244355 04/15/15 �ur.Bogy
>`/ ; CITY OF CARMEL, INDIANA VENDOR: 368053
j; ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $*******367.95*
CARMEL, INDIANA 46032 PO BOX 790448 CHECK NUMBER: 244355
9M��roN�.: ST LOUIS MO 63179-0448 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4353004 31761 275741148 367.95 COPIER LEASE AND MAIN
DATE OF INVOICE 4/1/2015
Toshiba Financial Services INVOICE NUMBER 275741148
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 4/25/2015 $367.95
MARSHALL,MN 56258
800-828-8246
CUSTOM ERSUPPORTEF@ONLINECOMM ENT.COM
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 HTTPS J/FINANC ING.EPORTALD IRECT.COM
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
GRP POOL 50359
POOL 1 3/25/2015-4/25/2015 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 2
COLOR
DATE OF INVOICE 4/1/2015
Toshiba Financial Services INVOICE NUMBER 275741148
A program of U.S.Bank Equipment Finance .M
'�k';�s Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 4/25/2015 $367.95
MARSHALL,MN 56258
800-828-8246
CUSTOM ERSU PPORTEF@ONLINECOMM ENT.COM
PAGE 2OF2
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
........................... ._:- ---- ------ _.........-- ----------------- --ES554OCT COPIERS-CPG ------- -----::.-------------------------------- --
__ -SERIAL NUMBER SCBAD24860-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$30.00
FEE OR, IF LESS,THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT.***
CHECK WHICH APPLY-
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAX) (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
-- ------ - ---- -- ---- ------- ------- ------------------------------------------------------------- -----------------------------------------------------------
VOUCHER NO. WARRANT NO.
ALLOWED 20
Toshiba Financial Services
IN SUM OF$
P. O. Box 790448
St. Louis, MO 63179-0448
$367.95
ON ACCOUNT OF APPROPRIATION FOR '
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31761 275741148 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,April 13, 2015
rr
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))
04/01/15 275741148 $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