221984 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367166 Page 1 of 1
0 ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $986.42
`a CARMEL, INDIANA 46032 PO BOX 2290
MADISON WI 53701 CHECK NUMBER: 221984
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4353004 100081628 986 . 42 COPIER
Keep tower ponton for your records-Please return upper portion with your payment
Customer Number 490000023
G F C L E A 5 1 N G Invoice Date 06/30/2013
06 A DIVISION OF THE GORDON FLESCH COMPANY Invoice Number 100081628
Due Date 07/20/2013
Total Due $ 986.42
CITY OF CARMEL ENGINEERING DEPARTMENT
ONE CIVIC SQUARE F
CARMEL, IN 460327569 I
Invoice Summary
Total Base Security Other Amount Property Sales/Use Illinois Use Tax Previous Total Due,'
Deposit. .. 'Due* Taxes............ 'Tax Recovery-. Balance .
$ 986.42 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 986.42
*Other Amount Due may include: Shipping and Handling, Late Fees, NSF/ACH Return Fees, Misc. Charges
Important Messages
Thank you for your continued business!
If you have questions regarding your bill, please give us a call and we will be happy to assist you. (800) 677-7877
1
Invoice Detail
Use a
Pe' UM
r Sena 41
ONE CIVIC SQUARE Sharp MX 4111 N 07/20/13 2/63 L70230
Carmel, IN 35006151NV5413 -
Sub Total 986.42 0.001 0.001 986.42
— _ - -
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
GFC Leasing OH Purchase Order No.
POB 2290 Terms
Madison, WI 53701 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
6/30/2013 100081628 copier lease $ 986.42
Total $ 986.42
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
GFC Leasing OH ALLOWED 20
POB 2290 IN SUM OF $
Madison, WI 53701
$ 986.42
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 100081628 2200-4353004 $ 986.42 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
,7/11/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund