HomeMy WebLinkAbout194409 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CARMEL, INDIANA 46032 PO Box 802555 CHECK AMOUNT: $619.20
vtiohdo CHICAGO IL 60680 -2555 CHECK NUMBER: 194409
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230100 27257 113217847 619.20 BUSINESS CARD STOCK
0267 -001 'a'
C XEROX CORPORATION 305569055 113217847 01120111 Xe rOX 0
PO BOX 6 60 5 0 2 Customer No. Invoice No. Invoice Date
4-j DALLAS, TX 01/19/11
CS 75266 Purchase Order No. Date GSA Contract No.
E A915213 01/19/11 0
O Xerox Order No. Date Processed Registration No. R
Telephone 888 435 -6333 NET 30 DAYS I
Direct Billing Inquiries To: s, Special Reference No. Tax Terms of Sake G
1 4 1
Ship To Bill To 0267 -001 N
CARMEL POLICE DEPT CARMEL POLICE DEPT DL943864 A
3 CIVIC SQUARE Master Order No. L
d TIM ZELLLERS CARMEL IN
in 3 CIVIC SQUARE 46032 -7570 Bill code
V CARMEL IN
46032 -0000
CALLER:TIM ZELLERS 317 571 -2562
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S Quantity Quantity
Reorder No. Description Ordered Shipped Unit Price Amount
003R12321 PREMIUM BUSINESS CARD 20 20 30.96 619.20
INVOICE TOTAL $619.20
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UNIT PRICE REFLECTS SPECIAL DISCOUNT
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easily VIG the �!�et7.) L'S C '�nG CCi 1 t S'�'.'r' 1QIl ime and money because it
reduces costs by `timirr Li q C;Ie�is e Rd. .IIc1!!i Cntine pilling also streamlines your
payment process 'ay mini ni irny the m, Gruc. di,, cf invoices for sign -off. And it enables
control over payment pre ^sses by l inc yc_ 5cr p2vments on the ciate you choose.
Best of all, the servic^ is
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INDIANA RETAIL TAX EXEMPT PAGE
C i ty o I'; C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2M7
35- 50000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Xomit Covp6ra4lon Carmol Police Depci4ment
VENDOR SHIP 3 Civic 'Rquam
P.D. Son 6275M TO Carmol, IN
PhiladolphIA PA 10182-760 571
CONFIRMATION BLANKET CONTRACT PAYMFNTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 -9.00
9 Each businoss card stock $619.20 $610.20
Sub T ota l: 01 9.20
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Send Invoice To:
Cumol Polleo Dopadmiant
Attn: Tomse Andomon
3 Citric squam
C&MG1, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Caurmel Police Dept. PAYMENT %19.2€1
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
J VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS f HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO'PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED,
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
011co
SHIPPING LABELS. Chid 0
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE yaps i�Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO 2 7 2 5 7 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO._---
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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__
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerox Corporation
IN SUM OF
P.O. Box 827598 z
Philadelphia, PA 19182 -7598
$619.
E
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27257 113297847 42- 301.00 $619.20 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
Friday, January 28, 2011
Chief of Police
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))
01/20/11 113217847 payment for business card stock $619.20
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
2a
Clerk- Treasurer