183515 03/16/2010 e CITY OF CARMEL, INDIANA VENDOR 00351469 Page 1 of 'I
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $1,364.90
CARMEL, INDIANA 46032 PO BOX 802555
CHICAGO IL 60680 -2555 CHECK NUMBER: 183515
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4230200 046324801 274.98 OFFICE SUPPLIES
1180 4353004 046600701 533.77 COPIER
601 5023990 46324826 347.59 OTHER EXPENSES
651 5023990 46324826 208.56 OTHER EXPENSES
THE EASY WAY xe ox T
p XEROX CAPITAL 2Z53 TO ORDER SUPPLIES
510994
p S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 t- 600 -822 -2200
DALLAS TX Special Reference
E 75266 -0501
t— Contract Number
0 Telephone 888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
I"" Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 03-01-10
Q.1 Invoice Date
E WATER AND SEWER WATER AND SEWER
UTILITY UTILITY 046324826
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 MARCH
476.84
METER READ METER READ NET COPIES
METER USAGE 01 -22 -10 TO 02 -22 -10
TOTAL BLACK 230905 232493 1588
TOTAL COLOR 40820 41854 1034
METER CHARGES
V TOTAL BLACK 1588
'o BLACK BILLABLE PRINTS 1588 .006000 9.53
0 TOTAL COLOR 1034
C LESS PRINT ALLOWANCE 250
I mo+ COLOR BILLABLE PRINTS 784 .089000 69.78
NET PRINT CHARGE 79.31
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 556.15
TOTAL 556.15
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 NUMBERIS) ON YOUR CHECK. When Paying BV 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
CARMEL IN CARMEL IN
46032 46032
Please check here if your "Bill To" address or "Ship To /Installed At"
location has changed and complete reverse side. InvoiceAmount
PLEASE PAY
16 -046 -8020 1 713281426 046324826 03 -01 -10 THIS AMOUNT X5;56..1
RF065696 C 0715080 PVR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0463248265 0300556159 271328142622
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 315/2010
I nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2010 46324826 $347.59
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- 1 -1 10 -1.6
X7 /Z//, �C 1 e
Date Officer
VOUCHER 101007 WARRANT ALLOWED
350598 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1 Board members
PO INV ACCT AMOUNT Audit Trail Code
46324826 01- 6360 -07 $347.59
I
Voucher Total $347.59
Cost distribution ledger classification if
claim paid under vehicle highway fund
XEROX CAPITAL 2253 THE EASY WAY 510994 xerox
TO ORDER SUPPLIES I"
S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
FREE NUM
PO BOX 660502 1-800 822_2200
CS DALLAS TX Special Reference
E 75266 -0501
L Contract Number
Telephone888 -435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 4 k� Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 03 01 10
WATER AND SEWER WATER AND SEWER
Invoice Date
UTILITY UTILITY 046324826
4.1 760 3RD AVE SW 760 3RD AVE SW Invoice Number
IA CARMEL IN CARMEL IN 713281426
V
46032 46032 Customer Number
W7655P WC 7655 COP —PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE MARCH
476.84
METER READ METER READ NET COPIES
METER USAGE 01 -22 -10 TO 02 -22 -10
TOTAL BLACK 230905 232493 1588
TOTAL COLOR 40820 41854 1034 rr
METER CHARGES `71
U TOTAL BLACK 1588
BLACK BILLABLE PRINTS 1588 .006000 9.53
TOTAL COLOR 1034
C LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 784 .089000 69.78
NET PRINT CHARGE 79.31
SINGLE LINE FAX KT SER.# FAXLINEI INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRLl INCL
SER.# TXC- 999999 INCL
SUB TOTAL 556.15
TOTAL 556.15
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCOR -DI -NG TO METER U -SAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
....ells
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.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 3/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)), Amount
3!5/2010 46324826 $208.56
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
"VOUCHER 105020 WARRANT ALLOWED
343004 IN SUM OF.$
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
46324826 01- 7360 -07 $208.56
1 X
Voucher Total $208.56
Cost distribution ledger classification if
claim paid under vehicle highway fund
THE EASY WAY
XEROX CAPITAL 0056 TO ORDER SUPPLIES NOT REQUIRED xerox
d l *'�RVICES, LLC CALL OUR TOLL Purchase Order Number
PO BOX 660502 t F soo- 8 H ZZ B Z o0
DALLAS TX Special Reference
75266 -0501 DUMOOOOOX -000
Contract Number
Q Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 03 02 10
Q
LAW OFFICE LAW OFFICE Invoice Date
1 CIVIC SQ 1 CIVIC SQ 046600701
CARMEL IN CARMEL IN Invoice Number
�V1 46032 46032 711428953
Customer Number
V
W7655P WC 7655 COP PRITR SER.# VDR- 548166
BASE CHARGE FEBRUARY
453.76
METER READ METER READ NET COPIES
METER USAGE 01 -22 -10 TO 02 -23 -10
TOTAL BLACK 150332 155313 4981
TOTAL COLOR 31782 32931 1149
METER CHARGES
U TOTAL BLACK 4981
LESS PRINT ALLOWANCE 5000
y BLACK BILLABLE PRINTS 0 .006000 .00
TOTAL COLOR 1149
ti LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 899 .089000 80.01
NET PRINT CHARGE 80.01
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
OZOS940 uU11aUIjI4UUpj JUaapo,' xoaUX
IN DIANA RETAIL TAX EXEMPT PAGE
Cl of Carmel CERTIFICATE NO. 003120155 002 0 la• PURCHASE ORDER NUMBER
r;-
FEDERAL EXCISE TAX EXEMPT
kAU 35- 60000972 1 l
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR '�Z Cr SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY KNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
wc' 76
4i p
�n R
Sent! Invoice TO: i
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Y PAYMENT ��3-
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCT I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
7 j CLERK TREASURER
bN& ENT CONTROL NO. .P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.__- WARRANT
ALLOWED 20
IN THE SUM OF
OrI OUNT OF APPROPRIATION FOR A
y
Board Members
PO# or INVOICE NO. ACCT /TITL,E AMOUNT
i hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
O.J3. materials or services itemized thereon for
which charge is made were ordered and
received except
fS 20
nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
C
XEROX CAPITAL p g 1 g THE EASY WAY X e rox
TO ORDER SUPPLIES J
O
SERVIC LL C CALL OUR TOLL Purchase Order Number
FREE PO 'BOX 660502 1- 800 822 -2200
D&,- J TX Special Reference
75266 -0501 VINOOOOOX -000
L Contract Number
�O Telephon e 8 8 8 4 3 5 6 3 3 3 NET 30 DAYS
Please Direct Inquiries To: 4k� Terms Of Payment
Ship To /Installed At: Bill To:
L CARMEL CITY COURT 03 -01 -10
Q) ONE CIVIC SQUARE Invoice Date
CARMEL IN 046324801
46032 Invoice Number
305567166
V Customer Number
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE FEBRUARY
274.98
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
V
TOTAL 274.98
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
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.
Payee
Purchase Order No.
Terms
��gd 01 SS s Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 n pl a bo a7
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.
ALLOWED 20
IN SUM OF
a
ON ACCOUNT OF APPROPRIATION FOR
�-0412]
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
20 Q
ure
Cost distribution ledger classification if Tit
claim paid motor vehicle highway fund