208618 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
s CHECK AMOUNT: $22.10
CARMEL, INDIANA 46032 9430 PRIORITY WAY, WEST DR
INDIANAPOLIS IN 46240 CHECK NUMBER: 208618
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 163417 22.10 EQUIPMENT MAINT CONTR
�EN CONTRACT INVOICE
Invoice Number: 163417
9430 Priority Way West Drive Indianapolis, IN 46240 -1470 Invoice Date: 04/30/2012
P: 317 580 -0100 F: 317 580 -2500
Bill To: Carmel Street Dept Customer: Carmel Street Dept
3400 W 131st St 3400 W 131st St
Westfield, IN 46074 Westfield, IN 46074
Account No Payment Terms Due Date Invoice Total :Balance Due
CS02 10 Days 05/10/2012 22.10 22.10
Contract Number Contact P.O. Number Start Date Exp. Date Contract Amount
KC353- A8288 -02 03/31/2010 22.10
Remarks
Summary:
Contract base rate charge for the 04/30/2012 to 05/30/2012 billing period $0.00
Contract overage charge for the 03/31/2012 to 04/29/2012 overage period $22.10"
*See overage details below $22.10
Detail:
Equipment included under this contract
Konica Minolta /KC353
Number Serial Number Base Adj. Location
A8288 02EO10011771 $0.00 Carmel Street Dept 3400 W 131st St
Westfield, IN 46074
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overag
B \W B/W 65,174 66,701 1,527 0 1,527 $0.012500 $19.09
Color COLOR 3,464 3,499 35 0 35 $0.086000 $3.01
$22.10
Invoice SubTotal $22.10
Tax: $0.00
Invoice Total $22.10
Balance Due: $22.10
Page 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))
04/30/12 163417 $22.10
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.
ALLOWED 20
Braden Business Systems
IN SUM OF
9430 Priority Way W. Dr.
Indianapolis, IN 46240
$22.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 I 163417 I 43- 515.01 I $22.10 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
A Wecl es''day( "'y 02, 2012
n
J
Street CommissiON
Street up t TmIssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund