr ..s ... .._<+. .,. ',. ~e,fi ^ ycvG;<7 a'•'"L;'•''"•'_'.-2:''.•:pij; 'r:•::•ryn l iyr N . , •Siv 9ti:: '?:^ 4..- ,y. """' •y'' .. tom'` - ••'Y Z' . '..>r a.}_ 'm , ':e,.4T vf' Y: a' ^tiffs` a`'P !,•e y .i ;,.)s•..«.*<;aiT' '`,gx„- "'`,r4 f'nr^ u `•.`^^«.i ^°^-I r.. / 4' FISHERS ISLAND FERRY DISTRICT ;AUDIT';`0°9/; •53095 MAIN'ROAD;' R, \' PO'BO 1•t79 = j SOUTHOLD,NY-11971-095.9 `_ -_ !CH13CK NO` _-=_4356= - -_-- e -THE SUFFOLK, a CO:.NATIONAL BANK vd'.( - CUTCHOGUE,NY 11935 DATE AMOUNT' 50-546/214 _ 8 7 0'0 a i'•EIGHTY SEVENd'AND= 00%100' DOLLARS „ PAY MAPLEc PRINT, SERVICES,INC. ;t` TD THE,__ 3:9'^1%,2-;WEDGEWOOD'DRIVE.,BO% 19.9 OF JEWET_T';CITY-;CT--•06-35-1 ii'00435Gill 1:0 2 1LsOS L, PAI: 68 00 L50 2 ' Lli' Vendor No. Check No. Town of Southold, New York - Payment Voucher 13054 4 0A5r, Entered by 39-1/2 Wedgewood Drive Box 199 Jewett City, CT 06351 Audit Date Maple Print Services, Inc. SEP 2 6 2017 Vendor Telephone Number 860-381-5470 Tovja Clerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3800 9/12/2017 $87.00 $87.00 Envelopes (500) SM5710.4.000.400 $87.00 $87.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signatur k/�,L ))ZL41&_�Title Signature Company Name Fishers Island Ferry District Date 9/13/2017 Title Date p / Maple Print Services Inc. ,99-1/2 Wedgewood Drive Box 199 a Jewett City, CT 06351 (860) 381-5470 I NVOICE INVOICE# 3800 DATE 09/12/2017 DUE DATE 10/12/2017 TERMS Net 30 BILL TO SHIP TO Fishers Island Ferry District Fishers Island Ferry District attn: Accounting Fishers Island Ferry District PO Box 607 attn: Gordon Murphy N.Y. 261 Trumbull Dr. Fishers Island, NY 06390 Fishers Island, N.Y. 06390 Please detach top portion and return with your payment. ACTIVITY - ry OTY W AMOUNT Printing 500 87.00T #10 self seal envelopes SUBTOTAL 87.00 V TAX(0/o) 0.00 TOTAL 87.00 BALANCE DUE $87.00 10 Visa, MC and Discover accepted. .e Ya' C _ FISHERS ISLAND FERRY DISTRICT r' VENDOR 013564 MCMASTER-CARR SUPPLY CO. 09/26/2017' CHECK 4357 ' A I FUND & ACCOUNT P.O.#> INVOICE DESCRIPTION AMOUNT SM .5709.2.000.200 45328433 NLT-HEX NUT,WASHRS;SCRWS 72.01 TOTAL C 72.01 ht J r} ri ♦t C` N : .. : .A:.•`n".,.v ..,.ti. .,... _ ..Aw .va..x.n c:i,J .:.eCZ•:•' ::F.: ' : L . -. yam`" •rte ) 'j = I i \ .y • • p 0 p 0 D 0 D 0 D t _ FISHERS-ISLAND`FERRY DISTRICT, _rAUDIT .',09/'2 -- 53095 AIN ROAD,PO BOX 1179 - - i - ,- - -- + _ - - - - SOUTHOLD;'NY 11s i-DSSs - :CHECK'NO. 4357 ® _ - „. 31 THE SUFFOLK CO.NATIONAL BANK AMOUNT-; CUTCHOGUE,.NY 1,193,5, 'DATE , - = 50-5461214 - 'O9/22.017 SEVENTY;',TW0 ''AND'••01/1'0:0_ DOLLARSx,{ _; _ - •l PAY_, ,MC,MASTER-`CARR'SUPPLY CO. ORDLR'' CIL -6A680-76.90-' - 68 003150 2 1i ' 0004357ol 1:0 2 X40546411: Vendor No. Check No. Town of Southold, New York - Payment Voucher 13564 'A 3 5 7 Vendor Address Entered by P.O. Box 7690 Vendor Name Chicago, IL 60680-7690 Audit Date McMaster-Carr Supply Co. SEP 2 6 2017 Vendor Telephone Number 609-689-3000 Town Clerk Vendor Contact u4 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 45328433 9/6/2017 $ 72.01 $72.01 NL I— ma nt supplies SM5709.2.000:200 $ 72.01 $72.01 Payee Certification Department Certification ----- The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature. i Title Signature Company Name Fishers Island Ferry District Date 9/15/2017 Title Date invoice 609-689-3000 609-259-3575(fax) nj.sales@mcmaster.com Purchase Order 0906MFRANCO Total $72.01 Invoice 45328433 Billed to Invoice Date 9/6117 FISHERS ISLAND FERRY DISTRICT Y P O BOX 607 Payment Terms 2% 10, Net 30 FISHERS ISLAND NY 06390-0607 Deduct$1.32 on merchandise if paid by 9/16/17. Shipped to Mail Payment to McMaster-Carr Fishers Island Ferry District PO Box 7690 5 Waterfront Park _ Chicago IL 60680-7690 New London CT 06320 Your Account 260910000 Mike Franco placed this order. Line Product Ordered Shipped Balance Price Total 1 92620A964 Zinc Yellow-Chromate Plated Hex Head Screw, 2 2 0 22.64 4528 Grade 8 Steel, 1"-8 Thread Size, 5"Long, Fully Packs Per Pack Threaded, Packs of 1 2 94895A038 High-Strength Steel Hex Nut, Grade 8,Zinc 1 1 0 12.56 12.56 Yellow-Chromate Plated, 1"-8 Thread Size, Packs Pack- Per Pack Of 10 3 91104AO49 Zinc Yellow-Chromate Plated Steel Split Lock 1 1 0 8.07 8.07 Washer for 1"Screw Size, 1.024"ID, 1.656"OD, Pack Per Pack Packs of 10 Merchandise 65.91 Shipping 6.10 Total $72.01 Packing List Shipped Weight Carrier Tracking 8227617-01 9/6/17 71b UPS Ground 1 ZO835200364740595 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 474 46Y McMASTERmCARR. � Packing List 200 New Canton Way Fishers Islan( Ferry District Purchase Order Page 1 of 1 Robbinsvdle NJ 08691-2343 5 Waterfront Park 0906MFRANCO 609-689-3000 New London �CT 06320 09/06/2017 Order Placed By nj sales@mcmaster com Mike Franco McMaster-Carr Number 8227617-01 Line Product T Ordered Shipped 1 92620A964 Zinc Yellow-Chromate Plated Hex Head Screw, Grado 8 Steel, 1"-8 Thread Size, 5"Long, 2 2 Fully Threaded, Packs of 1 I Packs 2 94895AO38 High-Strength Steel Hex Nut, Grade 8, Zinc Yellow-Chromate Plated, 1 -8 Thread Size, 1 1 Packs of 10 Pack 3 91104AO49 Zinc Yellow-Chromate Plated Steel Split ock Washer for 1"Screw Size, 1 024" ID, 1 656" 1 1 OD, Packs of 10 ;;, .,° Pack I I I I I � I I I I I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I I I =i 1e I I I I I I I I 628 FISHERS ISLAND FERRYDISTRICT VENDOR 013682 PETER MROWKA JR. 09/26/2017 CHECK 4358 FUND & ACCOUNT P.O.#J INVOICE DESC2IPTION AMORT l SM .7155.4.000.000 2757A BALANCE DUE-BILGE PUMP( 100.00 TOTAL 100.00 .14 I / I ' r:y Q pEMO p B & : T FISHERS°•ISLAND FERRY DISTRICT` AUDIT'-0 9/2 6/:17 53095 MAIN ROAD;POBOX 1179 " $OUTHOLD,NY 11971.0959; _ _ "CHECK NO:. ".43581-'- t tHE SUFFOLK,CO.NATIONAL•BANK AMOUNT; CUTCHOGUE;'NY 11935 DATE 9/ /2 17 100''00= •r .',I" 50 546/214- 0 2 6 0 ONE ,11 DRD'J*p,"00/100' DOLLARS PAY PETER MROWKA JR- TO R.. "• `r= TO THE •DBA PETE"'S HEATING &' PLUMBING ' ORDER ;95 'MEETINGHOUSE -LANE; LEDYARD ,CT 016339 01502 111 '- i '004 3 58ii' 1:021405L,641: 68 ;0 ' i i • I � R Vendor No. Check No. Town of Southold, New York - Payment Voucher 13682 � 35T Vendor Tax ID Number or Social Security Number Vendor Address Entered by 95 Meetinghouse Lane Vendor Name Ledyad, CT 06339 Audit Date Pete's Plumbing and Heating SEP 2 6 2017 Vendor Telephone Number 8601287-3782 Town Clerk Vendor Contact Pete ' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2757 8/22/2017 $100.00 $100.00 Bilge pump dehumidifier SM7155.4.000.000 $100 not on previous warrant $100.00 $100.00 Payee Certification Department Certification The undersigned((Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Title Signature Company Name FI Ferry District Date_ 9/14/2017 Title ate r Invoice Fetes Heating &Plur Bing 95 Meetinghouse Lane m.,,,.., ,_.. ._,,.... ....,, Ledyard, QCT 06339 _Date _ Invoice.- 86o.a87.378a 8/22/2017 2757�._,_ __ ._J Bill To Fishers Island Movie Theater Description Amount Labor-supplied and installed a new bilge pump and installed a new dehumidifier 150.00 I Materials 175.00 j Tax J 1 i 1 i y� I 'Gaal j Pete's Heating&Plumbing,LLC 40126-W Diane Hansen From: Gordon Murphy Sent: Thursday, September 07, 2017 3:50 PM To: 'Arena, Laura'; Diane Hansen; Kasia Asmolov Cc: Whitecavage, Diana Subject: RE: Pete's Plumbing and Heating Totally bad math on my part. Please pay the$225 and we will resubmit the same invoice for$100 on the next run. Pete has our tax exempt form, but always forgets. G From: Arena, Laura [mailto:lauraa southoldtownny.govl Sent: Thursday, September 07, 2017 3:35 PM To: Gordon Murphy; Diane Hansen; Kasia Asmolov Cc: Whitecavage, Diana Subject: Pete's Plumbing and Heating Good Afternoon, Please see attached. On the invoice I see that the tax was crossed out but the other two items remaining I am getting a total of$325.00 when added together, not the$225.00 that is on the voucher. Please advise. Thank You, La4.wca1Are+ia1 Account Clerk Typist Town of Southold PO Box 1179 Southold, NY 11971 PH: (631)765-4333 FX: (631)765-1366 1 FISHERS ISLAND FERRY DISTRICT VENDOR 014021 NATIONAL PARTS SERVICE, INC. 09/26/2017 ( CHECK 4359 A FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT •• I SM .5710.2.000.200 CR110505 CRDT-RFND CORE DPST-5/22 11.00- SM .5710.2.000.200 121626 RP-MAIN-GAUGE,SENDERS 123.96 SM .5710.2.000.000 121873 MU/RP-GAUGE,OIL FILTERS 275.67 1 SM .5770.2.000.200 122003 RP-MAIN- (2)SENDERS 37.98 " ` - i, SM .5709.2.000.200 122557 PAINT FOR NEW FORKLIFT 23 .99 TOTAL 450.60 r 't .I_. 77, , w F'V'...eki` , ,x✓"` rodf .F:-f'<"" xM.'V+'.,:,K.k'rn. •Y ' :rt«. rx.^., J rY 07 t'r l ' —fes • , _FISHERS ISLAND FERRY DISTRICT AUD= '09,j:26/ 7 ` 53095-MAIN ROAD„PO.BOX 1179; = SOUTHOLD:_NY 1,19 n-os5s CHECK NO,e 4359” ^a THE SUFFOLK CO.NATIONAL BANK CUTCHOGUE,,NY 11935 DATE. ;AMOUNT, so-5a5tzia; QV2017= r $450.60 'FOUR HUNDREb•'FIF,TY AND 60`/100 DOLLARS`-, PAY:, ,NATIONAL =PARTS SERVIC_E,, INC.'- TD TIE 150' BRIDGE'=STREET• Ox, ;,GROTON 'CT 0.6340' ii'004359lie 1:0 2 LL.054P3LX 68 00 L50 2 L ' L• _ r I Vendor No. Check No. Town of Southold, New York- Payment Voucher 14021 Vendor Address Entered by 150 Bridge Street Vendor Name Groton,CT 06340 Audit Date NAPA SEP 2 6 2017 Vendor Telephone Number 860445-8181 Town Clerk Vendor Contact C�' 0. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number CR110505 5/22/2017 $ (11.00) $ (11.00) RP core deposit "SM5710.2.000.200 121626 9/1/2017 123.96 123.96 RP Ma n�uii�plies SM5710.2.000.200 cs 122003 9/7/2017 37.98 37.98 RP Main Suupples SM5710.2.000.200 121873 9/7/2017 $275.67 $275.67 Mu/RP Maint Supplies SM5710.'2.000.000 122557 9/13/2017 $23.99 $23.99 Paint for new frklift SM5709.2.000.200. f $450.60 $450.60 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved Signature @�,y�Title Signature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date /� National Parts Service Inc. 150 Bridge Street Groton, Ct. 03640, CT 06340 ACCT # SOLD TO DATE- TIME STORE # EMP # INVOICE # -------- ------------------------------------------------------------ ---------- ---------- ------------ -------- ----------- 1297 Fishers Island Ferry District 05/22/2017 10:38 200001180 35 110505 PO Box 607 PURCHASE ORDER # ATTENTION ------------------------------------ ---------------------- SR # 261 Trumbull Drive 0 Fishers Island, NY 06390 TAX EXEMPTION: REPRINT AD TERMS: Net 20th Credit Memo 18 ANTICIPATED: PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL' ---------------------- ---- ---------------------------------------- ------------ ------------ ------------ ------------------ 213-4011A RAY Core Deposit -1.00 11.00 11.0000 11.00 CR This item was purchased on invoice # 110480 05/22/2017 J � RESERVE ONLINE Subtotal 0.00 PICKUP IN STORE TABLE 1 6.3500% 0.00 QUICK AND EASY % 0.00 TOTAL 11.00 CR*** SIGNATURE All goods returned must be accompanied by this invoice [National 00001180 - Parts Service Inc. Time: 15:15 Invoice Number 1216261 [NAPM 50 Bridge Streetroton, Ct. 03640, CT 06340 Date: 09/01/2017 860) 445-8181 ° Page: 1/1 $ 1 I 1297 r Employee: 33 Joe ® Fishers Island Ferry District Sales Rep: 0 Salesman j PO Box 607 Accounting Day: 1 11 ® 261 Trumbull Drive — -- - --- 1 t e Fishers Island, NY 06390 I _Paxt Number bane` _ 1�ascriptiaxz Quarstity� 1?rae' het Tota7g 701-2130 _ )BKµ GAUGE ._..^ ry 1.00' 78.86 _. 41.9900; 41.99 701-1830 1BKGAUGE 1.00 56.98 29.9900 29.99 i 701-1810 ':BK SENDER 1.00 34.14 17.9900 17.99 � 701-1823 BK ',SENDER 1.00< 64.58 33.9900: 33.99 g Delivery: Subtotal 123.96 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: Terms: Net 20th Customer Signature Charge Sale 123.96 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY 1 CUSTOMER COPY 200001180 National Parts Service Inc. Time: 14:34Invoice Number 122003` 150 Bridge NAPA '� Groton, Ct.Street 03640, CT 06340 Date: 09/07/2017 I�'Il�l�ltlllltl�lltlll�llllllllllllllll (860) 445-8181 1 Page: 1/1 s _. 1297 Employee: 35 Erik Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 t Accounting Day: 5 a 261 Trumbull Drive Fishers Island, NY 06390 Farb Humber La zzegl, ` 77escriptiarz �._._ `<.' luantity Pr3 ce, .ilet Total i" LL "m m 2.00 35.54 ry 18.9900 - 37.98 701-1813 )BK SENDER Delivery: Subtotal 37.98 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: w Terms: Net 20th Total 37.98 _.. Customer Signature Charge Sale 37.98 Wk ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 )�.�..�.._._.,.....�. .._.�. ._ .._.._._,.� National Parts Service Inc. Time: 08:48 Invoice Number150 Bridge 121873 .cs treet Groton, Ct.S03640, CT 06340 Date: 09/07/2017 jIIIIIIIIIIIIIIIIIIIIIIIIIIIitll�llllllll FNAPA� (860) 445-8181 P Page: 1/1 1297Employee: 7 Strickland Fishers Island Ferry District Sales Rep: 0 Salesman PO Box 607 Accounting Day: 5 ® 261 Trumbull Drive Fishers Island, NY 06390 �� Part„Number Line _:.. Description _,6 Quanta ky , Price l�et� _ Total 701-1831 BK ;GAUGE 1.00 84.54, 44.9900 44.99 { 1970 IFIL 'NAPAGOLD OIL FILTER i 6.00 47.561 23.7800 142.68 IR 1792 FILNAPAGOLD OIL FILTER 4.00 44.00; 22.0000 88.00 :R a Delivery ... .-_ w- _ Subtotal 275.67 Attention: JOHN Y//l TABLE 1 6.3500% 0.00 Tax Exemption: PO#: �J Terms: Net 20th Totaht -,-,275. 67; Charge Sale 275.67 Customer Signature , ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY 200001180 National Parts Service Inc. Time: 09:17 Invoice Number 122557 INAPA� � 150 Bridge Street II�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII� � Groton, Ct. 03640, CT 06340 Date: 09/13/2017 (860) 445-8181 � Page: 1/1 1297 _ Employee: 35 Erik. Fishers Island Ferry District ( Sales Rep: 0 Salesman '• PO Box 607 Accounting Day: 10 _ ) ® 261 Trumbull Drive -..-•- _ • -.-._ _ -- - 77 i t ® Fishers Island, NY 06390 I Part Number;. ",Lane' _._.`Desarip"tion Quaritityll, price Net Total. I PT53A ;MS ° _ACRYLIC ENAM INTERMIX 1.00 37.36# 23.9900 W 23.99 153 -9379-3877938 GRAY Delivery: Subtotal 23.99 Attention: TABLE 1 6.3500% 0.00 Tax Exemption: PO#: MIKE Terms: Net 20th I _ TO�.a f 23 . Customer Signature Charge Sale 23.99 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS IN RESERVE ONLINE PICKUP IN STORE QUICK AND EASY CUSTOMER COPY C FISHERS ISLAND FERRY DISTRICT i I I VENDOR_ 014144 NU LOOK CLEANING SERVICE 09/26/2017 CHECK 4360 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT ;?,+ I SM .5710.4.000.600 212 JANITORIAL SVC-8/28-9/8 362.50 X32 TOTAL 362-- 50 ' I I - 't --®-- I :'£:'<>r'<•"•e::w *"";,; . 'Nia:::i; = - —`rte+-. .. 1.7'i , x..i'F• ':`id r`'`>:'`r r ;:$3 x'14:ki. FV;. .• ,/{ I Ste` ..<x ry ..-.x v ..... ,r.ws ..- "` "•,x—'-.-" r .nl.,, ,k.'✓, ,.T ' Q r i 'fn I ' 1 i ••1, i o I , I I 1 am on • • ® a • o ® o o a t' ;+ FISHERS ISLA'1VD'FERRY'DISTRICT= , _ . AUDIT,,,' 0'9/j2'6 ;1T• -_ _ _ 53095 MAIN ROAD'PO BOX 1179 _ " v ':SOUTHOLD,NY;l,197-1-0959 CHECK NQ': _ ;; k3,6O,' -THE SUFFOLK C0:NATIONAL BANK r 1 CUTCHOGUE,NY111935, j -DATE AMOUNT' 50-5ascz7a' _ 0'9/26/201,7: . $,362..5'0 = _` THREE'-HUNDRED_ S I-'XTX_ TWO-'AND,5 0/100 DOLLARS' PAY -NU_'LOOK._CLEANING SERVICE TOlIE,' b63' OLD,COLCHESTER COLCHESTER'_'RD: - - ORDER, _SALES,',CT 0 X42{0 ;' - F „ 11000It360118y 1:0 2 1405464I: 68 001502 Zii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 14144 L �o�} Vendor Tax ID Number or Social Security Number Vendor Address Entered by 663 Old Colchester Rd Vendor Name Salem, CT 06420 Audit Date NU Look Cleaning Service SEP .2 6 2017 Vendor Telephone Number 860) 859-3624 Town Clerk Vendor Contact /jn' Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 212 9/8/2017 $362.50 $362.50 Janitorial Services 8/28-9/8/17 SM5710.4.000.600 $362.50 $362.50 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature � Signature 5 4-111 Company Name Fishers Island Ferry District Date 9/15/2017 Title Date NU LOOK CLEANING SERVICE Invoice 663 OLD COLCHESTER ROAD SALEM,CT 06420 (860)859-3624 • 9/8/2017 212 BILL TO- P.O. BOX 607 FISHERS ISLAND,NY. 06390-0607 ATTN: ACCTS. PAYABLE P.O. NUMBER ' • Due on receipt 1 • DESCRIPTION • JANITORIAI, SERVICES FOR 2 WEEKS-AUG.28=SEPT:8 - " " - - _ 362.50 _ -362.50 - - k ,. -" _ __ - •q _ 'vim "p4, "� __.y V„ ..a,,,x„.^.^ -�„�;,� �r �ra,;�§Fy�,r:�"!a •a� -��F .Fra.,,�,k�_ � �,.�,...:r� �wR,�.�. �a"r-ht�"'�;,1tw„�'yi(' Y1,V�V(•Y�1,sa�uN�ni ri^f1,r ..�„��r,a,E�1^.,..a 3 G - - - wu.,wr,a,w,.:rx�,.�m...,�,�.-e.�, _ _ � r,rxp,„�, '„�$.w�'g,�kY 'r 4k�;,f `ta^”`+�,v�i'�`.�"i:7 g✓;'g'i�,:a; _ ^� a - k E Thank you for your business. - - TOTAL $36 tAR� FISHERS ISLAND FERRY DISTRICT VENDOR 016171 PENN WEST TOYOTA LIFT 09/26/2017 CHECK 4361 i FUND & ACCOUNT P.O.# INVOICE-I DESCRIPTION AMOUNT r SM .5709.2:000200 17-373- 00211097 TOYOTA FORKLIFT-8FGU25 30,366.00 TOTAL 30,366.00 - i xj<vr<zMv t. rt ux..na va a w.: i .(,Kt.'.n •^ C '; .. ' 3,::3:"... .b ...,.„f• a, :. .... ...,, m . .', rx .. r ,r of F - ' .. :... - s.;.,rte .. °:«ti <. «%;i•' '',r-;so <9'< >G.'^""t;:,.: ::.'; .,. ,_,,, ' r I I 1 FISHERS ISLAND FERRY DISTRICT AUDI `0 9/2'6/17' - 53095 MAIN ROAD,°PO e0X T179 ® ',SOUTHOLD,,Nv i1971-0959 _ CHECK NO, ,` :4361` - = THE SUFFOLK C0:NATIONAL BANK CUTCHOGUE,NY 11935 DATE AMOUNT- , 0'9/26/2017. _ $-3b” 6 50-546/210.,:, 6,.00! THIRTY-`THOUSAND THREE 'HUNDRED SIXTY SIX AND-_0'0/10 0,-`DOLLARS': - r' i P,AY, `PENN_'WEST, TOYOTA LIFTS _ TOTIiE':' ;168' ESTEC",DR3VE bItDER OF' ,MT,. -PLEASANT PA`15 66 6 = ` 11.0043'6 lum 1:0 2 140 54641: 68 00 L50 2 1 ' Vendor No. Check No. Town of Southold, New York - Payment VoucherLA� !3G Vendor Tax ID Number or Social Security Number Vendor Address Entered by 168 Westec Drive Audit Date PennWest Industrial Trucks LLC Mt.Pleasant,PA 15666 SEP 2 6 2017 Vendor Telephone Number TD4Nm Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 00211097 8/29/2017 $30,366.00 $30,366.00 `��J7J� Toyota forklift NLT SM6709.2.000.200 $30,366.00 $30,366.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature a-- Title Signature Company Name Fishers Island Ferry District Date 9/12/2017 Title Date PENNWEST INDUSTRIAL TRUCKS, LLC DBA PENNWEST TOYOTA LIFT 168 WESTEC DRIVE MT PLEASANT PA 15666 (724) 696-2350 (724) 696-2370 Account# Order # Brc Sls Date Invoice # Page 200636 241791 100 000 I N V O I C E 08-29-17 00211097 1 Sold To: 000 Ship To: FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT 261 TRUMBULL DRIVE 261 TRUMBULL DRIVE FISHERS ISLAND NY 06390 FISHERS ISLAND NY 06390 Ship Via Entered By Customer Purchase Order Customer Contact Ord Date MOONEYP GEB COOK 08-29-17 Model Serial Number Equip ID Customer Job number Customer Phone # 8FGU25 81906 N1770465U Ord Ship B/O Part Number Description Unit Price UM Extended NOW SELLING A POWERED PALLET TRUCK 3300 LB CAPACITY FOR A GREAT PRICE SALES@PENNWESTLIFT.COM FOR MORE INFO 1 id# N1770465U SELL PRICE 30,366.00 model-8FGU25 serial#-81906 TOYOTA LIFT TRUCK Sub Total 30,366.00 PA Sales Tax Number - 0.00 D� a SALES - NET DUE WITHIN 10 DAYS OF INVOICE DATE. Total Invoice RENTALS - NET DUE FIRST DAY OF EACH RENTAL PERIOD. Due By: 30,366.00 PARTS, SERVICE AND CONTRACTS - NET DUE 30 DAYS. 09/08/17 REMIT TO PENNWEST INDUSTRIAL TRUCKS, LLC 168 WESTEC DRIVE MOUNT PLEASANT, PA 15666 Southold Town Board- Letter Board Meeting of April 25, 2017 RESOLUTION 2017-373 Item# 5.17 ADOPTED DOC ID: 12980 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO, 2017-373 WAS ADOPTED AT THE REGULAR MEE'T'ING OF THE SOUTTYOL D TOWN BOARD ON APRIL 25,2017: RESOLVED that the Town Board of the To-%m.of Southold hereby ratifies and approves the resolution of the Fishers Island Ferry District Board of Commissioners dated April 17, 2017 in regard to Penn West. a f 404�4& Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Evans, Russell ABSENT: Robert Ghosio ,xenerated April 27, 2017 Page 32 FISHERS ISLAND FERRY DISTRICT April 17,2010 Forklift RESOLUTION 2017-066 Whereas management has received and reviewed three quotes from vendors, (Penn West, Continental Lift Truck and Northland Industrial Truck Co.)to supply a forklift and Whereas these vendors have either GSA or NYS contracts and Whereas management recommends acceptance of the Penn West quote for a Toyota unit based on quality, history and local servicing,Therefore it is RESOLVED that the Board of Commissioners of the Fishers Island Ferry District accepts the quote of $30,761 from Penn West for a Toyota forklift and authorizes general manager Mr. George Cook to execute all contracts and ancillary documents, subject to review by counsel. Moved by: Commissioner H Burnham Seconded by: Commissioner P Rugg Ayes: W. Bloethe, H. Burnham, P. Rugg Nays: None PennWest Toyota Lift PennWest 168Westec5666-2 Dr 58 Mount Pleasant,PA 15666-2758 ALL Phone:724-696-2350 Fax:724-696-2370 www.pennwestlift.com To: GSA-Fisher Island Ferry Date: March 29,2017 5 Waterfront Park Our Ref: 40641843 New London,CT 06320 Attn: Geb Cook We respectfully submit this quotation for the following NEW Toyota Internal Combustion Lift Truck(1 each): Toyota...Proud to be the world's #1 forklift manufacturer! TOYOTA MODEL 8FGU25,Internal Combustion Lift Truck, quality engineered with the following specification: • Pneumatic Tires • LP Gas Powered-UL Type"LP" Rating This forklift is equipped with a 3-Way Catalytic Muffler System as standard equipment,and conforms to current Federal EPA and California ARB regulations for off-road large spark ignited engines. SYSTEM OF ACTIVE STABILITYTM(SAS) Toyota's industry exclusive System of Active Stability(SAS) helps reduce lift truck instability by electronically monitoring and controlling various functions of the lift truck. a • Active Control Rear Stabilizer:Various lift truck sensors simultaneously monitor vehicle speed,fork height,load weight, and vehicle yaw(or angular T acceleration). Should the operator inadvertently place the truck in a potentially unstable lateral condition,the sensors trigger the SAS controller to activate the Active Control Rear Stabilizer to help reduce the likelihood of a lateral tip over. (Note:Does not apply to dual drive configured models) Photo may portray optional equipment not included in your • Active Mast Function Controller(AMC): Should the quotation. operator inadvertently place the lift truck in a potentially unstable longitudinal condition,these same sensors trigger the SAS controller to activate the AMC,which limits forward tilt and/or tilt back speed to help reduce the likelihood of a longitudinal tip over. AUTOMATIC FORK LEVELING Toyota's Automatic Fork Leveling feature increases productivity while reducing damage with a push of a'button. By depressing the Automatic Fork Leveling button during forward tilt,operators are quickly and easily able to level the forks. TOYOTA ENGINE Engineered to the highest standards of quality,durability, and reliability,your Toyota 8-Series lift truck is outfitted with the industry's most respected industrial engines. - 1 - GSA-Advantage March 29,2017 40641843 ULTRA COMFORT 4-WAY ADJUSTABLE,FULL SUSPENSION SEAT WITH NON CINCHING SEAT BELT Operator comfort is taken to a new level with Toyota's Ultra Comfort 4-way adjustable,full suspension vinyl seat. With lumbar,weight,tilt,and almost 6 inches of fore/aft adjustability,your operators will be comfortable and productive throughout their shift. Standard Non-cinching seat belts provide additional comfort in applications requiring frequent reverse travel. Mast 3-Stage(FSV)mast with full free lift provides excellent visibility to load and fork tips,while providing smooth,quiet and consistent operation. Mast specifications: Maximum Fork Height—167.2 Overall Lowered Height—77.4"-+/-1.6" (Overhead Guard Height—79.1"-nominal+/-1.6") Free Lift- 3.0.5" with standard Load Backrest Lifting Capacity Base Model Capacity-5,000 lbs. @ 24" load center Actual Capacity,based on quoted specifications,-4,650 lbs. @ 24"load center to 170.5"MFH Actual capacity ratings stated above are based on standard features, options, and attachments available through Toyota at the time of quoting.Non-standard features, options, and attachments may affect actual capacity ratings. Please contact your Toyota sales representative for additional information. Tilt 6 degrees forward and 6 degrees backwards Carriage ITA Hook Type,40" Carriage Forks Forks 48" x 5" x IN' - Class 11 Load Backrest 48" High Load Backrest Attachments 3 Way Valve(With 3rd Function Internal Hosing) Speeds Travel Speed: 11.20 mph Lift Speed: 118 fpm Engine Toyota 2.2L 4Y-ECS Industrial Gasoline Engine 136 cubic inch displacement,4 cylinder,overhead valve(OHV) Net Torque Rating: 118 @ 2100 rpm SAE ft-lb(gasoline system) Net Horsepower Rating: 51 @ 2570 rpm SAE HP Transmission Automatic Transmission 1 speed forward, 1 speed reverse standard. Steering Load Sensing Hydrostatic Power Steering with Tilt Steering Column Wheels and Front Tires: 7.00-12-12PR(Pneumatic) Tires Rear Tires: 6.00-9-10PR(Pneumatic) -2- GSA-Advantage March 29,2017 40641843 Additional Strobe Light-Yellow Equipment Rear Combination Lights Front Combination Lights Low LPG Fuel Warning Indicator, Adjustable Volume Back-up Alarm(Smart Alarm) Polycarbonate Overhead Guard Cover-Tinted Solid Pneumatic Tires-Front Rear Solid Pneumatic Tirgs-Including Rear Side Ring Wheels Low Profile Seat to accommodate Lowered__Mast Cascade Fork Positioner 55K-FPB-086 UL Approved Model Type"LP" (tank not included) Other • EPA/CARB Certified Engine with 3-Way Closed loop catalytic muffler system Outstanding • Operator Presence Sensing System(OPSS) Toyota • Fully Stamped Steel Side Panels Features • Technician Programmable Electronic Speed Control • Overly Spacious Leg Room • Weather Protected Electrical System • Unparalleled Fork Tip Visibility • Foot Activated Park Brake with High Mount Release • Adjustable Headlights with Guards • Electronic Shift Control • 7"Cyclone Air Cleaner • Fully Insulated Stamped Steel Engine Hood • Dual Operator Assist Grips • Oversized Cup Holder and Amenity Tray • Heavy Duty,Non-Slip Rubber Floor Mat • Automotive Style Headlight Switch Some standard items listed within this quotation may be replaced or altered due to optional equipment. Warranty 12 Months or 2,000 hours whichever occurs fust:Basic 36 Months or 6,000 hours whichever occurs first: Powertrain Warranty coverage for non-standard option components will be covered by the manufacturer of that component and not covered under the Toyota forklift standard or powertrain warranty. We offer a Toyotafactory authorized warranty on all new Toyota Industrial Equipment. Investment Price-Toyota Model 8FGU25 as specified above: $30,366 Each Net Price: $30,366 Each Financing and A broad range of competitive and flexible financing options are available through Toyota. Maintenance Financing requires credit approval.Terms and conditions are subject to change. In addition,Full Maintenance and Planned Maintenance programs are available. -3 - GSA-Advantage March 29,2017 40641843 Terms and Payment:Net 10 days/Cash or Financed Conditions Delivery:Will advise at time of order. F.O.B.:Delivered Prices are exclusive of any sales or use taxes now in force or which may be made effective in the future by any federal, state,or local governments. Lease offerings subject to credit approval Performance and specifications stated are based on specific testing and operating conditions. Actual performance and specifications may vary based on application,option configuration, operating conditions,and environmental factors. Some options and configurations may void UL. Conditions subject to change to those in effect at time of delivery. Your signature on this proposal constitutes an order. Please contact your Toyota sales representative for additional information. Attention Purchaser: Intending to be legally bound, Customer and PennWest Industrial Trucks, LLC understand and agree that the Terms and Conditions contained herein,in PennWest Industrial Trucks,LLC's Standard Terms and Conditions, &in any attachments incorporated herein constitute the terms,conditions and covenants of this quotation.The forgoing quotation is subject to rates,prices and applicable terms and conditions upon acceptance of quotation. Above quotation is valid for thirty(30)days. CANCELLATION AFTER ORDER IS PLACED WILL RESULT IN A RESTOCKING CHARGE OF 20% OF THE SALE PRICE Servicing PennWest Toyota Lift Dealer 168 Westec Dr,Mount Pleasant,PA 15666-2758 Phone: 724-696-2350 Sincerely, Accepted: PennWest Toyota Lift GSA-Advantage Cash Price , $ Financed Payment $ Per Month Months By: By: Name: Patricia Mooney Name: Title: Sales Representative Title: Date: -4- f GSA-Advantage M trch 29,017 40641843 Terms mrd Paytnern.Net 10 darn 1 Cash or Financed Candi6n.,; Delivery.Will adtiSc at tint=of order. F.O.B.; Diliuered Moms are exclusive of ariv s=ilts or use taxes now in fierce or which may be made effective in the Future by anv Itweral,state,or local governments. 1-case offetirtgs su'D*t to credit approval Performance and specafca ions stated etre based on,pecitic tesling and operating conditions. Actual pertbrnance and sp vifreaiiwis inay vary bascd on al-T- ication,option configuration, alter sting condition .and environmenual t aetars. nine ovation%-nd configuratiam.may VUid UL. Conditions subject to chance to those its cited ai time of delivery. Your signature on this pr•uptsal constitutes an ur .der. Please corset your Toyota sales representative for addii;unal information. Attention Pumhu er: Intending to lve legalivbatind,CustoritLr and PenriVVc-t Indwuri:l Truck~. LLC understand and a==ce that the Tem;and Conditions contained herin.in PennWest Industrial Trucks,i.1.C'ti Standard Terms and Conditions.&in any attachments incorporAwd h«ziti constiruie the ten=s.condition,and covenants til thi-,,quotation.Tile tim�roing quotation is sUbjtct to=.rte&prices and applicable t•_rms and conditions uptin acceptance of quotation. Alii-vve quotation is valid for thirty 1301 duy,. C'ANCF.I.I.ATION ITER ORDER IS PLACED R'ILI.RESULT LN A RESTQCKIi`i6 CHARGE OF 1 0171..tai='I'HZ SALE PRICE Servicing PennWest Toyota Lift Dealer 108 wcstcc Dr.Mount Pleamrit.PA i 666-7'i8 Mon;: ;' 96-'50 StnereEy, Accepted; PennWext Toyow Lift GSA-Advantage 13 Cali PrrC2 �+ I,) �•e" Financed Payri 1 S Per Mende Air'irrhi 4 Nume: Patricia IN-looney Name: Title: Sides Representative Titic: ��Z ,�- t r-)A C'L Date: -N- Forklift Quotes Brand Vendor Warranty Cost Notes 1. Hyster Nittco 12mo/2000hr $26,404. Forks 42" 2. Clark Continental 2yrs/4000hr $28,514 Forks 42" 3. Toyota Penn West 12mo/2000hr $30,761 l Fishers Island Ferry District rV�-- f . 1, 6 NCO Hyster Model: S50FT Proposal To: Mr. Geb Cook NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA 01887 Shrewsbury,MA01545 Middleboro,MA 02346 Lewiston,ME 04240 Concord,NH 03301 Wallingford,CT 06492 978.65M900 508-842-3880 774-766-6058 207-784-1501 603-717-0390 203-626-7670 Fax:978-65H837 Fax:508-842-4404 Fax:508-923-6410 Fax:207-777-5503 Fax:603-717-7035 Fax:203-774-0071 Fishers Island Ferry District M Investment Proposal We propose to furnish the equipment described herein and in the accordance with the specifications, terms, and conditions outlined hereinafter. Quote To: Mr. Geb Cook Quote No: 90-51160690 02/23/2017 Customer., Fishers Island Ferrry District Ship to: Fishers Island Ferrry District 5 Waterfront Park 5 Waterfront Park New London, CT 06320 New London, CT 06320 Ph No: 203-410-8156 Series: H187 Model: S50FT Quantity: 1 '` M Expires: 25 Mar 2017 1r a4> vKY NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA 01887 Shrewsbury,MA 01545 Middleboro,MA 02346 Lewiston,ME 04240 Concord,NH 03301 Wallingford,CT 06492 978.658-5900 508-842-3880 774-766-6058 207-784-1501 603-717-0390 .203.626-7670 Fax:978-658.8837 Fax:508-842-4404 Fax:508,923.6410 Fax:207-777-5503 Fax:603-717-7035 Fax:203-774-0071 Fishers Island Ferry District HYSTER FORTIS CUSHION TIRE FORKLIFT MODEL S50FT.Nominal 5000 lb capacity at 24" load center. POWERTRAIN: PSI 2AL LPG EPA Emissions Certified Engine with Electronic Fuel Injection.Provides outstanding fuel economy and performance in a heavy-duty industrial grade design. Features three(3) individual performance modes to optimize productivity and fuel economy.Powershift 1-speed Transmission features Electronic Inching improving operating costs by eliminating inching adjustments, and Industrial Grade clutch packs, gears, shafts and drive train components for exceptional durability. Self Energizing Drum brakes provide excellent stopping power with minimal be pedal effort. d - . .... _ ., .. _ . MAST: 3 Stage Fu11 Free Lift. 171"'Max,Fork Ht/77"Lowered 54' Frdec_' t b CARRIAGE: 38:5"(980mm}'Integral_Sideshiftin""HookTvnF,sr%��,_ 't allows simultan=eous fork positioning in addition to the sideshift for w increased productivity when working with a variety of load _id _.s' GQ FORKS: 42"Long Class Il Hook Type(1.6"0.9") Standard Taper, 1067mm Long, (40mm x 100mm). �i [✓I/� LOAD BACKREST EXTENSION: 48" High I MAST TILT: 5 Degrees Forward/5 Degrees Back o HYDRAULIC CONTROLS:4 FUNCTIONN Cowl Mounted Levers HYDRAULIC CONTROL:Arranged to support Non-Clamping Attachments HOSE GROUP: 2 Aux Function- Internal Mounted LPG TANK BRACKET: Swing Out LPG Tank Bracket FUEL SENSOR: Pressure Based LPG Fuel Sensor. U.L..APPROVAL: Type 6.orLP; RADIATOR: Anti-clog. Provides enhanced cooling capacity with a clog resistant core design TREAD WIDTH: Wide Tread DRNE TIRES:Lugged°21x7x1.5 L°�� &J L STEER'I'IRES Lugged 16x5x10.S OVERHEAD°GUARD:4Short,-79"High(2961mm' STEERING WHEEL: Steering Wheel with Wheel Spinner Knob ENGINE START: Keyswitch Start DIRECTIONAL CONTROL: Monotrol SEAT:Non Suspension Vinyl, includes Operator Restraint with No-Cinch Seatbelt SEAT ACCESSORY:Black Seat Belt with No-Cinch ELR(Emergency Locking Retractor) mechanism. INCHING: Single Pedal Inch Brake MONITORING: System Monitoring provides superb control over truck functionality and systems enabling maximum system efficiency for excellent durability and serviceability AIR INTAKE: High Mount Air Intake NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA01887 Shrewsbury,MA 01545 Middleboro,MA02346 Lewiston,ME 04240 Concord,NN 03301 Wallingford,CT06492 978-658-5900 508-842-3880 774-766-6058 207-7841501 603-717-0390 203-62&7670 Fax:978-65$-8837 Fax:508-842-4404 Fax:508-923-6410 Fax*207-777-5503 Fax:603.717-7035 Fax:203-774-0071 Fishers Island Ferry District Investment Proposal Price Information Price Each ITotaCSetling Price 2 M1„ :`$20y404.00 Terms: Net 10 F.O.B.: Delivered SCHEDULED MAINTENANCE A regular program of inspection, lubrication, and maintenance can help your lift truck perform efficiently and operate for a longer period of time. Scheduled maintenance intervals may vary depending on the results of the survey of your application. We highly recommend a Scheduled Maintenance Program to avoid potential premature component failure or unnecessary costs, as avoidance of factory recommended service intervals could render the standard and/or extended warranty on your equipment invalid. Scheduled Maintenance Accepted per Attached Agreement: Initial: Customer Salesman Scheduled Maintenance Declined: Initial: Customer Salesman NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA 01887 Shrewsbury,MA 01545 Middleboro;MA02346 Lewiston,ME 04240 Concord,NN 03301 Wallingford,CT 06492 978-658.5900 508-842-3880 774-766.6058 207-784-1501 603-717-0390 203.626.7670 Fax:978-65H837 Fax:508-842-4404 Fax:508-923.6410 Fax:207-777-5503 Fax:603-717-7035 Fax:203-774-0071 Fishers Island Ferry District Warranty WARRANTY: 12 Months/2,000 Hours Manufacturer's Warranty 36 Months/6,000 Hours Manufacturer's Powertrain Warranty Statement of Quality Hyster Company is an ISO 9002 Certified Manufacturing Company. Hyster is among the first American lift truck manufacturers to receive this prestigious quality registration. Additionally, every Hyster model design is reviewed and approved by either Underwriters Laboratories, Inc., or Factory Mutual Engineering Corp., and meets all of the required ANSI-B-56.1 guidelines. Quote Expires: Quote valid for 30 days. Subject to credit approval. Thank you for the opportunity to provide a solution for your material handling requirements. If you have any questions, or need additional information, feel free to contact me. I can be reached at 800- 225-7956. Please visit our website at www.nitco-lift.com. Terms and Conditions Delivery and Price: We will use all responsible means to make shipment within the time specified, but assume no liability for loss or damage arising from late delivery or non-fulfillment of contract by reason of fires, strikes, delays in transportation, regulations of the United States Governments, or any cause unavoidable or beyond our control. The prices quoted and the shipment specified herein is for prompt acceptance and is subject to change without notice. The prices quoted are exclusive of any taxes in force or which may be enacted by Federal, State, or Local Governments. Terms of sales are subject to credit approval. All orders are subject to acceptance by NITCO Materials Handling Solutions (Northland Industrial Truck Co., Inc.), Wilmington, Massachusetts. The conditions of this quotation become part of any order resulting from any purchase order submitted in response to this quotation. Altering or adding to these conditions shall not be binding unless accepted by us in writing. There are no agreements, understandings, or stipulations relative to this quotation other that those expressed herein. NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA01887 Shrewsbury,MA01545. Middleboro,MA02346 Lewiston,ME 04240 Concord,NH'03301 Wallingford,CT 06492 978.658.5900 508-842-3880 774-7666-6056 207-784-1501 603-717-0390 203.626.7670 Fax:978-85$-8837 Fax:508-842-4404 Fax:508-923.8410 Fax.207-777-5503 Fax:603717-7035 Fax:203-774-0071 Fishers Island Ferry District Warranty: It is expressly agreed that there are no warranties expressed or implied, made by either the Dealer or Manufacturer on the equipment furnished hereunder except for the following express warranty: The Manufacturer warrants its new machinery covered by this order or contract (excluding tires, electric lift truck batteries and chargers, which are warranted by the respective manufacturers-only) to be free of defects in workmanship and material at the time of shipment from the Manufacturers' factory, in accordance to their published warranty. This warranty is the only warranty upon which the Manufacturers' new machinery is sold. No other warranty shall be implied and all statutory warranties shall be deemed waived. No warranty of any kind, statutory, implied, or otherwise, is made with respect to second-hand machinery, or with respect to the new machinery, which after shipment from Manufacturers' factory, has been altered, repaired, or mistreated in any manner whatsoever. The Manufacturers' liability whether in contract or in tort arising out of warranties, representations, instructions, or defects from any cause shall be limited exclusively to repair or replacements under the aforesaid conditions. Sincerely; Accepted By: NITCO Title: John Hawkins Date: Capital Equipment Salesman PO# NORTHLAND INDUSTRIAL TRUCK CO., INC 6 Jonspin Road 230 Cherry Street 3 Chalet Road(Rte.44) 23 Foss Road 44 Locke Road 150 N.Plains Industrial Rd Wilmington,MA 01887 Shrewsbury,MA 01545 Middleboro,MA 02346 Lewiston,ME 04240 Concord,NH 03301 Wallingford,CT 06492 918-658-5900 508-842-3880 774-766.6058 207-784-1501 603-717-0390 203.628-7670 Fax:978-658.8837 Fax:508-842-4404 Fax:508-923.6410 Fax:207-777-5503 Fax:603-717-7035 Fax 203-774-0071 CONTINENTAL NFA" TRUCK, INC. Sates• Service• Rentals ® Parts 127-18 Foch Blvd. South Ozone Park,N.Y. 114.20 Ph.(718) 738-4738 Fax(718)845-3771 February 24, 2017 Quote valid for 60 days Quote MP2/24/17A Fishers Island Ferry District 5 Waterfront Park New London CT 06320 Dear Geb: Continental Lift Truck Inc. is pleased to quote for your approval, the following: One—New Clark Pneumatic Indoor/Outdoor Tire Forklift Model—C25L / Capacity—5 0 0 lbs. at 24"Lad Center J Mast—78.9" owered/170' aised/53.2"Free lift with load backrest Wide view Triple Mast Engine—Ford Fuel—Propane r t� 4"�CJ Forks—42" . Tires—2 Drive Pneumatic 7.00 x 12 2 Steer Pneumatic 6.00 x 9 Transmission—Motor drive forward and reverse Steering—Hydrostatic Standard features—Please see brochure Warranty—2 years or 4000 hours,whichever occurs first, on complete truck 3 years or 6000 hours,whichever occurs first, on major components Delivery—Approximately 14—16 weeks after receipt of order i r Fishers Island Ferry District February 28,2017 40510704 Terms and Payment:Net 10 days/Cash or Financed Conditions Delivery: Will advise at time of order. F.O.B.: Delivered Prices are exclusive of any sales or use taxes now in force or which may be made effective in the future by any federal, state,or local governments. Lease offerings subject to credit approval Performance and specifications stated are based on specific testing and operating conditions. Actual performance and specifications may vary based on application,option configuration, operating conditions, and environmental factors. Some options and configurations may void UL. Conditions subject to change to those in effect at time of delivery. Your signature on this proposal constitutes an order. Please contact your Toyota sales representative for additional information. Sincerely, Accepted: Summit ToyotaLift Fishers Island Ferry District Cash Price $ Financed Payment $ Per Month Months By: By: Name: Andrew Pye Name: Title: Sales Representative Title: Date: -3 - Fishers Island Ferry District February 24, 2017 Quote MP2/24/17A Page Two 6$27,5;29�36 Selling Price r Options Included— Overhead guard lowered to 79"'" Flat low profile seat Full light package with strobe light Back up beeper Rear handle with horn button Fork positioner(Only forks move hydraulically side to side) r�( Terms—Valid Purchase order&Net 30 delivery of ry Additional Options Available— Fork positioner& Side shifter Add$985.0 Includes 4 hydraulic control vers and osing (Forks and carriage move side to A draulically) Note: If ordered this forklift is non-cancellable due to special ordering and construction of the lowered overhead guard.By placing an order the customer is agreeing to these terms. Please do not hesitate to call if you should have any questions regarding this information. Thanking you for this opportunity and for your loyal and valued business, we remain, Very truly yours, Continental Lift Truck,Inc. Mike Pugliese Accepted by Date PennWest Toyota Lift es ennw168 Westec Dr • � Mount Pleasant,PA 15666-275858 Phone:724-696-2350 Fax:724-696-2370 www.pennwestlift.com To: GSA-Fisher Island Ferry n� 0 iDate: March 29,2017 5 Waterfront Park - 7 Our Ref: 40641843 New_1 pndon,CT 06320 I l I w) Attn: Geb Cook (� 0 vt l �`r-�.(�p .jam f, We respectfully submit this quotation for the following NEW Toyota Internal Combustion Lift Truck(1 each): Toyota...Proud to be the world's 0 forklift manufacturer! TOYOTA MODEL 8FGU25,Internal Combustion Lift Truck,quality engineered with the following specification: • Pneumatic Tires • LP Gas Powered-UL Type "LP"Rating This forklift is equipped with a 3-Way Catalytic Muffler System as standard equipment, and conforms to current Federal EPA and California ARB regulations for off-road large spark ignited engines. SYSTEM OF ACTIVE STABILITYrm(SAS) Toyota's industry exclusive System of Active Stability(SAS) helps reduce lift truck instability by electronically monitoring and controlling various functions of the lift truck. • Active Control Rear Stabilizer:Various lift truck sensors simultaneously monitor vehicle speed,fork height,load weight, and vehicle yaw(or angular . acceleration). Should the operator inadvertently place ;> . the truck in a potentially unstable lateral condition,the sensors trigger the SAS controller to activate the Actives Control Rear Stabilizer to help reduce the likelihood of a lateral tip over. (Note:Does not apply to dual drive configured models) Photo may portray optional equipment not included in your • Active Mast Function Controller(AMC): Should the quotation. operator inadvertently place the lift truck in a potentially unstable longitudinal condition,these same sensors trigger the SAS controller to activate the AMC,which limits forward tilt and/or tilt back speed to help reduce the likelihood of a longitudinal tip over. AUTOMATIC FORK LEVELING Toyota's Automatic Fork Leveling feature increases productivity while reducing damage with a push of a button. By depressing the Automatic Fork Leveling button during forward tilt,operators are quickly and easily able to level the forks. TOYOTA ENGINE Engineered to the highest standards of quality,durability, and reliability,your Toyota 8-Series lift truck is outfitted with the industry's most respected industrial engines. - 1 - GSA-Advantage March 29, 2017 40641843 ULTRA COMFORT 4-WAY ADJUSTABLE,FULL SUSPENSION SEAT WITH NON CINCHING SEAT BELT Operator comfort is taken to a new level with Toyota's Ultra Comfort 4-way adjustable,full suspension vinyl seat. With lumbar,weight,tilt, and almost 6 inches of fore/aft adjustability,your operators will be comfortable and productive throughout their shift. Standard Non-cinching seat belts provide additional comfort in applications requiring frequent reverse travel. Mast3-Stage(FSV)mast with full free lift provides excellent visibility to load artd fork tips,,wklile providing smooth,quiet and consistent operation_ Mast specifications:" r Maximum Fork Height—167.2 Overall Lowered Height,—`77.4"-+4-1.6", (Overhead Guard Height—79.1"_'nominal+/-1.6") Free Lift- 30.5"with standard Load Backrest Lifting Capacity Base Model Capacity-5,000 lbs. @ 24" load center Actual Capacity,based on quoted specifications,-4,800 lbs. @ 24" load center to 170.5" MFH Actual capacity ratings stated above are based on standard features, options, and attachments available through Toyota at the time of quoting.Non-standard features, options, and attachments may affect actual capacity ratings.Please contact your Toyota sales representative for additional information. Tilt 6 degrees forward and 6 degrees backwards Carriage TTA Hook Type,40" Carriage ✓ Forks Forks 48"x 5 x k'-Class H ✓ Load Backrest 48"High Load Backrest / Attachments µCascade 40" Integral Sicleshifting Fork-Positioner(Ma)dmum�60"lFarks) " Speeds Travel Speed: 11.20 mph Lift Speed: 118 fpm Engine Toyota 2.2L 4Y-ECS Industrial Gasoline Engine 136 cubic inch displacement,4 cylinder, overhead valve(OHV) Net Torque Rating: 118 @ 2100 rpm SAE ft-lb (gasoline system) Net Horsepower Rating: 51 @ 2570 rpm SAE HP Transmission Automatic Transmission 1 speed forward, 1 speed reverse standard. Steering Load Sensing Hydrostatic Power Steering with Tilt Steering Column Wheels and Front Tires: 7.00-12-12PR (Pneumatic) Tires Rear Tires: 6.00-9-1OPR(Pneumatic) -2- r GSA-Advantage March 29, 2017 40641843 Additional Strobe Light-Yellow Equipment LED Rear Combination Lights Low LPG Fuel Warning Indicator _ / Rear View Mirrors(Left&„Right Sides) Back-up Alarm_ _ _ _ ✓_ _ , Polycarbonate Overhead Guard'Co_ver_ -Tinted Solid Pneumatic Tires-Front` Rear Solid Pneumatic Tires-Including Rear Side Ring_Wheels Low Profile Seat to accommodate Lowered Mast UL Approved Model Type "LP" (tank not included) Other • EPA/CARB Certified Engine with 3-Way Closed loop catalytic muffler system Outstanding • Operator Presence Sensing System(OPSS) Toyota • Fully Stamped Steel Side Panels Features • Technician Programmable Electronic Speed Control • Overly Spacious Leg Room • Weather Protected Electrical System • Unparalleled Fork Tip Visibility • Foot Activated Park Brake with High Mount Release a Adjustable Headlights with Guards • Electronic Shift Control • 7"Cyclone Air Cleaner • Fully Insulated Stamped Steel Engine Hogd • Dual Operator Assist Grips • Oversized Cup Holder and Amenity Tray- * Heavy Duty,Non-Slip Rubber Floor Mat • Automotive Style Headlight Switch - Some standard items listed within this quotation may be replaced or altered due to optional equipment. Warranty 12 Months or 2,000 hours whichever occurs first:Basic 36 Months or 6,000 hours whichever occurs first:Powertrain Warranty coverage for non-standard option components will be covered by the manufacturer of that component and not covered under the Toyota forklift standard or powertrain warranty. We offer a Toyota factory authorized warranty on all new Toyota Industrial Equipment. Investment Price-Toyota Model 8FGU25 as specified above: $30,761 Each Net Price: $30,761 Each Financing and A broad range of competitive and flexible financing options are available through Toyota. Maintenance Financing requires credit approval.Terms and conditions are subject to change. In addition,Full Maintenance and Planned Maintenance programs are available. -3 - e GSA-Advantage March 29,2017 40641843 Terms and Payment:Net 10 days/Cash or Financed Conditions Delivery:Will advise at time of order. F.O.B.: Delivered Prices are exclusive of any sales or use taxes now in force or which may be made effective in the future by any federal, state,or local governments. Lease offerings subject to credit approval Performance and specifications stated are based on specific testing and operating conditions. Actual performance and specifications may vary based on application,option configuration, operating conditions, and environmental factors. Some options and configurations may void UL. Conditions subject to change to those in effect at time of delivery. Your signature on this proposal constitutes an order. Please contact your Toyota sales representative for additional information. Attention Purchaser: Intending to be legally bound,Customer and PennWest Industrial Trucks, LLC understand and agree that the Terms and Conditions contained herein,in PennWest Industrial Trucks,LLC's Standard Terms and Conditions, &in any attachments incorporated herein constitute the terms, conditions and covenants of this quotation.The forgoing quotation is subject to rates,prices and applicable terms and conditions upon acceptance of quotation. Above quotation is valid for thirty(30) days. CANCELLATION AFTER ORDER IS PLACED WILL RESULT IN A RESTOCKING CHARGE OF 20% OF THE SALE PRICE Servicing PennWest Toyota Lift Dealer 168 Westec Dr,Mount Pleasant,PA 15666-2758 Phone: 724-696-2350 Sincerely, Accepted: PennWest Toyota Lift GSA-Advantage Cash Price $ Financed Paymj2rnQ $ Per Month Months By: By: Name: Patricia Mooney Name: G® cc Title: Sales Representative Title: _'Jp 1lfV2\J- �-A A P A G UZ— Date: -4- GENERAL SERVICES ADMINISTRATION FEDERAL ACQUISITION SERVICE AUTHORIZED FEDERAL SUPPlEf'SCHEDULE CATALOG/PRICE LIST On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order is available through GSA Advantage!, a menu-driven database system. The INTERNET address for GSA Advantage! is http://www.gsaadvantage.-gov SCHEDULE TITLE: Buildings & Building Materials/Industrial Services and Supplies FSC Group: 56 CONTRACT NUMBER: GS-07F-129CA CONTRACT PERIOD: 4/1/2015 to 3/31/2020 For more information on ordering from Federal Supply Schedules click on the GSA Schedules link at www.gsa.gov CONTRACTOR: PennWest Industrial Trucks, LLC DBA Pennwest Toyota Lift 168 Westec Dr. Mount Pleasant, PA 15666-2758 Phone: 724-696-2350 Fax: 724-696-2370 Email: blavelle cD..pennwestlift.com http://www.pennwestlift.com/ CONTRACTOR'S ADMINISTRATION SOURCE: Barb Lavelle PennWest Industrial Trucks, LLC DBA Pennwest Toyota Lift 168 Westec Dr. Mount Pleasant, PA 15666-2758 Phone: 724-696-2350 Fax: 724-696-2370 Email: blavelleCcD-pennwestlift.com BUSINESS SIZE: Small VJ Socioeconomic Indicators: Small CUSTOMER INFORMATION: la. TABLE OF AWARDED SPECIAL ITEM NUMBERS (SINs) SIN DESCRIPTION 629 01A Forklifts-Electric, Gas, LPG, and Diesel Powered 1 b. LOWEST PRICED MODEL NUMBER AND PRICE FOR EACH SIN: (Government net price based on a unit of one) SIN MODEL PRICE 629 01 A 7H BW23 $2,537.03 2. MAXIMUM ORDER*: $250,000 per order for SIN 629 01A. *Ordering activities may request a price reduction at any time before placing an order, establishing a BPA, or in conjunction with the annual BPA review. However, the ordering activity shall seek a price reduction when the order or BPA exceeds the simplified acquisition threshold. Schedule contractors are not required to pass on to all schedule users a price reduction extended only to an individual ordering activity for a specific order or BPA. 3. MINIMUM ORDER: 1 unit of any item. 4. GEOGRAPHIC COVERAGE: Continental United States and CONUS port or consolidation point for orders received from overseas activities or give details as negotiated 5. POINT(S) OF PRODUCTION: • USA • South Korea • Sweden 6. DISCOUNT FROM LIST PRICES: GSA Net Prices (already discounted) are shown on the attached GSA Pricelist. 7. QUANTITY DISCOUNT(S): None 8. PROMPT PAYMENT TERMS: Net 30 Days. Information for Ordering Offices: Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions. 9.a Government Purchase Cards must be accepted at or below the micro-purchase threshold. 9.b Government Purchase Cards are "not" accepted above the micro-purchase threshold. 10. FOREIGN ITEMS: Hyundai forklifts are manufactured in South Korea and some Kalmar forklifts are manufactured in Sweden. 11a. TIME OF DELIVERY: Shipped 90 Days after receipt of order. Some items may be sooner. 11 b. EXPEDITED DELIVERY: Negotiable 11c. OVERNIGHT AND 2-DAY DELIVERY: None Offered 11d. URGENT REQUIRMENTS: Customers are encouraged to contact the contractor for the purpose of requesting accelerated delivery. 12. FOB POINT: Origin, Freight Prepaid and Add 13a. ORDERING ADDRESS: Same as listed contractor 13b. ORDERING PROCEDURES: Ordering procedures described in FAR 8.405-3 14. PAYMENT ADDRESS: Same as listed contractor 15. WARRANTY PROVISION: Standard Commercial Warranty. Customer should contact contractor for a copy of the warranty 16. EXPORT PACKING CHARGES: None 17. TERMS AND CONDITIONS OF GOVERNMENT PURCHASE CARD ACCEPTANCE: None 18. TERMS AND CONDITIONS OF RENTAL, MAINTENANCE, AND REPAIR (IF APPLICABLE): N/A 19. TERMS AND CONDITIONS OF INSTALLATION (IF APPLICABLE): N/A 20. TERMS AND CONDITIONS OF REPAIR PARTS INDICATING DATE OF PARTS PRICE LISTS AND ANY DISCOUNTS FROM LIST PRICES (IF AVAILABLE): N/A 20a. TERMS AND CONDITIONS FOR ANY OTHER SERVICES (IF APPLICABLE): N/A 21. LIST OF SERVICE AND DISTRIBUTION POINTS (IF APPLICABLE): N/A 22. LIST OF PARTICIPATING DEALERS (IF APPLICABLE): N/A 23. PREVENTIVE MAINTENANCE (IF APPLICABLE): N/A 24a. SPECIAL ATTRIBUTES SUCH AS ENVIRONMENTAL ATTRIBUTES (e.g. recycled content, energy efficiency, and/or reduced pollutants): EPA/CARB Tier IV Certified. California Emissions Certification, CARB, Low Emissions Diesel Engines (EPA 2007/2008 Tier 4 Compliant) 24b. Section 508 Compliance for EIT: N/A 25. DUNS NUMBER: 609405209 26. NOTIFICATION REGARDING REGISTRATION IN SYSTEM FOR AWARD MANAGEMENT (SAM) DATABASE: Contractor has an Active Registration in the SAM database. FISHERS ISLAND FERRYDISTRICT r VENDOR 017991 RACE ROCK GARDEN CO. 09/26/2017 CHECK -/- 4362 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5709.2.000.100 23002 ROOF RPR-MOSQUITO HOLLOW 1,316.00 TOTAL 1,316.00 FE M •. .* r. .,,.,,.n.ca, ,.....,.,r-.-a. , a...w.-a a v...•`°e.. ..«:µ. K .,j e •' n ^:C. n.vg,..,.;v.t•i:`i✓:L£' .•nL . r "'MnS ••i a _ •r Rpt •+tea. ^1 .•..n.- : ''°f ..x"`' , ;. .?,.s.- '`. 'w , ««y;hs 5=` ;a 'F .rte d` .,,..\ .: . ._.. ::%'' - .iI 0 i :t h - r ' 1 - Al, NF1;` I I _ mss-- - - - - . A 1 • 1 _' • O • • 0 B 0 B 0 • •• FISHERS`7SLA7VD'FERRY-DISTWCT r P UDIT;,rO 9'/,:2 6 ;53095-MAIN ROAD,,PO BOX 179, - ., 'I _ ,. WUTHOMNY-11971-095s31- - :xCHECK THE SUFKOLK CO}NATIOit NAL BANK °'<: ';, :•f'ti",;,t,,'' CUTCHOGUE,NY 11935, DATE AMOUNT v tii;t i'$t'" •,ak j''°;, i'' , 54"'O ' 20 09,/6/214 AND'SIX'ON < N 0 E T$0 THREE HUNDRED' TEE ' 10O ' ,. n it . - .. ', • . " - ,' • , pAY_,_ RACE,-^ROCK GARDENCO. _ -- 7`6 THE; :PO•`BOX.<517`- - - - - .-_ _= -` - = v G = - ORDER'',,_FISHERS' -ISLAND`NY`'06,390 -_ - — . um 0 0.=4 3'6 2`um . 1.0 2 L 40 5 4 6 Lill:` 638 010 'L 5 0 2 2 L'ii' y 0 ' L J Vendor No. Check No. Town of Southold, New York - Payment Voucher 17991 p� Vendor Address Entered by P.O. Box 517 Vendor Name Fishers Island, NY 06390 Audit Date RACE ROCK GARDEN COMPANY, INC. SEP 2 6, 2011 Vendor Telephone Number Town Clerk Vendor Contact n Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 23002 8/29/2017 $1,316.00 $1,316.00 Roof repair SM5709.2.000.100 705 Mosquito Hollow 1 4 7 � t A $1,316.00 $1,316.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature QA. Title Signature Company Name Fishers Island Ferry District_Date 9/14/2017 Title Date Race Rock Garden Company, Inc. Invoice PO Box 517 Date Invoice# Fishers Island,NY 06390 8/29/2017 23002 Bill to FI Ferry District PO Box 607 Fishers Island,NY 06390 Project Terms Account# Net 30 Qty Serviced Description Rate Amount 8/21/2017 Strip roof of building,add drip edge and Winterguard Ice&Water Labor $ 931 00 Materials $ 385.00 s°�v`� o OP( eopl� kX Sales Tax-8 625% $ - Phone# Fax# Email Total $ 1,316 00 (631)788-7632 (631)788-7634 rrgazden@fishersisland net V - FISHERS ISLAND FERRY DISTRICT VENDOR 017962 KENNETH RICKER 109/26/2017 CHECK 4363 A FUND & ACCOUNT P.O\.# INVOICE DESCRIPTION AMOUNT SM .9060.8.000.000 090517 AARP RX PLAN-7/17 58.16 SM .9060.8.000.000 090517 AARP RX PLAN-8/17 58.16 '? SM .9060.8.000.000 090517 AARP RX PLAN-9/17 58.16 SM .9060.8.000.000 t" 090517 , AARP SUPPLEMENT-7/17 120.91 '' + SM .9060.8.000.000 090517" AARP SUPPLEMENT-8/17 120.91 SM .9060.8.000.000 090517 AARP SUPPLEMENT-9/17120.91 TOTAL 537.21 r >" .. r`, a'",S s'.. '• ,....n.r.. .. : "t''a ;: -rN, ta` ':;:;;: : .u:: ;,;. r F' n .1_ :•tea'— y'•e e'.:e J,.' •' ;%:'• i p:;••.;is . uw nidi ckT ' • 'v':''' , vn..x lk m x..i 'a:tR =`. '' .•'C.•• ...r•>pL':.. ...........is y. Frs_.•• nm`C ti'J"x ........-'" r ,r+" 3 x"'L' . .<x. `r•E",M • °.'.. , vi. ':,`;o„♦. ,<. , yi. d ia'°< «>." 7&:.a,.X.s+C• ,k- r r j + j:,[ FIShTERS`ISLAND'FERRY DISTRICT - d AUDZT X-0. , /26,/,1'7 -; ,E '"""53095-MAIN'flOAD,PO BOX)179 SOUTHOLpi'NY U,197;1-0959 '- CHECK'. ,1,," _, . 'I_ i1 iP`? r — %THE•SUFFOLK'CO°NATIONALBANK" AMOUNT CUTCHOGUE,N,Y,11935' DATE , a+ 21'L ,i 09,/26/201=7;' 21 _ ;S,i, 50-546/214,' I' _ - - - _ `' ',LI', ,'h'i•f, ° ,IY t'f JI.L°.',,_', ' IVE =HUNDRED..,THIRTY-''SEVEN_'AND'21', 100 IBOLL ARSf r_ - V j,,• - - - s7. 4,' 1 I,: _ F! t't ..9 - t.__ __- I ,li i ,, 1'r%7'sn r, r' n',. '`4" `+ - ,I•'"_ '''L y' _ _ `7°i -4 'i'f .'`iin yJ,=i 15, •i_ a ..ceja j PAYKENN TH C bTHE LACE - - -= __ _ 1'734 NE LEE,-P - _ _ /// .F OER- _ LINCOLN-.CITY;OR"-9.7367' lip 00,'43163iie o:02ILe05d,64ii: 68 00 LS0.,2,' biin , Lr Vendor No. Check No. Town of Southold, New York- Payment Voucher 17962 6 3 Vendor Address Entered b' 1734 NE Lee Place Lincoln City,OR 97367 Audit DCte Ricker,Kenneth SEP 2 Z 2017 Vendor Telephone Number 860-575-9438 Town Clerk Vendor Contact •. Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed -Number Description of Goods or Services General Ledger Fund and Account Number 9/5/2017 $72.70 $ (14.54) $58.16 AARP July 2017 MedicareRx$72.70 @ 80%reimbursement SM9060:8.000.000 $72.70 $ (14.54) $58.16 AARP August 2017 MedicareRx$72.70 @ 80%reimbursement SM9060.8.000.000 $72.70 $ (14.54) $58.16 AARP Sept 2017 MedicareRx$72.70 @ 80%reimbursement SM9060.8.000.000 $151.14 $ (30.23) $120.91 AARP supplement July 2017$151.14 @ 80%reimbursement SM9060.8.000.000 $151.14 $ (30.23) $120.91 AARP supplement August 2017$151.14 @ 80%reimbursement SM9060.8.000.000 $151.14 $ (30.23) - $120.91 AARP supplement'Sept 2017$151.14 @ 80%reimbursement SM9060.8.000.000 ; ` f $671.52 $ (134.30) $537.21 Payee Certification _ Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature tL Title Signature �J Company Name Fishers Island Ferry District Date 9/14/2017 Title Date ,� Premium Payment History https://member aarpmedicareplans corn/con ten t/aarpm/home/my-pIa. . ` Total search results for premium payments from the Last 90 days. If you have questions about your pE UnitedHealthcare. Due Date Billed Amount Paid Date Amount Paid Balarn 08/31/2017 1 $72.70 09/02/2017 ./ $72.70 S&16 $ fo 07/31/2017 ' ^! $72.70 08/01/2017 $72.70 $ 06/30/2017 $72.70 07/01/2017 , J $72.70 sg 6 $ 05/31/2017 $72.70 06/01/2017 ` $72.70 p O.' u\-1 Making your payments If you'd like to make changes to how you pay your premiums, we have these options available. • Automatic deduction from your checking account. • Monthly Bill. • Automatic deduction from your monthly Social Security benefit check. View more information about ways to pay. L/ My Plan Information AARP MedicareRx Preferred(PDP) My Health &Wellness a Begil Member ID: 0131041231 G® Plan Status: ACTIVE More Information: Plan Benefits My P AARP MEDICARE SUPPLEMENT PLAN Member ID: 302307704-11 Plan Activity Qui Plan Status: ACTIVE Search medical claims Elec More Information: Plan Benefits Search drug claims Ord CONTACT US GET FORMS &RESOURCES View recent premium payments Phe I Inriato min nrnfilo Rec 2 of 3 9/5/17,9.23 AM Premium Payment History https://member.aarpmedicareplans.com/content/aarpm/liomehny-pla . plan BACK TO TOP My Account Home I My Plans I My Health&Wellness I My Personal Health Record About Us Contact Us I Privacy Policy I Terms of Use Disclaimers ©2017 Unite Last updated 06.22.2017 at 12 01 AM CT 3 of 3 9/5/17,9:23 AM Premium Payment History https://mernbei-.aai-pmedicarepians.com/content/aarpm/iiome/my-pla. M Search e d i c a re P I a n s fron) UWtodtlealtheare Visit LLELI org Insured since Welcome KENNETH RICKER 2016 You are here: My Account Home>) My Plans)) Payments )) Premium Payment History My Account Home My Plans My Health and Wellness AARP MedicareRx Preferred (PDP) View details for a different P SUMMaU I Benefits and Coverage I Claims I Payments I Order Materials I Forms and Resources Premium Payments Overview Total amount due: $0.00 Payment method: EFT-Checking Payment History You may search payment history for the previous 24 months. To view the details for your next bill, sele and include a To date from next month. View payments for: Last 90 days 4. 1 of 3 9/5/17,9.23 AM Premium Payment History https://niember.aarpmedicareplans.com/content/aarpm/home/my-pla .. Total amount due- $0.00 Paid through date: 09/30/2017 Payment method: EFT When you set up recurring payments using Electronic Funds Transfer(EFT) you will save $2.00 off th( household! With recurring EFT, your household payment will be deducted from your checking account every mont Payment History t=� You may search payment history for the previous 24 months. You can also search for future premium plan year. View payments for: MLast 90 days; With payment status: 'Paid U,7,�'Unpaid Total search results for premium payments from the Last 90 days. If you have questions about your pe Premium payment search results: Premium Due Date Premium Amount 08/31/2017 S $151.14 07/31/2017 $151.14 120,96 '06/30/2017 " G J $151.14 IMPORTANT NOTE: The total amount due applies to your entire household. It includes payment amo supplemental plans and also includes required coverage payment amounts for other members of your to AARP-branded supplemental plans. 2 of 3 9/5/17,9:24 AM Premium Payment History https://niember.aarpmedicareplaiis.com/content/aarpni/home/my-pla AARP MEDICARE SUPPLEMENT PLAN Member ID: 302307704-11 Plan Activity Qui Plan Status: ACTIVE Search medical claims Elec More Information: Plan Benefits Search drug claims Ord View recent premium payments Phe CONTACT US GET FORMS&RESOURCES Update my profile Rec Order replacement member ID card for health Pnr plan Ree Order replacement member ID card for drug Bei plan BACK TO TOP My Account Home I My Plans I My Health&Wellness My Personal Health Record About Us I Contact Us I Privacy Policy I Terms of Use I Disclaimers ©2017 Unite Last updated 06 22 2017 at 12 01 AM CT 3 of 3 9/5/17,9.24 AM Premium Payment History https://niember.aarpmedicareplans.com/content/aarpm/liome/my-pla. . Medic ire Plans Search froul UnitedMAthcare Visit AARP oM my—F Welcome KENNETH RICKER Insured since 2016 You are here. My Account Horne» My Plans» Payments»Premium Payment History My Account Home My Plans My Health and Wellness AARP MEDICARE SUPPLEMENT PLAN View details for adifferent p Summary I Benefits and Coverage I Claims I Payments I Order Materials I Forms and Resources i Note: the billing history below includes payments for the following plans. • AARP MedicareRx Preferred (PDP) • AARP MEDICARE SUPPLEMENT PLAN Premium Payments Overview 1 of 3 9/5/17,9:24 AM 7 ,j{ FISHERS ISLAND FERRY DISTRICT VENDOR 012315 SHELTERPOINT LIFE INS.CO. 09/26/2017 CHECK 4364 FUND & ACCOUNT P:O.# INVOICE DESCRIPTION AMOUNT Sm .9060.8.000.000 238171017 (24)LIFE INS PREM-10/17 67.20 TOTAL 67.20 M. ................. El FERRYDISTRICT- 6 FISHERS4SL;ISLAND' 3095 MAIN ROAD,PO-BOX -,A 7:,-, 5 sOPTHOW,NY1197-1`0959- '.4- q TAt,S6FFOLK,CO NATI6 NAL BANK` CUTCHOGUE,NY 1.1935 -,'-DATE,'. 4 IXTY ,V. E. --SP 'N'`AND.:, DOL S", i pAy SHELTE ZPOINt LIFE INS.CO. 5 TRANKLIN 'AV E Ul Tt_.4,7 5 To T OF :;GARDEN I J -,CITY, NY 1;1530,- ' 0 0 0 4 3 6 L,'in 1:0 2 11,0 5 4 6'41: C313 00 15O 2 L iii Vendor No. Check No. Town of Southold, New York - Payment Voucher 12315 �p4 L4 Vendor Address Entered by 600 Northern Blvd Suite 310 Great Neck, NY 11021 Audit Date ShelterPoint Life Insurance Company SEP 2, 6 2017 Vendor Telephone Number 800-366-4999 Town Clerk- Vendor Contact / . Puma Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General hedger Fund and'Account'Number 23817 9/6/2017 $67.20 $67.20 October 2017 Life,AD&D Ins Premiums SM9060.8.000.000 10%-7 24 participants $67.201 1 $67.20 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the matenals.above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature C'14MWCW�ftle Signature Company Name Fishers Island Ferry District Date 9/13/2017 Title 14 Date .t .I Shelter Point Life Insurance Co. Monthly Billing for 10/1/2017 IO/ I/ZO 17 MPBR0003 OperNo:2 Run:09/05/2017 02.47 PM Page:6 Premium: 23817 FINAL FISHERS ISLAND FERRY DISTRICT(Grp:23817) PO BOX 607 261 TRUMBULL DRIVE FISHERS ISLAND,NY 06390-0607 Group Totals Total Due Volume Totals for Group 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: Misc Vol 4: Misc Vol 5: Insureds Billed- 24 � - New 0 Balance Forward. $13440 Payments: $67.20 Termed: 0 Adjustments. + $000 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 customerservice@shelterpomt.com. Please return this entire form with your payment in the envelope provided .. x ` r;- i®iiI :-/` y47 \: „ -^G«, r I`'•'• 4 cwt .'r FISHERS ISLAND FERRY DISTRICT VENDOR 01971'1 STAPLES CONTRACT & COMMERCIAL, 09/26/2017 CHECK 4365 " i FUNDI& ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT } SM .5711.4'.000.000 3351662413 (1)BROTHER, (1)DELL TONER 83.15 SM .5710.4.000.600 3351662413 LYSOL,PINESOL,LINERSI,BGS 50.70 'If SM', .5711.4.000.000 -- 3352170100 STAPLES,BINDERCLIPS,PENS , 7.991 ( TOTAL 143 .84 H..x.... ^M.• e. , f .. i . 1^,'sF,,,o..,..w xw .xn ..wi '- 'lf Cn:h.. s ' ':54:'' .: .'•?: ' '::•' •' s ^'rc• •fky , >vv ..J 0 0 _ a •t'cf ^) I to 0 9 O ® f $TRICT - t". ,,;• ` y,l°;,, ;, _ FISHERS:ISLAAD FERRY DI_ AUD T _o 9%2 6 i7 _ - a'`•`:`' ' " - s,, ' '53095-MAIN ROAD;PO•BOX`1179 = SOUTHOLD,'Nv1p9 i-0x5,9' - - ' _ CHECK';NO. ,4_"365• - ' THE'SUFFOLK.0O3 NAfIONAL`BANK` `CUTCHOGUE,NY 11935 - DATE —AMOUNT,,-, p 0,x/26/2017_ 141:,8'4- 50-546!214 - ONE ;HUNDRED ,QRTY AND'84'' 100 DOLLARS pAy' STAPLES' CONTRAC=T, ,& C_OMMERCIAL,' ORDER' .:P,O•''BOX `4152.56 op, BO"STON'.MA• 02241,52.56 11'0043GSlim^ 1:02L40`54641: 68 001502 Lei' l•J 4 `l , Vendor No. Check No. Town of Southold, New York - Payment Vouche 19711 Li 3 ro s Vendor Tax ID Number or Social Security Number Vendor Address Entered by Dept NY PO Box 415256 Audit ate STAPLES CONTRACT&COMMERCIAL Boston, MA 02241-5256 Vendor Telephone Number SEP 888-753-4107 Town Clerk . Vendor Contact /3 Invoice Invoice Invoice Net rehase Order Number Date Total Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 3351662413 9/2/2017 $133.85 $83.15 Blk toner Bro(1) Dell (1) SM5711.4.000.000 $50.70 Janitorial — SM5710.4.000.600 3352170100 9/9/2017 $7.99 $7.99 Staples,binderclips,pens SM5711.4.000.000 $141.84 $141.84 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved' Signature ldngL, 1 Title Signature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date STAPLES INVOICE DATE CUSTOMER [AMOUNT UMMARY INVOICE Business Advantage 9/02/17 NYC 1032952 8046219397 PLEASE PAY BY TERMS DUE 10/02/17 Net 30 Days 133.85 INVOICE DEZ L staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1017907 Ship to Account: FIFHRRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget Ctr 1010 Invoice Number: 3351662413 Budget Ctr Desc: Order 7182503938-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc order Date 8/30/17 Release Release Desc order order B/o unit ship unit extended Line Item Number Description Qty Qty Meas Qty Price Price 1 894710 SEB REMAN TNR BRO TN650 HY BLK 0 1 0 EA 1 49.21 49.21 2 1705832 SEB REMAN DELL B1260 HYTNR BLK ® 1 0 EA 1 33.94 33.94 3 662280 LYSOL 4 IN 1 LEMON CLNR 32oz 2 0 EA 2 3.53 7.06 4 633989 PINE SOL CLEANER LEMON 1440Z 1 0 EA 1 11.26 11.26 5 518102 STAPLES 13GAL DRAWSTRING 5OCT 1 0 BX 1 7.36 7.36 6 472384 LINER 40X53 1.3MIL 100/CT BLK 1 0 CT 1 25.02 25.02 Freight: .00 Tax:( .0000 %) .00 sub-Total: 133.85 Total: 133.85 IPV 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 aTo reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please dial (877)285-8852. 4„+aSTOMP, :NQ, SHI1> AAS I CEDER NO. 0001032952 8/30/17 7182503938-000001 I 1 PURtHA$E ORDER NO. R9L A.9E. NO. ww& FI TERMINAL orek��PEN" COST C;NTER RE XSITIONER tAAKc m U Staples Business Advantage SHIPPING LOCATION:Putnam, CT FC CARRIER ROUTE:SP1/UPS /U2 FISHERS ISLAND FERRY DISTRICT H GORDON MURPHY D FISHERS ISLAND FERRY DISTRICT TOTAL PACKAGES: 1 261 TRUMBULL DR La PO BOX 607 FISHERS ISLAND, NY 06390 #PC67296 T Contact: (631) 738-7463 - GORDON MURPHY T FISHERS ISLAND, NY 063900607 .0 0nPAGE: t SPECIAL INSTRUCTIONS THE NEW YORK STATE CONTRACT REQUIRES THAT OFF CONTRACT ITEMS BE PLACED ON A SEPARATE ORDER FROM CONTRACT ITEMS. YOU MAY BEGIN TO RECEIVE YOUR PURCHASES SPLIT INTO TWO ORDERS. TTM f OTY QTY �s c�xx�m�pN l Nt XFM Dm ORT-QgM s�Q s�1* 1 894710 SEB REMAN TNR BRO TN650 HY BLK/SEBTN650R EA 1 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds. talles.com/ s /894710.pdf 2 1705832 SEB REMAN DELL B1260 HYTNR BLK/SEBD1260R EA 1 0 Material Safeti Data S eets (MSDS) may be found by visiting http://sds. tar les.com/ sds/1705832.pdf 3 662.280 LYSOL 4 IN 1 LEMON CLNR 3202 /1920075352 EA 2 0 Material Safety Data Sleets (MSDS) may be found by visiting http://sds. to les.com/ /662280.pdf 4 633989 PINE SOL CLEANER LEMON 1440Z /COX35419 EA 1 0 Mater'al Safety Data Sleets (MSDS) may be found by visiting http://sds. tar les'.com/ s 633989.pdf 5 518102 STAPLES 13GAL DRAWSTRING 5OCT /51242-CC/18931 - BX 1 0 6 472384 LINER 40X53 1.3MIL 100/CT BLK /H8053PKER01 CT 1 0 Material Safety Data Sreets (MSDS) may be found by visiting http://sds.c tar les.com/ "sds/472384.pdf } Check: your order status online by News selecting My Order Status from the & PFeviewe My Orders drop down. ' 001 Thank You For Your Order! Staples,':Iric. - STAPPIES INVOICE DATE CUSTOMER SUMMARY,INVOICE Business Advantage 9/09/17 NYC 1032952 8046314551 ,PLEASE PAY BY TERMS AMOUNT DUE 10/09/17 Net 30 Days 7.99 INVOICE DETAIL staples Business Advantage Federal ID #:04-3390816 Hill to Account: 1017907 Ship to Account: FIFBRRY FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT ATTN: ACCOUNTS PAYABLE ATTN: GORDON MURPHY PO BOX 607 261 TRUMBULL DR #PC67296 FISHERS ISLAND, NY 06390 FISHERS ISLAND, NY 06390-0607 Budget ctr : 1010 Invoice Number: 3352170100 Budget Ctr Desc: order 7182694353-000-001 P 0 Number FI TERMINAL Ordered By GORDON MURPHY P 0 Desc Order Date 9/04/17 Release Release Desc order order B/o unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 108985 SF4 SPEEDPOINT STAPLES 5000CT 2 0 BX 2 1.29 2.58 2 831594 STAPLES SM BINDERCLIPS 40CT 1 0 PK 1 1.70 1.70 3 501954 STAPLES GEL STICK GRIP BLU 12 1 0 DZ 1 3.71 3.71 Freight:: .00 , Tax:( .0000 %) .00 sub-Total: 7.99 Total: 7.99 P /L customer serviceinquiries # 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 ;.w .,1 17m .. . FISHERS ISLAND FERRY DISTRICT VENDOR 019818 SUMMIT HANDLING SYSTEMS, INC. 09/26/2017 CHECK 4366 r F A FUND & ACCOUNT P.}O.# INVOICE DESCRIPTION AMOUNT SM .5709.2.000'.200 PSI-152497 NL TERM FORKLIFT MAINT. 637.12 SM .5709.2.000.200 PSI-152498 FI TERM FORKLIFT MAINT. 389.92 ak TOTAL 1,027.04 t' sa 'I m i m _ n ' waa;,-<:•r-,•ay-r`<T:'•;:.°<•,.xc.:,,;.:v...,arr.,vrr-e :,:•ra,r. .:s+', ,:fit`e3;a, ?,M"•:;:?;:;b'roys;:d¢h'- 'S.:x.^sSf3•SSS?:`., ' k` 2 ,nS•,q• se}" .»a .;F:.-• n{ 'L==: er: ij,,, ra o•t':':• ..Ea-do •eY'a4$; 4 ` ` I I - 4 o o o ® ® ® • ® o a e FISHERS ISLAND FERR-Y DISTRICT 53095 MAIN ROAD,PO 80X'1179 AUDIT: 09'/26'/17° ,J t o SOUTHOLD,NY 11971-0959 CHECK' 90.- 436'6'. I THE SUFFOLK CO.NATIONAL BANK ? CUTCHOGUE,NY 11935;" ,,DATE',, AMOUNT• ); So'Sasizia 09/26/2'01.7 1 $1.;-02"7. -0&; ONE THOUSAND-:TWENTY SEVEN-'AND-'04 10'0 ,DOLLARS 'SUMMIT:HANDLING SSTEMSN ,- INC' . I r! t PAY,: ` Y TO THE :Tl°:'DEFCO' PARK ,ROAT? `EI d00 ORDER `NORTH,-I AVEN CT -05473 _ "V— „ 5r ' n'004366i1' 1:0 2 L4054641: 68 001S 0 2 iii' Vendor No. Check No. Town of Southold, New York - Payment Voucher 19818 Vendor Name Remit to Address Entered by Summit Toyota Lift Summit Handling Systems, Inc. 39 Murphy Road, North Franklin, CT 06254 11 Defco Park Road Audit Date North Haven, CT 06473 SEP 2 6 2017 Vendor Telephone Number 203-239-6351 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number PSI-152497 8/31/2917 $637.12 $637.12 NLT Terminal Forklift Maint SM6709.2.000.200 PSI-152498 8/31/2017 $389.92 $389.92 FI Terminal Forklift Maint SM6709.2.000.200 $1,027.041 1 $1,027.04 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature(�e-Title Signature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date �� n . a SUMMIT TOYOTA LIFT PLEASE REMIT T0: �t`''•! 39 MURPHY ROAD - - UM11Z NORTH FRANKLIN,CT.06254 SUMMIT HANDLING SYSTEMS,INC. 11 Defco Park Road TOYOTA LIFT 860-642-4377 Phone _ , 860-642-4521 Fax North Haven,CT 06473 SERVICE INVOICE Bft 4 Invoice#: PSI-152497 Bill To:498910 ! TOTAL DUE:637;12 RJ BURNS MARK PO BOX 607 FISHERS ISLAND,NY 06390 United'States Date:Aug. 31, 2017 Payment terms: Net 30 Days Due Date:Sep. 30, 2017 Date Shipped:08/31/17 Work Order No:WO-123149 Salesman: 10 Ship To:498911 Customer Order No: FISHERS ISLAND FERRY 5 WATERFRONT PARK NEW LONDON,CT 06320 United States Make:Toyota Object No:498910-001 Model:5FGU25 Hour Meter: 11,784 Serial#: 10894 Fleet Code: Service;Requested: Planned Maintenance = Work Performed: PM SERVICE. PERFORM SAFETY AND MACHINE INSPECTION. QTY Description Unit Price Total 0 PM Level 1 service 0 0.00 Labor 246.00 1 ELEMENT S/A 18.68 18.08 1 FILTER 19.13 '19.13 1 AIR ELEMENT 31.09 31.09 4 QUART 5.29 .21,16 1 ADDITIVE 7.55 7.55 1 GREASE TUBE 5.69 5.69 1 CHAIN &CABLE LUBE 10.49 :10.49 2 TERMINAL PROTECTOR 0.8" 1.60 1 4Y TUNE UP KIT**X800 229.29 229,29 1 Environmental 9 9.00 Total Material 344.08 ''Total Labor 246.00 Total Charges 9.00 Sublet 0.00 Sales Tax 38.04 Total Due 637.12 'Page 1 of 1 SUMMIT TOYOTA LIFT PLEASE REMIT TO. t rr 39 MURPHY ROAD SUMMIT HANDLING SYSTEMS,INC. _UMMIT NORTH FRANKLIN,CT 06254 11 Defco Park Road , TOYOTq LIFT 860-642-4377 Phone V 860-642-4521 Fax North Haven,CT 06473 SERVICE INVOIIdE • �i BR 4 + Invoice#: PSI-152498 Bill To:498910 TOTAL DUE:389:92 RJ BURNS r MARK: lJ J PO BOX 607 " FISHERS ISLAND, NY 06390 United States Date:Aug.31, 2017 Payment terms: Net 30 Days Due Date: Sep. 30, 2017 Date Shipped:08/31/17 Work Order No:WO-1231,50 Salesman: 10 Ship To:498911 Customer Order No: FISHERS ISLAND FERRY 5 WATERFRONT PARK NEW LONDON,CT 06320 United States Make:'foyota Object No:498910-002 Model: 7FGU25 Hour Meter: 6,180 Serial#: 64172 Fleet Code: Service Requested: Planned Maintenance Work Performed: PM SERVICE. PERFORM SAFETY AND MACHINE INSPECTION. QTY Description Unit Price Total 0 PM Level 1 service 0 0.00 Labor 205.00 1 FILTER S/A, OIL 10.76 :10.76 1 FILTER 19.13 :19.13 1 FILTER ASSY,FUEL 48.01 :48.01 1 RING, 0 18.3 :18.30 4 QUART 5.29 '21.16 1 ADDITIVE 7.55 7.55 1 CLEANER 9.95 9.95 1 GREASE TUBE 5.69 5.69 1 CHAIN &CABLE LUBE 10.49 10.49 2 TERMINAL PROTECTOR 0.8 1.60 1 Environmental 9 9.00 Total Material 152.64 Total Labor 205.00 Total Charges 9.00 Sublet 0.00 Sales Tax 23.28 Total Due 389.92 Page 1 of 1 FISHERS ISLAND FERRY DISTRICT VENDOR 012309 THE HILLERY COMPANY 09/26/2017 CHECK 4367 P.O.# INVOICE DESCRIPTION FUND & ACCOUNT AMOUNT SM .5709.2.000.200 94045 NLT-NEW FRKLFT HITCH 428.19 TOTAL 428.19 g- iYE ......... az: -- tom- '7 7,WCT - ' I ,,1, -, - - "FISHERS ISLAND TERRYDIS, AUDIT,,- 0 /1- ;'-53095-MAIN-RO-AD,RO BOX 1179 -0959 -:C K --SOUTHOLWNY'll 971 N&i6NAL-BAk E SUFFOLK CO. I, 0 CUTCHOGUE,NY 11935 DATE_ --AMOUNT, '$42 1A S _ -'EIGHT 10 0: DOLLAR Fb TWENTY-'EIGHT - , 1 -1, 1-1 UR:*HUNDRED. TWENTY 'AND' 19 v j T07iIE'- '739- ME,kibt STREET-EXT oRbEk'," GR0TbN,,CT, 6 6,34 01 j 14 J i in 0 0 L, 3 G 7110 1: 2 1 4'o _S L,r3l,1: 613 001S02 Ilia Vendor No. 1239 Check No. 7 Town of Southold, New York - Payment Voucher G7 Vendor Tax ID Number or Social Security Number Entered by 739 Meridian St. Ext. Groton, CT 06340 Audit Date The Hillery Co. SEP 2 6 2011 Vendor Telephone Number 860-445-9791 Town Clerk Vendor Contact /'( Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 94045 8/31/2017 $428.19 $428.19 NLT new forklift hitch SM5709.2.000.200 ° $428.19 $428.19 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature itle Signature G Company Name Date Title Date O E The Hillery Co. Invoice 739 Meridian St. Ext. Groton CT, 06340 Date Invoice# 8/31/2017 94045 Bill To Ship To Fishers Island Ferry Fishers Island Electric Co. Drawer H Fishers Island,NY Fishers Island,NY 06390 P S.O. No. P.O. Number Terms Rep Net 30 JD Quantity Description Price Each Amount 1 Towing plates 402.62 402.62T Subtotal $402.62 Sales Tax (6.35%) $25.57 Total $428.19 Balance Due $428.19 A- Phone# Fax# E-mail Web Site 860-445-9791 860-449-1693 OBowen@HilleryCo.com www.hilleryco.com FISHERS ISLAND FERRY DISTRICT VENDOR 001459 TOWN OF SOUTHOLD A&T 09/26/2017 CHECK 4368 i( FUND & ACCOUNT r \\ P.0'.# INVOICE DESCRIPTION AMOUNT , •I r SM .9710.7.000.000 100117-2016 2016 FIFD BONDS 2,987.50 'n, TOTAL 2,987.50 a 7-1 r ;1 Xi : :•F. w$iRir 'F;rfi n...+. ;::wy au` ' «:.'Is•`kl. .:.o..aaY;-;.wx ..,ysa,:;-. ,r. ^✓,,Y,::.>, ;` ...".a>a• r R F(SH ERS;ISLAIVD FERRY,DISTRICT - AUDIT';'o9` `2's 17 53095-MAINROA6,,PO,B0X,1-179• _ / } - I'-` "SOUTHOLD;'NY'17971-0959 CHECK=NO'. '4'368" _ THE SUFFOLK''C0:NATIONAL SANK \ DATE MOUNT 7 /26/201:7-1 ry} CUTCHOGUE,NYA 1935, v "I 562546121409/26'/2017 $'2-,''?987.5'0'•' THOUSAND''•N+INE' HUNDRED:'EIGHTY''SE'VE AND 56/100 D PAI,-_ TOWN 'OF ; -- ——--- - Vendor No: Check No. -.- - Town of Southold, New York - Payment Voucher 1459 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 9/26117 Vendor Telephone Number (631) 765-4333 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 100117-2016 10/1/2017 2,987.50 2,987.50 2016 FIFD Bonds SM.9710.7,000M0 2,987.50 Total Payee Certification Department Certification The undersigned G (Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due wmg,and that taxes from which the Town is exempt are excluded. o iscrepancies noted and payment is approved Signature Title Town Comptroller Signatur ,&" Company Name Town of Southold Date September 21.2017 Title Town Comptroller Date September 21,2017 Fax Server 9/20/2017 11 : 58 : 59 PM PAGE 2/002 Fax Server RVM9 DIVIDEND EXPECTED REGISTER 19925 EDETAIL CONFIRMATION PAGE OF PAGES The Depository Trust Company PAYMENT DATE ROLE PAY METHOD DDA NUMBER F570 8 3 6 0 5 0 WIRE MATCH DDA NAME CONTROL NUMBER � S � 01U � T � H � O � L � D � TOWN � N � Y � / � 5 � C K [2 � 6 � 014 � 3 Please see cover page for detail CUSIP EXPECTED AMOUNT required on the payment wire � 8 � 4 � 4 � 5 � 7 � 2 � PTG 6 8 1 2 5 0 � 8 � 4 � 4 � 5 � 7 � 2 � P H 4 � 9 � 715 � - � O � 01 8 4 4 5 7 2 P J 0 6 0 0 0 0 8 4 4 5 7 2 P K 7 6 0 0 0 0 TTI F EXPECTED TOTAL: 2 9 8 7 5 0 (PLEASE COMPLETE WITH BLACK PEN) ® YES, I do agree O NO, I do not agree If you agree with the above please fill in the "YES, I do agree" indicator. If you do not agree with the above please fill in the "NO I do not agree" indicator. Write any changes or additions next to the correspondinq CUSIP and show the actual total amount to be wired. Specific wire instructions: CHASE NYC, ABA# 021 000 021 BNF=Deposit r T t Co./AC-066026776 CONTACT PHONE NUMBER OBI-P/A W J I �< - 3 AUTHORIZATION NAME (PLEASE PRINT) o � ►� So � d COMMENTS: 19925 ■ - AUT ZA G � ■ Fax Server 9/20/2017 11 : 58 : 59 PM PAGE 1/002 Fax Server The Depository Trust Company LITLE; 570 Washington Blv secxlrirsy 9ztc,av,SluDity 7b-narrow, Jersey City, NJ 07310 TO : JOHN CUSHMAN COMPANY : SOUTHOLD TOWN NY/5 CW FAX : 8 1 631 765-1366 NOTES NUMBER OF PAGES (INCLUDING COVER SHEET) : 02 TELEPHONE # : (212) 855 - 4396 DTC CONTACT NAME: BERCINI GREGG-TANNIS DEPARTMENT EMAIL ADDRESS : CASHPROCESSINGCONFIRMATION@DTCC.COM Please follow the instructions outlined on the attached Dividend form. The completed form should be returned to DTC no later than 12:00 noon EST on payment date. However, to expedite the confirmation process DTC would greatly appreciate the return of this form as soon as possible. [NOTE: If the total dollar amount matches the amount your institution intends to allocate; please email the last page of the form ONLY with the correct information checked and filled out.] Wired funds must be received by DTC before 2:30 PM EST on the payment date. On the transmitted payment wire, please place the letters "DDA" (excluding quotes) immediately followed by your 8-digit DDA number found on the form. Failure to properly identify payments sent to DTC may delay allocation until the payment detail can be obtained. OISSUED Otignal Issue Amt 2ND INT 2017 2ND INT DESCRIPTIN FUND liishers.Iilam-d fttir—.-Zliirld 041661,16 , 550j" y FISHERS ISLAND FERRY DISTRICT VENDOR 021506 UNITED PARCEL SERVICE 09/26/2017 CHECK 4369 i FUND & ACCOUNT/ --P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.700 26639357 WE 9/1/17 116.91`` SM .5710.4.000:700 26639367 WE 9/8/17 63.451 r.;r TOTAL 180.36 _ 1 §.. ...,,..,v w....c..-'F.a x. ..a a n. .. '"^'°z• . :C;•:• ••:t:•;{. . j:5•:•: m,.^,r:. hro ,^'' 1' 1 of ? :`a•.`-, a✓ :" .,ems. a f 4 xt- r ''r?eu% , "';yA '• '' •';;' 'w,'« .3:•.* <.i.v;..-. of ^'safi`.. .«a >fiffi efi: aa a'sa , 0 B • 0 D B B O B • t ,V ' FISHERS'ISLANID'FERRY'DISTRICT:'' A( IT:09'%25-%17'`t µ _ 5$095 MAIN ROAD;P0,BOX 1179' _;\ r ; SOUTH_OLD,'NY'1,1971'-0959 :ir ( a CHECK"=NO :43_b9a. THE SUFFOLK CO.INATIONAL BANK. 4, t CUTCHOGUE;NY.11935„ DATE -,AMOUNT;_ . =$180 36 50-548/21 ,09/26j2017" _', '.ONE+ HUNDREb- EIGHTY AND_"36'/ 00 DOLLARS,_ PAY`,, UN TED—PARCEL SERVICE TO THE = 0.2'44 PHILADELPHIA PA`,1917f0-0001 OFA.-ti` , 'z '• - , '- = - , - ` - .<- ,. _ ' us 00436911' 1:0214054641: 68 001502 Ino Vendor No. Check No. Y , Town of Southold, New York- Payment Voucher 2150.6 LA3 _Gq , Vendor Address Entered by P.O. Box 7247-0244 Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date United Parcel Service SEP 6 2011 Vendor Telephone Number 800-811-1648 Clerk - Vendor Contact Invoice Invoice Invoice Net Purchase Order f Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 26639357 9/2/2017 $116.91 $116.91 WE 9/1/17 SM5710.4.000.700 26639367 9/9/2017 $63.45 $63.45 WE 9/8/17 SM5710.4.000.700 " s F ' a k { . 3 $180.36 $180.36 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature Signature Company Name Fishers Island Ferry District Date 9/15/2017 Title o Date Delivery Service In voice Invoice Date September 2, 2017 UnA Shipped from- Invoice Number 0000026639357 FISHERS ISLAND FERRY Shipper Number 026639 ACCOUNTS PAYABLE Control ID S396 1 STATE ST Pagel of 4 NEW LONDON,CT 06320 Sign up for electronic billing today! ®_ 0736A00000266394 77366010022881 Visit ups.com/billing AB 01 028710 40919 H 80 C For questions about your invoice,call: (800)811-1648 "111111'°1aIII'11'IIIII""1111111`III"11111°111111111111111111 Monday-Friday 8:00 am.-9:00 p.m.E.T. FISHERS ISLAND FERRY ACCOUNTS PAYABLE orwrite: PC 13®X 607 UPS FISHERS ISLAND, NY 06390-0607 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for casing UPS Weekly Payment Plan Surnmary of Charges Amount Due This Period $116.91 page Charge Amount Outstanding(prior invoices) $2,474.29 Outbound Total Amount Outstanding $2,591.20 3 UPS WoddShip $97.42 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $6.59 your paymentSee Account Status for details. Service Charges $12.90 Questions about your charges? Amount due this period $116.91 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.com/invoiceguide. 24,2017. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tarifflrerms and Conditions of = Service at ups.com for details) Note.This invoice may contain a fuel surcharge as describer)at �✓ ups com.For more information,please visit ups.com. Delivery Service Invoice Invoice Date September 2, 2017 Invoice Number 0000026639357 aim Shipper Number 026639 Page 2 of 4 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portionof each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639317 08/05/2017 $536.04 0000026639327 08/12/2017 $1,296.71 0000026639337 08/19/2017 $516.12 0000026639347 08/26/2017 $125.42 Total $2,474.29 Outstanding balances reflect any payments received as of 09/01/2017.Please ignore this message if a recent payment has been made for any outstanding invoices. r Delivery Service Invoice Invoice Date September 2, 2017 Invoice Number 0000026639357 Shipper Number 026639 Page 3 of 4 ®utbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service .Code Zone Weight Charge 08/29 6853513472 1 IZO266390348754537 Ground Commercial 17011 3 33 17.54 Customer Weight " 25.2 �b Fuel Surcharge 0.96 kip' a1` Customer Entered Dimensions= 23 x 18 x 11 in Total 18.50 1st ref:FINY-LYON 2nd ref:FINY-LYON Sender :ACCOUNTS PAYABLE Receiver: • WORLD PANTRY RETURNS 480 TERMINAL STREET CAMP HILL PA 17011 Message Codes:r 2 1ZO266390347133923 Ground Commercial 17011 3 16 11.96 Customer Weight 7 ti Fuel Surcharge 0.66 `J(�ie 1�1 Customer Entered Dimensions= 13 x 13 x 13 in Total 12.62 1st ref:FINY-LYON 2nd ref:FINY-LYON Sender :ACCOUNTS PAYABLE Receiver: WORLD PANTRY RETURNS 480 TERMINAL STREET CAMP HILL PA 17011 Message Codes:r Total for Pickup Number: 6853513472 2 Package(s) 31.12 —_ 08/30 6853513483 1 1ZO266390347646941 Ground Commercial 75225 7 15 19.23 — Customer Weight 8.4 Fuel Surcharge 1.06 v� 1 Customer Entered Dimensions= 24 x 17 x 5 in Total 20.29 ist ref:FINY-LYNCH 2nd ref:FINY-LYNCH / Sender :ACCOUNTS PAYABLE Receiver: CYNTHIA BROWN 3628 COLGATE DALLAS TX 75225 Message Codes:r Total for Pickup Number: 6853513483 1 Package(s) 20.29 09/01 6853513494 1 IZO266390346295153 Ground Residential 75205 7 40 40.21 Customer Weight 37.8 Residential Surcharge 3.40 _ Fuel Surcharge 2.40 Customer Entered Dimensions= 19 x 17x 17 in 46.01 1st ref:FINY-FLANAGAN Total 2nd ret:FINY-FLANAGAN Sender :ACCOUNTS PAYABLE Receiver: CHRISTIE FLANAGAN 4437 BEVERLY DRIVE' DALLAS TX 75205 Message Codes:r Total for Pickup Number: 685.3513494 1 Package(s) 46.01 Total UPS WorldShip 4 Package(s) 97.42 Total Outbound 4 Package(s) 97.42 028710 2/2 Delivery Service in voice Invoice Date September 2, 2017 Invoice Number 0000026639357 Shipper Number 026639 n Page 4 of 4 Adjustments & Other Charges Adjustments &Other Charges Miscellaneous Billed Explanation Char e WEEKLY PRINTER SERVICE FEE 3-0 FOR 1 PRINTERS AT$3.00 EACH FOR 01-SEP-2017 Total Miscellaneous 3.00 ,It Residential/Commercial Adjustments r�JoR lua UPS WorldShip l Shipped Pickup Recorded Billed Adjustment Date Record Entry Tracking Number Corrected 2` Charge' Amount 08/30 6853513483 1 1Z0266390347646941 Commercial -19 23 Residential Residential Surcharge 3-40 ��l� Fuel Surcharge Z 0.19 3.59 1st ref:FINY-LYNCH 2nd ref:FINY-LYNCH Total UPS WOrldShip 1 Package(s) 3.59 Total Residential/Commercial Adjustments 1 Package(s) 3.59 Total Adjustments&Other Charges 6-59 Invoice Messaging Code Message r Dimensional weight applied 6 Delivery Service Invoice Invoice Date September 9, 2017 Shipped from: Invoice Number 0000026639367 FISHERS ISLAND FERRY Shipper Number 026639 log, ACCOUNTS PAYABLE Control ID P814 1 STATE ST NEW LONDON,CT 06320 Page 1 of 3 Sign up for electronic billing today! ® 0736A00000266394 77366020020655 Visit ups.cam/billing AB 01 026989 45883 H 76 C For questions,about your invoice,call: (800)811-1648 Monday-Friday ®_ FISHERS ISLAM®FERRY 8:00 am.-9:00 p.m.E.T. .� ACCOUNTS PAYABLE or write: PO BOX 607 UPS FISHERS ISLAND,NY 06390-0607 P.O.sox 7247-0244 Philadelphia,PA 1 91 70-0001 Account Status Summary Thank you for using UPS Weekly Payment Plan Summary of Charges Amount Due This Period $63.45 Page Charge Amount Outstanding(prior invoices) $758.45 Outbound Total Amount Outstanding $821.90 3 UPS WorldShip $34'65 Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $3.00 f/ your payment.See Account Status for details. Service Charges $25.80 Questions about your charges? Amount due this period $63.45 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 October 1, _ ups.com/invoiceguide. 2017. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariffrrerms 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. Delivery Service Invoice Invoice Date September 9, 2017 ' Invoice Number 0000026639367 Shipper Number 026639 u Page 2 of 3 Account Status Weekly Payment Plan Payments Applied ' Invoice Number Invoice Date Amount Paid 0000026639317 08/05/2017 $536.04 0000026639327 08/12/2017 $1,296.71 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include theReturn Portionof each outstanding invoice with your payment. Invoice Number Invoice Date Balance Due 0000026639337 08/19/2017 $516.12 0000026639347 08/26/2017 $125.42 0000026639357 09/02/2017 $116.91 Total $758.45 Outstanding balances reflect any payments received as of 09/08/2017,Please ignore this message it a recent payment has been made for any outstanding invoices. i Delivery Service In voice Invoice Date September 9, 2017 Invoice Number 0000026639367 Shipper Number 026639 Page 3 of 3 Outbound UPS WorldShip Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 09/07 6853613505 1 IZO266390346103163 Ground Residential 21136 3 43 20.91 Customer Weight 28.6 Residential Surcharge 3.40 Declared Value$1,000.00 9.00 Fuel Surcharge 1.34 Customer Entered Dimensions= 25 x 18 x 13 in / Total 34.65 I/ 1st ref:FINY-LISA REALE 2nd ref:FINY-LISA REALE Sender :ACCOUNTS PAYABLE Receiver: HELEN BONSAL 14040 MANTUA MILL ROAD REISTERSTOWN MD 21136 Message Codes:r Total for Pickup Number: 6853513605 1 Package(s) 34.65 Total UPS WorldShip 1 Package(s) 34.65 Total Outbound 1 Package(s) 34.65 Adjustments &Other Charges Miscellaneous Billed Explanation Charge WEEKLY PRINTER SERVICE FEE 3.FOR i PRINTERS AT$3.00 EACH _ FOR 08-SEP-2017 Total Miscellaneous 3.00 _ Total Adjustments&Other Charges 3.00 Invoice Messaging Code Message r Dimensional weight applied 026989 2/2 FISHERS ISLAND FERRYDISTRICT VENDOR 021514 UNITED RENTALS (N.AMERICA) ,INC 09/26/2017 CHECK 4370 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT Il SM .5709.2.600.200 149422231-001 PRESSURE WASHER RNTL-NLT 274.08 SM .5709.2.000.200 149474394-001 _,FEMA-BOOM TELESCOPC RNTL 1,;242.32 TOTAL 1,516.40 .. ..,,,, .,-. .....r .. - ,--..a:. "." >"- Y" _ Y . .-rr•! na a .,;i Y?::'"r`e"v':-5" ,.,: 9 C', 53095 AUDIT 0-9 .2 Y ZSBERS-15LAAD FERRYDlSYRlff,:__ _4 'N -MAIN ROAP,,fOBOX,1170,'-, ' SOUTHOLD,"NY-J.JL971 CHECK DATE,-_: F_ ,., -A T, 4711 THE SUFFOLK CO.'NATIONAL BAIJI, -11935- -CUTCHPGUE,,NY MOUNT 4' , 50 54'61214<' 017 $1 i&%4_0 - -0, J, 4 ''019'-TRE)USAM FIVE,HUNDRib, Sl) TEEk -4 J; I" % ';UN.. TER8NTALL8--'(N.' AMERICA) INC P'4'y Box;-1001 07 'Po 'TLAN 12 T H ORDEk'.` TA' OA 'J 0 3 Z 14 u'004370110 1:0 2 140 54641: 68 00L502 L'in 3' Vendor No. Check No: _ Town of Southold New York - Payment Voucher1A !A-I 7 Vendor Tax ID Number or Social Security Number Vendor Address Entered by PO Box 100711 Audit Mate United Rentals(North America) Inc Atlanta,GA 30384-0711 SEP 2 6 2017 Vendor Telephone Number Town Clerk _ -, Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 149422231-001 8/22/2011 $274.0$ $274.08 Pressure washer rental-NLT W6709.2.000.200 149474394-001 8/31/2017 $1,242.32 $1,242.32 Boom telescopic rental-FEMA NLT Lights SM5709.2.000.200. f ` E ` t - E $1,616.40 $1,616.40 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are,excluded or discrepancies noted,and payment is approved Signature le Signature ^7 Company Name Fishers Island Ferry District Date 9/15/2017 Title Date 7� O.United Rentals® RENTAL RETURN BRANCH 405 INVOICE •4153- PROVIDENCE +' . NEW LONDON TURNPIKE (RT 184) # 149422231-001 NORTH STONINGTON CT 06359 860-535-8003 Customer # 2858287 Invoice Date 08/22/17 FISHERS ISLAND FERRY DOCK Rental out : 08/18/17 10:17 AM u Rental In 08/22/17 07:54 AM 5 WATERFRONT PARK UR Job Loc 5 WATERFRONT PARK, N N UR Job # 2 X' '@' Customer Job�ID: '4 O NEW LONDON CT 06320 P.6. # : FI TERMINAL h Office: 631-788-7463 Cell: 631-788-7463 ordered By : DAN EAGAN Written By : RYAN PROVENCHER Salesperson : MARK MASCHECK 2 1 454 1 MB 0 420 63222SI1 p01 851169 1-1 0 Invoice Amount: $274.08 FISHERS ISLAND FERRY DISTRICT Terms Due Upon Receipt PO BOX 607 Payment options Contact our credit office 704-916-4851 FISHERS ISLE NY 06390-0607 REMIT TO: UNITED RENTALS(NORTH AMERICA),INC PO BOX 100711 ATLANTA GA 30384-0711 r RENTAL ITEMS: Qty Equipment Description Minimum Day Week 4 Week Amount I ' 1 10634618 PRESSURE WASHER GAS 3000 PSI 107.05 264.81 659.20 214.10 Make: MI-T-M Model: CA-3003-1MAH Serial: 10997681 SALES/MISCELLANEOUS ITEMS: Rental Subtotal: 214.10 Qty Item Price Unit of Measure Extended Amt. 1 CT RENTAL SURCHARGE [DRSURCT/MCI] 3.211 EACH 3.21 1 REFUELING SERVICE CHARGE SMALL EQUIPMENT [FUEL SMALL EQ/MCI] 5.500 EACH 5.50 1 ENVIRONMENTAL SERVICE CHARGE [ENV/MCI] 2.780 EACH 2.78 Sales/Misc Subtotal: 11.49 Agreement Subtotal: .220.09 Fuel: 5.50 Rental Protection: 32.12 Tax: 16.37 COMMENTS/NOTES: Total: 274.08 ARE YOU OR YOUR EMPLOYEES IN NEED OF OPERATOR CERTIFICATION TRAINING? f CONTACT UNITED ACADEMY TODAY 844-222-2345 OR WWW.UNITEDACADEMY.UR.COM TRAINING IS NOT AVAILABLE ON CERTAIN EQUIPMENT IN CANADA. . 1 THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT,WHICH ARE INCORPORATED HEREIN BY REFERENCE A COPY OF THE RENTAL AGREEMENT IS AVAILABLE UPON REQUEST You Can Now Access Invoice History and Update Purchase Orders Online Page: 1 0United Rentals° RENTAL RETURN INVOICE 'R-RAkCH 405 559 PROVIDENCE # 149474394-001 NEW LONDON TURNPIKE (RT 184) NORTH STONINGTON CT 06359 860-535-8003 Customer # 2858287 Invoice Date 08/31/17 N FISHERS ISLAND FERRY DOCK Rental out 08/21/17 11:57 AM ,N Rental In 08/29/17 07:00 AM 'I 5 WATERFRONT PARK UR Job Loc 5 WATERFRONT PARK, N C!1 UR Job # 2 X: •@• Customer Job ID: A NEW LONDON CT 06320 P.O. # : NPOR F3 Office: 631-788-7463 Cell: 631-788-7463 Ordered By JOHN HANEY Reserved By ROBERT MARTONE Salesperson MARK MASCHECK 21 2851 MB0420 65366S11 p01 898023 1-1 0 _ Invoice Amount: $1,242.32 FISHERS ISLAND FERRY DISTRICT Terms Due Upon Receipt PO BOX 607 Payment options Contact our credit office 704-916-4851 FISHERS ISLE NY 06390-0607 REMIT TO: UNITED RENTALS(NORTH AMERICA),INC PO BOX 100711 ATLANTA GA 30384-0711 RENTAL ITEMS: Qt Y Equipment Description Minimum Day Week 4 Week Amount 1 10389581 BOOM 37-44' TELESCOPIC 285.65 714.13 1633.92 714.13 Make: JLG Model: 4005 Serial- 0300205650 Meter out: 734.40 Meter in: 742.60 PRICING REFLECTS NEW YORK STATE CONTRACT RATES *** CUSTOMER FORGOT TO CALL OFF LIFT, BACK DATE 1 DATE FOR A 1 WEEK RENTAL *** Rental Subtotal: 714.13 SALES/MISCELLANEOUS ITEMS: Qty Item Price Unit of Measure Extended Amt. 1 CT RENTAL SURCHARGE [DRSURCT/MCI] 10.711 EACH 10.71 1 ENVIRONMENTAL SERVICE CHARGE [ENV/MCI] 9.280 EACH 9.28 7 DYED DIESEL [DYEDDSL/MCI] 6.700 EACH 46.90 1 DELIVERY CHARGE 140.000 EACH 140.00 1 PICKUP CHARGE 140.000 EACH 140.00 Sales/Misc Subtotal: 346.89 Agreement Subtotal: 1,014.12 Fuel: 46.90 Rental Protection: 107.12 Tax: 74.18 Total: 1,242.32 COMMENTS/NOTES: JEB COOK 203-410-8156 NY CONTRACT RATES APPLIED ARE YOU OR YOUR EMPLOYEES IN NEED OF OPERATOR CERTIFICATION TRAINING? CONTACT liNITED ACADEMY `PODAY 844-222-2345 OR WWW.UlgITEDACADEMY.UR.COM TRAINING IS NOT AVAILABLE ON CERTAIN EQUIPMENT IN CANADA. M l" THIS INVOICE IS ISSUED SUBJECT TO THE TERMS AND CONDITIONS OF THE RENTAL AGREEMENT,WHICH ARE INCORPORATED HEREIN BY REFERENCE A COPY OF THE RENTAL AGREEMENT IS AVAILABLE UPON REQUEST You Can Now Access invoice History and Update Purchase Orders Online Page: I "41 ; ha. .!, at;,,r '✓;;.oq.; µ„^ +3` f' { FISHERS ISLAND FERRY DISTRICT - ` r VENDOR 024539 W.B. MASON CO.INC 09/26/2017 CHECK 4371 ' t FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT SM .5710.4.000.600 247240910 ASSTD CLEANERS 74.96 :; ., t4i TOTAL 74.96 ' z{yj ./ X x.x z Kx^ vN' >xrnx.o .w---tv..r.P:..M. t.o`•'•c uta m . .':wu ." .-L'_Y i S •,`' •f:'1 »., N,viA i. r t•. ..,. RM . o..`WwY.x' ``°"'J..Y,a r• N,tr'., xv✓ a ,,rw'' .1 — +— .f \ -5 • 111 / 3rt 1 6 1 FISHERS-ISLANID'FERRY DISTRICT _ AUDIT"''09/26/17. r 53095 MAIN,ROAD,'PO=BOX1'179' SOUTHOLD,•NY 11971;0959'- t ° -,W_37 CHECK."NO. 1. Al THE SUFFOLK COi1NATIONAL BANK CUTCHOGUE,•NY 11935- DATE 50-5461214 -54 z a'' 09/26/20'1T,r.',' $, 4'r.96'.,' ; S EVENTX,=FOUR: AND:-9'6` 10 0 DOLLAR'S ^5} _ - - )•i, - - r -+ __ - -" - r -r r - ; - __ _ - - - 1,14 '(I' _ls',i PAY• ;W:B':r-MASON-' CO.INC'' ,Y TO ' ' 01":PO .BOX9.811 _ OSTON,= MA 022'9`8-1-- 01 11'00437 Lii' 1:0 2 L405464ll: 68 00 LS0 2 iii' L J J Vendor No. Check No. Town of Southold, New York - Payment Voucher 24539 3 Entered by PO Box 981101 Audit Date W.B. Mason Boston, MA 02298-1101 SEP 2 6 2017 Vendor Telephone Number 888-WB-Mason Town jerk 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 147240910 8/29/2017 $74.96 $74.96 Janitorial supplies SM5710.4.000.600 $74.96 $74.96 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has to good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature_ TitleSignature Company Name Fishers Island Ferry District Date 9/14/2017 Title Date �" (Page 1) e�HO BUTBUT' PM Ip *002 Delivery Address Invoice Number: 147240910 Fishers Island Ferry District Customer Number: C2024302 W.B. MASON CO., INC. ATTN.:NLT Reference Number: 147240910 59 Centre St-Brockton, MA 02301 HOUSEKEEPING Address Service Requested Invoice Date: 08/29/2017, 5 Waterfront Park ,' _ Due Date: � � � . 888-WB-MASON www.wbmason.com New London,CT 06320 09/28/2017._PO Number: NLT HOUSEKEEPING Order Date:" 08/28!2017 *2 7 8 9 5 8 6 71*HO***********ALL*FOR*AADC*0 6 0 Order Number: S051820173" FISHERS ISLAND FERRY DISTRICT Order Method: WEB ATTN:ACCOUNTING PO BOX 607 FISHERS ISLE,NY 06390 Illllllllllllllllllllll'll"'lllllllllll'I"'Jill III""II'llllll W B.Mason Federal ID# 04-2455641 Important Messages M Sign up for Paperless Invoicing at wbmason.com/paperless. Your Registration Code:5637419782 - Now you can access and PAY your W.B. Mason Invoices online! Use the Registration Code above to activate Paperless Invoicing for your account. Sign up today to view your account statement, pay invoices, and reduce clutter of paper invoices piling up on your desk. -E-mail notifications let you know when new invoices are ready to view -Access your account's full invoice history and pay invoices with a credit card on wbmason.com Registration is quick and easy at www.wbmason.com/paperless ITEM NUMBER DESCRIPTION QTY U/M UNIT PRICE EXT PRICE CL03542OCT CLEANER,CLEAN-UP,W/BLEACH,1280Z 1 CT 50.99 50.99 KIK33302WK CLEANER,WORKS,TOILET,2/PK 3 PK 7.99 23.97 SUBTOTAL: 74.96 TAX&BOTTLE DEPOSITS TOTAL: 0.00 ORDER TOTAL: 74.96 Total Due: 74.96 To ensure proper credit,please detach and return below portion with your payment wwo uTUTO� Packing Slip W�B!PLfuRN1TOREB PRI rim W.B. Mason Mode of Delivery: 00140 FOR OFFICE SV PO Box 111 Warehouse............... OLE-CT • •�••�• V • • 59 CENTRE ST Delivery Number....... 39082766DEL _ BROCKTON, MA 02303 Customer Number...... C2024302 1-888-WBMASON Phone Number:.......... 8604420165 � www wbmason.com Sales Rep: Russell Sheikowitz Special Instructions: Ship To: Fishers Island Ferry District { f 5 Waterfront Park , �1 New London, CT 06320 rd Sales Order # S051820173 s Ship Date:: 8/29/2017 r P 0 Number.: NLT HOUSEKEEPING Attention Name.: nit housekeeping Qty Qty Bk Previous Item Number Order Ship Ord Delivery U/M Description Facility CL03542OCT 1 1 0 0 CT CLEAN ER,CLEAN-UP,W/BLEACH,1 280Z UNTD-WOB KIK33302WK 3 3"–:", 0 0 PK 'CLEAN ERNORKS,TOILET,2/PK UNTD-WOB 7/- P—F/M Delive Number 39082766DEL IIIIIII I III IIII IIII IIII II I IIII I I III FISHERS ISL,AND FERRY DISTRICT-, ' r VENDOR 025038 Z &,S FUEL & SERVICE, INC. 09/26/2017 CHECK 4372 FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT I SM .5709:2.000.200 ' 22245 5.04G–DIESEL,22.39813 GAS 90.94 SM .5709.2.000.200 22525 10.125 GAL–GAS-8/15 r 33.00 SM .5709.2.000.200 22565 25.778' GS,10.054 DSL,OIL 124.79 i :'.., J TOTAL 248.73Rim `^ .,. i'fl'.':'n`•:.h is ` • .. i &/,A.•...-...«,., .,._ .>s,•:, _ .. >...M.,a:,k. .,c.>.•a:•> `3 xamsfe .;:s•;.;L'.>g;.;: vE?r. •.3 Ni'• : •f=:• :•.A.. •+SSS• of r: "1i•. is b'7S?i .•.p .N k I i P. , .-`" .0 3. esR' .r ..- ....:a>``" "`°•,.AY ':r•,•",x••_' -,, n.,et S'"b•",,'e,''Z,' 'Y`".9'" . • `y^ _ ' I I 1 ` • 1lammanana. 0 • D 0 D • D 0 D "; - _ _ FISHERS'ISLAND'FERR—DISZ_RICT' AUDZT':'d9'=a26!"i7 j; 53095 MAIN,ROAO,PO BOX,1179 ; / / ; SOUTHOLD;NY'11971-0959'_ ICH CK-=NO.=,, .43=72` 1 A THE'SUFFOLK CO.NATIONAL, BANK- •° ; . 'AMOUNT'• CUTCHOGUE,NY 11935 DATEa, - 50-e461214 — 09/,26/2017 : $248 7 _ =•'- TWO' HUNDRED 'FORTY-•EIGHT",'AND"'73/.10'0 ,DOLT,ARS`:_=,,' FUER_'& SERVICE•,, INC. ,f s TO OF ,rE2SHER'S I P';NY- 0,'63-9- 0 = _. 68 00 L 50 2 Lill '004'3l'7 21I'. :0 2 L40'S464' : '- Vendor No. Check No. Town of Southold, New York- Payment Voucher 25038 3� Vendor Address Entered by 2 476 P.O.Drawer B Vendor Name Audit Dae SEP Z&S Fuel&Service,Inc. Fishers Island,NY 06390 SEP 2 6 2017 Vendor Telephone Number 631-788-7343 T Jerk Vendor Contact ' 0' hivoice Invoice Invoice Net Purchase Order ; Number Date Total Discount Amount Claimed Number Description of Goods or Services General 14W Fund and Account Number T-5—g-575-r-R 1 gal - gal tractor-diesel 22245 8/4/17 $90.94 $90.94 $3.559 510 >ese\ SM5709.2.000.200 ? 22525 8115/17 $33.00 $33.00 FIT 10.125 gal $3.259 forklift ml5(rp,` ons—al IS SM5709.2.000.200 FIT 25.778 gal@ 3.259 forklift,F-350,10.054 gal tractor-diesel I 22565 8128/17 $124.79 $124.79 $3.559 SM5709.2.000.200 a5�T7$-cis �0•o s�t-�,�el $248.73 $248.73 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been pard,except as therein stated,that the balance therein stated is actuallyerformed and that the quantities thereof have been verified with the exceptions due and owmg,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved Signature i, it i/Ia_ itle Signature — ( U" i Company Name Fishers Island Feny District Date 9/15/2017 Title Date"k''i. cv Z&S FUEL&SERVICE,INC. ° Statement P.O.Box 601 Fishers Island,NY 06390 Date 8/31/2017 To FISHERS ISLAND FERRY DISTRICT P.O.BOX H FISHERS ISLAND,NY 06390 Amount Due Amount Enc $33401 Date Transaction Amount Balance 07/31/2017 Balance forward 242.49 08/04/2017 PMT#4255. -157.21 85.28 08/04/2017 GAS 73.00 158.28 08/04/2017 GAS DIESEL 17.94 176.22 08/15/2017 GAS 33.00 20922 08/28/2017 GAS 84.01 L, 29323 08/28/2017 GAS DIESEL 35.78 1 329.01 08/28/2017 INV#28349.OIL X I 5.00 334.01 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE DUE PAST DUE Amount Due 243.73 5.00 85.28 0.00 0.00 $334.01 1 Z & S FUEL 81, SERVJCE, INCe I ►:; 6 CE, �N o ©RAWER Q PO BOX 601 FISHERS ISLAND, NY 05390 FISHERS iSLAND, NY 06390 (631) 788-7343 (63d) 738-7343 ! REGISTRATION NO DATE REGISTRATION NO i NAME/—. yh^ �•ll/J 7 DATE �' NAME Pvc'f STREET I STREET { CASH COD CHARGE ON ACCT MDSE RET 'D PAID O7, r D COD CASH CHARGE ON ACCT MDSE RETD PAID OUT ACCT FORWARD _ 20-59R Liters/Gals. Gasoline/ ov I CJ, r � I 1 Liters/Gals. Gasoline v i Liters/Qts. Oil Liters/Qts. Oil ` - - Lubrication Lubrication - I Oil Filter Oil Filter —�- - _ ! S.O'D 'av(5d .ti ZAJ 404/ TAX _ --- — - CUSTOMER'S SIGNATURE j TAX CUSTOt7R'Sj51GNATURg l� TOTALTOTAL ' C PRODUCT 608 All claims and returned goods MUST be accompanied by this"bw PRODUCT 608 ..� 22245 �Fq 4 5 All claims and ret ed goods MUST be accompanied by this bell - -�/ ----�_ -------_---- - -_---_ `?hank`You -� 22525 `?hank`You I o I i a e E o I Q 1 O j�� I j Q 0 U, i C- & 1 ( y rw may" �1i1� a !r c Q - LM F < LU o , � 1 �W 1 -' l wU'4 I ® O j 41� t0 I \S U � I Q ( i l � ) — 1 J yet ° �� o ? I LL IJ1 I IIID 1 _ »r LO 0 o J I J 1 J 0 , i tt NV j � 9 C7 w U (^ i� CV w lel i F U