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252884 12/17/15 JY E3, CITY OF CARMEL, INDIANA VENDOR: 366767 I ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT: $r r r««r r«14.66 I' ?� CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 252884 CINCINNATI OH 45271-3683 CHECK DATE: 12/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4351501 144915 14.66 EQUIPMENT MAINT CONTR Van Alusd__all MAIL REMITTANCE TO: CONTRACT INVOICE Farrar VAN AUSDALL AND FARRAR,INC. Owia TECH � PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 144915 SO-1914 Phone(317)634-2913 Fax(317)638-1843 ONS �"""" Email invoice questions to: Invoice Date: 12/03/2015 billing@vanausdall.com Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER 31 IST AVENUE NW 31 1ST AVENUE NW CARMEL,IN 46032 CARMEL,IN 46032 ;, Account No , Payr!fenir fiernns r Due DateInva�ce Totat Balance©t>e 510850 NET10 12/13/2015 $ 14.66 $ 14.66 "'KGantrltur»beiK < jtact,.. Cont+it�moun ' �'WA►"tI iYutnisy StartDatety � I:arp:.paiee, _ 16751703 _ __ __317-460-6174._ ___ _ _$_14.66 __ _ 07/01/2015_______ 06/30/2016_ t ,�v xr�c y :.gin^^d" w .r^ Fa. "' 'r a x£�.xi. _ a �s` ' '✓ Remarks "P, . a Summary: Contract base rate charge for this billing period $0.00 Contract overage charge for the 11/01/2015 to 11/30/2015 overage period $14.66** *Sum of equipment base charges **See overage details below $14.66 Detail: �Egwpment included under this con#tact __ a9� _ '' '�" � ��' Number Serial Number Base Charge Location 71869 W493000357 $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 23,230 23,881 651 0 651 $0.005280 $3.44 Color CLR-16751-20( 15,999 16,239 240 0 240 $0.046750 $11.22 $14.66 Customer Number:510850 Invoice Number: 144915 Invoice SubTotal $14.66 Please Include Invoice Number on Remittance Tax: $0.00 Invoice Total $14.66 Thank you for your business! Balance Due: $14.66 Page 1 of 1 i i VOUCHER NO. WARRANT NO. ALLOWED 20 VAN AUSDALL& FARRAR PO BOX 713683 'IN SUM OF$ CINCINNATI, OH 45271-3683 $14.66 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 144915 I 43-515.01 I $14.66 1 hereby certify that the attached invoice(s), or 1115 101 bills) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except I Monday, December 14, 2015 Terry Crockett, Director I Cost distribution ledger classification if 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)) 12/03/15 I 144915 I I $14.66 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