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HomeMy WebLinkAbout221289 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366767 Page 1 of 1 ONE CIVIC SQUARE VAN AUSDALL&FARRAR CARMEL, INDIANA 46032 PO BOX 713683 CHECK AMOUNT: $360.04 CINCINNATI OH 45271-3683 CHECK NUMBER: 221289 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4353004 CNIN256228 360 . 04 COPIER Van Ausdall Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE Pagel Of 2 P.O.Box 713683 P.O.Box 713683 P.O.Box 713683 & Farrar (800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO: ® VAN AUSDALL AND FARRAR,INC. OFFICE TECHNOLOGY o Evansville, 47710 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683 SOLUTIONS o 1810 First Ave. P.O.Box 713683 3234 Illinois Rd. SINCE 1914 (812)424-5736 (800)467-7474 (260)432-1547 Phone(317)634-2913 Fax(317)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 CNIN256228 Net 10 or produced in accordance with the fair labor standards act of 1938 as amended,including section 12A. SHIP VIA: UPS SOLD TO: 1 03781 SHIP TO: 103781 CITY OF CARMEL CITY OF CARMEL 1 CIVIC SQ 1 CIVIC SQ DOCS CARMEL IN 46032 DOCS CARMEL,IN 46032 TERMS:NET 10 DAYS. MAKE ALL REMITTANCES TO CINCINNATI. ORDER NO. SALES ORDER NO. CUSTOMER P.O.OR REF# SALES REP INVOICE DATE DUE DATE 511249 Salladay, Donn 06/04/2013 06/14/2013 ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT -* Maintenance Contract No. 16089 1 1 0 ea RICOH AFIC[O MPC5502A 416077 0.000 0.00 Serial: W542L500535 Machine id:70454 ****CITY OF CAR-NIEL **** I CIVIC SQ *** DOGS **** CARMEL,IN 46032 CLICKS Used from 12/1/2012 through 5/31/2013 **Black and White 36788 Current Meter Reading 20457 Prior Meter Reading 16331 Total CLICKS 16331 Net Billable CLICKS 1 1 0 16331 CLICKS @ 0.004800 Black and White 78.390 78.39 CLICKS Used from 12/1/2012 through 5/31/2013 ** Color 14813 Current Meter Reading 8186 Prior Meter Reading SUBTOTAL 78.39 Van Ausdail DETACH HERE AND RETURN WITH PAYMENT & Farrar OFFICE TECHNOLOGY o SOLUTIONS Q SINCE 1914 o CONTINUED Thank You For Your Business Van AuSdall Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE Page 2 Of 2 & Farrar P.O.Box 713683 P.O.Box 713683 P.O.Box 713683 g (800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO: ® VAN AUSDALL AND FARRAR,INC. OFFICE TECHNOLOGY o Evansville, 47710 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683 SOLUTIONS o 1810 First Ave. P.O.Box 713683 3234 Illinois Rd. Phone 317 634-2913 Fax 317 638-1843 SINCE t9ta (812)424-5736 (800)467-7474 (260)432-1547 1 ( 1 Email invoice questions to: billing @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 CNIN256228 Net 10 or produced in accordance with the fair labor standards act of 1938 as amended,including section 12A. SHIP VIA: UPS SOLD TO: 103781 SHIP TO: 103781 CITY OF CARMEL CITY OF CARMEL 1 CIVIC SQ 1 CIVIC SQ DOCS CARMEL IN 46032 DOCS CARMEL,IN 46032 TERMS:NET 10 DAYS. MAKE ALL REMITTANCES TO CINCINNATI. ORDER NO. SALES ORDER NO. CUSTOMER P.O.OR REF# SALES REP INVOICE DATE DUE DATE 511249 Sal laday,Donn 06/04/2013 06/14/2013 ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT 6627 Total CLICKS 6627 Net Billable CLICKS 1 1 0 6627 CLICKS @ 0.042500 Color 281.650 281.65 SUBTOTAL 360.04 FREIGHT 0.00 SALES TAX 0.00 DT L'A CU DA XI TLiTC A 1%44-%YTHTT ".n 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. APayee Vowi y f l�'� �1� Purchase Order No. D ©� Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) f 36,6 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 $ �� °q ON ACCOUNT OF APPROPRIATION FOR (-,7 5_lbq 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 Cost distribution ledger classification if Title claim paid motor vehicle highway fund