247362 07/1 5/1 5 CITY OF CARMEL, INDIANA VENDOR: 357004
4' 4
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTI0"ECK AMOUNT: $***'****53.89*
CARMEL, INDIAN 46032 DEPT CH 19188 CHECK NUMBER: 247362
PALATINE IL 60055-9188 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 9001549611 53.89 EQUIPMENT MAINT CONTR
i
Fed Tax# 13-1921089
Corporate Duns No 00470-7322 Page 1 1
Federal Duns No 62-657-8041
Maintenance KONICA MINOLTA
Invoice No: 9001549611 ORIGINAL Payment Due Date: 07/31/2015
SUMMARY INVOICE Payment Terms are NET 30 DAYS
Invoice Date: 07/01/2015
Bill/Mail To: 148154 Payer: 148154
CITY OF CARMEL CITY OF CARMEL
JIM P SPELBRING JIM P SPELBRING
1 CIVIC SQ 1 CIVIC SQ
CARMEL IN 46032-2584 CARMEL IN 46032-2584
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i
^' `Purchase`�lraer-l�lumfie"r- `" - v: C ustomer.Contract Contract Coverage Tiates --
04/02/2015-04/01/2016
Invoice Comments :" `
f
I
Summar Invoice Coverage Periods
06/02/2015-071/01/2015
i
Submitted To'
JUL 13 2015
Clerk Treasurer
Invoice Sub Total: 53.89
Tax Total: 0.00
Invoice TOTAL: — .$ 53.89
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 : IndianapohsAdm@kmbs.konicaminolta.us
FAX NO. : 317-870-7070
or INDIANAPOLIS
WRITE US AT: 8910 PURDUE RD
INDIANAPOLIS,IN 46268-3161
KONICA MINOLTA BUSINESS SOLUTIONS
Our_Customer Service-Reporesentatives.are available-to assistyou-weekdays-from-8:30-AM-to 5:00 PM(EST).Be sure to inchid�eyur- ---
Account Name,Account Number and Invoice Number on all correspondence.
Address Changes
Pier
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!
Fed Tax# 13.1921089
Corporate Duns No 00-170-7322 Aft
Duns No 6US7-8041
r_ Page 1 / 1
Maintenance
KONICA MINOLTA
Invoice No: 9001549611 ORIGINAL Payment Due Date: 07/31/2015
Payment Terms:
Invoice Date: 07/01/2015 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 46032-2584 CARMEL IN 46032-2584
I
Summary bf Invoice Charges, ,- Quantity cheige., .Bill Amount,
— -lnvoiee 2-3499-561>3. —�:... .•LL_ �- Uuat'Cey:�cE:S?01345E —-- -- —
*,*BIZHUB C353 PRINTER%COPIER A02EO10001347 1
Current Meter Previous-Meter Meter Usage Allowable Svc.Crd Credits a Tier Range
55,498 55,192 306 0 0 0 999,999,999 306 0.08412 25.74
Color Meter
. Aggregate
Current Meter Previous Meter' Meter Usage Allowable Svc.Crd Credits Tier Range
352,717 350,467 2,250 0 0 0 999,999,999 2,250 0.01251 28.15
B&W Meter
Invoice Sub Total: 53.89
Tax Total: 0.00
Invoice Total: 53.89
Invoice Description/Comments
Monthly invoice for Maintenance agreement covering the billing period of 06/02/2015-07/01/2015.
Includes labor,parts,drums,staples and supplies. Excludes paper.
i
Purchase Order Number Equipment._Location 148154
CITY OF CARMEL
1 CIVIC SQ
Customer Contract, ,Contract=Coverage Dates,, CARMEL IN 46032-2584
04/02/2015-04/01/2016
Sort by: MACHINE DESCRIPTION Sort Invoice Sub Total: 53.89
Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00
Sort.lVMeter.Usage Sub Total: __ _—_ _;2,556__—__Sort.Invoice Total:- -- r _ 53.89
Total Meter Usage: 2,556 Total Number of Invoices Included: 1 Sub Total: 53.89
0.00
$53.89
I
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF$
Dept. CH 19188
Palatine, IL 60055-9188
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 9001549611 I 43-515.01 I $53.89 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, July 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 ofiservice,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))
07/01/15 9001549611 $53.89
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