191413 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352741 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $152.13
CARMEL, INDIANA 46032 PO BOX 827181
PHILADELPHIA PA 19182 -7181 CHECK NUMBER: 191413
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 050787584 152.13 COPIER
VOUCHER NO. WARRANT NO,
ALLOWED 20
Xerox Corporation
IN SUM OF
P. O. Box 827181
Philadelphia, 19182 -7181 PA
$152.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Law Deferral
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
209 050787584 I 43- 530.04 I $152.13 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
Monday, October 25, 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. 1 995)
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))
10/25/10 050787584 $152.13
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