207066 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1
ONE CIVIC SQUARE GORDON FLESCH CO., INC.
CARMEL, INDIANA 46032 P.O. BOX 73288 CHECK AMOUNT: $59.87
CLEVELAND OH 44193 CHECK NUMBER: 207066
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 1FK824 59.87 EQUIPMENT MAINT CONTR
WI GORDON F L C O C J C W, IN Customers: 800 -756 -1174 or 614 789 -5700
00 WI 1L Customers: 800 333 -5905 or 608 271 -2100
COMPANY, INC. INVOICE
Tcrchnolagy that e% People who ,)erforrn,
Total Base Charge 0.00
Invoice No: 1FK824 1 Total Per Copy Charge 59.87
Invoice Date: 0212212012 sub Total 59.87
Tax 0.00
Invoice Terms: Net 10 days from date of Invoice Total 59.87
invoice. overdue accounts will be charged a Accumulated Late Charge 0.00
past -due fee of 2% per month
TOTAL DUE 59.87
Base Period 01 /22 12012 02/22/2012 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 2543
Machine 1
Model serial Eq ID Location /Site Po Base and shipping /Handling Chg Per copy Chg Tax Machine Total
AC45B GPQ10116 T CARMEL FIRE DEPARTMENT 12770 0.00 59.87 0.00 59.87
Base Charges Total Per copy Charges Begin Meter End Meter Total Copies Sry Cop Cont usage Rate Total
0.00
Color Copies #124 29039 29952 913
TI CLR MTR CHGS PER COPY 0 0 0.05042 46.03
p O 01/17/2012 0211712012
TI /w 5HGSPER COPY 38383 40013 1630 0 0 0.00849 13.84
0111712012 0211712012
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 FK824 $59.87
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. WARRAN NO.
ALLOWED 20
Gordon Flesch Company, Inc.
IN SUM OF
P.O. Box 73288
Cleveland, OH 44193
$59.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 1 FK824 I 43- 515.01 I $59.87 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
Henn
Y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund