HomeMy WebLinkAbout303571 09/26/16 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VAN AUSDALL& FARRAR
PO BOX 713683 IN Bunn 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.
$55.55 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
197417 43-515.01 $55.55 1 hereby certify,that the attached invoice(s),or 9/8/16 197417 $55.55
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
Monday, September 19,2016
-N
Terry Crockett
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Van A115dall MAIL REMITTANCE TO: CONTRACT INVOICE
& F0rra ... VAN AUSDALL AND FARRAR, INC.
OMaTEC -XX= PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 197417
Q`-`�S Phone(317)634-2913 Fax(317) 638-1843
Email invoice questions to: Invoice Date: 09/08/2016
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
PaY!n runs§ ceTotai Balance Du
ent Te Due date Inver
510850 NET10 09/18/2016 $55.55 $ 55.55
Contract Number, ontt ",Q Centra u:rt v P Q Number- ate
A(n0
,,�. .,.,,., ... .,, ... �. . e.M�� .�StaEt
,may:
16751-04- — — - -317-460-61-74— - —_$-55.55 --- __ _ _07/01/2016__ 06/30/2017-
ROM rks
6/30/2017_Remarks
Summary:
Contract base rate charge for this billing period
$0.00
Contract overage charge for the 08/01/2016 to 08/31/2016 overage period $55.55**
*Sum of equipment base charges **See overage details below $55.55
Detail:
Egwpmen#included under the cos ntract� _ _ � '�ry �" m
�Number Serial NumberBase 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 26,925 27,494 569 0 569 $0.005808 $3.30
Color CLR-16751-20( 19,942 20,958 1,016 0 1,016 $0.051425 $52.25
$55.55
Customer Number:510850 Invoice Number: 197417 Invoice SubTotal $55.55
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $55.55
Thank you for your business! Balance Due: $55.55
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