208023 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
CARMEL, INDIANA 46032 PO BOX 4245 CHECK AMOUNT: $98.56
CAROL STREAL IL 60197 -4245 CHECK NUMBER: 208023
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 415038574 98.56 COPIER
INVOICE Page Number 1 of 1
Irnvoice:.Numb InVo�ce D "ate
15038574 04/01/2012
5 Dedrick Place P.O,,Numb er :p.,, ontitact=NumbeM
West Caldwell, NJ 07006 BRIAN G POINDEXTER SVCO3583411
ustorner Number........, ustomer'tocafon=
54159 3112970
Federal ID Number: 22- 2783521 erms..'. :uDate;
DUNS Number: 06- 107 -9273 IN ET 30 5/01/2012
Bill To: 21 I I III Ship To:
CITY OF CARMEL
CITY OF CARMEL 1 CIVIC SQUARE, CARMEL CITY COURT
ATTN: KIM ROTT CARMEL,IN 46032
1 CIVIC SQUARE CARMEL CITY CT
CARMEL IN 46032
a y
M otlel Sepal Number Descri flop
PU
C400SR /C240SR /LD14 S7514900096 B/W Total 98.56
°OCSR
Floor Suite Room: LEVEL 4
Current Meter: 47779 (03/31/2012)
Previous Meter: 35585 (01/01/2012)
Total: 12194
Credit: 0
Allowance: 5000
Billable: 7194
Overage Rate: .0137
C400SR /C240SR /LD14 S7514900096 Color Total .00
OCSR
Floor Suite Room: LEVEL 4
Current Meter: 12 (03/31/2012)
Previous Meter: 12 (01/01/2012)
Total: 0
Credit: 0
Allowance: 0
Billable: 0
Overage Rate: .09
For inquiries regarding your account, contact us at 877 742 -6495 or via email at S ubtotal:' $98.56
chgcscar @Ricoh usa.com.
m� .Ta x::;. .00
$98.56
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
k lcoh n M e. r l cA S Co R t o 2 q n6 tj Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 gs r0 2 COO e S 6 ve r
n
4P
C Oki _772/i c,i C 6Ve_TGt Z
Total
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
h 4H&O CA,��, C� IN M F
SU O
3iY if
UA-i�-o Q �✓1 a 1 9 7
9
ON ACCOUNT OF APPROPRIATION FOR
J
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
'6360 D 0 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund