237064 09/10/14 u1_CA
,A
�� bf
CITY OF CARMEL, INDIANA VENDOR: 00351469
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $*****2,212.52*
�` ,_�; CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 237064
°j��ioN�°' CHICAGO IL 60673-1261 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 31610 075648932 528.08 COPIER CONTRACT
601 5023990 075648940 347.41 OTHER EXPENSES
651 5023990 075648940 208.45 OTHER EXPENSES
601 5023990 075648941 148.40 OTHER EXPENSES .
651 5023990 075648941 148.40 OTHER EXPENSES
209 R4353004 31621 075648948 463.57 COPIER LEASE
1180 R4353004 31297 075648949 95.70 COPIER LEASE
651 5023990
075649824
272.51 OTHER EXPENSES
1223-001
THE EASY WAY Xerox
XEROX CORPORATION ;
TO ORDER SUPPLIES I"
PO BOX 660501 CFREE OUR
TOLL Purchase Order Number
BER
4Q DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
L Contract Number
Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
N Ship To/Installed At: Bill To:
1223-001 09-01-14
CITY CARMEL WE CITY CARMEL Invoice Date
UTILITIES im UTILITIES 075648941
ADMIN 30 W MAIN ST STE 220 Invoice Number
.� 30 W MAIN ST STE 220 CARMEL IN 718692056
CARMEL IN 46032 Customer Number
V46032
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394919
-- AMOUNT -- -
BASE CHARGE AUGUST
232.49
METER READ METER. READ NET COPIES
METER USAGE 07-21-14 TO 08-21-14
TOTAL BLACK 37488 39938 2450
TOTAL COLOR 2099 2839 740
METER CHARGES
TOTAL BLACK 2450
•V LESS PRINT ALLOWANCE 2500
BLACK BILLABLE PRINTS 0 .014200 .00
TOTAL COLOR 740
COLOR BILLABLE PRINTS 740 ..086900 64.31
NET PRINT CHARGE 64.31
1 LNE FAX LAN IFAX SER.# FAXILN INCL
OFC FINISHER* LX SER.# OFCFNLX INCL .
POSTSCRIPT KIT SER.# PSKIT INCL
USB ENABLE KIT SER.# USBENBLE INCL
SUB TOTAL _ 296.80
TOTAL 296.80
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF-INVOICE- MAY- VARY ACCORDING TO--METER- USAGE--BILLED - -
XEROX FEDERAL IDENTIFICATION #16-0468020
VOUCHER # 141696 WARRANT# ALLOWED
350598 IN SUM OF $
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
75648941 01-6360-08 $148.40
i
i
Voucher Total $148.40
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350598
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 75648941 $148.40
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
Date Officer
1605-001.
XEROX CORPORATIONTHE EASY WAY xerox `�
C TO ORDER SUPPLIES R
PO BOX 660502 CFREE OUR
TOLL Purchase Order Number
; BER
� DALLAS TX 1-800-822-2200
0 75266 Special Reference
E VINOOOOOX-000
L Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: -& Terms.Of Payment
I Ship To/Installed At: Bill To:
1605-001 09-01-14
L CITY OF CARMEL CITY OF CARMEL invoice Date
LAW OFFICE LAW OFFICE. 075648948
C 1 CIVIC SQ ATTN ELAINE BASS Invoice Number
-w CARMEL IN 1 C-IVIC SQ 719126658
w46032 CARMEL IN Customer Number
V 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
BASE CHARGE AUGUST - - - -
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 07-21-14 TO 08-21-14
BLK+CLR LEVEL 1 IMP 120092 128903 8811
COLOR LEVEL 2 IMPRESS 7684 8546 862
COLOR LEVEL 3 IMPRESS 4167 4576 409
METER CHARGES FOR IMPRESSIONS
LEVEL 1 8811
U LESS ALLOWANCE 5000
3811 .006000 22.87
LEVEL 2 862
862 .025000 21.55
LEVEL 3 409
409 .075000 30.68
NET IMPRESSION CHARGE 75.10
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 463.57
TOTAL 463.57
INVO.ICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL` 0F` INVO-ICE MAY—VARY" ACCORDING TO ME-TER- -USAGE—BILLED-- - - -
XEROX FEDERAL IDENTIFICATION #16-0468020
1605-002
THE EASY WAY �'
C XEROX CORPORATION TO ORDER SUPPLIES xerOX J,
PO BOX 660502 CFREE OUR
TOLL Purchase Order Number
BER
4.j DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
E
Contract Number
a Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 4k� Terms Of Payment
Ship To/Installed At: Bill To:
09-01-14
L CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE
075648949
O 1 CIVIC SQ ATTN ELAINE BASS Invoice Number
44 CARMEL IN 1 CIVIC SQ_ 719126674
46032 CARMEL IN Customer Number'
46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
— - - - --AMOUNT ---- -- --
BASE CHARGE AUGUST
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
v SUB TOTAL 95.70
TOTAL 95.70
ti
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
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.
Payee
Xerox Corporation
Purchase Order No.
26152 Network Place
Terms
Chicago, Illinois 60673-1261
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/12/14 48 3 MTR CLR UBE 9302 SERA XNE-001450 $463.57
per the attached invoice
8/12/14 75648949 WC4250X Copy-Prntr, Ser#MAC-914780
per the attached invoice $95.70
Total
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
v,,rem GI1r.- eFatien IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
4353004 Copier
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
31621. 7-9648948 4353nn4 $463_,r,7 or bill(s) is (are) true and correct and that
31297- 7564gp4q 4353oo4 95,70 the materials or services itemized thereon
for which charge is made were ordered and
received except
20
Si ure
T tie
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1223-001 \
THE EASY WAY xeroX
XEROX CORPORATION
TO ORDER SUPPLIES uo
PO BOX 660501
CALL OUR TOLL Purchase Order Number
® U FREE NUMBER
°® DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
E Contract Number
Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ship To/installed At: Bill To:
16. 1223-001 09-01-14
CITY CARMEL CITY CARMEL invoice Date
Qj Qj UTILITIES UTILITIES 075648941
ADMIN 30 W MAIN ST STE 220 Invoice Number
.® 30 W MAIN ST STE 220 CARMEL IN 718692056
4A CARMEL IN 46032 Customer Number
46032
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394919
AMOUNT
BASE CHARGE AUGUST
232.49
METER READ METER READ NET COPIES
METER USAGE 07-21-14 TO 08-21-14 TT
TOTAL BLACK 37488 39938 2450
TOTAL COLOR 2099 2839 740
METER CHARGES
TOTAL BLACK 2450
°® LESS PRINT ALLOWANCE 2500
BLACK BILLABLE PRINTS 0 .014200 .00
C: TOTAL COLOR 740
COLOR BILLABLE PRINTS 740 .086900 64.31
NET PRINT CHARGE 64.31
1 LNE FAX LAN IFAX SER.# FAXILN INCL
OFC FINISHER LX SER.# OFCFNLX INCL
POSTSCRIPT KIT SER.# PSKIT INCL
USB ENABLE KIT SER.# USBENBLE INCL
SUB TOTAL 296.80
TOTAL 296.80
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying BY Mail
Ship To/Installed At Bill To Send Payment To:
CITY CARMEL CITY CARMEL XEROX CORPORATION
UTILITIES UTILITIES 26152 NETWORK PLACE
ADMIN 30 W MAIN ST STE 220 CHICAGO, IL
30 W MAIN ST STE 220 CARMEL IN 60673-1261
CARMEL IN 46032
46032
Please check here if Your 'Bill To" address or "Ship To/installed At"
location has changed and complete reverse side. lnvoiceAmount
CL PLEASE PAY
08-703-3320 4 718692056 075648941 09-01-14 THIS AMOUNT _ $296.80 -
RF062617 C 080112 MDW00
03 6M4C 0015 K A7310 2TC5 2 115
202100008070060 0756489416- 0300296802- 2718692-056D2 – --
VOUCHER # 145481 WARRANT# ALLOWED
343004 IN SUM OF $
XEROX CORP
26152 Network Place
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT ' Audit Trail Code
75648941 01-7360-08 $148.40
Voucher Total $148.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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
343004
XEROX CORP Purchase Order No.
26152 Network Place Terms
CHICAGO, IL 60673 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 75648941 $148.40
hereby certify that the attached invoice(s), or bill(s) is (are) true and
xrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer /\
1606-001
XEROX CORPORATIONTHE EASY way Xerox
C TO ORDER SUPPLIES
PO BOX 660502 J'
� CFREE NUMBEROUR L Purchase Order Number
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
�O Telephone888-43 5-63 3 3 NET 30 DAYS
Please Direct Inquiries To: 4k- Terms Of Payment
Ship To/Installed At: Bill To:
1606-001 09-01-14
CITY OF CARMEL ' CITY OF CARMEL Invoice Date
WATER AND SEWER WATER AND SEWER 075649824
UTILITY UTILITY Invoice Number
..� 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY 718691959
INDIANAPOLIS IN INDIANAPOLIS IN Customer Number
� 46280 46280
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394824
- AMOUNT- - - -- --
BASE CHARGE AUGUST
242.79
METER READ METER READ NET COPIES
METER USAGE 07-21-14 TO 08-21-14
TOTAL BLACK 23309 24690 1381
TOTAL COLOR 5341 5683 342
METER CHARGES
TOTAL BLACK 1381
LESS. PRINT ALLOWANCE 2500
•� BLACK BILLABLE PRINTS 0 .014200 .00
TOTAL COLOR 342
COLOR BILLABLE PRINTS 342 .086900 29.72
NET PRINT CHARGE 29.72
1 LNE FAX LAN IFAX SER.# FAXILN INCL
2/3-HOLE PUNCH SER.# FINLX-3HP INCL
OFC FINISHER LX - SER.# OFCFNLX INCL
- POSTSCRIPT KIT SER.# PSKIT INCL
USB ENABLE KIT SER.# USB ENBLE INCL
SUB TOTAL 272.51
v l- 73 6 a o s TOTAL 272.51
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT �y
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER -USAGE-BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
VOUCHER # 145428 WARRANT # ALLOWED
343004 IN SUM OF $
XEROX CORP
26152 Network Place
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
075649824 01-7362-05 $272.51
I
I
Voucher Total $272.51
Cost distribution ledger classification if
claim paid under vehicle highway fund
i I
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
343004
XEROX CORP Purchase Order No.
26152 Network Place Terms
CHICAGO, IL 60673 Due Date 9/3/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/2014 075649824 $272.51
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
91x1,y
Date Officer
1223-002
XEROX CORPORATION THE EASY WAY Xerox
C TO ORDER SUPPLIES
PO BOX 660501 CALLOUR TOLL Purchase Order Number
FREE; BER
- DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
E Contract Number
Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
Ship To/Installed At: Bill To:
>` 09-01-14
CITY OF CARMEL CITY CARMEL Invoice Date
UTILITIES UTILITIES 075648940
C CUSTOMER SERVICE 30 W MAIN ST STE 220 Invoice Number
•I.,r 30 W MAIN ST STE 220 CARMEL IN 718692031
1A CARMEL IN 46032 Customer Number
V 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-096782
AMOUNT
BASE CHARGE AUGUST - - - - ----
526.70
METER READ METER READ NET IMPRESSIONS
METER USAGE 07-21-14 TO 08-21-14
BLK+CLR LEVEL 1 IMP 91190 94776 3586
COLOR LEVEL 2 IMPRESS 21636 22530 894
COLOR LEVEL 3 IMPRESS 3438 3460 22
METER CHARGES FOR IMPRESSIONS
LEVEL 1 3586
U LESS ALLOWANCE 3500
•® 86 .010900 .94
LEVEL 2 894
C 894 .029700 26.55
LEVEL 3 22
22 .075900 1.67
NET IMPRESSION CHARGE 29.16
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 555.86
TOTAL 555.86
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT I
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES I�
TOTAL OF INVOICE MAY VARY --ACCORDING TO---METER--USAGE-BILLED ---
XEROX FEDERAL IDENTIFICATION #16-0468020
VOUCHER # 141695 WARRANT# ALLOWED
350598 IN SUM OF $
XEROX CORP
PA9-13 v v 802.6�� /v
CHICAGO, IL -69 -
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
75648940 01-6360-07 $347.41
Voucher Total $347.41
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350598
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 75648940 $347.41
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
Yl5/<y Ca
Date Officer
1223-002
XEROX CORPORATION THE EASY WAY
TO ORDER SUPPLIES ro
PO BOX 660501 CALL OUR TOLL Purchase Order Number
°® DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
E Contract Number
Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ship To/Installed At: Bill To:
09-01-14
CITY OF CARMEL CITY CARMEL invoice Date
QUO UTILITIES UTILITIES
075648940
CUSTOMER SERVICE 30 W MAIN ST STE 220 Invoice Number
4-j 30 W MAIN ST STE 220 CARMEL IN 718692031
tA CARMEL IN 46032 Customer Number
46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-096782
AMOUNT
BASE CHARGE AUGUST
526.70
METER READ METER READ NET IMPRESSIONS
`\ METER USAGE 07-21-14 TO 08-21-14
BLK+CLR LEVEL 1 IMP 91190 94776 3586
COLOR LEVEL 2 IMPRESS 21636 22530 894
COLOR LEVEL 3 IMPRESS 3438 3460 22
METER CHARGES FOR IMPRESSIONS
LEVEL 1 3586
LESS ALLOWANCE 3500
86 .010900 .94
y LEVEL 2 894
894 .029700 26.5`5
LEVEL 3 22
22 .075900 1.67
NET IMPRESSION CHARGE 29.16
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 555.86
TOTAL- 555086
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT Icy
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT. OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying By Mall
Ship To/Installed At Bill To Send Payment To:
CITY OF CARMEL CITY CARMEL XEROX CORPORATION
UTILITIES UTILITIES 26152 NETWORK PLACE
CUSTOMER SERVICE 30 W MAIN ST STE 220 CHICAGO, IL
30 W MAIN ST STE 220 CARMEL IN 60673-1261
CARMEL IN 46032
46032
F-1Please check here if your 'Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. InvoiceAmount
CL PLEASE PAY
08-703-3320 4 718692031 075648940 09-01-14 THIS AMOUNT $555.86 .
RF062616 C 080112 MDW00
03 6M4C 001S K A7310 2TC5 3 115
202100008070060 0756489407 0300555862- 271869203170 —
VOUCHER # 145482 WARRANT# ALLOWED
343004 IN SUM OF $
XEROX CORP
26152 Network Place .
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
75648940 01-7360-07 $208.45
I
i
Voucher Total $208.45
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
343004
XEROX CORP Purchase Order No.
26152 Network Place Terms
CHICAGO, IL 60673 Due Date 9/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 75648940 $208.45
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
Date Officer
1599-001
THE EASY WAY xerox
= XEROX CORPORATION TO ORDER SUPPLIES •I'
PO BOX 660502 CALLOUR TOLL Purchase Order Number FREE
BER
DALLAS TX 1-800-822-2200
75266 Special Reference
IContract Number
Telephone888-435-6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: A� Terms Of Payment
[� Ship.To/Installed At: Bill To:
L 1599-001 09-01-14
COMMUNITY SERVICES COMMUNITY SERVICES Invoice Date
1 CIVIC SQ 1 CIVIC SQ � �-- - � 075648932 .
CARMEL IN CARMEL INg Invoice Number
•� 46032 460329 ; 714707718
y� SEP - 2 2014 ., Customer Number
V .
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE-235137
- --- ----- - ---- - - -- - -- AMOUNT - - ------
BASE CHARGE SEPTEMBER
382.76
METER READ METER READ NET IMPRESSIONS
METER USAGE 07-21-14 TO 08-21-14
BLK+CLR LEVEL 1 IMP 196345 199342 2997
COLOR LEVEL 2 IMPRESS 62068 62806 738
COLOR LEVEL 3 IMPRESS 48969 49753 784
Q) METER CHARGES FOR IMPRESSIONS
'V LEVEL 1 2997
2997 .011800 35.36
C LEVEL 2 738
738 .038300 28.27
LEVEL 3. 784
784 .104200 81.69
NET IMPRESSION CHARGE 145.32
SEPTEMBER
OFFICE FINISHER PROD/MKT CD CQOFCFIN INCL
SUB TOTAL 528.08
TOTAL 528.08
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
L
J t n. k •ee=a Aks?
til
t
c-- ?
m e?
- tea- Nko i
, ruble
_ -0:6 - h -mail.
,,'.5 -
With ;Kero:< s ^n'ir lJl:li ",.ti,.e, -cu ion view invoices and make payments quickly and
easily via the`1 e.:. it-'s a'=.'st 'f co nvenient'wruyto save you time and money because it
reduces cc-- ,s LL).:- ?�Ernlnc Inc_ c'i8,_!( m :iiin�� expenses. Online billina also streamlines your
payment process C;y mini.miZlng lLhe ( fail IC;! distribution of invoices for sian-off. And it enables
control_l ever p t, ro_,. uE ,y .e__i,., you s heaLtc raymenI._ on he date you choose.
Best of all, the se;vic2 is .t_...
Loa on to to ; u< .,,, e of online p oyment services.
"erox f=ederal Identification #'16-0/468020
C 2004 XEROX CORPORATION.All nghts r served.XEROXC),The Document ComponyO and the digital XO are trademarks of XEROX CORPORATION.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerox
' / IN SUM OF$
r�QU7CZ7DGJJJ
Chicago, IL 68689- -6 0(o'7 -AZA I
$528.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31610 I 075648932 I 43-530.04 $528.08
ppp bill(s) is (are)true and correct and that the
materials or services itemized thereon for
��I llv which charge is made were ordered and
received except
Monday, September 08, 2014
Dlrec
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
I
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))
09/01/14 075648932 $528.08
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