183976 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
s CHECK AMOUNT: $69.57
CARMEL, INDIANA 46032 Po eox e02555
'+ryc Eo CHICAGO IL 60680 -2555 CHECK NUMBER: 183976
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4353004 20665 046742211 69.57 COPIER LEASE
1
XEROX CAPITAL 2,122 THE EASY WAY TO D
TO ORDER SUPPLIES r A
C S E R V I C E S, L L C CALL OUR TOLL Purchase Order Number V
FREE NUMBER Q
0 PO BOX 660502 1-800 -822 -2200
DALLAS TX Special Reference
C 75266 -0501 RECEAIED
Contract Number'
CvltJ i
Q. Telephone$88- 435 -6333 PAYABLE UPON RElC:EIPT
4Z.. Please Direct Inquiries To: Terms Of Payment y�c DOCS a
Ship To /Installed At: Bill To:
COMMUNITY SERVICES COMMUNITY SERVICES
1 CIVIC SQ 1 CIVIC SQ
Y� Ih Voibe�Date
CARMEL IN CARMEL IN 046742211
a 46032 46032 Invoice Number
714707718
Customer Number
V
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE- 235137
AMOUNT
METER READ METER READ NET IMPRESSIONS
METER USAGE 01 -27 10 TO 02 -23 -10
BLK +CLR LEVEL 1 IMP 106 4212 4106
COLOR LEVEL 2 IMPRESS 8 1335 1327
COLOR LEVEL 3 IMPRESS 97 1464 1367
METER CHARGES FOR IMPRESSIONS
LEVEL 1 4106
q� 4106 .003400 13.96
LEVEL 2 1327
Q 1327 .011000 14.60
::b LEVEL 3 1367
1367 .030000 41.01
ti
NET IMPRESSION CHARGE 69.57
MARCH
OFFICE FINISHER PROD /MKT CD CQOFCFIN INCL
SUB TOTAL 69.57
TOTAL 69.57
"'ALLOWANCE PRORATED FOR 027 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDI -NG TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
Al� .ti
With ,"e'O 5 O" Imo. ..lil 'i'.'I'_ /oU i� I r l'� �Qi;e pa��men'iS GUICI<11�1 and
easily vi0 I l s a C,,51 O.!l' co�lvc! "1'_ Vv0v1 CO SCNe Jml- and money because it
reduces costs }Jv cheC!( ailu C! �itlin also s your
payment process by mcn.acl dist outicn of Ovoices For sign -off and it enables
con1Lrcl over paymen'L iDV I` in ;I yo. ec.ule ocy 1en-s on the date you choose.
6es of all, -he service is
Xerox Federal Identification 1+16- 0468020
VOUCHER NO. WARRANT NO.
i
ALLOWED 20
Xerox
IN SUM OF
P.O. Box 802555
Chicago, IL 60680 -2555
$69.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
j
PO #!Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
20665 046742211 43- 530.04 $69.57 I
i I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
I
materials or services itemized thereon for
I
I which charge is made were ordered and
received except
1
Thursday, Marcr 25, 2010
Vector, DO
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts /laity 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/13/10 046742211 Meter reads $69.57
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