198251 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
l CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK AMOUNT: $168.32
CHICAGO IL 60673 -1211 CHECK NUMBER: 198251
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 27326 168.32 COPIER LEASE
RICOH AMERICAS CORPORATION PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 19380044
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 05/29/2011
View your account online at CONTRACT>NO." 036- 0026232 -000
DUE DATE 06/18/2011
www.QDSontheweb.com
Service Made- Simple. Online,
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036 0026232 -000 PAYMENT DUE 06/18/11 168.32 0.00
S/N S7514900096 168.32
RICOH COPIER
CARMEL /IN
Model #MPC400SR
RICOH
INVOICE TOTAL 168.32 0.00 168.32
INQUIRIES.
www.ODSontheweb com
For Customer Service mqulries� please call 1 888- 204 -0799
_For Insurance inquiries please call ABIG at 888-873 -1917 "%E
P cY 9
Notice of Bankru t Min should be mailed to One Dee m ood 10201 Centurion Pkwy N; SuRe 100, Jacksonvdle,'FL 32256
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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.
O SD Terms
cLa 5 gate Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 1 Am oq 4 v 3-1
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.
i
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
5 3d,0 v2 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
3 20)/
Si na ure
F Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund