192001 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
6 ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR CHECK AMOUNT: $6.97
;4 INDIANAPOLIS IN 46240
CHECK NUMBER: 192001
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1160 4353004 95345 6.97 COPIER
a �E�[
CONTRACT INVOICE
Invoice Number: 95345
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 11/15/2010
P: 317- 580 -0100 F: 317 580 -2500
Bill To: Office of the Mayor, 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 Payment Terms Due Date Invoice Total Balance Due
C000 15 Days 11/30/2010 6.97
6.97
Contract Number Contact P.O. Number Start Date Exp. Date Contract Amount
K1120- 26AE06351 -01 317 571 -2567 05/15/1997 6.97
Remarks
Summary:
Contract base rate charge for the 10/15/2010 to 11/14/2010 billing period $0.00
Contract overage charge for the 10/15/2010 to 11/14/2010 overage period $6.97
*See overage details below $6.97
Detail:
I Equipment included u t co
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 -26 109,185 109,289 104 0 104 $0.067000 $6.97
$6.97
Invoice SubTotal $6.97
Tax: $0.00
Invoice Total $6.97
Balance Due: $6.97
Pape 1 of I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden
IN SUM OF
9430 Priority Way West Drive
Indianapolis, IN 46240
$6.97
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE N0. ACCT #/TITLE AMOUNT
Board Members
1160 95345 43- 530.04 $6.97 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
Friday, November 19, 2010
Ma ev
Title
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 Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/15110 95345 $6.97
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