173749 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 357200 Page 1 of 1
ONE CIVIC SQUARE CANNON IV, INC CHECK AMOUNT: $543.62
zo CARMEL, INDIANA 46032 ND ANAPOLIS IN 46206 -0697
CHECK NUMBER: 173749
CHECK DATE: 6/24/2009
DEPARTMENT ACCOU PO NUM INVOICE NUMBER AM OUNT D ESCRIPTION v
1047 v 4350000 INV169674 543.62 EQUIPMENT REPAIRS M
r
Serv Invoice
with Details
Invoice Number: INV169674
Date: 06/08/2009
950 Dorman Street Indianapolis, IN 46202 -3544 Account Number: CC17
P: 317 951 -0500 F: 317 951 -0600 r..fr
JUN PO Number:
1 0 20 Invoice Total: $571.52
By,•
Bill To:
Carmel Clay Parks Recreation
Paula Schlemmer Work Order "Dated W 600�derNo x" I Paym t�Terms Payment Due r
1411 East 116th Street
Carmel, IN 46032 06/03/2009 W0119435 Cash on delivery 06/08/2009
"Description.
Call Equipment x aSerial E.. Labor Travel' Materials, other Total 4:
�Numben, Number Number Make /Model Charges Gharges� Charges Charges Charges r
r�
SC 133494 212616 �JPACL10900�- C9660A`- Laser)et 4600 r 45:OG v 55 W 0:00 O.-O0 00
cam
Service Date: 06/03/2009 Contract Nut ber: Description: Paper jam when exitingthe' punter someonewas messing with the punter and there
Location: The Monon Center
PO is plastic part that`is broke off part is on the printer
1235.Central Park Drive East Caller.: Scott LePere 7742100
Carmel, IN 46032
Contact.
Phone: RemarksChecked;pnnter fuser exit•sensor broken Need -to replacefuser i Lpm pnnterran test
Fax: B" okay
L`' :r $45 00
abor Charges
Service. Start End Standard Standard Standard Overtime, lovertimes '"Overtime Labor
Technician pate '�Tirtie Time "''HOUis "I Charge Hours, yRate actiarge a �?Char9e
Gerald Holland 06/03/2009 12:29 pm 1:16 pm EDT 0.50 90.00 45.00 0.00 90.00 0.00 45.00
SC 133521'
217616 JPACL10900 C9660A =LaserJet'4600 45.00 0 60 398 62 0 00. 4 E r
Service Date: 06 /04/2009° Contract Number Description:! Paper,jam wheneziting tliepnnter someone was messing wit h the punter and there;.
is plastic part that`is broke off part is,on the punter.
Location. The:Monon Center
i235 Central Park Drive East,•" Caller: Scott LePere 774 Z "100;
Carmel, I'N 4 6032 Contact
Phone; °Remarks Replaced fuser and LPh1 printer ran tert okay
F.axa.
Labor Charges` �r 4, I -4 x_$4500
.„Service- Start End Standard Stand ard ,Standard Overtme. Overtime .Overtime Labor
Technician pa "�,.Tifne Tine H Rate Charge +Hours Rate Charge "Charge
Gerald Holland 06/04/2009 9:14 am 9:53 am EDT 0.50 90.00 45.00 0.00 90.00 0.00 45.00
Material Charges 398.62
Item DPS[ription 'Quantity UM" ?Price
Q
Amount
t
C9725A HP image Fuser kit 110V HP L146 00 1 EA 398.62 0.00 398.62
Totals 90;00 55 00
398 62 0 00 2 543
Subtotal
PLEASE REMIT ALL PAYMENTS T0: In`oice
$543 A
CANNON IV, INC.
P.O. BOX 697
INDIANAPOLIS, IN 46206 -0697 Invoice Total $571 52
`BalanceDue $571.52
Purchase
Description �u R� r ze
P.o. a p
JUN 1 1 12�C9
G.L. 9 g y� r.. 122 1 i
une D M01 P EIEFAI
Purchaser Date._
Approval Date
Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Cannon IV, Inc. Terms
P.O. Box 697
Indianapolis, IN 46206 -0697
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/8/09 INV169674 Printer repair 21920 543.62
Total 543.62
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Cannon IV, Inc. Allowed 20
P.O. Box 697
Indianapolis, IN 46206 -0697
In Sum of$
543.62
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 INV169674 4350000 543.62 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
18 -Jun 2009
Signature
543.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund