174556 07/08/2009 „M CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $995.91
CARMEL. INDIANA 46032 PO BOX 802555
CHICAGO IL 60680 -2555 CHECK NUMBER: 174556
CHECK DATE: 702009
DEPARTMENT ACCOU P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 041271953 __,-274.98 COPIER
601 5023990 041271985 X450.58 OTHER EXPENSES
651 5023990 041271985 270.35 OTHER EXPENSES
XEROX CAPITAL 2150 THE EASY WAY xerox F
C TO ORDER SUPPLIES f
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800 822 -2200
e3 DALL TX
Special Reference
75266 -0501 VINOOOOOX -000
L Contract Number
O Telephone888- 435 -6333 NET 30 DAYS
Please Direct Inquiries To: 4k- Terms Of Payment
Ship To /installed At: Bill To:
CARMEL CITY COURT 07 -01 -09
ONE CIVIC SQUARE Invoice Date
CARMEL IN 041271953
,0 46032 Invoice Number
V 305567166
V Customer Number
DC430 430W /DADF,DUP,2TR SER.# UHG- 031217
AMOUNT_
BASE CHARGE JUNE
274.98
METER USAGE 03 -21 -09 TO 06 -21 -09
METER 1 184537 202556 18019
PRINT CHARGES
U METER 1 PRINTS 18019
LESS ALLOWANCE 21000
LESS SERVICE CREDITS 330
NET BILLABLE PRINTS 0 .013700 .00
1 +1 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
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
_TQTAL_QE -_I- NVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16- 0468020
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
Purchase Order No.
Terms
r
kilo SsS Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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EP or INVOICE NO. ACCT /TITLE AMOUNT
D I hereby certify that the a
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materials or services iten
which charge is made wE
received except
Cost distribution ledger classification it
Title
paid motor vehicle highway fund
XEROX CAPITAL r 7 4 r THE EASY WAY TO xerox
TO ORDER SUPPLIES
C
SERVICES, L L C CALL OUR TOLL Purchase Order Number
PO BOX 660502 1-800 822 -2200
44 DALLAS TX Special Reference
tj 75266 -0501
Contract Number
Q Telephone888- 435 -6333 PAYABLE UPON RECEIPT
z Please Direct Inquiries To: 4 k� Terms Of Payment
C Ship To /Installed At: Bill To:
L CITY OF CARMEL CITY OF CARMEL 07 -01 -09
Qj WATER AND SEWER WATER AND SEWER Invoice Date
O UTILITY UTILITY 041271985
760 3RD AVE SW 760 3RD AVE SW Invoice Number
�''v1 CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP —PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JULY
476.84
METER READ METER READ NET COPIES
METER USAGE 05 -22 -09 TO 06 -22 -09
TOTAL BLACK 192833 220683 27850
TOTAL COLOR 31576 32691 1115
"+FT_E.RCHARGES
27850
.006000 167.10
VOUCHER 095952 WARRANT ALLOWED
t�
34.3004 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
41271985 01- 7360 -07 $270.35
i
1 Y
tV
Voucher Total $270.35
Cost distribution ledger classification if
claim paid under vehicle highway fund
S tate Board of Accounts City Form No. 201 (Rev 19
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
e or bill to be properly itemized must show, kind of service, where
#J, dates of service rendered, by whom, rates per day, number of units,
Lit,
etc.
Payee
ORP Purchase Order No.
102555 Terms
1 1L 60680 Due Date 7/1/2009
M
invoice Description
Number (or note attached invoice(s) or bill(s)) Amount
1 $1271985 $270.35
i.
k� I
E'
ithat the attached invoice(s), or bill(s) is (are) true and
ve audited same in accordance with IC 5- 11- 10 -1.6
Date O cer
XEROX CAPITAL 1741 THE EASY WAY S10994 xer®x
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 -a 22B zoo
4.1 DALLAS TX Special Reference
E 0 75266 -0501
Contract Number
o Telephone 888- 435 -6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: ,a Terms Of Payment
C Ship To /Installed At: Bill To:
i CITY OF CARMEL CITY OF CARMEL 07 -01 -09
GJ WATER AND SEWER WATER AND SEWER Invoice Date
E UTILITY UTILITY 041271985
a 760 3RD AVE SW 760 3RD AVE SW Invoice Number
to CARMEL IN CARMEL IN 713281426
V 46032 46032 Customer Number
W7655P WC 7655 COP PRNTR SER.# VDR- 557581
AMOUNT
BASE CHARGE JULY
476.84
METER READ METER READ NET COPIES
METER USAGE 05 -22 -09 TO 06 -22 -09
TOTAL BLACK 192833 220683 27850
TOTAL COLOR 31576 32691 1115
METER CHARGES
V TOTAL BLACK 27850
BLACK BILLABLE PRINTS 27850 .006000 167.10
O TOTAL COLOR 1115
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 865 .089000 76.99
NET PRINT CHARGE 244.09
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 720.93
TOTAL 720.93
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 15
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
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 Y
L E P
S A
16—
046
8020
1
71
32814
26 041
271985 O7
Ol 09 HI
T AM
RF057041 C 0715080 P VR 0 p
03 6M4D 09AA H N1010 5TC5 2 115
202100008070060 0412719857 0300720932 271328142620
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 7/1/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2009 41271985 $450.58
hereby certify that the attached invoice(s), or bill(s) is (are) true and
Drrect and I have audited same in accordance with IC 5- 11- 10 -1.6
/0
Date O i r
v UCHER 092254 WARRANT ALLOWED
4 t
0598 IN SUM OF
tROX CORP
BOX 802555
1HICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
DO INV ACCT AMOUNT Audit Trail Code
41271985 01- 6360 -07 $450.58
Voucher Total $450.58
4
most distribution ledger classification if
;laim paid under vehicle highway fund