245656 05/20/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351469
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $*******584.23*
CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 245656
CHICAGO IL 60673-1261 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 R4353004 31621 079290995 488.53 COPIER LEASE
1180 R4353004 32363 079290996 95.70 COPIER
1067-001
XEROX CORPORATION _THE EASY wav Xer��
TQ'ORDER SUPPLIES
PO BOX 660502 CALL OUR TOLL Purchase Order Number
O FREE NUMBER
DALLAS TX 1-800-82e-2200
:i
75266 Special Reference
C3 VINOOOOOX-000
EContract Number
Telephone888-43 5-63 3 3 NET 30 DAYS
O Please Direct Inquiries To: -At- Terms Of Payment
4
Z Ship To/Installed At: Bill To:
S 1067-001 05-01-15
CITY OF CARMEL CITY OF CARMEL Invoice Date
Qj LAW OFFICE WL'.LAW OFFICE - 079290995
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
® CARMEL IN 1 CIVIC SQ 719126658
H 46032 CARMEL IN . Customer Number
46032
V
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
BASE CHARGE APRIL
- —
METER READ METER READ NET IMPRESSIONS
METER USAGE 03-25-15 TO 04-21-15
BLK+CLR LEVEL 1 IMP 188781 195940 7159
COLOR LEVEL 2 IMPRESS 14198 15135 937
COLOR LEVEL 3 IMPRESS 8002 8851 849
METER CHARGES FOR IMPRESSIONS
LEVEL 1 7159
LESS ALLOWANCE 5000
V 2159 .006000 12.95
LEVEL 2 937
j 9.37 .025000 23.43
LEVEL 3 849
849 .075000 63.68
NET IMPRESSION CHARGE 100.06
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 488.53 .
TOTAL 488.53
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT I±
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES L
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
1067-002
XEROX CORPORATION r -,THE EASY WAY
TO ORDER SUPPLIES xe rox
C PO BOX 660502 'CALL OUR FREE NUMBER
L Purchase Order Number
p DALLAS TX 1-800-822=2200
�I:r 75266 Special Reference
0 VINOOOOOX-000
EContract Number
L
Telephone888-43 5-63 3 3 NET 30 DAYS
4O Please Direct Inquiries To: -db- Terms Of Payment
Ship To/Installed At: Bill To: _ _
~ CITY OF CARMEL CITY OF CARMEL IIn5oicce Date
LAW OFFICE LAW OFFICE 079290996
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
CARMEL IN 1 CIVIC SQ 719126674
H 46.032 CARMEL IN Customer Number
46032
V
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE APRIL
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
SUB TOTAL 95.70
TOTAL 95.70
G
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
_.. .._..- _..__.. 1/111..... ..
Prescribed by State Board of Accounts ACCOU,NTS PAYABLE VOUCHERCity 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))
5/1/15 79290995 3 MTR CLRQUBE 9302 SER.#XNE-001450 $488.53
per the attached invoice
5/1/15 79290996 WC4250X Copy-Prntr, Ser#MAC-914780 $95.70
per the attached invoice
$58 _i,.
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
i
IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$ $584.23
ON 6ffqMUE' °1t6%R
LAW DEPARTMENT - 1180
4353004 Copier
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s),
31621- 679290995 4353004 $488.53 or bill(s) is (are) true and correct and that
32363 79290996 4353004 95-70 ', the materials or services itemized thereon
for which charge is made were ordered and
received except
I
{ k 20
/) i nature
I
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i