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237437 09/23/14 i�r,C�q� / ,� CITY OF CARMEL, INDIANA VENDOR: 357004 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrWECK AMOUNT: S.....***60.83* 9� ,_�; CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 237437 y��TON�°, PALATINE IL 60055-9188 CHECK DATE: 09/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4351501 9000779047 60.83 EQUIPMENT MAINT CONTR Fed Tax# 13-1921089 Corporate Duns No 00-170-7322 Page 1 / 1 Federal Duns No 62-657-8041 Maintenance KONICA MINOLTA Invoice No: 9000779047 ORIGINAL Payment Due Date: 10/01/2014 SUMMARY INVOICE Payment Terms are NET 30 DAYS Invoice Date: 09/01/2014 Bill/Mai1 To: 148154 Payer: 148154 CITY OF CARMEL CITY OF CARMEL JIM P SPELBRING JIM P SPELBRING 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Number Customer Contract Contract Coverage Dates 04/02/2014-04/01/2015 Invoice Comments Summary Invoice Coverage Periods 08/02/2014-09/01/2014 �I Submitted To SEP 2 2 2014 CIerk `treasurer Invoice Sub Total: 60.83 Tax Total: 0.00 Invoice TOTAL: $ 60.83 Konica Minolta Business Solutions U.S.A., Inc. BILLING AND PAYMENT INQUIRIES Please contact our CUSTOMER HELP DESK if you have any questions pertaining to: Billing or Account Status Address Changes Payment by Credit Card(See Below) TELEPHONE NO. : 317-870-7000 E-MAIL ADDRESS : IndianapolisAdm@kmbs.konicaminolta.us FAX NO. : 317-870-7070 or INDIANAPOLIS WRITE US AT: 8910 PURDUE ROAD INDIANAPOLIS,IN 46268 KONICA MINOLTA BUSINESS SOLUTIONS Our Customer Service Representatives are available`to assist you weekdays from 8:30 AM to 5:00 PM(EST).Be sure to include your Account Name,Account Number and Invoice Number on all correspondence. Address Changes Paver Account No. 148154 Company Name Company Address (Fax;.or Mail to the above Address) Signature: Date: Title — - —You-are"not-require(-to pay any disputed amount pending the resolution of the billing discrepancy inquiry. Payment is still required for undisputed charges that are billed to you. Disputes must be reported in writing within 30 days of receipt of this invoice.Thank You! Fed Tax# 13-1921089 Corporate Duns No 00-170-7322 _ Federal Duns No 62-657-8041 Page 1 / 1 Maintenance _ Invoice No: 9000779047 KONICA MINOLTA ORIGINAL Payment Due Date: 10/01/2014 Payment Terms: NET 30 DAYS Invoice Date: 09/01/2014 SUMMARY DETAIL Bill/Mail To: 148154 Payer: 148154 CITY OF CARMEL CITY OF CARMEL JIM P SPELBRING JIM P SPELBRING 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Summary of Invoice Charges Quantity Unit,e • Bill.Amount Cha Invoice-230480732- -•_ __. _ .. . .-._ 'Unit Contract:610'13456 **BIZHUB C353 PRINTER/COPIER A02EO10001347 1 Aggregate Current Meter,Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range 50,096--" 49-1639- 457 .0 0 0 999,999,999 457 0.07647 34.95 Color Meter AggCegate Current Meter Previous Meter Meter Usage Allowable Svc.Crd `-Credits Tier Range 318,712 316,436 2,276 0 0 0 999,999,999 2,276 0.01137 25.88 B&W Meter Invoice Sub Total: 60.83 Tax Total: 0.00 Invoice Total: $ 60.83 Invoice Description/Comments Monthly invoice for Maintenance agreement covering the billing period of 08/02/2014-09/01/2014. Includes labor,parts,drums,staples and supplies. Excludes paper. Purchase Order Number Equipment Location 148154 CITY OF CARMEL G , 1 CIVIC SQ Customer Contract Contract Coverage Dates CARMEL IN 46032 04/02/2014-04/01/2015 Sort by: MACHINE DESCRIPTION Sort Invoice Sub Total: 60.83 Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00 Sort-,Vteiei Usage-Sub Total--- - —2;733 - —Sort—Invoice—Total: - - — - $60:83--- _ -_- Total Meter Usage: 2,733 Total Number of Invoices Included: 1 Sub Total: 60.83 0.00 $60.83 VOUCHER NO. WARRANT NO. ALLOWED 20 Konica Minolta Business Solutions USA Inc. I. IN SUM OF$ i Dept. CH 19188 j Palatine, IL 60055-9188 $60.83 ) ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1201 I 9000779047 I 43-515.01 I $60.83 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, September 22, 2014 Director, HR 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)) 09/01/14 9000779047 $60.83 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