242422 02/17/15 �4q-
' CITY OF CARMEL, INDIANA VENDOR: 366767
!; d ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $********49.33*
a° CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 242422
CINCINNATI OH 45271-3683 CHECK DATE: 02/17/15
�-ETON 00
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 78305 49.33 EQUIPMENT MAINT CONTR
Van AmsdalO MAIL REMITTANCE TO: CONTRACT INVOICE
& Faamnre�lir "" VAN AUSDALL AND FARRAR, INC.
We:T«+,0=Y'��� PO BOX 713683, Cincinnati, OH 45271-3683 Invoice Number: 78305
sauarvs '
Stiff 79,A Phone(317) 634-2913 Fax (317) 638-1843
Invoice Date: 02/05/2015
Email invoice questions to:
billing@vanausdaIl.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 1ST AVENUE NW 31 1ST AVENUE NW
CARMEL, IN 46032 CARMEL, IN 46032
,4r:'Inv i
' Ccou t o'; ay °`;. o be Total
w j`011 Due'•:,.-.
510850 NET10 02/15/2015 $49.33 $ 49.33
<'` Coritractl►mount' �P:O.IVumber '. fr Start,Date� -, Ex".rDate
%�,,Gontiact;Numtier:;.° -.d�" :Contact, .. ";�.,�;..,;� � ..�,,, � �,:� P'
16751-02 317-460-6174 $49.33 07/01/2014 06/30/2015
,.�, >.rkY,` .P%.'rF. ."e: ;�;'^_- .s;"a"t,'<, ,,..irr-->•.,...:• ':7"b ror; .
:Remarks
�:�.. ,s�> :*�;;; v >. "s,xy`.,. :�+:" :;:sxx,,.", _i:-.:, `-:��;�. ,.>a ,ia.>._ t:�,v-�c,;al:�t:;,. �•a._� 3:v."'•' `s'�e�z`^4�:;+
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 01/01/2015 to 01/31/2015 overage period $49.33"
*Sum of equipment base charges **See overage details below $49.33
Detail:
Equipment'include,und re ,this tontract' "7
:.. __.. ..�a ` .... .
:�t
Number Serial Number Base Charge Location
71869 W493L400357 $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 15,340 16,948 1,608 0 1,608 $0.004800 $7.72
Color CLR-16751-20( 11,511 12,490 979 0 979 $0.042500 $41.61
$49.33
Customer Number: 510850 Invoice Number: 78305 Invoice SubTotal $49.33
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $49.33
Thank you for your business! Balance Due: $49.33
Page 1 of I
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))
02/05/15 I 78305 I I $49.33
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
Van Ausdall & Farrar
IN SUM OF $
PO Box 713683
Cincinnati, OH 45271-3683 i
$49.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1115 I 78305 I 43-515.01 I $49.33 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
Frida , February 13, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund