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HomeMy WebLinkAbout255337 02/09/16 G ,F• - CITY OF CARMEL, INDIANA VENDOR: 00351469 ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $********29.61* 4 CARMEL, INDIANA 46032 26152 NETWORK PLACE CHECK NUMBER: 255337 CHICAGO IL 60673-1261 CHECK DATE: 02/09/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 083325618 14.80 OTHER EXPENSES 651 5023990 083325618 14.81 OTHER EXPENSES VOUCHER # 157126 WARRANT# ALLOWED 343004 IN SUM OF $ XEROX CORP 26152 Network Place CHICAGO, IL 60673 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 83325618 01-7360-07 $14.81 Voucher Total $14.81 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 343004 XEROX CORP Purchase Order No. 26152 Network Place Terms CHICAGO, IL 60673 Due Date 2/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/2/2016 83325618 $14.81 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer I I.-I XEROX CORPORATION THE EASY WAY TO ORDER SUPPLIES SIGNED XOA Xerox '� �j� PO BOX 660502 CALL OUR TOLL Purchase Order Number DALLAS TX 1-800-822-2200 NUMBER (S 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: 1103-001 02-02-16 CITY OF CARMEL CITY OF CARMEL Invoice Date UTILITIES UTILITIES 083325618 O CUSTOMER SERVICE 30 W MAIN ST STE 220 Invoice Number 44 30 W MAIN ST STE 220 CARMEL IN 718692031 3 CARMEL IN 46032 Customer Number V 46032 W7970P W7970 PRINTER SER.# BOW-593366 AMOUNT METER READ METER READ NET COPIES METER USAGE 12-23-15 TO 01-26-16 TOTAL BLACK 20 2974 2954 TOTAL COLOR 10 1332 1322 METER CHARGES TOTAL BLACK 2954 O LESS PRINT ALLOWANCE 3400 •V BLACK BILLABLE PRINTS 0 .002100 .00 TOTAL COLOR 1322 C COLOR BILLABLE PRINTS 1322 .022400 29.61 �+ NET PRINT CHARGE 29.61 BR FINISHR 2/3HOLE SER.# BRFIN INCL 1 LINE FAX SER.# LINEIFAX INCL SUB TOTAL 29.61 TOTAL 29.61 ALLOWANCE PRORATED FOR 034 DAYS INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY . CHARGES C TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED XEROX FEDERAL IDENTIFICATION #16-0468020 PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When PaVIng BY Mall Ship To/installed At Bill To Send Payment To: CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION UTILITIES UTILITIES 26152 NETWORK PLACE CUSTOMER SERVICE 30 W MAIN ST STE 220 CHICAGO, IL 30 W MAIN ST STE 220 CARMEL IN 60673-1261 CARMEL IN 46032 C 46032 E1 F-1location check here if your 'Bill To" address or "Ship To/Installed At" O location has changed and complete reverse side. lnvoiceAmount CL PLEASE PAY 08-703-3320 4 718692031 083325618 02-02-16 THIS AMOUNT $29.61 RRO03541 C 010116 MDW00 03 6M4C 0015 K V7330 2TC5 2 F15 202100008070060 0833256180 0300029617 271869203174 VOUCHER # 154224 WARRANT # ALLOWED 350598 IN SUM OF $ XEROX CORP J 6 CHICAGO, IL 606W -3 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 83325618 01-6360-07 $14.80 I �I Voucher Total $14.80 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350598 XEROX CORP Purchase Order No. PO BOX 802555 Terms CHICAGO, IL 60680 Due Date 2/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/2/2016 83325618 $14.80 I hereby certify that the attached invoice(s), or bill(s) is(are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer