HomeMy WebLinkAbout169215 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page T of 1
ONE CIVIC SQUARE XEROX CORP
0
CARMEL, INDIANA 46032 po ®ox 602555 CHECK AMOUNT: $813.59
CHICAGO IL 60680 -2555 CHECK NUMBER: 169215
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER DESCRIPTION..
1301 4353004 038293907 274.98 COPIER
1180 4353004 038293953 538.61 '-'COPIER
XEROX CAPITAL sort THE EASY WAY NO PO REQ xer ®X
TO ORDER SUPPLIES'
SERVICES, L L C CALL OUR TOLL Purchase Order Number
REE NUM
PO YOX 660502 1- 800 -822 2200
DALLAS TX Special Reference
75266 -0501 VINOOOOOX -000
L Contract Number
Q Telephone$88 --435 -6333 NET 30 DAYS
Please Direct Inquiries To: 4k� Terms Of Payment
Ship To /installed At: Bill To:
CARMEL C I T Y COURT 02 -01 -09
ONE C I V I C SQUARE Invoice Date
CARMEL IN 038293907
46032 Invoice Number
305567166
V Customer Number
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE JANUARY
274.98
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
G1
V
TOTAL 274.98
a
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. 207 (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
.11,tVIL OLLI)1z1 A� Purchase Order No.
g�a S5 Terms
v 5SS Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 2 4. 5 8-
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
/Z6 KO a?SSS
ON ACCOUNT OF APPROPRIATION FOR
C -,)dj
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
3 0, No 7 63 0.0 1 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
2
C
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
XEROX CAPITAL assa THE EASY WAY xerox TO ORDER SUPPLIES NOT REQUIRED
O
SERVICES, LL C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1- 800 -822 -2200
DALLAS TX Special Reference
75266 --0501 DUMOOOOOX -000
L Contract Number
O Telephone888 -435 -6333 NET 30 DAYS
Please Direct Inquiries To: 41� Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 02 -01 -09
LAW OFFICE LAW OFFICE Invoice Date
C 1 CIVIC SQ 1 CIVIC SQ 038293953
CARMEL IN CARMEL IN Invoice Number
46032 46032 711428953
e Customer Number
W7655P WC 7655 COP PRITR SER.# VDR- 548166
BASE CHARGE JANUARY
453.76
METER READ METER READ NET COPIES
METER USAGE 12 -30 -08 TO 01 -22 -09
TOTAL BLACK 73085 79293 6208
TOTAL COLOR 16296 17261 965
METER CHARGES
TOTAL BLACK 6208
U LESS PRINT ALLOWANCE 3666
BLACK BILLABLE PRINTS 2542 .006000 15.25
a TOTAL COLOR 965
LESS PRINT ALLOWANCE 183
I+I COLOR BILLABLE PRINTS 782 .089000 69.60
NET PRINT CHARGE 84.85
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
D- p- /r_n.e_Y_ /_SCAN_ C.N_TR_L_ SER.# SCANCTRL INCL
"u�'s +aE !1'!2"� R+r,�s9 •T siTR+9 asw�s�
C it INDIANA RETAIL TAX EXEMPT PAGE
®I' CERTIFICATE NO. 003120155 002 0 1a C PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
DLT)AV 35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR TOIP
cONFIRMAnoN BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
R
i
Send Invoice To:
f I
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT -5C'
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
(vf NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. i (r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
20 3
0 CLERK- TREASURER
DOCUMENT CONTROL NO. 4 N. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
r
ALLOWED 20
IN THE SUM OF
i D .s
ON ACCOUNT OF APPRO IATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
03 gg 9 materials or services itemized thereon for
which charge is made were ordered and
received except.
20
i e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund