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244241 04/15/15 ��p'' Y F D "fY '� CIT O CARMEL INDIANA VENDOR: 367166 ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $*******986.42* a �_� CARMEL, INDIANA 46032 PO Box 2290 CHECK NUMBER: 244241 M,�TON�o.� MADISON WI 53701 CHECK DATE: 04/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4353004 200218094 986.42 COPIER eep owerpo ron or records-I-leasereurnronwrt yourpaymen Customer Number 490000023 Invoice Date 03/31/2015 DrJrst�#N o� reorN�ifscti cor�rArvY Invoice Number 100218094 Due Date 04/20/2015 A 5 7 Total Due $ 986.42 �� �0 CITY OF CARMEL ENGINEERING DEPARTMENT ONE CIVIC SQUARE RECEIVED UM CARMEL, IN 460327569 tY,r o CARMEL e_ITY CNGINLEI2 Invoice Summary Total ase Secunty other Amount ' Propeirty SalesiUse Ih ops tls�Tax Pr YEops Total[?ue Alz Deposit i0ue:* Taxes .Tax Recovery,. 13alanc� $ 986.42 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 986.42 *Other Amount Due may include: Shipping-arid Handling; Late Fees;NSF/ACH-Return Fees,Misc:Charges Important Messages "ATTENTION: Outstanding balances, if any, are not reflected on your invoice. If overpayments exist on your account, they will be reflected as a credit amount in the previous balance field and deducted from the total amount due. 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 Egwpment Address 2 Equipment Payment PMT Contract .Base Sales'J Use uIII a�sb Totat City,State', "" Description/ Periad I Numbed Tax °Use Tax PO,#!cost Center Serial Term Recovery Department Number �x ONE CIVIC SQUARE Sharp MX 4111 N 04/20/15 9/63 L70230 Carmel,IN 35006151/W5413 - 07/19/15 ------- ------------------------------ - ---- ------------------- ------ ------- ---- L70230 Sub Total 986.42 0.001 0.001 986.42 Total Due: $ 986.42 $ 0.00 $ 0.00 $ 986.42 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 GFC Leasing OH Purchase Order No. POB 2290 Terms Madison, WI 53701 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 3/31/2015 100218094. Copier Lease $ 986.42 Total $ 986.42 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 f VOUCHER NO WARRANT NO. ! GFC Leasing OH ALLOWED 20 POB 2290 IN SUM OF$ is Madison, WI 53701 $ 986.42 ON ACCOUNT OF APPROPRIATION FOR Board Members 130#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 100218094 2200-4353004 $ 966.42 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 i I • II 4/13/2015 Signature City Engineer Cost Distribution ledger classification if I. Title claim paid motor vehicle highway fund i