241011 01/13/15 ��"C4N1,
CITY OF CARMEL, INDIANA VENDOR: 367937
b ONE CIVIC SQUARE GORDON FLESCH COMPANY CHECK AMOUNT: $*******103.01
,. =4, CARMEL, INDIANA 46032 9200 KEYSTONE CROSSING STE 100 CHECK NUMBER: 241011
+ INDIANAPOLIS IN 46240 CHECK DATE: 01/13/15
MUTON�p
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4353004 IN11012834 103.01 COPIER
Keep lower portion for your records-Please return upper portion with your payment
GORDON FILE SCH"
C o 0, ? A N r, i N c Customer Number 29C001
G F C L E A S I N G Invoice Date 12/18/2014
Invoice Number IN11012834
DUE DATE 02/16/2015
TOTAL DUE $103.01
City of Carmel Engineering Department
1 Civic Sq Federal Tax ID: 39-0993125
Carmel, IN 46032-2584 2200— 4315 3ooI-
Invoice Summary
Illinois
#of Total Base/ Images Ovec Use Tax
Base Period Items Misc.Charges' Base Amount Recovery Sales Tax Late Fee Total Due
1 $0.00 $ 103.01 $0.00 $0.00 $0.00 $ 103.01
Terms: Net 60 Days
Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month.
GORDON FLESCH`' INVOICE
C Ct M P A N r , I N C
I Invoice Number: IN 11012834
A CWY' 'i IC;; OF t-E ,GOP.:jON' F:eSCH C.::?:nF:.i:Y Page 2 of 2
ontract Number CN10003688-01
O Number L70230
Item Description Serial ID# Location/Site PO
1 Sharp MX 4111 N 35006151 W5413 1 Civic Sq
1 Civic Sq
Carmel, IN 46032-2584
Base/Misc.Charges Image
Total Service Images Images
Description Total Meter Begin Meter End Meter Images Credit Included Over Rate Total
Base $000 Total Black Sharp/Kyocera 86082 91471 5389 0 0 5389 0008800 $47.42
11/17/2014 12/17/2014
Total Color Sharp/Kyocera 16388 17511 1123 0 0 1123 0.049500 $55.59
11/17/2014 12/17/2014
Use Tax Item
Base/Misc.Charges Images Recovery Tax Total
$000 $10301 $000 $000 $10301
A
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
Gordon Flesch Co Purchase Order No.
POB 73288 Terms
Cleveland, OH 44193-0002 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
12/18/2014 29CO01 Copier Fees $ 103.01
Total $ 103.01
1 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.
Gordon Flesch Co ALLOWED 20
POB 73288 IN SUM OF $
Cleveland, OH 44193-0002
$ 103.01
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 29CO01 2200-4353004 $ 103.01 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
1/12/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund