188737 08/18/2010 ^e• CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
CHECK AMOUNT: $22.87
�tf+ CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR
INDIANAPOLIS IN 46240 CHECK NUMBER: 188737
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 81798 22.87 EQUIPMENT MAINT CONTR
�EUEl�;I CONTRACT INVOICE
LI Li :i I M E :i K V Sri 1' li M Y
Invoice Number: 81798
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 07/30/2010
P; 317- 580 -0100 F: 317- 580 -2500
Bill To: Carmel Street Dept Customer: Carmel Street Dept
3400 W 131st St 3400 W 131st St
Westfield, IN 46074 Westfield, IN 46074
Account No Payment Terms Due Date Invoice Total Balance Due;
CS02 10 Days 08/09/2010 22.87 22.87
Confact Number Contact' P.O. Number Start Date Eic Date Contract Amount
P•'
KC353- A8288 -02 03/31/2010 22.87
Remarks"
Summary:
Contract base rate charge for the 07/31/2010 to 08/30/2010 billing period $0.00
Contract overage charge for the 06/30/2010 to 07/30/2010 overage period $22.87
*See overage details below $22.87
Detail:
Equipment included under this contract
Konica Minolta /KC353
Number Serial Number Ba se A dj. Location
A8288 02EO10011771 $0.00 Carmel Street Dept 3400 W 131st St
Westfield, IN 46074
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B \W B/W 30,027 31,770 1,743 0 1,743 $0,009500 $16.56
Color COLOR 1,251 1,348 97 0 97 $0.065000 $6.31
$22.87
Invoice SubTotal $22.87
Tax: $0.00
Invoice Total $22.87
Balance Due: $22.87
Page I of l
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden Business Systems
IN SUM OF
9430 Priority Way W. Dr.
Indianapolis, IN 46240
$22.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 81798 43- 515.01 $22.87 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
TPt�rsda gust 12, 2010
Street Comm ner
S t r eet Titlesioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
07130!10 81798 $22.87
1 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