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Home My WebLink About228741 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 366767 Page 1 of 1 0 ONE CIVIC SQUARE VAN AUSDALL&FARRAR CARMEL, INDIANA 46032 PO BOX 713683 CHECK AMOUNT: $40.60 CINCINNATI OH 45271-3683 CHECK NUMBER: 228741 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 CNIN266617 40 . 60 OTHER EXPENSES i V iu UD z/%a00V(M00 Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE P.O.Box 713683 P.O.Box 713683 P.O.Box 713683 Pale I Of 2 (800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO: VAN AUSDALL AND FARRAR,INC. OFFICE TECHNOLOGY o Evansville, 47715 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683 SINCE 1914 SOLUTIONS 0 1221 N.Royal Ave. P.O.Box 713683 3234 Illinois Rd. Phone(317)634-2913 Fax(317)638-1843 0 (812)424-5736 (Soo)467a474 (260)432-1547 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 CNIN266617 Net 10 or produced in accordance with the fair labor standards act of 1938 as amended,including section 12A. SHIP VIA: UPS SOLD TO: 511614 SHIP TO: 511614 CITY OF CARMEL WATER PLANT 1 CITY OF CARMEL WATER PLANT 1 4915 3 106TH ST 4915 3 106TH ST CARMEL IN 46033 CARMEL.IN 46033 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 532355 Kimbrough,Andrew 12/03/2013 12/13/2013 ORD SHIP- B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT * Maintenance Contract No. 16876 1 1 0 ea RICOH AFICIO MPC2051 415511 0.000 0.00 Serial: V9735500993 Machine id:72261 ****CITY OF CARNIEL WATER PLANT 1 **** 4915 3 106TH ST ****CARNIEL;IN 46033 CLICKS Used from 8/27x'2013 through 11/26/2013 ** Black and White 3305 Current Meter Reading 25 Prior Meter Reading 3280 Total CLICKS 3280 Net Billable CLICKS 1 1 0 3280 CLICKS @ 0.004800 Black and White 15.740 15.74 CLICKS Used from 8/27/2013 through 11/26/2013 **Color 594 Current Meter Reading 9 Prior Meter Reading 585 Total CLICKS SUBTOTAL 15.74 DETACH HERE AND RETURN WITH PAYMENT �/] �/�]�t]I /' 0004 Ic]uo 0 RMUuclQ OFFICE TECHNOLOGY o SOLUTIONS a s1Nce 19t4 0 CONTINUED D Thank You For Your Business I , Van Ausdall Lafayette, 45271 Muncie, 45271 South Bend, 45271 INVOICE & Farrar P.O.Box 713683 P.O.Box 713683 P.O.Box 713683 Page 2 of 2 (800)467-7474 (800)467-7474 (800)467-7474 MAIL REMITTANCE TO: ® VAN AUSDALL AND FARRAR,INC. OFFICE TECHNOLOGY Evansville, 47715 Columbus, 45271 Fort Wayne, 46802 PO BOX 713683,Cincinnati,OH 45271-3683 SOLUTIONS 10 QS 0 1221 N.Royal Ave. P.O.Box 713683 3234 Illinois Rd. Phone(317)634-2913 Fax(317)638-1843 � (812)424-5736 (800)467-7474 (260)432-1547 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 CNIN266617 Net 10 or produced in accordance with the fair labor standards act of 1938 as amended,including section 12A. SHIP VIA: UPS SOLD TO: 511614 SHIP TO: 511614 CITY OF CARMEL WATER PLANT 1 CITY OF CARMEL WATER PLANT 1 4915 3 106TH ST 4915 3 106TH ST CARMEL IN 46033 CARMEL,IN 46033 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 532355 Kimbrough,Andrew 12/03/2013 12/13/2013 ORD SHIP B.O. U/M DESCRIPTION ITEM NUMBER UNIT PRICE AMOUNT 585 Net Billable CLICKS 1 1 0 585 CLICKS @ 0.042500 Color 24.860 24.86 SUBTOTAL 40.60 FREIGHT 0.00 SALES TAX 2„85' PT.FA.CF PAV TRIC AM(NINT A-A-&S — 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 317000 VAN AUSDALL & FARRAR INC Purchase Order No. PO BOX 713683 Terms CINCINNATI, OH 45271-3683 Due Date 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201; CNIN266617 $40.60 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 p5-11-10-1.6 i�L Y�/V' (tea---""l Y!'�✓ Date Officer VOUCHER # 133849 WARRANT # ALLOWED 317000 IN SUM OF $ VAN AUSDALL & FARRAR INC PO BOX 713683 CINCINNATI, OH 45271-3683 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR od /UN Board members PO# INV# ACCT# AMOUNT Audit Trail Code CNIN266617 01-6360-03 $40.60 Voucher Total $40.60 Cost distribution ledger classification if claim paid under vehicle highway fund