182163 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352741 Page 1 of 1
r ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $148.40
CARMEL, INDIANA 46032 PO 80X 827181
o PHILADELPHIA PA 19182 -7181 CHECK NUMBER: 182163
CHECK DATE: 213/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 21594 045766394 148.40 LEASE PAYMENT
XEROX CAPITAL r4s2 THE EASY WAY
TO ORDER SUPPLIES xerox
SERVICES, L L C CALL OUR TOLL Purchase Order Number
O PO BOX 660502 1-800 822-2200
DALLAS TX Special Reference
75266 -0501 VIN00000X -000
Contract Number
Telephone8g8 435 6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
C Ship To /Installed At: Bill To:
CITY OF CARMEL 02 01
Invoice Date
CITY LAW OFF.
ELAINE BASS 045766394
Q 1 CIVIC SQUARE Invoice Number
CARMEL IN 976584607
46032 Customer Number
DC425AC DIGITAL COPIER SER.# EYC- 017353
BASE CHARGE FEBRUARY
148.40
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 148.40
G)
TOTAL 148.40
YOUR ANNUAL AGREEMENT WILL BE RENEWED ON 04 -01 -10 AT THE PRICES, TERMS
AND CONDITIONS IN EFFECT ON THAT DATE. QUESTIONS MAY BE DIRECTED
TO YOUR LOCAL XEROX DISTRICT OFFICE.
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
THIS COST PER COPY AGREEMENT RENEWS ON 03 -30 -10
AM
XEROX FEDERAL IDENTIFICATION #16- 0468020
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Xerox Corporation )/-5 Purchase Order No.
P. 0. Box 827181
Terms
Philadelphia, PA 19182 7181
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 10 045766394 DC425AC Digital Copier Ser. EYE 017353 $148.40
$148.40
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
Y ALLOWED 20
Xerox Cocporation IN SUM OF
P.O. Box 827181
Philadelphia, PA 19182 -7181
$148.40
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW 1180
430 -53004 Copier
o Board Members
Port or INVOICE NO. ACCT #,TITLE AMOUNT y certify invoice(s), certif that the attached invoices or
21594 045766394 $148.40 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
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Cost distribution ledger classification if
claim paid motor vehicle highway fund