258059 04/26/16 j{ 4�p'' CITY OF CARMEL, INDIANA VENDOR: 366767
;/ j ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $********21 28*
f9 �� CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 258059
M�iroN�. CINCINNATI OH 45271-3683 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 169714 21.28 EQUIPMENT MAINT CONTR
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))
04/13/16 I 169714 I I $21.28
1115 101
I hereby certify that the attached invoice(s), or bill(s), is.(are)true and correct and I have audited same in accordance.
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
VAN AUSDALL& FARRAR
PO BOX 713683
IN SUM OF$
CINCINNATI, OH 45271-3683
$21.28
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
169714 I 43-515.01 I $21.28 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
Friday, April 221 2016
Terry Crockett
Director
Cost distribution ledger classification if.
claim paid motor vehicle highway fund
Van Ausdall MAIL REMITTANCE TO: CONTRACT INVOICE
& Foccar--- VAN AUSDALL AND FARRAR,INC.
«fflaTECw'«O PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 169714
`'1O<S Nor Phone(317)634-2913 Fax(317)638-1843
Email invoice questions to: Invoice Date: 04/13/2016
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
`' $ ICCAU1ItNO tv P!3�lfllentrTEIIi15 Iiu�I1tQ ' 0rz InY010eTQaI k BalanC£ Ue
510850 NET10 04/23/2016 $21.28 $ 21,28
_ _16751703 _ _— __312460-6174 ___ _ _$21.28 _ _---- 07/01/2015 -- _06/30/2016
-�-``'M`f"�
.a, .. .., .�.,.
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 03/01/2016 to 03/31/2016 overage period $21.28**
*Sum of equipment base charges **See overage details below $21.28
Detail:
Number Serial Number Base Charge Location
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 24,867 25,355 488 0 488 $0.005280 $2.58
Color CLR-16751-20( 17,502 17,902 400 0 400 $0.046750 $18.70
$21.28
Customer Number:510850 Invoice Number: 169714 Invoice SubTotal $21.28
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $21.28
Thank you for your.business! Balance Due: $21.28
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