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222409 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 364024 Page 1 of 1 0 .I ONE CIVIC SQUARE GORDON FLESCH CO., INC. CHECK AMOUNT: $173.19 CARMEL, INDIANA 46032 P.O.BOX 73288 ,,_off io CLEVELAND OH 44193 CHECK NUMBER: 222409 CHECK DATE: 7/3012013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4353004 IN10460945 55 . 03 COPIER 1120 4351501 IN10463995 118 . 16 EQUIPMENT MAINT CONTR Keep lower portion for your records-Please return upper portion with your payment GORDON Customer Number 290546 F L E S C H Invoice Date 07/2212013 C O M P A N Y . I N C Invoice Number IN10463995 DUE DATE 09120/2013 TOTAL DUE $118.16 Carmel Fire Department 2 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 Late Fee Total Due 1 $0.00 $118.16 $0.00 $0.00 $0.00 $118.16 Terms:Net 60 Days Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month I B Information Update? Customer Service Contacts: Customer Name Account Payment Inquiries: 608-441-1850/877-366-9874, gfc.ar @gflesch.com Address Contract or meter inquiries: 614-734-6800/877-457-5877; City State Zip gfc.contracts-d @gflesch.com Contact Phone General inquiries:614-789-5700/800-756-1174 Email Address Pay online at www.gflesch.com Receive your invoice electronically. Contact us at gfc.ar @gflesch.com INVOICE GORDON F L E S C HO Invoice Number: IN10463995 C O M P A NY , I N C . Page 2 of 2 Contract Number AC45B-GPQ10116-01 PO Number 12770 Machine Model Serial Eq ID Location/Site PO 1 Canon iR ADV C5045 GPQ10116 T7653 Upstairs-2 Civic Sq 12770 Base I Misc.Charges Image Total Service Images Images Description Total Meter Begin Meter End Meter Images Credit Included Over Rate Total Base $0.00 Black Images#109 Meter 67704 69685 1981 0 0 1981 0010280 $20.36 05/21/2013 07121/2013 Color Images#124 Meter 51226 52829 1603 0 0 1603 0061010 $97.80 06/21/2013 07/21/2013 Machine Base/Misc.Charges Images Tax Total $000 $11816 $0.00 $11816 B 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)) IN10463995 $118.16 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 Gordon Flesch Company, Inc. IN SUM OF $ P.O. Box 73288 Cleveland, OH 44193 $118.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r -- 1120 I IN10463995 I 43-515.01 I $118.16 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 JUL 2 9 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Keep lower portion for your records-Please return upper portion with your payment a �1. �Wl Customer Number 29C001 GORDON F L E S C M` Invoice Date 07/18/2013 C © M F A N Y , I N C Invoice Number IN10460945 DUE DATE 09/16/2013 City of Carmel Engineering Department TOTAL DUE $55.03 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 Late Fee Total Due. 1 $0.00 $ 55.03 $0.00 $ 0.00 $0.00 $ 55.03 Terms: Net 60 Days Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month. rL�2,7332426 0 ICE CFIVED W (� 2013 w CARMI EL !� CITY ENGINEER. /j" yaw E)e T=77=7- . INVOICE GORDON FLESCH" Invoice Number: IN10460945 11 C 0 M P A N Y , I N C Page 2 of 2 ontract Number CN10003688-01 0 Number L70230 Machine Model Serial Eq ID Location/Site PO 1 Sharp IVIX 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 Black Meter(BC+BP+Fl)M 6850 10235 3385 0 0 3385 0.008000 $27.08 06/17/2013 07/17/2013 -olor Meter(CC+CP)Mete 676 1297 621 0 0 621 0.045000 $27.95 06/17/2013 07117/2013 Machine Base Misc.Charges Images Tax Total $0.00 $55.03 $0.00 $55.03 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 7/17/2013 IN10460945 meter charges;copier $ 55.03 Total $ 55.03 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 i VOUCHER NC WARRANT NO. $' Gordon Flesch Co ALLOWED 20 POB 73288 IN SUM OF $ Cleveland, OH 44193-0002 k. $ 55.03 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or DEPT# INVOICE NO. ACCT#ITITLE AMOUNT I hereby certify that the attached invoice(s), 0 IN10460945 2200-4353004 $ 55.03 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 0 7/29/2013 Signature City Engineer rr Cost Distribution ledger classification if Title claim paid motor vehicle highway fund