Case File
efta-efta01069775DOJ Data Set 9OtherMay 17, 2013
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01069775
Pages
45
Persons
0
Integrity
No Hash Available
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
May 17, 2013
Mr. and Mrs. Leon D. Black
760 Park Avenue
New York NY 10021
Re: Communications Received
Dear Mr. and Mrs. Black,
The following Diary details all communications TPS has received and processed
for you from May 15, 2013 to May 17, 2013.
You received 41 communications. Of these:
19 items require payment totaling $169,855.85, of these 7 items are "On-Hold".
5 items are being forwarded for your perusal
6 items were filed in our library for future reference
5 items were handled otherwise
6 items were discarded per your standing instructions
For your further information, 32 items were imaged as part of your permanent record.
TPS issued 14 checks and processed 2 electronic debits on your behalf totaling $262,149.56
leaving a running balance of $282,491.86.
There are 9 old items and 7 new items pending your approval or direction,
which are listed following your diary in the report called "Items on Hold." Kindly indicate
your instructions thereon and return to TPS at your earliest convenience.
If there is anything else that TPS can help you with, please don't hesitate to contact us.
Sincerely,
Your TPS Administrator
EFTA01069775
Communications Diary For Leon D. Black
Total Personal Services Administrative Group LLC.
"Taking Care of Your Personal Business...Privatelv"
Administrator's Memo
INol/Date
From/To
Enclosures
1[12]
TPS Administrator / Leon D Black
5/15
Please note that your account has been credited for the $250,000.00 deposit effective 05/14/13.
Reason: Per bank.
2[13]
TPS Administrator / Leon D Black
5/15
Please note that your account has been credited for the $5.09 deposit effective 04/25/13.
Reason: Interest.
3[5]
TPS Administrator / Leon D Black
5/17
Please note that your account has been credited for the $250,000.00 deposit effective 05/16/13.
Reason: Per client.
4[1]
Your TPS Administrator / Leon D. Black
Other
5/17
Please note: TPS will be closed Monday. May 27th. Memorial Day.
5[4]
Your TPS Administrator / Leon D. Black
5/17
Reminder: TPS has moved! The new address is 229 Seventh Street Suite LLOI Garden City, NY
11530. The PO Box number will remain the same.
May 15 - May 17, 2013
Page 1 of 8
Disposition
Other
Other
Other
Other
Reports Issued by TPS
INol/Date
Name of Report
6[18]
5/15
Check Reconciliation 03/27-04/25/13
7[19]
5/1
Checking A/C Summary 03/27-04/25/13
Checks Issued / Electronic Debits
Date
Ck#
Payee / Account of Black
Diary
Amount
05/15
8499 Receiver of Taxes
12/20
$38,558.05
05/15
8500 Herrick Hardware Inc
05/01
$111.55
05/16
8501 Receiver of Taxes
12/20
$27,487.72
05/16
8502 Receiver of Taxes
12/20
$25,305.23
05/16
8503 Receiver of Taxes
12/20
$10,567.29
05/16
8504 Receiver of Taxes
12/20
$8,077.30
05/16
Debit Jacques Grange
05/16
$145,073.38
05/17
8505 West Star Limousine Service
05/10
$2,088.00
05/17
8506 Best European Employment Services
05/16
$960.00
05/17
8507 Dr. Elise Weiss MD, PC
05/16
$250.00
05/17
8508 Verizon
05/16
$133.64
05/17
8509 Verizon
05/16
$364.54
05/17
8510 AT&T Mobility
05/16
$50.98
05/17
8511 AT&T
05/16
$16.04
05/17
8512 Hampton Tank Gas Service Inc.
05/16
$594.57
05/17
Debit Jean Perzel
05/17
$2.511.27
Disposition
14> Leon
1* Leon
Memo
Property Taxes: Second Half 730
Hardware Supplies
Property Taxes: Second Half 766
Property Taxes: Second Half 750
Property Taxes: Second Half 727
Property Taxes: Second Half 750
Wire transfer: Silver Lining 1nv2892
Service: 04/28/13 - 05/01/13 #11082
Invoice #1042
04/30/13
05/04/13 to 06/03/13
05/04/13 to 06/03/13
04/04/13 to 05/03/13
04/05/13 to 05/04/13
rvtce: I 0/13 Guest House
Wire transfer: 1956.78 euros
EFTA01069776
Communications Diary For Leon D. Black
Total Personal Services Administrative Group LLC.
"Taking
•
v
May 15 - May 17, 2013
Page 2 of 8
Bills Received/Cash Disbursements
['Vol/Date
From/To
Enclosures
Billed
Minimum
Due
Disposition
8[9]
1st
AT&T
$16.04
$.00
05/29 rk
Pay $16.04 - 05/17/13
5/16
LEON BLACK
$21 12 YTD
$1604 was last paid 04/19/13
Residences- 760 Park Ave/Utilitie
Invoice dated May 04. 2013
: 04/05/13 to 05/04/13
Pay & email
i
9[10]
Cl I st AT&T
$91.90
$.00
05/30
Pay $91.90 - 05/20/13
5/16
Leon D. Black
$63.75 YTD
$61 75 was last paid 02/20/13
Residences- Bedford Hills/Utilitie
Pay & email
Invoice dated May 05. 2013
; 02/06/13 to 05/05/13
10[8]
ILI 1st AT&T MOBILITY
$50.98
$.00
05/26
Pay $50.98 - 05/17/13
5/16
LEON D. BLACK
fl itittI:1 YTD
,s was last paid 04/16/13
Personal Expenses/Cellular Phone
Invoice dated May 03. 2013
: 04/04/13 to 05/03/13
Pay & email
i
11[14]
5/16
Ellst BANK OF AMERICA
$2 564.07
Alexander S. Black
l_5117....1.4.2.1.2J YID
$.00
AUTOHOLD+
I
99 was
sa
I
last paid 04/26/13
0}?/4
Credit Cards/Lines/Monthly Statement
Pay & email
Invoice dated May 08, 2013
Charges: 04/10/13 - 05/08/13 #2610
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
12[4]
BEST EUROPEAN EMPLOYMENT SERVICES
$960.00
$.00
05/16 II'
Pay $960.00 - 05/17/13
5/16
aVT.110:61
Debra R. Black
YTD
N/A 00
Professional Services- Debra
Invoice dated May 06. 2013
Invoice #1042
13[12] 01st BURKE HEAT
$706.40
$.00
05/16
Pay $706.40 - 05/17/13
5/16
Leon D Black
SIIIIKSTEK1 YTD
was last paid 04/29/13
Residences- Bedford Hills 200/Utilities/Heating Oil
PAYEE: LMA/Quality/Burke
Pay & email
Invoice dated May 08. 2013
Delivery: 05/08/13 171.5 Gal 42 3.99
14[13] Cllst BURKE HEAT
$8,650.66
$.00
05/16
Pay $8,645.41 - 05/17/13
5/16
Leon D. Black
I
$20 67/45 I YTD
$5,017 97 I was last paid 04/01/13
Residences- Bedford Hills/Utilities/Heating Oil
PAYEE: LMA/Quality/Burke
Pay & email
Invoice dated Mav 09. 2013
Delivery: 05/09/13 2100 Gal (id $3.99
15[11] I Tel 1st
CHARLES TERHOUT INC.
$1 959.75
$.00
05/25 Warr' AUTOHOLD+
5/16
Mrs Leon Black
YTD
I
$2,1,61 99 was last paid 05/09/13
Personal Expenses/Flowers
Pay & email
Invoice dated Apr 25, 2013
Invoice No. 5472C
Please authorize payment of this bill and adjust the high limit, if applicable. Thank you.
i
16[5]
DR ELISE WEISS MD
$250.00
$.00
05/16
Pay $250.00 - 05/17/13
5/16
Debra R. Black
YTD
N/A 00
Medical- Debra/Doctor
Invoice dated Apr 30. 2013
Statement date: 04/30/13
PAYEE: Dr. Elise Weiss MD, PC
EFTA01069777
Communications Diary For Leon D. Black
May 15 - May 17, 2013
Page 3 of 8
Total Personal Services Administrative Group LLC.
"Takinz
Bills Received/Cash Disbursements
INol/Date
From/To
Enclosures
Billed
Minimum
Due
Disposition
17[15] 1:11st FRANK & LINDY PLUMBING & HEATING
$2 330.04
$.00
05/166p:- . AUTOHOLD+
5/16
LEON & DEBRA BLACK
C
ISE:115=0 YTD
I
$402
was last paid 05/03/13
Residences- Bedford Hills/Maintenance/Contractor - Plumbing: Frank&Lindy Plumbing&Heating Service
Pay & email
Invoice dated May 10, 2013
Invoice No. 80219
Please authorize payment of this bill and set a high limit. if applicable. Thank you.
181161 jilSt FRANK & LINDY PLUMBING & HEATING
$1 342.19
$.00
05/16 rzet-' AUTOHOLD+
5/16
LEON & DEBRA BLACK
ef:IttDSIIEI YTD
I
$402 66 was last paid 05/03/13
Residences- Bedford Hills/Maintenance/Contractor - Plumbing: Frank&Lindy Plumbing&Heating Service
Pay & email
Invoice dated May 10, 2013
Invoice No. 80217
Please authorize payment of this bill and set a hieh limit, if applicable. Thank you.
191171
'.1st FRANK & LINDY PLUMBING & HEATING
$1 293.87
$.00
05/16
AUTOHOLD+
5/16
LEON & DEBRA BLACK
YTD
I
5402
last paid 05/03/13
201191
'1St
5/16
was last paid 03/21/13
Residences- Southampton Guest/Utilities/Gas
Pay & email
Invoice dated May 09. 2013
Service: 05/09/13 Guest House
211321
JACQUES GRANGE
$145 073.38
Leon & Debra Black
Mir
YTD
efalkftll El
Residences- Bedford Hills/Maintenance/Contractor - Plumbing: Frank&Lindy Plumbing&Heating Service
Pay & email
Invoice dated May 10, 2013
Invoice No. 80218
Please authorize payment of this bill and set a high limit, if annlicable. Thank you.
HAMPTON TANK GAS SERVICE INC.
$594.57
$.00
Leon & Debra Black
$3 246.93 YTD
05/16
Pay $594.57 - 05/17/13
SRA5 05
1
5/16
Residences- 760 Park Ave/Interior Decorating
Invoice dated May 16, 2013
Wire transfer: Silver Lining Inv2892
22[3]
JEAN PERZEL
$2.511.27
5/17
Leon D. Black
$2 511.27 YTD
Residences- 760 Park Ave/Interior Decorating
Invoice dated May 17. 2013
Wire transfer: 1956.78 euros
23[8]
LACORTE FARM & LAWN EQUIPMENT
$44.49
$.00
05/17 Lir- 'AUTOHOLD+
Inta
5/15
Leon D. Black
ftlail YTD
I
Si ,75R R4 I-Was last paid 04/17/13
Residences- Bedford Hills/Maintenance
PAYEE: Lacorte Farm & Lawn Equipment, Inc.
Pay & email
Invoice dated Apr 17, 2013
Invoice #P04282
Please authorize payment of this bill and adjust the high limit, if applicable. Thank you.
24[18] Elst QUOGUE-SINCLAIR FUEL INC.
$923.31
$.00
06/02 rC-1 AUTOHOLD+
$424 63 was last paid 01/09/13
5/16
LEON BLACK
SSPZW31 YTD
Residences- Southampton/Utilities/Heating Oil
Pay & email
Invoice dated May 02, 2013
Service Invoice #24406
Please authorize payment of this bill and set a high limit. if applicable. Thank you.
$.00
05/16 t,
Pay $145,073.38-05/16/13
was last paid 05/16/13
$.00
I
$2 511 271
05/17 rk
Pay $2,511.27 - 05/17/13
was last paid 05/17/13
EFTA01069778
Communications Diary For Leon D. Black
Total Personal Services Administrative Group LLC.
"Taking
•
v"
May 15 - May 17, 2013
Page 4 of 8
Bills Received/Cash Disbursements
fNol/Date
From/To
Enclosures
25161
n1st VERIZON
5/16
LEON BLACK
Residences- Southampton/Utilitie
Invoice dated May 04. 2013
sail.05/04/13
to 06/03/13
26171
.211st
VERIZON
$364.54
5/16
LEON BLACK
YTD
Residences- Southampton/Utilitie
Invoice dated May 04. 2013
: 05/04/13 to 06/03/13
YTD - Denotes amount paid year to date.
tit - Indicates check will be issued before Payment Calendar
Billed
Minimum
$133.64
D
$.00
YT
S669 (15
798.35
$.00
Due
05/29 tir
Pay $133.64 - 05/17/13
$116 51 was last paid 04/19/13
Pay & email
Disposition
05/29 ¶5i
Pay $364.54 - 05/17/13
1164 52 was last paid 04/19/13
Pay & email
i
General
Not/Date
From/To
Enclosures
Disposition
27[26] L 1st
AMY PECTOL / Leon & Debra Black
Library,
5/16
Residences- Bedford Hills/Property Taxes
Receipt for 2013 Town Tax Bill.
1
28[27] 01st AMY PECTOL / Leon & Debra Black
Library
5/16
Residences- Bedford 520 Guard Hi/Property Taxes
Receipt for 2013 Town Tax Bill.
29[28] El 1st
AMY PECTOL / Leon & Debra Black
Library
5/16
Residences- Bedford Hills 200/Property Taxes
Receipt for 2013 Town Tax Bill.
I
30[1]
COVER SHEET / Debra R. Black
Library
5/16
Invoices for processing.
31[2]
COVER SHEET / Debra R. Black
Library
5/16
Invoices for processing.
32[25] Li 1st
HOCON / LEON D BLACK
x
5/16
Residences- Bedford Hills/Utilities/
Statement dated 04/30/13 for AccouPra.
Please note no payment is due at this time as you
have a credit balance of $2250.10.
33[20] E 1st
HOCON / Leon D Black
5/16
Residences- Bedford Hills/Utilities/P
Statement dated 04/30/13 for Account.
Please note no payment is due at this time as you
have a credit balance of $329.79.
34[21] El 1 st
HOCON / Leon D Black
5/16
Residences- Bedford Hills/Utilities/P
Statement dated 04/30/13 for Account...
Please note no payment is due at this time as you
have a credit balance of $570.93.
EFTA01069779
Communications Diary For Leon D. Black
May 15 - May 17, 2013
Page 5 of 8
Total Personal Services Administrative Group LLC.
„
•
General
[NW/Date
From/To
Enclosures
Disposition
35[22]
5116 fl 1st
HOCON / Leon D Black
Residences- Bedford Hills/Utilities/P
Statement dated 04/30/13 for Accounli..
Please note no payment is due at this time as you
have a credit balance of $2855.09.
36[24] Mist HOCON / Leon D Black
x
5/16
Residences- Bedford Hills/Utilities/Prois
Statement dated 04/30/13 for Account
. Please note no payment is due at this time as you
have a credit balance of $1287.43.
1
37[23] al 1st HOCON / Leon D. Black
X
5/16
Residences- Bedford Hills/Utilities/Pros.
Statement dated 04/30/13 for Account
. Please note no payment is due at this time as you
have a credit balance of $3322.08.
1
38[29] E 1st NATIONAL GALLERY OF ART / Leon & Debra Black
cI> Leon
5/16
Leisure Time
Auditorium Lecture Programs.
39[30] CI 1st NATIONAL GALLERY OF ART / Leon & Debra Black
cp, Leon
5/16
Leisure Time
Exhibitions: May/June 2013.
l
40[31] Cl 1st NATIONAL GALLERY OF ART / Leon & Debra Black
c> Leon
5/16
Leisure Time
Bulletin: Spring 2013.
41[3]
TOWN OF SOUTHAMPTON / Leon D Black
Library
5/16
Residences- Southampton/Property Taxes
Duplicate tax payment reminders
®Envelope had no/incomplete return address.
• - Change of Address letter issued. i - Item Imaged.
- Mail Class
IDC - Certified Mail
EP - Priority Mail
OR - Registered Mail
+ - Air Mail Service
UPS - United Parcel
S - Telephone
FX - Fax
CR - Courier
X - Shredded
4> - Item Forwarded.
- Item approaching deadline.
WI - Walk-in.
PAYEE - Name different from bill addressor.
Please note, when contacting TPS regarding an item on the preceeding pages, please refer to the date in the upper right corner
and the number(s) that appear to the left of that item.
EFTA01069780
ITEMS ON HOLD as of Friday
05/17/13
Page
6 of 8
Deadline Item
Diary Date
Instructions to T P S
ATTN: Your TPS Administra
from Leon D. Black
Instructions
05/01/13 ARROWAY TRACTOR /Leon Black
Bills Received
Amount Due
$1,505.80
Autohold+ Exceeds maximum amount of $.01
Residences- Bedford Hills/Maintenance
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
04/17/13
Yes El No n
05/28/13 BANK OF AMERICA /Alexander S. Black
Bills Received
Amount Due
$2,564.07
Autohold+ Exceeds maximum amount of $.01
Credit Cards/Lines/Monthly Statement
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/16/13
Yes In No n
05/17/13
3
CHARLES TERHOUT INC./Mrs Leon Black
Bills Received
Amount Due
$1,959.75
Autohold+ Exceeds maximum amount of $.01
Personal Expenses/Flowers
Please authorize payment of this bill and adjust the high limit, if applicable. Thank you.
05/16/13
Yes fl Non
05/17/13
3
FRANK & LINDY PLUMBING & HEATING/LEON & DEBRA BLACK
Bills Received
Amount Due
$1,342.19
Autohold+ Exceeds maximum amount of $.02
Residences- Bedford Hills/Maintenance/Contractor - Plumbing
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/16/13
Yes n Non
05/17/13
3
FRANK & LINDY PLUMBING & HEATING/LEON & DEBRA BLACK
Bills Received
Amount Due
$2,330.04
Autohold+ Exceeds maximum amount of $.02
Residences- Bedford Hills/Maintenance/Contractor - Plumbing
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/16/13
Yes n No n
05/17/13
3
FRANK & LINDY PLUMBING & HEATING/LEON & DEBRA BLACK
Bills Received
Amount Due
$1,293.87
Autohold+ Exceeds maximum amount of $.02
Residences- Bedford Hills/Maintenance/Contractor - Plumbing
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/16/13
Yes n No n
EFTA01069781
ITEMS ON HOLD as of Friday
05/17/13
Page
7 of 8
Deadline Item
Diary Date
instructions to T P S
ATTN: Your TPS Administra
from Leon D. Black
Instructions
05/16/13
$
LACORTE FARM & LAWN EQUIPMENT /Leon D. Black
Bills Received
Amount Due
$44.49
Autohold+ Exceeds maximum amount of $.01
Residences- Bedford Hills/Maintenance
Please authorize payment of this bill and adjust the high I i in it. if applicable. Thank you.
05/15/13
Yes n No n
02/15/13
$
MADISON COX ASSOCIATES/Leon & Debra Black
Bills Received
Amount Due
$1,021.21
Autohold+ Exceeds maximum amount of $.01
Residences- Yacht-Starfire/Renovation & Remodeling
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
02/14/13
Yes n No n
02/15/13
2
MADISON COX ASSOCIATES/Leon & Debra Black
Bills Received
Amount Due
$16,034.23
Autohold+ Exceeds maximum amount of $.01
Residences- Southampton/Landscaping
Please authorize payment of this bill and set a high limit. it applicable. Thank you.
02/14/13
Yes fl Non
05/21/13
$
MADISON COX ASSOCIATES/Leon & Debra Black
Bills Received
Amount Due
$24,651.21
Autohold+ Exceeds maximum amount of $.01
Residences- Southampton/Landscaping
Please authorize payment of this bill and set a high limit. if applicable. Thank you.
05/10/13
Yes n Non
05/21/13
$
MADISON COX ASSOCIATES/Leon & Debra Black
Bills Received
Amount Due
$1,774.45
Autohold+ Exceeds maximum amount of $.01
Residences- Yacht-Starfire/Renovation & Remodeling
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/10/13
Yes n No n
03/14/13
$
MADISON COX ASSOCIATES INC/Leon & Debra Black
Bills Received
Amount Due
$10,697.75
Autohold+ Exceeds maximum amount of $.01
Residences- Southampton/Landscaping
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
03/13/13
Yes n No n
EFTA01069782
ITEMS ON HOLD as of Friday
05/17/13
Deadline Rein
Page
8 of 8
Diary Date
Instructions
t
o
T
P
S
ATTN: Your TPS Administra
from Leon D. Black
instructions
04/15/13 MADISON COX ASSOCIATES INC/Leon & Debra Black
a
Bills Received
Amount Due
$11,792.76
Autohold+ Exceeds maximum amount of $.01
Residences- Southampton/Landscaping
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
04/12/13
Yes m Non
05/23/13 QUOGUE-SINCLAIR FUEL INC. /LEON BLACK
Bills Received
Amount Due
$923.31
Autohold+ Exceeds maximum amount of $.02
Residences- Southampton/Utilities/Heating Oil
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/16/13
Yec n No n
02/14/13
$
THUESEN MECHANICAL PLUMBING&HEATING /Black, Leon & Debra
Bills Received
Amount Due
$1,042.64
Autohold+ Exceeds maximum amount of $.01
Residences- Bedford Hills/Maintenance/Contractor - Plumbing
Please authorize payment of this bill and set a high limit. if applicable. Thank you.
02/13/13
'vac n Non
05/06/13
$
ZITOMER PHARMACY/DEBRA BLACK
Bills Received
Amount Due
$732.74
Autohold+ Exceeds maximum amount of $500.00
Medical/Supplies
Please authorize payment of this bill and set a high limit, if applicable. Thank you.
05/03/13
Yec n Nn n
END OF REPORT
Bills that are "On-Hold" cannot be paid until we receive your instructions. The deadline for your instructions is the day prior to the scheduled
deadline date. Accordingly, TPS is not responsible for any bill which you have not approved in time. Should you send us your authorization
after the deadline date, we will make every effort to expedite payment. However, TPS is not responsible for any fees associated with late
payments that result from your failure to fund your account and/or respond in a timely manner.
All other items will be held until the deadline date. If we do not hear from you by the deadline we assume your approval to discard the item.
Junk mail items once discarded, will be eliminated from future On-Hold reports.
EFTA01069783
••Y••••••\\. • Y•••• gla ••Y••••
limghVbeire•••••••••1
522 Edwards Avenue • Calverton, NY 11933
ORTE
QUIPMENT
Ship TO' SAME AS BELOW
Invoice To: LEON BLACK
III. BOX 8020
GARDEN CITY NY 11530
tl_fit-f‘--- lee
JOHN DEERE
Branch
CXLVERTON
*REPRINT CNNYYY
one
04/17/13
Time
09:17:47 (O1
Page
01
Account No.
LEONB001
Phon• No.
Invoice No.
P04282
Ship Via
urc aso rder
Salesperson
005
PARTS INVOICE
ORDER*: 005037
Partft
DESCRIPTION
Bin
ORD
ISS
SHP
H/O UTT
Price
Amount
M806418
OIL FILTER
BB701
1
1
1
9.53
9.53
M801101
FUEL FILTER
AA702
1
1
1
8.14
8.14
TY22035
LOW VISCOS
OIL
1
1
1
5.32
5.32
TY26514
WRENCH
SR54
1
1
1
7.34
7.34
TY25624
GREENSPRAY
SR31
1
1
1
10.63
10.63
SUB TOTAL=m>
40.96
NASSAU NY
3.53
IN HOUSE CHARGE
44.49
x
• SPECIAL ORDERS ARE SUBJECT TO A 20% TO 65% RESTOCKING FEE IF RETURNABLE
• ELECTRICAL PARTS ARE NOT RETURNABLE
EFTA01069784
Page 1 of 1
Linda
From:
Sent:
Tuesday, May 14, 2013 2:14 PM
To:
LEON BLACK
Subject:
Invoice
Attachments: P04282 PDF, disclaimer html
Total Control Panel
Loin
To
From: a
Message Score: 45
My Spam Blocking Level: Medium
Block this sender
Block'
High (60): Pass
Medium (75): Pass
Low (90): Pass
This message was delivered because the content filter score did not exceed your filter level
5/14/2013
EFTA01069785
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restrictions apply
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sheaf I -1166- V/1A0VIS Sanwa avadabikty vanes
Want Automatic Payment?
Enrol below a al
lo &Wave yore financial
Inatifuhon lo deduct the amoral of your monthly MI from
the account assxmled velh rite enclowd check and
seed aynleM cifectb to Venzon In desconlinur
Automatic Payment. cal lantern Please keep a copy of
Ma suthotuabon
To ma an Automate Payment (Sqn and date below)
Account Information
Stationed Date: 5/4/13
LEON BLACK
Pince:
Due Dale
5/29/13
Amount Due
913164
Account Summary
Newels Balance
513651
Payment Received Apr 24
-5136 51
Balance Forward
SAO
NM Chagas
Current AcImly
590 61
Taxes Ca winmental Suctutrs rd Fees
51755
Vervon S.aciwges and Otter Charges d Credds
530 48
Total New Chariot dot by law 29.2013
$13354
Amount Due by May 29, 2013
5133.64
Questions about your bill or service?
Vora your bias in detail al veluon com or Call I
800 WRIZON(1 8D0- 837 -49661
Infer you len deal number 631 283 -0223 Ow 855 d awed to your customer
dentitication ode adorers with disabliftes call 1-800-974 600611Y
Please faith], tenni Slip with paynienl
ay *rang tow r wan Minna reseal aril
attlfAaa ta War; In cOrtatac al
attar asinulOPIS as b ante( a ewer
00012240 01 AV 0.360 V2708911 0055 Y.%
HON BLACK
U13
PO BOX 8020
CARDIN DP( NY 11530-800
Accoura Minter
New Charges Due:
Amount Due: $133.64
May 29, 2013
050413
maw crack maw to altarr
Mu I
VERUON
PO BOX 15124
ALBANY NY 12212 5124
020063128302238551271103
131580000000000000000133640'4
EFTA01069786
Phone Number
Account Number
veri n
Current Activity
Current Charges
Una
1,r4
6/3
Monthry Charge los Dial lace
S/4
6/3
Penton local Calks
• Man Calls
6 03
15 BO
6.03
5/4
613
Vernon long Distance Charges
4 99
• VI 0 Internaborul Choice Plan with
City Rates
499
Lbw
Ir4
6/3
Additional t me
15 80
br4
6/3
Penton Freedom Value
(includes S 17 95 for long distance,
Current Charges Subtotal
4/93
590.81
Current Activity Total
590.61
Taxes, Governmental Surcharges and Fees
vJur,II I uiLAL I,'
`,,,,t, (tr.) I (L, L
Total Taxes, Governmental Surcharges and
Fees
Venzon Surcharges and Other Charges & Credits
f Moir Universal Service fee
6.05
NY Stale and Local lax Surcharge>
4.27
I Metal Subscriber Line Charge
19.17
D Carrier Gore liernerenr Grimm
.99
Total Version Surcharges and Other Charges d
Credits
$30.48
//
9 /3
105
$12.55
Pasant try Clack
ring by chat swam chat pars); cr Imam, ern stammer, fa a
ii-treso eleCUCEIK In Mao kam you account Fa all paymeres using bat
ťtcare nor ‚maim, sa may reran ea Igor realm to sear yet erect:cm mimes a
--Jar you Urn ielanaliC payments IQ in 00 oat cut. r>V t-888-500-53581
lag Irepoisil Orarga
balances as $5. Oa aurorae* gate, at f5 a 1 5e. Baran or $5 a less
5% To word gig charge. payments mat Oa ‚eagle by Say 29.2013 FOS TV
tie base some at assessed a chap stun guy an 60 days pal a
Sate Preedin
Muir NY grades regenal. local cane at retard learn. ollwir ‚Me SerViDeS.
44 FOS 1V soot man °twos* Mated Venial telep Donna warm rep
awn cable at cow swoon oat« by ltrmar ablate bad Ire
'nit Win, Orire prates Mere seam HNC soma and FOS IV augenel
' r>5 IS a agate« mak Or \arum Trademark Sena LIC
Badmpla Senmellas
par an a no n beringicy. gas stemma guy radi ram Icr
gee -bereavetcy sae ea steed not pay pre -banger mans la it la
you reurnaten crny fiat tunknoley-reblo4 oarespcneence to 50:1 Irlarel0SY
Ora. Sullo 550. Weida Sang, WI 63304
Camas Intonriggen
Fa npatant caesura( Mammon sta VM Cussomer ego Great n parr Wizen
Mete Paps Ovalcry
Date Hue
5/29/13
Per
2 o14
Restatement of Charges
Ihe Regalement of Purges Marl displays you charges by category
You do not pay your ton m 1St each month you payment will be applied to
5" accour as lotions Banc. Regional Cass. Nun- Basic art Alt Other.
IM payment order helps you to mental you trauc local sconce it you
carrot pay your bell in lull.
Chair Type
New Charges
Basic
70.16
newel Calls
.00
Ito Banc
56.42
All Other
7.06
Total
133.64
flaw Modes local telephone service am:crated order at onstallatro
charges, suteanber Iwe craw, non- pulersted •ervrce aryl apptcalolo tas
art fees.
Hecpanal Cars include IrdraLita Ids and biter
Assistance ani applicable tax and lees
Non Basic includes, bul rs not haled to, Caller dl f rectum packages.
Home Voice Marl, Inside Wile Maintenance plans and applicable tar and
lees
AM Other inch/ des long distance stoats. services provided by other
companies. arid applicable to aryl tees.
Ca mpanisice
Go lo veruontomkonlaclus a marl lis
PO Bat 33078. St. Pekilbut‘t I t 33/33
roue'', Brock Thee Paty Bang to Your Yes uon
i s ear is, mat ion. ace ro rry, COMAOCklei‘ n (4 , ,1", al r-400-wr
V2708911 012240 0002
0000.000000000000/0003.00000000#121.400000000/
EFTA01069787
r_ tati,72ar
ii;rizan
Call Detail
Verizon Local Calls
Phone Number
Account Number
Place Called
Char0e per Call
Number of Calls
Period
Amounl
E SW FOLK
.09
57
DAY
10
NO'
Total Velma Local Calls
mm
With message rate sew(' you pay a set price for each local call you make no mailer how long
you talk
Date Due
5/29/13
Page
3 of 4
EFTA01069788
Phone Number
Account Number
vertmn
Need—to—Know Information
New Yolk State Universal Service Fund
Sttgel to approval by the Stale Public Service Commission enceinte
July I. 7013 a surcharge of S 05 per telephone line, per month will
appear on you bill I hes suetrai cm will recover contributions to the
Slate lkiversal Service Fun. with prieryles holing to support
conlinied availability of basic re adential kcal telephone service in
141-cost rural areas of New York Ile methane is not a lay, and will
be reflected m the Venzon Surcharges and Otter Charges 6 Credits
section of Ire WI as NY llmersal Service h tied
Bundle Today& Start Sari
Call I- 888-447-6550 or mt
and lel ter
renew you account We can help feet the best Nixie to meet you
entertainment and communication needs Thar* you for being a
valued Vernon customer.
New York State Municipal Construction Surcharge
Subject lo approval by the Slate Pubic Service Commission, on or
after Arty I. 7013 amorality account sucharge of S 99 ma appear
on you WI reflected as NY Municipal CalSOUCIKX1 Surcharge for
CIMOITtelS mei mute* telephone Imes, the charge will be applied
per int Iles surcharge will recover a portico al Me expenses Venzon
nuts for relocation of its facilities tat are in the public
rights-of-way to prevent intedetence with greet repairs public
construction projects or other admires reamed for piffle bealttb
safety or ccorenence The charge voll be reflected in the Vernon
Surcharges and Other Charges & Credits section of the bill.
Date Due
5/29/13
Page
4 of 4
EFTA01069789
venzen
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Ste 'SNP" • Astern
Agee asps 'Rank
Ob Darresasy 1W blew Ms*
Go peen bur - Was, Free
Ifortion News
MOVING? Call 1-866-VZMOVES
Call Vermin before yrnl mow to sel up you Internet
IV and phone to en new time Plus, ask about our
great rew money Tarim bundles Owl wad Cab
ahead, 1. 866- Y/MOV(S Service availatddy varies
Want Automatic Payment?
Enroll below a at
In authorize your Invent
nshlulhon to dear' Ire amount of mix morally bin hum
the account anoteled with you wicked check and
teed payment Indy 10 Yenzon to decontwar
Automatic Payment, call Yenzon Please keep a copy of
U.S authatuahort
war
to enton in Automata. Payment iSton ant! Ma below)
Account Number
Due Date
5/29/13
Account Information
Statement Date 514113
11014 BLACK
Phone
Amount Due
$364.54
Account Summary
Previous Balance
6364 52
Payment Received Apr 74
-6364 52
Balana Fond
too
Mn Chun
Cistern k Imty
6263 77
Taxes, &momenta' Sart aloes aryl Fees
$3/ I7
Yenzon Surcharges suel Other Charges & Credits
663 60
TWA New rharscs Lin by Wry 29, 2013
masa
Amount Due by May 29, 2013
9364.54
Questions about your bEN or service?
View your Nth m detail at
800 -1/FRI/ON (1-800-837 49661
(Mt , your ten *et umber
Use 773 d asked for you customer
or:entire-Aron code Customers with dmsberties call 1-800-974-6006 TTY.
Please return rerun slip with payment
•
Py aging taw! mot, w
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00012301 01 AV 0 360 V2706911 0055 XX
TIONBTALK
U13
PO BOX 8070
GARDEN CITY NY 11530 8020
Account Number
New Charges Due:
Amount Due: $364.54
May 29, 2013
050413
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$ inn nn
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YER1ZON
PO BOX 15124
ALBANY NY 12212.5174
020063128346507731271102
131580000000000000000364.5406
EFTA01069790
verbon
Current Activity
CurrentChases
Line
5/4
6/3
Fbl Rah Senxe
15.80
5/4
6/3
Flat Rale Way
7.20
5/4
6/3
Caller 10
10 50
5/4
6/3
Unlimited I out Gilbry UphOo
15.12
• Plan Calls
15.12
5/4
6/3
Unlimited Regional Calling Plan
29.67
• Plan Cats
2961
Lim 631-283-4643
5/4
6/3
Flat Rate Service
1580
5/4
6r3
Flat Rate Usage
720
5/4
6/3
Caller ID
line 831-2413-4094
10 50
5/4
6/3
f lal Rate Service
1580
5/4
6/3
f tat !late (Mtge
/.20
5/4
673
Cages ID
10 50
Um 631-203-92713
5/4
6/3
Fladsne Senate
15.80
5/4
6/3 lit Rale Usage
7 20
5/4
613
Caller ID
10.50
Lino an -283-9279
5/4
6/3
F lal Fik Semce
15.80
5/4
6/3
FM Rib Usage
220
574
GM
Inside Vise titainteimite
l.99
Um 831-287-4040
5/4
6/3
flat Rate Same
15 60
5/4
6/3
flalliIeUage
/ 20
Um631-207-49N
5/4
6/3
Flat Rate Senate
15.80
5/4
6/3
Hal Rate Usage
/ 20
Phone Number
MEE.
Account Number
Payton by Pea
.isong by chock tokna on mesa processn; a u5t ofder deck rumalias la a
.
,korlit ?Ingham/wheel, KU account Fa * balmy« lawn In*
cask nlamam. re may I«an Me act maim to send nu east ~Mims a
~nu
lulus *leach( payna6 lo us 00 col cut cal I -WO-500-5358 I
Lae Nowt Cksose
Fa boaves awn Is. tne mops n the ;moo or å5 cr 1 5% Bannon of IS or less
rs 1 5% Ion On mace. blyantals must be rook.% by May 29.2013 f MS IV
and bask WWI in asserzet a mace N1a r mey ae 60 (Unease Me
Seneseermilism
Yuman WY wand* regkral. local cS and tatatod Matt a% air Ø kart*
ad FC6 TVSwot snet others* maw *non Una Oman pØØ
data-a cam hi cow soon tented by mar nine applicable toed ins
tem Swims Ono. Woods Inn savte. MC Sin« aid Fat 11/ fl
ew(
FØ 'Satan.* mirk of Waco Trallemak Sawa{ LW
eatineoles ~Mee
ll Pin« wee m balutalet at %aliment may mks* ~IS la
Pol-balmalcy kern* You *pad rid pay pre-banknoSet amount: INIY at la
yos Normem aniy Mal baltogocy-romtic carrittpandinCe le 500 ttoctrolOdy
ram. son 550. maw soma 7A-163304
Cs
Islernaseker
Fa impairs mourn« ragenahal me me Customer So Gum in yak' *rum
VA* Paom COMO
Date Due
5/29/13
Page
2 of 5
5/4
1."..1
Insak• Vjdf, 1,11.1,131t11.1
7 no
Current Chases Subtotal
$283.77
Current Activity Total
5263.71
Taxes, Governmental Surcharges and Fees
I tikra
IL Ci
,Lm .rilt it.0
917 Nuuhdruk•
Total Taxes, Governmental Surcharges and
Fees
Verizon Surcharges and Other Charges 8 Credits
Fedtrat Unnensal Serra Fee
NY State and local lax Striclonsis
Federal Sotocnbn t ire Chvge
Total VeriZon Surcharges and Other Charges 8.
Credits
1 45
537.17
563.60
Restatement of Charges
The Restatement el Charges chart &splays you charges by catgut
you do ml pay yaw dan h1 each month ltla payment mil be applied 10
you account as Mims BS ~rut Call. Non Basic, ard NI Other
cys ~neat order V
you to mullion you box local service it you
cannot pay you Marta
Chime Tyre
New Conan
Box
264.03
Begonia; Calls
33 SI
Non- Basic
66 94
MI Other
00
!Mal
364 54
Basic includes tid lekplione sent. ~alert order art instaation
cloches, subscriber brie charge. non published mince ard applicable lax
and lees
Bernal Calls arlude Intralata loll and Irrer- regional sating Drectory
Ammlance and applicable tax art tees
Corr
Go lirMINIMI
or mad to
PO Box 331178. St
elm
ts Fl 33/33
TOLI Cal Block livid erty gag re You Valet. St
Fa mlle
ris< Wow conothrkr% a call us at I 40)-5laroon
V7708911 012301 0003
i0000.0000.00CCu0000.0000.0000,000042M/000003C0/
EFTA01069791
-
Phone Number
Account Number
venzon
Non Basic mcludes, but is mt limited lo. Calk; ID F !ethical packages
Bane Voice Mail inside Wire Mairderrarce plans and applicable lax and
tees
MI Other includes long chslance semces senmes wooded by Mx;
companies and applicable tax and lees
Date Due
5/29/13
Page
3 of 5
EFTA01069792
venal,
Call Detail
Phone Number
MEM
Account Number
Unlimited Local Calling Option
Initial Moue MN made Mantel
Additional
c-taa called
pet call
Cage
of calls
amides
Proud
Amount
SUFFOl I(
900c
110c
1
I
Day
AU Value
/0
; Awntied 10C31 Calling Upton Chars.
15 11
1 otal
Unlimited Regional Calling Plan
$15.12
Motet of
klmlbel of
I lace Called
Rite mood
Calls
Rale pet mode
modes
known
l'i My the Unermled Reportai & local CAN Plan, you gel 25% on directly dialed Iota & regional
Date Due
5/29/13
r .dIng card calls
,.. ,,t I Will
(by
1
0.21
2
42
•
.v
Day
3
021
6
126
..JILN:
a
166
unlimited Regional
$2917
Calling Plan Cluipi
Page
4 cd
EFTA01069793
Phone Number
Account Number
veripn
Need—to—Know Information
New York State Universal Service Fund
Subject la approval by the Slate Public Service Commission, effective
Jury 1. 2013 a sutharge of S 05 per telephone line, per month will
appear on yeur bill Ibis surcharge will recover contributors to the
Slate lInnermil Service f unit which preemies funding to SuPP0i1
confined availability 01 basic refadentrat local teleptone sconce in
tvgh- cost rural areas al New York Ile surcharge is not a tax, and will
be reflected in lee Verson Surcharges and Otter Charges & Credits
melon of the bill as NY Urwersal Semce Find
Bundl
-888447- & Start Saul
Gel 888 4476550 or visit
and let us
review your account We can help MO the best bindle to meet you
entertainment and cummunicaton reeds Thank you kw being a
raked Verinn Defamer.
New York State Municipal Construction Surcharge
Sited to approval by Ire State Put[ Service Contio‘son on of
alit, July I, 2013. a monthly account surcharge of S 91 will appeal
on your WI !effected as NY Munkmral Construction Surcharge for
customers with multiple telephone hits. the chime will be applied
per lire This sucharge volt recover a portion of the expenses Vernon
incurs loi relocation of its lacildies that are in the public
rights-al-way to prevent interler epee with sheet repairs. Public
oorstruchon motets or otter admits required for publie Ptak
MIEN or convemence The charge will be reflected in the Venturi
Surclurpes and Otter Charges & teats section of the NI
Date Due
5/29/13
Page
5 of 5
EFTA01069794
at&t
LEON D. BLACK
1 of 3
PO BOX 8020
Bill Cycle Date: 04/04/13 05/03/13
GARDEN CITY. NY 11530-8020
Account:
Wireless Statement
7i-emus Balance
$50.25
Payment - 04/20 • Thank You!
$50.25CR
Adjustments
50.00
Balance
$0.00
New Charges
Total Amount Due
$50.98
$50.98
Amount Due in Full by
May 26, 2013
Service
g Wireless
Page
Total
550.98
-total New Charges
$50.98
$50.98
How to Contact Us:
or questions about your account: 1 800 331.0500
or 611 from your cell phone
For Deal/Hard of heann TTY 1 866 241-6567
Visit us online at
For Important Information about your bill, please
see the News You Can Use section (Page 2).
Return bottom portion with your check In the enclosed enveioi
Payments may take 7 days in
•
DUE BY: May 26, 2013
$50.98
ats(t
o
CHECK FOR AUTO PAY
(SEE REVERSE)
Account Number
K
Visit us online at:
Talk more. Share more.
Get a Family lalk' plan from just $69
)
and enjoy 700 Rollover Minutes"' to share.
Plus, add up to 3 additional lines for only
$9.99 each
Act now!
877.981.7155,
or visit your AT&T retail store.
1
LEON 0. BLACK
Nation 450 with Rollover - Includes 450 Anytime Minutes
with Rollover. Nationwide Long Distance 8 Roaming, Unlimited
Mobile to Mobile calling to/from other AT&T Mobiles. 5.000
Night 19pm-6am) 8 Weekend Minutes. Call Forward Feature.
Caller ID. Call Wait. Conference Call Feature, Mobile
Purchases 8 Downloads Detail, Basic Voice Mail Feature.
(Additional Minutes $0.45 each).
International Roaming - Expanded - Includes international
roaming outside the U S. and international long distance
from the U.S. at standard. ia
ei use international rates.
See rates at
Data Pay Per Use Includes $0.01 per kilobyte for domestic
data usage.
Pay Per Use Picture/Video Messaging - Includes S0.30 each
domestic picture or video message.
Pay Per Use Text/Instant Messaging - Includes SO 20 each
domestic text or instant message.
Monthly Charges - May 4 thru Jun 3
1. Nation 450 with Rollover
2. International Roaming - Expanded
3. Data Pay Per Use
4. Pay Per Use Picture/Video Messaging
Yobly4ess 4+w,4 pawl*
by Mt, KA.111 llf
Please include account number on your check
if ONO el ACK
Pr) BOX ii020
GAMER N CITY. NY 11530 8020
Make checks payable to
A Tit T MOBILITY
CORO% 537101
ATLANTA GA 30353410i
39.99
0.00
0.00
0.00
922005120245946320000000000509800000005098009
EFTA01069795
rimmommmimminimma
I
ci ia•-•9) at&t
LEON D BLACK
PO BOX 8020
GARDEN CITY, NY 11530-8020
Mai
LEON 0. BLACK
Monthly Charges - Continued
5 Pay Per Use Text/Instant Messaging
Total Monthly Charges
Other Charges and Credits
Voice Usage Summary
Nation 450 with Rollover
Total Minutes Used
Plan Minutes
Mobile to Mobile Minutes
Minutes Used
Night & Weekend Minutes
Minutes Used
0
450
Unlimited
0
5,000
0
2 of 3
Bill Cycle Date:
• r /W
0
13
Account:
Visit us online at:
News You Can Use
MOBILITY ADMINISTRATIVE FEE
0.00
Effective May 1, 2013, the Administrative Fee will be 50.61 per
39.99
line per month for Consumer and Individual Responsibility User
BRUI lines.
r inform i
t the Administrative Fee.
please visa
ADD A LINE WITH FAMILY TALK FROM AT&T
FamilyTalk(R) plans include 700 Rollover Minutes(R) and start at
just 569.99/month With an existing FamilyTalk(R) plan, you can
add up to three additional lines f r
Q n, rh. Sign up today!
Call 1-800.449.1672 or visit
SIMPLIFY YOUR LIFE
Save time and reduce clutter. Switch to paperless billing al
Rollover Minutes Summary
Last Month's Rollover Balance
4.950
Current Month Added to Rollover
•
450
Expired Rollover Minutes'
450
Important Information
NEW ROLLOVER MINUTES BALANCE
4,950
' Unused Rollover Minutes (War offer 12 bill periods.
Surcharges and Other Fees
6. Administrative Fee
061
7. County Gross Receipts Surcharge
089
8. Federal Universal Service Charge
1.92
9. MTA Telecom Surcharge
0.31
10. Regulatory Cost Recovery Charge
0.45
11. State Telecommunications Excise
1.30
Surcharge
Total Surcharges and Other Fees
5.48
Government Fees and Taxes
12. 9-1-1 Service Fee
1.20
13. City District Sales Tax - Telecom
0.17
14. City Sales Tax - Telecom
2.03
15. local Wireless 911 Surcharge
0.30
16. NY State Sales Tax - Telecom
1.81
Total Government Fees and Taxes
5.51
Total Other Charges & Credits
10.99
Total for
50.98
Total for Wireless accounts
50.98
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IP AVIV 5UP4IPPfl Aq uonezirogine iaauto tie) 1 tunom
Virg Au, won 4auow 5imsnpap Afie3iumpata Aq Aftduout
diq Aw Aed 01 AVIV amowne 1 ./(Pd0I0V III lima I it
houshow3 Aetiolny
LATE PAYMENT FEE
Accounts with former AT&T Wireless plans are charged 1 5°,
or less of the balance unpaid as of the next bill period.
Accounts with Cingular/new AT&T plans are charged 55 in CT,
DC.DEJL.KS.MA,MD,ME.MIMO,NH.N.I.NY.PA,OK.OH.RI.VkVT,WI,
WV: or 1.5% of the balance unpaid as of the next bill period
in all other states. Accounts with former AT&T Wireless and
Cingular/new AT&T plans incur the lesser of these charges.
ELECTRONIC CHECK CONVERSION
Paying by check authorizes AT&T to use the information from
your check to make a one-time electronic fund transfer from
your account. Funds may be withdrawn from your account as
soon as the same day your payment is received. If we cannot
process the transaction electronically, you authorize AT&T
to present an image copy of your check for payment. Your
original check will be destroyed once processed. If your check
is returned unpaid you agree to pay such fees as identified
in the terms and conditions of your AT&T Service Agreement
Returned checks may be presented electronically. If you want
to save time and st m s, sign up for auto payment at
using your checking account It's
easy, secure, and convenient!
TAX ID
AT&T Mobility Tax ID a 84.1659970.
C del? Alal illelltflual P....fly All ,phis
4796000CQ3772.01 02 iJA.AxU NNNYYNNY 79066 187713
020(11XSi. I AN All) N3Ouvri
WOO X0s3
X'3V113 0 NO31
09 09C 0 AV I Z/Za3Cflit 8 061I,
EFTA01069796
at&t
LEON D. BLACK
PO BOX 8020
GARDEN CITY. NY 11530-8020
Important Information continued
SURCHARGES AND OTHER FEES
In addition to the monthly cost of the rate plan and any selected
features. AT&T imposes the following other charges, on a per
line basis: (1) federal and stale universal service charges. (2) a
Regulatory Cost Recovery Charge of up to $1.25 to help defray its
cost incurred in complying with obligations and charges imposed
by state and federal telecom regulations. (3) an Administrative
Fee on consumer and Individual Responsibility User BRUT lines to
help defray certain expenses AT&T incurs, such as interconnection
and cell site rents and maintenance, and (4) other government
assessments. including without limitation a gross receipts
surcharge and a Property Tax Allotment surcharge of $0.20 -
50.45 applied per Corporate Responsibility User's assigned
number. These fees are not taxes or government-required charges.
See
SINGLE PAYMENT AGREEMENT (FOR KIOSK PAYMENT)
I authorize AT&T to pay my bill by debiting my bank account.
If my bank rejects a payment. I may be charged a return fee
up to 530.
AT&T NATL CENTER FOR CUSTOMERS WITH DISABILITIES
Questions on accessibility by persons with disabilities:
1 866 241-6568.
WRITTEN CORRESPONDENCE
Do not send notes/letters with payment. We cannot guarantee
receipt. Send notes/letters to AT&T. PO Box 755. Atwater. CA
95301-0755
3 of 3
Bill Cycle Date: 04/04 1 -
03/13
Account:
Visit us online at:
EFTA01069797
Your AT&T Statement
April 5 - May 4, 2013
SBWNCJFM
4151410708900124 C
LEON BLACK
PO BOX 8020
GARDEN CITY NY 1153C-
Summary of charges
Previous balance
payment received Apr 23 - Thank you
AT&T True Reach internationalism) Savings
Other charges and credits
Surcharges and other fees
r)overnment fees and taxes
p2
p2
p2
p 2
1604
-1604
400
599
596
009
Total amount doe
916.04
Date due
May 29,2013
Your savings and benefits
Never Mail Another Check to Pay Your AT&T Bill.
For the ultimate convenience, enroll in AT&T Automatic Bill
Payment (APP) and have your future payments automatically
deducted from your checking account To enroll, check the box
and sign on the line on the back of the remittance coupon, and
return with your payment. Or sign up for online billing to review
and pay your bill each month b lo--in- onto your AT&T Online
Billing account at
Extra! Extra!
Need to pay your bill quickly?
By using AT&T's free automated system, you can
make your bill paying easier' Just dial 1 800 288 2747
and pay your bill today'
Dial 1 800.CALL.ATT for Collect calls
1 800 CALL ATT for Collect calls is one flat rater 24
hours a day, every day Dial down the center
1 800 C-A-L-L-A-T-T (1 800 225 5288)
Detach and return with pannctit
Please write the number
on your check or
money order made payable to AT&T Do not send cash Do
-ot staple this portion to your payment Thank you
Total amount due
916.04
Date due
Amount enclosed: $
May 29, 2013
Moving? It's hassle free with AT&T Check the box
print your new address on back
Save your check! Visit www att comlremitdoc
Customer ID:
Page 1 of 3
S
tioss$ at&t
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 855-2880
Internet Address:
et;
Extra! Extra!
Need to pay your bill quickly? Dial
1 800 288 2747 and use AT&T's
automated system to make your life
easier'
Benefit news
Sign up for AT&T Online Billing and you
won't get another paper bill' To sign up
just visit mew all comfonline
Continues on back a
LEON BLACK
Apr 5 - May 4, 2013
Customer ID: 212 535-8573
AT&T
PO BOX 5083
CAROL STREAM IL 60197-5083
atsit
151410 70890011210100000001604000000160400000016044
EFTA01069798
Customer Service: 1 800 222-0300
Apr 5 - May 4 2013
Text Phone (TTY): 1 800 855-2880
Customer ID: 212 535-8573
Internet Address'
Page 2 of 3
It
Benefit news
AT&T Online Billing Gives You More
Sign up for AT&T Online Billing and say good-bye to
paper bills You'll receive an online statement that you
can view 24/7, in addition to enhanced features such
as Call Sorting and your choice of convenient billing
options, including Automatic Bill Pay You can even
print out any of your statements, whenever you like
i run u is uick easy, and totally free Just visit
and free yourself from the hassle
of paper bills
Products and services
Your current products and services
Service type
Products
..ong Distance
AT&T True Resell
Intemational(sm)Sewngs
AT&T True Reath?) Savings
Comments
A I & I Fruc Reach intemational(sni) St% logs
Din 1Cf Fp, ion
AT&T True Reach International(em)
Savings
monthly fee May 4 Jun 3. 2013
International calls after savings
Minutes
Amount
4.00
Total AT&T True Reach International(sm) Savings
0
0.00
$4.00
Mier rli.i rges and credits
Ora
1
May 4
Morunty usage minimum amount
Amount
599
Surcharges
and other fees
112SacA810,1_
2
Universal connectivity charge
For an explanation of this charge
norm I $00 532-2021 or visit
3
In-state connection tee
For an explanation of this charge.
please cat I 800 333-5256 or visa
http iivinwr consumer att convinstate.connectionlee
4
Carrier cost recovery fee
Recovers cost to provide long distance service including
regulatory fees. programs and connection & account
servicing It is not a tax or charge required by the
government For more information. call I 800 8549940
5
Interstate Gross Receipts
applicable UCC
6
Intrastate Surcharge
Amount
1 92
I 08
2 39
53
04
$6.96
Descrept.on
Local tax
State tax
Amount
05
Od
$.09
Important information about your telephone sen ice
Attention Customers Please be advised that effective,
2013, the following Operator Services may no longer to. ',doable
Busy Line Verify, Busy Line Interrupt and Operator Transfer
For inquiries and complaints please write to us at
AT&T Global Imaging Center
P O. Box 1828
Alpharetta, GA 30023-1828
This bill was mailed within 8 days following the end of the AT&T
statement penod shown on the front of your bill
—
_
Any intrastate services you subscribe to are provided by AT&T
$6.99
Communications of New York, Inc , and any interstate/international
services you subscribe to are provided by AT&T Coro To view
service publications go to
and click cr
Service Guides and/or Tariffs
5075 004 039823 01 02 0000000 NNNNNNNY 79707 79707
Please let us knou
New address? Has anything
changed? Please check the box on the
front of this page and print below
City. Stew Zip
(
rime phone
E-mail address
Automatic Bill Payment. Please
check and sign below to indicate
your enrollment in ABP
Moving? Call 1 800 MOVE ATT
(1 800.688 3288) now or contact us at
ww.v att coin/move We'll have your phone
service set up at your new address
oeOe-OCSl1 AN A.J.ID N308V0
OZO9 X013 Od
X0V18 N031
lllllillllllrlillli lillllillllllrllirllrlrrrtlllrlrlrllllrrlrllll
vet o iv i ezese 6c t t, SLOG
S210 0 6P0(.0 ThISIs
WirONMEts
Recyclable paper
EFTA01069799
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 855-2880
Internet Address:
Paying by chic* authorizes AT&T to use the information from your
check to make a onetime electronic fund transfer from your
account Funds may be withdrawn from your account as soon as
the same day your payment is received If we cannot process the
transaction electronically, you authorize AT&T to present an image
copy of your check for payment Your original check will be
destroyed once processed If your check is returned unpaid you
agree to pay such fees as identified in the terms and conditions of
your AT&T Service Agreement Returned checks may be presented
electronically If you want to save time and stamps, sign up for auto
payment at %yew att com/stoppaper using your checking account
It's easy, secure, and convenient'
From time to time, we develop new offers and make pricing
changes that you may want to know more about We've set up a
special web site to help you get the most out of our AT&T
services--please visit us online at
Important customer information
AT&T LD WEB NOTICE
REMINDER - Price 8 fee increase notices for certain services are
provided by web only, at att comit-increasenotices (click "Recent
Price and Fee Increases and Special Notices") 1) Interstate
/International (INTL) Transaction-Based Services, 2) INTL
Mobile Termination Charges (rates at att com/mobileterm), and
3) Federal Universal Connectivity Charge (a Discretionary Fee) If
you don't have web access, call the number on your long distance
bill for rates/increase notices
AT&T Automatic Bill Payment terms and conditions-Bank
Draft. By agreeing to preauthonzed transfers, you agree with AT&T
as follows When you are enrolled in ABP, AT&T will forward to you
a statement of your account, not less than 10 days prior to the date
your bank account will be debited Please review each statement
you receive for any errors If you inform AT&T that an error exists
on your statement, AT&T will attempt to correct that error prior to
your next statement Continue to mail your payment as usual until
you see "Automatic Pay" printed in the Amount enclosed space on
your ATILT statement Either party may terminate this agreement at
any time by giving the other party written notice reasonably in
—advance of the date of termination or any scheduled settlement
date Termination shall not prevent a debit transaction authorized
before any notice of termination
Apr 5 - May 4, 2013
Customer ID: 212 535.8573
Page 3 of 3
EFTA01069800
Your AT&T Statement
February 6 - May 5, 2013
a
at&t
ifIWNC.011
'15061182035017'C
lifilli'lliililiiillilliiiiiililliiiiiiiiiliiilliiiIiiiilliiil
LEON BLACK
PO BOX 8020
GARDEN CITY NY 11530-8020
Previous balance
ayment received Feb 23 - Thank you
AT&T direct dialed calls
Dew charges and credits
:wrcharges and other fees
Government fees and takes
63 75
-63 75
p2
48 73
p2
17 85
p 2
2504
p2
028
Total amount due
$91.90
Date due
May 30,2013
This statement includes charges from the last three months
Your savings and benefits
Never Mail Another Check to Pay Your AT&T Bill.
For the ultimate convenience, enroll in AT&T Automatic Bill
Payment (ABP) and have your future payments automatically
deducted from your checking account To enroll, check the box
and sign on the line on the back of the remittance coupon, and
return with your payment Or sign up for online billing to review
and pay your bill each month by lawn° onto your AT&T Online
Billing account at'
Extra! Extra!
Need to pay your bill quickly?
By using AT&T s free automated system, you can
make your bill paying easier' Just dial 1 800 288 2747
and pay your bill today'
Dial 1 800.CALL.ATT for Collect calls
1 800 CALL ATT for Collect calls is one flat rate 24
hours a day, every day Dial down the center
1 800 C-A-L-L-A-T-T (1 BOO 225 5288)
Detach and return with payment
Please write the number
on your check or
money order made payable to AT&T Do not send cash Do
not staple this portion to your payment Thank you
Total amount due
$91.90
Date due
Amount enclosed: $ L
May 30, 2013
Moving? Its hassle free with AT&T Check the box
print your new address on back
Save your check! Visit
Customer ID:
rage 1 of 3
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 855-2880
Internet Address:
4
5f.. Extra! Extra!
Need to pay your bill quickly? Dial
1 800 288 2747 and use AT&T's
automated system to make your life
easier'
Benefit news
Sign up for AT&T Online Billing and you
won't get another
r bill' To sign up
lust visit
Continues on hack
LEON BLACK
Feb 6 - May 5, 2013
Customer ID: 914 234-6008
AT&T
PO BOX 5083
CAROL STREAM IL 60197-5083
atstt
1508118203 50112201000000091,90000000919000000091901
EFTA01069801
Customer Service: 1 800 222-0300
Feb 6 - May 5. 2013
Text Phone (TTY): 1 800 855-2880
Customer ID: 914 234.6008
Internet Address
Page 2 of 3
Benefit news
AT&T Online Billing Gives You More
Sign up for AT&T Online Billing and say good-bye to
paper bills. You'll receive an online statement that you
can view 2417, in addition to enhanced features such
as Call Sorting and your choice of convenient billing
options, including Automatic Bill Pay You can even
print out any of your statements, whenever you like
Si nin uo is Quick. easy. and totally free. Just visit
nd free yourself from the hassle
of paper bills
AT&T direct dialed calls
For 914 234-2886
Domestic calls
D..
:4,44
Tele
Cele alit
Aran
Mar
Mt Clemens. Mt
5 56pm OH
1
.40
2
Mar
Mt Clemens. MI
5 3Cpm DH
1
.40
3
Mar
Mt Clemens, MI
8:18pm OH
10
4.00
4
Mac
Mt Clemens, MI
9:19pm EH
36
14.40
5
Mr
Mt Clemens, MI
i0:3iipmEH
1
.40
6
Mat
Danbury. CT
7:55rn EN
1
.40
7
Mar
Danbury. CT
9:02am OH
13
5.20
8
Mr
Mt Clamant MI
8:55am OH
2
.80
9
Mar
Mt Clamant MI
9:12arn DH
1
.40
10 Mr
FtLauderd, FL
9:38am OH
1
.40
11 Mar
Mt Grant MI
9:45om DH
1
.40
12 Mar
Flooded,. FL
10:00amDH
1
.40
13 Mr
MI Clemens, MI
9:30arn DH
1
.40
14 Apr
Pat Clemons, MI
8:57pm NH
1
.33
15 Apr
Mt Girona MI
9:01pm NH
1
.33
16 Apr
Stamford. CT
7:03am OH
1
.40
17
Apr
Mt Clemens, MI
7:14am DH
1
.40
18 Apr
Mt Cternens, MI
12:33ainEH
1
.40
19 Apt
Mt Clemens, MI
1234arnEH
1
.40
20
Aar
Mt Clemens, MI
5:34aM EH
1
.40
21 Apr
Mt Clemens, MI
923am DH
1
.40
n
AIN
MI Clemens, MI
9:46am OH
2
.80
23 Apr
IlAt Clemens, MI
10:34orn0H
1
.40
24
Apr
MI Clemens, MI
10:43pmEH
1
.40
25
Apr
M1 Clemens, MI
10:37sm0H
2
.80
26 Apr
Stamford. CT
8:02en EH
1
.40
27 Apt
Stamford, CT
10:17pmEH
5
2.00
28 May
Mt Clamant MI
2:13am NH
1
.33
29 May
141 Clemons, MI
7:58am NH
1
.33
5075 004
For 914 234-2886
Domestic calls
Dee
Whom
Time
Corm M,n
Amount
30
May
Mt Clamant MI
8:33pm NH
14
482
31 May
Mt Clemens. MI
10:09pmNH
21
8.93
32 May
Mt Clemens. MI
11:13pmNH
33
33 May
Mt Owens, MI
11:19pmNH
1
33
120
$43.73
Key to Code column
day
E • evening
N night
H • drad
Other charges and credits
For 914 234-6008
OS
Desaiption
34
Feb 5 • May 4 Basic rote monthly charge
Amount
17 85
$17.66
Surcharges and other fees
Destipbon
35 Universal connectivity charge
For an explanation of this charge,
please caul 800 532-2021 or visit
Nip ;Awn., consumer an corn.connectivey_charge
36
Instate connection fee
For an explanation of this charge,
please call 1 800 333-5258 or visa
http it,,,wnv consume an commstate-connectionfen
37
Carrier cost recovery fee
Recovers cost to provide long distance service including
regulatory fees. programs and connection & account
servicing It is nor a tax or charge required by the
government For more information. cal I 800 8549940
38
Interstate Gross Receipts • applicable UCC
39 Intrastate Surcharge
AgnoJnt
it 43
717
310
10
$25.04
Government lees and taxes
Descupiern
Local tax
State tax
039825 01 02 0000000 NNNNNNNY 79711 79711
Please let us know
New address? Has anything
changed? Please check the box on the
front of this page and print below
Name
Address
City, Slate, Zip
Home 0.0"
E-mail address
Automatic Bill Payment. Please
check and sign below to indicate
your enrollment in ABP
Moving? Call 1 800 MOVE ATT
(1 800 668 3288) now or contact us at
We'll have your phone
service se up a your new address
0Z0B-0CSt t AN AAI0 N3020/0
0L013 X08 0d
)101/18 N031
hist 0 lv i stoma' PSLOS
0 itt105E029119051s
YlltONMEis
8.28
Reetelabla paper
EFTA01069802
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 855-2880
Internet Address:
Important information about your telephone senice
Attention Customers Please be advised that effective April 6,
2013, the following Operator Services may no longer be available
Busy Line Verify, Busy Line Interrupt and Operator Transfer.
For inquiries and complaints please write to us at.
AT&T Global Imaging Center
Box 1828
Alpharetta, GA 30023.1828
This bill was mailed within 8 days following the end of the AT&T
statement period shown on the front of your bill.
Any intrastate services you subscribe to are provided by AT&T
Communications of New York, Inc , and any interstate/international
services you subscribe to are provided by AT&T Corp To view
service publications go to
and click on
Service Guides and/or Tariffs.
Paying by check authorizes AT&T to use the information from your
check to make a ono
-time electronic fund transfer from your
account Funds may be withdrawn from your account as soon as
the same day your payment is received If we cannot process the
transaction electronically, you authorize AT&T to present an image
copy of your check for payment Your original check will be
destroyed once processed If your check is returned unpaid you
agree to pay such fees as identified in the terms and conditions of
your AT&T Service Agreement Returned checks may be presented
electronically. II you want to save time and stamps, sign up for auto
payment at swwv aft com/stoppaper using your checking account
It's easy, secure, and convenient'
From lime to time we develop new offers and make pricing
changes that you may want to know more about We've set up a
special web site to help you get th mot out of Our AT&T
services—please visit us online at
Feb 6- May 5, 2013
Customer ID: 914 2344008
Page 3 of 3
Important customer information
AT&T LD WEB NOTICE
REMINDER • Price & fee increase notices for certain services are
provided by web only, at att comet-increasenotices (click "Recent
Price and Fee Increases and Special Notices") 1) Interstate
/International (INTL) Transaction-Based Services 2 INTL
Mobile Termination Charges (rates at
). and
3) Federal Universal Connectivity Charge (a Discretionary Fee) If
you don't have web access, call the number on your long distance
bill for rates/increase notices.
AT&T Automatic Bill Payment terms and conditions-Bank
Draft. By agreeing to preauthortzed transfers, you agree with AT&T
as follows When you are enrolled in ASP, AT&T will forward to you
a statement of your account, not less than 10 days prior to the date
your bank account will be debited Please review each statement
you receive for any errors. If you inform AT&T that an error exists
on your statement, AT&T will attempt to correct that error prior to
your next statement Continue to mail your payment as usual until
you see "Automatic Pay' printed in the Amount enclosed space on
your AT&T statement Either party may terminate this agreement at
any time by giving the other party written notice reasonably in
advance of the date of termination or any scheduled settlement
date Termination shall not prevent a debit transaction authorized
before any notice of termination
EFTA01069803
CHAR
L E S
TE RHOUT
04/25/13
Mrs Leon Black
PO BOX 8020
Garden City
New York 11530
Description
FLOWER ARRANGEMENT FOR THE MONTH OF APRIL 2013.
N
Invoice No.
5472C
04 01 2013: 2 arrangement @ $ 225.00 each.
450.OOT
04 08 2013: 2 arrangement
$ 225.00 each
450.OOT
04 15 2013:2 arrangement @ $ 225.00 each.
450.OOT
04 22 2013: 2 arrangement @ $ 225.00 each.
450.OOT
04 29 2013: NO FLOWER
0.OOT
SALES TAX
159.75
Total
$1,959.75
20429, NY 10011, PHoNt/FAx 212.677.2901
EFTA01069804
Remittance Portion:
Account Number
Please return with your payment
Amount Due
Thank you
Avant Paid
$
Address Change
LEON BLACK
PO BOX 8020
GARDEN CITY, NY 11530
Check if address dnanged (
11050011750525955087 4 000L1706 4 OCIULIOTIOODUOODUBDO
EFTA01069805
INA/QUALITY/BURKE
560 N MAIN ST
BREWSTER NY 10509
914-769-5050
------- BILL TO
LEON BLACK
PO BOX 8020
GARDEN CITY, NY 11530
DELIVER TO
„200 NARROWS ROAD BEDFORD NY
DATE
05/08/13
START COUNT
0.0 GALLONS
END GROSS COUNT
171.5 GALLONS
GROSS DELIVERY
171.5 GALLONS
2
DISTILLAT1
SALE NUMBER
10095
METER NUMBER
DA2140
.UNIT 10
1701
Check if not full
I )
x
Signature
INVOICE
Invoice No
955,:C;
Account No
50-1750525-1
Date Delivered
10:35 5/8/13
Gallons Delivered
171.5
Driver Nu 525
Truck No
1701
<DYED UNMARKED HEATING 01L:Not>
<for use in highway.conroad,>
<locomotive or marine engines>
12 HEATING OIL
685.83
<171.5 Gallons A $3.999>
SALES TAX
3.0000%
20.57
TOTAL $ THIS DELIVERY
$706.40
PLEASE PAY THIS AMOUNT
706.40
EFTA01069806
WNW
PLACE
STAMP
HERE
PAYMENT PROCESSING CENTER
PO BOX 11814
NEWARK NJ 07101-8114
thdil.lii...IIIIIIII.filullimmli..1..lillvoll...0.0"..
EFTA01069807
Remittance Portion:
Account Note
Please return with your payment
Amount Due
.66
Hunk you
Discount
$5.25
Amount Paid
$
_
Address Change
LEON BLACK
POBOX8020
GARDEN CITY. NY 11530
Check if address charged ( I
❑050011749794956637 6 000865066UU[10525[)000[JUUUO
EFTA01069808
LMA/WALITY/BURKE
560 N MAIN ST
BREWSTER NY 10509
914-769-5050
BILL TO
LEON BLACK
PO BOX 8020
GARDEN CITY, NY 11530
DELIVER TO
19C NARROWS RD BEDFORD HILLS
DATE
05/09/13
START COUNT
0.0 GALLONS
END GRCSS COUNT
2100.2 GALLONS
GROSS DELIVERY
2100.2 GALLONS
2
DISTILLAT1
SALE NUMBER
12641
UNIT ID
1720
Check if not full
[x)
Signature
INVOICE
Invoice No
956637
Account No
50-1748794-1
Date Delivered
08:05 5/9/13
Gallons Delivered
2100.2
Driver No 620
Truck No
1720
<DYED LNMARKED HEATING OIL:Not>
<for use in highway,ronroad,>
<locomotive or marine engines>
$2 HEATING OIL
8398.70
<2100.2 Gallons @ $3.999>
SALES TAX
3.0000%
251.96
TOTAL $ THIS DELIVERY
$8650.6€
If caid in 20 days, deduct $5.2'
this is a $0.00/Gallon discount
PLEASE PAY THIS AMOUNT
8650.66
EFTA01069809
PLACE
STAMP
HERE
PAYMENT PROCESSING CENTER
PO BOX 11814
NEWARK NJ 07101-8114
si.dil.lii...lilfillkiliillimuili.d..liiIiiill...0.0"..
EFTA01069810
U.S. TRUST ear
Bank of America Accolades*
American Express" Card
sank ci• Arenca Pitvate Weath Management
ALEXANDER BLACK
Account Number. 3 74 7 2002 78 12810
April 10 May 8. 7013
Account Information:
Mail billing Inquiries to:
Bank of America
In Box 9S4'435
E3 Paso, TX 79098 2t1.5
Mall payments to:
Bank of America
Ill Box 15019
Wilmington, 1W 19886-5019
Customer Service:
1.900478.6030
ilS00.3463178 !TY)
Payment Information
New Balance Total
Current Payment Due
Total Minimum Payment Due
Payment Due Date
$2.564 07
$25 00
..$25.00
6/7/13
Late Payment Warning if we do not receive your Total Minimum Payment by
the date listed above. you may have to pay a late fee 04 uP to $35.00
Total Minimum Payment Warning. If you make only the Total Minimum
Payment each period you will pay more in interest and it will take you longer
to pay off your balance For example.
II you make no
additional chaigns
using This earn
and each month you
pay
You will puyoll
the balance
shown on this
statertxml in about
And you will end
no paying an insinuated
totell of
Only the Total
Minimum Payment
17 years
54.780 98
S85 22
36 months
$3.067 97
(Savings = $1.713 06/
If you would like information about credit counseling services call
18663005238
Account Summary
Previous Balance
Payments and Other Credits.
Purchases and Adjustments
..$8.146.93
8.146 93
7 564 07
Fees Charged
. 0.00
Interest charged
0.00
New Elaiance Total
.$2.564.07
Total Credit Line.
$10.000.00
Total Credit Available
$7.435 93
Cash Credit Line .
53 000 00
Portion of Credit Available
for Cash
$3.00000
Statement Closing Date
5/8/13
Days in Billing Cycle
29
Transactions
transecton
Cep
knee(
OOP
assneXer
Repent*
Account
Mime.'
Num0e,
Amount
tors
Payments and Other Credits
04/27
04/29
PAYMENT • THANK YOU
-8.146 93
-$8.146.93
Purchases and Adjustments
04/07
04/10
EAT 0011
NEW YORK
NY
36 22
04/08
04/10
TERRA RISTORANTE )TALI GREENWICH
CI
5600
04/08
04/10
LUCKY BRAND 42516
GREENWICH
CT
597 12
04/08
04/10
SEAMLESS GIGINO TRAT NEW YORK
calietsOon now Oolle
NY
67 81
08
0025640700002500008146930000374720027812610
BANK OF AMERICA
P 0 BOX 15019
WILMINGTON. DE 19866-5019
Sa 0511 N 365 513 147
17001 ffe01 AT 0.364
ALEXANDER BLACK
PO BOX 8020
GARDEN CITY NY 1153D-8020
Account Number.
New Balance Total
Total Minimum Payment Due
Payment Due Date
Enter payment amount
S
$2.564.07
.25 00
06/07/13
Cher* note fp a change or mailing eddied& of OnOtte numb.,
Pens pinne en COffeCtnns on Me remorse side
Met this coupon along with your Creech Poyabeo to Bonk Of Amonele
24O 2 2 29O1:
O 7 /9OO 278 1 26LOPP
EFTA01069811
IMPORTANT INFORMATION ABOUT THIS ACCOUNT
USE71 7 Rev. 06111
CUSTOMER TIPS FOR DISPUTED ITEMS
%tiny tow, oi.pitso harers ;vele:finnan, hir.).--nbeructemer.
;,.,•
or remember. Before di ap r rim n charge. WV reIN011 mend that you verify .
t ;: t.. ., -t
make m cry talon to reselect the dispute with the merchant Often the men
at •
your gum, lona and r Am IN resolve your di spate. 1 be merchant'. phone cr luny mad I.-
'motet' an your re not or I nth tin statement.
• Has sere& posted to your account?
Mew- allow up
'30 dug from the late on your r rmlit voucher c
ark now tdm-m,ntl haler for Ihr mcrclwut r n.bl to islet.
Is the charge or amount unfamiliar?
Check WithInhet pcmun. au i hue
IV use hi. account to make mire thin
did edit make the charge. It is passible that the merchants billing names.
and Mti we. mows an- daft-not f:r .4tiptoed. ran rat:ply be c enfused with similar
charges or inducic tip.
(Inc way torhea-1 for the until ILI• or to VII•Oi transaction
tO
Al your
amount litatrinynt.I.ollOW. If you are oat enrolled in Online Banking• it is easy to comb
us mg the web add res. en the (omit oiyotir -.tate mcia or give us 3 call.
Please remember. If you find an error on your bill.you must notify us no later than
00 days after we sent your first statement on which the error or problem appeared
to present emit billing rights.
PAYING INTEREST
* ill nn :bar:, 'metre' on Purchases 011 11w nrxl suitenwnt if you pm the N.'
Itabnee natal in In 3 he the Parment Due Elate, and von had paid in hill by the prmarnic
Pay meat Put Date We will begin charging mime, t on Et
Tninifem and (2mh
Advances On Ihl• transaction date.
CALCUIATION OF BALANCES SUBJECT TO INTEREST RATE
.Amtrage I kidi" Balance Method i including new- l'unbaam
We caleuhtesepamte Balances Subject turn Interest Rate for Purchases and for
each Introductory or Promotional Offer luiLamie oansisting of Purchase,. We do this by:
CI) calculating a daily balance for each day in the billing cyele: (2) adding all the daily
balances login her: Will 431 dividing the sum filthy daily balances 10 thr number of clays
in the billing (Me.
To calculate the dadv Wenn- fur emit day in this suilemenCe baling cycle. we: (II
take the beginning balance: (21add an amount equal to theapplicable Daily Periodic Rate
multiplied by the pinions da.A. ilai6 balance: (3i add new Purchases. new Amount Fees,
:and new Transaction Pei-a:and (4i subtract applicable payments and netts. If any daily
balance's less than ten we treat it a> L M.
Average Bataan) Method (includi lig new Balance Initialer% and new Cash Advances):
We calculate. sep. .
Balances Subject m an Interest Hate for BalanceTransfero
Cash Advances, and for each Introductory or Promotional Offer balmier consisting of
Balancelfraroderis or Cash Adovires. We do this by: II a rake lating a daily balance fiw each
tbsy in 'hi* statement's billing eerie: 21eaboilating u ,ail' balance for each day prior to this
atatement's billingeyriethat had .1"Pre-Cyrle balance- — Pre-Cycle balance is a Balance
Transferor a Cash Advance with a transaction date prior to this statement's billing
(oak but with a posting dare within this suitement's
adding ,dl the (bib'
balances together: and oil dividing the sum of thy...lady balances by the 'lumina of days in
this statement's lulling male.
To calculate the daily balance fur each day in this statement's hailing cycle. we: i
take the beg:mint; balance: I2lacid an amount equal hi the applicable fail' Pe riodie Rate
multiplied hy the ormolus day's daily 'lateen-, tat mid new lialanm 'Pranging. new Cash
Advances and Trlinli•ittiim Foca. and 44) sultan applicable piymesas and credit w. If any
daily balance is leas than um W.' treat it as ',ern.
Totokolate a draily balante for each day prior to tins statement's billing cycle that
had ..Prea 'yelp balance: lila* take the 'Jet:inning balance atitihutable 4014 to Pre-Cycle
Labia:elwhich willle:zeroon the transaction date of the first Pre-Cycle balance): t21
add an amount equal to theapplicable Daily Periodic Hats multiplied by the previous
I1Mt• daily W11271O4 13 i and add only the aPPlitableTreCyck balances and their Riak6
Tranortion Frew. We exclude from this calrial0 ion ell transactions mistral in previous
billing maks.
PAYMENTS
At credit whiled It:cynicAs 3' ut t6r date nx 1:1‘ Ill. if the payment r:
recrii cal by
5
local tour at the address show-n on the connicance sip on the front of your monthly
statement; (21 paid with a cheek drawn in U-salollars to n C.S. 'oaning institution or
a O.S. dollar money order: and 43? sent in the return cmelope within* them lne°
rt
po ion uf rur statement accompanying it. Payments received h' mad after .5
. local
time at the remittance adders,. on am' day including the Payment iture Lime. but that
otherwise meet the above requirements:twill becredited as of the next AIL Payments, made
online or by phone will he credited as of the date of receipt if made by SM. Centrateredit
for any odict parwntic may be delayed up no hoed',"
No payment lean operate as an Atr101i and satisfaction without the prior writta-ii
approval of one of our Senior Officer*.
We process most payment checks eiretronimIlly by using the infonnatam found cm
your check. Each check authorizes us to ere/dem onetime elecimnic funds t
fermr
process it as a check or paper dralln hinds may he withdrawn from your account as
non as the samedance manceYour payment. (1wcks Art, net returned myna.
Fla mum inforinatem ur m slop the elm:trona; funds transfers, call us at I he
number listed on the front.
If you bait aultawizeil us to pay your coedit cant billautomatically from your savings
or tiateking account with us.you can atop she payment on am amount yuu think is
wrong. To stop PnYnlent. pito letter must mach 13% at Iran three business days before
the itIllOnlalic payment ei scheduled tc Went
ONLINE
cit . IL,
o •
PHONE
I.Sti6.268.0212
ha prompt
f
01-' n hn^l ^ft, rf I
1,31:abir to,
eil.tr4er
in out -Ica
MAIL
Attn: Billing Inquiries PO Box 9SZZOS. El Paso. TX 79998
When writing. please inelude Your Name, Aetount Number. the
Disputed Amount, Merchant Name, Transaction Date.and
reference number of the timetoted nom
your dispute. including dines of cantata with the merchant sank time
mealuinie response in each instance. Please include all oupportion
documentation including salesanti credit iumbenneentran and
receipts ea proof of any' !MUMS.
TOTAL INTEREST CHARGE COMPUTATION
interest Charge. aiwur and are compounded vn a daily basis. To deter Milli' the
Interest Charytt< we TO Itiplyeach ilalanceSubiert to Interest Rate lw its applicable I kuly
Periodic Rait- and that result is moIiipbed lw the number cif city. in the billing CW11..1.1,
item-reline the hat Interest Charge for the lolling lac le. we add tlw l'enothe Hale Interest
(images together. A Deity Pc nude: Rate iN cakultiltml be dmdmm an Annual Pen:image
Rate Ity:Itti.
HOW WE ALLOCATE YOUR PAYMENTS
If your /Wrenn' has balances with different Alt 4.0 I. Iii all. ate the amount of
your payment equal to 'hernial %hn,mum Payment I hetet I1w kmest AIR balance, brat
including Inundations made after thb statement t. Payment .41n011 MN In ..n•,% of your
Total Minimum Payment Due will he aprited in KlianreA with higher APR. hefore balances
with lower APRs.
IMPORTANT INFORMATION ABOUT PAYMENTS BY PHONE
When using Iheoptional Pay by-Phone son int.you NW horizi• us to initiate a c
electronic payment from pelt amulet at the financial institution you designate. You must
authorize the amount and timing [trench payment. Fut your peon-thorn we will ask fur
security information. A fee may apply for ormslited semi',' To carrel, call us lwforr the
scheduled payment date.Same dm payments cannot be edited or canceled.
YOUR CREDIT LINES
The Total Credit Line is Ow amount of credit available for the amount: however. only a
portion of that is /0 al INIAr for Hank Cash Advances. The Cash Credit lane is that amount
you have available for lhnk Cash Advances. Generally. Hank Cash Advances consist of
ATM Cad, Advances.Ovcr the Counter, OTC) Cash Ads snits. Same Day Online (:ash
Ad vancesOverdraft Protection ('ash Advances rash Equivalents. 'leftward P.wmente,
tronstutlion few,.
MISCELLANEOUS
"Promotional Rate End Date: This date is based on a future statement losing date
If you change your payment due date, this date could change. Tr.insarnons moat meet
offer conditions in order tottualitv for the promotional rate.
For the complete terms anil condi, lona of von r acci and, consul'
Can'
Agreement. VIA CanISCMCCs iS a tradenaineof ElagardSenices.
.Thia account
la issued and atm insterial by PIA rani Senors. M.
If your billing address or contact information haili changed. or if your address is
incarnates it *animus on this bill. please provide all corrections here.
Addre« I
Adders.'
ray
State
Area Code &
ilnme Phone
Area Code &
Work Phone
•
EFTA01069812
•
U. S. TRUST e
Bank of America Accolades®
American Express® Card
Bank of kne•aca Pleats Wen, Maragemerl
3747 200278 12610
Apr1110 May 8. 2013
Page 3 o(4
Transactions o•i! Jeri
ransactoos
Oats
Posts*
Oats
IG•ptrt+n
Renner
Azcoonr
',ammeter
Number
Amount
Purchases and Adjustments
04/09
04/11
NC TAX' 9142 09019580 JAMAICA
NY
68/6
12 60
04/09
04/11
SEAMLESS Al SUSHI CA NEW YORK
NY
1088
52 87
04/09
04/11
FAVELA CUBANA RESTAURA NEW YORK
NY
3/75
20.96
04/09
04/11
M2M MART
NEW YORK
NY
4772
6 32
04/10
04/11
NYC TAXI 3)27 09019710 BROOKLYN
NY
1979
1380
04/10
04/13
FAVELA CUBANA RESTAURA NEW YORK
NY
5972
31 49
04/11
04/13
SUSHI OF GAM
NEW YORK
NY
6773
158 85
04/11
04/13
YELLOW CAB SLSJET MANA LONG ISL AND CNY
5571
11 90
04/11
04/13
ASAD MAIEED SIALKOT CA BROOKLYN
NY
1089
1190
04/12
04/13
NYC TAXI 6V84 09001520 BROOKLYN
NY
9872
30 00
04/12
04/15
CHESS FORUM
NEW YORK
NY
9083
81 11
04/12
04/15
S&R MEDALLION CORP S & NEW YORK
NY
6677
7 70
04/12
04/15
BABURCHI INDIAN FOODI NEW YORK
NY
8673
15 45
04/12
04/15
SHARAKU RESTAURANT 884 NEW YORK
NY
4670
26 80
04/12
04/15
FRESH & CO 729 BROAD NEW YORK
NY
7774
15 06
04/12
04/15
NYC TAXI VERIFONE NYC LONG ISLAND CNY
1089
9 50
04/13
04/15
200 CHAMBERS STREETQ NEW YORK
NY
35/5
300 00
04/13
04/15
NYC TAXI 2029 09001520 BROOKLYN
NY
5977
22 20
04/13
04/16
EAT 0011
NEW YORK
NY
2081
75 26
04/13
04/16
BOWERY FIRST FL
NEW YORK
NY
5373
25 23
04/15
04/17
ITUNES MUSICUSA ITUNES CUPERTINO
CA
8087
16 27
04/15
04/17
'TUNES MUSICUSA ITUNES CUPERTINO
CA
5673
21 71
04/15
04/17
ITUNES MUSICUSA ITUNES CUPERTINO
CA
0571
10 84
04/15
04/17
FRESH & CO 729 BROAD NEW YORK
NY
5375
3 27
04/15
04/17
KUNO CANTEEN INC
NEW YORK
NY
3573
12 52
04/15
04/17
NYC TAXI VERIFONE NYC LONG ISLAND CNY
3372
14 30
04/16
04/17
NYC TAXI 7166 09001530 BRONX
NY
1871
13 20
04/16
04/17
ITUNES MUSICUSA ITUNES CUPERTINO
CA
0779
23 88
04/16
04/17
!TUNES MUSICUSA 'TUNES CUPERTINO
CA
9083
1300
04/16
04/17
'TUNES MUSICUSA I TUNES CUPERTINO
CA
1971
10 85
04/16
04/17
NYC TAXI 4G43 09001640 LONG ISLAND CNY
1877
11 40
04/16
04/17
NYC TAXI 3F68 09000990 LONG ISLAND CNY
6776
25 80
04/16
04/18
SUSHI SUSHI 8843015290 NEW YORK
NY
6379
22 86
04/16
04/18
PRET A MANGER 4019 019 NEW YORK
NY
8376
12 65
04/16
04/18
SUSHI SUSHI 8843015290 NEW YORK
NY
1083
13 89
04/17
04/18
I TUNESMUSICUSAI TUNES CUPERTINO
CA
4373
16 27
04/17
04/18
[TUNES MUSICUSA ITUNES CUPERTINO
CA
3879
21.71
04/17
04/18
I TUNES MUSICUSA ITUNES CUPERTINO
CA
7275
21 71
04/17
04/19
UR CUP
NEW YORK
NY
2873
4 25
04/18
04/19
NYC TAXI 1E1209006480 ASTORIA
NY
9976
900
04/19
04/20
ITUNES MUSICUSA ITUNES CUPERTINO
CA
7971
12 14
04/20
04/22
ITUNES MUSICUSA ITUNES CUPERTINO
CA
8275
10 85
04/20
04/22
'TUNES MUSICUSA 'TUNIS CUPERTINO
CA
0579
31 46
04/21
04/22
'TUNES MUSICUSA ITUNES CUPERTINO
CA
2979
27 13
04/24
04/25
NYC TAXI 6G32 09001530 BRONX
NY
4085
24 80
04/24
04/26
APPLE RESTAURANT AND B NEW YORK
NY
1678
15 00
04/24
04/26
FRESH & CO 729 BROAD NEW YORK
NY
1779
11 91
04/24
04/76
FAVELA CUBANA RESTAURA NEW YORK
NY
6278
7632
04/24
04/26
THINK COFFEE 1 THINK C NEW YORK
NY
3974
600
04/24
04/26
PATSYS AT UNIVERSITY NEW YORK
NY
1087
16 00
04/25
04/26
NYC TAXI 3490 09002540 LONG ISLAND CNY
7870
11 00
04/25
04/27
TAXI CREDIT CARD CORP WOODSIDE
NY
0279
16 70
04/25
04/27
NYC TAXI 8E81 09000560 EAST ELMHURSTNY
5774
19 80
04/25
04/27
CAFETASIA RESTAURANT NEW YORK
NY
5677
14 98
CO,:•604
0110
lots
EFTA01069813
I
Transactions continued
I
Caro
Purchases and Adjustments
04/ 25
04/27
LIGHT SOURCE INC LIGHT NEW YORK
NY
5081
04/25
04/27
BAR 13
NEW YORK
NY
0277
04/25
04/27
FRESH & CO - 129 BROAD NEW YORK
NY
9970
04/25
04/27
BAR 13
NEW YORK
NY
4279
04/25
04/27
FP ASI OR PLACE. LLC
NEW YORK
NY
7677
04/26
04/27
I TUNES MUSICUSA I TUNES CUPERTINO
CA
1089
04/26
04/27
ITUNES MUSICUSA ITUNES CUPERTINO
CA
4879
04/26
04/27
DAVIDSI EA 6TH AVENUE NEW YORK
NY
9086
04/26
04/27
DAVIDST EA 6TH AVENUE NEW YORK
NY
0870
04/28
04/29
i TUNES MUSICUSA ITUNES CUPERTINO
CA
4374
04/28
04/30
SEAMLESS BENVENUIO T NY
NY
4674
04/29
04/30
ITUNES MUSICUSA ITUNES CUPERTINO
CA
0675
04/29
04/30
ITUNES MUSICUSA ITUNES CUPERTINO
CA
8084
05/01
05/02
I TUNES MUSICUSA ITUNES CUPERTINO
CA
4671
05/01
05/02
!TUNES MUSICUSA ITUNES CUPERTINO
CA
1677
05/02
05/03
ITUNES MUSICUSA !TUNES CUPERTINO
CA
7279
05/03
05/04
ITUNES MUSICUSA ITUNES CUPERTINO
CA
9573
05/03
05/04
ITUNES MUSICUSA ITUNES CUPERTINO
CA
7874
05/07
05/08
ITUNES MUSICUSA ITUNES CUPERTINO
CA
1771
05/07
05/08
I TUNES MUSICUSA ITUNES CUPERTINO
CA
0573
05/07
05/08
ITUNES MUSICUSA ITUNES CUPERTINO
CA
9278
Interest Charged
05/08
05/08
Interest Charged on Purchase,.
05/08
05/08
Interest Charged an Balance
• ,
05/08
05/08
Interest Charged on Dor Dep&C”. ,
05/08
05/08
Interest Charged an Bank Cash Atht.PICeS
TOTAL INTEREST FOR THIS PERIOD
13 /0
24 00
10 18
16 IX)
13 12
10 85
5 42
37 56
300
71 11
14 49
14 99
16 2/
14 99
9 99
999
21 71
32 58
18 44
801
10 85
$2.684 07
2013 Totals Year-to-Date
Total fees charged in 2013
total interest charged in 2013
$O 00
$0 00
0 03
000
000
000
50 .00
Interest Charge Calculation
Your Annual Percentage Rate (APR) .5 the annual interest rate on your account
Annual
Promotional
Promotional
Promotional
Balance
Interest
Percentage
Transaction
Of ler ID
Rate Until
Subject to
Charges by
Rate
Type
interest
Transaction
Rate
Type
Purchases
11.994V
$O 00
$0 00
Balance Transfers
11.994V
$O 00
SO 00
Direct Deposit and check Cash
14 994V
$0 .00
SO 00
Advances
IMW
sank Cash Advances
16.994V
$O 00
Si
ns T i
ntons,!..ro
va• 3,9 kale
1 TAY
Rewards
WORLDPOINTS
2,564 BASE POINTS EARNED
77,135 TOTAL AVAILABLE POINTS
•
EFTA01069814
010
Frank & Lindy
Plumbing & I kaiing Service Co
2 John Walsh Boulevard, Peekskill, NY 10566
le
WESTCHESTER LI
PUTNAM LICENSE
INVOICE
NO.
PAGE 1
B
I LEON & DEBRA BLACK
S LEON BLACK-WATER TREATMENT
L III. BOX 8020
I
ATTN: ANDREW MESSINGER
L GARDEN CITY NY 11530
T 190 NARROWS ROAD
E BEDFORD HILLS NY 10507
T
O
INVOICE DATE
INVOICE NO.
CUSTOMER NO.
PAYMENT TERMS
CONTRACT NO.
BLA000 I
No Terms/COL
UNIT
TICKET #
QTY MEAS DESCRIPTION
UNIT
EXTENDED
PRICE
PRICE
W/O # - B30425003
For services rendered:
Answered call of exterior hose bibb broken. Removed and
replaced brozen hose bibb.
Removed and replaced isolation valve for pool fill.
Removed inoperable garbage disposal. Supplied and installed
new Insinkerator Garbage Disposal on center island sink.
Tested all work.
$1,795.00
Performed monthly water treatment as per contract.
$375.00
4/26/13
1 .00 EA TECH
1.00 EA SUBTOTAL
2170.00
SALES TAX
Finance charges at the rate of 1 .5% per month will be made
on all items over 30 days past due which is an ANNUAL
PERCENTAGE RATE of 18%.
.00
2,170.00
160.04
GROSS
2,170.00
TAX
160.04
I'll' AMOUNT
2,330.04
EFTA01069815
Frank & Lindy
Plumbing 6r Heating Service Co
2 John Walsh Boulevard. Peekskill* NY 10566
WESTCHESTER LICENSE '1778
PUTNAM LICENSE N554
INVOICE
NO.
PAGE 1
B
I
L
LEON & DEBRA BLACK
P.O. BOX 8020
S
I
LEON BLACK-WATER TREATMENT
ATTN: ANDREW MESSINGER
L GARDEN CITY NY 11530
T 190 NARROWS ROAD
T
O
E BEDFORD HILLS NY 10507
INVOICE DATE
INVOICE NO.
CUSTOMER NO.
80217
TICKET #
BLA000
PAYMENT TERMS
No Terms/COD
UNIT
QTY MEAS DESCRIPTION
CONTRACT NO.
UNIT
EXTENDED
PRICE
PRICE
W/O # - B30318005
For services rendered:
Answered call of no heat to Ben's bedroom.
Checked zone valve and found operating properly. Checked
Air Handler and found insufficient pressure in system.
Filled glycol side to 25 PSI and tested. Removed and
replaced leaking relief valve in boiler room.
Tested same.
$1,250.00
3/18/2013
1.00 EA TECH
1.00 EA SUBTOTAL
1250.00
SALES TAX
Finance charges at the rate of 1.5% per month will be made
on all items over 30 days past due which is an ANNUAL
PERCENTAGE RATE of 18%.
.00
1,250.00
92.19
GROSS
TAX
Negr AMOUNT
1,250.00
92.19
1 ,342.19
EFTA01069816
Frank & Lindy
Plumbing ea Healing Service Co
2 John Walsh Boulevard. Peekskill, NY 10566
WESTCHESTER LICENSE #778
PUTNAM LICENSE M5S4
INVOICE
NO.
PAGE 1
B
I
L
LEON & DEBRA BLACK
III. BOX 8020
S
I
LEON BLACK-WATER TREATMENT
ATTN: ANDREW MESSINGER
L GARDEN CITY NY 11530
T 190 NARROWS ROAD
T
O
E BEDFORD HILLS NY 10507
INVOICE DATE
INVOICE NO.
CUSTOMER NO.
PAYMENT TERMS
05/10/13
80218
BLA000
No Terms/COD
CONTRACT NO
UNIT
TICKET P
QTY MEAS DESCRIPTION
UNIT
EXTENDED
PRICE
PRICE
W/O M - B30415016
For services rendered:
April 23, 2013
Answered call of problem with zone valve installed in Sun
Room last week. Fan in Library is continuously running and
there is a problem with the garbage disposal at the Center
Island.
Repaired zone valve installed last week - no charge
Removed and replaced three way zone valve and power head for
Library zone. Removed and replaced aquastat for Library
zone. Tested all work.
Checked for problem with garbage disposal at center island
sink. Found garbage disposal motor seized and has to be
replaced. Ordered same.
$1,205.00
4/23/13
1.00 EA TECH
1.00 EA SUBTOTAL
1205.00
SALES TAX
Finance charges at the rate of 1 .5% per month will be made
on all items over 30 days past due which is an ANNUAL
PERCENTAGE RATE of 18%.
.00
1 ,205.00
88.87
GROSS
TAX
NET AMOUNT
1,205.00
88.87
1,293.87
EFTA01069817
( .JC)CilflE-SIfiC:LikIFt FUEL INC.
Visit our web-site:
161 W. Montauk Hwy • PO Box 760
Hampton Bays, NY 11946-0760
*** SERVICE INVOICE *** 24406 ***
LEON BLACK
PO BOX 8020
GARDEN CITY, NY 11530
ACCT#
5/02/13
TOTAL CHARGE:
$923.31
QUANTITY
DESCRIPTION ,REVITTASU
1.000 GENERATOR DISCONNECT &
RECONNECT
TOTAL PARTS
TOTAL LABOR
1.75 HOURS
NYS SALES TAX
< < <
850.00
ADDRESS CORRECTION 1
PAPA
!WI'
,
AMDUNT PAID
AMOUNT
850.00
0.00
73.31
TOTAL CHARGE FOR INVOICE # 24406 >>>
923.31
SITE:LEON BLACK/730 MEADOW LN\GEN/SOUTHAMPTON, NY/11968
CALL DATE: 5/02/13
CALL REASONS: FOLLOW UP WORK
WORK PERFORMED: INSTALLED OIL LINE
ran oil lines and hooked up, billed from ok'ed proposal,
complete
REMIT TO:
QUOGUE-SINCLAIR FUEL INC.
PO Box 760
Hampton Bays, NY 11946-0760
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION
EFTA01069818
EXTRA CHARGE FOR REQUESTS TO TOP OFF TANK
TiiiS
ONLY iNL/DICE YOU Wit. PUCE NI-
HAMPTON TANK GAS SERVICE INC.
GAS RANGES AND APPLIANCES
...___.,
.._..„
77 MAPLE LANE
BRIDGEHAMPTON, N.Y. 11932
4
(,,6
)
P.O. BOX 612
. NE AA A A STATIO)
8 3 7 3 8
E TO:
?3i/I NIC
L.
44102
MAIL
J P. PLOCK
To:
' H4(1
aBOX 8020
GARDEN CITY, N.Y.
SLIEST HOUSE
11530
Tank Size: 1000
Tank Number: 863273
Rite: 0.02100%
Use Rate: 9
OATE n/1 /I ',
FLEASE ALLOW 7 DAYS FOR
WILL CALL CUSTOMER
TRUCK
PREVIOUS
BALANCE
AMOUNT .„
CASH 0
4i
RECEIVED
0 CHECK
.1'441
0 0 A NT
02 11 14 pilaf 0O1A
CVOS
TR
.AAI
; coos
6qujbLii.)
1
d4900n000
1 OnLi
/00I
6clud358 d463j1,450
I
I
I
I
I
I
I
I
I
I
I
A SERVICE CHARGE OF 1.1% EQUAL TO NM PER YEAR WILL BE MADE ON ACCOUNTS OVER 30 DAYS
ACCOUNTS OVER 30 DAYS ARE PLACED ON COD AND MAY BE SUBJECT TO A SPECIAL DELIVERY
CHARGE
SPECIAL DEL CHARGE
METER READ
,:41 1. 13
PREY READ
0
SALES TAX
TOTAL
PAY THIS AMOUNT
EFTA01069819
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