243354 03/18/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $********59.98*CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 243354
CINCINNATI OH 45271-3683 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 82879 59.98 OTHER EXPENSES
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VanrAu5tlali MAIL REMIrTANC TO: CONTRACT INVOICE
Sf Farrar ,- VAN AUSDALL AND FARRAR,INC.
«�►�n� Y� PO BOX 713683;-Ciricinnati,OH 45271-3683 Invoice Number: 82879
9E"�+ W Phone(317)634-2913 Fax(317)638-1843 Invoice Date: 02/26/2015
Email invoice questions to:
billing@vanausdall.com
till To: CITY OF CARMEL WATER PLANT 1 Customer: CITY OF CARMEL WATER PLANT 1
KEN RHODES 4915 E 106th STREET
4915 E 106th STREET CARMEL,IN 46032
CARMEL,IN 46032
511614 NET10 03/08/2015 $58.98 $ 58.98
16876-02 317-571-4141 $58.98 08/27/2014 .08/26/2015
;IVE INVOICES TO WANDA
summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 11/27/2014 to 02/26/2015 overage period $58.98**
*Sum of equipment base charges **See overage details below $58.98
►etail:
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Number Serial Number Base Charge Location
72261 V9735500993 $0.00 CITY OF CARMEL WATER PLANT 14915 E 106th STREET
RICOH AFICIO MPC2051 CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16876-100 13,479 16,648 3,169 0 3,169 $0.005200 $16.48
Color CLR-16876-10( 3,982 4,891 909 0 909 $0.046750 $42.50
$58.98
Customer Number:511614 Invoice Number:82879
Invoice SubTotai $58.98
Please Include Invoice Number on Remittance
Tax: $0.00
Invoice Total $58.98
Thank you for your business! Balance Due: $58.98
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VOUCHER # 151149 WARRANT# F ALLOWED
317000 IN SUM OF $
VAN AUSDALL & FARRAR INC
PO BOX 713683
CINCINNATI, OH 45271-3683
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
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82879 01-6360-03 $59.98
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Voucher Total $59.98 f
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Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
317000
VAN AUSDALL& FARRAR INC Purchase Order No.
PO BOX 713683 Terms
CINCINNATI, OH 45271-3683 Due Date 3/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2015 82879 $59.98
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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
Date cer