227140 12/11/2013 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: 227140
INDIANAPOLIS IN 46250
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353099 26467 52997 308 . 64 SCANNERS
Run Date: 12/05/13 VA&F Financial, Inc. Page: 1
Invoice History
INVOICE 09/30/2013 52997
VA&F Financial, Inc .
6430 East 75th Street
Indianapolis, IN 46250
(317) 634-2913
Billing Period
10/01/2013 Thru 10/31/2013
CITY OF CARMEL
ONE CIVIC SQUARE/LISA STEWART
DEPT. OF COMMUNITY SERVICE
CARMEL, IN 46032
Lease Number:VA1860 Description: FUJITSU FI-5530C2 COLOR
:SCANNER (2)
Payment Due # 16 10/01/2013 308 . 64
Total Due 308 . 64
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 52997 43-530.99 $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
Friday, Dec be 6, 201
Director
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))
10/01/13 52997 $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