246025 06/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366436
ONE CIVIC SQUARE VAN AUSDALL&FERRAR FINANCIAL IWECK AMOUNT: $*******308.64*
CARMEL, INDIANA 46032 6430 EAST 75TH ST CHECK NUMBER: 246025
INDIANAPOLIS IN 46250-2751 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 58501 308.64 OTHER RENTAL & LEASES
Remit To Invoice
VA$F Financial, Inc. _ Date Invoice
6430 East 75th StreetI, -
IN 46250 04Y � 05/11/2015 58501
Indianapolis, � g
(317) 634-2913 4�
Bill To ��� e� Billing Period
06/01/2015 Thru 06/30/2015
CITY OF CARMEL
ONE CIVIC SQUARE/LISA STEWART
DEPT. OF COMMUNITY SERVICE
CARMEL, IN 46032
Page 1
Lease Number: VA1860 Description : FUJITSU FI-5530C2 COLOR SCANNER
Serial Number : 012020 _.
--- -- - Description:FUJITSU-FI-5530C2-COLOR SCANNER
Serial Number : 012784
Payment Due#36 06/01/2015 $308.64
Tax Due $0.00
Invoice Total $308.64
Thank you for your business!
For questions, please contact Julie Stahly-jstahly@vanausdall.com
Last Payment Received Previous Balance Current Due Total Due
05/11/15 $308.64 $0.00 $308.64 $308.64
VOUCHER NO. WARRANT NO.
ALLOWED 20
VA&F Financial, Inc.
IN SUM OF$
6430 East 75th Street
Indianapolis, IN 46250
r
$308.64
ON ACCOUNT OF APPROPRIATION FOR
i.
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board
Members
1192 I 58501 I 43-530.99 I $308.64 I hereby certify that the attached invoice(s), or
i
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
ay,
.Director
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
i
Purchase Order No.
Terms
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/11/15 58501 $308.64
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