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HomeMy WebLinkAbout227670 1/8/2014 CONTRACT INVOICE ,PEN Invoice Number: 238539 9430 Priority Way West Drive Indianapolis, IN 46240-1470 Invoice Date: 12/31/2013 P: 317-580-0100 F: 317-580-2500 Bill To: Carmel Street Dept Customer: Carmel Street Dept 3400 W 131st St 3400 W 131st St Westfield, IN 46074 Westfield, IN 46074 Account No I Payment Terms Due Date Invoice Total Balance Due CS02 10 Days 01/10/2014 $ 23.26 $ 23.26 Contract Number Contact Contract Amount P.O.Number Start Date Exp.Date KC353-A8288-02 $ 23.26 03/31/2010 Remarks Summary: Contract base rate charge for the 12/31/2013 to 01/30/2014 billing period $0.00 Contract overages charge for the 11/30/2013 to 12/30/2013 overages period $23.26" **See overages details below $23.26 Detail: Equipment included under this contract Konica Minolta/KC353 Number Serial Number Base Adj. Location A8288 02EO10011771 $0.00 Carmel Street Dept 3400 W 131st St Westfield, IN 46074 Meter Type Meter Group Begin Meter End Meter Credits Total Covered Billable Rate Overages B\W B/W 100,963 102,386 1,423 0 1,423 $0.014400 $20.49 Color COLOR 6,994 7,022 28 0 28 $0.098900 $2.77 $23.26 Invoice SubTotal $23.26 Tax: $0.00 Invoice Total $23.26 Balance Due: $23.26 ['age I of I VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Braden Business Systems ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF $ CITY OF CARMEL 9430 Priority Way W. Dr. An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Indianapolis, IN 46240 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $23.26 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Street Department Date Due Invoice Invoice Description Amount PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 2201 I 238539 I 43-515.01 I $23.26 1 hereby certify that the attached invoice(s), or 12/31/13 238539 $23.26 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 f ! 1 Su 14 Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 20 Clerk-Treasurer