304806 10/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL& FARRAR CHECK AMOUNT: $****'***40.93"
CARMEL, INDIANA 46032 PO Box 713683 CHECK NUMBER: 304806
CINCINNATI OH 45271.3683 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 203538 40.93 EQUIPMENT MAINT CONTR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VAN AUSDALL& FARRAR
IN SUM OF$
PO BOX 713683 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.
$40.93 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
203538 43-515.01 $40.93 1 hereby.certify that the attached invoice(s),.or 10)10/16 203538 $40.93
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
Friday, October 14, 2016
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 Amsdall MAIL REMITTANCE TO: CONTRACT INVOICE
Farrar VAN AUSDALL AND FARRAR,INC.
OFFaTECHNOtOGY PO BOX 713683,Cincinnati,OH 45271-3683=11Invoice Number: 203538
Ts ,` Phone(317)634-2913 Fax(317)638-1843 Invoice Date: 10/10/2016
Email invoice questions to:
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
f AruylNa �' ►tt entTers „ t3ue nraice C IaI1
510850 NET10 10/20/2016 $40.93 $ 40.93
�Unin
... .. Ggntat ��� Cant�racAn[nun 'O Number;; 9€art Date
IE?[p�ddte
- ---16751-04— ------ - 337-460-6174 - - 4-- -$40:93- - ---- 07/01/2016 -- 06/30/2017 - -
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 09/01/2016 to 09/30/2016 overage period $40.93**
*Sum of equipment base charges **See overage details below $40.93
Detail:
,r
Equrpm�nt enc al ded><i�der this ontract r r �'' �� � � �"� ��r
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 27,494 28,086 592 0 592 $0.005808 $3.44
Color CLR-16751-20( 20,958 21,687 729 0 729 $0.051425 $37.49
$40.93
Customer Number: 510850 Invoice Number: 203538 Invoice SubTotal $40.93
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $40.93
Thank you for your business! Balance Due: $40.93
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