239125 11/11/14 4�f-C'1q\�
\ CITY OF CARMEL, INDIANA VENDOR: 00351469
3i ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $*******562.82*
s\. +� CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 239125
+M,iTON�` CHICAGO IL 60673-1261 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 31297 76600784 467.12 COPIER LEASE
209 R4353004 31621 76600785 95.70 COPIER LEASE
1490-001
XEROX CORPORATION THE EASY WAY xerox
O TOCALLEOURUES
TOLLPurchase Order Number �J
PO BOX 660502 FREE NUMBER
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
�O Telephone888-435-6333 NET 30 DAYS
C Please Direct Inquiries To: � Terms Of Payment
C Ship To/Installed At: Bill To:
1490-001 11-01-14
Lft CITY OF CARMEL CITY OF CARMEL Invoice Date
q) LAW OFFICE LAW OFFICE 076600784
E 1 CIVIC SQ ATTN ELAINE BASS Invoice Number
CARMEL IN 1 CIVIC SQ 719126658
46032 CARMEL IN Customer Number
46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
- ---A-MOUNT - - - — -
BASE CHARGE OCTOBER
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 09-21-14 TO 10-24-14
BLK+CLR LEVEL 1 IMP 137971 146708 8737
COLOR LEVEL 2 IMPRESS 9295 10158 863
COLOR LEVEL 3 IMPRESS 5203 5665 462
METER CHARGES FOR IMPRESSIONS
LEVEL 1 8737
VLESS ALLOWANCE 5000
•® 3737 .006000 22.42
LEVEL 2 863
863 .025000 21.58
LEVEL 3 462
462 .075000 34.65
NET IMPRESSION CHARGE 78.65
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 467.12
TOTAL 467.12
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`US-GE-BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
ju I,5,p:,w, u,"! q� . :CJ
17 OR9�C-9
k 't
Aj owl WS T j4 n; soj.'
TSDOYD q& . ,m n 3-OL. 7 7 �w ns MY 73w:nK nw
wnmyn An!no 07 11 W!. 1104 Orr - D, I ml yj,mv ow �Aj 1p� 5 :�F q�v SqpA A is
IwIAL
1490-002
XEROX CORPORATION THE EASY WAY xerox �
TO ORDER SUPPLIES '
® PO BOX 660502 CALLOUR TOLL Purchase Order Number
FREE BER
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
O Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 4k- Terms Of Payment
Ship To/Installed At: Bill To:
11-01-14
L CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 076600785
O 1 CIVIC SQ ATTN ELAINE BASS Invoice Number
4fts CARMEL IN 1 CIVIC SQ 719126674
H 46032 CARMEL IN Customer Number
V46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE OCTOBER
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIWINST SER.#. DRCINST INCL
PAPER TRAY SER.# BKL INCL
V SUB TOTAL 95.70
= TOTAL 95.70
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
F X.
ae
.,, NOW Idt';;II;l._..,n'.,,, tai504660h,' _
�� .a"—Cm _. .,i.;O U n .0 nojwiOn.Now CU,PORiJM.
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))
Der the attached invoice
11/17/14 76600789, WC4250X Copy-Prntr, Ser#MAC-914780
per the attached invoice $95.70
$562.82
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
Xerox Gorperatien IN SUM OF $
26152 Network Place
hi ago, Minds 60673-1261
$ $562.82
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
-f - // �D
4353004 Copier
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# i I hereby certify that the attached invoice(s),
$qr31601- 76600718
0� or bill(s) is (are) true and correct and that
the materials or services itemized thereon
2
for which charge is made were ordered and
received except
i
tj 20 (.LA
ignatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund