216507 01/15/2013 ��. CITY OF CARMEL, INDIANA VENDOR: 366436 Page 1 of 1
ONE CIVIC SQUARE VAN AUSDALL&FERRAR FINANCIAL IBC
h CIiECK AMOUNT: $308.64
CARMEL, INDIANA 46032 6480 EAST 75TH ST
INDIANAPOLIS IN 46250-2751 CHECK NUMBER: 216507
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353099 26467 43541 308 . 64 SCANNERS
Remit To Invoice
VA&F Financial,Inc. Date Invoice
6430 East 75th Street
Indianapolis,IN 46250 12/28/2012 43541
(317)634.2913
Bill To Billing Period
01/01/2013 Thru 01/31/2013
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
Payment Due# 7 01/01/2013 $308.64
Tax Due $0.00
Invoice Total $308.64
Thank You for your business!!
Questions please contact Kim Webb 317-974-7219 or kwebb @vanausdall.com
Last Payment Received Previous Balance Current Due Total Due
11/27/12 $308.64 $308.64 $308.64 $617.28
VOUCHER NO. WARRANT NO.
Van Ausdall & Farrar ALLOWED 20
IN SUM OF $
6480 East 75th Street
Indianapolis, IN 46250-2751
-128-
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26467— -53G-.
Prior Year Encumbered bill(s) is (are)true and correct and that the
26467 43541 43-530.99 $308.64
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 11, 2013
Direct
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))
11/20/12 43058 Scanner lease $308.64
12/28/12 43541 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