244364 04/15/15 CITY OF CARMEL, INDIANA VENDOR: 366767
® ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT: $********13.47*
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 244364
'MUTON�. CINCINNATI OH 45271-3683 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 92074 13.47 EQUIPMENT MAINT CONTR
Man Ausd_a_ 11 MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrar VAN AUSDALL AND FARRAR,INC.
OFOU PO BOX 713683,Cincinnati, OH 45271-3683 Invoice Number: 92074
�T°"S" Phone(317)634-2913 Fax-(317)638-1843
"c"
Email invoice questions to: Invoice Date: 04/06/2015
billing@vanausdall.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 1ST AVENUE NW 31 1ST AVENUE NW
CARMEL,IN 46032 CARMEL,IN 46032
} Account NoysPa entTerms Due Date invo�ceTotal BalaincexDue'
-510850 - —` -NETio--- ---- 04/16/2015 - -$-1-3-.47 $-13.47 -
16751-02
-13.47 -16751-02 317-460-6174 $ 13.47 07/01/2014 06/30/2015
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 03/01/2015 to 03/31/2015 overage period $13.47**
*Sum of equipment base charges **See overage details below $13.47
Detail:
Equipment�n luded under this oc ntract r �� fr3f �_ � ���'
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 17,694 18,226 532 0 532 $0.004800 $2.55
Color CLR-16751-20( 12,766 13,023 257 0 257 $0.042500 $10.92
$13.47
Customer Number:510850 Invoice Number: 92074 Invoice SubTotal $13.47
Please Include Invoice Number on Remittance .Tax: $0.00
Invoice Total $13.47
Thank you for your business! Balance Due: $13.47
Page I of t
VOUCHER NO. WARRANT NO.
ALLOWED 20 I
VAN AUSDALL&FARRAR
IN SUM OF $
PO BOX 713683
CINCINNATI OH 45271-3683 1
I
$13.47
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 92074 43-515.01 $13.47
I hereby certify that the attached invoice(s), or
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
Friday, April 10, 2015
C:yZerry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Laserfiche ID:
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))
04/06/15 92074 $13.47
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