241185 01/13/15 +ur.c4gH
> ' t CITY OF CARMEL, INDIANA VENDOR: 00351469
I; zl ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $*****2,445.92*
CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 241 185
v` ,_��.�.�= CHICAGO IL 60673-1261 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 31610 077304682 385.39 COPIER CONTRACT
1192 R4353004 31610 077504089 385.39 COPIER CONTRACT
601 5023990 077504098 286.57 OTHER EXPENSES
651 5023990 077504098 286.57 OTHER EXPENSES
601 5023990 077504099 123.50 OTHER EXPENSES
651 5023990 077504099 123.50 OTHER EXPENSES
1180 R4353004 31297 077504106 448.41 COPIER LEASE
209 R4353004 31621 077504107 142.60 COPIER LEASE
651 5023990 077505016 263.99 OTHER EXPENSES
0776-001
THE EASY WAY
XEROX CORPORATION To ORDER SUPPLIES ��P®� �
PO BOX 660501 CALL OUR TOLL Purchase Order Number
•o DALLAS TX 1-800-822-2200
75266-0501
Special Reference
E VINOOOOOX-000
Lft Contract Number
Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
Ship To/Installed At: Bill To:
0776-001 01-01-15
CITY CARMEL CITY CARMEL Invoice Date
UTILITIES UTILITIES 077504099
ADMIN 30 W MAIN ST STE 220 Invoice Number
4-1® 30 W MAIN ST STE 220 CARMEL IN 718692056
CARMEL IN 46032 Customer Number
46032
117125PT lIC7125PT PRNTR/TRY SER.# XDC-394919
AMOUNT
BASE CHARGE DECEMBER
232.49
METER READ METER READ NET COPIES
METER USAGE 11-21-14 TO 12-21-14
TOTAL BLACK 44506 45613 1107
TOTAL COLOR 3464 3631 167
METER CHARGES
TOTAL BLACK 1107 "S
LESS PRINT ALLOWANCE 2500
BLACK BILLABLE PRINTS 0 .014200 .00
TOTAL COLOR 167
t-." COLOR BILLABLE PRINTS 167 .086900 14.51
NET PRINT CHARGE 14.51
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 247.00
TOTAL 247.00
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 PaVing BV 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
4j CARMEL IN 46032
Q) 46032
EPlease check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. InvoiceAmount
PLEASE PAY
08-703-3320 4 718692056 077504099 01-01-15 THIS AMOUNT X247.00
RF060386 C 080112 MDW00
03 6M4C 001S K A7310 2TC5 2 115
202100008070060 0775040993 0300247000 271869205604
Ons-002
XEROX CORPORATION THE EASY WAY �,
TO ORDER SUPPLIES ��r®� Rol
® PO BOX 660501 OFREEOUR TOLL Purchase Order Number
BER
DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
Contract Number
® Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: 4 Terms Of Payment
Ship To/Installed At: Bill To: 01-01-15
L CITY OF CARMEL CITY CARMEL Invoice Date
UTILITIES UTILITIES
E CUSTOMER SERVICE 30 W MAIN ST STE 220 0InvvoiceoiceN98
Number
® 30 W MAIN ST STE 220 CARMEL IN 718692031
#.er
tA CARMEL IN 46032 Customer Number
46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-096782
AMOUNT
BASE CHARGE DECEMBER
526.70
METER READ METER READ NET IMPRESSIONS
METER USAGE 11-21-14 TO 12-21-14
BLK+CLR LEVEL 1 IMP 104301 107264 2963
COLOR LEVEL 2 IMPRESS 24881 25890 1009
COLOR LEVEL 3 IMPRESS 3606 3823 217
METER CHARGES FOR IMPRESSIONS,
q) LEVEL 1 2963 2
LESS ALLOWANCE 3500
LEVEL 2 1009
1009 .029700 29.97
LEVEL 3 217
217 .075900 16.47
NET IMPRESSION CHARGE 46.44
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 573 .14
TOTAL 573.14
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 Paving By Mail
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
EPlease check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. InvokeAmount
CL PLEASE PAY
08-703-3320 4 718692031 077504098 01-01-15 THIS AMOUNT $573.14
RF060385 C 080112 MDW00
03 6M4C 0015 K A7310 2TC5 3 115
202100008070060 0775040984 0300573147 271869203178
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 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 77504098 $286.57
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
I
i
VOUCHER # 146378 WARRANT # ALLOWED
343004 IN SUM OF $
XEROX CORP
26152 Network Place
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
P
PO# INV# ACCT# AMOUNT Audit Trail Code
77504098 01-7360-07 $286.57
� 10. 7
Voucher Total28 7
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0776-001
XEROX CORPORATION THE EASY WAY xerox
TO ORDER SUPPLIES (5
® PO BOX 660501 CALLOUR TOLL Purchase Order Number
FREE BER
DALLAS TX 1-800-822-2200
75266-0501 Special Reference
VINOOOOOX-000
Contract Number
® Telephone888-339-7887 NET 30 DAYS
Please Direct Inquiries To: 1w Terms Of Payment
Ship To/Installed At: Bill To:
0776-001 01-01-15
CITY CARMEL CITY CARMEL Invoice Date
UTILITIES UTILITIES 077504099
ADMIN 30 W MAIN ST STE 220 Invoice Number
464 30 W MAIN ST STE 220 CARMEL IN 718692056
IIA CARMEL IN 46032 Customer Number
46032
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394919 �,. .
----- AMOUNT
BASE CHARGE DECEMBER
232.49
METER READ METER READ NET COPIES
METER USAGE 11-21-14 TO 12-21-14
TOTAL BLACK 44506 45613 1107
TOTAL COLOR 3464 3631 167
METER CHARGES I
TOTAL BLACK 1107 l .S
LESS PRINT ALLOWANCE 2500
a BLACK BILLABLE PRINTS 0 .014200 .00
TOTAL COLOR 167
b COLOR BILLABLE PRINTS 167 .086900 14.51
NET PRINT CHARGE 14.51
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 247.00
TOTAL 247.00
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
r��A� -r'+r Tani rrG �v Bien � l�r p rn 'rn CTGD IICArC -PTH -
VOUCHER # 142704 WARRANT # ALLOWED
350598 IN SUM OF $
03 T--) rD XEROX CORP
12-(�t 5 z-1Ve4,~4,-Pt.
RE) BOX 802555---�
r" rf) < X C H I CAG 0, 1 L 406aO-
06 73-
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
N
0 Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
z
U-
77504099 01-6360-08 $123.50
Z
LU
-j
7501101�
LLJ
LU
LL
x
0
LU
x
C5
>
r.D
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
1231-001
A'q,
XEROX CORPORATION THE EASY WAY xerox 0
TO ORDER SUPPLIES J'
C PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1-800-822 z o0
4.+ 75266 Special Reference
VINOOOOOX-000
L Contract Number
O Telephone888-435-6333 NET 30 DAYS
421
Please Direct Inquiries To: � Terms Of Payment
C Ship To/installed At: Bill To:
1231-001 01-01-15
L CITY OF CARMEL CITY OF CARMEL Invoice Date
WATER AND SEWER WATER AND SEWER 077505016
UTILITY UTILITY Invoice Number
O 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY 718691959
3 INDIANAPOLIS IN INDIANAPOLIS IN Customer Number
V 46280 46280
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394824
AMOUNT
BASE CHARGE DECEMBER
242.79
METER READ METER READ NET COPIES
METER USAGE 11-21-14 TO 12-21-14
TOTAL BLACK 26782 27245 463
TOTAL COLOR 6521 6765 244
METER CHARGES
TOTAL BLACK 463
V LESS PRINT ALLOWANCE 2500
BLACK BILLABLE PRINTS 0 .014200 .00
TOTAL COLOR 244
COLOR BILLABLE PRINTS 244 .086900 21.20
Irz NET PRINT CHARGE 21.20
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.# USBENBLE INCL
SUB TOTAL 263.99
TOTAL 263.99
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
_ _ _ COURDI 1 Tn ME US-A_11--- TTI [_ E-„T -
�- IUILIL Ur 11VVU1lC I'IAf VHnY HI � URLiI`IG IU METER VJHVC D-I ��L
XEROX FEDERAL IDENTIFICATION #16-0468020
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 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 077505016 $263.99
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
VOUCHER # 146336 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
077505016 01-7362-05 $263.99
i
I
i
Voucher Total $263.99
Cost distribution ledger classification if
claim paid under vehicle highway fund
1101-001
THE EASY WAY 6Q xe rox
XEROX CORPORATION TO ORDER SUPPLIES , -
PO BOX 660502 CALL OUR TOLL Purchase Order Number..
O FREE NUMBER
DALLAS TX 1-800-822-2200 � �
(� 75266 Special Reference `' �y K°
�� Jai 6 ?p15 O-aI
L Contract Numbe®
40 Telephone888-435-6333 PAYABLE U'PO'N RECEIPT
Please Direct Inquiries To: Terms Of Payments n
Ship To/Installed At: Bill To: .6
L1101-001 - ; 'x .. 01-01-15
COMMUNITY SERVICES COMMUNITY SERVICES Invoice Date
1 CIVIC SQ 1 CIVIC SQ 077504089
CARMEL IN CARMEL IN Invoice Number
+a 46032 46032 714707718
Customer Number
V
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE-235137
BASE CHARGE JANUARY
385.39
METER READ METER READ NET IMPRESSIONS
METER USAGE 11-30-14 TO 12-22-14
BLK+CLR LEVEL 1 IMP 199342 199342 0
COLOR LEVEL 2 IMPRESS 62806 62806 0
V COLOR LEVEL 3 IMPRESS 49753 49753 0
METER CHARGES FOR IMPRESSIONS
C LEVEL 1 0
�+ LEVEL 2 0
LEVEL 3 0
NET IMPRESSION CHARGE .00
JANUARY
OFFICE FINISHER PROD/MKT CD CQOFCFIN INCL
SUB TOTAL 385.39
TOTAL 385.39
"'ALLOWANCE PRORATED FOR 022 DAYS
INVOICE FOR - THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
1545-001
XEROX CORPORATION THE EASY WAY Xerox
Q TO ORDER SUPPLIES
® PO :BOX 660502 CALLOUR TOLL Purchase Order Number
FREE° BER
DALLAS TX 1-800-822-2200
75266 Special Reference
EContract Number
0 Telephone888-435-6333 PAYABLE UPON R E I PT
Please Direct Inquiries To: 411- Terms Of Payment
I'" Ship To/Installed At: Bill To:
1545-001 12-13-14
COMMUNITY SERVICES COMMUNITY SERVICES Invoice Date
1 CIVIC SQ 1 CIVIC SQ 077304682
® CARMEL IN CARMEL IN Invoice Number
46032 46032 - 714707718
Customer Number
DEC 19 2014
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE-235137y�y
AMOUNT -
BASE CHARGE DECEMBER
385. 39
METER READ METER READ NET IMPRESSIONS
METER USAGE 09-30-14 TO 11-30-14
BLK+CLR LEVEL 1 IMP 199342 199342 0
COLOR LEVEL 2 IMPRESS 62806 62806 0
Q) COLOR LEVEL 3 IMPRESS 49753 49753 0
METER CHARGES FOR IMPRESSIONS
g LEVEL 1 0
LEVEL 2 0
LEVEL 3 0
NET IMPRESSION CHARGE .00
DECEMBER
OFFICE FINISHER PROD/MKT CD CQOFCFIN INCL
SUB TOTAL 385.39
TOTAL 385 .39
"'ALLOWANCE PRORATED FOR 061 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT l
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
THIS COST PER COPY AGREEMENT RENEWS ON 01-30-15
XEROX FEDERAL IDENTIFICATION #16-0468020 _
` B WITN, -, -
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/13/14 077304682 $385.39
01/01/15 077504089 $385.39
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerox
IN SUM OF $
Chicago, I1-48689=2-555 60623"'(Z�1
$770.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
31610 077304682 43-530.04 $385.39_
Encumbered bill(s) is (are) true and correct and that the
31610 077504089 43-530.04 $385.39
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 09, 2015
Director i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1230-002
�'
XEROX CORPORATION THE EASY WAY xerox ��
C TO ORDER SUPPLIES
C PO BOX 660502 CALLOUR TOLL Purchase Order Number
FREENUBER
4.jDALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
L Contract Number
O Telephone888-435-6333 NET 30 DAYS
CPlease Direct Inquiries To: 4k� Terms Of Payment
Ship To/Installed At: Bill To:ft"
L 01-01-15
� CITY OF CARMEL CITY OF CARMEL Invoice Date
r LAW OFFICE LAW OFFICE 077504106
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
C CARMEL IN 1 CIVIC SQ 719126658
46032 CARMEL IN Customer Number
V 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
BASE CHARGE DECEMBER
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 11-21-14 TO 12-21-14
BLK+CLR LEVEL 1 IMP 153398 159180 5782
COLOR LEVEL 2 IMPRESS 11032 11710 678
COLOR LEVEL 3 IMPRESS 6090 6610 520
METER CHARGES FOR IMPRESSIONS
LEVEL 1 5782
wl LESS ALLOWANCE 5000
782 .006000 4.69
LEVEL 2 678
C 678 .025000 16.95
LEVEL 3 520
520 .075000 39.00
LESS SERVICE CREDITS 50 a .014000 .70CR
NET IMPRESSION CHARGE 59.94
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 448.41
TOTAL 448.41
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
1230-001
XEROX CORPORATION THE EASY WAY xerox �JO
r. TO ORDER SUPPLIES
PO BOX 660502 CALL OUR TOLL Purchase Order Number
•0 DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
E Contract Number
O Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ship To/installed At: Bill To:
1230-001 01-01-15
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 077504107
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
C CARMEL IN 1 CIVIC SQ 719126674
46032 CARMEL IN Customer Number
V 46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE DECEMBER
95.70
METER USAGE 09-21-14 TO 12-21-14
METER 1 39220 45391 6171
PRINT CHARGES
Ca METER 1 PRINTS 6171
•V NET BILLABLE PRINTS 6171 .007600 46.90
TOTAL EXCESS PRINT CHARGES 46.90
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
SUB TOTAL 142.60
TOTAL 142.60
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOT-AL OF INVOICE MAY VARY ACCORDING TO METER USAGE -B-ILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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))
1/7/15 77504106 3 MTR CLRQUBE 9302 SER.#XNE-001450
per the attached invoice
1/7/15 77504107 WC4250X Copy-Prntr, Ser#MAC-914780
per the attached invoice $142.60
$591 .01
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 6orporation IN SUM OF $
26152 Network Place
Chop Illinois 60673-1261
$ $591.01
ONCCOU�NTT OF APPROPRIATION FOR
T2T"T or /.l4"o 8 $f�
DEFERRAL FEE FUND - 209
4353004 Copier
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
31297 77504106— 4353004 Ad8-4l or bill(s) is (are) true and correct and that
31621 77504107— 4353004 . 149 0 the materials or services itemized thereon
for which charge is made were ordered and
received except
JaAoa(q 20
Signature
Cost distribution ledger classification if
Titlel
claim paid motor vehicle highway fund