HomeMy WebLinkAbout226855 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 366436 Page 1 of 1
ONE CIVIC SQUARE VAN AUSDALL&FERRAR FINANCIAL INS
CARMEL, INDIANA 46032 6430 EAST 75TH ST CHECK AMOUNT: $1,700.78
INDIANAPOLIS IN 46250-2751 CHECK NUMBER: 226855
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 53395 1, 700 . 78 COPIER
Remit To Invoice
VA&F Financial, Inc. Date Invoice
6430 East 75th Street 12/01/2011 53395
Indianapolis, IN 46250
(317) 634-2913
Bill To Billing Period
12/01/2013 Th ru 12/31/2013
CITY OF CARMEL
ONE CIVIC SQUARE
DEPT. 1701
CARMEL, IN 46032
Page 1
Lease Number: VA1853 Description : RICOH AFICIO MPS5502A
— y m —nt - -_
Pa e D—ue# b— 12101720'f3 ,_`--
Tax Due $0.00
Invoice Total $1 ,700.78
We appreciate your business".
Last Payment Received Previous Balance Current Due Total Due
09/15/13 $1,700.78 $0.00 $1,700.78 $1,700.78
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.
Pnayee I /�
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
low
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.
ALLOWED 20
IN SUM OF $
Woo
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), 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
20
Signa r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund