HomeMy WebLinkAbout202361 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
i'•. �o. CARMEL, INDIANA 46032 PO Box 802555 CHECK AMOUNT: $685.78
'cf CHICAGO IL 60680.2555 CHECK NUMBER: 202361
CHECK DATE: 9/2712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4353004 056907050 533.65 COPIER
209 4353004 056907065 152.13 COPIER
1874 -001
THE EASY WAY
C XEROX CORPORATION To ORDER SUPPLIES xerox
PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1- 800 822 -2200
75266 -0501 Special Reference
VINOOOOOX -000
Contract Number
O Telephone888 435 -6333 PAYABLE UPON RECEIPT
C Please Direct Inquiries To: 1w Terms Of Payment
C Ship To /Installed At: Bill To:
1874 -001 09-01-11
CITY OF C A R M E L Invoice Date
CITY LAW OFF. 056907065
ELAINE BASS Invoice Number
1 CIVIC SQUARE 976584607
I CARMEL IN Customer Number
V 46032
DC425AC DIGITAL COPIER SER.# EYC- 017353
AMOUNT
BASE CHARGE SEPTEMBER
152.13
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 152.13
V
j TOTAL 152.13
C
ti
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16- 0468020
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, Illinois 60680 -2555
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 -16 -11 56907065 DC425AC Digital Copier Ser. #EYC- 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. B 802555
Chicago, Illinois 60680 -2555
$152.13
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND 209
430 -53004 Copier
Board Members
DEPT.
ixov:er INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 056907065 $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
&n at
AA
Tit e
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1875 -001
XEROX CORPORATION THE EASY WAY xerox`
TO ORDER SUPPLIES J
PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE DALLAS TX 1- 800 -822 -2200
C� 75266 -0501 Special Reference
DUMOOOOOX -000
L Contract Number
�O Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: 4 k- Terms Of Payment
Ship To /Installed At: Bill To:
1875 -001 09-01-11
QJ CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE `LAW OFFICE 056907050
0 1 CIVIC SQ 1 CIVIC SQ Invoice Number
-W CARMEL IN CARMEL IN 711428953
46032 46032 Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
.�..A .1 1_T_
HriOLiL i
BASE CHARGE AUGUST
453.76
METER READ METER READ NET COPIES
METER USAGE 07 -21 -11 TO 08 -23 -11
TOTAL BLACK 242380 247539 5159
TOTAL COLOR 45985 47122 1137
METER CHARGES
V TOTAL BLACK 5159
LESS PRINT ALLOWANCE 5000
BLACK BILLABLE PRINTS 159 .006000 .95
C TOTAL COLOR 1137
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 887 .089000 78.94
NET PRINT CHARGE 79.89
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 533.65
TOTAL 533.65
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
TH,I_S_AGRE,E.hi.ENT_LiVCLUDES EQUIPMENT_,MAINTENANC A SUPP CHARGES__
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
JNDIANA RETAIL TAX EXEMPT PAGE
Cl of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
t
FEDERAL EXCISE TAX EXEMPT D t91) k vv
I 35- 60000972 6
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
�URCHASE DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
C7 t� TO
5�
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
F
//V
3•Ct
4
f ri'�`
c m
o-
k a
Send Invoice To: Aj'J
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
NO i�.�t" 5-300V PAYMENT As -.u•
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.
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
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
SHIPPING LABELS. j f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE l_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27871 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.- WARRANT NO.
ALLOWED 20
;Q Al, I IN THE SUM OF
$_c
l z�� C 1
ON ACCOUNT OF APPRZIATION FOR
63 00 V IL
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
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_
20A
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund