243076 3 /11/2015 CITY OF CARMEL, INDIANA VENDOR: 366767
® ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $********l 5.31
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 243076
Mei rori�°' CINCINNATI OH 45271-3683 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 84366 15.31 EQUIPMENT MAINT CONTR
Van.Alusdall MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrar VAN AUSDALL AND FARRAR,INC.
O
i/OH 45271-3683 Invoice Number: 84366
FTI�lEC�1NOIGGYPO BOX 713683/Cincinnati,
SO"�1ONS 4-2913 Fax 317 638-1843 03/04/2015
OLUM19 1 ON Phone 317 63 ) voice Date:
� � ) � In
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
3 � � invoke Total � `� � Balance Du
510850 NET10 03/14/2015 $ 15.31 $ 15.31
,.`pyCorttr�cttNumber���, �fi�,.` � :;'` „ Cotttact��„" ���_rt..�" �`,, .:...,ContractAmount� ,'k�'0 Number,,.," SfarEDate F�cp;'Date
4
16751-02 317-460-6174 $ 15.31 07/01/2014 06/30/2015
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 02/01/2015 to 02/28/2015 overage period $15.31**
*Sum of equipment base charges **See overage details below $15.31
Detail
Number i%<µ"«" ".Y «Serial Number Base Charge Location ,,�
TIONS CENTER 31
1ST AVENUE N
W
71869 W493L400357 $0.00 CARMEL COMMUNICA
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 16,948 17,694 746 0 746 $0.004800 $3.58
Color CLR-16751-20( 12,490 12,766 276 0 276 $0.042500 $11.73
$15.31
Customer Number: 510850 Invoice Number: 84366 Invoice SubTotal $15.31
Tax: $0.00
Please Include Invoice Number on Remittance Invoice Total $15.31
Thank you for your business! Balance Due: $15.31
Page I of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van Ausdall & Farrar !!
IN SUM OF$
PO Box 713683
Cincinnati, OH 45271-3683
i
$15.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1.115_ I 84366 I 43-515.01 I $15.31 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
Monday, March 09, 2015
irector
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
I
Purchase Order No.
Terms
Date Due
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/04/15 84366 $15.31
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
120
Clerk-Treasurer