HomeMy WebLinkAbout220404 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
t. ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $568.24
CARMEL, INDIANA 46032 26152 NETWORK PLACE
CHICAGO IL 60673-1261 CHECK NUMBER: 220404
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 067987749 355 . 15 OTHER EXPENSES
651 5023990 067987749 213 . 09 OTHER EXPENSES
0657-001
XEROX CORPORATION THE EASY WAY SIGNED XOA xer®x ® 0
r� 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: -w Terms Of Payment
Ship To/Installed At: Bill To:
0657-001 05-04-13
CITY OF CARMEL Kit CITY OF CARMEL Invoice Date
WATER AND SEWER WATER AND SEWER 067987749
® UTILITY 1ST FL UTILITY Invoice Number
4-j 760 3RD AVE SW 760 3RD AVE SW 718692031
CARMEL IN CARMEL IN Customer Number
46032 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-096782
AMOUNT
BASE CHARGE APRIL
522.03
METER READ METER READ NET IMPRESSIONS
METER USAGE 03-20-13 TO 04-30-13
BLK+CLR LEVEL 1 IMP 30979 36317 5338
COLOR LEVEL 2 IMPRESS 7668 8824 1156
COLOR LEVEL 3 IMPRESS 1553 1674 121
METER CHARGES FOR IMPRESSIONS �y5 \ O�c�
LEVEL 1 5338
Q) LESS ALLOWANCE 4666
672 .009900 6.65
® LEVEL 2 1156
1156 .027000 31.21
b LEVEL 3 121
121 .069000 8.35
NET IMPRESSION CHARGE 46.21
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 568.24
TOTAL 568.24
ALLOWANCE PRORATED FOR 040 DAYS
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
XEROX FEDERAL IDENTIFICATION #16-0468020
Prescribed b State Board of Accounts '
Y 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 5/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2013 067987749 $213.09
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
Date Officer
i
VOUCHER # 135474 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
067987749 01-7360-07 $213.09
1 �
Voucher Total $213.09
Cost distribution ledger classification if
claim paid under vehicle highway fund
0657-001
lcq
XEROX CORPORATION THE EASY WAY xer®x ��
C TO ORDER SUPPLIES SIGNED XOA
® 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: Q Terms Of Payment
Ship To/Installed At: Bill To:
0657-001 05-04-13
CITY OF CARMEL CITY OF CARMEL Invoice Date
Qj WATER AND SEWER WATER AND SEWER 067987749
UTILITY 1ST FL UTILITY Invoice Number
® 760 3RD AVE SW 760 3RD AVE SW 718692031
CARMEL IN CARMEL IN Customer Number
46032 46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-096782
AMOUNT
BASE CHARGE APRIL
522 .03
METER READ METER READ NET IMPRESSIONS
METER USAGE 03-20-13 TO 04-30-13
BLK+CLR LEVEL 1 IMP 30979 36317 5338
COLOR LEVEL 2 IMPRESS 7668 8824 1156
COLOR LEVEL 3 IMPRESS 1553 1674 121
METER CHARGES FOR IMPRESSIONS
LEVEL 1 5338
Q) LESS ALLOWANCE 4666
672 .009900 6.65
•� LEVEL 2 1156
1156 .027000 31.21
LEVEL 3 121
121 .069000 8.35
NET IMPRESSION CHARGE 46.21
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 568.24
TOTAL 568.24
ALLOWANCE PRORATED FOR 040 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT - MR
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paving BY Mail
Ship To/Installed At Bill To Send Payment To:
CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION
WATER AND SEWER WATER AND SEWER 26152 NETWORK PLACE
UTILITY 1ST FL UTILITY CHICAGO , IL
760 3RD AVE SW 760 3RD AVE SW 60673-1261
CARMEL IN CARMEL IN
46032 46032
❑ Please check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. InvoiceAmount
CL PLEASE PAY
08-703-3320 4 718692031 067987749 05-04-13 THIS AMOUNT $568.24
RR002208 C 080112 MDW00
03 6M4C 001S K V7330 2TC5 3 115
202100008070060 0679877493 0300568246 2711869203178
3k �� � .„
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
350598
XEROX CORP Purchase Order No.
PO BOX 802555 Terms
CHICAGO, IL 60680 Due Date 5/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2013 067987749 $355.15
1 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
5-A, _
Date Officer
VOUCHER # 131631 WARRANT # ALLOWED
350598 IN SUM OF $
XEROX CORP
PO BOX 802555
CHICAGO, IL 60680
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
067987749 01-6360-07 $355.15
S �
Voucher Total $355.15
Cost distribution ledger classification if
claim paid under vehicle highway fund