240942 01/13/15 1�,.CggM
�� CITY OF CARMEL, INDIANA VENDOR: 027700
® ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC CHECK AMOUNT: $********71.81
r. 'ems CARMEL, INDIANA 46032 9430 PRIORITY WAY,WEST DR CHECK NUMBER: 240942
9M�(i0l1 c�� INDIANAPOLIS IN 46240 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 284996 71.81 EQUIPMENT MAINT CONTR
CONTRACT INVOICE
Invoice Number: 284996
Invoice Date: 12/31/2014
ElUSIN1: S SYSTEMS
9430 Priority Way West Drive Indianapolis,IN 46240-1470
P: 317-580-0100 F: 317-580-2500
Bill To: Carmel Street Dept Customer: Carmel Street Dept
3400 W 131st St 3400 W 131st St
Westfield, IN 46074 Westfield, IN 46074
Account No Payment Terms` Due Date Invoice Total ` Balance Due -
CS02 10 Days 01/10/2015 $71.81 $ 71.81
Contract Number Contact- ContractAmount " "P.O.Numbers Start Date Exp,Date.
KC353=A828&02—
- Remarks
Summary:
Contract base rate charge for the 12/31/2014 to 01/30/2015 billing period $0.00
Contract overages charge for the 11/30/2014 to 12/30/2014 overages period $71.81**
**See overages details below $71.81
Detail:
E ui ment included underthis contract------------
i
Konica Minolta/KC353
Number Serial Number Base Adj. Location
A8288 02EO10011771 $0.00 Carmel Street Dept 3400 W 131st St
Westfield,IN 46074
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overages
B\W B/W 121,225 122,414 1,189 0 1,189 $0.016600 $19.74
Color COLOR 9,562 10,020 458 0 458 $0.113700 $52.07
$71.81
Invoice SubTotal $71.81
Tax: $0.00
Invoice Total $71.81
Balance Due: $71.81
Pagel of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden Business Systems
IN SUM OF$
9430 Priority Way W. Dr.
Indianapolis, IN 46240
$71.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
2201 284996 43-515.01 $71.81 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
F i ay, ary 09, 2015
Street Comnjis offer
mRner
Title
Cost distribution ledger classification if
t
claim paid motor 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 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))
12/31/14 284996 $71.81
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