HomeMy WebLinkAbout203214 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CARMEL, INDIANA 46032 CHECK AMOUNT: $763.34
PO BOX 802555
CHICAGO IL 60680 -2555 CHECK NUMBER: 203214
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 057483706 606.68 COPIER
1180 4353004 057760467 156.66 COPIER
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THE EASY WAY Xerox
XEROX CORPORATION J
L` TO ORDER SUPPLIES
Q PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1- soo -8 22-2200
0 75266 -0501 Special Reference
DUMOOOOOX -000
L Contract Number
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Telephone88'8 5 -63 3 3 NET 30 DAYS
Please Direct Inquiries To: 1& Terms Of Payment
�F Ship To /Installed At: Bill To:
0) CITY OF CARMEL CITY OF CARMEL Invoice Date
aJ
E LAW OFFICE LAW OFFICE 057483706
01 C I V I C S Q 1 -C IV I C SQ Invoice _Number
-w CARMEL IN CARMEL IN 711428953
Z 46032 46032
V) Customer Number
U
W7655P WC 7655 COP PRITR SER.# VDR- 548166
A III UUIVT
BASE CHARGE 09- -01 -11 TO 09 -30 -11
453.76
METER READ METER READ NET COPIES
METER USAGE' 08 -23 -11 TO 09 -30 -11
TOTAL BLACK 247539 263306 15767
TOTAL COLOR 47122 48489 1367
METER CHARGES
TOTAL BLACK 15767
LESS PRINT ALLOWANCE 5999
U BLACK BILLABLE PRINTS 9768 .006000 58.61
TOTAL COLOR 1367
`r LESS PRINT ALLOWANCE 299
COLOR BILLABLE PRINTS 1068 .089000 95.05
NET PRINT CHARGE 153.66
LESS SERVICE CREDITS 45 .016400 .74CR
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 606.68
TOTAL .606.68
FINAL INVOICE
ALLOWANCE PRORATED FOR 036 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
A INDIANA RETAIL TAX EXEMPT PAGE
lt of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT q
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35- 60000972
ONE CIVIC,SOUARE 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.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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1 1 SHIP
,VENDORG C� p
TO
CONFIRMATION BLANKET CONT CT PAYMENTTERMS FREIGHT
i
QUANTITY- UNIT OF MEASURE. DESCRIPTION UNIT PRICE EXTENSION
A,
R• 4 a 1
fi'",a• A to 3 i
t t to t
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
l`� -20
3r�r3t/ 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
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. (A �1.
7
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t
r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. L7
CLERK- TREASURER
DOCUMENT CONTROL NO-25993 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.._— WARRANT NO.__.�
ALLOWED 20
e
IN THE SUM OF
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-al
OWACCOLINT OF APPROPRIATION FOR
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Board Members
P0# or
rte INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
J3 mil° l materials or services itemized thereon for
which charge is made Were ordered and
received except___
I
AD 20—"
Signa u
T ie
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1550 -001
r
XEROX CORPORATION THE EASY WAY Xerox 7
TO ORDER SUPPLIES
0
PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE NUMBER
DALLAS TX 1 800 -822 -2200
75266 -0501 Special Reference
E VINOOOOOX -000
Contract Number
Telephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
i~y Ship To /Installed At: Bill To:
1550 -007 1 0— 0 6— 1 1
v CITY OF CARMEL CITY OF CARMEL Invoice Date
1 CIVIC SID CITY LAW OFF.
0
CARMEL IN ELAINE BASS 7 X 0 N u
In N u m ber
mber
46032 1 CIVIC SQUARE 976584607
CARMEL IN Customer Number
V 46032
DC425AC DIGITAL COPIER SER.# EYC- 017353
AMOUNT
BASE CHARGE 10 -01 -11 TO 10 -30 -11
156.66
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
v SUB TOTAL 156.66
U
j TOTAL 156.66
C
ti
CONTRACT EFFECTIVE DATE 04 -01 -11
INITIAL INVOICE
INITIAL METER READS METER 1 171001
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, IL 60680 -2555
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -2 11 057760467 DC425AC DIGITAL COPIER SER. #EYC- 017353 $156.66
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. Box 802555
Chicago, IL 60680 -2555
$156.66
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW 1180
430 -53004 Copier
Board Members
oeo-er INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 057760467 $156.66 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
inture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund