228524 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 367166 Page 1 of 1
ONE CIVIC SQUARE G F C LEASING OH CHECK AMOUNT: $644.88
CARMEL, INDIANA 46032 PO BOX 2290
MADISON WI 53701 CHECK NUMBER: 228524
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 26607 I00127296 441 . 11 COPIER CONTRACT
1192 R4353004 31609 I00127296 203 . 77 COPIER CONTRACT
tceep towerpomon for your recoros-,'✓tease return upperporuon with yourpayment
Customer Number 490000023
G F C L E A S I N G Invoice Date 01/17/2014
A DIV{SfON OF T.HE GORDON FIESCH COMPANY Invoice Number 100127296
00 Due Date 02/05/2014
Total Due $ 644.88
CITY OF CARMEL-DEPT OF COMMUNITY SERVICES
❑° ; ❑°
ONE CIVIC SQUARE �.
CARMEL, IN 460327569
Invoice Summary
T66l3Base% Security Other Amount Property Sales/Use itlmois Use Tax. Previous Total Due
Depose# Due*. Taxes TaxRecovery f .,'Balance `G
4,.
-------------
$ 644.88 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 644.88
`Other Amount Due may include: Shipping and Handling, Late Fees, NSF/ACH Return Fees, Misc. Charges
Important Messages
Thank you for your continued business!
RECEIVED
k JAN 2 11114 ~il
c®c5
If you have questions regarding your bill, please give us a call and we will be happy to assist you. (800)677-7877
1
Invoice Detail
Equipment Address> Equipment Payment PMT Contract Base Sales/Use €Illmois` : Total
City,State aF DeiptonlF Perwd ��%r Number ' lax y Use Taz xz
PQ€#/Gost Center Serval g Term r � yy' Recovery
Department Number fMIN
ONE CIVIC SQUARE-COMMUN Sharp MX 314ON 02/05/14 4/60 L70731
Carmel, IN 2507705X/W5420 -
05/04/14
-
------------------------------------- ---------------------------------------------------------------------- ------------------------------------------------------ ------------------------
L70731
Sub Total 644.88 0.001 0.001 644.88
Total Due: $ 644:88 $ 0.00 $ 0.00 $ 644.88
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
GFC Leasing OH ,
IN SUM OF $
P.O. Box 2290
Madison, WI 53701
$682.94
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26607 IN10606258 43-530.04 $19.08
Prior Year Encumbered bill(s) is (are) true and correct and that the
26607 IN10635450 43-530.04 $18.98
Encumbered materials or services itemized thereon for
31609 100127296 43-530.04 $203.77 which charge is made were ordered and
Encumbered
26607 100127296 43-530.04 $441.11 received except
i
Friday, January 24, 2014
i
Directo
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))
11/26/13 I N 10606258 $19.08
12/26/13 IN 10635450 $18.98
01/17/14 100127296 $203.77
01/17/14 100127296 $441.11
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