214800 11/20/2012 ��. 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: 214800
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4353004 22298708 171 . 06 COPIER
RICOH AMERICAS CORPORATION PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 22298708
JACKSONVILLE,FL 32255-0599
INVOICE DATE 10/29/2012
View your account online at _CONTRACT NOY 036-0026232-000
l . DUE DATE- 11/18/2012
DS www.QDSontheweb com
Q Se"Ke Made 5-ore.Online `
Contract Number Description of charge(s) Amount Due Sales Tax
Asset Description Total Due
036-0026232-000 PAYMENT DUE 11/18/12 171.06 0.00
S/N S7514900096 171.06
RICOH COPIER
CARMEL/IN
Model#MPC400SR
RICOH
INVOICE TOTAL 171.06 0.00 171.06
Bill
INQUIRIES
w,w-QDSontheweb.com
For Customer`Service inquiries please�call 1-888-204-0799 --
,For Insurance,inquiries.please call A13IG.at 886-873-1917 - - - - .• - - o
:Notice of Bankruptcy filing should be mailed to One Deenvood,10201 Centurion Pkwy N,Suite 100,Jacksonville,FL 32256
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
�C O Al Purchase Order No.
t,�cl) � Pf a.c� Terms
Gl[C4(.0 ! Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/o 70 Lea s(L- 17l o 6
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
i �aln Qm.� r� caS P�
IN SUM OF $
X60
ON ACCOUNT OF APPROPRIATION FOR
06 (k P-
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
a 2 p S .d 1?1 •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
/9�'�O( 20
O
t
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund