244276 04/15/15 v�! °� CITY OF CARMEL, INDIANA VENDOR: 357004
" ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrWECK AMOUNT: $.....***97.98*
s CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 244276
�'�droN'i�`- PALATINE IL 60055-9188 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 9001302030 97.98 EQUIPMENT MAINT CONTR
Fed Tax# 13-1921089
Corporate Duns No 00-170-7322 Page 1 / 1
Federal Duns No 62-657-8041 12�\
Maintenance KONICA MINOLTA
Invoice No: 9001302030 ORIGINAL Payment Due Date: 05/01/2015
SUMMARY INVOICE Payment Terms are NET 30 DAYS
Invoice Date: 04/01/2015
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
Purchase-Order Number Customer Contract Contract Coverage Dates-
04/02/2014-04101/2015
ates•04/02/2014-04/01/2015
Invoice Comments
Summary Invoice Coverage Periods
03/02i2015-04/01/2015
Submitted To
APR 13 2015
Clerk Treasurer
Invoice Sub Total: 97.98
Tax Total: 0.00
'I
Invoice TOTAL: $ 97.98
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- c
PLEASE DETACH THE FORM BELOW AND RETURN WITH YOUR PAYMENT OR SEE CREDIT CARD INFORMATION ON BACK
Please pay online at www.MyKMBS.com using your
payer id or remit payment to:
KONICA MINOLTA BUSINESS SOLUTIONS Payer ID: 148154
USA INC
DEPT. CH 19188
PALATINE IL 60055-9188 Invoice Nbr: 9001302030
Payment Due Date: 05/01/2015
For Administrative Use Only Pay This Amount: $ 97.98
40079167 Maintenance 148154 9001302030
�� 2 M/M-2 2 248
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 yyou-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
Payer
Account No. 148154
Company Name
Company Address
(Fax or Mail to the above Address)
Signature: Date:
Title
You are not required 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!
TO ORDER SUPPLIES OR PLACE SERVICE CALLS SEE US AT WWW.MYKMBS.COM
VISAEJfP9E55
O
PLEASE PAY ON LINE AT www.MyKMBS.com USING YOUR PAYER ID#148154
OR CALL US DIRECTLY AT THE NUMBER ABOVE
Fed Tax# 13-1921089
Corporate Duns No 00-170.7322 Aft
Duns No 62-657-8041
Page 1 / 1
Maintenance
KONICA MINOLTA
Invoice No: 9001302030 ORIGINAL Payment Due Date: 05/01/2015
Payment Terms:
Invoice Date: 04/01/2015 SUMMARY DETAIL NET 30 DAYS
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 CUnit Bill Amount
-Invoice 233643303 Unit Contract:61013456
**BIZHUB C353 PRINTER/COPIER A02EO10001347 1
Aggregate
Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range
53,976 53,186 790 0 0 0 999,999,999 790 0.07647 60.41
Color Meter
Aggregate
Current Meter Previous Meter Meter Usage Allowable, Svc.Crd Credits Tier Range
341,670 338,366 3,304 0 0 0 999,999,999 3,304 0.01137 37.57
B&W Meter
Invoice Sub Total: 97.98
Tax Total: 0.00
Invoice Total: 97.98
Invoice Description/Comments
Monthly invoice for Maintenance agreement covering the billing period of 03/02/2015-04/01/2015.
Includes labor, parts,drums,staples and supplies. Excludes paper.
Purchase Order Number" Equipment Location 148154
CITY OF CARMEL
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: 97.98
Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00
Sort Meter Usage Sub'Total: _ 4,094 Sort Invoice Total: $97.98
Total Meter Usage: 4,094 Total Number of Invoices Included: 1 Sub Total: 97.98
0.00
$97.98
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF$
Dept. CH 19188
Palatine, IL 60055-9188
$97.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 9001302030 I 43-515.01 I $97.98 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, April 13, 2015
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))
04/01/15 9001302030 $97.98
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