248544 08/12/15 o
CITY OF CARMEL, INDIANA VENDOR: 368053
ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $**.....514.63*
CARMEL, INDIANA 46032 PO SOX 790448 CHECK NUMBER: 248544
ST LOUIS MO 63179-0448 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 33075 284352275 514.63 COPIER
i
INVOICE NUMBER 284352275
Toshiba Financial Services
Aprogram ofUS Bank Equipment Finance ,,.r•:; •F DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
�r-.7L - - 8/25/2015 r $514.63
1310 MADRID STREET SUITE 101
MARSHALL,MN 56258
❑ CHECK HEREIF ADDRESS CORRECTION IS NEEDED
COMPLETE INFORMATION ON REVERSE SIDE
I.I�I��111"'1��1'I�I1�1�1�'IIIIIIII'�'I�III'�I�I�I"��I�IIII�II' PLEASE REFERENCE INVOICE#ON YOUR CHECK
000008958 1 AB 0.416 106481 135218603 P PLEASE RETURN THIS PORTION WITH REMITTANCE PAYABLE TO:
SHARON KIBBE
CARMEL CITY OF
1 CIVIC SQUARE '1�i�ulillln�l�l"1��11�1�1'��11111�111�1111'll�ilil��ILn�ll�
CARMEL, IN 46032-2584
TOSHIBA FINANCIAL SERVICES
P.O. BOX 790448
ST LOUIS, MO 63179-0448
790448 284352275 000051463
- ...... .......-. - ............- ........ - ......... - ................ - ............ - - .......
DATE OF INVOICE 8/1/2015
Toshiba Financial Services INVOICE NUMBER 284352275
A program of U.S.Bank Equipment Finance Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES $514.63
1310 MADRID STREET SUITE 101 8/25/2015
MARSHALL,MN 56258
800-828-8246
CUSTOM ERSUPPORTEF@ONLINECOMMENT.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://FINANCING.EPORTALDIRECT.COM
CONTRACTNUMBER DATE DESCRIPTION AMOUNT
GRP POOL 50359
POOL 1 7/25/2015-8/25/2015 CONTRACT PAYMENT 367.95
BLACK&WHITE
CARMEL CITY OF
1 CIVIC SO FL 3
CARMEL, IN 46032
500-0397813-000
TOSHIBA
ES5540CT COPIER
SERIAL NUMBER SCBAD24860
CURRENT METER 62376
PREVIOUS METER 51024
CURRENT USAGE 11352
DATE OF INVOICE 8/1/2015
Toshiba Financial Services INVOICE NUMBER 284352275
A program of U.S.Bank Equipment Finance w' ;+•k Customer Credit Account Number 1351340
kl ? DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 8/25/2015 $514.63
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPORTEF@ONLINECOMMENT.COM
PAGE 2OF2
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
TOTAL CURRENT USAGE 11352
TOTAL ALLOWANCE 6498
COVERAGE 4/25/2015-7/25/2015 *OVERAGE' 4854 @ 0.006900 33.49
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 46414
PREVIOUS METER 38206
CURRENT USAGE 8208
TOTAL CURRENT USAGE 8208
TOTAL ALLOWANCE 6000
COVERAGE 4/25/2015-7/25/2015 `OVERAGE* 2208 @ 0.049000 108.19
500-0397813-000 8/25/2015 SUPPLY FREIGHT 5.00
***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.***
I
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))
08/01/15 284352275 $514.63
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
Toshiba Financial Services
IN SUM OF $
P. O. Box 790448
St. Louis, MO 63179-0448
$514.63
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33075 284352275 43-530.04 $514.63 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, August 10, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund