176989 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP
CHECK AMOUNT: $1,372.38
CARMEL, INDIANA 46032 Po eox 862555
CHICAGO IL 66660 -2555
CHECK NUMBER: 176989
CHECK DATE: 9/2/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 042016709 '274.98 COPIER
601 5023990 042016752 X353.14 CONT SERVICES OTHER
651 5023990 042016752 211.88 CONT SVS -OTHER
1180 4353004 042295377 X532.38 COPIER
XEROX CAPITAL 2507 THE EASY WAY
TO ORDER SUPPLIES xe rox S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 t -800- 822 -2200
ft 4wj DALLAS TX Special Reference
E 75266 -0501 VINOOOOOX -000
Lm Contract Number
C Telephone888- 435 -6333 NET 30 DAYS
4;. Please Direct Inquiries To: 1w Terms Of Payment
C: Ship To /Installed At: Bill To:
CARMEL CITY COURT 08 0
ONE CIVIC SQUARE Date
E CARMEL IN 042016709
0 46032 Invoice Number
fA 305567166
Customer Number
V
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE JULY
274.98
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 274.98
U
TOTAL 274.98
C
M
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 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
h1 :0 0 coq 75/. 9 8
Total a 74 9 a
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
0, ?o a5ss
loIJ4
V
9 g
ON ACCOUNT OF APPROPRIATION FOR
(�El.tvl�t
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 704 .5- x7499 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
i'
U 0 D
i gn
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
XEROX CAPITAL roan THE EASY WAY NOT REQUIRED xeroxa
TO ORDER SUPPLIES
SER--VICES, LLC CALL OUR TOLL Purchase Order Number
FREE NUMBER
PO BOX 660502 1 -800- 822 -2 200
DALLAS TX Special Reference
75266 -0501 DUMOOOOOX -000
L
Contract Number
Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: 4k� Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 08 -05 -09
LAW OFFICE LAW OFFICE invoice Date
1 CIVIC SQ 1 CIVIC SQ 042295377
CARMEL IN CARMEL IN Invoice Number
v1 46032 46032 711428953
t :3 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 548166
AMOUNT
BASE CHARGE JULY
453.76
METER READ METER READ NET COPIES
METER USAGE 06 -24 -09 TO 08 -01 -09
TOTAL BLACK 110968 116092 5124
TOTAL COLOR 24271 25470 1199
METER CHARGES
TOTAL BLACK 5124
LESS PRINT ALLOWANCE 6166
BLACK BILLABLE PRINTS 0 .006000 .00
.V TOTAL COLOR 1199
LESS PRINT ALLOWANCE 308
C COLOR BILLABLE PRINTS 891 .089000 79.30
NET PRINT CHARGE 79.30
LESS SERVICE CREDITS 45 a .015000 .68CR
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO- 999999 INCL
PR /COPY /SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 532.38
J. TOTAL 532.38
ALLOWANCE PRORATED FOR 037 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
INDIANA RETAIL TAX EXEMPT PAGE
C C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Da-fw f w J �r FEDERAL EXCISE TAX EXEMPT 1 a
(�'ll� 6, 35- 60000972 �IpS Cf�
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
VENDOR SHIP
n y TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A
V
t
fj
1
1 f p y 4 m e a• a m a T
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
113 .,,x". PAYMENT S 3
q t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVQICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UN OBLIGATED BALANCE IN
SHIP flEPAID.
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. /"r L
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE l i t�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
21 16 CLERK- TREASURER
DOCUMENT CONTROL NO COPY SIGN AND RETURN TO CLERK OFFI
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
e
W_ -55
A�4a44Xa,,,k
ON ACCOUNT OF APPRCIPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
{hereby certify That the attached invoice(s), or
e1 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 O q
4 MTitle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
XEROX CAPITAL 3598 THE Easv wav 510994 x
TO ORDER SUPPLIES 01er®x /e
C S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800 822
a DALLAS TX Special Reference
75266 -0501
L Contract Number
Telephone888- 435 -6333 PAYABLE UPON RECEIPT
4Z Please Direct Inquiries To:: Terms Of Pavment
C Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 08 01 09
v WATER AND SEWER WATER AND SEWER Invoice Date
E UTILITY UTILITY 042016752
2 760 3RD AVE SW 760 3RD AVE SW Invoice Number
V>I CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE AUGUST
476.84
METER READ METER READ NET COPIES
METER USAGE 06 -22 -09 TO 07 -22 -09
TOTAL BLACK 220683 222163 1480
TOTAL COLOR 32691 33832 1141
METER CHARGES
Q) TOTAL BLACK 1480
U BLACK BILLABLE PRINTS 1480 .006000 8.88
O TOTAL COLOR 1141
LESS PRINT ALLOWANCE 250
Ir�.l COLOR BILLABLE PRINTS 891 .089000 79.30
.NET PRINT CHARGE 88.18
SINGLE LINE FAX KT SER.# FAXLINEI INCL
PROF FINISHER SER.# PROFNSHR INCL g
PR /COPY /SCAN CNTRL SER.# SCANCTRLI INCL
SER.# TXC- 999999 INCL
SUB TOTAL 565.02
TOTAL 565.02
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 B y 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
C CARMEL IN CARMEL IN
v 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 042016752 08 -01 -09 THIS AMOUNT
.5.f5 02>
RF092044 C 0715080 P'VR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0420167529 0300565021 271328142628
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
350598
XEROX CORP Purchase Order No. Ef
PO BOX 802555 Terms d
CHICAGO, IL 60680 Due Date 8/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/28/2009 042016752 $353.14
3
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
3 f P
Date Officer
�`OUCHER 092873 WARRANT ALLOWED
350598 IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ii ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
042016752 01- 6360 -07 $353.14
l
Voucher Total $353.14
Cost distribution ledger classification if
claim paid under vehicle highway fund
XEROX CAPITAL 3998 THE EASY WAY TO 510994 xerox j
S E R V I C E S L L C CALL Purchase Order Number
PO BOX 660502 1 -822 zoo
DALLAS TX Special Reference
75266 -0501
Contract Number
Telephone888 -435 -6333 PAYABLE UPON RECEIPT
4► Please Direct Inquiries To: Terms Of Payment
Ship To /installed At: Bill To:
16. CITY OF CARMEL CITY OF CARMEL 08 -01 09
WATER AND SEWER WATER AND SEWER
Invoice Date
UTILITY UTILITY 042016752
760 3RD AVE SW 760 3RD AVE SW Invoice Number
V1 CARMEL IN CARMEL IN 713281426
ZI 46032 46032 Customer Number
V
W7655P WC 7655 COP PRITR SER.# VDR- 557581
AMOUNT
BASE CHARGE AUGUST
476.84
METER READ METER READ NET COPIES
METER USAGE 06 -22 -09 TO 07 -22 -09
TOTAL BLACK 220683 222163 1480
TOTAL COLOR 32691 33832 1141
METER CHARGES
a TOTAL BLACK 1480
.V BLACK BILLABLE PRINTS 1480 .006000 8.88
TOTAL COLOR 1141
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 891 .089000 79.30
ET PR T.N T T. H Q R I;.F.__
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 8/28/2009
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
8/2812009 042016752 $211.88
ti
d
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 096320 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
042016752 01- 7360 -07 $211.88
I
VI
A
a Voucher Total $211.88
Cost distribution ledger classification if
claim paid under vehicle highway fund