186020 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
s ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $498.18
1, CARMEL, INDIANA 46032 PO Box 802555
CHICAGO IL 60680 -2555
CHECK NUMBER: 186020
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4353004 047590670 498.18 COPIER
C XEROX CAPITAL 2047 THE EASY WAY NOT REQUIRED Xerox 4
TO ORDER SUPPLIES J'
o S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
FREE PO BOX 660502 1 800- 822 -2200
DALLAS T X Special Reference
75266 -0501 DUMOOOOOX -000
Contract Number
Telephone888 -435 -6333 NET 30 DAYS
Please Direct Inquiries To: -gk� Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 05 -01 10
4J LAW OFFICE LAW OFFICE
Invoice Date
1 CIVIC SQ 1 CIVIC SQ 047590670
4Q CARMEL IN CARMEL IN Invoice Number
46032 46032 711428953
Customer Number
U
W7655P WC 7655 COP PRITR SER.# VDR- 548166
AMOUNT
BASE CHARGE APRIL
453.76
METER READ METER READ NET COPIES
METER USAGE 03 -23 -10 TO 04 -22 10
TOTAL BLACK 160360 166149 5789
TOTAL COLOR 34030 34726 696
METER CHARGES
U TOTAL BLACK 5789
LESS PRINT ALLOWANCE 5000
�b BLACK BILLABLE PRINTS 789 .006000 4.73
C TOTAL COLOR 696
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 446 .089000 39.69
NET PRINT CHARGE 44.42
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 498.18
TOTAL 498.18
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerox Capital Services, LLC
Xerox Corporation IN SUM OF
P. O. Box 802555
Chicago, IL 60680 -2555
$498.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Law Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1180 047590670 43- 530.04 $498.18 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
Thursday, May 20, 2010
aw Department
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/20110 047590670 $498.18
1 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