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241065 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 366094 41 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrWECK AMOUNT: $.....1,331.27* CARMEL, INDIANA 46032 PO BOX 642333 CHECK NUMBER: 241065 PITTSBURGH PA 15264-2333 CHECK DATE: 01/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4353004 61957987 291.00 COPIER 1125 4353004 61976242 291.00 COPIER 1801 4353099 61991429 749.27 OTHER RENTAL & LEASES Please remember to reference Account Schedule#(s)pertaining to your request(s). Phone#: 800452-1623 --" Fax: 319-841-6324 KONICA MINOLTA Correspondence Only:PO BOX 3083 CEDAR RAPIDS IA 52406-3083 KONICA MINOLTA PREMIER FINANCE P.O.BOX 642333 Billing ID Number 90136094394 PITTSBURGH PA 15264-2333 I 'I Invoice Number 61991429 123821 MB 0.432 Invoice Date 01/04/2015. 12382 #BWNHXFZ 55 Due Date: 02/13/2015 #0901 3609 4394 5# CITY OF CARMEL REDEVELOPMENT WxukCurrent Items Due: 30 W MAIN ST Total A CARMEL IN 46032-1938Amount Dire: 1,339.63 'III"IIII�III�IIIIIIIII�IIIIIII'IIII'll"IIII'1"'II'IIIIIIIIII� KMPNAP 000 Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS DUE Account Schedule Due Date Purchase Order Number Line Item Acct/Sched _ Number Equipment Description Amount Total 7715414-001 - KONICA MINOLTA COPIER MODEL: BIZHUB C452 SERIAL: AOP2011010435 ALLOWANCE: 5,000 590.36 02/13/2015 MINIMUM CHARGES DUE 590.36 --------------------------------------------------------------------------------------- METER-ID : 2 DESC :COLOR MODEL: BIZHUB C452 SERIAL: AOP2011010435 --------------------------------------------------------------------------------------- ENDING READING : 12/24/2014 81,010 USAGE 5,523 BEGINNING READING: 09/24/2014 75,487 ALLOWANCE: 4,500 EXCESS CHARGES DUE: 1,023 @ 0.121121= 123.91 --------------------------------------------------------------------------------------- EXCESS USAGE CHARGE 123.91 12/13/2014 LATE CHARGES DUE 35.00 --------------------------------------------------------------------------------------- METER-ID : 1 DESC :B&W MODEL: BIZHUB C452 SERIAL: AOP2011010435 --------------------------------------------------------------------------------------- ENDING READING : 12/24/2014 106,047 USAGE 5,046 BEGINNING READING: 09/24/2014 101,001 ALLOWANCE: 15,000 EXCESS CHARGES DUE: 0 @ 0.000000= 0.00 --------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------- ACCOUNT SCHMULE 7715414-001 TOTAL 749.27 Please include your Billing ID number on all correspondence. All correspondence should be sent to the correspondence only address,which is indicated on the front of this invoice. Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your records. Sales, Use, Rental Tag (Tag): The sales, use, or rental tax rate is determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption. Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement. This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor. Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear on the invoice or if you--need to update your purchase order information, fax a copy of the purchase order including your account schedule number(s),the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to the correspondence only address referenced on the front of this invoice. Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice consistent with the terms and conditions of your contract. Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the correspondence only address. Name Changes:Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to "the fax number on the front of the invoice or mail a copy to the correspondence only address.Changes are subject to fees. Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on these accounts. Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication concerning disputed amounts, including any check or other payment instrument that (a)indicates that the written payment constitutes "payment in full' or is tendered as full satisfaction of a disputed amount or (b)is tendered with other conditions or limitation must be mailed or delivered to us at the correspondence giU1 address and not to the payment address. 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. FA. �oX �42 l33 Terms P i shit'h . PA 152 6�_2 333 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) -9-15 b q2 0 '►e e -7,q 9, 4 Total I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor= dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. 1 I ALLOWED 20 I<or,�c� �IYlnl7� Peeler FInRhCe IN SUM OF $ P0. k 6�Z333 P 56rah PA $ 7M.z-7 ON ACCOUNT OF APPROPRIATION FOR Board Members I PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), Rol 61891�Z9 X353 7#q,�7 i 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 i i - 20 S . re Nft 06U 115041a Y&OKOL4 Ti le Cost distribution ledger classification if claim paid motor vehicle highway fund Please remember to reference Account Schedule#(s)pertaining to your request(s). Phone#: 800452-1623 Fax: 319-841-6324 Correspondence Only:PO BOX 3083 KONICA MINOLTA BUSINESS SOLUTI CEDAR RAPIDS IA 52406-3083 P.O.BOX 642333 BillingID Number 90136136234 PITTSBURGH PA 15264-2333 Invoice Number 61976242 172751 MB 0.432 JAN 0 2 2015 17275 Invoice Date 12/28/2014 7e Due Date: 02/09/2015 #BWNHXFZ #0901 3613 6234 8# _ Current Items Due: 291.00 CARMEL CLAY PARKS&RECREATION 1411 Ell 6TH ST Total Amount Due: 291.00 CARMEL IN 46032-3455 �IIIhIIII�IIIh114111hIIluI�Illlll�u�nln14111r1��luhll ""'B°" ON Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS D UE Account Schedule Due Date Purchase Order Number Line Item AcctlSched Number Equipment Description Amount Total 0001�KONICA M1NO1,T?aCOP7E[t -' — - --'- SERIAL NUMBER AOP1011009876 02/09/2015 PAYMENT/INSTALLMENT DUE 291.00 ACCOUNT SCHEDULE 7725582-001 TOTAL 291.00 CO Pl l� LeAGE A0 Feb')4- l i25-I-d2-�35�oo`f Please include your Billing ID number on all correspondence. All correspondence should be sent to the correspondence onlyaddress,which is indicated on the front of this invoice. Payments: Please detach the remit to portion of this invoice and mail your-payment(s)to our payment processing center using the return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your records. Sales, Use, Rental Tax (Tax): The sales, use, or rental tax rate is determined,by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the"front of this invoice for instructions for reporting an equipment location change. If you are sales tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption. Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement. This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor. Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear on the invoice or if you need to update your purchase_order information, fax_a copy of the_purchase order including-your account schedu—Ie number(s7,ttli purchase order your and expiration dates to the fax number on the front of the invoice or mail a copy to the correspondence only address referenced on the front of this invoice. Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice consistent with the terms and conditions of your contract. Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and. provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or'mail a copy to the correspondence only address. Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address.Changes are subject to fees. Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on these accounts. Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication concerning disputed amounts, including any check or other payment instrument that (a)indicates that the written payment constitutes "payment in full" or is tendered as full satisfaction of a disputed amount or (b)is tendered with other conditions or limitation must be mailed or delivered to us at the correspondence only address and not to the payment address. Please remember to reference Account Schedule#(s)pertaining to your request(s). Phone#: 800452-1623 Fax: 319-841-6324 Correspondence Only:PO BOX 3083 KONICA MINOLTA BUSINESS SOLUTI CEDAR RAPIDS IA 52406-3083 P.0.Box 642333 Billie ID Number 90136136232 PITTSBURGH PA 15264-2333 _ g Invoice Number 61957987 172741 MB 0.432 JAN 0 2 2015 Irnoice Date 12/28/2014 17274 #BWNHXFZ BY' 76 Dare Date: 02/09/2015 #0901 3613 6232 0# 291.00 CARMEL CLAY PARKS&RECREATION Current Items Due: 1411 E 116TH ST CARMEL IN 46032-3455 Total Amount Due: 291.00 II'IIIIIIIIIIIII""IIIIIII�III���IIII�II��III�I'I'1I1111II1'I'll I(MPacM ow Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS D UE Account Schedule Due Date Purchase Order Number Line Item AcctlSched Number Equipment Description Amount Total 0001 KONICA NIINOL'1'A COk iER SERIAL NUMBER AOP1011009747 02/09/2015 PAYMENT/INSTALIMENT DUE 291.00 ACCOUNT SCHEDULE 7725582-002 TOTAL 291.00 i Please include your Billing ID number ori'all correspondence. All correspondence should be sent to the correspondence on/yaddress,which is indicated on the front of this invoice. Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your records. Sales, Use, Rental Tag (Tag): The sales, use, or rental tax rate is determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice,for instructions for reporting an equipment location change. If you are sales tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of the invoice or:mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption. Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursementas agreed to in the lease agreement. This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor. Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear on the invoice or if you need to update your_purchase order information,_fax a_copy_of the purchase order_including your account- --- -" schedule number(s),the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to the correspondence only address referenced on the front of this invoice. Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice consistent with the terms and conditions of your contract. Insurance: Your contract requires you-to provide and maintain insurance coverage against all risks of loss for your equipment, and provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the correspondence only address. Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address.Changes are subject to fees. Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on these accounts. Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication concerning disputed amounts, including any check or other payment instrument that (a)indicates that the written payment constitutes "payment in full' or is tendered as full satisfaction of a disputed amount or(b)is tendered with other conditions or limitation must be mailed or delivered to us at the correspondence only address and not to the payment address. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 pet unit etc. Payee Purchase Order No. 366094 Konica Minolta Business Solutions Terms P.O. Box 642333 Date Due Pittsburgh, PA 15264-2333 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 12/28/14 61976242 Copier Lease AO Feb'15 $ 291.00 12/28/14 61957987 Copier Lease MCC East Feb'15 $ 291.00 : Total $ 582.00 with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. 366094 Konica Minolta Business Solutions Allowed 20 P.O. Box 642333 Pittsburgh, PA 15264-2333 In Sum of$ I $ 582.00 Ij p ON ACCOUNT OF APPROPRIATION FOR 101 General Fund/109 Monon Center PO#or 1 Board Members Dept# INVOICE NO. ACCACC f#/TITLE AMOUNT l . 1125 61976242 4353004 $ 291.00 hereby certify that the attached invoice(s), or 1091 61957987 4353004 $ 291.00 7bill(s)is(are)true and correct and that the materials or services itemized Ahereon for Il hich charge is made were ordered and )received except I I ;i January 8, 2015 I` l' Signature $ 582.00 Accounts,Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i