239355 11/19/14 CITY OF CARMEL, INDIANA VENDOR: 359284
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CHECK AMOUNT: $ "177.57'
4 CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK NUMBER: 239355
CHICAGO IL 60673-1211 CHECK DATE: 11/19114
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 26691 25986843 177.57 COPIER
ROCOH 35
Due Date5.14q
`Due Date 1111812014.
Contract No 036-0026232-000
Invoice No 25986843
;InvoiceDate 10/2912014
Customer Service inquiries,call 888-204-0799 -- -- - -— --'
Important Information
YOUR ACCOUNT IS DELINQUENTMORE THAN 1`DAYS
IF YOU HAVE NOTALREADY DONE SO,.PLEASE REMIT YOUR.PAYMENT ONLINE USING VWWV.QDSONTHEVVEB.COM.
A LATE FEE PENALTY MAY HAVE BEEN ASSESSED ON YOUR ACCOUNT:
Invoice.Detail
Contract Number
Asset Description Itemized'Charge(s) Amount Due.` Sales Tax ` Total Due
036-0026232-000 PREVIOUSLY BILLED
RICOH COPIER PREVIOUSLY BILLED 177.57 0.00 177.57
S/N S7514900096
MPC400SR CURRENT CHARGES
1 CIVIC SQ PAYMENT DUE 11/18/2014 177.57 0.00 177.57
DEPT OF
CARMEL IN 46032-2584
INVOICE TOTAL 355:14 0.00' 355:14"
C�� S'7
For Customer Care Inquiries, email or call us:
838-204-0799
Taxes
For web access to your account, please go to o We invoice sales and use.taxes based on the location of the
www.QDSontheweb.com or call 888-204-0799 assets when required by the taxing authority.
to use the Interactive Voice Response System, -If the financed equipment is in a state or local jurisdiction
available 24 hours a day,seven days a week. that requires sales tax to be paid upfront,we have paid this
Use your customer or contract number located on the upper tax and increased your payment accordingly for
right area of your invoice to log in and enjoy these benefits: reimbursement of these taxes,
Taxing authorities may tax personal property and You
QDS (customer web portal) agreed in your contract to pay for this expense.These taxes
e Find answers to frequently asked questions are: billed as received from taxing authorities; not prorated;
a Make online payments and owed in full on the date assessed.
o View your contract, invoice and payment histories To ensure you are taxed appropriately, please submit any
o Download contract listings, invoices,payment and asset changes to Your asset locations in writing or through QDS.
details to a spreadsheet or PDF file Late Fee
a Receive email notifications when invoices are available If payment is not received by the due date.a late fee may be
and click on the URL link to sign in and view
*Customize your invoice:allocate charges, personalize billed on.your next invoice.
descriptions, sort and subtotal costs Sj�pp�Freight or Delivery Fee
-6-ibbnfifTwherf We ri��,ceived—your_lYa_Ym61ifs_ana This charge is for the shipping of supplies,The cost is
applied them allocated monthly over the life of the contract.
Communicate with us through email or electronic form
Name or Address Change or Transfer of Ownership
Interactive Voice Response System e If your organization's name changes, please send us a copy
•Obtain answers to common questions, such as invoice of the*amendment filed with the Secretary of State.
dates, invoice amounts and payment history a To process an ownership change,contact us for a credit
•Make payments application,which is subject to Our approval.
Request a copy of your contract,invoices, payment history
and asset details a Notify us through QDS or in writing of an address change.
Request-a copy of your W-9 Annual Escalations
If your contract permits an annual escalation of the periodic
Additional Useful Information payment or overage rate,these may be adjusted annually to
Previously Billed Items maintain increased costs of servicing'.Typically,annual
escalations are found in usage-Osed,contracts,
If your inVoice shows a previously billed item,this generally
means we did not receive the payment prior to producing the Interim Rent or Transitional Billing
next invoice, For confirmation, sign in to QDS to review 9 This charge is for the interim use of the equipment from date
recent invoices. of delivery until contract commencement.
Insurance =For monthly bill cycles,the calculation for interim rent nr
transitional billing ia: d��ethe number ofdays between
�For insurance inq�hea.caUthe Insurance Gem�eCenUs at delivery and 1�3O=05)
088'873-1917 - first- � ` � '
� ' then multiply that figure byyour regular payment hoobtain
Bankruptcy Notifications the prorated interim amount(o.g.. 0.5X$1.00Omonthly
=)fvourbusiness hqsfiled ooetibnnfor onotert/nn "rhnQ hra . -payment=$5OUinterim
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
Purchase Order No.
i �� �l 2 fuJOK—K /0L • Terms
(CAG P (� 0673
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1-716-
Total
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 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
fL /� ALLOWED 20
c-o FT tks A -T�(2--, j IN SUM OF $
f 1 qCv
�o X73
$
17-7,517
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
R "< 7 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
F- received except
20
Si ure�
Cost distribution ledger classification if . le
claim paid motor vehicle highway fund