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211442 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1 ONE CIVIC SQUARE RICOH AMERICAS CORPORATION CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK AMOUNT: $105.55 CHICAGO IL 60673-1211 CHECK NUMBER: 211442 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4353004 415943762 105 . 55 COPIER (� (�C® fJ Ll INVOICE Page Number 1 of 1 U�U �L�-1� Invoice Number Invoice Date ' 5 Dedrick Place 15943762 7/23/2012 West Caldwell, NJ 07006 PO Number Contract Number .� BRIAN G POINDEXTER SVC03583411 Customer Number Customer Location 54159 3112970 Federal ID Number: 22-2783521 Terms Due Date DUNS Number:06-107-9273 NET 30 08/22/2012 Bill To: 17 II��IIII��I��I��III�III�I 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 Model Serial N"umber Description Amoun 6400SR/C240SR/LD14 S7514900096 B/W Total 105.46 OCSR Floor Suite Room: LEVEL 4 Current Meter: 60477 (06/30/2012) Previous Meter: 47779 (04/01/2012) Total: 12698 Credit: 0 Allowance: 5000 Billable: 7698 Overage Rate: .0137 C400SR/C240SR/LD14 S7514900096 Color Total .09 OCSR Floor Suite Room: LEVEL 4 Current Meter: 13 (06/30/2012) Previous Meter: 12 (04/01/2012) Total: 1 Credit: 0 Allowance: 0 Billable: 1 Overage Rate: .09 For inquiries regarding your account, contact us at 877-742-6495 or via email at Subtotal: $105.55 chgcscar @Ricoh-usa.com. Tax: .00 °"i'otay I $105.55 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 n i LO � �-►-�2� 1 cq S l�c� 2 t�- }� Purchase Order No. Pin Terms Leo`"^ Date Due Invoice Invoice Description Amount Pate, Number (or note attached invoice(s) or bill(s)) ©ac r2 T S�-Q 357 3 41 Total 05. S� 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 �fl Ct 5 C�,�t°. IN SUM OF $ $ /051:> S ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or Q -1 sgg3 j(, 5-50.0 O�.SS 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 C 20 �S SS Cost distribution ledger classification if Title claim paid motor vehicle highway fund