177459 09/15/2009 *f CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $840.69
CARMEL, INDIANA 46032 PO BOX 802555
a�. CHICAGO IL 60680 -2555
CHECK NUMBER: 177459
CHECK DATE: 9115/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 042636980 274.98 COPIER
601 5023990 042637025 353.57 OTHER EXPENSES
651 5023990 042637025 212.14 OTHER EXPENSES
XEROX CAPITAL 1706 THE EASY WAY TO 510994 xer®x
C S E R V I C E S LL C CALL ES OUR Purchase Order Number
PO BOX 660502 1 822
DALLAS TX Special Reference
75266 -0501
E Contract Number
Telephone 888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 09 01 09
WATER AND SEWER WATER AND SEWER Invoice Date
UTILITY UTILITY 042637025
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 SEPTEMBER
476.84
METER READ METER READ NET COPIES
METER USAGE 07 -22 -09 TO 08 -24 -09
TOTAL BLACK 222163 223640 1477
TOTAL COLOR 33832 34981 1149
METER CHARGES
V TOTAL BLACK 1477
BLACK BILLABLE PRINTS 1477 .006000 8.86
TOTAL COLOR 1149
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 899 .089000 80.01
NET PRINT CHARGE 88.87
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 565.71
TOTAL 565.71
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 NUMBERIS) ON YOUR CHECK. When Paying 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
CARMEL IN CARMEL IN
C: 46032 46032
Q)
Please check here if your "Bill To" address or "Ship To /Installed At"
location has changed and complete reverse side. InvokeAmount
CL. PLEASE PAY
16- 046 -8020 1 713281426 042637025 09 -01 -09 T H I S AMOUNT x::5:6;5.;.:.:7:1...........
RF081755 C 0715080 PVR00
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0426370255 0300565713 271328142624
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.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 042637025 $353.57
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 lil IZ17
Date Office
VOUCHER 092974 WARRANT ALLOWED
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
042637025 01- 6360 -07 $353.57
�j
'r.
Voucher Total $353.57
Cost distribution ledger classification if
claim paid under vehicle highway fund
XEROX CAPITAL r 7 o 6 THE EASY WAY 510994 xe�ox
TO ORDER SUPPLIES
SERVICES, L L C CALL OUR TOLL Purchase Order Number
EE PO BOX 660502 1F8 8 22 -2200
DALLAS TX Special Reference
75266 -0501
Contract Number
Lft
Q Telephone888- 435 -6333 PAYABLE UPON RECEIPT
C Please Direct Inquiries To: 41 Terms Of Payment
Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 09 -01 -09
WATER AND SEWER WATER AND SEWER Invoice Date
E UTILITY UTILITY 042637025
,a 760 3RD AVE SW 760 3RD AVE SW Invoice Number
CARMEL IN CARMEL IN 713281426
46032 46032 Customer Number
V
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE SEPTEMBER
476.84
METER READ METER READ NET COPIES
METER USAGE 07 -22 -09 TO 08 -24 -09
TOTAL BLACK 222163 223640 1477
TOTAL COLOR 33832 34981 1149
METER CHARGES
G� TOTAL BLACK 1477
.V BLACK BILLABLE PRINTS 1477 .006000 8.86
TOTAL COLOR 1149
LESS PRINT ALLOWANCE 250
ly COLOR BILLABLE PRINTS 899 .089000 80.01
NET PRINT CHARGE 88.87
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 565.71
TOTAL 565.71
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
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 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 042637025 $212.14
a
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 Off' er
vl
VOUCHER 096339 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
042637025 01- 7360 -07 $212.14
Voucher Total $212.14
Cost distribution ledger classification if
claim paid under vehicle highway fund