244600 04/21/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351469
ONE CIVIC SQUARE XEROX CORP CHECKAMOUNT: $*******646.72*
CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 244600
CHICAGO IL 60673-1261 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 R4353004 31621 078836364 147.43 COPIER LEASE
1180 R4353004 32363 078839363 499.29 COPIER
it
0575-002
XEROX CORPORATION THE EASY WAY xerox `�
L� TO ORDER SUPPLIES Jk
O PO BOX 660502 CALL OUR TOLL Purchase Order Number
�+ DALLAS TX 1-800_822_2200
NUMBER
0 75266 Special Reference
VINOOOOOX-000
L Contract Number
40 Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ift" Ship To/Installed At: Bill To: _ _
Qj CITY OF CARMEL CITY OF CARMEL IIn4voce Da e
E LAW OFFICE LAW OFFICE 078839363
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
CARMEL. IN 1 CIVIC SQ 719126658
46032 CARMEL IN Customer Number
V . 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
BASE CHARGE MARCH
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 02-21-15 TO 03-25-15
BLK+CLR LEVEL 1 IMP 175975 188781 12806
COLOR LEVEL 2 IMPRESS 13419 14198 779
COLOR LEVEL 3 IMPRESS 7405 8002 597
METER CHARGES FOR IMPRESSIONS
LEVEL 1 12806
V LESS ALLOWANCE 5000
7806 - .006000- 46.-84 -
LEVEL 2 779
779 .025000 19.48
~' LEVEL 3 597
597 .075000 44.78
LESS SERVICE CREDITS 20 @ .014000 .28CR
NET IMPRESSION CHARGE 110.82
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 499.29
TOTAL 499.29
— ------=INVOICE -FOR-=-THE--PER-IODIC-PA-Y-MENT ON- YOUR XEROX AGRE-EMENT - - --- �.
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- TOTAL OF INVOICE MAY VARY ACCORDINGTOMETER USAGE BILLED
L XEROX FEDERAL IDENTIFICATION #16-0468020
0575-001
= XEROX CORPORATION TO THE EASY WAY
ORDER SUPPLIES XeroXJ
O PO BOX 660502 CALL OUR TOLL Purchase Order Number
fifth DALLAS TX 1F8R00-822-2200
tj 75266 Special Reference
VINOOOOOX-000
L Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 4k� Terms Of Payment
�I Ship To/installed At: Bill To:
0575-001 04-01-15
CITY OF CARMEL CITY OF CARMEL Invoice Date
E LAW OFFICE LAW OFFICE
p 1 CIVIC SQ ATTN ELAINE BASS 0 m
Invvoiceoice Number
CARMEL IN 1- CIVIC_ SQ 719126674
� 46032 CARMEL I N Customer Number
V 46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE MARCH
95.70
METER USAGE 12-21-14 TO 03-21-15
METER 1 45391 52197 6806
PRINT CHARGES
V METER 1 PRINTS 6806
NET BILLABLE PRI-NTS 6806 .-007600 51.73 -- -
TOTAL EXCESS PRINT CHARGES 51.73
C
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
SUB TOTAL 147.43
TOTAL 147.43
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
- _ - THIS A-GR=EEMENT iNCLUDE-S EQUIPMENT, MAINTENANCE AND SUP-PLY _CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
I — — .,- --- —-- — -- -- ------
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))
per the attached invoice
4/1/15 78839361 WC4250X Copy-Prntr, Ser*MAC-914780 $147:43
per the attached invoice
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 $
I
26152 Network Place
Chicago, Illinois 60673-1261
646.72
ON U f'tl'C IQL' Q1N 6%R
LAW DEPARTMENT 7,1180
4353004 Copier
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
31621- 78836364 4353004 $147.43 or bill(s) is (are) true and correct and that
32363 78839363 4353004 499.29 I the materials or services itemized thereon
for which charge is made were ordered and
l received except
f
I
,I
1
f
I
20
J
_ Signature
I,
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund