173619 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CARMEL, INDIANA 46032 PO Box 802556 CHECK AMOUNT: $854.33
CHICAGO IL 60680 -2555 CHECK NUMBER: 173619
CHECK DATE: 6/10/2009
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 040706563 533.96 OTHER EXPENSES
651 5023990 040706563 320.37 OTHER EXPENSES
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XEROX CAPITAL 1589 T HE E asv WAY TO C TO ORDER SUPPLIES xe rox
C
"SERVICES, LL C CALL OUR TOLL Purchase Order Number
FREE NUMBER
PO BOX 660502 1 -800 -822 -2200
DALLAS TX Special Reference
E 75266 -0501
Contract Number
0 Telephone888- 435 -6333 PAYABLE UPON RECEIPT
4► Please Direct Inquiries To: 41� Terms Of Payment
C Ship To /Installed At: Bill To:
L C I T Y OF CARMEL C I T Y OF CARMEL 06- 0
WATER AND SEWER WATER AND SEWER Date
UTILITY UTILITY 040706563
760 3RD AVE SW 760 3RD AVE SW Invoice Number
to CARMEL IN CARMEL IN 713281426
:3 46032 46032 Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOU
BASE CHARGE JUNE
476.84
METER READ METER READ NET COPIES
METER USAGE 04 -22 -09 TO 05 -22 -09
TOTAL BLACK 163949 192833 28884
TOTAL COLOR 28998 31576 2578
METER CHARGES
TOTAL BLACK 28884
V BLACK BILLABLE PRINTS 28884 .006000 173.30
TOTAL COLOR 2578
j LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 2328 .089000 207.19
H NET PRINT CHARGE 380.49
LESS SERVICE CREDITS 200 a .015000 3.000R
SINGLE LINE FAX KT SER.# FAXLINEI INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRLI INCL
SER.# TXC- 999999 INCL
SUB TOTAL 854.33
TOTAL 854.33
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
343004
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 6/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 40706563 $320.37
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095760 WARRANT ALLOWED
343004 IN SUM OF
XEP:OX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
e
x;
Board members
PO INV ACCT AMOUNT Audit Trail Code
40706563 01- 7360 -07 $320.37
a
Voucher Total $320.37
Cost distribution ledger classification if
claim paid under vehicle highway fund
`s 2 0
XEROX CAPITAL i589 THE easy way S10994 xer ®x
TO ORDER SUPPLIES
O S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800-82
a
DALLAS TX Special Reference
E L 75266 -0501
Contract Number
O Telephone 888 -435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 06 -01 -09
Q) WATER AND SEWER WATER AND SEWER Invoice Date
E UTILITY UTILITY 040706563
760 3RD AVE SW 760 3RD AVE SW Invoice Number
v1 CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JUNE
476.84
METER READ METER READ NET COPIES
METER USAGE 04 -22 -09 TO 05- -22 -09
TOTAL BLACK 163949 192833 28884
TOTAL COLOR 28998 31576 2578
METER CHARGES
TOTAL BLACK 28884
U BLACK BILLABLE PRINTS 28884 .006000 173.30
TOTAL COLOR 2578
O LESS PRINT ALLOWANCE 250
e COLOR BILLABLE PRINTS 2328 .089000 207.19
H NET PRINT CHARGE 380.49
LESS SERVICE CREDITS 200 a .015000 3.000R
SINGLE LINE FAX KT SER.# FAXLINEI INCL
PROF FINISHER SER.# PROFNSHR INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRLI INCL
SER.# TXC- 999999 INCL
SUB TOTAL 854.33
TOTAL 854.33
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
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying By Mail
Ship To /Installed At Bill To Send Payment To:
CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION
WATER AND SEWER WATER AND SEWER P.O. BOX 802555
UTILITY UTILITY CHICAGO IL
760 3RD AVE SW 760 3RD AVE SW 60680 -2555
4Q CARMEL IN CARMEL IN
C 46032 46032
Please check here if your "Bill To" address or "Ship To /Installed At"
location has changed and complete reverse side. Invoice Amount
CL. PLEASE PAY
16- 046 -8020 1 713281426 040706563 06 -01 -09 THIS AMOUNT X854 33!
RF081362 C 0715080 PVR00
03 6M4D 09AA H N1010 5TC5 2 115
n 91 Annnon7nnI- n ni -n )nc r r n-+ -..nr• I I
:Irescribea by State Boara of Accounts i,ny rune rvu. cu I tRCv i aVa)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350598
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 6/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 40706563 $553.96
n
hereby certify that the attached invoice(s), or bill(s) is (are) true and
xrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
TOUCHER 092008 WARRANT ALLOWED
50598 IN SUM OF
:E "ROX CORP
'O BOX 802555
;HICAGO, IL 60680
Carmel Water Utility
,ON ACCOUNT OF APPROPRIATION FOR
i
Board members
10# INV ACCT AMOUNT Audit Trail Code
40706563 01- 6360 -07 6
1�
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Voucher Total $553.96
c
,ost distribution ledger classification if
Jaim paid under vehicle highway fund