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188993 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 361261 Page 1 of 1 ONE CIVIC SQUARE SHARP ELECTRONICS CORP CHECK AMOUNT: $144.26 CARMEL, INDIANA 46032 DEPT CH 14288 PALATINE IL 60055 -4288 CHECK NUMBER: 188993 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4353004 C735943 -561 144.26 COPIER Page 2 of 2 SHARP INVOICE INVOICE NUMBER INVOICE DATE ORDER NUMBER CUSTOMER PO NUMBER C735943 -561 7/28/2010 423806 PLEASE DIRECT INQUIRIES TO: 317 -844 -0033 PAYMENT TERMS TAX ID DUNS NUMBER NO RETURNS WILL BE SHARP BUSINESS SYSTEMS NET I0 13- 1968872 00 -181 -8012 ACCEPTED WITHOUT PRIOR 7330 EAST 86th ST., SUITE 900 INDIANAPOLIS, IN 46256 WRITTEN AUTHORIZATION 4 SOLD TO: 5610003571 SHIP TO: 5610003571 CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SERVICS ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL. IN 46032 CARMEL, IN 46032 ORD SHIP B.O. UIM ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT 1 1 0 EA MX230ON SHARP 23 CPM COLOR MFP 89.88 89.88 MACHINE ID: 5610007641 SERIAL: 75070278 FIRST FLOOR USAGE BILLING COLOR CURRENT METER READING 07/27/2010 8 PRIOR METER READING 04/22/2010 7,638 TOTAL COPIES 822 COPIES INCLUDED IN BASE CHARGE 1,000 TOTAL COPIES 0 1 1 0 COLOR 822 COPIES 0.000000 0.00 0.00 SUBTOTAL 144.26 FREIGHT 0.00 SALES TAX 0.00 TOTAL AMOUNT 14 4.26 4 Page 1 of 2 INVOICE SHARP INVOICE NUMBER INVOICE DATE O CUSTOMER PO NUMBER C735943 -561 7/28 /2010 423806 PLEASE DIRECT INQUIRIES TO: 317-844-0033 PAYMENTTERMS 1 TAX ID DUNS NUMBER NO RETURNS WILL BE SHARP BUSINESS SYSTEMS 7330 EAST 86th ST., SUITE 904 NET 10 13- 1968872 00- 181 -8012 ACCEPTED WITHOUT PRIOR INDIANAPOLIS, IN 46256 WRITTEN AUTHORIZATION SOLD TO 5610003571 SHIP TO: 5610003571 CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SERVICS ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL. IN 46032 CARMEL, IN 46032 ORD SHIP B.O. U/M ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT MAINTENANCE CONTRACT NO. 4056 BASE BILLING PERIOD FROM 7/25/2010 THROUGH 10/24/2010 1 1 0 EA MX230ON SHARP 23 CPM COLOR MFP 54.38 54.38 MACHINE ID: 5610007641 SERIAL: 75070278 FIRST FLOOR RECEIVED USAGE BILLING "BLACK DOGS CURRENT METER READING 07/27/2010 71,162 PRIOR METER READING 04/22/2010 67,244 TOTAL COPIES 3,918 COPIES INCLUDED IN BASE CHARGE 5,000 TOTAL COPIES 0 1 1 0 BLACK 3,918 COPIES c@i 0.000000 0.00 0.00 BASE BILLING PERIOD FROM 7/25/2010 THROUGH 10/24/2010 Thank You For Your Business DETACH AND RETURN WITH PAYMENT FOR YOUR CONVENIENCE WE ACCEPT VISA, MASTERCARD AND AMERICAN EXPRESS SHARP, PLEASE CALL 317 -844 -0033 INVOICE DATE INVOICE NUMBER 7/28/2010 C735943 -561 PLEASE PAY THIS AMOUNT CONTINUED Sold To: 5610003571 Mail Remittance To: CITY OF CARMEL- DEPT OF COMMUNITY SERVICS SHARI' ELECTRONICS CORPORATION ONE CIVIC SQUARE DBA SHARP BUSINESS SYSTEMS CARMEL, IN 46032 DEPT. CH 14288 PALATINE, IL 60055 -4288 VOUCHER NO. WARRANT NO. ALLOWED 20 Sharp Electronics Corporation Sharp Business Systems IN SUM OF Dept. Ch 14288. Palatine, IL 60055 -4288 $144.26 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1192 0735943 -561 43- 530.04 $144.26 1 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 Friday, August 13, 2010 hector, 6cs 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 �s 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)) 07/28/10 C735943 -561 Rental BCE $144.26 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