HomeMy WebLinkAbout239391 11/19/14 J! �• CITY OF CARMEL, INDIANA VENDOR: 366767
® ;1 ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT: $*******308.64*
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 239391
vM[roN � CINCINNATI OH 45271-3683 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353099 31611 57064 308.64 SCANNER LEASE
Remit To Invoice
VA&F Financial, Inc. Date Invoice
6430 East 75th Street 11/10/2014 57064
Indianapolis, IN 46250
(317) 634-2913
Bill To Billing Period
12/01/2014 Thru 12/31/2014
CITY OF CARMEL
ONE CIVIC SQUARE/LISA STEWART
DEPT. OF COMMUNITY SERVICE
CARMEL, IN 46032
Page 1
Lease Number: VA1860 Description : FUJITSU FI-5530C2 COLOR SCANNER
-----Serial-Number---0-1.2020—
Description
--- Serial-Number-:-01.2020 Description : FUJITSU FI-5530C2 COLOR SCANNER
Serial Number : 012784
Payment Due#30 12/01/2014 $308.64
Tax Due $0.00
12 2014
Invoice Total $308.64
Thank You for your business"
Questions please contact Julie Stahly-jstahly@vanausdall.com
Last Payment Received Previous Balance Current Due Total Due
10/08/14 $308.64 $308.64 $308.64 $617.28
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VOUCHER NO. WARRANT NO. ;
ALLOWED 20
VA&F Financial, Inc.
IN SUM OF$
6430 East 75th Street
Indianapolis, IN 46250
$308.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
i
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31611 I 57064 I 43-530.99 I $308.64
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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Iy
,i
Monday, Nove ber 17, 2014
Directo
Title
l
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/10/14 57064 $308.64
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