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308114 02/13/17 (9, CITY OF CARMEL, INDIANA VENDOR: 367166 ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: S*******361.70* CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 308114 MADISON WI 53701 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4353004 34547 I00345055 361.70 COPIER RENTAL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 367166 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER G F C LEASING OH IN SUM OF$ CITY OF CARMEL PO BOX 2290 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. MADISON, WI 53701 Payee $361.70 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Dept of Community Service Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34547 100345055 43-530.04 $361.70 1 hereby certify that the attached invoice(s),or 2/2/17 100345055 $361.70 1192 Encumbered 101 1192 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, February 03, 2017 Mike Hollibaugh Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 367166 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER G F C LEASING OH IN SUM OF!$ CITY OF CARMEL PO BOX 2290 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. MADISON, WI 53701 Payee. $1,388.02 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 100345055 43-530.04 $1,388.02 1 hereby certify that the attached invoice(s),or 2/2/17 100345055 Copier Rental -$1,388.02 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 Friday, February 03,2017 Mike Hollibaugh Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Customer:Number 490000023 G,F C L :E A .5 I' N G Invoice Date 01/16/2017 A[11VISION'OF THE GORDON.'FLESCH;COMFAN,Y Invoice Number 100345055 Due Date 02/05/2017 Total Due $1,749.72 CITY OF CARMEL-DEPT OF COMMUNITY SERVICES ONE CIVIC SQUARE 0$�0 CARMEL,IN 460327569 Invoice Summary Total9Base Security �+OtherAmount Property r �y Salesl�Use k Illi ols Use TazPrevlous y TotalaDue =Deposita� Due+ ate r`Taxes ��Tax R overy� 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 businessl 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: hftps://www.gflesch.com/client-tools/pay-online For e-mail inquiries: gfclease@gflesch.com Website: http://gfcleasing.mm/ Invoice Detail Equipment Address : Equipment Payment PMT Contract Base Sales/Use Illinois Total; City,State . Description!- . Period / Number Tax!, Use Tax PD#�l Cost Center - ;Serial Term' , Recovery. Department Number' ONE CIVIC SQUARE-COMMUN Sharp MX 314ON 02/05/17 16/60 L70731 Carmel,IN 2507705XNV5420 - 05/04/17 ------------------------------ ---------------------- ----------------- --------- ---------------------------- ------------ ---------------- 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-COMMUN Sharp PN-L703B-PKG1 02/05/17 20/60 L84450 Carmel,IN 44001759/EA0364 - 05/04/17 .............................. ...................... ................. ....................................... ............................. ONE CIVIC SQUARE-COMMUN Sharp PN-L703B-PKG1 02/05/17 20/60 L84450 Carmel,IN 44002736/EA0014 - 05/04/17 -----------------------------= --------------------- ----------------- --------------------------------------- ------------ ---------------- L84450 Sub Total 1,104.84 0.00 0.00 1,104.84 Total Due: $1,749.72 $0.00 $0.00 $1,749.72 2