213219 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 317000 Page 1 of 1
`i. ONE CIVIC SQUARE VAN AUSDALL&FARRAR INC CHECK AMOUNT: $308.64
CARMEL, INDIANA 46032 PO BOX 664250
INDIANAPOLIS IN 46266 CHECK NUMBER: 213219
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 26467 42149 308 . 64 SCANNERS
Remit To Invoice
VA&F Financial,Inc. Date Invoice
6430 East 75th Street 08/21/2012 42149
Indianapolis,IN 46250
(317)634.2913
Bill To Billing Period
09/01/2012 Thru 09/30/2012
CITY OF CARMEL
ONE CIVIC SQUARE/LISA STEWART
DEPT.OF COMMUNITY SERVICE
CARMEL,IN 46032
Page 1
Lease Number:VA1860 Description : FUJITSU FI-5530C2 COLOR
Serial Number : 012020,012784
Payment Due# 3 09/01/2012 $308.64
Tax Due $0.00
Invoice Total $308.64
PLEASE CONTACT KIM WEBB WITH ANY QUESTIONS 317-974-7219 OR
KWEBB @VANAUSDALL.COM THANK YOU!
Add a Late Fee of$30.86 Total After 09/07/2012 $339.50
Last Payment Received Previous Balance Current Due Total Due
08/08/12 $617.28 $0.00 $308.64 $308.64
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van Ausdall & Farrar
IN SUM OF $
6480 East 75th Street
Indianapolis, IN 46250-2751
$308.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26467 ( 42149 I 43-530.99 f $308.64 1 hereby certify that the attached invoice(s), or
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, September 21, 2012
DirectolO
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
09/01/12 42149 Scanner Lease $308.64
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