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208851 05/10/2012
CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1 ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK AMOUNT: $171.06 CHICAGO IL 60673 -1211 CHECK NUMBER: 208851 CHECK DATE: 5/1012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 R4353004 27326 21318192 171.06 COPIER LEASE RICOH AMERICAS CORPORATION PAGE 1 of 1 ATTN: CUSTOMER SERVICE P.O. BOX 550599 INVOICE NO. 21318192 JACKSONVILLE, FL 32255 -0599 INVOICE DATE 04/28/2012 View your account online at CONTRACT NO. 036- 0026232 -000 DUE DATE 05/18/2012 www.QDSontheweb.com Service Made Cin�e Conlin Contract Number Description of charge(s) Amount Due Sales Tax Total Due Asset Description 75 036 0026232 -000 PREVIOUSLY BILLED 171.06 0.00 S/N S7514900096 PAYMENT DUE 05/18/12 171.06 0.00 RICOH COPIER 342.12 CARMEL /IN Model #MPC400SR RICOH INVOICE TOTAL 342.12 0.00 342.12 INQUIRIES— www.ODSontheweb.com For Service inquiries, please call 1-888-204-0799 For Insurance, 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 notalready. 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 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. p� Payee CC) 6(, C I S Purchase Order No. oft y CP l `1 lid 'D "e �L Terms 'lIC Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7 t W 1 a /3i /9 a P ic& Total 7 1 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 i Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 r G/ S IN SUM OF o� r r Ne- �w ol<-)L �L C4i G, 6©073 f 71.0 ON ACCOUNT OF APPROPRIATION FOR 0 u� T Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or inn 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 Si le Cost distribution ledger classification if claim paid motor vehicle highway fund