217867 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $1,158.78
CARMEL, INDIANA 46032 26152 NETWORK PLACE
CHICAGO IL 60673-1261 CHECK NUMBER: 217867
CHECK DATE: 2126/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 065997744 286 . 92 OTHER EXPENSES
1180 R4353004 26712 065997746 162 . 15 COPIER FEES
1180 R4353004 26712 066204251 547 . 56 COPIER FEES
1180 R4353004 26712 066204272 162 . 15 COPIER FEES
0240-002
XEROX CORPORATION THE EASY wav SIGNED XOA xerox
TO ORDER SUPPLIES �
®
PO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
E Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 41� Terms Of Payment
Ship To/Installed At: Bill To:
� 01-19-13
CITY OF CARMEL CITY OF CARMEL Invoice Date
Ej WATER AND SEWER WATER AND SEWER 065997744
UTILITY UTILITY Invoice Number
9609 HAZEL DELL PKWY 760 3RD AVE SW 718691959
INDIANAPOLIS IN CARMEL IN Customer Number
46280 46032
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394824
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT -
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
l�
�� XEROX FEDERAL IDENTIFICATION #16-0468020
0240-001
XEROX CORPORATION THE EASY wav SIGNED XOA XeroXQ
TO ORDER SUPPLIES -�
®
PO BOX 6 6 0 5 0 2 CFREEOUR TOLL Purchase Order Number
4Q DALLAS TX 1-800-822-2200
0 75266 Special Reference
E VINOOOOOX-000
L Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: 4h� Terms Of Payment
Ship To/Installed At: Bill To:
Lft 0240-001 01-19-13
Q) CITY OF CARMEL CITY OF CARMEL Invoice Date
rZ WATER AND SEWER WATER AND SEWER 065997744
UTILITY UTILITY Invoice Number
� 9609 HAZEL DELL PKWY 760 3RD AVE SW 718691959
1A INDIANAPOLIS IN CARMEL IN Customer Number
zi 46280 46032
W7125PT WC7125PT PRNTR/TRY SER.# XDC-394824
AMOUNT
BASE CHARGE DECEMBER
238.57
METER READ METER READ NET COPIES
METER USAGE 10-22-12 TO 12-30-12
TOTAL BLACK 2095 4883 2788
TOTAL COLOR 388 1000 612
METER CHARGES
TOTAL BLACK 2788
LESS PRINT ALLOWANCE 5666
BLACK BILLABLE PRINTS 0 .012900 .00
TOTAL COLOR 612
COLOR BILLABLE PRINTS 612 .079000 48.35
NET PRINT CHARGE 48.35
1 LNE FAX LAN IFAX SER.# FAXILN INCL
2/3—HOLE PUNCH SER.# FINLX—.3HP INCL
OFC FINISHER LX SER.# OFCFNLX INCL
POSTSCRIPT KIT SER.# PSKIT INCL
USB ENABLE KIT SER.# USBENBLE INCL
SUB TOTAL 286.92
TOTAL 286.92
ALLOWANCE PRORATED FOR 068 DAYS
AT THE TIME OF BILLING, NO VALID METER READ WAS AVAILABLE,
SO METER USAGE WAS ESTIMATED. ANY OVERAGE/UNDERAGE WILL BE
ADJUSTED ON NEXT METER .INVOICE.. -PLEASE VISIT OUR WEBSITE
AT WWW.XEROX.COM TO SUBMIT YOUR NEXT METER READ.
XEROX FEDERAL IDENTIFICATION #16-0468020
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying BV Mail
Ship To/Installed At Bill To Send Payment To:
Asa
EPlease check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. Invoke Amount _
CL
PAGE 1 OF .2
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
343004
XEROX CORP Purchase Order No.
26152 Network Place Terms
CHICAGO, IL 60673 Due Date 2/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2013 065997744 $286.92
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 126746 WARRANT # ALLOWED
343004 IN SUM OF $
XEROX CORP
26152 Network Place
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
065997744 01-7362-05 $286.92
Voucher Total $286.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
0239-001
XEROX CORPORATION THE EASY WAY Xef®X
TO ORDER SUPPLIES J
® PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
Contract Number
Telephone888-435-6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: � Terms Of Payment
p� Ship To/Installed At: Bill To:
0239-001 01-19-13
CITY OF CARMEL Z CITY OF CARMEL Invoice Date
1 CIVIC SQ CITY LAW OFF . 065997746
® CARMEL IN ELAINE BASS Invoice Number
46032 1 CIVIC SQUARE 976584607
CARMEL IN Customer Number
46032
DC425AC DIGITAL COPIER SER.# EYC-017353
AMOUNT
BASE CHARGE JANUARY
162.15
METER USAGE 09-30-12 TO 01-18-13
METER 1 179950 179950 0
PRINT CHARGES
V METER 1 PRINTS 0
•® LESS ALLOWANCE 14533
NET BILLABLE PRINTS 0 .022000 .00
TOTAL EXCESS PRINT CHARGES .00
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
SUB TOTAL 162.15
TOTAL 162.15
ALLOWANCE PRORATED FOR 109 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT VA•
THIS AGR.F_EMFNT TNCLUDES EQUIPMENT. MAINTENANCE AND SUPPLY CHARGES
THI.S COST PER COPY AGREEMENT RENEWS ON 03-30-13
XEROX FEDERAL IDENTIFICATION #16-0468020
1330-001
XEROX HE EASY WAY xerox
EROX CORPORATION
TO ORDER SUPPLIES J
® PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE Q DALLAS TX 1-800-822-2200
(3 75266 Special Reference
E VINOOOOOX-000
L� Contract Number
0 Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
Ship To/installed At: Bill To:
L 1330-001 02-01-13
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 066204251
1 CIVIC S Q 1 Civic S Q Invoice Number
CARMEL IN CARMEL IN 711428953
46032 46032 Customer Number
U
W7655P WC 7655 COP—PRNTR SER.# VDR-548166
AMOUNT
BASE CHARGE JANUARY
459.97
METER READ METER READ NET COPIES
METER USAGE 12-21-12 TO 01-22-13
TOTAL BLACK 335051 341359 6308
TOTAL COLOR 74274 75338 1064
METER CHARGES
U TOTAL BLACK 6308
•® LESS PRINT ALLOWANCE 5000
BLACK BILLABLE PRINTS 1308 .006600 8.63
TOTAL COLOR 1064
LESS PRINT ALLOWANCE 250
COLOR BILLABLE PRINTS 814 .097000 78.96
NET PRINT CHARGE 87.59
ADVANCED FINISHER SER.# ADVFNSHR INCL
SER.# CBO-999999 INCL
PR/COPY/SCAN CNTRL SER.# SCANCTRL INCL
SUB TOTAL 547.56
TOTAL 547.56
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT ,
THIS AGREEMENT INCLUDES EQUIPPMENT, MAINTENANCE AND- SUPPLY -CHARGES Z'
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
1329-001
XEROX CORPORATION THE EASY WAY xerox
TO ORDER SUPPLIES J
® PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE DALLAS TX 1-800-822-2200
C3 75266 Special Reference
E VINOOOOOX-000
L Contract Number
2 Telephone888-435-6333 PAYABLE UPON RECEIPT
Please Direct Inquiries To: � Terms Of Payment
M Ship To/Installed At: Bill To:
1329-001 02-01-13
v CITY OF CARMEL CITY OF CARMEL Invoice Date
1 CIVIC SQ CITY LAW OFF.
0
CARMEL IN ELAINE BASS m
Invoice Number
46032 1 CIVIC SQUARE 976584607
CARMEL IN Customer Number
V 46032
DC425AC DIGITAL COPIER SER.# EYC-017353
-- - - - - - -- - - - AMOUNT
BASE CHARGE FEBRUARY
162.15
METER CRU KIT SER.# CRU32METR INCL
DC432/40 CTCH TRAY SER.# DC32CT INCL
Q) SUB TOTAL 162.15
w
.® TOTAL 162.15
C
YOUR ANNUAL AGREEMENT WILL BE RENEWED ON 04-01-13 AT THE PRICES , TERMS
AND CONDITIONS IN EFFECT ON THAT DATE . QUESTIONS MAY BE DIRECTED
TO YOUR LOCAL XEROX DISTRICT OFFICE.
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
THIS COST PER COPY AGREEMENT RENEWS ON 03-30-13
XEROX FEDERAL IDENTIFICATION #16-0468020
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
Xerox Corporation
Purchase Order No.
26152 Network Place
Terms
Chicago, Illinois 60673-1261 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Copier leases per the attached:
Invoice No. 065997746 $162.15
Invoice No. 066204251 $547.56
Invoice No. 066204272 $162.15
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
XerOX Corporation IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$ �
�l.
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW 1180
430-53004 Copier
DBoard Members
PO#or., NO. ACCT#/TITLE AMOUNT
.�.* I hereby certify that the attached invoice(s), or
26712 065997746 $162.15 bill(s) is (are) true and correct and that the
26712 066204251 547.56 materials or services itemized thereon for
26712 066204272 162.15 which charge is made were ordered and
received except
20
Ze_,gignaturCost distribution ledger classification if
claim paid motor vehicle highway fund