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248822 08/26/15 Q CITY OF CARMEL, INDIANA VENDOR: 367166 ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $"'"'"368.28' CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 248822 MADISON WI 53701 CHECK DATE: 08/26/15 I DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4353004 31718 I00244582 368.28 COPIER Keep lower portion for your records-Please return upper portion with your payment 0 GORDON FLESCHO C o na P A N Y. I N C . Customer Number 29CO02 G F C L E A S I N G Invoice Date 07/26/2015 8 A DIVISION Or THE OOYDON RIESCH COMPANY Invoice Number IN 11241042 DUE DATE 09/24/2015 TOTAL DUE $64.80 City of Carmel Department of Community Service 1 Civic Sq Federal Tax/D:39-0993125 Carmel,IN 46032-2584 Invoice Summary Illinois #of Total Base/ Images Over Use Tax Base Period Items Misc.Charges Base Amount Recovery Sales Tax Late Fee Total Due - '1 $24.85 $39.95 $0.00 $0.00 $0.00 $64.80 Terms:Net 60 Days Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month. V A I Customer Number 490000023 G F C L E A S I N G Invoice Date 08/17/2015 A DIVISION OF THE GORDON FLESCH COMPANY Invoice Number 100244582 Due Date 09/05/2015 Total Due $368.28 CITY OF CARMEL-DEPT OF COMMUNITY SERVICES ONE CIVIC SQUARE UM CARMEL, IN 460327569 Invoice Summary Total Base Security OtherAmount 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)) 07/28/15 IN 11241042 $64.80 08/17/15 100244582 $368.28 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ,. ALLOWED 20 GFC Lease OH IN SUM OF$ P.O. Box 2290 Madison, WI 53701 $433.08 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Encumbered 1 hereby certify that the attached invoice(s), or 3171'8 IN11241042 43-530.04 $64.80 Encumbered bill(s) is (are)true and correct and that the 1718 100244582 43-530.04 $368.28 materials or services itemized thereon for Vn � which charge is made were ordered and received except Friday, Augu 21, 2015 00-1 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund