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250400 10/07/15
`�..�,A,'. CITY OF CARMEL, INDIANA VENDOR: 359284 t, •i: ® d•_ ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CHECK AMOUNT: $'*"'`""'93.74* ?� CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK NUMBER: 250400 ,,,�roN.�`• CHICAGO IL 60623-1211 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4353004 5037939686 93.74 COPIER Ricoh USA,Inc INVOICE RICO Attn:Customer Administration 70 Valley Stream Parkway Malvern PA US 19355 Federal ID:23-0334400 '" 13 DUNS#04-396-4519 01000 Page 1 of 2 0 Return Service Requested CITY OF CARMEL Invoice Number Invoice Date Attn: Accounts Payable 5037939686 09/14/2015 1 CIVIC SQUARE,CARMEL CITY COURT Seq#:000060 Terms Due Date CARMEL IN 46032 10 NET 09/24/2015 Customer Number Purchase Order Number Mi 13667902 976762 We appreciate your business. 111111,iill11111111111"1For any questions,please call 1-888-456-6457 or visit our website www.ricoh-usa.com to order additional products,supplies,services or to submit meter reads For details on Ricoh's EPEAT and environmental initiatives,visit www.ricoh-usa.com/environment.Ricoh has posted to its website take back,recycling,paper content,reporting and.design information for its imaging equipmin ent/Toner Containers/packaging to meet EPEAT criteria.None of the returned material goes to landfill or incineration. Contract Billing Summary Amount Sales Tax Total` Contract Number 2946048 Number of Equipment 1 Black and White 06/16/2015 to 09/15/2015 Additional Images 4552 @ 0.019247 87.61 6.13 93.74 Color 06/16/2015 to 09/15/2015 Total 87.61 6.13 93.74 Regular Bill Amount Due 93.74 CITY OF CARMEL Detach and Return This Portion With Your Payment or Pay Online at www.ricoh-usa.com 1 CIVIC SQUARE,CARMEL CITY COURT To ensure proper credit to your account,please write your customer and invoice number on your check CARMEL IN 46032 Make check payable and remit to: Customer No: 13667902 Ricoh USA, Inc Invoice Number 5037939686 P.O.Box 802815 CHICAGO IL 60680-2815 [Amo� ntDue: 93.74 Thank you lot choosing Ricoh USA,Inc. 00 0050379396866 00136679024 00000093740 000000000 000000000 Ricoh USA,Inc INVOICE Attn:Customer Administration 70 Valley Stream Parkway RICOH Malvern PA US 19355 Page 2 of 2 12000 Invoice Number Invoice Date 5037939686 09/14/2015 Purchase Order Number Contract Number 976762 2946048 Customer Name CITY OF CARMEL Equipment Location Equipment Detail Billing Details Amount Sales Total Service Offering Tax CITY OF CARMEL RICOH 1 CIVIC SQUARE,CARMEL CITY MPC400SR Black and White COURT EID 12939357 Current Read 178361 09/15/2015 CARMEL IN 46032 MFG S7514900096 Previous Read 168809 06/16/2015 2ND FL S/N S7514900096 Total Images 9552 Allowance 5000 Additional Images __ ------4552 _@ ___0.019247 _ --- - — 87.61 6.13 93.74 Color Current Read 20 09/15/2015 Previous Read 20 06/16/2015 Total Images 0 Allowance 0 Additional Images 0 @ 0.126444 0.00 0.00 0.00 Total 87.61 1 6.13 93.74 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.207(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 co `� Purchase Order No. 4� Terms 6 O( �'C) Date Due Invoice Invoice Description Amount D to Number (or note attached invoice(s) or bill(s)) 3- Total V 3--7 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 20Clerk-Treasurer VOUCHER NO. WARRANT NO. r C— ALLOWED 20 C-C) /" IN SUM OF $ D � oaS/Sr � ic- A-Go --C7 L L©� � $ 9 -3- -74 ON ACCOUNT OF APPROPRIATION FOR C Twj-,� Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20` S' ature Cost distribution ledger classification if e claim paid motor vehicle highway fund