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211032 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1 0 ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CHECK AMOUNT: $171.06 CARMEL, INDIANA 46032 21146 NETWORK PLACE CHICAGO IL 60673-1211 CHECK NUMBER: 211032 CHECK DATE: 7117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4353004 21646936 171 . 06 COPIER RICOH AMERICAS CORPORATION PAGE 1 of 1 ATTN: CUSTOMER SERVICE P.O.BOX 550599 INVOICE NO. 21646936 JACKSONVILLE, FL 32255-0599 INVOICE DATE 06/28/2012 View your account online at CONTRACT NO. 036-0026232-000 DUE DATE 07/18/2012 www. DSontheweb.com Contract Number Asset Description Description of charge(s) Amount Due Sales Tax Total Due 036-0026232-000 PREVIOUSLY BILLED 171.06 0.00 S/N S7514900096 PAYMENT DUE 07/18/12 171.06 0.00 RICOH COPIER 342.12 CARMEL/IN Model#MPC400SR RICOH INVOICE TOTAL 342.12 0.00 342.12 1 INQUIRIES' www.QDSontheweb.com For Customer 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 thariA.,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.ecords - _ 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 ( iY2 ',cLO 1�9�L,r� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0 L Total 0 Lo 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 IN SUM OF $ j as $ 1 , dGo ON ACCOUNT OF APPROPRIATION FOR ('�} Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or f ZD 1 , (, :�-3 o .p ,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 2 20 le Cost distribution ledger classification if claim paid motor vehicle highway fund