168249 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
0 ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $2,786.19
CARMEL, INDIANA 46032 PO BOX 802555
CHICAGO IL 60680 -2555 CHECK NUMBER: 168249
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUN PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1180 4353004 037399462 --692.72 COPIER
1301 4353004 37649229 1274.98 COPIER
601 5023990 37649269 1,136.56 OTHER EXPENSES
651 5023990 37649269 X 681.93 OTHER EXPENSES
XEROX CAPITAL 0074 THE E asv wav TO ORDER SUPPLIES NOT REQUIRED xerox
C
S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800- 822 -2200
DALLAS TX Special Reference
75266 0501., DUMOOOOOX -000
L E Contract Number
Telephone888� 43'5 -3 NET 30 DAYS
2 O Ct',Please�Direct To: +OP Terms Of Payment
C Ship To%InstallediAt: Bill To:
L C I TYgQF- °GAR_ME.,L_... C I T Y OF CARMEL 12 -20 -08
_L A•W-0 F'F °I�C E� LAW OFFICE Invoice Date
1 CIVIC SQ 1 CIVIC SQ 037399462
CARMEL IN CARMEL IN Invoice Number
v1 46032 46032 711428953
V Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
NMOUN 1
BASE CHARGE NOVEMBER
453.76
METER READ METER READ NET COPIES
METER USAGE 10 -21 -08 TO 12 -15 -08
TOTAL BLACK 52367 69035 16668
TOTAL COLOR 12524 15141 2617
METER CHARGES
TOTAL BLACK 16668
V LESS PRINT ALLOWANCE 8999
BLACK BILLABLE PRINTS 7669 .006000 46.01
TOTAL COLOR 2617
LESS PRINT ALLOWANCE 449
COLOR BILLABLE PRINTS 2168 .089000 192.95
NET PRINT CHARGE 238.96
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 692.72
TOTAL 692.72
ALLOWANCE PRORATED FOR 054 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS�AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND
T_OTAL-- OF-- -I-N- VOI-CE -MAY -VARY AC- CORDING TO- METE -R USAGE- BILLED-
XEROX FEDERAL IDENTIFICATION #16- 0468020
C 0 INDIANA RETAIL TAX EXEMPT PAGE
of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 x C
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 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
y �QyU SHIP
VENDOR o
o D a a� Jr TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
If I I .t
VDT'
z
•O o
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT p AMOUNT
PAYMENT
f j 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
THIS APP ROPRIA_TI SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 7D �Z j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 9 8 6 CLERK- TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
i
IN THE SUM OF
66 8a -aS
.'*7 3-,
ON A COUNT OF APPR RIATION FOR
00�Z
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
C 03 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
20
i at
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
XEROX CAPITAL 0679 THE EASY WAY NO PO REQ xerox.o
TO ORDER SUPPLIES J
C S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
FREE _'PO BOX 660502 1- 800 -822 -2200
DALLAS TX Special Reference
E 75266 -0501 VINOOOOOX -000
L Contract Number
y0 Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: -0 Terms Of Payment
Ship To /Installed At: Bill To:
CARMEL CITY COURT 01 -01 -09
q) ONE CIVIC SQUARE Invoice Date
.a 46032E IN 03 oi c ce Number
305567166
V Customer Number
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE DECEMBER
274.98
METER USAGE 09 -30 -08 TO 12 -21 -08
METER 1 151479 165937 14458
PRINT CHARGES
V METER 1 PRINTS 14458
LESS ALLOWANCE 19133
NET BILLABLE PRINTS 0 .013700 .00
TOTAL EXCESS PRINT CHARGES .00
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
TOTAL 274.98
ALLOWANCE PRORATED FOR 082 DAYS
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 t
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
�Qw EYl✓ �Ik,ex� Purchase Order No.
�D Terms
(oD6 6 0 S s Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 63WA U,29 a��•��
Total P p�
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
s ss
J/ l�0 G �0 a2s
41
ON ACCOUNT OF APPROPRIATION FOR
ozu
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
30 ,9� 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
20
nat e
Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund
XEROX CAPITAL 0999 THE EASY WAY S10994 xerox �D
L► TO ORDER SUPPLIES J
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 t- 8 00 8 22 -2200
i� DALLAS TX Special Reference
75266 -0501
Contract Number
y 0
Telephone 888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 4b� Terms Of Payment
N-4 Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 01 -01 -09
WATER AND SEWER WATER AND SEWER
Invoice Date
UTILITY UTILITY 037649269
.W 760 3RD AVE SW 760 3RD AVE SW Invoice Number
CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JANUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 11 -24 -08 TO 12 -22 -08
TOTAL BLACK 67190 81297 14107
TOTAL COLOR 5777 20176 14399
METER CHARGES
TOTAL BLACK 14107
V BLACK BILLABLE PRINTS 14107 .006000 84.64
•O TOTAL COLOR 14399
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 14149 .089000 1,259.26
NET PRINT CHARGE _1, 343 .90_
L F.S_S _S.F R_k /_T_r_G __r o_C r r T.0
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 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12129/20M 37649269 $681.93
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 087041 WARRANT ALLOWED
343004 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
.Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
37649269 01- 7360 -07 $681.93
1�
�1
Voucher Total $681.93
Cost distribution ledger classification if
claim paid under vehicle highway fund
C5 ?P k F
XEROX CAPITAL 0958 THE EASY WAY 510994 xer®x
TO ORDER SUPPLIES
S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
FREE PO BOX 660502 1-800 -822 -2200
Cj DALLAS TX Special Reference
E 75266 -0501
Contract Number
Telephone 888- 435 -6333 PAYABLE UPON RECEIPT
e Please Direct Inquiries To: 4� Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 01 -01 -09
QJ
WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 037649269
760 3RD AVE SW 760 3RD AVE SW Invoice Number
CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JANUARY
476.84
METER READ METER READ NET COPIES
METER USAGE 11 -24 -08 TO 12 -22 -08
TOTAL BLACK 67190 81297 14107
TOTAL COLOR 5777 20176 14399
METER CHARGES
TOTAL BLACK 14107
V BLACK BILLABLE PRINTS 14107 .006000 84.64
TOTAL COLOR 14399
O LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 14149 .089000 1,259.26
NET PRINT CHARGE 1,343.90
LESS SERVICE CREDITS 150 a .015000 2.25CR
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 1,818.49
TOTAL 1,818.49
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 Paving BV 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
CARMEL IN CARMEL IN
Q) 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 A E
PAY
16-046-8020 1 713281426 037649269 O l O 1 0 9 THIS AMOUNT
RF071432 C 0715080 PVR00
03 6M4D EI23 H N1010 5TC5 2 115
202100008070060 0376492690 0301818498 271328142626
Prescribed by State Board of Accounts t.ny rums v4u. /,j �RCv iwwu)
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 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/2001 37649269 $1,136.56
i
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
foUCHER 0 ,421.9 WARRANT ALLOWED
150598 IN SUM OF
CEROX CORP
'O BOX 802555
,HICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
1 0# INV ACCT AMOUNT. Audit Trail Code
37649269 01- 6360 -07 $1,136.56
i
t
Voucher Total $1,136.56
most distribution ledger classification if
-lairn paid under vehicle highway fund