320250 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 367166
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ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: S**""*"890.85*
CARMEL, INDIANA 46032 PO BOX 2290 CHECK NUMBER: 320250
MADISON WI 53701 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353004 I00414220 890.85 COPIER
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
$890.85
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
100414220 43-530.04 $890.85 1 hereby certify that the attached invoice(s),or 12/16/17 100414220 P&Z Copier Lease Payment $890.85
1192 101 Prior Year 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
Thursday, January 04,2018
��
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
C.7C L Invoice Date 12/16/2017
DIVISION Of'THE GORDQN.PLESCN COMPA.N.Y Invoice Number 100414220
Due Date 01/05/2018
Total Due $ 890.85
CITY OF CARMEL-DEPT OF COMMUNITY SERVICES ❑$f❑ �- ,�
ONE CIVIC SQUARELG
CARMEL, IN 460327569
DEC 2 x, 1011
By
Invoice Summary
Total`Base Security
ether Amount Property .Sales/Use lihnois'Use Tax Pr".ewous Total Due
DepositDue* Taxes .Tax Recovery Balance
$ 890.85 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 890.85
*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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