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208705 05/10/2012 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: $77.30 CLEVELAND OH 44193 CHECK NUMBER: 208705 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 1GR966 77.30 EQUIPMENT MAINT CONTR 0S GORDON F L E S C W') OH IN Customers: 800 756 -1174 or 614- 789 -5700 WI IL Customers: 800 333 -5905 or 608 -271 -2100 c o M P A r� Y. I NC. INVOICE Technology that works. P oplo who perform. Total Base charge 0.00 Invoice No: 1GR966 1 Total Per copy charge 77.30 Invoice Date: 0412012012 sub Total 77.30 Tax 0.00 Invoice Terms: Net 10 days from date of Invoice Total 77.30 invoice. overdue accounts will be charged a Accumulated Late Charge 0.00 past -due fee of 2% per month TOTAL DUE 77.30 Base Period 03/22/2012 0412212012 Program: T70 CO MT Total Machines Listed: 1 Total Copies: 2744 Machine 1 Model Serial E ID Location /site PO Base and shipping /Handling Chg Per Copy Chg Tax Machine Total AC45B GPQ10116 T7653 CARMEL FIRE DEPARTMENT 12770 0.00 77.30 0.00 77.30 Base Charges Total Per Copy Charges Begin Meter End Meter Total Copies Sry Cop Cont Usage Rate Total 0.00 Color copies #124 30963 32251 1288 0 0 0.05042 64.94 TI CLR MTR CHGS PER COPY 03/19/2012 04/18/2012 Black Copie sH #109 COPY 41286 42742 1456 0 0 0.00849 12.36 TI 03/19/2012 04/18/2012 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 GR966 I I $77.30 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 Gordon Flesch Company, Inc. IN SUM OF P.O. Box 73288 Cleveland, OH 44193 $77.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I 1GR966 I 43- 515.01 I $77.30 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 NARY 2012 X ,t Fire Ch of t Title o Cost distribution ledger classification if claim paid motor vehicle highway fund