241154 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 368053
+a
'I ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $ .....367.95*
9M ° CARMEL, INDIANA 46032 PO BOX 790448 CHECK CHECK NUMBER:
241 154
ST LOUIS MO 63179-0448DATE:
3/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4353004 31761 269505087 367.95 COPIER LEASE AND MAIN
I
INVOICE NUMBER 269505087
Toshiba Financial Services
Aprogram of U.S.Bank Equipment Finance DATE DUE TOTAL DUE
1/25/2015 $367.95—�
TOSHIBA FINANCIAL SERVICES ''� _
1310 MADRID STREET SUITE 101
MARSHALL,MN 56258
F1CHECK HERE IF ADDRESS CORRECTION IS NEEDED
COMPLETE INFORMATION ON REVERSE SIDE
PLEASE REFERENCE INVOICE#ON YOUR CHECK
000004015 1 AB 0.406 106481866846336 P PLEASE RETURN THIS PORTION WITH REMITTANCE PAYABLE TO:
SHARON KIBBE
CARMEL CITY OF
1 CIVIC SQUARE i1�i�nlllln��I�luI��II�I�I'��IIIII�III�IIII'Il�iln��llni�ll�
CARMEL, IN 46032-2584
TOSHIBA FINANCIAL SERVICES
P.O. BOX 790448
ST LOUIS, MO 63179-0448
790448 269505087 000036795
DATE OF INVOICE 1/1/2015
Toshiba Financial Services INVOICE NUMBER 269505087
A program of U.S.Bank Equipment Finance Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 1/25/2015 $367.95
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPORTEF@ONLI NECOMM ENT.COM
PAGE 1 OF 2
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246
MESSAGES
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CONTRACT NUMBER DATE DESCRIPTION AMOUNT
GRP POOL 50359
POOL 1 12/25/2014-1/25/2015 CONTRACT PAYMENT 367.95
BLACK&WHITE
CARMEL CITY OF
1 CIVIC SQ FL 3
CARMEL, IN 46032
500-0397813-000
TOSHIBA
ES5540CT COPIER
SERIAL NUMBER SCBAD24860
POOL
COLOR
CHECK WHICH APPLY:
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAX) (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
DATE OF INVOICE 1/1/2015
Toshiba Financial Services INVOICE NUMBER 269505087
Aprogram of U.S.Bank Equipment Finance 1� •';�:F Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 1/25/2015 $367.95
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPORTEF@ONLINEGOMMENT.COM
PAGE 2 OF 2
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
CARMEL CITY OF
1 CIVIC SO FL 3
CARMEL,IN 46032
500-0397813-000
TOSHIBA
ES5540CT COPIERS-CPC
-- - ........... - -... -
SERIAL NUMBER SOBAD24860-C
***A LATE CHARGE WILL BE ASSESSED IF PAYMENT IS NOT RECEIVED BY DUE DATE. IF
FOR ANY REASON YOUR CHECK IS RETURNED FOR NON-PAYMENT YOU WILL PAY US A$30.00
FEE OR, IF LESS, THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT.***
CHECK WHICH APPLY:
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAX) (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
1 �
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))
01/01/15 269505087 $367.95
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Toshiba Financial Services ALLOWED 20
IN SUM OF $
P. O. Box 790448
St. Louis, MO 63179-0448
$367.95
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
31761 269505087 1 43-530.04:r$367.95
I hereby certify that the attached invoice(s), or
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
Monday, January 12, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund