223259 08/13/2013 f CITY OF CARMEL, INDIANA VENDOR: 317000 Page 1 of 1
ONE CIVIC SQUARE VAN AUSDALL&FARRAR INC
` CARMEL, INDIANA 46032 VA&F FINANCIAL CHECK AMOUNT: $308.64
6430 EAST 75TH ST CHECK NUMBER: 223259
INDIANAPOLIS IN 46250
CHECK DATE: 811 312 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353099 26467 52406 308 . 64 SCANNERS
Remit To
L— Invoice
VA&F Financial, Inc. Date l Invoice l
6430 East 75th Street
Indianapolis, IN 46250 07/26/2013 52406
(317) 634-2913
Bill To ______Billing Po�fh�d
E ---08/01/2013 Thru 08/31/2013
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)
Serial.Number 012020,012784
Payment Due# 14 08/01/2013 $308.64
Tax Due $0.00
-Invoice Total------- $308.64
Thank You for your business!!
Questions please contact Thomas Scamahorn tscamahorn@vanausdall.com
Last Payment Received—F-Previous Balance Current Du Total Due
07/26/13 $308.64 $0.00 $308.64 $308.64
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van Ausdall Y)AA6kCtC
j IN SUM OF $
6480 East 75th Street I
Indianapolis, IN 46250-2751
i
$308.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS j
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
26467 52406 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
Wednesday, August 07, 2013
ect
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))
07/26/13 52406 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