226525 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00351469 Page 1 of 1
ONE CIVIC SQUARE XEROX CORP CHECK AMOUNT: $1,046.19
�?o CARMEL, INDIANA 46032 26152 NETWORK PLACE
CHICAGO IL 60673-1261 CHECK NUMBER: 226525
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353004 070822239 502 . 26 COPIER
209 R4353004 26717 070822351 448 . 23 COPIER LEASE
209 R4353004 26717 070822352 95 . 70 COPIER LEASE
3236-001
THE EASY WAY
XEROX CORPORATION TO ORDER SUPPLIES xerox0
CPO BOX 660502 CALL OUR TOLL Purchase Order Number
DALLAS TX 1-800-822-2200
75266 Special Reference
Contract Number
Telephone888-435-6333 PAYABLE UPON RECEIPT
C® Please Direct Inquiries To: is- Terms Of Payment
C Ship To/Installed At: Bill To:
3236-001 11-01-13
LJ COMMUNITY SERVICES COMMUNITY SERVICES Invoice Date
1 CIVIC SQ 1 CIVIC SQ
C CARMEL IN CARMEL IN 070822329 Inv7oice 0X2 Number
ber
,j 46032 46032 714707718
V1 Customer Number
V
3CQ9201 3 MTR CLRQUBE 9201 SER.# BRE-235137
AMOUNT
BASE CHARGE NOVEMBER
382.76
METER READ METER READ NET IMPRESSIONS
METER USAGE 09-30-13 TO 10-21-13
BLK+CLR LEVEL 1 IMP 162001 165063 3062
COLOR LEVEL 2 IMPRESS 51933 53231 1298
COLOR LEVEL 3 IMPRESS 39749 40072 323
METER CHARGES FOR IMPRESSIONS
LEVEL 1 3062
3062 .011800 36.13
LEVEL 2 1298
1298 .038300 49.71
I►� LEVEL 3 . 323
323 .104200 33.66
NET IMPRESSION CHARGE 119.50
NOVEMBER
OFFICE FINISHER PROD/MKT CD CQOFCFIN INCL
SUB TOTAL 502.26
TOTAL 502.26
-ALLOWANCE PRORATED FOR 022 DAYS
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
k
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY- CHARGES
TOTAL OF INVOICE MAY VARY ACCORDING TO METER USAGE BILLED
XEROX FEDERAL IDENTIFICATION #16-0468020
VOUCHER NO. WARRANT NO.
ALLOWED 20
Xerox
I IN SUM OF $
P.O. Box 802555
Chicago, IL 60680-2555
$502.26
u
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 070822239 I 43-530.04 I $502.26 1 hereby certify that the attached invoice(s), or
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
Monday, November 18, 2013
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/01/13 070822239 $502.26
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
20
Clerk-Treasurer
2899-001
XEROX CORPORATION THE EASY WAY xerox �')
Z TO ORDER SUPPLIES ®1'`
PO BOX 660502 CALL OUR TOLL Purchase Order Number
® DALLAS TX 1-800-822-2200
0 75266 Special Reference
E VINOOOOOX-000
L Contract Number
a Telephone888-435-6333 NET 30 DAYS
e Please Direct Inquiries To: 41� Terms Of Payment
Ship To/Installed At: Bill To:
2899-001 11-01-13
L CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 070822351
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
® CARMEL IN 1 CIVIC SQ 719126658
46032 CARMEL IN Customer Number
46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
BASE CHARGE OCTOBER -
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 09-21-13 TO 10-21-13
BLK+CLR LEVEL 1 IMP 37859 47278 9419
COLOR LEVEL 2 IMPRESS 2920 3488 568
COLOR LEVEL 3 IMPRESS 1898 2152 254
METER CHARGES FOR IMPRESSIONS
LEVEL 1 9419
V LESS ALLOWANCE 5000
•® 4419 .006000 26. 51
LEVEL 2 568
568 .025000 14.20
LEVEL 3 254
254 .075000 19.05
NET IMPRESSION CHARGE 59.76
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 448.23
TOTAL 448.23
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
--- - — TOTAL 'OF INVOI-Ct MAY -'VHKY 7CCORDI-NG-"TO METER" U'SAGE' B`ILL"ED-
XEROX FEDERAL IDENTIFICATION #16-0468020
2899-002
THE EASY WAY
C XEROX CORPORATION TO ORDER SUPPLIES xerox 9140
PO BOX 660502 CALL OUR TOLL Purchase Order Number
® FREE NUMBER
;4ft) DALLAS TX 1-800-822-2200
0 75266 Special Reference
E VINOOOOOX-000
L Contract Number
a Telephone888-435-6333 NET 30 DAYS
C Please Direct Inquiries To: 4� Terms Of Payment
Ship To/Installed At: sill To: 11-01-13
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE
E 1 CIVIC SQ ATTN ELAINE BASS 070822352
m
Inv7oice 0X2 Number
® CARMEL IN 1 CIVIC SQ 719126674
46032 CARMEL IN Customer Number
V 46032
WC4250X WC4250X COPY—PRNTR SER.# MAC-914780
----- -- -_ _ - - AMOUNT
BASE CHARGE OCTOBER
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIW INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
V SUB TOTAL 95.70
C
TOTAL 95.70
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
XEROX FEDERAL IDENTIFICATION #16-0468020
2899-001
THE EASY WAY '
XEROX CORPORATION TO ORDER SUPPLIES � �®�
PO BOX 660502 CALL OUR TOLL Purchase Order Number
•® FREE NUMBER
DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
E Contract Number
0 Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: � Terms Of Payment
p� Ship To/Installed At: Bill To:
4 � 2899-001 11-01-13
CITY OF CARMEL ppf, CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE 070822351
1 CIVIC SQ ATTN ELAINE BASS Invoice Number
® CARMEL IN 1 CIVIC SQ 719126658
V1 46032 CARMEL IN Customer Number
46032
3CQ9302 3 MTR CLRQUBE 9302 SER.# XNE-001450
AMOUNT
BASE CHARGE OCTOBER
388.47
METER READ METER READ NET IMPRESSIONS
METER USAGE 09-21-13 TO 10-21-13
BLK+CLR LEVEL 1 IMP 37859 47278 9419
COLOR LEVEL 2 IMPRESS 2920 3488 568
COLOR LEVEL 3 IMPRESS 1898 2152 254
METER CHARGES FOR IMPRESSIONS
LEVEL 1 9419
Qj LESS ALLOWANCE 5000
•® 4419 .006000 26. 51
LEVEL 2 568
568 .025000 14.20
LEVEL 3 254
254 .075000 19.05
NET IMPRESSION CHARGE 59.76
OFFICE FINISHER SER.# CQOFCFIN INCL
3 HOLE PUNCH SER.# CQ3HPOFC INCL
1 LINE FAX SER.# LINEIFAX INCL
SUB TOTAL 448.23
TOTAL 448.23
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - .
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying By Mail
Ship To/Installed At Bill To Send Payment To:
CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION
LAW OFFICE LAW OFFICE 26152 NETWORK PLACE
1 CIVIC SQ ATTN ELAINE BASS CHICAGO, IL
CARMEL IN 1 CIVIC SQ 60673-1261
46032 CARMEL IN
q)
46032
Please check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. Invoice Amount
tj
CL PLEASE PAY
08-703-3320 4 719126658 070822351 11-01-13 THIS AMOUNT $448.23
RF067258 C 040113 VIN50
03 6M4C 0015 K A7310 2TC5 3 115
202100008070060 0708223516 0300448236 271912665894
2899-002
XEROX CORPORATION THE EASY WAY x�rox
TO ORDER SUPPLIES
® PO BOX 660502 CALL OUR TOLL Purchase Order Number
FREE DALLAS TX 1-800-822-2200
75266 Special Reference
VINOOOOOX-000
E Contract Number
Telephone888-435-6333 NET 30 DAYS
Please Direct Inquiries To: Terms Of Payment
Ship To/Installed At: Bill To:
11-01-13
CITY OF CARMEL CITY OF CARMEL Invoice Date
LAW OFFICE LAW OFFICE
E 1 CIVIC SQ ATTN ELAINE BASS 070822352
® Inv7oice 0X2 Number
ber
4-j CARMEL IN 1 CIVIC SQ 719126674
46032 CARMEL IN Customer Number
46032
WC4250X WC4250X COPY—PRNTR SER .# MAC-914780
AMOUNT
BASE CHARGE OCTOBER
95.70
2 TRAY STAND SER.# BLF-219000 INCL
CARRIER DELIV/INST SER.# DRCINST INCL
PAPER TRAY SER.# BKL INCL
SUB TOTAL 95.70
TOTAL 95.70
INVOICE FOR THE PERIODIC PAYMENT ON YOUR XEROX AGREEMENT
THIS AGREEMENT INCLUDES EQUIPMENT, MAINTENANCE AND SUPPLY CHARGES
I
XEROX FEDERAL IDENTIFICATION #16-0468020
PLEASE INCLUDE THIS STUB WITH YOUR PAYMENT, OR WRITE YOUR INVOICE NUMBER(S) ON YOUR CHECK. When Paying By Mail
Ship To/Installed At Bill To Send Payment To:
CITY OF CARMEL CITY OF CARMEL XEROX CORPORATION
LAW OFFICE LAW OFFICE 26152 NETWORK PLACE
1 CIVIC SQ ATTN ELAINE BASS CHICAGO, IL
CARMEL IN 1 CIVIC SQ 60673-1261
46032 CARMEL IN
46032
Please check here if your "Bill To" address or "Ship To/Installed At"
location has changed and complete reverse side. Invoice Amount
CL PLEASE PAY
08-703-3320 4 719126674 070822352 11-01-13 THIS AMOUNT $95.70
RF067259 C 040113 VIN50
03 6M4C 0015 K 00000 2TC5 1 B15
202100008070060 0708223525 0300095706 271912667494
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))
11/1/13 70822352 WC4250X Co -Prntr SER #MAC-914780 $95 70
MTR CLRQUBE, SER #XNE-001450 $448.23
per the attached invoices
$543.93
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(c orporntinn IN SUM OF $
26152 Network Place
Chicago, Illinois 60673-1261
$ $543.93
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND - 209
430-53004 Copier
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
26717 070822351 5�6bL $448.23 bill(s) is (are) true and correct and that the
26717 070822352 95.70 materials or services itemized thereon for
which charge is made were ordered and
received except
oVt(Y,&( 2013
7 t56xtl re
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund