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243343 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 368053 ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $*******367.95* CARMEL, INDIANA 46032 PO Box 790448 CHECK NUMBER: 243343 ST LOUIS MO 63179-0448 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 R4353004 31761 273661074 367.951 COPIER LEASE AND MAIN I I I I INVOICE NUMBER 273661074 Toshiba Financial Services Aprogram of U.S.Bank Equipment Finance DATE DUE TOTAL DUE TOSHIBA FINANCIAL SERVICES 3/25/2015 $ 7' 1310 MADRID STREET SUITE 101 . �� MARSHALL,MN 56258 ❑ CHECK HERE IF ADDRESS CORRECTION IS NEEDED COMPLETE INFORMATION ON REVERSE SIDE i 11111111111'I�II'�'III'II1111Jill 111111'1I1I"'111'lll"1"111 PLEASE REFERENCE INVOICE#ON YOUR CHECK 000004311 1 AB 0.406 106481944118423 P PLEASE RETURN THIS PORTION WITH REMITTANCE PAYABLE TO: SHARON KIBBE CARMEL CITY OF 1 CIVIC SQUARE iI���I�II11ni�I�lu1��II�I�I���IIIII�III�llllill��lu��llm�ll� CARMEL, IN 46032-2584 TOSHIBA FINANCIAL SERVICES P.O. BOX 790448 ST LOUIS, MO 63179-0448 790-448 273661074 000075177 ................................................................................................................................................. ........ ...__........._...........--- ....... ....... .....J...... .................._......................___......_. ..... DATE OF INVOICE 3/1/2015 Toshiba Financial Services INVOICE NUMBER 273661074 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 3/25%2015 MARSHALL,MN 56258 n 800-828-8246 Le, .9 5 CUSTOMERSUPPORTEF@ONLINECOMMENT.COM I PAGE 1 OF 2 FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246 MESSAGES SAVE TIME:MAKE QUICK AND EASY ONLINE PAYMENTS BY VISITING HTTPSJ/FINANCING.EPORTALDIRECT.COM CONTRACT NUMBER DATE DESCRIPTION AMOUNT BALANCE FORWARD GRP POOL 50359 1/25/2015-2/25/2015 CONTRACT PAYMENT 367.95 2/25/2015 `OVERAGE' 15.87 CURRENT CHARGES DUE GRP POOL 50359 POOL 1 2/25/2015-3/25/2015 CONTRACT PAYMENT 367.95 BLACK&WHITE CARMEL CITY OF 1 CIVIC SQ FL 3 CARMEL,IN 46032 CHECK WHICH APPLY- NEW BILLING ADDR. NEW EQUIP.LOC. NAME ADDRESS ATrN (PHONE) (FAX) (CITY) (STATE) (ZIP CODE) (AUTHORIZED SIGNATURE) (COUNTY) -------------------------------- ....................... ---------------------------------------------------------------------------------------------------------------------------------... ........ DATE OF INVOICE 3/1/2015 Toshiba Financial Services INVOICE NUMBER 273661074 A program of U.S.Bank Equipment FinanceCustomer Credit Account Number 1351340 DATE'IDUE TOTAL DUE TOSHIBA FINANCIAL SERVICES 1310 MADRID STREET SUITE 101 3/25/2015 $751.77 MARSHALL,MN 56258 800-828-8246 CUSTOM ERSUPPORTEF@ONLI NECOMMENT.COM PAGE 2OF2 FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246 CONTRACT NUMBER DATE DESCRIPTION AMOUNT I 500-0397813-000 TOSHIBA ES5540CT COPIER SERIAL NUMBER SCBAD24860 P_OOL 2 — - .................................................COLOR..................- ................ ....... CARMEL CITY OF 1 CIVIC SQ FL 3 CARMEL,IN 46032 500-0397813-000 TOSHIBA ES5540CT COPIERS-CPC SERIAL NUMBER SCBAD24860-C ***A LATE CHARGE WILL BE ASSESSED IF PAYMENT IS NOT RECEIVED BY DUE DATfi IF I FOR ANY REASON YOUR CHECK IS RETURNED FOR NON-PAYMENT YOU WILL PAY US A$ 0,0p'_ FEE OR, IF LESS,THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT*** I I I CHECK WHICH APPLY: NEW BILLING ADDR._ NEW EQUIP.LOC. NAME ADDRESS ATTN (PHONE) (FAX) (CITY) (STATE) (ZIP CODE) (AUTHORIZED SIGNATURE) (COUNTY) ----------------- - -- ----- - - ------ -----------.......... . . .............---.. ............_....................................... . .................... .. __........ --- ............. .. ... ........... . ........._......... ..........._ VOUCHER NO. WARRANT NO. ALLOWED 20 Toshiba Financial Services IN SUM OF$ P. O. Box 790448 St. Louis, MO 63179-0448 $367.95 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office i PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 31761 273661074 43-530.04 $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, March 16, 2015 Mayor Title 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)) 03/01/15 273661074 $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