174122 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CARMEL, INDIANA 46032 PO BOX 802555 CHECK AMOUNT: $834.85
CHICAGO IL 60680 -2555 CHECK NUMBER: 174122
CHECK DATE: 6/2412009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 040706534 274.98 COPIER
209 R4353004 17868 040706561 559.87 COPIER FEES
XEROX CAPITAL 1589 THE EASY WAY TO NOT REQUIRED xe rox
CALL Purchase Order Number
C SERVICES, LLC
PO BOX 660502 1-800 -822- zoo
DALLAS TX Special Reference
75266 -0501 DUMOOOOOX -000
Contract Number
Q Telephone888- 435 -6333 NET 30 DAYS
C Please Direct Inquiries To: 4b- Terms Of Payment
Ship To /Installed At: Bill To:
aJ CITY OF CARMEL CITY OF CARMEL 06 -01 -09
LAW OFFICE LAW OFFICE Invoice Date
1 CIVIC SQ 1 CIVIC SQ 0407 Number 661
a CARMEL IN CARMEL IN
46032 46032 711428953
Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
AMOUNT
BASE CHARGE MAY
453.76
METER READ METER READ NET COPIES
METER USAGE 04 -20 -09 TO 05 -21 -09
TOTAL BLACK 94692 106563 11871
TOTAL COLOR 22456 23435 979
METER CHARGES
V TOTAL BLACK 11871
LESS PRINT ALLOWANCE 5000
BLACK BILLABLE PRINTS 6871 .006000 41.23
C TOTAL COLOR 979
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 729 .089000 64.88
NET PRINT CHARGE 106.11
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 559.87
TOTAL 559.87
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.
Xerox Corporation Payee
Purchase Order No.
P.O. Box 802555
Terms
Chicago, IL 60680 -2555
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 -8 -09 040706561 Xerox WC 7655 Cop Prntr, SN VDR- 548166 $559.87
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
A
P. O. Box 802555
Chicago, IL 60680 -2555
$559.87
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW
430 -53004 Copier
�D Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
I hereby certify that the attached invoices or
040776561 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
200
i nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
XEROX CAPITAL D 971 THE EASY WAY TO 0
TO ORDER SUPPLIES
S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1 800 822-2200
4Q DALLAS TX Special Reference
E 75266 -0501 VINOOOOOX -000
L Contract Number
4 Q Telephone 888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: 4 k� Terms Of Payment
Ship To /Installed At: Bill To:
L CARMEL CITY COURT 06 -01 -09
ONE CIVIC SQUARE Invoice Date
E CARMEL IN 040706534
a 46032 Invoice Number
H 305567166
Customer Number
V
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE MAY
274.98
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
GJ
_U
.O TOTAL 274.98
C
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
/A Purchase Order No.
0. 4� b'D �?�S� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 9 0 ols3
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
IN SUM OF
7_
ON ACCOUNT OF APPROPRIATION FOR
L.
Board Members
INVOICE NO ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
p p 53 4 5 98 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 A 4
2 0
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund