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200866 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1 ONE CIVIC SQUARE GORDON FLESCH CO., INC. o CARMEL, INDIANA 46032 P.O. BOX 73288 CHECK AMOUNT: $58.50 CLEVELAND OH 44193 CHECK NUMBER: 200866 «ON CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 1BX224 58.50 EQUIPMENT MAINT CONTR E wI IL Customers: 800 333-5405 or 608-27 G O R D O N .7 11H IN C11tom,11: 800-756-1174 or 614-79-5700 C O M P A N Y, i N C Technology that works. People who p erforrn. INVOICE Total Base Charge 0.00 Invoice No: 1Bx224 1 Total Per Copy charge 58.50 invoice Date: 08/22/2011 sub Total 58.50 Tax 0.00 Invoice Terms: Net 10 days from date of Invoice Total 58.50 I nvoice. Overdue accounts will be charged a Accumulated Late charge 0.00 past -due fee of 2% per month TOTAL DUE 58.50 Base Period 07/22 12011 08 /22/2011 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 2491 Machine 1 Model serial Eq To Location /Site PO case and shipping /Handling Chg Per Copy Chg Tax Machine Total AC45B GPQ10116 T7653 CARMEL FIRE DEPARTMENT 1,2770 0.00 58.50 0.00 58.50 Base Charges Total Per copy charges Begin Meter End Meter Total Copies sry Cop Cont usage Rate Total 0.00 color Copies #124 15049 15940 891 0 0 0.05042 44.92 TI CLR MTR CHGS PER COPY 07/20/2011 08/18/2011 Black copies #109 29669 31269 1600 0 0 0.00849 13.58 TI B/W MTR CHGS PER COPY 0712012011 08/18/2011 vim.}....... VOUCHER NO. WARRANT NO. Gordon Flesch Company, Inc. ALLOWED 20 IN SUM OF P.O. Box 73288 Cleveland, OH 44193 $58.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 1 BX224 I 43- 515.01 I $58.50 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 AUG, 2 9- -2(111 �f a te' i V U r'a Ra+. y 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)) 1 BX224 $58.50 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