181443 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
k' CARMEL, INDIANA 46032 PO BOX 802555 CHECK AMOUNT: $581.88
CHICAGO IL 60680 -2555
CHECK NUMBER: 181443
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 045174151 363.68 OTHER EXPENSES
651 5023990 045174151 218.20 OTHER EXPENSES
THE EASY WAY x erox)
C XEROX CAPITAL 0654 TO ORDER SUPPLIES S10994 y
U
SERVICES, L L C CALL OUR TOLL
FREE NUMBER Purchase Order Number
PO BOX 660502 1 soo B22 2200
('j DALLAS TX Special Reference
E 75266 -0501
Contract Number
4 Telephone888- 435 -6333 PAYABLE UPON RECEIPT
C Please Direct Inquiries To: Terms Of Payment
F Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 01 -01 -10
E WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 045174151
.4 760 3RD AVE SW 760 3RD AVE SW Invoice Number
CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP —PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JANUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 11 -23 -09 TO 12 -22 -09
TOTAL BLACK 228029 229441 1412 S
TOTAL COLOR 38440 39775 1335 L METER CHARGES n
W TOTAL BLACK 1412
'0 BLACK BILLABLE PRINTS 1412 .006000 8.47
TOTAL COLOR 1335
C LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 1085 .089000 96.57
NET PRINT CHARGE 105.04
SINGLE LINE FAX KT SER.# FAXLINE1 INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL1 INCL
SER.# TXC- 999999 INCL
SUB TOTAL 581.88
TOTAL 581.88
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
VOUCHER 094052 WARRANT ALLOWED
350598 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel W a to r Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
45174151 01- 6360 -07 $363.68
6,
Voucher Total $363.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
,t
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 1/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/8/2010 45174151 $363.68
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I ha ve a udited same in accordance with IC 5- 11- 10 -1.6
del,
Date Officer
XEROX CAPITAL 0654 THE EASY WAY S10994 xerox
C TO ORDER SUPPLIES
S E R V I C E S L L C CALL Purchase Order Number
Z: PO BOX 660502 1 -800 -822 -2200
0 DALLAS TX Special Reference
E 75266 -0501
Contract Number
O Teiephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 01 -01 -10
EU' WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 04517415/
a 760 3RD AVE SW 760 3RD AVE SW Invoice Number
un CARMEL IN CARMEL IN 713281426
LJ 46032 46032 Customer Number
W7655P WC 7655 COP -PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JANUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 11 -23 -09 TO 12 -22 -09
TOTAL BLACK 228029 229441 1412
TOTAL COLOR 38440 39775 1335 /0
METER CHARGES
CIJ V TOTAL BLACK 1412 0
`o BLACK BILLABLE PRINTS 1412 .006000 8.47
TOTAL COLOR 1335
C LESS PRINT ALLOWANCE 250
I COLOR BILLABLE PRINTS 1085 .089000 96.57
NET PRINT CHARGE 105.04
SINGLE LINE FAX KT SER.# FAXLINE1 INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL1 INCL
SER.# TXC- 999999 INCL
SUB TOTAL 581.88
TOTAL 581.88
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
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(SI ON YOUR CHECK. When Paying By Mail
Ship To /Installed At Bill To Send Payment To:
CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION
WATER AND SEWER WATER AND SEWER P.O. BOX 802555
UTILITY UTILITY CHICAGO IL
760 3RD AVE SW 760 3RD AVE SW 60680 -2555
4. CARMEL IN CARMEL IN
Q.) 46032 46032
Please check here if your "Bill To" address or "Ship To /Installed At"
CS location has changed and complete reverse side. Invoice Amount
O. PLEASE PAY
16- 046 -8020 1 713281426 045174151 01 -01 -10 THIS AMOUNT $5;81 8.8
RF069458 C 0715080 PVR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0451741512 0300581889 271328142626
VOUCHER 097096 WARRANT ALLOWED
343004 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
45174151 01- 7360 -07 $218.20
P
Voucher Total $218.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) i
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.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 1/6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/6/2010 45174151 $218.20
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
du
Date Officer