242438 02/17/15 t
CITY OF CARMEL, INDIANA VENDOR: 00351469
.�, ® �l• ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $**.....546.11*
f CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 242438
9M,.oN CHICAGO IL 60673-1261 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 31297 077957914 244.77 COPIER LEASE
1180 R4353004 32363 077957914 205.64 COPIER
209 R4353004 31621 077957915 95.70 COPIER LEASE
1827-001
XEROX CORPORATION THE EASY WAY TO ORDER SUPPLIES �P®� tt
,® PO BOX 660502 CALL
FREEOUR
TOLL Purchase Order Number
DALLAS TX + BER
-soo-azz-szoo
75266 Special Reference
VINOOOOOX-000
b Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
b Ship To/Installed At: Bill To:
11127-1101 02-01-15
�j CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 077957915
® .1 CIVIC SQ ATTN ELAINE BASS Invoice Number
CARMEL IN 1 CIVIC SQ 719126674
46032 CARMEL IN Customer Number
46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE JANUARY
95-70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
.o
SUB TOTAL 95..70
� I
g TOTAL 95 .70
b
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
1827-002
XEROX CORPORATION THE EASY WAY xer®x &.
TO ORDER SUPPLIES 175
® PO BOX 660502 CALLOUR TOLL Purchase Order Number
FREE° BER
DALLAS TX 1-800-822-2200
75266 Special Reference
E VINOOOOOX-000
k. Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 4� Terms Of Payment
b Ship To/Installed At: Bill To:
� OZ-01-15
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFF.I CE LAW OFFICE 077957914
® 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
AMOUNT
BASE CHARGE JANUARY
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 12-21—:14 TO 01-21-15
BLK+CLR LEVEL 1 IMP 159180 167136 7956
COLOR LEVEL 2 IMPRESS :11710 12530 820
COLOR LEVEL 3 IMPRESS 6610 6926 316
METER CHARGES FOR IMPRESSIONS
LEVEL 1 7956
LESS ALLOWANCE .5000
29.56 .006000 17.74
LEVEL 2 820
g 820 .025000 20.50
b LEVEL 3 316
316 .075000 23.70
NET IMPRESSION CHARGE 61.94
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFA"X INCL
SUB TOTAL 450.41
TOTAL 450.41
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
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))
2/1/15 7795791A 3 MTR CLRQUBE 9302 SER.#XNE-001450
per the attached invoice
2/1/15 77957915 WC4250X Copy-Prntr, Ser#MAC-914780
per the attached invoice $95.70
41
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
IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$ $546.11
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
Q+. ,� �,a ") - // w
4353004 Copier
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
31691, 77957915 A.-Is'1004 0 or bill(s) is (are) true and correct and that
31297. 779557914 4-3-53004 24477 the materials or services itemized thereon
4 for which charge is made were ordered and
received except
20
Signa ure
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund