246562 06/17/15 �a uy C�gbf.
�>( ,. CITY OF CARMEL, INDIANA VENDOR: 368053 „„*... ,
® ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES
CHECK AMOUNT: $ 585.78
tea, ate; CARMEL, INDIANA 46032 PO BOX 790448 CHECK NUMBER: 246562
,�` ST LOUIS MO 63179-0448 CHECK DATE: 06/17/15
.gtON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 279942981 25.18 COPIER
1160 R4353004 31761 279942981 560.60 COPIER LEASE AND MAIN
DATE OF INVOICE 6/1/2015
Toshiba Financial Services INVOICE NUMBER 279942981
Aprogram of U.S.Bank Equipment Finance Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 6/25/2015 $585.78
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPO RTEF@ONLI NECOMM 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 HTTPSJ/FINANCING.EPORTALDIRECT.COM
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
GRP POOL 50359
POOL 1 5/25/2015-6/25/2015 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
CURRENT METER 51024
PREVIOUS METER 34630
CURRENT USAGE 16394
DATE OF INVOICE 6/1/2015
Toshiba Financial Services INVOICE NUMBER 279942981
Aprogram of U.S.Bank Equipment Finance l�we� Customer Credit Account Number 1351340
DATE DUE ,TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 6/25/2015 $585.78
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPO RTEF@ONLINECOM MENT.COM
PAGE 2OF2
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
TOTAL CURRENT USAGE 16394
TOTAL ALLOWANCE 6498
COVERAGE 1/25/2015-4/25/2015 'OVERAGE' 9896 @ 0.006900 68.28
POOL2
................................. ....--------COLOR----------- ----------------......... -......................................---------.---------------------------------------- --------------.........................
- - - ------ -- - CARMEL CITY OF `-- ---- -- ------ � - —�
1 CIVIC SO FL 3
CARMEL,IN 46032
500-0397813-000
TOSHIBA
ES5540CT COPIERS-CPC
SERIAL NUMBER SCBAD24860-C
CURRENT METER 38206
PREVIOUS METER 29154
CURRENT USAGE 9052
�I
TOTAL CURRENT USAGE 9052
TOTAL-ALLOWANCE 6000
COVERAGE 1/25/2015-4/25/2015 `OVERAGE' 3052 @ 0.049000 149.55
***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$30.00
FEE OR, IF LESS,THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT.'"
CHECK WHICH APPLY:
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAQ (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
---------------------------------------------------........ - - - ....... ..............._................ . -- ........................ - - ---- -....... -- . .......--------------------------------------------------------------- ---------------------------
�I
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Toshiba Financial Services
IN SUM OF$
P. O. Box 790448
St. Louis, MO 63179-0448
$585.78
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#MTLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
—14Z8- 43-530.04
bill(s) is (are)true and correct and that the
1160 279942981 43-530.04 $25.18
materials or services itemized thereon for
31761 279942981 43-530.04 $560.60 which charge is made were ordered and
received except
Monday, June 15,/2,015
/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))
06/01/15 279942981 $25.18
06/01/15 279942981 $560.60
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