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251076 11/04/15 "tf. CITY OF CARMEL, INDIANA VENDOR: 367166 �• ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $"""'1,013.16' :. ��� CARMEL, INDIANA 46032 PO Box 2290 CHECK NUMBER: 251076 9M�TON�` MADISON WI 53701 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4353099 32177 I00256615 1,013.16 SMART BOARDS Keeplower portionforyour records-Pleasereturn upper portion with your payment 1 Customer Number 490000023 G F C L E A 5 _1 N G Invoice Date _ 10/17/2015 A"DIVISION OF THE'GOBDON FLESCH COMPANY Invoice Number 100256615 Due Date 11105/2015 Total Due $1,013.16 CITY OF CARMEL-DEPT OF COMMUNITY SERVICES [NORONE CIVIC SQUARE CARMEL,IN 460327569 Invoice Summary TotalBaseSecurity 'OtherAmount, T Property Sales/Use Illinois'UseTax Previous Totai.Due Deposit Due* Taxes Tax Recovery Balance $1,013.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,013.16 *OtherAmount 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 Have you moved or changed your phone number? Please provide your new address or telephone number and return this portion with your payment.Your records will be updated upon request. Effective Date Account Name New Address City State Zip Contact Name Phone Number Work Number Email Address How to Reach Customer Service By Phone: (800)677-7877,ext.7780 For inquiries regarding meters: (800)756-1174,ext.1860 For inquiries by mail: GFC Leasing OH PO Box 2290 Madison,WI 53701 For payments by check: GFC Leasing OH PO Box 2290 Madison,WI 53701 For payments online: https://www.gfiesch.com/client-tools/pay-online For e-mail inquiries: gfclease@gflesch.com Website: http://gfcleasing.com/ Invoice Detail Equipment Address Equipment Payment PMT Contract Base Sales/Use Illinois Total City,State Description/ Period / Number Tax Use Tax PO#l Cost Center Serial Term Recovery Department Number ONE CIVIC SQUARE-COMMUNIT Sharp MX 314ON 11/05/15 11/60 L70731 Carmel,IN 2507705XMI5420 - 02/04/16 ---------------------------- - ----------- ---------- -------------- ....................................... ........... ..... . •----- L70731 Sub Total 644.88 0.00 0.00 644.88 L82918 Sub Total 0.00 0.00 0.00 0.00 ONE CIVIC SQUARE-COMMUNIT Sharp PN-L703B-PKG1 11/05/15 13/60 L84450 Carmel,IN 44001759/EA0364 - 12/04/15 ONE CIVIC SQUARE-COMMUNIT Sharp PN-L703B-PKG1 11/05/15 13/60 L84450 Carmel,IN 44002736/EA0014 - 12/04/15 L84450 Sub Total 368.28 0.00 0.00 368.28 Total Due: $1,013.16 $0.00 $0.00 $1,013.16 2 VOUCHER NO. WARRANT NO. ALLOWED 20 GFC Lease OH IN SUM OF$ P.O. Box 2290 Madison, WI 53701 r $1,013.16 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 32177 I 100256615 43-530.04 $1,013.16 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 Friday, Oct ber 30, 2015 Direct 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 10/17/15 100256615 $1,013.16 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