173235 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
0 ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC CHECK AMOUNT: $5.92
CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR
o� INDIANAPOLIS IN 46240 CHECK NUMBER: 173235
CHECK DATE: 6/10/2009
DEPAR A CCOU NT PO NUMBE INV OICE NUMBER AM DESC
1202 4351501 26133 5.92 EQUIPMENT MAINT CONTR
EN CONTRACT INVOICE
Invoice Number: 26133
9430 Priority Way West Drive Indianapolis, IN 46240 Invoice Date: 05/15/2009
-P: 317 580 -0100 F: 317 580 -2500
Bill To: City Of Carmel Customer: City Of Carmel
1 CIVIC SQ 3 Civic Scl
CARMEL, IN 46032 -7569 Carmel, IN 46032 -7569
AccountNo PaymentTerms� Due =Date Invoice Total Galante' U
C000 15 Days 05/30/2009 5.92 5.92
ContractNumber' -5 Contacte ,PO NumberStartsDate Exp Date Contract%Amount.
K1120- 26Ac06351 -01 317- 571 -2567 05/15/1957 5.92
Remarks
Summary:
Contract base rate charge for the 04/15/2009 to 05/14/2009 billing period $0.00
Contract overage charge for the 04/15/2009 to 05/14/2009 overage period $5.92
*See overage details below $5.92
Detail:
Equipment included under this contract
Konica Minolta /K1120
Number Serial Number Base Adj. Location
A2011 26AE06351 $0.00 City Of Carmel 3 Civic Scl
Carmel, IN 46032 -7569
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B \W B \W- K1120 -26, 108,317 108,434 117 0 117 $0.050590 $5.92
$5.92
�D ,a
Invoice SubTotal $5.92
Tax: $0.00
Invoice Total $5.92
Balance Due: $5.92
Page 1 of I
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
Braden Business Systems Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 511 Q_ 0 26133 MeteF Reading $5.92
Total
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.
1 20
Clerk- Treasurer
VOUCHER 16W /09 WARRANT NO.
nc ALLOWED 20
9430 Priority Way est Drive IN SUM OF
Indianapolis, IN 46240
$5.92
ON AccouGENEAPPROPRIATION FOR
UND
1202 In#ormatin Systems
Board Members
Po# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1202 26133 15 -01 $5.92 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
20
Sig t e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund