212755 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
0 `• ONE CIVIC SQUARE RICOH AMERICAS CORPORATION
CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK AMOUNT: $171.06
•+ o� "�' CHICAGO IL 60673-1211 CHECK NUMBER: 212755
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 21976830 171 . 06 COPIER
RICOH AMERICAS CORPORATION PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 21976830
JACKSONVILLE, FL 32255-0599
INVOICE DATE 08/29/2012
Vied' your account online at CONTRACT NO. 036-0026232-000
DUE DATE 09/18/2012
` vvwvv.QDSo nth cweb.com
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036-0026232-000 PREVIOUSLY BILLED 171.06 0.00
S/N S7514900096 PAYMENT DUE 09/18/12 171.06 0.00
RICOH COPIER 342.12
CARMEL/IN
Model#MPC400SR
RICOH
INVOICE TOTAL 342.12 0.00 342.12
I
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 than 1 days. If you have not already done so,please remit your payment online using www.gdsontheweb.com.'A late fee penalty may be assessed on your account.
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
QMkLAZ- '0-0 Purchase Order No.
Terms
(64(o 73 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
isl9 1536 / l d('
Total '7 I• ��
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.
Q ALLOWED 20
IN SUM OF $
s- /'/) . 06
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
Si
Titq
Cost distribution ledger classification if
claim paid motor vehicle highway fund