205272 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
CHECK AMOUNT: $168.32
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 205272
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 27326 20629161 168.32 COPIER LEASE
RICOH AMERICAS CORPORATION PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 20629161
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 12/29/2011
View your account online at CONTRACT NO. 036- 0026232 -000
DUE DATE 01/18/2012
I%` YQP D ::-v
www.QI)Sontheweb.com
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036- 0026232 -000 PREVIOUSLY BILLED 168.32 0.00
S/N S7514900096 PAYMENT DUE 01/18/12 168.32 0.00
RICOH COPIER 336.64
CARMEL/IN
Model #MPC400SR
RICOH
INVOICE TOTAL 336.64 0.00 336.64
INQUIRIES
wrwv.ODSontheweb.corr For Customer Service inquiries, please call 1 -888 204 -0799
For Insurance inquiries please call ABIG 888 -873 -1917
Notice of Bankruptcy filing should be mailed to One'Deerwood, 10201 Centurion Pkwy N Suite 100, Jacksonville, FL 32256
IMPORTANT INFORMATION
Your account is delinquent more than 9' days. If you have notalready done so, please remit your payment online using w ,gdsontheweb.com A late fee penalty may be assessed on your account.
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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.
f�
Payee
0 mu' e-" 1 s� Purchase Order No.
Terms
G,r ti n J 06 73 Date Due
l
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total Y 3;
1 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
l,cl �;e aim �,�T� -i.1 o t� IN SUM OF
4=44 1j 14 60 0 73 /a ►1
.3.2
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5 o Y. 3 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
na
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund