249455 09/09/15 r CAA
4y'�.._ '; CITY OF CARMEL, INDIANA VENDOR: 366767
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ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $********87.43 87.43-
CARMEL,CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 249455
'-y,�rpN.�.` CINCINNATI OH 45271-3683 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 123191 87.43 OTHER EXPENSES
Van Au5dall MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrpr � VAN AUSDALL AND FARRAR,INC.
PO BOX 713683,Cincinnati,OH 45271-3683
Phone(317)634-2913 Fax(317)638-1843 Invoice Number: 123191
Email invoice questions to: Invoice Date: 08/26/2015
billing@vanausdall.com
Bill To: CITY OF CARMEL WATER PLANT i 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 09/05/2015 $87.43
All! 11111 $ 87:43
1687b 02 317-571-4141 $87.43 08/27/2014 08/26/2015
GIVE INVOICES TO WANDA
Summary:
Contract base rate charge for this billing period
Contract overage charge for the 05/27/2015 to 08/26/2015 overage period $0.00*
$87.43**
*Sum of equipment base charges **See overage details below $87.43
Detail:
ptJ1p7�100
arta' uNumbaNu72261V97355009RICOH205I CARMEL,IN 46032
Meter Type Meter Group Beqin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16876-100 19,331 22,677 3,346 0 3,346 $0.005200 $17.40
Color CLR-16876-10( 6,105 7,603 1,498 0 1,498 $0.046750 $70.03
$87.43
.;
Y
Customer Number:511614 Invoice Number: 123191 Invoice SubTotal $87.43
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $87.43
Thank you for your business! Balance Due: $87.43
Page I of 1
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 8/31/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2015 123191 $87.43
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 Officer
VOUCHER # 152914 WARRANT # ALLOWED
317000 IN SUM OF $
VAN AUSDALL & FARRAR INC
PO BOX 713683
CINCINNATI, OH 45271-3683
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
123191 01-6360-03 $87.43
Voucher Total $87.43
Cost distribution ledger classification if
claim paid under vehicle highway fund