HomeMy WebLinkAbout240138 12/09/14 CITY OF CARMEL, INDIANA VENDOR: 366767
!; ® ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT: $*******439.29*
?� CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 240138
CINCINNATI OH 45271-3683 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 64351 410.04 COPIER
1701 R4353004 64351 29.25 COPIER
Van.Ausdall MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrar VAN AUSDALL AND FARRAR,INC.
«{E.,EC4t4O=Y PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 64351
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` Phone(317)634-2913 Fax(317)638-1843
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Email invoice questions to: Invoice Date: 11/26/2014
billing@vanausdall.com
Bill To: CITY OF CARMEL Customer: CITY OF CARMEL
Clerk Treasurer's Office 1 CIVIC SQ
1 CIVIC SQ
CARMEL,IN 46032
CARMEL,IN 46032
� Account No � PaymentTerms° ��_�� �FDue Dater � �Invo�ce Total �Balance Due�_
Lr ,.
103781 NET10 12/06/2014 $439.29 $ 439.29
16089-02 317-571-2401 $439.29 06/01/2014 05/31/2015
wa a 4s �y Re CkS b' a01 �
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 06/01/2014 to 11/30/2014 overage period $439.29**
*Sum of equipment base charges **See overage details below $439.29
Detail:
Egmpment mcludecl under this contract s % � � �x � �� <� � ��,
Number Serial Number Base Charge Location
70454 W5421-500535 $0.00 CITY OF CARMEL 1 CIVIC SQ
RICOH AFICIO MPC5502A
CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16089-100 75,967 95,600 19,633 0 19,633 $0.005808 $114.03
Color CLR-16089-10( 26,594 32,922 6,328 0 6,328 $0.051400 $325.26
$439.29
Customer Number: 103781 Invoice Number:64351 Invoice SubTotal $439.29
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $439.29
Thank you for your business! Balance Due: $439.29
Page I of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
ee
Vm
� 5WPay�1 `1J 1Rma� Purchase Order No.
• c
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n Ira -
Total
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 $
$ �i. l
ON ACCOUNT OF APPROPRIATION FOR 1
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
p the materials or services itemized thereon
for which charge is made were ordered and
received except
20
&- AAA,
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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