252848 12/15/15 i CAA
^� "' CITY OF CARMEL, INDIANA VENDOR: 00351469
® i; ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $**.....536.68*
CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 252848
9�lf�N.G�.2 CHICAGO IL 60673-1261 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 32363 82315875 440.98 COPIER
209 R4353004 31621 82315876 95.70 COPIER LEASE
1475-001 -�:)I W
XEROXHE EASY WAY xerox
EROX CORPORATION �
TO ORDER SUPPLIES ®✓'
PO BOX 660502 CALL OUR TOLL Purchase Order Number
•� DALLAS TX 1-800-822B 200
0 75266 Special Reference
E VINOOOOOX-000
L Contract Number
O Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ship To/Installed At: Bill To: 1
1475-001 2-01-15
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 082315876
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
CARMEL IN 1 CIVIC SQ 719126674
46032 CARMEL IN Customer Number
V 46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
AMOUNT
BASE CHARGE NOVEMBER
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIW INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
V SUB TOTAL 95.70
O
G
TOTAL 95.70
H
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020 ;47_-
1475-002
C XEROX CORPORATION THE EASY WAV xerox .D
TO ORDER SUPPLIES ®J'
PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1-800-822-2200
75266
Special Reference
VINOOOOOX-000
L Contract Number
4z. Please
NET 30 DAYS
Please Direct Inquiries To: s Terms Of Payment
Ship To/Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL i�oicce Date
v LAW OFFICE LAW OFFICE
082315875
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
4.1 CARMEL IN 1 CIVIC SQ 719126658
46032 CARMEL IN Customer Number
V 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
-- BAS.E--CHAR-G.E___ NOVEMBER
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 10-21-15 TO 11-21-15
BLK+CLR LEVEL 1 IMP 244734 251019 6285
COLOR LEVEL 2 IMPRESS 20836 21662 826
COLOR LEVEL 3 IMPRESS 12898 13220 322
METER CHARGES FOR IMPRESSIONS
LEVEL 1 6285
Q) LESS ALLOWANCE 5000
•V 1285 .006000 7.71
LEVEL 2 826
C 826 .025000 20.65
�+ LEVEL 3 322
322 .075000 24.15
NET IMPRESSION CHARGE 52.51
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 440.98
TOTAL 440.98
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))
12/1/15 82,1158 Cl RQ1JRF 9302, SFR # XNF-001450 $440-98
per the attached invoice
12/1/15 82315876 WC4250X Copy-Prntr, Ser#MAC-914780 $95.70a
per the attached invoice
53i^6.68
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 Corporation IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$ $533.62
ON f' 46�R
LAW DEPARTMENT - 1180
4353004 Copier
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
32363- 82315875 4353004 $440.98 or bill(s) is (are) true and correct and that
31621- 82315876 4353004 $95.70 the materials or services itemized thereon
for which charge is made were ordered and
received except
20 L�3
natu
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund