197195 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1
ONE CIVIC SQUARE GORDON FLESCH CO., INC.
CARMEL, INDIANA 46032 P.O. BOX 73208 CHECK AMOUNT: $38.58
CLEVELAND OH 44193 CHECK NUMBER: 197195
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 OZL612 38.58 EQUIPMENT MAINT CONTR
06 GOR C off IN Customers: 800- 756 -1174 or 614- 789 -5700
C wl 1L customers: 800 333 -5905 or 608- 271 -2100
COMPANY, I NC INVOICE
Technology that works. People who orfoxm,
Total Base charge 0.00
Invoice No: OZL612 1 Total Per copy charge 38.58
Invoice Date: 04/22/2011 sub Total 38.58
Tax 0.00
Invoice Terms: Net 10 days from date of Invoice Total 38.58
invoice. Overdue accounts will be charged a Accumulated Late charge 0.00
past -due fee of 2% per month
TOTAL DUE 38.58
ease Period 03 /22 /2011 04 /22/2011 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 2149
Machine 1
Model Serial Eqq ID Location /site PO Base and Shipping /Handling chg per Copy Chg Tax Machine Total
Ac45B GPQ10116 T7653 CARMEL FIRE OEPARTMENT 12770 0.00 38.58 0.00 38.58
Base Charges Total Per Copy Charges Begin Meter End Meter Total Copies Sry Cop Cont Usage Rate Total
0.00
Color Copies #124 9237 9791 554 0 0 0.04690 25.98
TI CLR MTR CHGS PER COPY 0311712011 04/19/2011
Bla #10 PER COPY 22471 24066 1595 0 0 0.00790 12.60
TI 0311712011 04/19/2011
r W r v s v A e e o e v e
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Flesch Company, Inc.
IN SUM OF
6848 Hillsdale Court
Indianapolis, IN 46250
$38.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 I OZL612 I 43 515.01 I $38.58 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
MAY
f�0
Fire Chief
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))
OZL612 $38.58
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