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240690 01/07/15 (9- CITY OF CARMEL, INDIANA VENDOR: 364024 ONE CIVIC SQUARE GORDON FLESCH CO., INC. CHECK AMOUNT: $********29.86CARMEL, INDIANA 46032 P.O.BOX 73288 CHECK NUMBER: 240690 CLEVELAND OH 44193 CHECK DATE: 01/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 IN11017677 29.86 EQUIPMENT MAINT CONTR Keep lower portion for your records-Please return upper portion with your payment 0 GORDON FLESCH® C O M P A N Y. I N C . Customer Number 290546 G F C L E A S I N G Invoice Date 12/22/2014 6 A OIYISION Of INF OOKDON fiiSCN CO.NPANT Invoice Number IN11017677 DUE DATE 02120/2015 TOTAL DUE $29.86 Carmel Fire Department 2 Civic Sq Federal Tax ID:39-0993125 Carmel, IN 46032-2584 Invoice Summary Illinois #of Total Base/ Images Over Use Tax Base Period Items Misc.Charges Base Amount Recovery Sales Tax Late Fee Total Due 1 $0.00 $29.86 $0.00 $0.00 $0.00 $29.86 Terms: Net 60 Days Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month. B Information Update? Customer Service Contacts: Customer Name Account Payment Inquiries: 608-441-1850/877-366-9874; gfc.ar@gflesch.com Address Contract or meter inquiries: 614-734-6800/877-457-5877; City State Zip gfc.contracts-d@gflesch.com Contact Phone General inquiries:614-789-5700/800-756-1174 Email Address Pay online at www.gflesch.com Receive your invoice electronically. Contact us at gfc.ar@gflesch.com GORDON FLESCHO INVOICE C O M P A N Y , I N C Invoice Number: IN 11017677 age 2 of 2 A DIVISION QF THE GORDONGOPDON FIESCH COMPANR Contract Number AC45B-GPQ10116-01 PO Number n/a Item Description Serial ID# Location/Site PO 1 Canon iR ADV C5045 GPQ10116 T7653 Upstairs 2 Civic Sq Carmel,IN 46032-7543 Base/Misc.Charges Image Total Service Images Images Description Total Meter Begin Meter End Meter Images Credit Included Over Rate Total Base $0.00 Black Images#109 Meter 89827 91034 1207 0 0 1207 0.010280 $12.41 11/20/2014 12/20/2014 Color Images#124 Meter 66378 66664 286 0 0 286 0.061010 $17.45 11/2012014 12/20/2014 Use Tax Item Base/Misc.Charges Images Recovery Tax Total $0.00 $29.86 $0.00 $0.00 $29.86 B 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)) IN 11017677 $29.86 i 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Gordon Flesch Company, Inc. IN SUM OF $ P.O. Box 73288, Cleveland, OH 44193 $29.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 IN11017677 43-515.01 $29.86 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 I.A. _ 5 991.5, A Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund