205955 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE
CARMEL IN 46032 CHECK NUMBER: 205955
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4351501 26343 4322 3,000.00 SCANNER SUPPORT
PAPER -LITE
1711 Wood Valley Drive Invoice
Carmel, IN 46032
DATE INVOICE
12/23/2011 4322
BILL TO
City of Carmel
Three Civic S
Carmel, IN 46032 REMIT TO NEW ADDRESS:
Attn: Terr Crockett 1711 WOOD VALLEY DRIVE
CARMEL, INDIANA 46032
P.O. NO. TERMS DUE DATE
a �Make�Checks�Pyable to��aperLit
y ®ivision of Mathes Assoc Inc.A 26343 Net 30 1/22/2012
DESCRIPTION QTY RATE AMOUNT
Support Renewal Scanner included under this contract 2 1,500.00 3,000.00
Colortrac /Gx+ 42e
Number EQU24719
Serial Number E2001831
Location City of Carmel One Civic Sq CARMEL, IN 46032
Contract base rate charge for the 12/22/2011 to 12/21/2013 D
billing period JAN 3 0 2012
ONE YEAR ONSITE SERVICE; OFFER COVERS TRAVEL,
LABOR AND PARTS By
SEE TERM AND CONDITIONS, CONSUMABLE ITEMS ARE
EXCLUDED FROM COVERAGE (scan glass and paper hold
downs are consumable
GEI Wide Format is not responsible for delayed or
discontinued parts from the original manufacturer. Use of
operating supplies (3rd party) such as toner, paper, and ink t[
not compatible with or recommended for the equipment by C�
the manufacturer could result in additional charges (see
terms and conditions section 9) O
Please refer to the owner/ operator manual. t��y
This is a Remedial Maintenance Agreement. s
*If unit is no longer under warranty, we will require the unit
to be repaired /inspected at our T &M rates before the contract
can be started.
This quote is only valid for 30 days
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
Balance Due $3,000.00
812 350 -5044 317 581 -9409 nancy @gopaperlite.com
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))
12/23/11 4322 $3,000.00
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
Paper -Lite Divison of Mathes Assoc., Inc.
IN SUM OF
1711 Wood Valley Drive
Carmel, IN 46032
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
26343 4322 43- 515.01 $3,000.00
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
Monday, January 30, 2012
Director IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund