HomeMy WebLinkAboutAU-11/08/2017 Fishers Island 7
FISHERS ISLAND FERRY DISTRICT -
VENDOR 019786 ACCOUNTS PAYABLE,(77733) 11/08/2017 CHECK 4439
j FUND & ACCOUNT -P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.000 80872 . "POSTAGE 7.24
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TOTAL 7.24
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;;53095.MAIN ROAD,P,0•BOX 1179 =
AUDIT 11/1OS'/17
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SOUTHOD,,NY'11971-0959 CHECK jJQ-,_ _ 44j'§",~
• " THE SUFFOLK CO NATIONAL BANK
CUTCHOGUE,NY 11935 DATE AMOUNT
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SEVEN AND' •24/,100`-DOLLARS,
AY - ACCOUNTS--PAYABLE(77733'--)1,
`; OTHE - =SURFOi;K=-CTY--BOARD-_-_OF •ELECTIONS-
' ORDER' •PO ;BOX�700.
YAPHANR•NY '119 8, 070 0 r
00�.439V 1:0 2 LL.051, 6�,i: P. 00 LLL;;
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Vendor No. Check No.
Town of Southold, New York - Payment Voucher 19786 14 LA 3c?
Entered by
P.O. Box 700
J-NcayunAz rRXydble Yaphank, NY 11980-0700 Audit Date
Suffolk County Board of Elections SOU 0 8 2017
Vendor Telephone Number
631-852-4540 Town Clerk
Vendor Contact
4�4�0.
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services 4 General Ledger Fund and Account Number
80872 9/6/2017 $7.24 $7.24 Postage SM5710.4.000.000
$7.24 $7.24
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities 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 10/23/2017 Title Date l� z/��
BOARD OF ELECTIONS Commissioners
�r COUNTY OF SUFFOLK Anita S.Katz
y
PO BOX 700 Nick LaLota
YAPHANK, NEW YORK 11980-0700
Tel.(631)852-4500 Deputy Commissioners
TTY(631)852-4540 FAX(631)852-4590 Jeanne C.O'Rourke
Betty Manzella
TO: September 6, 2017
GORDON MURPHY
FISHERS ISLAND FERRY DIST Request#: 80872
P.O. BOX 607
FISHERS ISLAND NY 06390
AUXILIARY DISTRICT ELECTIONS
Jeanne C. O'Rourke and Betty Manzella, Deputy Commissioners Phone#: (631)852-4571/4144
Your request for rental of voting equipment and other services rendered by the Board of Elections on August 8,
2017
Charges are as follows:
Item Description Quantity Unit Price Cos
Postage $2.2
Other Charges Please see below $5.00
1 poll roster book @$5.00 TOTAL AMOUNT, $7.2
mailing @$2.24 7/20/2017 AMOUNT PAIDAMOUNT DUE1 $7.2
Kindly make check payable to: SUFFOLK COUNTY BOARD OF ELECTIONS
Mail to: Accounts Payable(80872)
Suffolk County Board of Elections
PO Box 700
Yaphank NY 11980-0700
CERTIFICATE OF CLAIMANT
certify that the said claim is just, true and correct; that no part ther as been p ' r othe ise settled; that the
amount claimed is due, owing and unpaid.
mmissioner
Suffolk County Board of Elections
If you have your claim form, please be advised that we have notification from the State that this bill stands in lieu of
your claim form.
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FISHERS ISLAND FERRY DISTRICT
'
VENDOR 001318 AIRGAS USA, LLC 11/08/2017 CHECK 4440
A
FUND & ACCOUNT P.OA INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 9068438483 (2)PROPANE-NLT FORKLIFT 114.41
TOTAL 114.41
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zsHERs,isLAAD,,FERR-YD1sTPjcr-
53095 MAIN ROAD,-PO BOX 1179 AUDIT�1:1/08',/17
'
OUTHOLD,'NY,1,197,1-0959 -- -CHRCK :NO ',444;0"
,
E SUFFOLK" CO.NATibN'AU BANK'-
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CLITCHOGUE,NY 1,1935., DATE AMOUNT
$114 4
o
8/-2
80•546h!4'
-'ONE
AIRGAS 'USA, LLC---
TO THE v
Po-'BOX-80 2576
ORDER„ CHICAGO L "'6'0680-2576,
kj
25 0 2 lietfrZ[41: 6 Inn Ouu D 111
lie 0 0 4 0 lie 1:u c 140 S
,J . L Na
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 1318 JALA 6
Vendor Address Entered by
P.O. Box 802576
Vendor Name Chicago, IL 60680-2576 Audit Date
Airgas USA, LLC NOV 0'8 2017
Vendor Telephone Number
860-444-3055 800-962-0285 Town Clerk
Vendor Contact
1 �
Invoice Invoice Invoice Net Purchase Order f
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
9068438483 10/6/2017 $ 114.41 $ 114.41 Propane c I (2) NLT Forklift SM5709.2.000.200
$114.41 $114.41
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
Signature` Title Signature /
Company Name Fishers Island Ferry District Date 10/27/2017 Title Date ',-2 ,,7--
��
-41 TO ENSURE PROPER CREDIT PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL 216-520-6000
ORdER NO,'.. . INVOI E N INV CB C}ATE S LOT O OLd Td: ME
1062575485 9068438483 10/06/2017 2576547 FISHERS ISLAND FERRY DISTRICT
POI RELEASE I RDERED BY SHIP VtA. PAYMENT TERMS ORDER DATE_
Polly Ford 8604420165 ARGTRK NET 30 10/04/2017
DELIVERY NO,IQTY CYLINDER
MATERIALNUMBER UORd CITY 610 UNIT-PRICE UOM AMOUNT
DESCRIPTIONSHIP D srrao ezem.
8067902357 PR 33A 2 CL 2 2 35.40 CL 70.80 N
PROPANE INDUSTRIAL 33A CGA 790 (Vol: 64 LBS) (H)
Sale subtotal: 70.80
Delivery Flat Fee 25.49
Fuel Surcharge Flat 9.32
Airgas Hazmat Charge 8.80
Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale
SHIP To 2576547 AMOUNT 114.41
Airgas. FISHERS ISLAND FERRY DISTRICT IgLL
C
an Air Uquide company 261 TRUMBULL DRIVE Acct No Airgas USA,LIL 4318
Airgas USA,LLC FISHERS ISLAND NY 06390 PNC Bank,ABA No 031000053
6055 Rockslde Woods Blvd ,
Independence,OH 44131 For change of address
email to:ndiv returnedmad@airgas.com
REV 6 1 16 0012300 Page 1 of 1 or call 216-520.6000
Disclosure
Terms of Sale Each sale of Goods or services by an Airgas""'company is and shall be governed by the terms and conditions on this Disclosui e,the Terms of Sale affixed to
the Account Application(if one has been completed) and the Terms of Sale found at http ilwx mairaas rom terms-of sale(collectively the"Terms of Sale"),Each Contract for s
the sale of Goods or sorvices 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
Seiler to Buyer
i4otjce RegarcltngGy_linder Rentals I- Ind RgspansjbL1tty This document snows 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(€)returned such cylinders to Seller in good worlang order or(ii)pays Seiler the
replacement cost thereof
Refriaerant Cylinder RgturuQeppsit 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 tune 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 or sale and will meet Seller's Aunty 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 AMY 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 paymont charge of 1.5%on the unpaid,past duo balance,will be assessed monthly
(minimum two dollars($2.0;9),or the maximum lawful rate allowable in the state where the Goods are delivered,whichever is less.
Surcharges- Upon notice and receipt of underlying documentation.Buyer shall pay to Seller a surcharge in the event of any extraordinary or emergency increases in the cost
of(a)power and/or raw materials used in the production of Products and/or(b)fuel
Title to E ql t Title to all rental equipment shall remain in Sopors name buyer shall not cover,modify.remove or othenuiso disturb any identification or othor 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 purchaso price.
itemized Char_g-s (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.
IS rnnnent Contracts. Certain Airgas companies are U S government contractors and subcontractors and are subject to and adhere to the requirements of federal laws,
executive orders,and attendant rules and regulations,specifically Executive Order No-11246,the Rehabilitation Act of 1973 and the Vietnam Era Veterans Readjustment
Assistance Act of 1974,all as amended
Airgas eBusiness
Now doing business with Airgas is easier than ever with our eBusiness website,http:t/www.airgas.com Visit us online today to see how www.airgas.com can save you
time and money
FOR LOCATION NEAREST YOU
Aimrga ® DELIVE•RY ORDER VISITWWW.AIRGAS.COM
an Air Liquide company
e• SHIPPER: SOLD BY: DELIVERY ORDER#8067902357
AIRGAS USA,LLC AIRGAS USA,LLC PAGE 1 OF 1
130 CROSS RD 130 CROSS RD ORDER DATE: 10/04/2017
WATERFORD,CT 06385-1204 WATERFORD,,CT 06385-1204 SCH SHIP DATE:10/05/2017
800-962-0286 800-962-0285; PRINTED: 15.35 10/05/2017
SALES ORDER: 1062575485
SHIP TO:2576547 SOLD TO:2576547 SHIPMENT: 3872550
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 8604420165
631-788-7463 ENT BY JOSHTHEODO
s
Order Type Payment Terms Incoterm Route SaleOffice Plant Sales Total Containers
'Org Ship Return
Orderard NET 30 Airgas Truck Airgas Truck N329 N309 N000tand
Qty UOM HM Description&Hazard Class Qty Containers Vol
Ship Type Order Ship Ret Mt
2 CL X UN1978 PROPANE 2.1
Line# 10 Materlal#PR 33A Stor.Loc.F001 2 2 0 64 LB
PROPANE 32LBS ALUMINUM 136.000 LB
X UNI 978 PROPANE 2 1
0 Line# 20 Materlal#CY-PR 33A 0 0 2
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 4YON AIRGAS COW OR BY CALLING
THE ABOVE LISTED GENC ONTACT HONE NUMBER AND SELECTING OPTION#3 ACCEPTED FOR
ACCEPT REJECT THE ABOVE
THIS IS TO C U Y AT E ABOVE N MED MATERIALS ARE PROPERLY CLASSIFIED,DESCRIBED, CUSTOMER
PACKAGE A BELEEgD�A ARE IN PROPER CONDITION FOR TRANSPORTATION CUSTOMER MUST
ACCORDI IC LATIONS OF HE DEPART T OF TRAN§E9AT,0 i N INITIAL CHOICE I`
NAMEP1 11��'
PLEASE PRINT 7
AIR S PER
DATE T 0 D. r
Qir Qi INTERNAL USE ONLY -
F ,
Filled By Staging Area Total PKGS Tracking!Pro Number Freight Charges Total Weight' Delivery#8067902357
0. III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
'Total weight for materials with weight displayed only 136 LB
AIRGAS TERMS AND CONDITIONS OF SALE
IVARNING TRANSPORT AND USE OF COMPRESSED GASES AIRY BE EATRERELY 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 VAILABLEA TAIRGAS 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 COMIIERMS-OF-SALE(COLLECTIVELY,THE"TERMS") IF YOU DO NOT HAVE ACCESS TO THE INTERNET,YOU MAY REQUEST A COPY OF THE TERMS OF SALE FROM YOUR AIRGAS CUS-
TOMER SERVICE REPRESENTATIVE"BUYER"REFERS TO THE PURCHASER OF PRODUCTS FROM SELLER"PRODUCT(S)"REFERS TO ANY GOODS PROVIDED BY SELLER TO BUYER
L CYLINDERS UNLESS OTHERWISE SPECIFIED,CYLINDERS,FITTINGS AND CAPS COVERED BY THESE TERMS ARE RENTED TO BUYER AT SELLER'S CURRENT DAILY RATES,BEGINNING WITH THE DATE
OF DELIVERY RENTAL CHARGES ARE ASSESSED AS OF THE LAST DAY OF EACH MONTH OR AT THE START OF EACH ANNUAL LEASE PERIOD,AS APPLICABLE BUYER SHALL NOT PERMIT CYLINDERS OR
OTHER STORAGE CONTAINERS FURNISHED HEREUNDER TO BE FILLED WITH ANY PRODUCT NOT FURNISHED BY SELLER OR ITS AUTHORIZED AGENT BUYER SHALL RETURN,IN GOOD AND NON-CON-
TAMINATED CONDITION,ALL CYLINDERS,WITH VALVES CLOSED,COMPLETE WITH CAPS AND FITTINGS AND SHALL PAY SELLER THE REPLACEMENT VALUE OF ANY LOST OR DAMAGED CYLINDERS,
CAPS OR FITTINGS AND FOR ANY LOSS OR DAMAGE CAUSED BY BUYER CONTAMINATION UNLESS SUBJECT TO AN ANNUAL LEASE,ANY CYLINDER NOT RETURNED TO SELLER WITHIN THREE(3)
MONTHS OF ITS SHIPMENT DATE WILL BE CONSIDERED LOST PAYMENT BY THE BUYER OF CHARGES FOR DAMAGED,LOST OR DESTROYED CYLINDERS SHALL NOT GIVE ANY OWNERSHIP INTEREST
IN THE CYLINDERS TO THE BUYER
2.PAYMENT'UNLESS OTHERWISE SPECIFIED,BUYER SHALL MAKE PAYMENT IN FULL WITHIN THIRTY(30)DAYS AFTER THE DATE OF SELLER'S INVOICE IF BUYER FAILSTO 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(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
CREDITAPPROVAL FROM SELLER,CONTINUED OPEN ACCOUNT CREDIT IS SUBJECT TO SELLER'S ASSESSMENT OF BUYER'S FINANCIAL CONDITION AND ABILITY TO PAY IF SELLER EMPLOYS ANY COL-
LECTION AGENCY OR ATTORNEY TO COLLECT ANY AMOUNT DUE SELLER,AND/OR TO REPOSSESS ANY PRODUCTS,BUYER SHALL PAY ALL COLLECTION FEES,ATTORNEYS'FEES,AND COURT COSTS,
IN ADDITION TO THE AMOUNT OTHERWISE UNPAID
3.TAXES'TAXES IMPOSED BY FEDERAL,STATE OR LOCAL GOVERNMENTS ON THE SALE,USE OR POSESSION OF PRODUCTS SHALL BE PAID BY BUYER IN ADDITION TO THE PURCHASE PRICE
4.RETURNS.NO PRODUCTS SHALL BE RETURNED WITHOUT SELLER'S WRITTEN AUTHORIZATION BUYER SHALL PAY FIFTEEN PERCENT(15%)RESTOCKING CHARGE ON ALL PRODUCTS RETURNED,
EXCEPT FOR RETURNS MADE UNDER SECTION 7 HEREOF
5 WARRANTYAND CLAIMS'SELLER WARRANTS THAT,ATTHE TIME OF DELIVERY,ALL PRODUCTS FURNISHED HEREUNDER SHALL CONFORM TO THE MANUFACTURER'S OR SELLER'S SPECIFICATION
FOR THE PERIOD OF TIME SET FORTH IN SUCH SPECIFICATION OR,IF NONE,FOR A PERIOD OF NINETY(90)DAYS SELLER SPECIFICALLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED STANDARDS,
GUARANTEES,OR WARRANTIES,INCLUDING ANY WARRANTIES OF MERCHANTABILITY,FITNESS FORA PARTICULAR PURPOSE OR NON-INFRINGEMENT AND ANY WARRANTIES THAT MAYBE
ALLEGED TO ARISE 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 AGAINSTANY SUCH CLAIMS
6.LIMITATION OF LIABILITY SELLER SHALLNOT BE LIABLE FORANY DIRECT(EXCEPTAS EXPRESSLY PROVIDED HEREIN),INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND/OR PUNI-
TIVE DAMAGES,ARISING ORALLEGED TO ARISE OUT OF OR IN CONNECTION WITH ANY PRODUCT OR EQUIPMENT SOLD OR LEASED HEREUNDER,WHETHER SUCH DAMAGE RESULTS FROM
ANY NEGLIGENTACT OR OMISSION OR IS RELATED TO STRICT LIABILITY,OR OTHERWISE.
7 REMEDY:BUYER'S EXCLUSIVE REMEDY FOR EACH UNEXCUSED FAILURE OF PRODUCT TO MEET SPECIFICATION SHALL BE,AT SELLER'S OPTION,TO RECEIVE A REFUND OF THE PRICE
OF SUCH NON-CONFORMING PRODUCT OR REPLACEMENT THEREOF WITH PRODUCT THAT MEETS SUCH SPECIFICATION BUYER'S EXCLUSIVE REMEDY FOR THE UNEXCUSED FAILURE,BY
SELLER TO DELIVER PRODUCT AS SPECIFIED,REGARDLESS OF THE CAUSE OF SUCH FAILURE,INCLUDING NEGLIGENCE,SHALL BE TO RECOVER THE DIFFERENCE BETWEEN THE COST TO
BUYER OFANY SUBSTITUTE FOR PRODUCT NOT DELIVERED AND THE LESSER PRICE OF SUCH QUANTITY OF PRODUCT HEREUNDER
8.COMPLIANCE/SDS BUYER SHALL COMPLY WITH ALL APPLICABLE LAWS REGARDING THE SAFE HANDLING,TRANSPORTATION AND USE OF PRODUCTS BUYER ACKNOWLEDGES AND AGREES THAT
SELLER HAS PROVIDED RELEVANT SDS SDS AREAVAILABLE(1)AT THE LOCAL AIRGAS BRANCH,(11)BY CALLING 919-368-8518,OR(111)AT AIRGAS COM
9.ITEMIZED CHARGES'THE TOTAL AMOUNT DUE FROM BUYER MAY INCLUDE VARIOUS ITEMIZED CHARGES,INCLUDING CHARGES FOR THE HANDLING OF HAZARDOUS MATERIALS AND FOR
COMPLIANCE WITH LAWS AND REGULATIONS CONCERNING HAZARDOUS MATERIALS,CHARGES FOR HANDLING,DELIVERY,AND SHIPPING,AND/OR CHARGES FOR ENERGY OR FUEL NONE OF THE
CHARGES REPRESENTS A TAX OR FEE PAID TO OR IMPOSED BY ANY GOVERNMENTAL AUTHORITY AND ALL OF THE CHARGES ARE RETAINED BY SELLER SELLER HAS NOT SPECIFICALLY QUANTIFIED
THE RELATIONSHIP BETWEEN THE CHARGES AND THE ACTUAL COSTS ASSOCIATED WITH THE CHARGES,WHICH CAN VARY BYPRODUCT,SERVICE,TIME AND PLACE,AMONG OTHER THINGS
EMERGENCY RESPONSE INFORMATION
CALL Emergency Response Telephone Number on Shipping Paper first
PROPANE METHANE ACETYLENE AIR NITROUS OXIDE CO, LIQUID CO, ARGON NITROGEN
HYDROGEN MAPP OXYGEN LIQUID Or LIQUIDARGON LIQUID N, HELIUM
POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS POTENTIAL HAZARDS
FlREOR EXPLOS/ON FIREOR EXPLOS/ON FIRE OR EXPLOSION HEALTH HEALTH
•EXTREMELY FLAMMABLE EXTREMELY FLAMMABLE Smwc...d,wmot burn but wnh support combustion Vapors may.....dlauess or wphyaletlon wnl Vapors may cause dlzalme..or asphyxlauon
•Will be easily lgnned by heat sparks or flames W.l be...llyigmletl by heal sparks or llamas Some may react a.pleowely le,lulls warning wlhout warning
•Wil form e.ploswe ml.luse wllhwu Wilformexplpsveressure—MitIr Mey Inane cpmbusllbles(wood paper all stool etc) Vapors from fiquwadgasare haody Hoover loan air Vaparslram liquefied gas arolmllally heaver than air
•Vapors from Lq,ahed,m annually heavrer thenar spread warp Slava.11 late spomansously 1121, Vapors uom liquefied gas sell heaver hanar spread andw,a tlalong ground
g along ground end may level to sburcer of entl spreatl along ground
UTIO arm may bevel m souum of 1 d uan end(lash barb •Those substances heated
letl vnlh a(P)may polymenze Ion gnNon entl(lash back Contact vnlh gas a Ilquehetl gas my cause burns FIRE Il EXPLOSION
CAUTION Hydrogen(11166 )Dee--(UN196'r),x1191 et expbsrvely,quOf a(ad amwNed macro Ru^ollmeycrymple.wwaltor 1pn hazard EFOREX LOSIO hoslbne No assuarmabl.geees
refdgemhldll Hyd H1tna,ddModmfl N19]t)eregth Uran .Vapors laTwgg,m,d gasmyntiallyt,a r til,. Conlared cy Ila.xpbde when heate0 FlN-11 EXPLOSION Conmm¢rsmayers myrocke healetl
elrmM wlHdu Hydrogen arta D.uledumnres ere tldnmttmdeten epreatlatonggrrxlnd end may vevel la source of rgnmon Ruptured ryll^tiers may nickel Nannammeble gases RupMed tybntlers may rocket
¢Iran Hey bum vAhealml.lpld flame Una en elmmaLa meVmd of dfashbeck HEALTH Conrarmrsmeyexpbdewhemheated PUBLIC SAFETY
dwactl2^(thermal Owners,broom handle els) Cylade s exposed to fire may vena entl rete...flammable Vapors may muss denmere a asphy—io,xsMart warning Rupood cy r,dow may racket laoale sp,ll or leak area Immedwely Or-aazs 100
•
Climes exppwtl Ip Ilre may vent en0 release Ilemmable gas gas through pressure relief dances Contact xsIn gas a fqueged gaz may muse burns mvem mryry PUBLIC SAFETY meters(330 feel)Mat d,eclons
Through pressure revel tlences Conlamel mey¢.pam when heated well frovbde •Isolate.oili er leak area annetlahely for al least 100 Keep unauthonzed pars-rd,way
•Containers mayanplodawhen heated Ruptmedcylndncmeyrpckel Ft,.may produce nnoing andlorlowe gases meters(330feerntm ldneons Slayupwmd
•Ruptured cyllntlers may rocket HEALTH PUBLICSAFETY Kmpurruhor-am—nnel away Many gases are heaver than art e1dw111comad
HEALTH Vapors may cause doume or asphyxiation whout warnmg .Isolate sell or leek ereaimmedmall total least lW nelars(MO along ground and collect In lower comfinedarees
•Vapors may cause dumew or espny—tom wnhout warnmg •Some May be toucdinhal.nown,mndentrulme y •Smy gases
•Somoma mfr,reen male,atI nc,,cenirab... y g ever. Jeep ueauthonllpns •Many gasps ereneener Nen a.emew arms
dnlong (sewers basements lenkai
Y 91 B Contact win gaz or llquelietl gas nay cause burns. Keep honi¢tl perwnnelaway ground and anks)lln low or wnllnetl arms(sewers Keepoutd Tow arms
•
Contact vnh gas ar llquelled Bas may muse burns severe lnlury Inlury enNorlrostbde •Stay upwlntl basements lanksl Venslam clasetl spaces before enlenng
and/or"w" Fra may produce nnalmg and/or toxo gases Many gases aro heaver han arM
a .11 spread along ground ep and Keout of low areas PROTECTIVE CLOTHING
•Fre may produce ernabng andia lora gases PUBLIC SAFETY collect I^low or confame areas(sewers basemanm craw Venetea closed spaces before mucong Wear poses,pressure sell—armed tu.whng
PUBLIC SAFETY Isolalesp111 a leak a—marradlamly fa at cal melers •Keep outol Ion areas PROTECTIVECLOTHING apparatus(SCBA)
•Iwlate spAl a leak area.mnedalely lar at least IOD meters (330 feal)In all duuceom Vermlalo[bund s"ces before enlerup Wear p-ove pressure self—.,l.d breammg Seuchow firenghlers procceve cloNmg x111 only
(330 feel)in all dvactum. Keep uwutlm u ed personnel away PROTECTIVECLOMING apparatus(SCRA) prey le Iunned p,necimn
•Keepunts.M.Ized wrwnncl away Slayupwnd •Wear walew pressum ton—timed hreaWng apparatus 51ructumifleeghtoo proterm.,cm,ng,ilmly EVACUATION
•Srayepmnd Many gases Ore heavier Than art and will spread along (SCBA) provide luted protection Large Spill-Consdermleal dovnwmd evacuation for
•Menyp.we hoavar lnrnal,.ntlw1lsp and aang gground and prpendand collect mlowaconllnptl preen(sewers •Wearchom�coi proteclwecieihng when a ep¢clflcelly Alweer mermal proteorve clohing wean etleast OOmob.(3s01.et)
eas(sowore basarrerr,s nk) ...ememe tanks) recommonmeoy no mwul.mwer It may armor.Inept no hendwg refngerwoo/cryogenic Ill or wide Flre-Il lank roll car or mak suck is lnwlvetlin erlre
•Keep out of low are. •Keep out of low areas thermal protection EVACUATION ISOLATE for 800 me1er9(112 mlle)in alIduedeons
PROTECTIVE CLOTHING PROTECTIVE CLOTHING •Structural lnolphare nolo—la clomingw recomme^d,d to,urs LB. ,nlual dgvnwnd evacuation lorw also can-der allot evacurtlon for BOOmerars
•Wear poaaw pressure selltonalneC blaahing apparatus(SEBA) Wear potove pressure selfrgmamed b,eathmgappwatus enuatmns ONLYII IS Hol effecirve in will Sinwam6 where deact least 100 maters(330 feet) (12 mile),all dnecions
•Seunolol fselghns proucevaelnhng.11 Only pol leaned (sl cmul the.Lbeiar,ee is possible Foe-If tank r. tk truck In�morvpdinafre EMERGENCYRESPONSE
prooman Structural hollghters protective[mining well poly provul Always wear thermal protec We cathng when handling refnge,alV ISOLATE lar Boo male,,.(1an2 mute)non dnecwns elm FIRE
•Always wear mammal poreclwe doll when heading limited ponscuon cryogens Lqulds [adder conal—...sen lw wo Ton—(1/2 1.11)11 1-1--ngu-ng....I.wtable for typow
,elrpe,enVayogenlc bgwds EVACUATION EVACUATION all dsocame bummg lire
EVACUATION Lenge Spin-Cm,.m,mwI downvand evacuator total least Largo Spill-Convder mewl downvwnd evacu.lor Intel least 500 EMERGENCY RESPONSE •Move conramers hem fee wean d you can ao If
Lal Spill-Cornowmnal down.nd evacuazam lar at least Boo aconsns(1al meters on mule) letha
meters(12 nine) Flm-II lank ra1l car a lank Tru Jh is mnwvm m a are ISOLATE Rm-If lank wI car a Lank suck a involved m e Ise ISOLATE Central l,Isk
pamal cylinders strould be handled only by
FIre-If lank,red lar Or lank truck k Involved In a Ire ISOLATE for fpr 1600 motor,(I nn.t ell dnactions alw mmue—mlal Ipr See motors o m m O)m a ll dlrmwns law cormuder lnllal •Use.xlmgu"l a goal 11cable lw type Of apeca115ts
16M melers(1 m11e)In as dneceone also convder main evacuaben ....tion for 1600 melers(1 mull Ila all dael... acuaso^far 800 maters lade)In all dneceons sarounding Ire
Lor 16W nue (I mIc)m ell dsecsons ev ( •Move cpnlelnprs from freneal tlo It Flre lnvol Ing Tooke
ou inn
EMERGENCY RESPONSE EMERGENCYRESPONSE EMERGENCYRESPONSE wnhout ask •Fight lre from nul—em dsran,,,,use ppmerned
FIRE-DO NOT EXTINGUISH A LEAKING GAS FIRE UNLESS FIRE-Use exilagushmg agent suitable for type of sunoundmg fee •Damaged cylmdersshauld be hamdledonly by how holders or mpnnornozzlos
FIRE-DONOTEXTINGUISHA LEAKING GAS FIRE UNLESS LEAK CANOE STOPPED Small F/rte-Oy,hemcelor CO: slomiellsls •Cool containers wan ilootlmg quenil(las of vele,unill
LEAK CAN BE STOPPED Sal F/me-Dy.1mlcalor CO. Lorne Fla.. Fl.Involving Tenka well alter area out
CAUTION Hydrogen(101I049),Dauf ntum(UN196])and Large Fires Water spiny logo regular loam Fight Ise tram mmu
axim balance or uw unmanned Do me dlrecl water.,..,,.at leak or misty
Hydrogen,reldgerefed liquid(UNI966)bum wllh en Invisible W.ar spray w log Mwe containers hon fire treed you can do Il wnhout tisk haw holders or monnor wales tlences rang may our
llama Hydrogen and Malheno mlxlure,cvmpreswd(Until Mow comamour Ism foo areadyou can do 11 wmtenusk Damaged cylinders should be handled only by specoests Coal conmmarswM landing quermansd waterenN 'Will rmeaccoolym cawofring wand hem
may bum Mlh an Inv/a/ble is.. Flr.Involving Tanks For Involving Tanks wall alter fuels oN ve ung wfety call a discobreoon of lank
Small Fires-Ory chemmal a CO, •Fight fee from maxunum d,sl...or use unmanned hose Fight Ire from mealuen damume or use mutual hose holders parol duecl water al source OI leak or wlery tlences ALWAYS stay away aeon mhos engulled m Ire
Large Flmt holder.or moans tussles Or manta n a les 1 cur SP/LL OR LEAK
•Wrear spray.hog •Cool cen ow.wen noodl clog may tic s
•
Move conmmers from Ira area If do o wmmm rek ^g Omnllws of wafer un111 well f e l conlamers sum I ng quenelles o1 water unel well afar Wnnung s mlm.de-c in m e pf hvag•.ound from fm^til loch a walk through sailed madf,
you can ober tae rs out Ire Is out vonsng wlery tlences w tllscoldre[on pl lank •Stop leek 11 you can do II x�Vroua tisk end II posvble
Fol,Involving Tanks Do not allwater at worta of leak or oeary,devices ping Do not dnect-or at source of leak Or safety device,omg ALWAYS stayeway fiom make engulfed In flra turn leebng conituners w that gas escapes rather
•Fight h,e from maximum distance or use unmanned hose holtlers mayoccu, meyeccur SPILL OR LEAK than Inds!
mann,nozzles •Wnndrawimmedletelylmmoeofusimgsounbfrpm,-Lang •YAthdraw immedalely incasepl asng sound fom vemeng safety Do not touch o,walk th,,,ghsplll.d matenal Use w,I,ti ay to roducevapors or dwenvapor
•cool conamens win lloadmg quamlim of water mon well after solely devices.1 discobmt.n of look devices or tnecolormon of tank •Slop look if you can dolt whoa ask entl If ml cloud
or,fAvndallowmg—r—,nofftpmnlacl
in.1—ut ALWAYS my away from the once ohne lank •ALWAYSslay away from maks engulfed In In turn leakmg dontaners so Nal gas escapes rather settled m oral
•Do For massive Ire uwonnumned hose holdersor nano Far mmsva foeuunmanned how holders or mono,nerzle.I manliquol D,nald.ectwateratspill or source of leak
•Wnhdraw Immedotely m caw at rsmg sound Tom venting safely norzles d ahs rs anpossbte withdraw,from area and lel Nis Is urnmen bb vIll from rues antl lot Tse bum Use water spray to reduce vapors or own vapor Prevent entry Into watnway.sewers bawnwr a or
dswcoc a d—wool oa dl lank fire bum SPILL OR LEA!( cloutl tlon A1tl 611owinconfined areas
•ALWAYS slay away tom the ands of mo lank SPILL OR LEAK •Keep mnbrs bins(weed paper of rte)-tryf rn sated maLLnal wg water ruroli b conract yds,substance Io avapaam
•Fa maw—Ise use urmaumad holo holders a mannas.male.11 contact irect w
•ELIMINATE sources(no smoklrp ffarcs sparksa su not you
Waughspilledmale,al Dosol annywaferel llwye source oloak FIRSTAID Oa area
NIS I.R LEAK
vntM,aw from orae end Lal fee Oven Ills m am l used.mea) Slop loan 11 you inn tlo rt-ml tak aM,H posslbte,awn aakxng phedunl en lerxa base,nenm n -MaTA1D
SP/LL OR LEAK •All equpmenl uwtl when hantlling Ne product must be ConLa�nere w Thal Bas esmpes,whet than Lgwd cronf antl e�o ora ys sewers .IAwe scum to Iresh en
•ELIMINATE aillgnmon sources(nosmokng Ilares nusisor grounded Do Hol 6ow.wala15p111 ou source of leak Afowwbnummul—overam •Ca11911n emergencymad¢aleemms
flames m Immedate area) •Slop leak d you inn dolt wencrus ne antl 11 possbta bra •Use were,spray-muce vame or dwen vapor cloutl dw Avod .Vanilla.N2 arca •Goa areleal,ewnman 11 vlcwn 1s nwbreammg
.AIIwLorret—dwhemh LgOaprW--m bagmunded Imisng conlamers w Nal gas escapes rather Nan equitl alimmg water runoff bcom-,pilml motorial CAUTION When/nsenlocfw/fhrefrigamMOV Admnster oxygen 11 bawrl is cont
•DO as,
touch c,walk through stilled material •Do net touch or walk through spilled mammal •Prevent entry Into welerwave servers basements or confined cryogenic liquids,many materials become brlffle end Kee —nein wo--c!qual
•Stop leek n you can tlo n wnhout hsk entl I mccare turn leaking •Do net deco water at sp111 p,equree Of leak ere.. p •Ensure that metlwol mnwnnel rte aware of the
cmatin¢rsw matgaimmoesrwhormumilquld Us,.,far splay lomdum vapor or avert vapor cloud drlh Alloweubsmnce to evaporeie FIRSTAIOo breok without warning M—odds)1^v,lvod and take precauuons In protect
•Use walerepoy to reduce vapor.or
0-1 vapor cloud can Avoid allowing water runoff to contact oplled amelal Isolate ea elan gas has dlsmsm! Movevoem to lreshmr ml
Avoid allowing water ninon to contact spilled matenal •Preventenlrymtowwwwiys sewers bawmenls or CAUTION Whenlnuwnfact,ifhmfrlgemledlcryogenlcllqulds, .Call 911 or emergency Menim(wrvmet
• rwl dneca water M spin dr source of leak confined peas many mMerlols became bnnle antl are likely fo break wnhout Grve e,elmai resp o—d-Omns,l1 breammg
•Reveal sprewdmg of vapors Nmugh severs venslaam systems .Isolate area unml gas has dispensed warring Admnlster oxygen d breathing rs Elllcue
and confined arms FIRSTAID RRST AID Cmeng Inne e^to Ne cion slmld be Rawad before
•Iwlaa tree until gas las dlspmwd Move weem m from art Move vicem 1.bash as bevy removetl
CAUTIONWhenlmm�bcfwl wfdgmbdfryogeme!uquhl;many Call 911 pr emergerrry Incocal wrnces Call 911 n emergency metllmism—, In eurneof ontaclwan llque6edgas anewlroslM
rremrlAls beowrnbdKleerrd ere 6keyrobreNl Mtl,nd worming Goo pndaalnspor.d nalnn is Hol broo mg Glve oil mspaw—a--,a not Oral panswnhlukm,mwaler
FIRSTAID ptlminlslar oxygen db,eahing us dlfficull Admmamr oxygen d toreal offcoll
•Move vctlm o frmh o r R—m—nd rse1--teminam!ci,m mg and shma Remevo and lcame mmamnued catling and shoes Ensure Nm wed—u quo, the
•Can 911 or emergency medoel so,ces In Case of Co l wnh l�q,cled go,thew frosted parts wain Call frozen to he elk,snoultl be hawed wore bang recovm! mwell,lhs)at,voll d antl take l—moor to protect
•Grve aminal respvasendvlcem is not breathing lukewarm water Inc a of contact wan squefied gas thaw fcand none win themselves Preceuuons
•Administer oxygen d breehng Is ulf,cull In casd,f burns Mmenalely cool affected skln lar asawater
•Remove and Iwlate comm m aKi dolling and shoes long as poaslba won cold water Do not remove clothng d Keep vlctim warm and quo,
•Cathnp dorsaw Me out Maul beWswadbefore bell renbvad adhering to all Ensure Incl medical pe,tarnel are awaro of the—nu.l(s)
•In case OI co^taIX vath Iqueled gas Naw tressed park writ Keep Wclm warm and quol Involved entl ae
take mecllons to promo Nemselvas
lukewarm water Ensure Vat Model parecra l...wa a of me owe l(st
•I^raseof buns mmedamty cool offecied soma az lung az possoLb Involved and take Premutmns to prowl Mansell
1wh ma vv.'s Do-,
•• Do mrw
Uom.p 11 ad wmp b sat,
Keepol.minand
Ens, has mraawaeoflhomale"a
ll
Imalhdrapanowhemselves
FISHERS ISLAND FERRY DISTRICT
VENDOR 014223 BANK OF AMERICA 11/08/2017 CHECK 4441
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.000 7335-1017A ALLEN-INSP DIVE-9/J 310.00
SM .5710.2.000.60,0 .7335-1017A ALLEN-INSP DIVE-9/17 310.00
SM .571/0.2.000.000 73355-1017A ALLEN-INSP DIVE-10/1 310.00
sii
SM .5710.2.000.000 7335-1017A ALLEN-INSP DIVE-10/15 310.00
SM :8709.2.000.200 7335-1017A YANKEE-CAMERA TOOLS-NLT 70.00
SM .5709.2.000.20V, 7335-1017A ri ISLND HRDWR-P'AINT,COVER 7.54
SM .5709.2.000.,200 7335-1017A ISLND HRDWR-PAINT,VELCRO • 9 3
SM .5709.2.000.200 7335-1017A MICHAELS I HAND PUNCH 22.28
co SM .5709.2.000.200 7335-1017A-' SVC CASTER-WHEELS,SUPPRT 1 102.14
SM -1017A DIVE-8/20
.5710.2.000.0,00 7335 310.00
SM .5709.2.000.200 7335-1017A--, `;,MENDR- (4)FLAGS,CLEANER 192.49
SM .5709.2.000.200 7335-1017A F �_R-7
. %TEST TRANSACTION 15.00
SM S710.4.000.000 7,-� ;19,1' ,;;TJ$PS-;4 OSTAGE'-COBRA LETTR 13.18
wa
SM .5709.2.000.200 7335-1017A RFND�t'y D-TZ-plT�-.,TRANSACTN 15.00-
SM .57.10.4 000 000 USPS-POSTAGE-TELE BOOKS 8.50
____�v,7335-,1017A
SM .5709.2zAq.�Q 760.62
SM .5710.2. NG INDC 101.06
TOTAL 2,837.24
71
-,,-FlSBERSsF9RRY-DlSTRlCT.-.-,_---
-AUDIT -1:,/08/17-,,
53 95MAIN flbAO,'P0 BOX,1�479,
A
-0059
' ,'SOUTHOLD,'NY11971-0059 C CK,,_N6, 4 4
HE
%
-THE-SUFFOLK CO:
NATIONAL BA
CUTCHOGUE NY,1:1935, DATEAMOUNT' 1:
Cc'
'�462141 `
ro, -1/-08/'2'01
S�
THIRTY '8EVEk- D--,Q-4/i�6,6"boLtAk`
TWO'THOUSAND.,'EIGHT 'H
PAY -'AMER
BANK 0 - AM -CA
If
TO T7 PoBox=_
4
WlLMfNG0N"DE- 1
-9886t
ar t
y 1
_G410 C38 001S02 1
00044{4 !I'm ;:G,.,2 140 54 bi,
} .
Vendor No, ,_ Check_No�
Town of Southold, New York - Payment Voucher 1.4223 1-,17[7
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
PO Box 15731
Wilmington, DE 19886-5731 Audit Date
Bank of America NOV 0 8 2017
Vendor Telephone Number
t Town Clerk_
Vendor Contact & -&
e4a 62AW
=:
Invoice Invoice Invoice Net
Number Date Total Discount Amount Claimed Description of Goods or Services General Ledger Bund and•Account Number`
Statmnt Oct 25,2017 10/25/2017 $2,837.24 $310.00 ALLEN WATROUS dive for inspections RP/MU 9-3-17 SM5710.2'.000.000
$310.00 ALLEN WATROUS dive for inspections RP/MU 9-17-17 SM5710.2.000.000
$310.00 ALLEN WATROUS dive for inspections RP/MU 10-1-17 SM5710.2.000.000
$310.00 ALLEN WATROUS dive for inspections RP/MU 10-15-17 SM5710.2.000.000
$70.00 YANKEE PEDDLER&PAWN NLT camera tools SM5709.2.000.200
$7.54 ISLAND HARDWARE FI maint supplies $M5709.2.000.200
$9.43 ISLAND HARDWARE FI maint supplies SM5709.2.000:200
$22.28 MICHAELS Hand punch for tickets SM5709.2.000.200
$102.14 SERVICE CASTER CORP Wheel support for frei h carts SM5709.2.000.200
$310.00 ALLEN WATROUS dive for inspections RP/MU 8-20-17 SM5710.2.000.000
$192.49 DEFENDER IND Flags(4)mary on&off cleaner 4gal SM5709.2.'000.200s=
$15.00 FIFD test transaction SM5709.2'.000.200,
$13.18 USPS postage for COBRA letters SM5710.4.000:000 ,
-$15.00 FIFD test transaction refund SM5709.2.000.200-
$8.50 USPS postage tele books to Southold - ' '8M6710.4.000.006-
$760.62 SERVICE CASTER CORP Wheels for freight carts SM5709.2.000:200 -. '
$101.06 FILTRATION&FLUID TECH RP Clogging indicator SM5710.2.000.200
$2,837.241 $2,837.24
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities 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 10/27/2017 Title Date
i
001000XXXXXXXXXXXX548520171025
a
an ofAmerica
FISHERS ISLAND FERRY
ACCOUNTING
Card XXXX-XXXX-XXXX-5485
Purchasing September 26,2017-October 25,2017 Company Statement
Mail Billing Inquiries to: Statement Date .. .............. 10/25/17 Previous Balance $1,231.70
BANKCARD CENTER
PO BOX 982238 Payment Due Date .................................... 11/19/17 Payments ............ -$1,231.70
EL PASO,TX 79998-2238 Days in Billing Cycle .... . . ....... .......... . 30 Credits ...... . ... . ............. -$15 00
Customer Service:
Credit Limit .............. . .......... .... $20,000 Cash ............... ......... .. $000
1 888.449.2273 24 Hours Cash Limit ............. ............ ..... . $0 Purchases . ...... $2,85224
TTY Hearing Impaired: Total Payment Due ................................. $2,837.24 Other Debits .................. .... . . .... $0.00
1.800 222 7365 24 Hours Overlimit Fee ....................... ....................... $0.00
Outside the U.S.: Late Payment Fee ........... . ... $0.00
1 509.353.6656 24 Hours Cash Fees ..... . .. ... .... ............ $0.00
Other Fees ..... $0.00
For Lost or Stolen Card:
1 888 449.2273 24 Hours Finance Charge $000
Current Balance .. .... $2,83724
Account Number Purchases and
CreditLimit Credits Cash Other Debits TotalActivity
BURNS,RONALD J r
XXXX-XXXX-XXXX-9985
3,000 0.00 0.00 1,31000 1,310.00
COOK,GEORGE B
XXXX-XXXX-XXXX-7076
3,000 0.00 ' 0.00 1697 16.97
FORD,POLLY
XXXX-XXXX-XXXX-3525
1,000 000 0.00 2228 2228
FRANCO, MICHAEL '
XXXX-XXXX-XXXX-6673
3,000 000 0.00 10214 10214
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 maybe 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
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,
please visit www bankofamerica com/corporatecarddisclosure or call the customer service number listed on your statement to request a copy
In case of errors or questions about your bill: Errors or questions about your bill must be received in writing no later than 60 days after we sent
you the first statement on which the error or problem appeared Please mail this information to BANKCARD CENTER, PO BOX 982238,EL PASO,
TX 79998-2238 Your letter must include the following information
The company name,cardholder name and account number in question
The dollar amount of the suspected error
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)
------------ --------------------------------- ------------------ ------------- ---- -------------- - ------------ ----------------- ----------- ---------- -- ----------- -
Thank you for your business.
Please write your change of address here:
Street
City
State Zip
Home Phone Business Phone
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.
001000XXXXXXXXXXXX548520171025
BankoAmerica `�a FISHERS ISLAND FERRY
f ACCOUNTING
XXXX-XXXX-XXXX-5485
September 26,2017-October 25,2017
Page 3 of 4
Account Number Purchases and
Credit Limit Credits Cash Other Debits Total Activity
HANEY,JONATHAN F
XXXX-XXXX-XXXX-0617
3,000 000 000 50249 50249
MURPHY, GORDON S
XXXX-XXXX-XXXX-8476
3,000 1500 000 3668 21 68
PARADIS,JOHN
XXXX-XXXX-XXXX-0314
3,000 000 000 861 68 86168
Pos ting Tran sa cdo n
Date Date Description Reference Number MCC Charge _Credit
FISHERS ISLAND FERRY _ Total Activity
Account Number:XXXX-XXXX-XXXX 5485 -$1,231.70:
10/19 10/18 PAYMENT-THANK YOU 29215300000000542284876 0008 1,231 70
BURNS,RONALD J Total Activity:
Account Number:XXXX-XXXX-XXX)(-9985 1,310.00
10/16 10/13 SQ*ALLEN WATROUS LLC gosq com CT 24692167287100648221903 8999 31000
10/16 10/13 SQ*ALLEN WATROUS LLC gosq com CT 24692167287100649911098 8999 31000
10/16 10/13 SQ*ALLEN WATROUS LLC gosq com CT 24692167287100735575369 8999 31000
10/17 10/16 SQ*ALLEN WATROUS LLC gosq com CT 24692167289100872108899 8999 31000
10/23 10/19 YANKEE PEDDLER &PAWN NEW LONDON CT 24828247293030037031614 5722 7000
COOK,GEORGE B Total Activity
Account Number:XXXX XXXX-XXXX 7076 16.97
09/27 09/26 ISLAND HARDWARE SVSTR FISHERS ISLANNY 24138297270091004033105 5251 754
09/28 09/27 ISLAND HARDWARE SVSTR FISHERS ISLANNY 24138297271091004033575 5251 943
FORD,POLLY Total Activity
Account Number:XXXX-XXXX-XXXX-3525 22.28
09/29 09/28 MICHAELS STORES 3754 WATERFORD CT 24692167272100832479934 5970 2228
FRANCO,MICHAEL ' Total Activity
Account Number:XXXX-XXXX-XXXX 6673 102.14
10/18 10/16 SERVICE CASTER CORP 800-2158220 PA 24639237290900011600258 5085 10214
HANEY,JONATHAN F Total Activity
Account Number:XXXX-XXXX»)XXX 0617 502.49
09/27 09/26 SQ*ALLEN WATROUS LLC gosq com CT 24692167269100384120055 8999 31000
10/05 10/04 DEFENDER INDUSTRIES INC WATERFORD CT 24431067277083716284138 4468 19249
'MURPHY,GORDON S Total Activity
Account Number:XXXX-XXXX-XXXX 8476 21.68
10/06 10/04 FISHERS ISLAND FERRY D 631-788-7463 CT 24269797278100314723008 4111 1500
10/06 10/05 USPS PO 3528550390 FISHERS ISLANNY 24445007279000912191881 9402 1318
10/06 10/04 FISHERS ISLAND FERRY D NEW LONDON CT 74269797278100314723185 4111 1500
10/17 10/16 USPS PO 3528550390 FISHERS ISLANNY 24445007290000913004674 9402 850
PARADIS,JOHN Total Activity
Account Number-,XXXX-XXXX-XXXX 0314 861.68
10/02 09/28 SERVICE CASTER CORP. 800-2158220 PA 24639237272900010400306 5085 76062
10/02 09/29 FILTRATION &FLUID TECHN 508-835-3200 MA 24431057273206000096992 5085 101 06
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 525% V $000 $000
CASH 525% V $000 $0.00
V=Variable Rate(rate may vary),Promotional Balance=APR for limited time on specified transactions
Invoice Page 1 of 2
Allen Watrous LLC
Thank you, invoice paid
Invoice#000016
October 13,2017
Customer
Fishers Island Ferry District
rburns@fiferry.com r✓
Additional Recipients
jhanney@fiferry.com
Charlie Allen diving services rendered on Sunday Sept 3,2017
dive job Sunday 9/3/17:Race Point bow thrusters,and,rest of $300.00
running gear is clean of any rope or debris.Munnatunatuck bow
thrusters are clean,however starboard propeller has 1 bent
blade
credit card charges $10.00
Sub-Total $310.00
Total Due $310.00
VISA 9985 10/13/17, 11:09 AM
https://squareup.com/invoices/ChQxMTc4NDQ5MT13MzkwMDMyMj EzOBCAwI6zoI_... 10/13/2017
Invoice Page 1 of 2
Allen Watrous LLC
Thank you, invoice paid
Charlie Allen diving services
Invoice#000017
October 13,2017
Customer (/ J
Fishers Island Ferry District
rburns@fiferry.com
Additional Recipients
jhanney@fiferry.com
dive 2 boats 9/17/17
Dive both boats at FI Ferry Dock New London,today,9/17/17. $300.00
Inspection done of both bottoms,thrusters and wheels,found to
be clear of any rope or debris.
credit card fees $10.00
Sub-Total $310.00
Total Due $310.00 �Y
VISA 9985 10/13/17, 11:12 AM
https:Hsquareup.com/invoices/ChQxMzg2NzA4ODIwOTgOMj c 1 OTMyMxCAgJP 19Kr... 10/13/2017
Invoice Page 1 of 2
Allen Watrous LLC
Thank you, invoice paid
Invoice#000018
October 13,2017
Customer
Fishers Island Ferry District /)
rburns@fiferry.com J
[A V,
I ��
Additional Recipients
jhaney@fiferry.com
Charlie Allen diving services rendered 10/1/17
10/1/17-2 boat dive(Race Point and Munnatawket)inspection of $300.00
hulls,bow thrusters,wheels.Both totally clean of debris.
credit card fees $10.00
Sub-Total $310.00
Total Due $310.00
VISA 9985 10/13/17, 11:11 AM
Allen Watrous LLC
https://squareup.com/invoices/ChM5NDg5NzE lNDM4MDQ3NjkwMDEyEIDAj fLQON... 10/13/2017
Invoice Page 1 of 2
Allen Watrous LLC
Thank you, invoice paid
Invoice#000019
October 16,2017 (j
Customer � V�✓ � j
Fishers Island Ferry District I
rburns@fiferry.com
Additional Recipients
jhanney@fiferry.com
Charlie Allen diving services rendered 10/15/17
2 boat dive,10/15117;Rope in both wheels of Race Point, $300.00
removed.Munnnatawket strainer cleaned out:mussels and
barnacles.Bow thrusters,rudders on both boats okay.
credit card charges $10.00
Sub-Total $310.00
Total Due $310.00
VISA 9985 10/16/17, 8:28 AM
https:Hsquareup.com/invoices/ChM5NjcxMTMyMzcOOTUxMzUwNTg3EICAZZGp8dY... 10/16/2017
YANKEE PEDDLER & PAWN - NEW LONDON - SALES RECEIPT#:
141 STATE ST. R., - r 57799
NEW LONDON, CT 06320
I/ Date: 10/19/2017
(860)442-7296
EMP: JCL Page: 1 of 1.
Item Description Qty Price Total
153444-1 CAMERA TOOLS-POWER RIDGID MICRO CA25,#SZQE1924690516; 1 6582 6582
IN CASE
SUB TOTAL: 6582
SALES TAX: 4.18
SALES TOTAL: 70.00
PAID IN FULL. CASH. 70.00
ALL SALES FINAL TOTAL TENDERED: 70.00
-- ------------- - --- -
�� a D io t'o csa o
-C:, -Fri � 70 � � � •`--
C �D rn z
-N-IS � S rn O �.1 rn
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THANK YOU FOR SHOPPING AT
ISLAND HARDWARE INC
(631) 788-7233
THANK YOU FOR SHOPPING AT ISLAND
HARDWARE!!
9/26/17 10:18AM ISI 552 SALE
357332 1 EA 2.151EA ON
ME GRY WP 1G BLNK Cover 2.15
205767 1 EA 5.391EA CN
1202 BLK GLS Paint 5.39
SUB-TOTAL: 7.54 TAX:
TOTAL: 7.54
BC AMT: $7.54
,4K CARD#: XXXXXXXXXXXX7076
iD: 062204151997
AUTH: 028204 AMT: 7.54
Host reference #:403310 Bat#
j SWIPED j
CARD TYPE:VISA EXPR: XXXX '
Trace # 035922
==>> JRNL#E03310 <<
OUST # 721
THANK YOU UEORG COOK-
FOR YOUR PATRONAGE
Name: X_ &
Acct: F I FERRY DISTRICT _ i--
I agree to pay above total amount
according to card issuer agreement
(merchant agreement if credit voucher)
I __ THANK YOU C I11C
AT 'I
- ISLAND00=1
(631) 788-7233
THANK YOU FOR SHR
OPING AT ISLAND
HARDWAM 552
9/27/17 10:17AM ISI --- SALE
I� 2057 '
-----------------------------
- 1 EA 5.391EA ON
5:39
120Z BLK GLS Paint l EA 4,041EA ON
297377 4. 04
3-1/2 BLK Velcro Strip
3 TAX:
SUB-TOTAL: 9.4TOTAL: 9.43
BC AMT: $9.43
BK CARDV XXXXXXXXXXXX7076
I ID: 062204151997 AMT: 9.43
I---AUTH: __ 049903
Host reference 4:403357 Bat#
SWIPED EXPR: XXXX
CARD TYPE:VISA
Trace # 035941
i1
III IIIIIIIIIIIIIIIIIIIIIIIIillllll
==>> JRNLOE03357
GUST # 721
THANK YOU GEORGE COOK
F R YOUR PATRONAGE
Name: X__.__ .. -_____
I Acct: F I FERRY DISTRICT
I
I agree to pay above total amount
according to card issuer agreement
(merchant agreement if credit voucher)
Customer Copy
i
J
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Where Creativity Happens,
I
I
MICHAELS STORE #3754 (860)444-6900
915 HARTFORD TURNPIKE
WATERFORD, CT 06385
8-9241-0295-3595-39726111-9118-1643- 34
I
5862 SALE 3429 3754 002 9/28/17 16
a•. : HAND PUNCH 1/ 191518378085 5,99 1 @ 5.99
(RETURN VALUE 4,49)
HAND PUNCH 1/ 191518378085 5.99 1 0 5.99
(RETURN VALUE 4.49)
1 GET 1 50 %OFF 3.00-
HAND PUNCH 1/ 191518378085 5.99 1 @ 5.99
(RETURN VALUE 4.49)
[; HAND PUNCH 1/ 191518378085 5.99 1 @ 5.99
(RETURN VALUE 4.49)
1Y 1 GET 1 50 '/OFF 3.00-
HAND PUNCH 1/ 191518378085 5.99 1 @ 5.99
(RETURN VALUE 2.99)
.iJPON GET AN ITEM 50% OFF 3 00 ������
ckmmr(s) Applied:
400100239117 50% AORPI
SUBTOTAL 20.95
Sales Tax 6,35% 1.33
TOTAL 22.28
'COUNT NUMBER ************3525
Visa 22.28
i
-APPROVAL: 061691 CHIP ONLINE
'IN VeriFied
Application Label: VISA CREDIT
AID: AOOO0000031010
TVR; 0000048000
TSI: E800
This receipt expires at 180 days on 04/01/18
Now Hiring!
JAPplu at http://www.michaels.com/careers
Click. Buy. Create. Shop michaels,com today!
Get Savings & Inspiration! Text* SIGNUP to 27328'.
To Sign Up for Email & Text Messages,
*Mss & Data Rates May APPIy
You will receive 1 autodialed message
with a link to Join Michaels alerts,
THANK YOU FOR SHOPPING AT MICHAELS
Dear Valued Customer:
I
Michaels return and coupon policies are available
at michaels.com and in store at registers.
oi..-.,.., aoo a G+„r,P associate for more information, I
I
E i r c terrpotion
rax Invoice
Invoice Number:
RIVERFRONT BUSINESS CENTER 368193
9 SOUTH FIRST AVENUE Voice:i-800-215-8220
WEST READING, PA 19611-1314 Fax: 1-800-591-8227 Invoice Date:
USA Oct 16, 2017
Page:
Sold To: Ship to: 1
FISHER ISLAND FERRY DISTRICT FISHER ISLAND FERRY DISTRICT
P.O. BOX 607 5 EAST WATERFRONT PARR
261 TRUMBULL DRIVE ATTN: JOHN PARADIS
FISHER ISLAND, NY 06390 NEW LONDON, CT 06320
USA USA
Visit[1s on the Web @ www.servicecaster.com or E-mail us @ lnfogservicecaster com
Customer-Ib- - - Customer PO- Payment Terms
FISHER ISLAND FERRY LEVI 10/10/18 Prepaid
Sales Rep ID Shipping Method Ship Date Due Date
KEN COOPER FEDEX PPD , 10/16/17 10/16/17
Qty Ship Qty B/O Description ; Unit Price Extension
--2.00 R=CH-12-H 42.88 85.76
BILLED TO CREDIT CARD
ny
ll Sv
SERVICE CASTER CORPORATION THANKS YOU ;Subtotal 85. 7 6 ,
AND APPRECIATES SERVICING ALL OF YOUR Sales Tax
CASTER AND WHEEL NEEDS
Freight ! 16. 38
INVOICES UNPAID 31 DAYS AFTER INVOICE DATE ARE SUBJECT TO Total Invoice Amount 102. 14
SERVICE CHARGES OF 1%% PER MONTH. EQUIVALENTINTEREST Payment/Credit Applied
RATE PER ANNUM IS 18%. IF LEGAL MEANS ARE NECESSARY TO TOTAL DUE: 102 . 14
COLLECT THIS INV/OCE,CUSTOMER AGREES TO PAYALL LEGAL
AND/OR ATTORNEYFEES AND COLLECTION CHARGES. Check/Credit Memo No:
COST PHONE#860-442-0165 CUST FAX#
Invoice Page 1 of 2
Allen Watrous LLC
Thank you, invoice paid
Diving Serivices 8/20/17
Invoice#000015
September 26,2017
Customer
Fishers Island Ferry District P
rburns@fiferry.com f ( +
Additional Recipients
JHaney@fiferry.com
Charlie Allen diving services rendered on 8/20/17
8/20/17,dive both boats,Race Point and Munnatawket.both $300.00
vessels clean of any debris/rope.
cc service charge $10.00
Sub-Total $310.00
U`
Total Due $310.00
VISA 0617 09/261'17, 8-.18 AM
https:Hsquareup.com/invoices/ChMOMzY2NTY5Mj czNTUzMDcxNTAOEIDA8aSG7NU... 9/26/2017
pdismbprt.9961620 1\`
Defender Industries
42 Creat Neck Road
Waterford CT 06385 —
(860) 701-3406 w•
Ent. By: SEJ Ellen John
!,usl 160202676 RETURN POLICY (abridgp,d version) I
. � I
=fishers Island Ferry '`
PO Box 607 30 Days fort most items returned in 1
original packaging and in resalable I
condition I
Fishers Island NY 06390
_ * 10 Days on electronic items, unopened I
`-- --- software and charts in resalable I
ANNI EMBROIDERED U.S. FLAG I _condition I
5N650346 1 @ 24.87 24.87 I .•
ANN1 EMBROIDERED U.S. FLAG Boats, Motors & Trailers, out goods, I
5N650346 1 @ 24.87 24.87
• ANN1 EMBROIDERED U.S.S. FLAG special order;, and clearance items I
are not returnable I
5N650346 1 @ 24.87 24.87 I
MARY ON & OFF HULL & BOTTOM For the complete copy of Defender's I'
5N756668ONFGAL 4 @ 27.71 110.84 return policy please visit the Terms of l
Sale section on our website
------
Oub i o ta1 185.45
tax 7.04
-- ~~ --
Total 192.49 lank You for your business!
(+ - Items are taxable)
----------------
Payments ---- - _____ __ ;)voice Order Reg Date Time
Cr edi t Card Visa ***x 0617 192.49
Auth: 046933 J04B3177 106486912-2 -0 10/04/201( 03:35pm
X
' Signature
, 7015 0640 0007,-,88604899 :
91 T
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a
FISHERS ISLAND P.O. m
1 ORIENTAL AVE �"? ' "
FISHERS ISLAND NY 06390-9998
igSPS 3529550390 ■
1=800-275-8777 1
040256101
P Y" 00 C �r - o �J►
Merchant ID: 4445023716068 ry– ® �' ■
Term•ID: 01 W _� (^
U]' 000003 i b9 + W 0 m r
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S a -1 ?, �18 G+
r****8476
VISA � 3 18 G0 -
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7015 064.0 0007 8860A9 --
100117 05 ,
09:4,,;.1 E � f�( �� C �; �; ca� 0-16, -0
Inv #: 000001 Appr Code: 00C,—3 �� �'9� �? mE O0 0� •
Receipt #. 00000017 �, Q�' Q �;4J� ~ o -m _ c a _
4' b y 3 3 2
All Sales Final on Stamos and Postage. !�
Refunds for Guaranteed Services Only, ?01 J �C°; } a m A s m
13
CUSTOMER COPY 06 3 9 0 ?n
Order Stamos at USPS comishop or call j ('
1.300-Stamo l Go to
USPSco0clichnship to orint shipoinp > m •
labels niih postage For other info call --.,
1.800-ASK-USPS -
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FISHERS ISLAND P.O. V(
'• 1 ORIENTAL RUE
FISHERS ISLAND NY 06390-9998
USPS 352550390
1-800-275-8777
.
040256101
Merchant ID. 4445023716068
Term ID. 01
,Clerk ID 000004
ale
'k*A'k*1l*irk**A8476
VISA vT
TOTAL: $850 wV�
,10116!17 09:01.58
j ;.Inv #: 000001 Appr Code: 096662
Receipt #. 00000007
f' All Sales final on Star os and Postage
l Refunds for Guaranteed Services Only.
j CUSTOMER COPY
I
Order Stanns at USPSconlshop or call
I , __ tsoG,Siamn9d fn ae .♦'
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Invoice
Invoice Number:
RIVERFRONT BUSINESS CENTER 367226
9 SOUTH FIRST AVENUE Voice:l-800-215-8220
WEST READING, PA 19611-1314 Fax: 1-800-591-8227 Invoice Date:
USA Sep 28, 2017
Page:
Sold To: Ship to: 1
FISHER ISLAND FERRY DISTRICT
FISHER ISLAND FERRY DISTRICT
P.O. BOX 607 5 EAST WATERFRONT PARK
261 TRUMBULL DRIVE
PO#JOHN 9/22/17 ,"-,"'
.
FISHER ISLAND, NY 06390;', NEW LONDON, CT, .,,06320
USA USA
Visit lis on the Web 9 www.s'ervr'cecaster.com or E-mail ws Qa hifo@servicecaster com
Customer ID Customer PO _ -Payment Terms �
FISHER ISLAND FERRY JOHN 9/22/17 Prepaid
Sales Rep ID Shipping Method Ship Date Due Date
KEN COOPER FEDEX PPD 9/28/17 9/28/17
Qty Ship Qty B/O Description ",, • Unit Price Extension-
.2.00 S-CH-I2TRB } t ,tr_,y. ,.v 361.00 : 722.00
BILLED-TO CREDIT-CARD
z � O
SERVICE CASTER CORPORATION THANKS YOU = Subtotal 722. 00
AND APPRECIATES SERVICING ALL OF YOUR Sales Tax
CASTER AND WHEEL NEEDS
Freight 38. 62
INVOICES UNPAID 31 DAYS AFTER INVOICE DATE ARE SUBJECT TO Total Invoice Amount 760 . 62
SERVICE CHARGES OF 112%PER MONTH. EQUIVALENT INTEREST Payment/Credit Applied
RATE PER ANNUM IS 18%. IF LEGAL MEANS ARE NECESSARY TO TOTAL DUE• 760 . 62
COLLECT THIS INWOCE, CUSTOMER AGREES TO PAYALL LEGAL
AND/OR ATTORNEY FEES AND COLLECTION CHARGES. Check/Credit Memo No:
COST PHONE#860-442-0165 CUST FAX#
s.
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FILTRATION & FLUID C)o Invoice
TECHNOLOGY '
Date Invoice#
Division of Trifax LLC
9R Prospect Street 8/28/2017 9613
West Boylston,MA 01583
Bill TO
W� 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
Item _' Description' 'OFdered -;Backord:.. �Invoiced• _Rate
. Amount
VR2C.1 306823 HYDAC CLOGGING . 1 0 1 88.12 88.12
INDICATOR
SHIPPING HANDLING = SHIPPING&HANDL ' . 1' 12:94 12.94
N
SHIP UPS GROUND PREPAY
AND ADD
tracking 4",
L -121768850356553184
Subtotal $101.06
Sales Tax (0.0%) $0.00
Total $101.06
Phone# Fax# E-mail Payments/Credits -$101.06
508-835-3200 508-835-3222 filtrationfluid@verizon.net Balance Due $0.00
e� ;�
h 6ar �.4 " i`.���"�'"� �'` ��: �.d�`',-rr�-'�_',.,:Y✓•btbtvxre^�`,
Number/Date
SOL® TO :
80865172109/28/2017
P.O.No.i Date
FILTRATION & FLUID TECH 9441 /09/22/2017
DIVISION OF TRIFAX LLC
9R PROSPECT STREET order Number i Date
WEST BOYLSTON MA 01583 1030545/09/22/2017
Customer Number
1411
SHIP TO:
FISHERS ISLAND FERRY FROM:
ATTN- JOHN PARADIS HYDAC TECHNOLOGY CORP
5 WATERFRONT PARK 2250 City Line Road
NEW LONDON CT 06320 Bethlehem PA 18017
Transportation Details P
Carrier: UPS STANDARD (Ground) S�
Terms of Delivery,Z03 FOB Origin, Prepaid &Add K J
Item Material P.O. No.
Order Qty Ship Qty BIO Qty
Description
Sales Order 1030545/000010
000010, 306623 9441 1 EA 1 0
V5O'4'-- ._— `` Country of Origin: DE
� fS Code: 8479.89.9899 `
2 BAR electrical indicator
e�
Please send comments and issues to us at FeedbackQ)HYDACUSA.com
FISHERS ISLAND FERRY DISTRICT
April 17,2017
BOA—Pcard
RESOLUTION 2017--067
Whereas the Ferry District has a credit card facility with a subsidiary of the Bank of America ("BOA") and
Whereas management recommends changing from a credit card program to a purchasing card program
that allows management to more closely monitor card use by individuals,
Therefore,it is RESOLVED that the Board of Commissioners accepts the recommendation of
management to change the credit card program to the BOA Purchasing Card program,and
it is further RESOLVED that the Board of Commissioners of the Fishers Island Ferry District authorizes
management to enter into a new credit facility that has similar credit terms to the current credit:facility
and will only be used with the BOA Purchasing Card program; and to cancel the current credit facility
when the new credit program is established.
It is further RESOLVED to authorize management to execute all related'documerits subject to review by
counsel.
Moved by:Commissioner P Rugg
Seconded by:Commissioner H Burnham
Ayes:W, Bloethe, H, Burnham, P. Rugg
Nays: None
Southold Town Board -Letter Board Meeting of April 25,2017
RESOLUTION 2017-372 Item# 5.16
yam ADOPTED DOC ID: 12979
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.20]7-372'VvAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
APRIL 25,2017:
RESOLVED that the Town Board of the.Town of Southold hereby ratifies and approves the
resolution of the Fishers Island Ferry District Board of Commissioners dated April 17, 2017 in
regard to Bank of America purchasing Card program.
Elizabeth A.Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER; Jill Doherty, Councilwoman
SECONDER:William P. Ruland, Councilman
A'C'ES: Dinizio Jr, Ruland, Doherty, Evans,Russell
ABSENT: Robert Ghosio
Generated April 27, 2017 Page 31
-FISHERS ISLAND FERRY DISTRICT
VENDOR 002776 CHARLES BURGESS 11/08/2017 CHECK 4442
A
FUND & ACCOUNT ; P.O.# INVOICE DESCRIPTION AMOUNT
SM .9060.8.000:-000 073117 ANTHEM MED RX-7/17 / 102.16
-SM .9060.8.000.000 083017 ANTHEM MED RX-8/17 102.16
SM .9060.8.000.000 i 090117 ANTHEM MEDIGAP-3RD QTR 337.03
SM .9060.8.000.000 093017 ANTHEM MED RX-9/17 102.16
TOTAL 643.51
J � 1 - L•'
•'x ''s.^x eon. ,..-�•y _ ,^.,.;;'+,m�ccs<'� ��
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FISHERS'7SLAN ,PERRY DISTRICT
53095iNAINAOAD;POBOX`1179 - - • 'AUDIT' 11/08-/(17 += -'-„
x SOUTHOLD, 44
,NY 11`971-0959 CHECK N0: :4' 2-
•
THE SUFFOLK'CO.NATIONAL BANK ;
CUTCHOGUE,NY 11935, DATE. AMOUNT ,as
-50.546/214 ` 11/08`2017 - 643 -51
SI•X, HUNDRED: FORTY-THREE AND 51/100 DOLLARS
,qy CHARLES ,BURGESS
O'TIIE 4 .RANEE ,COURT
-, „
ORDER'- ;'WATERFORD 'C�, 06381
,;y4
11000 lJo 20 i:o 2 010 S L 6 L,i: P38 001502 1112
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 2776
Vendor Address Entered by
4 Hamel Court
Waterford, CT 06385 Audit Date
'Burgess, Charles NOV 0 8 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
MQB: 8/30/2017 $421.29 $337.03 Anthem Medigap Plan N 7/1-9/30/17 SM9060.8.000.000
($84.26) $421.29 @ 80% reimbursement
7/10/2017 $127.70 $102.16 Anthem Blue Medicare Rx July 2017 SM9060.8.000.000
($25.54) $127.70 @80% reimbursement
8/8/2017 $127.70 $102.16 Anthem Blue Medicare Rx Aug 2017 SM9060.8.000.000
($25.54) $127.70 @ 80% reimbursement
EIMB 9/8/2017 $127.70 $102.16 Anthem Blue Medicare Rx Sept 2017 :SM9060.8.000.000
($25.54) $127.70 @ 80% reimbursement
F
$643.51 $643.51 j
Payee Certification tment Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as 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
Signature7�� Title Signature
Company Name Fishers Island Ferry District Date 10/25/2017 Title Date lU ���
Citizens Bane y 11,fMe l c,:7a VF
CT a HW LOGOLIT=
MYACCOUNIS TRAIOMMONIX PAYBUS&PEOPLE DOttmmi-CENTm StWfaCMTER
Pay Bitts
Reminders
Reminders help you track when a bilks due:
Payments
Doe Range
I Past 12 months Oct 14*2016 and future
Filtert3y
Recipient Name • ' Anthem BOBS x0101 •
showing Anthem BCBs payments.Clear R1ter
v .
Showing 1-4 of 4 payments page 1
- - — ------- --- -- ----------- -- ----— —----
iWithdraw On Description 'Category Amount :Deliver By ShtWs
_:- - - —- ------- - -
•8.30-17 :Anthem BOBS Insurance,_ $42129 830-17 Delivered 4
x0101. PR6IAIERCHECIONGWfniQJTB26STx7 i cim#MOxQY-4aviI }
6-217 Anthem BCBS Insurance Delivered
X01 PREMIER CHECIONG WITH 11HEREST x7063 Clrn#LtNIRV-ViIPW'
Irdo Not Available Anthem BCBS Insurance Delivered
X0101 PREMIER OSCI ING WITH INTEREST x7053 Crm#LDS9DA53C7
f Info Not Available Mthern BCBS Insurance Delivered f
i x0101 PREMIER CHECIONG WITH INTEREST x7063 Cim#t3RRSx7iA8
3
I Total 7100 ung,-Processing.and Derivered
payments only,including any fees i
Showing i-4 of 4-payments pa 1
Checidng&Savings Home Borrowing Students Cards
Personal Loans Resources About Us Sohrtions
Disclosures
.4A
'Securities,insurance and InvestmentAduisory Services offered through Citlzens Securities,Inc.C"CSn,also referred to as Citizens Investment Services.CSI is an SEC
registered investment adviser and Member-RNRA and SIPC.770 Legacy Place,MLP240,Dedham,MA 02026.(800)94248300.CSI is an ailLale ofC-Itizens Bank,NA and
Citizens Bank ofPennsyhrani.
The investment balances shown in online bans ft are based on market prices,with up to a fdleen minute delay from the trate this webpalge was last refreshed,blfomration
relating to accounts not held atCS1 is presented as an aceomimilation and while drawn from sources believed to be reliable is notguaranteed as to accuracy or completeness:
Such imb...a6au dwuld be indepermtenWconrrmiedbytfieaccountowner(s):
The investment products and financial strategies suggested herein are subjecttn investment nsk,including possible loss of principal amount invested.lnvesbnentdeasions
should be based on each individual's goals,time horizon and tolerance for risk
10/14/2017 Discover Card:Printable Search Transaction
�� �
CHARLES W BURGESS,'
4 HAMEL CT,WATERFORD,CT,06385-2008
(860)442-8383
Search Transactions:We found 4 matches.
(Vote: Please review your statements for interest charge information.
Transactions
Trans.Dates Post Date Description Amount Category
❑07/10/17 07/12/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical
NASHVILLE TN Services
[108/08/17 08/08/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical
NASHVILLE TN Services
❑ / TCt�pr�nTrr, $ 409100 Services
>l�iliti'.Tiir
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1:109/08/17 09/08/17 BLUE MEDICARERX PREMIUM $ 127.70 Medical
NASHVILLE TN Services
Results Total =$
Need-to dispute a charge? Can't find a transaction?Suspect Fraud?
Contact us immediately at:
M.S. 1-800-DISCOVER(1-800-347-2683)
Outside U.S. 1-801-902-3100
hL
TDD/TTY 1-800-347-7449
Printed on 10/14/2017
02014 Discover Bank, Member FDIC.
Owl
FISHERS ISLAND FERRY DISTRICT
VENDOR 003053 CDW GOVERNMENT, INC. 11/08/2017 CHECK ( 4443
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION I AMOUNT
SM .5711.4.,000.00 1 0 - KKL9492 (2)POWER BACK-U6 PRO 259.90
TOTAL 259.90 Lf
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"",-FISHERS,,ISLAND.,FERRYDISTRICT''
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53095-MAIN ROAD,'PO:BOX 1170 "�!
SOUTHOLD,NY 11971=0959 CH9CK NO. 14.443.
THE-SUFFOLKbO.NATIONAL BANK
: , - '
qUTCHOGUE-,NY-11,935, DATE AMOUNT,:,,
DA
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T f3-,r0R/2&17
-
TWO, HUNDRED,-FIFTY NINE AND 9 0,/l 0 0' DOLLARS
_7
PAY- C-DW' GOVERNMENT, INC.
TO
�THE, 75 REMITTANCE DRIVE-SUITE- 5,'
9APER',
' 'IL, 6067 5-1515
OF, QHICAQO
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uE 0 0 3iia i:O 2 140 S Lo F3 L,1: 68 00 L b u r ilii'
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 003053 44 A
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
75 REMITTANCE DRIVE-SUITE 1515
CHICAGO, IL 60675-1515 Audit Da e
CDW GOVERNMENT, INC. NOV 0 8 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
KKL9492 10/5/2017 $259.90 $259.90 Power back-UPS Pro(2) SM5711.4.000.000
$259.90 $259.90
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 I 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 l ems - Title Signature
Company Name Fishers Island Ferry District Date 10/27/2017 Title / Date �/ /
-,ANVOICE DATE, INVOICE NUMBER PAYMENTTERMS DUE DATE: >
10/05/17 KKL9492 Net 30 Days 11/04/17
<^'ORDER DATE..; ' SHIP VIA.. = ;' ',PURCHASE ORDER NUMBER. , CUSTOMER'NUMBER
09/06/17 FEDEX Ground FI TERMINAL 11821911
€ QTY QTY l' ;.
ITEMWNUMBER'- -: '`" ;DESCRIPTION UNIT PRICE, TOTAL ,
- : :.,ORD:,. SHIP,- .BlOs. ... ;
2065438 APC POWER-SAVING BACK-UPS PRO 1000 2 2 0 129.95 25990
Manufacturer Part Number:BR1000G
Serial No S3131732X13229
Serial No:S3131732X15379
GO GREEN!
CDW is happy to announce that paperless billing is now available! If you would like to start receiving your invoices as an
emailed PDF, please email CDW at paperlessbilling@cdw.com. Please include your Customer number or an Invoice
number in your email for faster processing.
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Begin,transmitting-your payments electronically via ACH using CDW's bank and remittance information located at the top
of the attached payment coupon. Email credit@cdw.com with any questions.
J . A000UNTMANAGER
SH IPPING,ADDRESS: _ SUBTOTAL, - $259.90
RYAN,COLT FISHERS ISLAND FERRY DISTRICT
203-851-7272 ATTN.GORDON MURPHY SHIPPING $0.00
261 TRUMBULL DRIVE " ti
ryan.colt@cdwg.com "
FISHERS ISLAND NY 06390-0607 SALES TAX,. $0.00
S'ORDER NUMBER. '
1 BS42X2 AMOUNT.DUE, $259.90
Cage Code Number 1KH72 HAVE QUESTIONS ABOUT YOUR ACCOUNT?
DUNS Number 02-615-7235 PLEASE EMAIL US AT credit@cdw.com
ISO 9001 and ISO 14001 Certified VISIT US ON THE INTERNET AT www.cdwg.com
0001.0001' CDW GOVERNMENT FEIN 36-4230110 Page 1 of 1
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reipng on any swtemuns sp;xrtivahans photographs or nthu ilinstmuanc mla�srnimg the Pmdnct LLwt may be yrovaded by Seiler er�t Affihntcs SFtLERAND ITS AFF[[IATIS HEREBY EXI'RESSI Y DISCLAIM AI,h W11 A', FH1[ER I-XPRPSS OR MIl'LIED,RELATED TO
PRODUCTS,INCLUDING,BUT NOT LI ITED TO,ANY WARRANTY OF TITLE ACCURACY,MLZRCHANTABB,ITY OR FfINFSS FOR A PARTICULAR PURPOSE,WARRANTY OF NONINTRINGENILNT,OR ANY WARRANTY RELATING 10 THIRD PAR1Y SERVICES
11IF DThCLAIfFR CON rAJNFD IN THIS PAIRAGRAPE I DOES NOT AFTLCT THE TFRMS OF ANY NlANUFAC`FURFR'S WARRANTY Customer eapres,ly vvuaves my cmtin Wat a may Iwve against Selle or iw ARihnws bn,cd nn any pmdnzt hainln.or uifnngemenl or alleged
mfnngemnt of any Perm copyright,trade,cera o other intellectual property rights(each a'Comm 1 with revpeet wan;Product mid also wmvzs any right w mdetwticahnn from Seller m its Affiliates agmad m}such Claim monde against Co-a er is a fluid Party CLsnur a m3a moledges that
no aigrlo)ee ofSdiu writ Afiilmw,uaudmr¢cdwnvake any nlinuramon orwuirau)oil b.haifot Selkrarany ofitsAffilmtes(hat isnot in Uus Agreemeil -
Seller,w;m,mts tbet the Serviva orll be p.rfommzd in a good and—nunlike manner Citxtona'a sole mol enelusive rernaty and Seller's came IvaMhty arch aspect w lhu nurranry wiM be,a the Bale option of Seller,to mala(n)mm us xawnablz wrmierei.I et7rts w n7xrtmm mr cause to lie
reperformed any Services not m substenlwl—iphance with ms muntudy or(bis ref d nmomts prod by Cmarma relaid w the partial of the Senrco,not on subs-.d comphance,prosadal,m j.h a-Customer i nmffes Sella m wnline wadun live(d)business day,after Pat.....of die
applicable Servuea EXCFPT AS SET FORT71 II'RITN OR IN ANY STATEMENT OF WORK THAT EXPRFSSLY AbM'NDS SFT IFWS WARRANTY,AND SUBJFCT TO APPI ICA13LF LAW,SFLLIR MAKES NO OTHER,AND FXPRFSSLY DISCLAMLS Al L OI HER
REPRESENTATIONS WARRANTIFS,CONDITIONS,OR COVENANTS,FITHER EXPRESS OR IMPLIED(1NCLLDING WITHOUT L11,1BATION,ANY EXPRESS OR IMPLIED WARRANTIES OR CONDITIONS OF FITNESS FOR A PARTICULAR PURPOSE,
MiRCHANIABETTY,DURABI,Ffy,TIME,ACCURACY OR NON-INFRINC.FMFNT)ARISING O1,TOF OR RFI ATED TO ITIS PERFOILMANCF OR NON-PERFOICU&NCE OF THE SFRVICLS,INCLUDING BUI NOT IdIvI[ED TO ANY WARRANTY RELATING TO l7IIRD
PARFY SL•7LVICLS,ANY R edURANTY WITH RESPLCr fO IITF:PERFORMANCE OF ANY HARDWARE OR SOFM AM USED IN PLRI ORMNG SERVICLS AND ANY lV 1RRANTY CONCERNING THIP RLSULTS TO Bit O131 AINED I RONI 171E SLRVICI,S THIS
DISCLAIMER AND EXCLUSION SIfAIL-PLY EVEN R THE EXPRESS WARRANTY AND LIMIFD RLMEDY SEF FORTH III RFIN FAILS OF ITS ESSFNIIAL PURPOSE CUSTOIIERAC'KNOWLEDGFSIILAr NOREPRLSLYrAFIVF.C)r SLI,LEROROFrrSAITILIATIS
1S AET1IORI7XD TO MAKE ANY RFYRESENDITION OR WARRANTY ON BFITAI F OF SFLLFR OR ANY OI-ITS AFFILIAI FS THA r IS NOT IN THIS AGREFhEN I OR INA S i'ATFMENT OF WORE:FXPRL•SSI T AMFNDING SFI,1 ER'S WARRANTY
Custmna,hall be solmh re 7xmsable for doh back-rip and oLLnr protataon of cher dear an3,n(lware against wss,J image err u+mipnon Customer slmll be solely resin sable for rtcoistinebng dam(including bill not Erntest to dal located on disk Tiles and memories)sed sotiume Got inn Ix lad,
damaged or corrupted ehamg die pufomance of Savior SI I J FR II S AFTTLIA ITS AND I FS AND FITEIR SUPPLIERS SUBCONTRACTORS AND AGFNTS ARE HFREITY RELEASED AND SHALI CONTINIJE TO BE RFI,I ASrr)FROM AI.L LLABILHY IN CONWEC rION IViTH
THE E OSS DAMAGE,OR CORRUPTION OF DATA AND SOFTWARE,AND CIJSTOMER ASSLMI S ALL RISK OF LOSS,DAMAGE OR CORRUPTION OF DATA AND SOFTWARE IN ANY WAY RELATED 1`0 OR RESULTING FROM THE SERVICFS
Seller 11 not be nesperalb)e f and no Iwbihh sdadi rewilt to Sallu or inn of rte Affdwta for.0,dzlays in delivev or in pertonnance ouch msnit hon an,emalmstrmces beyond belle's reasonable carnal,mdndmg,bill not banned to Pooduet mes,alnbilm,cancer dela}s,delays due to Inc,
-ere weaNa zandmman,imlum of pores,tall,,,pmblum ass of war,terrorism,embano,act-,offend or eros or laws of any ecovemmem or agrees Ant shipping date,.-mut term.dates provided by Seller or am porplaml deadline,clammed in a Shea ml of Work or any other document me
e,bmatc,only
Pricey 1i42nauanan,Av L�bahty D-horl-
Seger resines Ne right w make adpvslmmn w prune E'raimis and Semce otiaings for reawns mcluJsnn,brit vat hmm.d w,changm;mvka enndimn,,Product Srswahmmmoq Thoduenanavadahahty,snanmacwru pace change,,upphapnce ahmgus and amts m adverb,emvwt Al]arden
me mblat to Product ma blbrhty and die avnalabilmh of P—)...I to pato-the Services 11-1hrz.Sclhx annot gis renh.e that it will be eblc to(infill Cri roma',widen If Seri—a,e be tit Jerfmord on a time and marital,basis env estimate,provided by SelEu ere to,planning Poll—
only
Credit
Any credit issued by Seller to Customer for any reason most be used within too(2)years fom the date that the credit vias issued and may only be used for future purchases of Products andlor Serviees Any credit or portion rherafnot used wiflun the two(2)year period mill automatically expire
I mutation ofLubilit, `
UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY REMEDY SET FORTH HEREIN,WILL SELLER,ITS AFFILIATES OR ITS OR THEIR SUPPLIERS,SUBCONTRACTORS OR AGENTS BE LIABLE FOR(A)ANY
INCIDENTAL,INDIRECT,SPECIAL,PUNITIVE OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO,LOSS OF PROFITS,BUSINESS,REVENUES OR SAVINGS,EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF
SUCH DAMAGES ARE OTHERWISE FORESEEABLE,IN EACH CASE,WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED UPON BREACH OF CONTRACT,WARRANTY,NEGLIGENCE,STRICT LIABLITY OR OTHER THEORY OF LIABILITY,(B)ANY
CLAIMS,DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY,(C)ANY LOSS OR CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS OR RECOMMENDATIONS BY SELLER OR ITS
AFFILIATES BASED ON,RESULTING FROM,ARISING OUT OF OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES,OR(D)ANY UNAVAILABILITY OF THE PRODUCT FOR USE OR ANY LOST,DAMAGED OR CORRUPTED DATA OR SOFTWARE IN THE
EVENT OF ANY LIABILITY INCURRED BY SELLER OR ANY OF ITS AFFILIATES,THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF(A)THE DOLLAR AMOUNT PAID
BY CUSTOMER FOR THE PRODUCT(S)GIVING RISE TO THE CLAIM OR THE SPECIFIC SERVICES GIVING RISE TO THE CLAIM,OR(B)$50,000 00
Confideanal Information
Each party anticipates that it may be necessary to provide access to information of a confidential notore of such party,the Affiliates or a thud party(hereinafter referred to m"Confidential Information")to the other party in the performance of this Agreement end may Smwment of Wort
"Confidential hnfonnaaon"means any information or data in ori,elacto m,or wntan fon,,which the receiving party knows or has reason to Avow is proprietary or confidential and which is disclosed by a party in connection with this Agreement ormluch the reeeaving party may have access to in
mechon mathThis Agreement,=biding but not limned w Ne teems and conditions ofmch SWt==t of Work ConfidmhalInfo h n w U not mclude mformahan which(a)become]mown w the public tluvugh vo eel ofthe recavmg party,(b)was Frown fo the receavmg perry,or becomes
knovvn to the receiving party from a thud party having the right to disclose it and having no obhgation of confidentality to the disclosing party with respect to the applicable information,or(c)Is independently developed by agents,employ ws or sub mmj;ton of the recevmg party who have not
had access w such m desmon To the extent pmcInformationble,Confidential Information should be cieady rdenhfied or labeled as such by be disclosing party at the rime of disclosure oras promptly thereaftr as possible,however,filure aw so identify or label such Confidential Iter candium will not be
evidence that such information rs not confidential or protectable
Each party agrees to hold the other party's Co>Ydennal Wbnnation confidential for a period of three(3)yeas following the date of baclosue and todo`so in a mamer at least as protective re n holds its own Confidential Information of like kind but to use no less ureic a reasonable degree of care
Disclosures of die other party's Confidential Information will be restricted(a)to those mdrviduals who are participating in the pertbrmmc,of Ons Agreement or the applicable Statement of Work and need to know such Confidential Information for purposes ofpmviding orroonvmg the Product or
Services or othennse in connection with this Agreement or the applicable Statement of Work,or(it)in it business,legal and Bilateral advisors,each an a confidential basis Each party agrees not tome my Confidential Information ofthe other partyfor any plopme other than die business purposes
contemplated by flus Agreement and the applicable Statement of Work Upon the written request of a party,the other party will either retain or certify the destruction ofthe Confidential Information of the otherporty
If a receiving party is required bylaw,role or regulation,or requested in any)udreal or administrative proceeding or by my governmental or regulatory authority,to disclose Confidential Wormation of die other party,the receiving pony mill give the disclosing patty prompt notice of such request
so that the disclosing party may seek an appropriate protective order or sundmprotechve measure and will use reasomble efforts to obtain confidential treatment of the Confidential Information so disclosed _
Roan Pmdeg.-:
Toobwm Sella',mount polwv,Customer sboldwntma CDW C\rtomu RItioas or 866 SVC4CDW or mail ac CuslomaReletionsrebodw on Cmtornernmstrmtity CDWCmtonwr Relahonsotarvdrmiagal Pnductsvwtlmnwn(I0)dm,.f—.1,L
Abnran-
Am Jam,dAmu.,oreonum-sy(ulicther m—trea.ton o othavose,mlacther p--bng present err lot—and meindmg,fallout limited to,smtqu)'common lam intentional tort end equitable darts)raising lrom or rclatm,to the Predu ts.the Sets—,in.mterynmmon or epphcatwn of
these term,and Cardmons or am Statement of Work or me brom,ti,tcnmmtion or validity thereof,the reimonship,whi,li—id,from thea I—and Candmons or am Statement of Work(meliidmg,w die full extent penmlted by eppinable I,,,.retrinni rip,with thud partes who not not
snnwmuas lmecw),or Seller's or any of its ltliluaes'advertising a makemg(eohesnvcl),a"Clam)WILL BE RESOLVED UPON HIE ELECTION OF ANY OF SLILLR,CUSTOMER OR fill,THIRD PARTIES LNVOLVLD,INCLUSIVELY AND I INALLY BY BINDING
ARBITRATION If.ubttrauw rs 1lto,en,n will b.:mndncid punumt to the Aules of the Anamem Artumuon As,ocauon Il arbrmuon i,eho,ev bv.mv pany weal r spe'ct to a CLim,nmw<r Saila nor Nswma wall lime the right to ling-ac Nat Clam m court o w lave n)mr trial enthat Chor
or to engsee m pre-mbmmbon rhs.uvery,escr{n m provided form the apphcahle ubmahon rules err by agreement of Ne parties molvcd I uAl er,Qi,tomu wdl not have the nght to lwnlapaw as a ref r—awlne m member of an}class of clatmmts)xrtnnang to my Claim Nomahswndurg any
dim of lem provtswri meludmd m Nese lam+and Can& c,Nis ahrrahon agransent is wbie,'to the 1 ileal Atbmaoon Act(9 U S C§§1.16)I lie arbnmbon mill take pla,e uclusncly to Ctneago,Illaajs Any uvurthaving 1—diction may ena ludgmeit nn flw am id readuod by the
afinmmi(,)E..eh p.uly mohal sill bzm st,www cost of any legal mpr�wooer.daxovev or rexareh tixiuua(to conaplac abivauon Hw va:stencc nr nsrRs oCany aibimtianivill be vaned a,emtid mtial Notmatlistanthnq mythmg to the wnmry contnned heron,ill annnas yatnmmq to the
wllw.unn otammurts dile w 5111a arising ant of ih.]`n;dnct o Sinrns will bin cdusvely hhgated m calm wither Uri damugh aibamnea '
Mhsee]Imenn, ,
Szil.r mav'asuen err subennnnct all or run potion of it rights ur obhg.rtmns uaN reams c[w thy.sale at Praducm,er the penomartce at Sciv:<es o as,rEn Ne npht to rccave prymv tits,withaut Qrrwme's consaal C ustumernary not a-gn thane Crinis and('ondiunn,o mry at rU,,;,lits or
obheatwn,bnnn without the poor wrauert consent of Scller Subfeclwilictesuwhuasm—grimad...troolh-ut dais.Temn.mJ Gradations wrMbebmdmg on mJ mum to thcbm�tol the putia herein mdther sir.acssors end assrgm No prorason ofllns Agry xnmt or wiry Slalcntenl of
Work will be deemed waned arman al err modified by edhe psaly wales such wmva,amaidment or modafcation is m vvnbng and signed by both parties The relationship betwcx n Seller aid Cuswmer is that of independent a artrom n and not that of engdoyedcnmpioee,partnership orpunt
vmme If inn Erni or condmoi of this Mmeanmat err a St atrnznt of W ark rs C and b}a man of mmbumnrt mm�dnnmi w be mvah 1,tilearJ err othuursc unumfoncabl,the same slwM nut aff t the ntha Wins ur<undmnns hereof or thereof or the nhol aC Nu Amr.emznt or the npphenble
Swtanent of Wank.Not,,.provided under this Agreement will be gave.in writing and deemed recaved upon the maths of actual—.plot 0"
(3)days aftermailing dmailed postage prepaid by regular mal or ammil or one(1)day aftersuch notice is sent by coma or facsumle Iramolussion
Any delay or mlme by ether party to esme ase my right or remedy vnB not constitute a waver of that party to thereafter enforce such,,Shia -
Vm,mn nate 02,2'5,_010 -
Gordon Murphy
From: CDW <cdwsales@cdwemail.com>
Sent: Thursday,October 12, 2017 11:58 AM
To: Gordon Murphy
Subject: CDW-G Invoice#KKL9492 Detail
REMIT PAYMENT TO:
® CDW Government =11WHO PEOPLE75 Remittance Drive Suite 1515
I Chicago,IL 60675-1515 GETff
r
r
INVOICE NUMBER *'.•INVOICE-DATE' CUSTOMER NUMBER i
! KKL9492 10/05/2017 11821911
THE CDW-G INVOICE #KKL9492 SUBTOTAL SHIPPING' SALES TAX
j YOU REQUESTED IS DETAILED $259.90 $0.00 $0.00
BEL®WDUE DATES i4M011Ni-DUE`
11/04/2017 $259.90
i
i f
yORDER DATE ^SHIP VIA " ORDER#, PO# PAYMENT TERMS
09/06/2017 FEDEX Ground 1BS42X2 FITERMINAL Net 30 Days-Govt State/Local i
! 1
i
1
ITEM'-- ORDER QTY, SHIP_ QTY OPEN QTY ' CDW#p UNIT'PRICEr EXT.,PRICE i
APC POWER-SAVING BACK-UPS PRO 2 2 0 2065438 $129.95 $259.90
1
( 1000
Mfg.Part#:BR1000G
Contract:
MARKET
1
Serial Numbers:S361732X13229,S361732X15379 {
{ PURCHASER BILLING INFO ,DELIVER TO Subtotal: $259.90
i Billing Address: Shipping Address: - Shipping';, $0.00
I
1 FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT Sales Tax: $0.00 I
1d ATTN:ACCOUNTS PAYABLE ATTN°GORDON MURPHY
PO BOX 607 261 TRUMBULL DRIVE
AMOUNT DUE: $259.90
FISHERS ISLAND, NY 06390-0607 FISHERS ISLAND, NY 06390-0607 � �
�',`2w"ays.,to GO GREEN w1th'CDW-8! Paperless.billing and electronic payment transmission i
TRANSMIT PAYMENTS ELECTRONICALLY--
Eliminate the hassle of paper checks_by utilizing.ACH for electronic,bill pay.
EMAIL'REMITTANCE TO:-�g_achremittance@cdw,com
ACh INFORMATION: The Northern:Trust;50 South LaSalle St.,Chicago,IL 60675 q
} ROUTING NO.:071000152' i ACCOUNT NAME:CDW Government i ACCOUNT NO.:91057 4
� I
.PAPERLESS BILLING NOW-AVAILABLE—_If you would like to start receiving your invoices°as an emailed PDF, please
I , ,cont6ct:6s at paperlessbilling(&cdw.com. Please include your customer number or an invoice number in your request for.faster 1
' processing.
d '
°
l
1
APC Back-UPS Pro 1000VA UPS - BR1000G - UPS/Battery Backups - CDWG.com Page 1 of 4
800.808.4239
APC Back-UPS Pro 1000VA UPS
$129.95
Mfg.Part-BR1000G I CDW Part: Advertised Price
20654381 UNSPSC:39121011
n�aRiinni.iar Elnt Srlt
Availability:In Stock
Ships today if ordered within 0 hrs 59 mins
UPS
y External
1000 VA power capacity
3.7 min battery run time(up to)
600 Watt power provided
* u, AC 120 V
3 year warranty
ni
Recommended Warranties and Services
View All Warranties and Services
a 'f APC Extended Warranty Renewal-technical support
(renewal)-3 years
$79.79
Advertised Price
CDW/CDWG Asset Tag applied WITHOUT another
Configuration Center service
59.97
Advertised Price
Product Overview
Main Features
• UPS The Back-UPS Pro family offers guaranteed power protection for high performance
• External computer systems,routers/modems,external storage devices,game consoles and
other electronics in your home or business.These UPSs supply electronics with
• 1000 VA power capacity abundant battery backup during outages and stabilize unsafe voltage levels.They
• 3.7 min battery run time(up to) also provide power protection from damaging surges and spikes,and allow the use of
• 600 Watt power provided management software so you get the most out of your UPS.Premium features of this
• AC 120 V family may include Automatic Voltage Regulation(AVR),an LCD display,Smart
Outlets,energy saving functions that reduce electricity use,network manageability,
• 3 year warranty Watchdog,or configurable outlets.Together with the rest of the Back-UPS Pro's
standard features,they are the perfect choice to protect your data and keep your
system available
Energy/Environment standards
ENERGY STAR Yes
Technical Specifications
Specifications are provided by the manufacturer Refer to the manufacturer for an explanation of the print speed and other ratings.
Power Supply
Device Energy Rating: 354 Joules
https://www.cdwg.com/shop/products/APC-Back-UPS-Pro-l OOOVA-UP S/20 65 43 8.aspx?... 04-Sep-17
• Generated on 10/5/2017
Purchase Order# FI TERMINAL p
PURCHASE ORDER
Vendor:
CDW Government LLC
200 N. Milwaukee Ave
Vernon Hills, IL 60061
Toll-Free. 800.800.4239
Bill to: Ship to:
FISHERS ISLAND FERRY FISHERS ISLAND FERRY
Customer Name DISTRICT Customer Name DISTRICT
ATTN'GORDON MURPHY
Address PO BOX 607 Address 261 TRUMBULL DRIVE
FISHERS ISLAND, NY 06390- FISHERS ISLAND, NY 06390-
City, State,Zip 0607 City, State,Zip 0607
Phone# (631)788-7463 Phone# (631)788-7463
Qty. CDW Part# Description Unit Price Total
2 2065438 APC POWER-SAVING BACK- $129.95 $259.90
UPS PRO 1000
Notes/Remarks Subtotal $259.90
Shipping $0.00
I
Taxes(if applicable) $0.00
Net 30 Payment Terms Total $259.90
Customer acknowledges and agrees that this Purchase Order has been signed by an Authorized party and -
constitutes a binding agreement subject to CDW's current Terms and Conditions of Product Sales and
Service Projects on CDW's website at CDW.com. ® � �®
Print Name: ' " i/ �� j
Signature Required: Date: o G,/
i
1/1
&
FISHERS ISLAND FERRY DISTRICT
VENDOR 014576 COMMISSIONER OF LABOR 11/08/2017 CHECK 4444 ql�
FUND & ACCOUNTS P.O.# INVOICE DESCRIPTION AMOUNT ,
SM .5709.2.000.200 17007120 ANNL BOILER INSP-FIT 75.00
SM .5709.2.000.100 17007126 ANNL BOILR INSP-ARPRT RD 75.00
TOTAL 150.00
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ISLANDFERR'Y-DISTRI�CT
AUDI
53095 MAIN ROAD,PO BOX 1179
SOUTHOLD,NY 11'971-0959'
4, CHECK-NO, 4444
THE SUFFOLK
CO.NAT10NA(,6ANK AMOUNT"
CUTCHOGUE,'NY'j 19,35 DATE
50-5461214 IP8/2017, $150.00
ONE-HUNDRED'FIFTY_ AND 00/1'0`0 <DO
LLARS
COMMISSIONER OF` LABOR
P-4
13biLE9-,A145- SAFETY -BUREAU'
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TATE CAMPUS R�Dl 1:2,' ROOM'_-165
OF" %
ALBANY,-NY-'l 2 2 4 0,_
0 0 4 immO 2 !LOSLC3 L,is e '00 ISO 2 1110
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 14578 J4
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
Vendor Name DOSH-Boiler Safety Bureau Audit Date
State of New York-Dept. of Labor-Health/Safty Div State Campus Building 12 'NOA 0 8 207
Vendor Telephone Number Albany, NY 12240
518-457-2722 Town Clerk
i
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
17007120 10/24/2017 $75.00 $75.00 FIT Boiler Inspection 261 Trumbull Dr,FI SM5709.2.000.200
17007126 10/24/2017 $75.00 $75.00 Boiler Inspection 499 Airport Dr,FI SM5709.2:000.100
i
$150.00 $150.00 j
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 � Title Signature
Company Name Date Title Date �U
UIvioiuiV Vr JHrC I T hUVLJ nr-/AL 1 rl
Boiler Safety Bureau
Department of Labor
W Averell Harriman State Office Campus
Building 12, Room 165, Albany, NY 12240
(518)457-2722
www.labgL.ny.qov
INVOICE
Fishers Island Ferry District SEND PAYMENT TO:
Gordon Murphy, Manager Department of Labor
PO Box 607 DOSH -Boiler and Safety Bureau
Fishers Island, NY 06390-0607 State Campus Building#12
Albany, New York 12240
INVOICE NUMBER: 17007126 INVOICE DATE: 10/24/2017
DATE FEE DESCRIPTION LOCATION AMOUNT
10/19/2017 State Inspection-LP-2 yr External NY188998L-Utica-1998 Elizabeth Field Airport,499 Airport $75.00
Drive,Fishers Island
�,V 1
V r�
Please include invoice number on check and remittance form with payment payable to Commissioner of Labor.
UIvIJIVIV Vr omrC I T NIVLJ nr-ML I n
Boiler Safety Bureau
Department of Labor
W. Averell Harriman State Office Campus
Building 12, Room 165, Albany, NY 12240
(518)457-2722
www.lab2L.ny.qov
INVOICE
Fisher Island Ferry-Freight Inc. SEND PAYMENT TO:
Gordon Murphy, Manager Department of Labor
PO Box 607 DOSH -Boiler and Safety Bureau
Fishers Island, NY 06390-0607 State Campus Building#12
Albany, New York 12240
INVOICE NUMBER: 17007120 INVOICE DATE: 10/24/2017
DATE FEE DESCRIPTION LOCATION AMOUNT
10/20/2017 State Inspection-LP-2 yr External NY096324L-Weil McLain-1994 Fisher Island Ferry-Office,261 $75.00
Trumbull Dr,Fishers Island
Please include invoice number on check and remittance form with payment payable to Commissioner of Labor.
FISHERS ISLAND FERRY DISTRICT\
VENDOR 004657 DRESSLER SANTAUS COLMAN 11/08/2017 CHECK 4445 it
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 8430 UPS TRACKPAD,RESEARCH 359.81
lY
TOTAL 359.81
j.
F
_
,IS.H:ERSISLAND'FERRY'DISMICT, AUDIT 11/081171,'-
53095 MAIN ROAD;PO,BOX-1179
4
_SOUTHOLD,NY 11,971 -'CHECK NO, 4 -45
CO NATIONAL BANK
,,,DATE,` AMOUNT
�qvTcFiOGUE NY 11935.
6,546/21 11, ;08 20,
'$359'_8'1
5 4-
THREE' HtT4bRED_'
FiFTY'.NINE AND 81/'100:- DOLLARS
ANTAUS-,COLMAN
-%DRESSLER-':S
1-55' NORTH,BROAD STREET
ORDER'
MILFORD CT 460
uE00 L,iA Sill 1:0 2 1 LO 5 1,G L,G 68 001502 !fi!
L J I
_ t=
a Vendor No. Check No.
Town of Southold, New York - Payment Voucher " �" 15
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
155 N Broad Str
Audit Date
Dressier Santaus Colman Milford,CT 06460 BOV 0 8 2011
Vendor Telephone Number
Town Cleric
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
�4 3ro _; 8/16/2017 $359.81 $359.81 Research QB,Intuit Point of SaIe,UPS trackPad SM5709.2.000.200
$359.811 1 $359.81
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
SignatuK��re O�nl�
M,A--Ztle Signature
Company Name Fishers Island Ferry District Date 10/27/2017 Title Date
i
DRESSLER Invoice
SANTAUS
COLMAN Invoice#: 8430
155 N. Broad Street Invoice Date: 8/16/2017
Milford, CT 06460 Due Date: 8/16/2017
P.O. Number:
Bill To: Ship To:
Fisher Island Ferry
Geb Cook
5 Waterfront Park
New London, CT 06320
Serviced Description Hours/Qty Rate Amount
8/4/2017 Darryl: Overview needs requirements, including 1.5 75.00 112.50T
on-board sales,freight ticketing, and
remote-site cash receipts. Review current QB
Enterprise data and useage. Provide quick
demo of Intuit Point-of-Sale. Recap needs
requirements and wish-list items for holistic
solution.
Travel time charged at 1/2 hourly rate- 15 2 37.50 75.00T
minute minimum
8/7/2017 Darryl: Research and analysis into needs 1.25 75.00 93.75T
requirement solutions, including calls with UPS
TrackPad support and internet research.
8/15/2017 Darryl: Complete research and analysis on 1 75.00 75.00T
package shipping options. Create write-up of
findings, including on retail sales.
Consulting Sales Tax 1.00% 3.56
Total $359.81
Payments/Credits $0.00
Balance Due $359.81
FISHERS ISLAND FERRY DISTRICT
VENDOR 005442 EMPIRE DENTAL 11/08/2017 CHECK 4446
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .9060.8.000.-000 7065712 DENTAL PREM(24) -11/17 1, 981.22
SM .9060.8.000.000 7065712 CREDIT-OCT 2017-JONES 43.96-
X",
TOTAL 1,937.26
zw
'.4
o o
J
'FISHER 7,
S',1StAAD,,'FERRY-DISTRICT'
53095 MAIN ROAD,PO BOX 1179'
_x
SOUTHOLD,NY 11 971-096P=
CH
ECK
THE S`6FFOLWCO,'NATIONAL BANK
�1,,-,, � �
''CUTCHOGUE,�NY 1,1935DATE AMUNT
-/2017 $1,937,.2'6„'_
50-54P&14
ONE,THOTI SANb NINE D *H b DoL
J, E �HUNDRE 'T IkT�Y_ SEVEN- �2�,Ad
tij
PAY EMPIRE "DENTAL
8.3703
OMER
PO'BOX 20-2837, '-
DALLAS ,1532 0'-
0 0 41.4 6 Ili 1:0 2 L 0 5 1.G i, 68,, 00L502 L 11'
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 5442 ! r
Vendor Tax ID Number or Social Security Number Entered by
PO Box 202837
Department 83703 Audit Date
Em ire Dental Dallas,TX 75320-2837 NO � � � ��
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
7065712 10/14/2017 1,937.26 1,981.22 Nov 2017 Dental Premiums (24) S49060.8.000.000
(43.96) Oct 2017 Jones credit
1,937.26 1,937.26
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_ \C�..a Title Signature
Company Name Fishers Island Ferrv"Date 10/24/2017 Title Date �U Lei' 7—
EmpireB�,O INVOICE PAGE ,
EMPIRE ACCOUNT NAME FISHERS ISLAND FERRY DISTRICT
PO BOX 856 ACCOUNT# ENY4561251 INVOICE# 7065712
MINNEAPOLIS MN 55440-0856 BILLING DATE 10/14/2017 SUBSCRIBER PERIOD 11/01/2017 — 11/30/2017
BILLING/PYMT 877-606-3409 CLAIM PERIOD
REMIT TO:
FISHERS ISLAND FERRY DISTRICT EMPIRE DENTAL
ATTN: ASSISTANT MANAGER GORDON S. MURPHY PO BOX 202837
ATTN: ACCOUNTING DEPARTMENT 83703
PO BOX 607 DALLAS TX 75320-2837
FISHERS ISLAND NY 06390
CUSTOMER NUMBER OF NUMBER OF CLAIM ADJUSTMENT RATE TOTAL
REPORTING NUMBER CURRENT EMPLOYEES CLAIMS AMOUNT AMOUNT AMOUNT AMOUNT
456125-0001-0001-550 24 527.52
43.96/EE/MO
538.20
89.70/EE/MO
106.45
106.45/EE/MO
809.05
161.81/EE/MO
—43.96/RETRO
1,937.26
INVOICE TOTAL 24 0 $0.00 $0.00 $1,937.26 $1,937.26
YOUR BALANCE IS DUE BY THE FIRST OF THE MONTH. / • '
PLEASE INCLUDE A STATEMENT COPY WITH YOUR PAYMENT.
A
Services provided by Empire HeallhChowe Assurence,Ina,a licensee of His Blue Cross and Blue Shield Associabon,an ssaociebon of independent Blue Cross and Blue Shield plans
� i
TIM
FISHERS ISLAND FERR Y DISTRICT
VENDOR 009615 FISHERS ISLAND COMMUNITY CENTR ,11/08/2017 CHECK 4447
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.200 793 PHONE USE 9/18 BOC MTG 5.11_
TOTAL
..........
'T Q8 -7:
AD,�F AUDI' li�
ISLA ERRYDISTWICT,�-
'53095 MAIN ROAD,PO BOkI179
59- '- .'CHECK NO.NO.
SOUTHOLD,NY-1,11971-09 '444
THE,SLFFOLK'CO:NATIONAL'BANK
� DATE AMOUNT
,CUTCHOGUE,NY11935
_FiVF, AND `ll/100 DOLLARS.
-p yMM"UNI-TY 62N"TR
9HER!j','ISLAND. 0 '
"'PO. Bbx; 4,
.ISHERS ,ISLAND NY- 0'63'90-06,07
'4
0 0 L, 1:0 2 1 L,0 S Lt 1�L,i: F38 0 D 15 0 2- 111 V
L J
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 9615 ' 7
Vendor Address Entered by
PO Box 464
Vendor Name Fisher's Island, NY 06390-0607 Audit Date
Fishers Island CommuniV Center, Inc. NOV 0` �
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
793 10/13/2017 $5.11 $5.11 Telephone usage during SM5710.4.000.200
9/18/17 BOC meeting
f
$5.11
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 10/23/2017 _ Title Date 2—
r
The Fishers Island Community Center, Inc. I1'1VOIC@
FishersIsland.net Date Invoice#
PO Box 464 , 10/13/2017 793
Fishers Island, NY 06390
Bill To
FI Ferry District
PO Box 607
Fishers Island
NY 06390
P.O.No. Terms Project
Due Upon Receipt
Description Class Amount
Reimbursement for AT&T Long distance phone charges(9-18-17) Space Rental 5.11
Subtotal $5.11
Sales Tax $0.00
Thank you for choosing the Island Total $5.11
Community Center!
Payments/Credits , $0.00 .
Balance Due $5.11
Page 9
FISHERS ISLAND COMMUNITY
PO BOX 464
aw FISHERS ISL NY 06390-0464
030 468 5991 001 SEP 30, 2017 OCT 25, 2017
Location! 150 985 3463 00" TELEPHONE NUMBER: 651 788 7683
TrOM-M
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LONG DISTANCE SERVICE
BILLED NUMBER: 631 788-7683
STATE-TO-STATE CALLS
1 9/01/17 12:24:56P FRI TO NEW LONDON CT 860 444-9022 4:00 DOC 0.28
2 9/01/17 12:34:46P FRI TO NEW LONDON CT 860 449-1413 8:00 DOC 0.55
3 9/01/17 1:23:33P FRI TO NORWICH CT 860 889-7345 12:00 DOC 0.83
9/01/17 1:35:01P FRI TO NEW LONDON CT 860 449-1413 2:00 DOC 0.14
9/01/17 1:59:06P FRI TO NORWICH CT 860 889-7345 3:00 DDC
fj:6 9/03/17 10:21:14A SUN TO LOSANGELES CA 213 493-0324 21:0 45
7 9/03/17 11:13:31A SUN TO LOSANGELES CA 213 493-0324 -00 DDC 00.07
TO LM�4AIGELES CA 213A9 -
9--9/03/17--rl-l:15:58A SUNTO
I .::r - 7- :.0
r, I UE
u-,
LL rA,
-
-9'" %0
ir-7��449�--34A-THU=T-O- NEW-EONDON-T- 60-442=0-lr'6 00- 0*07
11 9/07/17 11:02:56A THU TO COLUMBIA CT 860 359-9182 1:00 DDC 0.07
12 9/07/17 4:19:OOP THU TO FTLAUDERDL FL 954 465-8929 2:00 DOC 0.14
13 9/07/17 4:49:48P THU TO NEW-LONDON CT 860 443-8907 18r00 DOC 1.24
14 9/08/17 2:54:48P FRI TO NEW LONDON CT 860 442-0669 2:00 DOC 0.1-6-
:!;jX2 15 9/11/17 5:24:13P MON TO LOSANGELES CA 213 493-0324 1:25:00 DDC 5.87-
16 9/12/17 9:42:52A TUE TO BELLE MEAD NJ 908 829-3321 1:00 DOC 0.07
17 9/12/17 9:44:22A TUE TO NEWARK NJ 201 349-3759 8:00 DOC 0.55
IS 9/13/17 12:04:31P WED TO NORWICH CT 860 934-6017 1:00 DOC 0.07
19 9/13/17 I2:05:24P WED TO NORWICH. CT 860 934-6017 2:00 DOC 0.14
20 9/15/17 3:33:19P FRI TO VERO BEACH FL 772 999-5612 1:00 DOC 0.07
21 9/15/17 3:33:55P FRI TO NEW LONDON CT 860 561-1430 3:00 DOC 0.21
23 9/15/17 4:43:04P FRI TO STAMFORD CT 203 352-4037 1:00 DOC 0.07
24 9/18/17 11:51_:51A MON TO STAMFORD CT 203 352-4037'-I.:,OO-DDC-,-------n,O 07
I - 1 0..07 -
26
*47:'�i.-550-KON-Td-,-EAk�t-VARK - I I I-00'-z DDG: ----
n26__9",ZIS/17- 4-23:05P- MON- -TO -WAPELLO- _.- -- IA 319-527�-351 1 03_.__R_DDC t-_�
27 4ilg-/1:7-i-�"-2r8�g-lP-TUE-T-0-NEW-L-ONDON-CT-6�6--d-'rO!--605" --2:00 DOC 0.14
28 9/19/17 4:00:22P TUE TO STANFORD CT 203 352-4037 3:00 DOC 0.21
29 9/20/17 2:41:56P WED TO NEW LONDON CT 860 447-9337 1:00 DOC 0.07
30 9/20/17 3:10:44P WED TO NEW LONDON CT 860 442-0165 2:00 DOC 0.14
31 9/21/17 3:04:32P THU TO PROVIDENCE RI 401 862-57.974.
1:00 DDC 0.07
32 9/22/17 11:43:03A FRI TO PROVIDENCE RI 401 862-5775P 1:00 DOC 0.07
3 9/23/17 12:57:29P SAT TO BOSTON MA 617 226-8181 9:00 D 0 6EI
51f 104 9/23/17 1:05:47P SAT TO BOSTON MA 617 226-8181 1:42:00 D_m__ 7:0
35 9/25/17 9:50:17A MON TO NEW LONDON CT 860 442-0669 1:00 DOC 0.07
36 9/25/17 12:55:46P MON TO KIRKLYN PA 610 924-7127 1:00 DOC 0.07
37 9/25/17 12:56:34P MON TO BETHLEHEM PA 484 241-7008 1:00 DOC 0.07
38 9/25/17 2:11:49P MON TO KIRKLYN PA 610 924-7127 1.00 DDC 0.07
39 9/25/17 3:06:02P MON TO PROVIDENCE RI 401 862-577! :00 DOC 0.14
40 9/26/17 9:39':28A TUE TO-NEW LONDON CT 860 460-246, :00 DOC 0.14
41 9/26/17 9:45:35A TUE TO NEW LONDON CT 860 443-6817n 110 DOC 0.48
42 9/26/17-11:38:30A TUE TO PROVIDENCE-RI 401 862-5779'Cw 1:20:00 DDC 5.52
43 9/27/17 10:07:03A WED TO NEW LONDON CT 860 443-6817 �:00 DOC 0.35
44 9/27/17 12:41:01P WED TO NEW LONDON CT 860 857-7378 2:00 DOC 0.14
45 9/27/17 3:15:58P WED TO HARTFORD CT 860 916-3326 1:00 DOC 0.07-
46 9/27/17 3:50:05P WED TO KIRKLYN PA 610 924-7127 2:00 DOC 0.14
47 9/27/17 3:59:30P WED TO BETHLEHEM PA 484 241-7008 1:00 DOC 0.07
48 9/28/17 11:55:20A THU TO KIRKLYN PA 610 924-7127 17:00 DOC 1.17
49 9129/17 10:03:04A FRI TO NEW LONDON CT 860 235-0797 13r00 DOC 0.90
50 9/29/17 10:20:18A FRI TO NEW LONDON CT 860 857-7378 8:00 DOC 0.55
51 9/29/17 11:30:07A FRI TO DEEP RIVER CT 860 322-3006 9P 48:00 ODOM 3.31
52 9/29/17 3:15:26P FRI TO KIRKLYN PA 610 924-7127 26:00 DDC 1.79
M_ M
FISHERS ISLAND FERRY DISTRICT
Iv,
11/08/2017 CHECK 4448
VENDOR 006803 FRONTIER
A
FUND &: ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
xf
SM .5710.4.000.100 86044201651017 NL TERM TEL-10/15-11/14 221.30
TOTAL
221.30
co
77—
'Y7
f
D"
53(
YRICT,
`,-TISHERS'ISL-A;Nt) FER-K ','DIS
0
""'S0UTH0LD,,NY1,197j1- 959 4'8,,"'
''CH'EC'K' 44
--T SUFFOLKCO.,NATIONAL BAN
A14 ' ' -F-77, TE-' -, AM
)95 MAIN RQA
HE
-_'-,,.,CUTCH0GUE,NY 11935 DA OUNT"t
50-5461214'
-r-VENTY-,ONE-AkD.""30./,-10'0-.DOLLARS '---,
T
Ay-
FRONTIER
if,-hDE!
TO
6
C NCIN 45274 0"' -
Gir NATI OH
I 0040.81ir 1:0 2144S46lil: 68 00 150 2
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 6803 LILI49
Vendor Address Entered by
Frontier
Vendor Name PO Box 740407 Audit Date
Frontier Long Distance Cincinnati,OH 45274-0407 �� B �� �
Vendor Telephone Number
• Town Clerk
Vendor Contact / J
lr�s
•v• - _
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
860-442-0165-D� 10/15/2017 $221.30 $221.30 NL Terminal Tel SM5710.4.000.100 I
10/1 -11/14/17
---------------
$221.30 $221.30
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without 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
Slghature .MIII Title Signature
Company Name Fishers Island Fenn District Date 10/23/2017 Title Date
�U / 7
o o ®0 O
FISHERS ISLAND FERRY DISTRICT Page 1 of 6
Fr' ontler'
Your Monthly Invoice
COMMUNICATIONS
Account Summary
New Charges Due Date 11/08/17
Billing Date 10/15/17
Account Number 860-442-0165-011484-5
PIN 3876
Previous Balance 448.03
Payments Received Thru 9/19/17 -220.31
Thank you for your paymentl
Balance Forward 22�tCf-
New Charges
Total Amount Due "� ���� $449.02
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Add DISH Business and create your own TV package. Online:Frontier.com 1.800.801.6652
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® To Contact US
Call 1. 44® 17®
eusirvess Chat: Frontier.com Online: Frontier.com/helpcenter
All offers require business verification and 24 month commitment with early termination fee All prices,charges,packages,
progremmingfeatures,functionality,and offerssubJacttochangewithoutnotuaSpeciiicchannelsmayvary from res!dential 1,8�0,921.81�2 Email:COntaetBusiness�ftr.COm
packkaages andel package names do not necessarily reflect channel counts
02017 Frontier Communications Corporation
N
+ Page 2 of 6
Frontier Date of Sill 10/15/17
COMMUNICATIONS Account Number 860-442.0165.011484-5 -
For Billing and Service Questions,Call 1-800.921.8102,7 am-7 pm Monday-Friday,9:30 am-4 pm Saturday
or visit www.Frontier.com.
PAYING YOUR BILL
Pay online, by phone, by mail or at any Authorized Payment location.Paying by check authorizes Frontier to make a one-time
electronic funds transfer from your account,as early as the day your check is received.Visit Frontier.com to set up recurring
electronic payments to streamline bill payment.
LATE PAYMENTS,RETURNED CHECK FEES and PAST DUE BALANCES
You are responsible for all legitimate, undisputed charges on your bill. If you pay your bill after the due date,you may be
charged a fee(including a Treatment Charge if your account has been delinquent for 3 consecutive months and your past due
balance is greater than$99),your service may be interrupted and you may have to pay a reconnection charge to restore service.
A fee may be charged for a check that is returned by the bank for any reason. Continued nonpayment of undisputed charges
(incl.900 and long distance charges)may result in collection action and a referral to credit reporting agencies,which may affect
your credit rating. When making an online payment, please allow time for the transfer of funds. If the funds are not received by
Frontier by the due date,a fee may be assessed.
IMPORTANTCONSUMER MESSAGES
You must pay all basic local service charges to avoid basic local service disconnection. Failure to pay other charges will not
cause disconnection of your basic service but this may cause other services to be terminated. Frontier Bundles may include
N
o FISHERS ISLAND FERRY DISTRICT Page 3 of 6
Date of Bill 10/15/17
COMMUNICATIONS Account Number 860.442.0165.011484.5
CURRENT BILLING SUMMARY CUSTOMER TALK
Local Service from 10/16/17 to 11/14/17
Qty Description 860/442.0165.0 Charge
Basic Charges If your bill reflects that you owe a Balance Forward, you
4 Centrex Bus Line 84.00 must make a payment immediately in order to avoid
3 Ace Rec Chrg Multi-Ln DCS 7.71 collection activities. You must pay a minimum of$343.35
Ace Rec Chrg Multi-Ln Bus 2.57 by your due date to avoid disconnection of your local
3 Federal subscriber Line Charge 17.61 service. All other charges should be paid by your due date
Multi-Line Federal Subscriber Line Charge 5.87 to keep your account current.
4 Inside Wire Protection 29.40
Other Charges-Detailed Below 3.42
Federal Excise Tax 3.57
Universal Service Fu 6.32
4 CT Service Fund .20
CT State Tel Sales Tax 7.85
CT State Sales Tax 2.10
4 911 Surcharge 1.40
Total Basic Charges 172.02
Non Basic Charges
Rental - Gong 2.25
CSF1 Common Equipment 5.00
Federal Excise Tax .22
CT State Sales Tax .46
Total Non Basic Charges 7.93
Toll/Other
Business Block of Time 700 II MTM 35.00
Fee .51
Universal Service Fu 3.38
CT State Tel Sales Tax 2.46
Total Toll/Other 41.35
TOTAL 221.30
----------------------------------------------------------------------
**ACCOUNT ACTIVITY**
Qty Description Order Number Effective Dates
1 Late Payment Fee 10/13 3.42
860/442.0165 Subtotal 3.42 PiI
Hi.11
Subtotal 3.42 :10
:3111
Detail of Frontier Charges _
Toll charged to 860/442-0166
Ref # Date Time Min *Type Place-and Number Called Charge
1 SEP 16 5:30P 3.4 DD HARTFORD CT (860)841-6860 .00 2
2 SEP 16 5:44P .9 DD HARTFORD CT (860)841-6860 .00 2
3 SEP 17 12:43P .5 DD WILLIMNTIC CT (860)428-7517 .00 2
4 SEP 21 7:59A 1.2 DD HARTFORD CT (860)528-3860 .00 2
5 SEP 21 11:20A 3.9 DD LEBANON CT (860)642-4377 .00 2
6 SEP 25 9:09A 1.0 DD WATERBURY CT (203)754-5334 .00 2
7 SEP 27 3:43P .6 DD WILLIMNTIC CT (860)428-7517 .00 2
8 SEP 27 6:11P 3.9 DD WILLIMNTIC CT (860)428-7517 .00 2
9 SEP 28 9:58A 3.7 DD PLAINFIELD CT (860)564.3383 .00 2
10 SEP 28 3:27P 5.3 DD PLAINFIELD CT (860)564.3383 .00 2
11 OCT 04 10:09A 2.8 DD WINDSOR CT (860)285.0023 .00 2
12 OCT 06 9:27A .5 DD DANBURY CT (203)648-9319 .00 2
13 OCT 06 9:34A .9 DD DANBURY CT (203)648-9319 .00 2
14 OCT 09 7:16A .7 DD NEWBRITAIN CT (860)538-7817 .00 2
15 OCT 10 12:10P 1.3 DD NEW HAVEN CT (203)314-4692 .00 2
16 OCT 11 9:45A 6.9 DD MIDDLETOWN CT (860)347-2300 .00 2
17 OCT 11 2:33P .9 DD OLD SAYBRK CT (860)575-0080 .00 2
16 OCT 11 3:58P 4.5 DD STAMFORD CT (203)550-0671 .00 2
19 OCT 13 2:OOP 1.0 DD ROCKVILLE CT (860)870-2282 .00 2
860/442.0165 Subtotal .00
' FISHERS ISLAND FERRY DISTRICT Page 4 of 6
Rontier Date of SIII 10/15/17
COMMUNICATIONS Account Number 860.442.0165.011484.5
Detail of Frontier Charges
Toll charged to 860/447-9371
Ref # Date Time Min *Type Place and Number Called Charge
20 SEP 18 7:58A .5 DD HARTFORD CT (860)883-1718 .00 2
21 SEP 18 3:36P 2.1 DD HARTFORD CT (860)883.1718 .00 2
22 SEP 22 3:03P .5 DD MIDDLETOWN CT (860)635-7111 .00 2
23 SEP 22 3:05P .5 DD HARTFORD CT (860)929-2115 .00 2
24 SEP 22 3:09P 1.3 DD HARTFORD CT (860)982-3162 .00 2
25 SEP 25 3:31P .9 DD SOUTHINGTN CT (860)863-5582 .00 2
26 SEP 25 3:33P 2.0 DD HARTFORD CT (860)982-8074 .00 2
27 SEP 26 2:13P 20.3 DD NEW HAVEN CT (203)410-8156 .00 2
28 SEP 27 3:58P 1.2 DO ESSEX CT (860)662-4090 .00 2
29 OCT 03 2:01P 1.4 DD BRANFORD CT (203)488-4814 .00 2
860/447.9371 Subtotal .00
Detail of FRONTIER LONG DISTANCE OF CT Charges
Toll charged to 860/442-0165
Ref # Date Time Min *Type Place and Number Called Charge
30 SEP 15 7:36A 2.5 DD FISHERS IS NY (631)788-5673 .00 2
31 SEP 15 10:38A 1.6 DD FISHERS IS NY (631)788-7731 .00 2
32 SEP 15 1:39P .5 DO POUGHKEPSI NY (845)656-1677 .00 2
33 SEP 15 1:40P 1.2 DD FISHERS IS NY (631)788-7632 .00 2
34 SEP 15 2:38P 1.7 DD FISHERS IS NY (631)788-5673 .00 2
35 SEP 15 2:45P .5 DD POUGHKEPSI NY (845)656-1677 .00 2
36 SEP 15 3:41P .8 DD FISHERS IS NY (631)788-7246 .00 2
37 SEP 18 8:08A 1.5 DD POUGHKEPSI NY (845)656-1677 .00 2
38 SEP 18 8:57A 2.2 DD FISHERS IS NY (631)788-7632 .00 2
39 SEP 18 9:09A 1.3 DD POUGHKEPSI NY (845)656-1677 .00 2
40 SEP 18 9:14A 3.0 DD FISHERS IS NY (631)788-7343 .00 2
41 SEP 18 9:33A .8 DD FISHERS IS NY (631)788-5573 .00 2
42 SEP 18 12:59P 8.5 DD MOUNTKISCO NY (914)666-5812 .00 2 ba�yl,
43 SEP 18 1:34P 1.8 DD FISHERS IS NY (631)788-7343 .00 2
44 SEP 18 4:06P .5 DD FISHERS IS NY (631)788-7913 .00 2
45 SEP 19 8:08A 1.5 DD ALBANY NY (518)461-9907 .00 2
46 SEP 19 11:15A .5 DD FISHERS IS NY (631)788-7444 .00 2
47 SEP 19 1:26P 2.0 DD FISHERS IS NY (631)788-7345 .00 2
48 SEP 19 1:45P 1.3 DD FISHERS IS NY (631)788-7444 .00 2
49 SEP 20 7:04A 1.8 DD FISHERS IS NY (631)788-5673 .00 2
50 SEP 20 9:38A 4.6 DD FISHERS IS NY (631)788-5673 .00 2
51 SEP 20 2:20P .5 DD ATLANTA GA (404)694-1054 .00 2
52 SEP 20 2:21P .5 DD FISHERS IS NY (631)788-7913 .00 2
53 SEP 21 7:38A 1.6 DD FISHERS IS NY (631)788-7345 .00 2
54 SEP 21 10:33A .5 DD OSWEGO NY (315)529-0284 .00 2
55 SEP 21 11:29A 2.2 DD ALLENTOWN NJ (609)259.8900 .00 2
56 SEP 21 2:03P 1.0 DD NEW YORK NY (917)847-7012 .00 2
57 SEP 22 10:33A 4.1 DD W BOYLSTON MA (508)835-3200 .00 2
58 SEP 22 10:38A 2.1 DD NEW YORK NY (917)847-7012 .00 2
59 SEP 22 2:18P 12.6 DD JONESVILLE NY (518)406.7123 .00 2
60 SEP 25 3:05P 2.9 DD FISHERS IS NY (631)788-7857 .00 2
61 SEP 26 2:28P .5 DD MILWAUKEE WI (414)566.4427 .00 2
62 SEP 27 8:41A .5 DD FISHERS IS NY (631)788-7345 .00 2
63 SEP 27 9:30A .8 DD FISHERS IS NY (631)788-7919 .00 2
64 SEP 27 11:28A 1.7 DD SOUTHAMPTN NY (631)283-1310 .00 2
65 SEP 27 1:13P 1.0 DD FISHERS IS NY (631)788-7225 .00 2
66 SEP 27 1:33P .5 DD POUGHKEPSI NY (845)656-1677 .00 2
67 SEP 27 1:36P .5 DD POUGHKEPSI NY (845)656-1677 .00 2
68 SEP 27 3:45P 1.5 DD FISHERS IS NY (631)788-7345 .00 2
69 SEP 27 3:53P .5 DD AURORA IL (630)788-7417 .00 2
70 SEP 27 3:57P .8 DD FISHERS IS NY (631)788.5682 .00 2
71 SEP 27 4:02P .8 DD FISHERS IS NY (631)788-7345 .00 2
72 OCT 02 9:48A 1.1 DO NEWBEDFORD MA (508)998-2121 .00 2
73 OCT 02 10:59A 1.4 DD FISHERS IS NY (631)788-7463 .00 2
74 OCT 02 3:31P 1.2 DD FISHERS IS NY (631)788-5546 .00 2
75 OCT 02 3:47P .8 DD QUEENS NY (917)561-5129 .00 2
76 OCT 02 4:22P .8 DD FISHERS IS NY (631)788-7225 .00 2
77 OCT 03 7:30A 1.5 DD FISHERS IS NY (631)788-5673 .00 2
78 OCT 03 11:08A 2.9 DD FISHERS IS NY (631)788-7744 .00 2
79 OCT 03 3:11P .6 DD FISHERS IS NY (631)788-7215 .00 2
80 OCT 03 5:01P .5 DD NEW YORK NY (212)356-3278 .00 2
IF- 0 0 a 000 FISHERS ISLAND FERRY DISTRICT Page 5 of 6
T' (DRUMT, Date of Bill 10/15/17
COMMUNICATIONS Account Number 860-442.0165.011484.5
Ref # Date Time Min *Type Place and Number Called Charge
81 OCT 04 10:49A 13.9 DD HINGHAM MA (781)740-8193 .00 2
82 OCT 04 11:32A .5 DD FISHERS IS NY (631)788-7345 .00 2
83 OCT 05 11:57A 1.6 DD FISHERS IS NY (631)788-7225 .00 2
84 OCT 06 9:32A .6 DD DAYTON OH (937)999-9239 .00 2
85 OCT 06 10:49A 5.1 DD FISHERS IS NY (631)788-7311 .00 2
86 OCT 06 2:27P .5 DD FISHERS IS NY (631)788-5530 .00 2
87 OCT 06 2:35P 1.0 DD MINEOLA NY (516)242-2546 .00 2
88 OCT 06 2:38P 1.3 DD FISHERS IS NY (631)788-7880 .00 2
89 OCT 06 3:33P .5 DD FISHERS IS NY (631)788-7857 .00 2
90 OCT 06 6:01P 2.2 DD NWYRCYZN01 NY (646)401-3277 .00 2
91 OCT 08 1:54P .7 DD SOUTHAMPTN NY (631)377-6442 .00 2
92 OCT 09 7:10A 4.4 DO FISHERS IS NY (631)788-7719 .00 2
93 OCT 09 9:35A 4.5 DD ANAHEIM CA (714)315-1738 .00 2
94 OCT 09 9:41A 3.8 DD FISHERS IS NY (631)788-7394 .00 2
95 OCT 10 8:02A 4.1 DD BRISTOL VT (802)453-5549 .00 2
96 OCT 10 9:33A 2.8 DD FISHERS IS NY (631)788-5673 .00 2
97 OCT 10 10:OOA .5 DD FISHERS IS NY (631)788-7345 .00 2
98 OCT 10 11:24A .5 DD FISHERS IS NY (631)788-7345 .00 2 _
99 OCT 10 2:02P .8 DD FISHERS IS NY (631)788-7386 .00 2
100 OCT 11 1:07P .7 DD FISHERS IS NY (631)788-7345 .00 2
101 OCT 11 1:12P 1.9 DO FISHERS IS NY (631)788-7345 .00 2
102 OCT 11 1:32P .7 DD PROVIDENCE RI (401)441-0871 .00 2
103 OCT 11 1:56P 1.8 DD FISHERS IS NY (631)788-7345 .00 2
104 OCT 11 3:13P .9 DD PROVIDENCE RI (401)441-0871 .00 2
105 OCT 11 3:16P .5 DD FISHERS IS NY (631)788-7600 .00 2
106 OCT 11 3:42P 1.7 DD FISHERS IS NY (631)788-7345 .00 2
107 OCT 12 7:33A .5 DD FISHERS IS NY (631)788-7463 .00 2
108 OCT 12 7:34A 1.0 DD FISHERS IS NY (631)788-7345 .00 2
109 OCT 12 8:55A .5 DD FISHERS IS NY (631)788-7345 .00 2
110 OCT 12 3:OOP 2.0 DD PROVIDENCE RI (401)499-6349 .00 2
111 OCT 13 10:OOA 1.6 DD NEW YORK NY (917)856-4695 .00 2
112 OCT 13 6:33P 1.1 DD HONESDALE PA (570)229-0358 .00 2
860/442-0165 Subtotal .00
Detail of FRONTIER LONG DISTANCE OF CT Charges
Toll charged to 860/443-6851
Ref # Date Time Min *Type Place and Number Called Charge
113 SEP 21 3:26P 4.5 DD ALBANY NY (518)485-6172 .00 2
860/443.6651 Subtotal .00
---------------------------------------------------------------------- pit
Detail of FRONTIER LONG DISTANCE OF CT Charges �r
Toll charged to 860/444-0320 :i�•tl:
Ref # Date Time Min *Type Place and Number Called Charge
114 SEP 21 1:34P 1.1 DD VANDALIA OH (937)890-0221 .00 2
860/444.0320 Subtotal .00
---------------------------------------------------------------------- - ------
Detail of FRONTIER LONG DISTANCE OF CT Charges
Toll charged to 860/447-9371
Ref # Date Time Min *Type Place and Number Called Charge
115 SEP 15 7:37A .5 DD FISHERS IS NY (631)788-7463 .00 2
116 SEP 15 10:18A 2.2 DD FISHERS IS NY (631)788-7345 .00 2
117 SEP 18 8:04A .7 DD FISHERS IS NY (631)788-7630 .00 2
118 SEP 18 10:40A 3.4 DD FTLAUDERDL FL (954)581-2505 .00 2
119 SEP 18 4:07P 5.4 DD ATLANTA GA (404)694-1054 .00 2
120 SEP 18 4:33P 52.5 DD WAPELLO IA (319)527-3510 .00 2
121 SEP 19 1:29P 18.4 DD FISHERS IS NY (631)788-7463 .00 2
122 SEP 19 2:38P .5 DD ATLANTA GA (404)694-1054 .00 2
123 SEP 19 3:34P .5 DD ATLANTA GA (404)694-1054 .00 2
124 SEP 20 11:01A 3.4 DD TWO RIVERS WI (920)793-4507 .00 2
125 SEP 22 8:27A .5 DD FISHERS IS NY (631)788-7345 .00 2
126 SEP 22 1:43P .7 DD FISHERS IS NY (631)788-7255 .00 2
127 SEP 26 10:05A .5 DD FISHERS IS NY (631)788-5673 .00 2
128 SEP 26 11:02A .8 DD MILWAUKEE WI (414)566-4427 .00 2
129 SEP 26 11:53A .9 DD FISHERS IS NY (631)788-7345 .00 2
130 SEP 29 10:14A .6 DD FISHERS IS NY (631)788-7345 .00 2
131 OCT 02 8:35A 1.0 DD FISHERS IS NY (631)788-7857 .00 2
132 OCT 02 4:24P .5 DD GARDENCITY NY (516)790-5813 .00 2
133 OCT 04 11:23A .5 DD DEDHAM MA (781)801-1772 .00 2
134 OCT 04 11:24A .5 DD PROVIDENCE RI (401)339-4004 .00 2
N •'
® m FISHERS ISLAND FERRY DISTRICT Page 6 of 6
Fr' 0 lord i t i14 r" Date of Bill 10/15/17
COMMUNICA'T'IONS Account Number 860.442.0165.011484.5 -
Ref # Date Time Min *Type Place and Number Called Charge
135 OCT 04 11:25A .8 DD PROVIDENCE RI (401)339-4004 .00 2
136 OCT 04 11:33A 1.7 DO FISHERS IS NY (831)788-7744 .00 2
137 OCT 04 3:29P 6.7 DO CRANFORD NJ (908)337-4789 .00 2
138 OCT 05 3:33P 9.3 DD MILFORD MA (508)834-5503 .00 2
139 OCT 06 2:22P .5 DO FISHERS IS NY (631)788.7791 .00 2
140 OCT 06 2:31P 1.8 DD FISHERS IS NY (631)788-7919 .00 2
141 OCT 06 2:33P 1.1 DO FISHERS IS NY (831)788-7857 .00 2
142 OCT 11 8:18A .5 DO FISHERS IS NY (631)788.7345 .00 2
143 OCT 13 10:33A 1.0 DD PROVIDENCE RI (401)339-4004 .00 2
860/447-9371 subtotal .00
700 MIN BOT II Summary
349 Mins, @ $ ,00/Min. .00
Total Charges .00
--------------------------------------------------,--------------------
Legend Call Types:
DO - Day
------------------------------------------------------------------------
Caller Summary Report
calls Minutes Amount
Main Number 102 196 .00
860/443-6851 1 4 .00
860/444-0320 1 1 .00
860/447-9371 39 147 .00
***Customer Summary 143 348 .00
----------------------------------------------------------------------
Caller Summary Report
calla Minutes Amount
Intra-Lata 29 74 .00
Interstate 114 274 .00
***Customer Summary 143 348
;-11-1"x ,. `'`q. •.a'y •^ •{., . - ..5..< _ i =,toy.uc.Z{; , \;1
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FISHERS ISLAND FERRY DISTRICT
' VENDOR 007237 GILBERT ASSOCIATES, INC. 11/08/2017 CHECK 4449
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION - AMOUNT t
SM .5710.4.400.100 2017-476 MUNN—REPOWER-10/1-10/30 ` 142.50
TOTAL 142.50
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'IShiERS`ISLA'ND`FERRY STRI _ -AUDIT;,•1i•/o's%'i`7,'
53095 MAIN ROAD;PO•BOX 1179:":. - 'r,''
S,OUTHOLD,'NY,11971-0959' 4449'
.'• THE SUFFOLK CO.NATIONAL'BANK
7 CUTCHOGUE,NY`11935 s_ =DATES AMOUNT !
o';;
50-5461214 , ;/20 142
.ONE. HUNDREDr FORTY_TWO_AND,5 071'0 0`=DOI LAR -_ =-- ?= __ ° _ . = _
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' OCIA INC-
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.OF' ,BRAINTREE-'-MA`-02184'',
i 00 , , ,9 :0 2 1L,05E,64i: 68, 00 150 2 --iii° ==
z
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 7237 y q �Q
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
100 Grossman Drive,Suite 205
Braintree, MA 02184 Audit Date
Gilbert Associates, Inc.
NOV 08 2017
Vendor Telephone Number
781-740-8193 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
2017-476 10/16/2017 $142.50 $142.50 10/1-30/17 Munn repower SM5710.4.400.100
$142.501 1 $142.50
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
Signature Title Signature
Company Name Fishers Island Ferry District Date 10/24/2017 Title Date U 7
Gilbert Associates,Inc.
100 Grossman Drive
Suite 205
Braintree,MA 02184
T Invoice
Bill To
Date Invoice#
Fisher's Island Ferry District
PO Box 607 10/16/2017 2017-476
Fishers Island,NY 06390
P.O. No. Project No. Due Upon Receipt
C-1165 MN Munnat... 10/16/2017
Description Hours/Days Rate Amount
For professional services rendered from October 1,2017 through
October 15,2017 including:revise exhaust silencer, telephone
conference
Time:
James Morrissey 1.5 55.00 82.50
John W.Gilbert 0.5 120.00 60.00
Total ($142.50
Payments/Credits $0.00
Customer Total Balance Due $1,982.50
Al
FISHERS ISLAND FERRY DISTRICT :•,,3
:7 VENDOR 019216 GRANITE GROUP WHOLESALERS, LLC 11/08/201.7„ CHECK 4450 ` ;
A
FUND & ACCOUNT\ P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 \ 10309007-00 NLT- (1)Y"ARD HYDRANT 145.02
SM .5710.2.000.200 ' _ 10332922-00 VALVE,STRAINER,PLUG-RP 202.96 r
SM .5710.2.000.200 103349116-00 RP-UNION,BRNZ CTTR,NPPLS 209.20 i
+x? TOTAL 5.57.18
Lo
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y;m.,t$.a r , ==- max, ".;: ; ; :,,:: ;:;x. :s,: • x-`>Fi<.•K•:.. , ,`
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t '. _ i`
__ 3_ ,F 27ER'S-ISLAIVVITERRYDIS7RICT:" __ `AUDIT T A8 17
- z* =s 53095 MAIN ROAD,PO•5OX•1179, - / /
•SOUTHOLD,Nv 1=1971-0959' CHECK NO." :4450
,THE SUFFOLK-CO.NATIONAL BANK
CUTCHOGUE;NY,1,1935 ;t DATE- + AMO,UNT
ii/o8/2o"r ''
ai . '-IVEE -1 DRED F'IFI'Y.SEVEN-AND-•18/,'100f,DOLLARS' _
AY GRANITE yGROUP, ,WHOLESALERS',,•.LLC- ,
le; ,,,TdE PO'. BOX!20 0,4
-CONCbRD"`NH -Q330,2-'_%2004
`,J ` i'004L, 50 ' .0 2 i40 5464 : 68 O6"150 2
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 19216 4450
Vendor Address Entered by 01
P.O. Box 2004
Vendor Name Concord, NH 03302-2004 Audit DaW
Granite Group,The NOV0 2017
Vendor Telephone Number �A
860-442-4348 Town Clerk
Vendor Contact m
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
10309007-00 10/13/2017 $145.02 $145.02 NLT yard hydrant SM5709.2.000.200
10332922-00 10/19/2017 $202.96 $202.96 RP Maintanace Supplies SM5710.2.000.200
10334916-00 10/20/2017 $209.20 $209.20 RP Maintanace Supplies SM5710.2.000.200
$557.18 $557.18
Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
I �
Signature t - Title Signature
Company Name Fishers Island Ferry District Date 10/24/2017 Title / Date
Invoice ENUMBER
GRAN ITE , 10/13/17 ' 10309007-00
GFiOUI= P.O.NO. PAGE
OLID AS OUR NAME termanal 1 of 1
6 Storrs Street •
Concord,NH 03301 The Granite Group
(860)442-4348 PO BOX 2004
Concord,NH 03302-2004
CUST#: 27698 http://thogranitegroup.bilitru$t.com
TOKEN:USE THIS ENROLLMENT
BILL TO:
FDS TKS TXL
SHIP TO:
FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES
P O BOX 607 FISHERS ISLAND FERRY DISTRICT
FISHERS ISLAND,NY 06390-0607 P O BOX 607
FISHERS ISLAND, NY 06390
ONLY STEVE TO CHRG New London PICK UP 10/13/17 ar 2%10thN30
� -_- taut�eaw-__..��_�_1evETSBv^'____^... ....•�-� _ _ —_ ——_
j 1-.q wobY345 1 I 1 0 EACH 14502 14502
Y34 5 Ft Freezeless Yard Hydrant 3/4"Inlet
1 III Lines Total Qty Shipped Total 1 f Total 145.02
J P Invoice Total ! 145.02
I� I Cash Discount 2.90 If Paid By 11/10/17
i 1
Import your invoices directly in to your accounting systemM
Never print another invoice again Stay organized by managing,your bills in our online portal.
/
-' qb Please visit us at,
I h_p•//thegranitegrouo billtrust com
TERMS A 2%per month service charge will be added to all invoices past due 30 days or more.This is an annual rate of 24%.All claims must be made within 20 days,no material may
be returned without prior permission Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking charges.
THIS CONTRACT IS GO\y/EERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,"LOCATED AT WWW
THEGRANITP-GROUP CQM/TERMSANDCONDITIONS/ THE"TERMS AND CONDITIONS"LOCATED AT WWW THEGRANITEGROUP COMlrERMSANDCONDITIONS//ARE
HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE
YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW.
THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE
X.wwwt
GRANITE Ship From PICK TICKET
GROUPThe Granite Group BR 44
SOLID AS OUR NAME 75 Jefferson Avenue Filled From Received Merchandise
granitegroup.com New London, CT 06320
Order# 10309007-00
www.ultimatebathstore.com (860)442-4348
Page # 1
Ship Point The Granite Group BR 44
Via, PICK UP
Terms ar 2%10thN30
Bill To: 27698, Ship To D Entered 10/10/17
FISHERS'ISLAND FERRY DISTRICT CT PICK UP- DELIVERIES Promised 10/10/17
P O BOX 607 ,-' FISHERS ISLAND FERRY DISTRICT A Picked 10/12/17
FISHERS ISLAND, NY 06390-0607 P O BOX 607 T hipped 10/12/17
FISHERS ISLAND, NY 06390 s Request 10/10/17
Printed 10/12/1716:20 tic ti
STEVE BURKE Instructions ONLY STEVE TO CHRG
Taken By N62 1 Sales in 144cl I Sales out 41 Placed by Customer P/O termanal Staging
Line Product Bin Quantity `Quantity Quantity Qty Unit # Amount
# And Description Location Ordered B.0. Shipped UOM Price Cartom (Net)
I WOOY345 1.,00 0100 1.,00 EACH. 145.02 145.02
Y34 5 Ft Freezeless Yard Hydrant /4" Inlet
Tied to WT Order: 3043446-00
Line Tota/ 145.02
Invoice Tota/ 145.02
THIS CONTRACT IS GOVERNED BYAND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD'TERMS AND CONDITIONS,LOCATED AT WWW THEGRANITEGROUP COMITERMSANDCONDITIONSi THE'TERMS
AND CONDITIONS'LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS/ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS
FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE'TERMS AND CONDITIONS'AND AGREE TO AND INTEND TO BE BOUND BY THE'TERMS AND CONDITIONS'LOCATED AT
WWW.THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE'TERMS AND CONDITIONS'ARE SUBJECT TO CHANGE.
1 Lines Total I #of Lines Not Printed 0 Qty Shipped
Picked By:, ' Packed By: Checked By: Cube: Weight: Pallets Cartons Bundles Reels
0.00001 0.00000
Received By: Date Received: Customers Copy Page 1 of 1
71iE Invoice INVOICE DATE INVOICE
GRANITE ITE
10/19/17 • 10332922-0-0GE
GFl®UP P.O.• •
SOLOD AS OUR NAME race pt 1 of 1
6 Storrs Street
Concord,NH 03301 - The Granite Group
(860)442-4348 PO BOX 2004
Concord,NH 03302-2004
•VIEW ONLINE GO TO:
CUST#: 27698http://thegranitegroup.billtru§t.com
ENROLLMENTUSE THIS •
BILL TO: FDS TKS TXL
SHIP TO: ,
FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES
P O BOX 607 FISHERS ISLAND FERRY DISTRICT ,
FISHERS ISLAND, NY 06390-0607 P O BOX 607
FISHERS ISLAND,NY 06390
INSTRUCTIONSPOINT SHIP VIA SHIPPED TERMS
ONLY STEVE TO CHRG New London PICK UP 10/19/17 ar 2%10thN30
LINE PRODUCT • QTY. QUANTITY • AMOUNT
NO. AND DESCRIPTION ORDERED SHIPPED B.O. U/M PRICE (NET)
1'' 4PRO1 LFIPSBV 4 4 0 1 `EACH 1288 51 52
11"LF IPS Ball Valve '
2MUE351 M1 2 2 0 1EACH 5905 118 10
351M 1"BRONZE Y-STRAINER
3 1cl-6bn 1 1 0 EACH 2906 2906
1"X Close-6 Black Nipple Run i
4, 38LFBRSPLG '2 2 0 I EACH 2.14 428
3/8"LF Brass Solid Sq HD Plug
i
4 Lines Total Qty Shipped Total 9 ( Total 202.96
j Invoice Total I 202.96 '
Cash Discount 4 06 If Paid By 11/10/17
I
i i f
j I E
I j
Import your invoices directly in to your accounting systemlll
Never.print another invoice again.Stay organized by managing your bills in our online portal.
��-
® Please visit us at
htto1/thegranitegroup.bditrust corn
! i. _---_! I__-- J. L_____ __1
TERMS A 20/6 per month servicecharge will be added to all invoices past due 30 days or more.This is an annual rate of 24%.All claims must be made within 20 days,no material may
be returned without prior permission Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking charges
THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,"LOCATED AT WWW
THEGRANITEGROUP.COM/TERMSANDCONDITIONS/ THE"TERMS AND CONDITIONS"LOCATED AT WWW.THEGRANITEGROUP COM/TERMSANDCONDITIONS//ARE
HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE
YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW.
THEGRANITEGROUP COM/TERMSANDCONDITIONS.BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE
- TMe
GRANITE Ship From PICK TICKET
GnouP The Granite Group BR 44
SOLID AS OUR NAME 75 Jefferson Avenue
www.t egranitegroup.com New London, CT 06320
www.ultimatebathstore.com (860)442-4348 order# 10332922-00
Page # 1
Ship Point The Granite Group BR 44
Via PICK UP
Terms ar 2%10thN30
Bill To: 27698 Ship To D Entered 10/19/17
FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES Promised 10/19/17
P O BOX 607 FISHERS ISLAND FERRY DISTRICT A Picked 10/19/17
FISHERS ISLAND, NY 06390-0607 P O BOX 607 T hipped 10/19/17
FISHERS ISLAND, NY 06390 E Request 10/19/17
S Printed 10/19/1712:54 44c2
STEVE BURKE Instructions ONLY STEVE TO CHRG
Taken By I web2 I Sales in 144C2 1 Sales out 41 Placed by Customer P/O I race pt Staging
Line Product Bin Quantity Quantity Quantity Qty Unit # Amount
# And Description Location Ordered B,0. Shipped UOM Price Cartonz (Net)
4 38LFBRSPLG AB/02/0021005 2.00 0.00 2,00 EACH 2.14 4,28
3/8" LF Brass Solid Sq HD Plug
I 4PRO1LFIPS1$V AB/02/004/003 4,00 0.00 4.00 EACH 1.2.88 $1,52
1" LF IPS Ball Valve
3 1c1-6bu AB/06/003/005 1.00 0100 1.00 EACH 29.06 29.06
1" X Close-6 Black Nipple Run
2 1HUE35 MI MOV009/004 2.00 0100 .2.00 EACH $9.05 118.10
351M 1" BRONZE Y-STRAINER
Line Tota/ 202.96
Invoice Tota/ 202.96
THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD'TERMS AND CONDITIONS;LOCATED AT WWW THEGRANITEGROUP COM?ERMSANDCONDITIONS/THE'TERMS
AND CONDITIONS'LOCATED AT WWW THEGRANITEGROUP COM?ERMSANDCONDITIONS/ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT.BY PURCHASING GOODS
FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE'TERMS AND CONDITIONS'AND AGREE TO AND INTEND TO BE BOUND BY THE'TERMS AND CONDITIONS'LOCATED AT
WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE'TERMS AND CONDITIONS'ARE SUBJECT TO CHANGE
4 Lines Tota/ #of Lines Not Printed 0 Qty Shipped
Picked By: Packed By: Checked By: Cube: Weight: Pallets Cartons Bundles Reels
4.00005 11.87920
Received By: Date Received: Customers Copy Page 1 of 1
Invoice INVOICE DATE INVOICE
16-00
GRANITE 10/20P.O 103349PAGE
DI.
GRiP - '
SOLID AS OUR NAME �GraniteGroup
1 of 1
6torrs Street -Concord,NH 03301 The
(860)442-4348 PO BOX 2004
Concord,NH 03302-2004
TO VIEW ONLINE GO TO:
CUST#: 27698 http://thegranitegroup.bilitrust.com
TOKEN:USE THIS ENROLLMENT
BI LTO: FDS TKS TXL
SHIP TO:
FI HERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES
P O BOX 607 FISHERS ISLAND FERRY DISTRICT
FISHERS ISLAND,NY 06390-0607 P O BOX 607
FISHERS ISLAND,NY 06390
INSTRUCTIONSPOINT
ONLY STEVE TO CHRG New London PICK UP 10/20/17 ar 2%10thN30
LINE PRODUCT QUANTITY QTY. QUANTITY OTY UNIT AMOUNT
NO. AND DESCRIPTION ORDERED SHIPPED B.C. U/M PRICE (NET)
1 1 312BN 2 2 0 EACH 3.21 642
1"X 3-1/2"Black Steel Nipple
Interchange Prod 1x312bn
2 1 412BN 2 2 0 EACH 3.81 762
1"X 4-1/2"Black Steel Nipple
Interchange Prod 1x412bn
3 1 512BN 3 3 0 EACH 4.49 1347
1"X 5-1/2"Black Steel Nipple
Interchange Prod 1x512bn
4 1dbmiu 2 2 0 EACH 12.60 2520
1"BLACK MI 150#BR UNION
5 ld-6bn 1 1 0 EACH 29.06 2906
1"X Close-6 Black Nipple Run
6 Ien21013 1 1 0 EACH 127,43 12743
21013 1/4-2-5/8 COPPER TUBING CUTTER
6 Lines Total Qty Shipped Total 11 Total 209.20
Invoice Total 209.20
Cash Discount 4.18 It Paid By 11/10/17
Import your invoices directly in to your accounting systemlll
® e Never print another Invoice again Stay organized by managing your bills in our online portal.
N Please visit us at:
http//thegranitegroup.bllltrust com
TERMS-A 2%per month service charge will be added to all Invoices past due 30 days or more This Is an annual rate of 24% All claims must be made within 20 days,no material may
be returned without prior permission Material must be accompanied by the invoice number and returned to original purchase location Returns may be subject to restocking cfiarges
THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS,LLC'S STANDARD"TERMS AND CONDITIONS,"LOCATED AT WWW
THEGRANITEGROUP COM/TERMSANDCONDITIONS/THE"TERMS AND CONDITIONS"LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS//ARE
HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT BY PURCHASING GOODS FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE
YOU HAVE READ THE"TERMS AND CONDITIONS"AND AGREE TO AND INTEND TO BE BOUND BY THE"TERMS AND CONDITIONS"LOCATED AT WWW
THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE"TERMS AND CONDITIONS"ARE SUBJECT TO CHANGE
»a,q TME
GRANITE ship From PICK TICKET
GROUP The Granite Group BR 44
SOLID has OUP.NAME
75 Jefferson Avenue
www.t egranitegroup.com New London, CT 06320 Order# 10334916-00
www.ultimatebathstore.com (860)442-4348 Page # 1
Ship Point The Granite Group BR 44
Via PICK UP
Terms ar 2%10thN30
Bill To: 27698 Ship To Entered 10/20/17
FISHERS ISLAND FERRY DISTRICT CT PICK UP-DELIVERIES DPromised 10/20/17
P O BOX 607 FISHERS ISLAND FERRY DISTRICTicked 10/20/17
FISHERS ISLAND, NY 06390-0607 P O BOX 607 T Shipped 10/20/17
FISHERS ISLAND, NY 06390 E Request 10/20/17
S Printed 10/20/17 09:00 44c1
STEVE BURKE Instructions ONLY STEVE TO CHRG
Taken By I web2 I Sales in 144cl I Sales out 141 1 Placed by Customer P/O race pt I Staging
Line Product Bin Quantity Quantity Quantity Qty Unit # Amount
# And Description Location Ordered B.0. Shipped UOM Price i arton (Net)
6 len21013 AA/011010/004 1.00 0.00 1.00 EACH 127.43 127.43
21013 1/4-2-5/8 COPPER TUBINC CUTTER
5 Icy-6bn AB/06/0.03/005 1.00 - 0.00 1.00 EACH 29.06 29.06
1"X Close-6 Black Nipple Run
4 Idbmio AB/061004/001 2.00 0.00 2.00 EACH 12.60 25.20
1"BLACK MI 150#BR UNION
1 1.312BN AB/06/005/001 2.00 0.00 2.00 EACH 3.21 6.42
1" X 3-1/2"Black Steel Nipple
2 1.412BN AB/061005/001 2.00 0.00 2.00 EACH 3.81 7.62
1" X 4-1/2" Black Steel Nipple
3 1.512BN AB/06/005/001 3.00 0.00 3.00 EACH 4.49 13.47
1"X 5-1/2"Black Steel Nipple
Line Total 209.20
Invoice Tota/ 209.20
P
J�
0
THIS CONTRACT IS GOVERNED BY AND SUBJECT TO THE GRANITE GROUP WHOLESALERS LLC'S STANDARD'TERMS AND CONDITIONS,LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCOND/TIONS/THE'TERMS
AND CONDITIONS'LOCATED AT WWW THEGRANITEGROUP COM/TERMSANDCONDITIONS/ARE HEREBY INCORPORATED BY REFERENCE INTO THIS DOCUMENT BY PURCHASING GOODS
FROM THE GRANITE GROUP WHOLESALERS,LLC,YOU ACKNOWLEDGE YOU HAVE READ THE'TERMS AND CONDITIONS'AND AGREE TO AND INTEND TO BE BOUND BY THE'TERMS AND CONDITIONS'LOCATED AT
WWW.THEGRANITEGROUP COM/TERMSANDCONDITIONS BOTH PARTIES AGREE THAT THESE'TERMS AND CONDITIONS'ARE SUBJECT TO CHANGE
6 Lines Total #of Lines Not Printed 0 Qty Shipped
Picked By: Packed By., Checked By. Cube: Weight: Pallets Cartons Bundles Reels
0.00010 11.55720
Received By: Date Received: Customers Copy Page 1 of 1
Ell-
FISHERS ISLAND FERRY DISTRICT _
VENDOR 008081 HARVARD PILGRIM HEALTH CARE 11/08/2017 CHECK 4451
FUND & ACCOUNT' P.O.# INVOICE DESCRIPTION AMOUNT ,
SM .9060.8.000.000 074705128317 MEDICAL PREM(21) -NOV 15,667.37
SM .9060.8.000.000 074705128317 CRDT-ADJ OCT PREM.-JONES 177.09- ;
TOTAL 15,490.28
m
t
.. C..f a vr.: .. "1"". n.•£•:3X+::+ <.vs..a .i .... f 41
.. „.... ..,.. µr Fa .W ! .£4'•'SS.a'•'rF}:' ::X;TH• `+,^-.z e`W \ I
'G>•? :Y.9e•:' va0•: `•`F+i. .4':33+'.• `•,Gear
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n.@hFY
•r:M'.arov?r 'i:$:r:LL
`G.
/ I .
FISHERS ISLAND FERRYDISTRICT AUDT''i1%os/i7
53095 MAIN ROAD,PO'BOX'1179
.r SOUTHOLD,NY 11971'-09591 CI-TECK NO. 4451
THE SUFFOLK'CO.NATIONAL BANK '
CUTCHOGUE,NY 11935' " DATE' AMOUNT
5D-5asizla 11/.08/,2,011 $15,;4 -0.28 K
FIFTHEN' THOUSAND FOUR HUNDRED NINETY'AND' 28/100 ,DOLLARS -
„ ,
AY, HARVARD PILGRIM HEALTH CARE _
OTHE.- PO' BOX 970050
O
BOER 05TON MA 02297-0050'; _ -
ii'00445 Ins 1:0 2 14054641: 68 001502 1i''
L
• i
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 0001 144 51
Vendor Address Entered by
PO Box 970050 Audit Date
Harvard Pilgrim Health Care Boston, MA 02297-0050 NOV 0 8 2017
Vendor Telephone Number
Town Clerk
Vendor Contact
vs °@`"'`
ell
Invoice Invoice Invoice Net Purchase Order _
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
074705128317 10/10/2017 $15,490.28 $15,667.37 Nov 17 Medical Premiums(21) SM9060.8.000.000
$ (177.09) Jones Adj Oct premium SM9060.8.000.000
$15,490.281 1 $15,490.28
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
SignatureTitle Signature
Company Name Fishers Island Ferry District Date 10/25/2017 Title Date / /�
c
Harvard Pilgrim _
Healthcare
000662
IMPORTANT:INVOICE ENCLOSED
ATTN:DIANE HANSEN INVOICE#: 074705128317
FISHERS ISLAND FERRY DIS INVOICE DATE : 10/10/17
261 TRUMBULL DR BILL PERIOD: 11/01/17-11/30/17
PO BOX 607 PAYMENT DUE ON/BEFORE : 11/01/2017
FISHERS ISLAND,NY 06390
TOTAL CONTRACTS 38 CUSTOMER ACCOUNT#: 0150930000
TOTAL MEMBERS 38
PREVIOUS BALANCE $ 17,150.50
MEMOS $ 0.00 ����G7'3-7
ADJUSTMENTS $ -177.0 — ��• Og
AMOUNT PAID $ 0.00 Shy�p9 g
BALANCE FORWARD $ Vk
CURRENT PREMIUMS $ 15,667.37 (/
TOTAL AMOUNT DUE $ 32,640.78
Any enrollment transactions or payments applied after the 5th will be reflected on the following months invoice.
For questions regarding your invoice please call Account Services at 1-800-637-4751.
HPHConnect allows you to perform transactions online"real time",please go to www.harvardpilgrim.org to logon.
Including Harvard Pilgrim Health Care of New England,Harvard Pilgrim Health Care of Connecticut and HPHC Insurance Company
FOLD AND DETACH AT PERFORATION
, .xrr G`z',:I.i-ryC,.< ,r; i { "'•`_ '' '. '- '-,`',,,&,.,,. , .
• ,Y _ / i f tt i
FISHERS ISLAND FERRY DISTRICT
VENDOR 008140 HAYES SERVICES, LLC 11/08/2017 CHECK ` 4452
= i FUND & ACCOUNT P.O.#-_; INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 161006 16875 SNOW PLOWING-P,YMNT #1 1,450.00
i TOTAL 1,450.00
.. r i . ' t':g;rW•>'r;V> . :•F a:S:Fi: .. >a N r 7
r'f+''v';iis' 'wRvv - .zai✓>< S•::t•?FF?" >.•:•fi'• YtE«'t•:d:a5• i•;.evy.x -
e '`A.rN.. .'i•;'.} - '•:B.`•`: ;:;:^` 90 ;."•:?,t.,. bsv',yb r, .f, o r,': .. ..E:''
:.a,.. 3::2: '620 „•S..-..:fi.`;ae` e,'^:p'i:v
1
o I
—ems+— - , - - - - - - - - -- - - --- - - - ---- - --- -- - ? —
FISHERS'°ISLAND-FERRYDISTRIC ' ' AUDIT, o6 i,'.
53095 MAIN ROAD,FO BOX,1179
_ t / %
SOUTHOLD,NY 11971-0956 CHECK, NO'. - :4452: `
•w ^ THE SUFFOLK"CO.AATIONAL BANK _ ""
CUTCHOGUE;NY 11'935. DATE _ AMO.IJNT, _
50-5461214"' '$1,450 00'
ONE'THOUSAND•FOUR HUNDRED "FIFTY.AND."00`/lOQ Doi P:E2S
AY HAYE-S-.'.SERVICES', LLC.,,,- - r
TO THE tP0'BOX' 6-3 5 -`r s
OORDER,'' MANTIC: CT\`06357
';` 11.0044 5 2'in 1:0 21L40 54641: 613 OO L 50 2 Lus
Vendor No. - Check No.
Town of Southold,New York - Payment-Voucher 8140 Ll LA 59A
Vendor Tax ID Number or Social Security Number Vendor Address Entered b7
PO Box 635
Audit Date
Haes Services, LLC Niantic, CT 06357 �QU ���
Vendor Telephone Number
Town Clerk
Vendor Contact 07fl
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
16875 10/15/2017 $1,450.00 $1,450.00 �f OOCo Pmt#1 Snow Plowing Contract SM5709.2.000.200
11/1/2017-3/31/2018
Per Contract 2016-2018
$1,450.00 $1,450.00
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
Signaturlin Title Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date C
Hayes Services, LLC invoice
PO Box 635
Niantic, CT 06357 Date Invoice#
10/15/2017 16875
BN TO Kurt Hayes
860.625.5243
Fishers Island Ferry www.hayesservicesllc.com
Distric 5 Waterfront Park kurthayes04@sbeglobal.net,
New London, CT 06320
email
Billing Dept
860.444.6844
Terms
For Month ... 1 of 4 Due upon receipt
Description Qty Rate Amount
Snow Plowing Contract—November 1,2017 to March 31,2018 0.25 5,800.00 1,450.00
4 equal installments due on the 1st of each month.
Fishers Island Ferry
Extra charges:
$125.00/Loader per hour
$115.00/Dump truck per hour /� a
$200.00/Loader/Blower per hour J
l
You can now pay us online at:www.hayesservicesllc.com Subtotal $1,450.00
Locate the [PAY NOW] button located on our home page or Sales Tax (0.0%) $0.00
contact us page.
Total $1,450.00
Click and you will be directed to a secure paypal link.
Payments/Credits $0.00
Any invoice not paid within 30 days of issuance will be assessed a
finance charge of 1112%or a$5.00 fee (which ever is greater). Balance Due $1,450.00
' FISHERS Iz4m)FERRY DISTRICT
VENDOR 013054 MAPLE PRINT SERVICES, INC. 11/08/2017 CHECK 4453
`
y FUND '& ACCOUNT - P.O.# INVOICE DESCRIPTION J AMOUNT
SM .5710.4.000.400 ( 3829 WNTR SCHDLS & FIRST PRNT 387.00
TOTAL 387.00
sr,.
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,FISHERS 7SLAIVDR FERRY DISTRICT -
-- _:s ;,,, -"; -u•, ,<., - ,'i -, 53095MAWRO,AD,`P,0;60X,1179 •I -- --- T ' '.,A-Ut DGI'H,S0UTH0LD,NY1,1971-0955; , 4'i5'-I
r-r
THE SUKFOLK CONA710N'AL'BdNk'
CUTCHOGUE;NY 1,1935`: DATE;. AMOUNT;=' „t
jy
20'17 ?387j,0'O,s
50 546%214' I /
,,THREE `HUN RED`_.'EIrHTY,SEVEN' AND' 00/]`O.d,bOL_L ZS',
MAPLE''=PRINT', SERVICES, INC— '- -
C 3-9-1,/,2-LVEDGEWOOD DRIVE;BOX-199 _ ,:' Cr
ORDER; _ ;`'' v '' F'ut.
OF" .02WETT CITi:;'6t "'Q63'5'1 {
;,`,
11§004f, 53110 1:021L,05E, 6ti1: 613 00L502 Lu= ` .
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 13054
Entered by
39-1/2 Wedgewood Drive Box_199
Jewett City, CT 06351 Audit Mate
Maple Print Services, Inc. Nov 2017
Vendor Telephone Number
860-381-5470 Town Clerk
Vendor Contact m
Invoice Invoke Invoice Net - Purchase Order.
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
3829 10/18/2017 $387.00 $387.00 Winter schedules(1,000)First printing (1,000) SM5710.4.000.400
$387.00 $387.00
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 ekempt are excluded or discrepancies noted,and payment is approved
Signature 1' 0, � Title Signature
Company Name Fishers Island Ferry District Date10/23/2017 Title Date
r
Maple Print Services Inc.
39-1/2 Wedgewood Drive
Box 199
Jewett City, CT 06351
(860) 381-5470
I
NVOI
� � INVOICE# 3829
DATE 10/18/2017
DUE DATE 11/17/2017
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.
ACTIVITYMOTY AMOUNT
Printing 11000 242.00T
winter schedules
Design 1 25.00
type changes
Printing 1,000 120.00T
first printing approved discounted
SUBTOTAL 387.00
TAX(0%) 0.00
TOTAL 387.00
BALANCE DUE $387.00
Visa, MC and Discover accepted.
L
FISHERS ISLAND FERRY DISTRICT
VENDOR 013564 MCMASTERrCARR SUPPLY CO. 11/08/2017 CHECK 4454
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.2.000.200 ' t 48091052 RP-SCREWS/DRILL BTS,WSHR 61.01
T4.i
TOTAL 61.01
K
W,Y
FISHERS
AUD
d 53095 MAIN ROAD"PO-GOX
zsUlw, Y DiS,
Ags' '
's
OUTHOLD,NY 11971
-6959 N CHECK --4454,
0
THE SUFFOLK CO.NATIONAL BANK
%',,
CUTCHOGUE NY 1'1935., DATE AMOUNT`
$ 1:0,1=
'_01
50-6461214 11 '0'8
d1I "p
'six-TY,ONE AND `0 tLAR9
bi/i.,&o, b
-,-,MCMASTER .6.7! kiz SUPPLY Co .,,`
TO THE Bqx, 7,6
OFA'
'T' -,C 60680-'-,-7690;
iin 0 0 1,L, S 4 iis 1:0,2 ,L 40 S L, P3 L,i: 68 00LS02
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 13564 1 Li LA Z
Vendor Address Entered by
P.O. Box 7690
Vendor Name Chicago, IL 60680-7690 Audit brake
McMaster-Carr Supply Co. WV 0 8 2017
Vendor Telephone Number
609-689-3000 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
48091052 10/13/2017 $ 61.01 $61.01 RP maint supplies SM6710.2.000.200
$ 61.01 $61.01
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
r
Signature Title Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date 11117(
UF MMASTERmCARR.
Invoice ,
609-689-3000
609-259-3575(fax)
nj.sales@mcmaster.com
Purchase Order 101317
Total $61.01
Invoice 48091052
Billed to Invoice Date 10/13/17
FISHERS ISLAND FERRY DISTRICT Payment Terms 2% 10, Net 30
P O BOX 607 y
FISHERS ISLAND NY 06390-0607 Deduct$1.11 on merchandise if paid by 10/23/17.
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
Jesse Marshall placed this order.
Line Product Ordered Shipped Balance Price Total
1 90087A546 Rounded Head Thread-Cutting Screws for Metal, 3 3 0 850 25.50
Zinc-Plated Steel, 1/4"-20 Thread, 1-1/2"Long, Packs Per Pack
Packs of 25
2 2901A121 Black-Oxide High-Speed Steel Drill Bit,Jobbers' 12 12 0 1 94 23.28
Length, 135 Degree Point, 13/64"Size Each Each
3 98466AO29 18-8 Stainless Steel Countersunk Washer for 1/4" 1 1 0 6.79 6.79
Screw Size,0.32"ID,0.781"OD, Packs of 100 Pack Per Pack
P
Merchandise 55.57
l Shipping 5.44
[� Total $61.01
a V�
Packing List Shipped Weight Carrier Tracking
2025916-01 10/13/17 3 lb UPS Ground 1 ZO835200367352544
k ,
Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1
SP 403
P
,Jk
FISHERS ISLAND FERRYDISTRICT
VENDOR 014144 NU LOOK CLEANING SERVICE ', 11/08/2017 CHECK 4455
FUND & ACCOUNT P.O.# ,' INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.600 238 JANITRIAL SVC-10/9-10/20 362.50
TOTAL 362.50
"q
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ggg gg 'g
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IT
53095 MAIN 0aAO;PO BOX 1179
9
AUDIT ' '`
'ArD FERRY PlST,WIC
ERS ISL 4
FISH
45-5,
SOUTHOLD,'NY`11971,-095 'CHECK
j4:S61'FOLK,C0.NATIONAL BANK,
qtj CHOG,UIE,;NY-11935- DATE--
AMOUN,
7" I1/08/2'017 $362 50
50-5461214
-
TW
-1-.,THREE -HUNDREb"!SIXT, - 0.A D s.p,/too P,0-
LLARG14
"T
NU CLEANING PAY- _LOOK ,SERVICE,,,'--
-G63. OLD-.-COLC tSTEk-,R
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0 THE,
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EM P, 42-0
-
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iiw004J, S Slim 1:0 2 ILO 54641: E8 00L502 LI''
L J ,
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 14144 1455
Vendor Tax ID Number or Social Security Number Vendor Address Enteredby
663 Old Colchester Rd
Vendor Name Salem, CT 06420 Audit Mate
NU Look Cleaning Service NOV 0.8 2017
Vendor Telephone Number
(860) 859-3624 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
238 10/20/2017 $362.50 $362.50 Janitorial Services 10/9-10/20/17 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 1.✓ Title Signature
Company Name Fishers Island Ferry District Date 10/25/2017 Title / Date /
%
Invoice
1012D/2017 238
FISHERSISLANDFERRY DISTRICT
P.O. 8OX-667
FISHERS ISLAND,NY.
06390-0607
ATTN:ACCTS. PAYABLE
mom=
Due on-receipt
1ANITORIAL SERVICES FOR 2 WEEKS- OCT. 9-20 -62.50
362.50 ,
'Aankyo u"for your bushiess.
TOTAL $362.50
'FISHERS ISLAND FERRY DISTRICT
VENDOR 0142321NYS DEPT OF, T OR-UI DIV 11/08/2017 CHECK 4456
A
FUND & ACCOUNT P.6.# INVOICE DESCRIPTION AMOUNT
ISM .9050.8.000.000 -04-64309 4A UNDERPAID RICKER 2ND/QTR . 25.75
TOTAL 25.75
J11
W..
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4
4
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AAD-F
ERRYDISM
JSL CT
FISINERS' AUDIT,,,l
53095 MAIN ROAD,,POWX,1179,
SOUTHOLD,NY 11971-0959-- 14 E C'-,'K' NO- 45
4 45
THE-SUFFOLK'CO NATIONAL BANK
',- r--CUTCHOGUE,NY1,1935. -,"' -'DAT . ,:AMOUNT' ,
2
j
I)z
-'50-546121411 '5.75
TWEN'4` -IV'E:AND',7-5)1 0,b DOLLARS,
F --:UI DIV
ip NYS -.6
,AY -,DEPT .LABOR--UI
I.-i ' TOP E PO BOX, 4-301
NY, 13902-4301.7_BINGHAMTOld-
Of
lt4
v 0 0 S C3110, 1:0 2 140546L,1: 68 00LS02 111r
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 14232 4 �1W
Vendor Tax ID Number or Social Security Number Vendor Address Entered by 01
P.O. Box 4301
Vendor Name Binghamton, NY 13902-4301 Audit Date
New York State Unemployment Insurance MV ® 8 2017
Vendor Telephone Number
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
04-64309 4 9/30/2017 $25.75 $25.75 Underpaid Ricker 2Qtr2017 SM9050.8.000.000
$25.75 $25.75
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have 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 . 0- �—Tii e` Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date l� �� , /; -
NEw UNEMPLOYMENT INSURANCE
Y4�RK PO BOX 4301 For Office UseOnl
NATE BINGHAMTON NY 13902-4301 y
WWW,LABOR.yYGOV Dist.Ind. Assign.Type Form Type
X X U
Received Date CI At
"IFISHERS ISLAND
FERRY DISTRICT
PD BOX 1179 Employer Reg. No. Account Status as of
SOUTHOLD NY 11971-0959 04-64309 4 9/30/17
For Completion by Employer
_ I
1, Payment Amount \
Enclosed
Return this form to the return address shown above.Keep a
COP
for your records.Enter your Employer Registration ;
Number on your check payable to NYS Unemployment
Statement of Account Insurance.
Any amount now due for Unemployment Insurance contributions, re-em loyment service fund, interest assessment surcharge,
benefit reimbursement charges, interest or penalty is shown below as "Current Balance"preceded by the word "Underpaid,"
If the amount shown as"Current Balance"Is preceded by the word "Overpaid"you will be receiving a refund of this
overpayment.
This notice does not Include amounts assessed for Failure to File Penalties or Benefit Claim Penalties. If you have penalties
due, you will be advised by a separate notice.
Interest Is assessed on late payment of contributions, re-employment service fund amounts, and benefit reimbursement
charges at the rate of 12 percent per year from the elate due to the date paid.
Late r�ayment of contributions may adversely affect your future unemployment rates as well as the annual credit to which you
may t,e entitled under the FUTA.Any payment received more than 60 days after the quarterly due dates of April 30, July 31,
October 31 and January 31 cannot be credited to your account for future rate purposes.
Benefit reimbursement charges are not used for rate calculations. Payment on current quarter charges shown as "BR" is due
by the end of the month.
. ........
Explantation: Claimant's Col. 1 Col. 2 Col. 3
The Quarter and Year S.S. Acct. No. Amount Due
for which ()aymentt is due (Last 4 Digits) Qtr. Year Type
are showy 111 Columns 1
and 2 arad the type of 2 17 BR 25.75
Liability is shown
in Column 3.
IAS-I terest Assessment
Surcharge ¢
QD-Quarterly Due
(Contributions and ;
Re-employment
Service Fund)
AC- Annual
Contributions
BR-Benefit.
Reimbursements
IN- Interest
PB- Penalty
�— Current Balance
TOTAL UNDERPAID 525.751
Use this form for payments only. If�you have questions
please call (888)899-8810 for assistance. Paul Mason
IA 192A (07/17) Director, Adjudication and Determination
CSI m 111 17 Au i
Vendor No. Check^No,`
Town of Southold, New York - Payment Voucher 14232
Vendor Tax ID Number or Social Security Number Vendor Address - Entered by"--
P.O.
y{_,--P.O. Box 4301
Vendor Name Binghamton, NY 13902-4301 Audit 'ate
New York State Unemployment Insurance v q 9
Vendor Telephone Number
n 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,
04-64309 4 9/30/2017 $25.75 ($25.75 Underpaid Ricker=r2017 SM9050.8.000.000
mo
$25.751 $25.75
Payee Certi icatio 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 0.�.,_ ^�fiffe Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date
a
',FISHERS ISLAND FERRY DISTRICT
VENDOR 014232 NYS DEPT OF 'ABOR-UI DIV 11/08/2017 CHECK 4456 '
i
FUND & ACCOUNT P O.# INVOICE DESCRIPTION ( AMOUNT
SM .9050.8.000.000 04'-64309 4A UNDERPAID RICKER 2ND /Q'. 25.75
J TOTAL 25.75
I �
t LL .+.w:-.:�•.,°•sider�si:c�:�:�:...:sc�;::+.w,i`;i:;;;':`5,:,,i:� :z,�;^:���-
Rn ,
I
- - --- -- -- -------
- ----
- - -• -- ------- -------- -------
l
FISHERS ISLAND FERRY DISTRICT
VENDOR 014232 NYS DEPT OF LABOR-UI DIV 11/08/2017 CHECK 4456
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .9050.8.000. 000 04-64309 4A UNDERPAID RICKER 2ND QTR 25.75
TOTAL 25.75
I I
I 1
FISHERS ISLAND FERRY DISTRICT
53095 MAIN-ROAD,PO Box 1179 AUDIT 11/08/17
SOUTHOLD,'NY 11971-0956 CHECK NO. 4456
7HE SUFFOLK CO.NATIONAL BANK
I' CUTCHOGUE,NY 11935 DATE AMOUNT
-
50.546/214. "11/08/2017 $25.75
' ,
iTWENTY FIVE,AND 75/100- DOLLARS
AY NYS DEPT OF LABOR-UI DIV _
TOTfIE PO -BOX'4301
BOER BINGHAMTON NY 13'90'2=4301
pF
��'00445Gill 1:0 2 1405464 : 68 00 150 2 Lu■
P
FISHERS ISLAND FERRY DISTRICT
VENDOR 014421 O'CONNOR DAVIES,.,--LLP - 11/08/2017 CHECK,1 4457
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .1310.4.000.000 334981 PROF SVCS 7/19-9/27/17 3,916.25
SM .1310.4.000.000 161087 335023 116 AUDIT-FIELDWORK-15i 2,582.00
TOTAL 6,498.25
V
.. ,3Y. 1 .... , .. ,_ _.., ^"F::ld::95'i$;S:CCtiC•;SYr,•;g4 't•'fiE' 1* :re 8 • t 1
-mm,
J.-
IS ER MAIN 00 :FERR Y DISTNCTI, AUDIT," 1
S
08 -1-7
'309
' NO
OA 'PC
BOX 1179
OUT 9,D y
T1-0959
:C149CK NO.
`4 4
1
57
THE
SUFFOLK COJIATIONAC BANKna
UT ,O
GUE
--------------7— AMOUNT,',,,, i-
NY,,1,1935 _- DAT
$6,458'x25
50-546/ 14`
S±X THOUSAND-,.'FOUR, H=b .NINETY, E IqHT -AND"2 10'01-DOLLARS
? . ......I"
4
PAY 0 CONNOR DAVIES. LLP
TO THE :MEADOW Rb". 401, ,
0--GREAT , ,
ORD, igLb) CT 66,1,64--
ER,`
WETHERSP
,or
0 S 7 Lis 1:0 2 1L O5 1,F3 Lo: 68 00 ISO 2 11,
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 14421 444 ,57 ,
Entered by
100 Great Neck Road Audit D e
O'Connor Davies, LLP Suite 401 NOV O 8 2017
Vendor Telephone Number Wethersfield, CT 06109
860-257-1870 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
334981 9/30/2017 $3,916.25 $3,916.25 Prep of mngmt discussion and analysis YE2017 SM1310.4.000.000
335023 10/11/2017 $2,582.00 $2,582.00 fp-O R-7 Fieldwork for audit(15%of the total fee) SM1310.4.000.000
$6,498.251 1 $6,498.25
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 1.1a Title Signature l
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date �V /
J PKF
CYCONNOR
DAVIES
ACCOUNTANTS AND ADVISORS
Date 09/30/2017
Fishers Island Ferry District
P.O. Box 607
Fishers Island, NY 06390
Client No. 1475764.000 Invoice No. 334981
For Professional Services Rendered E.I.N.27-1728945
DATE SERVICE STAFF HOURS AMOUNT
07/19/2017 Client discussions/meetings Patnaude 0.50 $ 92.50
discuss PY MW with Gordon
08/02/2017 Sales tax related services Marien T 1.00 310.00
e-mail to Gordon Murphy re: sales tax on
tee shirts
Preparation of Management's Discussion and Analysis for YE 2017
08/17/2017 Zemaitis 5.50 1,402.50
Prep MD&A
09/25/2017 Marien M 1.00 320.00
Follow up on MD&A and mgmt rep
08/07/2017 Patnaude 0.50 $ 92.50
conference call with Gordon, Diane, Geb on
FB and grants
Redo Financial Statements, Notes and Management's Discussion and Analysis for new format of
the Statements to add a fund and change 60 day policy for non-tax revenue
08/21/2017 Marien M 0.50 155.00
Describe to KG changes that need to be
made
08/23/2017 Gervais 2.50 350.00
Setting up new fund
08/28/2017 Marien M 2.00 620.00
Change FS to add Capital Fund, change
notes
09/07/2017 Audit-statement prep Barile 0.25 18.75
setting up and putting together draft#4 of
financial statements for Marcia
09/24/2017 Special project(describe) Marien M 1.50 480.00
MD&A
` PKF O'Connor Davies, LLP
Fishers Island Ferry District
Invoice No. 334981 Page 2
DATE SERVICE STAFF HOURS AMOUNT
09/27/2017 Barile 1.00 75.00
changes to MDA per MLM email
$ 3.916.25
Wire/ACH Instructions:
Account: 4306383730 Beneficiary: PKF O'Connor Davies,LLP
ABA: 026013673 Beneficiary Address: 500 Mamaroneck Avenue,Suite 301 Harrison,NY 10528
Swift Code: NRTHUS33XXX
Bank Name: TD Bank
Bank Address: 285 Mamaroneck Avenue,White Plains,NY 10605(Do not mail checks to this address)
(Please reference Client No.1475764.000 and Invoice No.334981 on your remittance)
COW
C CONINIOR
D"I ES
ACCOUNTANTS AND ADVISORS
Date 10/11/2017
Fishers Island Ferry District
P.O. Box 607
Fishers Island, NY 06390
Client No. 1475764.000 Invoice No. 335023
For Professional Services Rendered E.I.N.27-1728945
Audit for year end December 31, 201
a 0)6 $ 17,212.00
Less Progress Bill (14,630.00)
N• �
Wire/ACH Instructions:
Account: 4306383730 Beneficiary: PKF O'Connor Davies,LLP
ABA: 026013673 Beneficiary Address: 500 Mamaroneck Avenue,Suite 301 Harrison,NY 10528
Swift Code: NRTHUS33XXX
Bank Name: TD Bank
Bank Address: 285 Mamaroneck Avenue,White Plains,NY 10605(Do not mail checks to this address)
(Please reference Client No.1475764.000 and Invoice No.335023 on your remittance)
PKF O'Connor Davies,LLP
100 Great Meadow Road Suite 401 Wethersfield,CT 06109-2355 1 Tel:(860)257-1870 1 www.pkfod.com
PKF O'Connor Davies,LLP is a member firm of the PKF International Limited network of legally independent firms and does not accept any responsibility or liability for the actions
or inactions on the part of any other individual member firm or firs.
Arena, Laura
From: Marcia L. Marien <mmarien@pkfod.com>
Sent: Tuesday, October 31, 2017 3:38 PM
To: Diane Hansen;Arena, Laura; Pamela Barile
Cc: Gordon Murphy, Kasia Asmolov
Subject: RE: O'Connor Davies
Yes. It seems they should. Pam can you correct and send to Diane?
--------------------------------------------------------------
Marcia L. Marien, CPA
Partner
PKF O'Connor Davies, LLP
Know Greater ValueTM
100 Great Meadow Road, Suite 207, Wethersfield, CT 06109
T: 860.257.1870 1 F: 860.257.1875 1 D:x5221
mmarien@pkfod.com I www.pkfod.com
0.: PKF
IMOR
DAVIES, "
ArCO1 MANTS 4146 ADVISCAS
The information in this e-mail message may be privileged,confidential,and protected from disclosure.If you are not the Intended recipient,any dissemination,distribution or
copying is strictly prohibited If you think that you have received this e-mail message in error,please e-mail the sender and delete all copies Thank you
All statements of opinion or advice directed via this e-mail to our clients are subject to the terms and conditions expressed in the governing client engagement letter The content
of this e-mail Is not legally binding unless confirmed by letter The sending of e-mails to us will not constitute compliance with any time limits or deadlines.PKF O'Connor Davies,
LLP is a member firm of the PKF International Limited network of legally Independent firms and does not accept any responsibility or liability for the actions or inactions on the
part of any other Individual member firm or firms.
We Inform you that, unless expressly stated otherwise,any U S federal tax advice contained In this email,Including attachments,Is not Intended or written to be used,and
cannot be used,by any person for the purpose of avoiding any penalties that may be imposed by the Internal Revenue Service
From: Diane Hansen [mailto:dhansen@fiferry.com]
Sent:Tuesday, October 31,2017 3:21 PM
To:Arena, Laura<lauraa@southoldtownny.gov>; Marcia L. Marien<mmarien@pkfod.com>; Pamela Barile
<pbarile@pkfod.com>
Cc: Gordon Murphy<gmurphy@fiferry.com>; Kasia Asmolov<kasmolov@fiferry.com>
Subject: RE: O'Connor Davies
Preparation of management discussion and analysis for YE 2017 must be a typo—these were clearly YE2016
1
The management discussion (MD&A)and management representation letter was about FY2016 audit completion
The prior year MW discussions were regarding 2015 and prior.
$17,212 was quoted for audit services,as MD&A services are hourly. Audit Services are$14,630 plus$2582 ($17,212)
with MD&A hourly charges of$3606.25
There is$310 on 8/2/17 that is not FY16 Audit related.That is well below our$3,000 purchasing limit.
Do you need our vendor to issue a revised invoice#334981?
From: Arena, Laura [mailto:lauraa@southoldtownny.gov]
Sent: Tuesday, October 31, 2017 10:37 AM
To: Diane Hansen; Kasia Asmolov
Cc: Gordon Murphy
Subject: O'Connor Davies
Hi, `
Do you have a professional services contract with O'Connor Davies, LLP to cover the professional service work? This is
separate from the money approved for the audit in resolution 2016-227.
Thank You,
La.wsralAm,ial
Account Clerk Typist
Town of Southold
PO Box 1179
Southold, NY 11971
PH: (631)765-4333
FX: (631)765-1366
This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast Ltd.
2
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FISHERS ISLAND FERRY DISWCT
VENDOR 014156 READYREFRESH BY NESTLE 11/08/2017 CHECK- 4458
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM5710.4.000.000 07LT0441584661 DLVRY,WTR,RNT-9/11-10/10 86.62
TOTAL 86.62
-vS is
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No-REX 1-0
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SMATITERRYDISTRICT—,
53095 MAIN ROAD,'PO-BOX-1179
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LOUISVILLE KY 4 285-6192/1
n80044581i' 1:0 21 L,0 S I,G Lo: 68 OOLS02 111® r.
Vendor No. Check No.
Town of Southold, New York- Payment Voucher 14156 5�
Vendor Address Enteredby
Vendor Name PO Box 856192
ReadyRefresh by Nestle Audit Date
Div of Nestle Waters North America Inc. Louisville, KY 40285-6192 NOV .� �6� �
Vendor Telephone Number !� 6)
800-950-9396 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
07JO441584661 10/12/2017 $86.62 9/11-10/10/17 5M5710.4.000.000
delivery, rent, CT sales tax
$86.62 10M
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 �c1,,,_"'� Title Signature ^�
Company Name Fishers Island Ferry District Date 10/23/2017 Title ./I/ , Date /C1 (� ��
1kadyeservice.readyrefresh.com C •tINVOICE
Refl"egh #215 6661 DIXIE HWY,SUITE 4 09/11/17.10/10/17 07JO441584661
JUST LOUISVILLE KY 40258
AND QUENCH _
NUMBER
ADDRESS SERVICE REQUESTED UPC• •
II I V I I I III III II I II I I I I I I��I II I III MON- OCT 30 0441584661
THU- NOV 30
TUE- JAN 02 Access your delivery calendar
at eservice.readyrefresh.com
FISHERS ISLAND FERRY Customer Service: 1-800-274-5282
GORDON MURPHY Did you forget,about us? Kindly pay upon receipt.
PO BOX 607 Remember,past due accounts are subject to a late fee.
FISHERS ISLE NY 06390-0607 Your prompt payment is appreciated. For your
I'�'III'll���l�l'�"'1111111'1111'I��'�I'llll�'�Il�llllli�'I"'I, convenience,you can pay your bill online. If payment has
been made,we thank you.
--IMP- R �_— _ -_- _-- -- - - - -- -- - - -_ - - - - _ -- - - -- _ --= -- -=_-_- _---
.O:_.TAN : You.we_re_previously._informed of_a.price=increase scheduled-for-,July on=selecf prodiicts._and_,_- ;`
equipment The_prlce increase.was=postponed lout isnow in effect Please_revlevtir your account:at_
�ReadyRefresh com-or callus=-With'_ uestibns:_= _JJ1
_
ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800.274.5282 or visit eservice.readyrefresh.com.
DATE REFERENCE # QTY DESCRIPTION .
Delivery address: FISHERS ISLAND FERRY,5 WATERFRONT PARK, FERRY OFFICE,NEW LONDON CT 06320
PREVIOUS BALANCE 661.36
9/22 435684 PAYMENT-THANK YOU -583.74
9/29 4688380213 10 5 GAL PS HANDLE SPILL PROOF 6880
6 5 GALLON NPL EMPTY BOTTLE RETURN -3600
BOTTLE DEPOSIT:":10,CHARGED, 3 CREDITED 35.00
10/10 4699338176 1 DELIVERY FEE ; /f } `€' i � 3.95
J3995029 RENT / 13.98
SALES T r �r8 89
TOTAL P r' �f ° 'a!J ' 164.24
F Y
JUST CLICK
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CU ENT ACT VITY PAY THIS AMOUNT
Subject to terms on reverse side 661 36 — 58374 1 + 8662 = 16424
BILLING RIGHTS SUMMARY g SAMPLE INVOICE
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice
BILL, OR FOR A REPORT ON WATER QUALITY AND
INFORMATION, PLEASE VISIT OUR WEBSITE AT: .a0
ESERVICE.READYREFRESH.COM OR WRITE US AT: 00100100-00100100 1234567890 Your Account Number
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You are obligated to pay the parts of your bill that are not NVOICE NUMBER BIW00/00100IVIDD
123656]890
in question. You do not have to pay the disputed amount
while it is being investigated. During the investigation,we 1420096307 °4292712919 000391049 pp4o7py8 Amount due
cannot report your account as delinquent or take any action = MD7 5L t
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FISHERS ISLAND FERRY DISTRICT
VENDOR 014022 RING'S END LUMBER, INC 11/08/2017 CHECK 4459 fi
A
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 883463 NLT-SCA I FFOLD PLANKS 144.64
TOTAL 144.64
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CUTCHOGUE,'NY,11935', AMOUNT
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50-54/214
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-LUMBER,, -_"
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` ' Vendor No. Check No.
Town of Southold, New York - Payment Voucher 14022 n
Vendor Address Entered by
PO BOX 714
Niantic, CT 06357 Audit Mite
RING'S END NOV 0 8 2017
Vendor Telephone Number
860-739-5441 Town Clerk
Vendor Contact /f
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
883463 10/13/2017 $144.64 $144.64 Scaffold plank for NLT Ramps SM5709.2.000.200
$144.64 $144.64
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
Signature C'—Me Title Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date ��
RING'S END
Since 1902
Bethel, CT Branford, CT Darien, CT Lewisboro, NY
(203)797-1212 (203)488-3551 (203)655-2525 (914)533-2517
P, 0. Box 714 (800)797-6511 (866)758-3551 (800)390-1000 (888)533-2517
Niantic CT 06357
T• 860-739-5441
F: 860-739-5822 New London, CT New Milford, CT Niantic, CT Wilton, CT
(860)439-0155 (860)355-5566 (860)739-5441 (203)761-1000
(866)439-0155 (888)350-8966 (800)303-6526 (866)842-7883
TRANSACTION
TYPE STORE
Charge Invoice Niantic, CT
BILL TO: SHIP TO:
FISHERS ISLAND FERRY DIS
P.O. BOX 607 FI FERRY
FISHERS ISLAND NY 06390 NEW LONDON CT 06320
Phone 860-442-0165
CUSTOMER TRANSACTION CUSTOMER
CODE DATE NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON
EFISHIS 101317 883463 16:44 RAMPS 132 Colin Campbell
APPLY TO ORDER DATE ORD/QTE NO. TERMS TAX JURISDICTION
0 R 2% 15th, Net 25 Days 6.35% CT USE TAX
ITEM ORDER QTY SHIP QTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT
PLANK 2 2 OSHA 1.5"x9.25" SCAFFOLD PLK 16' 2.000 68.000 EACH 136.00
RECEIVED IST GOOD CONDITION BY:
NICK ESPOSITO
SIGNATURE NOT REQUIRED MISC SALES REMAINING INVOICE (�,
NET AMT CHARGE FREIGHT TAX DEPOSIT TOTAL
X 136.00 0.00 8.64 144.64
CUSTOMER COPY Page: 1
M6 C" CAW
END
4 Page # s1
RINSSince 1902
Bethel, CT Branford, CT Darien, CT Lewisboro, NY
(203) 797-1212 (203) 488-3551 (203) 655-2525 (914) 533-2517
P. 0. Box 714 (800) 797-6511 (866) 758-3551 (800) 390-1000 (888) 533-2517
Niantic CT 06357
T: 866-739-5441 New London, CT New Milford, CT Niantic, CT Wilton, CT
(860) 439-0155 (860) 355-5566 (860) 739-5441 (203) 761-1000
F: 860-739-5822 (866) 439-0155 (888) 350-8966 (800) 303-6526 (866) 842-7883
TRANSACTION - - ' -
TYPE STORE
Charge Invoice Niantic, CT
BILL TO: SHIP TO:
FISHERS ISLAND FERRY DIS
P.O. BOX 607 FI FERRY
FISHERS ISLAND NY 06390 NEW LONDON CT06320
860-442-0165
CUSTOMER TRANSACTION CUSTOMER
CODE DATE I NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON
EFISHIS 10/13/20171 883463 16:44 RAMPS 132 - Colin Campbell
ORIGINAL
APPLY TO ORDER DATE I ORD/QTE NO. TERMS TAX JURISDICTION
0 10/13/20171 91385 6.35% CT USE TAX
ITEM ORDER QTY SHIP QTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT
PLANK 2 2 OSHA 1.51lx9.25" SCAFFOLD PLK 16'
RECEIVED IN GOOD CONDITION BY: SEE REVERSE SIDE FOR TERMS AND CONDITIONS
NICK ESPOSITO NIISC SALES REMAINING INVOICE
NET AMT CHARGE FREIGHT TAX DEPOSIT TOTAL
X
DELIVERY COPY
um
FISHERS ISLAND FERRY DISnUCT
t
VENDOR 019751 SCIALABBA REMODELING 11/08/2017 CHECK 4460 y
A _ r `a
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNTv;--
SM .5709.2.000.200 229137 NLT-DRILL 2" HOLE 380.00
I _ I
I
,ra TOTAL 380.1 0 0
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FISHERS'ISLAIVID'FERRY'D]STRICT ;
i 53095 MAINAOAD„P0 BOXJ 179 AUDIT = 1/'Q8r/17
r,, I souTl oLD,NY,.11971=0966 GI ECK_NO. 4460:
SUFFOLK•C O:NATIONAL BANK ° `
r .' CUTCHOGUE,"NY• ,l 935,
DATE AMOUNT•,,'
i €i
50-546.1214` .1/OS/2017 ,38fl`..Q +*
V"
THREE:HUNDRED':•E`TGHTY AND 00/1'00:;I)OLLAI2S' '
-
rSCIALABBA 'REMODELING
Pb THE 1,.'GARFIELD'AVE EXT
+ ORDER' ' LONDON.,CT 06320,'
OF' . NEW
11.00446011' 1:'0 2 1L,0 5L,6L,1: 68 001502 111
t. .>
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Vendor No. Check No.
Town of Southold, New York - Payment Voucher 19751 LA GO
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
1 Garfield Ave ext
New London, CT 06320 Audit DaTe
Scialabba Remodeling NOV 0 6 2017
Vendor Telephone Number
Town Clerk
Vendor Contact
s;
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
229137 10/13/2017 $380.00 $380.00 NLT interior project SM6709.2.000.200
$380.001 1 $380.00
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 ,,� Utle Signature
Company Name Fishers Island Ferry District Date 10/27/2017 Title i� - Date
I1 •_ } 6 Ilj�i V4..\� vrYfV..,, �. 4-
I,-
SOLD TO SHIP TO
ADDRE ADDRESS
i o (oOT
F CITY,STATE,ZIP Q CITY,STATE,ZIP ;
CUS7OMER'ORDER N0. SOLD BY TERMS F.O.B. DATE
i ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT
hIA I v-0 I 211D( �
t-11 a
l4�
I, •� 4`�.-...�.-.ter-8-^..r-""� r - 'uV
i - 01
A:5840 T-46706146721 E
MIMI
FISHERS ISLAND FER'R Y DISTRICT
VENDOR 019737 STANDARD SPRINKLER CORP. 11/08/2017 CHECK 4461
A 4i i
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 31026 SEMI-ANNIL INSP-10/6/17 154.21
TOTAL 154.21
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13111
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53095 MAIN ROAWPO
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'SOUTHOLD,NY 11,971-0959-' , K
4461 9
-z IbNAL 8 AN
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THE SUFFOLK CO.NAT AMOUNT ,
CUTCHOGVE,NY'l
935,, 7
2
n/b8 ,o 17
50 6/214
ONE= HUNDRED 'FI'FTY- F"oftik AND' 21 0'Q Do'L"LARS
AY. STANDARD S PkiNkLAR. -CORP.'
TO T
HE
GBOX 10`2 3
(MER QR N CT,
OTO' 063401023
OF
llk00446lum i:021405464l: 68 00LS02 1110
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 19737 44ral
Vendor Address Enteredby
PO Box 430
Vendor Name New London, CT 06320-0430 Audit Date
Standard Sprinkler Corp NOV 0 8 2017
Vendor Telephone Number
a
860-464-7284 ? To Jerk
Vendor Contact
p
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
31026 10/6/2017 $154.21 $154.21 Semi annual Inspection SM5709.2.000.200
Fire sprinkler
10/6/2017
$154.211 1 $154.21
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 .—.7L.A Title Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title Date Z /
STANDARD SPRINKLER CORP
INVOICE
SOLD TO:FIRS ISLAND FERRY DI TRICT BILLING DATE 10-06-17
ACCOUNTS PAYABLE INVOICE NO :_ 1_026
261 TRUMBULL DRIVE PAYMENT TERMS:_ UE UPON PERFORMAN,F QF WORK
FISHER ISLAND NY 06390 PROJECT NO. IS-747
VENDOR ID NO.: 06-0840089
DUANTITY-1TTEM/PRUECT DE_SCRIPTI�9N (UNIT PRI_CE ;EXTENSION ITOTAL CHARGE
(Per Customer Purchase Order No., MR. BURNS I I
(LOCATION: 5 WATERFRONT PARK. NEW LONDON CT I ;
A-CTIVITY: PERFORM THE SEMI-ANNUAL FIRE SPRINKLER I I I
j SYSTEM INSPECTION
I I l
1 9.010=06-17 SERVICE COMPLETED (MW) 1 145.001 145.001
_1_Q 6-35% CSTAX ON 145 00 ; 9.211 9.21
I -
I I 1 l
I I I
,yL i
TOTAL AMOUNT DUE THIS INVOICE ................... ........ $ 154.21
Please pay from this invoice. No monthly statement will be sent.
Thank you for your business. We appreciate the opportunity to be of service.
We accept electronic and
credit card payments.
P.O. BOX 1023•GROTON,CT 06340-1023
Phone:860-464-7284•Fax:860-464-6554•Toll Free:888-322-3337
CT Lic.#FRP.0010609-Fl 9 RI Lic.#331
e o
FISHERS' AAND FERRY DISYRICT,
CHECK 4462
VENDOR O 0729 TRAVELERS 11/08/2017
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .1420.4.000.000, i -10005128050 LEFEVRE-A.D.CLAIM 1;685.00
Aw
TOTAL 6 85.0 0
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vn
10
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DISWOP -
SISI SIAANDITERR
53095 MAIN ROAD;'PO'BOXI 1 79 AUDIT
$0UTHOW,NYAl 971-0959 4
THE,SUFF&KCO.NATION' "U BANK -DATE z-_
7-11-1 CUTCHOGUE,NY 1.193.5 AMOUNT".
:_
5
$685`. ,O
8/jOIJ,
-5461214
0
!ED'-E FIVE-`A lj, o 0 q 1 I DdL
p4 y TRAVELERS,,' ,
4 EMITTANCE,
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""" 'THE, CENTER
03-
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TX 75266=,0'317'
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0 0 r. 2'i' 1:0 2 IL,0 S 4 G 4 1: 68 r1
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 207A29= _ y �
Vendor Tax ID Number or Social Security Number Vendor Address Entered by
13607 Collections Center Dr
Audit Date
iTravelers Chicago,IL 60693 NOV 0-8- 2017
Vendor Telephone Number
To, Clerk -
Vendor Contact
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
000528050 9/29/2017 $686.00 $685.00 Raymond Lefevre Age Discrim Claim SM1420.4.000.000
1 1 $686.001 $686.00 1
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
Signatumj�)'3� ge=77--Title Signature
Company Name Fishers Island Ferry District Date 10/24/2017 Title Date
Agftk
TRAVELERSJJ PAGE 1
DEDUCTIBLE / SELF- INSURED INVOICE
• �
15T70751-ZLP 9583Y4085 09/29/2017 000528050 10/15/2017 685.00
MAIL PAYMENT TO: PAYER:
TRAVELERS TOWN OF SOUTHOLD
13607 COLLECTIONS CENTER DRIVE P 0 BOX 1179
CHICAGO, IL 60693 SOUTHOLD NY 11971
RETURN THIS PORTION WITH YOUR CHECK MADE PAYABLE TO TRAVELERS.
PLEASE WRITE THE POLICY & ACCOUNT NUMBER ON YOUR CHECK.
TRAVELERS J� PAGE 1
: ."I'l Nil Lim �mlluwlm
-
IBT70751-ZLP 9583Y4085 09/29/2017 000528050 10/15/2017 685.00
CURRENT CHARGES
CLAIM#: E9V1703 DATE OF LOSS: 10/15/2015
DESCRIPTION: CLAIMANT, RAYMOND LEFEVRE ALLEGES AGE DISCRIMINATION
IN FIRING FROM FI
CLAIMANT: RAYMOND LEFEVRE
EXPENSE 685.00
CLAIM TOTAL 685.00
TOTAL CLAIMS) DUE $685.00
ACCOUNT SUMMARY
CURRENT CHARGES 685.00 INSURED NAME: TOWN OF SOUTHOLD
PAST DUE CHARGES 0.00 AGENT NAME: ROY H REEVE AGENCY INC
UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (631) 298-4700
TOTAL DUE 685.00
DISPUTED ITEMS 0.00
ACCOUNT BALANCE 685.00
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE.
FOR BILLING QUESTIONS, PLEASE CONTACT YOUR ACCOUNTING SPECIALIST
GEORGIE RUSSO AT 1-860-277-9781 OR EMAIL GRUSSO@TRAVELERS.COM
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TRAVELERS
NON-FUNDED DEPARTMENT
ONE TOWER SQUARE -9CR
HARTFORD, CT 06183
01006 37792
TOWN OF SOUTHOLD
P 0 BOX 1179
SOUTHOLD NY 11971
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FISHERS ISLAND FERRYDISTRICT
VENDOR 021304 ULINE 11/08/2017 CHECK 4463 " }
A
FUND & ACCOUNT P.O:# INVOICE DESCRIPTION AMOUNT ;t
SM .5709.2.000.200 91120015 WRAP,MAT,HANDWRAPPER 420.41
p,
TOTAL I 420.41
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f o o a oN N. m o ® m t'• t ;
FISHERS,ISI:AND•FERRYDIS'TRICT' AUDIT "1"i/os%i7,
53095 MAIN ROAD,PO BOX t779
- 4 SOUTHOLD,Nv,t1977_os55 CHECK NO. 4463,;,, r
s •^ .TiUFFOLK CO.NATIONAL
CUTCHOGUE,NY 77935 DATE, AMOUNT
50-546/2,74 _ 11/08^j20171' - $420'.41',.
-FOUR"HUMORED. ;TWENTY AND, 41/16 0 -DOLLARS'
PAY ULINE.
r'P,THE. _ `ATTN:, ACCOUNTS-RECEIVABLE
ORbER' PO ,130X- 88'741,
tR OF ; CHICAGO IL 60680 ,1741 -
:,r° ii'0044630 1:0 2 14054641: 613 00 L50,2 Lii° `I
Vendor No. Check No.
Town of Southold, New York - Payment Voucher 21304 14,463
Vendor Address Entered by
9-11
Attn: Accounts Receivable
PO Box 88741 Audit Date
ULINE Chicago, IL 60680-1741 NOV Q 8 2013
Vendor Telephone Number
800-295-5510 Town Clerk
1,7
Vendor Contact Alla
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
91120015 10/6/2017 $420.41 $420.41 Wrap for freight(8) Drainage Mat(1) SM5709.2.000:200
Hvy My handwrapper(1)
$420.411 1 $420.41
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
Signature �o _ v Title Signature
Company Name Fishers Island Ferry District Date 10/23/2017 Title L/ Date /� �j�—
INVOICE NO.
1-900-295-5510 **
Elan uline.com 91120015
PO Box 88741 •Chicago IL 60680-1741 INVOICE
SHIPPING SUPPLY SPECIALISTS ULINE FED ID#.36-3684738
THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2005
YOUR ORDER# 96661257
SOLD TO: SHIP TO.
MDG2014 00000288 1 AB Q40 3 2461167
FISHERS ISLAND FERRY DISTRICT FISHERS ISLAND FERRY DISTRICT
PO BOX 607 5 WATERFRONT PARK
FISHERS ISLAND NY 06390-0607 NEW LONDON CT 06320
U 100-9-2013
• • PURCHASE ORDER NO. I ORDER DAI• • I•
2461167 -NICK UPS,GROUND 10/06/17 _ 10/06/17 -NET 30 DAYS. 10/06/17 --
ORDERED I=U/M BACK•-. . . • I I
1 EA H-5133 3X5' 5/8" SUPERFOAM DRAINAGE MAT 179.00 179.00
8 RL S-642 18X1500 80GA ULINE BLOWN WRAP 17.00 136.00
1 KT H-589 HVY DTY HANDWRAPPER SPEC H-295 49.00 49.00
1 PR S-21810-L; HOT HANDS FLEECE GLOVES- L/XL .00 .00
THIS ITEM AT NO CHARGE
ORDER PLACED BY: NICK ESPINOSA SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE
DSINCLAIR/P 364.00 . .00 56.41 420.41
77
FISHERS ISLAND FERRY DISMICT
VENDOR 021506 UNITED PARCEL SERVICE 11/08/2017 CHECK 4464
FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5710.4.000.700 26639417 WE 10/13/17 197.35
SM .5710,-4„.000.700 26639417 SHORT PAY-PER UPS 39.06-
SM .5710.4.000.700 26639427 WE 10/20/17 75.18
h
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0,
TOTAL 233.47
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FISHERSISUMITERR _AU)DIT`-11'/.08 1
53095 MAIN ROAD,-P0,BOX,1179-
SQUTHOLD,NY 11 971-0959` CHECK,- tp , A 4 64--
`THE SUFFOLK CO NATIONAL BANK
ATE'%,
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5Q-546/214`' 17 $234 7
THIRTY` THREE -DOi;LAR§
cTWO .HUNDRED A -
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;
UNITED-PARCEL SERVICE
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To THE --PO BOX 7247-0244
E 7 0
LP'H A'PA -1 -6-, 0, oi
ORDER ':'PHILAD gi
11-0, 044 Gitlin 1:0 ,2 140546.4': &B 00LS02 Lilm
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Vendor No. Check No.
Town of Southold, New York - Payment Voucher 21,506 1ALA
ro L4
Vendor Address Entered by
P.O. Box 7247-0244
Vendor Name UPS Philadelphia, PA 19170-0001 Audit Date
United Parcel Service NOV0 8 2017
Vendor Telephone Number
800-811-1648 Town Clerk
Vendor Contact
Invoice Invoice Invoice Net Purchase Order
Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number
26639417 10/14/2017 $158.29 $197.35 WE 10/13/17 SM5710.4.000.700
$ (39.06) Short pay per UPS SM5710.4.000.700
t
26639427 10/21/2017 $75.18 $75.18 WE 10/20/17 SM5710.4.000.700
1
$233.47 1 $233.47
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing 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 dle Signature
Company Name Fishers Island Ferry District Date 10/27/2017 Title — Date
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Delivery Service Invoice
Invoice Date October 21,2017
M 1 Shipped from: Invoice Number 0000026639427
FISHERS ISLAND FERRY Shipper Number 026639
ACCOUNTS PAYABLE Control ID 21 R6
1 STATE ST Page 1 of 4
NEW LONDON,CT 06320 9
® Sign up for electronic billing today!
0736AD0000266394 77366030021306 Visit ups.com/billing
AB 01 030156 83191 H 81 A For questions about your invoice,call:
°1111°I10°�IIIflflII�IIIII�IIII°°°llll�°01°I°'BI°II°fllle°llll�°II (800)811-1648
®_ Monday-Friday
FISHERS ISLAND FERRY 8:00 am.-9:00 p.m.E.T.
ACCOUNTS PAYABLE or write:
® PC BOX 607 UPS
FISHERS ISLAND,NY 06390-0607 P_O.Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary Thank you for using UPS.
Weekly Payment Plan Summary of Charges �
Amount Due This Period $36.12 Page Charge �.12
Amount Outstanding(prior invoices) $844.08 Outbound
Total Amount Outstanding $880.20b�•�6
3 UPS WorldShip $3429
Please include the Return Portion of each outstanding invoice with 3 Adjustments&Other Charges $15.09 1
your payment.See Account Status for details. 4 Void Credits $-39.06
Holiday help Service Charges $25.80
The busiest shopping and shipping seasons are close at hand. Amount due this period $36.12
Will you be ready?Get key shipping dates,packaging tips and
answers to fr uently asked holiday shipping questions at UPS payment terms require payment of this invoice by November
ups.comlholidays. 12,2017.
Payments received late are subject to a late payment fee of 6%of
the Amount Due This Period.(see Tariff/Terms and Conditions of
Service at ups.com for details)
Note.This invoice may contain a fuel surcharge as described at
ups cum.For more information,please visit ups com. �.
Delivery Service Invoice
Invoice Date October 21,2017
UIVY'" Invoice Number 0000026639427
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
0000026639377 09/16/2017 $28.80
0000026639387 09/23/2017 $437.26
0000026639397 09/30/2017 $126.89
0000026639407 10/07/2017 $53.78
0000026639417 10/14/2017 $197.35
Total $844.08
Outstanding balances reflect any payments received as of
10/20/2017.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice Date October 21, 2017
1 Invoice Number 0000026639427
Shipper Number 026639
n
Page 3 of 4
Outbound
UPS WorldShip
Pickup Pickup ZIP Billed
Date Record Entry Tracking Number Service Code Zone Weight Charge
10/16 6853513590 1 1ZO266390347992193 Ground Commercial 38654 6 18 18.04
Customer Weight 13
Declared Value$200.00 2-70
Fuel Surcharge 1.08
Customer Entered Dimensions= 16 x 14 x 11 in
Total 21-82
Sender :ACCOUNTS PAYABLE Receiver:
Williams and sonoma
8005 polk lane
OLIVE BRANCH MS 38654
Message Codes:r
Total for Pickup Number: 6853513590 1 Package(s) 21-82
10/20 6853513601 1 1ZO266390346835408 Ground Commercial 63045 5 7 11.76
Customer Weight 3
Fuel Surcharge 0.71
Customer Entered Dimensions= 16 x 11 x 6 in
CSS , Total Total 12-47
1st ref:FINY-MARK MICHAUD 2nd ref:FINY-MARK MICHAUD
Sender :ACCOUNTS PAYABLE Receiver:
NEW BALANCE
13600 SHORELINE DRIVE
EARTH CITY MO 63045
Message Codes•r —
Total for Pickup Number: 6853513601 1 Package(s) 12.47
Total UPS WorldShip 2 Package(s) 34.29
Total Outbound 2 Package(s) 34-29
Adjustments &Other Charges
Miscellaneous
Billed =
Explanation Cha
WEEKLY PRINTER SERVICE FEE 3-00
FOR 1 PRINTERS AT$3.00 EACH
FOR 20-OCT-2017
Total Miscellaneous 3.00
Shipping Charge Corrections team Crow to avoid future shipping charge corrections:Visitwww.ups.com/avoidd-rarges.
Pickup Original Service/ ZIP Billed Adjustment
Date Tracking Number Corrected Service Code Zone Weight Charge Amount
10/10 1Z0266390348133145 Ground 33898 6
Additional Handling-Not encased in cardboard 10.85 10.85
Sender :ACCOUNTS PAYABLE Receiver:
FISHERS ISLAND FERRY Thomas Cashel
NEW LONDON CT 06320 LAKE WALES FL 33898
10/16 1Z0266390347992193 Ground 38654 6 18 18.04
Ground 38654 6 20.0 19.21
Audited Dimensions= 16 x 14 x 12 in
Customer Entered Dimensions= 16 x 14 x 11 in
Fuel Surcharge ? 0.07 1.24
Sender :ACCOUNTS PAYABLE Receiver: 19
FISHERS ISLAND FERRY Williams and sonoma
NEW LONDON CT 06320 OLIVE BRANCH MS 38654
Total Shipping Charge Corrections 2 Package(s) 12.09
Total Adjustments&Other Charges 15.09
030156 2/2
®elivef y Service In voice
Invoice Date October 21, 2017
97M
Invoice Number 0000026639427
Shipper Number 026639
Page 4 of 4
Void Credits
UPS Worldship Voids
Pickup Void Number of Refund
Date Date Tracking Number Service Packages Amount
10/11 10/17 IZO266390347389176 Ground Residential -1 -13.02
1Z0266390347981365 Ground Residential -1 -13.02
1Z0266390348004785 Ground Residential -1 -13.02
Total UPS Worldship Voids -3 -39.06
Total Void Credits -3 -39.06
Invoice Messaging
Code Message
r Dimensional weight applied
d
,t
s
Delivery Service In voice
Invoice Date October 14, 2017
Shipped from: Invoice Number 0000026639417
FISHERS ISLAND FERRY Shipper Number 026639
ACCOUNTS PAYABLE Control ID 6K93
Ulu 1 STATE ST Page 1 of 4
NEW LONDON,CT 06320 9
®_ Sign up for electronic billing today!
®_ 0736A00000266394 77366020020890 Visit ups.com/billing
_ AB 01 027621 77232 H 76 C For questions about your invoice,call:
I I 0 B Im®11 I Ile Jelalo .I o.l e I I® 1.1 (800)811-1648
111111111 I I I 111 I I I 11 11111 I I1 1 111 Monday-Friday
® FISHERS ISLAND FERRY 8:00 am.-s:oo p.m.E.T.
ACCOUNTS PAYABLE or write:
P® 13CX 607 UPS
FISHERS ISLAND, NY 06390-0607 P.O.Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary Thank you for using UPS.
Weekly Payment Plan Summary of Charges
Amount Due This Period $197.35 Page Charge
Amount Outstanding(prior invoices) $646.73 Outbound
Total Amount Outstanding $844.08 3 UPS WorldShip $170.60
Please include the Return Portionof each outstanding invoice with 4 Adjustments&Other Charges $13.85
your payment.See Account Status for details. Service Charges $12.90V
Holiday help Amount due this period $197.35 Me
The busiest shopping and shipping seasons are close at hand. — 3q_os
Will you be ready?Get key shipping dates,packaging tips and UPS payment terms require payment of this invoice by November
answers to frequently asked holiday shipping questions at 5,2017.
ups.com/holidays. =
Payments received late are subject to a late payment fee of 60A of =`
the Amount Due This Period.(see Tariff/Terms and Conditions of
Service at ups.com for details)
Note.This in voice may contain a fuel surcharge as described at
[[!! ups com.For more information,please visit ups.com. .®.
r
Delivery Service Invoice
Invoice Date October 14, 2017
' Invoice Number 0000026639417
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
0000026639377 09/16/2017 $28.80
0000026639387 09/23/2017 $437.26
0000026639397 09/30/2017 $126.89
0000026639407 10/07/2017 $53.78
Total $646.73
Outstanding balances reflect any payments received as of
1011312017.Please ignore this message if a recent payment has
been made for any outstanding invoices.
4
Delivery Service In voice
Invoice Date October 14, 2017
O
PT.
Invoice Number 0000026639417
Shipper Number 026639
Page 3 of 4
Outbound
UPS WorldShip
Pickup Pickup ZIP Billed
Date Record Entry Tracking Number Service Code Zone Weight Charge
10/10 6863513575 1 IZO266390348133145 Ground Residential 33898 6 54 40.92
Customer Weight 51
Residential Surcharge 3.40
Delivery Area Surcharge-Extended 4.20
r c�•`� I I� Declared Value$2,000.00 18.00
lDFuel Surcharge 2.91
s� Customer Entered Dimensions= 31 x 20 x 12 in
(%w Total 69.43
Sender :ACCOUNTS PAYABLE Receiver:
Thomas Cashel
2300 North Scenic Hwy
LAKE WALES FL 33898
Message Codes:r
2 1ZO266390346564737 Ground Residential 33898 6 42 36.16
Residential Surcharge 3.40
Delivery Area Surcharge-Extended 4.20
4 t ilk Declared Value$200.00 2.70
1� Fuel Surcharge 2.63
Sy` Total 49.09
Gw Sender :ACCOUNTS PAYABLE Receiver: /
Thomas Cashel .V1
2300 North Scenic Hwy
LAKE WALES FL 33898
Total for Pickup Number: 6853513576 2 Package(s) 118.52
10/11 6853513586 1 1ZO266390348004785 Ground Residential 33462 6 1 8.88
Residential Surcharge 3.40
Fuel Surcharge
Total 13.02
Sender :ACCOUNTS PAYABLE Receiver:
UPS
823 MARBELLA LANE W
LAKE WORTH FL 33462
2 IZO266390347389176 Ground Residential 33462 6 1 8.88
Residential Surcharge / 3.40
Fuel Surcharge 4
Total 13.02
Sender :ACCOUNTS PAYABLE Receiver
W.. UPS
823 MARBELLA LANE W
LAKE WORTH FL 33462 C
3 1ZO266390347981365 Ground Residential 33462 6 1 8.88
Residential Surcharge J 3.40
Fuel Surcharge t .7
Total 13.02
Sender :ACCOUNTS PAYABLE Receiver:
UPS
823 MARBELLA LANE W
LAKE WORTH FL 33462
C
027621 2/2
Delivery Service In voice
Invoice Date October 14, 2017
' Invoice Number 0000026639417
Shipper Number 026639
TM
Page 4 of 4
Outbound
UPS WorldShip(continued)
Pickup Pickup ZIP Billed
Date Record Entry Tracking Number Service Code Zone Weight Charge
10/11 6853513586 4 1Z0266390346337358 Ground Residential 33462 6 1 8.88
Residential Surchargefr 3.4�
Fuel Surcharge q lel.(/ �✓ 0.
Total 3.02
Sender :ACCOUNTS PAYABLE Receiver:
UPS JSP 0
823 MARBELLA LANE W
LAKE WORTH FL 33462
Total for Pickup Number: 6853513586 4 Package(s) 52.08
Total UPS WorldShip 6 Package(s) 17060
Total Outbound 6 Package(s) 170.60
Adjustments & Other Charges
Miscellaneous
Billed
Explanation Charge
WEEKLY PRINTER SERVICE FEE 3.00
FOR 1 PRINTERS AT$3.00 EACH
FOR 13-OCT-2017
Total Miscellaneous 3.00
Shipping Charge Corrections Leam how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges.
Pickup Original Service/ ZIP Billed Adjustment
Date Tracking Number Corrected Service Code Zone Weight Charge Amount
10/10 1Z0266390348133145 Ground 33898 6 54 40.92
Ground 33898 6 79.0 51.16 '
Audited Dimensions= 35 x 24 x 13 in
Customer Entered Dimensions= 31 x 20 x 12 in
Fuel Surcharge 0.61 10.85
Sender :ACCOUNTS PAYABLE Receiver:
FISHERS ISLAND FERRY Thomas Cashel `�` •�o o ref
NEW LONDON CT 06320 LAKE WALES FL 33898 `
Total Shipping Charge Corrections 1 Package(s) 10.85
Total Adjustments&Other Charges 13.85
Invoice Messaging
Code Message
r Dimensional Weight applied
�r
6 l
FISHERS ISLAND FERRYDISTRICT ;
»i `,VENDOR 025038 Z & S FUEL & SERVICE, INC. 11/08/2017 CHECK 4465 '
A '
.+ FUND & ACCOUNT P.O.# INVOICE DESCRIPTION AMOUNT
SM .5709.2.000.200 22285 10.739 GAL—GAS-9/18 35.00
SM .5709.2.000.200 22285 10 GAL—DIESEL-9/18 37.59
;.; SM .5709.2.000.'200 22307 26.599,GAL—GAS-9/25 92.01 ` sy
SM .5709.2.000.200 22307 10.60 DIESEL—GAS-9/25 '\ 37.03 s
15 / _r
TOTAL 201.63
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FISHERS:ISLAND'FERRYDISTRICT:r:':'"
- 53095 MAW AOAO PO-BOX11179s = AUDIT`.11•/08/_17-
SQUTHOMAY,1197J-0959 CHEGK',NO: 44 '5•' '-
;THE SUFFOLK C6, O.NATIONAL BANK ''
n•R:• { .CUTCHOGUNY 11935` DATE AMO,UNT`:_',_
017' $'2`O 1:'63''
50-54612,14'-
'TWO..'HUNDRED :ON,E. AN'D' 63%100`r.DOLLARS
Z &`S' .'FUEL & !SERVICE INC.
To-'
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' ORDER' _' -- _ ': _ - -d•_ _ - - ,._ __ - __ - - - - '
r7F;, ;FISHER'S ISLAND
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Vendor No. - -Check No. "
Town of Southold, New York - Payment Voucher 25038
Vendor Address Entered by
P.O.Drawer B
Vendor Name Audit Date
Z S S Fuel&Service,Inc. Fishers Island, NY 06390 - ,'NOV 8 2017
Vendor Telephone Number V tt tl
631-788-7343 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
22285 9/18/17 $72.59 $35.00 FIT 2-5 gal forklift 10.739 gal $3.259 SM5709.2.000.200
$37.59 FIT 2-5 gal tractor`--diesel $3.559 SM5709.2.000.200
22307 9/25/17 $129.04 $92.01 FIT 2-5 gal $3.459 forklift,1166 599ga1 $3.459 F-350 SM5709.2.000.200
$37.03 FIT 10.600 gal tractor-diesel $3.559 SM5709.2.000.200
i
$201.63 $201.63
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved
Signature Trtle Signature
Company Name Fishers Island Ferry District Date 10/24/2017 Title - Date Q //
• r
Z & S FUEL & SERVICE, mic. Z 8s 3 FUEL & SER'ME, INC.
DRAWER B3 DRAWER D
FISHERS ISLAND, NY 06390 I FISHERS ISLAND, NY 06390
(631) 788-7343 (631) 788-7343
y
r REGISTRATION NO DATE 2�", ) '
REGISTRATION NO DATE
NAME I• -F-
f�, �i U
i NAME
STREET ' .
STREET
CASH Q.O.D. I CHARGE I ON ACCT. MDSE RET'D PAID OUT ACCT FORWARD
� CASH I COD CHARGE ON ACCT MDSE RET'D PAID OUT ACCT FORWARD
Liters/Gals. Gasoline 3-`/S qZ Dt d ?tea
0 73' Liters/Gals. Gasoline
Liters/Qts. Oil
Liters/Qts. Oil
Lubrication
Lubrication
Oil Filter Oil Filter
SG AL ClAty S (:AS
Kc L I F
IV A
TAX TAX I
CUT 'S SIG ATURE 129
-_
TOTAL 'f /� CUST ^ ,R'S SIGN URE
TOTAL
C PRODUCT 608 All cla�ri(s and returned goods MUST be accompanied by this bill ;T hoe r�
��� � All claims a returned goods MUST be accompanied by this bill
2 J t 'rhiwk�0i1 r 12285 `Aank`YOu
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