178460 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 343004 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $834.41
'a CARMEL, INDIANA 46032 PO BOX 827598.
'''i:ari `off PHILADELPHIA PA 19182 -7598 CHECK NUMBER: 178460
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 043479483 274.98 COPIER
601 5023990 43265334 349.65 OTHER EXPENSES
6 51 5023990 43265334 209.78 OTHER EXPENSES
XEROX CAPITAL 2059 TO O THE EASY WAY
RDER SUPPLIES xerox
O
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1 -800 -82 N UMBER 20
DALLAS TX Special Reference
E 75266 -0501 VINOOOOOX -000
L Contract Number
c Telephone888 -435 -6333 NET 30 DAYS
%4Zft Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
L CARMEL CITY COURT 10 -02 -09
ONE CIVIC SQUARE Invoice Date
E CARMEL IN 043479483
a 46032 Invoice Number
305567166
ft Customer Number
V
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
BASE CHARGE 09 -01 -09 TO 09 -30 -09
274.98
METER USAGE 06 -21 -09 TO 09 -30 -09
METER 1 202556 220726 18170
PRINT CHARGES
V METER 1 PRINTS 18170
LESS ALLOWANCE 22866
LESS SERVICE CREDITS 355
NET BILLABLE PRINTS 0 .013700 .00
ti 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 098 DAYS
FINAL INVOICE
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
fi
yVL! ui� 1 li`1.� V I I C UK C, 'rl C�i�i.;
easily via the Web. it's a fast and convenient way to save you time and money because it
reduces costs by eliminating check and mailing arses. Cnline billing also streamlines your
payment process by minimizing the manual distribution of i woices "ior sign -off. And it enables
control over Payment procasse, by fatting you schedule hcyn^ ants on the date you choose.
Best of all, the service is
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:erox Federal IdentificaVon #16- 01,68020
XEROX CAPITAL 2059 THE EASY WAY xerox
TO ORDER SUPPLIES
C S E R V I C E S LL C CALL OUR TOLL Purchase Order Number EA
PO BOX 660502 1 -800-8 N 22-2200
'a DALLAS TX Special Reference
E 75266 -0501 VINOOOOOX -000
L Contract Number
O Telephone 888 435 -6333 NET 30 DAYS
4Z. Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
L CARMEL CITY COURT 10 -02 -09
QJ ONE CIVIC SQUARE Invoice Date
E C A R M E L IN 043479484
0 46032 Invoice Number
V1 305567166
Customer Number
V
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL .00
TOTAL .00
O
V CONTRACT EFFECTIVE DATE 03 -01 -06
O
INITIAL INVOICE
104 INITIAL METER READS METER A 220726
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16- 0468020
\ViLh er0A s )n l li itknc. �Ci�JICc^, yoL lew in L j. 1UK'_ 11G'J�� E''��:5 t!Uli alp
easily via the Web. It's a fast and convenient way to save you time and money because it
reduces costs by eliminating check and mGiling expenses. Online billing also streamlines your
payment process by minimizing the mannai distribution of invoices for sign- And it enables
control over payment processes by letting you sch' -dule payments on the date you choose.
Best of all, the service
Log 3- t3 to stem 0: CU- C se vii -as.
Xerox Federal Identification -f*16- 0468020
2:.74KFROX ORPr6 Ta A of✓� l .r e ..i 't=
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
1 14Q�� Purchase Order No.
Terms
6 04, 80 S3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 09 0 ,3qf 4y8,3
Total 4d 7`/.
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.
n ALLOWED 20
wit -O�✓ ��2"'aa�'L'
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
,39 o43 47? Y J p Ll �'j D l8 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
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
XEROX CAPITAL 0373 THE EASY WAY 510994 ��r
L. TO ORDER SUPPLIES
S E R V I C E S L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1 -800 822 -2200
(3 DALLAS TX Special Reference
E 75266 -0501
Contract Number
L..
Telephone888 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 4 Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 10 -01 -09
v
rZ WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 043265334
760 3RD AVE SW 760 3RD AVE SW Invoice Number
tn CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE OCTOBER
476.84
METER READ METER READ NET COPIES
METER USAGE 08 -24 -09 TO 09 -22 -09
TOTAL BLACK 223640 225138 1498
TOTAL COLOR 34981 36058 1077
METER CHARGES.
V TOTAL BLACK 1498
•O BLACK BILLABLE PRINTS 1498 .006000 8.99
TOTAL COLOR 1077
C LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 827 .089000 73.60
NET PRINT CHARGE 82.59
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 559.43
TOTAL 559.43
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 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
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
a
PLEASE PAY
16- 046 -8020 1 713281426 043265334 10 -01 -09 T I S AMOUNT $:5 >5:9:.:.4.3._:.;:<:
RF071415 C 0715080 PVR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0432653342 0300559431 271328142620
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER Q!�
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 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 43265334 $349.65
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 /Offvr
'"VOUCHER 093244 WARRANT ALLOWED
x
'350598
IN SUM OF
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
43265334 01- 6360 -07 $349.65
J�
Voucher Total $349.65
Cost distribution ledger classification if
-claim paid under vehicle highway fund
XEROX CAPITAL 0373 THE EASY WAY 510994 xerox
TO ORDER SUPPLIES J
C
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 800 822-2200
0 DALLAS TX Special Reference
75266 -0501
Contract Number
4 z. 0 Telephone888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: 4� Terms Of Payment
Ship To /Installed At: Bill To:
CITY OF CARMEL CITY OF CARMEL 10 -01 -09
WATER AND SEWER WATER AND SEWER
Invoice Date
UTILITY UTILITY 043265334
4,j 760 3RD AVE SW 760 3RD AVE SW Invoice Number
H CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE OCTOBER
476.84
METER READ METER READ NET COPIES
METER USAGE 08 -24 -09 TO 09 -22 -09
TOTAL BLACK 223640 225138 1498
TOTAL COLOR 34981 36058 1077
METER CHARGES
V TOTAL BLACK 1498
•O BLACK BILLABLE PRINTS 1498 .006000 8.99
TOTAL COLOR 1077
C LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 827 .089000 73.60
NET PRINT CHARGE 82.59
Tn�C FAX„ KT..,.....,
e
I
7 ^CCuS° it
.alines your
c. :�ccs`.
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 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 43265334 $209.78
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 096507 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
43265334 01- 7360 -07 $209.78
Voucher Total $209.78
Cost distribution ledger classification if
claim paid under vehicle highway fund