192769 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
0 CHECK AMOUNT: $17.68
,•,���o CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR
INDIANAPOLIS IN 46240 CHECK NUMBER: 192769
CHECK DATE: 12/15/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 97178 17.68 EQUIPMENT MAINT CONTR
S6 CONTRACT INVOICE
Invoice Number: 97178
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 11/30/2010
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 12/10/2010 17.68 17.68
Contract Number Contact P.O. Number Start Date Exp. Date Contract Amount
KC353- A8288 -02 03/31/2010 17.68
Remarks
Summary:
Contract base rate charge for the 11/30/2010 to 12/30/2010 billing period $0.00
Contract overage charge for the 10/31/2010 to 11/29/2010 overage period $17.68
*See overage details below $17.68
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 36,715 38,391 1,676 0 1,676 $0.009500 $15.92
Color COLOR 1,491 1,518 27 0 27 $0.065000 $1.76
$17.68
Invoice SubTotal $17.68
Tax: $0.00
Invoice Total $17.68
Balance Due: $17.68
pa"eI of' I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden Business Systems
IN SUM OF
9430 Priority Way W. Dr.
Indianapolis, IN 46240
$17.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member:
2201 97178 43- 515.01 $17.68 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
l w Friday, De ber 10, 201 C
Street Commissirer
Street Corr
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))
11/30/10 97178 $17.68
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