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231383 04/08/14
,.4�gyf t� CITY OF CARMEL, INDIANA VENDOR: 359284 ® 'r ONE CIVIC SQUARE RICOH USA INC CHECK AMOUNT: $********37 78■ _. CARMEL, INDIANA 46032 PO BOX 802815 CHECK NUMBER: 231383 J V 'P„�_pM��:� CHICAGO IL 60680-2815 CHECK DATE: 04/08/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 R4353004 26691 5029884934 37.78 COPIER Ricoh USA,Inc VICE "820 Gears Road INVOICE VV Houston TX US 77067 FederallD:23-0334400 DUNS#04-396-4519 Page 1 of 2 0 Return Service Requested CITY OF CARMEL In-voice;Number Invoice Date_ Attn:Accounts Payable Due 03/12/2014 1 CIVIC SQUARE,CARMEL CITY COURT Seq#:000270 Terms_: Due Date CARMEL IN 46032 10 NET 03/22/2014 Customer Number Purchase Order Number 13667902 976762 We appreciate your business. For any questions,please call/-888-456-6457 or visit our website www.ricoh-usa.com to order additional products,supplies,services or to submit meter reads For 8etails ohrRicoh's EPEAT and en0ironmental initiatives,visd www"Yicoh-usa:com/environmerit Ricoh—Pas posted to its website,take back;'recycling;`paper,content,reporting and design informatibnsfor its; imaging equipme_.nt/-Toner Containers/packaging to meet'EPEAT cntene'None of the returned material,goes tollandfill or.incineration ContracfBtl{ing Sum mary Amount Sales.Tax Total? ` Contract Number 2946048 Number of Equipment 1 Black and White 12/16/2013 to 03/15/2014 Additional Images 2301 @ 0.015344 35.31 2.47 37.78 Color 12/16/2013 to 03/15/2014 Total 35.31 2.47 37.78 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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. ,_/ / cPayee C) r / V�-J� N�= Purchase Order No. PC) 6N ma s f s— Terms C � I LS(_"0 :17L 6 0 6 5?v Date Due Invoice Invoice Description Amount Dae Number (or note attached invoice(s) or bill(s)) ©'Ve (z (_vtxrr- c.-r 3 7. 7 Total 7. 7 a I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer IF VOUCHER NO. WARRANT NO. �5� ALLOWED 20 IN SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR 1 Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), �&1/ 5or zqv 4q3 3-7, 7 ' 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 20 t 3e Cost distribution ledger classification if 't claim paid motor vehicle highway fund