259720 06/14/16 °'`�q+, CITY OF CARMEL, INDIANA VENDOR: 366767
l ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $*******132.35*
?� CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 259720
9°'<roN`�O CINCINNATI OH 45271-3683 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 178771 97.78 OTHER EXPENSES
1115 4351501 180538 34.57 EQUIPMENT MAINT CONTR
Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20
VAN AUSDALL& FARRAR ACCOUNTS PAYABLE VOUCHER
PO BOX 713683 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45271-3683 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$34.57 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Communications Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# . Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
180538 43-515:01 $34.57 I hereby certify that the attached invoice(s), or 6/8/16 180538 $34.57
1115 101 1115 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,June 14,2016
Janet Arnone
Admin Assistant
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Van AI.15dall MAIL REMITTANCE TO: CONTRACT INVOICE
FarrurA VAN AUSDALL AND FARRAR, INC.
offrEhcNaoer PO BOX 713683,Cincinnati, OH 45271-3683 Invoice Number: 180538
_ SOL'"'"S Phone(317) 634-2913 Fax(317) 638-1843
Email invoice questions to: Invoice Date: 06/08/2016
billing@vanausdall.com
Bill To: CARMEL COMMUNICATIONS CENTER Customer: CARMEL COMMUNICATIONS CENTER
31 1ST AVENUE NW 31 IST AVENUE NW
CARMEL,IN 46032 CARMEL, IN 46032
�# ,pply.. A�y��..� Mt�AI �,.�j _ �y�j ■�
` a'_u V 1 t t5^. s._✓` 4r rn . b� ` F"i ifitLSSk�$.w«. ..s
510850 NET10 06/18/2016
Cantttrac
. a +iumi!er kMrtou� fI'U,Nurnb StartAtecprl�ate
, .
-
16751-03- - -- -----31-7-460-6174- — — $-34.57— -- - ----07/01/2015 06/30/2016 -
,«..�,... 2' z ... »� "q
Summary:
Contract base rate charge for this billing period
$0.00-
Contract
0.00*Contract overage charge for the 05/01/2016 to 05/31/2016 overage period $34.57**
*Sum of equipment base charges **See overage details below $34.57
Detail:
Equlpmept Included under thls contract X� �'� �s� � `� ''�� � �'
Number Serial Number Base Charge Location
71869 W493000357 $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 25,618 25,886 268 0 268 $0.005280 $1.42
Color CLR-16751-20( 18,194 18,903 709 0 709 $0.046750 $33.15
$34.57
Customer Number:510850 Invoice Number: 180538 Invoice SubTotal $34.57
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $34.57
Thank you for your business! Balance Due: $34.57
Page 1 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 6/6/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/2016 178771 $97.78
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
Van A mdail MAIL REMITTANCE TO: CONTRACT INVOICE
Farrac_ VAN AUSDALL AND FARRAR,INC.
OFncE TENNOIOGY� PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 178771
SomlONS
aNa 1914 ®c Phone(317)634-2913 Fax(317)638-1843
w
Email invoice questions to: Invoice Date: 05/31/2016
billing@vanausdall.com
Bill To: CITY OF CARMEL WATER PLANT 1 Customer: CITY OF CARMEL WATER PLANT 1
KEN RHODES 4915 E 106th STREET
4915 E 106th STREET CARMEL,IN 46032
CARMEL,IN 46032
Antccount No PaymeTerms „, Due bate Invoice Totat k, Balance Due
,< x
" r� y
511614 NET10 06/10/2016 $97.78 $97,7$
Cq{}bali AA t11y,.` P0.,Nylttbef.,." StartD t I,Exp,Rate
16876-03 317-571-4141 $97.78 08/27/2015 08/26/2016
e rr;4 �� ..0 Real ' Hr � 4
"arks
w
EMAIL INVOICES
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 02/27/2016 to 05/26/2016 overage period $97.78"
*Sum of equipment base charges **See overage details below $97.78
Detail:
�Equi ircludetl under this contras[ `�3 r � r. �� � ' � r �
Number Serial Number Base Charge Location
72261 V9735500993 $0.00 CITY OF CARMEL WATER PLANT 14915 E 106th STREET
RICOH AFICIO MPC2051 CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16876-100 30,253 33,252 2,999 0 2,999 $0.005720 $17.15
Calor CLR-16876-100 12,149 13,717 1,568 0 1,568 $0.051425 $80.63
$97.78
V `
Customer Number:511614 Invoice Number:178771 Invoice SubTotal $97.78
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $97.78
Thank you for your business! Balance Due: $97.76
Page 1 of I