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Home My WebLink About204060 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1 ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $894.61 CARMEL, INDIANA 46032 Po eox aozsss CHICAGO IL 60680 -2555 CHECK NUMBER: 204060 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 209 4353004 058086430 156.66 COPIER 1180 4353004 058304469 737.95 COPIER 1506 -001 C XEROX CORPORATION THE EASY WAY xeP ®x QQ TO ORDER SUPPLIES p PO BOX 660502 CALL OUR TOLL Purchase Order Number FREE NUMBER a i DALLAS TX 1- 800 -822 -2200 C; 75266 0501 Special Reference VINOOOOOX -000 L Contract Number Telephone888- 435 -6333 PAYABLE UPON RECEIPT Please Direct Inquiries To: 1& Terms 01 Payment Ship To /Installed At: Bill To: L 1506 -001 11-01-11 CITY OF CARMEL CITY OF CARMEL Invoice Date E 1 CIVIC SQ C I.TY LAW OFF. 056086430 0 CARMEL IN ELAINE BASS Invoice Number 4-+ 46032 1 CIVIC SQUARE 976584607 CARMEL IN Customer Number U 46032 DC425AC DIGITAL COPIER SER.# EYC- 017353 AMOUNT BASE CHARGE NOVEMBER 156.66 METER CRU KIT SER.# CRU32METR INCL DC432/40 CTCH TRAY SER.# DC32CT INCL SUB TOTAL 156.66 U TOTAL 156.66 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)) 11 -16 -11 58086430 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, Illinois 60680 -2555 $156.66 ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND 209 430 -53004 Copier Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 209 058086430 156.66 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Sianature Cost distribution ledger classification if Title claim paid motor vehicle highway fund 2125 -001 AZZI XEROX CORPORATION To ORo EASY R SUPP LIES Xer ®x p PO BOX 660502 CALL OUR TOLL Purchase Order Number FREE NUMBER DALLAS TX 1 -8 00 -822 -2200 75266 -0501 Special Reference E DUMOOOOOX 000 L Contract Number y0 Telephone88$ 435 -6333 NET 30 DAYS Please Direct Inquiries To: -dk� Terms Of Payment 11 4I Ship To /Installed At: Bill To: 16� 2125 -001 11 Qj CITY OF CARMEL I CITY OF CARMEL Invoice Date LAW OFFICE LAW OFFICE 058304469 1 civic S Q 1 CIVIC S Q Invoice Number CARMEL IN CARMEL IN 711428953 $A 46032 46032 Customer Number V W7655P WC 7655 COP PRITR SER.# VDR- 548166 AMOUNT- BASE CHARGE OCTOBER 459.97 METER READ METER READ NET COPIES METER. USAGE 09 -30 -11 TO 10 -21 -11 TOTAL BLACK 263306 267439 4133 TOTAL COLOR 48489 51506 3017 METER CHARGES TOTAL BLACK 4133 h LESS PRINT ALLOWANCE 3666 .o BLACK BILLABLE PRINTS 467 .006600 3.08 TOTAL COLOR 3017 F C LESS PRINT ALLOWANCE 183 COLOR BILLABLE PRINTS 2834 .097000 274.90 NET PRINT CHARGE 277.98 ADVANCED FINISHER SER.# ADVFNSHR INCL SER.# CBO- 999999 INCL PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL SUB TOTAL 737.95 TOTAL 737.95 ALLOWANCE PRORATED FOR 022 DAYS INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT THT AGR .EEMEN-T_ INCLUDES- EQUIPMENT,-MAINTENANCE AND SUPPLY CHARGES TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED XEROX FEDERAL IDENTIFICATION #16- 0468020 I City ®1J�(1("" JI� Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER D oww-wT FEDERAL EXCISE TAX EXEMPT (J 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR &�nn SHIP TO P. Lw 4i x "ate go CONFIRMATION BLANKET NTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ssg o 17 A a 1 5 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT 4/ PAYMENT t n 1 n` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. V l NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 11 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. ORDERED BY t'' .1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE C` AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL No- 26012 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 .a IN THE SUM OF O ACCOUNT OF APPROPRIATION FOR 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 I �G 20�� S -Title Cost distribution ledger classification if claim paid motor vehicle highway fund