251557 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 364024
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ii•. ONE CIVIC SQUARE GORDON FLESCH CO., INC. CHECK AMOUNT: $**`*....53.98*
=3 ?4 CARMEL, INDIANA 46032 P.O.BOX 73288 CHECK NUMBER: 251557
9yl ON ` CLEVELAND OH 44193-0002 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353004 IN11337604 53.98 COPIER
OGGORDON FLESCH° INVOICE
COMPA NY , I N C .
GL ( N G Invoice Number: IN11337604
A DIVISION OF THE GORDON FtESCH COMPANY Page 2 of 2
Contract Number CN10003831-01
PO Number
Item Description Serial ID# Location/Site PO
1 Sharp MX 314ON 2507705X W5420 1 Civic Sq L70731
1 Civic Sq
Carmel,IN 46032-2584
Base/Misc.Charges Image
Total Service Images Images
Description Total Meter Begin Meter End Meter Images Credit Included Over Rate Total
Base S000 Total Black Sharp/Kyocera 74229 76923 2694 0 0 2694 0005000 $1347
09/22/2015 10/22/2015
Total Color Sharp/Kyocera 17460 18402 942 0 0 942 0.043000 $40.51
09/22/2015 10/22/2015
Use Tax Item
Base/Misc.Charges Images Recovery Tax Total
$0.00 $53.98 $0.00 $0.00 $53.98
A
Keep lower portio0 n for your records- ease re urn upper portion wit your payment
GORDON FLESCHm
CFC 0 M P A N Y. I N C . Customer Number 29CO02
, G F C L E A S I N G Invoice Date 10/26/2015
A 0-510.1 OF IHE OoRooK RRESCN co—ANT Invoice Number IN11337604
DUE DATE 12/25/2015
TOTAL DUE $53.98
City of Carmel Department of Community Service
1 Civic Sq Federal Tax ID:39-0993125
Carmel,IN 46032-2584
Invoice Summary
,
Illinois
# TBImages Over;.ofUse Tax "-
Base.Period.• Items". Misc.Charges,'" Base,Amount; Recovery Sale's"Tax Late-Fee,, Total"Due
1 $0.00 $53.98 $0.00 $0.00 $0.00 $53.98
Terms:Net 60 Days
Important Messages Overdue accounts will be charged a past-due fee of 1 5%per month.
NEW OFFICE HOURS AS OF 10/1/15.
7:30 a.m.-4:30 p.m.M-F
A
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))
10/26/15 IN11337604 $53.98
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
Gordon Flesch, Inc.
IN SUM OF $
P.O. Box 73288
Cleveland, OH 44193-0002
$53.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 I IN11337604 I 43-530.04 I $53.98 I 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, VovemPeY2015J
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund