222196 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 317000 Page 1 of 1
p= ONE CIVIC SQUARE VAN AUSDALL&FARRAR INC
CARMEL, INDIANA 46032 VABF FINANCIAL CHECK AMOUNT: $308.64
6430 EAST 75TH ST
„o„ o CHECK NUMBER: 222196
INDIANAPOLIS IN 46250
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353099 26467 308 . 64 SCANNERS
Remit To Invoice
VA&F Financial, Inc. Date E Invoice
6430 East 75th Street 06/26/2013 52070
Indianapolis, IN 46250
(317) 634-2913
Bill To Billing Period
07/01/2013 Thru 07/31/2013
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
SCANNER(2)
Payment Due# 13 07/01/2013 $308.64
Tax Due $0.00
i
i
1
Invoice Total $308.64
Thank You for your business!!
Questions please contact Kim Webb 317-974-7219 or kwebb @vanausdall.com
Last Payment Received I Previous Balance I Current Due Total Due
05/22/13 $308.64 1 $308.64 $308.64 $617.28
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
Encumbered I hereby certify that the attached invoice(s), or
26467 I 52070 I 43-530.99 I $308.64
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
Thur ay, July 11, 2013
ector
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))
06/26/13 52070 $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