249980 09/24/15 CITY OF CARMEL, INDIANA VENDOR: 368053
s, CHECK AMOUNT: $*******372.95*
i,• ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES
,. CARMEL, INDIANA 46032 PO BOX 790448 CHECK NUMBER: 249980
ST LOUIS MO 63179-0448 CHECK DATE: 09/24/15
t iron
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 33075 286683545 372.95 COPIER
DATE OF INVOICE 9/1/2015
Toshiba Financial Services INVOICE NUMBER 286683545
Aprogram of U.S.Bank Equipment Finance Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 9/25/2015 $372.95
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPORTEF@a 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
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
GRP POOL 50359
POOL 1 8/25/2015-9/25/2015 'CONTRACT PAYMENT 367.95
BLACK&WHITE
CARMEL CITY OF
1 CIVIC SQ FL 3
CARMEL,IN 46032
500-0397813-000
TOSHIBA
ES554OCT COPIER
SERIAL NUMBER SCBAD24860
POOL
COLOR
i
DATE OF INVOICE 9/1/2015
Toshiba Financial Services INVOICE NUMBER 286683545
Aprogram of U.S.Bank Equipment Finance r ;i Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES
1310 MADRID STREET SUITE 101 9/25/2015 $372.95
MARSHALL,MN 56258
800-828-8246
CUSTOM ERSUPPORTEF@ONLINECOMMENT.COM
PAGE 2OF2
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
CARMEL CITY OF
1 CIVIC SQ FL 3
CARMEL,IN 46032
500-0397813-000
TOSHIBA
- -----.. .... ... .. . - -- - ------------------ ----- ES5540CT-COPIERS-CPC----------------------------------------------------------------- -----------------------------
SERIAL NUMBER SCBAD24860-C
9/25/2015 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$30.00
FEE OR, IF LESS,THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT.***
CHECK WHICH APPLY-
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAX) (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Toshiba Financial Services
IN SUM OF$
P. O. Box 790448
St. Louis, MO 63179-0448
67.95
ON ACCOUNT OF APPROPRIATION FOR '
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33075 286683545 43-530.04
1 hereby certify that the attached invoice(s), or
x$36 5
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
1
which,charge is made were ordered and
received except
Frid y, September 18, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
I
Purchase Order No.
I
Terms
Date Due
Invoice o ce Invoice Descri tion Amount
t
Date Number (or note attached invoice(s)or bill(s))
09/01/15 286683545 $367.95
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