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225593 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366767 Page 1 of 1 ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $32.75 �4,?0 CARMEL, INDIANA 46032 PO BOX 713683 CINCINNATI OH 45271-3683 CHECK NUMBER: 225593 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4351501 CNIN263203 32 . 75 EQUIPMENT MAINT CONTR Van Ausdali Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE OICE P.O.Box 713683 P.O.Box 713683 P.O.Box 713683 Page 2 of 2 & Farrar (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 o 1810 First Ave. P.O.Box 713683 3234 Illinois Rd. SINCE 1914 0 Phone(317)634-2913 Fax(317)638-1843 Q (812)424-5736 (800)467-7474 (260)432-1547 p 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 CNIN263203 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 CAR-MEL COMMUNICATIONS CENTER CARMEL COMMUNICATIONS CENTER 31 1 ST AVENUE NW 31 1 ST AVENUE NW CARMEL IN 46032 CARMEL,IN 46032 TERMS:NET 10 DAYS. MAKE ALL REMITTANCES TO CINCINNATI. ORDER NO. SALES ORDER NO. — CfJSTOM E WKO.Off REF# SAliES REP INVOICE DATE DUE DATE 525347 Watson,Lori 10/04/2013 10/14/2013 ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT 656 Net Billable CLICKS 1 1 0 656 CLICKS @ 0.042500 Color 27.880 27.88 SUBTOTAL 32.75 FREIGHT 0.00 SALES TAX 0.00 PI RACF PAV T141Q AM"T INIT 21^/c VOUCHER NO. WARRANT NO. ALLOWED 20 Van Ausdall & Farrar IN SUM OF $ PO Box 713683 Cincinnati, OH 45271-3683 $32.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 I CNIN263203 I 43-515.01 I $32.75 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 Wednesday, October 16.,,2013 e r , &rector 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)) 10/04/13 CNIN263203 $32.75 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