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HomeMy WebLinkAbout252161 12/02/15 (9� CITY OF CARMEL, INDIANA VENDOR: 366436 ONE CIVIC SQUARE VAN AUSDALL & FERRAR FINANCIAL IrWECK AMOUNT: S""""5,102.34" CARMEL, INDIANA 46032 4 ANASTIS IN asz5o-zz5t CHECK NUMBER: 252161 CHECK DATE: 12/02/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4353004 56053 5,102.34 COPIER INVOICE VA & F Financial 6430 East 75th street Indianapolis IN 46250 DATE INVOICE # 11/10/15 56053 The City of Carmel ONE CIVIC SQUARE DEPT. 1701 CARMEL, IN 46032 AMOUNT DESCRIPTION Lease VA1853 1 ST Qtr. 2015 payment due @ $1 ,700.78 $1,700.78 2nd Qtr. 2015 payment due @$1 ,700.78 $1 ,700.78 3rd Qtr. 2015 payment due @ $1,700.78 $1,700.78 Balance Due $5,102.34 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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. VA , Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) sc � Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Vlk � F ���wr t C�� IN SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR O�T-�---6WO4 Cop,,/ Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# 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 1A 020 - R Signature x Title Cost distribution ledger classification if claim paid motor vehicle highway fund