HomeMy WebLinkAbout193985 01/19/2011 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: 193985
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 R4353004 27589 052386844 152.13 COPIER FEES
2462 -001
THE EASY WAY Xerox 65Z4
XEROX CORPORATION TO Imo' Y
C ORDER SUPPLIES
PO BOX 660502 CALL OUR TOLL Purchase Order Number
O FREE NUMBER
DALLAS TX 1 -800-822 -2200
75266 -0501 special Reference
VINOOOOOX -000
L Contract Number
4 Telephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: dk� Terms Of Payment
Ship To /Installed At: Rill To:
2462 -001 01
L
CITY OF CARMEL Invoice Date
C I T Y LAW OFF. 052386844
C ELAINE BASS Invoice Number
4w 1 CIVIC SQUARE 976584607
CARMEL IN Customer Number
V 46032
DC425AC DIGITAL COPIER SER.# EYC- 017353
AMOUNT
BASE CHARGE JANUARY
152.13
METER USAGE 09 -28 -10 TO 12 -27 -10
METER 1 167028 169236 2208
PRINT CHARGES
U METER 1 PRINTS 2208
•O LESS ALLOWANCE 12000
NET BILLABLE PRINTS 0 .018300 .00
TOTAL EXCESS PRINT CHARGES .00
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 152.13
TOTAL 152.13
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND S UPPLY CHARGES
THIS COS T PER COPY AGREEMENT RENEWS O 03= 3 =1i
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 3995)
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))
1 -12 -11 052386844 DC425AC Digital Copier Ser. EYE 017353 $152.13
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.
ALLOWED 20
Xerox Corporation IN SUM OF
P.O. Box 827181
Philadelphia, PA 19182 -7181
$152.18
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND 209
430 -53004 Copier
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
27589 052386844 $152.13 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.
20
Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund