HomeMy WebLinkAbout222004 07/17/2013 F CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1
t ONE CIVIC SQUARE GORDON FLESCH CO., INC.
CARMEL, INDIANA 46032 P.O.BOX 73288 CHECK AMOUNT: $38.23
' 2 CLEVELAND OH 44193 CHECK NUMBER: 222004
*(ON GO
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4353004 IN10430860 38 . 23 COPIER
Keep lower portion for your records-Please return upper portion with your payment
_.... Customer Number 29CO01
GORDON F L E S C H'`' Invoice Date 06/18/2013
C 0 M P A N Y I N C Invoice Number IN10430860
DUE DATE 08/17/2013
City of Carmel Engineering Department TOTAL DUE $38.23
1 Civic Sq Federal Tax ID. 39-0993125
Carmel, IN 46032-2584
Invoice Summary _
Illinois
#of Total Base/ Images Over Use Tax
Base Period' Machines Misc.Charges Base Amount Recovery Sales Tax LateFee Total
1 $0.00 $38.23 $0.00 $0.00 $0.00 $38.23
Terms: Net 60 Days
Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month.
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INVOICE
GORDON F L E 5 C H Invoice Number: IN10430860
C O M P A N Y , I N C
Page 2 of 2
ontract Number CN10003688-01
O Number L70230
Machine Model Serial Eq ID Location/Site PO
1 Sharp MX 4111 N 35006151 W5413 1 Civic Sq-1 Civic Sq
Base/Misc.Charges Image
Total Service Images Images
Description Total Meter Begin Meter End Meter Images Credit Included Over Rate Total
Base $0.00 31ack Meter(BC+BP+FI)M 3799 6850 3051 0 0 3051 0008000 $24.41
05/17/2013 06/17/2013
olor Meter(CC+CP)Mete 369 676 307 0 0 307 0.045000 $13.82
05/17/2013 06/17/2013
Machine
Base/Misc.Charges Images Tax Total
$0.00 $3823 $0.00 $3823
AG
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
Gordon Flesch Co Purchase Order No.
POB 73288 Terms
Cleveland, OH 44193-0002 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
6/18/2013 IN10430860 copier fees $ 38.23
Totall $ 38.23
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 NC WARRANT NO.
Gordon Flesch Co ALLOWED 20
POB 73288 IN SUM OF $
Cleveland, OH 44193-0002
$ 38.23
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 IN10430860 2200-4353004 5 38.23 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
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund