210956 07/17/2012 a"y CITY OF CARMEL, INDIANA VENDOR: 201080 Page 1 of 1
ONE CIVIC SQUARE MID-AMERICA ELEVATOR INC CHECK AMOUNT: $358.29
CARMEL, INDIANA 46032 1116 E.MARKET STREET
INDPLS IN 46202-3829 CHECK NUMBER: 210956
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 86167 358 . 29 EQUIPMENT MAINT CONTR
��'1 sr f
(L�f Invoice#
® 86167
Mid-America Elevator Co., Inc.
1116 East Market Street
Indianapolis,IN 46202
(317)635-5500 phone INVOICE Date
(317)635-3392 fax 06/25/2012
www.midamericaelevator.com
Bill To: Carmel City Hall Account: Cannel City Hall
Attn: J. Barnes One Civic Center
One Civic Center Carmel, IN 46032
Carmel, IN 46032
Account#: 1040A
PO# Terms Due Upon Rece pt Job# 44 Type Maintenan e
Description Amount
Monthly Billing for Elevator Maintenance $ 358.E
PQ �
JUL 16 2012
By
Julv. 2012 Contract Billing.
Putting Customers First!
Terms: DUE UPON RECEIPT-Service charge of one and one-half percent(1 1/2%)per month(APR 18°/U)Nvill be Sub-Total $ 358.2
charged on all unpaid balances after 30 days from date of invoice.
Sales Tax 0.0
TOTAL $ 358.2
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-America Elevator Co., Inc.
IN SUM OF $
1116 East Market Street
Indianapolis, IN 46032
$358.29
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 86167 43-515.01 $358.29 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
Monday, July 16, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/25/12 86167 $358.29
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
1