220158 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 367166 Page 1 of 1
ONE CIVIC SQUARE G F C LEASING OH
CARMEL, INDIANA 46032 PO BOX 2290 CHECK AMOUNT: $644.88
MADISON WI 53701
CHECK NUMBER: 220158
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353004 26607 I00068668 644 . 88 COPIER CONTRACT
Invoice Detail
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ONE CIVIC SQUARE-COMMU Sharp MX 3140N 05/05/13 1/60 L70731
Carmel, IN 2507705XAN5420 -
08/04/13
------------------------------------- -- ------ ----- ---------------- - ------- - -- -------- --------------- ------------------------------------- ----------------- ----------------------
L70731
Sub Total 644.88 i 0.00i 0.00 644.88
Total Due: $ 644.88 $ 0.00 $ 0.00 $ 644.88
2
Keeplowerportionforyour records-measereturn upper portion wim your payment
Customer Number 490000023
G F C L. E A 5 1 N G Invoice Date 05/01/2013
06, A DIVISION OF THE GORDON FIESCH COMPANY Invoice Number 100068668
Due Date 05/20/2013
Total Due $ 644.88
CITY OF CARMEL-DEPT OF COMMUNITY SERVICES
ONE CIVIC SQUARE
CARMEL, IN 460327569
Er
Invoice Summary
%Total Bases>€ Security g oSaleslUse llini UseTaz Pevunt Prop ¢ s TDue Other Amo Fl.
De'po"sit Due=*� Taxes, Taz� FA Recove `Balance'
ry <,.
$ 644.88 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 644.88
*Other Amount Due may include: Late Fees, NSF/ACH Return Fees, Misc. Charges
Important Messages
We are pleased to launch our new invoice format! As part of our continued Green Initiatives, these invoices are now
double-sided. Although there may be some slight differences, we hope you find it easier to understand. Should you have any
questions or concerns, please feel free to contact us.
kAY . 3 20 =<
DOCS
If you have questions regarding your bill, please give us a call and we will be happy to assist you. (800) 677-7877
1
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))
05/01/13 100068668 Quarterly copier payment $644.88
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.
ALLOWED 20
GFC Leasing OH
IN SUM OF $
P.O. Box 2290
Madison, WI 53701
$644.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26607 I 100068668 I 43-530.04 I $644.88 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
Monday, M y 20,f 013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund