The URL can be used to link to this page

Home My WebLink About198314 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1 ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $635.64 Po Box 802556 CARMEL, INDIANA 46032 CHICAGO IL 60680 -2555 CHECK NUMBER: 198314 ow CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4353004 27205 483.51 COPIER LEASE 1180 4353004 055160609 24.01 COPIER 1180 R4353004 27590 055160609 128.12 COPIER FEES 3048 -001 XEROX CORPORATION THE EASY WAY xero'Z L° _TO ORDER SUPPLIES •0 PO BOX 660502 CALL O TOLL Purchase Order Number DALLAS TX 1=860 -922 -2200 •I.a ��t e1 75266 -0501 N Special Reference Contract Number Telephone888- 435 -633- y 3j yy F Q PAYABLE UPON RECEIPT Please Direct Inquiries To: Q/5 �(/fJ Terms Of Payment Ship To /Installed At: V Cs BiII�To: 3448 -00i 06-01-11 COMMUNITY SERVICES g &O'MMUNITY SERVICES Invoice Date 1 CIVIC SQ wi CIVIC SQ 055160603 C CARMEL IN CARMEL IN Invoice Number 4-j 46032 46032 714707718 Customer Number V 3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE- 235137 AMOUNT BASE CHARGE JUNE 376.39 METER READ METER READ NET IMPRESSIONS METER USAGE 04 -21 -11 TO 05 -22 -11 BLK +CLR LEVEL 1 IMP 57673 60975 3302 COLOR LEVEL 2 IMPRESS 18289 19068 779 COLOR LEVEL 3 IMPRESS 13646 14344 698 METER CHARGES FOR IMPRESSIONS LEVEL 1 3302 3302 .008900 29.39 LEVEL 2 779 779 .029000 22.59 LEVEL 3 698 698 .079000 55.14 NET IMPRESSION CHARGE 107.12 JUNE OFFICE FINISHER PROD /MKT CD CQOFCFIN INCL SUB TOTAL 483.51 TOTAL 483.51 INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES I �vt TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED XEROX FEDERAL IDENTIFICATION #16- 0468020 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)) 06/01/11 055160603 Monthly rental $483.51 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 N WARRANT NO. Xerox ALLOWED 20 IN SUM OF P.O. Box 802555 Chicago, IL 60680 -2555 $483.51 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 27205 055160603 I 43- 530.04 $483.51 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 Wednesday, June 01, 2011 e v Direc o Title Cost distribution ledger classification if claim paid motor vehicle highway fund 2794 -001 XEROX CORPORATION THE EASY WAY xer ®x C TO ORDER SUPPLIES Z p PO BOX 660502 CALL OUR TOLL Purchase Order Number DALLAS TX 1-800 822 -2200 75266 -0501 Special Reference VINOOOOOX -000 1` Contract Number Telephone888 435 -6333 PAYABLE UPON RECEIPT Please Direct Inquiries To: Terms Of Payment Imy Ship To /Installed At: Bill To: L 2794 -001 06 C I T Y Rg OF CARMEL Invoice Date E C I T Y LAW OFF. 055160609, O ELAINE BASS Invoice Number 1 CIVIC SQUARE 976584607 IA CARMEL IN Customer Number U 46032 DC425AC DIGITAL COPIER SER.# EYC- 017353 AMOUNT BASE CHARGE JUNE 152.13 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 SUPPLY CHARGES XEROX FEDERAL IDENTIFICATION #16- 0468020 Cit INDIANA RETAIL TAX EXEMPT PAGE �11� f t arm( l CERTIFICATE NO. 003120155 002 0 ��i �v PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT C) fi Q 35- 60000972 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR �j�f I SHIP TO CONFIRMATION BLANKET f CONTRACT PAYMENT TERMS FREIGHT 1 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Gv C .5 .5 �cJ %l 5_5 ^fir �.,r�"%' w /�°r�t r ;fir `-•C�' JV 1,�'' g p R g qo tea' Send Invoice To: PLEASE INVOICE IN DUPLICATE Ay p_ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT UCa y PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND' VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -r SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 275". A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE w• VOUCHER NO._._ WARRANT ALLOWED 20 Lei IN THE SUM OF e J ON ACCOUNT OF APPROPRIATION FOR 0 Board Members PO# EP 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 j)aid motor vehicle highway fund 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 Xerox Corporation Purchase Order No. P. O. Box 802555 Terms Chicago, IL 60680 -2555 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6 -2 -11 055160609 DC425AC Digital Copier Ser.# EYE 017353 $152.13 per the attached invoice 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. Bo x 802555 Chicago, IL 60680 -2555 $152.13 ON ACCOUNT OF APPROPRIATION FOR DEPARTMENT OF LAW 1180 430 -53004 Copier Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27590 055160609 lN� $128.12 bill(s) is (are) true and correct and that the Claim 055160609 24.01 materials or services itemized thereon for which charge is made were ordered and received except 20// i n re Title Cost distribution ledger classification if claim paid motor vehicle highway fund