HomeMy WebLinkAbout205020 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $1,124.21
CARMEL, INDIANA 46032 PO BOX 802555
CHICAGO IL 60680 -2555 CHECK NUMBER: 205020
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4353004 058612034 529.52 COPIER
209 4353004 058612042 156.66 COPIER
1192 4353004 058810924 438.03 COPIER
1036 -001
XEROX CORPORATION THE EASY WAY xerox 0
TO ORDER SUPPLIES
PO BOX 660502 CALL OUR TOLL Purchase Order Number
O FREE NUMBER
4.+ DALLAS TX 1 -800- 822 -2200
75266 -0501 Special Reference
VINOOOOOX -000
Contract Number
Telephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
1 4 Ship To /installed At: Bill To:
L 1036 -001 12-01-11
CITY OF CARMEL CITY OF CARMEL Invoice Date
1 CIVIC SQ CITY LAW OFF. 058612042
0 CARMEL IN ELAINE BASS Invoice Number
+a 46032 1 CIVIC SQUARE 976584607
CARMEL IN Customer Number
V 46032
DC425AC DIGITAL COPIER SER.# EYC- 017353
AMOU
BASE CHARGE DECEMBER
156.66
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
Q SUB TOTAL 156.66
V_
TOTAL 156.66
C
H
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16- 0468020
1037 -001
XEROX CORPORATION THE EASY wav xerox *V
TO ORDER SUPPLIES -4
PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE ;4.j DALLAS TX 1 -800 -822 -2200
0 75266 -0501 Special Reference
E DUMOOOOOX -000
L Contract Number
Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
I� Ship To /Installed At: Bill To:
L 1037 -001 12-01-11
C I T Y OF CARMEL CITY OF CARMEL Invoice Date
E LAW OFFICE LAW OFFICE
1 CIVIC SQ 1 CIVIC SQ 0 58612 034 Inv oice N
Number
44 CARMEL IN CARMEL IN 711428953
46032 46032 Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
BASE CHARGE NOVEMBER
459.97
METER READ METER READ NET COPIES
METER USAGE 10 -21 -11 TO 11 -22 -11
TOTAL BLACK 267439 271576 4137
TOTAL COLOR 51506 52473 967
Q) METER CHARGES
U TOTAL BLACK 4137
LESS PRINT ALLOWANCE 5000
BLACK BILLABLE PRINTS 0 .006600 .00
C TOTAL COLOR 967
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 717 .097000 69.55
NET PRINT CHARGE 69.55
ADVANCED FINISHER SER.# ADVFN,SHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 529.52
TOTAL 529.52
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES_ EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAC INVOICE MAY VARY ACCORDING'TC METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
Cu f INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
L 1�7� j FEDERAL EXCISE TAX EXEMPT
i 35- 60000972
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 1
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR 1�� SHIP
P
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Al
•yam
Send Invoice To:
0 R
C90
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
'q PAYMENT
'S3o y PAYMENT CL'
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.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 7 v
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
sss
..�.L 0180.. �o`�.S
O FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
rte i 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0048 -001.
XEROX CORPORATION THE EASY WAY xerox
TO ORDER SUPPLIES
PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1-800 -s22 -2 o0
4.+ 75266 -0501 Special Reference
E 0
Contract Number
Q Telephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 41� Terms Of Payment
Ship To /Installed At:
Bill To:
0048 -001 12-02-11
L COMMUNITY SERVICES R COMMUNITY SERVICES 4,56 Invoice Date
1 CIVIC SQ 1 CIVIC SQ gel 058810924
CARMEL IN CARMEL /IN Invoice Number
O
0 46032 4603 +2 ECFjV JZ14707718
r
IA C14 Otc all Customer Number
V ti®CS
0
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE- 235137
AMOUNT
BASE CHARGE DECEMBER
378.19
METER READ METER READ NET IMPRESSIONS
METER USAGE 10 -21 -11 TO 11 -22 -11
BLK +CLR LEVEL 1 IMP 79472 81073 1601
COLOR LEVEL 2 IMPRESS 23800 24344 544
COLOR LEVEL 3 IMPRESS 18647 18962 315
V METER CHARGES FOR IMPRESSIONS
LEVEL 1 1601
j 1601 .009700 15.53
LEVEL 2 544
ti 544 .031600 17.19
LEVEL 3 315
315 .086100 27.12
NET IMPRESSION CHARGE 59.84
DECEMBER
OFFICE FINISHER PROD /MKT CD CQOFCFIN INCL
SUB TOTAL 438.03
TOTAL 438.03
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
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))
12/02/11 058810924 $438.03
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
IN SUM OF
P.O. Box 802555
Chicago, IL 60680 -2555
$438.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 058810924 I 43- 530.04 I $438.03 1 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
Monday, December 19, 2011
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund