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194192 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1 ONE CIVIC SQUARE GORDON FLESCH CO., INC. 0 CHECK AMOUNT: $76.18 CARMEL, INDIANA 46032 6621 HILLSDALE COURT INDIANAPOLIS IN 46250 CHECK NUMBER: 194192 CHECK DATE: 2/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 OXPO39 76.18 EQUIPMENT MAINT CONTR GORDON f L C SC V, W OH IN Customers: 800-75-11.74 or- I IL Customers: 800 -333 -5905 or 608-27 cQM PANY INC, INVOICE Tc4chnologyThat %vari:s. People who pprfori. Total Base charge 0.00 Invoice No: OXP039 1 Total Per copy charge 76.18 Invoice Date: 01/21/2011 Sub Total 76.18 Tax 0.00 invoice Terms: Net 10 days from date of Invoice Total 76.18 invoice. overdue accounts will be charged a Accumulated Late charge 0.00 past -due fee of 2% per month TOTAL DUE 76.18 Base Period 12122 12010 01/22/2011 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 2677 Machine 1 Model serial Eq ID Location /site Po Base and Shippingg/Handling Chg Per Copy Chg Tax Machine Total AC45B GPQ10116 T7653 CARMEL FIRE DEPARTMENT 12770 0 -00 76.1$ 0.00 76.18 Base charges Total Per Copy Charges Begin Meter End Meter Total Copies Sry Cop cunt usage Rate Total 0.00 Color copies #124 6222 7633 1411 0 0 0.04690 66.18 TI CLR MTR CHGS PER COPY 1211712010 01/19/2011 Tl /w p MTR e CHG5 0 PER COPY 18509 19775 1266 0 0 0.00790 10.00 12/17/2010 01/19/2011 VOUCHER NO. WARRANT NO. ALLOWED 20 Gordon Flesch Company, Inc. IN SUM OF 6848 Hillsdale Court Indianapolis, IN 46250 $76.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department. PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I OXP039 I 43- 515.01 $76.18 I 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 JAN 3 1 2 011 Fire Chief Y 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)) OXPO39 $76.18 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