334189 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 366767
= ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECKAMOUNT: $********83.96*
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 334189
CINCINNATI OH 46271-3683 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 354472 83.96 EQUIPMENT MAINT CONTR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
AII_owEo 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 366767 . .
IN SUM OF,$ CITY OF CARMEL
VAN AUSDALL& FARRAR
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
$83.96.
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
ICS 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
354472 43-515.01 $83.96 1 hereby certify that the attached invoice(s),or 12/27/18 354472 $83.96
1115 101 Prior Year 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, December 31,2018
� V
Arnone, Janet
Admin Assistant
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 AVSdall MAIL REMITTANCE TO: CONTRACT INVOICE
& Farmer VAN AUSDALL AND FARRAR,INC.
omCEtEariaocr PO BOX 713683,Cincinnati;OH 45271-3683 Invoice Number: 354472
W` ]914 Phone(317)634-2913 Fax(317)638-1843
Email invoice questions to: Invoice Date: 12/27/2018
billing@vanausdall.com
Bill To:. CARMEL COMMUNICATIONS CENTER. Customer: CARMEL COMMUNICATIONS CENTER
31 1ST-AVENUE-NW 31 1ST AVENUE NW
CARMEL,IN 46032 CARMEL,IN 46032
Account No Payment Terms Due Date Invoice Total Balance Due'
510850 NE7110 01/06/2019 $83.96 $83.96
Contract Number, ;Contact contract P.O.Number ;= Start Date Exp.bDate
16751-06 317-460-6174 $83.96 07/01/2018 06/30/2019
Remarks .
Summary:
Contract base rate charge for.this billing period $0.00*
Contract overage charge for the 12/01/2018 to 12/31/2018 overage period $83.96**
*Sum of equipment base charges **See overage details below $83.96
Detail:.
Equipment included underthis contract
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 40,894 41,398 504 0 504 $0.007667 $3.86
_ Color CLR-16751-200 43,514 44,694 1,180 0 1,180 $0.067881 $80.10
$83.96..
Customer Number:510850 Invoice Number:354472 Invoice SubTotal $83:96
Please Include Invoice Number on Remittance Tax: $O.00
Invoice Total $83.96
Thank you for your business! Balance Due: $83:96
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