221783 07/03/2013 *f CITY OF CARMEL, INDIANA VENDOR: 359284 Page 1 of 1
ONE CIVIC SQUARE RICOH USA INC
CARMEL, INDIANA 46032 PO BOX 802815 CHECK AMOUNT: $87.77
CHICAGO IL 60680-2815 CHECK NUMBER: 221783
CHECK DATE: 7/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 R4353004 26683 5026519194 87 . 77 COPIER LEASE
Ricoh USA, Inc �p'�/�I�+C
Bldg.2 Bldg. B,Mailroom INVOICE
Y lr G RICOH
810-820 Gears Road
Houston TX US 77067
Federal I D:23-0334400
DUNS#04-396-4519 Page 1 of 2
Invoice Number Invoice Date
5026
2298 1 SP 0.480 1 Forwarding Service Requested
Terrms ms Duue e Date.
13
06
ate.
ATTN:ACCOUNTS PAYABLE 10 NET 06/28/2013
CITY OF CARMEL Customer Number Purchase Order Number
1 CIVIC SQUARE,CARMEL CITY COURT Seq#002298 13667902 976762
CARMEL,IN 46032
We appreciate your business.
For any questions,please call 1-888-456-6457
or visit our website www.ricoh-usa.com to order additional
products,supplies,services or to submit meter reads
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Contract Billing Summary Amount Sales Tax Total
Contract Number 2946048
-- —Number.of Equipment.— ___ _ -. _.1 _ _
Black and White 03/1612013 to 0,6/15/2013
Additional Images 5346 @ 0.015344 82.03
5.74 87.77
Color 03/16/2013 to 06115/2013
Total 82.03 5.74 87.77
I
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
ire sR-
Purchase Order No.
po 13c ;� /s Terms
Ch KA6 o Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total R 7,
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
R-Ic6if
P6 IN SUM OF $
$ X7.77
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
(�
3Q0 o��D �{3�306 7: 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 r
Cost distribution ledger classification if
le
claim paid motor vehicle highway fund