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CITY OF CARMEL, INDIANA VENDOR: 00352741 $o2Sc�5
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: S*******321.68CARMEL, INDIANA 46032 Po Box.&Rwp —' CHECK NUMBER: 319904
�p(�p CHECK DATE: 12/21/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER- AMOUNT DESCRIPTION
601 5023990 0913926001 , 321.68 OTHER EXPENSES
VOUCHER NO. 173595 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 00352741 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
XEROX CORPORATION CITY OF CARMEL
PO BOX 802555 An invoice or bill to be properly itemized must show: kind of service,where performed,
CHICAGO, IL 60680-2555 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
321.68 00352741 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR XEROX CORPORATION Terms
Carmel Water Utility PO BOX 802555 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s),
CHICAGO, IL 60680-2555
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
091392600 01-6360-06 $321.68 and received except 12/6/2017 091392600 $321.68
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
Cost distribution ledger-classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
0817-001
XEROX CORPORATION TO ORDER SUPPLIES SIGNED XOA Xerox
O PO BOX 660502 CALL OUR TOLL Purchase Order Number
4a DALLAS TX
FREE ER
75266 Special Reference
VIN00000X-000
>� Contract Number
%17.. Telephone888-435-6333 NET 30 DAYS
1z Please Direct Inquiries To: - Terms Of Payment
11-4 Ship To/Installed At: Bill To:
L 0817-001 12-01-17
Qj CARMEL WATER CARMEL WATER Invoice Date
DISTRIBUTION UTILITIES 091392600
Q 3450 W 131ST ST 30 W MAIN ST STE 220 Invoice Number
Oma WESTFIELD IN CARMEL IN 722538139
46074 46032 Customer Number
V "
W7855PT W7855PT TANDEM SER.# MX4-768868
----- ---- ----- - - - - - - - —AMOUNT—
BASE
AMOUNT—BASE CHARGE NOVEMBER
290.89
METER READ METER READ NET COPIES
METER USAGE 10-21-17 TO 11-21-17,
TOTAL BLACK 37869 39894 2025
V TOTAL COLOR 35927 37410 1483
METER CHARGES
TOTAL BLACK 2025
BLACK BILLABLE PRINTS 2025 .005900 11.95
TOTAL COLOR 1483
LESS PRINT -ALLOWANCE 1000
COLOR BILLABLE PRINTS 483 .039000 18.84
NET PRINT CHARGE 30.79
1 LINE FAX SER.# LINEIFAX INCL In
OFC FINISHER LX SER.# OFCFINRLX INCL✓
SUB TOTAL 321.68
TOTAL 321.68
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
--_------- -THIS A-GREE-ME-NT—I-N£L-UDES-EQUIP-ME-N-T-, --MA-I-N TENA-NC-E-A-ND SUP0L--Y--C-HARGES--B
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020