182611 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CARMEL, INDIANA 46032 PO BOX 802555 CHECK AMOUNT: $622.72
CHICAGO IL 60680 -2555 CHECK NUMBER: 182611
CHECK DATE: 2117/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 045766355 274.98 COPIER
601 5023990 45766392 347.74 OTHER EXPENSES
XEROX CAPITAL 1494 THE EASY WAY 510994
Q TO ORDER SUPPLIES xerox
SERVICES, LLC
CALL OUR TOLL Purchase Order Number J
FREE NUMBER
O PO BOX 660502 1 -800- 822 -2200
DALLAS TX Special Reference
75266 -0501
Contract Number
Telephone888- 435 -6333 PAYABLE UPON RECEIPT
4Z Please Direct Inquiries To: 1w Terms Of Payment
Q Ship To /Installed At: Bill To:
H
L CITY OF CARMEL CITY OF CARMEL 02 -01 -10
O WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 045766392
Q 760 3RD AVE SW 760 3RD AVE SW Invoice Number
CARMEL IN CARMEL IN 713281426
H
Q 46032 46032 Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMrOUN T
BASE CHARGE FEBRUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 12 -22 -09 TO 01 -22 -10
TOTAL BLACK 229441 230905 1464
TOTAL COLOR 39775 40820 1045
METER CHARGES
QJ TOTAL BLACK 1464
.0 BLACK BILLABLE PRINTS 1464 .006000 8.78 13
TOTAL COLOR 1045
C LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 795 .089000 70.76
NET PRINT CHARGE 79.54
SINGLE LINE FAX KT SER.# FAXLINEI INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRLI INCL
SER.# TXC- 999999 INCL
SUB TOTAL 556.38
TOTAL 556.38
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
TH- IS-- AGREE-MEN -T- INGL-UDE -S EQUIP MEN -T MA- I- NTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
P
VOUCHER 094347 WARRANT ALLOWED
350598 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
45766392 01- 6360 -07 $347.74
Voucher Total $347.74
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts I 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 2/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2010 45766392 $347.74
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
XEROX CAPITAL 0903 THE EASY WAY
TO ORDER SUPPLIES xe rox
C S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
O P.0 BOX 660502 1-800 822-2200
DALLAS TX Special Reference
O 75266 -0501 VINOOOOOX -000
Contract Number
C
Telephone 888- 435 -6333 NET 30 DAYS
4� Please Direct Inquiries To: 4k� Terms Of Payment
Ship To /Installed At: Bill To:
CARMEL CITY COURT 02 -01 -10
Q) ONE CIVIC SQUARE Invoice Date
CARMEL IN 045766355
O 46032 Invoice Number
305567166
Customer Number
V
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE JANUARY
274.98
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
Q!
U
p TOTAL 274.98
O
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
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.
Payyee��
Purchase Order No.
0. Terms
�6ffO `�S� S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I 0 a s za.. Y55 7 y4
Total 4
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.
ALLOWED 20
IN SUM OF
Z oe
L/
9F
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
'e 20
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund