207207 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CHECK AMOUNT: $168.32
t CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 207207
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 27326 20976662 168.32 COPIER LEASE
KIIJVri MIVICKIIJMJ I.UKf'u" I IUIV PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE 20976662
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 02/27/2012
View your account online at CONTRACT NO. 036 0026232 -000
DUE DATE 03/18/2012
www.QDSontheweb.com
Servicr.. MadL Simolc Otillne
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036 0026232 -000 PREVIOUSLY BILLED .68.32,-,_ 0.00
S/N S7514900096 PAYMENT DUE 03/18/12 168.32 0.00
RICOH COPIER 336.64
CARMEL /IN
Model #MPC400SR
RICOH
INVOICE TOTAL 336.64 0.00 336.64
1NQUIRIES
www.'QDSontheweb.com
-ForoCustomer Service inquiries, please call 1-888 204 -0799
For, nsurance inquiries please call ABIG at 888 -873 -1917
Notice of Bankruptcy,filing should be mailed to One Deerwood, 10201 Centurion Pkwy N, Suite 100, Jacksonville, FL 32256
IMPORTANT INFORMATION
Your account is delinquent more than 1 days. If you have not already done so, please remit your payment online using www.qdsontheweb.com A late fee penalty may be assessed on your account.
Keep upper portion for your records
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
C ;t%LkeiL(C�o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A7 a0976b6a G9.3a
Total 3
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
C AS IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
i3O 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
�76
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund