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190681 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1 h ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC CHECK AMOUNT: $18.66 CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR INDIANAPOLIS IN 46240 CHECK NUMBER: 190681 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351501 89496 18.66 EQUIPMENT MAINT CONTR CONTRACT INlIOICE nil ftM lih.._ v:i '1'Sw Invoice Number: 89496 9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 09/30/2010 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 I Payment Terms Due Date Invoice Total Balance Due CS02 10 Days 10/10/2010 18.66. 18.66 Contract Number Contact P.Q. Number Start Date Exp. Date Contract Amount KC353- A8288 -02 03/31/2010 18.66 Remarks Summary: Contract base rate charge for the 09/30/2010 to 10/30/2010 billing period $0.00 Contract overage charge for the 08/31/2010 to 09/29/2010 overage period $18,66 *See overage details below $18.66 Detail: Equipment included.under this contract Konica Minolta /KC353 Number Serial Number Base Adj. 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 33,195 34,981 1,786 0 1,786 $0.009500 $16.97 Color COLOR 1,418 1,444 26 0 26 $0.065000 $1.69 $18.66 I Invoice SubTotal $18.66 Tax: $0.00 Invoice Total $18.66 Balance Due: $18.66 Page I of I VOUCHER NO. WAR NO. ALLOWED 20 Braden Business Systems IN SUM OF 9,430 Priority Way W. Dr. Indianapolis, IN 46240 $18.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member; 2201 89496 43- 515.01 $18.66 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 Thui ylay, October 07, 201 C I Street Commis I- er street Corm &ssi©ner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts 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 Descrlption Amount Date Number (or note attached invoice(s) or bill(s)) 09/30/10 89496 $18.66 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