HomeMy WebLinkAbout233622 06/11/14 CITY OF CARMEL, INDIANA VENDOR: 366767
(9,
ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $*******352.18*
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 233622
CINCINNATI OH 45271-3683 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 28923 352.18 COPIER
vim` �,sdall MAIL REMITTANCE TO: CONTRACT INVOICE
&Faffi r" VAN AUSDALL AND FARRAR,INC.
PO BOX 713683 Cincinnati OH 45271-3683 Invoice Number: 28923
Phone(317) 634-2913 Fax(317) 638-1843
. Invoice Date: 06/03/2014
YEA] ;�. Email invoice questions to:
billing@vanausdall.com
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Bill To: CITY OF CARMEL Customer: CITY OF CARMEL
1 CIVIC SQ 1 CIVIC SQ
Clerk Treasurer's Office Clerk Treasurer's Office
CARMEL,IN 46032 CARMEL,IN 46032
103781 NET10 06/13/2014 $352.18 $ 352.18
C4►ntAt!i9u00
16089-01 317-571-2401 $ 352.18 1 06/01/2013 05/31/2014
77
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 12/01/2013 to 05/31/2014 overage period $352.18**
*Sum of equipment base charges **See overage details below $352.18
Detail:
It'll,
Number
Number Serial Number Base Charge Location
70454 W542L500535 $0.00 CITY OF CARMEL 1 CIVIC SQ
RICOH AFICIO MPC5502A
Clerk Treasurer's Office
CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16089-100 55,769 75,967 20,198 0 20,198 $0.005280 $106.65
Color CLR-16089-10( 21,342 26,594 5,252 0 5,252 $0.046750 $245.53
$352.18
Customer Number: 103781 Invoice Number: 28923 Invoice SubTotal $352.18
Please Include Invoice Number on Remittance
Tax: $0.00
Invoice Total $352.18
Thank you for your business! Balance Due: $352.18
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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
&_0A11
Purchase Order No.
TO M _�1 693 Terms
'(lk W' ' i hP&A�W D 4
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
,/ ALLOWED 20
�� �� Y IN SUM OF $
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
AL &Ja41-j
A AA AV 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund