183516 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 00352741 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
i
CARMEL, INDIANA 46032 PO BOX 827181 CHECK AMOUNT: $148.40
•c PHILADELPHIA PA 19182 -7181 CHECK NUMBER: 183516
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4353004 21594 046324830 148.40 LEASE PAYMENT
t� EROX CAPITAL p p 5 p THE EASY WAY X e rox Az t
TO ORDER SUPPLIES J
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SERVICES, LL C CALL OUR TOLL Purchase Order Number
PO BOX 660502 iFREE N
Cj DALLAS TX Special Reference
F 75266 -0501 VINOOOOOX -000
L Contract Number
Telephone8 8 8-43 5 -63 3 3 PAYABLE UPON RECEIPT
e Please Direct Inquiries To: Terms Of Payment
hp Ship To /Installed At: Bill To:
L CITY OF CARMEL 03 01 10
a
CITY LAW OFF. Invoice Date
ELAINE BASS 046324830
0 1 C I V I C SQUARE Invoice Number
CARMEL IN 976584607
V 46032 Customer Number
DC425AC DIGITAL COPIER SER.# EYC- 017353
AMOUNT
BASE CHARGE MARCH
148.40
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
aJ SUB TOTAL 148.40
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TOTAL 148.40
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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.
Payee
Xerox Corporation
Purchase Order No.
P. O. Box 827181
Terms
Philadelphia, PA 19182 -7181
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -12 -10 046324830 DC425AC Digital Copier Ser. EYE 017353 $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.
1 I
ALLOWED 20
Xerox Corporation IN SUM OF
P.O. Box 827181
Philadelphia, PA 19182 -718
$148.40
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND 209
430 -53004 Copier
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21594 046324830 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
l� 20 l D
Sgnature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund