251766 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 317000
ONE CIVIC SQUARE VAN AUSDALL& FARRAR INC CHECK AMOUNT: $********39.30*
�. CARMEL, INDIANA 46032 VA&F FINANCIAL CHECK NUMBER: 251766
6430 EAST 75TH ST CHECK DATE: 11/18/15
INDIANAPOLIS IN 46250
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 138791 39.30 EQUIPMENT MAINT CONTR
%#bn AuSdallMAIL REMITTANCE TO: CONTRACT INVOICE
& Fearrar�—�" VAN AUSDALL AND FARRAR,INC.
offlahcHIUDMc PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 138791
�
5 Phone(317)634-2913 Fax(317) 638-1843
Email invoice questions to: Invoice Date: 11/05/2015
billing@vanausdall.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 1ST AVENUE NW 31 IST AVENUE NW
CARMEL,IN 46032
CARMEL,IN 46032
Acxount iNo � " ment Terms x I�ue InVOIC@ Total z
xBalance Due
510850 NET10 11/15/2015 $39.30 $ 39.30
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Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 10/01/2015 to 10/31/2015 overage period $39.30**
*Sum of equipment base charges **See overage details below $39.30
Detail:
rr
�•Equipment included under th��ct �' _ `--;� '� �� �� _
Number Serial Number NBase Charge aLocation
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 22,587 23,230 643 0 643 $0.005280 $3.40
Color CLR-16751-20( 15,231 15,999 768 0 768 $0.046750 $35.90
$39.30
Customer Number: 510850 Invoice Number: 138791 Invoice SubTotal $39.30
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $39.30
Thank you for your business! Balance Due: $39.30
Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
VAN AUSDALL& FARRAR
PO BOX 713683 IN SUM OF $
CINCINNATI, OH 45271-3683
$39.30
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
138791 I 43-515.01 I $39.30 1 hereby certify that the attached invoice(s), or
1115 101
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, November 12, 2015
erry rockett, Director
Cost distribution ledger classification if
I
claim paid motor vehicle highway fund
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
11/05/15 I 138791 I I $39.30
1115 101
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