190198 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
ONE CIVIC SQUARE BRADEN BUSINESS SYSJNC CHECK AMOUNT: $41.44
CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR
INDIANAPOLIS IN 46240 CHECK NUMBER: 190198
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 87498 10.05 COPIER
1160 4353004 87647 31.39 COPIER
CONTRACT INVOICE
Invoice Number: 87498
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 09/15/2010
P: 317 580 -0100 F: 317- 580 -2500
Bill To: City Of Carmel Customer: City Of Carmel
Mayor's Office 3 Civic Sq
1 Civic Sq Carmel, IN 46032 -7569
Carmel, IN 46032 -7569
Account No I Payment Terms Due Date Invoice Total Balance Due
C000 15 Days 09/30/2010 10.05 10.05
Contract Number Contact P.O. Number Start Date Exp. Date Contract Amount
K1120- 26AE06351 -01 317 571 -2567 05/15/1997 10.05
Remarks
Summary:
Contract base rate charge for the 08/15/2010 to 09/14/2010 billing period $0.00
Contract overage charge for the 08115/2010 to 09114/2010 overage period $10.05
*See overage details below $10.05
Detail:
Equipment included under this contract
Konica Minolta /K1120
Number Serial Number Base Adj. Location
A2011 26AE06351 $0.00 City Of Carmel 3 Civic Sq
Carmel, IN 46032 -7569
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B \W B \W- K1120 -26 109,035 109,185 150 0 150 $0.067000 $10.05
$10.05
Invoice SubTotal $10.05
Tax: $0.00
Invoice Total $10.05
Balance Due: $10.05
Page I of l
CONTRACT INVOICE
1iU41 N1!::. +V Fl fli M:7
Invoice Number: 87647
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 09/16/2010
P: 317- 580 -0100 F: 317 580 -2500
Bill To: City Of Carmel Customer: City Of Carmel
Mayor's Office 1 Civic S
1 Civic Sq q
Carmel, IN 46032 -7569 Carmel, IN 46032 -7569
Account No I Payment Terms Due Date Invoice Total Balance Due
C000 15 Days 10/01/2010 31.39 31.39
Contract Number Contact P.O. Number Start Date Exp. Date: Contract Amount
C20- AOFDO13002984 -01 Susan Jones 317- 571 -2401 01/15/2010
Remarks
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 08/15/2010 to 09/14/2010 overage period $31.39
*See overage details below $31.39
Detail:
Equipment included under this contract
Konica Minolta /KC20
Number Serial Number Base Adj. (Location
A8611 AOFDO13002984 $0.00 City Of Carmel 1 Civic Sq
Carmel, IN 46032 -7569
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B\W BW 982 1,015 33 0 33 $0.025000 $0.83
Color Color 1,758 1,949 191 0 191 $0.160000 $30.56
$31.39
Invoice SubTotal $31.39
Tax: $0.00
Invoice Total $31.39
Balance Due: $31.39
Page I of
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden
IN SUM OF
9430 Priority Way West Drive
Indianapolis, IN 46240
$41.44
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 87498 43- 530.04 $10.05 1 hereby certify that the attached invoice(s), or
1160 87647 43- 530.04 $31.39 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
Friday, September 24, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rtd. 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))
09/15/10 87498 $10.05
09/16/10 87647 $31.39
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