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242338 2/17/2015 �,q"f - CITY OF CARMEL, INDIANA VENDOR: 366094 a,: ;, b ONE CIVIC SQUARE KONICA MINOLTA PREMIER FINANCE CHECK AMOUNT: $.....**590.36* �., ;4, CARMEL, INDIANA 46032 PO BOX 642333 CHECK NUMBER: 242338 v PITTSBURGH PA 15264-2333 CHECK DATE: 02/17/15 Mei inti�� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4353099 62167572 590.36 OTHER RENTAL & LEASES Please remember to reference Account Schedule#(s)pertaining to your request(s). AMhk Phone#: 800-452-1623 Fax: 319-811-632.1 h,ONICA MINOLTA Correspondence Only:PO BOX 3083 CEDAR R-1 PIDS L-1 52406-3083 KONICA MINOLTA PREMIER FINANCE P.O.BOX 642333 Billing ID Number 90136094394 PITTSBURGH PA 15264-2333 Invoice Number 62167572 15995 1 MB 0.432 Invoice Date 02/01/2015 15995 70 03/13/2015 #BWNHXFZ Due Date: #0901 CAR 5# Current Items Due: 590.36 CITY OF CARMELEL R REDEVELOPMENT 30 W MAIN ST STE 220 CARMEL IN 46032-1938 Total Amount Due: 590.36 ��I��II�III��1111�1�1�1�1�11�11'III�IIII�III�III��I��III�II�I KMVNAP Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS DUE Account Schedule Due Date Purchase Order Number Line Item AcctlSched Number Equipment Description Amount Total 7715414-00.1 -- - ------ KONICA:MINIOLTA-COPIER. — - - --- --- .--—- - — MODEL: B1ZHUB (-452 SERIAL: AOP2011010435 LLOWAs]rE: 5,OOC 600.36 03/13,12,01, NII II19U 1 CHARGES DUE 550.36 ACCOUNT SCHEDULE 7715414-001 TOTAL 590.36 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 paymcnt(s) to our payment processing center using t}te 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 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 enlarges 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 aid 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 vow-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 airy of our rights and remedies under vow- 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. 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 ; Koni:C�; t'Iino l a f f'r i i e FiAdyP: Purchase Order No. P O,-Bo X 6 413 Terms P'r5 bur9ti . P 1 S 26�"2.333 Date Due rT Invoice Invoice Description Amount Date Number (or note attached irivoice(s) or bill(s)) 2- 5 b2.1 6 S S9d.� T- n� Total S9�•3r . . 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. ALLOWED 20 Kon;c� 1linol-�a, F,rem ier. Fihdn IN SUM OF $ P Q �oX `�F2333 - Pifts6kr4�► , FA 15-:2 4*4 --2333 ON ACCOUNT OF APPROPRIATION FOR 435309q Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), I S9 U147572- A35301 . 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 2- x / - 2015 Si t • Title Cost distribution ledger classification if claim paid motor vehicle highway fund