HomeMy WebLinkAbout220826 06/04/2013 a- CITY OF CARMEL, INDIANA VENDOR: 366436 Page 1 of 1
` ONE CIVIC SQUARE VAN AUSDALL&FERRAR FINANCIAL INS
o CARMEL, INDIANA 46032 6430 EAST 75TH ST CHECK AMOUNT: $1,700.78
INDIANAPOLIS IN 46250-2751 CHECK NUMBER: 220826
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 51768 1, 700 . 78 COPIER
INVOICE
Remit To
VA&F Financial Inc.
6430 E 75th Street
Indianapoils, IN 46250
317 634-2913
DATE Invoice
05/24/2013 51768
Bill To
CITY OF CARMEL
ONE CIVIC SQUARE
DEPARTMENT 1701
CARMEL, IN 46032
Lease Number: VA1853 Description: Ricoh Aficio MPS5502A $1700.78
Payment Due # 4 3/1/2013-5/31/2013
Invoice Total $ 1700.78
PLEASE CONTACT KIM WEBB WITH ANY QUESTIONS AT 317-974-7219 OR
KWEBB(a)VANAUSDALL.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.
Payee
VAS ! I I of ad 14L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
61 00
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.
VAALLOWED 20
�� (nL 5 ��� ��-C�� IN SUM OF $
$ (-7v :q-8
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
f JL CJ j� --30 b ('701), 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
20
Signatu Ue
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund