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