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206414 02/14/2012 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 oM CHICAGO IL 6063 -1211 CHECK NUMBER: 206414 CHECK DATE: 2/1 412 01 2 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 R4353004 27326 20798855 168.32 COPIER LEASE RICOH AMERICAS CORPORATION PAGE 1 of 1 ATTN: CUSTOMER SERVICE N P.O. BOX 550599 INVOICE O 20798855 JACKSONVILLE, FL 32255 -0599 INVOICE DATE 01/29/2012 View your account online at COITRACT 036- 0026232 -000 ©UCnDATE „r,a; 02/18/2012 QDS. www.QDSontheweb.com Service Made Simple. Online. Contract Number Description of charge(s) Amount Due Sales Tax Total Due Asset Description 036 -0026232 -000 PAYMENT DUE 02/18/12 168.32 0.00 SIN S7514900096 168.32 RICOH COPIER CARMEUIN Model #MPC400SR RICOH INVOICE TOTAL 168.32 0.00 168.32 INQUIRIES w r v a Www QDSontheweb Com or, mqumes please call ABIG Nolioe'o4 Bankruptcy tr6ng should be marled io One Deerwnod 10209 Cenfunon PkwyN Suda 100 Jacksnmrdla FL 32250 r q "l" g if m �3 �.-ts6 _r�3 r�€ KeeU uOCGer ooriiow for vour records 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 n Purchase Order No. _12 .C� Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total y. °Z _J) 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. 4, ALLOWED 20 (�f/YiUt'f l'Z�' IN SUM OF f II /GF, 3a ON ACCOUNT OF APPROPRIATION FOR �AU2� Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 7 a (P YS 'S-- 53p .0 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 0 Si atur e� -q Cost distribution ledger classification if 10 CJ' P claim paid motor vehicle highway fund