250875 10/21/15 +u,_C�NM
�! 4� CITY OF CARMEL, INDIANA VENDOR: 368053
��• ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $*******372.95*
4. ?� CARMEL, INDIANA 46032 PO Box 790448 CHECK NUMBER: 250875
9.y`,�TON�°`' ST LOUIS MO 63179-0448 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 33075 288813702 372.95 COPIER
DATE OF INVOICE 10/1/2015
Toshiba Financial Services INVOICE NUMBER 288813702
Aprogram of U.S.Bank Equipment Finance Customer Credit Account Number 1351340
DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES Q'n
1310 MADRID STREET SUITE 101 10/25/2015 �V
MARSHALL,MN 56258
800-828-8246
CUSTOMERSUPPORTEF@ONLINECOMMENT.COM d
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246 PAGE 1 OF 2
MESSAGES
SAVE TIME:MAKE QUICK AND EASY ONLINE PAYMENTS BY VISITIN HTTPSJ/FINANCING.EPORTALDIRECT.COM
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
BALANCE FORWARD
GRP POOL 50359 8/25/2015-9/25/2015 CONTRACT PAYMENT 367.95
500-0397813-000 9/25/2015 SUPPLY FREIGHT 5.00 �•
CURRENT CHARGES DUE
GRP POOL 50359
POOL 1 9/25/2015-10/25/2015 CONTRACT PAYMENT 367.95
BLACK&WHITE
CARMEL CITY OF
1 CIVIC SQ FL 3
CARMEL, IN 46032
DATE OF INVOICE 10/1/2015
Toshiba Financial Services INVOICE NUMBER 288813702
A program of U.S.Bank Equipment Finance k Customer Credit Account Number 1351340
j DATE DUE TOTAL DUE
TOSHIBA FINANCIAL SERVICES $745.90
1310 MADRID STREET SUITE 101 10/25/2015
MARSHALL,MN 56258
800-828-8246
C U STO M E RS U P PO RT E F@O N L I N E C O M M ENT.C O M
FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246 PAGE 2 OF 2
CONTRACT NUMBER DATE DESCRIPTION AMOUNT
500-0397813-000
TOSHIBA
ES554OCT COPIER
SERIAL NUMBER SCBAD24860
POOL
COLOR
--------------------------------------------------------------- ------------------------------------------ ----------------- - ------------------
1
----------------1 CIVIC SQ FL 3
CARMEL,IN 46032
500-0397813-000
TOSHIBA
ES5540CT COPIERS-CPC
SERIAL NUMBER SCBAD24860-C
10/25/2015 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$30.00
FEE OR, IF LESS,THE MAXIMUM ALLOWED BY LAW OR THE CONTRACT.***
CHECK WHICH APPLY:
NEW BILLING ADDR._ NEW EQUIP.LOC.
NAME ADDRESS
ATTN
(PHONE) (FAQ (CITY) (STATE) (ZIP CODE)
(AUTHORIZED SIGNATURE) (COUNTY)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Toshiba Financial Services
IN SUM OF$
P. O. Box 790448
St. Louis, MO 63179-0448
$372.95
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33075 288813702 43-530.04 $372.95 1 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
Sunday, ctober 18, 2015
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))
10/01/15 288813702 $372.95
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