243527 03/24/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366094ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTI01'�iECK AMOUNT: S"'•••"•590.36•
CARMEL, INDIANA 46032 PO BOX 642333 CHECK NUMBER: 243527
PITTSBURGH PA 15264-2333 CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4353099 62348240 590.36 OTHER RENTAL & LEASES
Please remember to reference Account Schedule#(s)pertaining to your request(s).
Afflhk Phone#: 800452-1623
-- Fax: 319-841-6324
I<ONICA MINOLTA Correspondence Only:PO BOX 3083
CEDAR RAPIDS IA 52406-3083
P10.KONICA BOX 642333A PREMIER FINANCE Billing ID Number 90136094394
PITTSBURGH PA 15264-2333
Invoice Number 62348240
312851 AB 0.403 Invoice Date 03/08/2015
31265
142 Due Date: 04/13/2015
#BWNHXFZ
#0901 3609 4394 5# z590.36
CITY OF CARMEL REDEVELOPMENT Current Items Due:
30 W MAIN ST STE 220 Total Amount Due: 590.36
CARMEL IN 460324938
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ow
Our Federal Tax Id# 941686094
INVOICE FOR CURRENT ITEMS D UE
Account Schedule Due Date Purchase Order Number Line Item AcctlSched
Namber Equipment Description Amount Total -
7715414-001
---- - -- - ----- -- - KONICA MINOLTA COPIER-- -- -- ------ --- -
MODEL: BIZHUB C452 SERIAL: AOP2011010435
ALLOWANCE: 5,000 590.36
04/13/2015 MINIMUM CHARGES DUE 590.36
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 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 Nurnber(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.
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
ICI�IIJ(
&II-4t Tl em)Qre Fi n h e Purchase Order No.
M. "Bo= X bT33_!; Terms
Pit_ Yql►�; �52�� -2�3� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3- S 623'�Bti�kO eta 59 .36
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
�'oni�� inol�d Pr�micr f;nahlc
;f. IN SUM OF $
P o Dog
%rg FA
$
59
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
6134924 *115019 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
1
3-23- 2013
Si tr
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund