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231921 04/23/14
CITY OF CARMEL, INDIANA VENDOR: 366767 `\ CHECK AMOUNT: $********52.52* .� ® ,• ONE CIVIC SQUARE VAN AUSDALL &FARRAR CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 231921 M,iroN��o. CINCINNATI OH 45271-3683 CHECK DATE: 04/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4351501 17557 24.31 EQUIPMENT MAINT CONTR 601 5023990 9886 28.21 OTHER EXPENSES Van AIlsdail MAIL REMITTANCE TO: CONTRACT INVOICE & Farrar VAN AUSDALL AND FARRAR,INC. nawaoGy PO BOX 713683,Cincinnati, OH 45271-3683 Invoice Number: 9886 SNa 1914 Phone(317) 634-2913 Fax(317)638-1843 Email invoice questions to: Invoice Date: 02/28/2014 billing@vanausdall.com Bill To: CITY OF CARMEL WATER PLANT 1 Customer, CITY OF CARMEL WATER PLANT 1 4915 3 106TH ST 4915 3 106TH ST CARMEL,IN 46033. . CARMEL,IN 46033 rms ©Ue date F Y y IrlYOlce TOtaL a ,s .aha 11Ce tite y tTe 511614 NET10 03/10/2014 $ 28.21 $ 28.21 Cor�tN'act Iiin3ber ataclf '`CdrltractAinau� P O Number r Start Date - Exp Date' 16876-01 - - 317-571-4141T$ 28.23 . 08/27/2013 _ 08/26/2014 77, 7,777,771,777 777, 77 �y Summary: Contract base rate charge for this billing period $0.00 Contract overage charge for the 11/27/2013 to 02/26/2014 overage period $28.21** *Sum of equipment base charges **See overage details below $28.21 Detail: Ricoh/MPC2051 Number Serial Number Base Charge Location 72261 V9735500993 $0.00 CITY OF CARMEL WATER PLANT 14915 3 106TH ST CARMEL,IN 46033 Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage B\W BW-16876-100 3,305 5,365 2,060 0 2,060 $0.004800 $9.89 Color CLR-16876-10( 594 1,025 4.31 0 431 $0.042500 $18.32 $28.21 Invoice SubTotal $28.21 Please Include Invoice Number on Remittance Tax: $0.00 Invoice Total $28.21 Thank you for your business! Balance Due: $28.21 Page 1 of 1 VOUCHER # 134724 WARRANT # ALLOWED 317000 IN SUM OF $ VAN AUSDALL & FARRAR INC PO BOX 713683 CINCINNATI, OH 45271-3683 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9886 01-6360-03 $28.21 Voucher Total $28.21 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 317000 VAN AUSDALL & FARRAR INC Purchase Order No. PO BOX 713683 Terms CINCINNATI, OH 45271-3683 Due Date 4/9/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/9/2014 9886 $0.00 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 Date Officer Van Alusdall MAIL REMITTANCE TO: CONTRACT INVOICE & Farrar VAN AUSDALL AND FARRAR,INC. ()I,KI-TECHN01"' PO BOX 713683, Cincinnati,OH 45271-3683 Invoice Number: 17557 5O`0 MEIV14 Phone(317) 634-2913 Fax(317) 638-1843 "" Email invoice questions to: Invoice Date: 04/04/2014 billing@vanausdall.com Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER 31 1ST AVENUE NW 31 IST AVENUE NW CARMEL,IN 46032 CARMEL,IN 46032 Account No Payment:Terms Due Date= Invoke Tatal BatanceClue 510850 NET10 04/14/2014 $ 24.31 $ 24.31 Contract Number ~ Contact Contract Amourft P:O.Number Start`t�ate. Epp Date' - 16751-01 - -- -----------31-7-460-61-74-- — — ---$ 24.31---- ----—- --—07/01/2013-- --06/30/2014— Summary: Contract base rate charge for this billing period $0.00 Contract overage charge for the 03/01/2014 to 03/31/2014 overage period $24.31** *Sum of equipment base charges '**See overage details below $24.31 Detail: Equipiment mcludecl�under this contract �y � ��s h f�� kJ� ' Ricoh/MPC3002 Number Serial Number Base Charge Location 71869 W493L400357 $0.00 CARMEL COMMUNICATIONS CENTER 31 1ST AVENUE NW CARMEL,IN 46032 Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage B\W BW-16751-200 6,416 7,105 689 0 689 $0.004800 $3.31 Color CLR-16751-20( 5,239 5,733 494 0 494 $0.042500 $21'.00 $24.31 Customer Number: 510850 Invoice Number: 17557 Invoice SubTotal $24.31 Tax: $0.00 Please Include Invoice Number on Remittance Invoice Total $24.31 Balance Due: $24.31 Thank you for your business! Pagel of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Van Ausdall & Farrar IN SUM OF$ PO Box 713683 Cincinnati, OH 45271-3683 $24.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 I 17557 I 43-515.01 I $24.31 1 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 Wednesday, April 16, 2014 Director Title I Cost distribution ledger classification if claim paid motor vehicle highway fund 1 i 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)) 04/04/14 I 17557 I I $24.31 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