241166 1 /13/2015 . CITY OF CARMEL, INDIANA VENDOR: 366767
® ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $*-.""'72.93"
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 241 166
M ruN`o, CINCINNATI OH 45271-3683 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 71479 72.93 EQUIPMENT MAINT CONTR
VMEM AMMdUll MAIL REMITTANCE TO: CONTRACT INVOICE
& Fanrap VAN AUSDALL AND FARRAR, INC.
UT)aTEr+1,0=Y _p' PO BOX 713683, Cincinnati, OH 45271-3683 Invoice Number: 71479
" 5 Phone(317) 634-2913 Fax(317) 638-1843 Invoice Date: 01/05/2015
Email invoice questions to:
billing@vanausdall.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 1ST AVENUE NW 31 1ST AVENUE NW
CARMEL, IN 46032 CARMEL, IN 46032
Account NoaymentfTerms =Due Dafe Invoice Total'" Balance Due
510850 NET10 01/15/2015 $ 72.93 -$- 72.9 3
I';`GontractNuniber '. Conta'&,:,'_` ract'`Amount' ,P:O:Num*er StartDate-� Exp�Date<'
:`Cont` ,
16751-02 317-460-6174 $ 72.93 07/01/2014 06/30/2015
°Remarks•`• :� ;�.;
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 12/01/2014 to 12/31/2014 overage period $72.93*_
*Sum of equipment base charges **See overage details below $72.93
Detail:
Equipment included under-this contract F•,..
Number Serial Number Base Charge Location
71869 W4931-400357 $0.00 CARMEL COMMUNICATIONS CENTER 31 1ST AVENUE NW
RICOH AFICIO MPC3002 CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16751-200 14,108 15,340 1,232 0 1,232 $0.004800 $5.91
Color CLR-16751-20( 9,934 11,511 1,577 0 1,577 $0.042500 $67.02
$72.93
Customer Number: 510850 Invoice Number: 71479 Invoice SubTotal $72.93
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $72.93
Thank you for your business! Balance Due: $72.93
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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))
01/05/15 71479 $72.93
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.
ALLOWED 20
Van Ausdall & Farrar
IN SUM OF $
PO Box 713683
Cincinnati, OH 45271-3683
$72.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 71479 43-515.01 $72.93
I hereby certify that the attached invoice(s), or
I I I
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
Thursday, January 08, 2015
Dir I k or
Title
Cost distribution ledger classification if i
claim paid motor vehicle highway fund