238230 10/15/14 CITY OF CARMEL, INDIANA VENDOR: 00351469
CHECKAMOUNT: $*******634.61*
(9,
ONE CIVIC SQUARE XEROX CORPCARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 238230
CHICAGO IL 60673-1261 CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 31297 76115662 478.64 COPIER LEASE
209 R4353004 31621 76115663 155.97 COPIER LEASE
0642-001
XEROX CORPORATION THE EASY way Xerox
TO ORDER SUPPLIES
� PO BOX 660502 CFREE OUR
TOLL Purchase Order Number
BER
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
Telephone888-43 5-63 3 3 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
_Ship To/Installed At: Bill To:
L 0642-001 10-01-14
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 076115663
1 CIVIC SQ ATTN ELAINE . BASS Invoice Number
CARMEL IN 1 CIVIC SQ 719126674
S 46032 CARMEL IN Customer Number
V 46032
WC425OX WC4250X COPY—PRNTR SER.# MAC-914780
- — AMOUNT
BASE CHARGE SEPTEMBER
95.70
METER ' USAGE 06-21-14 TO 09-21-14
METER 1 31215 39220 8005
Q) PRINT CHARGES
V METER 1 PRINTS 8005
LESS SERVICE CREDITS 75
NET BILLABLE_ PRINTS 7930 .007600 60.27
_ TOTAL EXCESS PRINT CHARGES 60.27
.2 TRAY STAND SER'.# BLF-219000 INCL.
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
SUB TOTAL 155.97
TOTAL 155.97
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
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X-e.ox =ed
2004 XEROX CORPORATION.All rights reserved.X EROXG),The Document Com.pary(D and Che digital X(D are trademarks of XEROX CORPORATION.
0642-002
C XEROX CORPORATION THE EASY WAY Xerox
PO BOX 660502 TO ORDER SUPPLIES 1J
CALL OUR TOLL Purchase Order Number
O FREE NUMBER
4Q DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
y0 Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
t Ship To/Installed At: Bill To: _ _
L CITY OF CARMEL CITY OF CARMEL InOvoicce Date
aJ LAW OFFICE LAW OFFICE
E 1 CIVIC- SQ ATTN ELAINE BASS 0oice N 62
Invoice Number
.� _ CARMEL_ IN _ 1 CIVIC_ SQ 719126658_ -_
46032 CARMEL IN Customer Number
V 46032
3CQ9302 3 MTR CLRQUBE 9.302 SER.# XNE-001450
AMOUNT
- - - ---BAS-E -C-HARGE- - SEPTEMBER - -- - ---
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 08-21-14 TO 09-21-14
BLK+CLR LEVEL 1 IMP 128903 137971 9068
COLOR LEVEL 2 IMPRESS 8546 9295 749
COLOR LEVEL 3 IMPRESS 4576 5203 627
METER CHARGES FOR IMPRESSIONS
LEVEL 1 9068
LESS ALLOWANCE 5000
•� 4068 .006000 24.41
LEVEL 2 749
749 .025000 18.73
LEVEL 3 627
627 .075000 47.03
NET IMPRESSION CHARGE 90.17
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 478.64
TOTAL 478.64
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
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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
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))
10/3/14 76115662 3 MTR CLR UBE
per the attached invoice
10/3/14 76115662 WC4250X Copy-Prntr, Ser#MAC-914780
per the attached invoice $155.97
634.61
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerex GerpeFatiGR IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261 j
$634.61
ON ACCOUNT OF APPROPRIATION FOR
,I
DEFERRAL FEE FUND - 209.
,C..a w
4353004 Copier
i
i Board Members
I �
DEPT.#PO#or INVOICE NO. ACCT#/TITLE AMOUNT ; I hereby certify that the attached invoice(s),
31621m 76115663— 4353004 $155,97, or bill(s) is (are) true and correct and that
31297- 76115662 4353004 478.64,' the materials or services itemized thereon
for which charge is made were ordered and
received except
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