220716 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 201080 Page 1 of 1
ONE CIVIC SQUARE MID-AMERICA ELEVATOR INC
CARMEL, INDIANA 46032 1116 E.MARKET STREET CHECK AMOUNT: $364.99
INDPLS IN 46202-3829 CHECK NUMBER: 220716
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 95163 364 . 99 EQUIPMENT MAINT CONTR
I
1
X50 a
®®
1205 Invoice#
® 3
Mid-America Elevator Co., Inc.
1116 East Market Street
Indianapolis,IN 46202
(3 17)635-5500 phone INVOIC •
Date
(3 17)635-3392 fax 1, 05/24/2013
www.midamericaelevator.com
Bill To: Cannel City Hall Account: Cannel City Hall
Attn: J. Barnes One Civic Center
One Civic Center Cannel, IN 46032
Cannel, IN 46032
Account#: 1040A
PO# Terms Due Upon Receip Job# 44 Type Maintenance
Description Amount
Monthly Billing for Elevator Maintenance $ 364.99
D
JUN 0 3 2013
By
June 2013 Contract Billing. - Please note that your contract has been changed from $358.29 to
$364.99 as per the terms of your contract.
Putting Customers First!
Terms: DUE UPON RECEIPT-Service charge of one and one-half percent(I 1/2%)per month(APR18%)will be Sub-Total $ 364.99
charged on all unpaid balances after 30 days from date of invoice.
Sales Tax 0.00
TOTAL $ 364.99
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))
05/24/13 95163 $364.99
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
Mid-America Elevator Co., Inc.
IN SUM OF $
1116 East Market Street
Indianapolis, IN 46032
$364.99
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 95163 I 43-515.01 I $364.99 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
Monday, June 03, 2013
Director, Ad inistration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund