168758 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
io CARMEL, INDIANA 46032 PO BOX 802555 CHECK AMOUNT: $1,257.23
CHICAGO IL 60680 -2555 CHECK NUMBER: 168758
toy
CHECK DATE: 2/412009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMB AMOUNT DESCRIPTION
1180 4353004 038025202 554.44 COPIER
601 5023990 38293957 439.24 CONT SERVICES..:OTHER
651 5023990 38293957 263.55 CONT SVS- OTHER?
NEI
XEROX CAPITAL a 3 s s THE EASY wav S10994
Xerox
TO ORDER SUPPLIES
S E R V I C E S LL C CALL OUR TOLL Purchase Order Number
FREE PO BOX 660502 1- 900 -822 -2200
0 DALLAS TX Special Reference
E 75266 -0501
V1.
Contract Number
Telephone888- 435--6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 02 -01 -09
WATER AND SEWER WATER AND SEWER invoice Date
E- UTILITY UTILITY 038293957
760 3RD AVE SW 760 3RD AVE SW Invoice Number
VI CARMEL IN CARMEL IN 713281426
46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE FEBRUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 12 -22 -08 TO 01 -22 -09
TOTAL BLACK 81297 89387 8090
TOTAL COLOR 20176 22427 2251
METER CHARGES
TOTAL BLACK 8090
V BLACK BILLABLE PRINTS 8090 .006000 48.54
TOTAL COLOR 2251
LESS PRINT ALLOWANCE 250
C COLOR BILLABLE PRINTS 2001 .089000 178.09
NET PRINT CHARGE 226.63
LESS SERVICE CREDITS 45 a .015000 .68CR
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 702.79
TOTAL 702.79
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 Mall,
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
C CARMEL IN CARMEL IN
(U 46032 46032
E1 Please check here if your "Bill To address or "Ship To /Installed At"
location has changed and complete reverse side. Invoice Amount
4 PLEASE PAY
16- 046 -8020 1 713281426 038293957 02 -01 -09 THIS AMOUNT $7Q2.79
RF093960 C 0715080 0VR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0382939570 0300702796 271328142626
prescribed by State Board of Accounts tiry r-orrn rvo. zu i tmev i aao)
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
f
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 1/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2009 38293957 $263.55
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 01f, s
/OUCHER 087213 WARRANT ALLOWED
43004 IN SUM OF
CEROX CORP
'O BOX 802555
;HICAGO, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
38293957 01- 7360 -07 $263.55
f
1
S i
Voucher Total $263.55
c
'ost distribution ledger classification if
:laim paid under vehicle ighway fund
XEROX CAPITAL 0999 THE EASY WAY S10994 xerox
J
SERVICES, L L C CALL OUR TOLL Purchase Order Number
a FREE PO BOX 660502 1-800- 822-
0 DALLAS TX Special Reference
E 75266 -0501
L Contract Number
Q
Telephone8 88-43 5 —63 3 3 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 4 k� Terms Of Payment
14 Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 02 -01 -09
Q! WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 038293957
760 3RD AVE SW 760 3RD AVE SW Invoice Number
V) CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE FEBRUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 12 -22 -08 TO 01 -22 -09
TOTAL BLACK 81297 89387 8090
TOTAL COLOR 20176 22427 2251
METER CHARGES
TOTAL BLACK 8090
V BLACK BILLABLE PRINTS 8090 .006000 48.54
TOTAL COLOR 2251
j LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 2001 .089000 178.09
NET PRINT CHARGE 226.63
LESS SERVICE CREDITS 45 .015000 .68CR
SINGLE LINE FAX KT SER.# FAXLINEI INCL
:PROF FINISHER SER.# PROFNSHR INCL
—.F R__ #__S_C A N_C_T_R.L 1_ INCL
prescribed by State board of Accounts Uuy rune NV. cv E krccv E aau) 'y
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 1/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2009 38293957 $439,24
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 ffic
'OU'CHER 084345 WARRANT ALLOWED
50598 IN SUM OF
;EROX CORP
`O BOX 802555
:HICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
38293957 01- 6360 -07 $439.24
r
i
Voucher Total $439.24
;ost distribution ledger ciassification if
aaim paid under vehicle highway fund
XEROX CAPITAL THE EASY WAY NOT REQUIRED xero ®�D
4 TO ORDER SUPPLIES C
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1F8 822-2200
4Q DALLAS TX Special Reference
E O 75266 -0501 DUMOOOOOX -000
Contract Number
O Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
i CITY OF CARMEL CITY OF CARMEL 01 -20 -09
LAW OFFICE LAW OFFICE Invoice Date
1 CIVIC SQ 1 CIVIC SQ 038025202
CARMEL IN CARMEL IN Invoice Number
v1 46032 46032 711428953
Customer Number
V
W7655P WC 7655 COP -PRNTR SER.# VDR- 548166
I NV OI CE FOR THE PER! OD _PAYMENT ON YOUR XEROX AGiiE tMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
Q1
V
O
C t XE ;R OX CAPITAL THE EASY WAY T ORDER SUPPLIES NOT REQUIRED )CefOX
O
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800- 822-2200
DALLAS T X Special Reference
75266 -0501 DUMOOOOOX -000
E Contract Number
O
Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: A� Terms Of Payment
Ship To /Installed At: Bill To:
a_ CITY OF CARMEL CITY OF CARMEL 01- 20 0.9
LAW OFFICE LAW OFFICE
Invoice Date
1 CIVIC SQ 1 CIVIC SQ 038025202
CARMEL IN CARMEL IN Invoice Number
(A 46032 46032 711428953
U Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
AMOUNT
BASE CHARGE DECEMBER
453.76
METER READ METER READ NET COPIES
METER USAGE 12 -15 -08 TO 12 -30 -08
TOTAL BLACK 69035 73085 4050
TOTAL COLOR 15141 16296 1155
METER CHARGES
TOTAL BLACK 4050
LESS PRINT ALLOWANCE 2499
BLACK BILLABLE PRINTS 1551 .006000 9.31
U TOTAL COLOR 1155
.O LESS PRINT ALLOWANCE 125
C
COLOR BILLABLE PRINTS 1030 .089000 91.67
NET PRINT CHARGE 100.98
LESS SERVICE CREDITS 20 a .015000 .30CR
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 554.44
TOTAL 554.44
ALLOWANCE PRORATED FOR 015 DAYS
AT THE TIME OF BILLING, NO VALID METER READ WAS AVAILABLE,
SO METER USAGE WAS ESTIMATED. ANY OVERAGE /UNDERAGE WILL BF___.__
ADJUSTED ON NEXT METER INVOICE. PLEASE VISIT OUR WEBSITE
AT WWW.XEROX.COM TO SUBMIT YOUR NEXT METER READ.
XEROX FEDERAL IDENTIFICATION #16- 0468020
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT_OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paving By Mall
Ship To /Installed At Bill To Send Payment To:
4j
C
aJ
Please check here if your "Bill To" address or "Ship To /Installed At"
location has changed and complete reverse side. Invoice Amount
CL
PAGE 1 OF 2
0 INDIANA RETAIL TAX EXEMPT PAGE
A of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
i J
FEDERAL EXCISE TAX EXEMPT n
35- 60000972
C' 4
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
SLI
CARMEL INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING PS,
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
r SHIP
VENDOR TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A
0 v
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AAM
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE L- �.rt .l,{ P_ 1 11L9_(.'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 l g CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
7
OUCHER NO. ,WARRANT NO.
ALLOWED 20
V I 'S
IN THE SUM OF
e&4 mg
�Y
ON ACCOUNT OF APP OPRIATION FOR
z•
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
I hereby certify that the attached invoice(s), or
y bill(s) is (are) true and correct and that the
03 8 o �.s ss`
materials or services itemized thereon for F
which charge is made were ordered and
received except
20
Signature
Tit
Cost distribution ledger classification if
claim paid motor vehicle highway fund