245479 05/20/15 i CAA
.. CITY OF CARMEL, INDIANA VENDOR: 367166
B d ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $*******368.28*
x ?a CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 245479
v MADISON WI 53701 CHECK DATE: 05/20/15
Mil fON G�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 31718 I00227117 368.28 COPIER
Keep lower portion for your reco ds-Please return upper portion with your payment
Customer Number 490000023
G F C L E A S I N G Invoice Date 05/16/2015
A DIVISION OF THE GORDON FIESCH COMPANY Invoice Number 100227117
OS Due Date 06/05/2015
Total Due $368.28
CITY OF CARMEL-DEPT OF COMMUNITY SERVICES
ONE CIVIC SQUARE
CARMEL,IN 460327569
Invoice Summary
Total Base Security Other Amount Property Sales/Use Illinois Use Tax Previous Total Due
Deposit Due* Taxes Tax Recovery Balance
$368.28 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $368.28
*Other Amount Due may include: Shipping and 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
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))
05/16/15 100227117 $368.28
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GFC Lease OH
IN SUM OF $
P.O. Box 2290
Madison, WI 53701
$368.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31718 100227117 43-530.04 I $368.28
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, May 18, 2015
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund