186232 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 357200 Page 1 of 1
t ONE CIVIC SQUARE CANNON IV, INC
CARMEL, INDIANA 46032 PO BOX 697 CHECK AMOUNT: $447.96
INDIANAPOLIS IN 46206 -0697 CHECK NUMBER: 186232
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 INV215253 447.96 EQUIPMENT REPAIRS M
2;
Service ~~~~~o.~~~~
with Details
Invoice Number: zmv215253
HW oaua' 05/17/2010
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950 Dorman Street Indianapolis, IN 45202'3544 00xV Q uv,u Account Number: cc17
P'317'951'8S00F� 317'951'O�OU �D v��v» y
PO Number:
Invoice Total: $447.95
Bill nz
Carmel Clay Parks 8kRecreacun
Paula Schlemmer
1411 East 116thStreet
Carmel, I04603Z 0S/13 2010 W0132459 Net 30 Days �O6 16 �2O 10
EqpipTe
Service Date: 05/13/2010 Contract Number: Description: machine is asking that we replace transfer kit, Customer would like us to order and
Location: The Monon Center PID install per Mandy
JL235 Central Park Driv e East Caller: MAndy/573-5235
Carmel, IN 46032 Contact:
Phone: Remarks� Needs Transfer kit.
Service Date: 05/14/2010 Contract Number: Description: machine is asking that we replace transfer kit. Customer would like us to order and
Location: The Monon Center PO install per Mandy
1235 Central Park Drive East Caller: MAndy/573-5235
Carmel, IN 46032 Contact: I
Phone: Remarks:
Fax: Installed transfer kit and 2 rollers. Cleaned printer and works fine.
Labor Charges $45,00.
Service Start End Standard Standard Standard Overtime Overtime Overtime Labor
Technician Date Time Time Hours Rate Charge Hours Rate Charge Charge
Material Charges -$-347.96_
Item DesCripbo. Quantity um Price Discount Annourt
Q7504A HIP CLJ 4700 Image Transfer Kit (280.73) 1 EA 321.20 0.00 321.20
PLEASE REMIT ALL PAYMENTS TO: Invoice Subtotal: $4*7.96
CANNON IV, INC. Tax: $o.00
7.0. BOX 697 Invoice rvm: $447.96
INDIANAPOLIS, N��2O6'0697
Balance Due: $447.96
Purchase
Description
Budget
Line DescPeo/,aiw�
Purchase
((J
Approval'
Page 1cf1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee Purchase Order No.
357200 Cannon IV, Inc. Terms
P.O. Box 697
Indianapolis, IN 46206 -0697
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/17110 INV215253 Printer repair 23560 447.96
Total 447.96
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_
Clerk- Treasurer
Voucher No. Warrant No.
357200 Cannon IV, Inc. Allowed 20
P.O. Box 697
Indianapolis, IN 46206 -0697
In Sum of
447.96
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1093. INV215253 4350000 447.96 1 hereby certify that the attached invoice(s), or
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
3 -Jun 2010
Signature
447.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund