225369 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367166 Page 1 of 1
t ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $986.42
CARMEL, INDIANA 46032 PO Box 2290
MADISON WI 53701 CHECK NUMBER: 225369
CHECK DATE: 10/2312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4353004 100101310 986 . 42 COPIER
Keep tower portion for your recoras-~tease return upper portion wan your payment
Customer Number 490000023
G F C L E A S I N G Invoice Date 10/09/2013
A DIS30N OF THE GORDON F€ESCH COMPANY Invoice Number 100101310
e IV
Due Date 10/2 /2013
Total Due $ 986.42
CITY OF CARMEL ENGINEERING DEPARTMENT
ONE CIVIC SQUARE
CARMEL, IN 460327569
Invoice Summary
Total Bases 4 <Security Other Amount Property :Sales Use sllbnos Use Tax. Previous Total Due
✓d *
Oeposi#° Due Taxes A 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
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If you have questions regarding your bill, please give us a call and we will be happy to assist you. (800)677-7877
Invoice Detail
quipment t c
Equipment AddTessE Payment, PMT Conrats Based Sales Use Illinois otai
Ci' State Desc onl Perwd ! Number Taxes -lJ
E'O#!Cost Center s / Seriala Term Reco�e
Department Number
u
ONE CIVIC SQUARE Sharp MX 4111 N 10/20/13 3/63 L70230
Carmel, IN 35006151NV5413 -
01/19/14
L70230
Sub Total 986.42 0.00 0.00 986.42
Total Due: $ 986.42 $ 0.00 $ 0.00 $ 986.42
2
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
10/9/2013 100101310 copier lease $ 986.42
Total $ 986.42
1 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 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 100101310 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
';'// 10/21/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund