197365 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
CHECK AMOUNT: $168.32
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 197365
CHECK DATE: 5!1112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 27326 19194076 168.32 COPIER LEASE
RICOH AMERICAS CORPORATION PAGE.; 1 of 1
ATTN. CUSTOMER SERVICE
P.O. BOX 550599 fNVOIGE NO °j 19194476
JACKSONVILLE, FL 32255 -0599 r
INVOICE DATE 04/28/2011
View your account online at CONTRAC NO 036 0026232 000
DUE C}ATE 05/18/2011
www.QDSontheweb.com IMENIMIZEMEM
Service. Made Simoie. Online.
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036- 0026232 -000 PREVIOUSLY BILLED 168.32 0.00
SIN S7514900096 PAYMENT DUE 05/18/11 168.32 0.00
RICOH COPIER INSURANCE 05/18/11 12.34 0.00
CARMEUIN 0 348.98
Model #MPC400SR
RICOH
INVOICE TOTAL 348.98 0.00 348.98
INQUIRIES A, E x
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
��7Zv �e.&"t L Terms
(o 0 6 73 '/a 1 I Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Std 1� 9
Total -3
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
IN SUM OF
1 14 VIA, y,,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9 7-;Q& 1 q/ o q0 7(, 53 �,3�L 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
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Cost distribution ledger classification if Tlt
claim paid motor vehicle highway fund