188341 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1
1J ONE CIVIC SQUARE GORDON FLESCH CO., INC. CHECK AMOUNT: $58.57
CARMEL, INDIANA 46032 6821 HILLSDALE COURT
INDIANAPOLIS IN 46250 CHECK NUMBER: 188341
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 OTT830 58.57 EQUIPMENT MAINT CONTR
CH 1, IN customers: 800-756-1174 or GORDON E L L S C H WI TL Customers: 800 333 -5905 or 608 -2771 -2100
C O M P A N Y I NC.
Technology that wofks. People who oerform. INVO
Total Base Charge 0.00
Invoice NO: OTT830 1 Total Per copy Charge 58.57
Invoice Date: 07/22/2010 sub Total 58.57
Tax 0.00
Invoice Terms: Net 10 days from date of Invoice Total 58.57
invoice. overdue accounts will be charged a ACCUMUlated Late Charge 0.00
past -due fee of 2% per month
TOTAL DUE 58.57
Base Period 06122 12010 0712212010 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 1998
Machine 1
Model serial Eqq LE) 0
Location /Site Po Rase and shipping /Handling chg Per Copy chg Tax Machine Total
AC45B GPQ10116 T76S3 CARMEL FIRE DEPARTMENT 12770 .00 58.S7 0.00 58.57
Base Charges Total Per Copy Charges Begin Meter End Meter Total Copies sry Cop cont Usage Rate Total
O.OD
Color Copies #124 1777 2874 1097 D 0 0.04690 51.45
TI CLR MTR CHGS PER COPY 06/18/2010 07/19/2010
Black Copies #109 2594 3495 901 0 0 0.00790 7.12
TI B/w MTR CHGS PER COPY 06/18/2010 07/19/2010
VOUCIHER NO. WARRANT NO.
ALLOWED 20
Gordon Flesch Company, Inc.
IN SUM OF
6848 Hillsdale Court
Indianapolis, W 46250
$58.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1 120 OTT830 43- 515.01 $58.57 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
AUG -2 2010
l
7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
OTT830 $58.57
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