245639 05/20/15 oi,
CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: S********10.69*
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 245639
11 CINCINNATI OH 45271-3683 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 99313 10.69 EQUIPMENT MAINT CONTR
Van Amisda0l MAIL REMITTANCE TO: CONTRACT INV®ICE
..... .......
FarrimlE-�•-�' VAN AUSDALL AND FARRAR, INC.
OFPKETEci.,.,acGY, PO BOX 713683, Cincinnati, OH 45271-3683 Invoice Number: 99313
SOlI:INJNS C^,+4Y
'-C 111A Phone(317) 634-2913 Fax (317) 638-1843
< , Invoice Date: 05/06/2015
Email invoice questions to:
billing@vanausdall.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 IST AVENUE NW 31 IST AVENUE NW
CARMEL, IN 46032 CARMEL, IN 46032
I '.: r °:Balance.Due- `
Vis, Account No 5Invo�ce Total: z r
510850 NET10 05/16/2015 $ 10.69 $ 10.69
Jam. '='` `'i.::-ar+. �s:•- .� •x:, .ss.-r..,-.y.G,,..e• - a-r ;-.7'- a,; <.;.., ..e.s°w ,
:.Contr"act.Nu_mbef x ; . '' : Contact�' - :,.. Contract Amount P>�O:.Numtie�.`:` •, ` Start'Date=, k Exp::Date;
rvJv 16751-02 317-460-6174 $ 10.69 07/01/2014 06/30/2015
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 04/01/2015 to 04/30/2015 overage period $10.69**
*Sum of equipment base charges **See overage details below $10.69
Detail:
Equipment:�ncluded under this;con, ract
•:.�..snWY ,._`w`:.a.•._ ,a•.:,:L...K. .?;>.:.;sev.'. .-v.;s,.i5.n a. ,,.......���;, -Ax .n v,.,,-x2M', c., ..C.�. ..� -�..�,-.. - .._.x.s.., a.a...ti. _b .�.._...%o£ ..,...:�.a ,..___.. ._„- _._ --., e ,
Number Serial Number Base Charge Location
71869 W4931-400357 $0.00 CARMEL COMMUNICATIONS CENTER 31 IST 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 18,226 18,761 535 0 535 $0.004800 $2.57
Color CLR-16751-20( 13,023 13,214 191 0 191 $0.042500 $8.12
$10.69
Customer Number: 510850 Invoice Number: 99313 Invoice SubTotal $10.69
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $10.69
Thank you for your business! Balance Due: $10.69
Paye I 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))
05/06/15 I 99313 I I $10.69
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
PO BOX 713683 IN SUM OF $
CINCINNATI OH 45271-3683
$10.69
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 99313 43-515.01 $10.69
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
Thursday, May-14, 2015
Terry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicles highway fund