HomeMy WebLinkAbout260345 06/28/16 0y= t;
CITY OF CARMEL, INDIANA VENDOR: 366767
i. ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT. $*****1,102.89
?� CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 260345
.�'�roN�° CINCINNATI OH 45271-3683 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 180445 1,102.89 COPIER
VOUCHER NO. WARRANT NO.
1 ALLOWED 20
IN SUM OF $
Cl C
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT I herebythat the attached invoice(s),
DEPT.# certify Yfy
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
- 20/C
Signature
-ems
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Van Amsdall MAIL REMrrrANCE TO: CONTRACT INVOICE
& Farrar VAN AUSDALL AND FARRAR, INC.
�TECHv«� 9:9 PO BOX 713683,Cincinnati, OH 45271-3683 Invoice Number: 180445
M--1914 Phone(317)634-2913 Fax(317) 638-1843
Email invoice questions to: Invoice Date: 06/08/2016
billing@vanausdall.com
Bill To: CITY OF CARMEL Customer: CITY OF CARMEL
Clerk Treasurer's Office 1 CIVIC SQ
1 CIVIC SQ
CARMEL,IN 46032
CARMEL,IN 46032
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103781 NET10 06/18/2016 $ 1,102.89 $ 1,102.89
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Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 12/01/2015 to 05/31/2016 overage period $1,102.89**
*Sum of equipment base charges **See overage details below $1,102.89
Detail:
��Equipment included under this coni_Tact � 5 r�__ __ 4 z�; �� �� ��" f
Number Serial Number Base Charge Location
70454 W5421-500535 $0.00 CITY OF CARMEL 1 CMC SQ,-,.
RICOH AFICIO MPC5502A
CARMEL,IN 46032
Meter Type Meter Group Begin Meter. End Meter Credits Total Covered Billable Rate Overage
B\W BW-16089-100 126,785 157,805 31,020 0 31,020 $0.006389 $198.19
Color CLR-16089-10( 43,571 59,572 16,001 0 16,001 $0.056540 $904.70
$1,102.89
Customer Number: 103781 Invoice Number: 180445 Invoice SubTotal $1,102.89
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $1,102.89
Thank you for your business! Balance Due: $1,102.89
Pagel of 1
ZES3EiEjEr Van Ausdall&Farrar,snco PACKING
LIST
V
& 6430 East 75th Street
C4.f.+UTEORNOKY, Indianapolis,Indiana 46250 Order Date: 6/6/16
OUNS - Nwz Sales&Supplies (317) 6342913
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Service(317)6342967 order Number: 38479
FAX(317) 638-1843 Supply
Order Type: PP Y
Printed Date: 6/6/2016 2:46:17PM
Entered by: bwilson
Strip To: CITY OF CARMEL
Bill To: CITY OF CARMEL Attn: Clerk Treasurer's Office
Attn: Clerk Treasurer's Office 1 CIVIC SQ
1 CIVIC SQ
CARMEL, IN 46032CARMEL, IN 46032 — —
a r P 0 tiuriiberFMA Ship Method • Date Required
Account Number - PayinentTerms
UPS GROUND 6/11%16
103781 NET10 Saes person
.Remarks
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o_� �.. - �•_ � Bethn
TONER FOR YOUR COPIER,DEVICE#70454
r Yteni Number Description
UM Ordered Prev Shipped ByU W so Shipped''
_7'n- 77777r7777777
77777771
841754 RICOH SUB 841682 CYAN C5502 PRINT CART 22.5K
EA
1 0
Whs.IW
Contract: 16089-04 Bin:0088-5
Equipment:70454 Dept:BS
Serial Number:W542L500535
Model: MPC5502A
Location:Clerk Treasurer's Office
i
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I I
Date
Signature
Si:Eppirig Ehg
Shipped By
Page 1 of 1
1 � Van Ausdall &Farrar,Ince PACKING LIST
& Fail;rear T 6430 East 75th Street
Indianapolis, Indiana 46250
SINCE 1+Id Q`S -LL Sales&Supplies(317) 634-2913 OrdDat_. 6/2/16
' FN� ' Order �e
Service (317) 634-2967
FAX(317) 638-1843 Order Number. 38355
Order Type: Supply
Printed Date: 6/2/2016 2:58:43PM
Entered by: bwilson
Bill To: CITY OF CARMEL Ship To: CITY OF CARMEL
Attn: Clerk Treasurer's Office Attn: Clerk Treasurer's Office
1 CIVIC SQ 1 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
Account Nur toed Payment germs , i: ;' P O„P'aurtrber y ; S6rp Mlethod` Date FEequrred a
103781 NET10 FMA UPS GROUND 6/7/16
T� Remarks. ,- Sales Person
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TONER FOR YOUR COPIER,DEVICE#70454 Beth Wilson
Item Number'
!J
D'escr�ption `
x` Ordered ptev Shr ed B O `Shr ed
PP / PP _
841752 RICOH SUB 841680 C5502 YELL PRINT CART 22.5K EA 1 1 0
Contract: 16089-04 Whs: IW //p
Equipment:70454 Bin:0088-3
Serial Number:W5421-500535 Dept: BS
Model: MPC5502A
Location:Clerk Treasurer's Office d-
Signature Data
Shipped By Shipping Chg