HomeMy WebLinkAbout320552 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $*******1 10.68*
Q 9M. CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 320552 CINCINNATI OH 45271-3683 CHECK DATE: 01/11/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 286932 110.68 COPIER
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
Vendor# 366767 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
VAN AUSDALL& FARRAR IN SUM OF$ CITY OF CARMEL
PO BOX 713683 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45271-3683
Payee
$110.68
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Clerk Treasurer 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
286932 43-530.04 $110.68 1 hereby certify that the attached invoice(s),or 1/3/18 286932 TOTAL ANNUAL CONTRACT$910.68 $110.68
1701 101 1701 101 (6/1/17-5/31/18)
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
Wednesday,January 03,2018
A__�r '
Quinn,Jacob
Deputy Clerk of City Business
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 Alusdall MAIL REMITTANCE TO: CONTRACT INVOICE
& Farrar- VAN AUSDALL AND FARRAR,INC.
OfCETEaNOLOGY PO BOX 713683,Cincinnati,OH 45271-3683 Invoice Number: 286932
SOLS°"sPhone(317)634-2913 Fax(317)638-1843
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Email invoice questions to: Invoice Date: 12/18/2017
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
Account:No Payment Terms Due(D`ate Invoke Total µ'A Balance,Due
103781 NET10 12/28/2017 $910.68 $ 910.68
Contract Number _: (Contact ;_ `rContract Amount P O Number .,, _ 'Start+Date 'E_xp.,D`ate _
16089-05 317-571-2401 1 $ 910.68 e `06/01/2017 05/31/2018
_ TRematks
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 06/01/2017 to 11/30/2017 overage period $910.68**
*Sum of equipment base charges **See overage details below $910.68
Detail:
Egwpment included under this contract �__ A
Number Serial Number Base Charge Location
T101193 W5421-500535 $0.00 CITY OF CARMEL 1 CIVIC SQ
RICOH AFICIO MPC5502A
CARMEL,IN 46032
Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overage
B\W BW-16089-100 208,494 233,847 25,353 0 25,353 $0.008008. $203.03
Color CLR-16089-10( 81,756 91,650 9,894 0 9,894 $0.071523 $707.65
$910.68
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Customer Number: 103781 Invoice Number: 286932 Invoice SubTotal $910.68
Please Include Invoice Number on Remittance Tax: $0.00
Invoice Total $910.68
Thank you for your business! Balance Due: $910.68
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