252689 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 357004
® ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrW ECK AMOUNT: $......**91.44*
s. a� CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 252689
PALATINE IL 60055-9188 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 9001964146 91.44 EQUIPMENT MAINT CONTR
Fed Tax# 13-1921089
Corporate Duns No 00-170.7322 Page 1 / 1
Federal Duns No 62-657-8041
Maintenance KONICA MINOLTA
Invoice No: 9001964146 ORIGINAL Payment Due Date: 12/31/2015
SUMMARY INVOICE Payment Terms are NET 30 DAYS
Invoice Date: 12/01/2015
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
Purchase Order Number Customer Contract Contract Coverage Dates
04/02/2015-04/01/2016
Invoice Comments
Summary Invoice Coverage Periods
11/02/2015-12/01/2015
Submitted To
DEC 14 2015
Clerk `treasurer
Invoice Sub Total: 91.44
Tax Total: 0.00
Invoice TOTAL: $ 91.44
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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 RD
INDIANAPOLIS, N 46268-3161
KONICA MINOLTA BUSINESS SOLUTIONS
Our Customer Service Representatives are available to assist you 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 Chances
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!
Fed Tax# 13-1921089
Corporate Duns No 00-170-7322
Federal Duns No 62-657-8041
Page 1 / 1
Maintenance
KONICA MINOLTA
Invoice No: 9001964146 ORIGINAL Payment Due Date: 12/31/2015
Payment Terms:
Invoice Date: 12/01/2015 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
Summary of Invoice Charges Quantity cage Bill Amount
Invoice 237222414 Unit Contract: 61013456
**BIZHUB C353 PRINTER/COPIER A02EO10001347 1
Aggregate
Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range
57,590 57,000 590 0 0 0 999,999,999 590 0.08412 49.63
Color Meter
Aggregate,
Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range
366,227 362,885 3,342 0 0 0 999,999,999 3,342 0.01251 41.81
B&W Meter
Invoice Sub Total: 91.44
Tax Total: 0.00
Invoice Total: $ 911.44
Invoice Description /Comments
Monthly invoice for Maintenance agreement covering the billing period of 11/02/2015- 12/01/2015.
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 46032-2584
04/02/2015-04/01/2016
Sort by: MACHINE DESCRIPTION Sort Invoice Sub Total: 91.44
Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00
Sort Meter Usage Sub Total: 3,932 Sort Invoice Total: $91.44
Total Meter Usage: 3,932 Total Number of Invoices Included: 1 Sub Total: 91.44
$91.44
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/01/15 I 9001964146 I I $91.44
1201 101
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
KONICA MINOLTA BUSINESS SOLUTIONS
DEPT CH 19188
IN SUM OF $
PALATINE, IL 60055-9188
$91.44
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
9001964146 I 43-515.01 I $91.44 1 hereby certify that the attached invoice(s), or
1201 101
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
Wednesday, December 09, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund