205797 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR CHECK AMOUNT: $59.02
INDIANAPOLIS IN 46240
�o CHECK NUMBER: 205797
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 149189 59.02 COPIER
CONTRACT INV ®ICE
Invoice Number: 149189
9430 Priority Way West Drive Indianapolis, IN 46240 -1470 Invoice Date: 01/16/2012
P: 317 580 -0100 F: 317 580 -2500
Bill To: Office of the Mayor, City Of Carmel Customer: Office of the Mayor, City Of Carmel
Mayor's Office 1 Civic Scl
1 Civic Scl Carmel, IN 46032 -7569
Carmel, IN 46032 -7569
Account No Payment Terms Due Date Invoice Total Balance Due
C000 15 Days 01/31/2012 59.02 59.02
Contrect Contact P.O. Number Start Date Exp. Date Contract
C20- AOFDO13002984 -01 Sharon Kibbe 317 571 -2483 01/15/2010 59.02
Remarks
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 12/15/2011 to 01/14/2012 overage period $59.02"
*See overage details below $59.02
Detail:
Equipment included under this contract
Konica Minolta /KC20
Number Serial Number Base Adj. Location
A8611 AOFDO13002984 $0.00 Office of the Mayor, City Of Carmel 1 Civic Scl
Carmel, IN 46032 -7569
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B \W BW 2,099 3,120 1,021 0 1,021 $0.028800 $29.40
Color Color 3,228 3,389 161 0 161 $0.184000 $29.62
$59.02
Invoice SubTotal $59.02
Tax: $0.00
Invoice Total $59.02
Balance Due: $59.02
Pa I of 1
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))
01/16/12 149189 $59.02
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Braden
IN SUM OF
9430 Priority Way West Drive
Indianapolis, IN 46240
$59.02
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 149189 43- 530.04 $59.02
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
Friday anuary 27, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund