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HomeMy WebLinkAbout258051 04/26/16 o CITY OF CARMEL, INDIANA VENDOR: 368053 ONE CIVIC SQUARE TOSHIBA FINANCIAL SERVICES CHECK AMOUNT: $*******170.51 CARMEL, INDIANA 46032 PO BOX 790448 CHECK NUMBER: 258051 ST LOUIS MO 63179-0448 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201: 4464000 302394317 170.51 OFFICE EQUIPMENT 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/11/16 302394317 $170.51 2201 201 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 TOSHIBA FINANCIAL SERVICES PO BOX 790448 IN SUM OF$ ST LOUIS, MO 63179-0448 $170.51 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member 302394317 I 44-640.00 I $170.51 1 hereby certify that the attached invoice(s), or 2201 201 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 Tuesday,April 19, 2016 UW /,-fi Street Commissioner Cost distribution ledger classification if claim paid motor vehicle highway fund DATE OF INVOICE 4/11/2016 Toshiba Financial Services INVOICE NUMBER 302394317 Aprogram of U.S.Bank Equipment Finance Customer Credit Account Number 1351340 DATE DUE TOTAL DUE TOSHIBA FINANCIAL SERVICES 1310 MADRID STREET SUITE 101 5/5/2016 $170.51 MARSHALL,MN 56258 800-828-8246 CUSTOMERSUPPO RTEF@ONLI NECOMMENT.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 HTTPSJ/FINANCING.EPORTALDIRECT.COM ATTN:KURT FILLEBAUM PER YOUR REQUEST WE HAVE AGREED TO SET THE DUE DATE AS THE 5TH OF EACH MONTH. THIS IS AN INTERIM PAYMENT INVOICE THAT COVERS THE PERIOD OF 4/7/16-5/5/16. THIS INVOICE IS PRORATED BASED ON A SHORTER NUMBER OF DAYS AND IS DUE 5/5/16.FOLLOWING THIS,YOUR REGULAR MONTHLY PAYMENTS WILL COMMENCE,AND WILL BE DUE STARTING 6/5/16.PLEASE NOTE THAT THIS INVOICE WILL NOT ASSESS A LATE CHARGE. IF YOU HAVE ANY FURTHER QUESTIONS PLEASE CALL CUSTOMER SERVICE.THANK YOU. CONTRACT NUMBER DATE DESCRIPTION AMOUNT ----- - - - - - - - CARMEL GIT-Y OF -- - - - - - - -- 1 CIVIC SQUARE CARMEL,IN 46032 500-0468434-000 TOSHIBA ES3555C COPIER SERIAL NUMBER SC7CF58741 101 DATE OF INVOICE 4/11/2016 TbBhi ba Financial Services INVOICE NUMBER 302394317 A prograrn of U.S.Bank Equipment Finance Customer Credit Account Number 1351340 DATE DUE TOTAL DUE TOSHIBA SERVICES 1310 MADRIDFINANCIAL STREET SUITE 101 5/5/201761 $170.51 MARSHALL,MN 56258 800-826-8246 CUSTOM ERSUPPO RTEF@ONLI NECOMM ENT.COM PAGE 2 OF 2 FOR INVOICE INQUIRIES, PLEASE CONTACT US AT 800-828-8246 CONTRACT NUMBER DATE DESCRIPTION AMOUNT 4/5/2016 ONE-TIME ORIGIN.FEE 75.00 5/112016 INTERIM PAYMENT 95.51 ***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-U.S.A43-0.9.0.... -------------............... ------­­....... ------------- ...... ------- .................... -------.............------------- ----------- ------ -------- ........ 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) ------------------------ -- ------------------------------ ------------------------------------------------------------------------- ---------------------- -------------------------- - -------------------------------- --------------- --