FMPS DIRECT PAYMENT VOUCHER PAGE 1 OF 1 TRANSACTION CODE PV TRANSACTION DEPARTMENT VOUCHER NUMBER 15 INVOICE NUMBER SUPPLIER NUMBER 50061 681 SITE SUPPLIER NAME GM FINANCIAL SUPPLIER ADDRESS 75 Remittance Dr. Suite 1738 Chicago, IL 60675-1738 NOTES: Account#: VOUCHER DATE 05/14/18 BFY: 18 HOLD CHECK FOR PICK-UP Call STEPHANY 312-744-4096 ACCOUNTING PERIOD BFY FUND COST CENTER APPR ACCOUNT ACTV PROJECT RCATG GENERAL FUTURE BS ACCOUNT 01gr; AMOUNT 1 018 0300 0152230 9000 220300 $720.98 VENDOR INVOICE DESCRIPTION BFY FUND COST CENTER APPR ACCOUNT PROJECT RCATG GENERAL FUTURE BS ACCOUNT AMOUNT VENDOR INVOICE DESCRIPTION BFY FUND COST CENTER APPR ACCOUNT ACTV PROJECT RCATG GENERAL FUTURE BS ACCOUNT AMOUNT VENDOR INVOICE DESCRIPTION BFY FUND COST CENTER APPR ACCOUNT PROJECT RCATG GENERAL FUTURE BS ACCOUNT I AMOUNT VENDOR INVOICE DESCRIPTION BFY FUND COST CENTER APPR ACCOUNT PROJECT RCATG GENERAL FUTURE BS ACCOUNT AMOUNT VENDOR INVOICE DESCRIPTION BFY FUND COST CENTER APPR ACCOUNT AC TI PROJECT RCATG GENERAL FUTURE BS ACCOUNT AMOUNT VENDOR INVOICE DESCRIPTION PREPARED BY Stephany Hall (312) 744?4096 ENTERED BY APPROVAL DEPARTMENTAL APPROV TOTALS $720 .98 I hereby cer?fy that the invoices have not been previously vouchered and that the goods or services indicated cs! ?4522: that the above account is approved from appropriations as shown above. was 2018 City of Chfcagc Finance Dept. . ., ?7 EVRULET GM FINANCIAL LEASING STATEMENT May 15? j. .3 itellisla?ld'?etheta! 'H'l'l l' .: 2015 CHEVROLET $720.98 May 27, 2013 .. 1, ?33's' -I -- - . :x53,2039 I At; WI leU-?H "m ?3 t1 1! all Payment recalved. Thank you! S720 93 Total ol any latechargesin cycle ll Late Dramas SO 00 applicable Includes any payments. loos, taxes and late log In or Register at Past Out: I SO 00 charges . Includesany payments tees and taxes in Current Due 3720 98 :nwl. ..- Paymc-nl? Pay your bill onlma now at gmtinanclal comlmyaccounl Ice. n'aym asttairn'x?l thus bl? cycle Il applicable Your salely Is very Important to us. a lama-a we l?ay Hy l?hml?)? Pay securely by phone See reverse sidelor complete details Al?e-stern UI an lC-u may be asrwr'crl Contact QJstomer Service at (888) 755-8643 or 998- 0253 "qu I Vtarrm ndoume) l'Tll'l- THE ONLY BRAND T0 EARN J.D. POWER Nil/ll?? lTl' AWARDS FOR CARS. TRUCKS AND NOW, l?ll'll'l'li l'fl: ,r?l PDIB . 'ln?wtnaawl lncur. in.? mud on game7:.1 3 - ":le .- mxxn_mu_l.m1l "h $720 .98 mm Intunullm L'm' 183811 TX (6090mm PAM NT m] 20?} your WIUI MCOUHI - Numbm 5 1 Make" Leaalnq BEALE 34 F1I2TH PLACE CHICAGO IL 60628 GM Flnanclal ?30be 78143 Phoenix A7. 85062-8 H3 (Exhibit A) Payment for Goods/Services Procured Outside of Department of Procurement Services or Other Formal Contracts Ere-Approved Categories LIST THE ITEM FOR PURCHASE IN THE BOX (then check appropriate category sign below) insurance Risk Management Premium Books. Subscriptions and Memberships El Educational Instruction Material Conference or Seminar Attendance Legal License [3 Experts Professional Organization and Association Dues Newspaper, Periodical, Magazine Notary Public Electronic Media Subscriptions Financial Obligations Court Reporter Condemnation Expense On?Line Legal Research Outside Counsel Information Retrieval Interpreter Hearing Of?cer Debt SEWICB Process Server Employee. Reimbursement Litigation Support Material Inter-Governmental Payment Consultant [3 Settlement/Judgment '3 Grant Subpoena or Summons Salary/Wage (City employee pay) Airline agreements Stipends Miscellaneous Exbenses [3 Taxes Express Mail/Postage Refunds Messenger/Delivery Services Rent Subsidies Local Travel/Parking_ . Land Acquisition Aldermanic or Bd. Of 1 Elections Public Utilities Festival, Exhibition and Electric Performance Costs El Telephone Program Incentives Water/Sewer Advertising/Media Purchases Other Utility I certify that this is a one-time payment for goods or services in which a contract with the City of Chicago does not exist. I also acknowledge the importance of following the City of Chicago policies and procedures for utilizing Minority-owned and Women?owned businesses with all payments, including direct voucher payments. Signature of Finance Director or Department Head: Date: