212521 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 027700 Page 1 of 1
` ONE CIVIC SQUARE BRADEN BUSINESS SYS,INC
;' to CARMEL, INDIANA 46032 9430 PRIORITY WAY,WEST DR CHECK AMOUNT: $97.13
INDIANAPOLIS IN 46240 CHECK NUMBER: 212521
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 176791 62 .40 COPIER
2201 4351501 179015 34 . 73 EQUIPMENT MAINT CONTR
CONTRACT INVOICE
Invoice Number: 176791
9430 Priority Way West Drive Indianapolis, IN 46240-1470 Invoice Date: 08/15/2012
P: 317-580-0100 F: 317-580-2500
Bill To: City of Carmel Customer: City of Carmel
Law Dept- Deferral Office 1 Civic Scl
1 Civic Sq Carmel, IN 46032-7569
Carmel, IN 46032-7569
Account No Payment Terms Due Date Invoice Total Balance Due
C000 15 Days 08/30/2012 $ 62.40 $ 62.40
Contract Number Contact P.O.Number Start Date Exp.Date Contract Amount
C20-AOFDO13002984-01 Elaine Bass 317-571-2472 01/15/2010 $ 62.40
Remarks
Summary:
Contract base rate charge for this billing period $0.00
Contract overage charge for the 07/15/2012 to 08/14/2012 overage period $62.40"
**See overage details below $62.40
Detail:
Equipment included under this contract
Konica Minolta/KC20
Number Serial Number Base Adj. Location
A8611 AOFDO13002984 $0.00 City of Carmel 1 Civic Sg
Carmel, IN 46032-7569
Meter Type Meter Group Begin Meter End Meter Total Covered Billable Rate Overage
B\W BW 8,923 10,073 1,150 0 1,150 $0.033100 $38.07
Color Color 4,067 4,182 115 0 115 $0.211600 $24.33
$62.40
Invoice SubTotal $62.40
Tax: $0.00
Invoice Total $62.40
Balance Due: $62.40
Page Iofl
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Braden Business Systems
Purchase Order No.
9430 Priority Way West Drive
Terms
Indianapolis, Indiana 46240-1470 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8-31-12 1 176791 Konica Minolta Copier SIN AOFD013002984 2
per the attached invoice
Total
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
IN SUM OF $
9430 Priority Way West Drive
Indianapolis, Indiana 46240-1470
$ $62.40
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
430-53004 Copier
Board Members
pEF INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
176791 $62.4 0 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
31 20 1,Z_,
n re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
.'F7- EN CONTRACT INV®ICE
Invoice Number: 179015
9430 Priority Way West Drive Indianapolis, IN 46240-1470 Invoice Date: 08/31/2012
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 I Payment Terms Due Date Invoice Total Balance Due
CS02 10 Days 09/10/2012 $ 34.73 $ 34.73
Contract Number Contact P.O.Number Start Date Exp. Date Contract Amount
KC35's A8288 02
03/31/2010 $34.73— --
Remarks
Summary:
Contract base rate charge for the 08/31/2012 to 09/29/2012 billing period $0.00
Contract overage charge for the 07/31/2012 to 08/30/2012 overage period $34.73**
**See overage details below $34.73
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 Overage
B\W B/W 72,339 74,766 2,427 0 2,427 $0.012500 $30.34
Color COLOR 3,623 3,674 51 0 51 $0.086000 $4.39
$34.73
Invoice SubTotal $34.73
Tax: $0.00
Invoice Total $34.73
0-3d_73
lwaRcp o'se'-
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))
08/31/12 179015 $34.73
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
$34.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 179015 I 43-515.01 I $34.73 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
Friday,`�epte b r 07, 2012
Street Commi sioner�
I ,/
Street CtTltleri33!Qner
Cost distribution ledger classification if
claim paid motor vehicle highway fund