179408 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 361261 Page 1 of 1
ONE CIVIC SQUARE SHARP ELECTRONICS CORP
T CARMEL, INDIANA 46032 DEPT CH 14288 CHECK AMOUNT: $171.15
PALATINE IL 60055 -4288
CHECK NUMBER: 179408
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350000 C724302 -561 171.15 EQUIPMENT REPAIRS M
Page 2 of 2
INVOICE
R'
INVOICE NUMBER INVOICE DATE CUSTOMER PO NUMBER
C724302 -561 10/28/2009
PLEASE DIRECT INQUIRIES T0:
317 -844 -0033
SHARP BUSINESS SYSTEMS PAYMENT TERMS TAX ID DUNS NUMBER NO RETURNS WILL BE
7330 EAST 86th ST._. SUITE 900 NET 10 13- 1968872 00 -181 -8012 ACCEPTED WITHOUT PRIOR
INDIANAPOLIS, IN 46256 WRITTEN AUTHORIZATION
SOLD TO: 5610003571 SHIP TO: 5610003571
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SERVICS
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
ORD SHIP B.O. U/M ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1 1 0 EA M- X2300N SI- LARP -23 CPM COLOR MFP ___80-.00- 80.00 MACHINE ID: 5610007641 SERIAL: 75070278
FIRST FLOOR
COPIES USED FROM 7/25/2009 THROUGH 10/24/2009
*COLOR Q�, S��
10/27/2009 4707 CURRENT METER READING
7/29/2009 4397 PRIOR METER READING RECEIVED
310 TOTAL COPIES ry
1000 COPIES INCLUDED IN USE CHARGE NOV 3 20
0 NET BILLABLE COPIES o� DOGS
1 1 0 COLOR 310 COPIES 0.000000 0 ,0!00 0.00
SUBTOTAL 171.15
FREIGHT 0.00
SALES TAX 0.00
TOTAL AMOUNT 171.15
Thank You For Your Business
Page l of 2
SHARP INVOICE
INVOICE NUMBER INVOICE DATE CUSTOMER PO NUMBER
C724302 -561 10/28/2009
PLEASE DIRECT INQUIRIES TO
3 17-844-0033
SHARP BUSINESS SYSTEMS PAYMENT TERMS TAN ID DUNS NUMBER NO RETURNS WILL BE
7330 EAST 86th ST., SUITE 900 NET 10 13- 1968872 00 -181 -8012 ACCEPTED WITHOUT PRIOR
INDIANAPOLIS, IN 46256 WRITTEN AUTHORIZATION
SOLD TO: 5610003571 SHIP TO: 5610003571
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SERVICS
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
ORD SHIP B.Q. U/M ITEM NUMBER DESCRIPTION U NI T PRI CE AMOUNT
MAINTENANCE CONTRACT NO. 4056
BASE BILLING PERIOD FROM 10/25/2009 THROUGH 1/24/2010
1 1 0 EA MX230ON SHARP 23 CPM COLOR MFP 47.50 47.50
MACHINE ID: 5610007641 SERIAL: 75070278
FIRST FLOOR i 2 3 4 S6
COPIES USED FROM 7/25/2009 THROUGH 10/24/2009
BLACK
10/27/2009 53681 CURRENT METER READING v VIECEIVED
7/29/2009 44086 PRIOR METER READING Nov 3 2009
9595 TOTAL COPIES o ppCS
5000 COPIES INCLUDED IN USE CHARGE
4595 NET BILLABLE COPIES
I 1 0 BLACK 5000 COPIES 0.000000 S 00 0.00
I 1 0 BLACK 4595 COPIES 0.009500 43.65 43.65
BASE BILLING PERIOD FROM 10/25/2009 THROUGH 1/24/20 10
Thank You For Your Business
DETACH AND RETURN WITH PAYMENT
SHARP YOUR CONVENIENCE WE ACCEPT VISA, MASTERCARD AND AMERICAN EXPRESS
PLEASE CALL 317 -844 -0033
INVOICE DATE INVOICE NUMBER
10/28/2009 C724302 -561 PLEASE PAY THIS AMOUNT CONTINUED
Sold To: 5610003571 Mail Remittance To:
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS SFIARP ELECTRONICS CORPORATION
ONE CIVIC SQUARE DBA SHARP BUSINESS SYSTEMS
CARMEL. IN 46032 DEPT. CI-I 14288
PALATINE, IL 60055 -4288
�y
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))
10/28/09 C724302 -561 Copier rental $171.15
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
Sharp Electronics Corporation
Sharp Business Systems
IN SUM OF
Dept. Ch 14288
Palaiine, IL 60055 -4288
$171.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 C724302 -561 43- 500.00 $171.15 1 hereby certify that the attached invoice(s), or
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
Monday, Novf tuber 09, 2009
irector, 5pirs
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund