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HomeMy WebLinkAbout239413 11/19/14 %u 4�p'' - CITY OF CARMEL, INDIANA VENDOR: 367166 ® ,1 _ ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $*****""941.83" CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 239413 °�'iftiN-co. MADISON WI 53701 CHECK DATE: 11/19114 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4353004 31609 I00184274 941.83 COPIER CONTRACT Keep lower portion for your records-Please return upper portion with your payment Customer Number 490000023 F C L E :A S ! N:. G Invoice Date 10/16/2014 A DNISION OF THE GORDON RLE5CH�COMP,'NY Invoice Number 100184274 --LL"`- Due Date 11/05/2014 ��� Total Due $ 941.83,E CITY OF CARMEL-DEPT OF COMMUNITY SERVICESEmil 2 LM ONE CIVIC SQUARE { CARMEL, IN 460327569 0 2 2 2014 SQ 4 Invoice Summary r TotalBase; Skecurity Ofher Amount Property FSaleslUse llhnois Use Tax; Previous, Total Due Deposit Due".... Taxes Tax Recoveryw Balance $ 941.83 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 941.83 *Other Amount Due may include: Shipping and Handling, Late Fees, NSF/ACH Return Fees, Misc. Charges Important Messages "*Please note your invoice may include a previous balance. If this amount has already been remitted, please reduce the total du( by the previous balance. Thank you for your continued business! If you have questions regarding your bill, please give us a call and we will be happy to assist you. (800) 677-7877 1 Invoice Detail Equipmet)t°Address Equipment_;= „ Paymernt ;.PMT Contract Base Sales Use `Itlmo�s Totat City4 State _ Desc"r�ptionl Pe'r�od l Number; Tax Use Tax PO#t 7 Cost Center Serial Term Recovery .Deprtment� Number � � ONE CIVIC SQUARE-COMMUN Sharp MX 314ON 11/05/14 7/60 L70731 Carmel,IN 2507705X/W5420 - 02/04/15 L70731 Sub Total 644.88 0.00 0.00 644.88 ONE CIVIC SQUARE-COMMUN Sharp MX 5141 N 11/05/14 2/60 L82918 Carmel,IN 3509723XAN5628 - 31718 12/04/14 L82918 Sub Total 296.951 0.00 0.001 296.95 Total Due: $ 941.83 $ 0.00 $ 0.00 " $ 941.83 2 i VOUCHER NO. WARRANT NO. ALLOWED 20 GFC Lease OH �!^�I��(o K� V IN SUM OF$ 0 P.O. Box 2290 Madison, WI 53701 $1,326.81 I' i ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. I V C NO. ACCT#/TITLE AMOUNT Board Members �Encumbered 1 hereby certify that the attached invoice(s), or 31609 .0184274 43-530.04 $941.83 3(' Encunt ered bill(s) is (are) true and correct and that the IN10949923 43-530.04 $129.47: Encumbered materials or services itemized thereon for 44t69'' IN10958894 43-530.04 `� $119.62which charge is made were ordered and Prior Year Encumbered -34609— IN10949637 43-530.04 $135.89 received except 5il�lt� r^ V C Monday, November 17, 2014 Director Title Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY & CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee ;. I Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 10/16/14 100184274 $941.83 11/14/14 I N 10949923 $129.47 11/14/14 IN10958894 $119.62 11/14/17 I N 10949637 $135.89 I I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer