191575 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 357200 Page 1 of 1
ONE CIVIC SQUARE CANNON IV, INC
CHECK AMOUNT: $211.90
�a CARMEL, INDIANA 46032 Po sox 697
INDIANAPOLIS IN 46206.0697 CHECK NUMBER: 191575
CHECK DATE: 11/1012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4341955 INV234143 211.90 INFO SYS MAINT /CONTRA
Serv Inv ®ice
with Details
0 Invoice Number: INV234143
Date: 10/19/2010
950 Dorman Street Indianapolis, IN 46202 -3544 Account Number: 5712414
P: 317 -9S1 -0500 F: 317 951 -0600 PO Number:
Invoice Total: $211.90
Bill To:
City Of Carmel
One Civic Square i; 9WorkOrderDate a r Work:Order No Payment,Terms Payment Due
Carmel, IN 46032,. „r
10/11/2010 W0137856 Net 30 Days 11/18/2010
USA
ption
'cUescri`,f`
rCall' 7 E utpment SeC6al, r TMz f Labor ;rTravel Materials`,�"' Otl%er l;Total
r'�t IVurr$f��' �L 777bvr n cF r ".TVLImGei 9 r z s g
.MakeJMadel Char es�,t Ckiar e's ;Charges .Charge �'�Char es
SC163412 207191 SG6A3H900J Q1273A #A2L HP DesigNet 4000 42" 0.00 0.00 0.00 0.00 0.00
Service Date: 10/11/2010 Contract Number: Description: rumbling noise in back of plotter, shuts itself down. msg says 'restart plotter, if prob
Location: City Of Carmel Pa persists call service'. David is your contact. Hrs: 8 -5
One Civic Square Caller: David McCoy 317 571 -2_
Carmel, IN,46032. Contact: A/P
USA Phone: 317 -571 -2428 Remarks: take cpu fan.
Fax:
SC163425 207191 SG6A3H900J Q1273A #A2L HP DesigNet 4000 42" 125.00 55.00 31.90 0.00 211.90
Service Date: 10/19/2010- Contract Number: Description: rumbling noise in back of plotter, shuts. itself down. msg says 'restart plotter, if prob
Location: City Of Carmel:. PO persists call service'. David is your contact. Hrs: 8 -5
One Civic Square Calier: David McCoy 317 571 -25
Carmel, IN 46032 Contact: A/P
USA Phone: 317 -571 -2428 Remarks: replaced cpu fan for riot powering up all the way.clean encoder and lubed rail.checks
Fax: ok.all printheads except for black need replaced.
Labor Charges $125,00
Service Start End Standard Standard SW ndard Overtime Overtime Overtime tabor
Technician Date Time Time Hours Rate Charge Hours Rate Charge Charge
Rob Norton 10/19/2010 10:18 am 1.1:00 am EDT 1,00 125.00 125.00 0.00 125.00 0.00 125.00
190
Material Charges
Item Description Quantity um Price Discount Amount
Q1271 -60160 CPU Fan Service Kit HPDJ 4500 #(31.9 1 EA 31.90 0.00 31.90
Totals: 125.00 55.00 31.90 0.00 211.90
PLEASE REMIT ALL PAYMENTS TO: Invoice Subtotal: $211.90
CANNON IV, INC. Tax: $0.00
P.O. BOX 697 Invoice Total: $211.90
INDIANAPOLIS, IN 46206 -0697
Balance Due: $211.90
f
0 Nov 0 5 201x.
By
Page Iof1
VOUCHER NO, WARRANT NO.
ALLOWED 20
Cann_ on IV
IN SUM OF
950 Dorman Street
Indianapolis, IN 46202 -3544
$211.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
T
1202 I INV234143 I 43- 419.55 I $211.90 1 hereby certify that the attached invoice(s), or
I 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
Monday, November 08, 2010
Director,X fi
Title
Cost distribution ledger classification If
I
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 Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/11/10 I NV234143 $211.90
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with EC 5- 11- 10 -1.6
1 20
Clerk- Treasurer