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202742 10/11/2011
CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1 ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CARMEL, INDIANA 46032 PO BOX 4245 CHECK AMOUNT: $68.06 CAROL STREAM IL 60197A245 CHECK NUMBER: 202742 CHECK DATE: 10/11/2011 DEPARTMENT ACCOU PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 1301 R4353004 27326 413514788 68.06 COPIER LEASE R 1 CO H INVOICE Page Number 1 of 1 lrtvarce�Ndim'ber ;i,. Invoice °D'ate,...sn..;.. 5 Dedrick Place 13514788 10/01/2011 P:,O`.NumFser{ ,;3L A ©ntiacf� u`m e West Caldwell, NJ 07006 BRIAN G POINDEXTER SVCO3583411 u'stom "e "r,Nurriter ,.a.? ustomer$Locaton' 54159 0112970 Federal ID Number: 22- 2783521 arms, .9 s' lie Date; �...'F DUNS Number: 06- 107 -9273 NET 30 10/31/2011 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL 1 CIVIC SQUARE, CARMEL CITY COURT ATTN: KIM ROTT CARMEL, IN 46032 1 CIVIC SQUARE CARMEL CITY CT CARMEL IN 46032 +r u ✓a s p 1 e s, N SyE 9" `f ""i Ycr r Model Serial Number eSCrI tlOrl r x�:,3 C400SR /C240SR /LD14 57514900096 B/W Total 68.06 OCSR Floor Suite Room: LEVEL 4 Current Meter: 22901 (0913012011) Previous Meter: 12933 (07/01/2011) Total: 9968 Credit: 0 Allowance: 5000 Billable: 4968 Overage Rate: .0137 C400SR /C240SR /LD14 S7514900096 Color Total .00 OCSR Floor Suite Room: LEVEL 4 Current Meter: 11 (09/30/2011) Previous Meter: 11 (07/01/2011) Total: 0 Credit: 0 Allowance: 0 Billable: 0 Overage Rate: .09 For inquiries regarding your account, contact us at 888 --742 -6406 or via email at _w Siabtotal 6 $68.0 PSCSCAR @ricoh- usa.com. 0 otal 68.06 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 261 (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. j Payee V�"� {-1//� Purchase Order No. a5 Terms C/ 7 JW Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) OL Total d cel 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 ON ACCOUNT OF APPROPRIATION FOR ov aE °7 s INVOICE NO. ACCT #/TITLE AMOUNT i r r r I '�u d 20 C 7 LK Cost distribution ledger classification if claim paid motor vehicle highway fund