220453 05/22/2013 CITY OF CARMEL f INDIANA VENDOR: 366767 Page 1 of 1
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ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $4,343.00
`?a CARMEL, INDIANA 46032 PO BOX 713683
CINCINNATI OH 45271-3683 CHECK NUMBER: 220453
CHECK DATE: 5122/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 26789 ARIN137930 1, 000 . 00 COPIER
1115 4467099 26789 ARIN137930 3 , 343 . 00 COPIER
Van Ausdall Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE Page 1 Of 1
& Farrar P.O.Box-7474 P.O.Box-7474 P.O.Box 713683
(800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO:
VAN AUSDALL AND FARRAR,INC.
OFFICE TECHNOLOGY. Evansville, 47710 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683
SOLUTIONS 1810 First Ave. P.O.Box 713683 3234 Illinois Rd.
SINCE 1914 0 (812)424-5736 (800)467-7474 (260)432-1547 Phone(317)634-2913 Fax(317)638-1843
p Email invoice questions to:
billinq@vanaus'dall.com
Pay from this invoice.
1 1/2% Monthly- 18% Per Annum- Finance Charge after 30 days. INVOICE NO. TERMS
This is to certify that the merchandise and or services listed on this invoice was manufactured AKIN 137930 Net 10
or produced in accordance with the fair labor standards act of 1938 as amended,including
section 12A. SHIP VIA: UPS
SOLD TO: 510850 SHIP TO: 510850
CARMEL COMMUNICATIONS CENTER CARMEL COMMUNICATIONS CENTER
31 ISTAVENUE NW 31 1STAVENUE NW
CARMEL IN 46032
CARMEL, IN 46032
ORDERED BY:
TERMS:NET 10 DAYS. MAKE ALL REMITTANCES TO CINCINNATI. Terry Crockett/317-571-2567 —
ORDER NO. SALES ORDER NO. CUSTOMER P.O.OR REF# SALES REP INVOICE DATE _ DUE DATE
508578 26789 Watson, Lori 05/10/2013 05/20/2013
ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT
l l 0 ea RICOH AFICIO MPC3002 416035 4,343.000 4,343.00
Serial: W4931-400357 Device#: 71869
1 1 0 ea RICOH PAPER FEED UNIT 415793 0.000 0.00
PB3130
Serial: W573Z 111209 Device#: CAR
1 1 0 ea RICOH ENVELOPE FEEDER 416272 0.000 0.00
E F3020
Serial: W4415252525 Device#: CAR
1 1 0 ea RICOH FAX OPTION C5502 415991 0.000 0.00
Serial: W65252QC255252 Device#: CAR
1 1 0 ea RICOH SUB 841647 BILK 841735 0.000 0.00
C3502 PRINT CART
1 1 0 ea RICOH SUB 841648 841736 0.000 0.00
I 1 0 ea RICOH SUB 841649 C3502 841737 0.000 0.00
MAG PRINT CART
1 l 0 ea RICOH SUB 841650 CYAN 841738 0.000 0.00
C3502 PRINT CART
SUBTOTAL __ 4,343.00
FREIGHT 0.00
SALES TAX 0.00
P1.FASF.PAY THIS AM01iNT A AAA M
Van Ausdall Lafayette, 45271 Muncie, 45271 South Bend, 45271 N tl OICE Page 1 of 1
& Farrar P.O.Box-7474 P.O.Box-7474 P.O.Box 713683 a
(800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO:
VAN AUSDALL AND FARRAR,INC.
OFFICE TECHNOLOGY' Evansville, 47710 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683
SOLUTIONS 1810 First Ave. P.O.Box 713683 3234 Illinois Rd.
SINCE 1914 0 (812)424-5736 (800)467-7474 (260)432-1547 phone 317 1 634-2913 Fax 1 317 1 638-1843
p Email invoice questions to:
billinq@vanausdall.com
Pay from this invoice.
1 1/2% Monthly- 18% Per Annum - Finance Charge after 30 days. INVOICE NO. TERMS
This is to certify that the merchandise and or services listed on this invoice was manufactured ARIN 137930 Net 10
or produced in accordance with the fair labor standards act of 1938 as amended,including
section 12A. SHIP VIA: UPS
SOLD TO: 510850 SHIP TO: 510850
CARMEL COMMUNICATIONS CENTER CARMEL COMM UNICAfIONSCENTER
31 1STAVENUENW 31 1STAVENUENW
CARMEL IN 46032
CARMEL, IN 46032
TERMS:NET 10 DAYS. MAKE ALL REMITTANCES TO CINCINNATI. ORDERED BY:
r Terry Crockett/317-571-2567 —
ORDER NO. SALES ORDER NO. CUSTOMER P.O.OR REF# SALES REP INVOICE DATE DUE DATE
508578 26789 Watson, Lori 05/10/2013 05/20/2013
ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT
1 1 0 ea RICOH AFICIO MPC3002 416035 4,343.000 4,343.00
Serial: W493L400357 Device#: 71869
1 1 0 ea RICOH PAPER FEED UNIT 415793 0.000 0.00
PB3130
Serial: W573ZI11209 Device#: CAR
1 l 0 ea RICOH ENVELOPE FEEDER 416272 0.000 0.00
EF3020
Serial: W4415252525 Device#: CAR
1 l 0 ea RICOH FAX OPTION C5502 415991 0.000 0.00
Serial: W65252QC255252 Device#: CAR
1 1 0 ea RICOH SUB 841647 BLK 841735 0.000 0.00
C3502 PRINT CART
1 l 0 ea RICOH SUB 841648 841736 0.000 0.00
1 1 0 ea RICOH SUB 841649 C3502 841737 0.000 0.00
MAG PRINT CART
1 1 0 ea RICOH SUB 841650 CYAN 841738 0.000 0.00
C3502 PRINT CART
SUBTOTAL 4,343.00
FREIGHT 0.00
SALES TAX 0.00
PLEASE PAY THIS AMOUNT 4,343.00
DETACH HERE AND RETURN WITH PAYMENT
Van Ausdall
& FarrarAIV SUBTOTAL 4,343.00
OFFICE TECHNOLOGY"
SOLUTIONS FREIGHT 0,00
o
SINCE 1914 o SALES TAX _ 0.00
CUSTOMER NO. INVOICE NO.
510850 ARIN 137930 PLEASE PAY THIS AMOUNT 4,343.00
Thank You For Your Business
f� INDIANA RETAIL TAX EXEMPT PAGE
o Carmel CERTIFICATE NO.003120155 002 0
cot:� 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26789 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR.ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. --- DESCRIPTION
511/2013
Van Ausdall&Farrar Carmel Communication Center �
VENDOR TOHIP 31 1st Ave NW
/1
6430 E.75th Street Carmel, IN 46032 ,I
Indianapolis. In 46250 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-509.00
1 Each Professional Services for copier $1,000.00 $1,000.00
Sub Total: $1,000.00
Account 44-670.99
1 Each Copier MPC3002SP 416035 $3,343.00 $3,343.00
1% n rG Ca
Sub Total: $3,343.00
°o_)
R n.
Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
,ter
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT 343°00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNL SS�fHE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. �
THIS APP9 //OPRi TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J,, '�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL `.
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITL ,t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
6 7 8 9 A.P.V. LERK-TREASURER
DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
Signature I
1
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))
05/10/13 ARIN137930 $1,000.00
05/10/13 ARIN137930 $3,343.00
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
Van Ausdall & Farrar
IN SUM OF $
6430 E. 75th Street
Indianapolis, In 46250
$4,343.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26789 I ARIN137930 I 44-670.99 I $3,343.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
26789 I ARIN137930 I 43-509.00 $1,000.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 15, 2013
DYrector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund