319557 12/12/17 ,C4q
CITY OF CARMEL, INDIANA VENDOR: 317000
d ONE CIVIC SQUARE VAN AUSDALL & FARRAR INC CHECK AMOUNT: $*******211.69*
CARMEL, INDIANA 446032 VAN AUSDALL AND FARRAR INC CHECK NUMBER: 319557
PO BOX 713683 CHECK DATE: 12/12/17
CINCINNATI OH 45271-3683
DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 283424 211.69 OTHER EXPENSES
:.4
VOUCHER NO. 173520 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 317000 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
VAN AUSDALL&FARRAR INC CITY OF CARMEL
PO BOX 713683 An invoice or bill to be properly itemized must show: kind of service,where performed,
CINCINNATI, OH 45271-3683 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
211.69 317000 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR VAN AUSDALL&FARRAR INC Terms
Carmel Water Utility PO BOX 713683 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CINCINNATI,OH 45271-3683
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
283424 01-6360-03 $211.69 and received except 12/1/2017 283424 $211.69
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20L—
Clerk-Treasurer
Van Amsdbll MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrar VAN AUSDALL AND FARRAR,INC.
CIGY
OFFICE IECHNOL = PO BOX 713683,Cincinnati,OH 45271-3683
sownoNs Invoice Number: 283424
SINCE 1914 Phone(317)634-2913 Fax(317)638-1843
law
Email invoice questions to: Invoice Date: 11/30/2017
billing@vanausdall.com
Bill To: CITY OF CARMEL WATER PLANT 1 Customer: CITY OF CARMEL WATER PLANT 1
KEN RHODES
4915E 106th STREET 4915 E 106th STREET
CARMEL,IN 46032 CARMEL,IN 46032
„e A,ctount tYa77Payment Terms ., r. :; Dug Dater. TnvoFce Total A _ `Balance Duel
511614 NET10 12/10/2017 $21169 $21169
CbitraetI�umber ,, x r ;santact .CaftctAriiount, , P O;Number r Star Da Ei
16876-05317-571-4141
ch' Ptz
tea,
317 571 4141 $211692
6/
1 08/2 )0 18
777777
EMAIL INVOICES
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 08/27/2017 to 11/26/2017 overage period $211.69"
*Sum of equipment base charges **See overage details below $211.69
Detail:
Equlpmen#meluded under#hlscontract 6
Number Serial Number Base Charge Location � � �� �� � � � �
T104714 V9735500993 $0.00 CITY OF CARMEL WATER PLANT 1 4915E 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 48,781 53,475 4,694 0 4,694 $0.007367 $34.58
Color CLR-16876-100 24,561 27,235 2,674 0 2,674 $0.066235 $177.11
$211.69
Customer Number:511614 Invoice Number:283424
Invoice SubTotal $211.69
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $211.69
Thank you for your business! Balance Due: $211.69
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