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���''� CITY OF CARMEL, INDIANA VENDOR: 367166
�\` ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $"""1,749.72'
x�. CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 304577
q�'��rtiN�°' MADISON WI 53701 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 33281 490000023 1,749.72 COPIER LEASE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
G F C LEASING OH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 2290 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MADISON, WI 53701 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,749.72 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
33281 100327733 43-530.04 $1,749.72 1 hereby certify that the attached invoice(s),or 10/17/16 100327733 Copier Rental $1,749.72
1192 Encumbered 101 1192 101
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,October 18,2016
Mike Hollibaugh
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Keep lower portion for your records-Please return upper portion with your payment
Customer Number 490000023
G',.F C Lf _,A"-S ]'. N G Invoice Date 10/16/2016
A DIVISION OF THE GORDON.F.LESCH COMPANY Invoice Number 100327733
Due Date 11/0512016
Total Due $1,749.72
CITY OF CARMEL-DEPT OF COMMUNITY SERVICES ❑$r❑
ONE CIVIC SQUARE
CARMEL,IN 460327569 ,
Invoice Summary
'Total`Base �Securlty� OtherAmount� x Property SaleslUse Illinois>UseTax Prexious TotaI''Due
o�yt`t�i• ^"' ..:ate ..�k a.,-. t v,Z, '-1 ';:�,. M
.� .,,3
9""'D eposit *-Due .,:. Taxes, Tax -Recovery-5=,€� Balance
$1,749.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,749.72
*Other Amount 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
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