214453 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 317000 Page 1 of 1
ONE CIVIC SQUARE VAN AUSDALL&FARRAR INC CHECK AMOUNT: $308.64
CARMEL, INDIANA 46032 PO BOX 664250
o� INDIANAPOLIS IN 46266 CHECK NUMBER: 214453
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 26467 42769 308 . 64 SCANNERS
Remit To Invoice
= °
V8&F Financial,Inc. Date | Invoice
6430 East 75th Street 1011912012 42769
Indianapolis,|N4G2SU
(317)834-2913
Bill To Billinq Period
11/0112012 Thru 11/3012012
CITY UFCARMEL
ONE CIVIC SQUAREUSASTEWART
DEPT.OF COMMUNITY SERVICE
CARMEL'|N48O32 _
Page
Description FUJITSU Fl-5530C2 COLOR
j Lease Number:VA1860
Payment Due# 5 11/01/2012 $308.64
Tax Due
Invoice Total $308.64
Thank You for your businessfl!!
Questions please contact Kim Webb 317-974-7219 or kwebb@vanausdall,com
i Add a Late Fee of$30.86 Total After 11/07/2012 $339.50
Last Payment Received Previous Balance Current Due Total Due
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 ( 42769 I 43-530.99 I $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
Fr' ovember 02,
Director
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))
10/19/12 42769 Monthly lease payment $308.64
i
i
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