213641 10/09/2012 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
«o� CHICAGO IL 60673-1211 CHECK NUMBER: 213641
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 22137048 171 . 06 COPIER
RICOH AMERICAS CORPORATION PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 22137048
JACKSONVILLE,FL 32255-0599
INVOICE DATE 09/28/2012
View your account online at CONTRACT NO. 036-0026232-000
DUE DATE 10/18/2012
www.QDSonthe",eb.com
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
036-0026232-000 PAYMENT DUE 10/18112 171.06 0.00
S/N S7514900096 171.06
RICOH COPIER
CARMEL/IN
Model#MPC400SR
RICOH
INVOICE TOTAL 171.06 0.00 171.06
INQUIRIES
www-ODSontheweb.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
Keep upper portion for your records ----
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
Ri �M�✓ic� s �p,�f'
PL Purchase Order No.
Ale
l! Ck—coo2I<_ �" L Terms
{'11 G/-}G o % Cj Q l0 73 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LEA SC 17 1- 06
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
�o� �r'1�Rr��--S PRA°•
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1301 %201 W S3 C)-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
i
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund