HomeMy WebLinkAbout235512 07/30/14 �r Coq
F CITY OF CARMEL, INDIANA VENDOR: 366767
`/ '�. CHECK AMOUNT: $********33.50*
.I ONE CIVIC SQUARE VAN AUSDALL& FARRAR
s' i+` CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 235512
.q��TON_�, CINCINNATI OH 45271-3683 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 27879 33.50 OTHER EXPENSES
`- MAIL REMITTANCE TO: CONTRACT INVOICE
Van Ausdali
&FarrarVAN AUSDALL AND FARRAR,INC.
PO BOX 713683, Cincinnati,OH 45271-3683 Invoice Number: 27879
® Phone(317)634-2913 Fax(317) 638-1843 Invoice Date: 05/28/2014
Email invoice questions to:
billing@vanausdall.com
Bill TEf CITY OF CARMEL WATER PLANT 1 Customer: CITY OF CARMEL WATER PLANT 1
4915 3 106TH ST
CARMEL,IN 46033 ��5�.� ��� 4915 3 106TH ST
a Le-t)-7
q CARMEL, IN 46033
Account No ,; Payment Terms ' DueDate Invoice Total Balance°`Due-
511614 NET10 06/07/2014 $33.50 $ 33.50
GontractNumber == Contact GontractAMount ,, , ,`P.O Numlfer tai
St,Date. ! a,
xplD =
- -L6876=0i - 317-571-4141 $ 33.50 08/27/2013 08/26/2014
t RemarJcs
h
Summary:
Contract base rate charge for this billing period $0.00-
Contract
0.00*'Contract overage charge for the 02/27/2014 to 05/26/2014 overage period $33.50**
*Sum of equipment base charges **See overage details below $33.50
Detail:
Equipment mcludetl under this contract;'
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Number Serial Number Base Charge Location
72261 V9735500993 $0.00 CITY OF CARMEL WATER PLANT 14915 3 106TH ST
RICOH AFICIO MPC2051 CARMEL,IN 46033
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16876-100 5,365 7,811" 2,446 0 2,446 $0.004800 $11':74
Color CLR-16876-10( 1,025 1,537* 512 0 512 $0.042500 $21.76
*Estimated meter reading $33.50
Customer Number:511614 Invoice Number: 27879 Invoice SubTotal $33.50
Please Include Invoice Number on Remittance
Tax: $0.00
Invoice Total $33.50
Thank you for your business! Balance Due: $33.50
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Pagel of 1
VOUCHER # 141179 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
r�
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
27879 01-6360-03 $33.50
l
i
i
Voucher Total $33.50
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
�i
CINCINNATI, OH 45271-3683 Due Date 7/21/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
I
7/21/2014 27879 t $33.50
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
all
ty
Date Officer