HomeMy WebLinkAbout212407 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366436 Page 1 of 1
` ONE CIVIC SQUARE VAN AUSDALL&FERRAR FINANCIAL SECK AMOUNT: $1,700.78
CARMEL, INDIANA 46032 6480 EAST 75TH ST
INDIANAPOLIS IN 46250-2751 CHECK NUMBER: 212407
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 42147 1, 700 . 78 QUAR PMT
INVOICE
Remit To
VA&F Financial Inc.
6430 E 75th Street
Indianapoils, IN 46250
317 634-2913
DATE Invoice
08/31/2012 42147
Bill To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
Lease Number: VA1853 Description: Ricoh Aficio MPS5502A $1700.78
Payment Due# 1 06/01/2012-08/31/2012
Invoice Total $ 1700.78
PLEASE CONTACT KIM WEBB WITH ANY QUESTIONS AT 317-974-7219 OR
KWEBB(cDVANAUSDALL.COM THANK YOU!
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.
j
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
18
Total
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.
II I �ALLOOWED 20
f�'fin A,,�Yl"'pW IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
5 �Q 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
r 20
Wt4f44AJX s�
7
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund