174124 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 343004 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
's 0
CARMEL, INDIANA 46032 PO BOX 827598 CHECK AMOUNT: $26.27
PHILADELPHIA PA 19182 -7598
CHECK NUMBER: 174124
CHECK DATE: 6124/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1110 4230200 21019 106706012 26.27 BUSINESS CARD STOCK
t`�
305569055 106706012 06/09/09 xerox
XEROX C A P I T A L D o t e Customer No. Invoice No. Invoice Date
SERVICES, LLC 21019 06/05/09
PO BOX 6 6 0 5 0 2 Purchase Order No. Date GSA Contract No.
DALLAS, TX C283824 06/08/09
75266 Xerox Order No. Date Processed Registration No. R
O Telephone 888 -435 -6333 NET 30 DAYS I
Direct Billing Inquiries To: -0 Special Reference No. Tax Terms of Sale G
I�1 Ship To Bill To N
CARMEL POLICE DEPT. CARMEL POLICE DEPT DL505599 A
3 CIVIC SQUARE Master Order No. L
TIM ZELLLERS CARMEL IN
3 CIVIC SQUARE 46032 -7570 Bill Code
of CARMEL IN
V 46032 -0000
CALLER:TIM ZELLERS 317- 571 -2562
R
E
M
A
R
K
s Quantity Quantity
Reorder No. Description Ordered Shipped Unit Price Amount
AGREEMENT GRJ10
003R12321 PREMIUM BUSINESS CARD 20 1 26.27 26.27
INVOICE TOTAL $26.27
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TO ORDER SUPPLIES CALL TOLL FREE 1 -800- 822 -2200
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
X erox Corporation Purchase Order No. O J p
P .0. Box 827598 Terms
Philadelphia, PA 19182 -7598 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
619/09 10670612 payment for business card stock 26.27
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.
f
ALLOWED 20
Xerox Corporation IN SUM OF
P.O. Box 827598
Philadelphia, PA 19182 -7598
26.27
ON ACCOUNT OF APPROPRIATION FOR
polic g eneral fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT voice(s), or
9 DEPT. I hereby certify that the attached in
oZ1Ol4P 106706012 302 26.27 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
,Tune 16 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund