205587 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
i ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
CARMEL, INDIANA 46032 PO Box 4245
CHECK AMOUNT: $105.36
CAROL STREAL IL 60197 -4245 CHECK NUMBER: 205587
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 414322171 105.36 COPIER
Page Number 1 of 1
I C INVOICE
Ifi bice'Uumb e Date,
14322171 1 /04/2012
5 West al Place .O'Number ontract Numbe�RkA
West Caldwell, NJ 07006 BRIAN G POINDEXTER SVCO3583411
ustome Number
06 LocatioK
54159 3112970
s
Federal ID umber: erm
783521 s.... ue. Date
DUNS Number: 06- 107 -9273 NET 30 2/03/2012
Bill To: 22 I�IIIIIIIIII�II�III�IIII�II�IIIII 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
del" Serial Number Qescr pt�on 3 Amouri
C400SR /C240SR /LD14 S7514900096 B/W Total 105.27
OCSR
Floor Suite Room: LEVEL 4
Current Meter: 35585 (12/31/2011)
Previous Meter: 22901 (10/01/2011)
Total: 12684
Credit: 0
Allowance: 5000
Billable: 7684
Overage Rate: .0137
C400SR/C240SR /LD14 S7514900096 Color Total .09
OCSR
Floor Suite Room: LEVEL 4
Current Meter: 12 (12/31/2011)
Previous Meter: 11 (10/01/2011)
Total: 1
Credit: 0
Allowance: 0
Billable: 1
Overage Rate: .09
For inquiries regarding your account, contact us at 888 742 -6406 or via email at Subtotal`s 105.3
PSCS'- AR @ricoh- asa.com. 7o n, 1Taz• .00
Total T 105.3
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
Jc,o Purchase Order No.
0 Terms
0/97 ��F e l s Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) d
a 71 y S. 3 to
Total
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
A IN SUM OF
5, 3 (e
ON ACCOUNT OF APPROPRIATION FOR
A) L
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3-,0-0 4 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
Z�/Z 20
n ur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund